Transcript Highlights:

• enforcement had to get very crafty in our thinking so that we would be able to build a good case against a pharmacy
• we had to get very crafty in our thinking so that we would be able to build a good case against a pharmacy
• or a doctor who was over-prescribed, or 5. case against a pharmacy or a doctor who was violating state

Summary: The committee convened with a quorum present and heard a presentation from FDLE Deputy Commissioner Vaden Pollard on homicide investigations, blood evidence, toxicology, medical records, and mental health records. Pollard explained that autopsy toxicology and medical examiner records are often critical in death investigations, but access to hospital blood tests, medical records, Baker Act records, and substance abuse treatment records is restricted by Florida law, HIPAA, and 42 CFR Part 2, usually requiring subpoenas, court orders, or consent. He also noted that autopsy reports are generally public, while photographs are confidential, and that medical examiners can access relevant prior medical history of decedents. Members questioned Pollard about what toxicology panels include, whether medications can be tested for, and whether medical examiner reviews can help determine if a deceased person had stopped taking prescribed psychiatric medication. Pollard said toxicology can include alcohol, drugs, and specific medications when relevant, but routine access to living suspects’ medical information is limited. He also discussed FDLE’s behavioral threat assessment work and said investigators may follow leads involving mental health treatment or facility releases when relevant to a case, though he could not speak to regulatory follow-up. The committee also discussed risk protection orders, with Pollard saying FDLE has used them effectively and that they can help prevent violence and connect individuals to services. The discussion then shifted to FDLE laboratory turnaround times and public safety impacts. Pollard said the average DNA turnaround time was 208 days for some cases, while sex assault kits are prioritized and generally remain under 90 days, with rush cases sometimes completed within 24 hours. He said backlog is tied to staffing and analyst capacity, and that faster processing is especially important in unsolved violent and sexual assault cases because delays can leave offenders on the street. The committee also noted that increased toxicology demands would affect toxicology staffing and workload, though not DNA processing. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• The Board of Pharmacy does not, in my mind, have that as one of their powers.
• Are we going to mandate a policy in this state that says the Board of Pharmacy can just take your property

Bills: SB45, SB61, SB222, HB385

Keywords: athlete agents, commission, state regulation, Alabama, higher education, athletics, membership diversity, school psychologist, school psychology, interstate compact, licensure compact, license reciprocity, portable license, equivalent license, professional licensing, psychology board, school mental health, student services, educational services, interstate practice

Transcript Highlights:

• THE NEXT MODULE I WANT TO TALK ABOUT IS THE PHARMACY BENEFITS MANAGEMENT, A MODULE THAT HAS BEEN IMPLEMENTED
• SO THE PHARMACY BENEFITS MANAGER PROVIDES A UNIFIED SYSTEM TO PROVIDE FINANCIAL AND CRITICAL SERVICES
• SERVICE MEDICAID POPULATION INCLUDING PROCESSING CLAIMS EAT REGRET PRESCRIBING AND INTEGRATING THE PHARMACY
• SO ON SLIDE EIGHT IN REGARDS TO NEXT STEPS FOR THE PHARMACY BENEFIT MANAGEMENT PROCESS, WHEN DOES AHCA

Transcript Highlights:

• PARTICIPATING PHARMACIES MUST SUBMIT AN ANNUAL ACCESS TO CARE PLAN TO THE DEPARTMENT AND THE BOARD OF
• PHARMACY TO ENSURE THAT PATIENTS HAVE ACCESS TO PRIMARY CARE SERVICES.
• I THINK THE BOARD OF PHARMACY WANTS TO VERY SWIFTLY MAKE SURE THAT THE PATHWAY AND STRUCTURE IS THERE
• WE PROBABLY NEED TO ENGAGE THE PHARMACY STAKEHOLDERS AND PARTNERS TO UNDERSTAND WHAT BARRIERS WITH THE

Keywords: 999, senate, all

Transcript Highlights:

• Clerk: Senate Bill 294, a bill to be entitled an Act relating to pharmacy practice for chronic health
• As you may remember, six years ago we passed collaborative pharmacy practice which allows pharmacists
• What this bill does is restrict the Board of Pharmacy from adding these specific conditions to collaborative
• Clerk: Senate Bill 294, a bill to be entitled an Act relating to collaborative pharmacy practice for

Keywords: 998, house, all

Transcript Highlights:

• Peg Clifford and Lisa Fan are our pharmacy director and pharmacy specialist.
• Peg Clifford and Lisa Fan are our pharmacy director and pharmacy specialist.
• Managed care organizations used to have relationships with all pharmacies, but now, for example, they
• Representative Woods asked whether there are difficulties with PBMs in the pharmacy area.
• Managed care organizations used to have relationships with all pharmacies, but now, for example, they

Keywords: 1189, house, all

Transcript Highlights:

• These products are required to be kept behind the pharmacy counter, and the amount sold is tracked to
• it's a good development for people, again, who live in rural areas and may not have access to a pharmacy
• These products are required to be kept behind the pharmacy counter, and the amount sold is tracked to
• ensure that large quantities are not... the pharmacy counter and the amount sold is tracked to ensure
• it's a good development for people, again, who live in rural areas and may not have access to a pharmacy

Keywords: 987, senate, all

Transcript Highlights:

• It's an act to amend Title 22 relative to pharmacy benefit managers to provide for definitions and to
• provide for pharmacy reimbursements.
• House Bill 1236 has to do with the dispensing fee for local pharmacies.
• It does make the dispensing fee retroactive, but it does... ...pharmacies.
• It does make the dispensing fee retroactive, but it does so back to January 1 for local pharmacies.

Bills: SR126, SR129, SCR71, SCR72, SCR73, SCR12, HB221, HCR54, HCR79, HCR87, HCR94, HCR95, HCR97, HCR102, HCR104, HCR58, SB480, SB514, HB12, HB66, HB145, HB167, HB175, HB196, HB213, HB218, HB222, HB256, HB291, HB325, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB749, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB985, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB538, SCR3, SCR23, SCR38, SCR24, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB222, SB399, SR119, SCR58, SCR65, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR41, HCR47, HCR63, HCR69, HCR31, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB17, HB36, HB41, HB47, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB571, HB677, HB712, HB723, HB726, HB728, HB750, HB759, HB789, HB844, HB850, HB870, HB966, HB1006, HB1018, HB1036, HB1241, SB29, SB42, SB43, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR126, Senate Resolution 126, World Preeclampsia Awareness Day, preeclampsia, maternal mortality, maternal health, pregnancy complications, hypertension, high blood pressure, pregnancy-related disorder, obstetrics, prenatal care, prenatal health, infant mortality, preterm birth, premature birth, Woman's Hospital, Louisiana Senate, women's health, public health awareness

Transcript Highlights:

• Another success is the pharmacy module.
• Another success is the pharmacy module.
• and providers from the existing eight hours per weekday to a 24/7 operation aligned with typical pharmacy
• and providers from the existing eight hours per weekday to a 24/7 operation aligned with typical pharmacy
• members and providers from the existing 8 hours per week day to a 24 7 operation aligned with typical pharmacy

Keywords: 1183, house

Transcript Highlights:

• analysis done to see exactly how much of those expanded benefits expenses are being made at a CVS pharmacy
• risk models transferred down to the medical loss ratio, the majority of the cost or expense side is pharmacy
• The response was that hospital expenses and pharmacy are two of the larger categories of services, dollar-wise
• The response was that hospital expenses and pharmacy are two of the larger categories of services, dollar-wise
• hospital pays slower, so you expect to see a larger IBMR amount than perhaps you would on certainly pharmacy

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• health and dental, prenatal, if that is something that they need, access to a quick and efficient pharmacy
• And so we really like to say that, Access to a quick and efficient pharmacy experience, right?
• So moving on to the next section with medical care and pharmacy services at APO.
• So moving on to the next section with medical care and pharmacy services at APO.
• busy corridor, and that has our clinic services and prevention services and case management and pharmacy

Keywords: 959, house, all

Transcript Highlights:

• The first proposal is for the California Board of Pharmacy.
• We have no comments at this time for the Board of Pharmacy. Two Taylors. Okay. LAO's office.
• The two of us have comments on the Board of Pharmacy and also private...
• With respect to the Board of Pharmacy, we reviewed this proposal and we're not raising any concerns at
• I don't have any more items for the Board of Pharmacy.

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• Section 15 of Article 7 modifies the timing of when a pharmacy may apply for a refund of the legend drugs
• paid to a wholesale drug distributor for drugs that the pharmacy then delivers outside of the state.
• Under current law, a pharmacy can only apply for the refund when it files its annual return.
• Pharmacies would be able to apply for and receive refunds throughout the year.

Bills: HF2730, HF2257, HF2768, HF1932, HF2437

Keywords: local government debt, municipal bonds, county bonds, capital improvements, public financing, bond issuance, public hearing, notice period, bond guarantee, Minnesota Public Facilities Authority, volume cap, private activity bonds, housing finance, residential rental bonds, LIHTC, low-income housing tax credits, redevelopment, courthouse financing, jail financing, law enforcement center

Transcript Highlights:

• House Bill 5248 transfers the administration of the pilot program from the Texas State Board of Pharmacy
• Under the bill, pharmacies eligible to be registered with DEA can apply to participate.
• DSHS will support these pharmacies by covering the cost of one collection receptacle per site, destruction
• today's model of drive-through medicine where you, where you can go to Target and have an unlicensed pharmacy

Transcript Highlights:

• We changed the pharmacy rate at NDSU from 9 to 14, putting them more in line with some of the other professions
• version provided 96% hold harmless to be calculated prior to the adjustments, and we increased the pharmacy
• What is the dollar amount resulting from increasing the pharmacy program professional credit weight from
• It's going to be health care type programs and then like nursing, pharmacy, those sorts of things, allied

Bills: SB2003

Keywords: higher education, student loans, scholarships, capital projects, workforce development, funding, North Dakota university system, 908, all

Summary: The committee met to work through the higher education budget, beginning with a conflict-of-interest request from Representative Martinson, who was excused from voting because of a partnership that leases office space to Bismarck State College. Members then reviewed the higher education institution budget sheets, covering ongoing and one-time funding items for campuses and system projects such as BSC housing, Lake Region roof repairs, UND’s STEM and National Security Crossroads projects, the UND allied health facility, NDSU projects including New Horizons, DSU deferred maintenance and campus security, Mayville’s Old Main, Minot projects, and the regional health institutes. Members also discussed student financial assistance, the professional student exchange program, IT security funding, and workforce/education innovation grants. Several amendments and policy questions were debated. The committee adopted an amendment to make workforce education innovation grants competitive rather than automatically distributed, and then voted to remove language prohibiting those funds from being used to duplicate academic programs. Members also removed similar anti-duplication language from the New Horizons section. They agreed to extend the UND hyperbaric chamber transfer authority to 2027 and clarified language around UND land-sale proceeds. A proposed amendment to add $5.6 million for the Wahpeton State School of Science building purchase failed for lack of a second, and a proposal to restore fetal alcohol spectrum disorder funding to UND was left for conference. The committee also discussed, but did not add, a tuition cap change, a study on the Praxis exam, and several governance-related provisions. The committee spent significant time on broader higher education policy items, including a $3 million enterprise resource planning request for the university system, a $2 million grant program for students who are pregnant, recently gave birth, or are caring for young children, and a $1.1 million request for library age-verification software tied to the Odin system. Members also discussed dual-credit authority for UND and NDSU, a goal for the UND medical school to increase North Dakota resident enrollment, and intent language regarding the commissioner/chancellor model and presidential search authority. At the end of the meeting, the committee approved the amendments and then gave the higher education budget a do-pass recommendation as amended, with Representative Sanford designated as the carrier. The Forest Service budget was also approved, including two additional FTEs, and the committee adjourned after noting it would continue with other budgets the next day.

Transcript Highlights:

• great honor of introducing our pharmarmacology students from Hilo from the Daniel Kinoi School of Pharmacy
• School<00:31:55.840> of from the Daniel Kinoi School of from the Daniel Kinoi School of Pharmacy
• 58.559> with<00:31:59.039> my<00:31:59.360> health<00:31:59.840> chair Pharmacy
• Uh along with my health chair Pharmacy.

Keywords: 910, house, all

Transcript Highlights:

• If we were talking about only active health and pharmacy benefit enrollment, that number is about 265,000
• These are just the pharmacy and medical claims, which represent the vast majority of claims paid out
• These are just the pharmacy and medical claims, which represent the vast majority of claims paid out
• On the pharmacy side, it's a bit more complex. Um, we are certainly seeing increases in unit costs.
• spend combined um medical and pharmacy spend combined um for<00:19:40.400> that<00:19:40.640>

Keywords: Meeting Start 00:00:00 State Health Insurance Plans 00:00:03 Executive Branch Salary Schedule Adjustments 00:29:15 Nutrition Program for the Elderly 00:34:52 Update on DORIS 01:05:38, 958, all

Summary: The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage. The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements. After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.

Transcript Highlights:

• It also continues the Arizona State Board of Pharmacy for six years.
• It also continues the Arizona State Board of Pharmacy for six years.

Summary: The caucus meeting on Friday, June 12, reviewed several bills on Blue Sheets 16, 17, and 18, with sponsors generally concurring in Senate amendments. On property tax and agricultural inspection bills, HB 2104 and HB 2105 were described as creating temporary limits on county assessors’ ability to reclassify or inspect agricultural property after a successful appeal or recent inspection, while preserving assessor authority for changes in use, ownership, splits, or taxable improvements. HB 4117, concerning religious worship assemblies, was amended by the Senate to focus on intentionally obstructing entry or exit from a place of worship or creating a disruptive commotion. HB 2311 would require AI conversational systems to notify users they are interacting with AI and add other consumer protections, and HB 2477 would conform Arizona’s 529 plan rules with federal law and allow certain rollovers to ABLE or Roth IRA accounts. The meeting also covered HB 2114, which directs motorcycle safety fund spending toward education and scholarships and ties motorcycle registration requirements to Class M licensing, with Senate changes narrowing the registration provisions and exempting business-owned motorcycles. HB 2729 was broadened by the Senate from continuing only the Nursing Board to also continuing DES, the Board of Occupational Therapy Examiners, the Physician Assistants Board, and the State Board of Pharmacy, with members noting this kind of consolidation is common at the end of session. All of these bills were presented for concurrence, and no objections or substantive questions were raised. The caucus then reviewed three additional measures that had just come through rules: SB 1618, which revises military affairs statutes, creates procedures for military installation fund property acquisition, changes commission duties and membership, and adds reporting requirements; SB 1110, which creates a Department of Corrections home confinement program for certain inmates nearing release; and SCR 1004, which would, subject to voter approval, restrict photo enforcement systems unless a contract existed before December 31, 2026. Members clarified that the House mirror of the photo enforcement measure had not advanced. The meeting ended with notice that more caucus or rules activity could occur later in the day as the chamber moved bills to the floor on sine die.

Transcript Highlights:

• Basani earned his Doctor of Pharmacy degree from Drake University College of Pharmacy and Health Sciences
• > and pharmacy, long-term care, pharmacy, and pharmacy, long-term care, pharmacy, and compounding
• leader and visionary in the pharmacy leader and visionary in the pharmacy compounding<00:15:37.760
• > D<00:15:48.880> from<00:15:49.120> Drake pharmacy degree from D from Drake pharmacy
• pharmacy students at Drake University. pharmacy students at Drake University.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, April 29, 2025, 1012, house, all

Transcript Highlights:

• Healthcare pharmacy is a highly regulated market.
• Healthcare pharmacy is a highly regulated market.
• We want to honor the work that compounding pharmacies are doing.
• Does not impact pharmacies are that.
• pharmacies are doing. pharmacies are doing.

Keywords: 981, all