Transcript Highlights:

• circumstances in which a commissioner's court of a county may donate surplus property to a civic or charitable
• in regards to the disposal of a county surplus or salvage property by donating it to a civic or charitable
• HB 3335 would provide counties with more flexibility in donating surplus property to charitable organizations
• them by palletfuls, which then put us out of, um, The ability to utilize the current statute for charitable

Transcript Highlights:

• Most rural hospitals lack in-house pharmacies, and they have to contract with local pharmacies to provide
• :43.320> pharmacies<00:10:43.920> to<00:10:44.160> provide with local pharmacies
• work collaboratively with our Pharmacy work collaboratively with our Pharmacy team<00:20:56.120>
• Prescription drugs to pharmacies contracted with a 340B covered entity.
• <00:37:42.200> are<00:37:42.319> not law however pharmacies are not law however pharmacies

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• All right, moving on to HB 72 HD1, relating to pharmacy.
• First up, we have the Board of Pharmacy with comments.
• necessary regulations for pharmacy necessary regulations for pharmacy technicians<00:20:43.440><
• <00:21:27.000> technicians across the country pharmacy technicians across the country pharmacy
• Next up is HB 72 HD1, relating to pharmacy.

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with HB 205 HD1 and HB 480 HD1 on workers’ compensation. Testifiers from the Department of Labor and Industrial Relations and the Department of Human Resources Development supported the bills, with DLIR saying HB 205 would codify and regulate nonprescription over-the-counter drugs at a reasonable rate, and DHRD saying HB 480 would encourage timely and accurate assessments of injured workers’ physical abilities. No opposition was raised on those measures, and the committee moved on without votes or amendments noted. On HB 331 HD1 relating to permits, the University of Hawaiʻi, the Department of Education, and the Hawaii School Facilities Authority supported the bill, while the Board of Water Supply and Greg Mikan opposed it. Supporters did not elaborate much beyond standing on written testimony, but the School Facilities Authority asked that renovations be added to the definition of repeatable projects. Opponents argued the Department of Planning and Permitting is understaffed and that bypassing or speeding the permitting review process could create problems, especially for projects requiring proper engineering review. No action was taken beyond hearing testimony. The committee also heard HB 72 HD1 on pharmacy technician regulation, with the Board of Pharmacy offering comments and the Hawaii Pharmacist Association, Walgreens, and Mōʻiliʻili Drugs supporting the measure. Supporters said pharmacy technicians already perform essential duties such as vaccinations, compounding, inventory, and dispensing, and argued Hawaiʻi is the only state without an active managed list of practicing pharmacy technicians. On HB 139 HD1 regarding insurance, the Department of Commerce and Consumer Affairs offered comments, and the Hawaii Society for Clinical Oncologists supported the bill, arguing fertility preservation coverage should not conflict with federal law or the prepaid health care system. On HB 32 HD1 relating to cannabis, the Attorney General and Department of Health raised concerns about allowing purchase before certification is approved, while the Hawaii Cannabis Industry Association supported the bill and suggested lowering the purchase limit from 2 ounces to 1 ounce; the Department of Health said its average turnaround is two to three business days, with about 20% of applications returned for incompleteness and an internal expedited process for certain cases. Later, the committee heard HB 470 HD1 on noise, with the Department of Health supporting the goal of reducing noise pollution but cautioning that regulating intermittent noise like string trimmers is complicated, while the Retail Merchants of Hawaiʻi opposed the bill as a hardship for small businesses and questioned the practicality of battery-powered equipment. Ted Bolan supported the measure, saying it would not ban gas leaf blowers but would require quieter models over time. The committee then heard HB 534 HD1 on labeling requirements, where DLNR and the Department of Agriculture offered comments and several fishing and consumer groups supported the bill. Testimony focused on seafood origin labeling, especially raw tuna used in poke and sushi, with DLNR explaining the bill was being narrowed to avoid federal preemption and to avoid unintentionally covering canned tuna or other processed products. Finally, the committee heard H47 HD1 on aquaculture, with the Department of Agriculture, the Hawaii Invasive Species Council, and the Agribusiness Development Corporation supporting the measure; no votes were taken on any bill during the hearing.

Transcript Highlights:

• It allows for CGMs to be billed by both pharmacy and durable medical equipment providers.
• So DME will have access to this pharmacy vendor. Will it cost them anything to have access to that?
• So my understanding, correct me if I hope, is that it's instantaneous, basically, for pharmacy.
• We're also setting up a process by which we allow the pharmacy, alert the pharmacy, that they cannot
• The whole purpose of that bill, four hours from a pharmacy store.

Keywords: 1204, all

Summary: The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule. The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session. Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.

Transcript Highlights:

• What happens from the pharmacy, you know, from the pharmacy, from the warehouse, to the patient?
• So when you went to buy them at the pharmacy, they were seeing an average savings of $500 a year.
• a pharmacy affiliated with that PBM.
• So it allows you to use your prescription, your pharmacy. Thank you.
• So it allows you to use your prescription, your pharmacy. Thank you so much.

Bills: AB93, AB204, AB414, AB504, AB598

Keywords: public employees, police officers, benefits, appropriation, law enforcement, medical debt, collection agency, healthcare, consumer protection, financial assistance, occupational safety, air quality, greenhouse gases, employee monitoring, safety program, hemp, hemp products, cannabidiol, CBD, cannabis

Transcript Highlights:

• <00:16:41.360> benefit insurance committee um Pharmacy benefit insurance committee um Pharmacy
• artificially high prices at the pharmacy artificially high prices at the pharmacy counter<00:19:
• I was able to pull just some Anthem data from our pharmacy retail pharmacy in Campbellville for 2024.
• uh Retail Pharmacy from our uh Pharmacy uh Retail Pharmacy in<00:41:32.640> campbellville<00:
• entertained a great deal of of Pharmacy entertained a great deal of of Pharmacy legislation<00:43

Keywords: Meeting Start: 00:00 Roll Call: 00:10 SB145 Discussion: 02:23 SB145 Vote: 05:13 SB183 Discussion: 06:13 SB183 Vote: 11:37 HB413 Discussion Only: 16:15, 958, all

Summary: The House Standing Committee on Banking and Insurance met with a quorum and first took up Senate Bill 145, sponsored by Sen. David Givens. The bill would update retail installment contract statutes for automobile sales, allowing retailers with installment contracts shorter than 28 days to begin collections after three days instead of waiting for multiple missed payments, and it also harmonizes a related dollar amount in statute from $10 to $15. The committee asked no questions, and the bill received a favorable expression on a roll-call vote. The committee then heard Senate Bill 183 from Sen. Matt Nunn, with testimony from Chris Nolan of the American Property Casualty Insurance Association. The bill would require proxy advisers acting for the State Retirement System to act solely in the financial interest of current and future retirees and to avoid political or social considerations in shareholder voting recommendations. Supporters argued it would keep politics out of public pensions and align proxy advice with fiduciary duties; members praised the bill and noted Kentucky could be among the first states to adopt such a model. The committee approved the bill with favorable expression after a roll-call vote. The committee also reviewed administrative regulation 808 KAR 9:10 from the Department of Financial Institutions, with no vote required. It then took up House Bill 413, a PBM rebate pass-through bill, with testimony from Sarah Wood of the Diabetes Patient Advocacy Coalition. She said the bill would require 85% of negotiated drug rebates to be passed through to patients at the point of sale, lowering out-of-pocket costs, especially for high-rebate drugs such as insulin, while still allowing 15% to remain with plans. She cited examples from other states and argued the bill would benefit about 650,000 Kentuckians. Hope McClaflin of Anthem opposed the bill, saying it would reduce employers’ ability to use rebates to lower premiums, could disproportionately favor high-cost brand-name drug users, and could create significant costs for state and fully insured plans. Members asked questions about other states’ pass-through rates and the effect on premiums, but no final action on House Bill 413 was taken in the portion of the meeting provided.

Transcript Highlights:

• The pharmacy that filled my prescriptions for the past 25 years was the awesome pharmacy, Olden's Pharmacy
• of pharmacy.
• of pharmacy.
• benefit managers and pharmacy benefit managers are agents of insurance Pharmacy benefit managers are
• I am the President of the Massachusetts Pharmacy Association and the Director of Pharmacy at Greater

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• So we analyze prescription drug spending under the pharmacy benefit, and pharmacy benefits are typically
• So we analyze prescription drug spending under the pharmacy benefit, and pharmacy benefits are typically
• called Pharmacy administered by entities called Pharmacy benefit<00:30:46.480> managers<00:30
• Do they also sell my information to pharmacies?
• <00:48:25.559> discount your data the V first pharmacy discount your data the V first pharmacy

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• > got<00:01:24.880> our not just pharmacies, we've got our not just pharmacies, we've got
• we also have pharmacy benefit managers. we also have pharmacy benefit managers.
• <00:01:35.200> benefit That's that's a big pharmacy benefit That's that's a big pharmacy benefit
• ><00:45:00.960> the<00:45:01.200> um pharmacy benefit manager but the um pharmacy benefit
• investigators is a pharmacy. investigators is a pharmacy. >> Yes.<00:54:10.160> Yes.

Keywords: Appropriations - Room 409, 28 January, 2026; 1:30 P.M., 925, all

Summary: The committee heard budget presentations from the Mississippi Board of Pharmacy and the Mississippi State Board of Chiropractic Examiners, followed by the physical therapy board. The Pharmacy Board said it licenses pharmacists, technicians, students, and many facilities and supply-chain entities, including wholesalers, manufacturers, 3PLs, PBMs, and nonresident compounders. Its main requests were a 3% salary increase for specialized staff, about $118,000 for contract help to evaluate pharmacists with substance abuse or mental health issues under a recently passed public health bill, and additional IT spending authority for system upgrades and cloud migration. Members discussed the board’s role in protecting the public, vetting out-of-state facilities, and the need to keep sensitive data secure; no vote was taken. The Chiropractic Examiners board described itself as a small, contract-staffed agency with about 700 active licenses and a database system that is no longer supported by Microsoft. It said it had requested about $173,000, but the legislative budget recommendation was $134,000, and it needs roughly $40,000 more to upgrade or rebuild the system, including security fixes and online renewal capability. Members focused on the cybersecurity risk of using unsupported software and the need to protect personal information; the board also noted that its licensing data does not include banking information because payments are handled through the state portal. The Physical Therapy Board said it regulates physical therapists and physical therapist assistants, with 4,242 licenses and 252 complaints in the last fiscal year, and that demand for the profession continues to grow. Its requests included $6,000 in salary progression for long-serving staff, about $360 more in PDM salary authority, and roughly $38,610 for a one-time upgrade to its LMS licensing system, plus related cloud-migration costs. Senators noted the board’s strong reputation, discussed the burden of annual or biennial renewals, and supported the technology upgrade because the current system is no longer supported and could create liability risks if not addressed.

Transcript Highlights:

• the same amount as they pay an affiliated pharmacy.
• And then the PBMs negotiate with the retail pharmacies in secret.
• We're losing at least two neighborhood pharmacies every week this calendar year.
• In the past year, 1,600 pharmacies closed, both chain pharmacies and small mom-and-pop pharmacies.
• , and they're sending the lowest reimbursement to my client's pharmacies.

Transcript Highlights:

• It allows for CGMs to be billed by both pharmacy and durable medical equipment providers.
• Pharmacy and durable medical equipment providers. It is already live with our system.
• We're also setting up a process by which we allow the pharmacy alert the pharmacy that they cannot bill
• But DME providers submit to AFMC... ...or all pharmacy PAs.
• And now what you're saying is they're going to go through pharmacy for these.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• Next, we'll take up Tab 6, Senate Bill 1256 on pharmacy audits by Senator Grawl.
• , and fairly across all types of pharmacies.
• independent pharmacies, PBM-owned pharmacies, and PBM-affiliated pharmacies.
• integrity of the pharmacy system, but without destroying...
• Fair audits protect the integrity of the pharmacy system, but without destroying pharmacy practices over

Summary: The Banking and Insurance Committee took up several bills, beginning with CS/SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and the oversight required. The bill was reported favorably without opposition. The committee then heard SB 1256 on pharmacy audits, which would require PBM audits of pharmacies to follow uniform standards and provide due process protections; pharmacists testified in support, describing current audits as burdensome and conflicted. That bill was also reported favorably. Members next considered CS/SB 598 on funeral, cemetery, and consumer services. An amendment was adopted removing provisions on civil damage caps and phasing out direct disposers, and the bill was then reported favorably. SB 632, dealing with transportation network company insurance, would set coverage requirements for the period after a ride is accepted but before pickup; an opponent argued the existing insurance framework should not be reduced, but the bill passed on a divided vote and was reported favorably. CS/SB 786 on trusts, creating a nonjudicial process to close uncontested trusts and discharge trustees, was supported by banking and legal groups and reported favorably. The committee then took up CS/SB 1110 on Medicaid, health insurance, and HMO coverage for orthotics and prosthetics. A delete-all amendment clarified eligible recipients, and the bill drew extensive emotional testimony from amputees, parents, and advocates describing the high cost of activity limbs and the benefits for children’s health and participation. Several senators praised the testimony and the policy, and the bill was reported favorably. Finally, SB 1588 on legal tender refined last session’s gold-and-silver law, and SPB 7044 created related public-records exemptions for custodians of gold and silver; both were reported favorably, with SPB 7044 adopted as a committee bill. The meeting ended with senators recording additional affirmative votes on selected bills and adjournment.

Transcript Highlights:

• meetings there, where our membership decides which local organizations to donate proceeds from charitable
• their federal requirement of reporting their volunteer<00:04:03.159> and<00:04:03.319> charitable
• <00:04:03.840> efforts volunteer and charitable efforts volunteer and charitable efforts directly
• gambling<00:04:54.160> in<00:04:54.320> this<00:04:54.520> manner from charitable
• gambling in this manner from charitable gambling in this manner we<00:04:55.120> prop<00:04:55.400

Keywords: 1187, senate, all

Summary: The committee first approved the prior day’s minutes, then heard Senate File 255, which would exempt American Legion and VFW buildings from property tax. The bill’s author and the American Legion Department of Minnesota testified that many posts are struggling financially, that the tax burden can threaten building ownership, and that the posts provide important community services such as charitable gambling support, youth sports, food insecurity assistance, suicide prevention training, and meeting space for veterans and local residents. Several members voiced support, and the bill was laid over for possible inclusion. The committee then took up Senate File 30, a proposal to allow Minnesota estate tax portability for married couples, so a deceased spouse’s unused $3 million exclusion could transfer to the surviving spouse, similar to federal law. The author said Minnesota is an outlier compared with other estate-tax states and that the bill would simplify planning and reduce tax burdens, especially for family farms and other illiquid assets. A CPA and a Minnesota Farm Bureau representative testified that the order of death should not determine tax liability and that portability would help keep family farms intact. The bill was laid over for possible inclusion. Next, the committee adopted an A1 amendment to Senate File 211 and heard the bill, which would create a Minnesota subtraction for Foreign Service pension income, treating it more like military pension income. The author said the change would cover a small number of retirees and would have a minimal fiscal impact, while the testifier described Foreign Service work and said the benefit would recognize their service. The bill, as amended, was laid over for possible inclusion. Finally, the committee heard Senate File 132, which would revise property tax language related to electric power systems by replacing references to attachments and impertinences with broader system-based language. The author said the bill would clarify tax treatment for power co-ops, restore the original intent of the law, and provide stability for Greater Minnesota, with an estimated property tax shift of a little over $700,000. Testimony was beginning when the transcript ended, and no vote on the bill was recorded in the excerpt.

Transcript Highlights:

• These restrictions often limit health centers to one in-house pharmacy or one contract pharmacy location
• ICE. 340B drugs at one in-house pharmacy.
• The contract pharmacy restrictions also meant clinic systems can't contract with multiple pharmacies
• More contract pharmacy arrangements would guarantee access in low-income areas, which helps keep pharmacies
• contract pharmacies.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• , and we call that a pharmacy desert.
• , and we call that a pharmacy desert.
• that if that one pharmacy closed, that area would ...become a pharmacy desert.
• And we call that a near pharmacy desert.
• types of pharmacies?

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• aren't being passed down at the pharmacy aren't being passed down at the pharmacy counter.<01:09
• <01:20:10.560> and<01:20:10.800> the pharmaceut pharmacy and the pharmaceut pharmacy
• one contract pharmacy per health center. one contract pharmacy per health center.
• pharmacy has no status as a contract pharmacy has no impact<01:48:23.119> on<01:48:23.360>
• Pharmacies. It's created pharmacy deserts all across the state.

Keywords: 1187, senate, all

Transcript Highlights:

• These include things like homestead exemptions, charitable exemptions, municipal exemptions, and exemptions
• For example, a state property tax that provides an exemption only for charitable institutions benefiting
• For example, a state property tax that provides an exemption only for charitable institutions benefiting
• is in the Constitution, like the provisions that allow the Legislature to adopt exemptions for charitable

Summary: The Select Committee on Property Taxes held its first meeting with opening remarks from the co-chairs and ranking member framing the committee’s task as developing property tax legislation for next session. Staff then gave a high-level overview of Florida property taxes, explaining how ad valorem taxes work, the roles of property appraisers, tax collectors, taxing authorities, value adjustment boards, and the Department of Revenue, and reviewing key concepts such as just value, assessed value, exemptions, taxable value, millage rates, homestead exemptions, Save Our Homes, and portability. The presentation also emphasized that property tax law is largely rooted in the Florida Constitution and that local governments choose millage rates, which affects collections. No public comment was taken. The committee then discussed five Speaker-proposed concepts. Proposal 1 would require cities, counties, and special districts to hold a referendum on eliminating property taxes on homestead properties; members raised concerns about local funding, public safety, special districts, renters, and the need for extensive voter education, with some suggesting countywide elections or town halls instead. Proposal 2 would create a new $500,000 homestead exemption for non-school taxes and a $1 million exemption for seniors 65+ or long-term homesteaders; members split between seeing it as meaningful relief for seniors and warning it could devastate local tax bases, especially in lower-value or rural counties, while also potentially trapping older homeowners in place. Proposal 3 would authorize the Legislature to raise homestead exemptions by general law; some liked the flexibility, but others worried about statewide one-size-fits-all impacts, political difficulty in reversing changes, and the need for local revenue replacement. Proposal 4 would change assessment caps for homestead and non-homestead property; several members said it would not provide enough relief and could shift burdens to rental properties and non-homestead owners. Proposal 5, eliminating foreclosure on homestead property for tax liens, drew the strongest opposition, with members saying it would undermine lien priority, mortgage and title systems, and incentives to pay taxes. Throughout the meeting, members repeatedly stressed the need to understand local fiscal impacts, including police, fire, infrastructure, and other services funded by property taxes, and to consider alternative revenue sources or offsets if taxes are reduced. The co-chairs said the committee is still in the information-gathering stage, that all ideas remain on the table, and that members should do “homework” by meeting with local taxing authorities and learning how property taxes are set and spent in their districts. The meeting ended with no votes on the proposals and adjournment after a motion to rise.

Transcript Highlights:

• We also partner with our MedImpact pharmacy benefit manager, um, because they look at pharmacy first
• with our with Med impact our Pharmacy with our with Med impact our Pharmacy benefit<00:30:16.840
• > comes<00:30:20.960> to Pharmacy first before Pharmacy comes to Pharmacy first before Pharmacy
• organizations so we have one uh Pharmacy organizations so we have one uh Pharmacy benefit<00:36:
• claims activity we also have a pharmacy claims activity we also have a pharmacy and<00:37:15.160

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• So if a... ...if a charitable organization, if you will, is being, a very large one says, no, I'm not
• And now that charitable organization would lose the site.
• And I think that sometimes we forget that in this whole charitable gaming thing, is that it's the action

Keywords: 908, all

Summary: The Judiciary Committee opened with a hearing on HB 1596, which would change low-level marijuana and THC possession and paraphernalia offenses into non-criminal citations or infractions, with fines and court procedures varying by amount and age. The bill’s sponsor said it was intended to reduce burdens on law enforcement, prosecutors, indigent defense, and the courts, while still deterring possession; testimony from the Commission on Legal Counsel for Indigents supported the bill but suggested an amendment to keep those under 21 in infraction status rather than non-criminal citation status, to align more closely with alcohol laws. Committee members questioned whether the bill was based on weight rather than potency, how it would affect criminal records, and whether the proposed amendment would treat 20-year-olds with marijuana similarly to 20-year-olds with alcohol. Opposition came from the Chiefs of Police Association, Ward County Sheriff’s Department, and the Sheriffs’ and Deputies’ Association, which argued the bill would decriminalize a Schedule I substance and move North Dakota toward legalization contrary to voter decisions. They also said existing local plea practices already reduce workload and that the bill would still leave law enforcement with evidence handling and reporting duties. After debate, the committee adopted a do not pass recommendation on HB 1596 by a 5-2 vote. The committee then took up HB 1416, a gaming-related bill involving charitable gaming and the ability to conduct multiple gaming activities at a site. Members discussed concerns about rural facilities, local flexibility, and whether the bill was necessary given that gaming activities can be paused or covered during another event. Senator Myrdal moved a do not pass recommendation, which passed on a 5-2 vote. The committee then adjourned until the next morning, with two bills still pending for later consideration.

Bills: HB302, HB371, HB597, HB1097, HB1190, SB34, SB164, SB208, SB232, SB317, SB357, SB421, SB510

Keywords: legal representation, attorney general, elected officials, defense, legislative acts, judicial review, judiciary, election, judges, 19th Judicial District Court, East Baton Rouge, precincts, coroner, retention, body, mortuary, investigation, missing persons, Amber Alert, Endangered Missing Child Advisory

Summary: The committee met with a quorum and heard a series of Senate and House bills, mostly dealing with courts, veterans, public safety, and licensing. Early actions included favorable reports on SB 317, which adds the House and Senate Military and Veterans Affairs committee chairs to the Louisiana Military Advisory Council, and SB 357, which updates court administration and appellate e-case management provisions, cleans up outdated language, and revises reimbursement and security rules. SB 232, funding the judges’ supplemental compensation fund, was amended and reported favorably, and SB 421, modernizing electronic records terminology and safeguards, was also reported favorably. Several House bills were voluntarily deferred, including HB 1190, HB 1097, and later HB 374-1. The committee then took up SB 208 on veterans’ services, which was presented as a response to the earlier court ruling striking down Act 479. The bill seeks to regulate unaccredited “claim shark” businesses that charge veterans for disability-claim assistance, while exempting federally regulated accredited agents. Testimony from the Department of Veterans Affairs supported the bill as a way to protect veterans from predatory practices, while an opposing witness argued the issue is preempted by federal law and should be left to Congress or the pending Fifth Circuit appeal. Despite the objection, the bill was reported favorably. Members also advanced SB 510, which would restrict access to certain licensed establishments that sell hemp-based intoxicating products, especially bar-like venues where minors can currently enter; Alcohol and Tobacco Control explained the bill’s purpose and scope. HB 302, by Representative Chasson, was discussed as a measure to prohibit vape sales near schools, with testimony from public health and ATC witnesses noting the need to align the bill with existing licensing and local-ordinance authority; the committee moved it favorably after discussion. Finally, SB 34, creating “Brian’s Call” emergency alerts for missing children and adults with developmental disabilities, drew extensive emotional testimony from families and disability advocates and was reported favorably, as was SB 164, which adds public works employees to the definition of first responders. The committee adjourned after reporting HB 597, which restructures judicial compensation rules and eliminates the commission after a delayed effective date, and after deferring HB 374-1.