Transcript Highlights:

• </c><01:00:27.720><c> education</c> different um local education different um local education administrative
• It's our vendor that we pay to generate pharmacy rebate.
• pay it to the $4 at the pharmacy pay it to the pharmacy<02:50:18.439><c> pay</c><02:50:19.120><c> it
• The detail behind that, and then the pharmacy cost sharing on the bottom of that, which is Pharmacy cost
• </c> really Medicaid's built on local really Medicaid's built on local Education<03:18:04.880><c> Agency

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• I've been a part of a lot of local calendars.
• And why does this bill prohibit local mental health?
• mental health authority for our local service area.
• My name is Aloki Shaw, and I'm the president of CWA Local 6154, which represents employees at local mental
• Today, every local mental health authority...

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• The resolutions seek to reduce insurance costs on local residents by pursuing subrogation claims against
• </c><00:49:35.200><c> reimbursement</c> and convene a pharmacy reimbursement and convene a pharmacy reimbursement
• </c> inflation and local market conditions. inflation and local market conditions.
• The next set are STR 70 and SR 54 relating to the pharmacy reimbursement working group.
• </c> uh relating to the pharmacy uh relating to the pharmacy reimbursement<01:00:04.160><c> working</

Committee: Senate Commerce and Consumer Protection

Summary: At a joint Senate hearing on SCR 198 and SR 178, the committees considered resolutions urging Hawaii insurers and the Hawaii Property Insurance Association to seek subrogation claims against polluters linked to worsening climate impacts and higher insurance costs. Testimony was overwhelmingly supportive, with 47 written testimonies in support and additional oral support from former Honolulu chief resilience officer Josh Tamro. The committees recommended passage with amendments, narrowing the language to refer specifically to polluters who knowingly engaged in misleading and deceptive practices about the connection between their products and climate change, along with technical non-substantive edits. Both committees adopted the amended resolutions by vote. At a separate joint hearing on STR 226 and SR 201, which urged changes to Medicaid 1915 home and community-based services waiver eligibility criteria, supporters argued the current rules and administrative guidance were inconsistent and left some people with intellectual and developmental disabilities, including those with mental health dual diagnoses, without proper access. The Hawaii State Council on Developmental Disabilities and Hawaii Disability Rights Center supported the intent but noted factual issues and said a memo from the department addressed only part of the problem, not the mental health-related concerns. After discussion, the chair concluded the resolution was not the best vehicle and deferred it, suggesting a more comprehensive bill would be needed. The Commerce and Consumer Protection committee also took up HB 799 HD2 SD1 on healthcare and recommended passage with amendments, including striking a written transfer-agreement requirement, shortening the sunset to June 30, 2028, removing a related timeline, and making technical corrections. In another joint hearing, SCR 222 and SR 197, which would have urged towing companies to have on-site ATMs for vehicle owners, drew opposition from the Office of Consumer Protection, which said Act 60 already requires credit and debit card acceptance and that ATMs could let companies evade the law. Members noted ongoing complaints and weak enforcement, and the chair recommended turning the issue into a task force for further study, with decision-making deferred because of quorum issues. The committee also heard several other resolutions: STR 57 and SR 41, urging Congress to create a national reinsurance program, received only supportive testimony; STR 70 and SR 54, calling for a pharmacy reimbursement working group, also drew support; and STR 123, proposing an attorney general-led landlord-tenant working group, received comments from the Attorney General’s Office suggesting a more appropriate lead agency and noting the Legislative Reference Bureau may be better suited to assist. No final adverse action was taken on those measures during the hearing segment described.

Transcript Highlights:

• provide for pharmacy reimbursements.
• HB 1236 has to do with the dispensing fee for local pharmacies.
• It does make the dispensing fee retroactive, but it does so back to January 1 for local pharmacies.
• It does make the dispensing fee retroactive, but it does so back to January 1 for local pharmacies.
• All the locals are in favor of it.

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

Summary: The Senate convened with a quorum, heard a prayer from guest minister Troy Brigadio, and recited the pledge. The chamber then handled journal approval, committee and House messages, and a large number of resolutions and bills, with many items lying over or being referred to committees. Several Senate resolutions were adopted by voice or machine vote, including commendations for World Preeclampsia Awareness Day, Kathy Holloway, Jensen LeBlanc, and River Bend Station, and the Senate also recognized Senator Mike Reese’s new role as president of McNeese State University. The body spent much of the meeting concurring in or rejecting House amendments to Senate bills. Concurrences were approved on measures including SB 102, 133, 151, 165, 169, 170, 200, 280, 291, 303, 330, 396, 410, 425, 427, 436, 489, 521, 45, 156, 181, 203, 304, and 399. The Senate rejected House amendments on SB 217, SB 300, SB 274, and SB 379, sending those matters toward conference or further work. One notable floor debate occurred on SB 449, where Senator Moore objected to concurring in amendments affecting the North Orleans Belt Railroad; after discussion about corruption concerns and public bid laws, the chamber rejected the amendments 26-9. The Senate also took up numerous House bills on final passage, approving measures on local governance, public safety, education, tax policy, and infrastructure. These included HB 87 on Livingston Parish Gas Utility District per diem, HB 115 on abolishing the police chief office in Edgefield, HB 162 on a neighborhood improvement district fee, HB 195 allowing pepper spray on campus, HB 214 and HB 217 on optional ad valorem tax exemptions for rehabilitated blighted property, HB 233 on jury compensation, HB 354 renaming a bridge as the Caleb Easterling Memorial Bridge, HB 283 on protections for assaulted school employees, HB 290 recreating the Department of Treasury, and HB 319 adjusting civic education commission membership. Several of these passed unanimously or with only a few dissenting votes, and members frequently moved to reconsider and record objections after final passage.

Transcript Highlights:

• Our network includes five large member food banks that work alongside about a thousand local pantries
• So this medication was reviewed by the Pharmacy Therapeutics Committee in October.
• What this bill does is put guardrails around the civil fees pharmacy boards can put on entities that
• What this bill does is put guardrails around the civil fees pharmacy boards can put on entities that
• The Board of Pharmacy is unlike a lot of the other boards.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• Senate Bill 458 by Senator McMath, local ethics entities, to provide for the use of taxes imposed for
• Members, this bill is a local bill that was properly advertised.
• They will incur the state general fund expenditures at the local level.
• “And any transfer that the state is doing over to the local level, the locals, I think, will find a way
• They held local offices, and they shaped public policy in ways that had made unthinkable.

Bills: HR192 , HR193 , HR194 , HCR80 , HCR81 , HCR82 , HCR83 , HCR84 , HCR85 , HR188 , HR189 , HR190 , HR191 , SB134 , SB140 , SB281 , SB331 , SB384 , SB389 , SB415 , SB451 , SB458 , SB479 , SB504 , SB523 , HR38 , HR96 , HR160 , HCR31 , HCR61 , SCR19 , HB316 , HB549 , HB578 , HB646 , HB748 , HB798 , HB824 , HB988 , HB989 , HB1001 , HB1032 , HB1081 , HB1108 , HB1129 , HB1140 , HB1157 , HB1186 , HB1192 , HB1195 , HB1198 , HB1222 , HB1244 , SB73 , SB89 , SB128 , SB149 , SB191 , SB196 , SB238 , SB318 , SB340 , HB225 , HR1 , HR17 , HCR5 , HCR4 , HCR47 , HCR32 , HB362 , HB893 , HB990 , HB1007 , HB1153 , HB1243 , HB12 , HB42 , HB205 , HB222 , HB267 , HB324 , HB325 , HB350 , HB478 , HB610 , HB617 , HB745 , HB749 , HB752 , HB797 , HB807 , HB821 , HB896 , HB979 , HB992 , HB1000 , HB1024 , HB1050 , HB1166 , HB1172 , HB1173 , HB1207 , HB1218 , HB1223 , SB162 , SB349 , SB350 , SB382 , SB383 , SB127 , SB244 , SB256 , HB911 , HB306 , HB366 , HB1161 , HB1230 , HB59 , HB481 , HB772 , HB897 , HB1003 , HB1008 , HB1112 , HB1180 , HB1189 , HB181 , HB1118 , HB901 , HR20 , HR74 , HB284 , HB393 , HB458 , HB459 , HB525 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB773 , HB864 , HB996 , HB1035 , HB1058 , HB1082 , HB1113 , HB1234 , HB1240

Keywords: ACOG, maternal health, healthcare professionals, patient-physician relationship, obstetrics, gynecology, condolences, military service, veteran, community, memorial, visual acuity, student health, de-identified data, longitudinal analysis, education policy, property rights, carbon dioxide sequestration, expropriation, Landowner Bill of Rights

Transcript Highlights:

• When Representative Thomas introduced the bill, she pointed out that there are five pharmacies in her
• </c><00:19:38.720><c> to</c> to drive 45 minutes to the pharmacy to to drive 45 minutes to the pharmacy
• </c> flexibility like any other Pharmacy flexibility like any other Pharmacy could<00:23:44.799><c> in
• </c> would like to support um my local would like to support um my local dispensaries<00:51:52.000><c
• And when I testify, I always say five pharmacies in my town.

Summary: The work session focused on HB 54, which would allow New Hampshire’s alternative treatment centers to operate for profit. Chair David Nagel opened by identifying the main concerns: whether members agreed with the bill conceptually, whether the proposal could be shaped to avoid a gubernatorial veto, and whether it could lead to “big cannabis” taking over. He also emphasized that the bill would not change the existing oversight structure, which remained under RSA 126-X. Representative Wendy Thomas said the governor’s objections in past sessions appeared to center on the state’s preference for a state-run model and broader policy concerns, but no one present knew the current governor’s position. Several speakers argued the bill was primarily about financing and access, not expanding the number of dispensaries. Matt Simon of Granite Leaf Cannabis said the current nonprofit structure makes it difficult to raise capital, pay down debt, and open additional access points, and that the bill would be a corporate restructuring rather than a change in day-to-day regulation. Brandon Pollock of TASCAL Wellness said medical cannabis programs in most other states are for-profit, and that New Hampshire’s nonprofit requirement has left ATCs burdened with high-interest debt and higher prices that push patients to Maine, Vermont, or the street market. He said converting to for-profit status could allow conventional financing, lower prices, and help keep patients in the regulated program. Members also discussed whether for-profit ownership would invite outside corporate control. Witnesses said the bill would not open the market to new operators, would not change advertising rules, and would include restrictions on ownership transfers for a period of time; “foreign corporation” was explained as an out-of-state entity. One speaker noted that the bill is similar to earlier versions that passed both chambers with strong support but never became law. No vote was taken during the work session; the discussion was informational and aimed at addressing concerns before the bill moved forward.

Transcript Highlights:

• This bill does not prohibit local economic development.
• Local taxing jurisdictions must explicitly consent.
• The study must analyze the effects on schools, local districts, local taxing entities, net economic activity
• It's pro-taxpayer, pro-school, and pro-local consent.
• We completely agree, especially with local control, ensuring that locally elected individuals who are

Bills: HB3310 , HB4311 , HB3841 , HB3024 , HB3075

Committee: House General Government

Keywords: purchasing, compliance, state employees, longevity pay, contract management, unclaimed property, service charges, property fund, accountability, government transparency, local development, economic impact, voter approval, tax increment financing, review committee, public finance, blight, salary increase, bonus limits, job performance

Transcript Highlights:

• and to repay the bondholders, the local government It's...
• House Bill 2451 concerns local tax increment financing.
• The project analysis must also assess impacts on the local business community, local school districts
• We can't afford to be cavalier with our local governments.
• Local permitting processes are grounded in the principle that the property owner is aware of and Local

Bills: HB2313 , HB2451 , HB2298 , HB2566 , HB2517

Committee: House Local Government

Keywords: grocery stores, public ownership, food accessibility, community services, economic development, tax increment financing, local government, municipal finance, public infrastructure, property title protection, land record fraud, county auditors, voluntary program, real estate, procurement, contracting, transparency, financial oversight, municipal permitting, transit projects

Bills: SB137

Committee: House Urban and Rural Development

Keywords: sewer, wastewater, public service commission, PSC, utility regulation, private utility, regulated utility, affiliated system, consolidation, rate jurisdiction, rate setting, wastewater management entity, common ownership, control, Jefferson County Board of Health, local constitutional amendment, public utilities, Alabama Code Title 37, Alabama Code Title 22, certification

Transcript Highlights:

• Specialty pharmacy programs are developed and designed to avoid any delays in care.
• Devin Jones with SEIU Local 1021, and I support this bill. Michael Gorself.
• Michael Garcel with SEIU Local 1021. Please support this bill. Hello, my name is Oscar Mungia.
• Current law limits what local health departments can monitor.
• Current law limits what local health departments can monitor.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• It aligns local enforcement with the state act and still preserves local authority to adopt more stringent
• So while my buffer is back to 600 feet, a local municipality is within their jurisdiction to increase
• For pharmacies, as with other businesses, if they are within 600 feet, they can continue to exist so
• So the Assembly has already set forth their priority of what they think pharmacies should be selling
• It was the local council member here for Sacramento because, ...pulled off.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• Specialty pharmacy programs are developed and designed to avoid any delays in care.
• Devin Jones with SEIU Local 1021, and I support this bill. Michael Gorself...
• Michael Garcel with SEIU Local 1021. Please support this bill. Hello, my name is Oscar Mungia.
• It is an opt-in measure that local health authorities can avail themselves of if they choose.
• Current law limits what local health departments can monitor.

Committee: House Health

Summary: The committee heard several health-related bills, with most testimony focused on access to care, patient safety, and health system costs. AB 554 (Prepare Act) would expand and clarify protections for HIV prevention medications, including PrEP and injectable PrEP, by limiting prior authorization and step therapy, extending no-cost coverage requirements, and improving reimbursement for small clinics. Supporters said the bill would protect access amid federal threats to HIV prevention, while insurers opposed it as an expensive mandate that could raise premiums and conflict with state affordability targets. The author argued the bill would prevent infections and preserve California’s existing public health protections. AB 577 would limit health plans and PBMs from restricting physicians’ ability to administer or dispense medications directly to patients when medically necessary. Supporters, including physicians and patient advocates, said the bill would improve continuity of care and prevent delays for vulnerable patients; opponents argued it was too broad, could increase drug costs, and could undermine specialty pharmacy networks. The author said amendments narrowed the bill to in-network providers, required patient consent and cost transparency, and exempted hospital outpatient facilities, but the measure still drew opposition over cost concerns. The committee also heard AB 546, which would require coverage of portable HEPA purifiers for vulnerable enrollees during wildfire emergencies, and AB 224, which would codify California’s updated essential health benefits benchmark plan to add infertility treatment, hearing aids, and expanded durable medical equipment coverage if approved by CMS. AB 1032 would require plans to reimburse additional behavioral health visits for wildfire survivors, and AB 849 would require trained chaperones for sensitive ultrasound exams after testimony about sexual abuse in a hospital setting. AB 1196 would update outdated rules requiring three surgeons for certain heart-lung bypass procedures, and AB 1113 would codify a right to wear a mask for health reasons. AB 1386 would add perinatal care as a required hospital service, but the author said the bill would be amended further to address hospital closures and workforce concerns. Several bills drew support from patient advocates, medical groups, and county officials, while insurers and hospital groups often opposed or sought amendments over staffing, cost, and implementation concerns. Some measures were held pending quorum or were scheduled for later action, and no final votes were taken on the bills discussed in the transcript excerpt.

Transcript Highlights:

• Pharmacy Pharmacy um<00:57:44.960><c> if</c><00:57:45.280><c> they</c><00:57:45.680><c> sell</c><00:
• A companies has been in Pharmacy.
• </c> specialy pharmacy in Menota Heights. specialy pharmacy in Menota Heights.
• Eight years ago, we opened Sterling Specialty Pharmacy.
• but for projects done by local governments.

Committee: Senate Taxes

Transcript Highlights:

• Local citizens came together and resolved that such a loss should never happen again.
• And part of that is because of, you know, the pharmacy, the cost of pharmaceutical drugs.
• And so my wife went to the pharmacy and called me... ...went to the pharmacy and called me just completely
• A lot of localities don't have the cash on hand to pay for those projects.
• around and force back on to the citizens of that locality.

Transcript Highlights:

• Second reading of bills: HB 2141, environmental printing; HB 2096, pharmacists, pharmacies; HB 2244,
• HB 2344, local government. HB 2349, employment. HB 2350, volunteer firefighters.
• for more than six decades, the West Valley Regional Chamber has stood as a steady, fast champion for local
• HB 2013, pharmacy benefits.
• HB 2013, pharmacy benefits; Workers Compensation, Health and Human Services and Appropriations.

Transcript Highlights:

• In this role, I have responsibility for pharmacy across the system, which includes our retail pharmacies
• These could be contract pharmacies, which are often large chain pharmacies, and third-party administrators
• “Our work highlights the significant growth in contract pharmacy arrangements, many of which are tied
• , or are PBM-owned pharmacies.
• In fact, the top 340B contract pharmacy in Massachusetts is Caremark.”

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• You see on line 11, your local school districts or colleges, universities, community junior colleges,
• services, including entities regulated under pharmacy benefit manager statutes.
• </c><00:32:42.159><c> benefit</c> construed to include a pharmacy benefit construed to include a pharmacy
• </c> prescription drug benefits or pharmacy prescription drug benefits or pharmacy services,<00:32:51.360
• </c><00:32:54.080><c> benefit</c><00:32:54.559><c> manager</c><00:32:55.279><c> stat</c> under pharmacy

Committee: Joint Insurance

Transcript Highlights:

• Second reading of bills: HB 2141, environmental; HB 2096, pharmacists and pharmacies; HB 2244, evictions
• single-family homes; HB 2333, insurance requirement; HB 2334, food; HB 2344, local government; HB 2349
• enterprise, community prosperity, and the belief that... ...stood as a steady, fast champion for local
• HB 2013, pharmacy benefits.
• HB 2013, pharmacy benefits, Workers Compensation, Health and Human Services and Appropriations.

Summary: The House convened, opened with prayer and the Pledge of Allegiance, approved the prior journal, and recorded attendance at 56 present, zero absent, and four excused. Members then used personal privilege to introduce guests and recognize visiting groups, including the West Valley Regional Chamber, Habitat for Humanity, Special Olympics Arizona, Vitalant, and veterans and military representatives. The chamber and blood donor month proclamations were read, with Representative Bliss recognizing January as National Blood Donor Month in Arizona and Vitalant’s role in supplying most of the state’s blood supply, and Representative Aguilar declaring January 22, 2026, West Valley Regional Chamber Day. The House handled a large volume of procedural business, including reports of standing committees, first reading and referral of numerous bills and resolutions, and announcements of committee meetings. The bills covered a wide range of topics such as elections, education, housing, taxes, health care, artificial intelligence, veterans, public safety, and energy. Several measures were also withdrawn and reassigned to different committees, including referrals to the Committee on Artificial Intelligence and Innovation, Government, Public Safety and Law Enforcement, and Natural Resources, Energy, and Water. Members also made brief remarks honoring guests and community causes, including a Veterans Caucus lunch announcement focused on military-family policy and a personal remembrance by Senator Cruz. No substantive floor votes on legislation were taken beyond procedural approvals and the motion to adjourn. The House recessed and later adjourned until 1:15 p.m. on Monday, January 26, 2026.

Transcript Highlights:

• </c> Carroll County can go to their local Carroll County can go to their local elected<00:19:49.600><
• We're enabling local jurisdictions.
• </c><00:26:25.360><c> We're</c> enabling local jurisdictions. We're enabling local jurisdictions.
• </c> is the lack of autonomy of our local is the lack of autonomy of our local governments<00:28:00.399
• </c> implementation of speed cameras locally. implementation of speed cameras locally.