Transcript Highlights:

• <01:05:07.720> benefit<01:05:08.119> manager things that my Pharmacy benefit manager
• things that my Pharmacy benefit manager did<01:05:08.920> years<01:05:09.079> and<01:05
• I prescribed opiates to people in my practice very sparingly since I was someone in long-term recovery
• So, as a practical matter, I don't think it's an issue.
• practically practically non-existent<06:04:17.558> um<06:04:17.958> medical<06:04:18.280

Keywords: 1189, house, all

Transcript Highlights:

• My wife is a practicing physician.
• clinic my wife is a practicing clinic my wife is a practicing physician<00:05:02.000> we<
• That's just not fair in practice.
• I practiced in the little town of Franklin, New Hampshire, and practiced law since 1984.
• I practiced in the little town of Franklin, New Hampshire, and practiced law since 1984.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232, which would protect health care workers’ conscience rights in connection with certain procedures, especially abortion and sterilization, and also referenced contraception. The prime sponsor, Rep. Mark Pearson, said the bill is meant to prevent medical professionals from being forced to participate in procedures that violate their beliefs, while still prohibiting discrimination against patients based on protected characteristics. He said the measure was intended to help retain health care workers in New Hampshire and noted he had added an amendment to address concerns about people taking jobs only to later refuse duties, as well as emergency situations where a provider is the only one available. Committee members raised concerns about how broadly the bill and amendment were written. Questions focused on whether the protections could apply to non-physician staff such as schedulers, receptionists, or pharmacy employees; whether a provider could refuse to schedule, refer, or otherwise assist with services; and how “emergency” would be determined in practice. Several members also questioned whether the bill could affect access to contraception, including pharmacy sales and procedures such as tubal ligation, and whether the language was clear enough to prevent confusion or unintended refusals of care. Pearson said the bill was not intended to allow refusal of emergency care or general patient discrimination, and he acknowledged some language could be tweaked. Rep. Paige Boerman, a maternal-child health nurse, testified in opposition, saying she had seen pharmacists question prescriptions related to miscarriage care and that the bill could create barriers to contraception and other reproductive health services. She warned that the lack of a disclosure requirement and the broad definitions could create risks, especially in rural areas with limited providers. She also pointed to problems she said had occurred in other states, arguing the bill could lead to delayed care in emergencies. The hearing ended after questions and discussion; no vote or final action was taken in the portion provided.

Transcript Highlights:

• but it's not in the operation of ASHA or any of the college, you know, or the College of Nursing, Pharmacy
• I've had a chance to meet with those, the deans of pharmacy, and all of that and all of the other schools
• In medical interpretation practice, and also was a course on Medical intro to medical Spanish.
• Main Campus, and that's offered for medical Students and students in the College of Nursing and Pharmacy

Bills: SB106, SB171, SB179

Keywords: graduate scholarship, higher education funding, New Mexico, appropriation, financial aid, education, documentary, historical figure, Padre Antonio Jose Martinez, Northern New Mexico State School, SB179, Senate Bill 179, UNM, University of New Mexico, medical Spanish, Spanish-language curriculum, health sciences, health professions education, language access, bilingual healthcare

Transcript Highlights:

• I presently am in private practice of law.
• <00:07:43.680> group care and health insurance practice group care and health insurance practice
• presently am in private practice of law. presently am in private practice of law.
• So, our very large integrated pharmacy.
• I'm an orthodontist practicing in Corbin, Hazard, and Somerset.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• This is to improve breast and cervical cancer screening practices and the implementation of evidence-based
• This is for pharmacy benefits management services.
• with Summer Nash Patten, is for nutritional training and advisement, including implementing quality practices
• Contract 78, Department of Health with Health Care Pharmacy, is for pharmacy medication services for

Keywords: 1204, all

Transcript Highlights:

• This is an outdated practice, and the response to this updated practice varies across the state depending
• It's an incredibly cruel and unethical practice that we are looking to ban.
• So first, we know pharmacy benefit managers leverage spread pricing, and of course, independent pharmacies
• in Massachusetts to operate at a loss and force pharmacy closures, also creating pharmacy deserts across
• Again, this landmark bill would prohibit practices that cause a S. 1234.

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a lengthy public hearing on a wide range of civil actions, labor, consumer protection, and animal welfare bills. Chair Lydia Edwards and Representative Michael Day opened with strict testimony rules and time limits, then heard from legislators and advocates on measures including animal-abuser pet ownership bans (S. 1207/H. 1914), a name-change privacy bill (S. 1045/H. 1973), tort claims reform (H. 1724), law enforcement council coverage under the Tort Claims Act (S. 1199), civil rights and qualified immunity-related proposals (H. 1641), employee free speech/captive audience restrictions (S. 1078/H. 1653), consumer protection and civil rights jurisdiction expansion (S. 1041), private right of action for wage theft (H. 1916), gun-owner liability insurance (H. 1836), pseudoephedrine sales tracking (S. 1243/H. 1581), prepaid legal services plans (H. 1612), structured settlement protections (H. 1863), third-party litigation financing disclosure (H. 1861), antitrust reform for small businesses and workers (S. 1038/H. 1982), legal notices in online-only newspapers (S. 1279/H. 1632), and several animal cruelty and protection bills including H. 1938, H. 1949, S. 1277/H. 1934, and H. 1764. Testimony was largely supportive from bill sponsors and advocacy groups, with repeated themes of protecting vulnerable people and animals, improving access to justice, and updating outdated laws. Supporters of the animal bills argued for stronger possession bans, broader cruelty citations, and civil removal tools to prevent repeat abuse; opponents or conditional supporters raised due process and enforcement concerns, especially around warrantless seizures and requiring retail or shelter staff to check registries. On the labor and consumer side, supporters said the antitrust bill would curb monopoly power and help small businesses and workers, while opponents warned it could destabilize competition and burden successful firms. The employee free speech bill was backed as a response to captive audience meetings, and the wage-theft bill was presented as a way to let workers or organizations pursue claims when individual employees are afraid to come forward. Several public officials and association representatives testified on the law enforcement and civil rights bills. Chiefs of police supported adding law enforcement councils to the Tort Claims Act, saying it would close a liability gap for regional mutual-aid collaborations. But police representatives opposed changes to the Massachusetts Civil Rights Act and qualified immunity-related provisions, arguing the federal system already provides a workable forum and that expanding liability could increase costs, reduce morale, and worsen recruitment and retention. On the consumer/civil rights bill, Senator Collins and a veteran described an out-of-state assault case that they said showed the need for Massachusetts to let residents seek redress at home when rights are violated elsewhere. No votes or formal committee actions were taken during the hearing itself; the committee mainly received testimony and questions. Several witnesses indicated they had submitted written testimony or proposed amendments, and some bills drew requests for favorable reports while others were explicitly opposed unless amended.

Transcript Highlights:

• Harm reduction practices and policies have helped us make this progress.
• Our reduction practices and policies have helped us make this progress.
• Again, pharmacies are running out.
• People getting to have take-homes, getting it from Rite Aid, go to the pharmacy.
• People getting to have take-homes, getting it from Rite Aid, go to the pharmacy.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• programs, and there are several more, including an important investment in dementia research and practice
• George leads our cardiovascular and thoracic surgery practice for adults.
• It's an exciting place to practice. but they need a medical school at the anchor of that to make that
• The Ben and Maytie Fish College of Pharmacy was founded in 2013 in response to a need for more pharmacies
• We know that resident physicians tend to practice where they train.

Keywords: 1184, house, all

Transcript Highlights:

• The federally qualified health centers has to contract with pharmacies who would then participate in
• the 3340B pharmacy program.
• To pharmacies or other entities that would not necessarily be low income.
• President, we're saying that FQHCs can have drug discounts contract as well with retail pharmacies to
• to run some of our community pharmacies out of business.

Transcript Highlights:

• as um people who discuss best practices as um people who discuss best practices from<01:00:46.960
• this is not only updating best practices this is not only updating best practices but<01:19:28.639
• ...I don't think, when I'm looking at the listing, we do have pharmacy, and it seems as if the pharmacy
• Pharmacy Pharmacy um<01:42:30.599> and<01:42:30.760> it<01:42:30.920> seems<01:
• um and it seems as if so the pharmacy um and it seems as if so the pharmacy intern<01:42:33.440>

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• rearrange how they they practice rearrange how they they practice medicine<00:27:15.559> just
• <02:05:05.000> and<02:05:05.280> pharmaceutical<02:05:06.239> practices practices
• and pharmaceutical practices practices and pharmaceutical practices are<02:05:07.520> harming
• <02:23:54.240> where upon proper commercial practices where upon proper commercial practices
• <02:26:01.560> uh providers and to uh Pharmacy uh providers and to uh Pharmacy uh companies

Keywords: 1189, house, all

Transcript Highlights:

• Four, use evidence-based policies and practices. Let me tell you something.
• Like a lot of harm reduction practices, the ripple effect extends far beyond just recovery.
• So moving on to the next section with medical care and pharmacy services at APO.
• So shifting to the question of one thing that I would change about Missouri's policy or practice.
• I'm asking about your Medicaid enrollment specialists and what that looks like in practice.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• suggestion of AARP and is designed to prevent financial exploitation related to the growing criminal practice
• is a bill requested by the Department of Homeland Security to update the code to reflect modern practices
• The bill regulates pharmacy benefits managers, PBMs.
• The bill regulates pharmacy benefits managers, PBMs.
• The bill does this by placing the PBM under Chapter 33, requiring a bid solicitation for a pharmacy cost

Keywords: 994, senate, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, journal approval, and numerous guest introductions, including students, coaches, visitors from West Virginia universities, and representatives of Hunger Free West Virginia and Mountaineer Food Bank. The chamber also recognized Hunger Free West Virginia Day and heard remarks highlighting food insecurity efforts and a company working on pharmaceutical manufacturing and sickle-cell treatments. Senate Resolution 60 honoring Hunger Free West Virginia Day was adopted, while Senate Resolution 61 urging reversal of Obergefell was held over and Senate Concurrent Resolution 7 on the Southern West Virginia water crisis was referred to the Rules Committee. The Senate concurred in House amendments and passed several measures, including Senate Bill 467 on enforcement of Purple Heart parking spaces and Senate Bill 712 on cattle guards on certain public roads, with both made effective from passage. The body also passed Senate Bill 844, a supplemental appropriation to the Department of Human Services, and Senate Bill 87, a supplemental appropriation to the Department of Commerce, both with immediate effectiveness. In addition, the Senate advanced a large number of House bills and committee substitutes on first or second reading, including measures on government organization, judiciary, transportation, workforce, and health-related topics. On third reading, the Senate passed a series of bills covering a wide range of policy areas. These included the Blue Envelope Program for drivers with autism, dementia, or developmental disabilities; coverage for scalp cooling systems during chemotherapy; expanded sex-offender registration for certain offenses; child welfare clothing allowances; school personnel misconduct reporting; age verification for online sexual content; free Gold Star license plates for parents; sanitarian training and licensure changes; sheriff hiring authority; organ donor registration through voter registration; a Cold Case Task Force; abandoned vehicle title procedures; continuing education in nutrition for physicians; special plate rules; gift card fraud crimes; protections for athletic officials; school personnel reassignment rules; Homeland Security administrative updates; pharmacy benefit manager regulation; the VAPE Safety Act after a strike-and-insert amendment; parole supervision fee increases; partial service credit for disabled troopers; state property valuation reporting changes; and quarterly Hope Scholarship payments. Most of these bills passed overwhelmingly, often 34-0, with a few narrower votes such as the organ donor bill passing 30-4 and the school personnel movement bill passing 33-1.

Transcript Highlights:

• It is, and has been, a common practice since the dawn of man.
• that are being laid out as the green burial practices?
• <00:24:51.559> but cemetery um uses these practices but cemetery um uses these practices but
• It addresses reporting obligations for manufacturers, pharmacies, pharmacy benefit managers, and wholesalers
• obligations for manufacturers pharmacies obligations for manufacturers pharmacies Pharmacy<01:13

Keywords: 1187, senate, all

Transcript Highlights:

• stress that families are enduring of having to go to multiple clinics, having to go to multiple pharmacies
• to send today in addition to a call to action is that gender-affirming care remains legal, best practice
• stress that families are enduring of having to go to multiple clinics, having to go to multiple pharmacies
• to send today in addition to a call to action is that gender-affirming care remains legal, best practice
• <00:13:13.519> medical to stop providing best practice medical to stop providing best practice

Keywords: 919, house, all

Summary: State lawmakers, the attorney general, advocates, and parents held a press event responding to Children’s Minnesota’s announcement that it would pause some gender-affirming care for minors. Speakers, including Rep. Lee Finke, Hannah Edwards of Transforming Families Minnesota, and Jess Braverman of Gender Justice, said the pause was driven by federal pressure and threats from the Trump administration and HHS, not by medical best practice. They emphasized that gender-affirming care remains legal in Minnesota under the state’s Human Rights Act, Trans Refuge law, and insurance protections, and argued that interrupting care harms trans youth and families, especially those who moved to Minnesota for protection. Testimony focused on the emotional and practical impact on families: loss of trust in providers, delays in treatment, travel and intake wait times, and the stress of having to scramble for continuity of care. Speakers described the care as evidence-based, medically necessary, and life-saving, and said the federal government was using coercion and misinformation to intimidate hospitals and doctors. The attorney general said his office and coalition partners are litigating related federal threats, including a separate RFK Jr. declaration and proposed federal rules, and that Minnesota officials are working to preserve access and enforce state protections. In response to questions, speakers said the state’s legal tools are strong but limited against federal action, so they are relying on court challenges and enforcement of existing state law. They said Children’s Minnesota had been specifically targeted by federal officials and that the hospital’s pause was tied to that pressure. No votes were taken; the event ended with a call for continued public and institutional support for trans youth and for Children’s to resume care as soon as possible.

Transcript Highlights:

• Timothy Beggar is a board-certified anesthesiologist practicing in the Phoenix metro.
• Over the last 35 years, he has practiced medicine in various settings, including within the U.S.
• HB 2953, Pharmacy Board. HB 2958, help the name of appropriations.
• HB 2953, Pharmacy Board. HB 2958, help the name of appropriations.

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and recognition of the Doctor of the Day and several guests, including advocates for rare diseases, a community civil rights leader, and representatives from Lucid Motors. The chamber also heard multiple personal privilege remarks honoring guests and community figures, and the clerk recorded attendance at 55 present, zero absent, and five excused. The House then moved into Committee of the Whole and considered HB 2022, HB 2122, and HB 2138. HB 2022, an elections bill, was amended to extend provisions affecting overseas military voting and clarify observer access at voting locations; it received a do-pass recommendation. HB 2122, a technical reciprocity correction for engineers, also received a do-pass recommendation. HB 2138, a workers’ compensation cleanup bill clarifying coverage for firefighters as well as police, was amended and recommended do pass. The House adopted the Committee of the Whole report and sent the three bills to engrossing. On third reading, the House passed HB 2022, HB 2046 (probation-related changes), and HB 2116, which appropriates money to the Colorado River Litigation Fund. All three passed 56-0 with four not voting, and HB 2022 was passed as an emergency measure requiring a two-thirds vote. Members speaking on HB 2116 emphasized protecting Arizona’s Colorado River water rights and supporting litigation efforts. The session also included several commemorative remarks and announcements, including recognition of Notre Dame Preparatory’s state hockey championship, a proclamation for Mexican American Heritage Day, and a tribute to Mary Green as an early African-American pioneer in Arizona. The House later received first readings of multiple bills and adjourned until 1:15 p.m. Tuesday, February 3, 2026.

Transcript Highlights:

• We later learned that the allowable was $1,000 per hearing aid, and that it's common practice to balance
• <00:08:35.680> to<00:08:35.919> balance that it's common practice to balance that it's
• common practice to balance Bill<00:08:36.560> the<00:08:36.719> patient<00:08:37.080><
• <00:10:23.200> benefit bill that like with the pharmacy benefit bill that like with the pharmacy
• and should be in practice to help both the department.

Keywords: 958, all

Summary: The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression. The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression. Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.

Transcript Highlights:

• This practice is directly harming providers, staff, and the families they serve.
• pharmacy records by the MCOs's. pharmacy records by the MCOs's.
• and additional stops, including pharmacy and additional stops, including pharmacy pickups. pickups
• to align with this common sense practice to align with federal<00:49:44.319> law.
• Lewis, an act relating to the practice Lewis, an act relating to the practice of<01:56:19.440>

Keywords: 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state. The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted. The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39. After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.

Transcript Highlights:

• They are more than 50% more likely to be employed in the health care sector and retail pharmacy, allowing
• Students have options like pharmacy technician, welding, and certified medical assistant.
• Students have options like pharmacy technician, welding, certified medical assistant.
• These support schools and charters that use specific research-based practices to help students who qualify
• for free or reduced Research-based practices to help students who qualify for free or reduced-price

Summary: The House and Senate Education Committee first approved minutes from February 2 and 3, then heard an interim study proposal on Arkansas adult education and the Excel Center model, presented by Goodwill Industries of Arkansas and the University of Notre Dame’s Lab for Economic Opportunities. Witnesses argued that about 300,000 Arkansas adults lack a high school diploma or GED and described the Excel Center as a diploma-granting public charter option for adults 19 and older, with wraparound supports such as child care, transportation, tutoring, life coaching, and career services. They said the Arkansas campuses are not state-funded, highlighted growth in enrollment and graduation outcomes, and cited research showing improved employment, earnings, and reduced criminal justice involvement for graduates. Committee members discussed the role of Goodwill’s nonprofit mission, the need for multiple adult education pathways, and the relationship between adult education challenges and broader state efforts such as LEARNS and ACCESS. The committee then debated the interim study proposal procedure, including whether questions should have been taken before the vote. The motion to adopt the ISP passed, and members noted that the study would broadly examine adult education, GED testing, high school diplomas, charter schools, in-person adult education, and funding allocation. Several members asked for follow-up information on current adult education funding, the availability of Excel Centers, and the criminal justice study results. After that, staff from the Bureau of Legislative Research gave a detailed adequacy funding overview for Arkansas K-12 education. They reviewed national funding principles and then explained Arkansas’s revenue streams and distribution system, including general revenue, the Educational Excellence Trust Fund, the Educational Adequacy Fund, local property-tax revenues, and facilities partnership funding. They also walked through the state’s foundation formula, categorical aid, supplemental aid, and additional funding, including the per-student matrix amount of $7,771 for 2025 and how funds are allocated to districts and charters. Members asked about student support staff, special education high-cost occurrences, ALE funding, teacher salary equalization, and the Excel Center’s treatment in funding totals; staff said some of those questions would be addressed in a later spending presentation. The meeting ended after the committee was told the department was present mainly to answer questions and no further business remained.

Transcript Highlights:

• What's the problem with this at a practical level?
• Um, the, the, the practical problem with it is, is we really don't have any empirical support to show
• These are our pharmacy inventory investigations.
• There were also some policy and practice changes at the department during that time.
• Um, as a result of significant policy and practice changes, many of which were effective in September