Transcript Highlights:

• Um, and in looking at our rules and the laws around pharmacy, pharmacy and pharmacists have the ability
• , rules and the laws around pharmacy, rules and the laws around pharmacy, pharmacy<01:52:10.320><
• Now, pharmacy That's in RSA 318.
• respect in the underlying pharmacy respect in the underlying pharmacy practice<02:03:31.440>
• anything in your local pharmacy. anything in your local pharmacy. Followup. Followup.

Keywords: 1189, house, all

Transcript Highlights:

• Today, many Californians designate family members, loved ones, and charitable organizations as beneficiaries
• We strongly believe that the bill should only apply to charitable beneficiaries.
• to what might be in my close, given some of the things they said, because limiting the bill to charitable
• and what we're trying to do. ...given some of the things they said, because limiting the bill to charitable
• pass away, that their intentions are met by getting their resources to their loved ones or to a charitable

Summary: The committee heard several bills. SB 911, by Senator Becker, would require notification and verification of defensible-space compliance when homes in high wildfire severity zones are transferred, using the preliminary change of ownership report; supporters said it would improve wildfire resilience and insurance availability, while county assessors opposed the use of the PCOR and urged a different recorded document. Members generally supported the bill but raised concerns about the 12-month compliance window and the need to keep working with assessors; the bill was held pending a quorum and later placed on call. SB 1016, by Senator Blakespear, would create a pathway for a higher-level mental health evaluation when a Care Court petition is dismissed because the person is too ill to participate or otherwise needs more intensive care. Supporters, including psychiatrists, family members, and local officials, said Care Court is leaving many severely ill people untreated and that the bill would connect them to existing LPS processes. Opponents, including Disability Rights California, county behavioral health directors, counties, and other advocacy groups, argued it would expand involuntary detention, bypass existing pre-petition screening safeguards, and undermine Care Court’s voluntary nature. The bill passed the committee on a roll call vote and was placed on call. SB 1112, by Senator Archuleta, would create a faster court process for victims of illegal or excessive “bandit towing” to recover their vehicles by posting a bond and obtaining a release certificate. Support came from Enterprise Mobility and the author, who said the bill targets bad actors and helps equalize leverage for vehicle owners; the California Auto Body Association sought an amendment to exclude auto repair shops. The committee passed the bill as amended to Appropriations and placed it on call. SB 1119, by Senator Padilla, would impose child-safety requirements on AI chatbots, including risk assessments, crisis-response protocols, parental controls, limits on time and data use, reporting, audits, and a private right of action. The bill was driven by testimony from the mother of a teenager who died by suicide after prolonged chatbot interactions; industry and business groups opposed or sought amendments, citing overlap with recent law, vague standards, and prescriptive design mandates. Members expressed strong support for the bill’s goals while urging tighter definitions, and the bill was moved on a roll call vote and placed on call.

Transcript Highlights:

• Today, many Californians designate family members, loved ones, and charitable organizations as beneficiaries
• We strongly believe that the bill should only apply to charitable beneficiaries.
• charities do get noticed that they are the beneficiary, but I think that if we narrowed the bill to charitable
• beneficiaries... ...because limiting the bill to charitable beneficiaries undermines the core policy
• pass away, that their intentions are met by getting their resources to their loved ones or to a charitable

Keywords: 988, house, all

Transcript Highlights:

• testimony you testified that the businesses that are putting money into the program were doing it charitably
• /c><00:45:38.599> we<00:45:38.880> doing<00:45:39.160> it<00:45:39.400> charitably
• <00:45:40.319> and The program, we’re doing it charitably, and that is not true.
• It’s not charitable; it’s a tax benefit for them to do that.
• It’s not charitable; it’s a tax benefit for them to do that.

Keywords: 1191, senate, all

Transcript Highlights:

• those pharmacists that stuck around, if you please would rise, I want to welcome the pharmacists, pharmacy
• students, and pharmacy technicians from across the state attending Pharmacy Day at the Capitol today
• on behalf of the Arizona Pharmacy Association.
• The Arizona Pharmacy Association is a professional organization representing Arizona licensed pharmacy
• The Arizona Pharmacy Association is a professional organization representing Arizona licensed pharmacy

Keywords: 1182, all

Transcript Highlights:

• Elks, our veterans posts, the Knights of Columbus, and others, and we’re all familiar with their charitable
• It’s a critical component for these charitable endeavors to give back to our communities.
• to the success of our fundraising endeavors, which in turn will enable us to continue with our charitable
• Nationwide, over the past year, our veterans’ programs’ work included over 800,000 donated hours of charitable
• And like my friend at the Rotary, Plain Ridge Park Casino has been a phenomenal social and charitable

Keywords: 995, all

Summary: The committee on Economic Development and Emerging Technologies, chaired by Rep. Carole Fiola and Sen. Barry Finegold, held a lengthy hearing on a range of gambling-related bills. Testimony first focused on H. 496 to allow the Massachusetts Gaming Commission to authorize Plain Ridge Park Casino to add table games and more slot machines. Supporters, including Rep. Jeffrey Roy, Sen. Finegold, Rep. Barry R. Finegold, Rep. Brian Vaughn, and Plainville officials, argued the change was needed to keep Massachusetts gaming dollars from flowing to Rhode Island, protect jobs, and preserve local tax revenue. They described Plain Ridge as a strong community partner and cited host-community benefits such as municipal infrastructure projects and local aid. Opponents or skeptical witnesses later argued that expanded gambling, especially online, would increase harm and cannibalize existing casinos and local economies. The committee also heard testimony on bills related to sports betting restrictions and online gambling. Sen. John Keenan presented a “Better Health Act” proposal to ban prop bets and in-play bets, require affordability checks, prohibit hosts, raise the sports betting excise tax, expand funding for problem-gambling services, and increase research and data sharing. He and supporters framed the bill as a public-health response to addiction, suicide, bankruptcy, and other harms. Rep. David Nangle, speaking from personal experience with gambling addiction, strongly opposed internet gaming, warning that it would intensify addiction and expose children and families to 24/7 gambling on phones. In contrast, Rep. David Moradian and industry witnesses supported H. 4431 to legalize and regulate internet gaming, arguing it would bring illegal activity into a regulated market, generate new revenue, and include consumer protections such as age verification, deposit limits, self-exclusion, and responsible-gaming tools. The committee also took testimony on H. 4238, which would expand fundraising options for fraternal organizations, especially the Elks. Rep. Bruce Ayers and Elks representatives said the bill would help lodges raise money for scholarships, veterans’ services, and community programs after COVID-related losses and declining membership. On H. 480, Rep. Kathleen LaNatra, Rep. Badger, and representatives of veterans organizations and gaming-machine operators urged allowing qualified veterans groups to participate in certain video gaming activity, saying it would provide a sustainable revenue source to keep posts open and support veterans’ services. Dr. Rachel Volberg testified that expanding gambling, especially online gambling and slot machines at veterans organizations, would likely increase gambling harm, and she urged stronger harm-prevention measures, data reporting, and research funding. Other witnesses, including anti-gambling advocates and industry representatives, sharply disagreed over whether legalization would reduce illegal gambling or worsen addiction and social costs. No votes or final actions were taken during the hearing.

Transcript Highlights:

• First of all, I'd like to address the Pharmacy Benefit Management unit.
• This action included more than 68,000 claims and 330 pharmacies.
• Those adversely impacted pharmacies will now be made whole plus a return on their injury.
• to PBM practices so that pharmacies are not financially disadvantaged in the process.
• This was due to OptumRx's own negligence and not the fault of pharmacies.

Keywords: 914, all

Bills: HR153, HR154, HR155, HR156, HR157, HR158, HCR57, HCR58, HCR59, HR133, HR134, HR135, HR136, HR137, HR138, HR139, HR140, HR141, HR142, HR144, HR145, HR146, HR147, HR148, HR149, HR150, HR151, HR152, SCR28, SB141, SB169, SB206, SB233, SB417, SB421, SB429, SB437, SB477, SB510, SB521, HR1, HR17, HCR5, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB902, HB943, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, SB127, HB284, HB1, HB2, HB3, HB312, HB313, HB383, HB314, HCR3, HB983, HB1126, HB21, HB24, HB29, HB31, HB39, HB45, HB77, HB136, HB150, HB263, HB273, HB299, HB315, HB376, HB377, HB431, HB444, HB450, HB519, HB533, HB538, HB559, HB562, HB663, HB664, HB715, HB717, HB805, HB822, HB823, HB834, HB864, HB867, HB1017, HB1018, HB1068, HB1134, HB1137, HB1234, HB1235, HB1236, HB211, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB345, HB366, HB446, HB511, HB514, HB655, HB730, HB743, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, SB162, SB349, SB350, SB382, SB383, HB401, HB51, HB58, HB140, HB982, HB1010, HB132, HB193, HB635, HB690, HB1003, HB750, HB911, HB151, HB180, HB192, HB310, HB961, HB1146, HB977, HB181, HB901, HR20, HR74, HB9, HB393, HB459, HB577, HB582, HB605, HB614, HB615, HB682, HB733, HB773, HB996, HB1113

Keywords: commendation, robotics, high school, competition, education, Tomato Festival, community celebration, Our Lady of Prompt Succor, fundraising, local heritage, Holocaust, remembrance, Yom HaShoah, Jewish history, condolences, community service, law enforcement, legacy, Shreveport, D.A.R.E. Program

Transcript Highlights:

• application of a person seeking a application of a person seeking a pharmacy<00:23:16.679> benefit
• I own pharmacies, and so I've been watching the implementation of this and tracking it very closely.
• Of course, you're seeing a lot of pharmacies closed right now.
• You're seeing pharmacy deserts because of PBMs.
• and so I've been watching the pharmacies and so I've been watching the implementation<00:25:10.120><

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met on February 10 with a quorum present, approved the minutes, and then reviewed a long agenda of agency regulations, most of which were accompanied by staff-suggested amendments for drafting conformity under KRS Chapter 13A. The Department of Financial Institutions’ 808 KAR 9:10, the Secretary of State’s 030 KAR 2:11, the Office of the Attorney General’s 04 KAR 5:10, the Board of Speech-Language Pathology and Audiology’s emergency 201 KAR 17:120, the Department of Fish and Wildlife Resources’ 301 KAR 2:41, the Department for Environmental Protection’s 401 KAR 47:110 and 48:320, the State Police regulations 502 KAR 1:012 and 1:121, the Department for Public Health’s 902 KAR 4:15, the Department for Medicaid Services’ 907 KAR 1:15, and the Department for Community Based Services’ 921 KAR 1:400 were all discussed and, where applicable, staff amendments were approved without objection. The Workplace Standards emergency regulation 803 KAR 2:320E was also presented without amendment, and the Department of Insurance’s 806 KAR 9:360 was taken up but ultimately deferred at the agency’s request. Several regulations drew brief substantive discussion. The Fish and Wildlife rule on foxhound training enclosures was explained as expanding both commercial and non-commercial provisions for training with dogs involving red fox and coyotes, with enclosure standards intended to protect wildlife inside and outside the facilities. The environmental protection rules were tied to House Bill 478 and addressed permit-by-rule timelines, reporting, and operating standards for certain construction and demolition debris landfills, including sites up to two acres; members asked whether these facilities were private or municipal, and staff said they were a mix, often tied to private demolition contractors or single projects. The State Police fee increase for hazardous materials endorsements was described as reflecting a federal TSA fee change, and the witness estimated the new fee at about $23. The most extended debate concerned the Board of Education’s 704 KAR 3:535 on full-time virtual and remote learning programs. The agency amendment would cap enrollment in such programs at 10% above a district’s prior-year in-person enrollment, while also clarifying accountability, staffing, and monitoring requirements. Education officials said the cap was intended to address concerns about district capacity and student performance, and they cited Cloverport as an example of a district with high virtual participation and participation-rate issues. Members expressed concern that the amendment was too open-ended for regulation and suggested the issue might be better addressed in statute; no motion was made to adopt the agency amendment, so the regulation was left to proceed to the committee of jurisdiction. The Department of Insurance also discussed implementation of Senate Bill 188, saying it had received more than 3,000 complaints since the law took effect and was still working through enforcement and complaint processing before asking to defer its PBM licensing regulation.

Transcript Highlights:

• in the update report, the Ocklawaha River Restoration Science and Economic Report, funded by Pew Charitable
• involved in the update report, the Acoaha River Restoration Science and Economic Report, funded by Pew Charitable
• Tree. restoration science and economic report funded by Pew Charitable Trust.

Bills: S0698, S0958, S1066, S1230, S1288

Keywords: onsite sewage treatment, disposal systems, building permits, environmental regulation, local government authority, drinking straws, stirrers, local regulation, compostable, environmental impact, Ocklawaha River, St. Johns River, Silver Springs, river restoration, dam removal, Kirkpatrick Dam, Buckman Lock, Cross Florida Barge Canal, environmental restoration, springs protection

Summary: The Committee on Environment and Natural Resources heard and advanced several bills. SB 958, by Senator Bradley, would require local straw and stirrer ordinances to allow renewable, certified compostable, marine-biodegradable products; supporters said it would reduce reliance on paper straws that may contain PFAS and create more uniform standards. The bill was reported favorably after brief supportive testimony and no opposition. The committee also approved SB 1066, by Senator Broder, a major Ocklawaha/Rodman Dam restoration proposal. The bill would direct DEP to implement a phased restoration plan, create an advisory council with local and military representation, fund recreation and economic development projects, and address safety concerns tied to the dam’s age and high-hazard status. Supporters from conservation groups, river advocates, and some local residents praised the restoration and planning framework, while several Putnam County officials opposed the bill, arguing the reservoir supports recreation, water supply, and local interests. The committee adopted a late-filed amendment adding a Naval Air Station Jacksonville representative to the advisory council, then reported the committee substitute favorably. SB 698, by Senator Martin, was also reported favorably. It would let builders proceed with local building permits while septic permits are pending, rather than waiting for sequential approval, and includes a 120-day glide path related to new DEP rules; builders supported the bill as a way to reduce delays, while some senators questioned whether the transition period was too long. The committee then approved CS/SB 1230, by Senator Harrell, which phases out PFAS-containing firefighting foam, restricts non-emergency training use, requires inventory and disposal reporting, creates DEP rulemaking and a grant program, and exempts certain federal, military, and emergency uses. Finally, the committee favorably reported CS/SB 1288, also by Senator Harrell, to designate a water body in the Jupiter Narrows area in honor of Andrew Red Harris, with a technical amendment clarifying the shoal designation. Several members later asked to be recorded as voting in the affirmative on selected bills.

Transcript Highlights:

• In practice, inside hospitals, emergency rooms, pharmacies, and urgent care settings.
• The Board of Pharmacy has not presented this as an issue.
• It's just the Board of Pharmacy nor the Department of Health has received reports.
• I am a student at the ULM College of Pharmacy, but I am here in my capacity as self.
• Wouldn't get to the pharmacy to get the refills until several days after.

Bills: SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Transcript Highlights:

• I am the chief pharmacy officer for Western Health Advantage.
• So you will see it at the pharmacy.
• It's when you go to the pharmacy.
• At the pharmacy? Yeah, at the pharmacy. Okay.
• At the pharmacy. Yeah, at the pharmacy. Okay.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• “The increase in fiscal year 2027–28 and ongoing reflects the addition of new pharmacy benefit manager
• legal requirements related to PBM revenue practices and pharmacy network reforms.
• legal requirements related to PBM revenue practices and pharmacy network reforms.
• , prohibiting discrimination against non-affiliated pharmacies, and requiring PBMs to include any pharmacy
• It just seems to me, you know, pharmacy benefit managers, they're supposed to be adding such a great

Keywords: 988, house, all

Transcript Highlights:

• The increase in fiscal year 2027-28 reflects the addition of new pharmacy benefit manager data to the
• SB 41 builds upon the previously established pharmacy benefit manager...
• SB 41 builds upon the previously established pharmacy benefit manager licensure requirements enacted
• in 2025 through AB 116 by expanding legal requirements related to PBM revenue practices and pharmacy
• , prohibiting discrimination against non-affiliated pharmacies and requiring PBMs to include any pharmacy

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• Does not include pharmacists or pharmacies under Texas Insurance Code 1458.
• We show you with the Texas Pharmacy Association and yourself, we show you registered for SB 493.
• I'm a pharmacist at Carval Hall Pharmacy in San Antonio.
• I'm testifying today on behalf of Texas Pharmacy Association in support of Senate Bill 493.
• It doesn't go to the pharmacy, does not go to the pharmacy.

Transcript Highlights:

• And finally, we are adding dental students to the list of sovereign immunity for free and charitable
• Dental students to the list of sovereign immunity for free and charitable work in clinics.

Summary: The Health Professions and Program Subcommittee met and reported several bills favorably. PCS for HB 647, which allows physicians to use advanced practice registered nurses under written protocol to certify deaths and file death certificates for hospice patients, passed unanimously after brief supportive testimony from hospice, AARP, and physician assistant representatives. HB 803 on acupuncture updated outdated statutory language, clarified the definition of acupuncture, listed allowable point injection therapy items while prohibiting certain drugs, and affirmed referral authority for imaging and labs; it passed 16-1 amid support from acupuncture stakeholders and opposition from several medical groups. PCS for HB 1545 would create recurring state funding for Parkinson’s disease research at the University of South Florida and a consortium of Florida universities; it drew support from USF, the Michael J. Fox Foundation, and Mayo Clinic, with concerns raised about limiting participation to universities, and it passed unanimously. HB 901, which clarifies procedures for parents challenging court-appointed psychologists in family law cases, passed 15-1 with support from a witness and no debate. HB 591, the children with developmental disabilities/autism bill, was presented as a broad early-diagnosis and intervention measure to help children enter treatment and mainstream life sooner; it received supportive testimony from the Florida PTA and strong floor support, and passed unanimously. Finally, PCS for HB 1299, the Department of Health agency bill, made multiple changes including preventing the mRNA vaccine from sunsetting in statute, adding vaccination-status protections in the patients’ bill of rights, updating medical marijuana center screening and reporting requirements, revising nurse active-practice requirements, making technical compact changes, and extending sovereign immunity protections to dental students doing charitable clinic work. After a brief note that optician-related provisions had been removed, the bill passed unanimously. The committee adjourned after reporting all measures favorably.

Transcript Highlights:

• And this enables folks to get it at any pharmacy.
• So we found that there are certain pharmacies that refuse to fill Suboxone.
• One of those actually is one of the main pharmacies in downtown St. Louis.
• So Connecticut recently licensed the first mobile retail pharmacy.
• But we were turned down by the Board of Pharmacy, who said that we couldn't license any mobile pharmacies

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• Are pharmacies allowed to continue selling THC and hemp-related products?” “Mr.
• The pharmacy thing really kind of blows my mind. I have to be honest with you.
• And I feel like that does a disservice to those small independent pharmacies.
• But he is, and his wife are small, they own a small independent pharmacy.
• I mean, heck, our pharmacies, our small pharmacies, are going to shut down.

Keywords: 977, all

Transcript Highlights:

• rules that go into effect that directly contradicts the law that we passed last year on the pharmacy
• So, you're saying that the pharmacy board declared an, quote unquote, emergency and then raised their
• I was trying to find the verbiage here. uh in the pharmacy board where in uh in the pharmacy board where
• year on the pharmacy board. year on the pharmacy board. um<00:11:29.279> the<00:11:29.760
• <00:11:52.079> board<00:11:53.120> declared saying that the pharmacy board declared

Bills: HB59, SB15, SB96, SB104, SB137

Keywords: public accountancy, CPA licensing, board regulations, educational prerequisites, electronic notifications, firm registration, assignment, creditors, insolvency, liquidation, assignee, secured transaction, bankruptcy, state law, voluntary process, distribution of assets, emergency rules, governor certification, state regulations, public safety

Transcript Highlights:

• Line 352 pharmacies at $4.50. 50 cents.
• And then we did some stuff for pharmacy this year.
• And then we did some stuff for pharmacy this year.
• that were um addressing pharmacy issues. that were um addressing pharmacy issues.
• Um, another key and pharmacies better.

Keywords: 1187, senate, all