Transcript Highlights:

• House Bill 1377, Delegate Anne Kaiser, Prescription Drug Repository Program, Redirecting Safe Prescription
• <00:35:13.839> Each prescription drug takeback day. Each prescription drug takeback day.
• non-controlled unopen prescription non-controlled unopen prescription medications<00:35:21.440><
• > packaged<00:35:27.839> in prescription medications are packaged in prescription medications
• transfer eligible prescription transfer eligible prescription medications<00:35:36.720> to

Keywords: Senate streaming session for Wednesday, April 8, 2026, 960, senate, all

Summary: The Senate convened, established a quorum, and handled several ceremonial and introductory matters before moving into committee reports. The chamber welcomed the doctor of the day, recognized an intern and a guest in the gallery, extended birthday wishes to Senator Chris West, and received remarks from the Romanian Ambassador to the United States, Dr. Andre Moraru, who emphasized Romania’s strategic partnership with the United States, NATO cooperation, investment ties, energy projects, and support for Ukraine. Senators also briefly noted Maryland’s military and diplomatic ties to Romania. The ambassador’s remarks were journalized, and members were given time to meet with him off the floor. The Senate then took up a series of second-reading bills, mostly from the Finance Committee, adopting committee amendments and favorable reports without objection. Among the measures advanced were Senate Bill 39 on behavioral health reimbursement rate methodology and a work group for certified community behavioral health clinics and outpatient mental health centers; Senate Bill 605 directing the Public Service Commission to study broadband and VoIP oversight; Senate Bill 721, Ralph’s Act, providing expedited DDA/Medicaid eligibility for certain recently relocated individuals; and Senate Bill 891 on perinatal mental health screening, coverage, training, and reporting. Each was amended in committee and ordered printed for third reading. The Senate also advanced several House bills, including House Bill 427 extending the task force on responsible use of natural psychedelic substances and adding an HBCU representative; House Bill 480 requiring transportation network companies to maintain written deactivation policies; House Bill 532 requiring overtime pay for firefighters employed by governmental units after 168 hours in a 28-day period; House Bill 816 reducing the Maryland Automobile Insurance Fund assessment cap from 3% to 1% and authorizing an affordability program; House Bill 829 requiring human trafficking awareness training for certain for-hire and rideshare drivers; House Bill 862 requiring a two-person crew for certain freight rail operations in shared corridors, contingent on similar action in neighboring states; and House Bill 999 revising Class 9 limited distillery license rules and production limits. Most of these bills were reported favorably, with no objections, and were ordered to third reading or passed for third reading as applicable.

Transcript Highlights:

• The amendment clarifies that this only applies to non-opioid prescription drugs.
• While many prescription at a pharmacy.
• > to<00:19:01.919> just<00:19:02.320> 14 prescriptions are limited to just 14 prescriptions
• coverage for prescription insulin. coverage for prescription insulin.
• If I cannot fill my insulin prescription, my life is in immediate danger.

Keywords: 1187, senate, all

Transcript Highlights:

• prescriptions, and preventive care. prescriptions, and preventive care.
• also been able to do prescriptive also been able to do prescriptive medicine<00:31:49.520> boxes
• On page three, you talked about how the MCO pays for prescriptions.
• <00:46:03.040> I the uh MCO pays for prescriptions. I the uh MCO pays for prescriptions.
• They decide which prescriptions, but the They decide which prescriptions, but the dollar<00:46:30.160

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• In the case of prescription drug mandates, CAP will continue to encourage thorough review of prescription
• CAP will continue to encourage thorough review of prescription drug costs, which remain a major driver
• It is prescriptive.
• So it's prescriptive of what it says. But like it won't be on the actual product.
• And just to clarify, the bill is actually not prescriptive that the website contains raw data.

Keywords: 987, senate, all

Transcript Highlights:

• We start by pouring money into prescriptions.
• It would be a critical safeguard against our overreliance on prescription opioids.
• It would be a critical safeguard against our overreliance on prescription opioids.
• It would be a critical safeguard against our overreliance on prescription opioids.
• It would be a critical safeguard against our overreliance on prescription opioids.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• They're looking at height restrictions, easements, and general infrastructure analyses to determine how
• height assessments they're looking at height restrictions<01:49:07.320> uh<01:49:07.920> easements
• <01:49:08.920> uh<01:49:09.080> just restrictions uh easements uh just restrictions
• uh easements uh just general<01:49:09.920> infrastructure<01:49:10.920> uh<01:49:11.320

Keywords: 910, house, all

Transcript Highlights:

• Um, one example, having prescriptions changed.
• Um, one example, having<00:47:44.960> prescriptions<00:47:45.520> changed.
• <00:47:46.400> I've<00:47:46.640> been having prescriptions changed.
• I've been having prescriptions changed.
• clinics actually changed prescriptions clinics actually changed prescriptions that<00:47:50.640>

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• I had a prescription for a college student whose prescriptions I've filled since she was eight years
• There's no reason a patient should be incentivized to pay more for prescription drugs.
• That is exactly how... ...the PBM to design our prescription drug system.
• Pharmacists could refuse to fill prescriptions for birth control.
• You go to the pharmacy, you get your prescription in an hour, right?

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• You have to have already a written prescription for this, where a lot of times these kids and things
• Can we not imagine that a pediatrician would be providing a prescription if, in fact, we required that
• write a prescription for these under any circumstances.
• I think you were saying something, well, maybe if these were prescription-based, well, I can tell you
• , you could make them prescription medicines, and no credible physician would ever write a prescription

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections. Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope. Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.

Transcript Highlights:

• just until MOAB or until Medicaid Oversight and Advisory can get set up and really dive into the prescriptive
• just until MOAB or until Medicaid Oversight and Advisory can get set up and really dive into the prescriptive
• Chairman. set up and really dive into the set up and really dive into the prescriptive<00:16:56.480><
• 16:57.000> we<00:16:57.120> want<00:16:57.240> to<00:16:57.360> see prescriptive
• policy that we want to see prescriptive policy that we want to see going<00:16:57.959> forward

Keywords: Meeting start 00:00:00 Roll Call 00:00:15 HB 537 Discussion 00:01:30 HB 537 Vote 00:05:15 HB 695 Discussion 00:07:00 HB 695 Vote 00:23:15 HJR 31 Discussion 00:27:40 HJR 31 Vote 00:29:55, 958, all

Summary: The committee first took up House Bill 537, as amended by PHS 1, which was described as a technical measure needed to ensure Kentucky can receive opioid settlement funds despite changes in bankruptcy court orders. The sponsor and Attorney General’s office explained that the bill does not change the settlement formula or substantive terms, but adjusts the mechanism for receiving the money. After brief discussion, the committee adopted PHS 1 and then passed HB 537 out favorably on a 17-0 vote, with one member recording attendance after arriving late. The committee then considered House Bill 695, also amended by PHS 1, a Medicaid stabilization bill. The sponsor said the measure is intended to hold the program steady while the legislature gathers more information and awaits work by a future Medicaid Oversight and Advisory Board. The bill would limit new waivers, state plan amendments, and coverage expansions; require reporting and record retention; create a Kentucky Medicaid Pharmaceutical Rebate Fund; direct certain behavioral health and managed care changes; and include an emergency clause. Members raised questions about the rebate fund, work requirements, and whether the bill could affect coverage or funding, while supporters emphasized transparency, data collection, and preventing new expansions until oversight is in place. Several members spoke in favor of the bill’s goals but expressed caution about micromanaging a complex program and about possible unintended consequences for beneficiaries. Representative Fleming stressed the need for stronger oversight and noted the potential fiscal impact of federal Medicaid changes. Representative Stevenson voted pass, saying the committee should let the new oversight board handle the issue, and Representative Gentry also passed, citing concern about overreach and the burden of data collection. The committee ultimately reported HB 695 favorably on a 16-1 vote with three pass votes. Afterward, members recorded additional yes votes on HB 537 for the record.

Transcript Highlights:

• These are for specific allowable health care services, and it excludes prescription drugs at this time
• These are for specific allowable health care services, and it excludes prescription drugs at this time
• drugs at this time excludes prescription drugs at this time it<00:07:28.319> does<00:07:28.639
• <00:29:42.240> drug<00:29:42.840> we're dollar on a prescription drug we're dollar
• on a prescription drug we're treating<00:29:43.399> a<00:29:43.559> dollar<00:29:44.279

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• Committee substitute for Senate Bill 126, a bill to be entitled an act relating to prescription hearing
• Currently, Florida law prohibits the sale or distribution of prescription hearing aids through the mail
• Of prescription hearing aids through the mail.
• This bill authorizes the distribution and sale of prescription hearing aids through the mail for those
• Patient needs prescription hearing aids during the telehealth appointment.

Summary: The Senate opened with prayers, the Pledge of Allegiance, and several introductions recognizing FSU Day at the Capitol, the Red Mass, visiting students, school board members, veterans, and other guests. The chamber then moved to the special order calendar and took up a series of bills, with several measures temporarily postponed before and during the day’s proceedings. Committee and executive reports were largely absent, and the Senate proceeded directly to floor action on the listed bills. The Senate passed a number of mostly unanimous bills, including SB 36, SB 38, SB 40, and SB 42 on Florida Statutes revision; CS/SB 50 on nature-based coastal resilience, amended to strengthen the Florida Flood Hub and related research; CS/SB 116 on veterans, expanding benefits coordination, mental health training, adult day health care, and other veterans services; SB 126 on mailing prescription hearing aids to adults; SB 150 on abandoning restrained dogs during natural disasters, amended to conform to the House; SB 294 limiting collaborative pharmacy practice for certain serious cardiac conditions; SB 322 creating a nonjudicial process for removing unauthorized persons from commercial property; SB 348 on ethics, including false military rank claims and collection of delinquent ethics fines; and CS/SB 7012 on child welfare workforce recruitment, treatment foster care pilots, and data collection for commercially sexually exploited children. Senate Memorial 314 urging Congress to increase Florida National Guard force structure was also adopted by voice vote. Two bills drew more extended debate. SB 118 on presidential libraries passed 36-3 after questions about local zoning, traffic, and whether the bill’s express preemption would limit county and municipal authority; supporters argued it would prevent local obstruction and help Florida attract a presidential library, while one senator said she would vote no because of concerns about local safety and planning issues. CS/SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services; supporters said it would broaden pathways into the CPA profession and address workforce shortages. CS/SB 108 on administrative procedures and CS/SB 110 on rural communities were temporarily postponed, then later taken up and passed after extensive debate, with SB 110 amended to prioritize certain rural transportation projects, expand housing, health care, broadband, and economic development support, and draw strong bipartisan praise for its focus on rural Florida. At the end of the session, the Senate waived rules to immediately certify all bills passed that day to the House, observed a moment of silence for former Surfside Chief John Healy, and made several closing announcements and recognitions.

Transcript Highlights:

• Committee substitute for Senate Bill 126, a bill to be entitled an act relating to prescription hearing
• Currently, Florida law prohibits the sale or distribution of prescription hearing aids through the mail
• Of prescription hearing aids through the mail.
• This bill authorizes the distribution and sale of prescription hearing aids through the mail for those
• Patient needs prescription hearing aids during the telehealth appointment.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions recognizing visiting groups, including FSU students and officials, Catholic lay leaders, Broward County school officials and students, and veterans-related guests. The chamber then took up a series of bills, with several routine reviser measures passing unanimously: SB 36 adopting the 2025 Florida Statutes, SB 38 changing a division name in the statutes, SB 40 deleting repealed provisions, and SB 42 cleaning up obsolete language and cross-references. SB 50 on nature-based coastal resilience was amended to strengthen the Florida Flood Hub’s role and passed 39-0 after debate about mangroves, oyster reefs, living shorelines, and hybrid green-gray infrastructure. SB 116, a major veterans bill, passed 39-0 after extensive discussion of veteran benefits awareness, mental health training, coordination with federal agencies, adult day health care, and the Florida Veterans Hall of Fame. SB 118 on presidential libraries passed 36-3 after questions and debate over state preemption of local zoning and related regulation, and SB 126 on mailing prescription hearing aids passed 39-0 to expand access for adults after licensed evaluation. The Senate also passed SB 150, as amended, to conform to the House by changing the bill’s wording from “animals” to “dogs” in the natural-disaster abandonment context. SB 294 passed 38-0 to limit collaborative pharmacy practice from being expanded to certain serious cardiac conditions. Senate Memorial 314 was adopted by voice vote, urging Congress to seek a larger Florida National Guard force structure. SB 322 passed 39-0 creating a nonjudicial process for commercial property owners to have unauthorized occupants removed by the sheriff. SB 348 passed 39-0, making it an ethics violation to falsely claim a military rank for material gain and allowing delinquent ethics fines to be withheld from public paychecks. SB 7012 on child welfare passed 39-0 and would recruit former public safety workers into CPI/case manager roles, create a treatment foster care pilot in two judicial circuits, and improve data collection and services for commercially sexually exploited children. Later, the Senate returned to SB 108 on administrative procedures, which passed 39-0 after debate over a five-year review cycle for agency rules, reporting requirements, and greater transparency in rulemaking. SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services and discussion of easing pathways into the CPA profession while maintaining standards. SB 110 on rural communities passed after an amendment package and extensive debate, with provisions described as creating an Office of Rural Prosperity, a Renaissance grant program, housing and road funding, school support, and health care investments for rural areas. At the end of the session, the Senate waived rules to immediately certify all passed bills to the House, observed a moment of silence for former Surfside Chief John Healy, and received additional announcements before adjournment.

Transcript Highlights:

• It's a procedure that involves taking two prescription drugs to abort a little unborn child, and together
• There were three in-person visits involved with the prescription and dispensation of these drugs.
• No prescription. No, no doctor visit. That's right. No medical supervision. No oversight.
• Normally, I don't get too prescriptive in legislation, but this is one I felt like it was important to
• be prescriptive.

Bills: SB 2, SB 5, SB 10, SB 9, SB 7, SB 17, SB 4, HB17, HB7, HB7, HB15, HB15, HB27, HB1, HB7, HB15, HB18, SB9, SB7, SB17, SB4, HB17, HB27, HB1, SB8, HCR13, SB2, SB5, SB10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• 493 bans the gag clause provisions which limit pharmacists' ability to inform patients if their prescription
• Um, we find it fundamentally unjust when a patient with prescription drug coverage is made to pay more
• Pharmacists should be able to freely inform patients about the lowest cost prescription options, and
• there's no reason a patient should be incentivized to pay more for prescription drugs, but that's exactly
• how the PBMs have designed our prescription drug system.

Transcript Highlights:

• bans. as a gag clause provisions, which limit pharmacists' ability to inform patients if their prescription
• A patient with prescription drug coverage is made to pay more than someone without insurance simply because
• Pharmacists should be able to freely inform patients about the lowest cost prescription options.
• And there's no reason a patient should be incentivized to pay more for prescription drugs, but that's
• exactly how the PBMs have designed... our prescription drug system.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• E-prescribing provides improved prescription accuracy, increased patient safety, reduces opportunities
• E-prescribing provides improved prescription accuracy, increased patient safety, reduces opportunities
• The prescription is individual to an individual in hospice care, or the practitioner determines that
• it's in the best interest of the patient to compare prescription drug prices.
• this amendment, if it is in the physician's best judgment that he may give the patient a paper prescription

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• section to chapter 26.1-36 of the North Dakota Century Code relating to out-of-pocket expenses for prescription
• section to chapter 26.1-36 of the North Dakota Century Code relating to out-of-pocket expenses for prescription
• drugs to amend and reenact section 26.1-36.6- zero. for prescription drugs to amend and reenact section
• are just too expensive, and their co-pays and deductibles make it difficult for them to get the prescription
• charge so much on very expensive drugs, they offer discount coupons to allow people to access the prescription

Keywords: 908, all

Summary: The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans. House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8. The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.

Transcript Highlights:

• Patients frequently visit emergency departments with conditions requiring prescription medications often
• As a result, patients are discharged from the emergency room with the prescription for the exact same
• It's about recognizing that behind every prescription is a person, a patient, a parent, a grandparent
• AB447 is the prescription for a better healthcare system and it's just what the doctor ordered.
• Diagnosed and given the wrong prescription. I support this bill.

Keywords: 988, house, all

Transcript Highlights:

• we've seen a 40% maybe a little higher now, but the last time that we reported 40% decrease in prescriptions
• we've seen a 40% maybe a little higher now, but the last time that we reported 40% decrease in prescriptions
• reported 40% last time that that we reported 40% decrease<00:20:42.159> in<00:20:42.480> prescriptions
• <00:20:43.120> written<00:20:43.360> for decrease in prescriptions written for decrease
• in prescriptions written for opioids.<00:20:44.159> So<00:20:44.240> that<00:20:44.480

Bills: HB44, HB400, HB444, HB487, SB249, SB252, SB58, HB44, HB400, HB444, HB487, SB249, SB252, SB58

Keywords: teachers retirement, credit purchase, St. Clair County, DAY Program, pension reform, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, HB444, vaccines, vaccine exemption, religious exemption, religious liberty, private school, church school, faith-based school, parochial school, school immunization