Transcript Highlights:

• And again, decoupling is the notion that we would split the medical and pharmacy benefits for our post
• In addition, for the PSC group, they didn't have a pharmacy plan before.
• In addition to those savings, the teachers got the pharmacy benefit as well.
• Got the pharmacy benefit as well. Since then, we know there's been some challenging renewals.
• They also give a preliminary look at what the Part D, the pharmacy-side benefits, will be.

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• PIP board meeting yesterday, and the PIP director reported that our per member per month for our Pharmacy
• , just for the active non-Medicare Pharmacy, is... just the active non-Medicare Pharmacy is $96.
• If we spend $160, you're almost doubling the spend on Pharmacy.
• And so we very closely manage the pharmacy.
• Medicare side, but we have with the Pharmacy. Chair SM, I had two questions.

Keywords: 923, senate, all

Transcript Highlights:

• amendments, an act relating to the Wyoming Pharmacy Act.
• amendments, an act relating to the Wyoming Pharmacy Act.
• amendments, an act relating to the Wyoming Pharmacy Act.
• the Wyoming Pharmacy Act.
• the Wyoming Pharmacy Act.

Keywords: 916, all

Transcript Highlights:

• We know that pharmacy-related topics are of interest to this committee.
• We've had discussions the past two sessions about ways to impact and assist community pharmacies and
• related um topics know that um Pharmacy related um topics are<01:15:24.639> of<01:15:25.360><
• Common ailments than what hospital-based pharmacies or providers prescribe.
• And so we didn't move forward with the policy change in how we run our Medicaid pharmacy program.

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee convened for its first meeting of the 2025 session, with Chair Melissa Wiklund outlining the new co-chair arrangement, rotating gavel, committee size of 12, and the seven-vote threshold needed to move bills and motions. Members and staff introduced themselves, including several new senators, committee administrators, counsel, fiscal staff, researchers, and new pages. The committee then began its agenda with an overview of the Minnesota Department of Health from Deputy Commissioner Wendy Underwood. Underwood described MDH’s mission and structure, emphasizing public health’s focus on prevention, population health, and the social and economic factors that drive health outcomes. She highlighted the state’s health disparities, the department’s five bureaus, and major work areas including infectious disease response, newborn screening, environmental health, chronic disease prevention, health regulation, health equity, and operations. She also discussed the Center for Health Care Affordability, saying the department has been meeting with stakeholders and has hired a director to begin work on advisory bodies and community engagement around rising health care costs. Members asked questions about physician shortages, burnout, administrative burden, and health care bureaucracy. Senator Grunhagen argued that excessive paperwork and micromanagement are worsening access and workforce shortages, while Senator Abeler asked for data on whether past disparity programs have been effective and whether some efforts should be consolidated. Underwood said MDH has rural health programs, workforce supports such as loan forgiveness, and research on administrative costs and low-value services, and she noted the department has published legislative reports with more data to come. The chair then moved the committee to a broader discussion of public health system development in Minnesota, introducing City of Bloomington officials to present on a recent report.

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:

• House Bill 483, Delegate Wollacott, Miscellaneous Regulation Charitable Organizations Audit and Review
• House Bill 483, Delegate Wollacott, Miscellaneous Regulation Charitable Organizations Audit and Review
• the Speaker, Public Health Recommendations for Immunization Screening and Preventative Services Pharmacy

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

Summary: The Senate reconvened with a quorum present and proceeded through a series of committee reports and floor actions, mostly on House bills. Several measures were advanced without opposition, often after brief floor explanations and unanimous adoption of committee amendments. Topics included behavioral health rate-setting modernization (HB 772), expedited Medicaid eligibility for relocated individuals with developmental disabilities (HB 1015), perinatal behavioral health screening and coverage (HB 1118), mammogram notices about breast arterial calcification (HB 1364), menopause provider training and coverage (HB 1365), cannabis licensing and training changes (HB 622), cemetery sale and transfer oversight (HB 892), travel services insurance requirements (HB 994), cash transaction rounding authorization (HB 1026), specie as legal tender (HB 1312), menstrual hygiene product ingredient labeling (HB 1357), health care quality reporting and a health centralization commission (HB 1372), special pediatric hospital transfer and review procedures (HB 1376), telehealth continuity of care for out-of-state counselors (HB 1483), and child placement protections for unlicensed settings and pediatric overstay patients (HB 1559). Most of these bills were ordered passed for third reading after the chamber adopted the committee amendments and favorable reports. The Senate also considered environmental and consumer-related measures. HB 146 would delay implementation dates for onsite wastewater system regulation and licensing requirements, while striking provisions on inspections and pumping for rental properties and sales. HB 254, a Department of Natural Resources bill, was described as facilitating community engagement in planning and development of departmental projects. HB 969 on retail electric vehicle fuel sales and charging equipment requirements was also taken up and reported favorably. In each of these cases, members noted no committee opposition and no fiscal impact, and the bills were advanced. Two bills were set aside rather than immediately acted on. HB 1037, concerning a Public Service Commission study on broadband and voice over internet protocol service, was special ordered until Friday at the request of a senator. HB 1312, the specie/legal tender bill, prompted questions about the definition of specie and was also special ordered for consideration the next morning. No roll-call votes were recorded in the excerpt; actions were taken by unanimous consent on amendments and committee reports, with multiple bills ordered to third reading.

Transcript Highlights:

• We have the charitable foundation is interested in working with us to donate money for the grant writer
• We have the charitable foundation is interested in working with us to donate money for the grant writer
• Another HB2 item was implementing the increase in pharmacy co-pays.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state. The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training. Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.

Transcript Highlights:

• On page eight, Senate Bill 100 by Senator Kelly regarding the State Board of Pharmacy.
• On page 13, Senate Bill of pharmacy.
• President, this bill is a sunset bill extending pharmacy for one year with modification on the board
• regarding the state board of pharmacy. regarding the state board of pharmacy.
• regarding the state board of pharmacy. regarding the state board of pharmacy.

Keywords: 920, all

Summary: The Senate convened with a quorum, approved excusing absent members, dispensed with the previous day’s journal, and allowed bill introductions and committee reports throughout the day. Members also recognized guests in the gallery, including Judge Smitherman and later Karen Butler, wife of Senator Tom Butler. The chamber adopted Senate Joint Resolution 11, honoring Alpha Kappa Alpha Sorority Incorporated on its Founders Day and 118 years of service, after reading the resolution at length and hearing brief remarks from Senator Figures. The Senate then adopted the Rules Committee’s special order calendar and took up several bills. Senate Bill 12 by Senator Gudger, repealing a prior community development districts law tied to a Coleman County project, passed. Senate Bill 19 by Senator Livingston, dealing with health insurance/prostate cancer screening, also passed. Senate Bill 89 by Senator Sessions, repealing the 1931 State Pilotage Commission statute, passed; Senate Bill 134 by Senator Beasley, concerning taxation and interstate warehousing of tobacco products, passed after a committee amendment was adopted; Senate Bill 100 by Senator Kelly, extending the State Board of Pharmacy sunset for one year with appointment changes, passed; Senate Bill 114 by Senator Bell, expanding Alabama’s handling of out-of-state warrants to additional felonies, passed; Senate Bill 122 by Senator Stewart, regarding the State Board of Registration for Foresters, passed; Senate Bill 35 by Senator Kitchens, updating vessel registration language for Coast Guard compliance, passed; and Senate Bill 127 by Senators Coleman-Madison and Stewart, continuing the Board of Examiners in Counseling for four years, passed. Senate Bill 28 by Senator Elliott, which would raise the earnings cap for retired law enforcement officers and district attorneys returning to work and address school bus driver staffing, was discussed at length but carried over at the sponsor’s request. Senators raised concerns about the bill’s impact on RSA/retirement system funding and the possibility of broader pressure for similar retiree reemployment arrangements, while supporters emphasized staffing shortages, training savings, and benefits for schools and public safety. The session concluded with the calendar completed and a new resolution introduced by Senator Orr recognizing the 250th anniversary of the United States Postal Service, which was taken up for immediate consideration and adopted.

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:

• PCMA is the national trade association that represents pharmacy benefit managers.
• to, at a minimum, inform the patient of alternate pharmacy locations.
• Barney Bishop, Small Business Pharmacies. Small Business Pharmacies.
• We've lost 1,600 pharmacies in the past year.
• Not all of them are community, neighborhood pharmacies like I represent.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• language requiring drug manufacturers to make 340B drug pricing available to covered entities and pharmacies
• language requiring drug manufacturers to make 340B drug pricing available to covered entities and pharmacies
• language requiring drug manufacturers to make 340B drug pricing available to covered entities and pharmacies
• discount<00:15:18.560> at<00:15:18.800> the<00:15:19.040> time and pharmacies
• at a discount at the time and pharmacies at a discount at the time of<00:15:19.519> purchase<

Keywords: 926, house, all

Summary: The House opened with a devotional by Reverend Kemp Randolph, who reflected on the idea that simpler solutions often require letting go of existing assumptions and urged lawmakers to consider what they may need to give up to achieve the greatest good. After the prayer, the chamber introduced House Bill 889, exempting disability-related income on candidate disclosure forms, and House Bill 890, aimed at reducing barriers for nonprofit religious organizations providing preventive health care services. Both bills were read the first time and referred to committee. The House also referred three bills to money committees under House Rule 35A: H.548 to Appropriations, and H.557 and H.567 to Ways and Means. Members then offered several announcements, including welcoming the guest pastor Kemp Randolph and visiting European Parliament member Maria Walsh, along with her mother and aunt. There were also notices about caucus meetings and a correction to a prior vote explanation regarding H.70. The House then took up H.611, a technical and housekeeping bill affecting the Department of Vermont Health Access. Committee testimony and floor remarks described provisions to reduce administrative burdens, update advisory committee membership, remove outdated references tied to the individual/small group market split, adjust the VARMM prescription drug assistance program, increase the allowable amount in Medicaid-related prepaid funeral arrangements, and delay Medicaid coverage for doula services by one year while federal approval is sought. The Health Care and Appropriations committees both recommended the bill, with Appropriations noting no fiscal impact and correcting a prior vote tally. The House adopted the Health Care Committee amendment to H.611 and ordered the bill to third reading. It then passed H.540, relating to recommendations of the post-adjudication reparative program working group. Finally, the House concurred in the Senate proposal of amendment with further amendment on H.50, concerning identification of underutilized state buildings and land; the committee explained changes restoring annual reporting, removing leased buildings from the inventory, and directing annual reports to the Department of Housing and Community Development through 2030. The chamber concluded with announcements about a Joint Fiscal Committee meeting on a rural health transformation grant and then adjourned until February 10, 2026.

Transcript Highlights:

• The report will include participation by residents and pharmacies, prescription drug savings achieved
• , and the program's impact on the viability of Vermont's pharmacies.
• ,<00:33:01.360> prescription<00:33:01.920> drug<00:33:02.240> savings pharmacies
• the viability of Vermont's pharmacies. the viability of Vermont's pharmacies.
• it relates to pharmacies it relates to pharmacies with<00:37:54.520> which<00:37:54.920><

Keywords: 926, house, all

Summary: The House opened with routine proceedings, including a moment of silence and the Pledge of Allegiance, then referred three bills to money committees under House Rule 35A: S.197 to Ways and Means, and S.193 and S.278 to Appropriations. The chamber also read and celebrated HCR 304, honoring the display of Julian Scott’s Civil War painting, The Fourth Vermont Forming Under Fire, in the State House and recognizing the people who helped locate and acquire it for Vermont. HCR 303 was also read, extending best wishes for a speedy recovery to Rep. Ann Donahue; members then offered warm remarks welcoming her back to the chamber. Several members introduced guests in the gallery, and caucus announcements were made before the body moved to the calendar. On transportation, the House took up H.944, the fiscal year 2027 transportation program. The House Transportation Committee reported major differences with the Senate version and, by straw poll, recommended a committee of conference. The House refused to concur in the Senate amendment, appointed conferees, and suspended rules to message its action to the Senate forthwith. The House then considered S.214, which would allow the NEK Choice School District to pay tuition for pre-K students to nearby New Hampshire public-school programs, with administration by Essex North Supervisory Union and possible waivers from state agencies. Education, Ways and Means, and Appropriations all recommended concurrence, citing limited fiscal impact and improved access for children in Essex County; the bill was read a third time and ordered to third reading after debate that included support for rural access and concerns about relying on out-of-state capacity. The House also concurred in Senate amendments to H.171, adding “the role of victim advocates” to officer-involved shooting investigation protocols, and to H.577, the Vermont prescription drug discount card program, which added annual reporting requirements and a terminology fix. The House likewise concurred in Senate amendments to H.588, the annual Office of Professional Regulation bill, including changes on rescission authority, substance-use treatment alternatives, CPA language, pharmacy technician authority, fee placement, and background checks. It then concurred in Senate amendments to H.611, a DVHA housekeeping bill, including 340B protections, a one-year delay for the community-based doula certification program, and codification of current HIV-prevention coverage practice. H.921 was postponed for two legislative days. Finally, the House took up S.227 on immigration protocols in Vermont schools, with the member from Williston describing it as a school safety measure that limits collection and sharing of immigration-status information, provides trusted resources to families, and requires a judicial warrant before law enforcement enters non-public school areas for immigration matters.

Transcript Highlights:

• The other day is charitable immunity caps that are still in place in Texas.
• Therefore, they are subject to the charitable immunity caps that if you want to go over five hundred
• House Bill 3453 would reinforce the existing protections of the chair for charitable immunity.
• House Bill 3453 would reinforce the existing protections of the Charitable Immunity and Liability Act
• We believe that non-profits are covered under the Charitable Immunities Act.

Bills: HB4011, HB2680, HB4325, HB4327, HB4944, HB1761, HB4688, HB3453, HB40, HB1707, HB4749, HB2322, HB3647, HB4139, HB4081, HB2203, HB2100, HB4170, HB3104, HB4623, HB40

Keywords: partition, heirs' property, real estate, co-ownership, family property, non-heir cotenant, right of first refusal, pilot services, liability limitation, maritime commerce, Matagorda Bay, Lavaca Bay, transportation code, maritime industry, civil liability, barratry, penalties, legal actions, damages, wrongful death

Transcript Highlights:

• In addition, for the PSC group, they didn't have a pharmacy plan before.
• And so the Medicare Advantage prescription drug plan allowed them to reinstate that pharmacy benefit.
• So in addition to those savings, the teachers got the pharmacy benefit as well.
• Got the pharmacy benefit as well. And since then, we know there's been some challenging renewals.
• And then they kind of give a preliminary look at what the Part D, the pharmacy side benefits, will be

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• is vision impaired as established by the commission rule or regulation, selected by a nonprofit charitable
• is vision impaired as established by the commission rule or regulation, selected by a nonprofit charitable
• is vision impaired as established by the commission rule or regulation, selected by a nonprofit charitable
• is vision impaired as established by the commission rule or regulation, selected by a nonprofit charitable
• really just clarifies if you look on page three, it just says raffles or drawings conducted for charitable

Keywords: 916, all

Transcript Highlights:

• for pharmacy licenses and registrations.
• That's the practice of pharmacy, so it references... ...these are included in the practice of pharmacy
• ,<01:02:43.840> um practice of pharmacy, um practice of pharmacy, um including<01:02:45.600
• practice of pharmacy. practice of pharmacy.
• included in the practice of pharmacy. included in the practice of pharmacy.

Keywords: 1187, senate, all

Transcript Highlights:

• I am a chief pharmacy officer for Western Health Advantage.
• So people are seeing direct benefits at the pharmacy counter. ...benefits at the pharmacy counter with
• So you will see it at the pharmacy.”
• “Yeah, at the pharmacy.” “Okay.
• and they come with their coupon, does the pharmacy have, “Does the pharmacy have to report this to the

Keywords: 988, house, all

Transcript Highlights:

• Thank you for your comments, and I understand that I'm also on the charitable bill, trying to help out
• bill um trying to on the uh charitable bill um trying to help<01:26:28.639> out<01:26:28.800>
• And at that time they were struggling with being able to support charitable gaming revenues and put that
• Um, you know, I'm very clearly on the same side as the charitable gambling.
• I would go back to charitable gambling.

Bills: HF4912, HF4664

Keywords: electronic pull-tabs, pull-tabs, tipboards, gambling tax, Minnesota Racing Commission, Thoroughbred, horse racing, Minnesota-bred horses, breeders, owners, racing purses, industry subsidy, gambling revenue dedication, problem gambling, compulsive gambling treatment, general fund appropriation, state affiliate National Council on Problem Gambling, racing incentives, equine industry, public officers

Transcript Highlights:

• It lists a few examples to include hospitals, public burial grounds, charitable institutions, state and
• institutions state and local charitable institutions state and local forests<00:58:55.359> Parks<
• <01:26:29.920> contributions<01:26:30.719> home<01:26:30.960> mortgage charitable
• contributions home mortgage charitable contributions home mortgage and<01:26:31.560> investment
• However, Minnesota conformed to the TCJA's limitation of the 60% for charitable contributions.

Keywords: 1187, senate, all

Bills: SB27, SB1494, SB2121, SB2373, SB2431, SB1, SB8, SB12, SB13, SB15, SB30, SB37, SB260, SB268, SB331, SB379, SB441, SB447, SB457, SB568, SB650, SB763, SB1405, SB1506, SB1540, SB1566, SB1610, SB1637, SB1660, SB2018, SB2024, SB2217, SB2308, SB2337, SB2601, SB2753, SB2878, SB2900, SB2972, SB3059, HB4, HB40, HB46, HB119, HB145, HB300, HB493, HB705, HB1545, HB2011, HB2017, HB2067, HB2516, HB2885, HB2963, HB2974, HB3071, HB3372, HB3556, HB3595, HB3642, HB3909, HB5138, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59, SR634, SR687, SR703, SR709, SR715, SB1494, SB2121, SB2373, SB2431, HB46, SB1, SB8, SB12, SB13, SB15, SB37, SB260, SB331, SB379, SB441, SB447, SB457, SB568, SB763, SB1405, SB1540, SB1566, SB2018, SB2308, SB2337, SB2878, SB3059, HB705, HB2017, HB2067, HB3071, HB3372, HB3556, HB3595, HB3909, HB5246

Keywords: elections, local governance, political subdivisions, general elections, Texas Election Code, data brokers, personal data, regulation, business entities, consumer protection, financial exploitation, artificial intelligence, phishing, legal liability, criminal offense, civil penalty, foreign language, study abroad, higher education, language credit