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

Transcript Highlights:

• We also are concerned that this bill would increase prescription drug costs for millions of Texan employers
• And will it actually increase the cost of prescription drugs as paid by employers under this bill?
• This patient received a mail-order prescription from a PBM for a 90 day supply of Sennacalcet for $2,041
• They would pay about $1800 less for that very same prescription than the PBM paid themselves.
• some of this comes from that, and some of it's just, you know, Texas stats, but Texas is #1 in prescription

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• <01:28:34.560> drugs discontinued some prescription drugs discontinued some prescription drugs
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription

Keywords: 1191, senate, all

Transcript Highlights:

• Amendment number three removes the prohibition on collectors using a waiver of the prescriptive period
• that interest and delinquency penalties stop occurring after the execution of a waiver of the prescriptive
• agreement to suspend the accrual of interest or delinquency penalties after executing a waiver of the prescriptive
• Talking about the prescriptive period with the accrual of interest and the delinquency penalties, are

Summary: The Ways and Means Committee met on May 5, 2026, and first considered Senate Bill 436 by Senator Cloud, which revises how annual aviation fuel estimates are calculated for the Aviation Trust Fund. Senator Cloud explained that the fund supports airport and aviation projects and is used to draw down federal matching dollars, but its credited amount has remained flat for years despite changing fuel sales. The committee adopted a set of amendments allowing DOTD’s Office of Multimodal Commerce to use federal and other public data sources, requiring annual sales tax collection reports from the Department of Revenue, and making a technical change. The bill was then reported favorably as amended, with several supporters’ cards entered into the record. The committee next took up House Bill 1039 by Representative Desotel, dealing with local sales and use tax audit procedures. Desotel said the bill was intended to improve fairness, transparency, and consistency in local audits, especially where businesses face multiple simultaneous audits by different parishes. A nine-amendment set was offered; after discussion, the committee adopted all amendments except Amendment 4, which would have required private auditing firms to be domiciled in Louisiana, and authorized staff to make technical changes. Members raised concerns about whether the bill could unintentionally encourage delays in audits and about whether audits in one parish could trigger audits in others. Desotel said the goal was to add guardrails without harming parish taxing authority, and the bill was reported as amended. Several witnesses and committee members spoke in support of stronger limits on repeated parish audits, describing the burden on businesses and the need for a more uniform process. Support cards were read into the record from multiple individuals and organizations, including the Louisiana Retailers Association and NFIB. Senate Bill 423 was then voluntarily deferred, and the committee adjourned after no further business.

Transcript Highlights:

• A non-medical person can't write a prescription unless they steal it.
• Allowing prescriptions from a phlebotomist.
• Prescription drugs. Those are prescription drugs.
• Eve, it requires a doctor to prescribe a prescription drug in the state of Texas. Prescription.
• But if it's a prescription, it has to be... has to have a doctor.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• And something I... probably wouldn't even be around when I was on those prescription drugs by the VA
• In just two months, I was off all prescription medications except my diabetes meds.
• That is true of any medication including prescription painkillers.
• Act, the prescription alone cost more than the product's cost on that program.
• If she goes back to prescription drugs, who's to say she will unknowingly walk out that front door?

Bills: SB3, SB810, SB965, SB1073, SB1119, SB1505, SB 3

Keywords: Texas Education Code, public schools, school district, open-enrollment charter school, teacher speech, employee speech, biological sex, pronouns, gender identity, retaliation, discipline, workplace protections, school personnel, education policy, LGBTQ, transgender, charter schools, SB 965, religious speech, prayer

Transcript Highlights:

• To register for their own prescription monitoring program.
• To register for their own prescription monitoring program.
• I was going to talk about the prescription monitoring program piece.
• The prescription monitoring program.
• And finally, prescription labeling: this bill would allow clinicians to use their practice name on prescription

Keywords: 995, all

Summary: The committee heard extensive testimony on several Judiciary bills, with the largest portion focused on S. 1178/H. 2052 to reduce mass incarceration and end life without parole. People incarcerated at MCI Framingham, MCI Norfolk, and NCCI Gardner described personal growth, rehabilitation, restorative justice work, family separation, and the belief that parole eligibility after long sentences would better reflect public safety and human development. Speakers emphasized that life without parole removes hope and can undermine rehabilitation, while supporters argued that many lifers are older, less likely to reoffend, and could contribute positively if given a chance at parole review. Committee members did not take votes during the hearing. The committee also heard testimony on S. 1139 to restore the statute of limitations for wrongful death claims involving tobacco use, with Sen. Keenan explaining that a recent SJC decision had cut off claims where the injured person did not sue within three years before death. He said the bill would restore families’ ability to seek redress in cases involving long-latency tobacco harms like COPD. Another major topic was S. 1205, which would add abusive litigation to the definition of coercive control in domestic violence law; Sen. Michael Moore said the bill would stop abusers from using repeated court filings to harass and financially burden survivors. The committee also took up S. 1114 on automatic record sealing, with Sen. Friedman and others arguing that the current petition-based process is slow, burdensome, and disproportionately harms people with criminal records, especially Black and Latino residents. Testimony also supported H. 1965/S. 1132 on compensation for wrongful conviction, with advocates and sponsors describing a faster administrative claims process, transitional support, and higher compensation without the current cap. Sen. Payano testified for S. 1241 to expand educational programming for incarcerated emerging adults, saying education reduces recidivism and improves reentry outcomes. A substantial portion of the hearing focused on S. 2522, an update to Massachusetts’ shield law for reproductive and gender-affirming care. Sen. Friedman, the Attorney General’s office, and DPH Commissioner Robbie Goldstein said the bill is needed to strengthen protections against out-of-state legal attacks, protect patient and provider data, clarify enforcement authority, and add a state-level EMTALA-style emergency care requirement. Committee members asked detailed questions about prescription labeling, the prescription monitoring program, attorney discipline, custody and full faith and credit issues, and whether the bill’s enforcement language could create unintended limits or conflicts. The Attorney General’s office said it would provide follow-up written testimony on several technical questions.

Transcript Highlights:

• Without this bill, LCHC does have alternative avenues to fill prescriptions.
• Without this bill, LCHC does have alternative avenues to fill prescriptions.
• If we get the order by 6:00, we get the prescription drugs at our doorstep before we open.
• <00:50:18.559> And<00:50:18.720> they prescriptions during that time.
• And they prescriptions during that time.

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• We think the bill is a little more prescriptive than it needs to be, but we'll continue to work with
• practice to include specified diagnostic and natural treatment modalities, but expressly excludes prescriptive
• authority for legend drugs or prescription drugs, except as expressly provided for certain natural non-pharmacologic
• But expressly excludes prescriptive authority for legend drugs or prescription drugs, except as expressly
• Today, I take only two prescription medications.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• and the poor, and the anguish they experience in their life between deciding whether to buy a prescription
• and the poor, and the anguish they experience in their life between deciding whether to buy a prescription
• and the poor, and the anguish they experience in their life between deciding whether to buy a prescription
• and the poor, and the anguish they experience in their life between deciding whether to buy a prescription
• Senator Gruenhagen: I've written out checks to people who couldn't afford their prescriptions versus

Keywords: 1187, senate, all

Transcript Highlights:

• Additionally, the bill allows an optometrist to extend the period of validity of an eyeglass prescription
• an eye exam several years ago and the prescriber was uncertain as to how long the term of the prescription
• provides that an eye exam by an optometrist includes patient eye health and vision, and the resulting prescription
• It does not cover contact lens prescriptions, which is an entirely different set of considerations.

Bills: SB1023, SB1145, SB1242, SB1247

Keywords: optometrists, eye exams, eyeglass prescriptions, healthcare, vision care, behavior analysis, licensing, psychologist examiners, state regulations, committee authority, mental health, court-ordered treatment, outpatient treatment, audiovisual technology, secure facilities, evaluations, guardian powers, patient rights, assisted living, occupants

Summary: The House Committee on Health and Human Services heard and advanced four Senate bills. SB 1242 would allow courts to conduct mental health evaluation and treatment hearings, or specified testimony in those hearings, virtually by telephone or video if the court finds no unfair prejudice; a speaker said it would codify existing practice and help avoid dismissals caused by technical issues. SB 1145 would transfer licensure and regulation of behavior analysts from the Arizona Board of Psychologist Examiners to the existing Behavior Analyst Committee, with supporters saying it would improve efficiency and eliminate unnecessary board ratification delays. Both bills received due pass recommendations on 11-0 votes, with one member absent. The committee also considered SB 1247, an emergency measure allowing a person who does not receive care services to live with a resident in an assisted living center or home if the facility permits it. Supporters said the bill would clarify a recent statutory interpretation and preserve longstanding arrangements, such as spouses or other companions living together; one member raised concerns about the bill’s broad wording and potential fraud or safety issues, while another noted facilities could still impose background checks or other conditions. SB 1247 passed with a 10-0 recommendation, with one member voting present and one absent. Finally, SB 1023 would set standards for optometrists’ eye examinations, including a recommended one-year exam interval and authority to extend eyeglass prescription validity up to two years depending on patient factors. The Arizona Optometric Association supported the bill as codifying best practices, and one member said a constituent from the blind community had helped bring the issue forward. The committee gave SB 1023 a due pass recommendation on an 11-0 vote, then adjourned.

Transcript Highlights:

• Senate Bill 1174 by Alvarado relating to the administration of non-prescription medications to certain
• Senate Bill 1263 by Alvarado relating to a pilot program for the safe disposal of prescription drugs.
• Senate Bill 1274 by Menendez relating to prior authorization for prescription drug benefits related to
• relating to the effect of certain reductions in a health enrollees out-of-pocket expenses for prescription

Bills: SJR36, SJR3, SB616, SB565, SB384, SB5, SJR52, SJR53, SJR54, SJR55, SCR18, SCR19, SCR22, SB27, SB29, SB35, SB1151, SB1152, SB1153, SB1154, SB1155, SB1156, SB1157, SB1158, SB1159, SB1160, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1168, SB1169, SB1170, SB1171, SB1172, SB1173, SB1174, SB1175, SB1176, SB1177, SB1178, SB1179, SB1180, SB1181, SB1182, SB1183, SB1184, SB1185, SB1186, SB1187, SB1188, SB1189, SB1190, SB1191, SB1192, SB1193, SB1194, SB1195, SB1196, SB1197, SB1198, SB1199, SB1200, SB1201, SB1202, SB1203, SB1204, SB1205, SB1206, SB1207, SB1208, SB1209, SB1210, SB1211, SB1212, SB1213, SB1214, SB1215, SB1216, SB1217, SB1218, SB1219, SB1220, SB1221, SB1222, SB1223, SB1224, SB1225, SB1226, SB1227, SB1228, SB1229, SB1230, SB1231, SB1232, SB1233, SB1234, SB1235, SB1236, SB1237, SB1238, SB1239, SB1240, SB1241, SB1242, SB1243, SB1244, SB1245, SB1246, SB1247, SB1248, SB1249, SB1250, SB1251, SB1252, SB1253, SB1254, SB1255, SB1256, SB1257, SB1258, SB1259, SB1260, SB1261, SB1262, SB1263, SB1264, SB1265, SB1266, SB1267, SB1268, SB1269, SB1270, SB1271, SB1272, SB1273, SB1274, SB1275, SB1276, SB1277, SB1278, SB1279, SB1280, SB1281, SB1282, SB1283, SB1284, SB1285, SB1286, SB1287, SB1288, SB1289, SB1290, SB1291, SB1292, SB1293, SB1294, SB1295, SB1296, SB1297, SB1298, SB1299, SB1300, SB1301, SB1302, SB1303, SB1304, SB1305, SB1306, SB1307, SB1308, SB1309, SB1310, SB1311, SB1312, SB1313, SB1314, SB1315, SB1316, SB1317, SB1318, SB1319, SB1320, SB1321, SB1322, SB1323, SB1324, SB1325, SB1326, SB1327, SB1328, SB1329, SB1330, SB1331, SB1332, SB1333, SB1334, SB1335, SB1336, SB1337, SB1338, SB1339, SB1340, SB1341, SB1342, SB1343, SB1344, SB1345, SB1621, SJR57

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, compliance agreement, enforcement suspension

Transcript Highlights:

• But, oddly enough, and again, I do not want to speak for them, my original bill was prescriptive and
• My original bill was prescriptive and was giving direction.
• There were no fiscal notes on that bill, and that bill was a lot more prescriptive.
• We didn't want it to be in statute because it was too prescriptive. Regs are a little more nimble.
• drug rebate revenue each year. of unbudgeted surplus prescription drug rebate revenue each year to fund

Bills: SB6, SB62, SB74, SB90, SB104, SB119, SB132, SB133, SB135, SB182, SB185, SB193, SB207, SB217, SB229, SB233, SB260, SB262, SB280, SB281, SB300, SB306, SB378, SB382, SB393, SB403, SB422, SB427, SB431, SB434, SB442, SB452, SB456, SB468, SB472, SB487, SB503, SB6

Keywords: cloud seeding, Nevada, water conservation, agriculture, Desert Research Institute, victim compensation, hate crimes, property remediation, criminal justice, vulnerable persons, elections, voter registration, mail ballots, candidate eligibility, cybersecurity, education funding, teacher grants, classroom supplies, instructional support, specialized personnel

Transcript Highlights:

• This allows a pharmacist to change your prescription. I had there some...
• This allows a pharmacist to change your prescription.
• And they had to go back and get a different prescription.
• I was coming to Dover one day, but before I came to Dover, I went and picked up prescriptions.
• volume, immunizations given, employers contract the prescription volume, and bonuses can be tied to

Keywords: 1064, all

Transcript Highlights:

• And that I think again is unnecessarily prescriptive.
• And that I think again is unnecessarily prescriptive.
• And that I think again is unnecessarily prescriptive.
• And that I think again is unnecessarily prescriptive.
• And that I think again is unnecessarily prescriptive.

Keywords: 1191, senate, all

Transcript Highlights:

• I think some of the prescriptions that we've put on our schools here at the state level, I've just asked
• I think sometimes we get so prescriptive we're taking away that local flexibility, local control, to
• for our schools to attain, but giving them that flexibility to get there rather than being so prescriptive
• what we need to be willing to take a step back as a legislature to say again... than being so prescriptive
• that some of than being so prescriptive that some of our<00:03:17.680> smallest<00:03:18.239>

Keywords: 1187, senate, all

Transcript Highlights:

• HCAI has extensive experience in collecting and reporting prescription drug data.
• The HPD is currently receiving prescription drug data from health plans and insurers, including pharmacy
• We are currently also collecting price and other data from prescription drug manufacturers pursuant to
• wholesale acquisition costs, average wholesale prices, national average drug acquisition costs, prescription
• We’re keeping $5 million for certain prescription drugs. And then sweeping the $45 million.

Keywords: 988, house, all

Transcript Highlights:

• And it refers to prescription medications.
• So xylazine, while it's not a prescription medication for humans, it is a prescription medication for
• While it's not a prescription medication for humans, it is a prescription medication for animals.
• and capture kind of as much as we can from the kind of the approach as opposed to the granular prescriptive
• There is that kind of initial control of the prescription drugs, but with these new chemicals or sort

Keywords: 995, all

Summary: The special commission on xylazine met virtually to review and discuss the first draft of its final report. Chair Mindy Domb opened the meeting, confirmed quorum, and the commission approved the minutes from its December 11 public meeting. Staff then walked commissioners through the proposed report structure, including background on xylazine as both an FDA-approved veterinary drug and an illicit drug supply contaminant, as well as appendices for public meeting materials and public resources. The commission discussed findings and recommendations for several working groups. For oversight and enforcement, members focused on licit versus illicit sources of xylazine, noting that the illicit supply is typically obtained through online vendors rather than diverted from veterinary use. Recommendations included better storage and reporting practices in authorized settings, review of manufacturing and distribution information, and focusing enforcement on fentanyl trafficking and large-scale xylazine importation rather than personal possession. Commissioners also discussed whether xylazine should remain in Schedule 6 or be subject to additional penalties, and several members emphasized the need for coordination, information-sharing, and possibly a DPH task force or advisory body to monitor emerging drug threats. For outreach and treatment, staff summarized strong existing programs such as drug checking, wound care education, naloxone distribution, mobile and low-threshold care, and self-directed wound kits, while noting gaps including the lack of an FDA-approved reversal agent for xylazine, difficulty distinguishing xylazine from other exposures, and uneven access by geography, insurance, and audience. Commissioners stressed the need for provider education, including physicians, nurses, pharmacists, family support networks, and first responders, and for clear guidance on wound care and when more intensive treatment is needed. The education and training section identified first responders, clinicians, non-clinicians, and people who use drugs and their families as key audiences for tailored, stigma-free materials, with emphasis on real-time, centralized data, naloxone and breathing support, recognition of overdose versus xylazine exposure, and adapting materials as the drug supply changes. The meeting ended with discussion of next steps: staff will circulate a revised draft by March 2, the commission will meet again on March 9 to consider the report and recommendations, and an additional late-March meeting was reserved if needed before the statutory deadline.