Transcript Highlights:

• You know, if you look at the Constitution, if it's an NGO, it has to be a charitable organization.
• I don't know that that meets the definition of a charitable entity.

Bills: SB406

Keywords: 965, house, all

Transcript Highlights:

• You know, if you look at the Constitution, if it's an NGO, it has to be a charitable organization.
• pools for senior citizen facilities that are NGOs—I don't know that that meets the definition of a charitable

Summary: The Ways and Means Committee met on May 26 and first took up Senate Bill 406, which authorizes the city of Slidell to seek voter approval for a local hotel and motel occupancy tax. The bill was described as a local measure giving the city council authority to place the tax on the ballot, with members noting that similar taxing authority exists in many other municipalities. Representative Wiley moved favorable passage, there was no objection, and the bill was reported favorably. The committee then received an update from the Division of Administration’s Office of Facility Planning and Control on capital outlay savings identified through cash-flow review and project “scrubbing.” Officials said they found about $50 million in savings from updated cash flows, over-appropriations, projects bid under budget, and reduced appropriations in bundled projects. They explained that bundling projects, including some LED-related projects, allows agencies to shift savings within a bundle and manage overruns or underruns more flexibly. Members praised the savings work but asked whether the process could be moved earlier so the House could benefit sooner, and whether similar reviews could be expanded to other administering agencies and non-state projects. One member raised concerns about whether some projects, including schools and certain NGO-related items, should qualify for capital outlay funding at all, and urged a review of the statutory definition and project approval criteria. Staff said they would look at the definition, review recommendations from prior discussions, and consider ways to tighten the process. The committee then adjourned without further action.

Transcript Highlights:

• municipalities; 1436 school district bond; 1446 school workers, social workers documentation; 1450 pharmacy
• board. 1446 school workers, social workers documentation; 1458 pharmacy board; 1471 school mapping needed
• new revenue stream for large corporations, like the private equity group that is now the largest pharmacy
• They've got a high level of education, and nearly 90% of Americans live within five miles of a pharmacy
• , making pharmacies one of the most accessible care settings in America.

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the journal, guest introductions, and several personal privilege remarks, including a proclamation recognizing March 10 as Cade’s Day in honor of Cade Keller and teen suicide prevention efforts. Members also welcomed guests from local governments, schools, and the medical community, and the chamber received routine committee and Senate messages. The House then considered several bills in Committee of the Whole. HB 2946 and HB 4018 were amended and given do-pass recommendations, with HB 2946 receiving a floor amendment tied to housing cost concerns. On the main calendar, HB 2083, HB 2308, and HB 2388 were amended and advanced; HB 2389, dealing with energy and environmental review, drew debate over utility costs versus environmental oversight and was also advanced. The House retained HB 4030 and HCR 2052 on the calendar. During third reading, the House passed HB 2047 on forcible entry and detainer, HB 2127 on special license plates, HB 2344 on local government investment pools, HB 2371 on dissolution of marriage, HB 2140 on state investment in gold and silver, HB 2429 on short-term rentals, HB 2434 on the prescription monitoring program, HB 2437 on emergency medical services, HB 2444 on pharmacy-based testing and treatment, HB 2573 on DUI-related treatment, HB 2601 on state highways and routes, HB 2620 on veterans’ services funding, HB 2781 on solar energy power plants, HB 2914 on long-term care cameras, HB 2968 on child custody evidence, HB 4043 on public schools, HB 4064 on municipal improvement districts, HB 4130 on local government budgets, and HCM 2016 renaming a stretch of US 191 as Chief Barbonsito Highway. HB 2123 on financial institutions failed on reconsideration, and HB 2726 on sleep apnea treatment devices failed. Several measures passed with notable split votes and floor explanations focused on housing, licensing, health care access, veterans, family court reform, and tribal sovereignty. The House then adjourned until Wednesday, March 11, 2026 at 1:15 p.m.

Transcript Highlights:

• Um, 90% of those in Kentucky live within 5 miles of a pharmacy.
• 00:02:25.280> a in Kentucky live within 5 miles of a in Kentucky live within 5 miles of a pharmacy
• It is proven through research pharmacy.
• Just a swab could happen in a community pharmacy already authorized under our scope of practice.
• Berg here about how we don't have adequate pharmacies in Louisville anymore.

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• This ensures fair reimbursements to pharmacies while allowing Texans to access new medication options
• I'm a pharmacist with Amazon Pharmacy here in Austin, and I'm testifying on behalf of Amazon Pharmacy
• Amazon Pharmacy is a full-service, digital-forward pharmacy in your pocket.
• The small pharmacies...
• We'll push out independent small pharmacies across the country.

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• The trust is governed by a board of directors and trustees, ensuring the achievement of charitable goals
• <00:21:54.640> and<00:21:54.960> the<00:21:55.360> charitable this solution.
• and the charitable this solution. and the charitable establishment<00:21:56.480> of<00:21:56.640
• > the<00:21:56.799> charitable<00:21:57.120> housing establishment of the charitable
• housing establishment of the charitable housing trusts<00:21:59.000> potentially<00:22:00.000

Keywords: 1191, senate, all

Transcript Highlights:

• 8 through 13, because I've been contacted by those who do the testing for our licensed advanced pharmacy
• letter that states that that includes what is in the scope of practice in the licensed advanced pharmacy
• 8 through 13, because I've been contacted by those who do the testing for our licensed advanced pharmacy
• letter that states that that includes what is in the scope of practice in the licensed advanced pharmacy
• So looking at this, the licensing advanced pharmacy technician exam is solely a jurisprudence exam.

Keywords: 1189, house, all

Transcript Highlights:

• like the amendment to read: The term vision benefit manager shall not be construed to include a pharmacy
• services, including entities regulated under pharmacy benefit manager statutes.
• <00:32:42.159> benefit construed to include a pharmacy benefit construed to include a pharmacy
• prescription drug benefits or pharmacy prescription drug benefits or pharmacy services,<00:32:51.360
• <00:32:54.080> benefit<00:32:54.559> manager<00:32:55.279> stat under pharmacy

Keywords: Insurance - Room 216, 3 February, 2026; 9:00 AM, 925, all

Summary: The committee took up several insurance and health-related bills. Earlier discussion focused on metastatic cancer step therapy and biomarker testing, with the sponsor explaining that the bills would prevent insurers from requiring patients to try less effective treatments first and would require coverage for biomarker testing to better target treatment. The biomarker bill was described as a product of a summer study committee and was reported favorably. The committee also advanced a bill setting standards tied to the National Association of Insurance Commissioners, and a private residence elevator bill requiring licensing, inspection, and permitting for elevator installers, with an amendment exempting those elevators from annual inspections after the initial inspection. Members then considered a mitigation program for retrofitting homes, with the sponsor saying the Department of Insurance and industry were close to a workable statewide program. The bill would be funded by increasing a fee paid by insurance companies, not policyholders, and would allow use of a third-party administrator capped at 5% of program funds. The committee also reported bills extending the state health plan repealer, extending the LOSAP volunteer firefighter program repealer, and creating a fraud detection trust fund at the Insurance Department to address AI- and cyber-related fraud. The fraud fund bill drew questions about whether it would raise premiums and how it would help investigators; supporters said the fund would support staffing and equipment and that the existing fund had been dormant. Additional bills included a transparency measure for dental insurance spending, which would require reporting on the share of premiums spent on dental services beginning in 2027, and a bill expanding access to self-funded group health plans for members of legitimate professional and trade associations. The committee also heard a Mississippi Patient Protection Act aimed at strengthening willing-provider protections and limiting insurer discrimination against qualified providers; an amendment was proposed to clarify that vision benefit managers would not be treated as pharmacy benefit managers. Most measures were moved by title sufficient due pass and reported without opposition.

Transcript Highlights:

• This ensures fair reimbursement to pharmacies while allowing Texans to access new cost-saving services
• I'm a pharmacist with Amazon Pharmacy here in Austin, and I'm testifying on behalf of Amazon Pharmacy
• I'm testifying on behalf of Amazon Pharmacy in support of House Bill 2402.
• Amazon Pharmacy is a full-service, digital-forward pharmacy in your pocket.
• The small pharmacies, and I know we're going to argue, well, U&C's not well— The small pharmacies, and

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• Founder of Birth Control Pharmacist, and Michelle Caredo, PharmD, a community-based pharmacy resident
• A young lady, first-generation college student, on a break to see her family, came into the pharmacy
• If a patient comes to my pharmacy for opioids today and wants to use their Medi-Cal insurance, I have
• Only after the patient comes to my pharmacy can I issue the prescription.
• Now, we know that about 1,500 pharmacies throughout the state are able to do this, assuming that the

Keywords: 988, house, all

Transcript Highlights:

• They can have that access to care and take care of those things with their local pharmacy and receive
• They can have that access to care and take care of those things with their local pharmacy and receive
• Well, the Board of Pharmacy does track how many pharmacies are using the protocols.
• I don't have the exact number of how many pharmacies are using it, but we can certainly get that back
• does track how the Board of Pharmacy does track how many<00:27:33.720> pharmacies<00:27:34.159

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum, first taking up referred administrative regulations. One regulation was deferred, and two others were noted as deficient; with no one wishing to speak, the committee treated the regulations as reviewed. The committee then heard Senate Bill 13 from Chairman Meredith, which would reduce the number of Medicaid managed care organizations from five to three. Meredith argued the bill would reduce administrative burden, improve oversight, help rural providers, and potentially lower costs for families and the Medicaid program. Senators Berg, Herron, and Douglas asked about data, patient impact, network adequacy, and prior authorization burdens; Meredith said the effect on patients would be indirect through better access and less administrative delay. The committee approved a committee substitute and passed SB 13 favorably on a 10-0 vote. The committee next considered Senate Joint Resolution 26, presented by Senator Richardson and Kentucky Pharmacists Association Executive Director Ben Mudd. The resolution asks the Department of Medicaid Services to provide data and cost analysis on paying pharmacists fairly for clinical services already within their scope of practice under Medicaid and KCHIP. Supporters said pharmacists can improve access, especially in rural areas, by providing services such as medication therapy management, chronic disease management, and preventive care, and that the resolution is intended to gather information before any future bill. Senator Douglas questioned whether expanded pharmacy duties have actually improved access or outcomes and whether there is published data; Mudd said the Board of Pharmacy tracks use of protocols but that more data is needed. The committee approved the resolution by roll call, with all members voting aye. At the end of the meeting, Chairman Meredith announced that Senate Bill 27 would be heard for discussion only and not acted on that day so members could review it further. Senator Brandon Storm introduced SB 27, which would create a Kentucky Parkinson’s disease research registry, and noted that a Michael J. Fox Foundation representative could not attend because of a winter storm; her letter was included in the packet. Storm said the registry is intended to support research and policy by tracking Parkinson’s disease in Kentucky, citing national prevalence and cost figures. No vote was taken on SB 27 during this meeting.

Transcript Highlights:

• From a system perspective, pharmacy-led care reduces unnecessary emergency department visits and hospital
• From a system perspective, pharmacy-led care reduces unnecessary emergency department visits and hospital
• It isn't really mentioned in the bill, and would pharmacies then be required to have a separate exam
• So I'm not familiar with the other pharmacies, but I would think that if this is something that they're
• So I'm not familiar with the other pharmacies, but I would think that if this is something that they're

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• in the event that the rush of these emergency rules, even though they are modeled on a previous charitable
• 16.640> previous though they are modeled on a previous though they are modeled on a previous charitable
• <00:23:17.360> gaming charitable gaming charitable gaming infrastructure infrastructure infrastructure

Keywords: 928, house, all

Summary: The committee opened its September meeting, seated alternates to establish a quorum, approved the prior minutes and consent agenda, and then moved to the regular calendar. The main substantive item was the kinship care home licensing standards rule (2025-130), which had a conditional approval request with three comments. Committee discussion focused on whether the rule and statute aligned on temporary permits, renewal, and whether a statutory amendment might be needed. Department of Health and Human Services and DCF staff explained that kinship care licenses are issued for two years and may be renewed, while the temporary six-month permit is meant to bridge applicants until licensure. They also said the rule was amended to reflect statutory language, and members suggested adding clearer language to avoid confusion. The committee then approved the conditional request, including oral amendments for clarity, and noted that any needed statutory cleanup would be added to a running list of possible changes for future filing. The committee next took up an emergency rule from the Lottery Commission concerning games of chance and video lottery terminals. Staff said the emergency rule was needed to avoid substantial fiscal harm to the state and loss of expected revenue, and that it largely builds on existing charitable gaming infrastructure. Members questioned the emergency basis and asked about precedent for using fiscal harm as justification, but staff said they did not have precedent information immediately available. The commission representative said regular rulemaking was already underway and would be brought to the commission at its October meeting. The committee did not take adverse action on the emergency rule during the discussion. Finally, the committee reviewed Department of Safety Commissioner Emergency Rule 14357 on school bus transportation qualifications. The rule creates an exception for applicants whose driver’s license validity had a gap of no more than 30 days due to suspension or non-renewal, which staff said would help address a school bus driver shortage and reduce transportation problems for students. Members raised the possibility of a legislative fix to distinguish administrative lapses from safety-related suspensions, and staff said that could be considered. The committee noted the emergency rule is only effective for 180 days and will return through regular rulemaking for fuller review. The meeting ended with scheduling for the next regular meeting on October 17 and adjournment.

Transcript Highlights:

• State Affairs, HB 4580 by Harless relating to an exemption from darum taxation on the property of a charitable
• jurisprudence HB 4750 by NEA relating to exemption from admirallarum taxation of property and certain charitable
• Charitable organization from an exemption from Avalarium taxation of the organization's property if the
• solicitation and collection for the distribution through gifts, grants, and agreements of nonprofit, charitable

Transcript Highlights:

• organization that has been around a long time and gives millions of dollars a year to all sorts of charitable
• /c><00:08:42.279> of of dollars a year to all sorts of of dollars a year to all sorts of charitable
• <00:08:43.159> research<00:08:43.560> and<00:08:43.760> health charitable research
• and health charitable research and health organizations<00:08:45.600> um<00:08:45.800> this

Keywords: Consideration of HJR 15 02:26 Consideration of HB 30 16:18 Consideration of HB 71 20:05 Consideration of HB 182 23:51, 958, all

Summary: The House State Government Committee met with a quorum and first took up HJR 15, as amended by a committee substitute, which would return the granite Ten Commandments monument to permanent display on the new State Capitol grounds. Representative Baker described the monument’s history, its removal during construction in the 1980s, the 2000 effort to restore it, and recent Supreme Court changes that he said make the historical-tradition analysis more relevant than the former Lemon test. Members asked about the monument’s location, possible amendments to allow other faiths to place similar monuments, and church-state concerns. Several members explained their votes by saying they supported the historical display but wanted further discussion about religious representation. The resolution passed the committee 16-1 with two pass votes and was reported favorably to the House floor. The committee then considered House Bill 30, sponsored by Representative Blanton, which addresses pension spiking in the Kentucky Public Pension Authority. Blanton said the bill codifies a court ruling clarifying that across-the-board pay raises are not pension spiking and noted support from fire, police, and state employees. Representative Tipton reminded members that pension bills should be reviewed by the Public Pension Oversight Board first and said this bill had been reviewed there without issue. The committee approved HB 30 unanimously, 20-0, with favorable expression. House Bill 71, sponsored by Representative Duval, was next. KPPA Executive Director Ryan Barrow said the bill was requested by KPPA, vetted by the Public Pension Oversight Board, and would restructure KPPA by creating an Office of Financial Management and moving the current CFO into an executive director-level role overseeing that office, without affecting system funding requirements. Representative Johnson supported the measure as an administrative codification of current practice. The committee passed HB 71 unanimously, 20-0, with favorable expression. Finally, the committee heard House Bill 182 from Representative Frasier Gordon, which would prohibit state government from using the word “free” to describe taxpayer-funded services. Gordon said the bill is intended to increase transparency and ensure taxpayers are credited for funding public services, while not changing any programs or benefits. Members questioned how the bill would be enforced, what alternative wording should be used, and whether the restriction could affect communication with low-income or low-literacy residents; Gordon said terms like “provided at no cost” or “paid for by taxpayers” would be acceptable and that the bill contains no penalty. The committee passed HB 182 17-3 with favorable expression and sent it to the House floor.

Transcript Highlights:

• And so when we consolidated that, there was a charitable asset transfer from People Serving People Charities
• And so when we consolidated that, there was a charitable asset transfer from People Serving People Charities
• And so when we consolidated that, there was a charitable asset transfer from People Serving People Charities
• <00:59:40.240> asset<00:59:40.640> transfer there was a charitable asset transfer there
• was a charitable asset transfer from<00:59:41.760> People<00:59:42.000> Serving<00:59:

Keywords: 1187, senate, all

Transcript Highlights:

• Revenues are received from premium contributions, pharmacy rebates, refund of claims overpayments, and
• This negative trend assumes plan design remains constant while both medical and pharmacy costs continue
• In 2024, total pharmacy spend was $1.17 billion.
• The five-year pharmacy cost trend shows an increase of more than 50% since 2020.
• How does the state currently work with PBMs and pharmacies to ensure that we're getting the best cost

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• It's still important that it's there, but this setting it up with our pharmaceuticals, our pharmacies
• It's still important that it's there, but this setting it up with our pharmaceuticals, our pharmacies
• It's still important that it's there, but this setting it up with our pharmaceuticals, our pharmacies
• It's still important that it's there, but this setting it up with our pharmaceuticals, our pharmacies
• Thank you. pharmaceuticals, our pharmacies in our communities will be a huge step forward.

Keywords: 1183, house

Summary: House File 4493 would authorize pharmacists to initiate, prescribe, administer, and dispense certain drugs for opioid use disorder, especially buprenorphine/Suboxone. Representative Baker said the bill is intended to save lives by giving people immediate access to treatment at the moment they seek help, rather than making them wait for a doctor’s appointment or navigate more cumbersome methadone access. He emphasized that pharmacists are widely accessible, including in greater Minnesota, and that optional training would support safe prescribing. Representative Bierman spoke in strong support, calling the measure a life-or-death step forward for people with substance use disorder and noting that many people do not receive treatment when they need it. He said he initially had concerns but Baker listened to his suggested changes and worked with him and bill drafters, which helped address those concerns. Bierman also referenced the ongoing fentanyl crisis and encouraged members to learn more from displays honoring overdose victims. Baker closed by sharing personal remarks about losing his son to addiction and describing how limited treatment options were at that time. He said the new federal change allowing pharmacist training makes the bill timely and urged members to support it. After discussion, the House took a roll call vote and passed the bill 134-0, with the title agreed to.

Transcript Highlights:

• Proposal regarding pharmacy benefit manager licensure and data requirements.
• PBMs would provide HCAI with information about the pharmacy benefits they have managed, including drug
• It would also be grouped by pharmacies owned and not owned by the pharmacy benefit manager.
• The first is the Pharmacy Benefit Manager proposal, which cuts across this budget as well as the next
• No additional comments beyond the comments on the pharmacy benefit manager proposal.

Keywords: 988, house, all

Transcript Highlights:

• You go to the pharmacy.
• DSHS does not enforce what pharmacy or pharmacists do? That would also be the Board of Pharmacy.
• And that's established through the Texas Pharmacy Act.
• Texas Pharmacy Association supports your bill? Correct.
• Thank you. said they were four, are you talking about the Texas Pharmacy Association or the Texas Pharmacy

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.