Transcript Highlights:

• 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• There's another chapter of the code, 437.020, I believe.
• So, you have Chapter 162.
• That's the regulation of the practice of medicine under Chapter 117 of the Occupational Code, and that's
• And in addition, in Chapter 503 of the Occupations Code, and Chapter 681 of the Texas Administrative

Bills: HB3000, HB2622, HB2283, HB541, HB1776, HB1803, HB1669, HB2588, HB220, HB3415, HB50, HB1314, HB 107, HB220, HB50, HB107

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Bills: HB 767, HB 1242, HB 1373, HB 1404, HB 1708, HB 1936, HB 2041, HB 2198, HB 2270, HB 2315, HB 2415, HB 2427, HB 2455, HB 2457, HB 2522, HB 2523, HB 2686, HB 2763, HB 2775, HB 2944, HB 3034, HB 1683, HB 1695

Keywords: highway designation, memorial, Montgomery County, Paul P. Mendes, transportation, HB 1242, Texas Transportation Code, U.S. Highway 281, Brooks County, Ernesto Soliz Cantu, memorial highway, road naming, TxDOT, road signage, commemorative resolution, memorial markers, county road 304, Huppergate Road, Los Robles Trail, Farm-to-Market Road

Bills: HB767, HB 1242, HB1373, HB1404, HB1708, HB1936, HB2041, HB2198, HB2270, HB2315, HB2415, HB2427, HB2455, HB2457, HB2522, HB2523, HB2686, HB2763, HB2775, HB2944, HB3034, HB1683, HB1695

Keywords: highway designation, memorial, Montgomery County, Paul P. Mendes, transportation, HB 1242, Texas Transportation Code, U.S. Highway 281, Brooks County, Ernesto Soliz Cantu, memorial highway, road naming, TxDOT, road signage, commemorative resolution, memorial markers, county road 304, Huppergate Road, Los Robles Trail, Farm-to-Market Road

Bills: HB767, HB 1242, HB1373, HB1404, HB1708, HB1936, HB2041, HB2198, HB2270, HB2315, HB2415, HB2427, HB2455, HB2457, HB2522, HB2523, HB2686, HB2763, HB2775, HB2944, HB3034, HB1683, HB1695

Keywords: highway designation, memorial, Montgomery County, Paul P. Mendes, transportation, HB 1242, Texas Transportation Code, U.S. Highway 281, Brooks County, Ernesto Soliz Cantu, memorial highway, road naming, TxDOT, road signage, commemorative resolution, memorial markers, county road 304, Huppergate Road, Los Robles Trail, Farm-to-Market Road

Transcript Highlights:

• I think you can see, or other entities subject to this chapter.
• Code and these provisions in Chapter 541 of the insurance code have existed for a number of years and
• This chapter supersedes or preempts any ordinance, resolution, rule, or other regulation.

Bills: HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access

Transcript Highlights:

• Senate Resolution Number 156 by Senator Bartholome is a resolution to urge and request the State Department
• Louisiana Department of Health and the State Department of Education, in collaboration with the Louisiana chapter

Bills: SR146, SCR12, HB221, HCR115, HCR116, HCR58, HB1, HB312, HB313, HB314, HB383, HB983, HB1126, HCR3, HB2, HB3, SCR3, SB56, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR27, HCR28, HCR66, HCR67, HCR72, HCR5, HCR32, HCR49, HCR50, HCR53, HCR60, HCR62, HCR64, HCR68, HCR78, HCR81, HCR86, HCR97, HCR102, HCR31, HCR47, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB42, HB45, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB971, HB1017, HB1234, HB1235, HB9, HB177, HB181, HB202, HB223, HB225, HB387, HB398, HB457, HB459, HB540, HB591, HB616, HB766, HB775, HB783, HB895, HB906, HB950, HB975, HB1052, HB1057, HB1076, HB1100, HB1139, HB1155, HB1160, HB1182, HB1186, HB1220, HB1223, HB1224, HB1228, HB1231, HB1245, HB1256, HB17, HB27, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB205, HB211, HB226, HB259, HB271, HB308, HB310, HB324, HB337, HB351, HB399, HB403, HB571, HB712, HB723, HB726, HB740, HB750, HB759, HB812, HB844, HB966, HB1006, HB1009, HB1018, HB1036, HB1038, HB1107, SB29, SB42, SB78, SB208, SB217, SB274, SB300, SB341, SB379, SB382, SB387, SB401, SB441, SB449, SB487, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB43, SB149

Keywords: SR146, Senate Resolution 146, Louis Thomas Nelson, Thomas Nelson, condolences, memorial resolution, tribute, obituary, public service, St. Martinville, Cade, St. Martin Parish, police juror, mayor, community center, water system, school bus driver, school board, Louisiana Senate, sympathy

Summary: The Senate opened with roll call, a prayer by campus pastor Anthony Brown, and the Pledge of Allegiance. After the journal was read, the chamber took up a series of resolutions and bills, beginning with measures directing studies on mineral servitudes, student non-enrollment determinations, autism services, school nurse orientation, declining school enrollment, behavioral health and homelessness, floodplain map updates, opioid treatment in correctional facilities, oversized vehicle permits, rural economic development, hunting education in schools, and fraud prevention for seniors. Several local and commemorative resolutions were also adopted, including Tangipahoa Parish Fair Day, recognition of Lane Frenchy Boudreau’s military service, and a memorial resolution honoring Bob Bowman. Personal privilege remarks also recognized festival royalty, the Westlake High School baseball team, Dr. E. Joseph Savoy, and 101-year-old Thelma Smith Williams. The Senate concurred in or adopted numerous House concurrent resolutions, often after brief explanations and, in some cases, amendments. These included measures on criminal history background checks for ambulance personnel, autism support services, school nurse orientation, acute care access for individuals with developmental disabilities, child abuse reporting training, physical therapy student loan eligibility, migratory waterfowl research, and a task force on senior fraud prevention. The chamber also adopted resolutions related to seafood competitiveness, bridge backup motors, I-12 improvements, and a Louisiana Energy Protection Act-style climate litigation measure, along with a resolution supporting Preeclampsia Day and a new Woman’s Hospital initiative. The Senate then moved through a long calendar of House bills on third reading and final passage. Bills passed included measures on Safe Haven Law postings in schools, official journal pricing, the Governor’s Task Force on Impaired Driving, the Bayou Growth Opportunity Workforce Program, sexual assault survivor rights, intercollegiate athletics revenue-sharing records, renewable energy recycling, school emergency operations plans, the Louisiana FIRST data system, oilfield site restoration fees, inmate programming, automatic reinstatement of suspended driver’s licenses, special vehicle permits, climate-change damages, the Louisiana Center for State Schools, the Sexual Assault Survivor Empowerment Task Force, fire limits, police chief appointment in Folsom, digitized credentials, Sewage and Water Board procurement, behavioral health crisis insurance coverage, the Louisiana Talent Accelerator Office, indigent defender fee thresholds, prestige license plates, public license tag agent fees, highway naming, public defender terminology cleanup, an improvement district in Orleans Parish, a Democratic Party license plate, DWI-related substance definitions, commercial driver’s license rules, and a Shreveport demolition/local property bill. Several measures drew debate, especially HB 608 on athletics revenue-sharing transparency, which passed 32-13 after concerns about public records and taxpayer transparency. The final bill mentioned, HB 1059 on TOPS math requirements, was introduced at the end of the transcript but its disposition was not shown.

Transcript Highlights:

• According to the Federal CPI Inflation Calculator, a hundred dollars in 2007 was worth $156 in 2023.
• That means an item that cost a hundred dollars then and costs $156 now on average.

Bills: HB511, HB972, HB 1035, HB2481, HB2723, HB2742, HB2894, HB2962, HB3077, HB3093, HB3307, HB3684, HJR67, HJR72

Keywords: ad valorem taxation, caregiver exemption, Medicaid, long-term services, tax relief, assisted living, housing support, property tax exemption, caregiver support, residence homestead, tax exemption, unpaid caregiver, state tax code, property tax, caregiver, waiting list, intellectual disability, developmental disability, ad valorem tax, family support

Transcript Highlights:

• SB 1042, an act amending Title 35, Chapter 2, Arizona Revised Statutes, by adding Article 2.2 relating
• SB 1741, an act amending Title 15, Chapter 1... Let's do the last one on the calendar.
• Title 49, Chapter 1, Article 1, relating to the environment.
• Senate Bill 1473, an act amending Title 9, Chapter 4, Article 6.1, Arizona Revised Statutes.
• Senate Bill 1741, an act amending Title 15, Chapter 1, Article ?

Keywords: 1182, all

Summary: The Senate convened, recorded attendance, dispensed with reading the journal, and recognized several guest groups, including landscape architects and FFA representatives who delivered plants to senators. The chamber then moved through multiple Committee of the Whole calendars, considering a large number of bills and resolutions, with most measures receiving do-pass recommendations, often after committee or floor amendments. Topics included public monies and cryptocurrency/stablecoin use by the state (SB 1042, SB 1043, SB 1044, SB 1045, SCR 1003, SCR 1033), attorney discipline and family court matters (SB 1039, SB 1139, SB 1147, SB 1148, SB 1328), public records, scholarship organizations, HOA flag rules, deed conveyances, environmental restrictions on solar radiation management, federal land acquisition consent, small modular reactors, water quality testing, and state revenue-related constitutional changes (SCR 1028). One notable procedural dispute occurred when an Epstein amendment to SB 1043 was ruled not germane; the chair’s ruling was upheld on a 14-10 division vote, and the bill later advanced without that amendment. The Senate also retained SB 1419 on the calendar. On later calendars, the Senate advanced health and human services measures focused on Arizona’s Access program and DCS, including SB 1052, SB 1115, SB 1149, SB 1193, SB 1233, SB 1345, SB 1346, and SB 1631. Testimony on SB 1115 centered on whether Access employees should be barred from remote work, with supporters arguing in-person work was needed and critics warning of staffing and service disruptions without a new facility or appropriation. SB 1233 drew discussion about a short cure period for administrative deficiencies; supporters said the bill addressed retaliatory enforcement practices, while opponents said the timeframe was too short. SB 1345 and SB 1346 also drew Access-related debate, including a floor amendment removing Access from SB 1345 and an objection that the bill could conflict with federal Medicaid law. The committee reports for these bills were adopted, and the measures were sent forward with do-pass recommendations. The Senate also advanced regulatory and utility-related bills on another calendar, including SB 1137, SB 1144, and SB 1205. SB 1137 dealt with underground facilities excavation notification and passed with a Kavanaugh floor amendment described as stakeholder-driven technical detail. SB 1144 addressed veterinary technician certification and education alternatives and passed with committee amendment. SB 1205, concerning motor vehicle booting fees regulation, was amended to require an appeals process for private parking lots using booting services after a senator described a personal experience of paying a boot fee and receiving no response to an appeal. The calendar was still in progress at the end of the transcript, with SB 1286 just beginning to be read.

Transcript Highlights:

• Call up the next bill on page nine of the calendar: House Bill 156 by Representative Lee, relating to
• /c><04:46:40.080> by<04:46:40.400> representative<04:46:41.040> Lee House Bill 156
• The question is final passage of HB 156. Clerk, lock the machine and the members will vote.
• HB 156 is passed. Thank you, Mr. Speaker, and thank you. Mr.
• <04:47:55.840> is<04:47:56.080> passed nays HP 156 is passed nays HP 156 is passed

Keywords: 1136, house, all

Transcript Highlights:

• No. 156 by Bowers relating to the development and implementation of outdoor warning siren activation

Keywords: 997, house, all

Transcript Highlights:

• HJR 156 by Morales and M. V.

Summary: The House met briefly to read a large number of first-reading bills, joint resolutions, and concurrent resolutions and refer them to the appropriate committees. The measures covered a wide range of topics, including public health, education, criminal justice, taxation, transportation, water and natural resources, elections, housing, veterans issues, local government, and constitutional amendments. Several bills focused on school policy, health care regulation, property tax and sales tax changes, criminal penalties, and local or state agency authority. Among the notable items were proposals on name and sex changes on birth records, college admissions inquiries into criminal history, foster care contractor liability, school nutrition and assessment policy, election procedures, homestead and franchise tax exemptions, public retirement system reporting, and numerous transportation and infrastructure measures. The House also received resolutions designating local honors and observances, including Brownsville as the bicycling capital of the Rio Grande Valley, Port Aransas as the fishing capital of Texas, and Selena Quintanilla Perez Day. Some measures proposed constitutional amendments on legislative procedure, homestead taxation, and election-law enforcement authority. No debate or testimony occurred in this segment; the action was limited to first reading and referral. The session also referred several resolutions to the Local and Consent Calendars. At the end of the proceedings, the House adjourned without objection until 2 p.m. Tuesday.

Transcript Highlights:

• mobilization That's tension On an upward mobilization On an upward mobilization That's tension 154 155 156

Keywords: 1184, house, all

Transcript Highlights:

• Chair hears none, so ordered. 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170

Keywords: 1184, house, all

Transcript Highlights:

• We were also very pleased at how the demonstration of over 55 counties were represented and 156 cities
• 00:26:42.880> were<00:26:43.000> represented<00:26:44.160> and<00:26:44.360> 156
• counties were represented and 156 counties were represented and 156 businesses<00:26:46.480>
• <00:26:52.120> 156<00:26:53.360> cities<00:26:53.840> representing And again

Bills: HF4477

Keywords: Minnesota business recovery loan program, small business loan, zero-interest loan, forgivable loan, business recovery, economic development, small business emergency loan account, Minnesota Initiative Foundations, nonprofit lenders, greater Minnesota, Twin Cities metro, seven-county metropolitan area, immigration enforcement, business interruption, revenue loss, job preservation, business stabilization, state appropriation, forward fund, loan forgiveness

Transcript Highlights:

• In FY27, the amount available decreased from $156 million available to $52 million available.

Keywords: 965, house, all

Summary: The committee received the May fiscal status statement from the Office of Planning and Budget, which reflected the updated Revenue Estimating Conference forecast. The revised forecast reduced the FY26 general fund excess available from $292.6 million to $179.7 million and lowered projected revenues across the five-year baseline, including a drop in FY27 available funds and larger out-year imbalances. The statement was approved without objection. Members then considered several Facility Planning and Control items and approved them without objection: a $3 million LSU Health Sciences Center-New Orleans project to build out space in the Center for Advanced Learning and Simulation; a $343,600 increase for HVAC upgrades at the Louisiana War Veterans Home warehouse in Jackson; and a $700,000 increase for Southern University’s A.A. Lenoir Law Center addition. The committee also received, for information only, five change orders over $50,000 but under $250,000. The committee approved contract extensions and funding actions for several agencies. Louisiana Economic Development received approval for one-year extensions and increases for marketing contracts with Zender Communications and Graham Group. The Department of Education’s contract amendment for the Louisiana Gator ESA program with Odyssey was reported favorably after questions about the procurement process and how the contract amount relates to student enrollment. The Sabine River Authority’s $9.5 million operating budget increase and its 2026–2027 budget were approved favorably, with members discussing the planned takeover of Cypress Bend Resort operations. The Department of Health’s HERO Fund round of 15 grant awards, totaling about $4.6 million and projected to create 541 new health care credentials, was also approved favorably. Finally, the Water Sector Commission’s recommendations were adopted, including an additional $619,850 for St. Mary Parish Water and Sewer Commission No. 5 and $1.5 million in emergency subfund assistance for the city of Tallulah, conditioned on a limited fiscal administration order. The committee also reviewed a cooperative agreement between the Louisiana Community and Technical College System and its facilities corporation related to Act 35 projects, and then adjourned.

Transcript Highlights:

• In FY27, the amount available decreased from $156 million available to $52 million available.

Summary: The committee first heard a fiscal status statement from the Office of Planning and Budget showing that updated Revenue Estimating Conference forecasts reduced the FY26 general fund excess available from $292.6 million to $179.7 million, with lower revenues across the five-year baseline and larger out-year imbalances. With no questions, the statement was approved. Members then reviewed several Facility Planning and Control items, including approval of a new $3 million LSU Health Sciences Center project in New Orleans funded by self-generated revenues, a $343,600 increase for HVAC upgrades at the Louisiana War Veterans Home in Jackson, and a $700,000 increase for Southern University’s A.A. Leno Law Center addition. The committee also received informational change-order reports and approved Louisiana Economic Development contract extensions for Zender Communications and Graham Group, as well as a Department of Education contract amendment for the Louisiana Gator ESA program with Odyssey after questions about the contract’s up-to amount and procurement process. The Sabine River Authority sought approval for a $9.5 million increase to its operating budget and its 2026-2027 budget, explaining the increase was tied to taking over the Cypress Bend Resort hotel and related property; members asked about long-term self-sufficiency and local support, and the items were approved favorably. The Louisiana Department of Health received approval for 15 HERO Fund grant awards totaling about $4.6 million to support 541 new health care credentials statewide. The Water Sector Commission’s recommendations were also approved, including $619,850 more for St. Mary Parish Water and Sewer Commission No. 5 and emergency subfund support for the city of Tallulah, conditioned on a limited fiscal administration order. Finally, members reviewed an agreement between the LCTCS Board and its Facilities Corporation under Act 35, and the meeting adjourned without objection.

Transcript Highlights:

• The President has signed Senate Bills 81, 99, 100, 102, 109, 111, 133, 134, 151, and 156.

Bills: HR320, HR321, HR308, HR309, HR310, HR311, HR312, HR313, HR314, HR315, HR316, HR317, HR318, HR319, SCR65, SCR74, SCR76, HR245, SCR30, SCR40, HB1259, SB4, SB52, SB57, SB83, SB145, SB152, SB194, SB276, SB319, SB333, SB448, SB450, SB465, SB484, SB501, SB509, HR73, HR118, HR144, HR196, HR237, HR249, HR260, HR267, HR272, HR278, HCR85, HCR100, HCR105, HCR107, HCR114, SCR5, SCR29, SCR33, SCR37, SCR63, HB62, HB193, HB210, HB220, HB246, HB364, HB420, HB475, HB584, HB622, HB772, HB784, HB949, HB953, HB1043, HB1070, HB1092, HB1134, HB1162, HB1176, HB1196, HB1214, HB119, HB129, HB233, HB283, HB538, HB789, HB850, HB870, HB1236, HB1241, HB378, HB509, HB1090, SB80, SB131, SB143, SB251, SB254, SB279, SB367, SB384, SB388, SB389, SB398, SB408, SB431, SB468, SB469, SB496, SB149, HB463, HB998, SB123, SB353, SB479, SB495, SB82, SB97, SB283, SB326, SB518, SB197, SB268, HB901, HR20, HR74, HR168, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB89, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB29, SB42, SB43, SB78, SB217, SB274, SB300, SB379, SB382, SB441, SB449

Keywords: Arsenal, Arsenal F.C., Premier League, English football, soccer, football club, Mikel Arteta, Emirates Stadium, North London, Tottenham Hotspur, Gunners, sports resolution, commendation, celebration, championship, silverware, Louisiana House Resolution, ceremonial resolution, domestic violence, forensic medical examinations

Summary: The House met with a quorum, opened with prayer and the Pledge of Allegiance, and then received a series of Senate messages, conference committee appointments, and enrolled bill reports. The chamber also noted Senate concurrence in several House concurrent resolutions and the adoption of conference reports, while multiple Senate bills and resolutions were signed by the Senate President. Senate Bill 480, dealing with butterfly bottom nets and vessel use/anchorage, was referred to the Natural Resources Committee without objection. Members introduced several House resolutions, including measures to commend Arsenal Football Club, recognize Pope Leo XIV and 4-H honoree Margaret Mimi Stoker, study forensic medical exam protocols for domestic violence survivors, create a task force on second-degree murder sentencing, review miscarriage and pregnancy-loss terminology, commemorate the 250th anniversary of New Orleans, and support the National Guard Youth Challenge Program. Committee reports also moved forward bills on child welfare, water quality, scenic rivers, orphan wells, gravel mining reclamation, groundwater conservation, agricultural production, railroad hazards, and retirement system merger feasibility, along with resolutions on Pope Leo XIV and the LaMelle family. The House took up numerous Senate bills returned from the Legislative Bureau, adopting amendments and advancing many to third reading, including bills on health and welfare, education, insurance, and criminal justice. The chamber also reported favorably on resolutions condemning political violence and honoring public figures and organizations, and it scheduled several committee meetings for the following day, including Health and Welfare, Appropriations, Natural Resources, Civil Law, Transportation, and Ways and Means. The session ended with announcements about upcoming committee agendas and delegation meetings, and the House adjourned on motion to reconvene at 1:00 p.m. the next day.

Transcript Highlights:

• News rankings from 97 to 156.

Transcript Highlights:

• and we paid a are expansion members. and we paid a total<00:08:26.400> of<00:08:26.720> $156
• <00:08:28.160> million<00:08:28.800> for<00:08:29.039> those total of $156 million
• for those total of $156 million for those expansion<00:08:29.759> members.
• It's 156 million. Does that sound right? >> That sounds about right. If the numbers, that's fine.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.