Transcript Highlights:

• It allows for CGMs to be billed by both pharmacy and durable medical equipment providers.
• Pharmacy and durable medical equipment providers. It is already live with our system.
• We're also setting up a process by which we allow the pharmacy alert the pharmacy that they cannot bill
• But DME providers submit to AFMC... ...or all pharmacy PAs.
• And now what you're saying is they're going to go through pharmacy for these.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• I am a sophomore student at LC and a Cheyenne local.
• . local. local.
• Message number 296, Senate File 121, Wyoming Pharmacy Act amendments.
• Message number 296, Senate File 121, Wyoming Pharmacy Act amendments. Senator Dockstader.
• board of pharmacy to create responsible board of pharmacy to create responsible rules<02:44:07.840><c

Transcript Highlights:

• dosing, removing the requirement for a needs assessment to open a new OTP, removing the need for pharmacy
• These pharmacy requirements necessitate that a pharmacy be employed at the OTP, which is pretty burdensome
• So this will bring transparency and consistency, hopefully, for state and local governments.
• Bringing the hard skills and tools for them to use in their local relationships is really incredible
• Our local hotlines and our local service providers...

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Senate Bill 502 codifies these best management practices to prohibit local governing authorities from
• codifies these best management practices to prohibit local governing authorities from enacting ordinances
• Shane's office can work with some of the locals and the people within your governing body, and that you
• I would think nowadays you have very much fewer of those smaller, local family grocery stores.
• You have very much fewer of those smaller, local family grocery stores.

Bills: HCR65 , HB512 , HB1194 , SCR23 , SB502

Committees: House Agriculture, Forestry, Aquaculture, and Rural Development , House Agriculture, Forestry, Aquaculture & Rural Development

Keywords: crawfish, agricultural labor, H-2A program, seasonal workforce, Louisiana economy, Healthy Food Retail Act, food access, food deserts, economic opportunity, public health, Louisiana agriculture, community development, fresh food, agriculture, national security, food production, supply chain, security task force, farm labor, Chinese investments

Transcript Highlights:

• ><c> got</c><00:01:24.880><c> our</c> not just pharmacies, we've got our not just pharmacies, we've got
• </c> we also have pharmacy benefit managers. we also have pharmacy benefit managers.
• </c><00:01:35.200><c> benefit</c> That's that's a big pharmacy benefit That's that's a big pharmacy benefit
• ><00:45:00.960><c> the</c><00:45:01.200><c> um</c> pharmacy benefit manager but the um pharmacy benefit
• </c> investigators is a pharmacy. investigators is a pharmacy. &gt;&gt; Yes.<00:54:10.160><c> Yes.

Committee: Joint Appropriations

Transcript Highlights:

• It also eliminates local effort assistance increases scheduled for 2027, denying school districts $25
• Two, the $100 per student cut to local effort assistance.
• For the record, Jamie Bodden with the State Association of Local Public Health Officials here today.
• I urge the legislature to reject moving the 340B Medicaid pharmacy benefits from managed care to fee
• Instead, please maintain the Medicaid pharmacy benefit in managed care to protect patient access and

Summary: The Senate Ways and Means Committee heard an overview from OFM Director Katie Chapman See on Governor Ferguson’s 2026 supplemental budget proposal. She said the budget was built in response to higher caseloads and inflation, a roughly $390 million revenue forecast drop, new federal costs tied to H.R. 1, and a relatively small ending fund balance. The proposal would increase near general fund spending by about $1.1 billion and solve an estimated $2.3 billion two-year gap through about $800 million in reductions, revenue shifts and tax preference changes, use of other funds, and about $1 billion from the budget stabilization account. She also noted the budget is balanced over two years but not fully over four years under the state’s outlook rules. Chapman See highlighted reductions in Working Connections Child Care, including a soft cap on enrollment and holding subsidy rates at the 75th percentile, delays to long-term care and developmental disability-related changes, and across-the-board reductions to higher education and administrative spending. She also described investments in wildfire suppression and preparedness, affordability programs like utility rebates and home energy assistance, housing-related planning and permitting support, One Washington IT replacement, behavioral health workforce programs, and continued support for some K-12 initiatives such as ninth grade success and homeless student stability. In response to questions, she said some proposed cuts were based on the governor’s subjective judgment about what was critically necessary, that current child care enrollees would not be cut off immediately, and that the budget would maintain services for about 500 highest-acuity Medicaid clients who lost eligibility under federal changes. Public testimony was largely critical of the proposed cuts in K-12, early learning, and higher education. School officials, educators, nurses, and advocacy groups opposed reductions to Transition to Kindergarten, Local Effort Assistance, Running Start, MSOC, school leadership and support grants, and higher education funding, arguing the cuts would worsen existing funding gaps and harm student outcomes. Several witnesses supported restoring or maintaining funding for ninth grade success, Treehouse’s foster youth graduation program, homeless student stability, and Science on Wheels. In early learning, child care providers and advocates opposed the Working Connections cap and subsidy-rate reduction, warning it would reduce access and destabilize providers. In higher education, campus leaders and labor representatives opposed across-the-board cuts and fund shifts, while some institutions and advocates supported targeted investments such as behavioral health workforce programs and DigiPen aid restoration. In human services, Planned Parenthood advocates praised restored abortion access funding and Medicaid reimbursements. The committee took no votes or final action in the transcript provided.

Transcript Highlights:

• It contains a number of provisions affecting state and local taxes.
• It requires PBMs to pay a pharmacy the same amount as they pay a PBM-affiliated pharmacy, prohibits a
• It requires PBMs to pay a pharmacy the same amount as they pay a PBM-affiliated pharmacy, prohibits a
• PBM from forcing pharmacies to take a lawsuit. the same amount as they pay a PBM-affiliated pharmacy
• So the local government... Thank you, Mr.

Summary: The House convened with prayer, a moment of silence for two fallen service members, the Pledge of Allegiance, quorum call, and several recognitions, including law enforcement officers and visiting students and advocates. Members then adopted the special order report and moved into the special-order calendar. The first major item was HB 7031, the annual tax package, which was explained as a broad measure covering sales tax holidays, property tax changes, tax credits, pari-mutuel tax reductions, vacation-rental tax collection, and decoupling from federal tax changes. Members asked about the fiscal impact of decoupling and the firearm-accessories holiday; supporters emphasized fiscal caution and the package’s mix of consumer and housing provisions, while opponents objected to the gun-related tax holiday. The bill passed 105-2. The House then passed CS/CS/CS HB 1177 on Space Florida and spaceport operations 107-0, with supporters saying it would strengthen Florida’s competitiveness in commercial aerospace. CS for SB 246 on specialty license plates also passed unanimously after a strike-all amendment that added several new plates, revised the Fraternal Order of Police plate, and tightened specialty-plate financial and nonprofit requirements. CS HB 697 on drug prices and coverage passed 100-0 after supporters said it built on prior PBM reforms by requiring fairer pharmacy reimbursement and limiting forced losses on drugs. CS/CS HB 1263 on the Office of Insurance Regulation passed 109-0 after an amendment clarifying fingerprinting requirements, and CS/CS HB 527 on insurance claim denials passed 100-0 with a requirement for human review before claims are denied or reduced solely by AI. The House also passed CS HB 1449 on the statewide provider and health plan claim dispute resolution program 100-0 after narrowing the bill to out-of-network emergency services and claims at or below $50,000. CS HB 93 on protection from surgical smoke passed 178-0 after extensive emotional debate, with supporters describing it as a long-sought patient and worker safety measure requiring smoke evacuation systems in hospitals and surgical centers. Later, CS HB 1217 on prohibited governmental greenhouse-gas policies passed 29-0 after questions clarified that it would bar net-zero policies and related funding arrangements but not general energy efficiency or incidental emissions reductions; opponents argued it would preempt local climate and resilience efforts, while supporters said it protected energy reliability and affordability. The House then began debate on CS/CS HB 1461 on advanced nuclear reactors, with sponsors describing a framework for licensing and oversight of small modular and microreactors and supporters arguing it would help meet future energy demand and improve reliability.

Transcript Highlights:

• And chief among those elements of the delivery system that are broken is the pharmacy delivery system
• We regulate our pharmacists, pharmacy scope of practice. We did this, frankly, with generics.
• This means that Sharp Pharmacy team must undertake additional time-consuming steps and make multiple
• At the same time, it's bringing the relationship with the doctor and the pharmacy even closer.
• And or the pharmacy, when they receive it and the doctor says nothing, then the pharmacy will be able

Summary: The Senate Business, Professions and Economic Development Committee heard SB 1094 by Senator Weber Pearson, which would expand pharmacist and health plan authority to substitute biosimilars for reference biologic drugs in order to lower prescription drug costs. The author and supporters, including Blue Shield of California, Sharp HealthCare, and several business and health groups, argued that biologics are a major driver of rising health care spending and that biosimilars can provide substantial savings while maintaining safety and efficacy. The bill also included transparency provisions and committee amendments, including notice requirements and clarifications around substitution and exceptions. Opposition came from the Biotechnology Innovation Organization, the California Rheumatology Alliance, and Biocom, who said the bill was not scientifically justified, could undermine FDA standards, and might lead to unwanted switching, side effects, or delays in care for patients with chronic conditions. They emphasized that pharmacists can already substitute interchangeable biosimilars and that non-interchangeable products can be changed with prescriber contact. Committee discussion focused on patient safety, the meaning of “do not substitute,” the 30-day notice provisions, and the distinction between biosimilars and interchangeable biosimilars. After debate, the committee adopted a due pass as amended motion to the Senate Health Committee. The bill passed the committee on a 10-0 roll call vote and was sent onward.

Transcript Highlights:

• IT REDUCES FOOD INSECURITY AND BOOSTS OUR LOCAL ECONOMIES.
• They are attacking local police, federal agents, and the rule of law.
• THEY ARE ATTACKING LOCAL POLICE, FEDERAL AGENTS AND THE RULE OF LAW.
• The organization's reach has expanded into four pharmacy schools in Georgia, and the Georgia Pharmacy
• THE ORGANIZATION'S REACH HAS EXPANDED INTO FOUR PHARMACY COOLS IN GEORGIA.

Transcript Highlights:

• It requires PBMs to pay a pharmacy the same amount as they pay a PBM-affiliated pharmacy, prohibits a
• It requires PBMs to pay a pharmacy the same amount as they pay a PBM-affiliated pharmacy, prohibits a
• PBM from forcing pharmacies to take a lawsuit. the same amount as they pay a PBM-affiliated pharmacy
• So the local government... Thank you, Mr.
• It allows for the local municipalities to come up with reasonable means... ...the local municipalities

Summary: The House convened with prayer, a moment of silence for two service members killed in the Middle East, the Pledge of Allegiance, and a quorum present. Members adopted the special order report and then began taking up the special order calendar. The first major measure was HB 7031, the annual tax package, which included a hunting, fishing, and camping sales tax holiday, a back-to-school holiday moved earlier in the summer, property tax changes for mobile home parks and other exemptions, reductions in pari-mutuel taxes and fees, extensions and expansions of several tax credit programs, vacation-rental tax collection changes, and a full decoupling from federal tax changes in the “One Big Beautiful Bill.” The bill drew questions about the fiscal impact of decoupling and the firearm-accessories holiday; supporters emphasized fiscal caution, housing and home-hardening provisions, and family tax relief, while opponents objected to the firearm-related tax break. HB 7031 passed 105-2. The House then passed CS/CS/CS HB 1177 on Space Florida and spaceport operations, which updates business development rules, board membership, and creates a strategic spaceport hub designation. CS/CS HB 639/CS SB 246 on specialty license plates also passed after a strike-all amendment that added several new plates, revised the Fraternal Order of Police plate, and tightened financial and nonprofit requirements for plate sponsors. CS HB 697 on drug prices and coverage passed after debate on pharmacy benefit manager reforms requiring equal reimbursement, prohibiting forced losses on drugs, and allowing consolidated appeals. CS/CS HB 1263 on the Office of Insurance Regulation passed with an amendment clarifying fingerprinting provisions, and CS/CS HB 527 passed with a human-review requirement for insurance claim denials so AI cannot be the sole basis for denying or reducing claims. Additional bills approved included CS HB 1449, which limits use of the statewide provider and health plan claim dispute resolution program when a claim is already in the federal process and, by amendment, narrows the bill to out-of-network emergency services and claims of $50,000 or less; CS HB 93, requiring surgical smoke evacuation systems in hospitals and surgical centers, which passed overwhelmingly after emotional bipartisan praise for the sponsor’s multi-session effort; and CS HB 1217, which prohibits governmental entities from adopting net-zero greenhouse gas policies, after Democrats argued it would preempt local climate and resilience efforts and Republicans argued it protects energy reliability and affordability. The House also passed CS/CS HB 1461 establishing a framework for licensing and regulating advanced nuclear reactors, with supporters framing it as a step toward reliable, affordable, cleaner energy. Later, CS HB 1229 on residential homes for medically or technologically dependent children was explained as creating a licensure program for medically complex children’s homes and was rolled over for final passage as the transcript ended.

Transcript Highlights:

• I am a proud member, leader of SCEIU, Local 521 and a clinic operations supervisor at Monterey County
• I currently live an hour and 15 minutes away from the nearest pharmacy. From the nearest pharmacy.
• Pre-ACA, Tulare County operated two federally qualified health clinics, a pharmacy, and had contracts
• This means more uninsured care, more delayed treatment, and more pressure on essential local services
• our locals will continue to seek out affordability solutions locally with employers and their county

Summary: The joint informational hearing focused on the cost of uncertainty in California health care, especially the effects of federal policy changes on coverage, access, and affordability. Opening remarks from committee leaders and members emphasized that California’s uninsured rate had fallen to historic lows under the Affordable Care Act and state policies, but that the expiration of enhanced federal subsidies, H.R. 1, and other federal regulatory changes could reverse those gains. Members repeatedly cited rising premiums, skipped care, medical debt, and the strain on low-wage workers, families, clinics, hospitals, and public programs. The first panel reviewed the federal landscape and state response. A federal policy analyst described the ACA’s coverage gains and consumer protections, then outlined current threats: H.R. 1’s Medicaid and marketplace cuts, the end of enhanced premium tax credits, shorter open enrollment, more verification requirements, and changes affecting preventive services and vaccines. Covered California reported that the loss of subsidies is expected to nearly double average monthly premiums, reduce enrollment, and push more consumers into bronze plans with higher deductibles; it also noted that California’s $190 million affordability fund is helping the lowest-income enrollees. HCAI’s Office of Health Care Affordability explained its work on spending targets, market consolidation review, and primary care investment, saying the goal is to slow spending growth rather than impose price caps. Committee members pressed witnesses on the practical effects of bronze plans, administrative burdens, immigration-related disenrollment, provider taxes, uncompensated care, and whether California can sustain current coverage levels without new revenue. Witnesses said bronze plans preserve essential benefits but shift more costs to consumers, and that H.R. 1’s verification and auto-renewal changes will likely reduce enrollment. They also said provider tax reductions could significantly weaken state financing over time, and that higher uninsured rates may increase uncompensated care and pressure premiums elsewhere in the system. The second panel, featuring UC Berkeley Labor Center and California Health Care Foundation experts, highlighted broader affordability problems across job-based coverage and Medi-Cal, citing medical debt, skipped care, and the role of underlying system costs, administrative waste, and lack of competition. They pointed to medical debt relief efforts such as Los Angeles County’s program as a short-term mitigation strategy while the Legislature considers longer-term policy and budget responses.

Transcript Highlights:

• And chief among those elements of the delivery system that are broken is the pharmacy delivery system
• We regulate our pharmacists' pharmacy scope of practice. We did this, frankly, with generics.
• I currently serve as the vice president of pharmacy and clinical nutrition at Sharp Health Care in San
• A larger concern I've been told is around the multiple switching that occurs at the specialty pharmacy
• And or the pharmacy, when they receive it and the doctor says nothing, then the pharmacy will be able

Committee: Senate Business, Professions and Economic Development

Summary: The Senate Business, Professions and Economic Development Committee heard SB 1094 by Senator Weber Pierson, which would expand pharmacist substitution authority for biosimilars and allow health plans to require use of lower-cost generic or biosimilar alternatives when available, unless the prescriber marks “do not substitute.” The author said the bill is intended to lower prescription drug costs, improve access, and require insurers to report on whether substitutions reduce out-of-pocket costs and premium growth. Committee amendments were accepted, including changes to align definitions with federal law, require a link to the FDA Purple Book, add a 30-day advance notice requirement for plan-driven substitutions, and allow exceptions for patients or providers. Supporters included Blue Shield of California, Sharp HealthCare, health plans, CVS, the California Chamber of Commerce, and other business and health care groups, who argued the bill would increase competition, reduce costs, and remove administrative barriers to using FDA-approved biosimilars. Opponents and “opposed unless amended” witnesses, including the Biotechnology Innovation Organization, the California Rheumatology Alliance, and some physician groups, argued the bill goes beyond current FDA interchangeability standards, could undermine physician judgment, and may create patient safety concerns for some chronic-disease patients who react differently to biosimilars or experience problems with multiple switches. Committee members discussed the “do not substitute” option, patient notification, insurance approval, and whether the bill preserves physician discretion. After debate, Senator Arreguín moved the bill, and the committee voted 10-0 to pass SB 1094 as amended to the Senate Health Committee.

Transcript Highlights:

• And chief among those elements of the delivery system that are broken is the pharmacy delivery system
• We regulate our pharmacists, pharmacy scope of practice. We did this, frankly, with generics.
• I currently serve as the vice president of pharmacy and clinical nutrition at Sharp Health Care in San
• This means that Sharp Pharmacy team must undertake additional time-consuming steps and make multiple
• And or the pharmacy, when they receive it and the doctor says nothing, then the pharmacy will be able

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• Next, we'll take up tab 6, Senate Bill 1256 on pharmacy audits by Senator Graal.
• , and fairly across all types of pharmacies.
• independent pharmacies, PBM-owned pharmacies, and PBM-affiliated pharmacies.
• integrity of the pharmacy system, but without destroying pharmacy practices over simple clerical errors
• Kelly Millett, representing the Florida Pharmacy Association, waving in support.

Bills: S0326 , S0598 , S0632 , S0786 , S1110 , S1256 , S1380 , S1588 , S7042 , S7044

Committee: Senate Banking and Insurance

Summary: The Banking and Insurance Committee met with a quorum present and temporarily postponed SB 7042 on legal tender and SB 1380 before taking up the remaining agenda. The committee first reported favorably C.S. for SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and what oversight applies. It then reported favorably SB 1256, which standardizes PBM pharmacy audits by requiring uniform audit standards, scope, frequency, penalties, and due process protections for pharmacies; testimony from pharmacists emphasized concerns about conflicts of interest, excessive audits, and disproportionate penalties, while preserving fraud investigations. The committee also reported favorably C.S. for SB 598 on funeral and cemetery services after adopting an amendment that removed provisions on civil damages caps and phasing out direct disposers; the bill updates licensure and contract rules and addresses unclaimed remains. SB 632, which sets insurance requirements for transportation network companies during the period after a ride is accepted but before pickup, was reported favorably despite opposition from an attorney who argued the existing coverage framework should not be reduced. C.S. for SB 786, creating a nonjudicial process to close out undisputed trusts and discharge trustees, was also reported favorably. The committee then took up SB 1110, a major bill expanding Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including activity limbs, and requiring annual reporting. After adopting an amendment clarifying eligible recipients, the committee heard extensive emotional testimony from amputees, parents, and advocates describing the medical, developmental, and financial importance of prosthetic coverage, and members spoke in strong support before the bill was reported favorably. Later, the committee considered SB 1588, which implements last session’s legal tender law by refining definitions, narrowing custodian provisions, eliminating unnecessary examination requirements, and repealing the sunset clause; members raised questions about verification and anti-money-laundering concerns, but the bill was reported favorably. Finally, the committee approved SPB 7044 as a committee bill to expand public records exemptions to records relating to newly regulated custodians of gold and silver. The meeting concluded with senators recording additional affirmative votes on selected bills and adjourning.

Transcript Highlights:

• Nowadays, insurance companies are tangled up with pharmacy benefit managers and an increasing array of
• Even local not-for-profit insurance companies look very different today, owning clinics and entities
• Nowadays, insurance companies are tangled up with pharmacy benefit managers and an increasing Nowadays
• Even local not-for-profit insurance companies look very different today, owning clinics and entities
• state basic health plan trust account, 11% for prevention, research, and treatment programs, 5% to local

Summary: The Ways and Means Committee held its last scheduled public hearing of the year on March 9, 2026, taking testimony on House Bill 2487, Substitute House Bill 2689, and Engrossed House Bill 2681. For HB 2487, staff and the Department of Revenue explained that the bill would narrow a B&O tax exemption for insurance-related businesses after a 2024 Supreme Court decision, make several related changes including annuity and assigned risk plan exemptions, adjust the advanced computing surcharge threshold for certain affiliated groups, and allow a penalties-and-interest waiver with a repayment plan. DOR supported the bill as clarifying the original intent and preventing double taxation, while insurers and health plan groups opposed it, arguing it would create higher costs, retroactive tax liability, and uncertainty; consumer and policy groups testified in support, saying it closes a loophole and restores the intended tax structure. Committee members questioned the retroactivity, the number of affected businesses, and the fiscal estimates, and the chair reminded members that amendment requests were due by noon for the next day’s executive session. For Substitute HB 2689, staff described changes to the Working Connections Child Care program that would keep income eligibility at 60% of state median income, reduce future rate-setting from the 85th to the 75th percentile, block enhanced rates for certain cross-region providers, cancel the planned move to enrollment-based prospective payments, revise attendance-based reimbursement to a full month for absences of 10 days or fewer and half-month for longer absences, and require a 65% market survey response rate for validity. The fiscal note projected substantial savings, offset by implementation and staffing costs. SEIU 925 and Head Start representatives supported the simpler House approach to attendance billing but raised concerns about the new survey threshold and the risk of increased audits and provider burden; they also noted an amendment under discussion to address the 2026 survey issue. Committee questions focused on how a full month is defined under the attendance rules. For HB 2681, staff said the bill would raise annual issuance and renewal fees for cannabis producer, processor, and retail licenses by $400, generating about $866,000 per year for the dedicated cannabis account with minimal administrative cost. No one signed up to testify, and the chair closed the hearing without a vote on any of the bills. The chair also thanked committee staff for their work and reiterated that amendments for the heard bills were due by noon that day.

Transcript Highlights:

• retain staff and that just means keeping up with their the the salaries that are especially their local
• I believe most of our district investigators have relationships with a lot of the local funeral homes
• Pharmacy services were transitioned in all facilities, shifting from blister packs to prepackaged pill
• I'm glad to hear that you're using the or taking advantage of the 340B, what is the pharmacy cost?
• So, it's really an internal process with our health services staff, as well as our pharmacy provider

Committee: House Public Safety

Transcript Highlights:

• We connect our members to these community partners to help them get care in their local place.
• But how about if you could bring a pharmacy and pharmacy technician to every bedside to participate in
• technician bunker, where I'm sitting as a pharmacy technician away from the bedside and logging into
• We now use a mobile stroke program in close partnership with our local emergency management services,
• So if you train 500 people, hopefully 250 of those at least, or maybe more, will stay local and help

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• It allows for CGMs to be billed by both pharmacy and durable medical equipment providers.
• Pharmacy and durable medical equipment providers. It is already live with our system.
• So my understanding, you correct me, I hope, is that it's instantaneous basically for pharmacy.
• We're also setting up a process by which we allow the pharmacy alert the pharmacy that they cannot bill
• And now what you're saying is they're going to go through pharmacy for these.

Summary: The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection. A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation. Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.

Transcript Highlights:

• We can track pharmacies, but the pharmacies are not the ones filling the prescriptions to pharmacists
• We can track pharmacies, but the pharmacies are not the ones filling the prescriptions to pharmacists
• It controls pharmacies, but you have pharmacies within assisted living facilities or nursing facilities
• I've been four years now on the Board of Pharmacy.
• controls pharmacies, but you have pharmacies within assisted living facilities or nursing facilities

Committee: House House Health & Human Services Committee of Reference

Summary: The committee met as a Joint Health and Human Services Committee of Reference to hear sunset reviews and performance audit findings for several health-related boards. The first action taken was on the Arizona State Board of Pharmacy. The Auditor General reported that while the board met some licensing deadlines, it had significant problems enforcing controlled substances prescription monitoring program (CSPMP) requirements, timely investigating complaints, and documenting fee analyses and other compliance items. The board director said the agency had implemented some recommendations, was seeking legislative help on CSPMP enforcement and data issues, and described staffing and vendor challenges. A public member testified that the board was generally efficient but that statutory gaps limited its effectiveness. The committee then voted 13-0, with six not voting, to continue the Board of Pharmacy for six years until July 1, 2032, with statutory changes to improve its operations. The committee next reviewed the Arizona State Board of Nursing. The Auditor General found the board timely processed licenses but continued to resolve too many complaints late, with a large and growing backlog of open cases, and identified additional issues in oversight, accounting, public records, and conflict-of-interest practices. The executive director said the board had been under-resourced as nursing volume and complaints increased, requested 28 additional investigative positions, and described efforts to triage cases and improve tracking. The Arizona Nurses Association supported the board’s role and said it was working on a bill, House Bill 2408, to improve accountability, prioritization, and fairness in the disciplinary process. A nurse attorney testified that changes to complaint notice, the scope of investigations, and triage could shorten delays. The committee approved continuation of the Board of Nursing for four years until July 1, 2030, by a 14-0 vote with five not voting. The committee then heard the sunset review for the Arizona Board of Occupational Therapy Examiners. The Auditor General reported that the board generally met licensing timelines but had documentation problems verifying fingerprint clearance cards or criminal history checks, and it failed to act promptly on a renewal application involving serious sex-trafficking-related charges. The board said it had accepted all recommendations, had implemented most of them, had moved to a new licensing platform, and had hired help to address rulemaking delays. Members asked about fingerprint verification and the handling of the serious criminal charges. The committee voted 16-0 to continue the board for four years until July 1, 2030, with statutory changes to improve its performance. Finally, the committee began the review of the Arizona Regulatory Board of Physician Assistants. The Auditor General found the board had met some licensing and enforcement requirements but lacked adequate executive oversight, accountability, and tracking systems, and it had very high complaint-resolution delays. The report also criticized the board’s incentive pay structure, which paid all staff based on measures unrelated to complaint timeliness. The new executive director said the board had created formal investigative timelines, improved reporting, sought additional support staff, and was updating IT and incentive metrics; she also explained that the board is a shared agency with the Medical Board. The transcript ends during this presentation, before any vote on the physician assistant board is shown.

Bills: SB25 , SB132 , SB155 , SB157 , SB202 , SB237 , SB250 , SB433

Committee: House Appropriations

Keywords: dental care, cancer treatment, health insurance, medically necessary, health coverage, paid parental leave, educators, teachers, school employees, public schools, local education agency, LEA, school board, charter schools, maternity leave, paternity leave, adoption leave, foster care leave, pregnancy loss, stillbirth