Transcript Highlights:

• But, you know, health and wellness, right? That's something. Health and wellness, right?
• strong health care workforce.
• We are a Turkish company operating in the U.S. for 10 years in Massachusetts.
• So we are a Turkish company operating in the U.S. for 10 years in Massachusetts.
• Policy is operational reality.

Committee: Joint Joint Committee on Economic Development and Emerging Technologies

Keywords: 995, all

Summary: The committee held a hearing on Governor Healey’s economic development proposal, H. 5386, also referred to as the Mass Winds Act, focused on global investment, talent, innovation, housing, and business competitiveness. Governor Healey, Secretary of Economic Development Eric Paley, and Secretary of Administration and Finance Matt Gorzkowicz described the bill as a response to federal uncertainty and global competition, building on the 2024 Mass Leads Act. They highlighted proposed investments in a Global Mass initiative, including a $50 million innovation access fund and $20 million for sites to help international companies locate or expand in Massachusetts, along with support for AI, quantum, robotics, defense innovation, climate tech, downtown revitalization, and creative/cultural economy projects. They also emphasized measures to lower business costs, including reducing the LLC filing fee, expanding the small business energy tax exemption, and streamlining housing and development rules. Committee members questioned the administration about non-compete reform, AI and data-center infrastructure, housing affordability, and whether the bill would help retain workers and companies in Massachusetts. The governor and secretaries argued that the non-compete changes would restore the original compromise by requiring any alternative to garden leave to be negotiated at separation, and they said the bill’s housing and workforce provisions are intended to help young workers stay in the state. They also said Massachusetts is already investing in AI training, an AI hub, and energy-related planning, while acknowledging that data-center growth will require careful attention to water, electricity, and ratepayer impacts. Several witnesses testified on specific sections. Northeastern University supported the internship tax credit, saying experiential learning helps students gain jobs and remain in Massachusetts. The Latino Empowerment Advisory Council supported the waiver of redundant English testing for internationally trained nurses, saying it would speed entry into the workforce without lowering clinical standards. Russell Beck opposed the non-compete changes, arguing they would undermine the 2018 compromise and could reduce other forms of employee compensation. The Secretary of the Commonwealth’s office opposed the LLC fee reduction, citing revenue loss and fraud concerns. Municipal and regional groups, including the MMA and the Metro Mayors Coalition, supported site plan review codification and downtown/arts investments, while urging continued municipal input. The AFL-CIO asked for trigger language to preserve labor protections if federal law changes, and business and industry witnesses generally supported the bill’s competitiveness and global investment provisions. No votes were taken; the hearing was informational, with written testimony invited after the meeting.

Transcript Highlights:

• Both recommendations fund the agency's health benefits.
• I just want to know how much does a monthly health plan cost for them.
• So this is the operating expenses for all of the state's insurance programs.
• So the General Services Division owns and operates two planes for the State.
• And the third is for not processing invoices in the health benefits fund.

Committee: House House Appropriations & Finance

Keywords: 996, all

Transcript Highlights:

• In that one mental health crisises.
• </c> system that's operated by the BCA. system that's operated by the BCA.
• bullying, mental health involve bullying, mental health concerns,<00:13:18.800><c> suicidal</c><00:13
• </c><00:21:06.400><c> services</c> mental health services mental health services 150,000<00:21:09.200
• 21:17.520><c> year</c><00:21:18.159><c> is</c> health services 150,000 per year is health services 150,000

Keywords: 1183, house

Transcript Highlights:

• I mean, can we just afford rent and afford health care and afford— Oh, there's a picture.
• I mean, can we just afford rent and afford health care and afford— Okay, let's move on.
• expands the scope of the Department of Health overseeing compliance and operations of health care institutions
• and practices to minimize administrative burdens on health care institutions.
• So I was a present on this, and I think it was because of that behavioral health care...

Keywords: 1182, all

Summary: The caucus reviewed a long list of Senate bills covering elections, transportation, health care, land use, water, criminal justice, and local government. Several election-related measures were described, including SB 1037 on voting equipment custody and internet/port restrictions, SB 1568 on election system software timekeeping, and SB 1687 moving the primary date to May starting in 2028. Members also discussed bills on photo enforcement fines, roadable aircraft registration, motor vehicle booting, assisted living occupancy limits, and municipal permit and exaction rules. A number of measures were noted as third-read consent items, while others were flagged for further discussion or amendments. Health and public safety bills drew substantial discussion. The committee heard bills on insurance coverage for breast cancer screening, safe-haven hospital surrender of newborns, dialysis documentation, behavioral health licensing compliance, naturopathic IV drug administration, traumatic event counseling for public safety employees, sex offender registration limitations, and probation rules for dangerous crimes against children. Members raised concerns or requested removal from consent on several items, including SB 1095 and SB 1094 related to gender-affirming care for minors, SB 1346 on AHCCCS claims processing, and SB 1178 on naturopathic drug administration. There was also debate over SB 1520 on immigration data sharing and SB 1635 on warning someone about an imminent arrest, with objections citing civil liberties and First Amendment concerns. The committee also considered multiple property, water, and development bills. These included measures on effluent water use for landscaping, groundwater fee diversion in Pinal County, increasing the Water Supply Development Revolving Fund loan cap, creating a foreign entity review commission for real property transfers, and restricting transport of Mexican gray wolf pups into Arizona. Members discussed SB 1419 on solar roof inspections and financing disclosures, and SB 1787 on municipal exactions and appeals, with an amendment proposed to limit it to commercial property. Several members explained their votes or asked to pull bills from consent, and some items were noted as having split votes or anticipated floor amendments. The caucus ended with Rhonda’s election-related bills and a note that the group would move immediately into a closed caucus afterward.

Transcript Highlights:

• Special Committee on Health and Human Services is called to order.
• When we scrub these records, we violate the trust patients place in the state to vet their health care
• We moved Section A in response to access on the health care plans, which is so. Yes.
• Yeah, we move section A in response to access on the health care plans, which is so. Yes.
• And without objection, the House Committee on Health and Human Services is adjourned.

Committee: House House Health & Human Services Committee of Reference

Summary: The Special Committee on Health and Human Services heard a series of continuation and board-reform bills, beginning with core review measures to continue the Arizona Department of Economic Security, the State Board of Nursing, the Board of Occupational Therapy Examiners, the Regulatory Board of Physician Assistants, and the State Board of Pharmacy. HB 2728, HB 2729, HB 2730, HB 2731 as amended, and HB 2732 all received due-pass recommendations, with the physician assistant board bill amended to extend the board for four years rather than two. The committee then moved to reform bills affecting the nursing board and pharmacy board, as well as a reconsidered health plan drug-coverage bill. HB 2408, which would change nursing board complaint procedures, prioritize certain allegations, allow limited expungement of disciplinary records, and adjust evidentiary and liability standards, drew extensive testimony. Nursing board leadership opposed the bill, arguing it would weaken patient safety, raise the burden of proof, and erase useful disciplinary history, while supporters said it would improve fairness, reduce backlog, and give nurses a second chance for non-patient-safety-related issues. After debate, the committee adopted an amendment and advanced the bill on a 7-4-1 vote. HB 2434, updating the controlled substances prescription monitoring program and related reporting and confidentiality rules, and HB 2733, changing pharmacy continuing education timing, delivery rules, and ownership-transition procedures, both passed unanimously after amendments. The committee also reconsidered HB 2725, which would limit access contractors’ use of therapeutic substitution and utilization controls for certain non-opioid drugs. Access and health plan representatives warned the bill was too broad and could significantly increase costs by affecting many drug classes, while the sponsor said the amendment was intended to address those concerns and preserve the policy goal. After the amendment was adopted, the bill failed on a 6-? vote and did not receive a due-pass recommendation. The chair then announced the committee was done hearing House bills and adjourned, with Senate bills expected in a later meeting.

Transcript Highlights:

• Board of Health and Welfare.
• That's different than the regional health, the behavioral health boards.
• Regional behavioral health boards are behavioral health boards.
• Also, when we talk about the Board of Health and Welfare, we have also, within the Department of Health
• And like was mentioned, we do have the regional health boards, our public districts' health...

Keywords: 989, all

Transcript Highlights:

• It's been a commercial operation since 1984.
• And the last category was the construction and operation of SMR facilities.
• is completed or operating.
• , or operating.
• But what I really want to comment about is health and safety.

Summary: The committee heard public testimony on Senate Bill 5821, which would direct the Department of Commerce, if funded by gifts or grants, to develop a nuclear power strategic framework and integrate it into the state energy strategy. Supporters, including Sen. Braun, Energy Northwest, public power representatives, and several pro-nuclear advocates, said Washington needs to keep advanced nuclear on the table to address rising electricity demand, reliability concerns, and clean energy goals. Opponents, including the Sierra Club, Columbia Riverkeeper, tribal representatives, and other environmental advocates, argued the bill gives nuclear special treatment, lacks sufficient guardrails on waste, safety, cost, and public process, and was rushed without adequate tribal consultation. Several tribal testifiers said the bill should require early, meaningful government-to-government consultation and stronger protections for treaty rights and cultural resources. The committee then held a work session on a Washington State Institute for Public Policy report reviewing state policies supporting small modular reactors. Staff and researchers explained that the report surveyed 79 policies in 35 states and found most states are still in preliminary planning stages, with policies focused on feasibility studies, siting, workforce development, permitting, financial support, and market integration. Members asked about water use, waste, footprint, and whether the report covered fusion; the researchers said it was limited to fission and that water needs vary by reactor design. Some senators noted the need to consider lifecycle impacts and compare nuclear with other energy technologies. The committee also heard Senate Bill 6010, which would change FSEC tribal consultation procedures by exempting most government-to-government consultations from the Open Public Meetings Act when there is no deliberation or commitments, requiring all FSEC members to participate in consultation, and giving tribes a chance to review and correct the consultation summary before it goes to the governor. Tribal witnesses and environmental groups supported the bill as a way to improve confidentiality and meaningful consultation, while the Association of Washington Business opposed it, saying it could add delays and suggesting timelines. Finally, the committee heard Senate Bill 6004, which would update contracting statutes so public entities can contract for renewable or non-emitting generation capability under CETA definitions; utilities supported the update as a modernization, while consumer and environmental opponents warned it could shift financial risk to ratepayers, especially for nuclear projects. No votes were taken in the transcript.

Transcript Highlights:

• I have communities that we have health deserts, folks.
• The Health and Human Services Committee The Health and Human Services Committee report<00:49:38.160><
• I have a have health deserts, folks.
• The Health and Human Services Committee report passes.
• Um, how structure of how they operate.

Keywords: 981, all

Transcript Highlights:

• of our previous public health meetings, and we're hearing from not just those in health care but law
• We're a community mental health center and a grant-funded certified community behavioral health clinic
• a gap that the current federally qualified health... ...health clinics don't address.
• This is a health care matter.
• And, you know, it's a health care matter, and health care is messy. So, yeah.

Keywords: 1204, all

Transcript Highlights:

• </c> in mental health and psychiatry. in mental health and psychiatry.
• </c> the Minnesota Council of Health Plans. the Minnesota Council of Health Plans.
• our health care system.
• our health care system.
• </c> health care system. health care system. &gt;&gt; Thank<01:13:17.679><c> you.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• </c> forward broken down our operating forward broken down our operating requests<00:05:23.240><c> into
• </c> have an interest in the mental health have an interest in the mental health area<00:22:29.720><c
• ><c> they're</c> area mental health space and they're area mental health space and they're looking<00
• </c><00:24:16.400><c> and</c> building please cease operations and building please cease operations and
• men and women looking at the need for mental<02:15:27.280><c> health</c> mental health mental health

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard House Bill 4000, the Judiciary’s biennium budget bill for FY 2026-2027. Judiciary Director of Policy and Planning Brandon Kimura testified in strong support, outlining operating requests of about $6.17 million in FY 26 and $6.25 million in FY 27, 17 permanent positions and one temporary position, plus $9.9 million in capital improvements. He described funding needs for specialty courts, preparations for the Wahiawa District Court, an additional district court judge and staff for Kona, cybersecurity upgrades, the Criminal Justice Research Institute, statewide priority items, and restoration of several essential staff positions. He also said the Judiciary was seeking an additional $2 million for the Children’s Justice Center relocation lump sum because updated estimates had risen to about $8 million. The committee also discussed potential impacts from uncertain federal funding and asked for written follow-up on those risks and on the capital request, including coordination with Budget and Finance. Several organizations and individuals testified in support of the Judiciary budget, including the Hawaiʻi State Bar Association, Legal Aid Society of Hawaiʻi, and legal service providers. Mioko Eto asked for an additional $1 million for civil legal service providers, explaining that the current funding is spread across multiple providers and that the need remains high. David Copper of Legal Aid supported the request, citing statewide demand, 105 staff, 7,100 cases closed in the past year, and 15,000 calls received, while noting that many people seeking help cannot be served because of capacity limits. He also said recent federal funding disruptions and proposed cuts could affect legal services and related programs. Committee members asked about the Criminal Justice Research Institute’s mission; Kimura said its primary statutory role is to build a database focused on pre-trial reporting and data analysis, though it is also working on probation and mental health-related projects. No vote or final action on HB 4000 was taken in the hearing excerpt provided.

Transcript Highlights:

• It's current operating expenditures.
• , and Albany doesn't operate a school.
• The program is now in its fourth year of operation.
• so in 10 more years been in operation so in 10 more years the<01:45:10.920><c> other</c><01:45:11.040
• Uh, so there’s a little hole in my brain.

Keywords: 928, house, all

Summary: The Department of Education’s Bureau of School Finance provided an adequacy-funding training for Division II, led by Mark Mello. He walked the committee through the adequacy formula using Albany, Allenstown, and Alton as examples, explaining average daily membership, base adequacy aid, and differential aid for free/reduced-price meals, special education, and English language learners. He also noted a recent change requiring home-education differential aid and emphasized that these aid streams are generally unrestricted district funding rather than money tied to specific students or programs. A major focus was the ongoing litigation over the adequacy base amount and the statewide education property tax, or SWEPT. Mello explained the historical basis of the current base amount, the 2008 legislative report that set the original methodology, and the later court ruling that the adequacy amount should be $7,356, which is now before the Supreme Court. He also described how SWEPT currently raises a fixed statewide amount of $363 million and how that revenue is used to offset the state’s adequacy obligation. For the example towns, Albany and Allenstown receive state adequacy grants because their SWEPT revenue is below their calculated adequacy cost, while Alton is an excess SWEPT community because its local SWEPT revenue exceeds the cost of adequate education. The discussion then turned to the pending “excess SWEPT” issue in the Supreme Court and what would happen if excess collections had to be remitted to the state. Mello said the Department is preparing a hypothetical walkthrough and explained that, if the court upholds the Superior Court ruling, DRA would likely be directed to collect excess SWEPT. Members raised concerns about whether SWEPT must be used for educational purposes and about the cash-flow burden on towns if money had to move from municipalities to the state and then back to districts. Mello and members discussed possible administrative workarounds, such as credits against other state aid distributions, and noted that the committee would continue reviewing the mechanics if the court decision comes down during budget work.

Transcript Highlights:

• In Seattle, this exemption would result in a reduction in operating expenses from $1,800 to...
• We strongly believe that operational agreements are needed to minimize safety and health issues for the
• residents, That operational agreements are needed to minimize safety and health issues for the residents
• , these facilities are safe, well managed, and successful in a health.
• And so how do you shave off, how do you solve for that while having operating agreements?

Summary: The Senate Housing Committee heard several housing-related bills and gubernatorial appointments. SB 6201 would create property tax and REET exemptions for property used as affordable housing by social housing agencies, with testimony from the sponsor and supporters from Seattle Social Housing and House Our Neighbors emphasizing lower development costs and deeper affordability. Senator Gildon questioned how the 50% occupancy requirement would work at purchase, and staff explained the covenant and compliance requirements. The committee also heard SB 6205, which would add conflict-of-interest restrictions and reporting requirements for the Community Reinvestment Account, Affordable Housing Program, and Covenant Homeownership Program; Senator Braun said the bill responds to reports of misuse and is intended to improve transparency and trust. The committee heard gubernatorial appointments Pedro Espinoza and Diana H. Perez to the Housing Finance Commission, both of whom described their construction, local government, and housing experience and were supported by committee members. In executive session, the committee adopted a substitute and passed SB 6001 on scissors stairs, SB 6026 on allowing residential uses in commercial and mixed-use zones, and SB 6054 on fire-hardened building materials. SB 6026 drew the most debate, with amendments added and others rejected; supporters said it would expand housing supply, while opponents and local governments raised concerns about historic districts, main street areas, and limits on local planning authority. SB 6054 was amended to remove the 10% cap on fire-hardened materials, with members saying it would help homeowners protect against wildfire risk. The committee then moved to public hearings on SB 6069, which would require cities and counties to allow emergency shelters, transitional housing, indoor emergency housing, and permanent supportive housing in more zones and limit local restrictions to objective standards and administrative review. Supporters, including housing providers, the Attorney General’s Office, King County, and Disability Rights Washington, said local barriers are delaying needed housing, while cities and the Association of Washington Cities argued the bill is too broad and would limit operational agreements and local flexibility. The committee also heard SB 6167, which would bar homebuyers from receiving multiple state-funded down payment assistance loans or grants. The sponsor said the bill is meant to maximize limited assistance dollars for more households, but opponents from housing nonprofits, advocates, and a homeless veteran said it would reduce access to homeownership, especially for Black households and families needing layered assistance in high-cost markets. Finally, the committee returned to SB 6205 testimony, where supporters said the bill would prevent self-dealing and misuse of grant funds, while one testifier urged more investigation and oversight resources. No final action was taken on the public hearing bills during the transcript.

Transcript Highlights:

• </c> Health Centers and mental health Health Centers and mental health providers<01:11:37.760><c> to<
• </c> the health centers and the mental health the health centers and the mental health centers<01:20:
• </c> Health uh there's Mental Health Health uh there's Mental Health Centers<01:33:00.280><c> um</c><
• Several of our community health centers, or FQHCs, operate offices within community health centers.
• However, as you have heard from others, including our community mental health centers, the operating

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• Well, good morning, and thank you for being here for the Senate operating budget rollout.
• Federal dollars make up roughly one-third of our state operating budget, so we have to be... ...operating
• centers, and health care providers in general, are facing a very uncertain future, and we as a state
• That's true for health care.
• That's true for health care.

Keywords: 904, all

Summary: Senate budget writers, led by Sen. June Robinson, rolled out the Senate operating budget and described it as a difficult supplemental budget shaped by flat revenue growth, rising maintenance costs, and uncertainty from federal actions, including H.R. 1 and tariffs. They said the proposal aims to preserve core services such as K-12 education, health care, food assistance, long-term care, housing stability, and child care while mitigating federal cuts, and they emphasized that it does not include broad-based tax increases like sales, property, or B&O tax hikes. A major focus of the discussion was how to pay for the Working Families Tax Credit and how to reduce the budget gap. Robinson said the Senate proposal uses about $750 million from the rainy day fund because additional cuts would be too severe, and she noted the statute allows that use in a slow-growth economy. Senators also discussed the Climate Commitment Act as a possible funding source for the tax credit, but said they would negotiate with the House on that issue. On child care, they said the Senate avoided the governor’s approach of capping Working Connections Child Care enrollment and creating a waitlist, instead relying more on attendance-based payment changes to reduce costs while trying to avoid destabilizing the provider network. The senators also responded to criticism from educators and Republicans. They acknowledged concerns from the Washington Education Association that schools and special education remain underfunded, but argued the state has made major progress and that Washington’s tax structure limits school funding growth because of the 1% property tax cap. They said a future “millionaires tax” could help stabilize revenue and support education and other services. In response to Republican claims of a “spending addiction,” Robinson said critics should identify specific cuts they would support, and noted Republicans had offered little support for prior budget-cutting measures.

Transcript Highlights:

• An operator may not operate an electric bicycle at speeds greater than 10 miles an hour if a pedestrian
• , and whether that operator had a valid driver's license or a learner's permit.
• While there are doctors who specialize in sickle cell disease, many health care professionals receive
• It tasks the Florida Department of Health with developing... ...birthing educators.
• It tasks the Florida Department of Health with developing standardized educational materials, which at

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and observed a moment of silence for former Senator Charlie Dean. The chamber also received several introductions, including guests from the Church of Jesus Christ of Latter-day Saints and visiting Polk County students. After routine business, the Senate took up a special order calendar, temporarily postponing several bills including measures on Citizens Property Insurance, artificial intelligence, public records, and data centers. The Senate then passed a series of bills, most by unanimous or near-unanimous votes. Approved measures included SB 198/HB 505 on virtual currency kiosks, which creates registration, disclosure, transaction-limit, warning, receipt, and fraud-refund requirements; SB 382 on electric bicycles, which adds pedestrian-yield rules, speed limits near pedestrians, and creates a micro-mobility safety task force; SB 844 on sickle cell disease continuing education for certain health professionals; and SB 1014 on municipal utility service, which bars cities from denying water or wastewater service outside city limits solely because the owner refuses annexation. Each of these bills was explained by the sponsoring senator, amended as needed, and passed on recorded votes. The Senate also passed SB 428, expanding the state swimming lesson voucher program from ages 0-4 to ages 1-7 and adding drowning-prevention education for new parents through a merged amendment with related language; senators from both parties spoke in support, emphasizing child safety and autism-related drowning risks. Additional bills passed included SB 540 on Office of Financial Regulation cybersecurity and oversight changes, SB 1440 on related public-records and cybersecurity exemptions, and SB 1594 to protect veterans’ benefits received on behalf of foster children by directing those funds toward post-secondary education or aftercare rather than agency reimbursement. Final votes were largely 36-0 or 37-0, with SB 1440 passing 35-1. At the end of the session, the Rules Chair moved to waive rules so all bills passed that day would be immediately certified to the House and all temporarily postponed bills would remain on the special order calendar. The Senate then adjourned until the next morning for committee meetings and other business.

Transcript Highlights:

• Are you working with the behavioral health services? Not just the veterans. How is that going? Mr.
• The rest of it all goes directly to those programs and operates independently from us.
• I'm here today to talk a little bit about what PFAS are and how they affect human health. and health,
• operations and maintenance is that when you look at some of these old weapon systems.
• And now we know what it actually does to human health, right? So we have to make that transition.

Transcript Highlights:

• But I know how you operate. I know you're an honest broker. I know you want...
• But I know how you operate. I know you're an honest broker. I know you want...
• , to include their rates, their structure, and their operations... ...presented.
• , to include their rates, their structure, and their operations on its...
• Operations to include their rates, their structure, and their operations on a day-to-day basis, permitting

Summary: The committee met with a quorum and considered several bills, reporting each favorably after hearing sponsor presentations, public testimony, and member questions. SB 578 would allow wine to be sold in recyclable containers, aligning wine with beer container rules; it received support from Americans for Prosperity and passed without debate. SB 606 clarified when guests in public lodging or food service establishments may be removed for nonpayment, updated notice and checkout provisions, and removed a mandatory arrest requirement, with support from hotel and restaurant industry groups; it also passed favorably. Members then heard SB 202, which addresses a municipal water utility surcharge issue affecting Miami Gardens and North Miami Beach by requiring the utility to charge residents where the plant sits the same rate it charges its own residents. The sponsor and supporters described it as a fairness issue, while North Miami Beach argued it would shift costs and threaten utility finances; the bill was reported favorably. SB 570 modernized and clarified the scope of work for swimming pool and spa contractors, and SB 928, as amended, regulated non-approved disposable nicotine devices by restricting advertising and display, increasing inspections and penalties, and adding a school-buffer provision; both were reported favorably. The committee also approved SB 346, which repeals state preemption over local regulation of hoisting equipment and cranes, prompted by concerns after Hurricane Milton and a crane collapse in St. Petersburg. Supporters said local governments need authority to address storm-related crane safety, while industry representatives warned against patchwork regulation and said local oversight already exists in some areas. Finally, the committee took up SB 652, creating Veterinary Professional Associates to perform certain tasks, including limited surgeries under veterinarian supervision; animal welfare groups supported it as a way to expand access, while some veterinarians opposed the surgery provisions. The bill was reported favorably after amendment. The committee then began SB 354, a major overhaul of Public Service Commission oversight, including expanding the commission, adding financial expertise, tightening rate-setting and storm-hardening review, and increasing transparency for nonprofit water and wastewater utilities; the substitute amendment was adopted and public testimony was heard from consumer advocates and utility-related groups, but the transcript ends before final action on the bill.

Transcript Highlights:

• </c> impact in addition to a health impact. impact in addition to a health impact.
• </c> health and safety improvements. health and safety improvements.
• </c> &gt;&gt; or health centers. &gt;&gt; or health centers.
• </c> senate health committee. senate health committee.
• operators? operators? &gt;&gt; No.<01:57:14.480><c> No.

Keywords: 912, senate, all

Transcript Highlights:

• They have to be able to be efficient enough to operate to get that.
• Same thing with the health care cost coverage.
• It should be the health plan that decides how to pay their PBM.
• You can operate as two separate entities.
• Okay, and then from the health plan there— 100% of rebates have to be passed through to the health plan

Committee: House Insurance

Summary: The House Insurance Committee met on April 1 with a quorum present and first took up House Bill 938 by Rep. Turner, which would overhaul pharmacy benefit manager (PBM) regulation by setting a flat administration fee, requiring dispensing fees and NADAC-based reimbursement, mandating rebate pass-through, giving the Department of Insurance access to PBM data, and creating a reverse-auction process for PBM procurement. Turner said the bill is intended to level the playing field for independent pharmacies, improve transparency, and reduce hidden PBM practices. The committee adopted amendment set 1444 without objection, and Turner said additional conceptual amendments were still being worked on. Supporters included independent pharmacies and the PBM Accountability Project; opponents included union plan representatives, benefits consultants, and PBM/insurance industry witnesses who warned of higher costs, ERISA preemption problems, and likely litigation. After extended questioning on cost, preemption, and vertical integration, the committee reported HB 938 with amendments. The committee then considered House Bill 870, also by Rep. Turner, dealing with formulary placement and cost-sharing for generic drugs and biosimilars and limiting certain utilization management practices. Amendment set 1540 was adopted, revising and tightening technical definitions. Turner and a representative of the Association for Accessible Medicines argued the bill would help lower-cost generics and biosimilars gain market share and reduce patient costs, citing examples such as insulin and Humira biosimilars. Opponents from Louisiana Blue said the bill would force coverage based on wholesale acquisition cost rather than net cost, would raise premiums for fully insured members, and would mandate coverage of drugs that are not always the lowest net-cost option. Rep. Jordan again raised ERISA and preemption concerns, and committee members discussed whether the bill would interfere with tiering and plan design. After closing comments and a motion by Rep. Glorioso, HB 870 was reported with amendments, and the committee adjourned.