Transcript Highlights:

• management, to contacting providers on island and off island, to product dispensing, to giving the prescription
• <00:21:02.440> to<00:21:02.559> the<00:21:02.720> verifying the prescription
• to the verifying the prescription to the verifying pharmacist<00:21:04.520> and<00:21:04.960>
• allowing purchase prior to application approval and to adopt Do's proposed amendment to limit prescriptions
• <00:55:41.680> and amendment to limit prescriptions and amendment to limit prescriptions and

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with HB 205 HD1 and HB 480 HD1 on workers’ compensation. Testifiers from the Department of Labor and Industrial Relations and the Department of Human Resources Development supported the bills, with DLIR saying HB 205 would codify and regulate nonprescription over-the-counter drugs at a reasonable rate, and DHRD saying HB 480 would encourage timely and accurate assessments of injured workers’ physical abilities. No opposition was raised on those measures, and the committee moved on without votes or amendments noted. On HB 331 HD1 relating to permits, the University of Hawaiʻi, the Department of Education, and the Hawaii School Facilities Authority supported the bill, while the Board of Water Supply and Greg Mikan opposed it. Supporters did not elaborate much beyond standing on written testimony, but the School Facilities Authority asked that renovations be added to the definition of repeatable projects. Opponents argued the Department of Planning and Permitting is understaffed and that bypassing or speeding the permitting review process could create problems, especially for projects requiring proper engineering review. No action was taken beyond hearing testimony. The committee also heard HB 72 HD1 on pharmacy technician regulation, with the Board of Pharmacy offering comments and the Hawaii Pharmacist Association, Walgreens, and Mōʻiliʻili Drugs supporting the measure. Supporters said pharmacy technicians already perform essential duties such as vaccinations, compounding, inventory, and dispensing, and argued Hawaiʻi is the only state without an active managed list of practicing pharmacy technicians. On HB 139 HD1 regarding insurance, the Department of Commerce and Consumer Affairs offered comments, and the Hawaii Society for Clinical Oncologists supported the bill, arguing fertility preservation coverage should not conflict with federal law or the prepaid health care system. On HB 32 HD1 relating to cannabis, the Attorney General and Department of Health raised concerns about allowing purchase before certification is approved, while the Hawaii Cannabis Industry Association supported the bill and suggested lowering the purchase limit from 2 ounces to 1 ounce; the Department of Health said its average turnaround is two to three business days, with about 20% of applications returned for incompleteness and an internal expedited process for certain cases. Later, the committee heard HB 470 HD1 on noise, with the Department of Health supporting the goal of reducing noise pollution but cautioning that regulating intermittent noise like string trimmers is complicated, while the Retail Merchants of Hawaiʻi opposed the bill as a hardship for small businesses and questioned the practicality of battery-powered equipment. Ted Bolan supported the measure, saying it would not ban gas leaf blowers but would require quieter models over time. The committee then heard HB 534 HD1 on labeling requirements, where DLNR and the Department of Agriculture offered comments and several fishing and consumer groups supported the bill. Testimony focused on seafood origin labeling, especially raw tuna used in poke and sushi, with DLNR explaining the bill was being narrowed to avoid federal preemption and to avoid unintentionally covering canned tuna or other processed products. Finally, the committee heard H47 HD1 on aquaculture, with the Department of Agriculture, the Hawaii Invasive Species Council, and the Agribusiness Development Corporation supporting the measure; no votes were taken on any bill during the hearing.

Transcript Highlights:

• This committee has worked to realign incentives in the prescription drug supply chain, to enhance access
• In order to lower prescription drug prices, I expect you to work with us to hold PBMs accountable.
• The Inflation Reduction Act empowered Medicare to negotiate prescription drug prices.
• Kennedy, what is your prescription to help make America healthy again? What is your vision?
• Do you think physicians, when they make that prescription, ought to have access to good science?

Transcript Highlights:

• that is designed by the American Psychological Association to prepare licensed psychologists for prescriptive
• prepare licensed<00:08:52.560> psychologists<00:08:53.160> for<00:08:53.320> prescriptive
• licensed psychologists for prescriptive licensed psychologists for prescriptive authority<00:08:
• when they implement prescription when they implement prescription privileges<00:16:01.160> for
• Fourth, that prescriptions not include controlled substances under schedules two to five, and that no

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Senate Bill 1642 simply allows acute seven-day prescriptions for pain meds to be divided into shorter
• days of prescription when dealing with drugs that cause addiction.
• Less is always more, so being able to write a three-day prescription and still being able to fill in

Bills: SB65, SB444, SB592, SB640, SB1242, SB1257, SB1304, SB1501, SB1642, SB1946, SB2178

Keywords: SB65, naloxone, Narcan, opioid overdose, overdose reversal, opioid antagonist, emergency opioid antagonist, substance abuse services, harm reduction, public health, overdose prevention, good samaritan, civil immunity, criminal immunity, controlled substances, addiction treatment, fentanyl, opioid crisis, school overdose response, first aid

Transcript Highlights:

• Schoffler, please read the appointment to the Colorado Prescription Drug Affordability Review Board.
• James Vandenberg to the Colorado Prescription Drug Affordability Review Board. >> Any discussion?
• > Affordability Colorado Prescription Drug Affordability Colorado Prescription Drug Affordability
• James Vandenberg is appointed to the Colorado Prescription Drug Affordability Review Board. Mr.
• Car Prescription Drug Afford Affordability<01:49:53.440> Review<01:49:53.760> Board.

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the March 9, 2026 journal, and received committee reports on several appointments and bills. The education committee recommended confirmation of appointments to the Charter School Institute Board and the Colorado Mesa University Board of Trustees. The judiciary committee reported several measures, including Senate Bills 75, 132, 104, and 112 and House Bills 1017 and 1103, with recommendations ranging from amendment to favorable referral to the committee of the whole, and some placement on the consent calendar. The chamber also received multiple House messages transmitting House Joint Resolution 1020 and a number of House bills, many of which were passed on third reading and sent to the Revisor of Statutes. The Senate then moved out of order to consider Senate Joint Memorial 002 honoring former Senator Lewis H. Ent. The memorial recounted his service as a Marine in the Korean War, his work as a farmer and county commissioner, and his long legislative career in the House and Senate, with emphasis on agriculture, water policy, natural resources, veterans affairs, and local government. Several members and former members spoke in support, describing him as a mentor, a relentless advocate for the San Luis Valley and its water issues, and a respected colleague. Representative Martinez and Senators Hillman and Jones offered personal recollections of working with him and his influence on their service. The Senate suspended Rule 31A to allow remarks from House members and former senators, then adopted SJM 002 by a unanimous 35-0 vote. The memorial directs copies to members of Ent’s family, and Minority Leader Simpson requested that the current roll call be added as co-sponsors, with no objection noted.

Transcript Highlights:

• I mean not pharmacy benefit manager but the prescription management program. >> That where they keep
• up the pharmacists have a computerized system to where they keep up with all the prescriptions that's
• <00:45:01.680> manager >> prescription manager >> prescription manager >> prescription
• <00:45:02.640> management<00:45:03.200> program >> prescription management program
• <00:45:10.560> that's<00:45:10.960> that's<00:45:11.440> prescribed prescriptions

Keywords: Appropriations - Room 409, 28 January, 2026; 1:30 P.M., 925, all

Summary: The committee heard budget presentations from the Mississippi Board of Pharmacy and the Mississippi State Board of Chiropractic Examiners, followed by the physical therapy board. The Pharmacy Board said it licenses pharmacists, technicians, students, and many facilities and supply-chain entities, including wholesalers, manufacturers, 3PLs, PBMs, and nonresident compounders. Its main requests were a 3% salary increase for specialized staff, about $118,000 for contract help to evaluate pharmacists with substance abuse or mental health issues under a recently passed public health bill, and additional IT spending authority for system upgrades and cloud migration. Members discussed the board’s role in protecting the public, vetting out-of-state facilities, and the need to keep sensitive data secure; no vote was taken. The Chiropractic Examiners board described itself as a small, contract-staffed agency with about 700 active licenses and a database system that is no longer supported by Microsoft. It said it had requested about $173,000, but the legislative budget recommendation was $134,000, and it needs roughly $40,000 more to upgrade or rebuild the system, including security fixes and online renewal capability. Members focused on the cybersecurity risk of using unsupported software and the need to protect personal information; the board also noted that its licensing data does not include banking information because payments are handled through the state portal. The Physical Therapy Board said it regulates physical therapists and physical therapist assistants, with 4,242 licenses and 252 complaints in the last fiscal year, and that demand for the profession continues to grow. Its requests included $6,000 in salary progression for long-serving staff, about $360 more in PDM salary authority, and roughly $38,610 for a one-time upgrade to its LMS licensing system, plus related cloud-migration costs. Senators noted the board’s strong reputation, discussed the burden of annual or biennial renewals, and supported the technology upgrade because the current system is no longer supported and could create liability risks if not addressed.

Transcript Highlights:

• It also allows the school to receive that medication, to stock through a prescription from a physician
• It also allows the school to receive that medication, to stock through a prescription from a physician
• The provider provides that prescription, and those medications have expirations that we have to monitor
• The provider provides that prescription, and those medications have expirations that we have to monitor
• The provider provides that prescription, and those medications have expirations that we have to monitor

Keywords: 912, senate, all

Transcript Highlights:

• We have a bunch of other prescriptions in statute and section 683-103.
• We have a bunch of other prescriptions in statute and section 683-103.
• So I obviously, in trying to be prescriptive, that we want these prominently displayed, I wanted to be
• as non-prescriptive as I could in the process to make sure that they were accomplishing the goal, but

Summary: The Senate Education Pre-K-12 Committee met with a quorum and took up several bills. SB 420, by Senator Burgess, would require George Washington and Abraham Lincoln portraits to be prominently displayed in social studies classrooms and K-5 classrooms, with the Department of Education selecting the portraits. Supporters framed the bill as a patriotic and educational measure tied to the nation’s 250th anniversary, while senators raised concerns about exclusivity, precedent, local control, and whether the measure could be expanded politically. Burgess said the bill was intended to be nonpartisan, historically rooted, and not to affect curriculum, and he committed to seeking funding so it would not be an unfunded mandate. The committee reported SB 420 favorably. The committee then considered CS for SB 206, by Senator Harrell, which revises teacher preparation and training related to autism spectrum disorder. The strike-all amendment requires teacher preparation programs to include autism and other neurodevelopmental disabilities, requires ESE-certified teachers to complete an autism microcredential by August 1, 2027, creates an Autism Education Loan Forgiveness Program, authorizes salary supplements and stipends, and requires district professional development to include autism-specific training with local CARD centers. Senators asked about implementation timelines, grandfathering current teachers, and whether the endorsement requirement should include a grace period; Harrell said she was open to further discussion and wanted to make the bill workable. Public testimony was largely supportive, including from an Orange County Public Schools representative and a parent of a child with autism. The committee adopted the amendments and reported the bill favorably. Finally, the committee considered CS for SB 556, by Senator Berman, which allows students with disabilities to satisfy the high school physical education requirement by participating in Special Olympics for one year if included in the student’s IEP. An amendment also clarified that two years of marching band participation satisfies both PE and fine/performing arts credit requirements. Testimony supported the bill as an inclusive option that could reduce administrative burdens and give students more flexibility. The committee reported the bill favorably. The committee also voted to recommend confirmation of appointees in tabs 4 through 7, and then adjourned.

Transcript Highlights:

• We have a bunch of other prescriptions in statute in section 683-103.
• We we have a bunch of other prescriptions in statute and section 683-103.
• So I obviously, in trying to be prescriptive that we want these prominently displayed, I wanted to be
• as non-prescriptive as I could in the process to make sure that they were accomplishing the goal, but

Bills: S0206, S0420, S0556

Keywords: autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment, teacher stipend, salary supplement, professional development, inclusive education, developmental disabilities, Down syndrome, behavioral disabilities, school district compensation, collective bargaining

Summary: The committee first heard SB 420, which would require portraits of George Washington and Abraham Lincoln to be prominently displayed in classrooms used for social studies and in all K-5 classrooms, with the Department of Education selecting the portraits. Senator Burgess framed the bill as a patriotic and educational measure tied to America’s 250th anniversary, while Senator Davis raised concerns about exclusivity, political precedent, and state intrusion into local classroom decisions. Senator Osgood and others asked about sensitivity to diverse student populations and whether additional figures such as Harriet Tubman could also be displayed. Burgess said the bill would not prevent other displays, emphasized the two presidents’ historical significance, and committed to funding support so the mandate would not burden districts. The committee voted the bill favorably. The committee then took up CS/SB 206 on autism education and teacher preparation. Senator Harrell’s strike-all amendment required teacher preparation programs to include autism and other neurodevelopmental disabilities, required ESE-certified teachers to complete an autism microcredential, created an autism loan forgiveness program and salary supplement provisions, and directed district professional development to include autism-specific training with local CARD centers. A second amendment removed a proposed change to the legal definition of autism so that issue could be handled separately. Senators Davis and Osgood asked about implementation timelines, grandfathering current teachers, and how the bill would affect educators already working in autism classrooms; Harrell said he was open to further discussion and wanted to ensure flexibility while still requiring the credential. Public testimony included support from Orange County Public Schools, a parent of children with autism, and others. The committee adopted the amendments and reported the bill favorably. Finally, the committee heard CS/SB 556, which allows students with disabilities to satisfy the high school physical education requirement by participating in Special Olympics for one year if included in the student’s IEP. An amendment also clarified that two years of marching band satisfies both the PE credit and a fine or performing arts credit. Supporters said the bill expands inclusive options and reduces administrative burdens, and Senator Yarborough praised the change as giving students more flexibility. The committee adopted the amendment and reported the bill favorably. The committee also took up confirmation votes for appointments in tabs 4 through 7 and recommended all of them favorably by a single roll call vote.

Transcript Highlights:

• On prescription hearing AIDS. Senator Bradley, you're recognized to explain the bill. >> Thank.
• Madam Chair members, Florida's Florida statutes regulate the sale and distribution of prescription hearing
• Currently, Florida law prohibits the sale or distribution of prescription hearing aids through the mail
• This bill authorizes the discrete, the distribution and sale of prescription hearing aids through the

Keywords: 999, senate, all

Transcript Highlights:

• The response was that one was a refund on prescription drugs, and the rebates show up in a different
• Okay, so in terms of the prescription, which is number four, the pharmacy cost sharing.
• My thought is perhaps we add it to the final prescription topic on March 12th. Mr.
• <03:23:33.680> drug add the uh prescription drug add the uh prescription drug affordability
• think today to not cover prescription think today to not cover prescription drugs<03:34:36.080><

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• And the heroin supply took over our prescription pill supply.
• We really cut down, cut back as a country on prescription pills, and that's when we saw a big uptick
• This is the class of drugs that includes fentanyl, heroin, and many prescription pills like Percocet.
• And so to go get a prescription is a huge issue. They don't have their government ID.
• And so to go get a prescription is a huge issue because they can't prove their identity.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• Yeah, House File 4860 is really a practical, patient-centered proposal to expand access to prescription
• So, if someone comes in, you get to see them instead of getting the prescription over in the mail order
• <00:41:21.680> over instead of getting the prescription over instead of getting the prescription
• The pickup of the prescriptions can only be given to the patient by a trained employee in that store.
• , question about a prescription, question about a prescription, how<00:52:12.000> do<00:52

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• According to the information I have in 2024, they save seniors on prescription drugs 4,361,711.
• According to the information I have in 2024, they save seniors on prescription drugs 4,361,711.
• According to the information I have in 2024, they save seniors on prescription drugs 4,361,711.
• You've got to fill out some forms to pay part or all of the prescription drug for a person.
• You've got to fill out some forms to pay part or all of the prescription drug for a person.

Keywords: 1187, senate, all

Transcript Highlights:

• they are no longer going to cover sildenafil for pulmonary hypertension because they do not cover prescriptions
• to make sure that we are doing everything we can to help our families, our loved ones get the prescriptions
• have to keep our, as you just described, a child should have the opportunity to continue with a prescription
• to make sure that we are doing everything we can to help our families, our loved ones get the prescriptions
• have to keep our, as you just described, a child should have the opportunity to continue with a prescription

Summary: The Virginia Disability Commission held its first meeting of the year on June 18, established a quorum, and introduced members. Senator Barbara Favola was elected chair and Delegate Amy Laufer was elected vice chair, both unanimously. The commission also reviewed and unanimously approved its electronic/remote participation policy, which mirrors last year’s policy and allows limited remote participation under Virginia FOIA rules. Staff then reviewed a package of 14 disability-related bills that passed last session and were signed into law. Topics included disabled veterans’ vehicle registration fee exemptions, open captioning requirements for movie theaters, guardianship/conservatorship order forwarding, service dog team definitions, education and transition planning for students with disabilities, Blue Envelope and driver communication training for law enforcement and driver education, deferred disposition and jury service protections, voting rights in guardianship cases, expansion of the Virginia Human Rights Act, continuation of a DD waiver eligibility change, and DMAS training authority for autism competency checklists. Members discussed implementation concerns, especially making the Blue Envelope/driver communication program more visible and considering a follow-up letter and DMV presentation. The commission then adopted its interim work plan unanimously, with discussion of possible presentations on DMAS and Medicaid waivers, DBHDS telehealth training implementation, SCHEV and VDOE transition planning, transition from institutions to community settings, criminal justice reform, transportation and parking accessibility, adult-sized changing tables, and school accessibility. Members also suggested adding EVV concerns, seclusion and restraint, rare disease issues, and insurance coverage problems for needed medications. Public commenters urged the commission to address burdensome EVV requirements for family caregivers, improve accessibility for local government meetings and documents, and explore a standardized credential/career pathway for direct support professionals. The chair said follow-up work would be assigned on EVV and implementation issues, and the meeting location would move to the Senate side of the Capitol going forward.

Transcript Highlights:

• If a child has a known condition and a prescription, it should be allowed in school.
• If a child has a known condition and a prescription, it should be allowed in school.
• If a child has a known condition and a prescription, it should be allowed in school.
• If a child has a known condition and a prescription, it should be allowed in school.
• If a child has a known condition and a prescription, it should be allowed in school.

Keywords: 00:00 - Call to Order/Roll Call 02:05 - Discussion of 26RS HB 178 14:05 - Roll Call Vote on 26RS HB 178 15:05 - Discussion of 26RS HB 280 20:00 - Roll Call Vote on 26RS HB 280 22:00 - Discussion of 26RS HJR 24 24:30 - Roll Call Vote on 26RS HJR 24 26:00 - Adjournment, 958, all

Summary: The Health Services Committee met for the first time in the 2026 session and established a quorum before taking up three measures. House Bill 178, sponsored by Rep. Kim Moser with support from the Kentucky Psychiatric Medical Association, was presented as a budget-neutral collaborative care model to improve access to mental health treatment in primary care settings. Testimony emphasized workforce shortages, long wait times, stigma, and the potential for the model to reduce costs and improve outcomes by having primary care providers work with behavioral health care managers and psychiatric consultants. The bill received a favorable recommendation by roll call vote. The committee then considered House Bill 280, also sponsored by Rep. Moser. The bill and committee amendment were described as cleanup and policy updates affecting Kentucky Board of Nursing licensure standards, including restoring language related to abuse, neglect, and exploitation in the central registry, preserving the board’s ability to investigate out-of-state applicants, and adding an emergency provision. The bill also updated school medication provisions to allow certain prescribed rescue medications, including bronchodilator inhalers, nebulizers, glucagon, Solu-Cortef, and updated epinephrine delivery. The committee adopted the amendment, approved the bill with favorable expression, and then approved a motion to roll the committee amendment into the House committee substitute. Finally, the committee took up House Joint Resolution 24, sponsored by Rep. Ken Fleming, with a committee substitute adopted first. The resolution was explained as a request for the cabinet to withdraw a previously submitted Medicaid-related waiver application so it could be resubmitted under new requirements tied to House Resolution 1. The committee approved the resolution with favorable expression and also adopted a title amendment. The meeting concluded with notice that the next committee meeting would be Thursday, January 22nd at noon.

Transcript Highlights:

• As a former Army civilian psychologist, my leadership came to me and asked me if I would pursue prescriptive
• Obtaining prescriptive authority takes 4 to 6 years of additional specialized training on top of the
• You will see that there is a reduction in suicide since prescriptive authority has been granted, that
• Prescriptive authority for psychologists is safe and effective.
• To try to make people be whatever normal is that and also with your prescription of opioids, um, it,

Transcript Highlights:

• I think the question that we have is this bill is more prescriptive.
• So, if we're going to be more prescriptive on which sections that we're going to be pulling on, it's
• We're giving guidance more prescriptive.
• So, if we're going to be more prescriptive on which sections that we're going to be pulling on, it's
• We're going to be more prescriptive on which sections that we're going to be pulling on.

Keywords: 919, house, all

Summary: The committee took up House File 4466, the Health Finance and Policy bill, and first adopted the A8 amendment, described as a set of technical fixes. Members then considered a large A9 amendment that bundled a wide range of Children and Families provisions, including child care licensing modernization, crisis nursery licensing, SNAP/MFIT-related language, child care provider self-reporting, a physical abuse recognition poster, child protection and welfare provisions, funding for parent support outreach, and forensic interview training scholarships. Supporters described it as bipartisan work with relatively small fiscal impact, while opponents said it greatly expanded the bill and should be handled separately; after a roll call, the A9 amendment failed 7-14. Representative Scott then offered the A11 amendment, raising concerns about new all-payer claims database language and whether it should have been heard in the Judiciary and Civil Law Committee. Department of Health staff explained the data-sharing safeguards, de-identification process, fee structure, and enforcement provisions, but Scott remained concerned about privacy and the scope of the program and withdrew the amendment. The committee then moved to final bill discussion. Members and authors described HF 4466 as a lean health finance bill largely conforming Minnesota law to federal HR1 Medicaid-related changes, including work requirements, retroactive eligibility limits, cost-sharing, and home equity provisions. Supporters argued conformity was necessary to avoid major federal funding losses and noted a few additional member bills in the package; opponents criticized the federal changes as harmful, especially for vulnerable populations such as victims of trafficking and domestic violence. Fiscal staff said the bill would save just over $2 million in FY 2026-27 and almost $98 million in FY 2028-29. No final vote on the bill itself was taken in the portion provided.

Transcript Highlights:

• The Inflation Reduction Act changed the maximum out-of-pocket for prescription drugs from $8,000 per
• The Inflation Reduction Act changed the maximum out-of-pocket for prescription drugs from $8,000 per
• The Inflation Reduction Act changed the maximum out-of-pocket for prescription drugs from $8,000 per
• The Inflation Reduction Act changed the maximum out-of-pocket for prescription drugs from $8,000 per
• The Inflation Reduction Act changed the maximum out-of-pocket for prescription drugs from $8,000 per

Keywords: Meeting Start: 00:07 Attendance Roll Call: 00:13 Approval of Minutes: 02:28 2025 RS SB 9: TRS Leave Audit Requirements & Process: 03:05 2025 RS SB 10: Overview of Enacted Legislation & Discussion: 28:38 Adjournment: 42:13, 958, all

Summary: The meeting opened with roll call, a quorum was confirmed, and the minutes were approved. The committee then heard testimony on Senate Bill 9, which concerns TRS sick leave audit requirements and process. Auditor Allison Ball’s staff said the audit is an information-gathering review of how teacher sick leave is accumulated, current balances, how many employers use the sick leave function, and the policies and procedures governing sick leave. Members discussed how unused sick leave affects retirement calculations, the distinction between the state’s financial responsibility and school districts’ responsibility, and whether the audit would also examine related leave categories such as personal leave, annual leave, and leave of absence. Committee members emphasized that Senate Bill 9 was intended to add accountability and standardize reporting, including preventing annual leave from being rolled into sick leave. Several members asked for clarification on how sick leave is factored into retirement benefits. Witnesses and members explained that, under the system described, accumulated sick leave can be converted into retirement credit based on a teacher’s daily rate and then multiplied by a percentage, with the school district often bearing the cost. Members also noted nuances in the law, including different accumulation limits by hire date and tier, and that the audit may help the public better understand why some educators retire relatively young. The auditor’s office said it is still early in the process, has met with TRS leadership, and will report back once the audit progresses. The committee also asked whether maternity leave would be included; the auditor’s office said it was not specifically mandated but could be examined if the body requests it. The committee then received an overview of Senate Bill 10 from KPA representatives Ryan Barrow and Rebecca Atkins. They explained that the bill enhances retiree health insurance benefits for certain CRS members who are non-Medicare participants and meet specified career thresholds, with different rules for hazardous and non-hazardous service. They described the benefit as $40 per month per year of service for non-hazardous service and $50 per month per year for hazardous service, both inflated annually, and clarified that these amounts are not cumulative with prior benefit formulas. Members asked about the interaction between the new amounts and existing benefits, and the presenters explained that the bill also changes current employee health insurance contribution rates effective July 1, 2026, with different impacts by tier and hazardous status. The committee discussed the need for clear communication to affected employees and reviewed example calculations showing how the new contribution structure would work.

Transcript Highlights:

• It does make much more prescriptive what is required related to plans of safe care.
• It is quite prescriptive about the form of case management.
• The bill is actually pretty prescriptive about what needs to happen when. Thank you, Madam Chair.
• Prescription drug monitoring programs, or PDMPs as they're known, have helped, but have not solved the
• Prescription opioid painkillers do lead to addiction and illicit fentanyl.