Transcript Highlights:

• of hearing aid dealers, to provide for definitions, to provide for...” ...registration and licensing
• classification issued by the Louisiana State Licensing Board for Contractors.
• licensing requirements.
• licenses, to provide for board approval to revoke, rescind, The architect bill, SB 291?
• licenses, to provide for board approval to revoke, rescind, and suspend licenses, to provide for violations

Bills: HB387 , HB673 , HB947 , HB975 , HB1102 , HB1228 , HB1229 , HCR66 , SB102 , SB165 , SB280 , SB291 , SB326 , SB521

Committees: House Commerce , House Commerce, Consumer Protection, and International Affairs

Keywords: engineering, land surveying, construction, state fire marshal, plan review, security cameras, abandoned property, blighted structures, property management, digital assets, abandonment, custodian, escheatment, blockchain, cryptocurrency, unclaimed property, state treasurer, Department of Public Service, statutory entities, public administration

Transcript Highlights:

• Background checks on licensed ambulance personnel and non-licensed persons.
• Placing a QR code on the back of a registered sex offender's driver's license on the back of the license
• Isn't it in letters or something on a driver's license? Or do you know? No, sir.
• There's nothing on their driver's license, to my knowledge.
• There's nothing currently on a driver's license. No, sir.

Bills: HB91 , HB123 , HB167 , HB255 , HB264 , HB321 , HB884 , HB955 , HB967 , HB968 , HB969 , HB978 , HB985 , HB994 , HB1005 , HB1104 , HB1107 , HB1109 , SCR3

Committee: House Administration of Criminal Justice

Keywords: criminal procedure, disclosure, criminal records, witness protection, trial rights, electronic monitoring, GPS ankle monitor, ankle bracelet, pretrial release, post-conviction supervision, bail monitoring, house arrest, corrections, criminal justice, law enforcement, prosecuting authority, court reporting, provider registration, LCLE, Louisiana Commission on Law Enforcement and Administration of Criminal Justice

Transcript Highlights:

• The current statute prohibits licensed child providers and licensed exempt centers from being reimbursed
• I think sometimes when we talk about investigations, it does get a little bit conflated between licensing
• <00:33:28.760><c> violations</c><00:33:29.320><c> and</c><00:33:29.400><c> investigations,</c> licensing
• violations and investigations, licensing violations and investigations, um<00:33:30.600><c> but</c><
• The first one is to make sure that um The first one is to make sure that we can license facilities to

Bills: HF2136 , HF4195 , HF4548 , HF4432 , HF4174 , HF3024 , HF4389 , HF3773

Committee: House Children and Families Finance and Policy

Keywords: youth intervention, grants, community support, early intervention services, nonprofit, Minnesota human services, forecast adjustment, budget forecast, appropriations, Medical Assistance, MinnesotaCare, Health Care Access Fund, general fund, behavioral health, housing support, General Assistance, Minnesota Supplemental Aid, MFIP, DWP, child care assistance

Transcript Highlights:

• Senate Bill 1634 requires ADOT, during the process of facilitating voter registration for driver license
• , provided that the restaurant has no other liquor licenses under its name and the person does not consume
• take reasonable steps to maintain the safety of customers on their premises and may be subject to license
• establishes that if serious active violence occurs on the premises, the licensee is not subject to license
• The amendment further states that a restaurant license may not be suspended or revoked solely on the

Bills: SB1012 , SB1099 , SB1234 , SB1392 , SB1489 , SB1535 , SB1570 , SB1609 , SB1627 , SB1634 , SB1661 , SB1709 , SB1723 , SB1725 , SB1743 , SB1829 , SCR1027 , SCR1040 , SCR1048

Committee: Senate Judiciary and Elections

Keywords: concealed carry, firearms, restaurants, liquor licensing, public safety, defamation, private figure, public concern, statute of limitations, internet defamation, juvenile court, legal representation, appointed attorney, guardian ad litem, child welfare, election canvass, canvassing board, governing body, election inspection, election access

Bills: HB185 , HB378 , SB28 , HB400 , SB155 , HB312 , HB185 , HB378 , SB28 , HB400 , SB155 , HB312

Committee: House Ways and Means General Fund

Keywords: appropriation, transportation, judicial system, funding, state budget, Pickens County, local act, vehicle tag fee, registration fee, issuance fee, motor vehicle registration, license plate, replacement tag, transfer tag, renewal fee, county revenue, earmarked funds, ambulance service, emergency medical services, EMS

Transcript Highlights:

• It also imposes stricter penalties for cheating on commercial driver's license CDL English proficiency
• If a licensed contractor has been paid, then they must pay their subcontractors or suppliers within 45
• following actions against any certificate holder or registrant: place on probation or reprimand the license
• These proposed restrictions would unduly burden licensed land spreading operations, especially the smaller
• This amendment reinforces that licensed agents working on behalf of a health care sharing ministry must

Bills: S0050 , S0054 , S0176 , S0178 , S0198 , S0290 , S0420 , S0502 , S0538 , S0706 , S0834 , S0936 , S0962 , S1004 , S1080 , S7022

Committee: Senate Rules

Keywords: veterans, treatment court, nonviolent felony, probation, mental health, cognitive function, psychotropic drugs, violent offenders, autopsy procedures, medical records, school safety, campus safety, higher education, university safety, college safety, student safety, threat assessment, violence prevention, credible threat, campus security

Summary: The Rules Committee heard and voted on a series of bills, beginning with SB 54 on toxicology screenings in autopsies of violent offenders, which requires medical examiners to screen for psychotropic and intoxicating substances, consult treating providers when possible, and report findings to state agencies; it passed favorably. The committee also approved SB 176 on public postsecondary campus safety policies, requiring colleges and universities to publish clearer reporting and response procedures for threats to students, faculty, and staff. Both bills were reported favorably without major opposition. The largest portion of the meeting was devoted to CS/CS/CS/SB 290, the Florida Farm Bill. The bill covers a wide range of agriculture-related issues, including fair association rules, preemption of local restrictions on gas- and diesel-powered farm equipment, surplus of certain state-owned lands for agricultural use, a food and animal veterinary loan repayment program, permanent Farmers Feeding Florida funding, forest service training expansion, signal-jamming device penalties, CDL English proficiency enforcement, no-solicitation protections, food safety inspector protections, biosolids regulation, and contractor payment enforcement. Members adopted several amendments, including changes to contractor payment language, expanded veterinary loan eligibility, citrus foundation consolidation, technical corrections, removal of outdated fair references, a nonprofit definition fix, and a late amendment deleting the bill’s disparagement clause after extensive testimony and debate about free speech and agricultural speech protections. A separate late amendment delayed biosolids compliance deadlines. The bill drew strong support from farmers, agritourism groups, food donation advocates, and some utility and wastewater interests, while conservation groups and biosolids operators raised concerns about land surplus provisions and biosolids restrictions. The committee ultimately reported the bill favorably as amended. The committee then approved SB 834 on nonprofit religious organizations, which repeals a restriction on health care sharing ministries partnering with licensed insurance agents, while an amendment added written disclaimer requirements; it passed favorably. SB 936 on temporary door locking devices also passed, directing the Building Commission to incorporate standards into the Florida Building Code. SB 50 on veterans’ courts was approved, allowing judges in all circuits to use veterans’ courts for cases involving service-related issues such as PTSD, traumatic brain injury, and substance abuse. Finally, SB 1004 on the sale of dogs and cats passed after amendments removed an appropriation and kept the bill’s disclosure, financing, and consumer protection provisions, and SB 178 on athletics in public K-12 schools passed with discussion about coaches providing basic support to student-athletes and possible parental-consent language. The committee also began hearing SB 198 on virtual currency kiosks, which would regulate crypto kiosks with registration, fraud warnings, transaction limits, receipts, and refund protections; an amendment to that bill was adopted, but the transcript cuts off before the final vote.

Bills: SB6084 , SB6044 , SB5950 , SB6046 , SB5763 , SB6215 , SB6160 , SB6123 , SB6049 , SB6164 , SB6313 , SB5784 , SB5046 , SB5489

Committee: Senate State Government, Tribal Affairs & Elections

Keywords: elections, double voting, voting twice, multiple voting, same-day election, primary election, general election, special election, cross-state voting, ballot fraud, election fraud, voter misconduct, RCW 29A.84.660, State v. Padilla, civil infraction, class C felony, Secretary of State, Washington elections, election law, voter eligibility

Transcript Highlights:

• It's also our role and our responsibility in the licensing area to make sure people are licensed in a
• The bill creates a license endorsement allowing qualified licensed chiropractors to perform chiropractic
• We do have Senate Bill 5899 before us, creating a license endorsement to allow qualified licensed chiropractors
• This proposed substitute replaces the requirement for licensed hospitals to have an employed patient
• There is a proposed substitute from Senator Harris labeled S-4630.1 that allows licensed practitioners

Bills: SB5899 , SB6292 , SB6094 , SB6182 , SB5947 , SJR8206 , SB5933 , SB6138 , SB5823 , SB6210 , SB5921 , SB6226 , SB6159 , SB5924 , SGA9291 , SGA9307

Committee: Senate Health & Long-Term Care

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Transcript Highlights:

• For example, it creates a licensing framework under the Department of Licensing for the ticket resale
• for civil penalties and concurrent enforcement of the Consumer Protection Act and Department of Licensing
• It requires the Department of Licensing to establish a publicly accessible website to allow individuals
• A ticket has always been a license.
• As Chio mentioned, we do still have some concerns around the adjuster licensing portion of this.

Bills: SB6149 , SB6175 , SB6230 , SB6248 , SB6312 , SB6061 , SB6137

Committee: Senate Business, Trade & Economic Development

Keywords: rural county, frontier county, public facilities funding, economic development, local option sales tax, sales and use tax, workforce housing, affordable housing, county tax authority, RCW, Washington state, community economic revitalization board, CED, infrastructure funding, public works, job creation, job retention, job expansion, county planning, state auditor reporting

Transcript Highlights:

• , allowing the termination of licenses for inactivity, exempting kinship care providers from completing
• bloodborne pathogen training, expanding child-specific licenses, modifying the staffing requirements
• It provides that the closure of a foster license due to inactivity is considered an enforcement action
• , allowing the termination of licenses for inactivity, exempting kinship care providers from completing
• This is a technical corrections bill that finds efficiencies in some of the licensing and regulatory

Bills: HB1544 , HB2099 , HB2185 , HB2219 , HB2253 , HB2317 , HB2318 , HB2319 , HB2350

Committee: House Early Learning & Human Services

Keywords: child welfare, risk assessment, investigation, child abuse, neglect, military families, early childhood education, access, assistance program, education equity, homelessness, youth programs, advisory committee, prevention, protection, HB 2219, child care licensing, early learning, DCYF, Department of Children Youth and Families

Transcript Highlights:

• They don't have to be a design engineer with a P.E. license behind their name to engage. on phasing,
• What this does is amend the transportation code to eliminate the requirement for a Texas licensed motor
• HB 4916 will eliminate the need for Texas licensed dealers to reassess vehicle titles before transferring
• I was happy that when my son couldn't get his driver's license, he was still able to go to school because
• they have sales tax, they have ad valorem, they have... sales tax, ad valorem taxes, hotel taxes, license

Bills: HB2065 , HB2462 , HB2621 , HB3187 , HB3539 , HB3563 , HB3726 , HB4164 , HB4207 , HB4368 , HB4706 , HB4916 , HB4950 , HB4967 , HB5177 , HB4429 , HB5597

Committee: House Transportation

Keywords: commercial vehicles, parking regulations, residential areas, local governance, land use, traffic safety, high occupancy vehicle lane, pregnant operators, transportation, parental rights, motor vehicle regulations, live video feed, state agency, transparency, public safety, regional transportation, mobility program, sales tax, public infrastructure, local government

Transcript Highlights:

• certifications or training in addition to what you have to go through as a, what did you say, a state-licensed

Bills: HB2065 , HB2462 , HB2621 , HB3187 , HB3539 , HB3563 , HB3726 , HB4164 , HB4207 , HB4368 , HB4706 , HB4916 , HB4950 , HB4967 , HB5177 , HB4429 , HB5597

Committee: House Transportation

Keywords: commercial vehicles, parking regulations, residential areas, local governance, land use, traffic safety, high occupancy vehicle lane, pregnant operators, transportation, parental rights, motor vehicle regulations, live video feed, state agency, transparency, public safety, regional transportation, mobility program, sales tax, public infrastructure, local government

Transcript Highlights:

• the very system. ...that are supposed to protect property owners, particularly the actions of a licensed
• I counted on the integrity of a licensed professional buyer's agent, believing that their position and
• license meant that they were held to a higher ethical standard.
• With a licensed professional involved, it could happen to anyone.
• All of us are licensed in the state of Texas, most of us with more than 15 years of experience.

Bills: SB127 , SB456 , SB482 , SB659 , SB739 , SB816 , SB1234 , SB1666 , SB1886 , SB1980 , SB2580 , SB2611 , SB2693 , SB2776

Committee: Senate Criminal Justice

Keywords: child abuse, reporting obligation, statute of limitations, negligence, legal professionals, human organs, criminal penalties, physician license, medical ethics, illegal trade, smuggling, human trafficking, felony offenses, law enforcement, authorized peace officer, peace officer definition, tracking equipment, communications access, electronic surveillance, cell phone records

Summary: The committee heard and laid out a series of criminal justice bills, with public and invited testimony on restitution, juvenile justice, child abuse reporting, public-safety protections, organ trafficking, property fraud, disaster-response worker protections, fentanyl exposure, emergency data disclosure, insurance-fraud investigations, blood warrant execution, human smuggling, and TJJD advocacy access. Several measures drew support from prosecutors, clerks, law enforcement, utility companies, and victims who described real-world harms and delays in current law; opposition or caution came from civil-rights and advocacy groups on bills involving expanded criminal liability, data disclosure, and juvenile-facility access. Most bills were left pending after testimony, with the committee later voting out SB 127 favorably and placing it on the local and uncontested calendar. SB 1666 would streamline restitution payments for parole or mandatory supervision cases by requiring TDCJ to include victim information when forwarding payments, shortening the period before unclaimed funds go to the Crime Victims’ Compensation Fund, and clarifying confidentiality and contact procedures; county clerks supported it as an efficiency measure. SB 2776 would let TJJD disclose certain information, with written consent, to support the Credible Messengers Program, and SB 127 would extend limitations periods for failure-to-report child abuse and concealment offenses, with testimony emphasizing delayed discovery of abuse and the need for accountability. SB 1980 would increase penalties for assaulting or interfering with peace officers, parole officers, and community supervision officers, and SB 456 would raise penalties for organ purchasing/trafficking and create a more specific criminal framework for the offense; both drew strong support from law enforcement and victims. The committee also heard SB 2611 on real property theft and deed fraud, which would create separate offenses for real property theft and fraud, add a ten-year limitations period, require criminal judgments to be filed in county property records, and expand restitution and title-clearing remedies. Witnesses described forged deeds, stolen church and family properties, and long, costly efforts to restore title; county clerks and prosecutors said the bill would help victims and streamline civil remedies. SB 482 would increase penalties for offenses against utility workers during declared disasters or evacuation orders, prompted by reports of threats and assaults during Hurricane Beryl; utility representatives said the bill is needed to keep mutual-aid crews coming to Texas. SB 1234 would add fentanyl to the endangerment statute for vulnerable people, while SB 816 would allow providers to disclose electronic data in immediate life-threatening situations; both drew support from prosecutors and criticism from civil-rights advocates concerned about overbreadth and liability protections.

Transcript Highlights:

• Back in 2015, Texas lawmakers passed House Bill 910, which allowed licensed Texans to carry handguns
• Then in 2021, the legislature passed House Bill 1927, removing the requirement for a license to carry
• I got my first hunting license and my first gun at the age of 10.
• 10 license-to-carry credentials from nine other states besides Texas.
• I can attest to you that, as a license-to-carry instructor, those of us in Texas with a license to carry

Bills: SB1065 , SB2117 , SB2217 , SB2363 , SB2533 , SB2742 , SB2743 , SB2881 , SB2964 , SB3013 , SB3014

Committee: Senate State Affairs

Keywords: SB 1065, handgun carry, license holder, concealed carry, open carry, government contracts, governmental entity, property lease, state agencies, local government, higher education, university, Texas Government Code, Penal Code 30.06, Penal Code 30.07, Penal Code 46.03, Second Amendment, gun rights, firearms, civil penalty

Summary: The Senate State Affairs Committee heard testimony on Senate Bill 1065, which would require government property contracts to prohibit contractors from barring licensed handgun holders from carrying firearms on leased or owned public property, with civil penalties and attorney general enforcement for violations. Senator Hall and invited witnesses from the Texas State Rifle Association, NRA, and Texas Gun Rights argued the bill would close a loophole exposed by the State Fair of Texas gun ban and protect law-abiding Texans’ self-defense rights. Opponents, including Moms Demand Action/Everytown, said the bill would undermine event organizers’ ability to set site-specific safety rules and could increase liability and insurance costs. Public testimony was then closed and the bill was left pending. The committee next took up Senate Bill 2742, which would create civil penalties for independent school districts and officials who use public resources for electioneering, waive immunity defenses, and expand attorney general enforcement. Senator Hagan-Bood said current law bans the conduct but lacks meaningful penalties, making injunctions the only remedy. No public testimony was heard, and the bill was left pending. Finally, the committee heard Senate Bill 2743, also by Senator Hagan-Bood, which would allow a court to disqualify local prosecutors who refuse to prosecute election offenses and appoint the attorney general to handle the case, with a committee substitute adjusting the removal process through an adjacent-county judge. Opponents from the Texas Civil Rights Project argued the bill would undermine prosecutorial discretion and was vague and open to abuse, while a Harris County election official described past instances where alleged voter fraud cases were not pursued. After testimony, public comment was closed and SB 2743 was left pending.

Transcript Highlights:

• Licensed veterinarians may still prescribe and administer xylazine, a large animal tranquilizer that
• This HB 1881 can strike the right balance if Missouri schedules xylazine, but clearly protects licensed
• This HB1881 can strike the right balance if Missouri schedule is xylosine, but clearly products license
• , protects licensed veteran acting in the ordinary course of practice, including field transport and
• have to hold that license together.

Committee: House Health and Mental Health

Summary: The committee first met in executive session and voted House Bill 2309, Representative Jones’ Oregon Harvesting bill, do pass by a vote of 13 ayes and no nays. The committee then moved to public testimony on House Bill 1881, which would schedule xylazine as a controlled substance. Representative Bill Allen said the bill is intended to address xylazine’s role in fentanyl-related overdoses, improve tracking and enforcement, and preserve legitimate veterinary use through carve-outs. A veterinarian from the University of Missouri testified in support, emphasizing xylazine’s long-standing and safe veterinary use and the need to protect agricultural practice while targeting illicit diversion. No opposition was presented, and testimony on the bill concluded. The committee then heard House Bill 1855, which would add alpha-gal syndrome to Missouri’s reportable conditions and create a reporting/surveillance framework. Sponsor Representative Matthew Overcast said the bill was revised to shift reporting from providers to private labs, create a standalone non-communicable disease reporting section, and support data collection for prevalence, education, and federal funding opportunities. Supporters included a lobbyist for the AlphaGal Alliance, a University of Missouri dermatologist/researcher, Extension staff, cattle industry representatives, and multiple patients and family members who described severe dietary restrictions, anxiety, school and work impacts, and the need for better public awareness and treatment research. Opponents argued the bill’s language would expand DHSS authority too broadly, especially the provision allowing the department to designate and enforce rules for noncommunicable diseases, and suggested narrowing the bill and adding opt-in protections. No vote was taken. Finally, the committee began hearing House Bill 2355, Representative Holly Jones’ “food as medicine” bill. Jones argued that nutrition should be treated as a public health intervention and described medically tailored meals, produce prescriptions, and nutrition counseling as tools that can improve outcomes and reduce costs. In questions, members raised concerns about how the proposal would interact with existing food assistance programs such as SNAP, WIC, school meals, and other federal nutrition benefits, and whether the bill would create a new entitlement or duplicate existing aid. The hearing on HB 2355 was still in progress when the transcript ended.

Transcript Highlights:

• My name is Morgan Burris, and I am a licensed midwife.
• My name is Morgan Burris, and I am a licensed midwife.
• Being led by professional or licensed midwives in the state.
• I've held an active license for 17 years.
• That way your license will go over, so you can still have to change your address and your state license

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• So we're looking at patient safety by allowing nurse license, I'm sorry...
• Licensed midwives like myself first become certified professional midwives.
• My name is Morgan Burris, and I am a licensed midwife.
• It's a medication that every other state that licenses CPMs has access to.
• I’ve held an active license for 17 years.”

Bills: HB2190 , HB2202 , HB2233 , HB2251 , HB2252 , HB2396 , HB2437 , HB2689 , HB2796

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• reciprocity for levels two and three New Mexico licensure for instructional support providers who are licensed
• If you know, and I've been a landlord before, and I'm also, in full transparency, I'm a licensed realtor
• Of weeks ago and moved their driver's license here, and now they're a New Mexico resident.
• Osteopathic? Oh, I got it now. Talk about brain Jane, we have that right now. So, Mr.

Transcript Highlights:

• In audits of clinical judgment, it asks that a pharmacist, hopefully licensed in Missouri, would review
• committee, Jacob Scott with the Missouri State Medical Association and the Missouri Association of Osteopathic

Committee: House Health and Mental Health

Summary: The committee first took testimony on House Bill 1681, which would require health carriers and pharmacy benefit managers to count amounts paid by or on behalf of an enrollee for certain medications toward out-of-pocket maximums when no generic substitute is available. The sponsor described the bill as helping patients with serious illnesses afford needed drugs. The committee then adopted a substitute that rolled HB 1681 together with House Bills 1941 and 2279, including an ERISA-related labor exemption, and passed the combined committee substitute by a vote of 15-2. The committee next heard House Bill 2365, which was also combined with related bills through a substitute that changed terminology to “delivery systems.” That substitute was adopted by voice vote, and the House Committee substitute for House Bills 2365, 2490, and 2249 was then approved unanimously, 18-0. After that, the committee heard House Bill 2149, the dementia care coordinator bill. The sponsor and supporters from the Alzheimer’s Association and family caregivers argued the state needs a central point person to coordinate resources, improve early detection, support caregivers, and connect rural residents to services. Members raised concerns about the fiscal note, whether the work duplicates existing Area Agencies on Aging and Alzheimer’s Association services, and whether two FTEs would be effective statewide. No vote was taken on HB 2149 during the portion provided. The committee also heard House Bill 2309, which would prohibit Missouri insurance coverage for organ transplants or related services involving organs taken from prisoners of conscience in China. The sponsor and supporters framed the bill as a human-rights measure aimed at condemning organ harvesting and abuse of Falun Gong practitioners and other prisoners of conscience. Members asked whether there was documentation of such transplants in Missouri and whether federal oversight exists; the sponsor said there is no reporting mechanism and no known opposition. No action was taken on the bill in the excerpt. Finally, the committee began testimony on House Bills 1975 and 1850, pharmacy benefit manager reform bills. The sponsors said the measures are intended to protect local pharmacies, improve transparency, limit harmful audit practices, and create a critical access pharmacy program. Supporters, including a pharmacy business group, argued PBM practices drive up drug costs and close pharmacies. Opponents, including a carpenters’ health plan representative, warned the bills could increase costs for self-funded plans, limit network and mail-order arrangements, and shift more administrative burden onto plan sponsors. The hearing continued with questions and testimony, but no final vote is shown in the provided transcript.

Transcript Highlights:

• Licensed veterinarians may still prescribe and administer xylazine, a large animal tranquilizer that
• This HB 1881 can strike the right balance if Missouri schedules xylazine, but clearly protects licensed
• penalties are awfully steep in terms of that, not only just financially, criminally, losing your license
• , all these other things that go around, because our providers are licensed in this state, and they do
• have to hold that license together.

Committee: House Health and Mental Health