Transcript Highlights:

• medication is housed in the Department of Corrections because it is the largest state-operated statewide pharmacy
• country, including in Washington, who have received these medications from providers and mail-order pharmacies
• country, including in Washington, who have received these medications from providers and mail-order pharmacies
• With this bill, Washington will be able to sell or donate this medication to providers, pharmacies, and
• My name is Lisa Woodard, and I'm a retired pharmacy professor from Washington State University living

Summary: The Health Care and Wellness Committee held a public hearing on several bills and a joint memorial. SB 5915 would update the health technology assessment program by adding technologies recommended for Medicare populations or in national guidelines to the review priority list, requiring broader evidence review for life-threatening or rare diseases, and setting timelines for posting and deciding review requests. Supporters, including rare disease advocates and providers, said the current process is outdated and too rigid; the bill was then held for later action. SJM 8002 urged Congress to strengthen original Medicare, oppose privatization, add benefits like dental, vision, and hearing, and reduce Medicare Advantage overpayments and fraud. Supporters from labor and senior groups argued it would protect beneficiaries and send a message to federal officials; the memorial was also held after testimony. The committee also heard SB 5395 on prior authorization. Staff explained it would tighten notice requirements, require a licensed clinician—not AI alone—to deny requests based on medical necessity, add transparency around policy changes, and change how retrospective denials are treated. The prime sponsor and provider groups said the bill was a negotiated compromise meant to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. Testifiers described prior authorization as a major source of delay and administrative burden, and the bill was held after public testimony. SB 5845 would require carriers to pay or deny clean claims within 30 days, set timelines for non-clean claims and information requests, and allow penalties for repeated noncompliance. Hospitals, physicians, and health systems supported it as a way to improve predictable payment, while insurers were neutral and asked for a narrow amendment; the bill was also held. The committee heard SB 6025, which would change the definition of fetal death so gestational age is calculated using the best clinically accurate age rather than the last menstrual period. Obstetric and nursing witnesses said the current law can force inaccurate records and unnecessary burdens on grieving families, while opponents objected to the bill’s abortion-related definitions. The bill was held after testimony. Finally, SB 5988 would authorize the Department of Health to continue accrediting opioid treatment programs and charge fees to support that work. The department and the sponsor said the measure would preserve a patient-centered accreditation option amid budget pressure, and the committee closed testimony and held the bill.

Transcript Highlights:

• IN THE BOARD OF PHARMACY TO ENSURE PATIENTS HAVE ACCESS TO PRIMARY CARE SERVICES.
• THE BOARD OF PHARMACY IS REQUIRED TO COLLABORATE WITH THE OSTEOPATHIC MEDICINE FOR COURSE CONTENT.
• TABLE IN THIS BILL A CERTIFICATION APPLICATION FORM WAS CREATED AND APPROVED BY THE BOARD OF PHARMACY
• BOARD OF PHARMACY RECEIVED ITS FIRST OF THREE CERTIFICATION COURSES IN SEPTEMBER IN A JOINT COMMITTEE
• MEETING AND IT WAS HELD WITH THE BOARD OF PHARMACY MEDICINE AND OSTEOPATHIC MEDICINE IN NOVEMBER.

Keywords: 999, senate, all

Keywords: 1191, senate, all

Bills: HB146, HB322, HB469, HB1183, HB1481, HB1509, HB1510, HB1511, HB1514, HB1515, HB1516, HB1520, HB1522, HB1524, HB1531, HB1535, HB1548, HB1550, HB1559, HB1573, HB1574, HB1590, HB1593, HB1601, HB1603, HB1615, HB1628, HB1643, HB1644, HB1645, HB1648, HB1663, HB1667, HB1671, HB1678, HB1679, HB1682, HB1688, HB1691, HB1692, HB1695, HB1696, HB1697, HB1716, HB1721, HB1724, HB1725, HB1728, HB1730, HB1733, HB1737, HB1738, HB1739, HB1740, HB1741, HB1742, HB1752, HB1753, HB1764, HB1768, HB1769, HB1777, HB1782, HB1790, HB1799, HB1810, HB1823, HB1824, HB1832, HB1839, HB1840, HB1844, HB1845, HB1850, HB1851, HB1858, HB1860, HB1864, HB1870, HB1873, HB1875, HB1877, HB1878, HB1880, HB1881, HB1886, HB1888, HB1890, HB1892, HB1893, HB1898, HB1921, HB1934

Keywords: judiciary, Hawaiian language, Ōlelo Hawaiʻi, language access, cultural preservation, voter registration, automatic registration, state agencies, electoral participation, opt-out system, disability, parking, travel placard, accessibility, mobility, retirement, pension, law enforcement, public safety, Hawaii Revised Statutes

Bills: HB146, HB322, HB469, HB1183, HB1481, HB1509, HB1510, HB1511, HB1514, HB1515, HB1516, HB1520, HB1522, HB1524, HB1531, HB1535, HB1548, HB1550, HB1559, HB1573, HB1574, HB1590, HB1593, HB1601, HB1603, HB1615, HB1628, HB1643, HB1644, HB1645, HB1648, HB1663, HB1667, HB1671, HB1678, HB1679, HB1682, HB1688, HB1691, HB1692, HB1695, HB1696, HB1697, HB1716, HB1721, HB1724, HB1725, HB1728, HB1730, HB1733, HB1737, HB1738, HB1739, HB1740, HB1741, HB1742, HB1752, HB1753, HB1764, HB1768, HB1769, HB1777, HB1782, HB1790, HB1799, HB1810, HB1823, HB1824, HB1832, HB1839, HB1840, HB1844, HB1845, HB1850, HB1851, HB1858, HB1860, HB1864, HB1870, HB1873, HB1875, HB1877, HB1878, HB1880, HB1881, HB1886, HB1888, HB1890, HB1892, HB1893, HB1898, HB1921, HB1934

Keywords: judiciary, Hawaiian language, Ōlelo Hawaiʻi, language access, cultural preservation, voter registration, automatic registration, state agencies, electoral participation, opt-out system, disability, parking, travel placard, accessibility, mobility, retirement, pension, law enforcement, public safety, Hawaii Revised Statutes

Bills: HB146, HB322, HB469, HB1183, HB1481, HB1509, HB1510, HB1511, HB1514, HB1515, HB1516, HB1520, HB1522, HB1524, HB1531, HB1535, HB1548, HB1550, HB1559, HB1573, HB1574, HB1590, HB1593, HB1601, HB1603, HB1615, HB1628, HB1643, HB1644, HB1645, HB1648, HB1663, HB1667, HB1671, HB1678, HB1679, HB1682, HB1688, HB1691, HB1692, HB1695, HB1696, HB1697, HB1716, HB1721, HB1724, HB1725, HB1728, HB1730, HB1733, HB1737, HB1738, HB1739, HB1740, HB1741, HB1742, HB1752, HB1753, HB1764, HB1768, HB1769, HB1777, HB1782, HB1790, HB1799, HB1810, HB1823, HB1824, HB1832, HB1839, HB1840, HB1844, HB1845, HB1850, HB1851, HB1858, HB1860, HB1864, HB1870, HB1873, HB1875, HB1877, HB1878, HB1880, HB1881, HB1886, HB1888, HB1890, HB1892, HB1893, HB1898, HB1921, HB1934

Keywords: judiciary, Hawaiian language, Ōlelo Hawaiʻi, language access, cultural preservation, voter registration, automatic registration, state agencies, electoral participation, opt-out system, disability, parking, travel placard, accessibility, mobility, retirement, pension, law enforcement, public safety, Hawaii Revised Statutes

Transcript Highlights:

• Presently, pharmacy surveyors handle both in-state pharmacy inspections and complaint investigations.
• surveyors handle both instate Pharmacy surveyors handle both instate Pharmacy<00:38:05.040><c> inspections
• </c><00:38:05.880><c> and</c><00:38:06.160><c> complaint</c> Pharmacy inspections and complaint Pharmacy
• The PMP is a secure electronic database managed by the Board of Pharmacy, where pharmacies report their
• The next proposal is related to the pharmacy carveout.

Keywords: 1187, senate, all

Transcript Highlights:

• It also requires participating pharmacies to submit an annual access-to-care plan to the department and
• the Board of Pharmacy to ensure patients have access to primary care services.
• The Board of Pharmacy is required to collect...
• The Board of Pharmacy is required to collaborate with the Boards of Medicine and Osteopathic Medicine
• meeting was held with the Board of Pharmacy, Medicine, and Osteopathic Medicine in November.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• Late fees are typically 1.5% per month or higher, and the interest compounds each month.
• Um typically one and a half percent sometimes per month compounding monthly sometimes higher.
• 05:11.600><c> sometimes</c><00:05:12.160><c> per</c><00:05:12.479><c> month</c><00:05:12.720><c> compounding
• </c> percent sometimes per month compounding percent sometimes per month compounding monthly<00:05:13.680

Keywords: 1183, house

Transcript Highlights:

• currently, without that, I'd like to see, for example, engineers, healing arts, I mean, optometry, pharmacy
• chiropractic examiners, healing arts, dental board, embalmers and funeral directors, optometry, nursing, pharmacy
• Optometry, nursing, pharmacy, foot doctors, because I can't say that word, dietary, real estate appraisers
• chiropractic examiners, healing arts, dental board, embalmers, and funeral directors, optometry, nursing, pharmacy
• , foot doctors, because I can't say that. optometry, nursing, pharmacy, foot doctors, because I can't

Summary: The Committee on Professional Registration and Licensing met in executive session and first approved House Bill 1963 by a 16-0 vote, then later revisited it and again voted do pass by consent, 19-0. The committee also approved a House Committee Substitute for House Bill 3129 by a 14-0 vote with two present, after discussion that the substitute clarified the use of the term “physician assistant” and required practice under Missouri statute. In public hearing, House Bill 2300 was presented as a workforce bill creating a temporary two-year Missouri licensing path for experienced out-of-state workers whose prior states did not license their occupation. Supporters said it would help workers in fields such as makeup artistry and interior design enter the Missouri workforce without starting over, while still requiring passage of Missouri exams and excluding applicants with disciplinary issues. Some members raised concerns about the bill’s broad reach into Chapter 324 professions and whether it should be narrowed to avoid affecting highly regulated fields. House Bill 1813 was then heard as a narrower “carve-out” for the Board of Architects, Professional Engineers, Land Surveyors, and Landscape Architects. The sponsor and the Missouri Society of Professional Engineers said it would correct unintended consequences of a 2020 reciprocity law that had allowed some applicants who did not meet Missouri’s education or experience standards to be licensed; they cited data showing a significant number of reciprocity licenses issued since 2020. Opponents argued the bill would create barriers to work and give the board too much discretion, while supporters said it was needed to protect public safety and restore Missouri’s standards. Finally, House Bill 2649 was heard to extend reciprocity to licenses from the United Kingdom. The sponsor said it was intended to strengthen Missouri’s relationship with the U.K. and help workers with U.K. credentials, but members and witnesses quickly noted that because the bill used Chapter 324 language, it could affect many professions, including medical fields. The Missouri State Medical Association opposed the bill unless health care professions were carved out, and committee members expressed confusion about the scope before the hearing concluded with no further action on the bill.

Transcript Highlights:

• Definitely, we would see more pharmacies and dentists.
• We also saw, as Chair Bierman talked about, significant help with pharmacies.
• They have an important job to do in that they manage a pharmacy benefit set.
• PBMs manage tens of millions of pharmacy benefit patients, so they're bigger.
• There are good things for EMS, hospitals, and pharmacies in this bill.

Transcript Highlights:

• This is because of a particular blend of research and healthcare that we have in medicine, pharmacy,
• precise—and of the four schools: the graduate school, the dental school, the medical school, and the pharmacy
• elsewhere, to harness UT Austin's expertise and talent across engineering, AI, robotics, life sciences, pharmacy
• The Ben and Maytie Fish College of Pharmacy was founded in 2013 in response to the need for. to a need
• And that's not just the same $50 million; I'm talking about compounding.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• For these individuals, home delivery eliminates the need for long-distance travel to pharmacies, saving
• Our members who brought the problem to our attention are from closed-door pharmacies that focus on medication
• physical and medical issues, and a lifeline for medically fragile individuals living in rural areas and pharmacy
• deserts who must travel long distances to meet their pharmacy needs.

Summary: The Assembly Appropriations Committee heard a regular order agenda with 101 bills and first took up AB 2215, which would extend the time for the Department of Water Resources to fully develop its State Water Project water rights. The author and supporters argued it would improve water reliability and affordability for millions of Californians and could save ratepayers money, while opponents said it would bypass the Water Board’s administrative process, set a precedent for other water rights holders, and potentially facilitate costly projects like the Delta Conveyance Project. The bill was moved on a do pass vote, with Mr. Hoover voting no and Ms. Krell not voting. The committee then approved two consent calendars and heard several bills with little or no opposition. These included AB 2038 on extending insurance nonrenewal/cancellation protections for wildfire victims; AB 2322 on clarifying which commercial, industrial, or institutional sites are subject to municipal stormwater permits; AB 1794 on direct home shipment of enteral nutrition; AB 1696 on clarifying that nurse midwives do not need physician supervision within their scope of practice; AB 1860 on allowing county offices of education to use design-build methods; AB 1876 on codifying nondiscrimination protections in health care; AB 2281 on election cybersecurity resources; AB 2448 on protecting sensitive medical records and reproductive health data; AB 1994 on providing victims with information about federal immigration relief options; and AB 1829 on expanding how CalWORKs community college funds may be used to support student parents. Most were supported by sponsoring organizations and related stakeholders, with limited opposition noted on AB 1696 and AB 2281. The committee also placed a large suspense calendar on approval, listing dozens of additional bills, and then opened public comment on bills not heard that day. No members of the public came forward, and the hearing was adjourned. Several bills were reported out on roll call votes, with some members not voting or voting no on particular measures, but the transcript does not provide full vote tallies for each bill.

Transcript Highlights:

• I'll go ahead and add on while you're looking for that Do you know if these metals of concerns what compound
• question is, the metals of concerns that you talk about, do you know what form they're in or what compound
• Do you know what compound, though, is my question?
• point I I was just wanting to make the point that that in all of these metals there are several compounds

Keywords: 988, house, all

Transcript Highlights:

• If you don't know that you've had problems and you wait two years or longer, the problems just compound
• If you don't know that you've had problems and you wait two years or longer, the problems just compound
• You can buy them cheaply at your local pharmacy. You can buy them online.
• ,</c><04:07:27.080><c> online</c><04:07:27.560><c> shopping</c> in state pharmacies, online shopping
• in state pharmacies, online shopping with<04:07:28.200><c> Amazon</c><04:07:28.640><c> delivery,</c><

Keywords: 1189, house, all

Transcript Highlights:

• Are you concerned this can reduce access to pharmacies for certain individuals if there are pharmacies
• The nearest big box pharmacy is located, I want to say, 2 to 3 miles away.
• There is also a local pharmacy, a community pharmacy that does not have access to the same technology
• I have been a patient that not all pharmacies carried.
• If it is in my electronic prescription to one pharmacy, it's stuck there.

Bills: HJR 99, HB 1399, HB 1400, HB 1094, HB 365, HB 1109, HB 647, HCR 35, SB 14, HB 12, HB 1522, HB 422, HB 675, HB 204, HB 748, HB 912, HJR 99, HB 1399, HB 1400, HB 1094, HB 365, HB 1109, HB 647, HCR 35, HCR 123, HCR 124, HR 57, HR 87, HR 111, HR 228, HR 230, HR 322, HR 624, HR 625, HR 626, HR 627, HR 628, HR 630, HR 631, HR 634, HR 635, HR 636, HR 637, HR 638, HR 639, HR 640, HR 645, HR 646, HR 648, HR 649, HR 651, HR 652, HR 653, HR 654, HR 664, HR 665, HR 668, HR 675, HR 676, HR 678, HR 679, HR 680, HR 683, HR 686, HR 688, HR 689, HR 694, HR 695, HR 697, HR 698, HR 699, HR 472, HR 622, HR 632, HR 633, HR 643, HR 655, HR 657, HR 660, HR 661, HR 662, HR 663, HR 667, HR 670, HR 674, HR 681, HR 682, HR 696

Keywords: animal feed, tax exemption, ad valorem taxation, retail, constitutional amendment, retail sale, tangible personal property, Texas tax code, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption, regulation, deceased transportation, HB 365

Transcript Highlights:

• compounds are cheaper than actually getting the brand product.
• the, you know, fully, the end compound that you're getting.
• The compound is approved, but how it is formulated is debated as to whether it is best, compared with
• So for me, I started off even with the compound, spending almost $700 a month.
• So I pay about $75 more per month to pay for the brand instead of doing the compound.

Summary: The committee heard SB 921, which would create a tax credit to help agricultural employers offset overtime premium costs for farmworkers. Senator Grove and supporters, including farmworkers, the California Farm Bureau, and agricultural groups, argued the bill would restore lost hours and take-home pay after California’s agricultural overtime law reduced schedules. Opponents, including the California Federation of Labor Unions and CRLA Foundation, argued the proposal would subsidize employers with taxpayer dollars and undermine the principle that employers should pay overtime themselves. The bill was held in subcommittee until more members arrived. The committee then took up SB 1083, a cleanup bill to the prior year’s school employee misconduct database law. The author and supporters said it would add due process protections for classified school employees, require an administrative law judge review before placement in the database, and improve notice and vetting rules for contractors and non-permanent staff. School employer groups and other opponents warned the bill could slow investigations and weaken child-safety protections. The committee approved the bill 3-0 and sent it to Senate Appropriations. Members also considered SB 1089, which would require CalPERS health plans to cover GLP-1 medications and expand access through CalRX for chronic weight management and related health conditions. The author and supporters, including the American Diabetes Association and medical groups, said the drugs can prevent diabetes and improve health outcomes but remain unaffordable for many. Pharma representatives expressed concerns about the bill as drafted but said they were open to continued discussions. The bill passed 4-0 to Appropriations. The committee also approved the consent calendar 4-0. Later, the committee heard SB 954, which would narrow and add guardrails to last year’s CEQA exemption for advanced manufacturing, including environmental review near disadvantaged communities and labor standards such as prevailing wage and skilled-and-trained workforce requirements. Labor, environmental, and community groups supported the bill as a cleanup of an overly broad exemption, while business and manufacturing groups opposed it, warning it would discourage investment and worsen California’s competitiveness. The bill passed 3-1 to Appropriations. Finally, SB 1299, a fire sprinkler fitter certification bill, was heard and passed 3-0 to Appropriations with support from the sprinkler fitters and building trades and no recorded opposition.

Transcript Highlights:

• compounds are cheaper than actually getting the brand product.
• the, you know, fully, the end compound that you're getting.
• For me, I started off even with the compound, spending almost $700 a month.
• So I pay about $75 more per month to pay for the brand instead of doing the compound.
• So I pay about $75 more per month to pay for the brand instead of doing the compound.

Keywords: 987, senate, all

Transcript Highlights:

• of this was driven home two weeks ago when I sent a prescription for a college student to a large pharmacy
• Four days later, I received a message asking me to send it to a different large pharmacy chain because
• the initial pharmacy was not in their network.
• As pharmacy networks tighten, medication costs balloon, and pharmacy deserts expand, allowing Massachusetts
• I'm sure you're all aware that pharmacies are closing throughout the state of the Commonwealth.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• the circumstances under which a pharmacist may supervise more than one pharmacy technician.
• the circumstances under which a pharmacist may supervise more than one pharmacy technician.
• We may clear that a pharmacist may not supervise more than one pharmacy technician unless additional
• Adequate supervision of pharmacy technicians is essential.
• Clear ratios, clear thresholds, and clear standards that tell pharmacists, pharmacies, regulators, and

Keywords: 998, house, all