Transcript Highlights:

• The pharmacy receives that payment, and then they bill the insurer for the remainder of what is due to
• This bill is not about what the insurance company gets paid or the pharmacy gets paid.
• This is about whether or not that coupon The pharmacy gets paid.
• We talked about the pharmacy benefit manager bill. And we talked about 2160.
• The pharmacy bill is a little bit of a mess in a grandfather clause. You can see that information.

Keywords: 908, all

Summary: The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans. House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8. The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.

Transcript Highlights:

• So typically it's, you know, I think we enacted one for a pharmacy in Duluth.
• <01:03:28.000> in<01:03:28.160> duth um um enacted one for a pharmacy in duth um um
• And it has to do with—and I'm going to go back, I'm sorry— I think it's a really good practice that a
• <01:06:50.200> that I think it's a really good practice that I think it's a really good practice
• I hope that they will comment about whether—I don't recall whether this is a concept in a practice in

Keywords: 1187, senate, all

Transcript Highlights:

• SB 252 codifies current practice by providing that employees of the Governor Mansion Authority or employees
• SB 252 codifies current practice by providing that employees of the Governor Mansion Authority or employees

Bills: HB44, HB400, HB444, HB487, SB249, SB252, SB58, HB44, HB400, HB444, HB487, SB249, SB252, SB58

Keywords: teachers retirement, credit purchase, St. Clair County, DAY Program, pension reform, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, HB444, vaccines, vaccine exemption, religious exemption, religious liberty, private school, church school, faith-based school, parochial school, school immunization

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• I practice in- San Antonio.
• I'm a practicing obstetrician and gynecologist. in private practice in Dallas, Texas.
• We practice in this state. We love this state. We are citizens of this state.
• I practiced before that. I am an officer of the court.
• I want to practice my speciality and I want to start my family.

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Transcript Highlights:

• We have University of Wyoming pharmacy students, their instructors, and private pharmacists from all
• Wyoming Pharmacy Act amendments, ayes 41, nos 20, excused one, signed Katie Talbet, House Chief Clerk
• Message number 296, Senate File 121, Wyoming Pharmacy Act amendments.
• Message number 296, Senate File 121, Wyoming Pharmacy Act amendments. Senator Dockstader.
• board of pharmacy to create responsible board of pharmacy to create responsible rules<02:44:07.840>

Keywords: 916, all

Transcript Highlights:

• Union Springs Pharmacy was... Union Springs Pharmacy was totally destroyed.
• Union Springs Pharmacy has been in the Stewart family for probably 75 plus years... the Stewart family
• David Stewart and his wife Beverly were the present owners and operators of the pharmacy.
• There's an independent drug store there, and there's a chain drug store there, but Union Springs Pharmacy
• Union Springs Pharmacy provided service to many of their clients or patients throughout the area.

Bills: SJR 1, SB 9, SB 40, SJR 36, SJR 1, SJR 5, SB 9, SB 40, SR 61, SR 91, SR 97, SR 103, SR 104, SR 112, SR 115, SR 116, SCR 16, SB 26, SB 26

Keywords: bail denial, illegal aliens, felony offenses, constitutional amendment, law enforcement, bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, bail bonds, public funds, political subdivision, injunctive relief, taxpayer rights, bail, criminal justice reform, Texas Music Advocacy Day, music industry

Transcript Highlights:

• The one notable exception is pharmacy growth, where increased use of high-cost drugs is the primary driver
• about one-quarter is due to some of the services being higher cost in one space, but in particular pharmacy
• about one-quarter is due to some of the services being higher cost in one space, but in particular pharmacy
• 00:36:23.520> in<00:36:23.680> particular<00:36:24.480> um<00:36:24.880> pharmacy
• space but in particular um pharmacy space but in particular um pharmacy costs<00:36:26.640> um

Keywords: 919, house, all

Summary: Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap. Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility. Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.

Transcript Highlights:

• There was a need for our pharmacy school.
• And I believe something similar did happen in pharmacy as well, and so we would want to be very careful
• There was a need for our pharmacy school.
• There was a need for our pharmacy school.
• There was a need for our pharmacy school.

Keywords: 912, senate, all

Summary: The meeting covered several Senate resolutions related to the University of Hawaiʻi system, the East-West Center, and related education and workforce issues. On SCR 178 and SR 48, testifiers strongly supported the East-West Center, describing it as an important Hawaii asset that promotes cultural exchange, global citizenship, diplomacy, and ties to the University of Hawaiʻi. Speakers said the Center has helped train leaders and bring international connections and investment to Hawaii, and they urged continued funding despite federal cuts. The chairs then recommended passage with technical amendments, and both resolutions were adopted by the committees. The committee also heard testimony on resolutions calling for audits of University of Hawaiʻi operations. On SR 32 and SCR 50, the University of Hawaiʻi said it supported the resolution and had already begun work on establishing a Bachelor of Science in nursing at the UH Maui campus, with additional staff available on Zoom to answer questions. On SR 160 and SCR 142, which sought a financial and performance audit of UH Mānoa facilities, UH Athletics said it already undergoes annual financial audits required by NCAA bylaws but not performance audits, and discussed its internal evaluations, contingency planning, and efforts to address concerns raised by student athletes and staff. The committee then took up SCR 138 and SR 55, requesting a management and performance audit of the UH Office of the Vice President for Academic Strategy. Vice President Deborah Halbert and P20 Director Steve Shotz said they did not oppose the audit and believed it could provide clarity, while explaining that the office is relatively new and works collaboratively across campuses on articulation, transfer, grants, and workforce alignment. They described grant programs including Perkins, GEAR UP, preschool development, and data-sharing efforts, and said they are focusing more resources on teaching, health care, and skilled trades. The discussion also touched on SR 54, a proposed performance audit of the UH Foundation, where foundation representatives said they already undergo annual financial audits, acknowledged some donor communication issues, but emphasized improved stewardship and growth in fundraising over recent years.

Transcript Highlights:

• Pharmacy cost took off.
• happens in healthcare happened Pharmacy happens in healthcare happened Pharmacy cost<00:10:51.000
• We kept the pharmacy self-insured through our vendor, Express Scripts.
• carolon pharmacy carolon pharmacy processes<00:29:13.240> and<00:29:13.840> um<00:
• <02:16:01.920> as considered to be a best practice as considered to be a best practice as

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• We work in conjunction with the Pharmacy Association on that About the Patient program.
• We work in conjunction with the pharmacy association on that about the patient program.
• So we do look at bundled products where we have the carrier both do the pharmacy and the health side
• Okay, we want to see how our practice compares to surrounding states, so we looked at the four that are
• for the reasons in those four bullet points exactly correct okay we want to see how our part our practice

Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• And uh one of the pieces of practice.
• are practicing are practicing they're<00:31:19.240> at<00:31:19.480> least<00:31:19.840
• The next one that has been put in here is the modernizing the practice of pharmacy. Welcome.
• I know that that practice.
• :28.760> been primary care family practice been primary care family practice been brought<00:54

Keywords: 916, all

Summary: The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns. The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers. Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.

Transcript Highlights:

• I'm particularly interested in insurance coverage, pharmacies, other medical access, and making sure
• other uh medical access uh pharmacies other uh medical access uh and<00:07:24.800> making<00:
• We picked up the hemp-derived cannabinoid program, which began at the Board of Pharmacy, then was at
• not just, you know, what policies are required, but what are the best practices.
• And I, in my private practice days, practiced in complex litigation.

Keywords: 1183, house

Summary: The Minnesota House Commerce Committee held its inaugural meeting with Chair Tim O’Driscoll and co-chair Representative Greg Davids opening the session and inviting members to introduce themselves. Members briefly described their districts, business backgrounds, and priorities, with recurring themes including small business competitiveness, insurance and health care access, property and real estate issues, agriculture, and making Minnesota easier to do business in. Committee staff also introduced themselves and reminded members and testifiers about sign-in procedures and microphone use. The committee then heard an overview from Eric Toell, interim director of the Office of Cannabis Management, on the agency’s work and budget priorities. He said the office now oversees adult-use cannabis, medical cannabis, and hemp-derived cannabinoid products, has grown from about nine employees to 90 full-time staff plus temporary workers, and has been working with a Cannabis Advisory Council on testing, warning labels, and implementation issues. He also described outreach efforts, including webinars, newsletters, guidebooks for local governments, and office hours for applicants, along with enforcement of hemp-derived product rules through more than 3,000 inspections and an increase in compliance rates from about 35% to 75%. Toell also reported that the medical cannabis program has surpassed 51,000 patients and nearly 2,500 registered health care providers, and that a chronic pain report found more than a third of patients reported decreased pain. On the adult-use side, he said the office has posted proposed rules for public comment, plans to adopt them after review, and will open a licensing window from February 18 to March 14. He explained that the office is also managing community reinvestment grants and a technical assistance grant, with an emphasis on safeguards to ensure funds reach intended recipients. No votes were taken during this meeting.

Transcript Highlights:

• Taiwan Initiative on 21st Century Trade includes commitments on anti-corruption, good regulatory practices
• This is the fourth year Auburn Pharmacy student Logan Bailey from Boaz and Michael Juan from the Scholes
• They are working with Bobby Giles in the pharmacy association. Thank you both for being here.

Bills: SJR 39, SB 22, SB 30, SB 33, SB 34, SB 37, SB 75, SB 209, SB 310, SB 505, SB 552, SB 618, SB 626, SB 636, SB 732, SB 747, SB 762, SB 769, SB 819, SB 825, SB 870, SB 926, SB 964, SB 1030, SB 1080, SB 1099, SB 1124, SB 1177, SB 1208, SB 1233, SB 1314, SB 1325, SB 1333, SB 1405, SB 1455, SB 1506, SB 1524, SB 1541, SB 1577, SB 1579, SB 1596, SB 1646, SB 1667, SB 1727, SB 1750, SB 1758, SB 1760, SB 1791, SB 1804, SB 1806, SB 1869, SB 1923, SB 1927, SB 1951, SB 1960, SB 1962, SB 2023, SB 2024, SB 2056, SB 2078, SB 2122, SB 2129, SB 2180, SB 2183, SB 2185, SB 2207, SB 2252, SB 2361, SB 2365, SB 2368, SB 2405, SB 2411, SB 2420, SB 2425, SB 2569, SB 2717, SJR 36, SJR 50, SJR 39, SJR 63, SJR 68, SCR 12, SCR 39, SCR 38, SCR 37, SCR 42, SCR 29, SB 762, SB 1596, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1539, SB 1505, SB 583, SB 957, SB 1502, SB 507, SB 1026, SB 1349, SB 1433, SB 1434, SB 310, SB 505, SB 264, SB 1364, SB 1376, SB 1585, SB 1772, SB 2016, SB 1163, SB 619, SB 1122, SB 1877, SB 732, SB 731, SB 397, SB 508, SB 1333, SB 1436, SB 964, SB 287, SB 2143, SB 261, SB 1247, SB 1882, SB 618, SB 393, SB 2243, SB 2226, SB 1919, SB 1791, SB 22, SB 651, SB 1080, SB 826, SB 1079, SB 1243, SB 1504, SB 1851, SB 1879, SB 2237, SB 1257, SB 2034, SB 1522, SB 1151, SB 596, SB 1191, SB 226, SB 570, SB 870, SB 991, SB 60, SB 1401, SB 1728, SB 586, SB 529, SB 217, SB 209, SB 1923, SB 1839, SB 387, SB 1874, SB 1872, SB 1873, SB 1921, SB 1883, SB 1620, SB 1838, SB 2024, SB 2429, SB 1999, SB 511, SB 2309, SB 2166, SB 510, SB 33, SB 2420, SB 1860, SB 1541, SB 1314, SB 1398, SB 1869, SB 1750, SB 855, SB 1233, SB 2425, SB 2037, SB 1758, SB 1759, SB 2365, SB 1924, SB 1818, SB 1405, SB 1762, SB 1968, SB 1977, SB 2077, SB 2321, SB 1662, SB 1663, SB 2124, SB 2204, SB 1855, SB 863, SB 37, SB 819, SB 2078, SB 2252, SB 1962, SB 2253, SB 825, SB 1577, SB 1184, SB 2018, SB 2206, SB 1901, SB 1030, SB 2368, SB 1963, SB 1960, SB 1643, SB 1625, SB 1299, SB 841, SB 668, SB 584, SB 231, SB 2411, SB 1085, SB 2431, SB 2231, SB 1490, SB 530, SB 34, SB 1261, SB 552, SB 1099, SB 1646, SB 2180, SB 1804, SB 1937, SB 1936, SB 2569, SB 1372, SB 1208, SB 1124, SB 1506, SB 1806, SB 1868, SB 2361, SB 2314, SB 769, SB 1409, SB 2122, SB 434, SB 1214, SB 1951, SB 2183, SB 2046, SB 1667, SB 1870, SB 1727, SB 2405, SB 2127, SB 1975, SB 1760, SB 1734, SB 1335, SB 2066, SB 2129, SB 2246, SB 2439, SB 1624, SB 1244, SB 1468, SB 2717, SB 1612, SB 1262, SB 604, SB 2395, SB 2185, SB 1832, SB 1745, SB 1746, SB 2207, SB 2023, SB 1784, SB 1524, SB 626, SB 528, SB 437, SB 269, SB 1137, SB 968, SB 636, SB 747, SB 1325, SB 1789, SB 1455, SB 2056, SB 75, SB 1940, SB 2052, SB 1927, SB 2010, SB 1579, SB 2068, SB 3034, SB 844, SB 1920, SB 1177, SB 1558, SB 1236, SB 1044, SB 926, SB 884, SB 463, SB 331, SB 227, SB 240, SB 517, SB 1200, SB 1410, SB 1626, SB 1845, SB 1863, SB 2216, SB 2681, SB 1717, SB 2053, SB 546, SB 2141, SB 2949, SB 2323, SB 2200, SB 2332, SB 2199, SB 1642, SB 1150, SB 1757, SB 2050, SB 1138, SB 2051, SB 2626, SB 2458, SB 1864, SB 30, SB 2201, SB 1862, SB 1583, SB 1583, SB 1055, SB 2660, SB 1898, SB 2662, SB 2662, SB 2161, SB 2161, SB 2964, SB 2881, SB 1065, SB 1065, SB 801, SB 2743, SB 2533, SB 2533, SB 1413, SB 1413, SB 1, SB 34, SB 310, SB 819, SB 1030, SB 1124, SB 1208, SB 1233, SB 1333, SB 1405, SB 1541, SB 1750, SB 1758, SB 1869, SB 2078, SB 2365, SB 2411, SB 762, SB 33, SB 37, SB 505, SR 402, SR 409, SB 2695, SB 2695

Keywords: constitutional amendment, veto override, legislature power, governor, Texas Constitution, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading

Transcript Highlights:

• better practices by individuals.
• It also brings ERCOT's approach more in line with practices.
• Well, if you look at any willing pharmacy, we do what we want to do.
• Use any willing pharmacy.
• I am a practicing attorney.

Bills: HB246, HB796, HB 1056, HB1544, HB1846, HB2001, HB2618, HB2625, HB2869, HB2898, HB3069, HB3114, HB3157, HB3228, HJR98, HB246

Keywords: federal directives, state authority, Tenth Amendment, government enforcement, local governance, gold standard, legal tender, currency, transactional currency, financial transactions, electronic payment systems, state finance, regulatory compliance, electric trucks, charging infrastructure, advisory council, transportation, sustainability, criminal penalties, official information

Transcript Highlights:

• Sometimes folks can't get into the pharmacy quicker than they can get to a clinic or drive an hour to
• medical supplies like nebulizer masks, pin needles, and bandages, ...but only after the Board of Pharmacy
• If Missouri is hit by tornadoes, floods, or other emergency, the Board of Pharmacy can temporarily waive
• certain rules so pharmacies can continue serving people during that disaster period.
• bill also includes language allowing ivermectin and hydroxychloroquine to be available behind the pharmacy

Summary: The House opened with prayer and the Pledge of Allegiance, then approved the House Journal for the 65th and 66th days, with the first journal approval passing by roll call 124-0. Members then offered several introductions recognizing interns and special guests, including a lengthy tribute to law enforcement officers who were wounded in the line of duty and the presentation of Capitol-flown flags to some of them. The chamber received committee reports from Fiscal Review recommending passage of several measures, including Senate Joint Resolution 87, Senate Bills 878 and 994, conference reports on House Bill 2818 and Senate Bill 973, and Senate Bill 1825. The House then took up House Bill 2818, a conference report dealing with annexation-related language for the St. Joseph Airport and added provisions affecting St. Charles and Jefferson counties. After debate about local control and development, the House approved the conference report 140-7 and then passed the bill 136-7. Members next considered Senate Bill 1825, which updates county salary commission schedules, removes sheriffs and prosecutors from salary commissions, and gives certain fourth-class counties additional time to transition to third-class status. After discussion about county pay, coroners, and local fiscal impacts, the House adopted the Senate substitute 109-35 and finally passed the bill 106-39. The House also approved House Committee Substitute for Senate Joint Resolution 87, the so-called constitutional sheriff resolution, after adopting a St. Louis City amendment clarifying the City of St. Louis sheriff provisions; the resolution passed 100-47. Finally, the House passed Senate Bill 878, which expands pharmacist authority for certain common ailments, emergency waivers, and behind-the-counter access to ivermectin and hydroxychloroquine, with a House amendment adding blood pressure cuff and opioid-alternative language; it passed 132-13. Senate Bill 903, addressing theft and vandalism involving telecommunications and critical infrastructure, also passed 137-5. The House then announced upcoming committee meetings, noted additional bills to be considered upon return, and adjourned until May 12, 2026.

Transcript Highlights:

• So, you know, pharmacies are closing. This seems like a lot to add on to that.
• So, you know, pharmacists, pharmacies are, yeah, pharmacies are closing.
• Madam Chair, members, House Bill 2732, Pharmacy Board Continuation, continues the Arizona State Board
• of Pharmacy for six years until 2032.
• Madam Chair, members, House Bill 2733, Pharmacy Board Renewals, Ownership Change, passed unanimously

Keywords: 1182, all

Summary: The caucus reviewed a long list of bills and resolutions, with staff giving brief descriptions and members flagging which items were on consent, had unanimous committee votes, or should be pulled for further discussion. Topics included education, health care, public safety, labor, water, taxation, housing, and elections. Several measures were noted as party-line or mixed votes, while many others were reported as unanimous and placed on third-read or consent calendars. Among the more discussed items were bills on school and labor policy, including a proposal to prohibit teacher strikes, a measure restricting school district bond actions, a bill requiring school safety protocols and assigning felony penalties for noncompliance, and a resolution limiting public money for labor organization activities. Members also raised concerns or requested further review on bills involving pharmacist testing authority, expired opioid antagonists, a county sheriff-related measure, a housing affordability district proposal, and a tobacco/vape regulation bill. Some measures were explicitly pulled from consent, including a Medicaid audit resolution, a budget-related pay-withholding resolution, and several education and public safety bills. The caucus also heard multiple health and human services measures, such as genetic counselor licensing, nursing board and pharmacy board continuations, foster care rights, psychiatry access funding, and free school meals. In addition, there were water and energy bills on Colorado River management, groundwater, transmission-line review, and renewable energy valuation, plus election and campaign-related proposals. The meeting ended with announcements, including an upcoming Colorado River breakfast briefing and an internal award recognizing Representative Brian Garcia, followed by adjournment.

Transcript Highlights:

• Um, but, you know, per, per the dentist, uh, the Texas Dental Practice Act, dentists are broadly allowed
• from a practical perspective.
• Aesthetics, you know, practices. OK.
• That's what our entire scope of practice is.
• a facelift or that type of surgical procedure in my practice.

Transcript Highlights:

• meet with your h meet with your practice meet with your h meet with your practice uh<01:11:34.640
• They have a comparable scope of practice as physicians and can practice in a variety of settings.
• <01:54:29.840> in with less than 5 years of practice in with less than 5 years of practice
• Only about 4% of total practice is in rural primary care physician practice.
• primary care of physician practice. primary care of physician practice.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• They provide vocational training components: certified clinical medical assistant, certified pharmacy
• instruction, career and technical education, including certified nursing assistant, medical assistant, pharmacy
• instruction, career and technical education, including certified nursing assistance, medical aid, pharmacy
• tech, Certified nursing assistants, medical aide, pharmacy tech, heavy equipment, and other programs
• program and career technical education programs, including certified nursing assistant, medical aide, pharmacy

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.