Transcript Highlights:

• So, what is any stage of development? Is it conception?
• So, at any stage of development, where is that?
• **Representative Greco:** At any stage of development means that any stage of development.
• And so if it is Any point in the development of a Homo sapiens, and that development was caused by a
• Fetuses in any stage of the Homo sapiens development cycle. Okay?

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:

• In addition, the committee hopes to develop new partnerships to enhance resources.
• raised by the committee members and stated that the next steps will be to compile the feedback and develop
• SB 841 relates to the regulation of certain mixed-use multifamily residential development projects and
• Board for the development of certain projects in economically distressed areas.
• Person economic development.

Bills: HJR99, HB1399, HB1400, HB 1094, HB365, HB 1109, HB647, HCR35, SB14, HB 12, HB1522, HB422, HB675, HB204, HB748, HB912, HJR99, HB1399, HB1400, HB 1094, HB365, HB 1109, HB647, HCR35, HCR123, HCR124, HR57, HR87, HR111, HR228, HR230, HR322, HR624, HR625, HR626, HR627, HR628, HR630, HR631, HR634, HR635, HR636, HR637, HR638, HR639, HR640, HR645, HR646, HR648, HR649, HR651, HR652, HR653, HR654, HR664, HR665, HR668, HR675, HR676, HR678, HR679, HR680, HR683, HR686, HR688, HR689, HR694, HR695, HR697, HR698, HR699, HR472, HR622, HR632, HR633, HR643, HR655, HR657, HR660, HR661, HR662, HR663, HR667, HR670, HR674, HR681, HR682, HR696

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:

• would add a writer to direct $1 million in 26 and $1 million.27 to the sickle cell task force to develop
• in each fiscal year to make up, uh, for, to replace funding from the loss of HIV vendor drug rebates
• So Can we take, um, as far as the rebate option, uh, take that down by 10 or?
• How do we want to do that as far as um we can look at the rebate number I would like to keep the long
• Page 125, pediatric childcare facility development um.

Transcript Highlights:

• They won't develop.
• <01:29:04.480> re<01:29:04.800> rebate<01:29:05.360> program the uh the uh rebates
• re rebate program the uh the uh rebates re rebate program and<01:29:06.719> uh<01:29:07.679><
• You can't get more than that. uh rebate by um whatever the the uh rebate by um whatever the the percentage
• set up to look at how um re this rebate set up to look at how um re this rebate program<01:33:30.320

Keywords: 1189, house, all

Transcript Highlights:

• One really relies on rebates; that’s the pharmacy benefit.
• One really relies on rebates; that’s the pharmacy benefit.
• One really relies on rebates; that’s the pharmacy benefit.
• One really relies on rebates; that’s the pharmacy benefit.
• One really relies on rebates; that’s the pharmacy benefit.

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• This bill by Chairman Ken King requires utilities to develop and implement comprehensive wildfire mitigation
• However, the Secretary of State must develop the processes and procedures, publish them in the register
• It's a grassroots development of interracial, interdenominational national teams of pastors who are mutually

Bills: SB27, SB8, SB15, SB30, SB268, SB568, SB650, SB1405, SB1540, SB1610, SB1637, SB1660, SB2024, SB2217, SB2308, SB2753, SB2878, SB2900, SB2972, SB3059, HB4, HB40, HB46, HB119, HB145, HB493, HB705, HB1545, HB2017, HB2516, HB2885, HB2963, HB2974, HB3642, HB3909, HB5138, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59

Keywords: immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, SB 15, Texas Local Government Code, zoning preemption, housing affordability, small lots, lot size, lot density, single-family zoning, residential subdivision, municipal land use, local control, state preemption, parking requirements, setbacks

Transcript Highlights:

• Over the next few months, this subcommittee will review. and help develop a fiscal plan that will fund
• It's going to help us develop a legislative report on the impact of social media on youth mental health
• the ADAP rebate.
• Thank you, and thank you for taking up the issue of the AIDS Drug Assistance Rebate Program again.
• We believe strongly that the AIDS Drug Assistance Rebate Program.

Keywords: 988, house, all

Transcript Highlights:

• Fund it's called the de Development Fund it's called the renewable<00:08:02.879> Development<
• um was to make the renewable development um was to make the renewable development account<00:11:
• was the electric vehicle rebates was the electric vehicle rebates electric<00:16:03.680> School
• now since the renewable Development Fund now since the renewable Development Fund now the<00:18:
• c> which the renewable development account which the renewable development account which was<00:18

Keywords: 1183, house

Transcript Highlights:

• So a rebate, when the DRA administers a rebate, taxpayers submit a ... that um this is a rebate as opposed
• :07:06.840> the<00:07:06.960> Dr work so a rebate um when the Dr work so a rebate um when
• that there is no cap on the rebate.
• She said they assumed this rebate would not carry forward.
• credits um Department shall also develop credits um Department shall also develop forms<00:56:52.000

Keywords: 928, house, all

Summary: The committee first heard HB 659, which would establish the New Hampshire College Graduate Retention Incentive Program. A Department of Revenue Administration analyst explained technical issues in the bill, focusing on whether the incentive is intended to operate as a rebate or a tax credit, how it would be administered, and how it would interact with the business enterprise tax and business profits tax. She said the bill’s language was unclear on the administering agency, effective tax years, caps, and carry-forward treatment, and noted that reducing BET can also reduce the BET credit against BPT, though not on a one-for-one basis. Committee members asked follow-up questions about the BET/BPT interaction, administrative costs, and whether the Department of Business and Economic Affairs would need additional staffing. Andrew Horn then testified in support, saying the bill is meant to address the large number of New Hampshire college graduates who leave the state after graduation by encouraging them to stay and by incentivizing businesses to hire them. The chair closed the hearing on HB 659 after no further public testimony. The committee then took up HB 770, a bill to establish a program allowing New Hampshire high school students to earn tuition credits at state higher education institutions through community service. Representative Schultz described the bill as a “triple play” intended to increase volunteerism, expand service and internship opportunities for students, and make college more affordable. Ryan Casey, a junior at Bishop Brady High School, testified that the proposal would help students reduce future loan debt while benefiting communities and encouraging young people to attend college in New Hampshire. Committee members asked about eligibility, including why private and preparatory school students were excluded, whether public school students would qualify, whether mandatory service hours would count, and how the bill’s references to education and business eligibility should be read. Schultz said the exclusion of private and prep schools was intended because public school students are more clearly New Hampshire residents, and she noted that mandatory school service hours had been excluded in revisions. The Department of Education then testified that the program would require significant administration, estimating at least three full-time staff, software or tracking systems, and rulemaking to oversee volunteer sites, schools, student eligibility, and tuition credit distribution. No vote was taken in the excerpt, and the hearing remained in testimony phase.

Transcript Highlights:

• That was the start of my share the rebates drive.
• <00:32:17.840> This which is share the rebates. This which is share the rebates.
• how how should those rebates be shared? how how should those rebates be shared?
• what led me to the share the rebates what led me to the share the rebates thing.<00:32:50.760>
• was the start of my share the rebates was the start of my share the rebates uh<00:33:08.640>

Keywords: 1187, senate, all

Transcript Highlights:

• the rebate that would come back to them. the rebate that would come back to them.
• innovation and then it would be rebated innovation and then it would be rebated back<00:16:46.560
• law that affects uh the uh rebates law that affects uh the uh rebates and<00:25:44.400> I'm
• But that's for the industry to develop.
• But that's for the industry to develop.

Keywords: 1189, house, all

Transcript Highlights:

• Byboard last year rebated $13 million back to its members over the course of the rebate program.
• Jerome Catholic Church, Waco Community Development.
• revenue from by board from the cooperative rebates yes to rebates uh...
• Or they will get a rebate. So when you talked about the $4.1 million that went to TASB.
• And then rebate that excess back to the member.

Bills: HB10, HB 12, HB675, HB10, HB12

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• They're very well-developed.
• Sort of economic development type proposals there is yes, there's a fiscal impact for a tax rebate or
• It's an economic development strategy.
• This includes new cell development and gas collection systems.
• We develop a business plan. We go to that board of managers.

Bills: HB19, HB30, HB851, HB1663, HB1681, HB1769, HB1937, HB1979, HB2428, HB2433, HB2825, HB3159, HB3424, HB3486, HB3487, HB3504, HB3605, HB3879, HB3994, HB4382, HB4752, HB5444, HB5446, HB5447, HB3199, HB4847, HB19

Keywords: local government debt, property tax, ad valorem tax, bond election, certificate of obligation, anticipation note, school district tax rate, voter-approval rate, debt service cap, municipal finance, county bonds, flood control district, hospital district, public works, tax transparency, property tax notice, November uniform election date, general obligation bonds, local debt reform, taxpayer notice

Transcript Highlights:

• I don't think it should have any negative impact on solar development or the pace of solar development
• And you see a cluster developing around climate tech, for example.
• developer based here in Massachusetts.
• Many projects take months or years to develop.
• geothermal companies or develop developers that want to work with geothermal companies.

Keywords: 995, all

Summary: The committee heard testimony on H. 4144, the Governor’s Energy Affordability, Independence, and Innovation Act, with the administration arguing the bill would lower bills in the short and long term while expanding clean energy supply and innovation. The Governor and Secretary said the bill would reduce or restructure charges on customer bills, reform Mass Save, expand securitization as a financing tool, speed interconnection, create energy-ready zones, strengthen consumer protections in competitive supply, and allow broader state procurement of energy resources. They said the package could save consumers billions over time and would help address high energy costs, especially during extreme heat and winter spikes. Committee members pressed the administration on several provisions, especially securitization, asking whether the bill requires an apples-to-apples comparison of total costs over time, including interest and lost tax revenue, versus paying through rates. Administration witnesses said DPU review and public comment would be required and said they would work to clarify the language if needed. Members also questioned the bill’s solar and procurement provisions, including reduced net metering compensation for some large facilities, the scope of all-resource procurements, and whether hydro, solar, and nuclear would be included; the administration said those resources were contemplated and that procurement would still be reviewed by DPU. Other questions focused on the short-term relief from bill changes, the treatment of low- and moderate-income discounts, and whether the bill’s heat pump and Mass Save reforms would help customers who cannot afford upfront costs. Several witnesses and committee members discussed Mass Save reforms, including securitization of program costs, on-bill financing, pre-approval of rebates, and shifting program administration away from gas utilities. Administration witnesses said the changes were intended to reduce volatility, lower administrative costs, and better align costs with long-term savings. Questions also touched on geothermal permitting, municipal participation in offshore wind procurement, and the proposed repeal of the ballot requirement for nuclear power, which the administration defended as preserving future options under heavy review. No votes were taken during the hearing portion described. Supportive testimony came from labor, environmental, business, planning, and development groups. The AFL-CIO, NECA, and the Environmental League of Massachusetts backed the bill, emphasizing lower bills, job creation, labor standards, just transition protections, and cleaner energy. NAIOP, the Massachusetts Business Roundtable, and MAPC supported provisions on energy-ready zones, interconnection reform, microgrids, extreme-heat shutoff protections, and Mass Save improvements. A HEET representative praised the bill’s use of securitization, geothermal, and utility financing tools but urged guardrails and workforce protections. Overall, testimony was broadly favorable, with most witnesses calling for refinements rather than opposing the bill outright.

Transcript Highlights:

• this Ryan White pharmaceutical rebates this Ryan White pharmaceutical rebates program<00:52:25.280
• Our WIC food rebates, so much like pharmaceutical rebates, this is another place where we use sort of
• 54:00.800> rebates<02:54:01.200> into<02:54:01.399> the incorporate those rebates
• And again, finally, you have here the rebate numbers as are the funding source for the rebates.
• 26.000> so the funding source for the rebates so the funding source for the rebates so that<02

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• I'm looking forward to the Walner Youth Development Center.
• Youth Development Youth Development Center Center Center I<02:07:29.760> represent<02:07:
• where we would see an increase in rebate where we would see an increase in rebate Revenue<02:11:
• the back end is higher increase rebate the back end is higher increase rebate Revenue<02:11:57.199
• price minus the rebate is cheaper than if we ordered the generic.

Keywords: 928, house, all

Summary: The meeting began as a Division 3 work session on HB 71, but much of the early discussion focused on whether a previously discussed non-germane amendment could be considered or voted on that day. Members and the chair debated process and notice requirements, and the clerk’s guidance was that the amendment needed a separate public hearing before the full Finance Committee. The amendment was described as requiring DHHS contracts and addenda to include compliance with the Patient Bill of Rights, with a repeal date so the requirement would expire on November 30, 2026. The motion to move OTP on HB 71 with the amendment was withdrawn, and the committee agreed the amendment would be scheduled for a future full Finance hearing instead. The committee then turned to HB 71 itself and heard testimony from DHHS representatives John Williams and Jenny O’Higgins on the fiscal note and policy implications. Members questioned the estimate that the bill could put $12 million to $18 million per year in federal funding at risk, including HUD and Office of Refugee Resettlement funds. DHHS explained that the estimate was based on a broad reading of the bill’s term “specified alien,” which they said was not clearly defined in the bill, so they analyzed it using the federal definition of “alien” and assumed the bill could affect lawfully present non-citizens as well as undocumented individuals. They said the figure represented a worst-case scenario and that they were not claiming the loss was certain. Members also pressed DHHS on whether the bill could affect emergency sheltering in schools, public academies, or institutions of higher learning during disasters. DHHS said the language could create conflicts with federal funding conditions because emergency shelter programs generally cannot impose barriers on who may be sheltered, and they warned that excluding certain people could affect refugee-related and HUD funding. Questions were raised about whether the bill’s language would apply to private institutions as well as public ones, and whether the state could still use schools in short-term emergencies. DHHS said the language was broad, that they could not answer every legal question definitively, and that they would need input from public health and legal staff. No final vote on HB 71 was taken in the portion provided; the committee remained in discussion/work session mode after the amendment motion was withdrawn.

Transcript Highlights:

• back to formulary or they give rebates back to formulary or they give rebates back to the the the PBM
• And those rebates really should go PBM. And those rebates really should go PBM.
• will remedy that part that the rebates will remedy that part that the rebates will go back to the plan
• should where the rebate should where the rebate should go.
• in in in my little town. development in in in my little town. development in in in my little town.

Bills: SCR 13, SCR 24, SB 1, SB 12, SB 15, SB 17, SB 24, SB 57, SB 65, SB 213, SB 371, SB 372, SB 378, SB 379, SB 388, SB 400, SB 402, SB 427, SB 495, SB 499, SB 502, SB 509, SB 535, SB 583, SB 610, SB 621, SB 650, SB 706, SB 740, SB 840, SB 854, SB 856, SB 875, SB 893, SB 918, SB 925, SB 974, SB 995, SB 1006, SB 1018, SB 1025, SB 1061, SB 1073, SB 1106, SB 1121, SB 1194, SB 1252, SB 1253, SB 1268, SB 1300, SB 1343, SB 1362, SB 1447, SJR 36, SJR 12, SJR 57, SCR 25, SCR 22, SCR 12, SCR 24, SCR 8, SB 565, SB 372, SB 765, SB 62, SB 666, SB 707, SB 888, SB 687, SB 847, SB 1248, SB 740, SB 14, SB 1006, SB 504, SB 925, SB 1121, SB 995, SB 857, SB 305, SB 296, SB 284, SB 815, SB 1379, SB 1300, SB 1497, SB 1499, SB 1498, SB 1061, SB 65, SB 241, SB 304, SB 402, SB 499, SB 621, SB 974, SB 1023, SB 1024, SB 1025, SB 1106, SB 686, SB 112, SB 371, SB 204, SB 400, SB 609, SB 1447, SB 670, SB 502, SB 427, SB 850, SB 854, SB 413, SB 1555, SB 1362, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 987, SB 1539, SB 893, SB 447, SB 875, SB 406, SB 509, SB 985, SB 965, SB 1119, SB 1505, SB 24, SB 57, SB 1194, SB 1253, SB 1215, SB 1532, SB 1268, SB 1302, SB 856, SB 650, SB 583, SB 673, SB 840, SB 213, SB 681, SB 1172, SB 1252, SB 378, SB 610, SB 918, SB 1343, SB 608, SB 487, SB 955, SB 957, SB 988, SB 990, SB 1019, SB 1021, SB 1120, SB 251, SB 958, SB 535, SB 761, SB 1, SB 541, SB 315, SB 379, SB 1018, SB 1737, SB 266, SB 1415, SB 57, SB 499, SB 974, SB 1025, SB 1061, SB 1268, SR 302, SR 303, SR 304, SR 305, SB 30, SB 1333, SB 1666, SB 30, SB 1333, SB 1666

Keywords: water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, Texas, Israel, trade, investment, partnership, economic ties, technological innovation, bilateral relations, appropriations, budget, state funding, education, healthcare

Transcript Highlights:

• How can we realistically believe that these companies, who, based on the rebates they receive from the
• Most importantly, the proprietary piece is what percentage rebate... ...the proprietary piece is what
• percentage rebate, you know, pharmacists call it kickback, but what percentage rebate are these companies
• You say that Pharma in your letter is increasingly concerned about the substantial rebates and discounts
• I most recently served as Undersecretary of Economic Development for the Healey-Driscoll administration

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• It also changes the eligibility requirements to receive a rebate.
• right now um allocates 40% of the rebate right now um allocates 40% of the rebate funding<00:26:
• It basically makes some changes to the e-bike rebate program to make it more accessible.
• Section one is the statutory language for the e-bike rebate program.
• <00:45:43.680> to sure that we're getting the rebates to sure that we're getting the rebates

Keywords: 1183, house

Transcript Highlights:

• <00:43:16.800> tools forward we've worked on developing tools forward we've worked on developing
• backyard poultry and then developed backyard poultry and then developed severe<01:06:05.440>
• Work is also being done to develop mRNA vaccines.
• They keep the rebates and put drugs on there that they get the biggest rebates from rather than what's
• c> rather<01:32:33.920> than get the biggest rebates from rather than get the biggest rebates

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee convened for its first meeting of the 2025 session, with Chair Melissa Wiklund outlining the new co-chair arrangement, rotating gavel, committee size of 12, and the seven-vote threshold needed to move bills and motions. Members and staff introduced themselves, including several new senators, committee administrators, counsel, fiscal staff, researchers, and new pages. The committee then began its agenda with an overview of the Minnesota Department of Health from Deputy Commissioner Wendy Underwood. Underwood described MDH’s mission and structure, emphasizing public health’s focus on prevention, population health, and the social and economic factors that drive health outcomes. She highlighted the state’s health disparities, the department’s five bureaus, and major work areas including infectious disease response, newborn screening, environmental health, chronic disease prevention, health regulation, health equity, and operations. She also discussed the Center for Health Care Affordability, saying the department has been meeting with stakeholders and has hired a director to begin work on advisory bodies and community engagement around rising health care costs. Members asked questions about physician shortages, burnout, administrative burden, and health care bureaucracy. Senator Grunhagen argued that excessive paperwork and micromanagement are worsening access and workforce shortages, while Senator Abeler asked for data on whether past disparity programs have been effective and whether some efforts should be consolidated. Underwood said MDH has rural health programs, workforce supports such as loan forgiveness, and research on administrative costs and low-value services, and she noted the department has published legislative reports with more data to come. The chair then moved the committee to a broader discussion of public health system development in Minnesota, introducing City of Bloomington officials to present on a recent report.