Transcript Highlights:

• I'm an independent pharmacist with Terrytown Pharmacy here in Austin.
• I'm with the Texas Pharmacy Association, and on behalf of myself, I'm in support of the bill.
• My committee director says she loves your pharmacy. Yeah.

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas

Transcript Highlights:

• There is interest that compounds and grows. There's recourse.
• There's some type of Interest that compounds and grows. There's recourse.
• But there's no compounding.
• So each transaction is its own individual transaction, but there's no compounding.
• But there's no compounding.

Summary: The House Commerce Committee heard House Bill 2181, which would extend the deadline for funeral establishments or responsible individuals to complete and submit death certificates. The committee adopted an amendment reducing the maximum extension to 14 days and clarifying that the medical certification deadline for health care providers excludes weekends and holidays. Testimony from a mortuary owner and the sponsor described delays caused by doctors’ schedules, county processing, holidays, and families needing more time; some members argued the bill did not address the underlying accountability problems for doctors and counties, while others supported the added flexibility. HB 2181 was approved 6-4-1 with a due pass recommendation. The committee then heard House Bill 2682, which creates a DES rental assistance program providing up to two months or $5,000 in aid and appropriates $5 million from the general fund for administration. Supporters said the bill would help families facing short-term crises stay housed, reduce evictions, and serve as a preventive measure that could save money downstream; a constituent testified in Spanish about receiving emergency rental help after falling behind. Some members raised concerns about the program’s cost, the limited target population, and whether seniors should be included, while others supported it as a pilot and asked for possible amendments. HB 2682 passed 7-4. House Bill 2698, which creates a rental assistance study committee to evaluate the effectiveness of such programs and repeals the committee in 2028, was heard next and passed on a 7-4 vote. The committee then considered House Bill 2476, revising CPA certification and reciprocity requirements by creating multiple pathways to licensure and updating related rules and fees. Supporters said the bill would help address a CPA workforce shortage and align Arizona with other states; after questions about whether the bill made licensure harder or easier, the committee unanimously approved HB 2476, 11-0. Finally, the committee began House Bill 2308, which would bar dental insurers and certain holding companies from owning dental practices. The sponsor and Arizona Dental Association argued the bill would prevent conflicts of interest and preserve separation between payers and providers, while Delta Dental opposed the measure as overbroad and potentially burdensome for nonprofit insurers and investors. After discussion about private equity, nonprofit charity care, and vertical integration, the bill was approved 8-0 with three members present. The committee then started House Bill 2118 on mobile food vendors, with the sponsor and food truck operators arguing it would streamline duplicate local permitting, while cities and some vendors opposed it as a loss of local oversight and control; testimony continued, but no final action on HB 2118 appears in the excerpt.

Transcript Highlights:

• There is interest that compounds and grows. There's recourse.
• But there's no compounding.
• So each transaction is its own individual transaction, but there's no compounding.
• But there's no compounding.
• So each transaction is its own individual transaction, but there's no compounding.

Bills: HB2118, HB2181, HB2308, HB2309, HB2402, HB2476, HB2682, HB2698, HB2875, HB2877, HB2903, HB2910

Keywords: mobile food vendors, licensure, food safety, statewide regulations, health standards, zoning, temporary vendors, HB2181, death certificate, death certificates, vital records, funeral establishment, funeral home, human remains, medical certification of death, death registration, state registrar, local registrar, county medical examiner, alternate medical examiner

Transcript Highlights:

• It compounds over years, right? And that's how you can... ...is a multiple?
• It compounds over years, right? And that's how you can get to 21, 22%.
• Because, as MRTA stated correctly, when the 13th paycheck goes away and it does not compound, it creates
• If it does compound, then it would have a significantly higher cost.

Summary: The Committee on Pensions met without a quorum at first, then later returned to executive session and held several bill hearings. Representative Haley presented House Bill 295, which would allow PSRS retirees who have reached the 80% COLA cap to receive an additional 2% COLA in years when investment returns exceed the system’s assumed rate and CPI conditions are met. Haley and supporters from the Missouri Retired Teachers Association said the bill was narrowly targeted, non-cumulative, and protected by guardrails; committee members questioned whether it could affect funding stability. PSRS/PEERS counsel testified informally that the proposal would function like a one-time “13th paycheck,” would affect about 3,400 PSRS and 800 PEERS retirees, and would cost roughly $32 million for PSRS and under $1 million for PEERS, while emphasizing the systems’ smoothing policy and funded status. The committee then adopted a substitute and passed House Committee Substitute for House Bills 2884 and 1655 by a 12-0 vote. The substitute combined language dealing with St. Louis police retirement board quorum/appointment timing, public employee retirement system provisions, and public school retirement system board quorum/vote requirements, and it also added clarifying language so retirement systems could continue routine informational communications without using funds to support ballot measures. The committee next took up House Committee Substitute for House Bills 1762 and 2059, which would increase the income tax deduction for private retirement income and raise the income threshold for eligibility. Supporters argued it would provide parity with the earlier public-pension tax break and help retirees and self-employed taxpayers; opponents raised concerns about the fiscal impact and timing. The substitute passed 8-4. Representative Bromley then presented House Bill 2144, which would increase the PSRS death benefit from $5,000 to $10,000. He said the current amount no longer covers funeral costs and that the change would help older retirees’ families. MRTA supported the concept but urged caution about system solvency and suggested looking at PEERS as well; PSRS/PEERS counsel testified that the benefit applies to all vested PSRS members, would cost about $137.8 million in actuarial liability, and would reduce the trust fund by about 0.19%. An EMPERS representative confirmed that system also has a $5,000 death benefit and uses similar third-party death-notification services. Finally, Representative Mayhew briefly presented House Bill 2205, which would exempt all public and private retirement income from Missouri income tax; no one testified in support or opposition, and the hearing adjourned after no further discussion.

Transcript Highlights:

• Should we have pharmacy in this category listing? Um because Um, because that is a key cost driver.
• So, would we want to consider adding pharmacy services?
• and then we added pharmacy and adult well<00:27:27.080><c> visits.
• Is it in pharmacy? Is it in substance use disorder? Where are the cost drivers?
• Is it in pharmacy? pharmacy? pharmacy?

Keywords: 958, all

Summary: The subcommittee held its first meeting to discuss creating a Healthcare Transparency Dashboard focused largely on Kentucky Medicaid. Members introduced themselves and described their interest in using data transparency to improve policy, access to care, and program efficiency. The co-chairs said the dashboard should begin with a basic framework and expand over time, with a mission centered on collaboratively designing and maintaining a secure, data-driven dashboard housed with the Legislative Research Commission. Discussion focused on what should be measured and how data should be organized. Members agreed the dashboard should segment Medicaid populations rather than aggregate them, with separate attention to aged and disabled enrollees, expansion adults, and children. Suggested measures included emergency department utilization and follow-up, cancer screenings, child and adolescent well visits, adult well visits, postpartum care, newborn screenings and follow-ups, hospitalization and readmission rates, pharmacy, behavioral health, and claims data. Several members emphasized the need to include demographic and geographic information, while noting some items such as education may not be readily available in Medicaid data and that HIPAA and access issues will affect how detailed the public-facing dashboard can be. Members also discussed existing data sources and warned against duplicating work already being done by the cabinet, the Office of Data Analytics, CMS scorecards, and university Medicaid directed payment reporting. The group was encouraged to review the Medicaid and CHIP scorecard, which includes quality, administrative, and program characteristic measures, as a possible model. No formal votes were taken, but the subcommittee agreed to continue refining the mission statement, identify priority metrics, and consider benchmarking, outcomes, data-sharing, and technical platform issues before the next meeting.

Transcript Highlights:

• Part of your testimony, you said that with regular rate adjustments there could be potential compounding
• It would be a public perception of compounding rather than an actual compounding that way.
• okay it be a that would all compound okay it be a public<01:38:00.760><c> perception</c><01:38:01.199
• ><c> of</c><01:38:01.440><c> of</c><01:38:01.599><c> compounding</c> public perception of of compounding
• that way yeah okay we and it compounding that way yeah okay we trying<01:38:07.719><c> to</c><01:38:

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with SB 48 SD2 HD1 relating to combat sports. The Attorney General offered a technical comment on the bill’s effective date, and several testifiers from the combat sports community strongly supported the measure with amendments. They argued that boxing and MMA should be treated separately, that the current regulatory structure has made events too costly and reduced opportunities, and that more local oversight would help revive the sport and give youth a constructive outlet. Committee members questioned whether the bill’s medical staffing requirements would apply to boxing, MMA, or both, and whether the added requirements would increase costs and reduce access. The witness from the combat sports community said amateur boxing is already regulated through USA Boxing, that the DCCA should focus on professional boxing, and that for safety he would support two physicians and one ambulance for boxing and MMA events. The committee then took up SB 117 SD2 HD1 relating to transportation. The Department of Transportation and the Ulon Initiative testified in support, and the bicycling community was listed as supporting as well. Members focused on the bill’s rebate program for electric transportation devices, asking how successful it had been and whether removing the rebate would affect use. DOT said the program began in February 2023 and had issued about 500 rebates totaling roughly $166,000, aimed at helping people without vehicles access transportation options. The department explained that the bill would broaden access and increase the rebate amount, including additional assistance for low-income applicants. Finally, the committee heard SB 897 SD3 HD1 relating to energy and wildfire liability. The Division of Consumer Advocacy, the Public Utilities Commission, the Attorney General, Clearway Energy Group, Ulon Initiative, Kawai K, IBEW Local 1260, and Hawaiian Electric all testified in support, while the Hawaii Association for Justice was listed as opposed but not present. Supporters said the bill would help finance wildfire mitigation and infrastructure improvements through securitization, reduce wildfire risk, and address utility cost and credit concerns. Hawaiian Electric emphasized that the bill is forward-looking, would help protect customers from future wildfire-related cost increases, and requested amendments including a study on a future wildfire recovery fund. In questioning, members pressed Hawaiian Electric on the liability cap, asking whether it would have applied to the Maui wildfires and whether it would cover personal injury or wrongful death; the witness and company counsel clarified that the aggregate cap applies only to qualifying property damage, not personal injury or wrongful death, and said they would follow up on how the cap would calculate in a Maui-type event. Hawaiian Electric also said it would seek financing under the bill if enacted and updated members on settlement funding efforts, including raising the first $550 million in equity and divesting assets to help meet its obligations.

Transcript Highlights:

• >> Um the testing plan that we received looks at uh volatile organic compounds, semivolatile organic
• compounds, TPH, total petroleum hydrocarbons, and metals. >> Okay.
• ,</c> looks at uh volatile organic compounds, looks at uh volatile organic compounds, VOCC's,<01:09:02.319
• ><c> semivolitile</c><01:09:03.120><c> organic</c><01:09:03.520><c> compounds,</c> VOCC's, semivolitile
• organic compounds, VOCC's, semivolitile organic compounds, SVOCC's, SVOCC's, SVOCC's, um<01:09:06.640

Keywords: 910, house, all

Summary: The House Special Committee on Red Hill received an update from the Hawaii Department of Health and EPA Region 9 on regulatory oversight of the Red Hill facility, the Navy drinking water system, and ongoing environmental investigation and cleanup. The agencies reviewed the authorities governing the work, including DOH’s emergency orders, EPA’s 2023 administrative consent order, and the older 2015 agreement, and explained that the newer framework is being used for most current oversight because it includes closure, remediation, drinking water protections, and stronger community engagement requirements, even though some requirements overlap. EPA and DOH reported major milestones and current work. Defueling was completed in March 2024, with about 104 million gallons removed, and the agencies said this eliminated the risk of another catastrophic release. They described the current tank-closure phase, expected to finish in July 2029, along with site assessment, site investigation, remediation, and long-term monitoring that may continue through at least 2040. They also summarized drinking water actions: emergency response flushing and sampling after the 2021 spill, lifting of the public health advisory in 2022, completion of extended drinking water monitoring in 2025, and ongoing system improvements such as repairs, flushing plans, valve work, complaint-response protocols, and upgrades to storage tanks and pumps. Members asked several questions about monitoring results, the meaning of TPH, the status of the 2015 agreement, and the Navy’s groundwater model. EPA said its sampling and the Navy’s results were in alignment during extended monitoring, and that it plans to issue a summary report covering the full response period. On the groundwater model, EPA and DOH said they have not yet approved it for decision-making, are reviewing it iteratively with outside experts and University of Hawaii data, and may approve it for specific uses in the future. DOH said its latest comment letter states the model cannot yet be used for decision-making purposes, and noted that UH’s separate modeling work is contingent on funding and may not be completed until next spring. The agencies also said they continue community outreach through open houses, webinars, neighborhood boards, legislative hearings, and fuel tank advisory committee meetings.

Transcript Highlights:

• We're also pleased that we are the only state institution that has pharmacy and architecture.
• It is also important to note that programs like pharmacy, law, and medicine don't typically use those
• Like she said, I'm a recent doctor of pharmacy graduate.
• When I joined the group, it consisted of six School of Pharmacy faculty members who not only gave me
• Many of these efforts, along with our expansion of our pharmacy program, are being done in partnership

Keywords: 908, all

Transcript Highlights:

• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• There are some high-cost pharmacy side.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• These governance failures are compounded by major program shortcomings, including a traceability system
• These governance failures are compounded by major program shortcomings, including a traceability system
• The substitute prohibits kratom products that are mixed with compounds known to inhibit certain enzymes

Bills: SB6290, SB6282, SB5379, SB6197, SB6158, SB6302, SB5882, SB6303, SB6180, SB6195, SB6196, SB6204, SB6287

Keywords: liquor regulation, cannabis board, reorganization, state agency, governance, apprenticeship, behavioral health, construction trades, workforce training, wellness, interest arbitration, parks and recreation, public employees, labor relations, employee rights, SB 6197, plumbing contractor, plumber, contractor licensing, licensing enforcement

Transcript Highlights:

• And it starts to compound upon itself. And I can't get my license until I pay it.
• It just takes out... ...what I would argue is an unnecessary compounding element. Thank you.
• But what doesn't happen is what you're talking about: this ongoing compounding of fines and fees that
• And most of those additional ones are the product of the compounding effect of this program.
• What they have seen is fewer people being tripped up and double-, triple-, quadruple-fined, compounded

Summary: The committee heard testimony on several public safety, criminal justice, and regulatory bills. HB 4995 would create a training and certification program allowing licensed physicians and certain EMS personnel assigned to tactical units to carry firearms during high-risk deployments, with supporters saying it would let tactical medical staff protect themselves while providing immediate care; the bill was left pending. HB 2609 would repeal the failure-to-appear-or-pay/OmniBase license-hold program, with the author and advocates arguing it creates compounding debt and unnecessary barriers to driving, while judges and municipal court representatives said the program is a voluntary, cost-effective tool that improves court appearances and reduces warrants; the bill was also left pending. HB 4879 would create a grant program to help local law enforcement pay for lab testing of suspected hemp/Delta-9 THC substances, and HB 5436 would let licensed auto recyclers buy certain untitled vehicles for scrap or parts to curb illegal sales, VIN cloning, and chop shops; both measures were left pending after brief testimony in support. The committee also heard HB 1777, which would require a discrete designation on driver’s licenses and state IDs for people required to register as sex offenders. The author and supporters argued the marker would help law enforcement and businesses quickly identify potentially dangerous offenders and prevent harm, while opponents called it a stigmatizing “scarlet letter” that would increase harassment, family harm, and reintegration barriers. The bill was left pending. HB 4155 would create a two-year Family Violence Criminal Homicide Prevention Task Force in the Governor’s Office to study family violence homicides, gather stakeholders, and recommend policy changes; the author, HHSC, the Texas Council on Family Violence, and a survivor testified in support, and the bill was left pending. The committee also heard HB 4514, which would authorize DPS to use facial image verification, with consent and privacy safeguards, to help businesses confirm identities and combat fraud; supporters from the lumber and identity-verification industries said it would reduce theft and fraud, and the bill was left pending. Finally, HB 5139 would clarify that peace officers and jailers are justified in using less lethal force weapons when acting within training and official duties; law enforcement groups supported the measure as a way to encourage use of less lethal tools without fear of prosecution, and testimony was underway when the transcript ended.

Transcript Highlights:

• The College of Pharmacy receives $1.4 million a year.
• </c> example um the College of Pharmacy example um the College of Pharmacy receives<00:35:54.680><c>
• <00:36:13.000><c> residency</c><00:36:13.599><c> program</c><00:36:13.880><c> president</c> pharmacy
• residency program president pharmacy residency program president Cunningham<00:36:15.560><c> I'm</c><
• For the record, my name is Amy Pittinger, and I'm the interim dean for the College of Pharmacy at the

Keywords: 1183, house

Transcript Highlights:

• Layers of administration, pharmacy benefit managers, and insurance pull critical decision-making away
• Layers<00:02:16.240><c> of</c><00:02:16.360><c> administration,</c><00:02:17.600><c> pharmacy</c> Layers
• of administration, pharmacy Layers of administration, pharmacy benefit<00:02:18.520><c> managers,</c

Keywords: 1183, house

Summary: House DFL leaders held a press event outlining an affordability agenda focused on housing, child care, health care, groceries, energy, and taxes. Speakers argued that Minnesota families are being squeezed by rising costs and income inequality, and said the caucus would pursue policies aimed at lowering everyday expenses and shifting more costs onto corporations and wealthy residents. Representative Bierman said health care costs are pushing people to skip care and called for system reforms, including moving toward a more universal model and reducing the role of insurers and pharmacy benefit managers. Representative Kotiza-Wazhushk said the caucus is pushing for universal or low-cost child care, expanded pre-K and community-based care, and a bill to stop grocery surveillance price gouging. Representative Acomb and other energy leaders said the House DFL wants to lower utility bills through more energy assistance, weatherization, renewable energy support, limits on utility cost recovery for lobbying and executive pay, and stronger PUC authority to prevent shutoffs and limit rate increases. Representative Agbaje described housing as unaffordable for many renters and homeowners, cited a shortage of housing units, and said the caucus supports restricting private equity and corporate purchases of single-family homes. Leader Stevenson framed the agenda as a response to a budget picture that he said reflects gains for corporations and wealthy Minnesotans, and he criticized federal tax policy and Medicaid cuts. In response to questions about cost, he said several proposals would not require state spending, while others could be funded by looking at new revenue and at those who benefited most from recent tax changes. The event also included a detailed explanation of the grocery surveillance pricing proposal, which would restrict the use of personal data and AI to set individualized prices and limit rapid electronic shelf price changes. No votes were taken.

Transcript Highlights:

• And then also the university, from the School of Pharmacy.
• </c><02:27:14.160><c> Um</c> um from the School of Pharmacy. Um um from the School of Pharmacy.
• ,</c> &gt;&gt; Yeah, on on the School of Pharmacy, &gt;&gt; Yeah, on on the School of Pharmacy, I<02:
• </c> whole pharmacy issue. whole pharmacy issue.
• </c> them and the school of pharmacy. them and the school of pharmacy.

Keywords: 916, all

Transcript Highlights:

• You know, when you go to a pharmacy...
• There are pharmacy techs, there are pharmacy assistants that are there at the counter supporting customers
• And it becomes very difficult because people have been participate whether we did something with pharmacies
• let's put up signs or let's let a doctor write a prescription and get it from from drugstores, pharmacies

Bills: SB5, SB11, SB12, SB9, SB42, SB15, SB5, SB11, SB12, SCR1

Keywords: hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity

Transcript Highlights:

• agencies, provide home-delivered meals, medical equipment, and supplies, and most recently, we opened a pharmacy
• But how about if you could bring a pharmacy and pharmacy technician to every bedside to participate in
• that through the use of smart room technology, where we are creating, for lack of a better word, a pharmacy
• technician bunker, where I'm sitting as a pharmacy technician away from the bedside and logging into

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• chemistry, toxicology, and the health risk of botanical products, including kratom and kratom-derived compounds
• What is important to understand is that these two compounds, mitragynine and 7-OH, are not really equal
• Second, one kratom-related compound, specifically 7-OH, behaves much more like a traditional opioid than
• now is the spread and uncontrolled spread of products that concentrate Spread and concentrate this compound
• potential of the kratom alkaloid 7-OH, which is an analgesic, anti-inflammatory, and antioxidant compound

Summary: The committee held an informational hearing on kratom and 7-hydroxymitragynine (7-OH), focusing on public health risks, overdose deaths, and regulatory gaps in California. The chair opened by noting that FDA and CDPH consider kratom and 7-OH products unlawful for consumption, yet they remain widely sold in smoke shops, vape stores, gas stations, and convenience stores. The hearing was framed as part of ongoing legislative work, including a future review of AB 1088, and members emphasized the need to weigh potential benefits against risks and consider whether stronger safeguards are needed. Expert testimony from a toxicology professor and several public health and medical officials described kratom as a plant with multiple alkaloids, with 7-OH identified as the more potent opioid-like compound associated with tolerance, dependence, withdrawal, and respiratory depression. CDPH reported 362 kratom-related overdose deaths in California from 2019 to 2023 and 15 deaths involving 7-OH, while Los Angeles County officials described unexplained deaths in young adults that led them to expand toxicology testing and identify 7-OH as a common factor. County and state public health representatives said they have issued advisories, contacted retailers, removed products from shelves, and taken enforcement actions, but they stressed that local enforcement is patchy, under-resourced, and limited by unclear jurisdiction and lack of testing capacity. Medical witnesses said patients are presenting with 7-OH dependence and withdrawal in ways similar to fentanyl-related cases, sometimes requiring buprenorphine, methadone, or repeated naloxone. They argued that unregulated retail sales and misleading marketing make the products especially risky, and that a statewide framework would be more effective than a patchwork of local ordinances. Some officials said the safest current policy is to keep kratom and 7-OH unlawful for consumption, while others said any new regulation would need resources, packaging rules, and clearer authority for enforcement. Industry and consumer advocates urged the committee to distinguish natural kratom leaf from concentrated or synthetic 7-OH products. They argued that kratom leaf has long-standing use, that 7-OH should be targeted rather than the whole plant, and that regulation should focus on age limits, labeling, testing, serving-size caps, and restrictions on adulterated products rather than prohibition. Several speakers warned that bans could push demand to the black market and reduce access for people using the products for pain relief or harm reduction, while critics of the industry said the products are being marketed deceptively and that more comprehensive regulation is needed.

Transcript Highlights:

• pressure medication, that medication is going to be more accessible and more affordable and at many pharmacies
• accessible and more affordable and at accessible and more affordable and at many<00:04:42.960><c> pharmacies
• for you than it would be many pharmacies for you than it would be if<00:04:45.840><c> pharma</c><00:
• You've talked about how this is for our rural pharmacies and our safety net facilities.
• this from Minnesotans when I meet with them in town halls and so forth, because people go to the pharmacy

Keywords: 1187, senate, all

Transcript Highlights:

• House Bill 3009 provides clear statutory guidance for pharmacies in Missouri, pharmacies that serve low-income
• Louis County: So they would get their medications from a different pharmacy? Is that? Lady from St.
• I just couldn't— we've heard so many pharmacy bills.
• Speaker, this is a good bill, especially in cases of emergency when we need nonprofit pharmacies to come
• their medication when there's chaos and they don't know whether they can't get to their regular pharmacy

Keywords: 959, house, all

Transcript Highlights:

• right in the upper gallery, under education, you're going to see some great pharmacists, some great pharmacy
• Louis College of Pharmacy, and she is from Dunklin County and went to school with my son.
• Louis College of Pharmacy at St. Louis University studying pharmacy.
• Louis College of Pharmacy at St. Louis University, studying pharmacy.

Summary: The House first approved the previous day’s journal by roll call vote, 112-2, and then spent time on numerous guest introductions and recognitions. Guests included former Rep. Bill E. Kidd, students and school officials from several districts, pharmacy students, community and labor representatives, Alliance for Life members, Link community partners, and the student who led the Pledge of Allegiance. A personal privilege announcement also recognized a legislator’s son’s birthday. The main floor debate centered on House Committee Substitute for House Bills 21, 22, and 1626, the Missouri Nuclear Clean Power Act. Supporters argued the bill would remove a roadblock to small modular nuclear reactors by allowing construction work in progress (CWIP), lower long-term electricity costs, attract industry, and help Missouri meet future baseload demand, especially for data centers and other large users. Opponents said the measure would shift risk and cost overruns to ratepayers, cited past nuclear cost overruns and safety concerns, and argued Missouri voters had previously rejected such financing. After extended debate and several inquiries, the House adopted the committee substitute and ordered the bills perfected and printed. The chamber then perfected and printed House Bill 1881, which would make xylazine a Schedule III controlled substance. The sponsor and supporters said the drug is a dangerous animal tranquilizer increasingly used in illicit fentanyl mixtures, while the bill preserves legitimate veterinary and agricultural uses. Members from both rural and urban districts supported the measure, and the House adopted an amendment clarifying penalties for knowingly starving an animal and false reporting in animal abuse cases. Finally, the House took up House Bill 2292, which would encourage cross-reporting among agencies handling child, elder, and companion animal abuse. The sponsor said abuse in one area often correlates with abuse in the others and that the bill would use existing agencies rather than create a new department. An amendment was also offered to strengthen elder-abuse investigations by allowing post-certified investigators in the Department of Health and Senior Services to assist law enforcement and obtain records. The discussion emphasized protecting vulnerable Missourians and improving coordination among investigators and local police.