Transcript Highlights:

• I look forward to working with you all, and my priorities are health care transparency, pharmacy benefit
• I look forward to working with you all, and my priorities are health care transparency, pharmacy benefit
• I look forward to working with you all, and my priorities are health care transparency, pharmacy benefit
• <00:18:56.280> benefit<00:18:57.159> Clarity transparency Pharmacy benefit Clarity
• um again I think share best practices um again I think over<01:20:14.480> the<01:20:14.600>

Keywords: 928, house, all

Summary: The meeting began with introductory remarks for new and returning members of the House Commerce Committee, led by Chairman John Hunt. Members briefly introduced themselves and their backgrounds, and several noted the committee’s bipartisan, collegial tone. Hunt explained the committee’s structure and traditions, including the division into three subcommittees: banking and business, consumer protection, and liquor commission matters, with insurance now handled as a single area. He also reviewed basic hearing procedures, including decorum, questions for information only, and the committee’s practice of moving bills through subcommittees before full committee executive sessions. The committee then heard an overview from the New Hampshire Insurance Department, led by Commissioner DJ Bettencourt and staff. The department described its mission as promoting a safe and competitive insurance marketplace and emphasized consumer protection, market competition, and affordability. Officials outlined the department’s responsibilities, including licensing insurers, producers, adjusters, and TPAs; reviewing insurance forms; regulating companies and market conduct; overseeing financial solvency; and investigating insurance fraud. They also noted that the department is self-funded through assessments on insurers, collects premium taxes and fees for the state, and returned more than $2.7 million to companies in fiscal year 2024 due to underspending. The presentation also covered the broader regulatory framework for insurance, including the role of the National Association of Insurance Commissioners in promoting uniform standards across states and territories. Officials said New Hampshire licenses about 1,200 insurance companies and roughly 245,000 producers and adjusters, and that the department’s financial examinations are part of an accreditation system used nationwide. No votes or formal committee actions were taken in the portion provided; the session was primarily organizational and informational, with the insurance department presentation beginning the committee’s substantive work for the term.

Transcript Highlights:

• <00:10:20.079> Pharmacy paid out and that is pharmacy.
• Pharmacy paid out and that is pharmacy.
• Pharmacy is<00:10:20.800> by<00:10:21.040> far<00:10:21.200> the<00:10:21.440>
• All across the Commonwealth of Kentucky<01:57:26.320> and<01:57:26.560> practically<01:
• 57:27.119> every<01:57:27.520> county, Kentucky and practically every county, Kentucky

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• One is the proposal around the pharmacy<00:43:21.800> carveout.
• <00:43:22.800> So<00:43:23.040> again,<00:43:23.359> this pharmacy carveout.
• So again, this pharmacy carveout.
• benefit out of our managed our pharmacy benefit out of our managed care<00:43:29.680> um<00:43
• I'll bring up a much broader topic about this, but lately, um, and so just see this—the industry practices

Keywords: 1187, senate, all

Bills: HCR1, HCR2, SB2001, SB2002, SB2003, SB2004, SB2005, SB2006, SB2007, SB2008, SB2009, SB2010, SB2011, SB2012, SB2013, SB2014, SB2015, SB2016, SB2017, SB2018, SB2019, SB2020, SB2021, SB2022, SB2023, SB2024, SB2025, SB2026, SB2027, SB2028, SB2029, SB2030, SB2031, SB2032, SB2033, SB2034, SB2035, SB2036, SB2037, SB2038, SB2039, SB2040, SB2041, SB2042, SB2043, SB2044, SB2045, SB2046, SB2047, SB2048, SB2049, SB2050, SB2051, SB2052, SB2053, SB2054, SB2055, SB2056, SB2057, SB2058, SB2059, SB2060, SB2061, SB2062, SB2063, SB2064, SB2065, SB2066, SB2067, SB2068, SB2069, SB2070, SB2071, SB2072, SB2073, SB2074, SB2075, SB2076, SB2077, SB2078, SB2079, SB2080, SB2081, SB2082, SB2083, SB2084, SB2085, SB2086, SB2087, SB2088, SB2089, SB2090, SB2091, SB2092, SB2093, SB2094, SB2095, SB2096, SB2097, SB2098, SB2099, SB2100

Keywords: recess, legislative session, Hawaii State Legislature, 2026, Governor address, joint session, legislature, Hawaii, state of the state, Banyan Drive, Waiakea peninsula, Makaokū, Hilo, Hawaii Island, HCDA, Hawaii Community Development Authority, community development district, redevelopment, urban renewal, blight

Transcript Highlights:

• Pharmacy refund timing.
• Chair and members, what this provision does is it changes the timing of when a pharmacy that has paid
• the legend drugs tax under the provider tax, which is passed on to the pharmacies, can apply for and
• Pharmacy refund timing.
• Tens of millions of dollars for deceptive business practices by federal agencies.

Keywords: 1187, senate, all

Transcript Highlights:

• So, with that, we think these are helpful and practical changes, and we thank you for your support, and
• <00:45:27.320> And practices that Ramsey County uses.
• And practices that Ramsey County uses.
• for energy and water use in practices for energy and water use in state<00:48:56.640> facilities.
• <00:51:00.600> benefit<00:51:01.040> manager to procure a pharmacy benefit manager

Keywords: 1187, senate, all

Transcript Highlights:

• The professional students include occupational therapy, physical therapy, law, and pharmacy. Mr.
• So these are like med students, pharmacy students, law students.
• would be post-baccalaureate degree programs, excluding those professional programs of law, OT, and pharmacy
• A doctorate of professional practice, so just to clarify that, it would just be the OT, PT, pharmacy.

Keywords: 908, all

Transcript Highlights:

• The professional students include occupational therapy, physical therapy, law, and pharmacy. Mr.
• So these are like med students, pharmacy students, law students.
• would be post-baccalaureate degree programs excluding those professional programs of law, OT, and pharmacy
• That should be a doctorate of professional practice, so just to clarify that, it would just be the OT
• /PT pharmacy.

Summary: The Higher Education Funding Review Committee met to continue work on a draft higher education funding formula and related capital building fund changes. Lisa Johnson of the North Dakota University System updated the committee on the board’s developing policy for low-producing academic programs. She said the board is using a five-year rolling window, with thresholds of fewer than 10 undergraduate graduates or fewer than 5 graduate graduates, and that programs flagged in three consecutive review cycles would go to the board for review. Possible outcomes include continuation, continuation with modifications, inactivation, or termination. Members asked about how the policy would account for enrollment, program costs, workforce need, and programs that serve students outside their major. Johnson said the board would likely use an accompanying procedure to consider those factors. She also reported that about 200 programs could potentially be reviewed under current guidance, with 135 inactivated and 112 terminated, and said the process is intended to support quality and stewardship rather than simply cut programs. Jamie Wilkie then reported on the Capital Building Fund. He reviewed the fund’s history, matching requirements, and use for extraordinary repairs, deferred maintenance, and some legislatively authorized projects. He said about $334 million in state and matching dollars has been invested overall, with roughly 78.7% going to deferred maintenance and extraordinary repairs. Committee members pressed for updated information on how much deferred maintenance has actually been reduced, and several members said they wanted clearer reporting on the return on investment from new buildings versus repairs. NDSU representatives said the tier funding has helped significantly reduce deferred maintenance and allowed demolition and renovation work on campus. The committee also discussed the need for updated five-year facility plans and space-utilization information from the institutions. The committee then began a section-by-section review of a draft bill that would replace the current higher education funding formula with an FTE-based model and restructure the capital building fund. The draft would fund UND and NDSU differently from the other nine institutions, use fall enrollment rather than completed credits, add performance funding for completions in in-demand fields, create research incentives for UND and NDSU, and combine capital building fund tiers while changing matching requirements and eligible uses. Members raised concerns about the treatment of professional students, the use of CIP codes, incentives for waivers, and whether the formula should rely on more current data. The committee did not take final action on the draft during this meeting, but it continued detailed discussion and indicated more review would follow.

Transcript Highlights:

• The professional students include occupational therapy, physical therapy, law, and pharmacy. Mr.
• So these are like med students, pharmacy students, law students.
• would be post-baccalaureate degree programs, excluding those professional programs of law, OT, and pharmacy
• A doctorate of professional practice, so just to clarify that, it would just be the OTPT pharmacy.

Summary: The committee met to discuss higher education funding and capital building policy. Members first heard an update from NDUS Deputy Commissioner Lisa Johnson on low-producing academic programs. She described a proposed board policy using a five-year rolling window and thresholds of fewer than 10 undergraduate graduates or fewer than 5 graduate graduates, with programs flagged for three consecutive review periods going to the board. Possible outcomes would include continuation, continuation with modifications, inactivation, or termination. Members asked about how the review would account for program costs, service to other students, workforce demand, and the difference between inactivation and termination. Johnson said the board would consider broader factors and that campuses already do detailed program analysis. Several members also asked about cost savings and staffing impacts from program terminations, and Johnson said the board would try to provide more information later. The committee then received a report on the Capital Building Fund from Jamie Wilkie. He reviewed the program’s history, matching requirements, and recent uses, noting that about $334 million in state and matching dollars has been invested overall, with most going to deferred maintenance and extraordinary repairs. Members discussed whether the program is reducing deferred maintenance and requested updated systemwide data on deferred maintenance and campus space utilization. Wilkie said the board is considering a new study to update deferred maintenance figures, which are based on information more than 12 years old. He also reported that several institutions have used current biennium funds for projects such as residence hall renovations, health sciences housing, generators, and building repairs. Later, the committee began a detailed walkthrough of a draft bill that would replace the current higher education funding formula with an FTE-based model and also revise the capital building fund structure. The draft would use fall enrollment FTEs, add completion incentives for degrees in in-demand fields, and create a separate research funding component for UND and NDSU tied to doctoral completions and external research expenditures. Members raised concerns about the use of older data in the formula, the treatment of waivers, the weighting of professional and health sciences programs, and the use of CIP codes to define CTE and education incentives. The bill draft would also combine capital building fund tiers, broaden eligible uses for deferred maintenance and legislatively authorized projects, change matching requirements, repeal the old formula chapter and the capital pool, and transfer funds from the Strategic Investment and Improvements Fund into the capital building fund. No final votes were taken during the portion provided; the meeting was primarily discussion and review.

Transcript Highlights:

• I'm a family physician practicing at the Community University Healthcare Center, a federally qualified
• Bill presenter: What's not included in the bill are adult day treatment, EI/EDIBI hospital, dental, pharmacy
• 18.720> Dental eidbi hospital um uh let's see Dental eidbi hospital um uh let's see Dental Pharmacy
• 20.720> fees<00:37:21.680> EMS<00:37:22.480> sud<00:37:23.480> under Pharmacy
• dispensing fees EMS sud under Pharmacy dispensing fees EMS sud under 245b<00:37:25.079> Residential

Keywords: 919, house, all

Summary: House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability. Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note. Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.

Transcript Highlights:

• Dentistry is considered to be the practice of veterinary medicine.
• Dentistry is considered to be the practice of veterinary medicine.
• in practice.
• Going to practice when you're out in practice. Continue. Thank you, Mr. Chair.
• Just left acceptable livestock practices.

Keywords: 908, all

Summary: The conference committee on House/Senate Bill 2129 met to resolve the House amendment to the Senate-passed bill, which concerns exemptions related to veterinary practice. The main dispute centered on the House language adding terms such as “specialized or holistic trade” and expanding exemptions to include acupuncture/acupressure and non-veterinary dentistry, while the Senate preferred a narrower, more definitive list of exempt activities. Senators and House members discussed whether the word “includes” made the exemption open-ended, and whether equine dentistry should be treated as veterinary medicine or allowed as a separate practice. Testimony from Dr. Sarah Lyons of the North Dakota Board of Veterinary Medical Examiners and veterinarian Troy Dutton emphasized that dentistry, including equine dentistry, is generally considered the practice of veterinary medicine and can involve invasive procedures and animal safety risks. They argued the House amendment lacked educational or licensing requirements and could allow untrained individuals to perform procedures such as dentistry or acupuncture. House members raised concerns about rural access, shortages of veterinarians, and the practical reality that some horse owners and equine practitioners currently perform float work and similar services. After extended discussion, the committee did not reach agreement. Members noted that the House amendment language differed from the Senate version on the key exemption provisions, and that further review of proposed alternative language would be needed. A motion was made and approved by roll call that the committee was unable to agree at this time and would schedule another meeting. The meeting was then adjourned pending rescheduling.

Transcript Highlights:

• Um, and this bill actually, um, I guess you could say speaks to, um, licensing and scope of practice
• certification of deaths, there are certain parts of the state where, um, there are no physicians practicing
• this would do, um, oh, and, and most importantly is that um these professionals are um required to practice
• It would have required uh pharmacy benefit managers to charge a flat fee for services provided.
• this would have just required them to only charge a flat fee and it would have been an unfair trade practice

Transcript Highlights:

• This medication, if somebody goes into the pharmacy... ...this medication, if somebody goes into the
• pharmacy and says, I want ivermectin because I think I have COVID, and that pharmacist gives it to them
• When I think of somebody that I prescribe clindamycin or erythromycin to going into a pharmacy and saying
• , let me get my ivermectin, I think I have COVID, I think about... ...to a pharmacy and saying, let me
• We, in our practice, if a kid is sick, sometimes we don't give certain vaccinations.

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and recognitions, including the doctor of the day and a lighthearted “Cannoli Day” introduction. The chamber then held an extended farewell celebration for Senator Joe Gruters, with numerous senators, colleagues, and family members praising his loyalty, political skill, family focus, and service in the Legislature and Republican Party. Gruters was presented with a commemorative gift recognizing his work on a 2019 public-safety and immigration bill that prohibited sanctuary cities and required local cooperation with federal immigration enforcement. The Senate adopted a motion to spread Gruters’s remarks upon the journal and then recessed briefly. After recess, the Senate returned to regular business and took up third-reading bills. Committee Substitute for Committee Substitute for Committee Substitute for Senate Bill 354, relating to blue ribbon projects, was temporarily postponed. The chamber then considered Committee Substitute for Committee Substitute for Senate Bill 1758, relating to public assistance, with Senator Gates explaining that it contained five reforms to the public assistance system discussed earlier in session. During debate on SB 1758, Senator Berman opposed the bill, saying he could not support it in its current form because he believed the Medicaid-related provisions would create a coverage cliff after the one-year transition period and could leave people without care while increasing costs to hospitals and taxpayers. He also said SNAP error reduction should be a priority, but argued the state should focus on fixing administrative errors and fraud rather than imposing a work requirement whose costs and effects were uncertain.

Transcript Highlights:

• This medication, if somebody goes into the pharmacy,... ...this medication, if somebody goes into the
• pharmacy and say, I want ivermectin because I think I have COVID, and that pharmacist gives it to them
• When I think of somebody that I prescribe clindamycin or erythromycin to going into a pharmacy and saying
• , let me get my ivermectin, I think I have COVID, I think about... ...to a pharmacy and saying, let me
• We, in our practice, if a kid is sick, sometimes we don't give certain vaccinations.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions, then devoted most of the first part of the meeting to a farewell-style recognition of Senator Joe Gruters. Senators from both parties offered extended remarks praising his loyalty, political instincts, family involvement, and work as a legislator and as incoming Republican National Committee chair. Gruters responded with remarks about his background, including overcoming a childhood speech impediment, his service in the Legislature, and major policy efforts he highlighted such as alimony reform and the undergrounding of utilities. A ceremonial gift was presented to him recognizing his work on a 2019 public-safety/immigration bill, and the Senate adopted a motion to spread his remarks upon the journal before recessing briefly. After the recess, the Senate returned to regular business. No committee reports, governor’s messages, House messages, or reconsideration matters were reported. The chamber then moved to third reading and temporarily postponed CS/CS/CS/SB 354, relating to blue ribbon projects. The next bill, CS/CS/SB 1758, relating to public assistance, was taken up, and Senator Gaetz explained that it contained five reforms to the public assistance system previously discussed by the Senate. Debate was about to continue when the transcript ended.

Transcript Highlights:

• generation of youth who are one of many to be strategically manipulated by and subjected to the predatory practices
• Speaking in my capacity as a pharmacy student at UK, in the healthcare setting we advise every patient
• my<00:03:37.319> capacity<00:03:37.760> as<00:03:37.879> a<00:03:38.000> pharmacy
• c><00:03:38.360> student<00:03:38.680> at<00:03:38.840> UK my capacity as a pharmacy
• <00:43:26.400> a<00:43:26.520> matter<00:43:26.760> of<00:43:26.880> practice

Keywords: Call to Order 00:00 SB 100 Discussion 00:05 SB 100 Vote 06:42 SB 202 Discussion 08:35 SB 202 Vote 43:17 SB 17 Discussion 47:37 SB 17 Vote 48:08 SB 22 Discussion 49:22 SB 22 Vote 52:55 SB 133 Discussion 53:55 SB 133 Vote 55:15 SB 190 Discussion 56:00 SB 190 Vote 56:38 Adjournment 57:19, 958, all

Summary: The committee first took up Senate Bill 100, which would place cigarettes, vapes, and related nicotine products under the Alcoholic Beverage Control (ABC) system, add enforcement tools against bad actors, and regulate nitrous oxide/laughing gas sales to those under 21. Supporters, including youth advocates Mallerie Jones and Griffin Kian Neth, argued the bill would reduce youth access to nicotine products through retail licensing, compliance checks, and escalating penalties. Higdon said the bill targets illegal sales rather than most retailers, and noted the measure also updates House Bill 11 from the prior year and raises the retail license fee from $250 to $500. The committee adopted the committee substitute and then passed the bill on a roll call vote, with members voting yes and no opposition recorded in the transcript. The committee then considered Senate Bill 202, focused on cannabis-infused beverages. Senator Julie Raque Adams said the bill was intended to create common-sense public health guardrails for a rapidly growing product category sold in gas stations, liquor stores, and vape shops, and to address enforcement gaps. She explained the committee substitute would define cannabis-infused beverages at a 5-milligram limit per 12-ounce can, place enforcement under ABC while keeping CHFS manufacturing and testing rules in place, require a University of Kentucky report back to the General Assembly, allow existing higher-dose inventory to be sold through June 1, exempt festivals and fairs until January 1, 2026, and allow stores to obtain licenses to continue selling the product. The committee adopted the substitute and then heard testimony from hemp-industry representatives and a consumer. Opponents of SB 202/SB 22, including Dee Taylor of the Kentucky Hemp Association, Cornbread Hemp co-founder Jim Higdon, Annie Rouse of Cannabuzz Barn, and consumer Nancy Roberts, argued the bill would hurt a legal Kentucky hemp industry, reduce consumer access, and force sales into liquor stores. They said the 100-milligram beverage referenced in debate is actually 10 servings with a resealable top, that hemp retailers educate customers, and that the industry already operates under 2024 regulations and needs better enforcement rather than new restrictions. Higdon and Rouse objected to the 5-milligram cap, the on-premise sales ban, the move to ABC enforcement, and the taxation approach, warning the bill could wipe out a large share of business and jobs. No final vote on SB 202 was taken in the portion of the transcript provided.

Transcript Highlights:

• Health and Human Services, provides for a priority review of certain applications for licensure to practice
• Health and Human Services provides for a priority review of certain applications for licensure to practice
• The amendment prohibits an installment lender from engaging in any deceptive trade practice.
• benefit manager income and deceptive trade practices.
• Senate Bill 316, as amended, revises various provisions relating to pharmacy benefit managers by expanding

Keywords: 909, all

Transcript Highlights:

• years, the House Committee on Energy and Commerce has ultimately led the fight to crack down on pharmacy
• benefit managers, or PBMs, Whose hidden practices too often fail patients and rather enrich the health
• This is a practical approach.
• This is a practical approach.
• AND RISK MANAGEMENT PRACTICES.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 23, 2026, 1012, house, all

Transcript Highlights:

• Pharmacist Association proposed amendments, which clarify the definition of a nationally accredited pharmacy
• 05.039> a<00:25:05.279> nationally<00:25:05.840> accredited<00:25:06.400> pharmacy
• of a nationally accredited pharmacy of a nationally accredited pharmacy residency<00:25:07.520><

Keywords: 912, senate, all

Summary: The committee took up a long decision-making agenda and repeatedly recommended passage of measures, most either unamended or with technical or date-deferral amendments. Early items included HB 496, which was passed with amendments deferring the effective date to 2050, and HB 700, which was passed with amendments incorporating Alzheimer’s Association language on dementia data collection, standardized cognitive assessments, Medicare Part C, and related definitions. Other bills addressed insurance, health care preceptors, workers’ compensation, labeling, rural emergency hospitals, and numerous budget or policy measures later in the agenda. Several bills received substantive amendment packages. HB 250 was amended to add an objective on treatments for common chronic or long-term conditions and to clarify that automating determinations is intended to reduce delays in patient care. HB 303 adopted Hawaii Pharmacist Association language clarifying the definition of a nationally accredited pharmacy residency program. HB 1179 was amended to adopt Department of Human Services language relating to Med-QUEST. Later, HB 1293 added a $250,000 cap, a $20 million general-fund appropriation for Department of Education food services, and procurement-reporting language; HB 1153 authorized transfers of various non-general-fund accounts to the general fund and added a blank appropriation for the governor’s office; and HB 1168 added a proviso to a revenue bond appropriation to help in-state residents with demonstrated financial need offset room-and-board increases. The most notable debate was on HB 1308, a sports wagering bill. Members discussed regulatory structure, youth sports restrictions, tax and fee provisions, and gambling-prevention funding. Several members opposed the bill, citing family impacts, gambling addiction concerns, and the possibility that regulatory and social costs would outweigh revenues; others supported it with reservations. The motion to pass with amendments was adopted, with recorded no votes and reservations. Across the agenda, most remaining bills were adopted with little or no discussion, including many measures passed unamended and several with deferred effective dates or committee-report notes reflecting testimony or appropriation requests.

Transcript Highlights:

• We focused on two main areas: the economics of this system and the production practices of this system
• <00:14:52.240> of system and the production practices of system and the production practices
• and the economics science, the practice and the economics of<00:15:23.199> the<00:15:23.440><
• <00:27:17.840> Uh<00:27:18.080> and diet related pharmacy claims.
• Uh and diet related pharmacy claims.

Keywords: 958, all

Transcript Highlights:

• One anomaly is that pharmacy costs went up almost exclusively in terms of the cost of the drugs.
• And that is pharmacy costs went up almost exclusively in terms of the cost of the drugs.
• need will be met, but I do need you to remember that unlike other groups or areas of the budget, in practice
• partly because of the 2009 moratorium on any licensed group capacity now, 17 years ago, and the practical
• The current practice, in fact, I just think, is now on a 15-minute increment versus a daily rate for

Keywords: 1183, house