Transcript Highlights:

• This includes issues ranging from health care practitioners to regulating activities that have a direct
• Act establishing a new universal process for licensure by endorsement for healthcare professions regulated
• Nurse assistants, medical doctors, Mental Health Counselors LP ends clinical social Workers Apr ends
• House Bill, 197 in 2024, was a comprehensive bill aimed at regulating massage therapists and massage
• It mandates training for certified nursing assistants, working in nursing homes on recognizing and responding

Transcript Highlights:

• </c><01:09:54.920><c> note</c> is the nurses note is the nurses note and<01:09:56.040><c> it</c><01:09
• I am a registered nurse. I have been a registered nurse for 23 years.
• </c><02:03:44.719><c> have</c> McGarvey I am a registered nurse have McGarvey I am a registered nurse
• ><02:04:27.400><c> responsibility</c> as a nurse as a nurse my responsibility as a nurse as a nurse my
• </c> care of the the patient in the nursing care of the the patient in the nursing home<02:23:53.800>

Committee: Senate Health and Human Services

Transcript Highlights:

• But two, we also applaud the Senate There are a number of pieces in the bill regarding new regulations
• And, um, some places it's kind of back—this is the nursing home side.
• It's just a requirement um to have... facility um or nursing home, but now as facility um or nursing
• </c><01:21:06.400><c> home</c> have a conservator, but the nursing home have a conservator, but the nursing
• So, it's existing law, but regulations.

Committee: Senate Human Services

Transcript Highlights:

• </c> nurse practitioner, a PA or a physician. nurse practitioner, a PA or a physician.
• </c> similar to physicians, nurse similar to physicians, nurse practitioners<00:44:33.520><c> and</c>
• I'm a retired nurse and a proud AARP volunteer member.
• I'm a retired nurse and a proud AARP volunteer member.
• And as a nurse, we know the counter.

Committee: Senate Health and Human Services

Transcript Highlights:

• UTMB was... founded in 1891 as the state's first medical and nursing school.
• The major purpose of the Cain Amendment is to regulate activity by local governments, which is unrelated
• HB 4255 by McLaughlin, relating to the regulation of physicians in the disciplinary area, authority of
• HB 4355 by Early, relating to the practice of nursing, including disciplinary procedures by the Texas
• Board of Nursing and authorizing a fee for the Committee on Public Health.

Bills: HJR4 , HJR6 , HB195 , HB 13 , HB143 , HB135

Transcript Highlights:

• We have to understand that there's more than just doing regulations.
• We also have to look at the regulations.
• They don't have any nursing homes.
• They go somewhere and they nursing home.
• They don't have any nursing Qatar.

Transcript Highlights:

• </c> medical care have the same regulations medical care have the same regulations as<00:09:32.880><c
• </c> we are um regulated in different ways. we are um regulated in different ways.
• </c> procedures that they should be regulated procedures that they should be regulated the<00:10:46.720
• Um, and, you know, nurses and physicians in medical practices across the state can be sued or regulated
• I myself am a registered nurse, and all of our nursing staff is registered, licensed by the state.

Bills: HB0003 , HB0004

Committee: House Labor, Health & Social Services

Transcript Highlights:

• I'm a certified nurse midwife and the president of the Hawaii affiliate of the American College of Nurse-Midwives
• </c> our affiliate represents certified nurse our affiliate represents certified nurse midwives<00:04
• Nurse midwives for 23 years.
• Nurse midwives for 23 years.
• </c> Midwifery education and regulation Midwifery education and regulation Association Association Association

Committee: Senate Health and Human Services

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.

Transcript Highlights:

• We found out that, you know, our nursing homes have them, most all of them that's required.
• Dean from a nursing home owner moved some people out to Tangipahoa Parish, there were several deaths
• So the nursing homes kind of took it upon themselves to make it a mandate, and so they have a mandate
• to study the implementation and regulation of gestational carrier agreements in this state.
• And as we got in, Thoughtful of all sides, regulations, and all those things.

Committee: House Health and Welfare

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• </c> state regulations. state regulations.
• </c><00:04:04.680><c> are</c> physicians, nurses, and specialists are physicians, nurses, and specialists
• <c> previously</c><00:18:38.640><c> regulated,</c> professions not previously regulated, professions
• ,</c> professionals now under regulation, professionals now under regulation, adding<00:19:50.040><c>
• </c> regulators alike. regulators alike.

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• On page 67, House Bill nursing board. On page 67, House Bill nursing board.
• Um currently are no regulation at all. Um currently are no regulation at all.
• The smokables are regulated just like smokables are regulated just like smokables are regulated just
• And uh product that we regulate now. And uh product that we regulate now.
• So that's that speaks for regulated. So that's that speaks for regulated.

Bills: SB 66 , SB 317 , SB 393 , SB 397 , SB 456 , SB 614 , SB 628 , SB 629 , SB 636 , SB 715 , SB 731 , SB 801 , SB 872 , SB 905 , SB 986 , SB 1012 , SB 1013 , SB 1015 , SB 1032 , SB 1113 , SB 1181 , SB 1212 , SB 1241 , SB 1250 , SB 1278 , SB 1285 , SB 1376 , SB 1444 , SB 1449 , SB 1524 , SB 1525 , SB 1528 , SB 1556 , SB 1588 , SB 1660 , SB 1704 , SB 1708 , SB 1802 , SB 1833 , SB 1844 , SB 1854 , SB 1863 , SB 1957 , SB 1959 , SB 1965 , SB 1999 , SB 2035 , SB 2056 , SB 2082 , SB 2119 , SB 2138 , SB 2165 , SB 2199 , SB 2201 , SB 2203 , SB 2245 , SB 2284 , SB 2419 , SB 2422 , SB 2452 , SB 2487 , SB 2523 , SB 2529 , SB 2533 , SB 2541 , SB 2586 , SB 2595 , SB 2605 , SB 2615 , SB 2675 , SB 2690 , SB 2717 , SB 2753 , SB 2778 , SB 2835 , SB 2841 , SB 2891 , SB 2929 , SB 2933 , SB 3016 , SB 3039 , SB 3044 , HB 912 , HB 2525 , SJR 3 , SB 5 , SB 29 , SB 326 , SB 494 , SB 530 , SB 769 , SB 783 , SB 963 , SB 1238 , SB 1271 , SB 1786 , SB 1967 , SB 2312 , SB 72 , SB 616 , SB 1143 , SB 1172 , SB 1267 , SB 1273 , SB 1506 , SB 1759 , SB 2361 , SB 1 , SB 260 , SB 1637 , SJR 36 , SJR 50 , SJR 63 , SJR 59 , SCR 12 , SCR 39 , SCR 48 , SCR 19 , SB 2023 , SB 1524 , SB 2422 , SB 2119 , SB 2753 , SB 1863 , SB 62 , SB 666 , SB 847 , SB 284 , SB 854 , SB 1073 , SB 810 , SB 1505 , SB 583 , SB 507 , SB 1434 , SB 1376 , SB 1772 , SB 2016 , SB 1163 , SB 1122 , SB 731 , SB 397 , SB 508 , SB 1436 , SB 287 , SB 261 , SB 1882 , SB 393 , SB 1791 , SB 209 , SB 2429 , SB 1999 , SB 511 , SB 2309 , SB 510 , SB 1085 , SB 1975 , SB 2717 , SB 1262 , SB 636 , SB 2056 , SB 884 , SB 517 , SB 1200 , SB 1845 , SB 2681 , SB 2199 , SB 2458 , SB 801 , SB 2533 , SB 3014 , SB 3013 , SB 758 , SB 1013 , SB 2797 , SB 2076 , SB 2876 , SB 2284 , SB 2929 , SB 2595 , SB 715 , SB 1640 , SB 1241 , SB 2538 , SB 1449 , SB 2529 , SB 986 , SB 1181 , SB 1359 , SB 2245 , SB 410 , SB 1234 , SB 456 , SB 1012 , SB 2926 , SB 2138 , SB 2615 , SB 2972 , SB 2841 , SB 3016 , SB 1856 , SB 2035 , SB 1528 , SB 1373 , SB 672 , SB 2891 , SB 1854 , SB 317 , SB 2539 , SB 2532 , SB 1250 , SB 2082 , SB 2203 , SB 1285 , SB 1959 , SB 1454 , SB 2520 , SB 2541 , SB 1708 , SB 1237 , SB 1844 , SB 1586 , SB 3039 , SB 2819 , SB 66 , SB 629 , SB 1015 , SB 2342 , SB 2903 , SB 2933 , SB 1965 , SB 2477 , SB 3029 , SB 2605 , SB 2419 , SB 1957 , SB 375 , SB 250 , SB 777 , SB 628 , SB 2523 , SB 2367 , SB 2703 , SB 2608 , SB 2778 , SB 3044 , SB 2965 , SB 2521 , SB 865 , SB 1032 , SB 2165 , SB 2501 , SB 2675 , SB 2452 , SB 2835 , SB 872 , SB 1212 , SB 1278 , SB 1588 , SB 1602 , SB 1704 , SB 1723 , SB 1833 , SB 1858 , SB 1946 , SB 2009 , SB 2177 , SB 2460 , SB 2785 , SB 2373 , SB 1660 , SB 614 , SB 867 , SB 1608 , SB 1525 , SB 905 , SB 640 , SB 2487 , SB 1698 , SB 383 , SB 705 , SB 748 , SB 1113 , SB 1117 , SB 1802 , SB 2340 , SB 2586 , SB 2680 , SB 2690 , SB 2994 , SB 2747 , SB 1950 , SB 913 , SB 1071 , SB 1086 , SB 1087 , SB 1483 , SB 1444 , SB 1553 , SB 1556 , SB 1703 , SB 2133 , SB 2297 , SB 2298 , SB 2622 , SB 2955 , SB 3059 , SB 2782 , SB 2781 , SB 2637 , SB 2633 , SB 2337 , SB 2334 , SB 1861 , SB 2043 , SB 1367 , SB 946 , SB 945 , SB 2857 , SB 128 , SB 571 , SB 1263 , SB 3058 , SB 612 , SB 2221 , SB 2587 , SB 2044 , SB 2363 , SB 2713 , HB 1109 , HB 1392 , HB 22 , HB 2525 , HB 3093 , HB 517 , HB 912 , HB 1130 , HB 142 , HB 1689 , HB 2018 , SB 2311 , SB 1986 , SB 2565 , SB 2943 , SB 1888 , SB 2417 , SB 3048 , SB 3052 , SB 3053 , SB 3036 , SB 3057 , SB 3056 , SB 3043 , SB 3037 , SB 3050 , SB 3063 , SB 3047 , SB 3035 , HJR 98 , HJR 99 , HB 136 , HB 2884 , HB 1393 , HB 2730 , HB 1399 , HB 1244 , HB 467 , HB 331 , HB 2559 , SB 66 , SB 456 , SB 628 , SB 1012 , SB 1015 , SB 1032 , SB 1241 , SB 1376 , SB 1708 , SB 1959 , SB 1965 , SB 2035 , SB 2199 , SB 2245 , SB 2284 , SB 2419 , SB 2523 , SB 2529 , SB 2541 , SB 2595 , SB 2605 , SB 2778 , SB 2933 , SB 3039 , SB 3044 , SB 1524 , SB 1863 , SB 2119 , SB 2422 , SB 2753 , SB 1844 , SB 2533 , SR 417 , SR 500 , SR 501 , SR 502 , HCR 128 , HB 23 , HB 45 , HB 104 , HB 519 , HB 748 , HB 791 , HB 1056 , HB 1481 , HB 3181 , HB 3211 , HB 4044 , HB 4290 , HB 23 , HB 45 , HB 104 , HB 519 , HB 748 , HB 791 , HB 1056 , HB 1481 , HB 3181 , HB 3211 , HB 4044 , HB 4290

Transcript Highlights:

• This is something that can be fixed with a regulation change.
• They hire them on productivity models, and they also get rid of their experienced nurses.
• The drivers that affect the direct cost can be fixed by changing regulation.
• The other statute that I would recommend is safe nursing ratios.
• Currently, New Mexico has no regulation requiring what the ratios are for nurses.

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• Services are available for children with complex medical needs who require continuous nursing services
• Due to workforce constraints in home health around nurse availability, oftentimes home health agencies
• Currently, ...with significant rate differences noted for registered nurses.
• Currently, our fee schedule pays $26.25 per hour for an LPN or $30.70 for a registered nurse.
• . ...can get the same level of care as those in managed care, especially those requiring 24-7 nursing

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• The FDA does not have really tight regulations on how companies can market natural foods.
• But yet we don't have any nationwide regulation or rule on how you can market yourself.
• So, there was a technical change by LSA, and it just took pet food out because pet food is regulated
• So that's our concern: is it following FDA regulations in the definitions of these products, and would
• in the definitions of FDA regulations in the definitions of these<00:19:58.640><c> products</c><00:19

Bills: HB139 , HB172 , HB156 , HB139 , HB172 , HB156

Committee: House Health

Keywords: HB139, Alabama discrimination, civil rights, public accommodations, employment discrimination, equal access, protected classes, race discrimination, sex discrimination, religious discrimination, age discrimination, disability discrimination, national origin discrimination, school board discrimination, labor organization, employment agency, retaliation, private right of action, punitive damages, attorney fees

Transcript Highlights:

• While we strive to stay current with changing laws and regulations, as we've seen with the Earned Sick
• as we've seen with the earn regulations as we've seen with the earn sick<00:32:17.279><c> and</c><00
• </c><00:32:56.440><c> that</c> comply with a a set of regulations that comply with a a set of regulations
• program will help more nurses return to program will help more nurses return to the<01:23:38.600><c>
• We work in hospitals, clinics, nursing homes, and self-directed home care.

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• And I heard a nurse their grandparents.
• This week is National Nurses Week.
• National Nurses Week ends on Florence Nightingale's birthday, the founder of modern-day nursing.
• </c> honor the men and women in the nursing honor the men and women in the nursing profession.<02:07:
• Please join me in recognizing nursing Please join me in recognizing nursing community<02:07:59.520><c

Transcript Highlights:

• So that's what the bill is trying to do: not have them comply with new regulations, with the exception
• But I do agree that this could be a model for other types of industries, whether it's nursing.
• We know that we have traveling nurses, and one of the reasons they're not able, even I went to visit
• Yountville not too long ago, and they are having a very difficult time attaining nurses in that area.
• But I do agree that this could be a model for other types of industries, whether it's nursing.

Committee: House Housing and Community Development

Transcript Highlights:

• </c> lowest in the US amongst regulated lowest in the US amongst regulated utilities<00:04:18.880><c>
• </c> electric services from regulated electric services from regulated investor<00:45:24.960><c> owned
• </c> regulate katum they they won't regulate regulate katum they they won't regulate 708<01:25:48.520
• c> 708 they won't regulate adulterated 708 they won't regulate adulterated products<01:25:50.920><c>
• It should be legal, but the abuse of policies and regulations, the overzealous desire to regulate everything

Committee: Senate Commerce and Consumer Protection

Summary: The joint Senate hearing focused primarily on SB 1201, a wildfire measure that would create a wildfire recovery fund and allow securitization for electric utilities. Hawaiian Electric strongly supported the bill, saying it would help protect customers, property owners, insurers, and the broader economy from future catastrophic wildfire liability while improving the utility’s credit profile and lowering financing costs. Support also came from DCCA Consumer Advocacy, the Attorney General’s office on written comments, Ulupono Initiative, Clearway Energy Group, IBEW Local 1260, Par Hawaii, KIUC, the Chamber of Commerce Hawaiʻi, Plus Power, and numerous organizations and individuals. Opponents or commenters raised concerns about the liability cap, victim compensation process, and fund structure, including the Hawaiʻi Association for Justice, the Hawaiʻi Regional Council of Carpenters, and the Hawaiʻi Insurance Council; Henry Curtis of Life of the Land supported the concept of a fund but questioned the catastrophe threshold and whether the fund would be empty without a prudency finding. Much of the discussion centered on whether the proposed fund would actually help restore Hawaiian Electric to investment grade, with senators comparing the proposal to California’s wildfire fund. Hawaiian Electric said the bill was only one part of a broader process, alongside physical risk reduction and settlement finalization, and argued that without the bill the utility would not regain investment grade. Senators also questioned the proposed $1 billion fund size, the fairness of ratepayer contributions versus shareholder contributions, and whether customers should pay for consulting and administrative costs; Hawaiian Electric said its proposed amendment would remove those consulting-related charges. The company also said the fund would accrue interest and, if unused, could be returned to customers, and that there would be replenishment and supplemental contribution mechanisms if the fund were exhausted. The Attorney General’s office said it still had further amendments to discuss, and the departments had not yet resolved where the fund should reside administratively, though Hawaiian Electric said it believed DCCA was the appropriate place but was open to alternatives. KIUC requested two amendments. No vote or final committee action was taken during the hearing, and the measure remained under discussion with questions and proposed amendments still outstanding.

Transcript Highlights:

• three nurse to do that supervision and evaluate.
• a level two nurse to do it.
• So we are in dire need of school nurses in the state. Okay. And Mr. Chairman, Nurses in the state.
• So we are removing "school" from school nurse.
• school nurse, and by striking "school" here, we're allowing folks who have nursing experience to come

Bills: SB204 , SB241 , HB34

Committee: Senate Senate Education

Transcript Highlights:

• . regulation. regulation.
• </c> Law on these regulations. Law on these regulations.
• </c> department of law regulation. department of law regulation.
• </c> regulation. Thank you. regulation. Thank you.
• </c> regulation. Thank you. regulation. Thank you.

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.