Video & Transcript : 'pharmacy compounding' :

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WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 6th, 2026 at 09:30 am

Washington Senate Floor Meeting

Transcript Highlights:
  • of a high bill, in Washington right now, you can be charged 9% interest on that medical debt. 9% compounding
  • Contrary to the claim earlier, the current system does not have compounding interest.
  • But when they pay up front and they pay on a credit card that will be compounding interest, Mr.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 6th, 2026

Washington Senate Floor Meeting

Transcript Highlights:
  • of a high bill, in Washington right now, you can be charged 9% interest on that medical debt. 9% compounding
  • Contrary to the claim earlier, the current system does not have compounding interest.
  • But when they pay up front and they pay on a credit card, that will be compounding interest, Mr.
Summary: The Senate opened with routine proceedings, including the roll call, approval of the previous day’s journal, referral of committee reports and gubernatorial appointments, and the removal of Senate Joint Memorial 8003 from the consent calendar to the regular calendar. The chamber also received and referred Engrossed Substitute House Bill 1604 to the Committee on Human Services, and later took up several gubernatorial confirmations. The Senate adopted Senate Resolution 8682 recognizing the YMCA’s 150th anniversary in Washington. Senators spoke in support, describing the YMCA’s role in child care, swim lessons, youth programs, civic engagement, camps, and community health, and guests from YMCA organizations were recognized on the floor. The Senate then confirmed Jeffrey P. Fairchild to the Whatcom Community College Board of Trustees, Randall V. Scott to the Lake Washington Institute of Technology Board of Trustees, and Anna M. Franklin to the Community Colleges of Spokane Board of Trustees, each by unanimous or near-unanimous roll call votes. The chamber also observed a moment of silence for the family of Representative Tom Dent after his wife suffered a stroke. After caucuses, the Senate returned to floor action on two major bills. Substitute Senate Bill 5185, creating a pilot pathway to physician licensure for international medical graduates, was advanced to final passage and approved 39-1. Engrossed Substitute Senate Bill 5993, lowering the interest rate on medical debt, drew extensive debate about affordability, charity care, and the impact on rural hospitals; amendments were considered, including one to make the bill prospective rather than retroactive, which was adopted, while a rural-hospital differential-rate amendment failed. The bill ultimately passed 29-19. The Senate then adjourned until Monday, February 9, 2026.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 12th, 2026 at 04:58 pm

New Mexico House Floor Meeting

Transcript Highlights:
  • Bill 20: An act relating to insurance, applying the requirements of the Prior Authorization Act to pharmacy
  • Bill 20: An act relating to insurance, applying the requirements of the Prior Authorization Act to pharmacy
CA
Transcript Highlights:
  • difficult decisions that affect readiness and reliability, and the consequences are continuing to compound
  • just a problem now, but it's a problem as the rest of the fleet gets older because it's just a compounding
  • just a problem now, but it's a problem as the rest of the fleet gets older because it's just a compounding
  • To compound the problem, we were quoted a delivery timeline of approximately 48 to 52 months.
Summary: The committee held an informational hearing on the rising cost and long delivery times for fire apparatus and related equipment, with opening remarks stressing that aging fleets, supply chain problems, and delayed replacements are affecting emergency readiness across California. Cal OES and Cal Fire described statewide procurement challenges, including higher prices, multi-year delivery timelines, two-year encumbrance limits, and the strain on mutual aid when engines remain in service beyond their intended replacement cycles. Cal Fire said it operates 537 engines, with 300 meeting replacement criteria and 243 at least 16 years old, and explained the difference between mandatory contracts and one-time acquisitions. The Department of General Services said vendors have cited labor costs, chassis pricing, and the need for longer production timelines, while also noting that statewide contracts can include nominal price increases but not open-ended price hikes. Local fire chiefs from Santa Barbara County, Los Angeles County, Napa, and Fullerton testified that apparatus prices have risen sharply while delivery times have stretched from under a year to three to five years or more. They described specific examples of engines and ladder trucks costing far more than prior purchases and arriving years later, forcing departments to keep older reserve apparatus in service, spend more on maintenance, and defer other budget priorities. Several witnesses said industry consolidation has reduced competition and contributed to delays and price increases, with Los Angeles County and Fullerton noting they have pursued antitrust complaints and litigation against major manufacturers. Napa also described proprietary parts and software limiting in-house repairs, and Santa Barbara County said a vendor’s unfulfilled delivery promise caused the department to lose its place in line. Members asked about possible solutions, including whether the state should consider manufacturing apparatus itself, whether procurement rules or prototype requirements could be streamlined, whether DGS staffing or contract processes could be accelerated, and whether more stable long-term purchasing commitments would help manufacturers plan production. Witnesses said safety-driven specification changes are necessary but can add time, and that the main bottlenecks are industry capacity, consolidation, and vendor performance. The vice chair raised concerns about how grant funding windows and local matching requirements are affected by multi-year delays, especially for small and rural departments that rely on grants and on used apparatus passed down from larger agencies. No votes were taken; the hearing concluded with committee members indicating interest in possible legislative, regulatory, and antitrust follow-up.
MO

Missouri 2026 Regular Session

Children and Families May 4th, 2026

Children and Families

Transcript Highlights:
  • the state, less than many other districts, and continued cuts from income and property taxes just compound
  • From the funding perspective, a lot of the legislation — so it's not just this, but it's the compounding
  • From the funding perspective, a lot of the legislation, so it's not just this, but it's the compounding
  • We've got, I mentioned several. compounding of legislation that continues to come through.
Summary: The Committee on Children and Families heard public testimony on Senate Bill 1002, which would move St. Charles County school board elections and related levy/bond questions from April to the November general election, extend terms to four years, and allow candidates to voluntarily list party affiliation. The sponsor argued the bill would increase voter participation, broaden community input, and potentially save money, while several supporters said April turnout is too low and that November elections would better reflect the county’s voters. Supporters also said the change could help candidates campaign more effectively and bring more attention to school issues. Opponents, including school board members, parents, and the Missouri NEA and Missouri School Boards Association, argued the bill would politicize school board races, crowd out local issues on November ballots, and reduce the value of staggered terms and institutional continuity. Several witnesses objected to carving out only St. Charles County rather than making any change statewide, and some warned that limiting levy and bond elections could delay urgent district needs. One witness also said the bill would burden regular parents and community members who run for school board, while others emphasized that school boards should remain focused on governance, budgeting, and student needs rather than partisan labels. After testimony, the committee voted on Senate substitute for Senate Bill 1002 and advanced it by a vote of 10 aye, 5 no, and 1 present. The committee then took up Senate substitute for Senate Bill 1135, described as the Henderson, Bentley, and Mason’s law, and voted it do pass by 16 aye and 9 no. The committee then adjourned.
AL

Alabama 2026 Regular Session

Alabama House Financial Services Committee Mar 18th, 2026

Financial Services

Transcript Highlights:
  • complementing the federal policy, this bill layers a new tax of 1.5% on top of the federal 1% tax, compounding
  • a half% on top of the federal<00:13:18.880><c> 1%</c><00:13:19.440><c> tax</c><00:13:20.399><c> compounding
  • </c><00:13:21.040><c> costs</c><00:13:21.279><c> on</c><00:13:21.519><c> the</c> federal 1% tax compounding
  • costs on the federal 1% tax compounding costs on the same<00:13:21.839><c> lawful</c><00:13:22.240><
Bills: HB585
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Aging and Independence Jun 21st, 2026 at 10:00 am

Joint Committee on Aging and Independence

Transcript Highlights:
  • model that includes collaboration with our medical director, who rounds on-site weekly, established pharmacy
  • RPs do have structured education and servicing and training provided by my staff, along with the pharmacy
  • The pharmacy as well. Is that change? No self-administration. Thank you very much.
Keywords: 995, all
Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Aging and Independence May 11th, 2026

Joint Committee on Aging and Independence

Transcript Highlights:
  • model that includes collaboration with our medical director, who rounds on-site weekly, established pharmacy
  • RPs do have structured education and servicing and training provided by my staff, along with the pharmacy
  • The pharmacy as well. Is that changed? No self-administration. Thank you very much.
Summary: The Joint Committee on Aging and Independence heard testimony on Senate 3057/House 5376, a bill to create an Assisted Living Residence Trust Fund and implement recommendations from the Assisted Living Residence Commission. Supporters, including AARP and the state long-term care ombudsman, backed the trust fund for certification staffing, compliance reviews, investigations, ombudsman services, public reporting, and appeals. The assisted living industry, represented by MassALA, supported the affordability task force and certified medication aides, but asked for amendments to expand career paths and to remove or limit fines as a funding source, arguing fines should be capped and tied to health or safety risks. The ombudsman emphasized the need for more staffing and resources, noting the current caseload and travel burden across the state. The committee also took testimony on Senate 3056/House 5243 concerning medication administration in rest homes. Rest home operators, MARCH, and LeadingAge Massachusetts opposed proposed Department of Public Health changes that would replace the long-standing responsible person model with a MAP-based framework or require more licensed nursing staff. They argued the current model has been used for decades, is safe and affordable, and is better suited to rest homes than MAP, which they said was designed for different settings. They urged the committee to preserve responsible person medication administration while improving training and oversight, and several witnesses asked for a task force or substitute language to study best practices rather than impose immediate regulatory changes. Committee members asked questions about the history of the responsible person model, how medication administration works in practice, and whether other states use similar systems. Chair Stanley said the committee was still reviewing building code-related recommendations for assisted living and noted that those issues may require more time. No votes were taken during the hearing, and the committee adjourned after testimony concluded.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Aging and Independence May 11th, 2026

Joint Committee on Aging and Independence

Transcript Highlights:
  • model that includes collaboration with our medical director, who rounds on-site weekly, established pharmacy
  • RPs do have structured education and servicing and training provided by my staff, along with the pharmacy
  • The pharmacy as well. Is that changed? No self-administration. Thank you very much.
Bills: H5243, H5376, S3056, S3057
AR

Arkansas 2026 Regular Session

ALC-REVIEW Mar 17th, 2026

ALC-REVIEW

Transcript Highlights:
  • Number 14, DHS with Red River Pharmacy Long-Term Care.
  • This is Amendment 1 to an existing contract to extend and add funding for pharmacy services at the Arkansas
  • For pharmacy services at the Arkansas Health Center and for DYS clients.
Keywords: 1204, all
AZ
Transcript Highlights:
  • That's effectively a 5.6 compounded annual growth rate for the last 10 years.
  • just speaking from my small business owners' perspective: they would all love to see an annual compounded
  • That's effectively a 5.6 compounded annual growth rate for the last 10 years.
  • They would all love to see an annual compounded growth rate of 5.6%.
  • Moving hastily now risks compounding future fiscal challenges.
Keywords: 1182, all
Summary: The joint House Ways and Means and Senate Finance committees met to hear identical conformity bills, HB 2153 and SB 1106, which would align Arizona tax law with the federal Internal Revenue Code as of Jan. 1, 2026, including some retroactive provisions for tax year 2025. Staff explained that the bills would exclude three federal provisions: the higher federal SALT deduction, the new senior deduction as written in H.R. 1, and the deduction for interest on new car loans. They would instead include a $6,000 retirement-income deduction for taxpayers age 60 and older, a $6,000 Roth IRA contribution deduction, a higher dependent tax credit, and a deduction for child and dependent care expenses above the federal credit. JLBC estimated the package would reduce general fund income tax revenue by about $441.3 million in FY 2026. Members also discussed that the Department of Revenue’s forms had been issued assuming full conformity, and staff and supporters argued the bills were needed quickly to avoid confusion and amended returns during filing season. Committee members and sponsors largely framed the bills as tax relief and a way to provide certainty for taxpayers and preparers. Supporters said the package would help families, seniors, and workers, and noted that the Arizona version was negotiated to keep the overall tax relief roughly comparable to full conformity while shifting benefits away from the SALT deduction and toward child credits, retirement income, and child care. The sponsors also criticized the governor’s executive action and urged prompt passage so taxpayers would know how to file. Opponents argued the bills would reduce state revenue, worsen the budget outlook, and disproportionately benefit higher-income taxpayers and corporations. Several witnesses and members also raised concerns about the child care deduction, the retirement-income deduction, and the business expensing provisions, while supporters responded that the bill was designed to help working families and encourage saving and investment. Public testimony was mixed. The Arizona Society of Certified Public Accountants and the Arizona Free Enterprise Club supported the bills, emphasizing early conformity, filing certainty, and reduced confusion for taxpayers and software providers. Opponents included Save Our Schools Arizona, the Arizona Center for Economic Progress, Opportunity Arizona, and several individuals, who argued the package would deepen budget problems and favor the wealthy. One witness objected to a federal school-choice-related provision she said was being tied to the bill, though committee members said the measure before them was a tax conformity bill and not a school finance bill. The hearing included extended debate over the fiscal impact, the governor’s prior requests for some of the same tax changes, and whether taxpayers would need to file amended returns if the legislature later changed course. The transcript ends during testimony from NFIB, with no final committee vote or action shown in the excerpt.
TX

Texas 89th Regular

Ways & Means Aug 22nd, 2025

Ways & Means

Transcript Highlights:
  • The compounding effect of the loss of revenue from the disabled veterans property tax exemption is significant
  • That's a compound annual growth rate of 5.1 percent.
  • our all-funds budget, it's grown from 3.5 billion to 5.8 billion. 5.9 billion, that's a 6% annual compound
  • In the current biennium, it's 196.7 billion, representing a 6.4% annual compound growth. rates.
  • I'll just leave you with, unless there's more questions, that over the last 10 years, the city's compound
Bills: HB17, HB23, SB 10
MN

Minnesota 2025-2026 Regular Session

Committee on Higher Education - 03/25/25

Higher Education

Transcript Highlights:
  • Since the 1960s, AFFF foam included per- and polyfluoroalkyl compounds, or PFAS, often referred to as
  • maybe in the future there will be more lawsuits filed against the manufacturers of some of these compounds
  • maybe in the future there will be more lawsuits filed against the manufacturers of some of these compounds
  • Maybe in the future there will be more lawsuits filed against the manufacturers of some of these compounds
  • </c><00:18:43.039><c> who</c> of this the some of these compounds who of this the some of these compounds
Keywords: 1187, senate, all
MN
Transcript Highlights:
  • someone is undocumented, it means they came here without their knowledge, and that situation is compounded
  • :50.240><c> A</c> particular when you have a situation A particular when you have a situation A compounding
  • situation</c><00:18:52.360><c> of</c><00:18:53.240><c> an</c><00:18:53.440><c> undocumented</c> compounding
  • situation of an undocumented compounding situation of an undocumented immigrant<00:18:54.880><c> so<
  • in what this bill is trying compounded in what this bill is trying to<00:19:05.480><c> address</c><00
Keywords: 919, house, all
Summary: The committee heard extended debate on a bill requiring cooperation with ICE and reporting related to undocumented people in certain criminal contexts. Representative Rymer argued the measure was meant to align with federal priorities focused on violent offenders and to ensure local governments respond to federal inquiries, not proactively target immigrants. He also said the bill was intended to address serious crimes and protect victims, citing examples of violent offenders and trafficking-related cases. Several members raised concerns that the bill’s language was broader than described and could affect family court matters, health care, elder care, and routine interactions with government agencies. Testifiers and members warned it could be used as leverage against undocumented people in custody, child support, domestic violence, and labor exploitation situations, and could discourage people from reporting crimes or seeking help. The sheriff’s association and county attorneys’ association letters were cited as raising due process, equal protection, civil rights, and public safety concerns. The discussion also focused on the bill’s definitions and mechanics, especially whether section three would require reporting after arrests that do not lead to charges and how county attorneys would know when to report. Representative Pinto pressed on the bill’s reference to “violent crime” and whether drug possession could be swept in, while Rymer argued the bill was narrower than critics suggested. No vote or final action was taken in the portion provided; the exchange remained at the discussion and questioning stage.
NH

New Hampshire 2026 Regular Session

House Judiciary (02/04/2026)

Judiciary

Transcript Highlights:
  • I contacted a couple of dozen teaching facilities, nursing, EMT, and pharmacy.
  • dozen teaching facilities,<00:23:26.640><c> nursing,</c><00:23:27.200><c> EMT,</c><00:23:27.840><c> pharmacy
  • </c> facilities, nursing, EMT, pharmacy. facilities, nursing, EMT, pharmacy.
  • don't want to take the vaccine, but I don't want to give the vaccine to somebody who comes into the pharmacy
  • don't want to take the vaccine, but I don't want to give the vaccine to somebody who comes into the pharmacy
Keywords: 1189, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on State and Local Government - 04/08/25

State and Local Government

Transcript Highlights:
  • </c><01:47:41.040><c> benefit</c> contract for pharmacy benefit contract for pharmacy benefit management
  • </c> prescription drug benefits and pharmacy prescription drug benefits and pharmacy benefit<01:47:49.840
  • </c><02:17:56.319><c> benefit</c> to the procurement and pharmacy benefit to the procurement and pharmacy
  • So, I was interested in your testimony about the healthcare pharmacy benefits manager.
  • Now, the way pharmacy benefits manager.
Keywords: 1187, senate, all
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Jan 28th, 2026 at 03:08 pm

Senate Health & Public Affairs

Transcript Highlights:
  • And so, in contrast to, say, the College of Nursing or the College of Pharmacy, where in the College
  • And in our College of Pharmacy, on the unrestricted budget, there's a small amount of clinician pharmacy
  • revenue, but 94% of that faculty support in the College of Pharmacy comes from tuition and I&G.
  • We have at least one other health profession college; in our case, we have nursing, pharmacy, population
  • clarify, when we do put a standard of care in for various small businesses, whether you're running a pharmacy
Bills: SB4, SB7, SB9, SB17
NH

New Hampshire 2026 Regular Session

Senate Rules and Enrolled Bills (01/15/2026)

Rules and Enrolled Bills

Transcript Highlights:
  • I'm here to discuss a critical practice by pharmacy benefit managers, PBMs, that directly harms New Hampshire
  • a consumer could pay less by using a discount or manufacturer coupon, by buying directly from a pharmacy
  • And under the Clayton Act, PBMs' vertical integration and self-preferencing harms independent pharmacies
  • a consumer could pay less by using a discount or manufacturer coupon, by buying directly from a pharmacy
  • And under the Clayton Act, PBMs' vertical integration and self-preferencing harms independent pharmacies
Keywords: 1191, senate, all
OK

Oklahoma 2026 Regular Session

Health and Human Services REVISED Apr 20th, 2026

Health and Human Services

Summary: The Senate Health and Human Services Committee first considered the nomination of Christy D. Fisher to the Board of Examiners for Speech-Language Pathology and Audiology. Senator Stanridge presented her as a lay member with legal and paralegal experience, and Fisher spoke about her family’s experience with speech therapy and autism-related speech needs. After brief questions, the committee advanced the nomination on an 8-2 vote. The committee then heard several bills, including measures creating an Early Childhood Task Force (HB 1979), clarifying that Oklahoma has always prohibited sex-to-gender-identity amendments on birth certificates (HB 1225), and establishing a process for correcting death certificates after one year (HB 3931). Members also advanced a bill restricting edible medical marijuana products from being attractive to children (HB 4454), updating the mentoring program for children of incarcerated parents (HB 3849), and allowing juvenile safety plans to take effect if not acted on within 24 hours (HB 1746). Other bills addressed local food sales thresholds (HB 3720), allowing case managers and peer support specialists to work for cities and counties (HB 4275), DHS background-check and email-notice updates for child care centers (HB 4300), and a clarification that raising a child consistent with biological sex is not child abuse and that adoption cannot be denied solely over refusal to support a gender transition (HB 3586). The committee also advanced bills on Medicaid reimbursement for dementia cognitive assessments and care planning (HB 2268), juvenile detention medication funding (HB 3755), family resource centers including faith-based and workforce organizations (HB 4117), epilepsy insurance coverage protections (HB 4294), extending the managed care rate floor to July 1, 2028 with a carve-out for multi-state contracts (HB 3650), and child care reforms raising subsidy co-pays and directing DHS to set more flexible master-teacher ratios for certain facilities (HB 4298). Several bills were amended or worked from committee substitutes, and most passed on unanimous or near-unanimous votes, with HB 1225, HB 3586, and HB 4294 drawing some opposition. The committee adjourned after noting it would likely meet again later for additional executive nominations.