Transcript Highlights:

• It is supported by the pharmacy association and ensures regularity and clarity, reliable patient access
• Just curious, why only nonprofit pharmacies?
• Henry Ollamock: We represent, except for each third, the nation's largest nonprofit pharmacy, if not
• the nation's only nonprofit pharmacy.
• So the nonprofit pharmacy did serve the region the most.

Committee: House Professional Registration and Licensing

Summary: The Committee on Professional Registration and Licensing met with a quorum present and first took up House Bill 1797, a public accounting bill. The committee adopted a substitute that was described as clarification language to mirror the Senate version, then voted the House Committee Substitute do pass by unanimous roll call. The committee also considered House Bill 2974, adopted Amendment 0.01H adding clarifying scope-of-practice language, rolled the amendment into a committee substitute, and then voted the House Committee Substitute do pass unanimously. The committee then heard testimony on House Bill 1623, which would add massage therapists and chiropractors to the list of health care professionals subject to emergency disciplinary action through the Administrative Hearing Commission. The sponsor said the bill is intended to protect patients and give licensing boards faster authority to act against bad actors in vulnerable settings. Supporters included a trial lawyer who described sexual assault cases involving massage parlors and a lobbyist for the Missouri Chiropractic Physicians Association, who said quicker action would improve public safety and professional integrity. No opposition was presented. Next, the committee heard House Bill 309, which would provide clarity for nonprofit pharmacies serving low-income and underserved patients in emergency situations, inspired by access problems after the St. Louis tornadoes. The sponsor and an RX Outreach representative said the bill would help pharmacies transfer or dispense needed medications during emergencies without reducing oversight, and they discussed limits on quantities and controlled substances. Members asked why the bill was limited to nonprofit pharmacies and whether it applied outside Missouri; the witnesses said they were open to amendments and clarified the bill was aimed at Missouri emergencies. Finally, the committee heard House Bill 3129, the Physician Assistant Compact. The sponsor said the compact would improve access to care, especially in rural areas, by allowing reciprocal practice across participating states without changing Missouri scope-of-practice law. A PA testified in support, saying it would help retain and recruit PAs and improve flexibility near state borders. The Missouri State Medical Association opposed the bill, arguing it could affect scope of practice, give compact commission rules too much authority, and weaken Missouri’s regulatory control; the Division of Professional Registration supported it, saying it fits rural health transformation goals and that compact participants would still have to follow Missouri scope laws. A nonprofit workforce group also testified in support. No votes were taken on the hearing bills before adjournment.

Transcript Highlights:

• Members, this permits, not requires, local districts to let local authorized charter schools operate
• President, members, this permits, not requires, local districts the ability to let local authorized charter
• This is a local bill. We're just changing out some membership on the board.
• All locals are in agreement with it. I ask for your final passage.
• at local correctional facilities from $26.39 to $29.

Bills: SR134 , SR135 , SR136 , SR137 , SR140 , SR141 , SR142 , SCR75 , SCR77 , SCR12 , HB75 , HB1199 , HB221 , HCR89 , HCR96 , HCR103 , HCR108 , HCR58 , HB9 , HB177 , HB181 , HB198 , HB202 , HB223 , HB225 , HB387 , HB398 , HB457 , HB459 , HB540 , HB591 , HB616 , HB766 , HB775 , HB783 , HB797 , HB895 , HB906 , HB950 , HB975 , HB1028 , HB1052 , HB1057 , HB1076 , HB1100 , HB1139 , HB1155 , HB1160 , HB1182 , HB1186 , HB1220 , HB1222 , HB1223 , HB1224 , HB1228 , HB1231 , HB1245 , HB1256 , SCR3 , SB393 , SB401 , SB415 , SB426 , SB435 , SB487 , SB488 , SB523 , SB56 , SB163 , SB341 , SB504 , SB322 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR27 , HCR28 , HCR66 , HCR67 , HCR72 , HCR31 , HCR47 , HCR41 , HB363 , HB368 , HB377 , HB380 , HB386 , HB392 , HB431 , HB441 , HB559 , HB664 , HB685 , HB715 , HB741 , HB822 , HB856 , HB908 , HB980 , HB990 , HB999 , HB1010 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB27 , HB143 , HB205 , HB259 , HB267 , HB288 , HB308 , HB403 , HB405 , HB414 , HB417 , HB478 , HB546 , HB548 , HB555 , HB557 , HB609 , HB670 , HB672 , HB740 , HB779 , HB786 , HB796 , HB812 , HB848 , HB915 , HB917 , HB921 , HB930 , HB933 , HB1095 , HB1096 , HB1103 , HB1129 , HB1154 , HB1166 , HB1187 , HB1195 , HB1230 , HB316 , HB511 , HB799 , HB1039 , HB12 , HB66 , HB145 , HB167 , HB196 , HB213 , HB218 , HB222 , HB256 , HB291 , HB326 , HB352 , HB401 , HB430 , HB433 , HB434 , HB448 , HB456 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1038 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB17 , HB36 , HB41 , HB47 , HB73 , HB126 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB271 , HB324 , HB337 , HB351 , HB399 , HB571 , HB712 , HB723 , HB726 , HB750 , HB759 , HB844 , HB966 , HB1006 , HB1018 , HB1036 , SB29 , SB42 , SB43 , SB78 , SB208 , SB217 , SB274 , SB300 , SB379 , SB382 , SB387 , SB441 , SB449 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB149

Keywords: SR134, Senate Resolution 134, Isaac Herzenberg, Metairie Park Country Day School, Country Day, javelin, track and field, Class 2A, state championship, high school athletics, student athlete, Louisiana Senate commendation, honorary resolution, sports recognition, University of Nebraska, Baton Rouge, LSU Bernie Moore Track Stadium, sportsmanship, collegiate athletics, condolence resolution

Transcript Highlights:

• To go to the local grocery store, to attend an event, there are standards.
• Knox, is there—there’s local, right now there are some locals that have regulations and minimal standards
• The only local that I’m aware of is the local in New Orleans, and it’s more on tenant side.
• So there is, on the local level right now in New Orleans, guidelines to regulate these homes.
• government in Cato, the local planning board, they do require certain standards.

Bills: HB414 , HB457 , HB475 , HB611 , HB616 , HB740 , HB897 , HB925 , HB926 , HB931 , HB949 , HB962 , HB1076

Committee: House Health and Welfare

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, consent, recording, artificial intelligence, patient rights, pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services

Transcript Highlights:

• So I will say when we have switched to a new pharmacy benefit manager, yes, there was a overall formulary
• Our pharmacy benefit consultant helps us manage the relationship with our pharmacy benefit manager.
• requests, and help overall manage and help see how the pharmacy benefit is operating for our members
• “Because you’re either going to continue to have them with your pharmacy benefit manager, or we would
• We would go back and say, hey, we don’t want to do the pharmacy benefit manager process.

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, explaining that the updates favored lower-cost generics, re-tiered some drugs, left several new-to-market drugs uncovered pending more evidence, and added quantity limits in some cases. The committee approved those formulary recommendations. The subcommittee also approved a cell and gene therapy policy that would exclude automatic coverage of those therapies and route them through prior authorization and review, with members noting the process should not delay urgent cases and that appeals remain available. Members then discussed a UAMS professional consultant services contract amendment for pharmacy benefit consulting. The discussion focused on confusion over the dollar amount and scope, with Wallace clarifying that the committee was being asked to approve up to $2.596 million, including optional services related to coupon and rebate management that could be used later without returning for another approval. Several members raised concerns about matching the written contract to the approval amount and about the relationship to the current pharmacy benefit manager, but the committee ultimately approved the item with the understanding that any use of the optional services would return to the committee. The committee also reviewed, without objection, a Blue Cross/Blue Advantage third-party administrator contract, a CompSack employee assistance program contract, and approved proposed 2027 employee and public school health plan rates of 9.8% and 4.9% increases, respectively. Wallace also said the UnitedHealthcare rebid was in final negotiation and would return in August. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffly, and extensions for Sedgwick Claims Management, Actuarial Advantage, and Stevens Capital Management. Members asked about claim-adjustment delays after a major winter storm, and Wallace said performance guarantees and communication requirements had been added, with claims still expected to vary by case. The committee also approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, lower rates for K-12 and higher education, a higher rate for state agencies, and an overall 10% reduction. Wallace said the reductions reflected improved actuarial foundations, better claims management, and the program’s first-year performance. The meeting adjourned after approving the rate item.

Transcript Highlights:

• modifies the covered entity reporting requirements by specifying that payments made to contract pharmacies
• unless that pharmacy is in a rural county or a medically underserved area.
• What this would do is limit entities that are contracting with additional contract pharmacies to ones
• Representative Engel continues: ...they do not have any other pharmacies that they're able to contract
• One of my biggest concerns... ...had the ability to contract with additional pharmacies.

Bills: SB5877

Committee: House Health Care & Wellness

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations

Transcript Highlights:

• AB 910, Bonta, pharmacy benefit managers: two-year bill.
• AB 957, Ortega, pharmacy tobacco sales: do pass out on an A roll call.
• AB 359, Ramos, FPC local enforcement: do pass out on an A roll call.
• AB 699, Stephanie, Local Ballot Measures: do pass on a B roll call.
• AB 465, Zbur, Local Employee MOUs: holding committee.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• </c><00:07:45.919><c> The</c><00:07:46.160><c> difference</c> use in a in a pharmacy.
• The difference use in a in a pharmacy.
• At the House hearing, we heard that local in-state agencies are not at issue.
• </c> House hearing, we heard that local House hearing, we heard that local in-state<01:46:16.000><c>
• Um and that local zoning restrictions.

Committee: Senate Health and Human Services

Transcript Highlights:

• We know that at our local community level we have somewhat of a patchwork of emergency responses that
• How do we, you know, respond at the local level to things like treatment in place?
• </c> We know that at our in our local We know that at our in our local community<00:08:36.039><c> level
• level things like treatment in local level things like treatment in place?
• All of our local health departments do a community needs assessment.

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• The one notable exception is pharmacy growth, where increased use of high-cost drugs is the primary driver
• about one-quarter is due to some of the services being higher cost in one space, but in particular pharmacy
• 00:36:23.520><c> in</c><00:36:23.680><c> particular</c><00:36:24.480><c> um</c><00:36:24.880><c> pharmacy
• </c> space but in particular um pharmacy space but in particular um pharmacy costs<00:36:26.640><c> um
• about how much debt they needed at the time, because we don't like to sell bonds if our agencies and local

Summary: Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap. Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility. Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.

Transcript Highlights:

• To the Board of Pharmacy, the Chair calls David Pettit with the Legislative Budget Board.
• And Daniel Carroll, executive director of the Board of Pharmacy.
• I'm the executive director of the Texas State Board of Pharmacy. With me is Julie Spear. She's our.
• , 44,400... pharmacists and pharmacist interns and 77,800 pharmacy technicians.
• Board of Pharmacy, no one wanted to come testify.

Committee: House Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:

• Local effort assistance: property-poor districts struggle to compete with the more affluent areas, and
• The Governor's budget is projected to save $7.5 million annually moving Medicaid pharmacy benefit from
• We ask the legislature to maintain the Medicaid pharmacy benefit and managed care. Thank you.
• jurisdictions. ...This legislature must remain mindful of the needs of local jurisdictions.
• We also employ 85 caregivers and support staff who live and work in our local area.

Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.

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?

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:

• application of a person seeking a application of a person seeking a pharmacy<00:23:16.679><c> benefit
• I own pharmacies, and so I've been watching the implementation of this and tracking it very closely.
• Of course, you're seeing a lot of pharmacies closed right now.
• You're seeing pharmacy deserts because of PBMs.
• and so I've been watching the pharmacies and so I've been watching the implementation<00:25:10.120><

Summary: The Administrative Regulation Review Subcommittee met on February 10 with a quorum present, approved the minutes, and then reviewed a long agenda of agency regulations, most of which were accompanied by staff-suggested amendments for drafting conformity under KRS Chapter 13A. The Department of Financial Institutions’ 808 KAR 9:10, the Secretary of State’s 030 KAR 2:11, the Office of the Attorney General’s 04 KAR 5:10, the Board of Speech-Language Pathology and Audiology’s emergency 201 KAR 17:120, the Department of Fish and Wildlife Resources’ 301 KAR 2:41, the Department for Environmental Protection’s 401 KAR 47:110 and 48:320, the State Police regulations 502 KAR 1:012 and 1:121, the Department for Public Health’s 902 KAR 4:15, the Department for Medicaid Services’ 907 KAR 1:15, and the Department for Community Based Services’ 921 KAR 1:400 were all discussed and, where applicable, staff amendments were approved without objection. The Workplace Standards emergency regulation 803 KAR 2:320E was also presented without amendment, and the Department of Insurance’s 806 KAR 9:360 was taken up but ultimately deferred at the agency’s request. Several regulations drew brief substantive discussion. The Fish and Wildlife rule on foxhound training enclosures was explained as expanding both commercial and non-commercial provisions for training with dogs involving red fox and coyotes, with enclosure standards intended to protect wildlife inside and outside the facilities. The environmental protection rules were tied to House Bill 478 and addressed permit-by-rule timelines, reporting, and operating standards for certain construction and demolition debris landfills, including sites up to two acres; members asked whether these facilities were private or municipal, and staff said they were a mix, often tied to private demolition contractors or single projects. The State Police fee increase for hazardous materials endorsements was described as reflecting a federal TSA fee change, and the witness estimated the new fee at about $23. The most extended debate concerned the Board of Education’s 704 KAR 3:535 on full-time virtual and remote learning programs. The agency amendment would cap enrollment in such programs at 10% above a district’s prior-year in-person enrollment, while also clarifying accountability, staffing, and monitoring requirements. Education officials said the cap was intended to address concerns about district capacity and student performance, and they cited Cloverport as an example of a district with high virtual participation and participation-rate issues. Members expressed concern that the amendment was too open-ended for regulation and suggested the issue might be better addressed in statute; no motion was made to adopt the agency amendment, so the regulation was left to proceed to the committee of jurisdiction. The Department of Insurance also discussed implementation of Senate Bill 188, saying it had received more than 3,000 complaints since the law took effect and was still working through enforcement and complaint processing before asking to defer its PBM licensing regulation.

Transcript Highlights:

• Trying to retain those even though we have a zero now, knowing how important these have been to our local
• that people can afford, senior meals, schools and education, homelessness, then that means on the local
• Then that means on the local level those cuts are going to be felt very deeply.
• And I've started having conversations. ...with localities in my district about how we figure out a plan
• really take a hard look at what's happening. as we continue to fund corporate consolidators and Pharmacy

Committee: House Budget

Transcript Highlights:

• rules that go into effect that directly contradicts the law that we passed last year on the pharmacy
• So, you're saying that the pharmacy board declared an, quote unquote, emergency and then raised their
• I was trying to find the verbiage here. uh in the pharmacy board where in uh in the pharmacy board where
• </c> year on the pharmacy board. year on the pharmacy board. um<00:11:29.279><c> the</c><00:11:29.760
• </c><00:11:52.079><c> board</c><00:11:53.120><c> declared</c> saying that the pharmacy board declared

Bills: HB59 , SB15 , SB96 , SB104 , SB137

Committee: Senate Fiscal Responsibility and Economic Development

Keywords: public accountancy, CPA licensing, board regulations, educational prerequisites, electronic notifications, firm registration, assignment, creditors, insolvency, liquidation, assignee, secured transaction, bankruptcy, state law, voluntary process, distribution of assets, emergency rules, governor certification, state regulations, public safety

Transcript Highlights:

• economic impacts of short-term rentals on tourism, workforce development, rural infrastructure, and local
• 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

Bills: HB111 , HB108 , HB145 , HB164 , HB291 , HJR6 , HR1 , HB63 , HB64 , HB165 , HB184 , HB200 , HB4 , HB7 , HB20 , HB65 , HB66 , HB80 , HB88 , HB96 , HB166 , HB285 , HB295 , HB306 , SB29 , SB37 , HJM2 , HJM3 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM11 , HM14 , HM21 , HM34 , HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• enforcement had to get very crafty in our thinking so that we would be able to build a good case against a pharmacy
• we had to get very crafty in our thinking so that we would be able to build a good case against a pharmacy
• or a doctor who was over-prescribed, or 5. case against a pharmacy or a doctor who was violating state
• background, My understanding, I'm just going off of memory, is that law enforcement, whether it be FDLE or local

Summary: The committee met with Senators Garcia and Simon excused and heard a presentation from FDLE Deputy Commissioner Vaden Pollard on homicide and violent-crime investigations, focusing on access to blood evidence, toxicology, medical records, mental health records, and the legal limits imposed by Florida law, HIPAA, and 42 CFR Part 2. He explained that autopsy evidence collected by medical examiners is generally available to law enforcement, while hospital records and mental health/substance abuse records usually require subpoenas, court orders, or consent, which can delay investigations. He also discussed the difference between DNA testing and toxicology testing, the role of warrants and probable cause for living suspects, and the special rules that apply when a suspect is deceased. Members asked detailed questions about what toxicology panels include, whether medications can be tested for, how medical examiners review prior medical history, and whether FDLE tracks data linking violent crime to mental health issues or follow up with regulators after incidents. Pollard said the agency follows investigative leads where relevant, but regulatory follow-up depends on the circumstances. He also discussed behavioral threat assessment and management, and said risk protection orders have been used effectively to prevent violence and can lead to court-ordered evaluations and services. The committee then shifted to crime lab capacity and turnaround times. Pollard said the average DNA turnaround time was 208 days for some evidence, with anything over 30 days considered backlog, but that sexual assault kits are prioritized and generally handled much faster, with rush cases sometimes completed within 24 hours. Members expressed concern about delays in unsolved violent and sexual assault cases and asked what resources would help reduce backlog; Pollard said additional analysts would improve turnaround times. The meeting concluded with thanks to the presenter and adjournment after Senator Bernard moved to adjourn.

Transcript Highlights:

• enforcement had to get very crafty in our thinking so that we would be able to build a good case against a pharmacy
• we had to get very crafty in our thinking so that we would be able to build a good case against a pharmacy
• or a doctor who was over-prescribed, or 5. case against a pharmacy or a doctor who was violating state
• background, My understanding, I'm just going off of memory, is that law enforcement, whether it be FDLE or local

Committee: Senate Criminal Justice

Summary: The committee convened with a quorum present and heard a presentation from FDLE Deputy Commissioner Vaden Pollard on homicide investigations, blood evidence, toxicology, medical records, and mental health records. Pollard explained that autopsy toxicology and medical examiner records are often critical in death investigations, but access to hospital blood tests, medical records, Baker Act records, and substance abuse treatment records is restricted by Florida law, HIPAA, and 42 CFR Part 2, usually requiring subpoenas, court orders, or consent. He also noted that autopsy reports are generally public, while photographs are confidential, and that medical examiners can access relevant prior medical history of decedents. Members questioned Pollard about what toxicology panels include, whether medications can be tested for, and whether medical examiner reviews can help determine if a deceased person had stopped taking prescribed psychiatric medication. Pollard said toxicology can include alcohol, drugs, and specific medications when relevant, but routine access to living suspects’ medical information is limited. He also discussed FDLE’s behavioral threat assessment work and said investigators may follow leads involving mental health treatment or facility releases when relevant to a case, though he could not speak to regulatory follow-up. The committee also discussed risk protection orders, with Pollard saying FDLE has used them effectively and that they can help prevent violence and connect individuals to services. The discussion then shifted to FDLE laboratory turnaround times and public safety impacts. Pollard said the average DNA turnaround time was 208 days for some cases, while sex assault kits are prioritized and generally remain under 90 days, with rush cases sometimes completed within 24 hours. He said backlog is tied to staffing and analyst capacity, and that faster processing is especially important in unsolved violent and sexual assault cases because delays can leave offenders on the street. The committee also noted that increased toxicology demands would affect toxicology staffing and workload, though not DNA processing. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• Some may argue that adopting a national standard reduces local control.
• Pharmacy benefit managers conduct utilization review.
• And the medical doctor agrees, and the doctor of pharmacy agrees, but the insurance, who's controlling
• You're going to ask me a pharmacy question. I would defer to Rep. Chesson on that as a pharmacist.
• With opioids, or when pharmacies finally realized it, when prescriptions exceeded seven days, like, it

Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.

Transcript Highlights:

• So students who cannot get into our local impacted universities do not get into universities.
• So students who cannot get into our local impacted universities do not get into universities.
• I'm a pharmacy technician at UCSF, and I'm here today in support of ACA 3 with my co-workers.
• This bill supports campus goals and reaches student learning and strengthens local communities.
• It simply ensures that those decisions follow the protections negotiated in local contracts.

Summary: The Assembly Higher Education Committee heard a series of bills focused on expanding access to higher education, addressing workforce shortages, student housing, and labor standards on campus projects. AB 662 would create a South County Higher Education Task Force to explore a mixed-use, intersegmental institution in Chula Vista; supporters said South San Diego County is a “college desert,” while the bill passed on a due pass as amended motion to Appropriations. AB 885 would establish a College Access for All Fund to help make CSU and UC attendance more affordable; supporters cited student debt and affordability concerns, and it also passed to Appropriations. AB 730 would provide $15 million to help establish a medical school in the Central Valley to address physician shortages, and it advanced on a due pass motion. AB 1400 would let up to 15 community college districts pilot bachelor’s degrees in nursing; supporters argued it would expand affordable BSN access and keep students local, while CSU, UC, and other higher education groups opposed it as unnecessary and inconsistent with the master plan. The bill passed to Appropriations, with members raising questions about clinical placements, faculty shortages, and possible effects on associate-degree programs. The committee also considered AB 1235, which would require CSU design-build projects to use a skilled and trained workforce, aligning CSU with other public higher education construction standards. Supporters said it would improve safety, training, and local job opportunities, and the bill passed to Appropriations. AB 1247 would restrict contracting out of classified school and community college jobs unless workers meet training and qualification standards and would address pension and training concerns; supporters said it would protect students and classified employees, while school and college groups warned it would disrupt services and add unfunded mandates. The bill passed to Appropriations with one no vote. AB 1470, presented on behalf of Assemblymember Haney, would allow a portion of student housing revolving loan funds to be used for affordable student, faculty, and staff housing in downtown and commercial districts; it was discussed as a housing and downtown revitalization measure, but the committee held off on a motion pending more members. ACA 3, also on behalf of Haney, would require UC to offer limited down payment loans to eligible long-term support staff first-time homebuyers; it drew extensive support from UC workers and unions, while UC and business groups opposed it as costly and outside UC’s mission, and the measure was still under discussion at the end of the transcript.