Transcript Highlights:

• When they initiate treatment, they write a prescription for the patient, which can then be filled at
• physically delivers MAT drugs to patients, thus eliminating the barrier presented by having to obtain a prescription
• We're sending folks to pharmacies to get these prescriptions filled.
• And they go, and you hand them a prescription. You may as well not, in probably 90% of the cases.

Transcript Highlights:

• Bill 555, introduced by Assemblymember Yeager, establishes provisions relating to the coverage of prescription
• co-payment, co-insurance, or other cost-sharing obligation greater than $35 for a 30-day supply of a prescription
• co-payment, co-insurance, or other cost-sharing obligation greater than $35 for a 30-day supply of a prescription
• Amendment No. 848 to Senate Bill 316 clarifies that the bill applies to insurers that cover prescription

Keywords: 909, all

Transcript Highlights:

• , so I just heard you say that your bill only changes the statute of limitations if the drug's prescription
• It is limited to prescriptions provided for those purposes.
• encouraged to... ...simply in a 20-minute consultation, right, they can walk out that door with a prescription
• Prescription drugs, which are typically hormone blockers.

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• When we think about treatments or prescriptions for certain ailments in the health care space, right,
• 06.080> or level when we think about treatments or level when we think about treatments or prescriptions
• for<00:26:07.279> certain<00:26:07.520> ailments<00:26:08.000> in prescriptions
• for certain ailments in prescriptions for certain ailments in the<00:26:08.240> health<00:26:

Keywords: 1187, senate, all

Transcript Highlights:

• Retail pharmacy, which is any prescription drug that you pick up at your CVS or Walgreens, right?
• any way that we can work with our stakeholders and our partners to try and reduce the impact of prescription
• drugs, Reducing the impact of prescription drugs is going to be a positive impact down the line, right

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• Uh, and so you're familiar enough to say this is a responsible way to use this prescription medication
• They could refill or rewrite you a prescription for a motion here in a second. Any other questions?
• They could refill or rewrite you a prescription for a motion here in a second. Any other questions?

Bills: SB85, SB263, HB277, HB267, SB288, SB85, SB263, HB277, HB267, SB288

Keywords: vaccination exemption, religious exemption, medical exemption, vaccine mandate, testing requirement, public schools, K-12, students, parents, guardians, higher education, college enrollment, university attendance, public institutions of higher education, immunization, religious tenets, sincerely held belief, school health policy, Alabama, AHSAA physical form

Transcript Highlights:

• 47.600> between nobody's parents will choose between nobody's parents will choose between prescription
• <00:05:48.639> drugs<00:05:49.120> and prescription drugs and prescription drugs and groceries

Keywords: 1183, house

Transcript Highlights:

• What this basically does is: the limited number were previously a 14-day prescription after the exam
• What this does is, for most of them, it makes it a 30-day initial prescription with a 30-day extension
• And what this basically does is the limited number were previously 14-day prescription after the exam
• What this does is, for most of them, it makes it 30-day initial prescription with a 30-day extension.
• I guarantee you the error rate in prescriptions will increase. Mr.

Bills: SB1041, SB1088, SB1118, SB1128, SB1168, SB1176, SB1189, SB1207, SB1250, SB1272, SB1274, SB1286, SB1428, SB1457, SB1461, SB1503, SB1519, SB1537, SB1582, SB1618, SB1654, SB1713, SB1827, SCR1012, SCR1020

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, cybersecurity, homeland security, artificial intelligence, state appropriation, VPN security, zero trust, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes

Summary: The committee began with Senate Bill 1272, which would provide $5 million for the City of Douglas as a state match for the Douglas Port of Entry project. The chair adopted a Livingston amendment changing the funding source from the General Fund to the Water Supply Development Revolving Fund. Senator Gowen, Douglas Mayor Jose Grijalva, and city staff testified that the project could unlock $678 million in federal funding, create jobs, improve trade and national security, and generate future tax revenue. The bill passed 15-0 with three present and one not voting. Senate Bill 1503 was then amended with a strike-everything to expand the state death benefit for first responders to include pilots employed by law enforcement agencies, retroactive to January 1, 2026, and subject to voter approval. Senator Gowen and DPS Director Colonel Jeffrey Glover said the change would ensure the family of a DPS aviation supervisor killed in a helicopter crash would qualify for the benefit. The committee approved the bill 18-0 with one not voting. Senate Bill 1274 was converted by strike-everything amendment into a timeshare salesperson licensing measure, creating a separate license and training path focused on timeshare sales. Supporters said the change would better prepare salespeople and streamline licensing, while the sponsor said it would make government more efficient. The bill passed 17-1 with one not voting. Senate Bill 1286, dealing with veterinary telemedicine, was also approved after negotiated changes extended most telemedicine prescription periods to 30 days, kept antimicrobials at 14 days with no renewal, and allowed longer flea-and-tick prescriptions; supporters said it would help rural and disabled pet owners. It passed 18-0 with one not voting. The committee next considered Senate Bill 1519 on off-highway vehicles. A hostile strike-everything amendment proposing paid family and medical leave failed 7-11 with one not voting. The committee then adopted a Lopez amendment and advanced the underlying bill, which raises the OHV weight threshold from 2,500 to 3,500 pounds and adjusts registration and funding provisions. Supporters said it reflects newer enclosed and electric vehicles and helps trail funding, while opponents warned of trail damage and said the issue should wait for the study committee. The bill passed 10-7 with one present and one not voting. Senate Bill 1618, which updates the Military Affairs Commission, expands its membership and duties, and creates a military affairs fund, drew mixed testimony about whether it would strengthen Arizona’s ability to attract and retain military missions or shift the commission away from its traditional support role; it passed 10-6 with two present and one not voting. Finally, Senate Concurrent Resolution 1020, which would send to voters a CPI-based annual adjustment to legislative salaries, passed 9-8 with one present and one not voting after members debated legislative compensation, citizen-legislator concerns, and whether the change would broaden access to public service.

Transcript Highlights:

• The bill also establishes a prescription repository program for animal prescriptions.
• 28:29.040> also<01:28:29.440> establishes<01:28:30.080> a<01:28:30.400> prescription
• The bill also establishes a prescription The bill also establishes a prescription repository<01:
• . prescriptions. prescriptions.
• :28:40.880> human program is modeled after the human program is modeled after the human prescription

Bills: HF3718

Keywords: veterinary medicine, veterinary technology, animal care, licensing, client consent, continuing education, emergency services, teletriage, 1183, house

Summary: The Agriculture Finance and Policy Committee met with quorum present, approved the March 2 minutes, and then heard a presentation on economic consolidation in agriculture from Austin Ferk, who said he was not taking additional public testimony. Ferk argued that consolidation in meat, dairy, and grain markets has squeezed farmers on both input and output prices, raised consumer prices, and reduced product quality. He used charts and examples to claim that concentrated markets lead to price gouging, that farmers now receive a historically low share of each food dollar, and that industrial production has contributed to environmental problems, especially in Iowa. Ferk focused on several large agribusiness firms, especially JBS and Cargill. He described JBS as a dominant meatpacker with a history of bribery allegations and market power across beef, pork, poultry, and leather, and said its ownership of brands can obscure who is actually selling the product. He also criticized Cargill as an opaque, privately held company with enormous influence over grain and food markets, and said the farm bill and crop insurance system have been shaped to favor overproduction of corn and soy rather than diversified farming. He argued that these policies, along with ethanol demand and export-oriented livestock production, have harmed rural communities, increased manure and nitrate pollution, and contributed to health problems. In the latter part of the presentation, Ferk discussed antitrust and policy responses, including concentration studies, a proposed packer ban that would prevent meatpackers from owning the animals they slaughter, and restrictions on slotting fees and other pay-to-play practices in grocery retail. He also referenced the failed Kroger-Albertsons merger as an example of consolidation harming local communities. No committee vote or formal action was taken on the presentation beyond approving the minutes.

Transcript Highlights:

• <00:23:54.400> when<00:23:54.640> we versus being more prescriptive when we versus
• being more prescriptive when we started<00:23:55.120> out.
• First, allow cities to meet state housing goals through performance, not prescription.
• It's a prescriptive<01:38:05.600> menu<01:38:06.000> option<01:38:06.239> that<01
• :38:06.639> you<01:38:06.880> can prescriptive menu option that you can prescriptive menu

Bills: HF3902, HF3895

Keywords: housing tax credit, Minnesota Housing Finance Agency, qualified projects, taxpayer contributions, greater Minnesota, zoning, housing, local government, multifamily development, affordable housing, land use, urban development, 1183, house

Transcript Highlights:

• Top three causes of death in the United States: heart disease, cancer, and prescription drugs.
• Top three causes of death in the United States: heart disease, cancer, and prescription drugs.
• That was a study that was done. prescription drugs. Yeah. A study done prescription drugs. Yeah.
• drugs leads to 250 to of prescription drugs leads to 250 to 300,000<00:40:43.119> deaths<00:40
• You have symptoms, I give you a prescription. That is a reactive model. Ten percent is proactive.

Keywords: 958, all

Summary: The task force met for its third meeting, approved the minutes, and heard testimony from Dr. Jack on behalf of the American Beverage Association and Kentucky Beverage Association. Dr. Jack argued that the “totality of the science” supports low- and no-calorie sweeteners as safe and useful tools for reducing sugar and calories, citing FDA and other domestic and international reviews, clinical trials, and the FDA’s recent healthy-label rule. He also described the industry’s transparency efforts, including a “Good to Know” database compiling ingredient and safety information, and said the beverage industry has voluntarily worked to offer more choices with less sugar. Members questioned him about whether beverage ingredients are restricted in other countries, possible health effects beyond weight and cancer, concerns about metabolic issues and gut microbiome effects, whether sweeteners are addictive, and why companies do not simply remove sweeteners. Dr. Jack responded that most ingredients are permitted in many jurisdictions, that broad food-safety reviews have looked at multiple endpoints and found the ingredients safe, that the gut microbiome is still being studied, and that recent clinical evidence does not show increased sweetness preference. He also said business decisions about formulations are up to companies and noted that cane sugar and high-fructose corn syrup are metabolically similar. The committee also discussed consumer apps and ingredient-scoring tools; Dr. Jack said the industry’s website presents facts without interpretation and is based on food-safety agency assessments. At the end of his testimony, the chair accepted additional fact sheets for the committee. The meeting then moved on to introduce Dr. Gary Huber, who began testimony by emphasizing integrative medicine, metabolic syndrome, and the role of diet, exercise, sleep, and stress in health, but his full presentation was not included in the excerpt.

Transcript Highlights:

• He gave the example of trading a prescription pill for a candy bar and said he does not think that should
• He gave the example of trading a prescription pill for a candy bar and said he does not think that should
• She said Lee Mhler brought up the very real issue of people having access to prescription medications
• with contraband coming into facilities because people are worried they will not have the right prescriptions
• With that, she said she will withdraw the amendment today. prescriptions or they just happen to prescriptions

Keywords: 1183, house

Transcript Highlights:

• system at a pharmacy, there prescription system at a pharmacy, there needs<00:34:07.519> to<00
• :34:07.600> be<00:34:07.760> either<00:34:08.200> a<00:34:09.320> prescription
• <00:34:10.320> or<00:34:10.879> a needs to be either a prescription or a needs to be
• medication is better than prescription medication is better than the<00:37:48.240> one<00:37:
• this a prescription that uh my<00:38:08.880> family<00:38:09.200> used<00:38:09.440>

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• The bill requires that taxpayers be clearly informed that signing a waiver of prescription is voluntary
• , something that That signing a waiver of prescription is voluntary, something that sometimes they're

Summary: The Senate Committee on Revenue and Fiscal Affairs met on May 19, 2026, established a quorum, approved the May 11 minutes, and then took up several House bills. House Bill 1039, presented by Rep. DeSotel, would add taxpayer protections in local sales tax audits by requiring clear notice that waiving prescription is voluntary, requiring a written request identifying records sought before an estimated assessment, and allowing mutual agreements to suspend interest and penalties during an audit. The committee had no opposition and reported the bill favorably. House Bill 799, handled by the State Fire Marshal’s office, would move boiler inspections into the Fire Marshal’s office and allow licensed industry inspectors to perform them, with the stated goal of improving efficiency because current staffing only covers about 20% of inspections; it was also reported favorably without objection. The committee then spent most of the meeting on House Bill 2, the capital outlay bill, with Chairman Bacala explaining that the House had worked with the Division of Administration and Facility Planning and Control to find about $50 million in savings through cash-flow adjustments, under-budget bids, over-appropriations, and bundled-project savings. He argued the bill has grown beyond a true five-year plan and that some prior funding is not transparent because money placed in projects in earlier years no longer appears in later versions of the bill. Division officials said the savings would help address deferred maintenance, especially in higher education, and that Priority 2 projects are used to absorb additional funds if more savings are found later in the year. Senator Luneau asked about dormant projects and the process for removing or reallocating funds from projects with no recent expenditures; officials said such removals must go through the Bond Commission and that they are considering ways to improve the process. Bacala then offered amendments to HB 2, saying they kept Priority 1 fully funded, added about $54 million in Priority 2 projects, and included a large Priority 5 list of member requests. The committee adopted the amendment set without objection and then reported HB 2 as amended favorably. The committee also reported House Bill 3 favorably; Bacala described it as a housekeeping measure that provides bonding capacity to move HB 2 forward. Finally, the committee granted staff authority to make technical changes to the reported bills and adjourned on Senator Lambert’s motion.

Transcript Highlights:

• can't have teacup if we have a regulated THC market is about like saying we can't have Advil and prescription
• can't have teacup if we have a regulated THC market is about like saying we can't have Advil and prescription

Summary: Senator Nathan Johnson presented a pair of bills he described as a comprehensive cannabis reform package for Texas. He said one bill would regulate hemp-derived THC with a 21-and-over purchase age, a 5 mg THC threshold, testing, labeling, licensing, packaging, and marketing standards, an advisory committee to report to the Legislature, and a tax structure that would direct revenue to public health, law enforcement, testing, and the Texas Compassionate Use Program. He also said the legislation reflects work by Chairman Ken King and is intended as an alternative to a total ban, which he argued would be unenforceable and undesirable. Johnson said the second bill would decriminalize possession and personal use of up to 2 ounces of marijuana, allow limited home cultivation, and create a path to expunction for people convicted of conduct that would no longer be illegal. He argued current Texas THC laws are inconsistent, harmful, and disproportionately affect communities of color, while also diverting law enforcement resources. He said the bills aim to create a more consistent and enforceable framework and to support medical THC use. Supportive testimony came from Shawn Salvahi, a veteran and Texas Cannabis Collective representative, who said decriminalization and homegrow would help veterans and first responders and that leaders should correct mistaken policy. Senator Molly Cook, an ER nurse, also backed Johnson’s approach and opposed SB 5, saying prohibition has failed, worsened safety, and created criminal and economic harms. In questions, Johnson said the Senate is likely to move SB 5, that the House could still change the outcome, and that he has been consistent in opposing a ban since 2018. The discussion also briefly touched on redistricting, with participants urging attention to flooding and criticizing proposed maps, but the main action was the presentation and defense of the THC bills ahead of floor consideration.

Transcript Highlights:

• BRADLEY, YOU ARE WELCOME TO JOIN US AT THE PODIUM, MEMBERS PLEASE TAKE UP TAB ONE WHICH IS SB 136 ON PRESCRIPTION
• FLORIDA SUSPENDED ACROSS ALL INPATIENT CLAIMS FOR EACH ENROLLEE WITH AN ANTIPSYCHOTIC PRESCRIPTION OUTWEIGHS

Keywords: 999, senate, all

Transcript Highlights:

• Like, for example, a pharmacist gives you a prescription or gives you a vaccination.
• Like, for example, a pharmacist gives you a prescription or gives you a vaccination.
• However, if we're requiring them to do so, if we're being too prescriptive, then if there is really an
• <01:49:25.680> prescriptive,<01:49:26.280> I'm<01:49:26.400> sorry, prescriptive
• prescriptive, I'm sorry, prescriptive prescriptive, I'm sorry, um<01:49:27.680> then<01:49:27.880

Keywords: House streaming session for Saturday, March 21, 2026, 957, house, all

Summary: The House convened with 126 members present, heard the prayer, approved the previous day’s journal, and then took up a series of Senate messages and committee reports. Senate bills on consent calendars 21 and 22 were read the first time and referred to committees. The House then adopted favorable reports, often without amendment, on a wide range of bills including workers’ compensation evaluation procedures (HB 1325), a state shark designation (HB 97), several local alcoholic beverages measures, commemorative months for Muslim American Heritage and Jewish American Heritage (HB 661), and local license commissioner changes in Anne Arundel, Worcester, Harford, Baltimore City, and Prince George’s counties. Several bills were amended before being ordered printed for third reading. HB 121 (Baltimore County alcohol sales) was amended to change the sponsor to the Baltimore County delegation. HB 1335 on Department of Information Technology workforce recruitment and retention was amended to convert the measure into a study and recommendations report. HB 1037 on PSC oversight of broadband and VoIP was similarly amended from direct oversight to a study and report. HB 1164 on water and sewage rate consolidation and limited-income mechanisms was amended to remove rate-consolidation provisions, require a PSC study, and delay implementation. HB 1381 on stopping or parking in bike lanes added exceptions for emergency, transit, disability pickup/drop-off, disabled vehicles, loading/unloading, and construction or maintenance; HB 1504 prioritized sidewalk and bicycle pathway projects near highways with complete streets or Vision Zero policies; HB 912 adjusted community cat trap-neuter-return rules; and HB 969 clarified electric vehicle charging billing and service fees. The most extended debate centered on HB 639, the Transportation Aviation Passenger Health and Safety Act. After amendments turned it into a reporting measure for fixed-base operators and aviation service companies regarding flights carrying detained individuals, warrants, refueling, and emergency-response documentation, members questioned its practical operation, safety implications, and possible federal preemption issues. The floor leader explained the bill as amended was intended to gather information for Maryland safety and emergency planning. On motion of the committee chair, the House agreed to special order HB 639 until the end of the session for further clarification. The House also amended and advanced HB 1063 on hunting management, including deer damage permits and Sunday hunting rules, and heard a brief statement from an Eastern Shore delegate about the Rural Caucus’s approach to offering amendments rather than opposing bills outright. The session ended with HB 972, creating the Maryland Fair and Agricultural Education Promise Fund, amended to rename the bill in honor of the late Delegate Charles Otto and to replace lottery funding with an annual appropriation; the House adopted the amendments and the favorable report.

Transcript Highlights:

• Senate Bill 1050, a bill to be entitled an act relating to veterinary prescription disclosure.
• increases transparency by ensuring pet owners are informed of their right to receive a written prescription
• and protects consumer choice by allowing prescriptions to be filled at the pharmacy of the owner's choosing
• for Committee Substitute for House Bill 89, a bill to be entitled an act relating to veterinary prescription
• prescription disclosure. This is a debate. Senator Kalata you to close. Close.

Summary: The Senate convened with an opening prayer, pledge, and several introductions recognizing visitors, students, local officials, and professional groups in the gallery. The chamber then took up a report from the Ethics and Elections Committee confirming 42 executive appointments; the report was adopted by a vote of 36-0. The Senate also adopted a resolution honoring the Ripple Project for childhood cancer awareness and funding. The bulk of the meeting was spent on special-order bills, many of them open-government sunset review measures and policy bills. The Senate passed bills preserving or updating public records exemptions for aquaculture records, trade secrets, and cybersecurity information; a child-abuse reporting statute of limitations bill; a commercial driving schools bill; a human trafficking training requirement for nursing graduates; a new injunction for protection against serious violence by a known person and its companion public-records bill; a nature-based coastal resiliency bill with an amendment restricting dredge-and-fill in Terra Ceia Aquatic Preserve; a chiropractic patient-funds bill; specialty license plate legislation; a one-time waiver for late financial disclosure fines; public school personnel compensation changes; the Florida Farm Bill with amendments protecting Everglades lands and technical corrections; homestead exemption clarification for long-term leaseholders; disability presumption clarifications for firefighters and law enforcement; reinsurance intermediary manager conformity changes; patriotic displays in public schools; ADS-B aviation fee restrictions; autism-related law enforcement training and a blue envelope program; public post-secondary safety policy requirements; and a bill allowing licensed agents to market health care sharing ministries. Several bills were temporarily postponed, including local vessel restrictions, temporary certificates for practice, and domestic animals. Members debated a number of measures, especially the health care sharing ministries bill, where opponents raised consumer-protection and commission concerns and supporters argued for free speech, religious liberty, and expanded consumer choice; it passed 32-5. Other debated bills included the autism law enforcement bill, the school athletics bill addressing coach support for student-athletes, and the Farm Bill, where senators discussed surplus land safeguards and biosolids timing. Most bills passed overwhelmingly, often 37-0 or 38-0, with a few closer votes such as the patriotic displays bill (36-2) and the health care sharing ministries bill (32-5).

Transcript Highlights:

• Okay, so I want to ask you about your prescription drug expenses and the management of those.
• Are you on your own, are you on an island, negotiating and getting your prescription drug prices?
• your prescription drug expenses yes<00:33:57.840> sir<00:33:58.240> uh<00:33:58.399>
• It sounds to me like your prescription drug line might be inflated.
• So if we pass this in HB 2, would that set up an incentive for you to inflate your prescription drug

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• And even took some testimony about adding another group, being very prescriptive, so you have a choice
• with these to be less prescriptive or more.
• And even took some testimony about adding another group, being very prescriptive, so you have a choice
• with these to be less prescriptive or more.
• in who has to be prescriptive in who has to participate<00:33:35.360> in<00:33:35.919> a

Keywords: 1191, senate, all