Transcript Highlights:

• It is the investor that has bought that minority share that has that 10-year waiting period.
• Talk about whether 10 years is too long or the right time period. It's a long time.
• It is the investor that has bought that minority share that has that 10-year waiting period.
• We can talk about whether 10 years is too long or the right time period. It's a long time.
• Then the merchant has a specific time period, usually 30 days, to prove...

Bills: SB231, SB584, SB600, SB668, SB841, SB986, SB1003, SB1244, SB1625, SB1960, SB1963, SB1964, SB2026, SB2056, SB2368

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• Discovered at that time that generators had been purchased for, or had been leased rather, for a period
• CenterPoint Energy will not charge ERCOT or Houston-area customers or anyone for this two-year period
• and our customers will never pay the costs associated with these generators attributable to that period
• Because a lot of it's family property that has been in the families for a long period of time.
• talk about whether 10 years is too long or the right time period.

Bills: SB231, SB584, SB600, SB668, SB841, SB986, SB1003, SB1244, SB1625, SB1960, SB1963, SB1964, SB2026, SB2056, SB2368

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Summary: The Senate Committee on Business and Commerce met with a quorum and first took up several pending and uncontested bills. It favorably reported SB 1405, SB 1762, SB 1977, SB 2077, SB 2148, and SB 1968, and also moved SB 2321 to the local and uncontested calendar. The committee then heard SB 819, which would change how the Public Utility Commission reviews proposed utility-scale solar and related interconnection projects. The committee substitute would shift the default so interconnection is allowed unless the PUC affirmatively prohibits it within 180 days, limit denial to cases where harm substantially outweighs benefits, remove public meeting requirements, retain setback and financial assurance provisions, add optional application materials such as national security and environmental information, and restore local control over county tax abatements. The substitute was adopted and SB 819 was favorably reported to the full Senate on a 7-3 vote. The committee then took up SB 231, focused on CenterPoint’s use of large emergency generators after Hurricane Beryl. Senator King explained that the original bill was intended to prevent customers from being charged for non-mobile generators that were leased at great cost and did not match the bill’s emergency-response purpose. CenterPoint’s Jason Ryan apologized for the company’s communication failures and said the company would make customers whole through a combination of rate reductions, foregone storm-cost recovery, and a donation of the 15 large generators to ERCOT for about two years to address a San Antonio-area reliability issue, with the company absorbing the associated costs. PUC Executive Director Connie Corona said the commission could enforce the agreement through its contested-case process. Public testimony included consumer and reliability advocates, one of whom argued utility-scale microgrids should be preserved as a policy option. SB 231 was left pending. The committee also heard SB 986, which would create an alternative process for routine Public Information Act requests so local governments can make initial redactions without sending every routine exception to the Attorney General, while preserving an appeal path and training requirements. Supporters said it would reduce backlog and speed access to records; opponents argued it would shift the burden to requesters and encourage delay. The AG’s office testified that the process could improve efficiency and still fit within current timelines if used promptly. SB 986 was left pending. Finally, SB 584 was briefly laid out to require consumer reporting agencies that buy data from others to ensure the information complies with Texas law on excluded items such as bankruptcies, judgments, and tax liens, and SB 600 was heard on heir property. SB 600’s substitute would strengthen notice, require an attorney ad litem, add an heir’s bill of rights, allow settlement conferences, and require fair-market-value sales protections; supporters said it would curb predatory partition practices, while opponents warned some provisions could burden or diminish minority heirs’ property rights. SB 584 and SB 600 were left pending after testimony.

Transcript Highlights:

• If this prescriptive period passes in five years and nothing...
• And why do you want that prescriptive period to begin at that point? Why?
• The amendment tolls the filing prescriptive period.
• Is it a prescriptive period, this five years?
• period, The state where, because if somebody builds something and the prescriptive period has expired

Bills: HR217, HB66, HB204, HB208, HB326, HB472, HB483, HB484, HB793, HB1051, HB1080, HB1087, HB1111, HB1215, SB78, SB148

Keywords: rent stabilization, affordable housing, cost burdened, Louisiana housing, housing policy, emergency rental protections, Alexandria, municipal ordinances, administrative adjudication, code enforcement, housing violations, building codes, zoning, nuisance ordinances, vegetation ordinances, sewerage, drainage, licensing, permits, local government

Summary: The committee met on April 29 and heard a series of local bills affecting municipal and parish governance, blight enforcement, planning boards, and other local issues. Early actions included adopting a three-minute rule due to the late hour and deferring several bills that were not to be heard that day. House Bill 483 was voluntarily deferred, while House Bill 484 on the New Orleans Regional Business Park was amended and reported favorably. House Bill 78 on the Shreveport Downtown Development Authority was amended to correct a district reference and then reported favorably. House Bill 66, expanding Alexandria’s administrative adjudication authority for ordinance violations, was supported by the city and reported favorably. House Bill 326, requiring the Tickfaw police chief to reside in the village, was also reported favorably. The committee then took up several Shreveport blight-related bills. House Bill 1051, dealing with demolition of dilapidated residential property, was amended to allow the city to rely on reports from code enforcement, fire, police, or other public safety officials, and was reported favorably. House Bill 1080, a similar measure for condemned commercial property, was also reported favorably, with the sponsor noting he would consult the city attorney before floor debate. Senate Bill 148, allowing Lake Charles to pay a modest per diem to planning commission members by local ordinance, was reported favorably. House Bill 208, which would let St. Helena Parish voters decide whether to impose term limits on parish governing authority members, drew opposition from the police jury and failed on a recorded vote, 3-10. The committee also considered House Bill 1215 on the disposition of historical statues and monuments, adopting an amendment to prevent transferred monuments from being placed back in the parish where they were removed, and then reporting the bill favorably as amended. House Bill 793, a contested bill addressing subdivision plats filed without parish approval and the running of prescription, generated extensive testimony from the author, parish officials, the McCormicks, and a former appellate judge; the committee ultimately reported it favorably, with the author saying he would keep working on the language and send it to the Law Institute. Finally, House Bill 472, authorizing local rent stabilization measures during declared emergencies, was amended to limit any local ordinance to the duration of a governor-declared emergency, tie increases to CPI, and cap the measure at 365 days; the bill remained under discussion with questions about its relationship to existing price-gouging laws and whether the committee should wait for a broader study.

Transcript Highlights:

• And why do you want that prescriptive period to begin at that point? Why?
• The amendment tolls the filing prescriptive period.
• Is it a prescriptive period this five years?
• What right is gained or lost during the tolling of the prescriptive period?
• Who loses a right, who gains a right if the prescriptive period isn't tolled?

Bills: HR217, HB66, HB204, HB208, HB326, HB472, HB483, HB484, HB793, HB1051, HB1080, HB1087, HB1111, HB1215, SB78, SB148

Keywords: rent stabilization, affordable housing, cost burdened, Louisiana housing, housing policy, emergency rental protections, Alexandria, municipal ordinances, administrative adjudication, code enforcement, housing violations, building codes, zoning, nuisance ordinances, vegetation ordinances, sewerage, drainage, licensing, permits, local government

Summary: The committee met on April 29 and considered a series of local and special bills affecting municipal and parish governance, blight enforcement, development districts, and term limits. Early action included a motion to apply a three-minute rule. House Bill 483, concerning the Fulberg/Marini Security and Improvement District in Orleans Parish, was voluntarily deferred after discussion and no support cards. House Bill 484, which revised the New Orleans Regional Business Park board by reducing membership from 12 to 11 and giving the mayor four direct appointments with removal authority, was adopted as a substitute and reported favorably. Senate Bill 78, dealing with the Shreveport Downtown Development District, was amended to correct a legislative district reference and then reported favorably. The committee also heard announcements that several previously deferred bills would not be heard that day. Several Shreveport-related blight bills were advanced. House Bill 1051, authorizing demolition of certain dilapidated properties in Shreveport, was amended to allow the city to rely on findings from code enforcement, fire, police, or other public safety officials, and then reported favorably. House Bill 1080, addressing condemned commercial property in Shreveport, was also reported favorably, though the author said he would continue consulting with the city attorney before floor consideration. House Bill 66 for Alexandria expanded the city’s administrative adjudication authority to cover a broader range of ordinance violations, including building, zoning, vegetation, nuisance, sewer, drainage, licensing, and permit matters; it was supported by the city and reported favorably. House Bill 326, requiring the Tickfaw police chief candidate to reside within the village, also passed favorably. House Bill 793, a contentious bill concerning recorded subdivision plats and prescription, drew extensive testimony from the author, parish officials, a former appellate judge, and the McCormick family. Supporters said the bill closes a loophole exposed by recent court rulings that could let noncompliant plats become enforceable after five years without actual notice to local governments, while opponents argued the current substitute still creates uncertainty and could burden property owners; the author said the bill was prospective only and would also go to the Law Institute. Despite the debate, the committee moved the substitute favorably. Senate Bill 148, allowing municipalities to pay a modest per diem to planning and zoning commission members by local ordinance, was reported favorably with support from Lake Charles. The committee rejected House Bill 208, which would have let St. Helena Parish voters decide whether to impose term limits on parish governing authority members. The bill’s author argued the people should decide, but the St. Helena Police Jury opposed it and committee members emphasized local control; the final vote was 3 yeas to 10 nays. House Bill 1215, concerning the disposition of historical statues and monuments, was amended to bar the Office of State Parks from placing transferred monuments back in the parish from which they were removed, and then was reported favorably. House Bill 472, authorizing local rent stabilization ordinances during a governor-declared emergency, was amended to limit such ordinances to the emergency period, tie increases to the consumer price index, and cap them at 365 days; discussion continued on whether the measure duplicated existing price-gouging laws and whether a broader study would be preferable.

Transcript Highlights:

• sometimes with the COVID period sometimes with the COVID period flexibilities<00:16:49.600> that
• one prescription if the expectation is one prescription per<01:19:51.280> month<01:19:51.600>
• :05.480> prescription, for an opioid prescription, for an opioid prescription, one<01:20:07.040
• Uh in the case of prescriptions.
• prescription for any reason statewide. prescription for any reason statewide.

Keywords: 1189, house, all

Summary: The committee met on May 29 and approved the draft minutes. DHHS Commissioner Weaver then opened the department update by asking Medicaid Director Henry Litman to brief members on federal and state Medicaid changes, and later turned to DHHS Chief Operating Officer David Weathers for an update on data governance. Members also asked that acronyms be spelled out in future materials and requested a follow-up on the federal Medicaid rule once it is published. Litman reviewed several federal Medicaid provisions tied to HR 1/"OBBA" and related state implementation issues. He said the first major change would be restrictions on certain non-citizens’ Medicaid coverage, affecting about 400 people in New Hampshire, with notices likely 30 to 60 days before the effective date. He also discussed new work requirements/community engagement rules, saying New Hampshire is on track to implement them and will likely need a state plan amendment rather than an 1115 waiver. Other changes included shorter retroactive coverage periods, a new state option for certain community-based services with an estimated $740,000 in implementation support, a freeze and phased-down reduction in the Medicaid enhancement tax beginning in state fiscal year 2029, and limits on directed payments to hospitals after a grandfathering period. He also noted that Medicaid enrollment has fallen from pandemic-era levels, with about 167,000 people covered as of May 1, and that the department is working with CMS on child premiums and other cost-sharing changes approved in HB 2. Committee members asked how the department could plan for the 2029 changes given the number of elections before then, and Litman said federal rules may be adjusted over time as states and stakeholders raise concerns. He emphasized planning for the worst while hoping for the best, and said rural health care transformation funding would help the state prepare. In the second presentation, Weathers explained that data governance is now embedded in DHHS operations to control access, manage reporting, and respond to risk. He defined it as managing what data is collected, how it is used, who can access it, and what laws apply, and said DHHS has moved from governance as a committee to governance as an operational process. He described privacy impact assessments for new systems going into production, monthly privacy and security training, and ongoing review of access controls and data-sharing rules.

Transcript Highlights:

• That's when the five-year waiting period starts.
• I think there is a loophole in the convictions within the waiting period.
• and abetting as well if they are filling the prescriptions.
• To address some comments about prescriptions in 2023-90...
• The bill defines sex reassignment prescriptions or procedures to mean the prescription or administration

Transcript Highlights:

• This simply changes the time period that the prescriptions are good for.
• A lot of prescriptions are routine, non-dangerous prescriptions: allergy, parasites, what have you.
• for a longer period of time.
• Current prescription writing does not allow you to write a prescription for any controlled substances
• It also does not allow you to write a prescription to write a prescription to Dr.

Bills: SB1021, SB1144, SB1164, SB1178, SB1181, SB1241, SB1247, SB1286, SB1415, SCR1011

Keywords: health profession, regulatory boards, criminal activity, notification, auditor general, investigations, veterinary technicians, certification, education alternative, Arizona Revised Statutes, veterinary education, ALTCS, providers, ownership change, healthcare, Arizona Long Term Care System, naturopathic physician, naturopathic medicine, naturopathic doctor, naturopathic physicians medical board

Summary: The committee approved the minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training instead of only a two-year curriculum. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and a veterinary technician employer, argued the bill would help address a veterinary technician shortage, reduce student debt, and expand access to care. Opponents, including the Arizona Veterinary Technician Association and some veterinarians, said Arizona already has an existing pathway, warned the bill could weaken competency standards and patient safety, and argued the shortage is more about retention and utilization than entry requirements. The committee adopted a Bolick amendment tightening supervision and documentation requirements, then passed SB 1144 as amended on a 6-1 vote. The committee next approved Senate Bill 1247 unanimously. That bill would allow an individual who does not need services to live with a resident in an assisted living center or other unit in the facility, and would bar the Department of Health Services from imposing care requirements on that individual. The sponsor and a lobbyist said the bill was intended to fix a recent statutory interpretation that could force spouses or other companions to separate or pay for services they do not use; a floor amendment was mentioned to extend the same treatment to assisted living homes. Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine, drew extensive testimony and was ultimately held for a possible amendment next week. Supporters, including the sponsor, the Arizona Humane Society, and Animal Policy Group, said telemedicine has expanded access in rural and underserved areas and that longer prescription windows would improve convenience and continuity of care while still excluding controlled substances. Opponents, including the Arizona Veterinary Medical Association and several veterinarians, argued the current 14-day limit is a compromise that protects animal safety, that telemedicine without an in-person exam can lead to misdiagnosis and delayed diagnostics, and that the bill could function like a “pill mill.” The committee then passed Senate Bill 1164, which would let Medicaid billing continue under the prior owner’s certification number during a change of ownership for skilled nursing and assisted living facilities. Supporters said the current process can delay reimbursement for 6 to 18 months and strain providers; Access said it had legal concerns about possible conflict with federal law but was working on fixes. The committee also heard Senate Bill 1181, which would expand CPA certification pathways by adding degree-and-experience options and updating reciprocity rules, and a supporter from the Arizona Society of CPAs said it would address workforce shortages and improve mobility.

Transcript Highlights:

• In closing, empowering pharmacists with limited prescriptive and diagnostic authority is a practical,
• Yes, that expiration date in Section 4 would pertain to the repayment period.
• That's an 11-year prepayment period, and that would be from... ...period.
• That's an 11-year prepayment period, and that would be from 2026 to 2037.
• That's the repayment period. Mr. Speaker, I appreciate that clarification. Thank you.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• prescription form formula. prescription form formula.
• So, if I were to get a prescription So, if I were to get a prescription today<03:47:22.560> for
• actual drug that's a prescription drug. actual drug that's a prescription drug.
• <03:57:22.239> I do is allow as you said a prescription I do is allow as you said a prescription
• <03:57:40.640> equivalent excuse me prescription equivalent excuse me prescription equivalent

Keywords: 1189, house, all

Transcript Highlights:

• <00:19:48.240> giving<00:19:48.559> them prescription giving them prescription giving them
• are paying less for these prescription are paying less for these prescription drugs<00:25:15.200
• We filled around 4,000 member prescriptions.
• Our pharmacy incurred a loss of around $122,000 off of those 4,000 prescriptions from the purchasing
• we're losing money on every prescription we're losing money on every prescription that<00:42:00.880

Keywords: Meeting Start: 00:00 Roll Call: 00:10 SB145 Discussion: 02:23 SB145 Vote: 05:13 SB183 Discussion: 06:13 SB183 Vote: 11:37 HB413 Discussion Only: 16:15, 958, all

Summary: The House Standing Committee on Banking and Insurance met with a quorum and first took up Senate Bill 145, sponsored by Sen. David Givens. The bill would update retail installment contract statutes for automobile sales, allowing retailers with installment contracts shorter than 28 days to begin collections after three days instead of waiting for multiple missed payments, and it also harmonizes a related dollar amount in statute from $10 to $15. The committee asked no questions, and the bill received a favorable expression on a roll-call vote. The committee then heard Senate Bill 183 from Sen. Matt Nunn, with testimony from Chris Nolan of the American Property Casualty Insurance Association. The bill would require proxy advisers acting for the State Retirement System to act solely in the financial interest of current and future retirees and to avoid political or social considerations in shareholder voting recommendations. Supporters argued it would keep politics out of public pensions and align proxy advice with fiduciary duties; members praised the bill and noted Kentucky could be among the first states to adopt such a model. The committee approved the bill with favorable expression after a roll-call vote. The committee also reviewed administrative regulation 808 KAR 9:10 from the Department of Financial Institutions, with no vote required. It then took up House Bill 413, a PBM rebate pass-through bill, with testimony from Sarah Wood of the Diabetes Patient Advocacy Coalition. She said the bill would require 85% of negotiated drug rebates to be passed through to patients at the point of sale, lowering out-of-pocket costs, especially for high-rebate drugs such as insulin, while still allowing 15% to remain with plans. She cited examples from other states and argued the bill would benefit about 650,000 Kentuckians. Hope McClaflin of Anthem opposed the bill, saying it would reduce employers’ ability to use rebates to lower premiums, could disproportionately favor high-cost brand-name drug users, and could create significant costs for state and fully insured plans. Members asked questions about other states’ pass-through rates and the effect on premiums, but no final action on House Bill 413 was taken in the portion of the meeting provided.

Transcript Highlights:

• That's over 50 days for a prescription.
• That's over 50 days for a prescription.
• Because we have prescriptions now that might be $10,000.
• New prescriptions exceeding seven days.
• New prescriptions exceeding seven days.

Bills: HB282, HB293, HB390, HB456, HB460, HB561, HB819, HB1023, HB1047, HB1101

Keywords: employment discrimination, criminal history, rehabilitation, hiring process, human rights, gender identity, sexual orientation, workplace equality, labor rights, domestic abuse, unpaid leave, employee rights, workplace protection, mental health, survivor support, workers' compensation, employment benefits, claims process, fraud prevention, legal petition

Transcript Highlights:

• Yes, veterinarians can write prescriptions to individual people.
• So, prescriptions to individual people.
• The Board of Veterinary Medicine had the 90-day period.
• And I understand I think prescription.
• prescription? prescription?

Keywords: 958, all

Summary: The committee first reviewed several Fish and Wildlife regulations. Staff explained amendments to 301 KAR 2:176, 4:112, and 6:030, including updating wildlife control tag language, creating an impoundment agent program for seized wildlife, and clarifying boating safety rules. A member raised a concern about boat wakes near docks, and staff said the commission had recently voted on related changes that were not yet included because the regulation had been filed earlier; those changes would have to come back later. The committee approved the staff amendments without objection. The Board of Veterinary Examiners then presented 201 KAR 16:767, which would require veterinary managers to be physically present during business hours and limit them to five registered facilities. Board representatives said they had tried to meet with affected parties before the hearing but had not reached agreement. A representative for Kentucky Pet IQ argued the rule was written for full-service hospitals and would be impractical for short, limited-service clinics that only provide vaccinations, preventive care, and parasite testing. Members expressed concern about the rule’s impact on veterinary access in underserved areas, and the committee voted to defer the regulation until the next month so the parties could continue negotiating. The committee next considered Transportation Cabinet 601 KAR 9:120, the online insurance verification system, in both ordinary and emergency form. The chair said staff had identified conflicts with a bill passed the prior year and moved to find the regulations deficient. The motion passed on a roll call vote, with six ayes and two pass votes. The committee then found ordinary ABC regulations 804 KAR 12:020 and 12:030 deficient as well, again by six ayes and two pass votes, after noting that the emergency versions had already been found deficient the previous month. Finally, the committee reviewed Cabinet for Health and Family Services 902 KAR 55:110, which would require veterinarians to report dispensed controlled substances to KASPER while exempting administered medications. OIG staff said the rule was meant to align regulation with statute, which includes veterinarians as prescribers, and emphasized that the reporting duty applies to prescriptions, not administration to animals. Some members supported the change as a needed anti-diversion measure, while others worried about implementation burdens and timing. After discussion, the committee found the regulation deficient by a 6-2 vote. The meeting then moved into full review of 922 KAR 1:565, a Department for Community Based Services rule implementing kinship care provisions from Senate Bill 151; staff said it was needed for implementation once funding is available, but a member criticized the two-year delay and the inclusion of language conditioning implementation on funding. A public witness from the Kinship Families Coalition argued the rule should not shift the 120-day application window in a way that could affect federal funding eligibility and urged the committee to reject the regulation as written.

Transcript Highlights:

• They also control 100% of the Medicare prescriptions in Massachusetts.
• Just three PBMs now manage 80% of the prescription drug market.
• Just three PBMs now manage 80% of the prescription drug market.
• So they're losing $50 per prescription.
• Multiply that by 300 prescriptions a day, and if they fill 300 prescriptions, that's $15,000 a day.

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• I'm the executive director for the Missouri Prescription Drug Monitoring Program.
• And it's a pattern: the patient starts getting a prescription for Xanax.
• They will not be checking for making a decision related to the prescription.
• Because any prescription is going to come back to you ultimately, right? Yes.
• So they are either bedbound. ...to have prescriptions to function.

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.

Transcript Highlights:

• I'm the executive director for the Missouri Prescription Drug Monitoring Program.
• And it's a pattern: the patient starts getting a prescription for Xanax.
• These patients, but these are not people who have prescriptive authority.
• They will not be checking for making a decision related to the prescription.
• Because any prescription is going to come back to you ultimately, right? Yes.

Keywords: 959, house, all

Transcript Highlights:

• So we think that four-year period.
• <00:29:38.880> Uh You know over a 25- year period. Uh You know over a 25- year period.
• Uh, it's also prescription drug side.
• The school districts period of years.
• Uh here's another way year time period.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:08:10, 958, all

Summary: The Public Pension Oversight Board met with a quorum, approved the prior minutes, and heard updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. The deferred compensation update highlighted continued growth in assets to about $4.787 billion and roughly 88,000 participants, strong retention from auto-enrollment, a marketing campaign tied to pay raises that generated additional participation, and a new self-directed brokerage account expected to launch July 1 of the coming year for participants with at least a $40,000 balance, allowing up to 25% of their account to be moved into the brokerage window. The director also described the free financial planning service, which has been used by about 3,500 participants with a high return rate, and said the plan is currently in a fee holiday; if fees are charged, they are capped at $237 per year for most participants. Members asked questions about who provides the CFP service, the fee structure, and the brokerage eligibility threshold. The director said the CFP service is provided through the authority’s service bundle with Nationwide, not as a separate paid service, and explained that the fee cap and current fee holiday are intended to keep the program low-cost. Board members praised the deferred compensation program’s performance and asked for a copy of the legislation referenced in the presentation. TRS then presented on retired teachers’ health insurance. Barnes first clarified how declining federal contributions for federally funded school positions affect the retirement annuity trust, explaining that if those federal dollars fall, the amounts would need to be covered through the SEEK formula and that the projection for those contributions is about $80 million over the next three years. He then reviewed TRS retiree health coverage, distinguishing between KEHP for retirees under 65 or not Medicare-eligible and MEHP for Medicare-eligible retirees, and explained that TRS recently completed RFPs for both prescription drug and medical coverage. TRS will keep Express Scripts for prescription drugs, but will move the Medicare Advantage medical plan from UnitedHealthcare to Humana on January 1, 2026, while keeping the plan design, provider access, and out-of-pocket structure largely unchanged, with a new hearing-aid benefit of $500 per ear. Barnes also reported the 2026 premium and contribution changes: the maximum TRS contribution toward KEHP will rise to $1,144.96 from $930.76, an 18% increase that he said will require roughly $15 million to $16 million more in the state budget, while the MEHP premium will drop to $200 per month from $210. He said the TRS board has statutory authority to set these amounts and that the changes will have mixed actuarial effects, with the KEHP increase being negative overall and the MEHP decrease positive.

Transcript Highlights:

• It was suspended for a time period.
• ,<00:12:42.600> and categories, probationary periods, and categories, probationary periods
• amends to add electronic prescriptions amends to add electronic prescriptions and<00:14:39.680><
• number for the partial prescription number for the partial dispensing<00:14:46.839> of<00:14:
• The staff amendment amends prescription.

Keywords: 958, all

Summary: The committee met with a quorum, approved the prior meeting’s minutes, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations were presented as technical updates or policy clarifications, and in each case the committee approved staff-suggested amendments without objection. The Department of Revenue regulation would delete a section on tax credits for trusts and estates to align with statute. The Kentucky Public Pensions Authority package updated definitions, sick leave credit rules, hazardous/non-hazardous employment participation, refund procedures, contribution limits, mortality table references, and incorporated federal tax references. The Board of Medical Licensure regulations addressed renewal and activation of inactive physician-assistant licenses and renewal/reinstatement timelines for athletic trainer licenses. The Fish and Wildlife regulations revised rules for Otter Creek and Peabody areas by deleting definitions and creating shooting-range permit exemptions. The committee also heard emergency vocational rehabilitation regulations that would clarify definitions, due process rights, federal compliance, service fees, in-state service preferences, and service-specific requirements; a workforce insurance regulation updating contribution/reporting rules for professional employer organizations; and a horse racing regulation adding license categories for allied animal health professionals, animal chiropractors, and equine dental providers, while updating fees, application timing, and special events licensing. Members asked questions about the horse racing licensure changes, and the agency explained they were responding to prior session changes and adding guardrails, including veterinarian sign-off for equine therapist licensure on the back side of a racetrack. The Department for Public Health package made several personnel and salary-related changes for local health departments, including salary ranges for new hires, probation and evaluation rules, salary increases after probation, and limits on certain leave payouts for employees who separate without proper notice or are dismissed for cause. The Office of Inspector General regulation added electronic prescription references and removed authority to create a new prescription number for partial dispensing of Schedule II prescriptions. The Department for Medicaid Services regulations updated provider group definitions, removed some service limits, required prior authorization for all genetic testing for non-MCO recipients, changed physician fee schedule updates from quarterly to annually, and added reimbursement for department-approved vaccines. Members asked detailed questions about genetic testing prior authorization and sleep disorder coverage; the agency said prior authorization is intended to take two to five days and that sleep disorder services generally involve sleep apnea-related treatments such as CPAP machines and sleep studies. The committee then adjourned and announced its next meeting for Tuesday, May 12 at 1:00 p.m.

Transcript Highlights:

• Nothing in SB 41 will lower the cost of prescription drugs for patients.
• plans paying about $13.6 billion for prescription drugs in 2023 alone.
• Premiums by 6.2% during that same time period.
• plans paying about $13.6 billion for prescription drugs in 2023 alone.
• And $1.6 billion for prescription drugs in 2023 alone, and prescription drugs costs have increased by

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• So the first budget period, which is around an 18-month time period, it was 204 million.
• So the first budget period, which is around an 18-month time period, it was 204 million.
• So the first budget period, which is around an 18-month time period, it was 204 million.
• an 18-month time period, it is around an 18-month time period, it was<00:29:37.360> 204<00:29
• initial period of up to 12 months. initial period of up to 12 months.

Keywords: 1191, senate, all

Transcript Highlights:

• but in any case um it's for long periods but in any case um it's for long periods of<03:48:23.880
• you have to have had your prescription you have to have had your prescription your<03:49:51.000>
• everybody's fear with prescription drugs everybody's fear with prescription drugs is<03:53:45.279>
• over here and get the same prescription over here and get the same prescription and<03:53:54.080
• get uh with a very short prescription get uh with a very short prescription other<03:56:23.359><

Keywords: 1189, house, all