Bills: HR159, HR160, HR161, HR162, HR163, HR164, HCR60, HCR61, HCR62, HCR63, HCR64, HR153, HR154, HR155, HR156, HR157, HR158, HCR57, HCR58, HCR59, SB124, SB399, SB441, SB447, SB460, HCR4, HCR47, HB59, HB74, HB159, HB175, HB330, HB364, HB414, HB458, HB525, HB568, HB628, HB786, HB909, HB1008, HB1033, HB1034, HB1041, HB1052, HB1062, HB1070, HB1079, HB1112, HB1118, HB1139, HB1151, HB1154, HB1176, HB1182, HB1196, HB1214, HB1231, HB1241, SB244, HB1, HB2, HB3, HB312, HB313, HB383, HB314, HCR3, HB983, HB1126, HR1, HR17, HCR5, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB345, HB366, HB446, HB511, HB514, HB655, HB730, HB743, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, SB162, SB349, SB350, SB382, SB383, SB127, HB51, HB58, HB140, HB750, HB911, HB982, HB1010, HB151, HB180, HB192, HB193, HB310, HB635, HB690, HB961, HB1003, HB1146, HB864, HB977, HB181, HB31, HB664, HB615, HB901, HR20, HR74, HB9, HB284, HB393, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB996, HB1113, HB1234, HB1236

Keywords: occupational therapy, healthcare, medical professionals, recognition, professional day, property transfer, public records doctrine, bad faith, Louisiana State Law Institute, real estate law, Black Maternal Health Week, maternal health, racial disparities, healthcare access, culturally competent care, Louisiana, community health, motorcycle safety, awareness month, motorcyclists education

Transcript Highlights:

• I am also a pharmacy technician here in Minnesota at Sodexo's Healthcare Systems. morning committee um
• I<00:53:54.319> am<00:53:54.520> also<00:53:54.720> a<00:53:54.880> pharmacy
• cannabinoids um I am also a pharmacy cannabinoids um I am also a pharmacy technician<00:53:55.839
• <00:54:00.839> technician<00:54:01.319> I<00:54:01.480> legally um as a pharmacy
• technician I legally um as a pharmacy technician I legally sell<00:54:02.119> drugs<00:54:02.400

Bills: HF1672, HF1877, HF1735, HF1734, HF1271, HF1634, HF1615

Keywords: medical cannabis, medical marijuana, cannabis, cannabinoids, hemp, marijuana registry, patient registry, visiting patient, Tribal cannabis, Tribal medical cannabis program, Tribal sovereignty, Office of Cannabis Management, designated caregiver, home cultivation, adult-use cannabis, cannabis flower, cannabis products, dispensary, cannabis retail endorsement, patient protections

Transcript Highlights:

• We're seeing higher than expected pharmacy costs, we're seeing higher enrollment, particularly among
• And then, as my colleague mentioned, also additional pharmacy costs, which could be quite volatile.

Keywords: 988, house, all

Transcript Highlights:

• Chair, before we go on to this next one, we have a couple of guests we want to recognize: Val Valley Pharmacy
• Pharmacy, Craig and Angie Moore, they are guests of Representative Debbie Wood.

Keywords: 1136, house, all

Transcript Highlights:

• Uh, but the full criteria will be established by our pharmacy and therapeutics committee.
• Our pharmacy and therapeutics committee will have uh input into the coverage of these medications and
• committee. our pharmacy and therapeutics committee<00:05:09.840> will<00:05:10.160> have
• Um, so you know, I've got<00:10:32.560> pharmacies<00:10:33.040> in<00:10:33.200> the
• They could be grocery stores, gas stations, pharmacies.

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

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

Transcript Highlights:

• I've seen taxes and acted on charitable gambling.
• I've seen taxes and acted on charitable gambling.
• taxes<00:49:01.599> and<00:49:01.920> acted<00:49:02.240> on<00:49:02.480> charitable
• taxes and acted on charitable gambling. taxes and acted on charitable gambling.

Keywords: 1187, senate, all

Transcript Highlights:

• For every one meal that the charitable food system provides, SNAP provides nine.
• Um, but we are not a charitable food provider.
• Um but um but we are we are not<01:19:04.960> a<01:19:05.120> charitable<01:19:05.600><
• <01:19:06.719> Um<01:19:07.040> but not a charitable food provider.
• Um but not a charitable food provider.

Keywords: 1189, house, all

Transcript Highlights:

• passes, every security deposit assistance organization in the state will have the option to manage charitable
• to<00:05:02.160> manage will have the option to manage will have the option to manage charitable
• 03.199> more<00:05:03.360> like<00:05:03.520> a<00:05:03.680> revolving charitable
• funds more like a revolving charitable funds more like a revolving loan<00:05:04.320> fund.
• actually, that's why the second part of this bill comes into play because basically it would allow charitable

Keywords: 1191, senate, all

Transcript Highlights:

• Our eight representatives represent only 0.13% of national opportunities for pharmacy residents.
• On a more positive note, in the past five years, 60 to 70% of Hawaii-trained pharmacy residents have
• Our eight representatives represent only 0.13% of national opportunities for pharmacy residents.
• On a more positive note, in the past five years, 60 to 70% of Hawaii-trained pharmacy residents have
• a uh School of Pharmacy we only contributing<01:15:25.800> to<01:15:25.960> the<01:15:

Keywords: 910, house, all

Transcript Highlights:

• a pharmacy who could invoke<00:29:52.320> this<00:29:52.919> provision<00:29:53.640>
• She cannot tell how many times, even back then, she would call in the prescription to a pharmacy and
• and be questioned by the pharmacy and be questioned by the pharmacist<00:33:16.600> about<00:
• some of our outpatient retail pharmacies some of our outpatient retail pharmacies um<01:04:46.960
• Again, this could affect scheduling, pharmacy pickups, referrals, or insurance coverage.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232, which would protect health care workers’ conscience rights in connection with certain procedures, especially abortion and sterilization, and also referenced contraception. The prime sponsor, Rep. Mark Pearson, said the bill is meant to prevent medical professionals from being forced to participate in procedures that violate their beliefs, while still prohibiting discrimination against patients based on protected characteristics. He said the measure was intended to help retain health care workers in New Hampshire and noted he had added an amendment to address concerns about people taking jobs only to later refuse duties, as well as emergency situations where a provider is the only one available. Committee members raised concerns about how broadly the bill and amendment were written. Questions focused on whether the protections could apply to non-physician staff such as schedulers, receptionists, or pharmacy employees; whether a provider could refuse to schedule, refer, or otherwise assist with services; and how “emergency” would be determined in practice. Several members also questioned whether the bill could affect access to contraception, including pharmacy sales and procedures such as tubal ligation, and whether the language was clear enough to prevent confusion or unintended refusals of care. Pearson said the bill was not intended to allow refusal of emergency care or general patient discrimination, and he acknowledged some language could be tweaked. Rep. Paige Boerman, a maternal-child health nurse, testified in opposition, saying she had seen pharmacists question prescriptions related to miscarriage care and that the bill could create barriers to contraception and other reproductive health services. She warned that the lack of a disclosure requirement and the broad definitions could create risks, especially in rural areas with limited providers. She also pointed to problems she said had occurred in other states, arguing the bill could lead to delayed care in emergencies. The hearing ended after questions and discussion; no vote or final action was taken in the portion provided.

Transcript Highlights:

• year-old who was seen in the ER for asthma complications, needed their asthma treatments, went to their pharmacy
• ... ...complications, needed their asthma treatments, went to their pharmacy, and were told, 'Your insurance

Keywords: 909, all

Transcript Highlights:

• <01:54:08.560> We the bill for pharmacy um services.
• We the bill for pharmacy um services.
• <02:42:01.120> We pharmacy closures across the state.
• We pharmacy closures across the state.
• And for our pharmacies, it will serve Minnesotans across the state.

Keywords: 1187, senate, all

Transcript Highlights:

• contributing to the Ocklawaha River Restoration Science and Economics Report a year ago, funded by the Pew Charitable

Transcript Highlights:

• The registration, the regulation of charitable bail organizations, pretrial intervention programs, and

Transcript Highlights:

• have 14 hospitals, 12 of those in Eastern Kentucky, 95-plus clinics, home health, DME, and retail pharmacy
• <00:08:57.839> retail clinics, home health, DME, retail clinics, home health, DME, retail pharmacy
• our<00:08:59.200> very<00:08:59.440> large<00:09:00.160> integrated pharmacy
• So, our very large integrated pharmacy.
• I'm in my seventh year in the legislature and, outside of Frankfort, I'm a provider in retail pharmacy

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• related to child tax credit, housing credit, mortgage interest deduction, retirement accounts, charitable
• interest deduction, uh<00:21:28.480> retirement<00:21:29.039> accounts,<00:21:29.919> charitable
• <00:21:31.280> um uh retirement accounts, charitable um uh retirement accounts, charitable

Keywords: 1187, senate, all

Transcript Highlights:

• funds for purposes of marketing, you know, in order to make our donor population aware of certain charitable
• ><00:31:37.480> of<00:31:37.600> certain<00:31:38.480> uh<00:31:38.600> charitable
• know, aware of certain uh charitable know, aware of certain uh charitable instruments.<00:31:40.080

Keywords: 958, all

Summary: The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent. The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review. The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.

Transcript Highlights:

• There was also a provision for us to create a Medicaid pharmacy rebate fund, which has been completed
• provision for us to create<00:06:36.240> a<00:06:36.280> Medicaid<00:06:36.720> pharmacy
• <00:06:37.200> rebi-<00:06:37.680> rebate create a Medicaid pharmacy rebi- rebate create
• a Medicaid pharmacy rebi- rebate fund,<00:06:38.480> which<00:06:38.760> has<00:06:39.080

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• Okay, so we have a pharmacy contract, um, and so we contract out our pharmacy services.
• okay so we have a we have a a pharmacy okay so we have a we have a a pharmacy contract<00:34:20.639
• Services they're on site but Pharmacy Services they're on site but they're<00:34:24.200> a<00
• We have a contract with a pharmacy, Health Direct, and they bill Medicaid directly.
• We have our Pyxis medication dispensing system, which our pharmacy uses to make sure our patients get

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:

• that I learned a few weeks ago is that the Carpenters Union, for example, in Las Vegas has a major pharmacy
• Through the mail is using a, I believe, pharmacy company named GIF Health, and they are the ones who
• distribution system, meaning a where they use that distribution system, meaning a big store that provides a pharmacy

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on access to care, public health, and oversight. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, including firefighters and mental health advocates, said it would reduce barriers, while opponents argued Care Court is coercive, costly, and not yet proven effective. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more affordably; the author described personal experience with the drugs and supporters emphasized prevention and chronic disease management, while members asked about distribution, liability, and age limits. SB 1309 would eliminate cost sharing for medically necessary lung cancer follow-up care after abnormal screenings; cancer survivors and clinicians strongly supported it, while health plans and insurers opposed it, saying the bill could raise premiums and did not address low initial screening rates. The committee also heard SB 1284, which would require DHCS to publish an annual report identifying large employers with workers enrolled in Medi-Cal and estimating taxpayer costs; supporters framed it as transparency and corporate accountability, while the chair and others linked it to broader budget and fairness concerns. SCR 7, urging permanent standard time, was presented as a public health measure to reduce sleep disruption and related harms, and it passed with support from the California Medical Association. The committee also took up SB 995, which would create a statewide inspection and enforcement framework for large involuntary residential facilities, including private immigration detention centers and some youth facilities; supporters cited unsafe and inhumane conditions, while probation officials objected to overlap with existing oversight for secure youth treatment facilities. The committee approved the measures it heard, with roll calls showing SB 989, SB 1089, SB 1309, SB 1284, SCR 7, and SB 995 all advancing out of committee, along with consent items and add-on votes.