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:

• 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

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, I believe, a pharmacy company named GIF Health, and they are the ones who
• Walmart, Costco, whoever, where they use that distribution system, meaning a big store that provides a pharmacy

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• health insurance claims payments, to prohibit waivers, to provide for payments to pharmacists and pharmacies
• It also adds pharmacy. It tightens up the deadlines to pay pharmacy providers as well.

Keywords: 965, house, all

Transcript Highlights:

• health insurance claims payments, to prohibit waivers, to provide for payments to pharmacists and pharmacies
• It also adds pharmacy. It tightens up the deadlines to pay pharmacy providers as well.

Summary: The House Insurance Committee met on May 19 and first took up Senate Bill 509 on bank-owned life insurance. The bill would clarify that banks retain an insurable interest in former employees for purposes of exchanging underperforming bank-owned life insurance policies for better-performing ones. Members adopted a revised amendment set after withdrawing a prior version. Testimony focused heavily on whether consent from the insured former employee is required for any transfer or exchange, with supporters saying the bill is needed to address underperforming policies and opponents warning about unclear consent standards, data-transfer concerns, litigation risk, and possible federal tax issues. After debate, the committee reported SB 509 as amended by a 7-4 vote. The committee then heard Senate Bill 295, which requires health insurance coverage for medically necessary treatment for persons with acquired brain injuries, including cognitive rehabilitation and related services. Supporters from the Brain Injury Association of Louisiana and NeuroRestorative described gaps in post-acute care, high rates of discharge to unsafe home settings or nursing homes, and improved return-to-work outcomes when patients receive appropriate rehabilitation. An amendment was adopted to clarify federal essential health benefit limits and remove certain language, reducing the fiscal note to zero. The bill was then reported as amended without objection. Next, the committee considered Senate Bill 155, which requires coverage for medically necessary dental procedures needed for cancer treatment clearance, such as exams, imaging, and extractions. Cancer advocates, oncologists, and dental representatives said untreated dental problems can delay chemotherapy or radiation and lead to worse outcomes and higher costs. Cleanup amendments were adopted, and the bill was reported as amended. The committee also advanced Senate Bill 465, which tightens prompt-payment deadlines for health insurers, adds pharmacy payment provisions, and creates a recoupment timeline for dental claims; after technical and substantive amendments, it was reported as amended. Finally, the committee approved Senate Bill 276, creating a pre-appointment affidavit process for bail bond producers to ensure prior premiums, shortages, and forfeitures are resolved before a new insurer appointment, and House Resolution 260, which urges the Department of Insurance to study how out-of-network medical billing affects auto insurance rates. Both measures were reported favorably or as amended, and the committee adjourned after a motion to do so.

Transcript Highlights:

• The bill regulates pharmacy benefits managers, PBMs.
• The bill regulates pharmacy benefits managers, PBMs.
• The bill does this by placing the PBM under Chapter 33, requiring a bid solicitation for a pharmacy cost

Keywords: 994, senate, all

Transcript Highlights:

• elsewhere, to harness UT Austin's expertise and talent across engineering, AI, robotics. life sciences, pharmacy
• The Ben and Maytie Fish College of Pharmacy was founded in 2013 in response to a need for more pharmacies

Keywords: 1184, house, all

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:

• <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:

• individuals with disabilities often rely on ride-share services to get to their medical appointments, pharmacies
• individuals with disabilities often rely on ride-share services to get to their medical appointments, pharmacies

Summary: The House convened with prayer, the Pledge of Allegiance, journal approvals, quorum call, and a series of guest recognitions, including students, interns, local officials, and advocates visiting the chamber. Members also announced caucus and committee meetings, and the House recessed before returning later in the day for floor action. After reconvening, the House adopted several committee reports and then considered a series of resolutions and bills. It adopted House Resolution 462, designating May 17, 2026, as World Neurofibromatosis Awareness Day, and House Resolution 553, designating May 19, 2026, as Pontian Greek Genocide Remembrance Day, both by 200-2 votes. The chamber also agreed to House Bill 733 on marriage ceremony law, House Bill 2529 on scheduling metatomidine as a Schedule 3 controlled substance, and Senate Bill 1294 on civil penalties for unlicensed commercial driving schools. The House then debated House Bill 2359 on data center nondisclosure agreements and related amendments. One amendment requiring hyperscale data centers to pay their own energy and infrastructure costs failed on a 101-101 tie, while another amendment to make the bill effective immediately passed 201-1 and a third amendment to protect trade secrets failed 87-115. The bill itself was agreed to after amendment. The House also approved House Bill 2455 on collective bargaining rights for Pittsburgh school administrators, House Bill 2499 on State Workers Insurance Fund investment authority, Senate Bill 604 joining the Counseling Compact, and House Bill 1006 on penalties against abusive towing practices, with one agreed-to amendment added. Several measures then passed finally by recorded vote: House Bill 2014 on opportunities for minors in emergency service organizations, House Bill 2037 on cryptocurrency-related ethics restrictions for public officials, House Bill 2512 prohibiting ride-share pricing based on certain device conditions, House Bill 2644 authorizing capital bridge projects, and House Bill 2559 on Millersville University and other conveyances. House Bill 2559 drew floor criticism from Representative Conklin over the state land conveyance process, though it still passed 154-48. Before adjournment, the House recommitted several bills to Appropriations, removed additional Senate bills from the table calendar, and adjourned until June 30, 2026, at 11 a.m.

Transcript Highlights:

• Section 36-1036, Chapter 27, Article 2, A.R.S., by adding something to the Arizona State Board of Pharmacy
• Section 7, Article 2A, A.R.S., by adding something to the Arizona State Board of Pharmacy.

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior journal, and several introductions of guests, including two young mayors visiting the chamber. Members then adopted House Resolution 2008 unanimously, honoring Daniel Cade Blackman, with extended remarks from his family and colleagues about his service, faith, and legacy. The House also took up a motion to reconsider SB 1456 from a prior date and proceeded into Committee of the Whole on multiple Senate bills. In Committee of the Whole, members considered and amended SB 1170, SB 1496, SB 1511, SB 1016, SB 1335, and SB 1683, with each ultimately receiving a do pass recommendation. The discussion included a correction to SB 1170 to remove an unintended section, a municipal improvement district process change in SB 1016, an ag-to-urban water permitting fix in SB 1335, and a land-sale restriction involving China in SB 1683. The committee reports were adopted, and the bills were ordered for third reading as appropriate. On third and final reading, the House passed SB 1188, SB 1560, and SB 1723, with recorded votes of 38-0-10, 48-2-10, and 51-0-9 respectively. The House also concurred in Senate amendments to HB 2265, HB 2404, HB 2950, and HB 2986, then passed those bills on final reading; members speaking in support highlighted court-fee policy, mental health crisis response, tourism improvement areas, and water infrastructure savings. The chamber then announced a Republican caucus meeting and adjourned until 10 a.m. on Thursday, June 11, 2026.

Transcript Highlights:

• :47.920> is<00:03:48.080> for >> You've talked about how uh this is for our rural pharmacies
• this from Minnesotans when I meet with them in town halls and so forth because people go to the pharmacy

Keywords: 918, senate, all

Summary: The discussion focused on healthcare affordability in Minnesota and several related bills the senator said he is advancing this session. He described rising costs for Medicare beneficiaries, individual market purchasers, and hospitals, warning that federal changes to premium tax credits and Medicaid funding would worsen access and financial strain across the state. He said his goal is a comprehensive response to protect access to care, especially for safety-net and rural providers. A major topic was Senate File 3769 on the 340B drug pricing program. The senator said the bill would empower the attorney general to enforce federal 340B requirements after pharmaceutical companies allegedly failed to provide discounted drugs to safety-net hospitals such as Hennepin County Medical Center and North Memorial. He said the measure passed both chambers with bipartisan support, after a nearly two-hour floor debate and significant lobbying by drug კომპანიies, and argued it could have an immediate effect by restoring hospital revenue and lowering medication costs for patients. He also said 340B is part of a broader effort to stabilize HCMC and other struggling hospitals. The senator also discussed Senate File 3859, which would create a Minnesota vaccine advisory council to provide science-based recommendations after he said the federal advisory process had been undermined. He emphasized that the proposal would not require vaccinations, but would help counter misinformation and require insurance coverage for recommended vaccines. In addition, he supported Senate File 3650, a bipartisan bill to ban direct-to-consumer prescription drug advertising, arguing that such ads raise costs and can steer patients away from appropriate medical advice. No additional votes or committee actions were taken in the interview itself beyond the senator’s description of the 340B bill’s passage.

Transcript Highlights:

• I know that they did consolidate for the bid for pharmacy, and we're waiting to hear the winner.
• I think it's going to reduce their pharmacy cost by 10 to 15, which is what other consolidation will

Keywords: 996, all

Transcript Highlights:

• A couple years ago, we were the worst state for pharmacy closings, meaning we had the most pharmacies

Keywords: 1187, senate, all

Transcript Highlights:

• So, are you recommending we sell these in pharmacies, or what do you... No, I'm just asking...
• We Pharmacy benefit managers... okay, anyway, that's what this does.

Bills: HB194, SB87, SB237

Keywords: healthcare, advanced practice nursing, nurse collaboration, medical board, nursing board, committee structure, midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, hemp, hemp beverages, psychoactive cannabinoids, psychoactive hemp products, delta-8 THC, delta-9 THC

Transcript Highlights:

• And then starting in 2026, there's what you call an above-the-line deduction for charitable contributions
• So non-itemizers will be able to take a deduction for charitable contributions.

Summary: The Budget Section Leadership Division met with a quorum and approved the March 18 minutes before hearing a series of informational updates. The Petroleum Council reported that North Dakota oil production is expected to remain relatively flat at just under 1.2 million barrels per day, with activity shifting northward in the Bakken as technology improves and three- and four-mile laterals boost well performance. The presentation also discussed oil and gas prices, gas taxation, flaring concerns, the importance of pipelines and other linear infrastructure, and enhanced oil recovery pilot projects supported by state and federal funding. Members asked questions about gas production taxes, natural gas liquids, and the outlook for drilling rigs and future production. The Office of State Tax Commissioner then reviewed the federal “big beautiful bill” and its estimated effect on North Dakota individual and business income tax collections. Staff explained that most of the individual income tax impact comes from the permanent increase in the standard deduction, while temporary provisions such as senior deductions, tip and overtime exclusions, and auto loan interest deductions have smaller or limited-term effects. They also noted that business tax changes, especially depreciation and expensing provisions, create a larger near-term cash impact, and that some FY25 collections likely reflected one-time oil field transactions that may have inflated the baseline used in earlier estimates. OMB provided updates on major capital projects and facility funding. For Capitol grounds improvements, officials described plans for 18th-floor renovations, wayfinding upgrades, public seating, lighting, tree management, and possible restroom and lobby reconfiguration, while also noting the governor’s residence security project and the discovery of human remains on the Capitol grounds. OMB and its consultants also reported on the state facility maintenance fund, including window replacement, boiler work, roof and foundation repairs, and a new facility conditions assessment covering more state buildings. Updates were also given on the new state hospital in Jamestown, the Minot state office building, and the use of federal state fiscal recovery funds, including possible future reallocations to the Department of Corrections. Finally, Legislative Council staff summarized the interim compliance report on legislative intent and trust fund activity, highlighting the status of lines of credit, Bank of North Dakota profit transfers, the statewide litigation pool, the new Office of Guardianship and Conservatorship, corrections planning, HHS program updates, and a likely future general fund request for the unemployment insurance modernization project. No formal votes were taken beyond approval of the minutes; the meeting was primarily informational, with members asking clarifying questions throughout.

Transcript Highlights:

• And then the last thing that I don't have on here, we have a 501(c)(3) charitable foundation called the
• Santa Teresa Charitable Foundation, where we raise money for the Gadsden School District.

Transcript Highlights:

• foundation, we are committed at the end of the day to improving the lives of our veterans by providing charitable
• And I say new because I'm thinking about our bylaws and what they initially stated: charitable and education

Summary: The committee took up SB 116 by Senator Burgess, a veterans bill aimed at several FDVA-related changes. The bill would reduce annual nominations to the Florida Veterans Hall of Fame from 20 to 5, expand FDVA’s survey work to assess veterans’ awareness of available programs and their health literacy, add mental health training to the veterans suicide prevention pilot, strengthen coordination and reporting between Veterans Florida and FDVA, direct FDVA to develop a plan for adult day health care facilities statewide, and allow the Florida Veterans Foundation to use a portion of Gadsden flag plate proceeds for administrative costs. Senator Burgess said the measure builds on prior “Forward March” efforts and helps close service gaps for aging veterans and others who may not know about available benefits. Testimony on SB 116 was uniformly supportive. FDVA leadership said adult day health care could be added at existing facilities such as Port St. Lucie and Lake City, and that the state would need authority and funding to move forward. A veterans legal collaborative, AARP Florida, and Endeavors all voiced support, with speakers emphasizing the importance of better outreach, mental health awareness, and care options that allow veterans to remain at home. The committee then voted favorably on SB 116. The remainder of the meeting was devoted to agency and stakeholder presentations. Florida National Guard officials described a high operational tempo, deployments at home and abroad, hurricane response efforts, and the need to grow the force and infrastructure. FDVA’s adjutant general reported Florida now has the nation’s second-largest veteran population, rising in-migration of younger veterans, a large and aging Vietnam-era population, strong claims and outreach activity, declining veteran homelessness, and improved suicide prevention outcomes. The Florida Veterans Foundation outlined its emergency relief, dental, transportation, and license-plate-funded programs, while Veterans Florida and CareerSource Florida detailed workforce, apprenticeship, SkillBridge, entrepreneurship, and job-fair programs for veterans and spouses, along with efforts to expand recurring funding and better protect customer information.

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.