Transcript Highlights:

• In the pharmacy side, they are 99.7% of all claims are paid within 14 days.
• In the pharmacy side, they are 99.7% of all claims are paid within 14 days.

Summary: The Senate Health and Human Services Committee met to consider a series of gubernatorial nominations, first for several boards and commissions and then for key health-related executive positions. Early confirmations included Michael Vaughn to the Board of Licensed Alcohol and Drug Counselors, Tina Frazier to the State Board of Licensed Social Workers, Dr. Kanya Martin and Dr. Edgar Boyd to the Board of Examiners for Speech-Language Pathology and Audiology, Dr. Christopher Thurman to the Health Care Workforce Training Commission, Samuel Haubrick and Robert Wipp Jr. to the Committee of Home Inspector Examiners, and Dr. Gabriel Pittman to the State Board of Health. Each nominee briefly described their background and qualifications, and committee members generally emphasized professional experience, public service, and rural health needs. All of these nominations advanced on unanimous or near-unanimous votes. The committee then considered Clayton Bullard for two roles: Cabinet Secretary of Health and Mental Health and Administrator of the Oklahoma Health Care Authority. Senators focused heavily on Medicaid managed care, provider payment delays, MCO oversight, and the short timeline before a new administration. Bullard said his priority would be stabilizing the agency, building a balanced budget, monitoring contractors and managed care organizations, and ensuring claims are paid promptly; he reported high rates of clean-claim payment within 14 days and said the agency would continue fining MCOs for noncompliance. Members also pressed him on legislative oversight and the need to keep lawmakers informed about policy changes. Both nominations were approved and sent to the full Senate. Sharon Schell Millington was then nominated to lead the Office of Juvenile Affairs. Senators asked about security concerns, staff safety, de-escalation training, pay for direct care staff, and coordination with local law enforcement. Millington said the agency had increased staff pay, adopted nationally recognized restraint/de-escalation training, and was working to improve communication with law enforcement. Her nomination also passed and moved to the Senate floor. At the end of the meeting, the chair answered a question about board membership requirements, clarified that the statute limits how many members may reside in one congressional district but does not require every district to be represented, and thanked committee staff for their work as the committee’s final HHS meeting of the session.

Transcript Highlights:

• We're seeing higher than expected pharmacy costs. We're seeing higher enrollment.
• to accurately predict at the time due to limited data, and, as my colleague mentioned, additional pharmacy

Summary: The Assembly Budget Committee held an informational hearing on SB 100/AB 100, the early action budget bills, with a focus on Medi-Cal funding, wildfire recovery, and several smaller budget adjustments. The Department of Finance explained that the bill would add $2.8 billion General Fund and $8.3 billion federal funds for Medi-Cal, along with other items including wildfire-related local assistance for Los Angeles County, property tax backfills for fire-damaged local agencies, Cal OES wildfire monitoring authority, nonprofit security grants, the Property Tax Postponement Fund, FARMER and Clean Cars for All funding, foster family home insurance claims, Proposition 98 technical assistance for LA wildfire-impacted schools, teacher credentialing authority, and Proposition 4 climate bond appropriations for wildfire and forest resilience projects. Much of the member discussion centered on rising Medi-Cal costs, the recent $3.4 billion cash-flow loan, and whether the new appropriation would cover payments through June. Finance said the new funds were for program costs and cash flow, not repayment of the loan, and that no additional loan authority remained. Members also debated the causes of higher Medi-Cal spending, including expanded eligibility, higher enrollment, pharmacy costs, and federal policy changes. The LAO noted that forecasting errors are not unusual but that current revisions are somewhat higher than typical, though not unprecedented. Several members emphasized that Medi-Cal supports access to care and hospital stability, while others raised concerns about sustainability and future federal cuts. Public commenters largely supported the bill, especially the Medi-Cal funding and wildfire-related provisions. Health and labor advocates argued that the program is functioning as intended by covering more low-income Californians and preventing uncompensated care. Representatives of special districts and the Altadena Library District supported the property tax backfill provisions tied to the Eaton fire. The hearing ended without a vote, with the chair noting that the committee would adjourn for floor session and that the Assembly would vote on one of the early action bills later that morning.

Transcript Highlights:

• changes and maintaining the same out-of-pocket cost, very importantly, same access to physicians, pharmacies
• 54.559> allowed<01:01:55.280> Humanana They were experiencing much lower medical and pharmacy
• And then you can see Bo talked about the medical reimbursement from CMS and the pharmacy reimbursement
• <01:04:04.640> CMS<01:04:05.680> and<01:04:05.920> the<01:04:06.240> pharmacy
• reimbursement from CMS and the pharmacy reimbursement from CMS and the pharmacy reimbursement<01

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:

• advertising, where he created clients out of the neighborhood businesses he frequented, such as the pharmacy
• I rise to present AB 957, tobacco-free pharmacies.
• AB 1503 is the sunset bill for the California State Board of Pharmacy.
• The Board of Pharmacy is currently going through some compound regulations have been going on for many
• I'll be laying off today, but hopefully we can get our Board of Pharmacy in a place to where they are

Keywords: 988, house, all

Transcript Highlights:

• the Controller General's office so they can reach out to the other insurer who carries the state pharmacy
• So we're only talking about... ...the state pharmacy contract.
• That I would—let me check with our pharmacy. I don't want to speak out of turn on this.

Summary: The committee heard several bills, but much of the meeting focused on House Bill 306, which would require disclosure when a consumer is interacting with a chatbot rather than a human. Sponsor Senator Townsend described it as a consumer protection measure and said the bill is meant to keep pace with rapidly changing AI technology. Committee members and witnesses raised concerns about the bill’s enforcement structure, especially private rights of action and penalties that could apply even without actual consumer harm. The Department of Justice said the bill would apply where the conduct has a Delaware nexus, and that the disclosure requirement is the key consumer protection. Industry witnesses and chambers of commerce opposed the bill as drafted, arguing it would create broad compliance burdens and expose businesses to excessive litigation risk without a harm requirement or clearer safe harbor language. Earlier in the meeting, the committee discussed House Bill 429, which would update Delaware’s step therapy exception process to include biosimilars and interchangeable biologics. Senator Poore and supporters from Highmark and the Department of Insurance said the bill would modernize insurance law, improve access to effective treatments, and reduce costs; they cited national savings from biosimilars and said the bill has agency support. Members asked about Delaware-specific savings, patient switching, and how the process would work, but no vote was taken during the discussion. The committee also heard House Bill 310, which would exclude large data centers from Blue Collar Jobs Act tax credits; the sponsor said the bill is intended to ensure large energy users contribute more to state and local revenues, while supporters and opponents debated competitiveness and community impacts. House Bill 406, on allowing insureds to choose their auto repair shop, and Senate Bill 347, a cleanup bill related to medical debt collection and personal property levies, were also presented without opposition in the hearing. House Bill 253, concerning who may receive letters testamentary or of administration, was described as a cleanup to align statute with existing practice. The committee approved the meeting minutes, but the transcript does not show final votes on the bills discussed.

Transcript Highlights:

• Title 32, Chapter 18, Article 2 of the Arizona Revised Statutes, relating to the State Board of Pharmacy
• sections 32-19-04 and 32-20-2 of the Arizona Revised Statutes, relating to the Arizona State Board of Pharmacy
• sections 32-19-04 and 32-20-2 of the Arizona Revised Statutes, relating to the Arizona State Board of Pharmacy

Summary: The Senate met in floor session, began with prayer and the Pledge, approved the journal, received communications, and handled a return of Senate Bill 1456 from the House for reconsideration. Members then moved through several Committee of the Whole calendars, considering and amending bills on court fees, information technology, environmental quality, agricultural property inspections, property tax notices, veterans services, zoning and electric generation siting, fuel and gas resilience, and disturbing religious services. Several amendments were adopted, including changes to HB 2265 on criminal court fees, HB 2311 on conversational AI disclosures and privacy limits, HB 2986 on environmental quality/fuel resilience, HB 2104 and HB 2105 on agricultural property inspection rules, HB 2406 on veterans services, HB 2494 on electric generation siting and environmental compatibility, HB 2696 on fuel and gas prices, and HB 4117 on interference with religious services. Most of these bills were reported out of committee with do pass recommendations, though members raised concerns on HB 2311 and HB 4117 about privacy, free speech, and prosecutorial discretion. The chamber then took up a long series of third readings and final votes. Bills passed included HB 2015 on single-audit compliance, HB 2041 on child neglect and poverty factors, HB 2048 on AHCCCS prescription drug coverage, HB 2417 on excessive speed, HB 2611 on child welfare, HB 2793 on annexation, HB 2950 on special districts, HB 2995 on family law, HB 4018 on county officers, HB 2404 on mental health services, HB 2279 on limitations of actions, HB 2502 on the state retirement system, HB 2733 and HB 2953 on pharmacy regulation, HB 2979 on credit unions, HB 4042 on parent-child relationship determinations, HB 4010 on health professional regulatory boards, HB 4043 on public schools, HB 4049 on the Attorney General, HB 2265 on court fees, HB 2311 on information technology, and HB 2986 on environmental quality. HB 2601 on state highways and routes failed. Several members explained votes on bills involving fiscal impacts, child welfare, road safety, annexation, and criminal justice concerns. The Senate also adopted a group concurrence motion on several conference committee reports, including HB 2003, HB 2010, HB 2133, and HB 2874, and then voted on those measures. HB 2003 on driver’s license instruction permits, HB 2010 on advertising, HB 2133 on disclosure of sexual material and synthetic depictions, and HB 2874 on campaign committees and termination statements were all advanced after conference committee action, with debate on HB 2133 focusing on First Amendment and content-moderation concerns. The session ended with introduction of a large package of transportation-related appropriations bills and a motion to suspend certain committee notice rules for Appropriations to hear legislation and strike-everything amendments on short notice.

Transcript Highlights:

• Senate Bill 483 by Senator Reese, relative to the Louisiana Board of Pharmacy, board membership qualifications
• Louisiana Board of Pharmacy, board membership qualifications, and term limits.
• House Bill 1217 by Representative Eccles provides relative to pharmacy benefit managers, insurers, third-party

Bills: HR218, HR219, HR220, HR221, HR222, HCR91, HCR92, HCR93, HR210, HR211, HR212, HR213, HR214, HR215, HR216, SCR29, SCR38, SB100, HR171, HCR49, HCR65, SCR23, HB276, HB508, HB512, HB599, HB632, HB656, HB998, HB1052, HB1084, HB1171, HB1193, HB1194, HB1204, HB1209, HB1250, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, HCR41, HCR76, HCR77, HCR63, HCR69, HCR86, SCR19, SCR3, SCR6, SCR18, HB64, HB68, HB92, HB130, HB167, HB227, HB243, HB321, HB335, HB398, HB492, HB624, HB689, HB708, HB804, HB906, HB926, HB955, HB968, HB969, HB978, HB985, HB1005, HB1029, HB1069, HB1077, HB1095, HB1104, HB1107, HB1187, HB1203, HB1217, HB1220, HB730, HB225, HB175, HB198, HB437, HB457, HB488, HB646, HB763, HB909, HB971, HB981, HB1066, HB1089, HB1125, HB1154, HB1231, HB1246, HB1248, HB1249, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, HCR32, HB59, HB617, HB897, HB911, HB1223, HB798, HB824, HB989, HB1140, HB1166, HB1244, HB901, HB79, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1113, HB1180, HB1234, HB1240, SB89

Keywords: EJ Fields, Shreveport, Louisiana, gospel music, commendation, resolution, honorary resolution, Billboard Gospel Airplay, Mediabase Gospel Airplay, Mercy Endureth, music award, ministry, artist recognition, cultural heritage, spiritual heritage, African American gospel, local hero, state commendation, St. Charles Parish, parish day

Summary: The House met with 89 members present and began with prayer, the pledge, and routine journal and leave requests. The early part of the session was largely ceremonial, with multiple personal privilege remarks recognizing visiting groups and special days at the Capitol, including St. Bernard Parish Day, Gulf States Renewable Energy Industries Association Day, ARPEC members, retired public servant Barney Arsenault, Deaf History Month, Asthma and Allergy Awareness Month, Young Farmers and Ranchers, Louisiana Housing Corporation participants, and Louisiana Hospital Day. The chamber also received Senate messages, including concurrence in several House concurrent resolutions, Senate passage of a number of bills, and a list of Senate resolutions lying over. The House then moved through a long series of resolutions and bills, many of them adopted without objection. Among the measures approved were resolutions designating or commending various observances and groups, and bills addressing inmate documentation upon release, court filings on letter-sized paper, safe harbor protections for trafficking victims, public benefits verification, travel meal reimbursement limits for state employees, the Governor’s Task Force on Impaired Driving, school emergency operation plans, justice of the peace jurisdiction in East Baton Rouge Parish, unaffiliated voter participation in party primaries, electronic monitoring rules, crime victims’ compensation terminology, the indigent defender fund threshold for small municipalities, sex offender identification procedures, the Office of State Public Defender, microbrewery special-event permits, alternative power sources for nursing facilities, relay attack device penalties, and a capital-case intellectual disability bill. Several of these passed overwhelmingly; some were temporarily returned to the calendar or tabled after passage. A few bills drew more discussion. HB 335 on citizenship verification for public benefits passed 77-17. HB 398, limiting meal reimbursements for state travel to GSA rates with an exception process, passed 62-32 after questions about scope and lodging. HB 906 on presidential preference primary qualification and party rules for unaffiliated voters passed 68-19. HB 897, protecting health data collected by pregnancy centers and imposing fines for unauthorized disclosure, passed 94-0 after an amendment and questions about its application. HB 1107 on intellectual disabilities in capital cases passed 75-11 after amendments informed by disability advocates. HB 1187, allowing Citizens Property Insurance to direct certain emergency assessment overages to the Fortify Homes Program or reserves, passed 87-9. HB 1220 on the State Board of Medical Examiners passed 95-0. The House also reconsidered and successfully revived HB 225 after suspending the rules, and several bills were returned to the calendar for later consideration, including HB 689 before it was later brought back and passed 84-7 after amendment. The session concluded with notice of additional Senate messages and upcoming floor scheduling.

Transcript Highlights:

• For example, if someone gets a vaccine in a pharmacy, that goes through CARE, and then it can go back
• people who just don't frequent their same provider all the time, but maybe getting a vaccination at a pharmacy
• people who just don't frequent their same provider all the time, but maybe getting a vaccination at a pharmacy

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• A lot of the people, when I had my pharmacy, would come in to try to help... other health care providers
• A lot of the people, when I had my pharmacy, would come in to try to help ...to take.
• A lot of the people, when I had my pharmacy, would come in to try to get me to help do the work for them

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• stress that families are enduring of having to go to multiple clinics, having to go to multiple pharmacies
• stress that families are enduring of having to go to multiple clinics, having to go to multiple pharmacies
• stress that families are enduring of having to go to multiple clinics, having to go to multiple pharmacies

Keywords: 919, house, all

Summary: State lawmakers, the attorney general, advocates, and parents held a press event responding to Children’s Minnesota’s announcement that it would pause some gender-affirming care for minors. Speakers, including Rep. Lee Finke, Hannah Edwards of Transforming Families Minnesota, and Jess Braverman of Gender Justice, said the pause was driven by federal pressure and threats from the Trump administration and HHS, not by medical best practice. They emphasized that gender-affirming care remains legal in Minnesota under the state’s Human Rights Act, Trans Refuge law, and insurance protections, and argued that interrupting care harms trans youth and families, especially those who moved to Minnesota for protection. Testimony focused on the emotional and practical impact on families: loss of trust in providers, delays in treatment, travel and intake wait times, and the stress of having to scramble for continuity of care. Speakers described the care as evidence-based, medically necessary, and life-saving, and said the federal government was using coercion and misinformation to intimidate hospitals and doctors. The attorney general said his office and coalition partners are litigating related federal threats, including a separate RFK Jr. declaration and proposed federal rules, and that Minnesota officials are working to preserve access and enforce state protections. In response to questions, speakers said the state’s legal tools are strong but limited against federal action, so they are relying on court challenges and enforcement of existing state law. They said Children’s Minnesota had been specifically targeted by federal officials and that the hospital’s pause was tied to that pressure. No votes were taken; the event ended with a call for continued public and institutional support for trans youth and for Children’s to resume care as soon as possible.

Transcript Highlights:

• So you'll see things like... ...pharmacy management, advanced care planning, support to caregivers, and
• Pricing data comes from PBMs, health carriers, pharmacies, manufacturers, and others in the supply chain
• But there are significant limitations, certainly in the pharmacy space, understanding how the complexity

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• There are the pharmacy benefit managers and all the other entities that manage benefits.
• There are pharmacy benefit management entities. And there are just a whole slew of entities.
• And in addition, there were steps taken in 2024 to tighten up some of the business practices of pharmacy

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• We recently also participated in a procurement to obtain a consultant for our upcoming pharmacy benefit
• actually pay for those particular costs that are still required for those prescriptions and to the Pharmacies
• So if there's something that we can Could join to maybe get lower pharmacy benefit management service

Transcript Highlights:

• And then the prescription is limited to whatever that pharmacy has in supply.
• We have a partnership with a pharmacy that provides multi-dose packaging and offers delivery, which results
• We have a partnership with a pharmacy that provides multi-dose packaging and offers delivery, which results

Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.

Transcript Highlights:

• The increase in fiscal year 2027-28 is reflective of the addition of new pharmacy benefit manager pricing
• mix of the California Health Data and Planning Fund, the Health Plan Improvement Trust Fund, the Pharmacy
• And then it goes through the normal process with pharmacies and health plans needing to carry the insulin
• We still have had to reach out to the wholesalers, to the pharmacies, to the health plans, and the PBMs
• I'll first start with our pharmacy benefit manager licensing requirements and data review.

Keywords: 987, senate, all

Transcript Highlights:

• Then, transferring to a pharmacy in downtown San Francisco.
• While I was in the pharmacy— When that situation puts our security at risk.
• While I was at the pharmacy, I frequently saw a person who was struggling with mental health problems
• One day, a woman entered the pharmacy behaving erratically.
• One day, a man walked into the pharmacy behaving erratically.

Summary: The committee met without a quorum and operated as a subcommittee while hearing several bills, with members repeatedly noting that votes would be taken later once a quorum was established. Early in the meeting, the committee heard SB 1446 on parole en banc review and SB 1278 on elderly parole eligibility for certain sex offenses. SB 1446’s author said the bill would give commissioners more discretion in en banc review, make votes public, and allow referral for sexually violent predator evaluation in certain cases; supporters included the California District Attorneys Association, while opponents from Uncommon Law, the Ella Baker Center, and public defender groups argued it would add confusion, create constitutional and litigation concerns, and duplicate existing safeguards. SB 1278 would exclude certain rape, child sexual abuse, and habitual/serial sex offense convictions from elderly parole eligibility; district attorneys and police chiefs supported it as a victim-safety measure, while civil rights and defense organizations opposed it as unnecessary, costly, and inconsistent with evidence on aging and recidivism. Both bills were discussed but not voted on due to the lack of quorum. The committee then heard SB 1354, which would bar out-of-state military or law enforcement personnel from entering California to perform such functions without the Governor’s permission. The author and supporters framed it as protecting state sovereignty and limiting unauthorized armed incursions; the committee accepted an amendment removing a criminal penalty and leaving enforcement to the Attorney General. No opposition testimony was offered, and members expressed support, but no vote was taken because quorum was still lacking. The committee also heard SB 926, a bill to fund implementation of Proposition 36. Supporters, including sheriffs, district attorneys, probation officials, and the League of California Cities, said local agencies need funding for treatment, supervision, and administration; opponents argued the proposal was fiscally reckless, lacked accountability, and overemphasized incarceration. Amendments removed a specific appropriation and shifted funding decisions to the budget process, but the bill was also held pending quorum. Later, the committee heard SB 874, which would require background checks for unlicensed providers of Medi-Cal behavioral health treatment services, create a stakeholder workgroup, and direct DHCS to issue guidance and report on program integrity. Support came from local health plans and behavior analysis providers, who said the bill would improve safety and consistency; there was no opposition testimony. The committee then heard SB 1210, which would extend CalGang oversight and due process protections to local gang databases as well as shared ones. Supporters described privacy abuses, racial disparities, and personal harm from inaccurate gang labels; law enforcement opposition argued the bill would impose CalGang standards on informal investigative files and would significantly change the gang definition. The author said the bill closes a loophole and preserves prior reforms, but no vote was taken. The committee also began hearing SB 1019 on creating a California Cargo Thief Task Force, with strong support from BNSF, trucking, shipping, port, and supply-chain representatives who described organized, multi-jurisdictional cargo theft and rail sabotage; no opposition was heard, and members indicated support, but action was deferred pending quorum. The meeting then moved to SB 1217 on a non-consensual intimate image clearinghouse, with the chair and author describing privacy-related amendments and the bill’s focus on helping survivors remove exploitative images; the transcript cuts off as that presentation began.

Transcript Highlights:

• Health care providers include, but are not limited to, hospitals, nursing homes, doctors, dentists, pharmacies
• What I don't see is pharmacy benefits manager, and so because those entities have become so critical
• ><00:37:14.560> a rely on some kind of referral and a rely on some kind of referral and a pharmacy
• benefits<00:37:15.760> manufacturer<00:37:16.800> type<00:37:17.119> of pharmacy
• benefits manufacturer type of pharmacy benefits manufacturer type of manager<00:37:18.640> type

Keywords: 1189, house, all

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• One notable exception was that pharmacy, the cost of the drugs, was the primary growth.
• of our services, but the highest was among those claims that we pay the highest volume, such as pharmacy
• One notable exception was that pharmacy, the cost of the drugs, was the primary growth.
• of our services, but the highest was among those claims that we pay the highest volume, such as pharmacy
• , hospital and pharmacy, outpatient, hospital and professional<00:17:56.799> services.

Keywords: 1187, senate, all

Transcript Highlights:

• Um, Matthew Sanders, uh, as a senior officer for Pew Charitable Trust.
• Um, Matthew Sanders, uh, as a senior officer for Pew Charitable Trust.
• Um, Matthew Sanders, uh, as a senior officer for Pew Charitable Trust.
• I'm senior officer at the Pew Charitable Trust.
• And so the Pew Charitable Trusts are the philanthropic arm of the Pew family to give back to American

Keywords: 958, all

Summary: The first meeting of the Disaster Prevention and Resiliency Task Force focused on the task force’s mission and on recent Kentucky flooding disasters. The co-chairs described the need to better prepare for increasingly frequent and costly natural disasters, including flooding, tornadoes, wildfires, and ice storms, and emphasized coordination among local, state, federal, and interstate partners. The discussion also stressed the importance of budgeting for mitigation, infrastructure resilience, housing, insurance, and recovery planning, with several members sharing personal experiences with disaster impacts in their districts. Kentucky Emergency Management Director Eric Gibson gave the main presentation, responding to questions about the February and April flooding events. He said the February event affected the entire state, with 11,825 individuals registering for assistance and 1,194 public-assistance projects written so far; he also reported 134 households still sheltered, 190 households moved to permanent housing, and three disaster recovery centers still open after a regional consolidation. For the April event, he said 37 counties had individual assistance, 83 counties were still pending public assistance, and no hazard mitigation had yet been declared; 5,893 people had registered for individual assistance, and 144 households were sheltered, with 83 families already moved to permanent solutions. He noted that counties without public assistance would have to cover expenses locally unless state or federal aid is approved. Gibson also outlined Kentucky Emergency Management’s tools and resources, including a 24/7 state operations center and warning point, embedded National Weather Service meteorologists, five regional warehouses stocked with water, MREs, blankets, and kits, a statewide web-based damage reporting system, laundry trailers, generators, a disaster needs hotline that has received 6,972 calls, and a mutual aid system used to deploy resources such as water tankers. He highlighted ongoing work on urban search and rescue, qualification systems for emergency operations personnel, and aerial documentation of storm damage. No votes or formal actions were taken at this meeting.

Bills: HR310, HR314, HR316, HR317, HR321, HR275, HR276, HR279, HR282, HR286, HR289, HR292, HR295, HR302, HR319, HCR112, HR307, SCR59, SCR61, SCR62, SCR68, SCR69, SCR70, SCR54, SCR55, SCR64, SCR75, HCR79, HCR104, HB75, HB410, HB719, HB750, HB944, HB1098, HB1220, HB1252, HB359, HB210, HB468, HB1117, SB382, HB368, HB552, HB732, HB870, HB1236, SB29, SB42, SB43, SB149, SB208, SB274, SB300, SB312, SB387, SB389, SB401, HR74, HB998, HB901, HR20, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, SB97, SB123, SB237, HB36, HB42, HB74, HB119, HB159, HB258, HB259, HB302, HB414, HB459, HB848, HB956, HB1017, HB1028, HB1095, SB217, SB283, SB469

Keywords: oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding, taxpayer liability, public liability, offshore wells, onshore wells, coastal erosion, Department of Conservation and Energy, natural resources