Transcript Highlights:

• This disparity matters.
• in this room have championed, from transitional kindergarten, community schools, universal early screening
• In this very committee, it was impossible for a bill that would have expanded dyslexia screening to even
• And when I wrote a letter in support of the bill, the Governor immediately put dyslexia screening fully

Summary: The Assembly Education Committee first heard two bills. AB 1665 by Assemblymember Pacheco would require school sports coaches to complete approved mental health training. Supporters said coaches are trusted adults who are often first to notice student-athlete distress, and a witness described personal experience with body image and disordered eating pressures in athletics. There was no opposition, and the bill was moved out of committee on a due pass as amended motion to Appropriations, ultimately passing 9-0 after add-on votes. AB 2316 by Assemblymember Hoover would allow charter schools to apply for the same financial hardship relief in the state school facilities program that traditional districts can seek. Supporters argued this would improve parity and help smaller and low-income charter schools access permanent facilities; some initially opposed agencies said their concerns were addressed by amendments. The bill also passed unanimously, 9-0, to Appropriations. The committee then took up a consent calendar containing 12 additional measures, including bills on education funding, facilities, and other school-related matters, plus a resolution. Those items were approved on a 7-0 vote, with the roll left open for add-on votes. After the bill hearing portion was recessed and later reconvened, additional members added votes to AB 1665, AB 2316, and the consent calendar, bringing each to 9-0. The committee then held an informational hearing on state-level education governance, centered on Governor Newsom’s proposal to restructure the California Department of Education and the role of the elected Superintendent of Public Instruction, with AB 2117 serving as a policy vehicle carrying the same language and no action to be taken. Testimony came from the Legislative Analyst’s Office, the Education Commission of the States, and former CDE chief deputy Richard Zager. Witnesses reviewed the history of California’s governance structure, compared it with other states, and discussed accountability, legislative oversight, and the role of the superintendent under the proposal. Committee members raised concerns about preserving checks and balances, the fiscal implementation plan, county-office relationships, and whether the superintendent’s role would be reduced too far; no vote was taken at the informational hearing.

Transcript Highlights:

• This disparity matters.
• in this room have championed, from transitional kindergarten, community schools, universal early screening
• In this very committee, it was impossible for a bill that would have expanded dyslexia screening to even
• And when I wrote a letter in support of the bill, the Governor immediately put dyslexia screening fully

Committee: House Education

Transcript Highlights:

• Representative Bryant: Isn't it true that you also pay a pre-screening fee so they can take time to figure
• A pre-screening fee, screening and an application means the same thing.
• That then perpetuates the exact kind of discrimination and disparity that you are talking about, right

Bills: HB3 , HB3

Committee: House Public Education

Keywords: education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, emergency management, Texas Division of Emergency Management, public safety infrastructure

Transcript Highlights:

• is the entire system we have of PBMs and insurance consolidations and hospitals who created the disparity
• is the entire system we have of PBMs and insurance consolidations and hospitals who created the disparity
• is the entire system we have of PBMs and insurance consolidations and hospitals who created the disparity

Committee: Senate Commerce and Human Resources

Transcript Highlights:

• economic inequality, racism, and environmental injustice shape dietary behaviors and contribute to disparities
• The Voting Rights Act reduced the disparity between Black and white voters and allowed a greater number
• THE VOTE EGG RIGHTS ACT REDUCED THE DISPARITY BETWEEN BLACK AND WHITE VOTERS AND ALLOWED GREATER But

Summary: The Senate met on March 9, 2026, approved the prior journal, and took up several procedural items, including substituting identical Senate Bill 6734A for Assembly Bill 4382A and adopting a resolution calendar with exceptions for Resolutions 1718 and 1723. The chamber also received amendments on another bill and heard multiple guest introductions, including students from Ahavas Bas Yaakov of Monsey and Dr. Angela Odoms-Young, who was recognized for her work on food and nutrition policy and health equity. A major portion of the session was devoted to Resolution 1680 commemorating Bronx Day. Senators Fernandez, Bailey, Myrie, Serrano, Sepúlveda, Krueger, and others spoke in praise of the Bronx’s history, diversity, culture, resilience, and contributions to music, fashion, sports, and civic life. The Senate also adopted Resolution 1718 recognizing Harriet Tubman Day, with remarks highlighting Tubman’s work on the Underground Railroad, her Civil War service, and her later life in Auburn, and adopted Resolution 1723 marking the 61st anniversary of Bloody Sunday and emphasizing the continuing importance of voting rights protections. The Senate then passed a series of bills from the calendar. These included measures on general municipal law, public health, executive law, education, vehicle and traffic law, criminal procedure, labor law, and legislative law. Several members explained their votes on health-related bills: Senator Cleare spoke about period poverty and access to free menstrual products in educational institutions; Senator Webb supported a bill requiring hospital governing boards to include a registered professional nurse; and Senator Murray, joined by Senator Canzoneri-Fitzpatrick, described personal experiences with blood clots and pulmonary embolism in support of a bill creating a working group on the issue. Most bills passed with broad support, though some had notable negative votes, and the Senate adjourned until Wednesday, March 11 at 3:00 p.m.

Transcript Highlights:

• median-priced home, and California's homeownership rate is just 56%, ranking 49th in the nation, and the disparities
• This is a critical way to address the racial and economic disparities that persist for aspiring homeowners
• Bringing awareness to these disparities is essential for early detection and good outcomes like our colleague

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and then took up several floor items focused largely on housing, public health, and tax-credit awareness. The chamber adopted SR 71, a resolution by Senator Arreguín recognizing the importance of affordable homeownership in California. Supporters from both parties emphasized homeownership as a path to wealth-building, stability, and community strength, highlighted racial disparities in ownership, and praised nonprofit builders such as Habitat for Humanity. After passage, Senator Arreguín introduced Habitat for Humanity advocates in the gallery and noted the role of the CalHome program in funding affordable homeownership projects. The Senate also confirmed Trista Gonzalez as Director of the Department of Tax and Fee Administration, Aaron McGuire as executive director of the Board of State and Community Corrections, and Lee Herrick for another term as California Poet Laureate, each by unanimous or near-unanimous roll call votes. The Senate then adopted SCR 115 by Senator Daly, recognizing February as Heart Health Month and focusing on women’s heart health. Senator Daly shared her own experience with a stroke during a heart procedure and urged women to listen to their bodies and seek care early. Several senators spoke in support, describing silent heart attacks, the need to recognize symptoms in women, and the importance of challenging medical assumptions. The resolution passed unanimously. The Senate also adopted SR 75 by Senator Rubio, designating California Earned Income Tax Credit Awareness Week. Senators described CalEITC as a key anti-poverty tool and urged greater outreach so eligible families do not miss the credit; that resolution also passed unanimously. Later, the Senate heard a series of adjournment-in-memory tributes, including one for architect Frank Gehry, whose work in Los Angeles and Bilbao was praised for its global influence and civic impact, and one for June Roberti, remembered for her long partnership with former Pro Tem David Roberti and her advocacy and family life. Senator Arreguín also moved to place file item 67 on the inactive file. The session ended with announcements, including a committee meeting notice, and the Senate recessed with the next floor session scheduled for Monday, February 9, 2026.

Transcript Highlights:

• medium-priced home, and California's homeownership rate is just 56%, ranking 49th in the nation, and the disparities
• This is a critical way to address the racial and economic disparities that persist for aspiring homeowners
• Bringing awareness to these disparities is essential for early detection and good outcomes like our colleague

Transcript Highlights:

• Is there a big disparity? Because from what I saw online, it looked to be a very big disparity.
• So I'm just trying to figure out—that's like a huge... disparity, you know, hundreds of dollars versus

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• Without intervention, the decline of these farms will accelerate, deepening disparities in land access
• California's strength is when we address disparities, not deepen them.
• Feneuse, about addressing these disparities that we see. So with that, I happily ask for a vote.

Summary: The Assembly Committee on Agriculture met as a subcommittee and heard several bills, with extensive discussion focused on balancing agricultural land preservation, water scarcity, renewable energy, and farm equity. AB 1156 by Assembly Member Wicks would update the solar use easement program to allow certain Williamson Act lands facing water constraints to be used for solar projects through a suspension rather than cancellation of contracts. Supporters said the bill could help landowners and local governments adapt to falling water supplies and meet clean energy goals, while opponents, including the Farm Bureau, warned it could weaken Williamson Act protections, expand solar development onto prime farmland, and eliminate cancellation fees that help preserve agricultural land. RCRC said its concerns had largely been addressed through amendments and moved from opposition to support once changes are in print, though committee members continued to raise concerns about prime farmland, community benefits, and definitions of commercial viability and water constraints. The bill passed the committee on a due-pass-as-amended motion, with a later roll call recording six votes in favor and one absent member voting aye. AB 524 by Assembly Member Wilson would create a new state land access program for beginning and socially disadvantaged farmers and ranchers, using Proposition 4 funding to provide financial and technical assistance for land acquisition, protection, and long-term leases. Testimony emphasized the lack of secure land tenure for small and underserved farmers, the loss of farmland statewide, and the difficulty of investing in sustainable practices without stable access to land. Committee members strongly supported the measure, with several noting the importance of land access for family farms and equity in agriculture. The bill passed unanimously on an 8-0 vote. The committee also approved AB 675 by Majority Leader Aguiar-Curry, which would codify California’s Farm to School program in statute. Supporters said the program connects students to healthy local food, creates stable markets for farmers, and supports agricultural and nutrition education, while helping direct school meal dollars to California producers. Witnesses from the Center for Ecoliteracy and CAFF described the program’s statewide reach and benefits for small farms and high-need schools. The bill passed on an 8-0 vote. The committee also adopted the consent calendar, approving AB 1322 and AB 1505 on an 8-0 vote.

Transcript Highlights:

• Are there disparities across the state in offerings? That's what I'm trying to get out here.
• </c><01:13:59.360><c> and</c> front office for screening and front office for screening and controlling
• </c> look at the data that's on the screen. look at the data that's on the screen. 25%<01:21:13.760><
• On the screen there, you can see just some basics about educational cooperatives.
• On the screen there, brief this morning.

Summary: The committee opened its sixth meeting of the 2025 Interim Joint Committee on Education, confirmed a quorum, recorded attendance votes, and approved the minutes. Chair Lewis reminded presenters to keep remarks brief because of the full agenda and limited time. The first presentation was from United Way of Southern Kentucky, with Anne Puckett, Craig Browning, and Warren County Schools Superintendent Rob Clayton introducing a regional early childhood initiative. The presenters argued that kindergarten readiness and early childhood support are critical to later academic and life outcomes. They cited research and statistics about brain development in the first five years, the effects of unprepared kindergarten entry, and links between low literacy, school discipline, dropout rates, and incarceration. They said their region’s readiness scores fell during COVID and after a tornado, and that the most effective response was in-home parent education to help families support children from birth to age five. They described the model as voluntary, community-based, and not requiring new buildings, and said similar programs have been successful in Missouri. The group said it had already raised more than $1 million in private donations and committed three years of funding for four additional staff, expanding service in Allen, Logan, and Warren counties. They requested $600,000 per year for the next two-year budget cycle to add 12 more educators, serve about 360 families and 660 additional children, and build evidence for a possible statewide model. Members generally expressed support for the concept, with Representative Tipton and Representative Jackson discussing a prior home-based preschool pilot and the importance of starting early. Representative Calloway questioned whether increased family chaos and government involvement justified the approach; presenters responded that the program uses community educators, not a government-run organization, and is aimed at helping overwhelmed families. Representative Stalker asked about eligibility and early intervention, and presenters said the program serves children from birth to age five and can help identify needs early enough to connect families with services such as First Steps.

Transcript Highlights:

• populations have consistently experienced the highest suicide rates of any racial or ethnic group, with disparities
• But the disparity between calls and text and chat reflects a larger implementation problem.
• Indian and Alaska Native communities continue to experience some of the highest behavioral health disparities
• These disparities are compounded by poverty, geographic isolation, transportation barriers, provider
• of improving and advancing our relationships with tribes in our mutual goal of improving health disparities

Transcript Highlights:

• But definitely, you were able to bring some often disparate voices together, so I greatly appreciate
• But definitely, you were able to bring some often disparate voices together, so I greatly appreciate

Summary: The House Housing Committee met to executive several bills, with staff outlining proposed substitutes and key changes before members took a caucus break. House Bill 1974, the land bank bill, was described as removing several original provisions such as county authorization requirements, advisory boards, planning strategies, annual audits, surplus-property prioritization, and a grant program, while adding annual reporting and a real estate excise tax exemption. House Bill 2118, which would limit common interest community associations from imposing more restrictive use covenants than those in place when a unit was acquired, had no amendments but was not moved forward at this time. House Bill 2236, dealing with Housing Finance Commission authority, was explained as clarifying that the commission may not act as a retail mortgage lender or make loans for owner-occupied home purchases or refinancing, except for certain down-payment assistance loans, while adding an intent section to emphasize that the commission is not meant to compete with private lenders. Members debated whether removing language about using public funds could create taxpayer risk or a de facto state bank, but supporters said the changes modernize outdated law and clarify the commission’s role. House Bill 2269, concerning middle housing and on-site sewage systems in LAMIRDs, would restore broader county authority for middle housing in LAMIRDs while limiting sewage-system options based on whether the county is rural or non-rural. The committee voted to report House Bill 1974 out with a due pass recommendation by a 10-7 vote, with several members opposing or voting without recommendation over tax concerns. House Bill 2236 also passed out of committee with a due pass recommendation by a 13-4 vote after similar debate over public-funds language. House Bill 2269 passed unanimously by voice vote, and the committee adjourned after completing its executive action.

Transcript Highlights:

• through the Governor and Legislature, developing initiatives, monitoring progress, and tackling the disparities
• So we think a Latino commission is key to closing some of these gaps in these disparities.

Committee: House Governmental Organization

Summary: The Assembly Governmental Organizations Committee met on June 25, 2025, with a quorum present and several members substituting for absent colleagues. The committee first approved a consent calendar of several Senate bills, all moving on a due pass recommendation to Appropriations. Later, the committee heard SB 702 by Senator Limon, which would expand transparency requirements for statewide appointments and legislative appointments to boards and commissions. Supporters, including HOPE, the Campaign for College Opportunity, Equality California, CHIRLA, Asian Americans Advancing Justice, UCLA Latino Policy and Politics Institute, and others, argued the bill would improve accountability, representation, and public trust; no opposition was presented. Multiple members praised the measure and asked to be added as coauthors, and the bill passed on a unanimous roll call. The committee also heard SB 380 by Senator Padilla, which would establish a California Latino Commission to study and recommend policies on Latino economic well-being, education, housing, health, and mobility. Senator Padilla and Dr. Amanda Armenta of UCLA’s Latino Policy and Politics Institute described persistent disparities affecting Latinos in California, including poverty, educational attainment, housing overcrowding, climate and health impacts, and wage gaps, and said the commission would mirror existing state commissions focused on women and Asian and Pacific Islander communities. Several organizations testified in support, including CHIRLA, the University of California, the California Faculty Association, and others. Assembly Member Soria emphasized the need to address immigration-related impacts, mental health, and homeownership; the bill was approved on a roll call vote and sent to Appropriations, with one no vote recorded from Assembly Member Sanchez. After the two policy bills were heard, the committee reopened the roll for absent members and then adjourned. The transcript reflects strong bipartisan support for both measures, with no opposition testimony on either bill and no amendments or substantive objections raised during the hearing.

Transcript Highlights:

• As we investigated the state of Alabama, there was essentially a disparity among the implementation of
• the disparity among the implementation of the present laws such that some communities were allowed to

Bills: SB13 , SB278 , SB13

Committee: House State Government

Keywords: education, national anthem, patriotism, school policy, constitutional amendment, SB278, released time, religious instruction, elective credit, public schools, K-12 education, Alabama Released Time Credit Act, church-state separation, First Amendment, school choice, parental consent, elective course, off-campus instruction, private religious entity, State Board of Education

Transcript Highlights:

• Therefore, public cemetery districts are uniquely and disparately harmed by the approach articulated
• While we appreciate that the bill does include language to much... disparately harmed by the approach
• So the county elections official screens the applicants and identifies 60 of the most qualified, but
• So the county elections official screens the applicants and identifies 60 of the most qualified, but

Committee: House Local Government

Transcript Highlights:

• A timer will appear on the screen when you begin speaking.
• I think there's some disparities comparing us to, I think there's some challenges comparing and contrasting
• These persistent racial disparities in overdose rates in Massachusetts and the lasting effects of the
• I'm here on behalf of myself, my community, and HRAA, where I work as a screening and information specialist

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• This isn't just about, um, you know, racial disparities and data for the sake of it.
• This isn't just about, um, you know, racial disparities and data for the sake of it.
• So that disparity is likely to grow.
• So that disparity is years of five.
• So that disparity is likely<02:23:32.160><c> to</c><02:23:32.319><c> grow.

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee heard testimony on HB 1790 HD1, which would require law enforcement and oversight agencies to collect and report data on stops, use of force, and complaints to the Hawaii Crime Lab, which would publish incident-level information and annual reports. Supporters, including the Office of the Public Defender, Office of Hawaiian Affairs, the ACLU of Hawaii, Hawaii Justice Rising, and the Policing Project, said the bill would improve transparency, help identify disparities, and support better policy and accountability. OHA requested amendments to ensure Hawaiians are identified as a distinct category in the data, and the University of Hawaii’s Ashley Rubin said the Crime Lab would work with agencies to make implementation as seamless as possible. The Department of Law Enforcement supported the bill’s intent but asked for a longer timeline and culturally appropriate methodology, while HPD opposed the bill as written, saying it would require too many new data points, create a significant administrative burden, and rely on subjective perceptions of race and ethnicity; HPD also noted it is piloting an e-citation system that could help with data collection. Committee members questioned HPD about current manual processes and technology options. The chair reported 18 testimonies total: 15 in support, one in opposition, and two with comments, and no vote was taken in the excerpt. The committee then heard HB 1611 HD1, which would phase down the general excise tax on groceries and nonprescription drugs until a full exemption takes effect in 2034. The Department of Taxation offered technical recommendations, including clearer definitions for groceries and nonprescription drugs and a technical change regarding the county surcharge exemption. Supporters, including the Hawaii Public Health Institute and the Hawaii Food Industry Association, argued the GET on groceries is regressive and worsens food insecurity, especially for low-income households, and said the bill would provide needed relief. The Tax Foundation of Hawaii offered technical concerns, including a possible wholesale-tax enforcement issue once the exemption is fully phased in. The excerpt ends during testimony on HB 1611, with no final committee action shown.

Transcript Highlights:

• If we restrict to home-owning households only, the disparity is smaller, but the top decile still pay
• If we restrict to home-owning households only, the disparity is smaller, but the top decile still pay
• If we restrict to home-owning households only, the disparity is smaller, but the top decile still pay
• This bill creates an even larger disparity by leaving out renters altogether.
• Chair, and I really wanted to focus on sort of the racial disparity that would be applied in this situation

Summary: The committee took up House File 4906, adopted the H4906A1 amendment, and heard a staff explanation that the bill would create a one-time property tax refund in calendar year 2026 for residential homesteads and the house/garage/1-acre portion of agricultural homesteads. As amended, the bill would appropriate $4 billion in fiscal year 2027, distribute payments based on 2026 property tax due, include a clawback for delinquent taxpayers, and coordinate with existing property tax refund programs so recipients would not receive more than they paid in taxes. House Research also discussed a disagreement with the Department of Revenue over whether the refund would be taxable federally, with House Research suggesting it would likely be treated as a non-taxable recovery of prior taxes. Public testimony was largely opposed. Eric Bernstein of We Make Minnesota argued the proposal was too large, would create a deficit and force future service cuts, and would disproportionately benefit higher-income homeowners. Nan Madden of the Minnesota Budget Project said the bill would create a major budget hole, threaten funding for health care, food support, schools, and other services, and exclude renters and lower-income Minnesotans. Members echoed those concerns, citing impacts on public safety, rural EMS, hospitals, education funding, and equity, while noting that renters and many seniors would receive nothing. Representative Howard questioned whether the bill was a cautious use of state resources, and Representative Norris said it missed the mark for struggling renters. Chair Davids defended the concept as a way to put money back in people’s pockets and said the proposal was scalable and intended to start a discussion. Representative Wiener strongly supported the bill, saying many homeowners and farmers in his district are not wealthy and need relief from property taxes; he said the bill should be even bigger. No vote on final passage was taken in the portion of the meeting provided, and the committee moved on after testimony and member discussion.

Transcript Highlights:

• here as people in the government creating mandates to address health care not only conditions but disparities
• here as people in the government creating mandates to address health care not only conditions but disparities
• here as people in the government creating mandates to address health care not only conditions but disparities
• here as people in the government creating mandates to address health care not only conditions but disparities
• here as people in the government creating mandates to address health care not only conditions but disparities

Transcript Highlights:

• loss in children, and those were required under the federal EPSDT benefit, or Early and Periodic Screening
• benefit or under the federal um EPSDT benefit or early<00:10:36.880><c> periodic</c><00:10:37.440><c> screening
• </c><00:10:37.839><c> diagnostic</c><00:10:38.399><c> and</c> early periodic screening diagnostic and
• early periodic screening diagnostic and treatment<00:10:38.880><c> benefit</c><00:10:39.600><c> which
• How can we be competitive in the international market with that kind of disparity in health care costs

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.