Transcript Highlights:

• PBM of a million.
• The PBM is supposed to pass those savings on to the health plan.
• And my work with counsel with PBM to prevent this recoupment and any future recoupments that violate
• The PBMs, you're wanting an additional million dollars.
• This officer's enforcement of PBMs has made a dramatic impact on their profitability.

Keywords: 914, all

Transcript Highlights:

• It's because they're not affordable due to the way the PBMs are processing them.
• prescription drug coverage is made to pay more than someone without insurance simply because of the PBM
• reason a patient should be incentivized to pay more for prescription drugs, but that's exactly how the PBMs
• This bill is a step towards restoring trust, reining in harmful PBM practices, and putting patients first

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• managers that they currently utilize, to a single PBM.
• we currently use to a single PBM going forward, ultimately, this is a cost-saving measure.
• Because when Medicaid moves to a single PBM, they'll be able to more effectively negotiate with drug
• Having worked a little bit on prescription drug policy before, it is very complicated in the PBMs and
• My question just basically is, is there already, is this PBM My question just basically is, is there

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Transcript Highlights:

• It's a lot with PBMs and all of that.
• Understand, aren't in a position to be able to negotiate with the PBMs, right?
• Do independent pharmacies make as much off a dispensing fee as PBM-owned pharmacies?
• Fee as a PBM-owned pharmacy makes and dispensing fees. Thank you for the question.
• pharmacy when a PBM has no hand in that transaction?

Bills: HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199

Keywords: reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights

Transcript Highlights:

• 1584 is a bill that will provide formal licensing and regulation of pharmacy benefit managers, or PBMs
• address a legal concern, make changes to the marketplace, and create a process for enforcing existing PBM
• see that an email address is added as information that needs to be included in the application for a PBM
• Section 5 references what sections of Century Code a PBM manager must comply with.
• so we can re-refer this to the Appropriations Committee for further discussion and finally license PBMs

Keywords: 908, all

Summary: The Senate opened with prayer, roll call, and a quorum present, then moved through a series of conference committee appointments and reconsideration motions. Senator Axtman successfully moved to reconsider House Bill 1160, which had previously failed, and the chamber later passed it. HB 1160 creates a statewide bell-to-bell policy restricting personal electronic devices during instructional time; supporters argued it would reduce distractions, improve mental health and academic outcomes, and help teachers, while opponents raised local control concerns. The bill passed 42-4. The Senate also passed several other measures, including HB 1247 on protecting student victims of sexual offenses, HB 1489 consolidating civil protection orders into one chapter, HB 1032 making municipal courts courts of record and updating related procedures, HB 1487 authorizing a Minot facility for the Highway Patrol and Bureau of Criminal Investigation with a line of credit and emergency clause, HB 1469 requiring annual online statements of interest for public officials, HB 1199 creating the Missing and Indigenous People Task Force and related MMIP initiatives, HB 1169 regulating paid veterans benefits claim assistance with consumer protections, HB 1209 directing a foreign adversary threat assessment, and HB 3018 as amended to study water, wetlands, and taxation of inundated lands. Most of these passed with strong bipartisan support, though HB 1169 drew substantial debate over veterans’ service options and HB 1209 passed on a narrower 40-7 vote. The chamber rejected or declined several other measures. HB 1455, which would have required the Indian Affairs Commission to review introduced legislation for tribal implications, failed 7-40 after concerns about an unfunded mandate and duplicative duties. HB 1259, which would have put North Dakota on year-round daylight saving time, was defeated 15-32 after debate over time zones, construction, recreation, and whether the issue should be left to future legislatures. HB 1555, dealing with statements of ownership for foreign organizations of concern, also failed 3-44. The Senate then moved to announcements and committee scheduling for later meetings and conference committees.

Transcript Highlights:

• The reason PBMs often favor higher-cost drugs is because of rebates.
• Since PBMs own their own health plans and mail-order pharmacies, they have a great incentive to steer
• they are able to get at ...by mail order from PBMs, though the amount of medication they are able to
• Members, PBMs operate with no transparency and no accountability, and patients bear the cost.
• This piece of legislation in the PBM reform that is sorely needed has been negotiated over the course

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for John Burton, and proceeded with the Pledge of Allegiance and routine procedural motions. Members approved a rule suspension to allow floor amendments on SB 271 and SB 67, and several committee notices and bill referrals were handled. The chamber then moved through a long third-reading file, with many bills passed and a number of items temporarily passed or retained on file. Among the major measures approved were bills on civil rights and public safety (SB 477, SB 19, SB 36, SB 571, SB 580), health care and coverage (SB 257 on pregnancy as a qualifying life event, SB 530 on Medi-Cal access standards, SB 660 on health data exchange, SB 754 on menstrual product contaminant disclosure), housing and disaster recovery (SB 610, SB 655), transportation and climate (SB 533 on EV charging payments, SB 30 on diesel locomotives, SB 71 on CEQA exemptions for transit, SB 263 on tariff impacts), and natural resources/energy (SB 283 on battery storage safety, SB 88 on biomass emissions, SB 427 extending the Habitat Conservation Fund). The Assembly also passed urgency measures including SB 864 on tribal gaming compacts, SB 663 on wildfire-related property tax relief, SB 471 expanding DDS ombudsman authority, and SB 497 on privacy protections for legally protected health services. Several bills drew notable debate. SB 41 on pharmacy benefit managers saw opposition over concerns about moving ahead before broader PBM data and licensing reforms take effect, but it still passed. AB 1340, a concurrence item on gig worker collective bargaining rights, prompted extended debate over labor rights, consumer costs, and union influence. Other concurrence items included AB 671 on restaurant permitting, which passed without opposition. The Assembly also took up SB 640 on direct admission to CSU, SB 702 on demographic reporting for appointees, SB 710 preserving a solar property tax exclusion, and SB 793 on counterfeit lighter safety, all of which passed. The session ended with the Assembly continuing through the file, including concurrence votes and additional bill actions, with most measures approved by substantial margins.

Transcript Highlights:

• And miraculously, I have survived PBM abuses for 20 years, and I'm lucky to still be here.
• I have survived PBM abuses for 20 years, and I'm lucky to still be here.
• I had endured so much PBM abuse.
• PBMs, and you'll find hundreds of problems on the internet. This is about the patients.
• I have to pay one particular PBM.

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Summary: The committee first took up HB 2211 only for discussion, not a vote. The strike-everything amendment would make it unprofessional conduct for certain health care licensees to submit an independent dispute resolution offer above 300% of Medicare or 300% of the qualified payment amount. The chair said he wanted more stakeholder meetings and broader consensus before moving the bill. Testimony was split: an ARMA representative opposed the measure, arguing it reflected insurer concerns, QPA data lacked transparency, and licensing discipline was the wrong tool for billing disputes; a Blue Cross Blue Shield representative supported it, saying a small number of private equity-backed providers were driving up surprise-billing costs and abusing the No Surprises Act. No action was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap as an absolute limit, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. Rep. Kyle Powell said the bill was meant to give homeowners more flexibility and help address housing shortages. Supporters framed it as a property-rights and housing issue, while opponents from neighborhood and city groups warned it would allow oversized ADUs, increase density, create safety and parking concerns, and weaken local zoning control. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. The committee next passed HB 2620, as amended, by a 17-0 vote with one member not voting. The bill appropriates $300,000 per year for five years to the Arizona Department of Veterans’ Services for grants to emergency shelters serving veterans. An amendment removed age and non-congregate-setting limits for eligible shelters. Rep. Blackman said the bill was intended to help homeless veterans, and shelter advocate Nathan Smith supported it, saying targeted resources could help veterans exit homelessness and stay housed. The committee then took up HB 2960, which would create a veterans specialty court grant program. The bill was amended to have the Office of the Courts administer the fund and to allow support for expansion of existing veterans courts. Testimony highlighted the success of the Lake Havasu veterans court and the need for more standardized programs and data collection; the transcript cuts off before the final vote on HB 2960.

Transcript Highlights:

• The current PBM... Or a California Department of Insurance-licensed insurer.
• The current PBM registration requirement sunsets on December 31, 2026, and PBMs are required to obtain
• and gives the DMHC the authority to audit licensed PBMs and ensure compliance with the law.
• documents and to take enforcement action against noncompliant health plans and/or PBMs.
• documents and to take enforcement action against noncompliant health plans and/or PBMs.

Keywords: 987, senate, all

Summary: The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions. The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold. The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award. Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.

Transcript Highlights:

• They could have come to this committee and said they supported the PBM efforts to lower drug costs, and
• those rural areas all over the country is lost and people are going to have to mail it in because a PBM
• rebates are actually fully rebating the monies that's being saved by the negotiations done by the PBMs
• That's not happening right now, and we can do better, and the PBMs are one way of effecting Yeah, we
• One of the areas the PBMs has been particularly bad on is this issue about tiering, where brand-name

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• Section 14 requires the Commissioner of Commerce to provide PBM annual transparency reports to the Commissioner
• the Commissioner of Commerce<00:10:37.000> to<00:10:37.120> provide<00:10:37.560> PBM
• <00:10:38.320> annual Commerce to provide PBM annual Commerce to provide PBM annual transparency

Keywords: 918, senate, all

Summary: The committee took up H.F. 4188, the Commerce and Consumer Protection Policy Omnibus, and moved through a series of agreed-upon motions to adopt various House and Senate language articles and sections. The adopted provisions covered a wide range of topics, including residential mortgage loan servicing standards, student loan borrower protections, rental home marketplace guarantees, group coverage cancellation, limited lines travel insurance, insurance lead generators, collection agency and credit services organization definitions, proof of identification requirements, scrap metal copper licensing, technical changes to ASTM references and report filings, securities-related provisions, unclaimed property issues involving virtual currency and funeral prepayment funds, repeal of the prescription drug affordability advisory council, reinsurance program changes, and health insurance reporting and oversight provisions. Most motions were adopted without opposition after brief staff explanations and member encouragements to vote yes. In the health-related sections, the committee adopted language requiring insurers and nonprofit health service plan corporations to notify the Commissioner of Commerce about significant enrollment increases, expanding access to all-payer claims data for oversight, and requiring the sharing of PBM annual transparency reports with the Commissioner of Health. The committee also adopted language on artificial intelligence in utilization review, initially defining AI and prohibiting exclusive reliance on AI for adverse coverage determinations. Representative Elkins then offered an amendment to remove the specific AI definition and replace it with broader language referring to automated processing, arguing that technology-neutral drafting is more durable and that a human must remain in the loop for coverage denials; the amendment was adopted. After the agreed-upon items were completed, members indicated the chairs would huddle to work on the remaining issues and return after recess. The meeting then recessed to the call of the chair.

Transcript Highlights:

• Kentucky and Ohio have implemented single PBM models in their Medicaid programs that remain in managed
• care control and eliminate negative PBM practices, appropriately reimburse independent and community
• <00:48:35.920> models Ohio have implemented single PBM models Ohio have implemented single
• PBM models in<00:48:36.480> their<00:48:36.640> Medicaid<00:48:37.200> programs
• negative PBM practices appropriately reimburse<00:48:44.400> independent<00:48:44.880> and

Keywords: 1183, house

Summary: The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget. Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems. Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service. A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.

Transcript Highlights:

• PBM-owned entities.
• In many cases, PBMs cost drug options.
• administrative fees, or steering to PBM administrative fees, or steering to PBM ownedies. ownedies
• > lowest<02:46:53.520> price PBMs to disclose the lowest price PBMs to disclose the lowest
• the PBM stuff. the PBM stuff. >> Child<03:25:38.960> care.

Keywords: 1191, senate, all

Transcript Highlights:

• You can tax the third-party contractors of an ERISA like a PBM, but what you cannot do, states cannot
• an<00:13:35.640> ERISA<00:13:36.000> like<00:13:36.200> a<00:13:36.280> PBM
• <00:13:36.880> but<00:13:37.120> what<00:13:37.280> you of an ERISA like a PBM
• , but what you of an ERISA like a PBM, but what you cannot<00:13:38.040> do cannot do cannot do
• than having them go through their PBMs. than having them go through their PBMs.

Keywords: 1189, house, all

Transcript Highlights:

• Also, we created a state PBM for MA and MinnesotaCare in this bill.
• Also, we created a state PBM for MA and MinnesotaCare in this bill.
• It will limit the pharmacies to non-PBM-owned pharmacies.
• It will limit the pharmacies to non-PBM-owned pharmacies.

Bills: HF2436, HF2435

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• ...and any affiliated PBMs that are operating in North Dakota, could we get that data?
• Insurers, producers, TPAs, PBMs, they're all regulated by us, and they have to follow these mandates.
• PBMs' profits have increased 300% in 20 years. PBMs' profits have increased 300% in just 10 years.
• PBMs, profits have increased 300% in 20 years. PBMs, profits have increased 300% in, in 20 years.
• PBMs, profits have increased 300% in just 10 years.

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• Just overall, how many PBMs do we have in Kentucky?
• Why do we carve out just for workers' comp PBMs?
• Just just overall,<00:24:16.080> how<00:24:16.240> many<00:24:16.400> PBMs<00:24
• do we have in overall, how many PBMs do we have in Kentucky?
• out just for workers comp um PBMs? out just for workers comp um PBMs?

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met in August with a quorum present and approved the prior meeting minutes without objection. The committee then reviewed several regulations, generally adopting staff-suggested amendments without objection, and heard brief explanations from agency representatives on each item. The Board of Pharmacy regulations would clarify what registered and certified pharmacy technicians may do under supervision and what certified technicians may not do, while updating registration applications. The Board of Cosmetology package included changes to executive director authority, licensure and reciprocity rules, school requirements, training hours, instructor ratios, sanitation and disease-related rules, complaint procedures, and permit terms; members asked about straight razor language and the increase in student-to-instructor ratios, and the board explained that cosmetologists are not permitted to use straight razors and that the higher ratio was intended to give schools flexibility, especially for part-time students and schools with wait lists. The Occupational Therapy emergency compact regulation added four compact rules adopted in April 2025, and Senator West raised a technical question about certification requirements under House Bill 6; the agency said it had been instructed to file the regulation as submitted. The Department for Fish and Wildlife Resources presented a package covering wildlife management area rules, a northern pintail bag limit increase, reportable disease reporting, and a repeal tied to boat registration fees. After a brief explanation of the new wildlife disease reporting rule, the agency requested and received a deferral of 301 KAR 2:031 to avoid a gap while replacement language is finalized. The Economic Development Finance Authority explained an emergency regulation for the Kentucky Entertainment Incentive Program, saying it was needed because the program had become oversubscribed and because administration was shifting to a new film office and council; members also asked about certification issues under House Bill 6, and the agency said it had filed the regulation as directed. The Department of Workplace Standards emergency PPE regulation was also discussed, with members asking about HB 6 certification language, and the agency gave the same response. The Department of Insurance regulation would create a $10,000 registration fee and a $1,000 annual licensing fee for pharmacy benefit manager licenses, with an agency amendment exempting PBMs that solely serve workers’ compensation plans. Members asked how many PBMs would be affected and why workers’ compensation PBMs were carved out; the agency said there were 70 registered PBMs total, four solely workers’ comp, and that workers’ comp rates are set by statute and could not absorb the fee. Finally, the Public Service Commission’s pole attachment regulation was summarized as a broadband-expansion measure that speeds application review, increases the number of poles allowed in a single application, and shortens dispute timelines; the commission explained it grew out of earlier legislative direction and subsequent emergency amendments, and the committee adopted the staff amendment.

Transcript Highlights:

• Senator Harrell, you're recognized. and Senator Broder, as you know, we've had many issues on the PBMs
• ability for the PBM to deny them payment for something that they have done.
• , withhold, recoup, or do any of this stuff if the PBM defines that the local pharmacy is... if the PBM
• We have approximately 70 PBMs that operate in today's marketplace.
• The first one is the restrictions on PBM partnerships with affiliated manufacturers.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• department university hospitals pharmacy department does<01:13:02.719> with<01:13:03.360> PBMs
• <01:13:04.480> that<01:13:04.800> insurance<01:13:05.199> companies does with PBMs
• another potential dispute with<01:14:54.320> the<01:14:54.640> same<01:14:55.040> PBM
• uh some with the same PBM about uh some reimbursement<01:14:58.560> processes<01:14:59.440>
• contract disputes we have with the PBM contract disputes we have with the PBM before<01:15:40.880

Keywords: This meeting will take place Upon Adjournment of both Chambers. An exact time is not given or known at this time., 958, all

Summary: The Government Contracts Committee met for its first 2026 meeting, approved the December 9 minutes, and reviewed 337 contracts totaling about $71.8 million. After a motion to consider the routine contract lists without objection passed, the committee pulled several items for discussion, including contracts from the Council on Postsecondary Education, the Department of Highways, the Kentucky Horse Racing and Gaming Commission, and Kentucky State University. Most items were ultimately approved by roll call votes. For the Council on Postsecondary Education item, members discussed why the contract was not handled through the usual Finance Cabinet bidding process. Staff explained it stemmed from House Bill 200 and the healthcare workforce incentive fund, which uses a separate competitive award process and steering committee under different statutory standards. The committee accepted that explanation and approved the contract. Department of Highways staff then explained the difference between scour assessments, which evaluate erosion and foundation risk around bridge piers, and load ratings, which assess the bridge structure itself. Members also questioned a larger engineering contract increase; staff said it reflected progression from preliminary engineering to final design on a phased project and estimated the funding split at roughly 80% federal and 20% state. Those highway contracts were approved. The Kentucky Horse Racing and Gaming Commission presented a legal services contract. Officials said the new corporation had identified legal needs, issued an RFP, and awarded four firms to create a pool of counsel to avoid conflicts as the agency now licenses racing, sports betting, and charitable gaming. They also said an emergency contract was needed after a temporary restraining order was issued in litigation involving charitable gaming machines and alleged losses to charities. The committee asked about the litigation and the affected organizations, and the contract was approved. Kentucky State University then defended a marketing/enrollment contract despite financial concerns, saying the work was intended to raise awareness of the university, improve enrollment, and support financial stability. University officials also said they were tightening student payment enforcement and collection practices, including payment plans and holding students accountable for balances. That contract was also approved.

Transcript Highlights:

• You know, we're doing it kind of like we did with the PBM bill, trying to talk with everybody involved
• everything, and then I say create kind... at everything, and then I say create, kind of like we did with the PBM
• I hope we have a product that's close to what we did with PBM.
• As they say in... like we did with PBM.

Keywords: 923, senate, all