Transcript Highlights:

• agencies and over a million current and prior licenses across a wide range of professions, including pharmacists
• Um, that you hired a DC to internally, I'm sorry that you hired a chiropractor internally.
• And so now we're able to do that internally.
• and pharmacist interns, and 77,800 pharmacy technicians and pharmacy technician trainees.
• The board's executive director is legally mandated to be a Texas licensed pharmacist, which will be a

Transcript Highlights:

• I've communicated with pharmacists, nurses, doctors, and no one even knows what xylazine is.
• that was also included in that memo was that the source of xylazine is coming from these online international
• You know, I'm thinking of these international vendors—what right does Massachusetts have to require them
• For example, I think that as a pharmacist and as a veterinarian, you know, Mr. Gates and Mr.
• And all those distributors have their own pharmacists that work for them.

Keywords: 995, all

Summary: The working group on best practices for oversight and enforcement met for its first session and focused on xylazine, including its legal veterinary uses, its appearance in the illicit drug supply, and whether it should be classified as a controlled substance. Members discussed the distinction between pharmaceutical-grade and non-pharmaceutical-grade xylazine, the role of international/illicit sourcing, and the limits of state-level regulation if the substance is already being added to fentanyl or other drugs outside the Commonwealth. The Department of Public Health representative summarized the agency’s view that scheduling xylazine could follow the “ironclad law of prohibition” and push the market toward other, potentially worse substances, and said DPH opposed straight scheduling in favor of education, support, and harm-reduction approaches. Veterinary members explained how xylazine is used in large-animal and research settings, why it is useful, and why federal-style scheduling could create practical burdens for veterinarians who work in the field. They also described reversal agents such as yohimbine and atipamezole (Antisedan), and noted that xylazine is not commonly used in small-animal practice. Several members raised questions about how much xylazine is actually used legally in Massachusetts, whether boards of pharmacy or distributors could provide useful data, and what other states have done. Arizona and Florida were mentioned as possible examples for further research, along with the need to examine stakeholder opposition and any effects on legitimate veterinary practice. The group agreed to divide into two subgroups: one focused on oversight and regulation of production/distribution, and another on whether xylazine should be classified as a controlled substance and what penalties, if any, should apply. Staff said they would circulate notes, a draft PowerPoint template, and a shared folder, with members asked to submit materials by December 2, draft materials due December 4, and final approval by December 9 ahead of the next public meeting on December 11. The meeting ended with a motion to adjourn, a second, and unanimous closure.

Transcript Highlights:

• Whip, members, as amended by the Health and Human Services Committee, House Bill 2444 allows a pharmacist
• Whip, members, as amended by the Health and Human Services Committee, House Bill 2444 allows a pharmacist
• Whip, members, as amended by the Health and Human Services Committee, House Bill 2444 allows a pharmacist
• House Bill 2733, as amended by the Health and Human Services Committee, allows pharmacists and pharmacy
• The strike-everything amendment adopted by the Committee on Transportation or International Trade to

Keywords: 1182, all

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• Is there a protection for the pharmacist? Is there protection for the pharmacist?
• the pharmacist to fulfill that prescription?”
• “Yeah, I’m hesitant to speak for the pharmacists.
• Witness: Pharmacists.
• On behalf of the internal medicine hospitalists.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• > occupations, pharmacist, vaccination occupations, pharmacist, vaccination orders.<01:13:47.200>
• . pharmacist. pharmacist.
• <01:15:51.400> Is pharmacists to do strep testing now.
• Is pharmacists to do strep testing now.
• Um I also a registered pharmacy intern.

Keywords: House streaming session for Monday, March 23, 2026, 957, house, all

Summary: The House convened with 129 members present, read the prior journal, and then took up a series of third-reading bills. Early action included unanimous passage of HB 159 (mail theft), HB 412 (child support and driver’s license suspension), HB 912 (trap-neuter-return policies for community cats), HB 914 (Worcester County Board of License Commissioners membership), HB 558 (Prince George’s County wine festival licenses), HB 1400 (shellfish aquaculture penalties), and HB 1463 (Anne Arundel County Board of Education constituent services liaison). HB 582, dealing with Prince George’s County alcoholic beverages licenses and voter registration requirements, drew brief debate over whether it removed or retained a voter registration condition; it ultimately passed 119-12. HB 846, a property tax exemption for the Hagerstown multi-use sports and events facility, passed 126-7 after a system delay interrupted proceedings. Several bills prompted more substantive discussion. HB 1218, the Safe and Healthy Homes for All Act, drew opposing explanations over a proposed public registry of properties with housing violations; supporters said it would help identify serious housing problems and improve compliance, while opponents objected to publicly naming private properties based on administrative findings. It passed 99-36. HB 525, the Maryland Phone-Free Schools Act, passed 135-1 after questions about enforcement, with supporters comparing it to ordinary classroom discipline. HB 1483, allowing out-of-state clinical professional counseling and social work providers to use telehealth for continuity of care, passed 135-0 after clarification that it applies to people moving into Maryland and allows a six-month continuity period. HB 1504, the Pedestrian Safety Act, passed unanimously. Later, HB 664 (Cecil County alcoholic beverages license quota) passed 134-1, and HB 837 (cardiovascular pre-screening for student athletic activities) passed 133-2 after the sponsor explained that reporting requirements were removed for cost reasons and the bill now mainly requires screening questions. HB 925, regulating PFAS in sewage sludge applied to farmland, generated the most extended debate: one delegate argued the bill’s limits were too weak and lacked liability for industry actors, while supporters said it establishes the first limits, requires wastewater treatment plants to reduce PFAS, and leaves room for future tightening; it passed 130-7. HB 1370, authorizing a pilot stop-sign monitoring program in Rising Sun, passed 109-26. HB 649, expanding Maryland Commission on Civil Rights enforcement to higher education discrimination claims, passed 100-35 after supporters said current protections are stronger for K-12 than for colleges. The House also passed HB 512 on compensation for Anne Arundel County license commissioners and inspectors, and the session continued into HB 661 on commemorative months.

Transcript Highlights:

• We should do this for pharmacists as well.
• pharmacist Association in Hawaii pharmacist Association in support.
• :34.080> team-based have pharmacists embedded in team-based have pharmacists embedded in team-based
• Pharmacy in Hilo and one of our interns Pharmacy in Hilo and one of our interns just<01:50:17.360
• We pharmacists at no cost to the state.

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• 35.680> sell<01:06:35.839> the pharmacist is forced to sell the pharmacist is forced to
• that pharmacist.
• The pharmacists wanted that pharmacist.
• :12:00.320> sell forcing the pharmacist to sell forcing the pharmacist to sell medication<01:12
• to come in and get it from a pharmacist to come in and get it from a pharmacist that<01:17:43.120

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed. The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.

Transcript Highlights:

• Is there anything that deals specifically with the local pharmacist?
• Is there anything that deals specifically with the local pharmacist?
• On page, deal specifically with the local pharmacist. Or we can't be reimbursed for it.
• I represent SPAR, which is a group of independent pharmacists in the state of Florida.
• I'm a pharmacist and a very proud Floridian. Thank you for this opportunity to speak today.

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• Our athletes train and compete with elite national and international levels, earning national titles,
• Senate Bill 2074 is a pharmacy bill to protect our pharmacists from What has become a broken market.
• Yes, this is a fee that is intended to compensate pharmacists fairly.
• The issue right now is that a lot of these pharmacists and a lot of these PBMs have negotiated deals
• with these employers where they're paying, in some cases, 20 cents filthy for the pharmacist to be able

Bills: HR1051, HR1048, SB2074, SJR39, SJR47, SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: livestock, judging, Oklahoma State University, championship, agriculture, military children, recognition, community support, military families, April 15, pharmacy benefits managers, reimbursement, healthcare, prescription drugs, cost regulation, property valuation, tax limit, homestead, income threshold, elderly

Transcript Highlights:

• Nathan Cook has interned this session with myself and the representative from the 162nd Jasper District
• To my right over here, underneath, or I guess in between the second and third columns, are my two interns
• Speaker, to my right and your left between the third and fourth columns, I have my two interns who have
• In many of our small towns, the local pharmacist is one of the easiest health care professionals for
• The bill also allows pharmacists to provide certain basic medical supplies like nebulizer masks, pin

Summary: The House opened with prayer and the Pledge of Allegiance, then approved the House Journal for the 65th and 66th days, with the first journal approval passing by roll call 124-0. Members then offered several introductions recognizing interns and special guests, including a lengthy tribute to law enforcement officers who were wounded in the line of duty and the presentation of Capitol-flown flags to some of them. The chamber received committee reports from Fiscal Review recommending passage of several measures, including Senate Joint Resolution 87, Senate Bills 878 and 994, conference reports on House Bill 2818 and Senate Bill 973, and Senate Bill 1825. The House then took up House Bill 2818, a conference report dealing with annexation-related language for the St. Joseph Airport and added provisions affecting St. Charles and Jefferson counties. After debate about local control and development, the House approved the conference report 140-7 and then passed the bill 136-7. Members next considered Senate Bill 1825, which updates county salary commission schedules, removes sheriffs and prosecutors from salary commissions, and gives certain fourth-class counties additional time to transition to third-class status. After discussion about county pay, coroners, and local fiscal impacts, the House adopted the Senate substitute 109-35 and finally passed the bill 106-39. The House also approved House Committee Substitute for Senate Joint Resolution 87, the so-called constitutional sheriff resolution, after adopting a St. Louis City amendment clarifying the City of St. Louis sheriff provisions; the resolution passed 100-47. Finally, the House passed Senate Bill 878, which expands pharmacist authority for certain common ailments, emergency waivers, and behind-the-counter access to ivermectin and hydroxychloroquine, with a House amendment adding blood pressure cuff and opioid-alternative language; it passed 132-13. Senate Bill 903, addressing theft and vandalism involving telecommunications and critical infrastructure, also passed 137-5. The House then announced upcoming committee meetings, noted additional bills to be considered upon return, and adjourned until May 12, 2026.

Transcript Highlights:

• champion athletic trainers, and occupational therapy. compact bills and clarification regarding international

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse

Transcript Highlights:

• to prescribe the medicine, pharmacists to prescribe the medicine, pharmacists that<00:12:18.240>
• physicians and pharmacists. physicians and pharmacists.
• even in this state where pharmacists even in this state where pharmacists were<00:24:06.960>
• Is that not currently... >> Not for pharmacists?
• This would add pharmacists to that. >> Correct.

Bills: HB161, HB146, HB289, HB290, HB31, HB146, HB289, HB290, HB31

Keywords: consumer protection, app store, age verification, parental consent, data protection, minors, HB146, ivermectin, pharmacist, standing order, prescription drug, non-patient-specific order, dispensing, physician assistant, nurse practitioner, licensed health care provider, pharmacy board, medical licensure, disciplinary action, drug access

Transcript Highlights:

• Pharmacists are often in the position of dispensing or delivering opioids to patients who need them for

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• We train interns and social work interns and all those other roles.
• I had an intern that I was supervising, and she said that she and her husband made a decision not to
• back to the communities we train interns back to the communities we train interns and<00:25:44.559
• <00:25:45.880> and and and uh in Social Work interns and and and uh in Social Work interns
• all those other lures I had a intern all those other lures I had a intern that<00:25:49.120>

Keywords: 919, house, all

Summary: House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability. Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note. Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.

Transcript Highlights:

• Finally, the proposed legislation authorizes pharmacists to provide ivermectin behind the counter for
• Also, immunity from liability is included for pharmacists and other health care providers who provide
• who would provide that..." "...for pharmacists who would provide that.
• This will just make it available what's called behind the counter if they approach the pharmacist.
• Information by the pharmacist before they would be getting that from behind the counter if they're 18

Summary: The committee first took up CS for SB 896 on school safety, which would expand the Guardian program to public postsecondary institutions, require active assailant response plans and threat management protocols, improve reporting and information sharing, and make it a felony to discharge a weapon within 1,000 feet of a campus. A late-file amendment by Senator Polsky was adopted to clarify that students who are also employees or faculty at a public postsecondary institution are not eligible for the Guardian program. The bill drew strong opposition from faculty, students, and gun-safety advocates who argued that more guns on campus would create confusion, weaken safety, and undermine campus police; supporters said trained guardians would improve deterrence and protection. After debate, the committee reported the bill favorably by a roll call vote. The committee then considered SB 1690 on child care and early learning services, which updates child care laws, reduces some regulatory burdens, and expands the Florida Education Foundation’s authority to fundraise for early learning from birth through VPK. Members discussed oversight of the related direct-support organization and the removal of certain notice requirements, while supporters from Moms Rising and other advocates said the bill would help families access affordable, high-quality child care and support home-based providers. One opponent argued the bill added more government regulation, but the committee adopted the amendment and reported the bill favorably. Next, the committee passed CS for SB 118, a narrow bill on non-ad valorem special assessments for recreational vehicle parks, clarifying how assessments are calculated for RV spaces and campsites. The bill received supportive comments from RV advocates and was reported favorably without controversy. The committee then took up CS for SB 1220, the Department of Transportation package, which included provisions on seaports and airports, personal delivery devices, autonomous vehicles, broadband and utility permitting, and advanced air mobility. Amendments were adopted that revised research institute membership, limited some delivery-device provisions, and clarified cruiser light rules for law enforcement; after questions about utility preemption and PDD safety, the bill was reported favorably. Finally, the committee began hearing SB 1756 on medical freedom, which would require new vaccine educational materials, expand school-entry exemptions to include conscience-based objections, limit the Surgeon General’s emergency vaccination authority, and allow behind-the-counter ivermectin for adults with written information and liability protections. The bill drew extensive testimony from both supporters and opponents, with supporters emphasizing parental rights, informed consent, and vaccine injury concerns, and opponents warning about reduced immunization rates, public health risks, and the appropriateness of ivermectin provisions. The transcript ends during public testimony and debate on SB 1756, before final action on that bill is shown.

Transcript Highlights:

• Finally, the proposed legislation authorizes pharmacists to provide ivermectin behind the counter for
• Also, immunity from liability is included for pharmacists and other health care providers who provide
• also the encouragement... ...policy would be that information would have to be provided by that pharmacist
• This will just make it available what's called behind the counter if they approach the pharmacist.
• Again, they'd be provided with information by the pharmacist before they would be getting that from behind

Bills: S0118, S0896, S1690, S1756

Keywords: recreational vehicle parks, special assessments, property tax, occupancy rates, commercial assessment, school safety, guardian program, firearms, crimes near schools, security assessments, public postsecondary education, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions

Summary: The committee first took up CS for SB 896, a school safety bill expanding the Guardian program to public postsecondary institutions. The bill requires active assailant response plans, security risk assessments, threat-management protocols, use of the suspicious activity reporting tool, and allows voluntary participation in Guardian for colleges and universities. A late-file amendment by Senator Polsky was adopted to clarify that students who are also employees or faculty are not eligible for Guardian. Members debated campus carry concerns, storage of firearms, and whether the bill could lead to broader gun access on campuses. Several faculty and gun-safety advocates testified against the bill, while supporters argued trained guardians can deter violence. The committee reported the bill favorably by roll call vote. The committee then approved CS for CS for CS for SB 1690 on child care and early learning services. The bill updates child care laws, clarifies regulations, and reduces overregulation of before- and after-school programs. An amendment expanded authority for the Florida Education Foundation to fundraise for early learning from birth to VPK. Testimony was largely supportive, emphasizing affordability, access to quality child care, and relief for working families, though one speaker opposed the bill as an expansion of government. The bill was reported favorably. Next, the committee passed CS for CS for SB 118, which clarifies how non-ad valorem special assessments are applied to recreational vehicle parks and limits the square footage used for assessment purposes to the maximum size of an RV space. The committee also approved CS for CS for SB 1220, the Department of Transportation package, which addresses seaport and airport planning, personal delivery devices, autonomous vehicles, advanced air mobility, toll programming, and other transportation-related changes. Amendments modified provisions on personal delivery devices, utility permits, autonomous vehicle penalties, and law-enforcement cruiser lights. Both bills were reported favorably. Finally, the committee began hearing SB 1756, the medical freedom bill, which proposes new vaccine information requirements, conscience-based school immunization exemptions, limits on compelled vaccination during public health emergencies, and behind-the-counter access to ivermectin for adults. The sponsor and supporters framed the bill as strengthening informed consent and parental rights, while opponents and some senators raised concerns about vaccine hesitancy, herd immunity, and the inclusion of ivermectin. Public testimony was extensive and sharply divided. The transcript ends during continued testimony and debate on SB 1756, before a final vote is taken.

Transcript Highlights:

• Not a pharmacist.
• Uh my Not a pharmacist. Yeah. Okay.
• market<01:03:53.359> with competitive in international market with competitive in international
• non-competitive in an international non-competitive in an international market,<01:04:07.039>
• Next up are the independent pharmacists.

Keywords: 958, all

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.

Transcript Highlights:

• This Ishawnda Lassiter has been a pharmacist for years in the Dell City area.
• Hello, thank you for allowing me to be here and have the honor of having my father, who's a pharmacist
• And, you know, CVS is there's a group of pharmacists in Rhode Island that have gotten together kind of
• HB 2947 would allow clinical interns in accredited behavioral health graduate programs to build the Medicaid
• It doesn't create prescriptive authority; it just updates the pharmacy act so pharmacists can legally

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation

Transcript Highlights:

• I believe that that's just in our internal<01:23:04.639> statistical<01:23:05.280> file
• <01:23:05.600> that<01:23:05.920> people internal statistical file that people internal
• <03:47:49.199> to order that's only for the pharmacist to order that's only for the pharmacist
• So it's up to you, not the pharmacist, to determine if there's a cheaper medicine.
• <04:03:33.120> The pharmacist is not monitoring it. The pharmacist is not monitoring it.

Keywords: 1189, house, all