Transcript Highlights:

• <00:04:08.360> drug statute and the the prescription drug statute and the the prescription
• executive director of the prescription executive director of the prescription drug<00:10:48.440>
• <00:11:16.200> drug Hampshire prescription drug Hampshire prescription drug affordability<
• with the governor on this prescription with the governor on this prescription drug<00:13:56.560>
• <01:06:33.400> drugs<01:06:33.680> more to make prescription drugs more to make prescription

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• So we think that four-year period.
• <00:30:51.840> drug waiver plan for the prescription drug waiver plan for the prescription
• The school districts period of years.
• be 100% funded in that short of a period be 100% funded in that short of a period of<00:35:05.440
• > continue<01:06:14.000> to Um prescription drug costs continue to Um prescription drug

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• And um the number of prescriptions.
• intense, they give you a prescription intense, they give you a prescription and<01:06:42.880>
• appropriate nonopioid prescription drug. appropriate nonopioid prescription drug.
• <01:33:51.280> prescription.
• prescript prescription. prescript prescription.

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the previous day’s journal, and received a long list of bill status reports and enrollments. It also introduced Senate Bill 168, concerning reporting of money handled by legislative caucuses, and Senate Bill 169, a non-substantive revision bill for the Colorado Revised Statutes. The chamber then agreed to proceed out of order for moments of personal privilege and recognized the Denver and Colorado Springs chapters of The Links, Incorporated for Lynx Day at the Capitol. The Senate next took up a special-order consent calendar containing House Bill 1110, Senate Bill 78, and Senate Bill 151. All three committee reports and the bills themselves were adopted without objection, and the Committee of the Whole report was later adopted by a 35-0 vote. As reported, Senate Bill 78 was amended, Senate Bill 151 passed second reading and was ordered engrossed, and House Bill 1110 was amended, passed second reading, and ordered revised for third reading and final passage. The chamber then moved to special orders on Senate Bill 6 and Senate Bill 15, and the transcript focuses mainly on Senate Bill 6, which would require health insurers to offer at least one non-opioid pain medication option. Supporters argued the bill would expand access to safer pain-management alternatives, reduce opioid addiction, and encourage innovation; several members shared personal or professional experiences with opioid harms. Opponents argued the bill would mandate newer, more expensive drugs when less costly alternatives already exist and could raise health care costs. The debate continued in the excerpt, but no final vote on Senate Bill 6 is shown here.

Transcript Highlights:

• This is a very real problem that people who have prescriptions are unable to get their prescriptions
• It's three prescriptions.
• We also need to discuss why there's a prescription drug monitoring system.
• So, for instance, if there's a 30-day supply plus three additional prescriptions, different prescriptions
• And the three extra prescriptions, just to clarify, are three two-week prescriptions at 24 milligrams

Transcript Highlights:

• requires a prescription. requires a prescription.
• And then you hadn't gone through the withdrawal period.
• <00:11:24.959> You through the withdrawal period. You through the withdrawal period.
• And now period for antibiotics were.
• Is this enforcement where you have to get a prescription?

Bills: SB85, SB85

Keywords: vaccination exemption, religious exemption, medical exemption, vaccine mandate, testing requirement, public schools, K-12, students, parents, guardians, higher education, college enrollment, university attendance, public institutions of higher education, immunization, religious tenets, sincerely held belief, school health policy, Alabama, AHSAA physical form

Transcript Highlights:

• A lot of during that time period.
• about 60 or 65% of those prescriptions about 60 or 65% of those prescriptions that<01:10:10.080>
• <01:10:20.000> are<01:10:20.239> many<01:10:20.560> prescriptions prescriptions
• are many prescriptions prescriptions are many prescriptions that<01:10:21.840> are<01:10:22.000
• Also has a prescription price 2026.

Keywords: 1183, house

Transcript Highlights:

• You know, the GMA policies in general are pretty prescriptive, as I said.
• The difference between performance and prescriptive, because I think that's really key.
• The enforcement for the prescriptive is pretty straightforward.
• In 1994, they switched their housing code from prescriptive to performance.
• You mentioned prescription... Okay, you don't.

Summary: The committee heard first from Ferndale city officials and a representative of FutureWise on annexation planning. Ferndale described its “annexation blueprint” or phased annexation plan as a way to tie urban growth area planning, capital facilities, and eventual annexation together earlier in the process. Speakers argued that counties often allow incremental development in urban growth areas without city-level standards, impact fees, or coordinated infrastructure planning, which can leave cities and taxpayers with higher future costs and make annexation less likely. Members raised questions about fire districts, county revenue loss, and whether annexation incentives or interlocal revenue-sharing agreements could help. FutureWise supported requiring annexation phasing in countywide planning policies, using pre-annexation agreements, and applying city standards in urban growth areas to make annexation more predictable and less contentious. The committee then received a primer and update from the State Building Code Council (SBCC). Staff explained the council’s composition, standing committees, technical advisory groups, and rulemaking process, including normal, expedited, and emergency rulemaking. They described the ongoing 2024 code cycle and the separate work underway on Senate Bill 5491 and related legislation concerning single-stair residential buildings and multiplex housing. Members discussed how the legislature can better direct the SBCC, the difference between prescriptive and performance-based code approaches, and the importance of involving technical experts early. The SBCC also addressed concerns about the wildfire urban interface code, noting that problems arose when code language and maps were developed on different timelines and applied to urban areas in ways that were not anticipated. Several members asked about regional differences, especially energy code impacts in eastern Washington and the role of natural gas. SBCC representatives said the council can use climate zones and appendices for some regional variation, but statewide statutory targets still constrain the energy code. They emphasized that the council is largely reactive to legislative direction and public proposals, and that clearer legislative intent would help avoid ambiguity in future code development. No votes were taken during this portion of the meeting.

Transcript Highlights:

• The bill also establishes specific enrollment periods for these individuals, including a period for those
• The bill also establishes specific enrollment periods for these individuals, including a period for those
• There's a reason that these prescriptions, these treatments require a prescription.
• There's a reason that these prescriptions, these treatments require a prescription.
• And due to the vague time periods in the statutes in the proposed bill, And due to the vague time periods

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• Um, some of the prescriptions are not<00:22:57.120> prescriptions<00:22:57.679> that<00
• make sure that prescription is needed. make sure that prescription is needed.
• > eternity<00:24:15.120> even prescriptions online for eternity even prescriptions online
• <00:24:46.640> on back um to seeing that prescription on back um to seeing that prescription
• Um and my for a brief period.

Keywords: 1189, house, all

Summary: The committee first adopted the September 5 minutes and then approved the remaining consent calendar items after removing several bills for separate consideration, including 25-252, 25-248, 25-251, and 25-253. The committee then took up 25-252 from the Department of Natural and Cultural Resources, where members asked about the arts tax credit program, staffing, and volunteer coordination. Department representatives said the program had recently been authorized, forms had been finalized, three of six laid-off staff had been rehired through a federal grant, and the agency was now trying to recruit participants. Members also discussed whether tax-credit-raised funds could count as federal match; the department said they could not, because federal rules require state dollars. The item was adopted. The committee next considered 25-248 from the Department of Safety, which was described as a technical correction moving funds from equipment to hardware and software after consultation with the Department of Administrative Services. A member asked about “buy American” waivers, and the department said it would follow up with more information. The item was adopted. The committee then approved 25-251 from the Department of Administrative Services, which included discussion of ongoing problems with Anthem’s retiree health plan mail-order pharmacy. Department staff said many issues were tied to implementation changes and prescription renewal rules, that some complaints were being resolved through the vendor and the retiree health office, and that the contract would be rebid in the coming year, likely causing further changes. On 25-253 from the Department of Health and Human Services, members questioned the department’s September 5 health alert and whether it diverged from CDC guidance. DHHS said the alert was an annual evidence-based guideline for respiratory virus season and immunizations, largely aligned with CDC recommendations, and that some differences reflected timing and population-specific guidance. The item was adopted. The committee then heard 25-237 from the Department of Justice on the annual litigation fund request. Attorney General John Formela said the request was about $4.3 million, roughly 40% below last year and below the five-year average, with major costs tied to YDC civil and criminal litigation and some DHHS class actions. A member criticized the large increase over the budgeted $350,000 and said the budgeting approach should be corrected in the next cycle. Another member asked about YDC settlement reductions; the attorney general said confidentiality limited specifics, but explained that under the new statute the office had accepted well over half of administrator awards, rejected some, and negotiated lower amounts in others while still resolving most cases. The item remained under discussion at the end of the excerpt.

Transcript Highlights:

• , closed with payment during the period, closed without payment during the period, and open at the end
• beginning of a insurance period. beginning of a insurance period. uh<00:04:25.040> closed
• , closed without payment during period, closed without payment during the<00:04:29.520> period,
• prescription drug affordability board. prescription drug affordability board.
• prescriptions, I get flagged. prescriptions, I get flagged. >> Mhm. >> Mhm.

Keywords: 912, senate, all

Summary: The committee first heard SB 888, which would bar operators of smart household security devices from sharing user data with law enforcement unless the user consents or police obtain a warrant. DCCA’s Office of Consumer Protection offered comments and Judiciary submitted written support. Several individuals also submitted written support. The committee recommended passage with amendments clarifying that the Office of Consumer Protection may enforce violations and adopting Judiciary’s recommended changes, while also deferring the effective date to July 1, 2050. The motion passed unanimously among members present, with one senator excused. The committee then took up SB 2777 on insurance disclosures. The bill would require authorized insurers to disclose claim-handling data to consumers, including claims open at the start of a period, closed with payment, closed without payment, and open at the end of the period. The committee described amendments to clarify the bill, remove a requirement for the DCCA insurance division to handle publication, and defer the effective date to July 1, 2050. The measure was passed with amendments and the recommendation was adopted, with one member voting no and another excused. In a joint Commerce and Consumer Protection/Judiciary hearing on SP2738 relating to tax haven abuse, the Department of Taxation offered comments and the Tax Foundation testified in opposition, arguing the state should rely on IRS audits and existing worldwide reporting rules rather than create a separate state approach. Other written testimony was noted in both support and opposition. The committees recommended passage with amendments adopting Taxation’s technical changes and deferring the effective date to July 1, 2050; the recommendation was adopted, with one senator noting reservations. The joint hearing then moved to health-related bills, including SB 2690 on primary care spending, SB 3103 on energy assistance, SB 3137 on Department of Health authority over food, drugs, and cosmetics, SB 3164 on child welfare service organizations, and SB 3206 on cannabinoids. SB 2690 drew strong support from physicians and advocates who said it would address primary care shortages, especially on neighbor islands, while HMSA and others warned a fixed spending percentage could raise costs and suggested a working group. SB 3164 drew support from child welfare providers and opposition from the Attorney General over indemnification language, and SB 3206 drew mixed testimony: state agencies raised federal-law and vagueness concerns, while hemp and cannabis advocates and some farmers supported the measure and urged broader legalization or amendments.

Transcript Highlights:

• themselves money on their prescription themselves money on their prescription cost,<00:37:23.200
• Kevin Favro, who of the prescriptions.
• offset the high cost of prescription offset the high cost of prescription drugs<01:01:53.040>
• from wholesaler to fill prescriptions from wholesaler to fill prescriptions when<01:27:09.600>
• , their doctor changes their prescription, their doctor changes their prescription, for<01:29:55.360

Keywords: 1183, house

Transcript Highlights:

• Can a local independent pharmacy mail a prescription to a patient?
• It just means that Express Scripts would no longer be able to mail out prescriptions.
• They're not going to drive the prescription to the patient.
• They're out there delivering prescriptions because they can't mail them.
• prescriptive authority requirements allows them to be able to fill that prescription.

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Transcript Highlights:

• uh uh Walgreens and pick up prescription uh uh Walgreens and pick up prescription for<00:12:10.880
• And, um, and we had a very exhausted workforce during that whole period.
• And, um, and we had a very exhausted workforce during that whole period.
• And, um, and we had a very exhausted workforce during that whole period.
• And, um, and we had a very exhausted workforce during that whole period.

Keywords: 1189, house, all

Transcript Highlights:

• We responded to 1,400 audits, which comprised 2,900 prescriptions.
• They see $2,802.40 for the prescription.
• Are you saying that you lose $30 or $40 per prescription?
• Prescription drugs, two prescription drugs that the FDA has approved that are very expensive.
• have any prescription coverage that's part D right now.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• In 2024, of the more than 4,000 prescriptions filled by Lānaʻi Community Health Center, 1,781 prescriptions
• > about 1781 prescriptions or about 1781 prescriptions or about onethird<00:37:32.960> were
• the total savings per prescription again the total savings per prescription was $210<00:38:45.200>
• pharmacy but when when your prescription pharmacy but when when your prescription doesn't<00:54:
• <01:10:08.840> to<01:10:09.000> go allow your prescription to go allow your prescription

Keywords: 910, house, all

Summary: The committee heard several measures, beginning with SB 1046 SD1 on condominiums. Testimony on that bill focused on reserve funding and enforcement of reserve study requirements. The Community Associations Institute opposed the bill, saying it would create hardship, confusion, and be difficult to administer, while also urging stronger penalties for boards that fail to comply with reserve study rules. The Real Estate Commission offered comments, and one testifier spoke in support. No vote was taken during the portion provided. The committee then heard SB 532 SD2 HD1 relating to the Department of Education, which would improve access to pre-approved medications for students with health conditions at school and during off-campus activities. The Department of Health, University of Hawaiʻi nursing and medical programs, and the Department of Education all supported the measure, with DOH suggesting amendments to better identify the correct student and improve medication safety. Members had no questions, and the bill moved on. Next was SB 1245 SD2 HD1 relating to pharmacists, a bill to allow reimbursement for clinical services pharmacists are already trained and licensed to provide. The University of Hawaiʻi, Board of Pharmacy, Walgreens, Mikai Drugs, and the Hawaiʻi Pharmacists Association supported the bill, emphasizing improved access to care, recruitment and retention of pharmacists, and better chronic disease management. The Hawaiʻi Pharmacists Association also discussed proposed amendments to prevent plans from denying coverage or network participation when pharmacists meet credentialing requirements. Members questioned whether insurers would actually use pharmacists and how the bill would affect pay and contracting; no vote was taken in the excerpt. The committee also heard SB 1279 SD2 HD1, another pharmacists bill focused on telepharmacy and 340B-related issues. The Department of Corrections and Rehabilitation supported it, saying telehealth could reduce costs and avoid travel for audits, while the Board of Pharmacy opposed it. Lānaʻi representatives opposed the bill and asked for an exemption, arguing the island already has close in-person access to a resident pharmacist and clinics. The Hawaiʻi Primary Care Association supported the measure, citing large patient savings from 340B pricing, while Mikai Drugs opposed it, arguing that mail-order and telepharmacy are not necessary on some islands and can create delivery and medication-safety problems. Members asked questions about insurer participation, scope of practice, and whether the bill would meaningfully change reimbursement; the transcript ends before any final action or vote.

Transcript Highlights:

• purchase outpatient prescription purchase outpatient prescription medications<00:07:12.919> at
• <00:10:34.640> and their ability to fill prescriptions and their ability to fill prescriptions
• We've written almost 5,000 prescriptions in fiscal 2024 at...
• We've written almost 5,000 prescriptions in fiscal 2024 at...
• have provided over 4,500 prescriptions have provided over 4,500 prescriptions to<00:21:16.919>

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• For example, the board has not verified whether pharmacists reviewed patient prescription use information
• in the database before dispensing controlled substance prescriptions.
• Found that these prescribers collectively issued more than 15,000 prescriptions without checking the
• We're hoping that House Bill 2434, the controlled substance prescription monitoring program bill, will
• I know she's only been on the job for a really short time period.

Keywords: 1182, all

Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.

Transcript Highlights:

• It fails to cover the cost of prescriptions plus the cost to dispense them.
• <00:48:56.359> access preserve prescription access preserve prescription access and<00:48:
• But we do so much more than fill patients' prescriptions.
• That's 65% of my prescription business.
• claims that's 65% of my prescription claims that's 65% of my prescription business<00:54:48.599>

Keywords: 1183, house

Transcript Highlights:

• unborn child is less than 20 weeks, or the unborn child weighs less than 350 grams if the gestation period
• And I think that's where the... ...board complaint about multiple prescriptions, right?
• I am confident that we, with time, will be able to eliminate prescription caps altogether.
• I would approve a prescription for a preventative medicine.
• Chestnut: I would approve a prescription for a preventative medicine.

Bills: SB1176, SB1186, SB1235, SB1286, SB1446, SB1458, SB1515, SB1616, SB1641, SB1668, SB1670, SB1678, SB1747, SB1787

Keywords: stormwater, water storage, replenishment credits, groundwater, aquifer, Arizona Revised Statutes, disclosure, state contracts, procurement records, donations, transparency, EMS, reciprocity, interstate compact, paramedics, emergency medical technicians, licensure, public safety, military personnel, veterinary telemedicine

Summary: The committee approved the minutes and then heard Senate Bill 1668, which would extend the deadline for funeral establishments or responsible persons to submit required documentation from seven calendar days to 14 business days and make related changes involving disposition of unborn or stillborn children, minors, and abortion clinic forms. Funeral industry testimony said the current timelines are difficult to meet and create stress for grieving families, while a mother described problems caused by requiring an ex-spouse’s signature after her child’s death. The bill passed on a 4-3 vote, with some members supporting the timing and family-law fixes and others objecting to the abortion-clinic provisions. The committee then took up Senate Bill 1286, on veterinary telemedicine prescriptions. An amendment shortened the telemedicine prescription period for non-antimicrobial drugs from 60 days to 30 days, allowed antimicrobial prescriptions for up to 14 days based on an electronic exam, and barred further antimicrobial prescriptions without an in-person exam. Veterinarians and the Arizona Veterinary Medical Association moved to neutral on the amended bill but warned about safety, overprescribing, and the limits of telemedicine; supporters argued it would improve access for rural, elderly, and low-income pet owners. The committee adopted the amendment and then passed the bill as amended on a 4-3 vote. Senate Bill 1235, creating the emergency services personnel licensure interstate compact, passed unanimously after sponsor testimony that it would improve reciprocity for EMTs and paramedics and help military personnel. Senate Bill 1446, which would change dialysis-center social worker documentation from monthly to quarterly, also passed unanimously, with DeVita Dialysis Services saying the change would reduce paperwork and align Arizona with federal and most-state practice. Senate Bill 1515, a cleanup bill for the Industrial Commission of Arizona that renames positions, removes outdated duties, and changes publication of fee schedules, passed after an amendment and supportive agency testimony. The committee also heard Senate Bill 1678, which would require direct-care staff in certain facilities to complete patient information forms and reestablish the Vulnerable Adult Systems Study Committee. An amendment removed the form requirement and instead required DHS to investigate complaints from EMS personnel about missing DNR orders; first responders and provider groups supported the revised approach, though some members wanted minority-party appointments added to the study committee. The bill passed as amended on a 6-0-1 vote. Finally, the committee began hearing Senate Bill 1747 on social media protections for minors, with the sponsor framing it as a child-safety measure and opponents from NetChoice, TechNet, and Meta warning about privacy risks, age-verification problems, constitutional concerns, and the possibility that teens would evade restrictions; supporters argued parents need stronger controls and pointed to app-store-based alternatives, but no vote was taken in the portion provided.

Transcript Highlights:

• Prescription drugs are life-changing and often life-saving.
• <00:41:28.440> is prescription is prescription is for<00:41:31.000> senat<00:41:31.319>
• :11.000> prescription<00:49:11.520> drugs<00:49:12.079> currently agree that prescription
• Today, about 90% of all prescription drugs dispensed are generic drugs.
• About 90% of all prescription drugs dispensed are generic drugs.

Keywords: 1187, senate, all