Transcript Highlights:

• The practice of pharmacy includes such tasks as interpreting prescriptions, compounding, dispensing,
• , pharmacy assistants, and pharmacy technicians, as well as enforcing and regulating legend drugs and
• State Pharmacy Association.
• At a community pharmacy setting.
• I'm a pharmacist and owner of Goldendale Pharmacy and Horizon Pharmacy.

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.

Transcript Highlights:

• , especially compounding pharmacies.
• </c><01:39:30.080><c> think</c><01:39:30.520><c> I</c> compounding pharmacies I don't think I compounding
• uh</c> compounding pharmacies that was uh compounding pharmacies that was uh guilty<01:39:55.679><c>
• </c> aware of with regard to com compounding aware of with regard to com compounding pharmacies<01:40
• pharmacy section uh have a compounding pharmacy section uh in<01:42:09.000><c> there</c><01:42:09.360

Keywords: 928, house, all

Summary: The committee held an orientation for new and returning members of the House committee on agencies and administration, with introductions from members and staff. Chair Carol Maguire outlined her expectations for hearings: keep questions focused on the bill, be respectful to witnesses, and use the committee’s orientation opportunities to learn about the jail staff, retirement system, and Office of Professional Licensure. Members also discussed related assignments on other bodies, including the Joint Legislative Committee on Administrative Rules and the Joint Committee on Employee Classification, and noted that some members already serve on those panels. A substantial portion of the meeting focused on the State Building Code and the committee’s upcoming workload. Members explained how the state code is intended to provide a common baseline while allowing limited local options, and why municipalities must formally adopt and publish any local amendments. They reviewed several anticipated bills: a consolidation bill to gather building-code enforcement materials in one place, a bill to update the state energy code, a bill to restrict municipal adoption of building-code changes, and a bill to update the electrical code. Members also discussed how building codes apply to older homes and commercial buildings, and why code updates are important for safety and clarity. The chair said the committee had 36 bills currently scheduled, including many early bills that must move by March 6 because they will be heard by two committees. She said the committee would use subcommittees for harder bills, with three subcommittees this year: pensions, licensing, and likely state building code. She also outlined the hearing schedule, including lighter bills on February 12 and the expectation of executive sessions later in the month. No votes were taken during the orientation, but members were told that public hearings do not require a quorum and that hard copies of bills would be distributed by committee staff.

Transcript Highlights:

• Your next measure is SP 2047, Senate Draft 1 relating to pharmacy benefit managers.
• adopting the Hawaii Pharmacist Association's proposed amendments clarifying definitions of contracting pharmacy

Bills: SB2088, SB2925, SB3263, SB2047, SB2087, SB2100, SB2268, SB2353, SB2781, SB2902

Keywords: coconut trees, tax credit, natural management, Hawaii, agriculture, biosecurity, environment, coconut rhinoceros beetle, student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, pharmacy benefit managers, maximum allowable cost, drug pricing

Summary: The joint committee on Ways and Means and Consumer Protection met for decision-making only on two agendas and took action on a large number of Senate bills, with no oral testimony heard. On the 1016 agenda, the committee recommended passage of measures including SB 2088, SB 2925, SB 2781, and several others, and passed a number of bills with amendments. Notable amendments included SB 3263, which adopted AG amendments related to the name, image, and likeness endowment trust fund; SB 2047 on pharmacy benefit managers, which incorporated Hawaii Pharmacist Association changes; SB 2087 on health insurance, which added Insurance Division clarifications; SB 2100 on pesticides, which added a blank appropriation; SB 2353 on outdoor signage, which removed provisions related to the Wiki special district; and SB 2902 on renewable energy, which clarified certification standards for portable solar devices and exempted them from certain disclosure requirements. Most recommendations were adopted without objection, though a few members noted reservations on selected bills. The committee also deferred one bill on the agenda, SB 3327. The committee then moved to the 1015 agenda and acted on additional measures. SB 2003 was passed with amendments tied to Act 255, including a repeal trigger if deadlines are missed; SB 2497 on utility-related transparency drew the most discussion, with one member warning about litigation and costs while another argued it was simply about electricity-rate transparency, and it ultimately passed with PUC-related amendments and an exemption for utility cooperatives. Other measures were passed unamended or with technical or fiscal amendments, including bills affecting land planning, tax credits, conveyance tax language, shoreline maintenance, and community improvement projects. Several bills had appropriations blanked or effective dates deferred to 2050, and many were adopted with members noting reservations rather than opposition. On the 1017 agenda, the committee continued approving measures, including SB 709 on crisis intervention officers and assisted community treatment, SB 2153 on defining bona fide farmer/agriculture activity, SB 2694 on water rate adjustments, SB 3025 on income eligibility limits, and SB 3085 on the Hawaii film studio, which included a five-year repeal provision if the studio has not relocated. The committee also passed numerous other bills unamended or with technical amendments, often deferring effective dates or blanking appropriations. Across both agendas, the committee’s actions were largely consistent: bills were advanced with amendments tailored to agency requests, technical corrections, or fiscal adjustments, and votes were generally unanimous or near-unanimous with occasional reservations recorded.

Bills: HB66, HB79, HB95, HB145, HB66, HB79, HB95, HB145

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, HVAC, air conditioning, heating, ventilation, warranty transfer, manufacturer warranty, consumer protection, home sale, residential real property, real estate

Bills: HB66, HB79, HB95, HB145, HB66, HB79, HB95, HB145

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, HVAC, air conditioning, heating, ventilation, warranty transfer, manufacturer warranty, consumer protection, home sale, residential real property, real estate

Transcript Highlights:

• Secondly, we have pharmacy benefit manager legislation, not out of this committee, except for the one
• Chairman, I want to particularly commend you for your work on pharmacy benefit management. manager legislation
• But when you put it on their net revenue, You compound the problem that I'm trying to address through

Bills: SB1040, SB1041, SB1095, SB1096, SB1097, SB527

Keywords: drug competition, product hopping, generic drugs, biosimilars, federal regulations, FTC Act, patent, biological products, healthcare access, affordable prescriptions, Medicare, Federal Trade Commission, sham petitions, competition, public health, unfair competition, healthcare, pharmaceutical, antitrust law, pay-for-delay

Summary: The meeting focused on addressing the high cost of prescription drugs and the abusive practices that contribute to elevated prices affecting American families. Several bills were presented, including proposals to end pay-for-delay deals and to enhance transparency in the operations of pharmacy benefit managers (PBMs). The discussion was notable for its emphasis on consumer protection and ensuring that cheaper generic drugs reach the market more effectively. Members expressed frustration over past attempts to pass similar legislation stalling in the Senate, leading to renewed efforts to push these bills forward.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=JfGbyu195O8, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, 0:12 – Meeting start/roll call 0:36 – Approval of minutes 0:48 – Kentucky Higher Education Assistance Authority, Division of Student Financial Aid 2:22 – Education and Labor Cabinet, Education Professional Standards Board 5:21 – State Board of Elections 8:26 – Office of the Attorney General 10:25 – Personnel Board 12:17 – Finance and Administration Cabinet 14:18 – Board of Pharmacy 15:42 – Board of Licensure for Occupational Therapy 16:38 – Education and Labor Cabinet – Department for Workers’ Claims 17:35 – Public Protection Cabinet – Department for Housing, Buildings & Construction 22:04 – Cabinet for Health & Family Services – Office of the Secretary: Medicinal Cannabis Program 32:18 – Cabinet for Health & Family Services – Department for Community Based Services, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• When Representative Thomas introduced the bill, she pointed out that there are five pharmacies in her
• in in her town of marac and I pharmacies in in her town of marac and I think<00:19:33.799><c> all</c
• </c><00:19:38.720><c> to</c> to drive 45 minutes to the pharmacy to to drive 45 minutes to the pharmacy
• </c> flexibility like any other Pharmacy flexibility like any other Pharmacy could<00:23:44.799><c> in
• And when I testify, I always say five pharmacies in my town.

Keywords: 928, house, all

Summary: The work session focused on HB 54, which would allow New Hampshire’s alternative treatment centers to operate for profit. Chair David Nagel opened by identifying the main concerns: whether members agreed with the bill conceptually, whether the proposal could be shaped to avoid a gubernatorial veto, and whether it could lead to “big cannabis” taking over. He also emphasized that the bill would not change the existing oversight structure, which remained under RSA 126-X. Representative Wendy Thomas said the governor’s objections in past sessions appeared to center on the state’s preference for a state-run model and broader policy concerns, but no one present knew the current governor’s position. Several speakers argued the bill was primarily about financing and access, not expanding the number of dispensaries. Matt Simon of Granite Leaf Cannabis said the current nonprofit structure makes it difficult to raise capital, pay down debt, and open additional access points, and that the bill would be a corporate restructuring rather than a change in day-to-day regulation. Brandon Pollock of TASCAL Wellness said medical cannabis programs in most other states are for-profit, and that New Hampshire’s nonprofit requirement has left ATCs burdened with high-interest debt and higher prices that push patients to Maine, Vermont, or the street market. He said converting to for-profit status could allow conventional financing, lower prices, and help keep patients in the regulated program. Members also discussed whether for-profit ownership would invite outside corporate control. Witnesses said the bill would not open the market to new operators, would not change advertising rules, and would include restrictions on ownership transfers for a period of time; “foreign corporation” was explained as an out-of-state entity. One speaker noted that the bill is similar to earlier versions that passed both chambers with strong support but never became law. No vote was taken during the work session; the discussion was informational and aimed at addressing concerns before the bill moved forward.

Transcript Highlights:

• Pharmacy.
• Pharmacy.
• students, and pharmacy technicians from across the state attending Pharmacy Day at the Capitol today
• on behalf of the Arizona Pharmacy Association.
• The Arizona Pharmacy Association is a professional organization representing Arizona licensed pharmacy

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the journal, and recognition of the Doctor of the Day, Dr. Kai Sun. Members also welcomed newly sworn Representative Cody Rhyme and congratulated Sergeant-at-Arms Chuck Fitzgerald on his recent wedding. Several members introduced guests and visiting groups, including pharmacists at Pharmacy Day at the Capitol, the Arizona Education Association, the Well-Being Collaborative of Arizona, and local officials and constituents from around the state. The chamber then took up House Resolution 2001, which designated March 18, 2026 as Health Workforce Well-Being Day in Arizona. The resolution cited burnout and workforce shortages among physicians, nurses, medical students, residents, pharmacists, and other health professionals, and urged state officials and health organizations to prioritize workforce well-being. It was adopted without objection to waive first and second reading, and Representative Bliss introduced guests connected to the Well-Being Collaborative. The House also considered several bills on third reading. House Bill 2375, relating to housing and historic neighborhoods, drew extensive debate over local control, historic preservation, housing shortages, and concerns about exclusion and segregation; it passed 31-24, but without the required two-thirds vote for its emergency clause. House Bill 2931, concerning the Arizona Civil Rights Advisory Board, passed 36-19, and House Bill 2992, creating a child sexual abuse and assault awareness and prevention pilot program, passed 35-20 after debate over whether funds should instead support broader sex education. Senate Bill 1010, substituted for House Bill 4027 and relating to historic names, passed 33-22. The House also handled committee assignments, referrals, and first readings of additional Senate bills before adjourning until the next day.

Transcript Highlights:

• The bill does not allow compounding medications as it is defined in Louisiana and federal regulations
• Basically, the Pharmacy Practice Act defines compounding and includes that compounding does not include
• the compounding of drug products that are essentially copies of commercially available products.
• pharmacies.
• The LSDBN has pointed to the Board of Pharmacy, which maintains these practices are not considered compounding

Bills: HB414, HB457, HB475, HB611, HB616, HB740, HB897, HB925, HB926, HB931, HB949, HB962, HB1076

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health

Transcript Highlights:

• consumables from gas stations, convenience stores, vape shops, etc., and allow selling only in pharmacies
• The regulating authority would be the Alabama State Board of Pharmacy and the Department of Industries
• He has taught pharmacy at Sanford. He has taught pharmacy at Sanford University.
• And I can tell you, I do not know those compounds either.
• And I can admit I'm ignorant when it comes to all of the chemical compounds.

Bills: HB1

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Transcript Highlights:

• . pharmacy. pharmacy.
• . pharmacy. pharmacy.
• Many pharmacy<02:35:19.600><c> schools</c> pharmacy schools pharmacy schools uh<02:35:21.320><c> well
• Pharmacy. Pharmacy.
• </c> workload within the pharmacy. workload within the pharmacy.

Keywords: 1189, house, all

Transcript Highlights:

• The practice of pharmacy includes such tasks as interpreting prescriptions, compounding, dispensing,
• , pharmacy assistants, and pharmacy technicians, as well as enforcing and regulating legend drugs and
• This study included 46 pharmacies and 175 pharmacists across five pharmacy corporations, comparing pharmacist
• State Pharmacy Association.
• I'm a pharmacist and owner of Goldendale Pharmacy and Horizon Pharmacy.

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• , any compound, mixture, or preparation approved by the U.S.
• Any compound, mixture, or preparation approved by the U.S.
• Is it basically, if it's compounded, so it's... if you're making a medication with anything that's a
• assigns any compound mixture or preparation approved by the U.S.
• Any compound, mixture, or preparation approved by the U.S.

Keywords: 1182, all

Summary: The committee heard a long series of Senate bills, mostly on third-read consent, covering education, public safety, health, courts, labor, and water. Several bills were briefly explained and then pulled from consent for further discussion, including measures on public records review standards (SB 1078), sexually explicit materials in schools/libraries (SB 1435 and SB 1567), burial costs in death cases (SB 1135), military flags in HOAs/COAs (SB 1184), court-ordered treatment guardianship (SB 1243), standardized state hiring (SB 1665), released-time religious instruction (SB 1741), firearm safety instruction in schools (SB 1424), student participation in extracurriculars after certain convictions (SB 1475), Celebrate Freedom Week (SB 1572), federal scholarship-granting organizations/vouchers (SB 1142), immigration-related arrest notifications (SB 1055), defamation standards (SB 1099), peace officer certification for military police veterans (SB 1107), mandatory reporting of child abuse/neglect directly to DCS (SB 1127), attorney licensing and discipline issues (SB 1148 and SB 1039), concealed weapons on college campuses (SB 1068), and firearm muffling devices/silencers (SB 1069). Members also raised constitutional, policy, and school-safety concerns on several of these bills, while supporters emphasized alternative pathways for students, veterans, and workers, and tighter reporting or licensing rules. Other bills were described without extended debate, including claims against the state for unpaid contracted services (SB 1097), workers’ compensation death benefits for surviving spouses who remarry (SB 1136), burial expense increases (SB 1135), state agency web pages for internal guidance (SB 1586), court-ordered treatment procedures and service of process in mental health cases (SB 1113), medical examiner authorization (SB 1123), tribal MOUs with DCS (SB 1125), controlled-substance scheduling conformity with federal classifications (SB 1188), EMT personal information protections (SB 1193), mammography notice updates (SB 1318), assisted-living referral disclosures (SB 1477), accommodation school GED instruction for 11th graders and students over 16 (SB 1166), credit enhancement board continuation (SB 1422), school district and charter school obligations related to religious release time (SB 1741), school firearm safety instruction (SB 1424), and school civics/freedom-week instruction (SB 1572). The committee also heard bills on CPA certification pathways (SB 1181), insurance adjuster licensing (SB 1415), county voter-registration rules online (SB 1040), campaign address privacy (SB 1259), federal land acquisition notification (SB 1281), water supply/demand assessments (SB 1202), environmental compatibility for power plants and small modular reactors (SB 1418), and groundwater recovery rules (SB 1785). The meeting ended with announcements and a brief recognition of Rep. Stephanie Hamilton with an “Affordability Award.” No final votes are shown in the transcript excerpt; instead, many bills were either left on consent, pulled for later discussion, or flagged for closed caucus. The chair then asked guests to leave so members could hold a closed caucus.

Transcript Highlights:

• For us, these challenges are compounded because many of our mutual aid tankers must come from neighboring
• And for these, the onus is on the pharmacy benefit managers and the pharmaceutical companies to address
• Wendy Cohen continued: "The cost for the physician or the pharmacy to buy a month's worth of amlodipine
• The problem is compounded by a shrinking and highly concentrated insurance market.
• are closing, which are some of the main pharmacies in these areas.

Summary: The Senate Committee on Financial Services held a public hearing on late-filed matters, chaired by Senator Paul Feeney and Representative Jamie Murphy. The committee heard testimony on several bills, including S. 2738 on rising insurance costs for manufactured home residents, S. 2739 on creating a fire cistern program, and S. 2732 on direct primary care. Members were reminded to keep testimony brief, and several legislators and local officials testified out of turn as they arrived. The hearing ended with a motion to adjourn, which passed unanimously. On S. 2738, Senator Kelly Dooner, Representative Lisa Field, Taunton Mayor Sean O’Connell, Taunton City Council President Barry Sanders, and several residents and local officials described sharp premium increases, limited carrier options, and confusion over coverage for manufactured home communities. Testifiers said many residents are seniors, veterans, or low-income households on fixed incomes, and urged creation of a special commission to study the market and recommend solutions. Some asked that residents themselves be included on the commission and suggested more immediate relief if possible. On S. 2739, fire chiefs from Hopkinton and East Hampton supported a state fund for fire cisterns, saying many communities lack municipal water or hydrants and need reliable year-round water sources for structure fires, wildfires, and newer hazards such as lithium-ion battery fires. They said cisterns improve response and can affect insurance ratings, but maintenance and installation costs are difficult for local departments to cover. The Massachusetts Insurance Federation opposed the funding mechanism, arguing that insurance assessments are being used as revenue generators and warning that the proposal would add to policy costs and trigger retaliatory taxes. The committee also heard strong support for S. 2732 from physicians and specialty groups, including Dr. Jenny Labonte, Dr. Wendy Cohen, Dr. Rica Nair, and the Massachusetts GI Association. They said the bill would allow direct primary care physicians to make referrals for HMO patients and permit in-office dispensing of medications, which they argued would improve access, continuity of care, medication adherence, and affordability. No votes were taken on the bills during the hearing.

Transcript Highlights:

• If a PBM owns its own pharmacy, it must reimburse independent Missouri pharmacies at the same rate.
• It is a contracted pharmacy. It's not any pharmacy that a patient chooses.
• So long as that pharmacy is contracted, they can utilize that specific pharmacy.
• In the last three years, 6,000 pharmacies have been disappearing. That's six pharmacies a day.
• We think pharmacies are a key, local pharmacies are a key part of the care team.

Summary: The committee first took testimony on House Bill 1681, which would require health carriers and pharmacy benefit managers to count amounts paid by or on behalf of an enrollee for certain medications toward out-of-pocket maximums when no generic substitute is available. The sponsor described the bill as helping patients with serious illnesses afford needed drugs. The committee then adopted a substitute that rolled HB 1681 together with House Bills 1941 and 2279, including an ERISA-related labor exemption, and passed the combined committee substitute by a vote of 15-2. The committee next heard House Bill 2365, which was also combined with related bills through a substitute that changed terminology to “delivery systems.” That substitute was adopted by voice vote, and the House Committee substitute for House Bills 2365, 2490, and 2249 was then approved unanimously, 18-0. After that, the committee heard House Bill 2149, the dementia care coordinator bill. The sponsor and supporters from the Alzheimer’s Association and family caregivers argued the state needs a central point person to coordinate resources, improve early detection, support caregivers, and connect rural residents to services. Members raised concerns about the fiscal note, whether the work duplicates existing Area Agencies on Aging and Alzheimer’s Association services, and whether two FTEs would be effective statewide. No vote was taken on HB 2149 during the portion provided. The committee also heard House Bill 2309, which would prohibit Missouri insurance coverage for organ transplants or related services involving organs taken from prisoners of conscience in China. The sponsor and supporters framed the bill as a human-rights measure aimed at condemning organ harvesting and abuse of Falun Gong practitioners and other prisoners of conscience. Members asked whether there was documentation of such transplants in Missouri and whether federal oversight exists; the sponsor said there is no reporting mechanism and no known opposition. No action was taken on the bill in the excerpt. Finally, the committee began testimony on House Bills 1975 and 1850, pharmacy benefit manager reform bills. The sponsors said the measures are intended to protect local pharmacies, improve transparency, limit harmful audit practices, and create a critical access pharmacy program. Supporters, including a pharmacy business group, argued PBM practices drive up drug costs and close pharmacies. Opponents, including a carpenters’ health plan representative, warned the bills could increase costs for self-funded plans, limit network and mail-order arrangements, and shift more administrative burden onto plan sponsors. The hearing continued with questions and testimony, but no final vote is shown in the provided transcript.

Transcript Highlights:

• For us, these challenges are compounded because many of our mutual aid tankers must come from neighboring
• And for these, the onus is on the pharmacy benefit managers and the pharmaceutical companies to address
• The problem is compounded by a comprehensive and highly concentrated insurance market.
• Where I work in Lowell, Haverhill, and Lawrence, we are developing discrete pharmacy deserts, as well
• as specifically Walgreens closing, which are some of the main pharmacies in these areas.

Bills: S2732, S2738, S2739

Keywords: healthcare, direct primary care, insurance, referrals, network providers, payment denial, insurance costs, manufactured homes, homeowners insurance, affordability, state regulations, insurance market, consumer protection, mobile homes, firefighting, water supply, cistern program, rural areas, urban interface, state funding

Summary: The Joint Committee on Financial Services held a public hearing on late-filed matters, with testimony focused mainly on two Senate bills: S. 2738, which would create a special commission to study rising insurance costs for manufactured and mobile home residents, and S. 2739, which would establish a program or fund to help communities install and maintain fire cisterns. Senator Kelly Duner and Representative Lisa Field, along with Taunton officials and residents, described sharp premium increases, limited insurer participation, confusing coverage practices, and the impact on seniors, veterans, and low-income homeowners in manufactured housing communities. Several speakers urged the commission to include residents directly and to produce recommendations for more affordable, transparent, and adequate coverage. Local officials from Taunton, Carver, and other communities echoed those concerns, saying many residents face few options, actual cash value policies, and premiums that can exceed $4,000 annually. On the fire cistern bill, fire chiefs from Hopkinton and East Hampton testified that many communities lack municipal water or hydrants and need year-round dedicated water sources to fight structure fires, brush fires, and newer hazards such as lithium-ion battery fires. They said cisterns improve response times, reduce damage, and can help with insurance ratings, but maintenance and funding are often inadequate. A representative of the Massachusetts Insurance Federation supported the concept of helping fire services but objected to funding the program through insurance policy assessments, arguing that such surcharges drive up premiums and should instead be paid from the general fund. The committee also heard strong support for S. 2732, a direct primary care bill filed by Senator Michael Moore. Physicians and medical association representatives said the bill would let direct primary care doctors make referrals for HMO patients and dispense medications directly from their offices. They argued this would reduce delays, improve continuity of care, lower prescription costs, and help patients with transportation or access barriers. No votes were taken during the hearing, and the chair adjourned after public testimony concluded.

Transcript Highlights:

• If a compounding pharmacy, especially gray and black markets, are doing something nefarious, then yes
• That said, a majority of compounding pharmacies are not, and we appreciate that.
• We are by no means trying to do away with compounding pharmacies.
• We want to honor the work that compounding pharmacies are doing.
• </c> want to honor the work that compounding want to honor the work that compounding pharmacies<02:08

Keywords: 981, all

Transcript Highlights:

• Before PCCA, he owned pharmacies in Tulsa for over two decades, pioneering the introduction of compounding
• Basani embraces opportunities to give back, teaching extemporary compounding principles to pharmacy students
• ><c> and</c> pharmacy, long-term care, pharmacy, and pharmacy, long-term care, pharmacy, and compounding
• </c> leader and visionary in the pharmacy leader and visionary in the pharmacy compounding<00:15:37.760
• compounding principles to pharmacy<00:16:07.360><c> students</c><00:16:07.600><c> at</c><00:16:07.839

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, April 29, 2025, 1012, house, all

Transcript Highlights:

• We at the DOC do not offer a compounding pharmacy per se for those biologics.
• </c><02:10:34.480><c> pharmacy</c><02:10:34.960><c> per</c><02:10:35.199><c> se</c> not offer a compounding
• pharmacy per se not offer a compounding pharmacy per se for<02:10:35.520><c> those</c><02:10:35.760>
• </c><02:13:26.480><c> Is</c> necessarily the same uh compound. Is necessarily the same uh compound.
• </c><02:13:39.840><c> So</c> AB- rated uh in in pharmacy. So AB- rated uh in in pharmacy.

Keywords: 928, house, all

Summary: The committee discussed House Bill 185, which would amend RSA 3109 to add timelines for OPLC’s complaint review and investigation process. Members reviewed the existing five-year limitation period for misconduct complaints and noted that the bill would add a 30-day deadline for the office to make a recommendation to the board and a 90-day deadline to complete investigations. Some members raised concerns that the new deadlines could conflict with the existing statute of limitations, create pressure to dismiss cases too quickly, and potentially undermine the separation between OPLC’s investigative role and the boards’ adjudicatory role established by House Bill 655. Nicholas Fry, OPLC general counsel, testified that the agency’s fiscal note originally assumed it would need roughly double its staff to meet the proposed deadlines, though a later amendment reduced that estimate somewhat. He said OPLC would still need additional personnel, including investigatory paralegals and a physician investigator for the Board of Medicine, to meet the timeframes. He also explained OPLC’s current complaint and hearing procedures, including new consumer-friendly correspondence, website guidance, and efforts by the enforcement division to improve transparency and communication with complainants and licensees. Bob Quinn of the New Hampshire Association of Realtors testified in support of the bill’s basic goal of speeding up intake and investigation, saying the 30-day intake/review period was reasonable and that the bill would not change OPLC’s role in that first step. He argued, however, that the investigation step is where delays occur, especially for lower-priority complaints, and that some cases have remained unresolved for years. Committee members also questioned how the added staffing costs would be paid, with discussion of whether they would come from license fees or the general fund. No vote or final action was taken in the portion of the meeting provided.