Transcript Highlights:

• Further down on page 6, line 28, including pharmacies in there as an entity that a pharmacy benefit manager
• That's, again, just our attempt. 2928, including pharmacies in there as an entity that a pharmacy benefit
• And so pharmacy benefit managers, ...need to license by the end of April 30, and so pharmacy benefit
• I imagine most individuals when they are going to pharmacy school, whether it's at NDSU or elsewhere
• I'm not going to speak for the Board of Pharmacy.

Keywords: 908, all

Summary: The Senate Committee on Industry and Business reconvened to work on House Bill 1584, which would create a new pharmacy benefit manager (PBM) regulatory structure within the Insurance Department. Insurance Commissioner John Godfrey and Deputy Commissioner John Arnold explained a revised set of amendments negotiated with Representative Casper and the North Dakota Pharmacists Association. They said the bill largely kept the House policy intact but added technical corrections, narrowed some references in Chapter 19-02, created a separate PBM licensing class, set a delayed effective date for licensing, and established emergency authority so the department could begin building the new division. They also described the proposal to fund the program through existing trust fund resources, PBM license fees, and a transfer of about $1.6 million from the prescription drug transparency program fund, while allowing the department flexibility to hire needed attorneys, pharmacists, and examiners. A major point of discussion was Section 10, which would have required the Attorney General to represent and bear costs for lawsuits related to the bill. Chief Deputy Attorney General Claire Ness said the language was too broad and would go beyond normal constitutional defense work, potentially obligating her office to cover all lawsuits against the commissioner or state under the section. Representative Casper said the intent was only to avoid the Insurance Department having to seek emergency funding for litigation, and both he and department officials said they were open to removing the section or narrowing it. After further discussion, the committee agreed to remove Section 10 from the amendments. The committee then voted 4-0 to adopt the amended amendment package, and then voted 4-0 to give House Bill 1584 a do pass recommendation as amended and refer it to Appropriations. Members noted the bill was still a work in progress, but said the revised version was intended to move the PBM regulation issue forward while continuing discussion in the appropriations process.

Transcript Highlights:

• The school offers an education that begins with the end in mind: the formation of a whole human person
• He's deeply involved in advocacy and policy work, even though he's still in medical school, and it was
• district bond; 1446 school workers, social workers documentation; 1450 pharmacy board. 1446 school workers
• , social workers documentation; 1458 pharmacy board; 1471 school mapping needed; 1476 child neglect;
• , making pharmacies one of the most accessible care settings in America.

Keywords: 1182, all

Transcript Highlights:

• It is proven through research pharmacy.
• But like school systems have to be part of this.
• </c> school systems have to be part of this. school systems have to be part of this.
• And school systems, I impacting health.
• </c><00:29:16.000><c> your</c><00:29:16.159><c> equity</c> school nurse program, that's your equity school

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• </c> medical school uh graduation piece. medical school uh graduation piece.
• We agreed on pharmacy.
• We agreed on pharmacy.
• We help pharmacies, and that was also great because we have too many pharmacy deserts.
• We help pharmacies, and that was also great because we have too many pharmacy deserts.

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• We're an online nursing school headquartered in Utah.
• Our schools will not be able to grow.
• Our California schools will close down because they won't have clinical placements.
• The other thing is it's this is an accredited only school.
• Only after the patient comes to my pharmacy can I issue the prescription.

Keywords: 988, house, all

Transcript Highlights:

• And next down is pharmacy fraud.
• Pharmacy fraud. So pharmacy fraud would be a pill mill.
• for the pharmacy that it owns.
• for the pharmacy that it owns.
• My son couldn't even go to public school. I had to pull him out of school.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• where we are going to focus on children's health, disease prevention, screening, treatment, and pharmacies
• Our own Massachusetts Breast Cancer Coalition has K-12 school curriculum on prevention with cell phones
• I'm a member of the advisory board for the Forsyth School of Dental Hygiene.
• It doesn't get more local than pharmacies.
• We started 100 patients on pharmacy-based care.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• I would just say we go to school for three years extra.
• </c><00:06:06.479><c> for</c> I I would just say we go to school for I I would just say we go to school
• rules that go into effect that directly contradicts the law that we passed last year on the pharmacy
• I was trying to find the verbiage here. uh in the pharmacy board where in uh in the pharmacy board where
• </c> year on the pharmacy board. year on the pharmacy board. um<00:11:29.279><c> the</c><00:11:29.760

Bills: HB59, SB15, SB96, SB104, SB137

Keywords: public accountancy, CPA licensing, board regulations, educational prerequisites, electronic notifications, firm registration, assignment, creditors, insolvency, liquidation, assignee, secured transaction, bankruptcy, state law, voluntary process, distribution of assets, emergency rules, governor certification, state regulations, public safety

Transcript Highlights:

• During the 2019-2020 school year, local school health programs reported a total of 17,282 students with
• So right now, I cannot put an MMTC distribution space within 500 feet of a school, middle school, high
• school.
• And Barney Bishop, Small Business Pharmacies. Small Business Pharmacies.
• We've lost 1,600 pharmacies in the past year.

Keywords: 999, senate, all

Transcript Highlights:

• Agency. public school educators.
• to school district contracts certain organizations and payroll deductions for school districts employees
• to serve public school students.
• It's even more important to invest in people. like maybe our school children? Absolutely.
• we already have in place in our schools.

Bills: HJR34, HB 113, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB576, HB632, HB1395, HB2225, HB2582, HB2494, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB3609, HB5032, HB2240, HB5180, HB3348, HB4668, HB4909, HB4665, HB4895, HB3395, HB3157, HB4762, HB4395, HB4325, HB4952, HB4386, HB4273, HB2760, HB2697, HB2820, HB1828, HB1768, HB1579, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HCR126, HB38, HB 104, SB1008, SB1106, SB1172, SB2629, SB2964, SB616, HB2214, SB552, HB3181, HB3628, HB589, HB3529, HB3354, HB333, HB2914, HB4130, HB4131, HB24, HB 1160, HB3962, HB4115, HB2295, HB5398, HB1407, HB3800, HB2613, HJR138, HB42, HJR34, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HB 113, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB576, HB632, HB1395, HB2225, HB2582, HB2494, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB3609, HB5032, HB2240, HB5180, HB3348, HB4668, HB4909, HB4665, HB4895, HB3395, HB3157, HB4762, HB4395, HB4325, HB4952, HB4386, HB4273, HB2760, HB2697, HB2820, HB1828, HB1768, HB1579, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HCR98, HCR92, HCR126

Keywords: HJR 34, constitutional amendment, Texas Constitution, ad valorem tax, property tax exemption, real property, border counties, U.S.-Mexico border, United Mexican States, border security, border security infrastructure, landowner, county tax base, local government, tax relief, property value increase, infrastructure improvements, voter approval, November 2025 ballot, statutory construction

Transcript Highlights:

• one contract pharmacy.
• Those districts are Clover Park School District and Medical Lake School District.
• There is also a third school district, Oak Harbor School District, which has a school located on DOD
• We don't know when those two school districts may build a new school or a remodeled school on the base
• That school was $67 million total.

Summary: The Ways and Means Committee held a public hearing on multiple bills, beginning with a motion to suspend the five-day notice rule for a long list of Senate bills, which passed on a voice vote. The committee first heard Substitute Senate Bill 6026, a governor-request housing bill that would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, limit mixed-use/ground-floor commercial requirements in some areas, and allow added height where such requirements are imposed. The lieutenant governor testified strongly in support, arguing the bill would add needed housing capacity without requiring ground-floor retail burdens. The hearing on SB 6026 was then suspended so the committee could move through the agenda. The committee then heard Senate Bill 6294, a broad local government finance measure with eight parts, including expanded uses for certain REET revenues, a new county public utility tax, a new local sales tax for children and family services, expanded housing-related tax uses, changes to county levy structure, longer lid lift periods, and expanded use of rental car tax revenue. Local government, housing, and public health witnesses largely supported the bill, emphasizing flexibility for affordable housing, rental assistance, children’s services, and county fiscal stability. Opponents, including wireless industry, water/sewer district, auto dealer, realtors, energy, and cannabis representatives, objected to specific tax provisions as regressive, costly, or likely to raise consumer prices. Several witnesses requested amendments, including adding public health clinic funding and flood recovery language from House bills. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a state grant program funded by a surcharge on large search engines and social media platforms to support journalism jobs and the Murrow Fellowship program. News organizations, the League of Women Voters, open government advocates, and local journalism supporters testified in favor, saying local news is essential to civic life and that the bill would help sustain reporting without using general fund dollars. Technology industry representatives opposed the bill, arguing it unfairly singles out tech companies and could face legal challenges. The committee then heard Senate Bill 6211, which would let opt-in GMA jurisdictions impose REET-2 without voter approval; cities and counties supported it as a parity and infrastructure funding measure, while Realtors opposed the loss of voter approval. Senate Bill 5650, authorizing local cannabis excise taxes, drew support from some local officials but strong opposition from cannabis businesses, which argued Washington’s cannabis taxes are already too high and drive sales to the illicit market. Senate Bill 6033, waiving penalties and interest for taxpayers who failed to collect new sales tax on certain services, was supported by NFIB as a compliance and fairness measure. Senate Bill 6297, exempting temporary staffing services for nonprofit behavioral health providers from sales tax, drew strong support from behavioral health organizations citing workforce shortages and unsustainable costs. Finally, Senate Bill 6343, extending and expanding tax relief for disaster-damaged property and repairs, was presented as aid for flood recovery; local officials testified in support. No final committee votes on the bills were taken in the portion of the meeting provided.

Transcript Highlights:

• First up, DCCA Board of Pharmacy in support.
• Pharmacy is possibly close our business.
• </c> FiveMinute Pharmacy in opposition. FiveMinute Pharmacy in opposition.
• Carrie and I work FiveMinute Pharmacy.
• </c> Shamanad University of Honolulu School Shamanad University of Honolulu School of<00:31:43.440><c

Keywords: 912, senate, all

Summary: The committee heard testimony on a large number of health-related measures, with the most extensive discussion on SB 2283, which would expand mail-order pharmacy access for prescription drugs. Supporters including HMSA, the Board of Pharmacy, and health plan groups said mail order could lower costs, improve adherence, and reduce hospitalizations, while independent pharmacies and rural neighbor-island providers warned it could harm local pharmacies, reduce access for patients who rely on face-to-face service, and create delivery and storage problems for medications. No vote was taken on SB 2283 during the excerpt, and the chair moved on after hearing testimony. The committee also heard SB 2855 on opioid antagonists, with the Insurance Division and HMSA noting that medically necessary opioid antagonists are already covered and suggesting the issue may be addressed through education or administrative fixes. Fentanyl and substance abuse groups supported the measure. SB 3045 on health insurance coverage for continuous glucose monitors drew broad support from diabetes and health organizations; HMSA said it had already expanded coverage for members on injectable insulin but raised concerns about supply constraints and said it had not yet seen an auditor study referenced in discussion. Members asked whether the bill would extend coverage beyond current policy. SB 2843 on domestic violence received support from the Public Defender’s Office, prosecutors, and victim-related organizations, who said the pilot program for misdemeanor domestic violence cases had reduced backlogs and improved court efficiency. A prosecutor also supported retaining coercive control as a petty misdemeanor tool in larger domestic violence cases. SB 2845 on healthcare facility access drew strong support from many health, legal, and advocacy groups, who said it would protect patients and staff from disruptive interference at healthcare facilities; one opponent argued it would chill lawful speech and protest and unfairly exempt labor demonstrations. The committee then heard SB 2854 and SB 3202, both healthcare-related measures, with testimony largely in support. SB 2854 drew comments from health and dental groups, and SB 3202 focused on workforce and licensing issues, including support for retired physicians volunteering, preceptor tax credits, and adding advanced midwifery and physician assistant-related provisions. The chair repeatedly enforced a one-minute testimony limit and moved through the agenda without recorded votes in the excerpt.

Transcript Highlights:

• </c> costs that are not a contract pharmacy costs that are not a contract pharmacy so<00:57:49.839><c
• , more than one contract pharmacy.
• </c> more than one contract pharmacy. more than one contract pharmacy.
• </c> mental health counselor in the schools. mental health counselor in the schools.
• from the pharmacy.

Keywords: 919, house, all

Summary: The committee first approved the March 11, 2026 minutes, then heard House File 4048, which would exempt chiropractors from Minnesota’s provider tax if they are no longer eligible to provide chiropractic benefits under Medicaid/MinnesotaCare. Representative Robbins said the bill corrects an unfair situation because chiropractors still pay the tax even though the benefit was eliminated. Testifiers from the Minnesota Chiropractic Association and a longtime chiropractor supported the bill, arguing that most chiropractors are small-business owners and should not pay a tax for services they can no longer provide. Several members said they supported restoring chiropractic coverage instead of changing the tax, and there was discussion about whether the tax applies to all providers and whether it is effectively passed on to patients. The committee adopted a motion to recommend HF 4048 to the Committee on Taxes. The committee then took up House File 3893, as amended, a bill to restrict artificial intelligence from engaging in psychotherapy or counseling with humans. The author and supporters said the bill is intended to prevent AI chatbots from posing as therapists or counseling vulnerable people, citing reports of suicides and other harms linked to chatbot interactions. The A2 amendment was adopted; the author said it reflected stakeholder concerns and added informed-consent language. Testifiers in support, including a psychologist and a suicide-prevention nonprofit leader, urged strong safeguards and said AI should not replace licensed professionals in crisis settings. Other testimony raised concerns about overbreadth and unintended effects. TechNet and a rural mental health provider said the bill should be narrowed so it applies to clinical therapy rather than wellness or educational tools, and should allow supervised AI uses such as transcription and administrative support. Members discussed rural access, existing licensing-board authority, privacy laws, and whether the bill should target AI companies directly rather than licensed clinicians. The transcript ends during continued discussion of HF 3893, with no final committee action shown in the excerpt.

Transcript Highlights:

• ><c> got</c><00:01:24.880><c> our</c> not just pharmacies, we've got our not just pharmacies, we've got
• </c> we also have pharmacy benefit managers. we also have pharmacy benefit managers.
• </c><00:01:35.200><c> benefit</c> That's that's a big pharmacy benefit That's that's a big pharmacy benefit
• ><00:45:00.960><c> the</c><00:45:01.200><c> um</c> pharmacy benefit manager but the um pharmacy benefit
• </c> investigators is a pharmacy. investigators is a pharmacy. &gt;&gt; Yes.<00:54:10.160><c> Yes.

Keywords: Appropriations - Room 409, 28 January, 2026; 1:30 P.M., 925, all

Transcript Highlights:

• Fred Meyer left zero pharmacy in that community anymore.
• , the grocery store or pharmacy leaves...
• The grocery store or pharmacy leaves.
• Also, teens today deal with pressure from school, social media, and daily life.
• These habits carry over into school and future jobs.

Bills: HB2517, HB2480, HB2588, HB1529, HB2223, HB2006, HB2573, HB2141

Keywords: municipal permitting, transit projects, high capacity transit, infrastructure, urban development, residential development, commercial zones, mixed-use zoning, urban planning, state regulations, county ferry district, ferry district, passenger-only ferry, passenger ferry, Puget Sound, Vashon, Seattle, Southworth, county transportation, local taxing authority

Transcript Highlights:

• benefit manager from paying their affiliated pharmacies more than non-affiliated pharmacies.
• Additionally, it prohibits them from paying their own pharmacies more than they pay the pharmacies in
• However, PBMs don't treat all of their in-network pharmacies the same. Local pharmacies are...
• that determine what the patients will pay at each pharmacy and what each pharmacy will be reimbursed
• I own White Mountain Pharmacy in Show Low and another remote dispensing pharmacy in Overgaard.

Summary: The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass. The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.

Transcript Highlights:

• School was now underground and online.
• School was now underground and overhead.
• Yet current law says MMB must hire a pharmacy benefit manager, singular.
• </c> law says MMB must hire a pharmacy law says MMB must hire a pharmacy benefit<01:13:15.040><c> manager
• The pharmacy benefit manager. Singular.

Keywords: 1187, senate, all

Transcript Highlights:

• , 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.
• of 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:

• School.
• </c><00:05:57.759><c> But</c> attending our Hilo Pharmacy School.
• But attending our Hilo Pharmacy School.
• Uh, one school from schools from Kona.
• School.

Keywords: 912, senate, all

Transcript Highlights:

• In 2024, total pharmacy spend was $1.17 billion.
• We have 14 to 15 small school districts all west of here.
• It's very hard for our small school districts to find insurance to pay.
• It's very hard for our small school districts to find insurance to pay.
• It's very hard for our small school districts to find insurance to pay.

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.