Transcript Highlights:

• Why are we moving away from a patient having the option for a paper prescription?
• Current law allows us to provide a patient with a printed prescription.
• Let's be clear now: no one's using old-fashioned prescription pads; that's not happening.
• on fraud-proof prescription pads.
• fill that prescription in the middle of the night.

Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.

Transcript Highlights:

• Before you today is a proposed substitute to Senate Bill 594, expanding the prescriptive authority for
• The practice of pharmacy includes such tasks as interpreting prescriptions, compounding, dispensing,
• Would this bill allow the pharmacist to issue me a prescription, to refill my prescription?
• I strongly support expanding pharmacists' prescriptive authority per Senate Bill 5924.
• , acting as a stopgap for those providing prescriptions to refill maintenance medications, acting as

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:

• 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
• ><c> about</c> 1781 prescriptions or about 1781 prescriptions or about onethird<00:37:32.960><c> were
• the total savings per prescription again the total savings per prescription was $210<00:38:45.200><c
• </c> pharmacy but when when your prescription pharmacy but when when your prescription doesn't<00:54:
• </c><01:10:08.840><c> to</c><01:10:09.000><c> go</c> 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:

• Can a local independent pharmacy mail a prescription to a patient?
• They're not going to drive the prescription to the patient.
• They're out there delivering prescriptions because they can't mail them.
• They're out there delivering prescriptions because they can't mail them.
• prescriptive authority requirements can 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

Summary: The committee took up a series of health, human services, and related bills. House Bill 3552, allowing child care providers to bridge the gap between subsidy reimbursement rates and standard tuition rates, was adopted and reported out 11-2. House Bill 2984, as a substitute, would direct DHS to compile a report on the child care system, including subsidy payment error rates, the number of facilities, closures, and voluntary closure feedback; it was reported out 14-0. House Bill 4201, changing master teacher requirements in child care from licensed capacity to actual enrollment, also passed unanimously. House Bill 3380, creating the Fostering the Future for Oklahoma Children and Families Act to modernize foster care data systems and improve outcomes, passed 12-0. House Bill 4430 and House Bill 4431, both cleanup measures tied to prior nurse practitioner/PA scope and pharmacy-related provisions, each passed 13-0. Several bills focused on health care access, regulation, and public safety. House Bill 4124 would allow over-the-counter ivermectin sales for human use with labeling and dosing information; after extensive questioning about safety, labeling, children, and liability, it passed 9-5. House Bill 3934, a large amended measure affecting dental practice and supervision rules, passed 14-0 after discussion about x-rays, telemedicine, and dental assistants. House Bill 3448, requiring insurance coverage related to group home provider liability for property damage, passed 14-0. House Bill 3131, setting baseline standards and oversight for homeless shelters with roles split between Commerce and Health, drew concerns about local control, temporary shelters, and fiscal impact, but passed 8-6. House Bill 4200, creating a revolving fund for forensic assertive community treatment teams to address the jail-to-homelessness cycle for people with severe mental illness, passed 11-3. The committee also advanced several public health, consumer, and industry bills. House Bill 1912, the Corn Masa Nutrition Enhancement Act, generated extensive debate over folic acid fortification, parental choice, MTHFR genetics, and potential health effects; with a PCS allowing a non-fortified option, it passed 9-5. House Bill 3011 repealed the home brewing license while keeping home-brewing limits and sales restrictions, and passed 11-3. House Bill 3881, the Alternative Nicotine Products Regulatory Act, increased application costs and removed a registry deemed inconsistent with federal law, passing 13-0. House Bill 3538, targeting pharmacy benefit manager vertical integration and its effects on access and pricing, passed 13-0 after discussion of mail-order restrictions and pharmacy closures. House Bill 3851, defining private label/control label alcoholic beverages under the three-tier system, also passed 13-0. House Bill 3907, requiring direct-hire staffing for facilities serving vulnerable adults and children with a short temporary staffing grace period, passed 13-0. The committee then moved on to House Bill 4457, a specialty-drug/PBM measure, with discussion beginning about PBM practices and specialty pharmacy access.

Transcript Highlights:

• </c> you have to have had your prescription you have to have had your prescription your<03:49:51.000>
• patients will doctor shop and go here and get a prescription and then go there and get a prescription
• everybody's fear with prescription drugs everybody's fear with prescription drugs is<03:53:45.279><c>
• </c> over here and get the same prescription over here and get the same prescription and<03:53:54.080
• </c> get uh with a very short prescription get uh with a very short prescription other<03:56:23.359><

Keywords: 1189, house, all

Transcript Highlights:

• When you get a prescription from your provider, you would go to the pharmacist.
• And they go, and the doctors prescribe a certain prescription.
• to use this prescription or this biosimilar instead.
• When you get a prescription from your provider, you would go to the pharmacist.
• Of what the side effects are of every prescription. So I have a disconnect.

Summary: The committee heard several health-related bills, beginning with SB 1124 on lung cancer screening awareness. The author and supporters said the bill would require CDPH signage about lung cancer screening eligibility at tobacco point-of-sale locations to address low awareness and low screening rates. Support came from medical students, physicians, and the California Academy of Family Physicians, while retailers raised concerns about sign size, retailer notification, and implementation. Committee members generally supported the bill and noted the need to work through those concerns. SB 1150 sought to require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author described the bill as a response to inconsistent notification practices and privacy concerns, and the chair and other members shared personal stories about learning they or family members were in the registry without knowing it. Cancer registry and university stakeholders expressed appreciation for amendments but continued to have concerns or wanted more time to review the language. The bill was discussed as a patient-awareness measure rather than a change to reporting requirements. The committee also heard SB 1400 on Alameda Health System governance, SB 1094 on biosimilar substitution and health plan policies, SB 1314 on smoke shop regulation and nitrous oxide restrictions, and SB 1309 on eliminating cost-sharing for medically necessary follow-up after lung cancer screening. SB 1400 and SB 1314 drew support from local officials, labor, and public health advocates, with members emphasizing youth protection and local oversight. SB 1094 passed after extensive debate over pharmacist substitution authority and notification requirements, with a 6-0 vote and opposition from biotechnology and physician groups. SB 1309 also passed after members discussed the cost of follow-up care and the value of early detection, despite opposition from health plans over premium impacts; it received a 7-0 vote and was placed on call.

Transcript Highlights:

• The question is if it's only from a dispensary, you have a prescription for it.
• So it's a prescription medication. It's just like my other medications.
• But my issue is, so if I leave my prescription bag on the front seat of my car.
• I guarantee you everyone in this room, we go pick up our prescriptions.
• All they have to do is prove a prescription. They're not going to have an issue.

Transcript Highlights:

• So that ask was to provide a prescriptive solution in the residential code.
• So we have to establish what the criteria we're bringing a prescriptive solution to.
• The prescriptive solution will add some flexibility.
• So when we say prescriptive, our codes generally prescribe solutions.
• Sometimes we are only using the residential code, and everything's prescriptive.

Keywords: 904, all

Summary: The Local Government work session began with member and staff introductions and a reminder that the meeting was recorded and livestreamed. The committee then received an update from the State Building Code Council from Chair Todd Byruther and Managing Director Dustin Kerr. They explained the council’s three-year code cycle and said several legislatively directed code changes are nearing completion, including minimum dwelling unit size, emergency shelters, single-exit stairs for up to six stories and 24 units, and a sixplex prescriptive solution in the residential code. They described the technical advisory group process, noting that subject matter experts, fire officials, engineers, architects, and other stakeholders are selected through a public process and approved in public meetings. Members asked about the safety, cost, and practical effects of the single-stair and multiplex provisions. The council representatives said the proposals are intended to balance life safety and affordability, with features such as emergency escape and rescue openings and fire-suppression considerations. They also said the code changes are still moving through rulemaking and public hearings, so final details are not yet set. Questions were raised about whether builders and fire professionals are adequately represented, and the council said they are. The second topic was a discussion of performance-based building codes, using House Bill 2381 as the example. Byruther explained the difference between prescriptive codes, which specify exact solutions, and performance codes, which set safety or design outcomes and allow multiple ways to meet them through third-party certification and local approval. He cited historical and international examples, including Project Breakthrough, the HUD code, Japan, and Sweden, to argue that performance-based approaches can support innovation, modular construction, and lower housing costs. Members discussed how such an approach could interact with energy efficiency and embodied carbon goals, and the presenters said it could create more flexible, optimized designs while preserving safety. No votes were taken; the meeting was informational only, and the committee adjourned at the end of the session.

Transcript Highlights:

• Prescriptive authority of pharmacists. That looks like my baby, huh?
• Schedule I, you can't even write a prescription for.
• The bill in front of you does not give prescriptive or pharmacists' full prescriptive authority.
• So by putting... ...backs on every prescription.
• And that is going to be the prescription, and it's going to be any testing.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• </c><00:49:32.319><c> comes</c> allow them to if if a prescription comes allow them to if if a prescription
• </c> years ago I I was filling a prescription years ago I I was filling a prescription and<00:50:46.760
• I cannot fill your prescription.
• I'm willing to transfer that prescription to any pharmacy who's willing to fill it for you.
• I'm willing to transfer that prescription to any pharmacy who's willing to fill it for you.

Keywords: 1191, senate, all

Transcript Highlights:

• A prescription a few hours or a couple of days later.
• Prescriptive endorsement? Yes. Line 26. Let's talk through that process. Okay.
• Are you meaning prescription medications?
• Are you meaning prescription medications?
• How much will we actually use that prescriptive authority?

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

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:

• We live, bank, shop, prescriptions.
• </c> more prescriptions filled below cost. more prescriptions filled below cost.
• </c> room take at least one prescription room take at least one prescription medication.<01:00:01.920
• </c> America and the prices of prescription America and the prices of prescription drugs<01:09:08.159
• </c> had enough revenue and the prescription had enough revenue and the prescription to<01:14:43.120>

Keywords: 1187, senate, all

Transcript Highlights:

• This is—we... ...a prescription a few hours or a couple of days later.
• Prescriptive endorsement? Yes. Line 26. Let's talk through that process. Okay.
• Are you meaning prescription medications?
• Are you meaning prescription medications?
• How much will we actually use that prescriptive authority?

Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.

Transcript Highlights:

• People can already get these prescriptions by telemedicine.
• A lot of prescriptions are routine, non-dangerous prescriptions: allergy, parasites, what have you.
• They don't have to give another prescription.
• Current prescription writing does not allow you to write a prescription for any controlled substances
• It also does not allow you to write a prescription to write a prescription to... Dr.

Summary: The committee first approved the January 28, 2026 minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training and board-approved skills standards. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and other advocates, said the bill would help address workforce shortages, reduce student debt, and improve access to care, especially in rural and low-income areas. Opponents, including the Arizona Veterinary Technician Association and several veterinarians, argued the bill could weaken training standards, increase liability, and create safety risks; the Arizona Veterinary Medical Association ultimately moved to neutral after amendments added supervision and affidavit requirements. The committee adopted the amendment and then passed SB 1144 as amended on a 6-1 vote. The committee next passed Senate Bill 1247 unanimously. That bill would allow a person who does not receive care services to live with a resident in an assisted living center, and would bar the Department of Health Services from imposing requirements on that person that the resident would not face. Supporters said the bill was needed to fix a recent agency interpretation that could force spouses or other companions to separate or pay for services they do not use, and noted a possible floor amendment to extend the same treatment to assisted living homes. The committee then heard Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine. Supporters said the change would improve access in underserved and rural areas and reflect how telemedicine is already used in human medicine, while opponents warned that longer telemedicine prescriptions could delay necessary exams and diagnostics, increase the risk of misdiagnosis, and create animal welfare and liability concerns. After testimony, the sponsor asked that the bill be held for a possible amendment next week, so no vote was taken. The committee also passed Senate Bill 1164, which would allow Medicaid claims to continue under a prior owner’s billing number during a skilled nursing or assisted living facility change of ownership until new enrollment is complete; supporters said this would prevent long reimbursement delays, while Access raised concerns about federal-law conflicts and said it needed advance notice to process ownership changes. The bill passed 6-0 with one member not voting. Finally, the committee passed Senate Bill 1181, which expands CPA licensure pathways by allowing combinations of degree and work experience and updates reciprocity and rulemaking provisions, and Senate Bill 1415, which creates a licensing path for salaried insurance adjusters with out-of-state credentials, subject to an amendment clarifying exam and employment requirements. Both bills were supported as workforce and mobility measures, and both were reported out of committee on unanimous or near-unanimous votes.

Transcript Highlights:

• By eliminating the need for a prescription, this measure ultimately offers all Texans greater medical
• House Bill 25 would allow pharmacists to dispense ivermectin over-the-counter, without a prescription
• And do so without having to get a doctor's prescription.
• ivermectin as a drug that must be sold only with a prescription.
• , without a prescription.

Bills: SB 3, SB 16, SB 2, SB 5, SB 10, HB17, SB 54, SB 9, SB 7, SB 17, SB 4, HB8, HB25, HB26, HB192, HB8, HB25, HB26, HB48, HB149, HB192, HB254, HB17, SB54, SB9, SB7, SB17, SB4, SB3, SB16, SB2, SB5, SB10

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, real property theft, real property fraud

Transcript Highlights:

• Produce prescriptions are fresh produce, and I have people with me that run produce prescription programs
• Write up a prescription for people who don't have great health.
• So the doctor writes out a prescription.
• They issue them a prescription, which is a card.
• From GLP-1 prescriptions, which ultimately hit their system.

Keywords: 959, house, all

Transcript Highlights:

• If a pharmacy fills a prescription, they get paid. What it costs, period.
• Woodard with Prescriptions to Go. Great job, by the way.
• Prescription prices have gone up largely because of Big Pharma's list prices.
• The question they asked me was, is my prescription drug going to go up $60 a month?
• That's a $10.75 increase per prescription.

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• And that throughout the past 20 years, prescription drug prices have gone up exponentially.
• I'm only on one prescription med. I have friends who are on 10 or 15 or 20.
• He said that the reason they are raising concerns is that all the pharmacy prescriptions are going up
• He said that if someone has more than one prescription each month, that is a big hit.
• and around $11 for six prescriptions.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause