Transcript Highlights:

• So, you know, we partner with the Kentucky Pharmacist Association, and one of those things is helping
• pharmacists maintain readiness, redundant communications.
• Association and and one of Pharmacist Association and and one of those<00:11:48.240> things<00
• those things is is helping u pharmacists those things is is helping u pharmacists maintain<00:11
• So we train our staff internally to the operational structure that they can anticipate working at the

Keywords: 958, all

Summary: The committee met to adopt the minutes of the second meeting by voice vote, then heard an update focused on disaster preparedness, resiliency, response, and coordination among state agencies and partners. The chair emphasized avoiding duplication of resources and highlighted the importance of agriculture-related response issues, including animal evacuation, feed distribution, and the role of extension services during disasters. The Department for Public Health was invited to explain its role in emergency planning and response. Public Health described its Emergency Preparedness and Response Branch as the lead coordinating agency for Emergency Support Function 8, covering health and medical services under Kentucky’s emergency operations framework. Testimony outlined its broad responsibilities, including support for hospitals, morgues, local health departments, behavioral health, crisis counseling, suspicious package testing, disease outbreaks, and coordination with emergency management, EMS, transportation, and nonprofit and private partners. Officials also described the agency’s risk-assessment process, training and exercise programs, and deployed assets such as PPE caches, deployable communications, a federal medical station, a mobile treatment center, and alternate care support used in events like the eastern Kentucky floods and COVID-19. The agency also discussed funding through federal cooperative agreements for public health emergency preparedness and hospital preparedness, noting that these programs have evolved since 9/11 and have been shaped by major disasters and emerging threats. Officials said Kentucky’s funding has declined over time and that current awards are partially funded for the first time in the program’s history. They expressed support for efficiency if federal programs are consolidated, but cautioned that combining programs could risk further funding losses.

Transcript Highlights:

• The Osteopathic International Alliance, founded with support from the American Osteopathic Association
• Internal formula is a nutritional formula designed for people who can't consume food normally.
• Some people take internal formula to supplement their diet, and others rely almost entirely on these
• Our members provide durable medical equipment and supplies as well as internal nutrition for subacute
• The amendments that we have taken seek to strengthen the requirement that a pharmacist provide oversight

Keywords: 987, senate, all

Transcript Highlights:

• Doctors, nurses, pharmacists, counselors, teachers, engineers, and first responders... ...and licensed
• Doctors, nurses, pharmacists, counselors, teachers, engineers, first responders, and other licensed professionals
• And when something's on Facebook or something that's a national or international company, you know, the

Summary: The committee met without a quorum at first, but proceeded with public hearings on two Senate bills. Senate Bill 944, sponsored by Sen. Carla May, would update the statutory salary range for the City of St. Louis sheriff’s attorney, which she said has been unchanged since 1990 and no longer reflects inflation, modern legal demands, or comparable compensation in other jurisdictions. Rep. Fuchs offered supportive remarks, and there was no opposition or informational testimony. No vote was taken on SB 944 during the hearing. The committee then heard Senate Bill 1012, sponsored by Sen. Nicola, a broad artificial intelligence bill intended to clarify that AI is not a legal person, that humans remain responsible for AI-assisted decisions, and that licensed professionals must retain independent judgment. The bill also addressed companion chatbots, election-related AI disclosures, and other consumer protections. Supporters of the bill’s general accountability approach were not present in testimony, but opponents from Americans for Prosperity and the Missouri Chamber of Commerce and Industry argued the bill was overly broad, could chill innovation, and contained numerous drafting and cross-reference errors, including unused definitions and inconsistent metadata requirements. Members questioned how liability would apply to end users and noted the need for clearer drafting. After public testimony, the committee moved into executive session on SB 1012. A motion was made for do pass, but the roll call resulted in zero ayes and 11 noes, and the bill was voted failed. The meeting then adjourned.

Transcript Highlights:

• board of certain state and municipal agencies to conduct a closed meeting with the state agency's internal
• administration of medication and the ordering of administration of an immunization or vaccination by a pharmacist
• administration of medication and the ordering of administration of an immunization or vaccination by a pharmacist

Summary: The House met briefly to read a large number of first-reading bills, joint resolutions, and concurrent resolutions and refer them to the appropriate committees. The measures covered a wide range of topics, including public health, education, criminal justice, taxation, transportation, water and natural resources, elections, housing, veterans issues, local government, and constitutional amendments. Several bills focused on school policy, health care regulation, property tax and sales tax changes, criminal penalties, and local or state agency authority. Among the notable items were proposals on name and sex changes on birth records, college admissions inquiries into criminal history, foster care contractor liability, school nutrition and assessment policy, election procedures, homestead and franchise tax exemptions, public retirement system reporting, and numerous transportation and infrastructure measures. The House also received resolutions designating local honors and observances, including Brownsville as the bicycling capital of the Rio Grande Valley, Port Aransas as the fishing capital of Texas, and Selena Quintanilla Perez Day. Some measures proposed constitutional amendments on legislative procedure, homestead taxation, and election-law enforcement authority. No debate or testimony occurred in this segment; the action was limited to first reading and referral. The session also referred several resolutions to the Local and Consent Calendars. At the end of the proceedings, the House adjourned without objection until 2 p.m. Tuesday.

Transcript Highlights:

• And he was told by the pharmacist that it's going to require a prior authorization.
• Their contracted pharmacies are a huge issue with regard to this bill. pharmacists or other authorized
• Members of the House Committee on Insurance, I'm a pharmacist, and I've worked in 340B hospitals since
• And that's a lot of words, but basically as pharmacists, we work with the patients to help them afford
• They have a pharmacist that works for them to do their prior authorizations to help make them adherent

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• Pharmacists or other authorized entities, um, they simply can't deny by creating artificial roadblocks
• I'm a pharmacist and I have worked in 340B hospitals since 340B program was conceived in 1992.
• I had one pharmacist that came, came to a patient.
• A pharmacist is calling to check on that patient to make sure 1 they got their prescription filled, 2
• As a pharmacist, I help patients annually select their plans during open enrollment.

Transcript Highlights:

• I am the director of the New Mexico Pharmacists Association.
• You know, something that's really I think what's really unique and special about our pharmacists here
• And that's really because, as pharmacists, we want to go home to our communities.
• We stand in strong support of any legislation that encourages more people to become pharmacists, to become
• Gus Pedrotti, and I'm with the New Mexico Professional Firefighters Association as well as the International

Keywords: 996, all

Transcript Highlights:

• pharmacists to um initiate,<01:01:04.200> prescribe,<01:01:04.680> dispense, initiate,
• I I think the pharmacists amendment.
• I I think the pharmacists have<01:03:35.760> proven<01:03:36.080> over<01:03:36.280>
• One of my constituents lives in Moorhead, practices in Fargo, um, takes interns or, you know, people
• or, you know, people know, interns or, you know, people coming<01:13:26.440> in<01:13:26.520>

Keywords: 1187, senate, all

Transcript Highlights:

• Committee 2026 intern class. Committee 2026 intern class.
• Speaker, today I would like to recognize and thank an outstanding intern who has served in my office
• Are the universities comfortable with funding this internally, or do they have the staff to do so?
• So, I probably pharmacists, as well.
• May I introduce my intern, please? Yes, ma'am. Thank you, Mr. Speaker.

Bills: SB141, SB124, SB56, SJR116, SB94, SB37, SB127, SB197, SB66, SB70, SB133, SB160, SB214, SB312, SB52, SJR62, SJR75

Keywords: legal advertisements, tax rates, public hearings, transparency, local government, sick leave, education, teacher retirement, benefits, employee compensation, Medicaid, nonopioid analgesics, pain management, health care regulation, utilization controls, physician shortage, health care access, medically underserved areas, medical education, workforce development

Transcript Highlights:

• Our pharmacists like it. Our providers like it. It's accessible.
• by providing the pharmacist by providing the pharmacist >> [clears throat] >> [clears
• <00:32:32.520> Our<00:32:32.679> pharmacists<00:32:33.280> like really good
• Our pharmacists like really good bill.
• Our pharmacists like it.<00:32:34.040> Our<00:32:34.160> provide-<00:32:34.640> our<

Keywords: 919, house, all

Summary: The House first took up House File 1794, which would remove the post-graduate collaborative practice requirement for advanced practice registered nurses. The author and several supporters argued the bill would reduce barriers to practice, improve access to primary care and mental health services, especially in rural areas, and align Minnesota with other states. Supporters cited backing from APRN organizations and said the Board of Nursing had no concerns, while opponents, led by Representative Liebling, argued the current one-year collaborative period is a patient-safety safeguard that gives new APRNs needed experience working with physicians before practicing independently. After debate and questions about how the current requirement works in practice, the House passed the bill 119-12. The House then considered House File 4595, which changes licensure reciprocity rules for marriage and family therapists. Representative Schumacher said the bill would expand access to mental health care at no cost by making it easier for qualified out-of-state therapists to obtain Minnesota licenses, eliminating a five-year waiting period and other barriers while maintaining standards through background checks and a jurisprudence exam. Supporters, including Representatives Bierman and Gilman, emphasized workforce shortages and the value of more therapy access for families and relationships. The Board of Marriage and Family Therapy was noted as neutral, and the bill passed unanimously, 133-0. Finally, the House began debate on House File 4493, which would authorize pharmacists to initiate, prescribe, administer, and dispense certain drugs for opioid use disorder, including buprenorphine/Suboxone. Representative Baker said the bill would save lives by allowing people to access treatment immediately through local pharmacies, especially in greater Minnesota, and help them through withdrawal when they are most likely to seek help. The transcript cuts off during the opening of discussion on this bill, before any vote or final action is shown.

Transcript Highlights:

• The International Fire Code, in particular, is adopted under administrative rules for the state of North
• The International Fire Code, in particular, is adopted under administrative rules for the state of North
• The International Fire Code, in particular, is adopted under administrative rules for the state of North
• And so I think I, as a pharmacist, and of course in this particular space, cannot emphasize enough that
• So PAs, we understand as pharmacists, as clinicians in the room and whoever else is in the space, PAs

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• In many cases, PBMs will not allow the Medicaid recipient to go to a local pharmacist.
• Is there anything that deals specifically with the local pharmacist?
• I represent SPAR, which is a group of independent pharmacists in the state of Florida.
• They're treating Florida just like they do my independent pharmacist. They deny. They delay.
• I'm a pharmacist and a very proud Floridian. Thank you for this opportunity to speak today.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• Hawaii Pharmacist Association. Please proceed. >> We oppose. I'm Derek.
• Hawaii<00:04:37.120> pharmacist<00:04:37.759> associate.
• <00:04:38.800> Please Hawaii pharmacist associate. Please Hawaii pharmacist associate.
• Corey Sanders, Hawaii Pharmacist Corey Sanders, Hawaii Pharmacist Association<00:05:36.639> in
• Hawaii Pharmacists Association in support. Krie Sanders. She's left.

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:

• The International Fire Code in particular The International Fire Code in particular is adopted under
• And so I think I, as a pharmacist, and of course in this particular space, cannot emphasize enough that
• So PAs, we understand as pharmacists, as clinicians in the room, and whoever else is in the space, PAs
• As much as a pharmacist, I think, about the medications, there are many things you can do to treat pain
• And when you, again, when you think about having an intern, they're great.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• And so now we have students who are in their senior year who are now able to intern with the Department
• Students who are in their senior year are now able to intern with the Department of Health for a paid
• They are credentialed in both education and health-related careers, including a trained pharmacist...
• ...credentialed in both education and health-related careers, including a trained pharmacist and researcher
• Biology Olympiad, Regeneron Science Talent Search, National Science Bee, and the International Science

Summary: The Senate Committee on Education Postsecondary met to receive an update from Florida developmental research lab schools on articulated health care programs created under the Live Healthy initiative and Senate Bill 76. Chair Calatayud opened the meeting, confirmed a quorum, and heard presentations from P.K. Young/University of Florida, Florida State University Schools, FAMU Developmental Research School, and Florida Atlantic University Laboratory School. Each school described efforts to build K-12-to-postsecondary health care pathways, expand dual enrollment and industry certifications, and share replicable curriculum models with other districts. FSU Schools highlighted its HERO program, including CNA and food manager certifications, dual enrollment growth, reserve seating at colleges, and a paid internship with the Department of Health tied to emergency shelter operations. P.K. Young described its Healthy Lives Blueprint, which combines K-8 wellness experiences, a new high school health and human performance pathway, AP and science course expansion, a planned gymnasium redesign, and partnerships with Santa Fe College and UF. FAMU DRS reported growing dual enrollment, partnerships with FAMU, Tallahassee State, and Lively, and a goal of serving at least 100 students and 40 staff through health career exposure, certifications, and AA/AS pathways. FAU Lab School described a more advanced model that integrates elementary through high school research and health science experiences, including biotechnology, bioengineering, and partnerships with health and research institutions. The school reported 87 peer-reviewed student publications, more than $350,000 in student grants, six patents, and pipelines into FAU’s medical and nursing programs, including a Med Direct pathway and a National Merit Scholar pipeline. Committee members asked about student readiness for nursing programs, dual enrollment, articulation with state colleges, and how the lab school models could be disseminated statewide. The meeting concluded with praise for the programs and a motion by Senator Fine to adjourn, which was adopted without objection.

Transcript Highlights:

• Tobias King is speaking for the International Institute of Orthotics and Prosthetics.
• International Institute of Orthotics and Prostetics. Tobias King speaking for Good afternoon, Mr.
• And the local pharmacist would say, but that's, you're calling, you have a withhold on it.
• I think the international piece is where you're really striking a chord with me.
• I think the international piece is where you're really striking a chord with me.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• My name is Sidney Baker, and I'm testifying on behalf of Buckner International in favor of House Bill
• International Hat does it. The state association, we also do it.
• I'm a pharmacist with Amazon Pharmacy here in Austin, and I'm testifying on behalf of Amazon Pharmacy
• We have a team of pharmacists available 24/7 to answer any clinical questions, and we accept most insurance
• Obviously, I am for pharmacists.

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• If they're severe internal bleeding, we can't fix that in the street.
• right if they're severe internal right if they're severe internal bleeding<00:22:38.200> we
• They're able to bring national, international experts to the table to testify on occasion.
• experts to the national International experts to the table<02:56:10.920> to<02:56:11.160>
• administrative internal administrative internal processes<03:16:14.479> representative<03

Keywords: 1189, house, all

Transcript Highlights:

• Number 53, with SHI International Corp.
• Number 53 with SHA International Corp, this is to develop the Number 53 with SHI International Corp,
• This is for a clinical pharmacist for the Conway Human Development Center.
• This is a pharmacist in Arkadelphia.

Keywords: 1204, all

Transcript Highlights:

• AB 1794 allows internal nutrition formula to be shipped directly to the homes of patients who depend
• amendments in the Business and Professions Committee to address some of the concerns expressed by the Pharmacists
• Association, and we will continue working with them to ensure that a licensed pharmacist provides oversight

Summary: The Assembly Appropriations Committee heard a regular order agenda with 101 bills and first took up AB 2215, which would extend the time for the Department of Water Resources to fully develop its State Water Project water rights. The author and supporters argued it would improve water reliability and affordability for millions of Californians and could save ratepayers money, while opponents said it would bypass the Water Board’s administrative process, set a precedent for other water rights holders, and potentially facilitate costly projects like the Delta Conveyance Project. The bill was moved on a do pass vote, with Mr. Hoover voting no and Ms. Krell not voting. The committee then approved two consent calendars and heard several bills with little or no opposition. These included AB 2038 on extending insurance nonrenewal/cancellation protections for wildfire victims; AB 2322 on clarifying which commercial, industrial, or institutional sites are subject to municipal stormwater permits; AB 1794 on direct home shipment of enteral nutrition; AB 1696 on clarifying that nurse midwives do not need physician supervision within their scope of practice; AB 1860 on allowing county offices of education to use design-build methods; AB 1876 on codifying nondiscrimination protections in health care; AB 2281 on election cybersecurity resources; AB 2448 on protecting sensitive medical records and reproductive health data; AB 1994 on providing victims with information about federal immigration relief options; and AB 1829 on expanding how CalWORKs community college funds may be used to support student parents. Most were supported by sponsoring organizations and related stakeholders, with limited opposition noted on AB 1696 and AB 2281. The committee also placed a large suspense calendar on approval, listing dozens of additional bills, and then opened public comment on bills not heard that day. No members of the public came forward, and the hearing was adjourned. Several bills were reported out on roll call votes, with some members not voting or voting no on particular measures, but the transcript does not provide full vote tallies for each bill.