Transcript Highlights:

• About a tenth goes to prescription drug spending.
• Period. But I think, when you...
• With prescription drugs, it's the same drug.
• drug spending has been... been, on average, prescription drug spending has been, or prescription drug
• We are expecting 2024 data any minute, but it does show prescription drugs, retail prescription drugs

Keywords: 1184, house, all

Transcript Highlights:

• Hepatitis B has a window period of up to 24 days.
• So there is a window period. So, for instance, For HIV, the window period is 10 days.
• That window period is a big concern.
• We do, but there's that window period. That's again, that they would test negative.
• There's a prescription, which I think, based on my understanding of doctors, if they write a prescription

Keywords: 1184, house, all

Transcript Highlights:

• :20:52.159> but<00:20:52.480> after exclusion period would apply, but after exclusion period
• And that I think again is unnecessarily prescriptive.
• And that I think again is unnecessarily prescriptive.
• And that I think again is unnecessarily prescriptive.
• And that I think again is unnecessarily prescriptive.

Keywords: 1191, senate, all

Transcript Highlights:

• Well, here in Texas, you need a prescription to get it. Yes, ma'am.
• and they were refusing to fulfill those prescriptions.
• That it's right now is a prescription-only medication.
• Let me talk about a couple of prescription medications.
• A patient needs to see a doctor prior to prescription.

Bills: HB25, HB48, HB149, HB254, HB26, HB192, HCR3, HCR4, HCR5, HCR6, HCR8, HCR14, HCR16, HR1, HR2, HR3, HR4, HR6, HR7, HR8, HR9, HR12, HR11, HR13, HR14, HR15, HR16, HR20, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR45, HR48, HR49, HR51, HR52, HR55, HR56, HR57, HR59, HR60, HR61, HR62, HR63, HR64, HR65, HR66, HR70, HR71, HR72, HR74, HCR2, HCR7, HR10, HR21, HR35, HR36, HR37, HR38, HR39, HR40, HR42, HR43, HR44, HR46, HR47, HR50, HR53, HR54, HR67, HR69, HR75, HCR 5, HCR 6, HCR 8, HCR 14, HCR 16, HR 1, HR 3, HR 4, HR 6, HR 7, HR 8, HR 9, HR 12, HR 11, HR 13, HR 14, HR 15, HR 16, HR 20, HR 22, HR 23, HR 24, HR 25, HR 26, HR 27, HR 28, HR 29, HR 30, HR 31, HR 32, HR 33, HR 45, HR 48, HR 49, HR 51, HR 52, HR 55, HR 56, HR 57, HR 59, HR 60, HR 61, HR 62, HR 63, HR 64, HR 65, HR 66, HR 70, HR 71, HR 72, HR 74, HCR 7, HR 10, HR 21, HR 35, HR 36, HR 37, HR 38, HR 39, HR 40, HR 42, HR 43, HR 44, HR 46, HR 47, HR 50, HR 53, HR 54, HR 67, HR 69, HB 25, HB 48, HB 149, HB 254, HB 26, HB 192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

• Amendment number three removes the prohibition on collectors using a waiver of the prescriptive period
• period.
• Talking about the prescriptive period with the accrual of interest and the delinquency penalties, are
• we not maybe inadvertently encouraging taxpayers to prolong that period if they don't have to pay any
• So what your bill does, it creates a prohibition against multiple audits, or it creates a time period

Summary: The Ways and Means Committee met on May 5, 2026, and first considered Senate Bill 436 by Senator Cloud, which revises how annual aviation fuel estimates are calculated for the Aviation Trust Fund. Senator Cloud explained that the fund supports airport and aviation projects and is used to draw down federal matching dollars, but its credited amount has remained flat for years despite changing fuel sales. The committee adopted a set of amendments allowing DOTD’s Office of Multimodal Commerce to use federal and other public data sources, requiring annual sales tax collection reports from the Department of Revenue, and making a technical change. The bill was then reported favorably as amended, with several supporters’ cards entered into the record. The committee next took up House Bill 1039 by Representative Desotel, dealing with local sales and use tax audit procedures. Desotel said the bill was intended to improve fairness, transparency, and consistency in local audits, especially where businesses face multiple simultaneous audits by different parishes. A nine-amendment set was offered; after discussion, the committee adopted all amendments except Amendment 4, which would have required private auditing firms to be domiciled in Louisiana, and authorized staff to make technical changes. Members raised concerns about whether the bill could unintentionally encourage delays in audits and about whether audits in one parish could trigger audits in others. Desotel said the goal was to add guardrails without harming parish taxing authority, and the bill was reported as amended. Several witnesses and committee members spoke in support of stronger limits on repeated parish audits, describing the burden on businesses and the need for a more uniform process. Support cards were read into the record from multiple individuals and organizations, including the Louisiana Retailers Association and NFIB. Senate Bill 423 was then voluntarily deferred, and the committee adjourned after no further business.

Transcript Highlights:

• reserves used in the postco uh period reserves used in the postco uh period and<01:35:07.960>
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription

Keywords: 1191, senate, all

Transcript Highlights:

• In the case of prescription drug mandates, CAP will continue to encourage thorough review of prescription
• I think we have a different set of time periods built in.
• Enrollment in health plans is restricted to set periods.
• It is prescriptive.
• In a four-month period, we had 400 law enforcement drop-offs.

Keywords: 987, senate, all

Transcript Highlights:

• 00:30:30.159> that often thousands of prescriptions that often thousands of prescriptions that
• audits from prescription prescription audits from prescription benefit<00:32:00.880> management
• 18-month period of approval or denial. 18-month period of approval or denial.
• less than an 8 hour period. less than an 8 hour period.
• prescription department itself. prescription department itself.

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• CASPER is the Kentucky all-schedule prescription Electronic Reporting System, and these changes cannot
• <00:03:20.239> Electronic<00:03:21.000> Reporting<00:03:21.519> System prescription
• Electronic Reporting System prescription Electronic Reporting System and<00:03:22.440> these<
• to be filled for a determined period after the death.
• <00:16:21.839> and through um this this grief period and through um this this grief period

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• <02:35:46.080> of these people for extended periods of these people for extended periods of
• devices associated with prescription devices associated with prescription medication.<04:03:46.160
• are prescribed required prescriptions. are prescribed required prescriptions.
• Um, prescription through a physician.
• there was never a prescription for it. there was never a prescription for it.

Keywords: 1189, house, all

Transcript Highlights:

• We'd like to limit the validity period to six months instead of a year.
• We'd like to limit the validity period to six months instead of a year.
• Sometimes they have active, open prescriptions for two competing drugs.
• Or they could be a prescription from UC Davis, like where I go. That is a 340B prescription.
• prescription that's being dispensed be part of the 340B program?

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• It's available now by prescription.
• And that label is on the prescription form of the drug.
• So when I go to get a prescription, because I obviously can't get prescriptions.
• That's part of our prescriptive authority.
• You can order a prescription. In India, it's not prescription.

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• These are for specific allowable health care services, and it excludes prescription drugs at this time
• These are for specific allowable health care services, and it excludes prescription drugs at this time
• My one question historically: there was a timeout period where, if you had gotten a preauthorization
• Yeah, it would be reviewed periodically.
• database under cavis over over a period database under cavis over over a period of<00:19:29.400>

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• You can access it without a prescription? Ms.
• Wu: It is not approved for prescription dispensing Mr.
• Oliverson: A prescription-only medication, yes sir.
• To say pharmacists shall fill prescriptions?
• Let me talk about a couple prescription medicines.

Bills: HB25, HB48, HB149, HB254, HB26, HB192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

• would still be a need to renew a prescription every year.
• So there would be physician oversight of the prescription on a more frequent basis.
• Everyone wants prescriptions easier to get, but we do have concerns about patient safety.
• Yes, so essentially a period of time before and after your birthday for a 60-day period.
• So I know that there is a yearly enrollment period, and you could change.

Bills: SB20, SB21, SB166, SB177, SB181, SB189, SM6

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• Period. Gifts and grants. It would be administered by...
• It was a very difficult several-day period once it was administered without proper medical control. and
• Period. I had no faith in my life growing up. I was never delivered to a church. Period.
• I don't care. in this room, you're not, period.
• Currently, the State of Texas leverages its bulk purchasing power to negotiate lower prescription drug

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• And that throughout the past 20 years, prescription drug prices have gone up exponentially.
• of sort of fluctuation there, but I think it will eventually sort of normalize over a period of time
• I'm only on one prescription med. I have friends who are on 10 or 15 or 20.
• 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

Transcript Highlights:

• And this all has rapidly changed over a period of time.
• 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.
• There's a sign-up period.

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:

• <00:49:32.319> comes allow them to if if a prescription comes allow them to if if a prescription
• 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:

• I saw clients sent out for dental work only to return with an opioid prescription in hand. opioids if
• And the reality is that you are your own best patient advocate, period, the end, right?
• And the reality is that you are your own best patient advocate, period, the end, right?
• And the reality is that you are your own best patient advocate, period, the end, right?
• And the reality is that you are your own best patient advocate, period, the end, right?

Keywords: 1183, house