Transcript Highlights:

• I think most of you know we have a formulary law in the state, and that says we cannot remove a drug
• in a drug formulary.
• To utilize the net cost calculation for branded prescription drugs and a drug formulary in lieu of placing
• a generic or biosimilar on the drug formulary.
• the cost-sharing amount if the generic or biosimilar was added to the drug formulary at a more favorable

Bills: HB591 , HB765 , HB826 , HB870 , HB938 , HB1151 , HB1162 , HB1176 , HB1196 , HB1236 , HB1241

Committee: Senate Insurance

Keywords: liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs, generic drugs, biosimilars, formulary placement, drug formulary, cost-sharing

Transcript Highlights:

• And then on page 14, the prescription is written for drugs that may have a cosmetic use.
• talk about severe mental illness and prior authorization there, you're dealing with some very serious drugs
• And we're concerned that by ...removing prior authorization from the drugs that are used for serious
• mental illness, you're making it so that some of these drugs, including opioids, can make it out into
• When, in fact, if there's going to be a change in the drug or the dosage, that's going to be made by

Bills: SB20 , SB111 , SB211 , SB218 , SB14

Committee: Senate Senate Health & Public Affairs

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:

• So we are now on the committee substitute for SB 20: Prior Authorization and Prescription Drugs.
• for severe mental illness, we're concerned that drugs could be out there that may not be used in an
• We do believe that prior authorization should apply to those drugs.
• How often drugs need to be refilled and prescribed.
• to the chronic maintenance drug is added to the formulary.

Bills: SB101 , SB21 , HM52 , HB132 , SB14 , SB20

Committee: House House Health & Human Services

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Transcript Highlights:

• So we've gone through different drugs, but one drug in particular harmed them and made them sicker, or
• You're talking about some very serious drugs, and removing prior authorization for those drugs is a concern
• They could be getting some drugs that might cause some different effects that weren't intended to.
• And drug use and random drug testing is a way of life with a lot of the companies. that are trying to
• Inebriated or intoxicated, or you are under the influence of some drug, right? We already have.

Bills: SB20 , SB53 , SB86 , SB96 , SB129

Committee: Senate Senate Health & Public Affairs

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:

• psilocybin may produce changes in perception, mood, and cognitive processes common to other psychedelic drugs
• And we also believe that the bill could be premature because FDA-approved drugs are coming soon.
• The first bill is Senate Bill 5916 concerning non-opioid drugs for the treatment of pain.
• the covered entity uses 340B drug savings.
• We do have Senate Bill 5916 concerning non-opioid drugs for the treatment of pain before us.

Bills: SB5921 , SB5185 , SB6182 , SB6115 , SB6258 , SB5916 , SB5981 , SB5985 , SB6019 , SB6161 , SB6183

Committee: Senate Health & Long-Term Care

Keywords: psilocybin, mental health, therapy, decriminalization, legalization, international medical graduates, preceptorship, hardship pathways, medical practice, licensure, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund, abortion savings account, health carrier assessment, insurance assessment, health insurer tax, Department of Health

Bills: SCR12 , HB221 , HB509 , HCR58 , HB75 , HB1222 , SB121 , SB312 , SB348 , SB485 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR54 , HCR79 , HCR87 , HCR94 , HCR104 , HCR32 , HB944 , HB17 , HB41 , HB73 , HB223 , HB244 , HB410 , HB750 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB208 , SB217 , SB283 , SB387 , SB389 , SB401 , SB408 , SB469 , HB74 , HB119 , HB368 , HB414 , HB552 , HB732 , HB776 , HB848 , HB870 , HB953 , HB956 , HB1236 , SB29 , SB42 , SB43 , SB78 , SB149 , SB274 , SB300 , SB341 , SB382 , SB441 , SB449 , HB134 , HB210 , HB258 , HB359 , HB468 , HB784 , HB1117

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Bills: HCR74 , HCR95 , HB705 , HB1048 , SCR23 , SCR31 , SCR38 , SB49 , SB233 , SB307 , SB326 , SB387 , SB401 , SB435 , SB495

Committee: House House and Governmental Affairs

Keywords: trade commission, international relations, Louisiana, United Kingdom, economic exchange, cultural exchange, infrastructure investment, sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, contempt, legislature, disorderly conduct, bribery, arrest, legislative privilege

Transcript Highlights:

• Last year, two years ago, we included immunologic and biologic drugs.
• And this is to make sure that somebody is not kept drugged up all the time.
• And this is to make sure that somebody is not kept drugged up all the time.
• along, but again, it's usually the same drug.
• So this is a convenience. ...as the previous brand-name drug.

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

Committee: Senate Senate Tax, Business & Transportation

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:

• As some background, HIV antiviral drugs are used for the treatment of those with HIV to suppress the
• - and multi-pill options that are required to be taken daily, as well as longer-lasting injectable drugs
• One exception to this: if there's more than one therapeutic equivalent of a drug for the prevention of
• These barriers put patients at risk of worsening symptoms and dangerous drug interactions.
• These barriers put patients at risk of worsening symptoms and dangerous drug interactions.

Bills: SB5985 , SB6019 , SB6161 , SB6183 , SB6210 , SB6194 , SB6102 , SB6103

Committee: Senate Health & Long-Term Care

Keywords: endometriosis, healthcare, reproductive health, patient education, awareness campaign, home care, home care services, home care agency, home care worker, caregiver, direct care, consumer directed employer, consumer-directed care, Medicaid, long-term care, aging services, disability services, personal care, respite care, vendor rate

Bills: SCR12 , HB1259 , HB221 , HB509 , HCR117 , HCR58 , SCR29 , SCR33 , SB295 , SB312 , SB326 , SB348 , SB485 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HCR5 , HCR95 , HB75 , HB198 , HB244 , HB302 , HB325 , HB623 , HB719 , HB749 , HB755 , HB761 , HB797 , HB823 , HB1028 , HB1049 , HB1194 , HB1199 , HB1201 , HB1222 , HB17 , HB27 , HB36 , HB41 , HB73 , HB140 , HB166 , HB181 , HB211 , HB223 , HB226 , HB271 , HB308 , HB337 , HB399 , HB410 , HB487 , HB690 , HB712 , HB730 , HB750 , HB759 , HB762 , HB775 , HB906 , HB966 , HB968 , HB1006 , HB1009 , HB1018 , HB1036 , HB1062 , HB1081 , HB1086 , HB1098 , HB1107 , HB1112 , HB1203 , HB1215 , HB1220 , HB1242 , HB1252 , HB1256 , SB208 , SB217 , SB274 , SB283 , SB300 , SB341 , SB382 , SB387 , SB389 , SB401 , SB408 , SB449 , SB469 , HB74 , HB119 , HB134 , HB368 , HB414 , HB552 , HB732 , HB776 , HB848 , HB870 , HB953 , HB956 , HB1117 , HB1236 , SB29 , SB42 , SB43 , SB78 , SB149 , SB441 , HB210 , HB258 , HB359 , HB468 , HB784

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, HCR117, House Concurrent Resolution 117, HOPE Committee, Homeowner Protection and Efficiency, Louisiana Citizens Property Insurance Corporation

Transcript Highlights:

• It's an act to amend Title 22 relative to health insurance to establish requirements for formulary placement
• This is one of the four PBM package bills that deals with marketed generic drugs, net calculations, and

Bills: SCR12 , HB221 , HB509 , HCR58 , SB78 , SB25 , SB80 , SB132 , SB155 , SB157 , SB202 , SB228 , SB250 , SB414 , SB433 , SB479 , SB513 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB17 , HB41 , HB73 , HB223 , HB244 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB217 , SB283 , SB469 , HB36 , HB42 , HB74 , HB119 , HB159 , HB259 , HB302 , HB414 , HB459 , HB776 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB208 , SB312 , SB382 , SB389 , HB210 , HB258 , HB359 , HB368 , HB468 , HB552 , HB732 , HB784 , HB870 , HB953 , HB1117 , HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• They'll help make prescription drugs more affordable.
• Hopefully, transparency driving down the cost of prescription drugs.
• The fact is drug prices are too high.
• The Drug Competition Enforcement Act would prohibit product hopping.
• drug dealer. manufacturer from offering patients a far more affordable generic version of the drug.

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

Committee: Senate Senate Judiciary

Keywords: drug competition, product hopping, generic drugs, biosimilars, federal regulations, FTC Act, Federal Trade Commission, sham petitions, competition, public health, unfair competition, healthcare, pharmaceutical, antitrust law, pay-for-delay, reverse payment settlement, interchangeable biologics, brand-name pharmaceuticals, patent settlement, antitrust

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

Transcript Highlights:

• services, funding, mental health evaluations, and outcomes associated with the 18th Judicial District Drug
• cost-sharing obligations for specific drugs.
• when they are picking the cheapest drug.
• The insurance companies and PBMs notify the formulary when they are picking the cheapest drug.
• Senate Bill 401 by Senator Talbot provides relative to the Prescription Drug Affordability Board.

Bills: HR310 , HR314 , HR316 , HR317 , HR321 , HR275 , HR276 , HR279 , HR282 , HR286 , HR289 , HR292 , HR295 , HR302 , HR319 , HCR112 , HR307 , SCR59 , SCR61 , SCR62 , SCR68 , SCR69 , SCR70 , SCR54 , SCR55 , SCR64 , SCR75 , HCR79 , HCR104 , HB75 , HB410 , HB719 , HB750 , HB944 , HB1098 , HB1220 , HB1252 , HB359 , HB210 , HB468 , HB1117 , SB382 , HB368 , HB552 , HB732 , HB870 , HB1236 , SB29 , SB42 , SB43 , SB149 , SB208 , SB274 , SB300 , SB312 , SB387 , SB389 , SB401 , HR74 , HB998 , HB901 , HR20 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , SB97 , SB123 , SB237 , HB36 , HB42 , HB74 , HB119 , HB159 , HB258 , HB259 , HB302 , HB414 , HB459 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB217 , SB283 , SB469

Keywords: oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding, taxpayer liability, public liability, offshore wells, onshore wells, coastal erosion, Department of Conservation and Energy, natural resources

Transcript Highlights:

• House Bill 2613 relates to drug compounding. We're using bulk drug substances.
• They must either be components of FDA-approved drug products or appear on the FDA's list of bulk drug
• Because compounded drugs are not FDA-approved, Because compounded drugs are not FDA-approved, they carry
• Because compounded drugs are not FDA-approved, when it can't be met by an FDA-approved drug.
• drug is on the FDA's drug shortage list.

Bills: HB2545 , HB2613 , HB1496 , HB2155 , HB2283 , HB2340 , HB2425 , HB2437 , HB2577

Committee: House Health Care & Wellness

Keywords: healthcare, patients, cardiovascular procedures, outpatient services, surgical facilities, HB2613, compounded medications, compounded drugs, pharmacy compounding, bulk drug substances, active pharmaceutical ingredients, API, drug safety, patient safety, pharmacy license, Washington pharmacy law, RCW 18.64, Food, Drug, and Cosmetic Act, FDA, pharmaceutical compounding

Transcript Highlights:

• Americans to drug poisonings, primarily due to illicit fentanyl flooding across our borders.
• They're involved in drugs, fentanyl. Extortion, kidnapping, drugs, intimidation, money laundering.
• I'm claiming that... ...in terms of drug dealing? Sorry to interrupt you, sir.
• How does this diversion of resources help us fight drugs in our communities?
• And so many times violent crime is tied to drug trafficking.

Committee: Senate Senate Judiciary

Keywords: fentanyl crisis, DEA, drug trafficking, public safety, Judea Serrata, Terrence Cole, judicial security, social media, drug prevention

Summary: The committee meeting centered on the urgent crisis of fentanyl abuse and the government’s response to the drug trafficking epidemic. Key discussions revolved around the nomination of Terrence Cole as the Administrator of the DEA and Judea Serrata as Director of the U.S. Marshals Service. Cole emphasized his commitment to combating the fentanyl crisis, highlighting the rising number of overdose deaths and the necessity of bipartisan efforts to dismantle drug cartels. Members engaged in dialogue on the effectiveness of various strategies and the importance of education aimed at preventing drug-related deaths among youth. Additionally, the challenges of social media in drug trafficking were highlighted, indicating a need for greater accountability in how platforms handle such issues. Senators voiced concerns about the impact of administration policies on judicial security and the resources available for marshals to perform their critical roles.

Transcript Highlights:

• Sounds good, but it crosses through 5B with intent to deliver a controlled substance or dangerous drug
• And so that's the part that's confusing me: why are we removing certain drug offenses from the organized
• Drug crimes obviously happen all the time, day in and day out, in Houston.
• Without drugs, they keep their car clean.
• provide consent for a search because they believe that police officers are only looking for guns, drugs

Bills: HB316 , HB353 , HB 1160 , HB1414 , HB1422 , HB1443 , HB1713 , HB1789 , HB1902 , HB2073 , HB2666 , HB2695 , HB316

Committee: House Criminal Jurisprudence

Keywords: motor fuel, criminal offense, metering device, organized crime, Texas Penal Code, trespassing, school safety, day-care centers, education, trespass, public safety, utility employees, criminal penalties, assault, harassment, public duties, safety, law enforcement, driving offenses, license regulations

Transcript Highlights:

• It's the deadliest drug in American history.
• It's actually used by people who are using drugs to test their drug beforehand.
• To see, am I really taking an Adderall or whatever the drug that again is illegal.
• Chairman, of wanting to defer to states, but in the area of drug enforcement and drug definition and
• drug scheduling, that really is very much a federal function.

Bills: SB331

Committee: Senate Senate Judiciary

Keywords: fentanyl, controlled substances, drug trafficking, public health, research regulations, law enforcement, S-331, Halt All Lethal Trafficking and Fentanyl Act, fentanyl crisis, public testimony, drug legislation, bipartisan support

Summary: In this committee meeting, the focus was primarily on S-331, the Halt All Lethal Trafficking and Fentanyl Act, aimed at addressing the fentanyl crisis. The bill's key components include making permanent the class scheduling of fentanyl-related substances, confirming existing sentencing penalties, and easing registration requirements for scientific research on Schedule I substances. Numerous parents shared heartbreaking testimonies about their losses due to fentanyl, which fueled an urgent call to pass the legislation without alterations. The committee members engaged in passionate discussions highlighting the urgency of the situation as overdoses continue to claim American lives.

Bills: SR146 , SCR12 , HB378 , HB509 , HB1090 , HB221 , HCR85 , HCR100 , HCR105 , HCR107 , HCR114 , HCR58 , HB723 , SB4 , SB52 , SB57 , SB83 , SB131 , SB143 , SB145 , SB152 , SB194 , SB251 , SB254 , SB279 , SB283 , SB333 , SB353 , SB367 , SB384 , SB389 , SB398 , SB408 , SB431 , SB448 , SB450 , SB465 , SB468 , SB469 , SB484 , SB495 , SB496 , SB509 , SB56 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB59 , HB89 , HB153 , HB243 , HB335 , HB342 , HB407 , HB451 , HB513 , HB595 , HB682 , HB688 , HB690 , HB730 , HB762 , HB802 , HB816 , HB940 , HB1003 , HB1011 , HB1029 , HB1053 , HB1058 , HB1062 , HB1064 , HB1079 , HB1084 , HB1098 , HB1161 , HB1189 , HB1203 , HB1215 , HB1247 , HB1248 , HB1251 , HB1253 , HB1257 , HB1258 , HB17 , HB27 , HB36 , HB41 , HB73 , HB140 , HB166 , HB181 , HB205 , HB211 , HB223 , HB226 , HB259 , HB271 , HB308 , HB337 , HB399 , HB410 , HB487 , HB626 , HB712 , HB740 , HB750 , HB759 , HB775 , HB812 , HB844 , HB906 , HB966 , HB968 , HB979 , HB1006 , HB1009 , HB1018 , HB1036 , HB1038 , HB1081 , HB1086 , HB1107 , HB1112 , HB1155 , HB1220 , HB1242 , HB1252 , HB1256 , SB42 , SB208 , SB217 , SB274 , SB300 , SB341 , SB379 , SB382 , SB387 , SB401 , SB449 , SB487 , HB74 , HB119 , HB134 , HB210 , HB258 , HB468 , HB784 , HB870 , HB953 , HB956 , HB1117 , HB1236 , SB29 , SB43 , SB78 , SB149 , SB441 , HB359

Keywords: SR146, Senate Resolution 146, Louis Thomas Nelson, Thomas Nelson, condolences, memorial resolution, tribute, obituary, public service, St. Martinville, Cade, St. Martin Parish, police juror, mayor, community center, water system, school bus driver, school board, Louisiana Senate, sympathy

Transcript Highlights:

• This makes some modifications to drug court eligibility. You have questions?
• Eligible to participate in the domestic violence treatment program authorized by the drug court program
• I would find it hard to support having those individuals participate in that program through a drug court
• So, I think that those individuals can get help but through separate means outside of the drug court

Bills: SB137 , SB1216 , SB1226 , SB1238 , SB1255 , SB1256 , SB1258 , SB1325 , SB1460 , SB1543 , SB1730 , SB1733 , SB1921

Committee: House Criminal Judiciary

Keywords: electronic monitoring, Department of Corrections, criminal justice, rehabilitation, public safety, SB 1216, drug court, drug courts, Oklahoma drug court, eligibility, substance abuse treatment, addiction, diversion program, criminal justice reform, probation violation, revocation, intermediate revocation facility, plea agreement, speedy trial waiver, preliminary hearing waiver

Transcript Highlights:

• As background, the 340B drug pricing program requires drug manufacturers to provide price discounts on
• , restrict, or prohibit the acquisition of a 340B drug by or delivery of a 340B drug to a covered entity
• in Medicaid and Medicare drug formularies.
• in Medicaid and Medicare drug formularies.
• Today, more than 41 drug manufacturers and 2,000 drugs are affected.

Bills: SB5904 , SB5915 , SB6025 , SB5933 , SB5990 , SB5981

Committee: Senate Health & Long-Term Care

Keywords: nursing titles, licensure, healthcare professionals, patient safety, professional standards, SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines