Transcript Highlights:

• Right now, some brand-name drug manufacturers pay generic companies to keep them in line. options off
• The fact is drug prices are too high.
• or biosimilar drugs, end quote.
• What happens in these cases are that a brand-name drug company uses their own money to buy off a generic
• 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:

• It's pretty clear from the evidence that biosimilar generic drugs save patients money: $467 billion in
• When you're looking at biosimilar and generic drugs, companies use the WAC to compete against each other
• We don't have a problem with low-cost generic drugs or biosimilars. We support those 100%.
• 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:

• I am a general internist.
• Many of you who are on generic medications may know that your generic pills sometimes look different
• Ryan: Is that generally accurate?
• And I'm looking at our general counsel, who handles our IPRA requests. Okay.
• legislature to provide that same general fund appropriation.

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:

• We do believe that prior authorization should apply to those drugs.
• How often drugs need to be refilled and prescribed.
• We do have an exception for if a generic equivalent or drug, I'm looking at line 3, that is biosimilar
• to the chronic maintenance drug is added to the formulary.
• While we are waiting for its use, it is going to the general fund.

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
• and generally have to evaluate the patient.
• Not 15,000 people in general, but 15,000 New Mexicans.
• And drug use and random drug testing is a way of life with a lot of the companies. that are trying to

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

Bills: SSB1017 , SSB1029 , SSB1080 , SF117 , SF120 , SSB1052 , HF12 , HF14 , HF104 , HF124 , HF146 , HSB7 , HSB8

Committee: Joint Health and Human Services

Keywords: pharmacy benefits manager, reverse auction, public employees, health insurance, drug pricing, health care costs, price transparency, cash price, discounted cash price, average allowed amount, deductible credit, cost-sharing, health carrier, health benefit plan, out-of-network, network provider, prescription drugs, formulary, generic drug, pharmacy benefit

Transcript Highlights:

• Any Schedule I drug.
• He said it seems like the bill says that if the FDA takes a Schedule I drug off, any Schedule I drug,
• He said it seems like the bill says that if the FDA takes a Schedule I drug off, any Schedule I drug,
• Any particular drug?
• and life-saving drug.

Bills: HB5141 , HB4638 , HB2264 , HB2035 , HB4813 , HB4408 , HB2684 , HB1621 , HB2300 , HB216 , HB3829 , HB4466 , HB1747 , HB2284 , HB3614 , HB2587 , HB3219 , HB3318 , HB5147 , HB4014 , HB216

Committee: House Public Health

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• Last year, two years ago, we included immunologic and biologic drugs.
• along, but again, it's usually the same drug.
• Every now and then you may have the experience that if you're on a generic drug, you may see that it
• looks different, and that's because there are different generic drug makers. ...for the generic, and
• 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:

• Ruth captivated younger generations with her role on Sesame Street, and her voice brought characters
• One that embodies the spirit of Texas, a fifth-generation Longhorn, and Westlake County. high school
• As you know, quantum computing is probably the next generation of emerging technologies.
• They are not controlling; you have your general partner that controls the limited partnership.
• So this bill deals with a penalty enhancement for selling drugs.

Bills: HB5560 , HB2 , HB24 , HB3233 , HB1397 , HB2067 , HB3133 , HB5696 , HB5680 , HB2885 , HB3966 , HB3556 , HB3595 , HB144 , HB26 , HB2038 , HB521 , HB4 , HB 1178 , HB42 , HB 1211 , HB783 , HB3963 , HB2240 , HB1690 , HB 1234 , HB3372 , HB27 , HB4211 , HB2243 , HB2853 , HB4638 , HJR7 , HB 100 , HB 126 , HB3783 , HB5138 , HB2512 , HB5616 , HB4751 , SB17 , SB1637 , SB1833 , SB2155 , SB21 , SB2778 , SB260 , SB8 , SB12 , SB37 , SB379 , SB441 , SB1566 , SB2878 , HB4112 , HB3866 , HB4749 , HB2844 , HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development

Bills: HB5560 , HB2 , HB24 , HB3233 , HB1397 , HB2067 , HB3133 , HB5696 , HB5680 , HB2885 , HB3966 , HB3556 , HB3595 , HB144 , HB26 , HB2038 , HB521 , HB4 , HB 1178 , HB42 , HB 1211 , HB783 , HB3963 , HB2240 , HB1690 , HB 1234 , HB3372 , HB27 , HB4211 , HB2243 , HB2853 , HB4638 , HJR7 , HB 100 , HB 126 , HB3783 , HB5138 , HB2512 , HB5616 , HB4751 , SB17 , SB1637 , SB1833 , SB2155 , SB21 , SB2778 , SB260 , SB8 , SB12 , SB37 , SB379 , SB441 , SB1566 , SB2878 , HB4112 , HB3866 , HB4749 , HB2844 , HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development

Transcript Highlights:

• In 1992, Attorney Richard Ieyoub appointed her as Deputy Attorney General in charge of the Civil Division
• She concluded her distinguished public service career as General Counsel for the University of Louisiana
• Therefore, be it resolved... ...public service career as General Counsel for the University of Louisiana
• task force on energy infrastructure and modernization to study policies that promote energy self-generation

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

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:

• Members, we added Section F at the request of the Attorney General, and it requires that if the Attorney
• General finds a particular agent or agency fee is unreasonable, it may be subject to judicial review
• to candidates who are affiliated with the major political party to provide for qualifying for the general
• 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:

• Illegal aliens, child molesters, and drug dealers are being deported.
• AND DRUG -- MOLESTERS AND DRUG DEALERS ARE BEING DEPORT.
• His unwavering commitment to justice will inspire generations to come.
• His unwavering commitment to justice will inspire generations to come.
• His unwavering commitment to justice will inspire generations to come.

Bills: HR997 , HR517 , HR1152 , HB1491 , HR1155 , HR998 , HR1234

Keywords: House of Representatives, code of conduct, suspension of rules, time zone clocks, rules reform, legislative efficiency, hospital, healthcare, anniversary, Sisters of Mercy, community outreach, American cowboy, cattle trails, historical recognition, 250th anniversary, cultural heritage, economic impact, tourism, agriculture, disaster relief

Transcript Highlights:

• Just in general, if you're here to testify...
• Thanks to all of our donors and supporters for their generous donation. Thank you. Thank you.
• Drug crimes obviously happen all the time, day in and day out, in Houston.
• Without drugs, they keep their car clean.
• My name is Celeste, and I'm the General Counsel of the Texas Bankers Association.

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:

• 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:

• 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
• So, I think that those individuals can get help but through separate means outside of the drug court
• It be conditioned on them getting that within a certain period of time is Generally, the answer that
• And I have filed that on general once in a great while, so Representative, yeah, I think this will be

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
• care in order to dispense the drugs.
• , restrict, or prohibit the acquisition of a 340B drug by or delivery of a 340B drug to a covered entity
• Starting in 2020, drug manufacturers began unilaterally restricting access to 340B drugs in our contract
• 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

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.

Transcript Highlights:

• Jones: Magistration generally is secret, right?
• But generally, I mean, I literally have looked... Rep.
• Like I said, he abused alcohol, he did drugs.
• I am a pastor and fifth-seventh generation Texan.
• Generally in the best of circumstances they will be 57, 58 years old.

Bills: HB285 , HB795 , HB1795 , HB1871 , HB2407 , HB2461 , HB2695 , HB3507 , HB4911 , HB200

Committee: House Criminal Jurisprudence

Keywords: animal cruelty, nonlivestock, prosecution, veterinary defense, animal welfare, aggravated assault, penal code, public servant, deadly weapon, mass shooting, Penal Code, penalties, felony, Texas Penal Code, felony enhancement, first-degree felony, second-degree felony, violent crime, assault punishment, serious bodily injury