Transcript Highlights:

• year, we passed a bill that extended protections to doctors, and all this does is extend that to pharmacists
• I will ask you that pharmacists don't write prescriptions; they just fill the prescriptions.
• people call me all the time that say, "Hey, my doctor wrote me this prescription for X, and my pharmacist
• refuses to fill it." and my pharmacist refuses to fill it.

Bills: HB45, HB79, SB79

Keywords: Medicaid, colorectal cancer, screening tests, noninvasive tests, preventive care, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, sex-based terminology, gender identity, male, female, man, woman, boy, girl, single-sex spaces, women's rights

Transcript Highlights:

• 12.960> doctors, one, Department of Health, doctors, one, Department of Health, doctors, pharmacists
• , no one's going to be held pharmacists, no one's going to be held liable?
• And in particular, authorizing pharmacists to administer these vaccinations, that's against the law.
• And in in particular,<00:50:34.920> authorizing<00:50:35.720> pharmacists<00:50:36.760>
• to particular, authorizing pharmacists to particular, authorizing pharmacists to administer administer

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Bills: HB66, HB79, HB95, HB145, HB66, HB79, HB95, HB145

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, HVAC, air conditioning, heating, ventilation, warranty transfer, manufacturer warranty, consumer protection, home sale, residential real property, real estate

Bills: HB66, HB79, HB95, HB145, HB66, HB79, HB95, HB145

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, HVAC, air conditioning, heating, ventilation, warranty transfer, manufacturer warranty, consumer protection, home sale, residential real property, real estate

Bills: HB66, HB79, SB35, HB255, SB134, HB159, HB181

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, sexual extortion, criminal law, felony, threat, blackmail, HB255, Employees' Retirement System of Alabama, ERSA, State Police Tier II Plan, annual leave

Transcript Highlights:

• Is there protection for the pharmacist? ご覧いただきありがとうございます。
• Uh-huh, for the pharmacist, etc. Okay.
• Yeah, pharmacists are required to. when it's over the counter.
• expected the pharmacist to fulfill that prescription. So.
• Yeah, I'm hesitant to speak for the pharmacist.

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

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

Transcript Highlights:

• I'm not a pharmacist.
• What are the duties of the pharmacist? pharmacy tech.
• And again, in my store, we have our pharmacist providing immunizations and a lot of pharmacists.
• Will that be the pharmacist, the tech, the nurse, the doctor?
• So I think as a part of going through. the pharmacist curriculum in pharmacy school, I feel like pharmacists

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• What this bill does is just extend that same protection to pharmacists that fill those prescriptions

Bills: SB191, HB84, HB79, SB132, HB108, HB109, HB110, HB114, HB118, HB120, HB122, HB124, HB126, HB128, HB129, HB131

Keywords: postpartum depression, mental health, Medicaid, screening, education, maternal health, Chiropractic, Board of Chiropractic Examiners, license renewal, continuing education, election procedures, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, SB132, Alabama, controlled substances, Schedule I

Bills: SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB450, SB465, SB506, HB1070

Keywords: human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training

Transcript Highlights:

• Pharmacists, give them full respect; they have four years of training.
• Some attention being paid to what the pharmacist is doing.
• , and frankly, the pharmacist.
• Pharmacists are going to be treating to a test. And we know with flu and...
• Cox is, what does a pharmacist do?

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• pharmacy if you're a pharmacist. pharmacy if you're a pharmacist.
• is limited to a pharmacist. is limited to a pharmacist.
• making it a pharmacist function. making it a pharmacist function.
• things that the pharmacist is doing. things that the pharmacist is doing.
• of no, this is a pharmacist function. of no, this is a pharmacist function.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• Pharmacist, Madam Pharmacist, I'd like to have ivermectin?"
• The pharmacist, whatever the procedures and protocols at the pharmacist association.
• pharmacists.
• A pharmacist may not.
• Is it the pharmacist himself?

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:

• Pharmacist, Madam Pharmacist, I'd like to have ivermectin"? Ms.
• I'm not a pharmacist or a biologist.
• A pharmacist may not.
• Is it the pharmacist themselves?
• Or do pharmacists have to comply?

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:

• The variability in our is dispensed to the patient by a pharmacist.
• Pharmacists do more than dispense medications.
• as a specialized compounding pharmacist.
• Pharmacists are not opposed to regulations.
• I'm a pharmacist with the California Society for Health System Pharmacists.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• Pharmacists are there to serve the patients simply.
• Pharmacists are there to serve the patients simply.
• by a nearby larger community that has a pharmacist, correct?
• Is the pharmacist then liable? Chair, that's a great question.
• Made by a pharmacist.

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:

• <00:25:21.039> and services provided by the pharmacist and services provided by the pharmacist
• do a super job my the pharmacists do a super job my pharmacist<00:25:35.960> was<00:25:36.159
• between the education that pharmacists between the education that pharmacists receive<00:27:08.720
• don't need an additional pharmacist the don't need an additional pharmacist the business<01:06:06.599
• you do not need a full-time pharmacist you do not need a full-time pharmacist for<01:06:23.799><

Keywords: 910, house, all

Summary: The committee heard several measures, beginning with SB 1046 SD1 on condominiums. Testimony on that bill focused on reserve funding and enforcement of reserve study requirements. The Community Associations Institute opposed the bill, saying it would create hardship, confusion, and be difficult to administer, while also urging stronger penalties for boards that fail to comply with reserve study rules. The Real Estate Commission offered comments, and one testifier spoke in support. No vote was taken during the portion provided. The committee then heard SB 532 SD2 HD1 relating to the Department of Education, which would improve access to pre-approved medications for students with health conditions at school and during off-campus activities. The Department of Health, University of Hawaiʻi nursing and medical programs, and the Department of Education all supported the measure, with DOH suggesting amendments to better identify the correct student and improve medication safety. Members had no questions, and the bill moved on. Next was SB 1245 SD2 HD1 relating to pharmacists, a bill to allow reimbursement for clinical services pharmacists are already trained and licensed to provide. The University of Hawaiʻi, Board of Pharmacy, Walgreens, Mikai Drugs, and the Hawaiʻi Pharmacists Association supported the bill, emphasizing improved access to care, recruitment and retention of pharmacists, and better chronic disease management. The Hawaiʻi Pharmacists Association also discussed proposed amendments to prevent plans from denying coverage or network participation when pharmacists meet credentialing requirements. Members questioned whether insurers would actually use pharmacists and how the bill would affect pay and contracting; no vote was taken in the excerpt. The committee also heard SB 1279 SD2 HD1, another pharmacists bill focused on telepharmacy and 340B-related issues. The Department of Corrections and Rehabilitation supported it, saying telehealth could reduce costs and avoid travel for audits, while the Board of Pharmacy opposed it. Lānaʻi representatives opposed the bill and asked for an exemption, arguing the island already has close in-person access to a resident pharmacist and clinics. The Hawaiʻi Primary Care Association supported the measure, citing large patient savings from 340B pricing, while Mikai Drugs opposed it, arguing that mail-order and telepharmacy are not necessary on some islands and can create delivery and medication-safety problems. Members asked questions about insurer participation, scope of practice, and whether the bill would meaningfully change reimbursement; the transcript ends before any final action or vote.

Transcript Highlights:

• have<02:39:26.080> him pharmacist local pharmacist and have him pharmacist local pharmacist
• between a physician and a pharmacist. between a physician and a pharmacist.
• <03:11:03.680> Because uh pharmacists? Because uh pharmacists?
• > uh, pharmacists that represent uh, pharmacists that represent uh, pharmacists<03:13:38.440><
• We now have four primary care pharmacists, two cardiology pharmacists, an anticoag pharmacist, a surgical

Keywords: 1189, house, all

Transcript Highlights:

• <00:12:58.880> Pharmacists get our license renewal. Pharmacists get our license renewal.
• pharmacist to know the laws and rules. pharmacist to know the laws and rules.
• Pharmacists are readily available.
• I'm a clinical pharmacist.
• they're like, I'm seeing a pharmacist. they're like, I'm seeing a pharmacist.

Keywords: 1191, senate, all

Transcript Highlights:

• pharmacists in our state.
• I want to help every pharmacist in the room. I... to help every pharmacist in the room.
• and pharmacists... that community pharmacists and pharmacists, in general, are a vital part of Alabama's
• our independent pharmacists.
• You got to have a pharmacist.

Keywords: 923, senate, all