Transcript Highlights:

• That subject is pharmacy benefit managers.
• The first one is that no contract between the Oklahoma Employees Insurance and pharmacy benefit managers
• Referential favorable treatment to bidders whose pharmacy benefit managers do not own health insurance
• companies or retail pharmacy chains, special pharmacy businesses, mail order pharmacy businesses, or
• Pharmacies than the rural pharmacies.

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy

Transcript Highlights:

• How do we manage that with the bill?

Bills: SB209, SB248, HB122, SB99, SB209, SB248, HB122, SB99

Keywords: sales tax exemption, Consumer Price Index, local government, clothing, school supplies, emergency preparedness, Alabama Administrative Procedure Act, APA, administrative law, judicial review, agency deference, Chevron deference, de novo review, contested case, state agency, regulatory power, individual liberty, statutory interpretation, rule interpretation, license revocation

Transcript Highlights:

• It says that when a pharmacy fills a prescription, the pharmacy benefit manager needs to reimburse the
• That's on page four, where you say the pharmacy benefit manager shall bear all costs associated with
• It doesn't restrict the ability of any plan from any pharmacy benefit manager negotiations.
• This next line says a health insurer or pharmacy benefit manager may implement co-pay assistance.
• There's some instructions on how the pharmacy benefit manager should send the claim.

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

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, 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

Transcript Highlights:

• Members, House Bill 3538 is a bill to address the monopoly, the monopolistic practices of pharmacy benefit
• So, if the industry chooses to operate pharmacies, they can operate the Pharmacies if they choose to
• divest those pharmacies, they can divest those pharmacies.
• It's just with the pharmacies and them and being able to get a prescription through the pharmacy Act
• You don't want to have to worry about going downtown to another pharmacy if there's a pharmacy right

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Transcript Highlights:

• Members, House Bill 3538 is a bill to address the monopolistic practices of pharmacy benefit managers
• benefit manager issues.
• If they choose to divest those pharmacies, they can divest those pharmacies.
• CVS pharmacy.
• Move adoption of the Pharmacy Act. There’s minds of the Pharmacy Act.

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Summary: The committee took up a series of health, human services, and related bills. House Bill 3552, allowing child care providers to bridge the gap between subsidy reimbursement rates and standard tuition rates, was adopted and reported out 11-2. House Bill 2984, as a substitute, would direct DHS to compile a report on the child care system, including subsidy payment error rates, the number of facilities, closures, and voluntary closure feedback; it was reported out 14-0. House Bill 4201, changing master teacher requirements in child care from licensed capacity to actual enrollment, also passed unanimously. House Bill 3380, creating the Fostering the Future for Oklahoma Children and Families Act to modernize foster care data systems and improve outcomes, passed 12-0. House Bill 4430 and House Bill 4431, both cleanup measures tied to prior nurse practitioner/PA scope and pharmacy-related provisions, each passed 13-0. Several bills focused on health care access, regulation, and public safety. House Bill 4124 would allow over-the-counter ivermectin sales for human use with labeling and dosing information; after extensive questioning about safety, labeling, children, and liability, it passed 9-5. House Bill 3934, a large amended measure affecting dental practice and supervision rules, passed 14-0 after discussion about x-rays, telemedicine, and dental assistants. House Bill 3448, requiring insurance coverage related to group home provider liability for property damage, passed 14-0. House Bill 3131, setting baseline standards and oversight for homeless shelters with roles split between Commerce and Health, drew concerns about local control, temporary shelters, and fiscal impact, but passed 8-6. House Bill 4200, creating a revolving fund for forensic assertive community treatment teams to address the jail-to-homelessness cycle for people with severe mental illness, passed 11-3. The committee also advanced several public health, consumer, and industry bills. House Bill 1912, the Corn Masa Nutrition Enhancement Act, generated extensive debate over folic acid fortification, parental choice, MTHFR genetics, and potential health effects; with a PCS allowing a non-fortified option, it passed 9-5. House Bill 3011 repealed the home brewing license while keeping home-brewing limits and sales restrictions, and passed 11-3. House Bill 3881, the Alternative Nicotine Products Regulatory Act, increased application costs and removed a registry deemed inconsistent with federal law, passing 13-0. House Bill 3538, targeting pharmacy benefit manager vertical integration and its effects on access and pricing, passed 13-0 after discussion of mail-order restrictions and pharmacy closures. House Bill 3851, defining private label/control label alcoholic beverages under the three-tier system, also passed 13-0. House Bill 3907, requiring direct-hire staffing for facilities serving vulnerable adults and children with a short temporary staffing grace period, passed 13-0. The committee then moved on to House Bill 4457, a specialty-drug/PBM measure, with discussion beginning about PBM practices and specialty pharmacy access.

Bills: SB96, SB97, SB130, HB230, SB154, SB93, SB99, SB96, SB97, SB130, HB230, SB154, SB93, SB99

Keywords: salvage title, salvage certificate of title, rebuilt title, flood vehicle, junk vehicle, total loss, motor vehicle title, vehicle branding, insurance claim, insurance company, Department of Revenue, vehicle inspection, rebuilder, automotive dismantler, parts recycler, secondary metals recycler, junkyard, vehicle identification number, VIN, stolen vehicle

Transcript Highlights:

• significant time and resources to supporting members of the United States armed forces with no financial benefit

Bills: SB1246, SB1510, SB1979, SB1929, SB1930, SB1976, HCR1019, SB1459, SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: environmental permitting, Oklahoma, Department of Environmental Quality, public participation, regulatory framework, administered applications, energy, wind energy, financial assurance, property restoration, environmental regulation, mining, blasting, residential protection, buffer zone, Department of Mines, public utilities, electric transmission lines, landowner rights, payment regulations

Transcript Highlights:

• The amendment won't, but allows them to be full-time employees and get the benefits, etc.
• The amendment won't, but allows them to be full-time employees and get the benefits, etc.
• ><00:26:13.440> the be full-time employees and get the be full-time employees and get the benefits
• 26:15.200> so<00:26:15.600> when<00:26:15.840> we<00:26:16.000> start benefits
• And so when we start benefits, etc.

Bills: HB117, HB17, HB22, HB153, HB140, HB117, HB17, HB22, HB153, HB140, SB12, SB42, SB93, SB28, SB35, SB134, SB12, SB42, SB93, SB28, SB35, SB134

Keywords: procurement, county commission, administrative savings, public services, government efficiency, HB17, municipal audits, municipal audit clarification act, municipal finance, local government, city council, mayor, city manager, Department of Examiners of Public Accounts, independent public accountant, annual audit, biennial audit, annual report, financial accountability, public records

Transcript Highlights:

• It's not a shall by the pharmacy. It's a bay, and we put language in there.
• ...ivermectin over the counter or dispensed by a pharmacy, even though the laws have been passed?
• They have about 30 pharmacies that are putting it on the counter.
• They couldn't control the medicine getting to that cancer center pharmacy and limit that.
• They couldn't control the medicine getting to that cancer center pharmacy and limit that.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• Members, House Bill 3538 is a bill to address the monopolistic practices within the pharmacy benefits
• The bill itself basically breaks up the vertical integration between a pharmacy benefits manager and
• There weren't any pharmacies closing. Pharmacies were opening.
• pharmacy, which is one of the largest mail order pharmacies in the country.
• So if there were pharmacies like... ...pharmacies like currently Caremark Specialty Pharmacy, where it's

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• So in place of Alana Dancis today, who is the Medicaid director, we have her pharmacy director and the
• I'm Jonathan Buxton with Pharmaceutical Care Management Association.
• For Medicaid, our managed care plans actually follow OSI rules, so we would defer to them and follow
• Cody Wilts, Deputy Emergency Manager. Let's hold on. Okay, please.
• I'm the Intergovernmental Affairs Manager for Los Alamos County, and I'm here to answer questions if

Bills: SB20, SB111, SB211, SB218, SB14

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:

• benefit managers. overreach.
• and operating the pharmacies that are in direct competition.
• With American Pharmacies. Welcome. Yeah, thank you, Chair Cole-Kors.
• pharmacies across the country, including several hundred in Texas.
• PBMs, they own pharmacies too, they're competing with independent pharmacies.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• benefit manager and... ...vertically integrated specialty pharmacies.
• benefit managers (PBMs).
• This really restricts innovation and benefit design.
• And I don't think it's saving us money, but for the fact that they are a benefit manager.
• They're the third-party benefit administrators for ERISA health care plans.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Cancer patients are forced to fill their medications through their insurance aligned pharmacy benefit
• manager and vertical vertically integrated specialty pharmacies.
• And really restricts innovation and benefit design.
• But for the fact That they are a benefit manager.
• They're the third-party benefit administrators for ERISA healthcare plans.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Are we looking at page 10, line 19, which says a health benefit plan person or entity excluded?

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Bills: HB372, HB361, HB391, HB372, HB361, HB391

Keywords: Elmore County, rental tax, tax revenue, infrastructure funding, economic development, Ma-Chis Lower Creek Indian Tribe, tribal police, reservation security, state-recognized tribe, law enforcement authority, certified police officer, Peace Officers' Standards and Training Commission, P.O.S.T., trespass, warrantless arrest, tribal land, sovereignty, public safety, Indian tribe, reservation

Transcript Highlights:

• Okay, $152,153 for each state death benefit? Yes. $152,153 for each state death benefit? Yes, sir.
• the Board of Pharmacy.
• As a director of Pharmacy for Senior Care Pharmacy in Tuscaloosa, we serve long-term care and assisted
• All of the pharmacies servicing those settings are permitted by the board as retail pharmacies, and as
• Board of Pharmacy.

Bills: HB191, HB35, HB29, HB123, HB35, HB29, HB191, HB123

Keywords: sales tax, use tax, sales and use tax, local tax exemption, county tax, municipal tax, county commission, municipality, Alabama Department of Revenue, tax exemption, ordinance, resolution, fiscal year, September 1 effective date, notice requirement, local government, tax administration, revenue law, state and local taxation, volunteer firefighters

Transcript Highlights:

• One was when we looked at the private tutoring, that should have been actually the program manager, not
• What we know from our conversations with the program managers that do these programs, it usually takes

Bills: HB1329

Keywords: government spending database, public expenditure transparency, open data, government transparency, school district spending, state spending, local government finance, education finance, budget database, expenditure reporting, salary transparency, benefits data, public records, Legislative Management study, North Dakota, school board training, superintendent, principal, business manager, higher education spending

Summary: The division first discussed Senate Bill 1540 and related amendments involving implementation mechanics, procurement exemptions, and an emergency clause. Bank of North Dakota representatives explained that, based on a timeline review with DPI, the project would be very difficult to implement for the 2026-27 school year without exemptions from state purchasing and IT oversight rules and without an emergency clause; they said the normal procurement process could take about 240 days and that a 15-month implementation window would likely push the start to 2027-28 if those changes were not adopted. Members also raised a separate policy question about a criminal penalty placeholder in the bill, and the committee agreed that the sentence was unnecessary and should be removed. The committee deferred means-testing questions and fiscal-note issues to the next morning, with the understanding that the bill would be drafted in a way that made it workable if it advanced. The committee then turned to the water budget bill and reviewed the latest amended version, which included changes to the Water Topics process, Southwest Pipeline line of credit provisions, Red River supply funding, Mouse River project amounts, general water funding, studies on Missouri River intakes and water governance/finance, and a carryover/transfer adjustment. Chris Cattermas of the Department of Water Resources said most of the carryover funds were already obligated, with the largest unobligated amount in flood control. After review, Senator Thomas moved a do-pass recommendation on the bill as amended, the motion was seconded, and the committee approved it unanimously. The chair noted that other bills would be taken up the next morning, including 1013, 1014, and 1540.

Transcript Highlights:

• And we will be hiring a program manager, which will be implementing this program.
• As we go on down through those, B, qualify the program manager is the same.
• B, qualify the program manager is the same. C, establish the role is the same.
• And then on page nine, this is where we get into the program manager.
• There's auditing language in the bill itself, as well as a program manager to actually manage it.

Bills: HB1329

Keywords: government spending database, public expenditure transparency, open data, government transparency, school district spending, state spending, local government finance, education finance, budget database, expenditure reporting, salary transparency, benefits data, public records, Legislative Management study, North Dakota, school board training, superintendent, principal, business manager, higher education spending

Summary: The Education Division met with all members present and first took up House Bill 1329, which would create a transparency database and website for school spending information. Senator Schaible offered Amendment 0204 to turn the bill into a study, citing concerns that the proposal would impose major data-collection burdens on 168 school districts, require new data standards and privacy protections, and likely cost far more than the $500,000 in the bill. Several members supported transparency but agreed the implementation costs and technical feasibility were unclear. The committee adopted the amendment 4-1, then passed HB 1329 as amended on a 5-0 vote, with Senator Shively to carry the bill. The committee then discussed House Bill 1540, the education savings account/voucher bill. Representatives from the Bank of North Dakota and the Department of Public Instruction explained that they had not been consulted on the original drafting and outlined needed administrative changes, including clarifying the Bank as administrator, using a third-party program manager, involving DPI in rulemaking, adding audit and appeal procedures, and adjusting language on eligible purchases and school disqualification. They also said the current timeline was likely too aggressive to launch by the 2026-27 school year and estimated the program would require about 15 months to implement, with a fiscal note now around $5.1 million. Members also discussed policy-related amendments on means testing and application timing. Senator Shively proposed a 300% of poverty-level means test and a sign-up period to reduce costs and limit open-ended enrollment, while Senator Axman proposed a tiered approach that would keep all students technically eligible but phase in funding levels by income, preserving access for students who qualify for other federal supports. DPI said it could not currently disaggregate some data by family income and that the appeal process and procurement timeline still needed work. The committee did not move HB 1540 out that morning and instead recessed to continue discussion later after members had time to review the administrative and fiscal issues separately from the means-testing proposals.

Transcript Highlights:

• The bill does not prohibit Medicare supplement benefits.
• the actions of the patient's pharmacy benefit manager that those prescription drugs are so unaffordable
• They come into my pharmacy because they trust me.
• It's going to be to a doctor's advantage to do this, to his benefit.
• You go to the pharmacy, you get your prescription in an hour, right?

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit