Transcript Highlights:

• all over the country, said the compounding pharmacy must maintain vendor files to document licensing
• Do you compound beforehand before someone comes to your pharmacy, or how does that work? So, Mr.
• HB 4036 makes several incorrect claims about compounding pharmacy regulation as it applies to Arizona
• Compounding pharmacies in Arizona are already highly regulated, licensed, and inspected by the Arizona
• This bill applies manufacturer-style compliance standards to community compounding pharmacies in a way

Bills: HB2746, HB2750, HB2765, HB4036

Keywords: trade offices, committee, Arizona commerce authority, stakeholder input, efficiency, Arizona-Sonora, Sonora, Mexico, trade commission, cross-border trade, bilateral trade, international trade, economic development, foreign relations, border economy, investment, infrastructure, business exchange, academic exchange, legislative commission

Transcript Highlights:

• Our state already has a strong, effective regulatory system for pharmacy compounding.
• pharmaceutical industry here in Washington State, creating a compounding pharmacy desert.
• I think if we can ensure that sterile compounding and all compounding done outside of pharmacies also
• the co-chair for the Washington State Pharmacy Association's compounding section.
• This bill attempts to impose federal CGMP standards on traditional 503A compounding pharmacies.

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

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

Summary: The House Health Care and Wellness Committee held public hearings on House Bill 2545, which would direct the Department of Health to create rules allowing elective percutaneous coronary interventions (PCIs) at ambulatory surgical facilities, and House Bill 2613, which would add quality-assurance requirements for compounded drugs using bulk drug substances. On HB 2545, supporters including ambulatory surgery center representatives, cardiologists, and the prime sponsor argued the bill would improve access, reduce wait times, and lower costs while maintaining safety through patient selection and existing accreditation standards. Opponents from the hospital association argued that shifting PCI volume away from hospitals could undermine provider proficiency and the financial support hospitals use to maintain emergency cardiac services, and suggested the issue should be studied further. On HB 2613, the prime sponsor and several supporters said the bill was intended to address unsafe, large-scale compounding—especially weight-loss drugs—by requiring stronger sourcing, testing, and documentation of ingredients. Opponents from pharmacy, medical, hospital, clinic, and compounding groups argued the bill was overbroad, could restrict access to legitimate compounded medications, increase costs and delays, and in some cases conflict with existing federal and state compounding rules; some also urged narrowing the bill to focus on GLP-1 weight-loss products and exempt hospitals, nursing homes, and animal compounding. The sponsor of HB 2613 said amendments were being developed to narrow the scope and clarify the bill before executive session. In executive session, the committee considered six bills and then took final action on seven measures. It adopted amendments and advanced HB 1496, which limits fees for certain electronically stored health care information and changes attorney-fee provisions under the Uniform Health Care Information Act; HB 2283, which raises the medical loss ratio target for health plans to 90% with a delayed implementation date and added reporting authority for the insurance commissioner; HB 2425, which revises nurse delegation rules and delays implementation to 2028; and HB 2577, which clarifies hospital inspection timing and allows Department of Health flexibility in using CMS surveys as equivalent inspections. The committee also advanced HB 2155, addressing non-human entities using nursing titles; HB 2340, relating to substance use disorder monitoring program provisions for nursing assistants; and HB 2437, concerning Department of Health opioid treatment accreditation activities and associated fee authority. Votes were largely bipartisan, though several members voted no or without recommendation on some bills, especially HB 2283 and HB 2437. The meeting ended with all seven bills reported out of committee with due pass recommendations.

Transcript Highlights:

• It's just amends the definition of compounding in the Pharmacy Practice Act to allow flavoring a medication
• The pharmacist finally explained that there are new guidelines in place, so only compounding pharmacies
• So I called a compounding pharmacy, and they told me they didn't do it. she's still would not touch it
• So only compounding pharmacies could add flavor to medication now.
• So I called a compounding pharmacy and they told me they At this point, we had struggled with this medication

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Bills: S3082, S3090, H5425, H5130, H5114

Keywords: animal telehealth, veterinary telemedicine, veterinary telehealth, veterinarian-client-patient relationship, VCPR, animal health, pet care, companion animal, livestock, remote veterinary care, synchronous audio-video, telemedicine, prescription drugs, antimicrobial drugs, controlled substances, xylazine, compounding pharmacy, veterinary practice, Massachusetts Controlled Substances Act, animal owner

Summary: The Joint Committee on Consumer Protection and Professional Licensure held a hearing on late-filed bills, with testimony heard both in person and remotely. The committee reviewed several measures, including H. 355 and S. 3082 on veterinary telemedicine/telehealth, H. 5445 on additional liquor licenses for East Hampton, and S. 3090/H. 5114 on consumer-connected devices and software support disclosure. The chair outlined hearing logistics, including three-minute testimony limits and written testimony submission, and noted that Lawrence High School students were present to observe. On the veterinary bills, supporters of H. 355 argued that allowing veterinarians to establish a client-patient relationship remotely would improve access to care for pets whose owners face transportation, mobility, or anxiety-related barriers, and could help veterinarians continue practicing through telemedicine. Opponents of S. 3082, including the Massachusetts Veterinary Medical Association and several veterinarians, said the initial in-person exam is essential to detect conditions that cannot be seen on video, avoid misdiagnosis, and preserve the standard of care; they emphasized that teletriage and follow-up telemedicine are already used after an in-person relationship is established. Committee members pressed both sides on the distinction between teletriage and establishing the relationship, the timing of annual exams, and whether limited exceptions for sedatives or other pre-visit needs might be workable. Senator Lovely testified in support, citing a recent Lyme case where follow-up telemedicine would have been useful. On H. 5445, Representative Gomez and East Hampton Mayor Salem Derby urged approval of the bill to authorize eight additional liquor licenses, saying the city has reached its current cap, needs economic development, and wants to support downtown revitalization and new restaurant growth. Members asked about public safety and the number of licenses sought; the mayor said local public safety officials support the request and that the licenses would be for restaurants, not bars. On S. 3090 and H. 5114, consumer advocates and cybersecurity experts supported requiring manufacturers of connected devices to disclose software support timelines, arguing it would improve consumer transparency, cybersecurity, and reduce e-waste. Industry groups opposed the bills, saying fixed disclosure requirements could be impractical, create confusion, burden small businesses, conflict with federal efforts, and be difficult to apply to appliances, lighting, and other products with long lifecycles. The committee did not take a substantive vote on the bills during the hearing; at the end, staff announced a forthcoming poll for House members, and the committee voted to adjourn.

Bills: S3082, S3090, H5425, H5130, H5114

Keywords: animal telehealth, veterinary telemedicine, veterinary telehealth, veterinarian-client-patient relationship, VCPR, animal health, pet care, companion animal, livestock, remote veterinary care, synchronous audio-video, telemedicine, prescription drugs, antimicrobial drugs, controlled substances, xylazine, compounding pharmacy, veterinary practice, Massachusetts Controlled Substances Act, animal owner

Transcript Highlights:

• That brings us to our final continuation bill for the Pharmacy Board.
• Cam Gandhi, Executive Director of the Board of Pharmacy.
• Ajene, we're ready to go on to the second of the two Board of Pharmacy bills.
• Ajene, we're ready to go on to the second of the two Board of Pharmacy bills.
• The bill clarifies that pharmacies can deliver prescription medications.

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Transcript Highlights:

• Beginning July 1, 2027, practitioners and pharmacies must report additional data elements and submit
• Madam Chair, members, Cam Gano, the executive director of the Board of Pharmacy.
• I also want to thank Representative Bliss for supporting the Board of Pharmacy through this bill and
• Madam Chair, members, House Bill 2733 makes various changes to the regulation of pharmacies.
• The bill permits businesses to continue operating under an existing board-issued pharmacy permit.

Bills: HB2035, HB2086, HB2434, HB2611, HB2732, HB2733, HB2830, HB2923, HB2932, HB4004

Keywords: kinship care, child welfare, foster care, relative placement, child protection, vaccination mandates, mask requirements, public health, government entities, COVID-19, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, group homes, children's rights, safety protocols, employee training, mental health

Transcript Highlights:

• Welcome, everybody, to Labor, Health, um, day two on Senate File 121, the Wyoming Pharmacy Act amendments
• </c><00:03:23.120><c> Page</c><00:03:23.519><c> four</c> governing board of pharmacy.
• Page four governing board of pharmacy.
• </c> I've a number of times that the pharmacy I've a number of times that the pharmacy heard<00:08:05.280
• </c><00:10:38.399><c> Act</c> on Senate File 121, Wyoming Pharmacy Act on Senate File 121, Wyoming Pharmacy

Bills: SF0121

Keywords: pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, 916, all

Transcript Highlights:

• There will be a chain pharmacist appointed by the governor from a name submitted by the Alabama Pharmacy
• A specialty pharmacist is included, and it gives examples such as nuclear, home infusion, compounding
• This position will be appointed by the speaker from a name submitted by the Alabama Pharmacy Association
• The two state schools of Pharmacy will each have a representative, and one at-large pharmacist will be
• appointed by the Speaker of the House from a list submitted by the Alabama Pharmacy Association.

Bills: HB123

Keywords: pharmacy, pharmacist licensure, Alabama State Board of Pharmacy, renewal fees, continuing education, disciplinary actions, 1136, house, all

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733, SB1192, SB1398, SB1399, SB1494, SB1557, SB1813, SB1821

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

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:

• That subject is pharmacy benefit managers.
• chains, special pharmacy businesses, mail-order pharmacy businesses, or any company that manufactures
• Pharmacies up to 16,510% more than they reimburse independent pharmacies.
• Thousand or 16,000 or 1,600, you know, percent more to their pharmacies than the rural pharmacies.
• PBM-owned pharmacies and to independently owned pharmacies, the money is already there to pay this dispensing

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

Summary: The Senate Business and Insurance Committee met to consider several bills, with the chair emphasizing pharmacy benefit managers (PBMs) and the impact on local and rural pharmacies. Before taking up the bills, the committee announced that Senate Bills 1620 and 1625 would be laid over. The committee also adopted an amendment to Senate Bill 1673 to exempt certain state-funded flexible benefit plans, and then passed the bill, which creates the Prosthetic Access and Accountability Act of 2026 and requires health plans that already cover prosthetic benefits to administer them without disability-based discrimination. The committee then passed several PBM-related measures. Senate Bill 1500 requires PBMs to reimburse rural pharmacies within 30 calendar days. Senate Bill 1447 adds safeguards to the Oklahoma Employee Insurance Plan by restricting PBM contracts, including disfavoring PBMs involved in recent lawsuits or those affiliated with insurers, retail pharmacy chains, specialty pharmacies, mail-order pharmacies, or drug manufacturers. Senate Bill 1646 strengthens utilization review standards for mental health and substance use disorder treatment, and Senate Bill 2007 prohibits PBMs from reducing reimbursement after a successful appeal and adds administrative fees when they fail to make required adjustments. The committee also passed Senate Bill 1275, which requires upfront disclosure of all fees for short-term rental bookings such as Airbnb and VRBO, with only tax added at checkout. Finally, the committee passed Senate Bill 2074 after extensive debate; it would require fairer and more transparent PBM reimbursement using a Medicaid-based methodology and a professional dispensing fee, with supporters arguing it would help independent and community pharmacies and opponents raising concerns about consumer costs and legal issues. All bills considered in the meeting were reported out with favorable votes, and the meeting adjourned after the chair noted one more meeting would be held the following week.

Transcript Highlights:

• That subject is pharmacy benefit managers.
• Addressing is slow reimbursement payments from pharmacies to pharmacies from PBMs.
• companies or retail pharmacy chains, special pharmacy businesses, mail order pharmacy businesses, or
• Pharmacies than the rural pharmacies.
• and to independently-owned 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:

• 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
• So, they've been trying to snake those from those pharmacies because they have their own actual pharmacies
• 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:

• 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.
• CVS pharmacy.
• Move adoption of the Pharmacy Act. There’s minds of the Pharmacy Act.
• It’s just with the pharmacies and them being able to get a prescription through 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.

Transcript Highlights:

• The Pharmacy Board.
• is not considered... ...as a pharmacy is not considered official business.
• and... ...in terms of monitoring compounding and working toward patient safety.
• I can't begin to tell you the level of fraud that exists in pharmacy in the United States.
• The number one source of fraud is pharmacy. Your time is up. Ma'am, thank you very much.

Bills: HB159, HB110, HB114, HB115, HB116, HB123, HB125

Keywords: U.S. Space and Rocket Center, Alabama Space Science Exhibit Commission, public facilities, space exploration, education programs, bond issuance, Governor involvement, pharmacy, pharmacist licensure, Alabama State Board of Pharmacy, renewal fees, continuing education, disciplinary actions, sessions, 2025-R, 1, 219

Transcript Highlights:

• Primary care clinics, three outpatient physical therapy departments, a retail pharmacy, and an assisted
• monitoring program which tracks prescriptions that are prescribed, the prescribing physician, the filling pharmacy
• So both physicians and... ...pharmacies rely on the PMP to track what's being dispensed to ensure that

Bills: HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• Compound pharmacies. are used in certain situations, such as during a shortage or discontinuation of
• Dominguez, compound pharmacies are pharmacies, so they have the same requirements as a CVS or any other
• Do these things happen in compounding pharmacies where they get the dosage wrong?
• I would say that the Board of Pharmacy enforces the same regulations for CVS as well as compounding pharmacies
• The rules already require that compounding pharmacies...

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• We moved the immunizations at the pharmacy level, where pharmacies are already doing immunizations.
• We moved the immunizations at the pharmacy level, where pharmacies are already doing immunizations.
• We moved the immunizations at the pharmacy level, where pharmacies are already doing immunizations.
• </c> for the Wyoming State Board of Pharmacy. for the Wyoming State Board of Pharmacy.
• We have a doctorate in pharmacy.

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification