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

Summary: The committee first took up several continuation bills to extend state boards and agencies, including HB 2728 for the Department of Economic Security, HB 2729 for the State Board of Nursing, HB 2730 for the Board of Occupational Therapy Examiners, HB 2731 for the Physician Assistants Board, and HB 2732 for the Board of Pharmacy. Each was moved for a due pass recommendation, with HB 2731 amended to continue the physician assistant board for four years instead of two. All of these continuation bills passed the committee with strong support. The committee then heard HB 2408, a nursing board reform bill dealing with complaint investigation procedures, timelines, confidentiality, complaint prioritization, access to investigative files, expungement of certain disciplinary actions, and a revised definition of unprofessional conduct. The sponsor and supporters argued it would improve fairness, allow limited expungement for older non-patient-safety issues, and address long investigation delays. The nursing board president and other opponents warned it would raise the evidentiary standard, weaken patient safety protections, and erase useful disciplinary history. After extensive testimony, the committee adopted an amendment and passed the bill 7-4-1. Next, the committee considered pharmacy-related reforms. HB 2434 updated the controlled substances prescription monitoring program, including registration, reporting, confidentiality, and a compliance work group; it passed unanimously after amendment. HB 2733 allowed pharmacists and technicians to complete continuing education after renewal submission if finished before expiration, clarified prescription delivery locations, and addressed temporary operation during ownership changes; it also passed unanimously after amendment. Finally, HB 2725, which would have restricted access contractors from substituting non-opioid drugs and limiting non-opioid utilization controls, drew concerns that it was too broad and could affect many drug classes and costs. After amendment and debate, the committee failed to give HB 2725 a due pass recommendation by a 6-6 vote, and the meeting adjourned.

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

Summary: The committee heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma, which is intended to address Arizona’s primary care shortage by training students in a rural setting and linking them to rural residency opportunities. Members asked about who could apply, whether out-of-state applicants were eligible, and whether graduates would be required to remain in rural Arizona; the presenter said there is no post-graduation practice commitment, but the program is designed to encourage retention through rural training and residency placement. The committee then considered several child welfare and behavioral health bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, adding timelines, notice, counsel protections, and a clear-and-convincing standard for continued treatment; the sponsor and a retired judge said it fills gaps in a 1974 statute. HB 2035 would expand kinship foster care to extended family members, require more notice and written findings when kin placement is denied, and strengthen presumptions favoring placement with relatives or other significant adults; DCS said the bill largely reflects current policy but raised a timing concern about a required report before preliminary protective hearings. HB 2611 would create a Youth Safety Rights and Mental Health Protection Act for foster youth and group homes, adding rights related to immediate and unbiased health care, anti-bullying protections, retaliation safeguards, drug screening, and safety rules; foster youth and former foster youth testified strongly in support, while DCS was neutral and noted possible implementation and fiscal impacts. The committee also heard HB 4004, which would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to take protective action when warranted. Several parents testified that DCS had previously closed or minimized cases because a protective parent existed, leaving children exposed to abuse; DCS did not testify against the bill, and members later said the agency should not use the presence of a safe parent as a reason not to investigate. The committee also considered pharmacy and AHCCCS-related bills: HB 2434 would revise the controlled substances prescription monitoring program and reporting requirements; HB 2732 would continue the State Board of Pharmacy; HB 2733 would make several pharmacy regulation changes including delivery, continuing education, and change-of-ownership rules; and HB 2932 would require AHCCCS contractors to reimburse noncontracting labs referred by contracting providers, which health plans opposed as undermining managed care tools while a lab provider argued it would improve fair payment and competition. On the floor, the committee also took up HB 2086, which would prohibit government and business mask and vaccination mandates, HB 2830, which would require instruction on fetal and prenatal development and bar abortion-related curriculum materials, and HB 2035, HB 2434, HB 2611, HB 2732, HB 2733, HB 2923, HB 2932, and HB 4004. Amendments were adopted on several bills, including HB 2086, HB 2611, HB 2830, and HB 2932. Final committee votes gave HB 2035, HB 2086, HB 2434, HB 2611, HB 2732, HB 2733, HB 2830, HB 2923, HB 2932, and HB 4004 do-pass recommendations, with HB 2086, HB 2611, HB 2830, and HB 2932 reported as amended.

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:

• And there's some regulation around some of those people, and rightly so, because you're advising someone
• There's some regulation around some of those people, and rightly so, because you're advising someone
• whereas a broker, because they're getting, in theory, compensated for that, is much more aggressively regulated
• last, since the case started, over the last 30 years, have been built into our system by law, by regulation

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

Summary: The committee took up several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law-enforcement notification rules for injured persons under 15; a Shamp amendment clarified that the bill does not limit existing liability protections, and the bill passed as amended. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months starting in 2027 and report eligibility data annually; Access testified neutral but raised concerns about costs and the lack of exemptions, while supporters framed it as a transparency and budgeting measure. The committee adopted a technical amendment and passed the bill as amended. SB 1399 would require prepaid capitated AHCCCS contractors to report annual spending on direct patient care versus administrative costs; it passed without amendment after testimony that the report would improve oversight of taxpayer dollars. The committee also considered SB 1494, a strike-everything amendment aimed at stopping patient brokering and steering, including prohibiting health care providers, institutions, and drug manufacturers from paying premiums or inducing plan changes tied to health-status factors. Blue Cross Blue Shield supported the concept, describing small-scale but harmful brokering and fraud concerns, while ARMA opposed the language as too broad and vague, warning it could chill ordinary provider-patient conversations and sweep in social workers and navigators. The committee adopted the striker and passed the bill as amended, though several members said they wanted to refine the language before floor action. SB 1813 would remove the Maricopa County cap on Arizona State Hospital civil beds tied to the Arnold v. Sarn settlement and require admission based on clinical need; the sponsor and supporters argued the cap is outdated and leaves beds unused while patients remain in crisis, while the Department of Health Services and others warned of rural access concerns, litigation risk, and the need for more resources. The committee adopted both amendments, including removal of a citizenship requirement, and passed the bill as amended after a lengthy debate about legality and possible court challenges. SB 1821, which would allow JLBC audit review of DCS case-management systems, authorize unannounced inspections of licensed group foster homes, prioritize kinship placements, and require one year of supervised training for new child safety workers, passed without amendment. SB 1557 would require signed informed consent before most medical interventions; supporters said it codifies standard practice, while the ACLU argued it was vague and could create burdens for ongoing care and politically sensitive treatments. The bill passed as introduced.

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

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:

• wastewater feeders for the regulated wastewater feeders for the regulated wastewater<00:07:10.440
• the reference to self-regulation. the reference to self-regulation.
• It's regulated self-insurance.
• towards self-regulation? towards self-regulation?
• It's it's regulated right? It's it's regulated self-insurance. self-insurance. self-insurance.

Bills: SB2607, SB2031, SB2043, SB2623, SB2876, SB2396, SB2964, SB2089

Keywords: landscape architecture, licensure, educational requirements, examination, professional standards, consumer protection, junk fees, live-event tickets, short-term lodging, transparency, pricing disclosure, deceptive practices, insurance, captives, regulations, policyholders, SB2623, Hawaii pharmacy law, Board of Pharmacy, registered pharmacy technician

Summary: The committee first heard HCR 168 and HR 158, which would create a temporary working group to study utility capacity, coastline infrastructure lifespan, and the costs of needed expansions. Public Utilities Commission staff said the commission was not the right entity to direct all of the work because it lacks authority over many affected agencies. Members discussed whether the study should be limited to a coastal area or broadened to the whole island, and in decision-making the committee amended the measure to focus on the County of Honolulu, correct references to the Public Utilities Commission, and revise the working group membership to include the PUC chair, legislative designees, and directors or designees from DLNR, DOT, HIEMA, and DCCA Consumer Advocacy. The committee then passed both resolutions with amendments; the vote was adopted unanimously, with some members excused. The committee next considered HCR 145 and HR 137, which would convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division stood on its written comments, the Climate Change Mitigation and Adaptation Commission supported the intent, and the Attorney General opposed the measure, warning that a working group could create discoverable materials that might complicate the state’s climate litigation and noting a technical ambiguity in the reference to the Hawaii Hurricane Relief Fund administrator. After questions about discovery and the lawsuit, the committee amended the resolutions to replace the administrator reference with the chair of the Hawaii Hurricane Relief Fund Board of Directors, remove the Attorney General as convener while keeping the office as a member, and have the working group share findings and recommendations with the House CPC and Senate CPN committees instead of issuing a report. The committee passed the measures with amendments, with Rep. Martin voting with reservations. In the later agenda, the committee heard SB 2607, SD 1 on landscape architect licensure. The Board of Professional Engineers, Architects, Surveyors, and Landscape Architects supported the bill, explaining it modernizes licensure requirements to align with national standards and clarifies the profession’s design-focused role. The bill was discussed as distinguishing landscape architecture from groundskeeping and from civil engineering drainage work. No opposition was heard. The committee also heard SB 2031, SD 2 on consumer protection and price transparency for live ticket events and short-term lodging. The Office of Consumer Protection supported the bill, saying it largely mirrors an FTC rule requiring all-in pricing and would give the state enforcement authority and remedies. The Hawaii Financial Services Association opposed the bill as drafted and sought a limited exemption for credit card issuers relying on third-party hotel information, while the Hawaii Hotel Alliance supported the measure but asked for language deeming compliance with the federal rule sufficient for short-term lodging. Committee members questioned whether those proposed exemptions would conflict with federal law or weaken state enforcement, and the discussion focused on preemption, liability, and the value of state remedies such as restitution.

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:

• Licensed compounding pharmacies, by contrast, are state-licensed, inspected, and regulated to meet rigorous
• 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
• The Board of Pharmacy does regulate us.
• Kevin doesn't understand the Board of Pharmacy regulation from the state perspective.

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

Summary: The committee first heard a presentation from Berthold Barak Karlich of Benor Capital on investment, innovation, and trade from a European perspective. He argued that legacy is about enabling future generations through open, connected systems rather than isolation, highlighted Austria’s “hidden champion” SMEs and strong education/research base, and said innovation thrives through international collaboration. He also discussed AI and deep tech investment, emphasizing photonic computing and the need to support hardware that enables future AI systems. In response to questions, he said Arizona appears friendly and strong in deep tech and that he will explore opportunities there. The committee then considered HB 2746, which creates a study committee on trade offices under the Arizona Commerce Authority to review existing trade offices, gather stakeholder input, and make recommendations. Members discussed oversight of Arizona’s trade offices in several countries and the need to evaluate effectiveness. The bill passed with a due pass recommendation by a 7-0 vote. HB 2750, which establishes the Arizona-Sonora Trade Commission to improve trade, commerce, and tourism ties with Sonora, Mexico, also passed, with some members expressing interest in further discussion about its relationship to the Arizona-Mexico Commission; it received a 5-1-1 recommendation. The committee next took up HB 4036, a bill regulating compounded GLP-1 weight-loss drugs and related bulk drug substances, including restrictions on sale and distribution, testing and sourcing requirements, advertising disclosures, penalties, and pharmacy board inspection authority. Supporters, including representatives from Novo Nordisk and the Partnership for Safe Medicines, argued the bill addresses unsafe imported ingredients, misleading advertising, and a surge in unregulated compounded weight-loss products. Opponents from the Arizona Pharmacy Association, a compounding pharmacist, and a physician said the bill would burden lawful compounders, raise costs, reduce access, and could affect other legitimate compounded medications. After extensive debate, the motion for a due pass recommendation failed on a 5-5 tie. Finally, the committee heard a strike-everything amendment to HB 2765 creating a vapor product manufacturer licensing framework, fees, penalties, and Department of Revenue oversight aimed at stopping smuggled vape products. The sponsor said the measure was intended to target illegal imports and protect children, while opponents from the Vapor Technology Association and Arizona Innovates argued it would burden lawful businesses and that the real problem is illegal actors and targeted enforcement. The discussion continued with questions about federal law, flavored vape products, and whether the bill would affect compliant manufacturers, but the transcript ends before any final vote on HB 2765.

Transcript Highlights:

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

• called Board of Pharmacy authorized protocols.
• These of pharmacy authorized protocols.
• On behalf of the cont the pharmacy On behalf of the cont the pharmacy community<01:06:59.440> and<
• Uh, anyone have any issues or concerns about those regulations?
• And with that, uh, we... regulations? regulations?

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

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:

• There weren't any pharmacies closing. Pharmacies were opening.
• own mail order pharmacy.
• 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
• When I sold my pharmacies, and I did not want to sell my pharmacies, let's be clear.

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

Bills: HB184, HB235, HB546, HB557, HB584, HB747, HB902, HB930

Keywords: charitable pharmacy, healthcare fees, outpatient prescription, exemption, Louisiana Department of Health, sewerage systems, individual systems, community systems, local governance, legislation, installation regulations, protective custody, peace officers, mental health, emergency medical services, involuntary admission, long-term care, healthcare, pharmacy, residents

Transcript Highlights:

• There will be a chain pharmacist appointed by the governor from a name submitted by the Alabama Pharmacy
• independent pharmacist appointed by the lieutenant governor from a name submitted by the Alabama Pharmacy
• 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

Transcript Highlights:

• that early and frequent cannabis use can impair memory, learning, motivation, as well as emotional regulation
• It may be, you know, because medical cannabis is regulated by another DO program, and so I think they
• medical<00:48:07.599> cannabis<00:48:08.079> is<00:48:08.560> uh<00:48:08.720> regulated
• <00:48:09.119> by medical cannabis is uh regulated by medical cannabis is uh regulated by

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• Pharmacies for all Texans.
• Pharmacy can't be located within 22 miles of an existing pharmacy.
• You may recall in 2023, there were 11 people charged out of Houston where a pharmacy was dispensing opioids

Bills: HB321, HB 1027, HB 1295, HB1782, HB2295, HCR29, HCR56

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• It says that when a pharmacy fills a prescription, the pharmacy benefit manager needs to reimburse the
• If a pharmacy is reimbursed below its costs and wins an appeal, the PBM must make the pharmacy whole
• There will also be a contract between the PBM and the pharmacy as to pharmacy reimbursement for that
• Virtually all pharmacies are part of what's called a PSAO. It's a network of pharmacies.
• Think of it kind of like a union of pharmacy." A PSAO is a network of pharmacies.

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

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:

• So which is correct, that it's the only company now or there's a second FDA-regulated product on the
• As much as we say that we have protocols, rules, and regulations for our foreign physicians, the time
• These issues create operational strain while offering little benefit to patients or regulators.
• So this medication was reviewed by the Pharmacy and Therapeutics Committee in October.
• The Board of Pharmacy is unlike a lot of the other boards.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.