Transcript Highlights:

• Addressing is slow reimbursement payments from pharmacies to pharmacies from PBMs.
• Unfortunately, it's taking PBMs anywhere from 28 to 90 days to reimburse the pharmacies, obviously creating
• Senator Wingard. than they reimburse independent pharmacies.
• Tennessee's recent audit found that PBMs reimbursed their own affiliated owned pharmacies 16,000% more
• than they reimburse the independent pharmacies for the same prescriptions.

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

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

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:

• Gress, it is very common in designing reimbursement rates for insurers.
• in terms of reimbursement.
• If reimbursement parity is mandated here, it gets mandated elsewhere.
• Lussure, so your rate reimbursement rates went down.
• 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

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
• Senator Bass: NADAC is a national average drug acquisition cost, which just reimburses that pharmacy
• There will also be a contract between the PBM and the pharmacy as to pharmacy reimbursement for that
• "And so the dispensing fees are negotiated as a part of that pharmacy reimbursement contract.

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:

• <00:37:46.720> It's a reimbursement rate that's set.
• It's a reimbursement rate that's set.
• <00:38:30.720> rate years or what's the reimbursement rate years or what's the reimbursement
• . reimbursement for ambulance services reimbursement for ambulance services that<00:39:26.880> come
• there is reimbursement for that expense. there is reimbursement for that expense.

Bills: HB185, HB378, SB28, HB400, SB155, HB312, HB185, HB378, SB28, HB400, SB155, HB312

Keywords: appropriation, transportation, judicial system, funding, state budget, Pickens County, local act, vehicle tag fee, registration fee, issuance fee, motor vehicle registration, license plate, replacement tag, transfer tag, renewal fee, county revenue, earmarked funds, ambulance service, emergency medical services, EMS

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:

• The state of Iowa conducted a pharmacy benefit manager.
• In drug supply chain economics, we can't focus on just the reimbursements to the pharmacies.
• So what was the acquisition cost for the pharmacy. Okay.
• You have fees, you have rebates, you have GPOs, you have specialty pharmacies, you have regular pharmacies
• You walk into a CVS pharmacy and you buy a stick of gum.

Bills: SB511, SB512, HB591, HB909, HB938, HB1154, HB1187

Keywords: automobile repairs, insurance transparency, repair shop liability, non-OEM parts, policyholder rights, automobile insurance, appraisal process, insurance policyholders, dispute resolution, claim valuation, family leave, insurance, paid leave, employment benefits, caregiver support, behavioral health, crisis services, mental health care, insurance coverage, healthcare access

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:

• 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:

• Meanwhile, the pharmacies that they own, whether it be mail order or the ones in the state, are reimbursed
• And a decent level of reimbursement. We go back to 2010. 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:

• House Bill 4329 changes the definition of covered services from reimbursable to reimbursed without a

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

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
• <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:

• reimbursement protections, to provide for pharmacy benefit manager ownership prohibition, to provide
• just independent pharmacies that are taking it on the chin with pharmacy benefit managers.
• So you are losing pharmacies. I lose the pharmacies in my area.
• I lose the pharmacies in my area. So you are losing pharmacies each and every day.
• and another pharmacy.

Bills: HB62, HB124, HB182, HB193, HB198, HB203, HB223, HB237, HB469, HB486, HB574, HB779, HB796, HB919, SCR2, SB4, SB36, SB38, SB109, SB152, SB168, SB195, SB216, SB221, SB236, SB404

Keywords: Louisiana Women's Policy, gender equality, policy research, commission membership, women's representation, Domestic Violence, judicial experience, legislation, criminal law, family law, HB182, sexual assault, rape kit, forensic examination, forensic medical exam, sexual assault survivor, sexual assault nurse examiner, SANE, emergency department, hospital staffing

Summary: The committee first adopted minutes from several prior 2025 meetings, then took up HB 574, which updates the names of two organizations serving on the Mental Health Advocacy Service Board of Trustees. Representative Spell described it as a cleanup bill to correct board membership names and avoid quorum issues. With no questions or objections, the committee reported HB 574 favorably. The committee then considered HB 486, also by Representative Spell, to join the Psychology Interjurisdictional Compact and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Spell and PsyPact’s executive director argued the compact would expand access to mental health care, especially in rural areas, while maintaining standards and public protections. The committee adopted amendments on fees and the effective date, heard supportive testimony from professional and advocacy groups, and reported HB 486 favorably with amendments. HB 198 by Representative Eccles would change Medicaid reimbursement for ambulatory surgical centers to a Medicare-based methodology to improve access for Medicaid patients. Eccles and supporters said the bill would help reduce long waits for procedures like colonoscopies and lower long-term costs by shifting care to lower-cost settings; the committee adopted amendments adding ophthalmology and limiting payment to the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment. The bill was then reported favorably with amendments. The committee spent the most time on HB 182 by Representative Travis Johnson, which would require qualified sexual-assault exam coverage in hospitals and related training standards. Johnson said the goal was to address gaps in rural access to timely forensic exams and evidence collection; supporters from law enforcement, the Attorney General’s office, and forensic nursing emphasized the need for better statewide coordination and victim access. Hospitals, the Louisiana Hospital Association, and the Jefferson Parish coroner raised concerns about feasibility, funding, staffing shortages, and the risk of untrained personnel performing exams; the committee adopted an amendment narrowing the requirement to hospitals with emergency departments and clarifying training language, but the bill remained under discussion at the end of the excerpt.

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:

• 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:

• <00:21:29.600> and professor in the School of Pharmacy and professor in the School of Pharmacy
• If it's Medi-Medi, we are reimbursed.
• The Board of Pharmacy...
• I'm<01:18:42.880> sorry, The Board of Pharmacy I'm sorry, The Board of Pharmacy I'm sorry
• <01:45:49.440> Board at um instead of the Farm Pharmacy Board at um instead of the Farm Pharmacy

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• that if you're a provider or a drug company, you're not going to be engaged in finding the best reimbursement
• of the dialysis providers have been very aggressive about moving people off because... ...the reimbursement

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