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HB 2701·PA

An Act amending Title 20 (Decedents, Estates and Fiduciaries) of the Pennsylvania Consolidated Statutes, in health care, further providing for definitions, for legislative findings and intent, for compliance, for conflicting advance health care directives, for life insurance, for health care instruments optional, for pregnancy and for liability, providing for prohibited conduct and damages, for judicial relief, for implementation, savings provision and transitional provision and for uniformity of application and construction, repealing provisions relating to living wills, providing for health care decisions and advance health care directives, repealing provisions relating to short title of subchapter, providing for advance mental health care directive, further providing for execution, for requirements and options, for when health care power of attorney operative, for appointment of health care agents, for authority of health care agent, for countermand, for amendment, for revocation, for relation of health care agent to court-appointed guardian and other agents, for decisions by health care representative, for duties of attending physician and health care provider, for effect on other State law, for validity and for form, providing for effect of copy and certified physical copy, repealing provisions relating to example and providing for example; repealing provisions relating to mental health care; and making an editorial change.

Referred to Health

Sponsor: Liz Hanbidge

In Committee
SB 878·MO

HCS/SS/SCS/SB 878 - This act modifies provisions relating to pharmaceutical drugs and devices. LIMITS ON SALE OF OVER-THE-COUNTER DRUGS (SECTIONS 195.417 & 579.060) Currently, no person shall sell, dispense, or purchase, over a 12 month period, more than a total amount of 43.2 grams of certain meth precursors. This act increases the amount to 61.2 grams. Beginning October 1, 2026, any manufacturer of a meth precursor drug that is sold in or into this state shall pay a monthly fee to the administrator of the real-time electronic pseudoephedrine tracking system, as described in the act. The fee is set by the administrator. A manufacturer commits the offense of unlawful, sale, distribution, or purchase of over-the-counter methamphetamine precursor drugs if the manufacturer knowingly fails to pay the fees required by this act. These provisions are identical to provisions in SS/SCS/SB 841 (2026), in the truly agreed to and finally passed CCS/SS/SB 1421 (2026), HCS/HB 1962 (2026), in SCS/HB 2146 (2026), in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026) and are substantially similar to provisions in SB 1069 (2026), SB 726 (2025), HB 1036 (2025), provisions of HCS/SS/SB 7 (2025), SCS/SB 317 (2025), SCS/HCS/HB 943 (2025), SB 548 (2025), and SB 143 (2025). PRACTICE OF PHARMACY - VACCINES (SECTION 338.010) Currently, the practice of pharmacy includes the ordering and administration of vaccines approved or authorized by the FDA, but excludes certain vaccines and those vaccines approved after January 1, 2023. This act instead provides that the practice of pharmacy includes the ordering and administration of certain vaccines approved or authorized by the FDA as of January 1, 2026, but excludes certain vaccines and those vaccines approved by the FDA after January 1, 2026, that are not included by joint rules promulgated by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is identical to a provision in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), is substantially similar to a provision in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026), and is similar to a provision in SS/SCS/SB 841 (2026), HB 1976 (2026), and in SCS/HCS/HB 3009 (2026). MEDICATION THERAPEUTIC PLAN AUTHORITY (SECTION 338.012) Currently, a pharmacist with a certificate of medication therapeutic plan authority can provide certain medication therapy services if there is a statewide order issued by the Director or the Chief Medical Officer of the Department of Health and Senior Services if such person is a licensed physician or by a licensed physician designated by the Department. This act repeals this language and authorizes the provision of such medication therapy services pursuant to rules established by the Board of Pharmacy and the State Board of Registration for the Healing Arts. This provision is identical to a provision in the perfected HCS/HB 3009 (2026). MEDICAL DEVICE PRESCRIPTIONS (SECTION 338.206) This act authorizes pharmacists to prescribe medical devices, as defined in the act. The Board of Pharmacy and the State Board of Registration for the Healing Arts shall jointly promulgate rules to implement this provision within six months of the effective date of this act. This provision is substantially similar to a provision in the perfected HCS/HB 3009 (2026). DISPENSING OF IVERMECTIN & HYDROXYCHLOROQUINE (SECTION 338.208) Under this act, a pharmacist may dispense ivermectin and hydroxychloroquine to a person, without a prescription order, upon the approval of a warning label for the use and indication in accordance with any written, standardized procedures or protocols issued by the Board of Pharmacy. Any ivermectin or hydroxychloroquine that is dispensed by a pharmacist or by a pharmacy technician under a pharmacist's supervision without a prescription shall be kept behind the counter or otherwise not available in a self-service area and be stored in a secure area accessible only to pharmacy personnel. This provision is similar to a provision in the perfected HCS/HB 3009 (2026). PHARMACY EMERGENCY WAIVERS (SECTION 338.312) The Board of Pharmacy shall have the authority to waive compliance with any Missouri rule or regulation for pharmacies dispensing, shipping, or delivering prescription drugs into another state or United States territory that is experiencing a declared state disaster or emergency, provided that: (1) The pharmacy is a licensed pharmacy in good standing and is authorized to ship prescription drugs into such state or territory; (2) The pharmacy is responding to a declared state disaster or emergency; (3) The pharmacy complies with all emergency rules and regulations for pharmacies established by the state or territory for the duration of the disaster period; (4) The pharmacy complies with all applicable federal laws and regulations; and (5) The waiver applies only to prescription drugs dispensed, shipped, or delivered to residents or health care facilities located within the geographic area specified in the declared state disaster or emergency. This provision is identical to a provision in the truly agreed to and finally passed HCS/SS#2/SB 1233 (2026), in HCS/HB 2300 (2026), in the perfected HCS/HB 2372 (2026), and in SCS/HB 3009 (2026), and is similar to provision in SB 1640 (2026). 340B DRUGS (SECTION 376.417) Under this act, a health carrier, a pharmacy benefits manager, or an agent or affiliate of such, shall not discriminate against a covered entity, as defined in the act, including by reimbursing the covered entity for a quantity of a 340B drug in an amount less than it would pay similarly situated non-covered entities for such drugs, imposing different terms and conditions as compared to similarly situated entities, refusing to cover 340B drugs or discriminating in reimbursement for 340B drugs, and other situations described under this act. The Director of the Department of Commerce and Insurance shall impose a civil penalty on any health carrier, pharmacy benefits manager, or agent or affiliate of such, that violates this provision, not to exceed $5,000 per violation per day. This provision is identical to a provision in SS/SCS/SB 841 (2026), in HCS/SB 1019 (2026), SB 1340 (2026), in SCS/HB 2146 (2026), in SCS/HCS/HB 2372 (2026), SCS/HCS/HB 943 (2025) and HB 784 (2025). COVERAGE OF NONOPIOID PRESCRIPTION DRUGS (SECTION 376.1280) This provides that health benefit plans shall not deny coverage of a nonopioid prescription drug in favor of an opioid drug, require the enrollee to try an opioid drug before covering the nonopioid drug, or require a higher level of cost-sharing for a nonopioid prescription drug than for an opioid drug. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This provision is identical to a provision in SS/SCS/SB 841 (2026) and is similar to SB 902 (2026), provisions in HCS/SB 1019 (2026) SB 1350 (2026), SB 1449 (2026), HB 1680 (2026), HB 1966 (2026), in SCS/HCS/HB 2372 (2026), HCS/SB 2642 (2026), SB 158 (2025), HB 804 (2025), and provisions in HCS/SS/SB 7 (2025). COVERAGE OF HOME BLOOD PRESSURE MONITORING DEVICES (SECTION 376.1960) This act provides that health benefit plans providing for maternity benefits shall provide coverage for a home blood pressure monitoring device and home blood pressure monitoring device services, as defined in the act, for pregnant and postpartum women when determined to be medically appropriate in accordance with American College of Obstetricians and Gynecologists guidelines. This act shall apply to health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2027. This provision is similar to SB 1089 (2026), provisions in HCS/HB 2371 (2026), in SB 539 (2025), and in HB 842 (2025). KATIE O'BRIEN

Signed by Governor

Sponsor: Fitzwater, Travis

Failed
SB 999·MO

SS#2/SB 999 - This act modifies several provisions relating to vulnerable persons. ASSISTANCE FROM THE ATTORNEY GENERAL (Section 27.117) Under this act, a prosecuting attorney may request assistance from the Attorney General for the prosecution of the certain sexual offenses. This provision is identical to a provision in CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026) and substantially similar to a provision in the truly agreed to and finally passed SS/SCS/HCS/HBs 2273 et al (2026). "BORN-ALIVE ABORTION SURVIVORS PROTECTION ACT (Section 188.035) This act creates the "Born-Alive Abortion Survivors Protection Act". Under this act, a child born alive during or after an abortion or attempted abortion shall have the same rights, privileges, and immunities as any other person, citizen, and resident of Missouri, including any other live-born child. Any licensed, registered, or certified health care provider present in the provider's professional capacity at the time a child is born alive during or after an abortion or attempted abortion shall exercise the same degree of professional skill, care, and diligence to preserve the life, health, and comfort of the child as a reasonably diligent and conscientious provider would render to any other child born alive at the same gestational age. Any person who knowingly performs or attempts to perform an overt act that kills a child born alive shall be guilty of first-degree murder. A person shall have the right to bring a cause of action for wrongful death or improper health care, as described in this act. This provision is similar to HCS/HBs 195 & 1119 (2025), SB 702 (2025), SCS/SB 753 (2022), provisions in SCS/HCS/HB 2012 (2022), HCS/HBs 1593 & 1959 (2022), SB 168 (2021), SB 665 (2020), and SB 388 (2019). PREGNANCY-ASSOCIATED MORTALITY REVIEW BOARD (Section 192.990) This act modifies the "Pregnancy-Associated Mortality Review Board" within the Department of Health and Senior Services. Under this act, board membership shall include at least one member from each congressional district with demographically diverse membership. Board members are increased from no more than 18 members to no more than 22 members. Additionally, the board shall, in its study and review of maternal deaths, consider the level and timing of prenatal and postnatal care, the presence or absence of maternity care deserts, approaches taken in this state and other states to reduce or eliminate racial inequities in maternal deaths, and the adequacy of data collected by the board. Data reported by the board shall be disaggregated by race, ethnicity, language, nationality, age, zip code, and level and timing of prenatal and postnatal care. This provision is substantially similar to SCS/SB 871 (2026), SB 39 (2025), SCS/SBs 1357 & 888 (2024), and SCS/SBs 579 & 595 (2023). RELEASE FROM JAIL (Section 544.667) Currently, a person can be released from jail upon recognizance or bond. This act provides that a person that has been released under such circumstances that fails to comply with the conditions of such release that imposes no contact with the victim shall be guilty of a class A misdemeanor and shall forfeit any security that was pledged for their release. This provision is identical to a provision in CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026) and SCS/SB 928 (2026). CRIMINAL OFFENSES (Sections 455.050, 565.002, 565.050-565.056, 565.072-565.074, 565.090-565.091, 565.225-565.227, 565.400-565.405, 573.570, 573.575, and Section C) This act modifies the offenses of assault in the first, second, third, and fourth degrees and the offenses of domestic violence in the first, second, third, and fourth degrees by removing the defined terms of "serious physical injury" and "physical injury" and providing for the following harms: • Great bodily harm: Bodily injury which creates a high probability of death, or which causes serious permanent or protracted loss or impairment of function of any bodily member or organ, or other serious bodily harm; • Substantial bodily harm: Bodily harm which involves a temporary but substantial disfigurement, or which causes temporary but substantial loss or impairment of the function of any bodily member or organ, or which causes a fracture of any bodily member; and • Bodily harm: Physical pain or injury, illness, or any impairment of physical condition. Under current law, the first offense of harassment in the first degree is a class E felony. This act provides that a second or subsequent conviction of harassment in the first degree shall be a class D felony where the individual has previously been found guilty of harassment in the first or second degree. Currently, a first offense of harassment in the second degree is a class A misdemeanor. Under this act, provisions relating to a second or subsequent conviction of harassment in the second degree are modified to include a conviction of harassment in the first degree as a previous conviction in which case it is a class E felony. This act modifies the offense of stalking in the first degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the first degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the act, engages in conduct that would cause a reasonable person under similar circumstances to: • Fear death or bodily injury, as defined in this act; • Fear that an offense will be committed against a member of the person's family, household members, or an individual with whom the person has a dating relationship; • Fear that an offense will be committed against the person's property; or • Feel harassed, terrified, or intimidated. This act modifies the offense of stalking in the second degree by repealing the elements of such offense and providing that a person commits the offense of stalking in the second degree when the person knowingly, through a course of conduct that is directed at another person or through technological abuse, as defined in the act, engages in conduct that would cause a reasonable person under similar circumstances to feel harassed, terrified, or intimidated. This act creates the offense of cyberharassment. A person commits this offense if he or she purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices cause reasonable fear, alarm, anxiety, undo stress, or terror to others by repeated contact with no legitimate purpose. This offense shall be a class B misdemeanor upon a first offense and a class A misdemeanor for second or subsequent offenses. A person commits the offense of cyberstalking if such person purposely or knowingly engages in a threatening, aggressive, or otherwise fear-inducing, course of conduct by using digital technology, internet service providers, electronic service providers or other electronic communications and devices to enhance the ability to intimidate, track, follow or cause reasonable fear, alarm, anxiety, undo stress, or terror to another person. A first offense shall be a class A misdemeanor and a second or subsequent offense shall be a class E felony. These provisions are identical to provisions in CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026) and SCS/SB 928 (2026). This act creates the offense of disclosure of an intimate digital depiction. A person shall be guilty of such offense if he or she discloses or threatens to disclose an intimate digital depiction with the intent to harass or threaten another person. A violation of such offense is a class D felony if the person discloses an intimate digital depiction and a class E felony if the person threatens to disclose an intimate digital depiction. Any second or subsequent violation of such offense is a class C felony. Additionally, it shall be a class C felony if the disclosure interferes with a government proceeding or causes violence. This act creates the offense of sadistic online exploitation. A person commits this offense where he or she uses the internet to coerce a victim into committing certain acts. This offense shall be a class E felony. These provisions are identical to provision in the truly agreed to and finally passed SS/SCS/HCS/HBs 2273 et al (2026), CCS/SS/SCS/HCS/HBs 2637 & 3155 (2026), and SCS/SB 928 (2026). Provisions of this act have an effective date of July 1, 2027. This act has a non-severability provision for the act. SARAH HASKINS

Signed by Governor

Sponsor: Hudson, Brad

Failed
HRES 1428·Federal

Expressing support for Reproductive Justice on the 250th Anniversary of the United States of America.

Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsor: Rep. Simon, Lateefah [D-CA-12]

In Committee
SB 938·MO

SB 938 - Under the act, a user fee of six dollars, instead of four dollars as currently provided, shall be charged and collected by every recorder of deeds as a condition precedent to the recording of any instrument. Three dollars, instead of two dollars as currently provided, of such fee shall be retained by the recorder and deposited in the Recorder's Fund and not in county general revenue. A fee in the amount of two dollars, instead of one dollar as currently provided, shall be paid to the State Treasurer and credited to the "Missouri Land Survey Fund" for purposes of land surveying. The Department of Agriculture shall establish by rule the fees necessary to reflect the costs associated with the production or reproduction of maps, plats, reports, studies, and records related to land surveys. JULIA SHEVELEVA

Signed by Governor

Sponsor: Bernskoetter, Mike

Failed
H 4899·MA

An Act enhancing post-pregnancy mental health care

House: Reporting date extended to Thursday, December 31, 2026

Sponsor: Joint Committee on Financial Services

Reported by Committee
AB 1930·CA

Abortion or gender-affirming health care services: investigations, subpoenas, or summons.

Read second time and amended. Re-referred to Com. on APPR.

Sponsor: Rick Zbur

Passed One Chamber
AB 2540·CA

Public health: public postsecondary education: student health centers: abortion by medication techniques.

Read second time and amended. Re-referred to Com. on APPR.

Sponsor: Catherine Stefani

Passed One Chamber
AB 1784·CA

Postsecondary education: nondiscrimination: pregnancy or pregnancy-related issues.

From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.

Sponsor: Gail Pellerin

Passed One Chamber
S 1244·MA

An Act enhancing access to abortion care

Senate: Referred to the committee on Senate Ways and Means

Sponsor: Rebecca L. Rausch

Reported by Committee
S 2260·NJ

Secures protections for patients and providers accessing and providing reproductive health care services; establishes right of residents to reproductive health care activity that is restricted in other states.*

Passed Senate (Passed Both Houses) (25-15)

Sponsor: Teresa Ruiz

Passed Both Chambers
A 2218·NJ

Secures protections for patients and providers accessing and providing reproductive health care services; establishes right of residents to reproductive health care activity that is restricted in other states.*

Substituted by S2260 (SCS/3R)

Sponsor: Shanique Speight

Withdrawn
SB 3777·IL

HUMAN RIGHTS-DISPARTE IMPACT

Sent to the Governor

Sponsor: Adriane Johnson

Sent to Executive
B 26-0404·DC

Safe Pregnancy, Delivery, and Postpartum Care for Youth at DYRS Amendment Act of 2025

Law L26-0130, Effective from Jun 11, 2026 Published in DC Register Vol 73 and Page 008884

Sponsor: Zachary Parker

Signed into Law
HB 2621·PA

An Act amending the act of April 9, 1929 (P.L.177, No.175), known as The Administrative Code of 1929, in powers and duties of the Department of Health and its departmental administrative and advisory boards, establishing the Pennsylvania Maternal and Infant Outcome Measures Survey Program.

Referred to Health & Human Services

Sponsor: Melissa Shusterman

Passed One Chamber
AB 2066·CA

Triggering event: pregnancy.

From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 24). Re-referred to Com. on APPR.

Sponsor: Celeste Rodriguez

Passed One Chamber
SRES 787·Federal

A resolution celebrating the historic anniversary of the June 24, 2022, decision of the Supreme Court of the United States in Dobbs v. Jackson Women's Health Organization.

Referred to the Committee on the Judiciary. (text: CR S3214)

Sponsor: Sen. Daines, Steve [R-MT]

In Committee
HRES 1389·Federal

Expressing the sense of the House of Representatives that the monitoring and regulation of water systems not be weaponized for the purposes of surveilling, tracking, or detecting use of, stigmatizing, and further restricting access to medication abortion care.

Referred to the House Committee on Energy and Commerce.

Sponsor: Rep. Pettersen, Brittany [D-CO-7]

In Committee
HRES 1382·Federal

Celebrating the historic anniversary of the June 24, 2022, decision of the Supreme Court of the United States in Dobbs v. Jackson Women's Health Organization.

Referred to the House Committee on the Judiciary.

Sponsor: Rep. Smith, Christopher H. [R-NJ-4]

In Committee
S 4879·Federal

Let Doctors Provide Reproductive Health Care Act

Read twice and referred to the Committee on the Judiciary.

Sponsor: Sen. Murray, Patty [D-WA]

In Committee
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