Video & Transcript Research : 'prescriptive authority'

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LA

Louisiana 2026 Regular Session

Labor and Industrial Relations May 7th, 2026

Labor & Industrial Relations

Transcript Highlights:
  • medical director makes that decision, but if the medical director says yes, then the doctor is authorized
  • secretary or ODG schedule as referenced herein shall have tacit approval, not subject to prior authorization
  • But you're authorizing another commission who's unelected to come after businesses on just a verbal,
  • Prescriptive requirements can limit flexibility and may not address underlying risk.
  • Prescriptive requirements can limit flexibility and may not address underlying risk.
Keywords: 965, house, all
Summary: The committee first disposed of several measures without debate, including deferrals of House Bill 460, House Bill 561, Senate Bill 322, and another deferred Senate measure, before taking up House Bill 819 by Chairman Cruz. HB 819 would replace Louisiana’s current workers’ compensation medical treatment schedule with ODG by MCG, a private evidence-based guideline system used in other states. Cruz and Troy Prevo argued ODG is more comprehensive, updated more frequently, and could reduce claim duration, medical costs, and premium rates; Dr. Jason Picard said Louisiana already uses ODG as a secondary reference for gaps in the state schedule and that the bill would not change appeals or variance procedures. Opponents, including injured-worker advocates Joseph Jola St. and Robin Crumholt, argued Louisiana’s current guidelines are working, that ODG is more cost-cutting and insurer-driven, and that the bill could increase denials and delay care. Members discussed amendments to add a two-year sunset, allow tacit approval when treatment follows the schedule, require payment within 30 days, and raise the carrier’s burden to challenge care; the committee adopted the amendments and then reported HB 819 favorably by a 7-6 vote. The committee then began Senate Bill 409 by Senator Myers, the Louisiana Living Donor Leave Protection Act. The bill would provide paid leave protections for living organ donors, set eligibility and verification procedures, and prohibit forfeiture of leave in certain circumstances for private employers. Myers said the measure is intended to remove job and paycheck barriers for people willing to donate organs and to support better transplant outcomes. Technical amendments were adopted at the start of the presentation, and the bill was introduced for further discussion.
LA

Louisiana 2026 Regular Session

House of Representatives Apr 13th, 2026

Louisiana House Floor Meeting

LA

Louisiana 2026 Regular Session

House of Representatives Apr 9th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Next, co-authors, would the clerk open the machine for co-authors?
  • Madam Clerk, call me for co-authors. Members, vote to the machine for co-authors.
  • We have 35 co-authors.
  • Madam Clerk, open the machine for co-authors. Members, vote on co-authors.
  • Madam Clerk, over the machine for co-authors. Members, vote to machine for co-authors.
LA

Louisiana 2026 Regular Session

House of Representatives Apr 8th, 2026

Louisiana House Floor Meeting

TX

Texas 89th Regular

Senate Session Feb 24th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Senate Bill 1005 by Middleton relates to a political subdivision's authority to use public money in the
  • Senate Bill 1008 by Middleton relates to state and local authority to regulate the food service industry
  • Senate Bill 1017 by Blanco relates to authorizing the issuance of bonds or other financial obligations
  • Senate Bill 1059 by Parker et al. relates to the authority of the governing body.
  • Senate Bill 1079 by West relates to the authority of a county to dispose of sensitive media devices,
HI
Transcript Highlights:
  • Authorizes the Public Utilities Commission to waive or exempt any water carrier from any requirement
  • It's within the state's authority to regulate that, and this bill should cover it.
  • They have the authority. They've been misleading you.
  • authority. They have the authority. authority. They have the authority.
  • Community Development Authority. Community Development Authority.
Keywords: 910, house, all
Summary: The committee heard SB 2694 SD2, which would authorize the Public Utilities Commission to create automatic adjustment mechanisms for water carriers, including a water carrier inflationary cost index, and to waive certain requirements under the Hawaii Water Carrier Act. Testimony was sharply divided. The Department of Transportation, Young Brothers, and several shipping, harbor, labor, and business-related supporters argued the bill would modernize regulation, reduce the need for large catch-up rate cases, and help keep rates aligned with rising costs. Young Brothers said its current rate-setting process is expensive and delayed, and that annual adjustments with guardrails such as a 5% cap and periodic full reviews would support sustainable operations and the state’s supply chain. Some supporters also said the company’s less-than-container-load service and required inter-island routes create costs that are not fully covered by current rates. Opponents, including the Consumer Advocate, the Maui Chamber of Commerce, Hawaii Food Industry Association, restaurant and chamber groups, and other businesses, argued the bill would lead to higher costs for consumers and businesses and should not move forward. Several testified that shipping costs already significantly affect pricing and that automatic increases would worsen the cost of living. The Consumer Advocate said Young Brothers should focus on cost control and implementing its business plan rather than automatic rate increases. The Maui Chamber and others pointed to a recent PUC decision that imposed a two-year stay on rate increases and said the bill would undermine that protection. Some opponents urged the committee to defer to the PUC’s regulatory authority. The PUC explained that it regulates water carriers as public utilities under existing statute and said it had recently approved a temporary rate increase while imposing a two-year stayout period on further increases, with emergency relief still possible. PUC members said they were still examining whether they have authority to adopt the proposed WICI mechanism by rule and wanted legislative clarity. In response to questions, the PUC said it prefers the current two-year stayout as reflected in its order. Young Brothers also clarified that it serves less-than-container-load cargo, that some routes and services are cross-subsidized because they are not profitable, and that an independent observer is being put in place to monitor implementation of its updated business plan. The transcript ended with the committee still taking questions; no final vote or disposition on the bill was shown.
MS

Mississippi 2026 Regular Session

Public Health and Welfare - Room 216, 25 February, 2026; 3:00 PM

Public Health and Welfare

Transcript Highlights:
  • Are they authorized to do that?
  • Are they authorized to do that?
  • Are they authorized to do that?
  • Are they authorized to do that?
  • Are they authorized to do that?
Summary: The committee first handled House Bill 612, which had been laid on the table because of questions about section one. Senator Tate explained that section one would allow the state, counties, and municipalities to enter interlocal agreements to provide installation support services on military installations, mainly road and infrastructure work such as paving and dirt work, and that section two would add Coast Guard medics to an existing provision allowing trained military medics to sit for LPN certification. After questions about the breadth of “installation support services,” the committee adopted the motion for title sufficient, due pass, with opposition noted, and the bill was reported to the Veterans and Military Affairs Committee. House Bill 942 was then passed over at Senator McMahon’s request until Tuesday. The committee then took up House Bill 1034, which would allow terminally ill hospital patients to use medical cannabis gummies. The sponsor said the bill is intended to help terminally ill patients who already qualify for medical cannabis but are denied access in hospitals, and that it prohibits smoking or inhalation. Members raised concerns about whether the bill was too broad, whether it would interfere with hospital and physician judgment, possible drug interactions, federal law issues, liability for hospitals and doctors, storage and disposal requirements, and whether hospitals would incur costs or be forced to handle cannabis on their premises. The sponsor responded that the patient’s use would be logged in the chart, that the caregiver is generally responsible for the lockbox and disposal, and that the bill includes language allowing a facility to opt out if compliance would jeopardize federal funding or licensing. The bill’s author also described the measure as arising from a Coast Guard family’s experience in which a terminally ill patient was denied access to medical cannabis at one hospital but allowed at another, and said the goal is to prevent similar denials for terminally ill patients. He said he was not aware of other drugs treated this way in hospitals, but argued that terminally ill patients should have access to most anything they want. The discussion ended with Senator England asking whether changing the bill’s requirement that a facility “shall” allow medical cannabis to “may” allow it would better protect hospitals and preserve discretion, but no final action on House Bill 1034 was taken in the portion provided.
ND

North Dakota 2025-2026 Regular Session

House Floor Session Apr 16th, 2025 at 12:30 pm

North Dakota House Floor Meeting

Transcript Highlights:
  • Section 3 amends and reenacts section 53-06.1-15.1 of the North Dakota Century Code and outlines the authority
  • cost share, maternity and newborn care... ...mental health and substance use disorder services, prescription
  • septic systems, notwithstanding any other provisions of the law, the department has the exclusive authority
  • Consequently, Vietnam withdrew glyphosate from their list of authorized pesticides in 2019, and Mexico
  • Do any of you have a prescription for a pharmaceutical of some kind? Is it really safe?
Keywords: 908, all
Summary: The House convened with prayer, roll call, and a quorum present, then took up several procedural motions, including suspending House rules for three legislative days and replacing conference committee members on Senate Bill 2282 and SCR 4007. The chamber also recognized visiting student groups from Grafton/Pleasant Valley and Shiloh School. Later, the House agreed to several conference committee reports and moved a number of measures through final passage or final disposition. House Bill 1428, which would have created a sales tax exemption for clothing sold by thrift stores or nonprofit corporations, drew extensive debate over tax policy, revenue loss, and possible conflicts with streamlined sales tax rules. Supporters argued it would help lower-income shoppers and nonprofit thrift stores, while opponents said it created an unfair advantage and could reduce state and local revenue. The conference report was adopted, but the bill ultimately failed on final vote, 37-54. House Bill 1440, relating to cigar lounges, was amended in conference and then passed 75-17. House Bill 1460, concerning adult foster care for private-pay adults, electronic monitoring, and a legislative study, was also adopted and passed overwhelmingly, 91-1. The House then passed Senate Bill 2224, which revises gaming commission structure and gaming stamp requirements, adds Attorney General enforcement provisions, and includes a $25,000 general fund appropriation, by a vote of 88-0. Senate Bill 2327, which expands uses of the agriculture diversification and development fund and appropriates $15 million to it, passed 74-17 after a member was excused from voting due to a personal interest. Senate Bill 2267, creating a regulatory framework for on-site wastewater treatment systems and shifting licensing authority to the Department of Environmental Quality, passed 82-10, and Senate Bill 2276, addressing joint water resource boards for cross-county projects, passed 90-1. The most contentious debate centered on Senate Bill 2160, which would move the state employee health plan from grandfathered status to a non-grandfathered ACA-compliant plan and appropriate about $6.6 million for the transition. Supporters said it would give the PERS board more flexibility, expand preventive and other benefits, and potentially slow premium growth without charging employees premiums. Opponents warned it could raise out-of-pocket costs, add mandated benefits, and shift costs to employees, while also arguing the bill had not been adequately studied. After extended debate, the House passed SB 2160 by a vote of 55-37. The chamber also concurred in Senate amendments to House Bill 1318, a pesticide labeling bill, and placed it on final passage, but the transcript ends before the final vote on that measure.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Health Subcommittee Jan 22nd, 2026 at 09:30 am

A&B Health Subcommittee

Transcript Highlights:
  • Spend under their existing authorities.
  • Something we can become authorized to do.
  • Next up, we've got University Hospital Authority and Trust.
  • A University Hospitals Authority manages no programs of its own.
  • so there are no employees at the University Hospitals Authority.
Keywords: 914, all
NH
Transcript Highlights:
  • I find that it is overly prescriptive and takes away local control.
  • So, I will not be supporting the bill in any form because I feel it's overly prescriptive and takes away
  • bill in any form because I feel it's bill in any form because I feel it's overly<00:37:01.920> prescriptive
  • and<00:37:02.639> takes<00:37:02.800> away<00:37:03.040> local overly prescriptive
  • and takes away local overly prescriptive and takes away local control.<00:37:04.000> Thank<00
Keywords: 928, house, all
Summary: The committee took up Senate Bill 206, which requires public schools to adopt policies limiting student cell phone use. Supporters argued that cell phones and personal devices contribute to student mental health problems, bullying, distraction, and disruptive behavior, and said teachers and administrators want a clear statewide rule rather than having to enforce policies themselves. Opponents raised concerns about local control, the breadth of the term “personal communication device,” and whether the bill would interfere with instructional uses of devices, especially in schools that rely on bring-your-own-device or have limited access to school-issued laptops. Members debated Amendment 2249H, which added an exception for teacher-led instruction and clarified that superintendent-approved exceptions could still apply for medical, disability, or language-proficiency needs. After discussion about whether the amendment was too restrictive or too broad, the committee adopted the amendment on a 9-8 vote, with one member not voting. The committee then voted 9-8, with one not voting, to recommend Senate Bill 206 ought to pass as amended. The committee then moved to Senate Bill 96, concerning mandatory disclosure by school district employees to parents. The sponsor offered Amendment 2199H to replace language that would have required referral to DCYF whenever an educator withheld information due to concern about possible abuse at home. The amendment instead allows a district to withhold information if a reasonably prudent person would believe disclosure would result in abuse, abandonment, or neglect, and requires the decision to be documented in the student record. The amendment was discussed as a narrower, more workable safeguard, and the committee was still in discussion on the bill at the end of the transcript.
AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Transcript Highlights:
  • We also pay for the state contribution of their prescription drugs, which is commonly called the clawback
  • So our authority has expanded in the past few years and we're excited to be able to do a lot with that
  • So generally, we don't have our own authority to go into a district and file a criminal or civil act.
  • Our statute, our establishing statute, does authorize us to do that.
  • Our statute, our establishing statute, does authorize us to do that.
Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution. The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.
AR

Arkansas 2026 Regular Session

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Transcript Highlights:
  • We also pay the state contribution of their prescription drugs, which is commonly called the clawback
  • So our authority has expanded in the past few years, and we're excited to be able to do a lot with that
  • So generally, we don't have our own authority to go into a district and file a criminal or civil act.
  • Whereas, so the Attorney General's Office does not have its own prosecuting authority.
  • Our statute, our establishing statute, does authorize us to do that.
Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to adopt the November 2018 minutes and receive a primer on the subcommittee’s role and Medicaid oversight in Arkansas. Legislative audit staff reviewed the subcommittee’s history and explained that Medicaid is audited annually through the statewide single audit because it is a high-risk federal program. Staff summarized recent audit findings, including weaknesses in eligibility and data-matching controls, improper use of Medicaid funds for partially non-Medicaid work, issues with incarcerated juveniles’ coverage, the absence of a Medicaid recovery audit contractor program exception request, reporting problems involving MFCU recoveries, and provider eligibility documentation concerns. Staff also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for further action. The Department of Human Services gave an overview of Medicaid’s structure, eligibility, delivery systems, and budget. DHS described Arkansas Medicaid as covering about 850,000 people through fee-for-service, managed care, and premium assistance for the expansion population, and outlined major spending categories such as institutional care, long-term services, pharmacy, capitated payments, and supplemental payments. DHS also explained the difference between state plan amendments and waivers, and said it has a beneficiary-fraud unit that refers cases to local prosecutors. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, distinguishing between suspensions for credible allegations of fraud and recovery actions for mistakes or overpayments. OMIG said it works with DHS and law enforcement, issues quarterly and annual reports, and has increased recoveries in recent years. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, can also handle long-term care neglect, abuse, and exploitation cases, and works with local prosecutors as special deputies. Committee members asked about court venue, provider suspensions, beneficiary fraud, education of providers, and the status of Medicaid expansion work requirements; DHS said it is preparing to implement community engagement requirements under HR 1 and will begin with a soft launch before full enforcement. No formal votes were taken beyond adoption of the minutes, and the meeting adjourned after questions were answered.
TX

Texas 89th Regular

Senate Committee on Water, Agriculture, and Rural Affairs Mar 31st, 2025

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • Hours from East Texas to support a bill that's authored by a Democrat.
  • Senator Hall asks the author to explain the bill.
  • Author, good shape. Appreciate you being here. Thank you for laying out.
  • As the chairman mentioned, under authority, this bill would create some new authority for TBVME to require
  • These screening areas are not authorized or posted.
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 28th, 2026 at 02:54 pm

House Appropriations & Finance

Transcript Highlights:
  • And the language as it stands in the scenario isn't very prescriptive.
  • We're going to go next to the Public School Facilities Authority.
  • New Mexico Finance Authority in the Opportunity Enterprise Fund.
  • Next is line number four to Mortgage Finance Authority.
  • Finance Authority, to the Housing Trust Fund.
Keywords: 996, all
NH
Transcript Highlights:
  • standards, tell us how they're doing it, and provide evidence that they are rather than highly prescriptive
  • And I think that's been something we've been lauded for as a commission, that we're not as prescriptive
  • And I think that's been something we've been lauded for as a commission, that we're not as prescriptive
  • And I think that's been something we've been lauded for as a commission, that we're not as prescriptive
  • And I think that's been something we've been lauded for as a commission, that we're not as prescriptive
Keywords: 928, house, all
Summary: The committee heard updates from the chancellors of the state university system and the community college system on ongoing restructuring, collaboration, and enrollment trends. The university system said its office move to the NHTI campus is ahead of schedule and should save students about $250,000 a year while creating revenue for the community college system. Both systems described continued work on transfer pathways, direct-admit outreach, shared advising, and broader efforts to shrink footprints, reduce costs, and improve operational efficiency in response to declining enrollment and demographic pressure. A major topic was a possible federal change to Pell Grant eligibility that would require students to enroll in at least 7.5 credits. The chancellors said most community college students are part-time because of work and family responsibilities, and that the change could affect roughly 2,000 current Pell recipients and make it harder for students to afford or sustain enrollment. Members also discussed how the state’s governor’s scholarship statute largely benefits full-time students, suggesting possible future statutory changes. The chancellors explained how credits typically work, noting most courses are three or four credits and that students would likely need to add an entire course to meet the proposed threshold. The committee also discussed the broader higher education landscape, including declining high school cohorts, competition among New England institutions, and the need to right-size capacity. One member raised concerns about the health of regional campuses such as Plymouth and Keene; the chancellors said incoming enrollment is down at UNH and Plymouth and holding at Keene, attributing the trend to demographics rather than one campus drawing students away from another. They emphasized the importance of community colleges, adult learners, and short-term workforce programs as part of the state’s future education mix. Finally, the committee touched on the value of the university system’s research enterprise. The chancellor said about $250 million a year flows into the university system in federal research grants, with about $9.5 million currently under stop-work orders from federal agencies. She said the immediate concern is not DEI-related but federal cuts and possible caps on indirect cost recovery. Members noted that the R1 research designation supports business partnerships, student opportunities, and economic development projects such as West Edge in Durham.
MN

Minnesota 2025-2026 Regular Session

Human Committee Meeting - 2026-04-14

Human Services Finance and Policy

Transcript Highlights:
  • that the author intends? Seeing none. that the author intends? Seeing none.
  • This pilot program would authorize contracts with two PACE organizations.
  • This pilot program would authorize contracts with two PACE organizations.
  • Chair, I want to thank the author for bringing this really important bill forward.
  • /c><01:17:25.920> to<01:17:26.080> be prescription of what needs to be prescription of
NM

New Mexico 2026 Regular Session

Senate Chamber Jan 28th, 2026 at 11:26 am

New Mexico Senate Floor Meeting

Transcript Highlights:
  • Pursuant to Article 4, Section 5B2 of the New Mexico Constitution, I am authorizing for your consideration
  • Act to pharmacy benefits managers, prohibiting prior authorization for certain prescription drugs prescribed
  • to treat serious mental illness, and requiring prior authorization to occur once every three years for
  • Act to pharmacy benefits managers, prohibiting prior authorization for certain prescription drugs prescribed
  • to treat serious mental illness, and requiring prior authorization to occur once every three years for
Keywords: 996, all
TX
Transcript Highlights:
  • But GBRA is the River Authority for Plum Creek? Yes, yes.
  • Well, they have revised their members in this River Authority.
  • So, I certainly have, as authors intend, you in mind, John, or at least the LCRA.
  • Or the chairman, the author of the bill would be this.
  • We ensure that the right people are doing the right job with the right authority.
Keywords: 1185, senate, all