Video & Transcript : 'FDA user fees' :

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TX

Texas 89th Regular

Higher Education Apr 15th, 2025

Higher Education

Transcript Highlights:
  • HB 3976 helps address this challenge by even license renewal fees for those who are teaching in the high
  • Tell us what a fee actually would be for a nurse? Absolutely. So it depends on license type.
  • It waives license renewal fees for faculty who are actively. in the same high-demand field for which
  • all up you know working hard on this but this is an investment for me because the fact is The license fee
CA

California 2025-2026 Regular Session

Assembly Health Committee Mar 24th, 2026

Health

Transcript Highlights:
  • The FDA has specific requirements for infant formula labels.
  • The FDA has specific requirements for infant formula labels.
  • Again, the FDA has stated that heavy metals in formula did not indicate a public health concern.
  • It was talked about that FDA hasn't set levels yet.
  • So currently, though, the FDA doesn't have guidance around allowable amounts, though.
Committee: House Health
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am

Joint Committee on Financial Services

Transcript Highlights:
  • There are various fee-for-service models available that are results-based.
  • So the fee-for-service models are arranged between the hospital and the private ambulance services.
  • It will ultimately mean multiple parking fees, days off work, time taken away from your children, and
  • MassHealth fee-for-service has to provide this because it was included in the 2000 law.
  • Just families... ...and they simply can't afford the doula out-of-pocket fee.
Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.
TX
Transcript Highlights:
  • The FDA moved that up to 10 weeks.
  • According to the FDA, there are only five deaths per million users of Mifepristone.
  • I was at the FDA for about 12 years, the last six of which I served as the Deputy Director of FDA.
  • Back to the FDA, I'm confused.
  • That's an FDA statement. I'm sorry. I didn't actually. So I have a statement from the FDA.
CA

California 2025-2026 Regular Session

Assembly Health Committee Mar 24th, 2026

Transcript Highlights:
  • The FDA has specific requirements for infant formula labels.
  • Again, the FDA has stated that heavy metals in formula did not indicate a public health concern.
  • It was talked about that FDA hasn't set levels yet.
  • So currently, though, the FDA doesn't have guidance around allowable amounts, though.
  • FDA is going to set standards this year, for years now, our members have been testing...
Summary: The Assembly Health Committee heard several bills focused on workforce access, consumer protection, behavioral health parity, and public health safety. AB 1591 by Assembly Member Michelle Rodriguez would create a podiatric medicine pipeline program to address shortages of podiatrists, especially in rural and underserved counties; it drew strong support from podiatrists and medical groups and no opposition. AB 2011 by Assembly Member Hart would codify federal mental health and substance use disorder parity standards into state law; supporters argued it would preserve access if federal enforcement weakens, while health plans and insurers opposed it as premature and potentially confusing. The bill was moved on a due pass motion to Appropriations and remained on call after a roll vote with several ayes and some noes. The committee also considered AB 2311 by Assembly Member Chiavo, which would allow public health care district hospitals to directly employ physicians. Supporters said the change would help district hospitals recruit and retain doctors and stabilize care in underserved communities, while CMA and emergency physicians warned it could weaken the corporate practice of medicine protections and physician autonomy. Members raised concerns about guardrails, but the author said the bill would continue to be refined; it passed on a due pass motion to the Business and Professions Committee. AB 2030 by Assembly Member Lowenthal would prohibit sales of over-the-counter diet pills and weight-loss or muscle-building supplements to minors, with supporters citing eating disorder risks and opponents objecting to scope, age-verification, and retail requirements. The bill passed on a due pass motion to the Judiciary Committee. AB 1864 by Assembly Member Berman would require screening of gene synthesis orders to prevent misuse for bioterrorism and would authorize enforcement penalties for noncompliance. Supporters from Stanford, Encode, and the medical community said the measure would align California with federal best practices and address growing biosecurity risks, while life sciences representatives raised concerns about operational burdens and supply-chain impacts. Members discussed whether the bill should include an urgency clause and how to keep the standards current; it passed to the Judiciary Committee. AB 2457 by Assembly Member Connolly would standardize and speed up Medi-Cal managed care credentialing for physicians, and it passed to Appropriations with broad support. Finally, AB 2302, presented on behalf of Assembly Member Celeste Rodriguez, would require infant formula manufacturers to test for toxic elements such as lead and arsenic and post results publicly; pediatric and disability advocates supported the measure as a transparency and infant safety bill.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/18/26

Commerce Finance and Policy

Transcript Highlights:
  • </c> all fees. all fees.
  • And if I want to turn it back in, there's a fee to turn it back in. There's a fee to assign.
  • And if I want to turn it back in, there's a fee to turn it back in. There's a fee to assign.
  • And if I want to turn it back in, there's a fee to turn it back in. There's a fee to assign.
  • Turn it back in, there's a fee to turn it back in. There's a fee to assign.
Bills: SF1750 , HF4250 , HF3938 , HF3904 , HF3642
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 20th, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • Okay, and so the fee is to make the program self-sustaining?
  • One of the primary focuses we saw was banning discriminatory fees, chargebacks, and clawbacks.
  • Of up to $5,000 per day per violation, as well as reasonable attorney fees and costs.
  • That fee has made it possible for us to keep very expensive brand-name medications in stock.
  • To wrap up, we are seeing major health care issues for the average user.
Bills: HB2145 , HB1828 , HB2155 , HB2437
AR
Transcript Highlights:
  • Vaping does not only affect the user. Vape aerosol can't...
  • Nicotine increases dopamine, a chemical messenger that makes users feel rewarded, creating a dependency
  • Vaping can heighten stress and trigger, accelerate mood disorders, and users often experience brain fog
  • I have one constituent in Conway, and the farmer there called Healthy Flavors, and they've got an FDA
  • However, we will have some fee-for-service providers in place for those children that do not meet that
Summary: The committee heard extensive public testimony from youth advocates and public health speakers urging action on vaping. Witnesses said flavored products and social media are driving youth use in Arkansas, described nicotine addiction and health harms, and asked lawmakers to prohibit vaping in public indoor spaces, align vape rules with smoke-free laws, and expand prevention efforts. Committee members thanked the speakers and encouraged them to continue building support for future legislation. The main presentation was an overview of Arkansas’s Rural Health Transformation Program, a five-year federal initiative funded through CMS. State officials said Arkansas received about $209 million for the first year and may receive roughly $1 billion over five years if performance is strong. They emphasized that the program is intended for targeted, locally driven transformation rather than general operating support, debt relief, or new construction, and outlined four initiatives: Heart, PACT, Rise, and Thrive, focused on prevention, access and coordination, workforce development, and technology. Officials said applications would open in the spring, with a reimbursement-based process and a goal of launching all four initiatives by June. Members asked detailed questions about eligibility, rural definitions, school gardens, faith-based and nonprofit partnerships, mobile clinics, EMS, behavioral health, residency slots, and whether urban providers serving rural patients could apply. Officials said the program would favor regional collaboration, could support targeted renovations and expansion of existing programs, and would allow residency growth and some equipment or infrastructure purchases, but not food purchases or permanent new construction. They also said a committee of state health and finance officials would review applications, with heavy technical assistance and an expectation of quick turnaround. The committee also reviewed two DHS/Health Department rules. One implemented Medicaid and CHIP coverage and care coordination for eligible incarcerated youth before and after release, including targeted case management and screening services, with no public comments received. The other updated audiology licensing rules to reflect recent acts expanding scope of practice and changing the renewal deadline. Both rules were reviewed without objection, and the committee adjourned.
AR
Transcript Highlights:
  • Vaping does not only affect the user. Vape aerosol can't...
  • Nicotine increases dopamine, a chemical messenger that makes users feel rewarded, creating a dependency
  • Vaping can heighten stress and trigger or accelerate mood disorders, and users often experience brain
  • one of the constituents in Conway, and the farmer there called Healthy Flavors, and they've got an FDA
  • However, we will have some fee-for-service providers in place for those children that do not meet that
Summary: The committee heard extensive public testimony from youth advocates and others urging stronger action on vaping in Arkansas. Speakers described high rates of youth vaping, the appeal of flavored products and social media marketing, health risks from nicotine and aerosol exposure, and school disruptions. They recommended prohibiting vaping in public indoor spaces, aligning vape rules with smoke-free laws, and expanding prevention and cessation efforts. Committee members praised the students for testifying and encouraged them to continue building support for future legislation. The main presentation was an overview of Arkansas’s Rural Health Transformation Program, a five-year federal initiative funded through the One Big Beautiful Bill Act. DFA officials said Arkansas received about $209 million for the first year and could receive roughly $1 billion over five years if performance remains strong. They emphasized that the program must be transparent, locally driven, and focused on transformation rather than operating support, debt relief, or new construction. They outlined four initiatives—Heart, PACT, Rise, and Thrive—covering prevention and community health, provider collaboration and access, workforce development, and technology/telehealth. Officials said applications would open in early May, with all four initiatives expected to launch by June, and that funds would be awarded through a reimbursement-based process with a quick turnaround. Committee members asked detailed questions about eligibility, allowable uses, timelines, and how the program would affect existing providers. Officials said rural eligibility could include providers in urban areas if they serve rural patients, and that existing programs could expand if they did not supplant current funding. They also said the program could support targeted renovations, mobile units, new residency slots, EMS equipment, and clinically integrated networks, but not working capital, permanent new buildings, or food purchases. Members raised concerns about protecting current rural providers, supporting school gardens and farmers markets, and ensuring nonprofits and faith-based groups could participate. Officials said the state would continue technical assistance and that the application review team would include DFA and health leadership. Later in the meeting, DHS presented a Medicaid and CHIP rule implementing federal requirements for incarcerated youth, including 30-day pre-release and post-release coverage, targeted case management, and screening services. The Department of Health also presented a rule updating audiology licensing to reflect recent acts and changing the renewal deadline from June 30 to October 31. Both rules were reviewed without objection, and the committee adjourned after no further business.
TX

Texas 89th Regular

Senate Session Apr 29th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • The FDA recommends the drugs not be purchased online.
  • Current FDA recommendations.
  • Reported by the FDA the FDA should immediately reinstate earlier strong patient safety protocols to make
  • their fees.
  • The FDA reports... 36 that I'm aware of.
Bills: SJR59 , SCR30 , SCR46 , SB31 , SB127 , SB324 , SB401 , SB407 , SB467 , SB482 , SB506 , SB529 , SB584 , SB619 , SB636 , SB646 , SB647 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB816 , SB1013 , SB1026 , SB1049 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1383 , SB1395 , SB1410 , SB1433 , SB1524 , SB1531 , SB1568 , SB1640 , SB1666 , SB1681 , SB1718 , SB1754 , SB1757 , SB1972 , SB1980 , SB2004 , SB2007 , SB2041 , SB2046 , SB2050 , SB2075 , SB2076 , SB2154 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2306 , SB2308 , SB2314 , SB2322 , SB2330 , SB2351 , SB2366 , SB2371 , SB2392 , SB2398 , SB2476 , SB2533 , SB2540 , SB2544 , SB2589 , SB2610 , SB2623 , SB2660 , SB2662 , SB2693 , SB2707 , SB2717 , SB2722 , SB2742 , SB2753 , SB2779 , SB2807 , SB2843 , SB2844 , SB2858 , SB2877 , SB2880 , SB2885 , SB2920 , SB2938 , SB2986 , HJR4 , HCR35 , SJR3 , SJR18 , SB5 , SB260 , SB1786 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB1433 , SB2322 , SB2877 , SB407 , SB1718 , SB1395 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB2253 , SB584 , SB1085 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1410 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB647 , SB1721 , SB2268 , SB2366 , SB1013 , SB2797 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB2779 , SB2004 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HJR4 , HB135 , HB 1109 , HCR35 , HCR64 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586
TX

Texas 89th Regular

State Affairs Aug 22nd, 2025

State Affairs

Transcript Highlights:
  • costs and attorney fees.
  • It also has this ridiculous fee-switching provision that allows the plaintiff to collect attorney's fees
  • That is not how fee switching works.
  • Well, we have fee-shifting provisions all throughout...
  • There was a recent note from the FDA; this is the FDA. They reviewed the data.
Bills: HB7 , SB 8 , HB7 , SB 8
Committee: House State Affairs
FL

Florida 2026 Regular Session

Senate in Session Mar 9th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • You imagine FDA lining up to sue these people?
  • Now, our bill does allow it to be behind... ...what's appropriate if it's done in accordance with FDA
  • It also removes the filing application fee for insurance licensure for all veterans.
  • It also removes the filing application fee for insurance licensure for all veterans.
  • It also removes the filing application fee for insurance licensure for all veterans.
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 27th, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • And I do agree that DOH should be able to recover fees for what the fee is supposed to go to.
  • And I do agree that DOH should be able to recover fees for what the fee is supposed to go to.
  • And I do agree that DOH should be able to recover fees for what the fee is supposed to go to.
  • And I do agree that DOH should be able to recover fees for what the fee is supposed to go to.
  • And I do agree that DOH should be able to recover fees for what the fee is supposed to go to.
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 21st, 2026

Transcript Highlights:
  • For 95% of rare diseases, there's no FDA-approved treatment at all.
  • What they cannot do is hold up the FDA approval of an FDA-approved rare disease treatment behind redundant
  • We are not second-guessing the FDA scientific review or the physician's clinical judgment.
  • We are not second-guessing the FDA scientific review or the physician's clinical judgment.
  • This fee is contractually agreed by the primary plan and the subcontractor.
Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.
AL

Alabama 2026 Regular Session

Alabama House Ways and Means Education Committee Apr 1st, 2026

Ways and Means Education

Transcript Highlights:
  • .<00:09:21.320><c> Now,</c> fee.
  • Now, fee.
  • their convenience fee, which is an arbitrary fee that they could charge or they could not charge.
  • their convenience fee, which is an arbitrary fee that they could charge or they could not charge.
  • fee you mentioned?
Bills: SB59 , SB221 , SB59 , SB221
TX

Texas 89th Regular

S/C on Academic & Career-Oriented Education May 8th, 2025

S/C on Academic & Career-Oriented Education

Transcript Highlights:
  • certification exams and associated Representative Bhojani: requirements such as application or processing fees
Bills: HB 1061 , HB2800
Summary: The Subcommittee on Academic and Career-Oriented Education met briefly and considered only House Bill 1061, laid out by Representative Bojani. The bill would expand reimbursement for career and technology education (CTE) certification exam costs for students, teachers, and school districts. For students, it removes the current limit of one reimbursement so they can be reimbursed for multiple certification exams if they pass. For teachers, it broadens reimbursement beyond cybersecurity certifications to all CTE-related certifications. It also allows school districts that pay exam-related costs, including application or processing fees, to seek reimbursement from the Texas Education Agency (TEA) through an application process. During questions, members clarified that reimbursement would not be available if an individual failed the certification exam. Representative Schoolcraft asked about how the subsidy amount is determined and how the program is funded; the bill author said the amount is unchanged from current law and said he would follow up on funding details. No one testified for or against the bill. Representative Bojani closed on the bill, and the subcommittee left HB 1061 pending without objection. With no further business, the meeting adjourned.
WA

Washington 2025-2026 Regular Session

House Postsecondary Education & Workforce Feb 3rd, 2026 at 01:30 pm

Postsecondary Education & Workforce

Transcript Highlights:
  • Achievement Council to establish rules to determine the time period and amount for which tuition and fees
  • Achievement Council to establish rules to determine the time period and amount for which tuition and fees