Video & Transcript : 'formulary placement' :

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CA

California 2025-2026 Regular Session

Senate Health Committee Apr 15th, 2026

Health

Transcript Highlights:
  • many other counties throughout the state, the public conservator was forced to scramble to find placement
  • Courts were forced to quickly identify alternative placements for high-risk individuals, often without
  • Prosecutors were required to litigate the placement of individuals, and yet as that was occurring, these
  • The law already states that placement in a less restrictive setting won’t be approved if it would pose
  • This requirement prevents plans from updating their formularies as new data emerges and limits them from
Committee: Senate Health
KY
Transcript Highlights:
  • Each MCO had their own formulary with the medications that were available for our members, and now we
  • 24.800><c> own</c> and we had each each MCO had their own and we had each each MCO had their own formulary
  • <c> the</c><00:40:26.240><c> medications</c><00:40:26.880><c> that</c><00:40:27.000><c> were</c> formulary
  • with the medications that were formulary with the medications that were um<00:40:28.319><c> uh</c><00
Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.
TX

Texas 89th Regular

89th Legislative Session Apr 15th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • including a student with a disability who is exhibiting dangerous behaviors and whose continued placement
  • Disciplinary alternative education program placements have also seen a significant rise.
  • 2023-2024 school year, In the 2023-2024 school year, 121,000 students were sent to alternative placements
  • For example, are overrepresented in ISS placements.
  • to also be provided for virtual placements as well.
Summary: The House convened with prayer, pledges, and several ceremonial recognitions, including Wilson County Day, San Antonio Mission Indian Descendants Day, and Blue Ribbon Lobby Day, along with acknowledgments of visiting groups and a birthday greeting. The chamber also announced committee meetings and then moved into floor business, including conference committee action on Senate Bill 1, the state budget. A series of motions to instruct House conferees on SB 1 were debated and voted on. One motion sought to restore salary for Attorney General Ken Paxton after his impeachment-related suspension; it passed 88-56. Another, from Rep. Olcott, directed conferees to support amendments requiring data collection on the costs of undocumented immigrants in hospitals and prisons; after extended debate and a failed amendment from Rep. Martinez Fischer to also study immigrants’ economic contributions, the motion passed 86-61. The House also adopted instructions to eliminate Texas Lottery Commission funding, to support amendments restricting public education institutions from affirming gender identities inconsistent with biological sex, and to seek an additional $4 billion in property tax relief, with each motion passing on recorded votes. The House then took up a supplemental calendar and passed several bills, including HB 39 on veteran death data, HB 102 on priority registration for certain students entering military service, HB 126 on student-athlete compensation and representation, HB 290 on tuition and fee assistance for members of the Texas military forces, HB 300 on Texas Armed Services Scholarship Program updates, and HB 2143 naming a highway in honor of Army Specialist Joey Lins. The chamber also postponed consideration of HJR 2 and HJR 6. Later, the House considered HB 120 on career and technology education pathways and HB 20 on applied science pathway programs for high school students. HB 120 received a perfecting amendment and was advanced after discussion about workforce preparation. HB 20 prompted extensive questioning about transportation, costs, and how students would access partner campuses such as community colleges and TSTC sites; debate continued as the transcript ended, with members examining how the program would operate and whether approval authority would rest with TEA.
MN

Minnesota 2025-2026 Regular Session

House Floor Session 4/29/25 - Part 2

Minnesota House Floor Meeting

Transcript Highlights:
  • And these Medicare Advantage plans can also change their formulary, their drug formulary, which is something
  • ,</c> plans can also change their formulary, plans can also change their formulary, their<03:03:59.920
  • ><c> drug</c><03:04:00.240><c> formulary,</c><03:04:00.960><c> which</c><03:04:01.200><c> is</c><03:04
  • :01.359><c> something</c> their drug formulary, which is something their drug formulary, which is something
  • </c><03:04:07.359><c> gets</c><03:04:07.600><c> changed</c> and suddenly the formulary gets changed and
LA

Louisiana 2026 Regular Session

Labor and Industrial Apr 28th, 2026

Transcript Highlights:
  • We have formulary tools that are adopted to reduce administrative friction, as Representative Cruz said
  • My suggestion on that would be a formulary, and I think a formulary fills that role very well, but that's
Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.
LA

Louisiana 2026 Regular Session

Labor and Industrial Apr 28th, 2026

Labor & Industrial

Transcript Highlights:
  • We have formulary tools that are adopted to reduce administrative friction, as Representative Cruz said
  • My suggestion on that would be a formulary, and I think a formulary fills that role very well, but that's
Bills: HB282 , HB293 , HB390 , HB456 , HB460 , HB561 , HB819 , HB1023 , HB1047 , HB1101
MN

Minnesota 2025-2026 Regular Session

House Floor Session - part 2 Apr 29th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • These Medicare Advantage plans can also change their formulary—their drug formulary—which is something
  • It's unfair when you're on a drug, and suddenly the formulary gets changed out from under you, and that
FL

Florida 2026 4th Special Session

February 26, 2026 - 03:30 PM

Transcript Highlights:
  • Favored Nation Upper Payment Limit Policy and the limitations on adverse changes to prescription drug formularies
AL

Alabama 2025 Regular Session

Alabama Senate Finance and Taxation Education Committee Mar 5th, 2025

Finance and Taxation Education

Transcript Highlights:
  • They don't get to set our formulary; we do.
MA

Massachusetts 2025-2026 Regular Session

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

Joint Committee on Revenue

Transcript Highlights:
  • both taking care of the foreign tax credits and lack of foreign tax credits and substituting for formulary
  • You don't have to use credits, you don't have to use formulary apportionment, you just have to get roughly
Summary: The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing. Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised. Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jan 20th, 2026 at 10:30 am

Health & Long-Term Care

Transcript Highlights:
  • pharmacists believe, it's important to maintain some access to opioids for pain management within our formulary
  • state employee coverage, and Medicaid managed care, cannot prefer opiates over non-opiates on their formularies
KY
Transcript Highlights:
  • so we don’t have to keep coming back every couple of years and adding a new formulation or a new formulary
  • years and adding a new formulation or a years and adding a new formulation or a new<00:20:32.679><c> formulary
  • 34.000><c> that's</c><00:20:34.480><c> what</c><00:20:34.760><c> this</c><00:20:35.559><c> uh</c> new formulary
  • so that's what this uh new formulary so that's what this uh part<00:20:35.880><c> of</c><00:20:35.960
Summary: The committee first took up House Bill 392, sponsored by Representative Proctor, which would help the Department for Behavioral Health, Developmental and Intellectual Disabilities pay for emergency medical and psychiatric services provided to patients outside state facilities when those facilities cannot meet their needs. Proctor described it as a continuing improvement bill to address payment issues for services delivered at community-based facilities. The bill received no substantive opposition in the meeting and passed the committee with favorable expression by a vote of 15 yes, 0 no, and 1 pass. The committee then considered House Bill 580, presented by Representative Kim Moser and Elena Sweezy, which tightens oversight of peer support specialists. The bill was described as building on House Bill 505 from the prior year by reinstating supervision requirements, adding parameters around group sizes, creating a pathway for temporary peer support specialists to become fully registered after nine months, and addressing Medicaid reimbursement and accountability concerns. Members asked about reimbursement; the sponsor said Medicaid was okay with the bill and that commercial insurance coverage would be up to insurers. Representative Fleming emphasized the need for stronger financial oversight of the peer support code. The committee adopted a substitute and title amendment, then passed the bill with favorable expression. House Bill 688 was then heard, with Representative Bratcher explaining that it addresses two issues: preventing fraud in nurse licensure by giving the Kentucky Board of Nursing more discretion to review out-of-state credentials, and expanding school authority to administer certain emergency medications. He said the bill changes the board’s authority from “shall” to “may” so it can verify transcripts, curricula, accreditation, and exam passage. During discussion, Representative Sharp explained his yes vote by noting the bill also adds rescue medications such as glucagon and Solu-Cortef and allows prescribed emergency medications for known conditions in schools. The committee passed the bill with favorable expression. Finally, the committee heard House Bill 16, which would leave decisions about adding fluoride to drinking water to local governing bodies rather than maintaining a state mandate. Supporters, including Representative David Hale, Dr. Jack Call, and Cindy Batson, argued that fluoridation should be a local choice and raised concerns about cost, potential health risks, and the precautionary principle. Opponents, including Dr. Steve Robertson of the Kentucky Dental Association, defended fluoridation as beneficial for preventing tooth decay and warned that local removal decisions could increase Medicaid costs and may not reflect the broader public interest. The transcript provided does not show a final committee vote on House Bill 16 in the excerpt.
MA

Massachusetts 2025-2026 Regular Session

Formal House Session 94 Jun 21st, 2026 at 11:00 am

Massachusetts House Floor Meeting

Transcript Highlights:
  • Amendment 70 incorporates strategic savings in the Health Safety Net Program, including a new pharmacy formulary
Summary: The House took up several routine and ceremonial matters first, including a resolution honoring the Solomon Northup Committee and commemorating the arrival of the Solomon Northup sculpture in Boston, which was adopted. Members also adopted an order extending the Revenue Committee’s reporting deadline on House No. 4606, concurred in a Senate sick leave bank petition for Jeffrey Yatson, and suspended Joint Rule 12 for a similar sick leave bank petition for Jean McCarran. The House then advanced House No. 4413, a bill on the terms of certain Commonwealth bonds, to third reading and later passed it to be engrossed. The main floor debate centered on House No. 4601, the fiscal year 2025 supplemental appropriations bill. The bill was described as a $2.25 billion supplemental budget with a net Commonwealth cost of about $750 million, covering MassHealth, snow and ice deficiencies, Home Base, universal school meals, reproductive health care supports, a sports and entertainment fund, and other items. The bill also included outside sections on public health and finance, and it ratified seven collective bargaining agreements. The House adopted Amendment 70, which added Health Safety Net funding measures, including higher hospital assessments and a $50 million transfer from the Commonwealth Care Trust Fund, after supporters said it would help avert a projected shortfall and generate federal Medicaid revenue. A separate amendment on Home Base eligibility was rejected. The House also adopted a consolidated amendment that included provisions affecting western and central Massachusetts municipal health insurance costs and changes to violent injury benefit language for first responders, including clarifying the definition of a weapon and tightening the standard for covered injuries. Another consolidated amendment was adopted by roll call, and the bill itself was then passed to be engrossed by a recorded vote. The session ended with an order to meet the next day at 11 a.m. and a motion to adjourn in memory of former House members Thomas and George, which was agreed to before adjournment.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am

Joint Committee on Financial Services

Transcript Highlights:
  • been denied at the pharmacy counter when a prior authorization has expired. ...delayed when the formulary
Summary: The Joint Committee on Financial Services held a hearing with Chair Jamie Murphy and Senate co-chair Senator Feeney presiding. Members asked witnesses to keep testimony to three minutes and noted that written testimony could still be submitted. The committee heard testimony on several health insurance and pharmacy-related bills, including a proposal to allow controlled prescriptions to be transferred between pharmacies within the same chain, legislation affecting health savings account (HSA)-compatible plans and future insurance mandates, a bill on small business health insurance incentives, and H. 1212 on emergency insulin access. Several parents and patients testified in support of emergency insulin access, describing severe diabetes emergencies, diabetic ketoacidosis, prescription delays, and the need for pharmacists to dispense insulin in urgent situations when doctors or insurers are unavailable. A parent also described the burden of repeatedly obtaining new prescriptions for ADHD medication when pharmacies are out of stock. Witnesses supporting the HSA bill argued that state coverage mandates can unintentionally disqualify HSA-qualified plans and that the bill would preserve tax advantages for enrollees while avoiding repeated legislative fixes. A representative of the Retailers Association supported the small business health insurance incentives bill, saying it could help retain small employers in the merged market by allowing carriers to offer financial incentives tied to cooperative purchasing and utilization efforts. One witness, Kathleen Demarest, testified against a co-pay assistance restriction, saying a state rule had unexpectedly cut off her drug assistance before a generic was actually available, leaving her with very high out-of-pocket costs. Committee members asked a few clarifying questions about HSAs, insulin dispensing, and school support for diabetes care. After all scheduled witnesses had testified and no additional testimony was offered, the committee voted to close the hearing.
AR

Arkansas 2026 1st Special Session

ARKANSAS LEGISLATIVE COUNCIL (ALC) Feb 20th, 2026

ARKANSAS LEGISLATIVE COUNCIL (ALC)

Transcript Highlights:
  • The subcommittee approved the following EBD items: the pharmacy formulary recommendations for December
Summary: The meeting opened with prayer, approval of the prior minutes, and a monthly revenue report from the Bureau of Legislative Research. The report showed gross general revenue collections up year to date and net general revenue above forecast, with the increase attributed in part to income tax growth, a fiscal-year shift, and lottery-related collections. Members asked no questions, and no action was required on the revenue report. Several subcommittee reports were then presented and adopted, including executive, administrative rules, game and fish/state police, hospital/Medicaid/developmental disability, occupational licensing, PEER, revenue, state insurance programs, and personnel. The executive report noted a waiver request for Jackson County School District construction services and an audit with no findings. The administrative rules report covered agency directives, rulemaking updates, and a few rules pulled for later consideration. The revenue subcommittee held one District 4 tire removal contract until its next meeting, while the state insurance subcommittee reviewed the EBD contract with Boston Consulting Group and approved pharmacy formulary and drug recommendations. A substantial portion of the meeting focused on the State Insurance Department’s examination of pharmacy benefit managers, especially Navitus Health Solutions. Commissioners and staff explained that Navitus objected to producing certain claims data for self-funded plans, raising an ERISA preemption argument, and that the matter was being set for an administrative hearing, likely in April. Members questioned compliance, due process, and the implications of the objection, while the department said the state initiated the examination and was continuing to seek resolution. The committee also reviewed an Arkansas Teacher Retirement System agreement, with one member noting a potential conflict and abstaining. The meeting ended after members reviewed additional reports with no further action and adjourned.