Video & Transcript Research : 'step therapy'
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HI
Hawaii 2026 Regular Session
ECD Public Hearing - Fri Jan 30, 2026 @ 10:00 AM HST
Economic Development & Technology
Transcript Highlights:
- of actually getting counsel or therapy of actually getting counsel or therapy and<00:49:46.240><
- bot and of course the bot was therapy bot and of course the bot was programmed<00:49:55.599>
to - This is a step in the right direction to distinguish this, as the previous testifier said, from just
- And so, you know, oftentimes there is that skipping of a step where I don't think many of the people
- Stepping back through the agendas.
Keywords:
economic development, business, state statutes, Hawaii Revised Statutes, legislation, development strategy, state funding, infrastructure, employment opportunities, legislative intent, state legislation, development initiatives, 910, house, all
Summary:
The committee heard testimony on several bills, beginning with HB 1829 on marine affairs. Most testimony was in strong support, with speakers from state agencies, ocean-tech companies, startups, nonprofits, and community groups backing the creation of an Office of Marine Affairs and a marine affairs coordinator under HTDC. Supporters said the measure would better coordinate ocean policy, strengthen the blue economy, and help Hawaii capture jobs, investment, and innovation in marine-related industries. No vote or final action was taken in the portion provided.
The committee then took up HTDC-related measures, including HB 1615 and HB 1613, which also drew broad support from business, technology, and economic development interests. Testifiers said the bills would strengthen Hawaii’s technology and innovation ecosystem, support advanced manufacturing and cybersecurity, and help build a more diversified economy with higher-wage jobs. The committee also heard HB 1607 on public procurement and HB 1772 on small business procurement; state procurement staff and several business groups supported efforts to expand opportunities for local firms, while one speaker from the city’s economic revitalization commission argued that a flat 5% preference could help keep more revenue and jobs in-state.
On HB 1636 relating to shopping carts, the Hawaii Food Industry Association and Retail Merchants of Hawaii testified in opposition, saying the bill would penalize businesses for carts that are stolen rather than abandoned and would add costs that could especially burden small and local retailers. HB 1810 on charitable solicitation drew support from Goodwill Hawaii and other nonprofits, who said the bill would improve transparency around donation bins and protect donors from misleading for-profit collection practices; the Attorney General’s office asked for a delayed effective date to allow system changes and staffing. HB 1782 on AI and the protection of minors received broad support from state agencies, educators, and advocacy groups, but some business and retail representatives urged narrowing the definition of covered AI services so ordinary customer-service chatbots would not be swept in. Finally, HB 1759 on theft drew opposition from the Public Defender’s Office, which said the bill could create overly harsh penalties and should include defense representation on any task force; the office also noted existing laws already address conspiracy and related conduct.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Veterans, Military Affairs, & Public Protection (10-22-25)
Transcript Highlights:
- in therapy.
- So the first step is prevention. Second step is detection.
- Uh, so the first step is prevention. Second step is detection.
- Uh, so the first step is prevention. Second step is detection.
- Uh, so the first step is prevention. Second step is detection.
Summary:
The committee met with a quorum, approved the September 24 minutes, and heard a briefing from representatives of three Kentucky drug task forces: Greater Hardin County, Bowling Green-Warren County, and Bluegrass Narcotics. The presenters described how multi-jurisdictional task forces operate, their partner agencies, and the kinds of drugs and trafficking patterns they are seeing, with fentanyl identified as the most dangerous and fastest-growing threat. They also described large seizures and investigations involving fentanyl pills, cocaine, methamphetamine, marijuana, tractor-trailer shipments, postal shipments, and a case tied to a pill press and undercover work with the DEA. Bluegrass Narcotics said it was formed in response to overdose deaths and has since seen major reductions in complaints and overdose deaths in Harrison and Bourbon counties.
A major theme of the presentation was funding. The task forces said Byrne JAG funding has declined from about $2.1 million statewide in 2023-2024 to $1.4 million this year, while their costs for vehicles, fuel, technology, overtime, office space, and training have risen sharply. They said local support and asset forfeiture help, but the revenue is uneven and unpredictable, and they asked the legislature to consider adding about $1 million per year in state support, with oversight from the Justice Cabinet or Office of Drug Control Policy. They also emphasized that if meth labs return, many agencies would need new training and equipment because those capabilities have largely expired or been scaled back.
Members asked about possible statutory barriers, coordination across counties and states, the source of drugs, and how seized cash is handled. The task forces said coordination with federal, state, and other local agencies is generally strong, but money remains the main obstacle to broader operations. They explained that seized cash is held as evidence and, after court proceedings, may be awarded back to task forces or split under statute, with 15% going to the Commonwealth’s attorney and 85% to law enforcement. No votes or formal actions were taken beyond approving the minutes and receiving the briefing.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 17th, 2026 at 10:37 am
Senate Health & Public Affairs
Transcript Highlights:
- This is a step toward more responsive, evidence-based Services for children in state custody, and I urge
- Okay, yes, House Bill 13, and that's Occupational Therapy Licensure Compact.
- This bill is consistent with the Occupational Therapy Act and permits an individual affected by a rule
- My name is Dana Gray, Executive Director of Desert State's Physical Therapy Network.
- My name is Dana Gray, Executive Director of Desert State's Physical Therapy Network, representing 30
AZ
Arizona 2026 Regular Session
06/12/2026 - House Republican Caucus Calendar #26 & #27
Transcript Highlights:
- Please step up. Mr.
- Senate amended the bill to continue the Department of Economic Security, the Board of Occupational Therapy
- Board of Nursing for four years the Senate amended the bill to continue DES the Board of Occupational Therapy
- examiners and the Arizona Regulatory Board of Physician Assistance for for you. the Board of Occupational Therapy
Summary:
The caucus meeting on Friday, June 12, reviewed several bills on Blue Sheets 16, 17, and 18, with sponsors generally concurring in Senate amendments. On property tax and agricultural inspection bills, HB 2104 and HB 2105 were described as creating temporary limits on county assessors’ ability to reclassify or inspect agricultural property after a successful appeal or recent inspection, while preserving assessor authority for changes in use, ownership, splits, or taxable improvements. HB 4117, concerning religious worship assemblies, was amended by the Senate to focus on intentionally obstructing entry or exit from a place of worship or creating a disruptive commotion. HB 2311 would require AI conversational systems to notify users they are interacting with AI and add other consumer protections, and HB 2477 would conform Arizona’s 529 plan rules with federal law and allow certain rollovers to ABLE or Roth IRA accounts.
The meeting also covered HB 2114, which directs motorcycle safety fund spending toward education and scholarships and ties motorcycle registration requirements to Class M licensing, with Senate changes narrowing the registration provisions and exempting business-owned motorcycles. HB 2729 was broadened by the Senate from continuing only the Nursing Board to also continuing DES, the Board of Occupational Therapy Examiners, the Physician Assistants Board, and the State Board of Pharmacy, with members noting this kind of consolidation is common at the end of session. All of these bills were presented for concurrence, and no objections or substantive questions were raised.
The caucus then reviewed three additional measures that had just come through rules: SB 1618, which revises military affairs statutes, creates procedures for military installation fund property acquisition, changes commission duties and membership, and adds reporting requirements; SB 1110, which creates a Department of Corrections home confinement program for certain inmates nearing release; and SCR 1004, which would, subject to voter approval, restrict photo enforcement systems unless a contract existed before December 31, 2026. Members clarified that the House mirror of the photo enforcement measure had not advanced. The meeting ended with notice that more caucus or rules activity could occur later in the day as the chamber moved bills to the floor on sine die.
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 086 Apr 10th, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- , plasma therapies, plasma therapies, their<00:35:08.680>
only <00:35:09.080>source - We urge you to protect access to rare disease therapies until the full impacts of upper payment limits
- Risking access to therapies in the name of saving costs possibly could backfire and shift our costs to
- >
in <00:38:17.480>the <00:38:17.600>name Risking access to therapies in the name - Risking access to therapies in the name of<00:38:18.359>
saving <00:38:18.880>costs <00
Summary:
The Senate met with a quorum, approved the journal, and then proceeded out of order to consider Senate Joint Resolution 20, recognizing April 9, 2026, as Home Education Day in Colorado. Senator Pelton spoke in strong support of home education, describing it as a parent-led choice that benefits students and families. The resolution was adopted on a 30-0 vote, and the current roll was added as co-sponsors.
The chamber then took up the consent calendar and passed House Bill 1229, House Bill 1244, and Senate Bill 153. HB 1229, which concerns the human-animal bond as a social determinant of health, drew three no votes from Senators Pelton, Zamora Wilson, and Baeza; the other two measures passed unanimously. The Senate also laid over third reading of bills until Friday, April 10.
In Committee of the Whole, senators considered Senate Bill 72, which increases criminal penalties for assaultive conduct involving a motor vehicle and adds causing death with a motor vehicle to criminally negligent homicide. The committee adopted the report and advanced the bill on second reading. Later, the chamber laid over Senate Bill 134 and House Bill 1084 until April 10, and then took up Senate Bill 140, which would exempt certain rare disease and plasma therapies from review by the Prescription Drug Affordability Review Board. Sponsors and supporters argued the bill protects access for patients with rare diseases and prevents harm to treatment development, while opponents said it would weaken the PDAB’s affordability work and was too broad. Senators Weisman and Gonzales spoke against the bill, with Weisman citing concerns about the federal definition used and Gonzales defending the PDAB’s role in lowering drug costs; the debate continued in the transcript without a final vote shown.
TX
Texas 89th 2nd C.S.
Health Care Affordability, Select May 1st, 2026
Health Care Affordability, Select
Transcript Highlights:
- I'd like to step back and look at some of the incentives at the insurance level.
- We've got access to therapies that we never had before.
- We want anyone who needs cancer therapy, obviously. I mean, the great thing about...
- We want anyone who needs cancer therapy, obviously.
- And then I wanted to talk about another treatment, **CAR-T therapy**.
KY
Kentucky 2026 Regular Session
House Standing Committee on Families and Children. (2-5-26)
Families & Children
Transcript Highlights:
- The next step is you have to have somebody served.
- The next step is you have to statute.
- The next step is you have to have<00:03:02.159>
somebody <00:03:02.560>served. - tried couples therapy, individual therapy.
- tried couples therapy, individual therapy.
Keywords:
00:00 - Call to Order/Roll Call
01:13 - Discussion of 26RS HB 109
26:47 - Roll Call Vote on 26RS HB 109
32:30 - Discussion of 26RS HB 190
36:15 - Roll Call Vote on 26RS HB 190
37:30 - Adjournment, 958, all
Summary:
The House Families and Children Committee met in the 2026 regular session and heard House Bill 109, which would amend Kentucky divorce law to waive the current 60-day waiting period for couples with minor children when the parties have already completed mediation or collaborative family law and are ready to finalize their decree. The bill sponsor, Representative Deetsz, argued the measure would reward families who have already done the work to resolve custody, parenting time, and property issues outside of court, and said it would not affect traditional litigation cases. She also explained that delays can be especially burdensome when retirement-account division requires a QDRO after the decree. Committee members discussed how long collaborative cases typically take, with the sponsor estimating about six months on average and longer in complex cases, and noted that some judges already require parenting classes or allow reconciliation conferences in certain circuits.
David Walls of the Family Foundation testified in opposition, saying the bill would make divorce easier for parents with children and move Kentucky in the wrong direction. He argued waiting periods can encourage reconciliation, protect marriage commitments, and reduce harms to children and public costs associated with family fragmentation. He urged lawmakers to preserve or even lengthen the waiting period rather than eliminate it, and framed the issue as protecting children and strengthening marriage.
During questions, Representative Bojanowski strongly objected to Mr. Walls’ characterization of divorce, saying her own divorce was necessary for her children’s well-being and that the bill simply shortens the process after mediation. Representative Elliott asked about typical timelines in collaborative cases and noted that some courts require parental education. Representative Moser asked whether counseling is required; the sponsor said it is not, though reconciliation conferences may be requested at a judge’s discretion. The transcript ends after discussion of the bill and before any recorded vote or final committee action.
MN
Minnesota 2025 1st Special Session
Working Group on Omnibus Health and Human Services Bill - 06/08/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- So we are making a lot of really good steps that we've come to agreement on, tough agreements to reach
- that<00:41:17.040>
we've <00:41:17.280>come <00:41:17.359>to really good steps - and physical therapy, but we unfortunately had constraints that we were working under.
- <00:55:40.480>
and restrictions on occupational therapy and restrictions on occupational therapy - >
unfortunately physical therapy but we unfortunately physical therapy but we unfortunately had
VT
Transcript Highlights:
- Section seven and eight: site-neutral reimbursement for physical therapy, occupational therapy, and athletic
- reimbursements for physical therapy, occupational therapy, and athletic training would take effect on
- very good first step at doing that. very good first step at doing that.
- I've worked in NICU step-down units.
- I've worked in NICU step down units. I've worked in NICU step down units.
Summary:
The House resumed consideration of H.606 on firearm procedures and first took up Section 3 and its effective dates. A member from Northfield spoke at length in support, arguing the provision is narrowly tailored, based on actual dangerousness rather than mental illness alone, and is more limited than federal law because it applies only to specific court findings and is temporary, with rights restorable upon recovery. The House then approved Section 3 and its effective dates, approved the remainder of the Judiciary Committee report, and ordered third reading.
The chamber then moved through third readings and passed H.385 on remedies and protections for victims of coerced debt, H.556 on exceptions to the state minimum wage, H.559 on the parole board, H.723 on posting of land, and H.757 on manufactured homes and limited equity cooperatives. On H.814, relating to neurological rights and AI in health and human services, the House adopted an amendment offered by the member from Burlington that required the advisory council to include proposed definitions for neurotechnology, artificial intelligence, and related terms in its report; the House Health Care Committee reported the amendment favorable 11-0-0, and the bill then passed. H.816, regulating the use of artificial intelligence in the provision of mental health services, also passed, as did H.927, technical corrections for the 2026 session.
The House then took up H.930 on chronic absenteeism. The committee member from Manchester described the bill as an AOE proposal responding to high post-pandemic absenteeism rates and their impact on learning, and outlined provisions adding definitions, updating compulsory attendance language, requiring a state model policy, strengthening notification and truancy procedures, and preserving existing penalties. The member said the Education Committee heard from a wide range of education and child welfare witnesses and passed the bill 11-0. After a brief clarification on the absences section, the House proceeded toward third reading of H.930.
NJ
New Jersey 2026-2027 Regular Session
Assembly Appropriations Jun 23rd, 2026
Transcript Highlights:
- Recent laws governing prior authorization and step therapy establish broad, system-wide protections to
- Step therapy does not work for Alzheimer's disease.
- Taking any more time through step therapy does not work for Alzheimer's patients.
- And that's why, again, the step therapy that my friend here discussed...
- And that's why, again, the step therapy that my friend here discussed, it won't work for Alzheimer's
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Banking and Insurance (9-16-25)
Transcript Highlights:
- So, we just eliminated the visit limit for all speech therapy.
- um the elimination of speech therapy um the elimination of speech therapy visits<00:51:17.760>
<01:09:16.239>- Uh we also proposed all speech therapy.
toward represents a critical step toward represents a critical step toward - And for many speech language therapy.
Keywords:
Meeting Start 00:00:00
Call to Order and Roll Call 00:00:23
Kentucky Bankers Association 00:02:32
How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40
Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18
Proposed Health Insurance Legislation for the 2026 Session 01:04:22
Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46
Coverage of Eating or Feeding Disorders 01:18:47
Coverage of Hearing Loss 01:25:31, 958, all
Summary:
The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects.
The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers.
The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.
VT
Transcript Highlights:
- it's only a first step. it's only a first step.
- Again, it's just a first step for the future.
- Um Therapy Dogs of Vermont is one of our awesome nonprofits. My dog is a certified therapy dog.
- Um Therapy Dogs of Vermont in the lobby.
- She may make is a certified therapy dog.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 09:00 am
Joint Committee on Public Health
Transcript Highlights:
- These steps are modest yet powerful.
- Last March, I finally started hormone therapy, FDA-approved hormone therapy, after finding a telehealth
- Last March, I finally started hormone therapy, FDA-approved hormone therapy, after finding a telehealth
- That was a crucial step, but the work isn't done.
- A diagnosis is therapy.
Summary:
The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill.
The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony.
Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.
AR
Arkansas 2026 1st Special Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- This is our cell and gene therapy policy.
- There's a lot of work that is going on with cell and gene therapies.
- So what we are proposing to do is actually exclude all cell and gene therapies at this point so that
- have the professionals that are involved in evaluating the efficacy and the advancement of these therapies
- If someone's denied, what's the next step up? There's an appeal process.
Summary:
The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services.
The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted.
On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee May 14th, 2025
Transcript Highlights:
- X-ray providers, outpatient physical therapy, and birthing centers.
- case manager feedback, we learned that the main challenges with the processes were the application step
- This can be long- Step, which decides whether a person can become a client.
- For DDA, that could include looking at how long each step of the process is supposed to take and what
- We've already taken steps to collect that needed data.
Summary:
At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations.
The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses.
JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.
NH
New Hampshire 2025 Regular Session
Committee of Conference on HB 421, HB 701, HB 377, HB 712 (06/17/2025)
Transcript Highlights:
- So in my mind, in the House understanding, step one would be you do that initial mailing.
- So in my mind, in the House understanding, step one would be you do that initial mailing.
- So in my mind, in the House understanding, step one would be you do that initial mailing.
- So in my mind, in the House understanding, step one would be you do that initial mailing.
- <00:13:40.320>
one understanding is that I guess step one understanding is that I guess step
Summary:
The committee of conference first took up House Bill 421FN, concerning notice of tax-exempt status filing procedures by town officials. Members reviewed the Senate changes and focused on whether the amended language would require multiple mailings to charitable organizations. House conferees said the Senate wording appeared to create more than one mailing and asked for clarification; Senate members explained the intent was to reduce clerk workload by posting forms and sending a follow-up notice only to organizations that failed to file after the deadline. After a brief caucus, the House concluded there were too many unresolved changes to work out in conference and moved to non-concur with the Senate amendment.
The House motion to non-concur passed unanimously, 4-0, and the committee agreed to place the conference report on the House consent calendar. The chair then closed the committee of conference on House Bill 421FN.
The transcript then shifted to a separate committee of conference on another bill, where members discussed revisions involving direct supervision at an eligible facility, federalwide assurance requirements, and immunity language. Testimony focused on whether the bill should require supervision at a specific facility or allow broader supervision arrangements, whether rulemaking should define direct supervision, and whether the immunity provision should cover reckless as well as willful misconduct. No final vote or action on that second bill was reached in the portion provided.
LA
Transcript Highlights:
- If you need to receive a phone call, please step out of the committee room.
- It is what they've gone to every step of the way through their existence to infiltrate, subvert, and
- To include physical therapy as a professional service.
- As you know, we have a physical therapy program, PhD program at ULM in Monroe.
- I'm running this bill to urge Congress to include physical therapy as a professional service.
Summary:
The committee first heard Senate Bill 399 by Senator Bass, which would create the Louisiana Higher Education Research Security Council to review and potentially block certain gifts, contracts, academic partnerships, and research partnerships involving foreign adversary sources. Bass said the bill is intended to protect university research, intellectual property, and students from foreign influence, and would also require public disclosure of certain foreign-linked arrangements and a plan to eliminate foreign-adversary-linked software. Supporters from State Armor argued Louisiana universities have been vulnerable to Chinese Communist Party influence and intellectual property theft. Representatives from Tulane University and Lenovo raised concerns that the bill could create duplicative review, delay research, raise costs, and sweep in legitimate private or multinational entities; a proposed amendment to exempt entities operating under a CFIUS national security agreement failed 4-8. After debate, the committee moved SB 399 favorably.
The committee then considered Senate Bill 310 by Senator Cloud, presented by Representative Carlson, which would require public school and college health centers to display information about pregnancy resources available in Louisiana. Supporters from Louisiana Right to Life said the bill would help connect pregnant students with existing state and private assistance programs, while the ACLU submitted a red card in opposition without speaking. The bill was moved favorably without objection. The committee also advanced House Resolution 171 by Representative Turner, which calls for a study of the workforce-oriented TOPS Tech and M.J. Foster programs, with business and workforce groups supporting the study as a way to measure outcomes and return on investment; it was moved favorably.
Next, the committee took up House Bill 1084 by Representative Turner, a tuition autonomy bill for public post-secondary institutions. An amendment was adopted to add a conceptual framework for tuition-setting considerations, but the bill would still remove the existing 10% over two years cap and allow institutions to set tuition more freely. Turner argued universities need more flexibility because state funding has declined and campuses face deferred maintenance and operating pressures. Several members, especially Representative Carlson, warned that higher tuition could reduce access and that the bill did not address broader structural problems in higher education. Despite those concerns, HB 1084 was moved favorably by an 8-3 vote.
Finally, the committee heard Senate Bill 351 by Senator Jackson Andrews, which would let families apply for child care assistance through CCAP once pregnancy is known, rather than waiting until after birth, to help move them up the waiting list. An amendment was adopted to have BESE, rather than the department, handle rulemaking and to allow the House and Senate education committees to approve the implementation process. The bill was then discussed as a way to help parents return to work sooner, and the hearing continued with questions from members.
TX
Transcript Highlights:
- Warren, can I ask you to step back just for a second? You bet. And let me... Sure. Thank you. Ms.
- If this bill passes, Texas will take a huge step backwards in protecting children in this state.
- She would not be able to have the therapy that she had.
- It serves as a stepping stone to increased government intervention, socialized medicine, and central
- Can I have you step in? Sure. Tell me your name again, ma'am. Okay, let's start with Ross DeVettri.
Bills:
HB4806
Keywords:
civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all
LA
Transcript Highlights:
- If you must take a call, please step outside the committee room.
- If you must take a call, please step outside the committee room.
- therapy.
- They're not with step therapy. They're not.
- And then I'm told which expensive medicine, through step therapy, they can start with.
Summary:
The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection.
The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended.
Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.
AZ
Transcript Highlights:
- And they have passed USMLE Step 1, Step 2, Step 3.
- And if you have passed USMLE, USMLE Step 1, Step 2, Step 3, without knowing the English language, you
- They have to have passed Step 2.
- therapy for non-opioid drugs used to treat pain.
- It is a new therapy.
Bills:
HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958
Keywords:
health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce
Summary:
The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote.
HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation.
HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote.
The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.