Video & Transcript Research : 'step therapy'

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HI

Hawaii 2026 Regular Session

CPC Public Hearing - Tue Feb 10, 2026 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • One is to remove anything about talk therapy, because so-called conversion therapy is dangerous, not
  • c> conversion therapy so-called conversion conversion therapy so-called conversion therapy<00:38:56.400
  • conversion therapy is fine and it's not. conversion therapy is fine and it's not.
  • electroshock therapy and co cohesions. electroshock therapy and co cohesions.
  • therapy or something. therapy or something.
Summary: The committee on Consumer Protection and Commerce met on February 10, 2026, and heard testimony on several bills. HB 1849 relating to licensing drew comments from DCCA’s Professional and Vocational Licensing Division and the Hawaii Real Estate Commission, both of which stood on written testimony. The Hawaii Coalition for Immigrant Rights testified in strong support, emphasizing that some immigrants, including DACA recipients, are already contributing in Hawaii and that the state should help create pathways for them to remain and advance professionally. No vote or final action was taken on HB 1849 during the portion shown. The committee then heard HB 2000, the wheelchair right-to-repair bill. Encart opposed the measure, arguing that repair delays are largely driven by insurance prior authorization and that wheelchair repairs involve FDA-regulated medical devices where improper repairs could create health risks. Peter Fritz testified in support, saying the bill was modeled on similar laws in other states and that he had personal experience through his sister’s use of a wheelchair. Members questioned whether repairs done outside insurer networks might not be reimbursed, and Fritz said that was a concern but that the need for timely repair outweighed it. The committee also discussed HB 1753 on social media, where DCCA’s Office of Consumer Protection supported the bill but suggested an amendment to the definition of personal information. On HB 1511 relating to consumer protection, DCCA’s Insurance Division supported the bill, while the Alliance for Automotive Innovation and the Hawaii Automobile Dealers Association offered comments seeking to preserve legitimate manufacturer and dealer communications about vehicles, warranties, recalls, and related services. The committee also took up HB 276 HD1 and HB 1513 on condominiums. The Hawaii Real Estate Commission offered comments on HB 276 HD1. For HB 1513, the Hawaii Green Infrastructure Authority supported the bill, but DCCA’s Insurance Division opposed it, warning that diverting HHRF funds could weaken reinsurance arrangements and raise premiums for consumers who rely on the fund. Members questioned whether the proposed condo loan program would need HHRF money and whether the amounts in the bill were necessary, and the division said it opposed using HHRF for that purpose. The committee also heard HB 2188 on housing, where OCP supported the measure and the Hawaii Association of Realtors raised concerns about conflicts with the Fair Credit Reporting Act and the use of tenant screening reports, noting that a working group is already addressing landlord-tenant issues. Members asked OCP to research how other states handle similar laws and whether additional language is needed to avoid federal conflict. Finally, on HB 1876 relating to mental health, the Department of Health’s Adult Mental Health Division supported the bill but said it remains opposed to harmful, non-evidence-based treatment modalities; Pride at Work Hawaii also testified in strong support. No final votes or committee decisions were reported in the excerpt.
MN

Minnesota 2025 1st Special Session

House Environment and Natural Resources Finance and Policy Committee 3/18/25

Environment and Natural Resources Finance and Policy

Transcript Highlights:
  • Better laws, as well as requiring a permit, are critical safety steps.
  • We stepped out for a little bit, and part of it, he's like, hey, we have no—nothing.
Bills: HF1355, HF78, HF1846, HF1225
AZ

Arizona 2026 Regular Session

03/04/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • Radiation therapy typically requires treatment five days a week for several weeks, yet many communities
  • HB 2049 helps address that gap by creating a pathway to expand radiation therapy services in rural communities
  • So radiation therapy now is...
  • So radiation therapy now is... Thank you. Yes.
  • So radiation therapy now is accessible through the cloud, so we can access treatment plans.
Summary: The Committee on Health and Human Services heard several bills and held HB 2307. HB 2049 would allow particle accelerator treatment for human diseases under general supervision in certain rural counties and critical access hospitals, with documentation, observation, and physician availability requirements. Supporters from the Arizona Hospital and Health Care Association and rural radiation oncologists said it would improve access to cancer care in underserved areas while maintaining safety. The committee also heard HB 2178, requiring state agency chief medical officers to hold an active medical license, and HB 2179, which separates air ambulance definitions and regulations from ground ambulances to clarify statute and align oversight with current practice; both were described as cleanup/common-sense measures and supported by the air medical industry. The committee also heard HB 2322, which would require audio or video recording of DCS interviews with children subject to investigations, with limited exceptions for equipment failure or lack of access. Testimony in support came from a human trafficking survivor, a health care worker and counselor, and a foster parent/child welfare advocate, who argued recordings would improve accuracy, accountability, and child protection, and help preserve a child’s exact words. No opposition was presented. The bill includes a conditional enactment tied to future federal grant legislation and directs DCS to apply for grants if available. After discussion, the committee voted unanimously to give HB 2049, HB 2178, HB 2179, and HB 2322 due pass recommendations, each by a 7-0 vote. The committee then announced HB 2307 would be held and adjourned.
HI

Hawaii 2026 Regular Session

CPC Public Hearing - Thu Feb 26, 2026 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • This is a critical step forward to make clarity to those who donate each and every day to what we call
  • :51.520> to<01:46:51.840> recommend<01:46:52.239> actionable<01:46:52.880> steps
  • <01:46:53.199> or DOE to recommend actionable steps or DOE to recommend actionable steps or
  • So there's multiple steps to becoming a fully licensed teacher, which includes passing the practice,
  • is DOE taking to try to guess what steps is DOE taking to try to ensure<02:04:50.880> that<02
Summary: The committee on Consumer Protection and Commerce met on February 26, 2026, and heard several bills, mostly in the areas of workers’ compensation and consumer protection. HB 1946 HD1 on timeshare registration renewal drew support from DCCA’s timeshare program and major industry groups including Hilton Grand Vacations, the American Resort Development Association, and Marriott Vacations Worldwide, with no opposition noted. HB 1515 HD1, which would allow an attending physician to request a functional capacity examination without employer permission, was supported by DLIR and the Department of Human Resources Development and had no other in-person testimony; the bill was then moved on without questions. The committee spent substantial time on HB 1514 HD1, which would streamline workers’ compensation vocational rehabilitation by clarifying provider selection and requiring vocational plans within 90 days. DLIR supported the intent but asked for amendments, saying the 90-day deadline was too rigid given case-by-case complexity, limited staffing, and the need for coordination among injured workers, employers, and counselors; members discussed possible extensions and whether a 120-day timeline or other flexibility would be better. Testimony on the bill included one individual in support and seven in opposition. HB 1648 HD1, concerning workers’ compensation and physician dispensing of non-prescription drugs, drew support from DHRD and comments from DLIR and industry witnesses. DLIR said the bill should be narrowed so it does not restrict medically necessary over-the-counter medications or oral guidance from providers, while Aloha Billing Company and Solera Integrated Medical Solutions urged tighter limits on physician dispensing and raised concerns about pricing abuse through average wholesale price. Members discussed clarifying the bill’s language so it targets written prescriptions rather than oral advice. HB 1644 HD1, requiring a standardized disclosure form for residential solar contracts, received support from the Hawaii Solar Energy Association and Kauaʻi Island Utility Cooperative, while DCCA’s Office of Consumer Protection supported the consumer-protection goal but proposed stronger remedies, including a three-day cancellation right, voidability for missing disclosures, and possible lender liability; members questioned how those remedies should apply to lenders, and no vote was taken on the measures in the portion provided.
TX

Texas 89th Regular

Insurance Apr 23rd, 2025

Insurance

Transcript Highlights:
  • But I think the idea, just to step back, of getting patients engaged.
  • We started demanding to go to therapy.
  • a standard for CAR T cell therapy.
  • Center offered FDA-approved CAR-T therapy, and Thomas was a recipient in late November of 2024.
  • CAR T-cell therapy, as stated, is a breakthrough.
AL

Alabama 2026 1st Special Session

Alabama House Health Committee Mar 11th, 2026

Health

Transcript Highlights:
  • This bill modernizes the Respiratory Therapy Act through criminal background checks, fingerprinting,
  • This bill modernizes the Respiratory<00:07:01.520> Therapy<00:07:01.919> Act<00:07:02.240
  • > through<00:07:02.560> criminal Respiratory Therapy Act through criminal Respiratory Therapy
  • CRNAs with prescribing authority, and that was agreed to by all parties, including the respiratory therapy
  • including the respiratory therapy board. including the respiratory therapy board.
Bills: HB299, HB533, HB299, HB533
AZ

Arizona 2026 Regular Session

02/24/2026 - Senate Appropriations, Transportation and Technology

Appropriations, Transportation and Technology

Transcript Highlights:
  • Lastly, the bill requires AHCCCS to allow a member to bypass the step therapy protocol by submitting
  • Just so we're clear, when you look at subsection B, it effectively guts the step therapy program.
  • That subsection B was craftily written so that it really guts the step therapy.
  • So the step therapy is how. So the step therapy is highly problematic.
  • I, too, struggle with the failure and step therapy. Thank you.
Summary: The committee first considered Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, stakeholder input, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create an assisted-living-style Medicaid option for the most disabled SMI individuals, improve continuity of care, and reduce state general fund costs by shifting some expenses to federal Medicaid funding. Access testified neutral, estimating a total fiscal impact of $27.7 million, including $5.83 million general fund, and explained the need for CMS approval. The committee adopted an amendment reducing the initial cap to 250 members, changing reporting frequency, and adjusting eligibility and expansion conditions, then passed SB 1630 as amended on a 10-0 vote. The committee next heard Senate Bill 1131, which originally required school districts and charter schools to adopt cardiac emergency response plans and appropriated $1 million for implementation. An amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether schools have a plan, while keeping a grant component for AEDs and prioritizing rural schools. The American Heart Association supported the amended approach as a way to gather baseline data and target resources, and members discussed AED training, school preparedness, and whether the funding should favor rural or high-population schools. The committee adopted the amendment and passed SB 1131 as amended on a 9-1 vote, with Senator Kuby voting no and several members explaining concerns about funding and priorities. The committee then took up Senate Bill 1582, which concerned the school safety interoperability fund. An amendment shifted the appropriation from the Department of Education to the Department of Administration and allocated funds to specific county sheriff offices for continuing operation and maintenance of existing interoperability systems, while narrowing the program to public safety agencies and school districts and requiring twice-yearly testing. Sheriffs, a county school superintendent, and the Arizona Sheriffs Association described the systems as useful for drills and real emergencies, improving communication between schools and first responders; one speaker noted the program had been used in drills and at least one live deployment. Some members questioned the audit findings, the focus on rural counties, and whether the program was a good use of funds, while supporters emphasized its value for school safety. The committee adopted the amendment and passed SB 1582 as amended on a 6-4 vote. Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel by allowing earlier normal retirement and shortening the COLA waiting period, with an amendment exempting the changes from the statutory pre-funding requirement. Supporters from firefighter and police groups said the bill would improve recruitment and retention and let employees receive earned benefits sooner, while city, county, and taxpayer representatives warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. Actuarial testimony estimated significant costs, including tens of millions in annual or upfront impacts depending on how the change is funded, and members debated whether the amendment would shift costs onto future taxpayers or simply spread them over time. The transcript ends during continued testimony and discussion on SB 1504, before a final vote is reached.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/8/26

Health Finance and Policy

Transcript Highlights:
  • We don't cover um occupational therapy or physical therapy for adults over the age of 20.
  • We don't cover um occupational therapy or physical therapy for adults over the age of 20.
  • We don't cover um occupational therapy or physical therapy for adults over the age of 20.
  • <00:41:24.560> forward Why not take some some steps forward Why not take some some steps forward
  • So essentially it's the second step of legislation that passed in 2023.
Bills: HF4609, HF4401
AZ

Arizona 2026 Regular Session

03/18/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • Sometimes it’s physical therapy, sometimes it’s occupational therapy, sometimes it’s nursing care.
  • Prohibits access from establishing utilization controls, including prior authorization or step therapy
  • therapy or prior authorization.
  • The drug list without any step therapy or prior authorization.
  • But limiting tools like prior authorization and step therapy, this bill will ensure that we'll bypass
Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Feb 18th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • This amendment removes all stem cell therapy language from the bill.
  • Child protection team, DCF steps in, and children are immediately removed.
  • Florida has already taken important steps forward in investments in both cancer research and rare disease
  • Florida has already taken important steps forward in investments in both cancer research and rare disease
  • Seeing no questions, we have one appearance form: Anita Berry, Florida Occupational Therapy Association
Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.
AZ

Arizona 2026 Regular Session

02/04/2026 - Senate Regulatory Affairs and Government Efficiency

Regulatory Affairs and Government Efficiency

Transcript Highlights:
  • As I approached the end of high school, I took the next step toward that goal by exploring my options
  • I was the only one to step in.
  • This bill is a step Toward real reform via clear and concise language that allows naturopathic doctors
  • Right now, we're not at a crisis point for superbugs, but when we continue to take steps down the path
  • Right now, we're not at a crisis point for superbugs, but when we continue to take steps down the path
Summary: The committee approved the minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training instead of only a two-year curriculum. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and a veterinary technician employer, argued the bill would help address a veterinary technician shortage, reduce student debt, and expand access to care. Opponents, including the Arizona Veterinary Technician Association and some veterinarians, said Arizona already has an existing pathway, warned the bill could weaken competency standards and patient safety, and argued the shortage is more about retention and utilization than entry requirements. The committee adopted a Bolick amendment tightening supervision and documentation requirements, then passed SB 1144 as amended on a 6-1 vote. The committee next approved Senate Bill 1247 unanimously. That bill would allow an individual who does not need services to live with a resident in an assisted living center or other unit in the facility, and would bar the Department of Health Services from imposing care requirements on that individual. The sponsor and a lobbyist said the bill was intended to fix a recent statutory interpretation that could force spouses or other companions to separate or pay for services they do not use; a floor amendment was mentioned to extend the same treatment to assisted living homes. Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine, drew extensive testimony and was ultimately held for a possible amendment next week. Supporters, including the sponsor, the Arizona Humane Society, and Animal Policy Group, said telemedicine has expanded access in rural and underserved areas and that longer prescription windows would improve convenience and continuity of care while still excluding controlled substances. Opponents, including the Arizona Veterinary Medical Association and several veterinarians, argued the current 14-day limit is a compromise that protects animal safety, that telemedicine without an in-person exam can lead to misdiagnosis and delayed diagnostics, and that the bill could function like a “pill mill.” The committee then passed Senate Bill 1164, which would let Medicaid billing continue under the prior owner’s certification number during a change of ownership for skilled nursing and assisted living facilities. Supporters said the current process can delay reimbursement for 6 to 18 months and strain providers; Access said it had legal concerns about possible conflict with federal law but was working on fixes. The committee also heard Senate Bill 1181, which would expand CPA certification pathways by adding degree-and-experience options and updating reciprocity rules, and a supporter from the Arizona Society of CPAs said it would address workforce shortages and improve mobility.
MN

Minnesota 2025-2026 Regular Session

Health Committee Meeting - 2026-03-25

Health Finance and Policy

Transcript Highlights:
  • Instead, the Board of Marriage and Family Therapy would issue...
  • updates our marriage and family therapy updates our marriage and family therapy by<00:26:23.679>
  • :02:02.280> backward,<01:02:03.200> increasing step back is a step backward, increasing
  • step back is a step backward, increasing risk<01:02:04.400> for<01:02:04.520> complications
  • <01:03:06.960> is to effective obesity therapies is to effective obesity therapies is crucial