Video & Transcript Research : 'prescriptive period'

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OR
Transcript Highlights:
  • And just one clarification: the review period extension or increase was not something in the bill, but
  • What does it cost to buy a prescription drug or a piece of durable medical equipment?
  • effective an insurance company is at negotiating with doctors and hospitals and DME manufacturers and prescription
  • claims cost trend, that is the reimbursement rates that are being paid for to health providers, prescription
  • It's a combination of hospital costs, professional clinic costs, outpatient, inpatient, prescription
Keywords: 907, all
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
UT

Utah 2025 Regular Session

Business and Labor Interim Committee - November 19, 2025

Business and Labor Interim Committee

Transcript Highlights:
  • license to a mandatory certificate, especially given the FDA regulation specifically states that prescription
  • change in the FDA that took hearing instruments and defined them as either over-the-counter or prescription
  • , and it said that only licensed practitioners could dispense the prescription hearing aids.
  • states' experience, we're fairly confident that the naming convention will not hinder that. ...the prescription
  • of those states and then from the FDA saying this should not change who is allowed to dispense prescription
Keywords: 985, all
NH

New Hampshire 2026 Regular Session

Senate Education (02/03/2026)

Education

Transcript Highlights:
  • There's a short waiting period of 30 days between that and when you can appeal the decision of the principal
  • Um there's a short waiting period<00:06:01.520> of<00:06:01.759> 30<00:06:02.000> days
  • of 30 days between that and when period of 30 days between that and when you<00:06:03.680> can
  • So, you know, it would be quite the heavy task. prescriptive deadlines and and who has prescriptive deadlines
  • We think this is too prescriptive. And with that, I'm happy to answer any questions.
Keywords: 1191, senate, all
AZ

Arizona 2026 Regular Session

03/16/2026 - House Public Safety & Law Enforcement

Public Safety & Law Enforcement

Transcript Highlights:
  • if anybody else has touched on this, but I'm just curious: how long do those 12 visits last in a period
  • I'm just curious as far as the timeline is: how long are they in that period of seeing somebody, whoever
  • I think, echoing a question that Representative Simacek [member_20494] had, it's very prescriptive about
  • This bill is so prescriptive that I think it's too narrow to accomplish what it seeks to do, which is
Summary: The Committee on Public Safety and Law Enforcement heard several bills related to public safety personnel. SB 1520, which would have required state agencies to share certain immigration-related data with the federal government and sunset in 2029, was set aside after a proposed strike-everything amendment was defeated. The committee then voted 7-5 to give the underlying bill a do pass recommendation. SB 1216, which removes the sunset from traumatic event counseling programs for peace officers, firefighters, and 911 dispatchers and expands eligibility to crime scene and digital forensics technicians, drew support from police and fire representatives and passed 12-1 with a do pass recommendation. SB 1391 would create an AZ POST-administered law enforcement stress management pilot program, funded with a $950,000 general fund appropriation and operated through one Arizona nonprofit. The sponsor described it as a preventive, peer-support-focused program, but several members objected that the bill was overly prescriptive and looked like a vendor-specific measure. The committee voted 5-7 against giving SB 1391 a do pass recommendation. SB 1493, as amended, would require employers to pay taxable costs, attorney fees, and expert fees when a law enforcement officer who was terminated without just cause prevails through the administrative appeal process and then in Superior Court after the employer refuses reinstatement. Supporters argued it was a fairness and due process measure for rare cases where officers must litigate twice to be reinstated. After adopting a chairman’s amendment, the committee approved SB 1493 as amended with a due pass recommendation by an 8-3 vote, with one member changing from yes to no before the final tally.
TX

Texas 89th Regular

Public Health May 19th, 2025

Public Health

Transcript Highlights:
  • Period, across the board. So what we're essentially talking about is what's called the delineation.
  • A lot of times, some of these billing disputes can get resolved within that 60-day period, and it's sometimes
  • Those cyber attacks cause delays in patient care, lab results, and prescriptions.
  • Over the past decade, the cost of prescription drugs has significantly increased.
US
Transcript Highlights:
  • like to ask. for your working with regional administrators to get to the end goal and not be so prescriptive
  • Thank you and with all my love and affection for you and your new boss, we'll have a honeymoon period
  • a prime example of that, where the court has now spoken. and in the Sackett decision in a very prescriptive
  • My understanding is that they both go through a comment period themselves.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Telecommunications, Utilities and Energy Jun 21st, 2026 at 11:00 am

Joint Committee on Telecommunications, Utilities and Energy

Transcript Highlights:
  • because in the interest of hearing from everybody, and by the way, we have this room for a limited period
  • is for some people literally choosing between being able to put food on the table or purchase prescriptions
  • So some of the things that we’re also requesting is no waiting period...”
  • “So some of the things that we’re also requesting is no waiting period, no termination fees, and no installation
  • costs, because sometimes simply signing up and getting it, and those costs in the waiting period, prevents
Keywords: 995, all
Summary: The Joint Committee on Telecommunications, Utilities, and Energy opened its hearing with testimony on several broadband, towing, and rideshare-related bills. The first major issue was H. 3470/S. 2259, which would add data privacy and integrity protections for transportation network driver information. Rideshare drivers and labor advocates strongly opposed the bill, saying it would delay implementation of Question 3, which Massachusetts voters approved to give rideshare drivers a path to unionize. Drivers described low pay, deactivations, harassment, safety risks, and the need for a union to negotiate fairer working conditions. Legal and labor experts testified that the bill was largely duplicative of existing law and regulations and would unnecessarily postpone drivers’ organizing rights. No vote was taken on the bill during the hearing. The committee also heard extensive testimony on broadband affordability and access bills, including S. 2318/H. 3527 and related measures. Supporters, including legislators, digital equity advocates, senior advocates, and service providers, said low-income households need a permanent affordable broadband option after the federal Affordable Connectivity Program ended. They argued that internet access is now essential for jobs, school, health care, housing, and daily life, and supported a flat-rate low-income plan around $15 per month with protections such as no installation fees or termination fees. Opponents from cable and wireless industry groups argued the bills would impose artificial price mandates, discourage investment, and reduce consumer choice, noting that providers already offer discounted programs. The committee also heard support for broadband deployment and pole-attachment streamlining bills, with providers and municipal broadband advocates saying permitting delays and pole access bottlenecks slow expansion and raise costs. Additional testimony covered H. 3566, which would exempt municipal broadband projects from surety bond requirements, and towing-related bills including S. 2235, H. 3507, H. 3516, and H. 3482. Insurance and anti-fraud witnesses supported stronger towing protections, saying some towers charge excessive fees and hold vehicles hostage, while one witness urged broader consumer safeguards. The hearing ended after the chairs shortened testimony to fit the room schedule, asked for final comments on remaining bills, and then adjourned by motion and voice vote.
NH

New Hampshire 2025 Regular Session

House Session (03/13/2025)

New Hampshire House Floor Meeting

Transcript Highlights:
  • Board's 2024 annual report was written to educate buyers of prescription drugs on how the prescription
  • The prescription drug market is genuinely not a free market.
  • The Prescription Drug Affordability Board, um, and I think that this needs to be considered and have
  • In fact, New Hampshire's goal was always seen as modest at best over that period of time.
  • <06:44:19.520> of period of period of time<06:44:21.920> uh<06:44:22.360> currently<
Keywords: 1189, house, all
TX
Transcript Highlights:
  • At that time period, I don't know what happened where we went from a more automated system to now it's
  • to physical therapy, meaning patients could see a physical therapist without a referral for a set period
  • So I think just the sheer waiting period prolongs, unnecessarily at least from my personal experience
  • 1490, which created the Texas Pharmaceutical Initiative with the goal of reducing the cost of prescription
  • Thomas refused the prescription and removed her son from the situation.
AZ

Arizona 2026 Regular Session

01/28/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • Last year I came up and told you guys we're going to work on produce prescription programs.
  • as well as our border towns of Douglas and in McNeal, we've launched what are known as produce prescription
  • as well as our border towns of Douglas and in McNeil we've launched what are known as produce prescription
  • In that period, homelessness increased almost across all subpopulations: a 20% jump in general homelessness
  • In that period, homelessness increased almost across all subpopulations: a 20% jump in general homelessness
Summary: The Appropriations Committee met on January 28 and heard several bills, beginning with member and staff introductions and a reminder about amendment deadlines. HB 2056 would appropriate $100,000 to the Arizona Department of Water Resources for a feasibility study of brackish groundwater desalination sites; the sponsor said Arizona should explore potential water supplies amid Colorado River concerns. A witness opposed the bill, and members debated whether brackish groundwater should be treated as a resource or a threat to aquifers. The committee approved HB 2056 on an 11-6 vote, with one member not voting. The committee then considered HB 2798, as amended, which would provide $100,000 to the University of Arizona/Arizona Geological Survey to compile data on materials related to nuclear energy, including thorium and other non-uranium fuels. The sponsor framed the bill as an economic development and national security effort, while opponents questioned whether Arizona has enough of the material to justify public spending. The University of Arizona supported the work as within the Geological Survey’s mission. The committee adopted the amendment and passed the bill 11-5, with one member present and one not voting. HB 2303 would codify investment rules for the State Treasurer, requiring safety and principal preservation ahead of return and prohibiting speculative investments and insider-benefit conduct. The Treasurer’s Office said the bill reflects current policy and ethics rules already in place, and members asked about how “speculative” would be defined and whether the bill would affect other investment-related statutes. The committee passed the bill 15-0, with two members present and one not voting. HB 2344 would require the Treasurer to manage the local government investment pool and allow a third-party backup only in emergencies; the Treasurer’s Office argued this preserves a low-cost, high-liquidity service for local governments, while some members questioned whether it limited future Treasurers’ discretion. The committee passed HB 2344 12-2, with three present and one not voting. Later, the committee heard HB 2759, which would appropriate $500,000 to the Department of Veterans’ Services to partner with an educational institution in Yavapai County for veteran programs. A retired Navy SEAL and campus veterans coordinator described emergency housing, equipment, and professional-development needs for student veterans at Embry-Riddle, while several members supported the effort and others objected to using state funds for a private institution or a county-specific program. The bill passed 11-6, with one not voting. The committee also passed HB 2207, appropriating $300,000 for the prison Braille transcription program, after testimony that the program trains inmates in a skilled trade and has had no recidivism among released participants; it passed 17-0, with one not voting. Finally, HB 2224, as amended to reduce the appropriation from $2 million to $1 million, would fund the Double Up Food Bucks produce incentive program through SNAP. Supporters said it helps families, farmers, and local economies and can improve health outcomes, while members discussed budget constraints; the committee approved the amended bill after testimony from program advocates and farmers.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, September 2, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • <00:06:46.880> drug required for domestic prescription drug required for domestic prescription
  • It was a work period filled with results.
  • It was a work period filled with results.
  • <07:46:16.240> with over the over the work period with over the over the work period with
  • <08:21:23.040> Northrup August work period. Northrup August work period.
AL

Alabama 2025 Regular Session

Alabama Senate Mar 20th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • You were required to get prescription filled through the mail prescription filled through the mail prescription
  • And let me state prescriptions. And let me state prescriptions.
  • and for prescription prescriptions and for prescription prescriptions and for prescription medication
  • prescription medicine was prescription prescription medicine was prescription prescription medicine
  • drugs. prescription drugs. prescription drugs.
Bills: SCR 13, SCR 24, SB 1, SB 12, SB 15, SB 17, SB 24, SB 57, SB 65, SB 213, SB 371, SB 372, SB 378, SB 379, SB 388, SB 400, SB 402, SB 427, SB 495, SB 499, SB 502, SB 509, SB 535, SB 583, SB 610, SB 621, SB 650, SB 706, SB 740, SB 840, SB 854, SB 856, SB 875, SB 893, SB 918, SB 925, SB 974, SB 995, SB 1006, SB 1018, SB 1025, SB 1061, SB 1073, SB 1106, SB 1121, SB 1194, SB 1252, SB 1253, SB 1268, SB 1300, SB 1343, SB 1362, SB 1447, SJR 36, SJR 12, SJR 57, SCR 25, SCR 22, SCR 12, SCR 24, SCR 8, SB 565, SB 372, SB 765, SB 62, SB 666, SB 707, SB 888, SB 687, SB 847, SB 1248, SB 740, SB 14, SB 1006, SB 504, SB 925, SB 1121, SB 995, SB 857, SB 305, SB 296, SB 284, SB 815, SB 1379, SB 1300, SB 1497, SB 1499, SB 1498, SB 1061, SB 65, SB 241, SB 304, SB 402, SB 499, SB 621, SB 974, SB 1023, SB 1024, SB 1025, SB 1106, SB 686, SB 112, SB 371, SB 204, SB 400, SB 609, SB 1447, SB 670, SB 502, SB 427, SB 850, SB 854, SB 413, SB 1555, SB 1362, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 987, SB 1539, SB 893, SB 447, SB 875, SB 406, SB 509, SB 985, SB 965, SB 1119, SB 1505, SB 24, SB 57, SB 1194, SB 1253, SB 1215, SB 1532, SB 1268, SB 1302, SB 856, SB 650, SB 583, SB 673, SB 840, SB 213, SB 681, SB 1172, SB 1252, SB 378, SB 610, SB 918, SB 1343, SB 608, SB 487, SB 955, SB 957, SB 988, SB 990, SB 1019, SB 1021, SB 1120, SB 251, SB 958, SB 535, SB 761, SB 1, SB 541, SB 315, SB 379, SB 1018, SB 1737, SB 266, SB 1415, SB 57, SB 499, SB 974, SB 1025, SB 1061, SB 1268, SR 302, SR 303, SR 304, SR 305, SB 30, SB 1333, SB 1666, SB 30, SB 1333, SB 1666
NH
Transcript Highlights:
  • So, if it's grandfathered in for the remainder of that period, all those students that are still at Fall
  • all<00:54:04.760> those<00:54:05.000> students<00:54:05.520> that of that period
  • , all those students that of that period, all those students that are<00:54:06.280> still<00:54
  • <01:01:56.640> and<01:01:56.720> starts which is more prescriptive and starts which
  • is more prescriptive and starts with<01:01:57.160> federal<01:01:57.480> law<01:01:57.640
Keywords: 1189, house, all
Summary: The committee of conference on HB 751 reviewed amendment 2026-1904H page by page, focusing on open enrollment rules, capacity definitions, statewide enrollment limits, denial criteria, transportation, and funding. Members discussed clarifying that districts may set capacity at zero if they truly have no room, creating a statewide enrollment cap of 500 that can increase by 25% if it reaches 90% utilization, and exempting seats already used by open enrollment students before October 1, 2026. They also discussed how the Department of Education would allocate seats through rulemaking, while local districts would still set capacity, with grandfathered seats preserved where districts already allow open enrollment. A substantial portion of the meeting centered on when districts may deny open enrollment applications. The amendment would allow denials for reasons such as chronic absenteeism or disciplinary history, while requiring districts to consider whether those issues are tied to disability, McKinney-Vento status, foster care, or bullying. Members emphasized that such factors are to be considered, not used as the sole basis for rejection, and noted that the bill separately prohibits receiving schools from accepting or rejecting applicants based on pupil needs, special education needs, disability, aptitude, or athletic achievement. There was also discussion of whether interdistrict transfers should count toward open enrollment capacity, with a suggestion that a carve-out may be needed. The committee also reviewed provisions on program-specific capacity, continuous enrollment, and transportation. It was explained that capacity can apply to a school, grade, program, or class, including CTE programs, and that students may be denied if a specific program is full or if they do not meet prerequisites. The group clarified that open enrollment pupils would maintain continuous enrollment without reapplying, though there was concern about how that would work if district capacity changes over time. Transportation would generally be the parent’s responsibility unless required by an IEP or 504 plan, though students may use an existing bus route if seats are available and the receiving district allows it. On funding, the committee noted that the amendment changes the earlier HB 751 approach and instead ties open enrollment funding to base adequacy, differentiated aid, and an additional grant modeled on charter school funding, with dates removed at the department’s request. Members also raised concerns about how open enrollment would interact with existing tuition agreements and whether districts could use the new pathway to alter or pressure those arrangements. Department staff said districts would still be required to maintain a school of record and provide an adequate education free of charge outside the open enrollment program, and that if open enrollment enrollment became unusually large relative to district adequacy enrollment, the issue could be brought to the state board. No votes were taken in the portion provided.
TX

Texas 89th Regular

Business and Commerce May 23rd, 2025

Business & Commerce

Transcript Highlights:
  • There are three distinct periods that determine insurance coverage.
  • And I want to jump right into period two.
  • Period two is the time period where the driver's insurance policy will not cover; it will only be the
  • TNC's policy because once you're in period two, that is commercial use of that vehicle.
  • So period two, and everybody's probably done it, where there's wait times.
Bills: HB111
Summary: The committee heard a long series of House bills, with most measures laid out by Senate sponsors and then left pending after brief public testimony. Early bills focused on construction and licensing issues, including HB 305 on prompt payment for public construction audits, HB 5093 on restoring public access to notary contact information, HB 2037 on updating landlord-tenant repair and security deposit rules, HB 4214 on a centralized public information request contact database, and HB 5435 exempting higher education institutions from a 90-day notice requirement for certain public-private partnership projects. Testimony was generally supportive on these bills, and no votes were taken; each was left pending. The committee also considered several transparency and regulatory bills. HB 111 would expand the Public Information Act to certain nonprofit state associations and narrow some attorney-client and working-paper exceptions, with supporters arguing it would improve oversight of public funds and critics questioning the scope and thresholds. HB 5129 would protect occupational license holders’ personal identifying information from disclosure without consent, HB 4350 would allow peace officers to redact personal information from online real property records, HB 4748 would authorize multiple-award state purchasing contracts, and HB 4765 would clean up code enforcement officer licensing rules. HB 4134 would allow motor vehicle creditors to charge limited fees for electronic payment options while requiring a free alternative, and HB 1043 would direct a study of blockchain-based property title records; both drew testimony, with some concern about the practical effects and vendor implications of the blockchain study. Several bills addressed insurance, workforce, and digital-asset regulation. HB 3520 would reduce the insurance coverage required for transportation network companies during the period when a driver is en route to pick up a passenger, drawing support from Texans for Lawsuit Reform and opposition from trial lawyers who argued the higher coverage better protects the public. HB 3320 would create a self-insurance pool for religious institutions, with TDI explaining it would still be regulated but operate under a special statutory framework. HB 4233 would modernize rules for digital asset service providers by removing certain auditor-access requirements and updating reporting and licensing provisions. HB 3923 would reduce bachelor’s-degree requirements for some state jobs, though Every Texan argued low pay, not degree requirements, is the main driver of turnover. HB 4518 would create a legal structure for decentralized unincorporated nonprofit associations tied to blockchain governance; business law experts opposed it as unnecessary and potentially risky, while crypto advocates supported it. Finally, HB 1803 would join an interstate compact for dentists and dental hygienists, with supporters citing workforce shortages and opponents saying Texas already licenses quickly and that the compact could weaken state oversight. Throughout the hearing, the committee repeatedly closed testimony and left bills pending, and a quorum was eventually established before later items were heard.
MN
Transcript Highlights:
  • and based on the progress that states can demonstrate with the funds in each preceding funding period
  • and based on subsequent funding period and based on the<00:20:20.640> progress<00:20:20.880><
  • We're reserving some the funding period.
  • And here in Minnesota, four rural hospitals closed during that same time period.
  • . period. period.
Keywords: 918, senate, all
Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.