Video & Transcript Research : 'managed audits'

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TX

Texas 89th Regular

State Affairs (Part I) Mar 20th, 2025

State Affairs

Transcript Highlights:
  • including allowing each court to have specific expertise and keeping the dockets of each court manageable
Summary: The Senate Committee on State Affairs met and heard several bills related to legislative process and court jurisdiction. Senate Bill 1386, by Senator Huffman, would change compelled legislative testimony from blanket transactional immunity to testimonial immunity, allowing compelled statements or documents to be used against a witness in criminal prosecution only if not derived from the compelled testimony, while preserving protection against perjury and false statements and retaining the right to counsel. No public witnesses testified, and the bill was left pending. The committee then heard Senate Bill 1470, by Chairman Hughes, which would require DPS to share existing data on cross-state driver’s license cancellations with the Secretary of State for voter-roll maintenance. Hughes said the bill does not create new data collection and is intended to improve list maintenance. A DPS resource witness was present, there was no substantive opposition, and the bill was left pending. Senate Bill 1210, also by Hughes, would address conflicts between the Texas Supreme Court and the Court of Criminal Appeals on constitutional questions by making the Supreme Court the final arbiter in limited circumstances. Chris Hilton supported the bill, but Allen Place, Jack Rohde, and Philip Furlow opposed it, arguing it was unconstitutional, unnecessary, and could create practical problems in criminal post-conviction litigation. The bill was left pending after testimony. The committee also heard Senate Bill 311, which would conform the Government Code to the Texas Constitution by clarifying the Supreme Court’s original writ authority against lower courts and officials other than the governor. Justice Evan Young and Chris Hilton supported the bill as a clarification of existing authority, while no one testified against it; the bill was left pending. The committee then recessed to allow the chamber to rearrange for the Senate session.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/23/26

Health Finance and Policy

Transcript Highlights:
  • We see people for pain management, injury recovery, overall health and wellbeing, and stress reduction
  • We see people for pain<00:10:35.120> management,<00:10:35.839> injury<00:10:36.320>
  • providers, certified nurse midwives, and partnerships with maternal fetal medical specialists to manage
  • providers, certified nurse midwives, and partnerships with maternal fetal medical specialists to manage
  • providers, certified nurse midwives, and partnerships with maternal fetal medical specialists to manage
AL

Alabama 2026 1st Special Session

Alabama Senate County and Municipal Government Committee Mar 3rd, 2026

County and Municipal Government

Transcript Highlights:
  • Um, we're basically, you know, removing some audit requirements on our small cities and I was able to
  • them<00:14:30.880> the<00:14:31.040> money<00:14:31.199> of<00:14:31.519> audit
  • but it satisfies them the money of audit but it satisfies the<00:14:33.199> examiner's<00:14:
  • basically, you know, removing some audit basically, you know, removing some audit requirements<00
  • Before I even brought this bill up, preparers came to me, which ones are selling the audits basically
TX
Transcript Highlights:
  • You know, I think an audit of that would help.
  • Audit in Chapter 127.
  • For elections subject to a risk-limiting audit, the post-election election hand count audit may begin
  • in independent audit. independent audit board of some sort rather than having the election office doing
  • We audit after every election.
OK

Oklahoma 2026 Regular Session

Health and Human Services 2ND REVISED Feb 16th, 2026 at 02:00 pm

Health and Human Services

Transcript Highlights:
  • allow them to do divided quantities, so there's more checking in with their physician and better management
  • medical home and community-based services in rural counties only of this state to provide case management
  • rural Oklahoma is oftentimes there are very limited providers in this space that can offer case management
FL

Florida 2026 Regular Session

Appropriations Mar 2nd, 2026

Appropriations

Transcript Highlights:
  • Michael Cantenz, representing PCMA, the Pharmaceutical Care Management Association.
  • We're the national trade association that represents America's pharmacy benefit managers.
  • And fifth, fix Florida's grossly out-of-line management of the SNAP program and EBT cards.
  • Under tab 20, we'll take up HB 5207 by the Department of Management Services.
  • statewide Medicaid managed care can contract based solely on infant mortality.
Summary: The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics. Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived. The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.
TX

Texas 89th Regular

Insurance Apr 2nd, 2025

Insurance

Transcript Highlights:
  • So, who's kind of, in your mind, going to manage the process?
  • That'd be a better question for the Department of Insurance or TWIA; they manage the composition.
  • for on-site biannual audits.
  • This approach is consistent with the evolving landscape of audit practices across the country.
  • I managed nearly 1,500 cases from the ages of 3 to 26, and I believe in the model until I...
TX

Texas 89th Regular

Insurance Apr 2nd, 2025

Insurance

Transcript Highlights:
  • David Durden, General Manager, Texas Windstorm Insurance Association.
  • HB 3306 would add utility contracting for the installation and construction of vegetation management
TX

Texas 89th Regular

89th Legislative Session Apr 15th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Genevieve Martinez, City of Floresville Mayor Gloria Cantu, City of Floresville Assistant City Manager
  • goal of House Bill 6, members... is to strengthen the authority of our educators across the state to manage
  • We've required that teachers employ appropriate classroom management techniques and document the student's
  • I don't want to see ISS be used as a means for everyday classroom management in the- of this disciplinary
  • sending the child for disciplinary action because Sometimes teachers need better help in classroom management
LA

Louisiana 2026 Regular Session

Insurance May 6th, 2026

Insurance

Transcript Highlights:
  • This bill creates a very straightforward and manageable process to do that.
  • And two, it says that if there's utilization management tools being used, then they can't be used at
  • It doesn't restrict the ability of any plan from any pharmacy benefit manager negotiations.
  • This next line says a health insurer or pharmacy benefit manager may implement co-pay assistance.
  • There's some instructions on how the pharmacy benefit manager should send the claim.
TX

Texas 89th Regular

Insurance Apr 17th, 2025

Insurance

Transcript Highlights:
  • The second part of this is a critical need to curb abusive PBM audit practices.
  • We responded to 1,400 audits, which comprised 2,900 prescriptions.
  • Those are still audited, and then the PBM wants the full amount back.
  • These kinds of "gotcha" audits are devastating to independent pharmacies.
  • It's like health insurance from the 70s, before there was managed care.
TX
Summary: The Senate Committee on State Affairs met with a quorum present and considered several pending measures. On Senate Bill 1868, Senator Perry explained a committee substitute that would keep kratom in its natural state legal while continuing to ban 7-OH and other synthetic derivatives, and would also add three synthetic opioids from another bill. The substitute was adopted, and SB 1868 was reported favorably to the full Senate and certified for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Joint Resolution 39, Senator Birdwell’s proposed constitutional amendment related to veto overrides after a regular session, and reported it favorably to the full Senate; members noted a floor amendment would also be offered later. The committee then considered Senate Bill 1184, relating to the age of wine authorized to be sold by a wine collection seller, and reported it favorably to the full Senate. After some procedural discussion and a revote to clarify members’ positions, SB 1184 was also certified for the local and uncontested calendar. Senate Bill 1194 was likewise certified for the local and uncontested calendar without objection, though the transcript does not include its substantive discussion. Senate Bill 1577, relating to the temporary sale of alcoholic beverages at certain racing facilities, was reported favorably to the full Senate and then certified for the local and uncontested calendar. Finally, Senate Concurrent Resolution 42, by Chairman Hughes, was reported favorably to the full Senate on an 8-1 vote. The committee then recessed until called back by the chair.