Video & Transcript Research : 'prior authorization'

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NM

New Mexico 2026 Regular Session

Senate - Finance Feb 2nd, 2026 at 09:02 am

Senate Finance

Transcript Highlights:
  • And then the New Mexico Finance Authority, that's been approved.
  • I have Ashley Leach and I have Justin Horowitz, Bonding Authority, but we're ready for questions.
  • We need the State Board of Finance, we need the New Mexico Finance Authority, and we need the legislature
  • And we strongly support being clear about the authority and The structural position, the importance of
Bills: SB48, SB64, SB100
TX
Transcript Highlights:
  • This bill does not give you the authority.
  • I would offer to respectfully ask the bill authors.
  • This bill removes delegatory prescriptive authority and allows for independent prescriptive authority
  • Prior to this last year, let me... I'm sorry.
  • and delegation of prescriptive authority.
TX
Transcript Highlights:
  • commonly referred to as permanent DST, for around... ...24/7, 365 days a year, pending federal authorization
  • This type of trigger legislation aims to provide permanent daylight saving time, given federal authorization
  • Members, any questions for the author on Senate Bill 2943? Very well.
  • The Chair lays out Senate Bill 18 and recognizes its author, Senator Sparks, our colleague, to explain
  • Any other questions for the author? Very good, we'll open up testimony on Senate Bill 1888.
TX

Texas 89th Regular

State Affairs (Part I) May 1st, 2025

State Affairs

Transcript Highlights:
  • referred to as permanent DST for around the clock around 24/7, 365 days a year pending federal authorization
  • The chair lays out Senate Bill 2417 and recognizes its author, Senator King, to explain the measure.
  • And recognizes its author, Senator Hagenboo to explain the measure. Good morning, Senator.
  • Members, any questions for the author on Senate Bill 2943? Very well.
  • Any other questions for the author? Very good. We'll open up, uh, testimony on Senate Bill 1888.
LA

Louisiana 2026 Regular Session

Finance May 5th, 2026

Finance

Transcript Highlights:
  • I had a patient last week who flew to Jamaica to get dental care prior to bisphosphonate therapy because
  • You're going to allow the author to speak? Do you want to speak?
  • You're going to allow the author to speak? Do you want to speak?
  • So I call for the question on the substitute motion, and then we could let the author speak after that
  • We don't have that ready, but the author agreed that it would leave committee subject The author agreed
AZ

Arizona 2026 Regular Session

03/17/2026 - Senate Natural Resources

Natural Resources

Transcript Highlights:
  • board member Zoning commissioner, La Paz County Industrial Development Authority board member, Water
  • I think, as we heard, we did hear testimony prior that was discussing the now desire for that Wilcox
  • I think, as we heard, we did hear testimony prior that was discussing the now desire for that Wilcox
  • Those kinds of issues should be disclosed prior to siting a new plant on the same property.
  • I will say that I do appreciate the sponsor's recognition of the Legislature's authority to regulate
Summary: The committee began with an informational presentation from Gordon Shemp of Nemecu Analytics on Arizona transportation fuel supply and pricing. He explained that Arizona sits at the end of the pipeline system, relies on limited terminal inventories, and can experience only about a seven-day fuel supply if pipelines are disrupted. He attributed recent price spikes to constrained pipeline capacity, Kinder Morgan pressure reductions after PHMSA anomaly reviews, and recovering demand, and he also discussed California refinery closures, increased imports from overseas, and proposed new pipeline capacity into Phoenix from the east. Committee members asked about fuel formulations and pipeline logistics, and Shemp said the proposed project would not change fuel specifications, only transport capacity. The committee then took up House Bill 2758, which would allow eligible entities in La Paz County’s McMullen Valley groundwater basin to transport groundwater to AMAs under specified limits and conditions, with related provisions on fees, districts, and water improvement programs. Supporters, including Stan Barnes, Jim Downing, and Barry Arons, argued the bill follows the Harquahala model, provides needed augmentation for urban Arizona, and includes local benefits and guardrails. Opponents, including La Paz County Supervisor Holly Irwin, Devonna Sater, and Ed Curry, said the bill would worsen groundwater decline, subsidence, and well failures in Salome and Wenden and favored outside investors over rural residents. After debate, the committee approved HB 2758 on a 4-3 vote. The committee also heard and advanced several other water-related bills. HB 2031, extending the deadline to apply for grandfathered groundwater rights in the Wilcox AMA from 15 to 27 months, passed 5-2 after some members said the extension was unnecessary and would delay protections. HB 2102, allowing county improvement districts in subsequent AMAs or groundwater transportation basins to use eminent domain for a well and standpipe site and water hauling, passed 4-3 after Sierra Club testimony called it a limited “band-aid” rather than a real solution. HB 2103, which would let water improvement programs accept gifts and dedicate groundwater transportation fee revenue to local residential water hauling and delivery, also passed 4-3. HB 2117, a technical cleanup bill shifting Environmental Special Plate Fund administration to the Natural Resource Conservation Board and raising education-center distributions from $5,000 to $10,000, passed 5-2 despite concerns about the fund’s administration. The committee then considered HB 2261, which changes agricultural property tax terminology and valuation rules. County assessors and the Arizona Association of Counties opposed it, warning it would effectively exempt many agricultural improvements from taxation and shift costs to residential taxpayers; the Arizona Farm Bureau supported it as a clarification that would provide certainty for agriculture. The bill passed 4-3. Finally, HB 2262, transferring the Resource Analysis Division from the State Land Department to the Arizona Geological Survey and revising geospatial advisory responsibilities, was introduced, with State Land Department staff saying they were neutral but noting the bill would need clearer statutory duties if RAD is removed.
AZ

Arizona 2026 Regular Session

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

Appropriations, Transportation and Technology

Transcript Highlights:
  • And last but not least, in other states that do not have prior authorization and do not have step therapy
  • Spending tens of millions to expand access to more expensive drugs without prior authorization is not
  • And in fact, 98% of antipsychotics are approved without prior authorization today.
  • Of the total amount, 81% do not require prior authorization.
  • Prior authorization and step therapy are essential tools used to ensure medical necessity, prevent unnecessary
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.
OK

Oklahoma 2026 Regular Session

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

Health and Human Services

Transcript Highlights:
  • Senator McIntosh, thank you to the author. Thank you, Mr. Chairman.
  • Thank you to the author for your changes.
  • Do we pass by the author, seconded by the chair? Will there be questions of the author?
  • There be questions of the author on Senate Bill 1484.
  • Further questions of the author? Seeing none. Will there be debate?
TX
Transcript Highlights:
  • We made it crystal clear that there is a one-year prohibition on the prior authorization.
  • For example, people with diabetes—if they don't have complications, why would they need a prior authorization
  • Last session, Senators, we passed a bill to exempt autoimmune conditions from the prior authorization
  • That prior authorization is there to ensure we're not going to pay another $50,000, $10,000, or $20,000
  • I would agree that there is merit to looking at the recurring need for some drugs in the prior authorization
TX
Transcript Highlights:
  • The chair lays out Senate Bill 2308 and recognizes its author Senator Parker to explain.
  • I think the house author has a slightly different approach.
  • Committee substitute adds licensing authorities along the side of the commission.
  • Senate Bill 2041 and recognizes author Senator Hancock to accept. the bill.
  • Thank you, Senator Blanco, for authoring this bill, happy birthday.
TX

Texas 89th Regular

State Affairs Mar 12th, 2025

State Affairs

Transcript Highlights:
  • authority until they're held accountable.
  • The committee report concluded that, quote, between RRC and PUC Enforcement Authority must be closed,
  • In terms of the authority of the co-ops board and the authority of the PUC and how that can work together
  • Backhouse Creek fire, or was it being worked on prior to the ignition?
  • River Authority and you are testifying for House Bill 13. Yes ma'am that's great.
TX

Texas 89th Regular

State Affairs Mar 12th, 2025

State Affairs

Transcript Highlights:
  • May I ask the author of the bill a question? Yes, ma'am.
  • PS has authority already as well. I understand, but that's, I understand that.
  • And I was one of the joint authors on the bill that we then passed.
  • And authority we've given them to implement. So I'm just wondering if that might be helpful.
  • Yeah, this is based on, let's say the author agrees. OK, it makes sense.
OK

Oklahoma 2026 Regular Session

Energy REVISED Apr 23rd, 2026 at 09:30 am

Energy

Transcript Highlights:
  • The author has asked to strike the enacting clause without objection.
  • I'll be brief in visiting with the author.
  • I trust the author. We're gonna Work with all the parties involved.
  • Enacted in 1989, so you had to have been a nonprofit and converted prior to December 1, 1988.
  • So I had talked to the senate author and I have talked to the house author.
OK
Transcript Highlights:
  • Senate bill 1645 establishes parameters for the Oklahoma healthcare Authority when they're performing
  • We're giving the authority under the main purpose to allow the Oklahoma Board of Podiatric Medicine to
AZ

Arizona 2026 Regular Session

03/23/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • This bill removes prior authorization.
  • That's not prior authorization. Prior authorization is a long and lengthy process.
  • There is still a step therapy control in this, which is a form of prior authorization.
  • One of our biggest concerns is related to the prior authorization prohibition.
  • I think it's important to get the prior authorization piece.
Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.
AZ

Arizona 2026 Regular Session

02/04/2026 - House Transportation & Infrastructure

Transportation & Infrastructure

Transcript Highlights:
  • Chairman and Vice Chair, in our department we have civilian staff that are trained and authorized to
Summary: The committee first took up HB 2669, which would limit railroad train length to 8,500 feet on main and branch lines in Arizona. The sponsor and several supporters, including a Santa Cruz County fire captain and a BNSF engineer, argued that very long trains create public safety risks by blocking crossings, delaying EMS and fire response, and increasing the consequences of derailments involving hazardous materials. Union Pacific’s witness opposed the bill, saying train length does not cause derailments, that railroads already track crossings and train movement, and that shorter trains would increase congestion and delays. Members debated safety concerns versus interstate commerce and constitutional issues, then advanced the bill on a do-pass recommendation by roll call vote. The committee then considered HB 2369, as amended, which requires certain photo-enforcement citations to be signed by the presiding judge and allows electronic signatures. The sponsor said the bill was prompted by a Mesa issue involving about 40,000 citations that bore the wrong judge’s signature after a judge left the bench. A Mesa representative and a Paradise Valley court director testified that their photo-radar citations already include a judge’s signature, though the practice varies by court. Members discussed whether the requirement should apply only to photo enforcement, whether a designee should be allowed if a judge is unavailable, and whether the bill should be clarified further. The Martinez amendment was adopted, and the bill was returned with a do-pass recommendation. HB 2256, a technical cleanup measure for salvage auction dealers, was then approved. The bill allows a salvage auction dealer to obtain title to a vehicle abandoned after an insurance claim is denied or unpaid, and sets notice and title-release procedures; the amendment refined how an insurance company may request actions regarding a salvage vehicle and payment of storage fees. A CoPart representative said the change would streamline handling of total-loss vehicles when coverage is denied or the owner cannot be located. The committee adopted the amendment and gave the bill a do-pass recommendation. The committee also approved HCM 2007, which urges renaming sections of State Route 69 to honor veterans from five wars, after members discussed adding World War I to the memorial. HB 2772, which would place a pre-hospital medical care directive indicator on driver licenses or ID cards, generated extensive discussion about DNR/advance directive language, first-responder liability, good Samaritan protections, and whether the designation should be handled through a hospital-style advance directive instead. The sponsor said he was willing to work on amendments and broader stakeholder input, and the committee recessed and then held the bill for later consideration. Separately, HCR 2004, which would prohibit photo enforcement systems such as speed and red-light cameras if approved by voters, was heard with strong opposition from Scottsdale Police, who said photo enforcement reduces collisions and serious injuries and should remain a local decision; supporters argued the systems raise due process concerns and do not stop dangerous driving. The transcript ends during that debate, before a final committee action on the resolution.
TX

Texas 89th Regular

S/C on Family & Fiduciary Relationships Apr 14th, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • And one other announcement is, let's see, the bill authors for House Bill 7.
  • And then they don't have any authority to act on behalf of the ward.
  • She went to the local mental health authority for a mental health status exam.
  • authority can range from $7,000 to $10,000 in legal fees alone.
  • I also ran the family helpline prior to Ms.
AL

Alabama 2026 1st Special Session

Alabama House Ways and Means General Fund Committee Jan 21st, 2026

Ways and Means General Fund

Transcript Highlights:
  • Circuit clerks authorized<00:12:46.800> to<00:12:47.040> participate<00:12:47.519> in
  • <00:12:47.839> superary authorized to participate in superary authorized to participate in
  • >> And I can get the port authority if it's with your approval, you know, with your permission to kind
  • >> And I can get the port authority if it's with your approval, you know, with your permission to kind
  • We're adjourned. >> And I can get the port authority if it's with your approval, you know, with your
AL

Alabama 2025 Regular Session

Alabama Senate Education Policy Committee Apr 30th, 2025

Education Policy

Transcript Highlights:
  • are different entities. authorizer are different entities.
  • When the authorizer and the operator are the same, accountability can become watered down.
  • This board of education serves as the sole authorizing authority and oversees the day-to-day operations
  • The only challenge is working out the authorizer-operator issue.
  • So you're looking at trying to get the authorizer as the local board of education.
Bills: HB332, HB166, SB336, HB447, HB244