Video & Transcript Research : 'prescriptive authority'

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NH

New Hampshire 2025 Regular Session

Senate Education (04/15/2025)

Education

Transcript Highlights:
  • In addition, this legislation would grant the New Hampshire Department of Education the authority to
  • In addition, this legislation would grant the New Hampshire Department of Education the authority to
  • In addition, this legislation would grant the New Hampshire Department of Education the authority to
  • In addition, this legislation would grant the New Hampshire Department of Education the authority to
  • . prescriptive. prescriptive.
Keywords: 1191, senate, all
CA

California 2025-2026 Regular Session

Senate Energy, Utilities and Communications Committee Jun 3rd, 2026

Energy, Utilities and Communications

Transcript Highlights:
  • that we all held a few years back, which requires additional reporting to the CEC as well as the authority
  • Would you liken that difference to, say, generic prescriptions versus name-brand prescriptions?
  • Is it the same difference as far as cost is why generic, you know, pharmaceutical drugs, prescriptions
  • Drugs, prescriptions are not as costly as name-brand original?
  • I actually like the generic comparison because largely the generic is the same as the other prescription
Keywords: 987, senate, all
Summary: The Senate Committee on Energy, Utilities and Communications held an oversight hearing on managing the transportation fuels transition, with a focus on gasoline prices, supply reliability, refinery closures, and the implementation of recent transparency and market oversight laws. Chair Allen opened by citing SB 1322 and special session measures that expanded reporting to the California Energy Commission (CEC), authorized possible refining margin caps, and required minimum inventory and resupply planning. He framed the hearing around rising fuel costs, refinery shutdowns, global supply disruptions, and the need to ensure affordable and reliable fuel during the transition to cleaner transportation. CEC Vice Chair Siva Gunda described California’s growing dependence on imports as in-state refining declines, noting that gasoline production has fallen and imports now supply a large share of the market. He said the state has substantial marine import capacity and that the proposed Gateway Pipeline could improve connectivity to the Gulf Coast, but emphasized that distribution and storage remain key constraints. Gunda also said the CEC’s new “days of supply” metric suggests inventories remain within historical ranges, and he attributed recent price increases largely to global crude oil shocks, refinery outages, and the war in Iran. He said taxes and environmental costs have remained relatively stable, while crude costs and industry margins have risen. CDTFA Chief Deputy Director Gentian Droboniku focused on retail pricing, saying widening retail margins and growing price dispersion indicate that retail business models and pricing strategies are increasingly driving pump prices. He highlighted the growth of hypermarts and unbranded stations, the widening gap between branded and unbranded prices, and future work on ownership concentration and algorithmic pricing. Ty Milder of the Department of Petroleum Market Oversight said the Iran conflict is the largest global oil supply disruption in history and that California’s recent price increases largely track national and crude price movements, unlike earlier localized spikes that lacked input-cost justification. He said branded stations, especially major brands, have charged substantially more than nearby competitors, and that the “mystery gasoline surcharge” that appeared after the Torrance refinery fire is still under investigation. Milder also pointed to high diesel spreads, limited market liquidity, and the need for more transparency in spot pricing. Matthew Boutill of CARB said the state’s long-term goals remain deep greenhouse gas reductions and carbon neutrality by 2045, with transportation fuel transition strategies aimed at cleaner fuels, zero-emission vehicles, and support for workers and communities. In questioning, Senators Caballero and Richardson pressed agency witnesses for clearer, more concrete explanations of what the transition will look like in practice, how many refineries California will still need, and what the impacts of increased imports will be on ports, trucking, storage, and local communities. No votes or formal actions were taken.
FL

Florida 2026 Regular Session

Health Policy Feb 18th, 2025

Health Policy

Transcript Highlights:
  • Members, please take up tab 1, which is SB 126 on prescription hearing aids.
  • Members, please take up tab 1, which is SB 126, on prescription hearing aids.
  • Last year, 2022, we did pass a bill, SB 534, that created an exception for step therapy prior authorization
  • for schizophrenia and specific schizophrenic diseases. prior authorization for schizophrenia and specific
  • treatment of severe mental illness and was used by the patient in the past 12 months after prior authorization
Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.
WA

Washington 2025-2026 Regular Session

Senate Labor & Commerce Dec 5th, 2025

Transcript Highlights:
  • . through three from claim filing through those medical treatment authorizations.
  • They authorize the treatment.
  • So this gets into authorization versus non-authorization, the next several slides.
  • And all authorizations have to come from the department or the self-insured employer.
  • Okay, so the administrative authority to enforce successorship accountability.
Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.
TX

Texas 89th Regular

Appropriations - S/C on Articles VI, VII, & VIII Feb 25th, 2025

Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:
  • . $45,000 in interagency contract authority.
  • The agency has one exceptional item totaling $240,000 in interagency contract authority.
  • Next, the board is requesting... ...unexpended balance authority for the prescription monitoring program
  • Granting us this authority.
  • Do you have it within your authority to lower the fees? We do, sir, yes.
Keywords: 1184, house, all
NH

New Hampshire 2026 Regular Session

Senate Ways and Means (02/18/2026)

Ways and Means

Transcript Highlights:
  • And that I think again is unnecessarily prescriptive.
  • And that I think again is unnecessarily prescriptive.
  • And that I think again is unnecessarily prescriptive.
  • And that I think again is unnecessarily prescriptive.
  • And that I think again is unnecessarily prescriptive.
Keywords: 1191, senate, all
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (04/23/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • prescription going forward. Correct. prescription going forward. Correct.
  • c> included<03:38:12.560> in prescribing authority is included in prescribing authority is
  • Who is a prescribing authority?
  • , in order to be receive a prescription, in order to be receive a prescription, but<03:55:41.279>
  • particular is going to be the authority particular is going to be the authority on<03:57:24.800>
Keywords: 1189, house, all
AL

Alabama 2025 Regular Session

Alabama Senate Children and Youth Health Committee Apr 9th, 2025

Children and Youth Health

Transcript Highlights:
  • All the doctors and all the pharmacists would tell you that when you go to get a prescription...
  • I mean, I have a prescription for 0.25 milligrams. Some people take 10 milligrams.
  • Some people take 10 milligrams of this prescription.
  • Mississippi was one of the few... ...the University of Mississippi was one of the few federally authorized
Bills: SB274
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations Apr 3rd, 2025 at 08:30 am

Appropriations

Transcript Highlights:
  • House Bill 1216, expenses for prescription drugs and relating to self-insurance health care plans.
  • The prescription drugs that save their lives can be extremely expensive.
  • The prescription drugs that save their lives can be extremely expensive.
  • And I would just add to that, I forgot to mention that we still have 28,000 irrigated acres authorized
Bills: SB2271, HB1216
Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.
HI

Hawaii 2026 Regular Session

HHS-LBT, HHS DEFER, HHS Public Hearings 02-04-2026

Health and Human Services

Transcript Highlights:
  • the authority to write regulations<00:22:15.039> by<00:22:15.280> to<00:22:15.440>
  • This is relating to workers' compensation and defines compounded prescription drugs for the purposes
  • If the intent is also to permit physicians to compound, their authority should be limited strictly to
  • If the intent is also to permit physicians to compound, their authority should be limited strictly to
  • Instead of authorizing, we through four.
Keywords: 912, senate, all
Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.
AZ

Arizona 2026 Regular Session

01/20/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • SB 1188, approved medication scheduling prescription authority, Health and Human Services.
  • SB 1188, approved medication scheduling prescription authority, Health and Human Services.
  • SB 2027, prior authorized gold card exams. SB 2027, prior authorized gold card exemption, Finance.
  • SB 1122, access prior authorization, behavioral health.
  • SB 1123, medical examiners authorized persons.
Keywords: 1182, all
Summary: The Senate convened with prayer and the Pledge of Allegiance, recorded attendance, approved the journal, and welcomed several guests, including the Doctor of the Day, Dr. Tammy Penhollow, as well as visitors from Republic Services, Copper Valley Energy, and a young guest shadowing Senator Bolick. The President also announced deadline extensions for opening Senate folders and bill introduction preparation, and the chamber received communications from the Governor without reading them aloud. The main floor business was the reading and reference of a large number of Senate bills and resolutions to committees, covering topics such as education, taxation, water and natural resources, health care, behavioral health, public safety, elections, family law, immigration, transportation, and appropriations. The Senate also completed second reading of another extensive set of bills on issues including concealed weapons, nicotine products, rental housing, mental health, behavioral health, radiation protection, school safety, family courts, elections, and various appropriations and regulatory measures. No bills were debated or voted on during this transcript. Standing committee reports were waived from reading, and committee announcements were made for upcoming meetings of Government, Health and Human Services, Regulatory Affairs and Government Efficiency, Education, Judiciary and Elections, and Public Safety. The Senate then adjourned until Wednesday, January 21, 2026, at 1:15 p.m.
KY

Kentucky 2026 Regular Session

House Standing Committee on Health Services (2-26-26)

Health Services

Transcript Highlights:
  • I know Co-Chair Moer has a bill to take care of pre-authorization this session under this model.
  • Um, but when you're discharged, you might even be discharged with a food prescription.
  • Um, but when you're discharged, you might even be discharged with a food prescription.
  • Um, but when you're discharged, you might even be discharged with a food prescription.
  • <00:31:33.039> Um, prescription. So, this is underway. Um, prescription.
Summary: The House Standing Committee on Health Services met with a quorum and first heard Senate Concurrent Resolution 9 from Sen. Steve Meredith. He argued that Kentucky’s Medicaid system is too costly and bureaucratic, saying spending has grown dramatically and that managed care organizations do not align with improving health outcomes. His proposal would create a feasibility study for a five-year pilot of an “accountable community healthcare organization” in three area development districts, with a locally owned, nonprofit, provider-driven model intended to reduce costs, address social determinants of health, and keep savings in the community. Members asked about how the model would differ from MCOs, administrative costs, eligibility changes, and implementation costs; Meredith said the model would eliminate preauthorization barriers, rely on provider and community risk-sharing, and could be funded initially through existing grant opportunities. The committee then voted unanimously to report SCR 9 favorably. The committee next took up Senate Joint Resolution 23, the “Food is Medicine” resolution, introduced by Sen. Shelley Funke Frommeyer and Dana Feldman of the Kentucky Department of Agriculture. They described the resolution as part of a broader wellness and rural prosperity effort, emphasizing that nutrition should be treated as part of health care and that Kentucky agriculture can support better health outcomes through local, healthy food. They said the effort grew out of task force work and regional listening sessions and is intended to build a foundation for continued collaboration between hospitals, agriculture, and state agencies. Members expressed support for the concept and the partnership approach, and the discussion highlighted using evaluation and shared learning to expand the initiative.
MN

Minnesota 2025-2026 Regular Session

“Fraud Isn’t Free Act” 3/3/25

Minnesota House Floor Meeting

Transcript Highlights:
  • to have the bill in the form that the author would like the bill.
  • <00:07:36.240> penalties<00:07:36.720> will<00:07:37.039> ultimately prescriptive
  • penalties will ultimately prescriptive penalties will ultimately disproportionately<00:07:38.240>
  • We appreciate the provision in the bill to repeal the sunset on the new payment withholding authority
  • strengthen and make this authority strengthen and make this authority permanent<00:10:16.320>
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/10/25

Human Services

Transcript Highlights:
  • Quade for authoring this bill and our co-authors, Senators Hoffman, Fateh, and Wiklund.
  • I authored the senior nutrition bill this year, and I'm just looking at these numbers.
  • people get to eat I a chief authoring people get to eat I a chief authoring the<01:35:34.880> senior
  • You've got to fill out some forms to pay part or all of the prescription drug for a person.
  • You've got to fill out some forms to pay part or all of the prescription drug for a person.
Keywords: 1187, senate, all
TX

Texas 89th Regular

State Affairs Apr 7th, 2025 at 03:30 pm

State Affairs

Transcript Highlights:
  • We're going to help the chairman here and the author of the bill in trying to figure this out. what it
  • When I was sent home, they messed up my prescription, and I did not think I could make it.
  • But I maintain my medical prescription as protection against organizations like CPS. clients maintain
  • VA prescription epidemic and a default VA prescription of opioids. has just, has done a number on us.
  • Many of these drugs, many of these are dangerous drugs. prescriptions.
Bills: HB 28, SB 3
Summary: The meeting featured significant discussions regarding HB28, where the chair outlined the plans to bring forward a substitute for the bill. The chair emphasized the importance of maintaining order and decorum during the proceedings. Members engaged in deliberations, and a number of public witnesses were invited to testify, thereby enriching the discussion around the bill. This interaction provided valuable insights into public sentiment regarding the issues at hand.
TX
Transcript Highlights:
  • The panel is not authorized to take any action that changes the scope of practice authority of any physician
  • of practice authority of any physician or healthcare provider.
  • House Bill 2187 is authored in the House by Representative Howard.
  • Older Americans are struggling with rising prescription drug costs.
  • Members, any questions for the bill author on House Bill 2071?
FL

Florida 2026 Regular Session

Health Policy Mar 18th, 2025

Health Policy

Transcript Highlights:
  • This bill proposes to delete the authority for licensed opticians to delegate specific tasks to unlicensed
  • In your bill, does it impact the delegation authority of an ophthalmologist or an optometrist?
  • It does not affect the delegation authority of an optometrist or an ophthalmologist. Thank you.
  • The doctor, now pulled away from another patient, confirms that the prescription is correct, but the
  • Thompson even leaves, the optician verifies the glasses, ensuring they match the prescription.
Summary: The Health Policy Committee heard and advanced several health-related bills. SB 1546 on background screening for athletic coaches was explained as another extension of the deadline for coaches to be added to the background screening clearinghouse; it passed favorably with support from athletic and youth sports organizations. SB 958 on type 1 diabetes early detection was amended to match the House version, requiring the Department of Health to provide school districts, school boards, and charter schools with informational materials for parents; it was reported favorably as a committee substitute. CS/SB 1070 on electrocardiograms for student athletes drew extensive discussion about sudden cardiac arrest prevention, implementation timelines, costs, funding through private and public sources, and whether insurance, KidCare, or Medicaid should cover screenings; after supportive testimony from school and athletic groups, it was reported favorably as a committee substitute. The committee also heard SB 1060, which would create a joint legislative oversight committee for Medicaid managed care to review encounter data, financials, audits, and rebate calculations with assistance from an actuary and the Auditor General. The sponsor and several senators framed it as a transparency and verification measure in response to large mid-year Medicaid funding increases and concerns about network adequacy and vertical integration; it passed favorably. CS/SB 944, which shortens the insurer overpayment recovery look-back period for claims involving psychologists from 30 months to 12 months, also passed favorably with support from the Florida Psychological Association. SB 1370, moving ambulatory surgical centers into their own statute rather than under hospital licensure provisions, was supported by surgery center representatives and reported favorably. The committee approved SB 768, as amended, to narrow the foreign-country-of-concern licensure attestation for health care entities to direct controlling interests and clarify the “reasonable efforts” standard; it passed after questions about how the standard would work in practice. SB 1544 on opticianry prompted significant debate over whether the bill would limit nonlicensed staff in ophthalmology and optometry settings; after a proposed amendment was withdrawn and multiple witnesses spoke both for and against, the bill was temporarily postponed. Finally, the committee adopted a strike-all amendment to SB 1808 requiring health care practitioners and facilities to refund patient overpayments within 30 days, with enforcement through AHCA fines or professional discipline, and then reported the bill favorably.