Video & Transcript Research : 'prescriptive authority'

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • You know, I ask you: is... ...is there any other medical interventions or prescriptions or treatments
  • It's every health care plan is looking very deeply at the costs, including prescription drugs.
  • the three large buckets, one of them being prescription drugs.
  • We're also very prescriptive in how we do it. We require them, by contract...
  • We're also very prescriptive in how we do it.
Keywords: 995, all
Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.
NH

New Hampshire 2025 Regular Session

House Criminal Justice and Public Safety (01/23/2025)

Criminal Justice and Public Safety

Transcript Highlights:
  • legalize recreational cannabis or change who can purchase cannabis; it only allows people already authorized
  • or non-prescription drugs from the street, whatever, I know K2 or whatever it is.
  • drugs or non-prescription drugs from the street, whatever, I know K2 or whatever it is.
  • they're engaging in any act authorized they're engaging in any act authorized under<05:30:27.360
  • <05:41:20.320> is cannabis without proper authorization is cannabis without proper authorization
Keywords: 1189, house, all
MO

Missouri 2026 Regular Session

Conference Committee on Budget May 4th, 2026

Conference Committee on Budget

Transcript Highlights:
  • If the dollars are there, then we would have the authority to move them.
  • I would rather give the authority now.
  • Again, I'm not opposed to studying the work, but this is so prescriptive.
  • And it is, again, as you go through the other parts of the plan, it is so prescriptive.
  • Same on the spending authority, Senate, 080, compromise 750, 050, 080, $750,000. Yes, Senator.
Summary: The meeting was a lengthy conference committee review of multiple budget bills, with most of the discussion focused on House Bill 2 and related education funding. Members walked through numerous fund switches and appropriations tied to the foundation formula, blind pension, Capital Commission, Lottery Proceeds, and Classroom Trust funds. Several members urged fully funding the foundation formula or getting as close as possible, while others defended the compromise approach as a way to close the gap with available revenue. The committee also settled a number of education-related items, including child care grants, career ladder, school safety training, assessment pilots, Title I reallocation, parents as teachers language, child care subsidy language, and flex percentages on selected lines. The committee agreed to sign the House Bill 2 conference report after resolving the listed positions and language compromises. The committee then moved through House Bill 3 on higher education, agreeing to most Senate positions and a conference proposal directing the department to develop a new higher education funding model by December 1, 2026. Several members raised concerns about the timeline and whether the model would preserve separate funding buckets for two-year and four-year institutions, but the proposal was retained. House Bill 2004, covering transportation, was also reviewed, with compromises on items such as safety operations, low-volume roads, port funding, and several flex percentages. Members discussed the use of Capital Commission dollars and the status of road and port projects, and the bill was advanced with the agreed positions. House Bill 5, dealing with information technology and administration, generated substantial debate over a new Senate-added language proposal for OA/ITSD. Several members objected that the language was overly prescriptive, resembled a resolution, and could steer the state toward a specific cloud-computing direction or vendor; others said it was intended to create accountability and a plan for better oversight of IT spending. The committee left some items open briefly, then returned with a shorter conference proposal and agreed to distribute it. House Bill 7, House Bill 8, House Bill 9, and House Bill 2010 were also handled, with a mix of Senate, House, and compromise positions on public safety, veterans, agriculture, economic development, and behavioral health items. The committee recessed several times and repeatedly instructed members to sign the conference reports after the agreed changes were read into the record.
KY
Transcript Highlights:
  • <00:19:48.240> giving<00:19:48.559> them prescription giving them prescription giving them
  • are paying less for these prescription are paying less for these prescription drugs<00:25:15.200
  • We filled around 4,000 member prescriptions.
  • Our pharmacy incurred a loss of around $122,000 off of those 4,000 prescriptions from the purchasing
  • we're losing money on every prescription we're losing money on every prescription that<00:42:00.880
Summary: The House Standing Committee on Banking and Insurance met with a quorum and first took up Senate Bill 145, sponsored by Sen. David Givens. The bill would update retail installment contract statutes for automobile sales, allowing retailers with installment contracts shorter than 28 days to begin collections after three days instead of waiting for multiple missed payments, and it also harmonizes a related dollar amount in statute from $10 to $15. The committee asked no questions, and the bill received a favorable expression on a roll-call vote. The committee then heard Senate Bill 183 from Sen. Matt Nunn, with testimony from Chris Nolan of the American Property Casualty Insurance Association. The bill would require proxy advisers acting for the State Retirement System to act solely in the financial interest of current and future retirees and to avoid political or social considerations in shareholder voting recommendations. Supporters argued it would keep politics out of public pensions and align proxy advice with fiduciary duties; members praised the bill and noted Kentucky could be among the first states to adopt such a model. The committee approved the bill with favorable expression after a roll-call vote. The committee also reviewed administrative regulation 808 KAR 9:10 from the Department of Financial Institutions, with no vote required. It then took up House Bill 413, a PBM rebate pass-through bill, with testimony from Sarah Wood of the Diabetes Patient Advocacy Coalition. She said the bill would require 85% of negotiated drug rebates to be passed through to patients at the point of sale, lowering out-of-pocket costs, especially for high-rebate drugs such as insulin, while still allowing 15% to remain with plans. She cited examples from other states and argued the bill would benefit about 650,000 Kentuckians. Hope McClaflin of Anthem opposed the bill, saying it would reduce employers’ ability to use rebates to lower premiums, could disproportionately favor high-cost brand-name drug users, and could create significant costs for state and fully insured plans. Members asked questions about other states’ pass-through rates and the effect on premiums, but no final action on House Bill 413 was taken in the portion of the meeting provided.
NH
Transcript Highlights:
  • but they do try enforcement uh Authority but they do try and<03:52:56.600> calm<03:52:56.920>
  • Then it's going to be done by prescription, and it's done by prescription by your dentist or by your
  • <05:22:44.440> for significant change in prescriptions for significant change in prescriptions
  • and it's done by prescription and it's done by prescription<05:22:52.600> by<05:22:52.718>
  • writing or in in filling prescription writing or in in filling the<05:23:17.040> prescriptions
Keywords: 928, house, all
Summary: The committee took up several bills in executive session, beginning with HB 568 on subdivision regulations concerning water supply. Representative Donnelly moved ITL, arguing the bill would create costly studies, that towns already have jurisdiction over needed studies, and that the issue was not widespread. The committee voted ITL 9-7. HB 582, dealing with safety requirements for personal watercraft, was also moved ITL on the grounds that existing law already covers the issue and the bill was unnecessary after recent action on personal flotation devices. Representative Derby opposed the ITL, saying the bill was a common-sense safety measure and would restore a misdemeanor penalty, but the committee voted ITL 9-7. The committee then retained HB 595, relative to coastal resilience zones, after members said the bill was important but needed more work and time because of its complexity. Members noted it should be revisited later, and the motion to retain passed 16-0. HB 607, funding the Hampton Beach Area Commission and making appropriations, received an ought-to-pass recommendation 15-1, with support from members who described Hampton Beach as an important economic driver and one dissenting member saying the state should not bear the full cost. The committee also adopted Amendment 2025-3 on HB 624, establishing a local river management advisory committee grant program, by a 16-0 vote; the amendment shifted funding decisions to the Department of Environmental Services based on demonstrated need and a first-come, first-served process. The bill as amended then received an ought-to-pass recommendation 16-0 and was placed on consent. Later, the committee retained HB 629, funding the operation, maintenance, and repair of state dams, after members said the dams need attention but the bill required more work because suggested amendments had just been received. That motion passed 16-0. HB 644, concerning drones in state parks, was ITL’d because the Department of Parks and Recreation is already working through rulemaking on UAS use in remote areas, and the committee voted 16-0 for ITL. HB 657, the short notice booking act access for New Hampshire residents to state parks, was also ITL’d at the request of the prime sponsor, passing 16-0. The committee then adjourned and announced a later hearing on HB 663, which would allow the Division of Historical Resources to use a portion of Moose plate funds for administering its grant program; testimony from the sponsor and the division supported the bill as clarifying existing authority, and no final vote on HB 663 was included in the transcript excerpt.
TX

Texas 89th Regular

Senate Session May 14th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • To joyfully ask questions of the author of this bill.
  • “To ask questions of the author.” “Senator Bettencourt.”
  • These changes are not only beneficial, they're acceptable to the author.
  • Question of the author, Mr. President. Do you yield, Senator Cole?
  • Question of the author, Mr. President. Do you yield, Senator Cole? I do.
Summary: The Senate convened with a quorum, offered an invocation, approved the previous day’s journal, and received a House message announcing passage of HB 4 on public school accountability and assessment. The chamber also recognized the Doctor of the Day, adopted SR 520 honoring Rosser Coke-Newton Sr. for his biography of former Governor Richard Coke, and adopted SR 518 recognizing Texas Moral Injury Awareness Day, with remarks focused on the impact of moral injury on veterans and first responders. The Senate later adopted SR 395 honoring the ninth class of Governor William P. Clements, Jr. Scholars, and several other resolutions were adopted by voice vote, including college savings awareness recognition and other member-sponsored recognitions. The body then took up several bills and resolutions on the floor. HB 3307, allowing online continuing education for arbitrators in property tax appeals, passed unanimously after suspension of the rules and the three-day rule. HB 913, renaming and reorganizing certain state hospitals, and HB 2970, governing the Gulf Coast Protection District and coastal barrier design, also passed unanimously. HJR 1 and HB 9 advanced a proposed constitutional amendment and statutory change to raise the business personal property tax exemption from $2,500 to $125,000; both measures passed, with HJR 1 receiving one no vote and HB 9 passing unanimously after a clarifying amendment. The Senate also passed HB 1151, which limits child removals and termination of parental rights based solely on parental medical treatment decisions, and HB 116, which revises grounds for involuntary termination of the parent-child relationship by removing the “O grounds” and requiring support from financially able parents whose rights were terminated. HB 1899 lowered the age for pyrotechnic operator licenses and fireworks display permits from 21 to 18. SB 1285, as amended, passed to protect bats by prohibiting entombment while preserving removal options from unoccupied spaces, and SB 2847 passed to promote innovations in core curriculum for faster bachelor’s degrees. On criminal justice, SJR 87, a proposed constitutional amendment requiring denial of bail for certain repeat violent felony offenders, passed after two floor amendments clarifying due process and representation language; Senator Eckhardt spoke against it on final passage, arguing it lacked judicial discretion and a clear-and-convincing standard. SB 3073, requiring magistrates to make written findings in certain criminal proceedings, also passed. Later, SB 128, requiring hospitals to report suspected child abuse-related information to HHSC, advanced on a divided vote, and SB 2619 and SB 2972 passed on public school accountability and expressive activities at public colleges, respectively, with Senator Eckhardt opposing SB 2972 as too restrictive on campus protest rights. The chamber also heard extended debate on HB 21, targeting “traveling” housing finance corporations and their use of tax exemptions for apartment projects, with supporters arguing it curbs abuse of the tax code and critics warning about unintended effects on affordable housing; the discussion continued with questions but no final action shown in the excerpt.
MN

Minnesota 2025-2026 Regular Session

Taxes Committee Meeting - 2025-04-09

Taxes

Transcript Highlights:
  • For the testifier or the author.
  • Thank you, Chair Gomez, for authoring this bill.
  • These include the prescription around community support.
  • approval and not legislative authority.
  • We appreciate the author bringing this legislation forward.
NH

New Hampshire 2026 Regular Session

Senate Finance (02/10/2026)

Finance

Transcript Highlights:
  • and so forth out their prescriptions and so forth right<01:11:55.840> there.
  • We've had renewals where we've had 14% medical trend and 19.9% prescription trend.
  • And so that 5% that prescription trend.
  • The amendment does State's authority.
  • We're the largest public Authority.
Keywords: 1191, senate, all
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/10/25

Health Finance and Policy

Transcript Highlights:
  • Uh, access to audio-only telehealth within MA was first authorized by the legislature in 2021 during
  • drugs in the Minnesota care prescription drugs in the Minnesota care and<01:13:59.000> medical
  • drugs within the medical prescription drugs within the medical assistance<01:14:43.880> program
  • drug uh rebate revenue for prescription drug uh rebate revenue for those<01:15:25.000> drugs<
  • <01:15:34.360> drug<01:15:34.600> rebate Medicaid prescription drug rebate Medicaid
Keywords: 1183, house
Summary: The committee met for a Health and Finance Policy hearing, began with member and staff introductions, and noted that Representative Keeler was participating as a non-voting member. The chair outlined committee rules on decorum and then introduced the day’s first agency presentation from the Minnesota Department of Health (MDH), with Commissioner Cunningham appearing to present the department’s budget priorities. Commissioner Cunningham described MDH’s broad public health role and emphasized that public health is underfunded relative to health care, with significant reliance on federal dollars. The department’s main budget request was for infectious disease prevention and response to offset anticipated federal funding losses. MDH also outlined several fee increases tied to public water systems, wells, licensing and certification, assisted living and health care facilities, HMO regulation, food/pools/lodging inspections, radioactive materials, X-ray equipment, and asbestos abatement. The commissioner said these changes were needed because costs, workload, and regulatory complexity have increased, while many fees have not been updated in years. MDH also presented budget-neutral proposals, including continuing the Early Hearing Detection and Intervention Advisory Committee, converting the Maternal and Child Health Advisory Task Force into a standing advisory committee, restoring some local and tribal public health cannabis and substance misuse prevention grants, creating direct American Indian Health Special Emphasis Grants, reauthorizing the State Trauma Advisory Council, and extending firefighter PFAS biomonitoring work. The department also requested an operations adjustment for rising employee, insurance, fuel, utility, and legal costs, and referenced additional Clean Water Legacy Fund proposals. No votes or formal actions were taken in the portion provided. Representative Bierman then offered supportive comments, praising MDH’s work and backing the funding and fee proposals, especially the restoration of local public health prevention grants.
NV

Nevada 2025 Regular Session

Senate Floor Session May 29th, 2025 at 11:00 am

Nevada Senate Floor Meeting

Transcript Highlights:
  • The President and Secretary are authorized to make the necessary corrections and additions.
  • Assembly Bill 539 by the Assembly, Assembly Bill 539, by the Assembly Committee on Revenue, authorizes
  • Assembly Bill 566 appropriates $34,487 from the general fund and authorizes expenditures of $147,223
  • In addition, the amendment authorizes... ...which must be deposited in the account.
  • products are exempt. ...strains state resources, as only 34 FDA-authorized products exist.
Keywords: 909, all
TX
Transcript Highlights:
  • and then we don't get in trouble for being prescriptive enough—” “...for being too prescriptive and
  • then we don't get in trouble for being prescriptive enough.
  • being prescriptive enough.
  • circumstance anywhere in your rulemaking authority?
  • When you make the rules, we give you the authority to make the rules.
Keywords: 1185, senate, all
AZ
Transcript Highlights:
  • The title is access to non-opioid prescription drug controls.
  • more restrictive or intensive utilization controls, including more restrictive or extensive prior authorization
  • or step therapy requirements, for any clinically appropriate prescription drug. ...that is not an opioid
Keywords: 1182, all
AL

Alabama 2026 1st Special Session

Alabama Senate Agriculture, Conservation, and Forestry Committee Feb 11th, 2026

Agriculture, Conservation and Forestry

Transcript Highlights:
  • [clears throat] Last bill, SB 288, Senator Melson, Agriculture Authorities Director Board.
  • <00:18:40.000> I authorities are there in the state?
  • I authorities are there in the state?
  • >> No, no, it's the authority bill can be used by any county in the state. >> Okay.
  • , set up for if you're on a authority, set up for if you're on a authority, just<00:21:38.480>
TX

Texas 89th Regular

Senate Session (Part II) Apr 14th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • SJR 84 by Bettencourt proposing a constitutional amendment to authorize the legislature to provide for
  • Lastly, the joint resolution adjusts the authority of the Commission and the Texas Supreme Court to more
  • constitutional amendment regarding the membership of the State Commission on Judicial Conduct and the authority
  • The floor amendment adds language to section one, authorizing the Commission to recommend the removal
TX

Texas 89th Regular

Senate Session (Part I) Apr 14th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • To ask questions of the author of the bill. Senator Eckhardt, you're recognized.
  • Question of the author of the amendment Mr. President.
  • Ask the author a question. Yes. Senator Campbell, do you yield? I do.
  • Questions of the author, Mr. President. Does the author yield? Certainly.
  • Yes it's a good amendment and agreeable to the author. Any objection?
MN

Minnesota 2025-2026 Regular Session

House Veterans and Military Affairs Division 4/15/26

Veterans and Military Affairs Division

Transcript Highlights:
  • Are there any member questions for the testifiers or the author?
  • author? Uh, Representative Dan. author? Uh, Representative Dan.
  • Are there any questions for the testifiers or the author?
  • the testifiers or the author? the testifiers or the author?
  • , over to my uh my co-author, over to my uh my co-author, >> Representative<01:12:11.360>
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm

Joint Committee on the Judiciary

Transcript Highlights:
  • I authorized an inpatient transfer to the hospital.
  • Because current Massachusetts law limits this authority to...
  • I was only given a very small prescription. I was sent to pain management.
  • Please protect our children and ensure that parental authority is not eliminated.
  • Yet this bill denies parental authority for preventative care.
Keywords: 995, all
Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.
MN

Minnesota 2025-2026 Regular Session

FULL INTERVIEW: Patient-Centered Care | Senator John Marty Mar 20th, 2026

Minnesota Senate Floor Meeting

Transcript Highlights:
  • So, they dropped out. 300,000 people had to switch all their doctors, all their prescriptions, all their
  • , their doctors, all their prescriptions, their doctors, all their prescriptions, all<00:03:26.320
  • <00:05:05.919> problems to get past prior authorization problems to get past prior authorization
  • You've gotten support from the American Cancer Society, but your bill so far only has DFL co-authors.
  • Are you expecting any co-authors.
Keywords: 918, senate, all
Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.
TX
Transcript Highlights:
  • The language of this bill again is permissive, not prescriptive.
  • They just were given the authority if they choose to do it.
  • So when we initially filed these, these bills in the past, we had a very prescriptive bill.
  • Um, and Again, in, in order to get it over line, we're trying not to be too prescriptive, uh, in mandating
  • , an emergency management authority, uh, in case something comes up while I'm gone.