Video & Transcript Research : 'prescriptive authority'
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DE
Delaware 2025-2026 Regular Session
House Health & Human Development Committee Meeting Jun 17th, 2026
Health & Human Development
Transcript Highlights:
- Senate Bill 320 modernizes Delaware's pharmacist scope of practice by authorizing independent prescriptive
- authority within clearly defined parameters.
- Senate Bill 320 modernizes Delaware's pharmacist's scope of practice by authorizing independent prescriptive
- authority within clearly defined parameters.
- Law enforcement authority is preserved.
Keywords:
healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe
Summary:
The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks.
The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released.
Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.
US
US Federal 2025-2026 Regular Session
State of the Union Address by the President of the United States (Tuesday, February 24, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- I'm also ending the wildly inflated cost of prescription drugs like has never happened before.
- <01:19:57.040>
I <01:19:57.280>took <01:19:58.000>prescription things happened - I took prescription things happened.
- I took prescription drugs<01:20:00.000>
a <01:20:00.239>very <01:20:00.480>big <01 - before that on July 4th 1826 the author of<02:25:19.280>
the <02:25:19.680>Declaration
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/19/26
Health and Human Services
Transcript Highlights:
- <00:19:54.840>
doesn't sort of appropriation authority doesn't sort of appropriation authority - Because of the extremely high prices of medication, I watched her ration her necessary prescriptions,
- [clears throat] Um HR1 also limited the USDA's authority to adjust the Thrifty Food Plan, which is a
- [clears throat] Um HR1 also limited the USDA's authority to adjust the Thrifty Food Plan, which is a
- [clears throat] Um HR1 also limited the USDA's authority to adjust the Thrifty Food Plan, which is a
FL
Transcript Highlights:
- Senate Bill 246 authorizes the Department of Highway Safety and Motor Vehicles to create several new
- Current law authorizes DFS to issue reinsurance intermediary licenses, but does not require them to do
- Senate Bill 1050, a bill to be entitled an act relating to veterinary prescription disclosure.
- It creates a timeline for the appeals process for eligibility determinations and authorizes... ...for
- And finally, senators, it restores local authority. Rebuilding after a storm.
Summary:
The Senate convened with an opening prayer, pledge, and a series of introductions recognizing guests, visiting groups, and special honorees in the galleries. The chamber then took up committee and executive appointment business, adopting a report confirming 42 gubernatorial appointments by a vote of 36-0.
The Senate next considered a long special-order calendar of bills, most of them passing with little or no opposition. Measures included public-records sunset reviews and trade secret/cybersecurity exemptions; a child-abuse reporting statute of limitations bill; commercial driving school oversight; human trafficking training for nurses; a new injunction for protection against serious violence and its related public-records exemption; nature-based coastal resiliency and mangrove protection; a chiropractic trust-funds cap repeal; specialty license plates; a waiver of late financial disclosure fines; public school personnel compensation; the Florida Farm Bill with multiple agriculture, biosolids, and enforcement provisions; homestead exemption clarification for long-term leases; disability presumption clarifications for first responders; reinsurance intermediary manager conformity; patriotic displays in public schools; ADS-B aviation fee restrictions; autism-related law enforcement training and the Blue Envelope program; campus safety reporting procedures for public postsecondary institutions; and veterinary prescription disclosure. Several bills were temporarily postponed, including local vessel restrictions, temporary critical-need practice certificates, and domestic animals.
The floor debate featured the most discussion on the farm bill, the HCSM/nonprofit religious organizations bill, the autism law-enforcement bill, and the school athletics bill. The HCSM bill drew extended debate over whether licensed insurance agents should be allowed to market faith-based health care sharing ministries, with supporters emphasizing consumer choice, free speech, and religious liberty, and opponents warning about unregulated products and commissions; it passed 32-5. The athletics bill, prompted by the Teddy Bridgewater/Miami Northwestern situation, would let coaches provide good-faith support to student-athletes while requiring reporting and FHSAA oversight; it passed 38-0. Most other measures passed overwhelmingly, including the autism bill 38-0, the campus safety bill 37-0, the public school patriotic displays bill 36-2, and the farm bill 38-0 after amendments addressing Everglades lands and biosolids timing were adopted.
WV
West Virginia 2026 Regular Session
WV Senate Mar 14th, 2026 at 04:37 pm
Transcript Highlights:
- The House amendment authorizes contractors to transfer licenses to qualified family members for one year
- The clerk of the House announced the House amended and passed Senate Bill 906, permitting lawful prescription
- Senate Bill 906, permitting lawful prescription of crystalline polymorph psilocybin under FDA recommendations
- clerk of the House announced the House amended and passed Committee Substitute for Senate Bill 153, authorizing
Summary:
The Senate first considered confirmations from Senate Executive Message No. 4. On a 33-0 vote, it confirmed all nominees except number 54, then separately confirmed nominee 54 on a 30-3 vote. The special order of business was then closed.
The chamber then took up a series of House-amended bills and generally concurred in the amendments before passing each bill. These included SB 723 on law enforcement cooperation with bordering states; SB 947 on birth certificate copies for homeless minors; SB 392 on personal income tax reduction; SB 54 on criminal penalties for abuse or neglect of incapacitated adults; SB 228 on technology in child abuse and neglect investigations, including a three-county caseworker aid pilot; SB 231 on value-based payment requirements; SB 402, the Workforce Readiness Opportunity Act, with House removal of tax credits and other provisions while retaining micro-credential programs; SB 553 on transfer of contractor licenses to qualifying immediate family members; SB 575 on refusal review hearings; SB 686, the Coal Tenancy Modernization and Miners' Protection Act; SB 906 on lawful prescription of crystalline polymorph psilocybin under FDA recommendations; and SB 1226 on penalties for disturbing religious worship. Most final passage votes were unanimous or near-unanimous, and several bills were made effective from passage or given a specific effective date.
Later, the Senate concurred in House amendments to SB 63, the Creating Sustaining Opportunities for Academics and Rural Schools Act, after discussion noting the House removed county charter school language and changed the effective date. The bill passed 32-2 and was made effective from passage. The Senate also concurred in amendments to SB 502, the Women's Collegiate Sports Protection Act, and SB 153, creating the Unemployment Automation and Administration Fund; SB 502 was set to take effect July 1, 2026, and SB 153 was also made effective July 1, 2026. Finally, the Senate reconsidered and again passed SB 392 by a 32-2 vote. The session ended with several introductions, announcements, and a recess until 5:30.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Labor and Workforce Development Jun 21st, 2026 at 11:00 am
Joint Committee on Labor and Workforce Development
Transcript Highlights:
- Everybody in the union votes whether or not to authorize a strike, whether they feel that the company
- I've spent a lot of time reviewing those studies and working actually with one of the lead authors for
- modest strike benefit from our union, but that is not enough to keep paying rent, child care, and prescriptions
- modest strike benefit from our union, but that is not enough to keep paying rent, child care, and prescriptions
- modest strike benefits from our union, but that is not enough to pay our rent, child care, and prescriptions
Summary:
The Joint Committee on Labor and Workforce Development held a hybrid hearing on legislation concerning unemployment insurance, non-compete agreements, prevailing wage, and minimum wage issues. Committee leaders outlined the hearing process, asked witnesses to keep oral testimony to three minutes, and invited written testimony through November 20. No votes were taken during the hearing; it ended with a motion to adjourn and notice of the next hearing on November 20.
Much of the testimony focused on bills to expand unemployment insurance for striking workers, including H. 2168 and S. 1319. Labor leaders, union members, and legal advocates argued that workers who are out on strike for more than 30 days should be able to receive UI benefits, saying the policy would help workers and families meet basic expenses, reduce employers’ ability to “wait out” strikes, and encourage good-faith bargaining. Speakers cited recent strikes, including the Republic Services strike, and said the proposal would not meaningfully increase strike activity or strain the UI trust fund.
Another major topic was minimum wage legislation, especially H. 2107/S. 1349 to raise the minimum wage to $20 by 2029 and index it to inflation, and H. 2191 to create a $25 enhanced care worker minimum wage. Supporters said current wages are not keeping pace with housing, food, and childcare costs, and that care workers, direct support staff, and human service employees face chronic vacancies, burnout, and turnover. Testimony also supported H. 2126 on prevailing wage by adding apprenticeship and training contributions to the wage calculation, and H. 2159 and S. 1363 on prevailing wage-related issues. One witness, Russell Beck, testified against S. 1336, which would ban non-competes, and against H. 2118, arguing Massachusetts’ current non-compete law is a balanced compromise that should not be disrupted.
FL
Florida 2026 5th Special Session
Regulated Industries Jan 20th, 2026
Transcript Highlights:
- Procedure Committee issued a notice of nullification of the rule because the original statutory authority
- Specifically, the bill maintains the authority of local governments to exercise the powers and responsibilities
- other sector faces, including mandatory public hearings for routine water permit modifications, prescriptive
- All right, we have one bill remaining, and that is on tab 5, SB 1050, on veterinary prescription disclosure
- It increases transparency by letting pet owners understand their right to receive a written prescription
Summary:
The Committee on Regulated Industries heard and voted on several bills. SB 986 would prohibit smoking or vaping marijuana in public places and also restrict smoking in rooms and bars; the sponsor said it is intended to protect public health and outdoor spaces, while the Florida Restaurant and Lodging Association supported the goal but raised concerns about impacts on designated smoking areas, and cannabis advocates warned about unintended effects on patients and property rights. The committee reported SB 986 favorably.
The committee also passed SB 678, which restores statutory authority for DBPR’s long-standing rule allowing alcohol distributors to deduct unsellable alcohol from monthly excise taxes; a strike-all amendment was adopted, including retroactive application to January 1, 2025, and the bill was reported favorably. SB 800, which increases penalties for repeat unlicensed engineering practice and creates an engineering student loan assistance program for engineers working for state agencies and water management districts, was amended and reported favorably as well.
Members then considered SB 408 on vaccine advertising and liability. The sponsor argued the bill would address declining public trust in vaccines by allowing claims against manufacturers that advertise in Florida, while opponents said the measure is preempted by federal law, raises First Amendment concerns, and would create unnecessary litigation. After extensive testimony and debate, the committee reported SB 408 favorably. The committee also heard SB 484 on data centers, which would set PSC tariff requirements so large load customers pay their own costs, preserve local planning authority, and limit water permits for large data centers; testimony was mixed, with supporters emphasizing ratepayer protections and economic benefits and critics warning about overregulation and confidentiality limits. The bill was reported favorably.
Finally, the committee approved SB 1118, which creates a time-limited public records exemption for certain data center development information held by local governments, after the sponsor said it was meant to prevent extended NDAs while still allowing local notice and input. SB 1050, requiring veterinarians to provide written prescriptions so pet owners can choose their pharmacy, was also reported favorably. The meeting ended after several members recorded votes on bills they had missed.
TX
Texas 89th Regular
S/C on Disease Prevention & Women's & Children's Health Mar 27th, 2025
S/C on Disease Prevention & Women's & Children's Health
Transcript Highlights:
- There is no federal authority for us as an agency to implement financial eligibility criteria for the
- And so, the way that this is structured, it's not prescriptive, so there are different ways that people
- Basaldua, a clinical pharmacist and professor. ...and a published author on health literacy, and I strongly
- Twenty years ago, the Institute of Medicine published a book called "Health Literacy: A Prescription
- I ask you to help us fill that prescription right here in Texas. I think it is long overdue.
Keywords:
Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility
HI
Hawaii 2025 Regular Session
HLT/HSH Joint Public Hearing - Fri Feb 7, 2025 @ 8:30 AM HST
Transcript Highlights:
- Just, I think, for clarification, many years ago the legislature did provide prescriptive authority,
- prescriptive Authority and this is prescriptive Authority and this is within<01:10:47.960>
clinical - All government is founded on this authority.
- authorities authorities andal<02:33:28.040>
communities <02:33:28.560>of <02:33:28.760> - <02:53:13.840>
to Department of Health full authority to Department of Health full authority
Summary:
The joint hearing opened with House Bill 1462 on crisis services. Testimony from the Department of Law Enforcement, the Community Alliance on Prisons, and the Department of Health supported expanding behavioral health crisis services as an alternative to arrest or incarceration. Witnesses said additional crisis sites would help divert people in mental health crisis to appropriate care, and the Department of Health described its current crisis center in Ewa, including the need for renovations such as a padded room and the time required to get the facility operational. In response to questions, the department estimated the Ewa center’s budgeted cost at about $4.3 million, not including rent or startup repairs, and said a second site’s cost would depend on whether it was freestanding or attached to an existing facility.
The committee then heard House Bill 700 on cognitive assessments. The Executive Office on Aging supported the bill’s intent but asked that it be amended to make assessments optional rather than mandated, to pilot the program first, and to allow flexibility in handling HIPAA-protected data. SHPDA also supported the measure but said it should not be mandatory and suggested that payers reimburse for assessments when requested by patients, families, or physicians. The Alzheimer’s Association and caregivers strongly supported standardizing cognitive assessments to improve early detection and access to newer treatments, while noting the existing opt-out provision. The Hawaii State Council on Developmental Disabilities supported the bill but asked that the age 65 threshold be removed because cognitive decline can begin much earlier for people with Down syndrome, autism, traumatic brain injury, stroke, and related conditions. In response to a question, the Office on Aging said a pilot project could likely be done for about $150,000, with data security being the main added cost.
The final bill discussed was House Bill 237 on peer support programs. Testimony from Family Hui Hawaii, Early Childhood Action Strategy, peer support workers, and families described peer-to-peer programs as a cost-effective way to reduce isolation, strengthen families, and provide long-term community support. Speakers said these programs help parents and caregivers navigate crises, child welfare involvement, addiction recovery, and other challenges, and can have lasting benefits for children’s development and family stability. Several witnesses tied the bill to broader state goals, including infant and early childhood mental health, trauma-informed care, and child welfare reform. Written testimony from about a dozen organizations and individuals was also noted in support.
KY
Kentucky 2026 Regular Session
House Standing Committee on Licensing, Occupations, and Administrative Regulations.(2-25-26)
Licensing, Occupations, & Administrative Regulations
Transcript Highlights:
- this bill is about strengthening access to dietetic services, and the compact provides regulatory authority
- Yeah, they cannot give their prescribing ability back for prescription drugs.
- Yeah, they cannot give their prescribing ability back for prescription drugs.
- Yeah, they cannot give their prescribing ability back for prescription drugs.
- Yeah, they cannot give their prescribing ability back for prescription drugs.
Keywords:
0:02 ROLL CALL
1:44 SB 145 DISCUSSION
5:15 SB 145 VOTE
6:50 HB 36 DISCUSSION
9:15 HB 36 VOTE
10:45 HB 92 DISCUSSION
13:22 HB 92 VOTE
14:30 HB 628 DISCUSSION
16:30 HB 628 VOTE
17:50 HB 245 DISCUSSION
19:20 HB 245 VOTE
20:45 HB 584 DISCUSSION
25:23 HB 584 VOTE
27:55 ADJOURNMENT, 958, all
Summary:
The committee met with a quorum and first took up Senate Bill 145, which updates Kentucky’s laws governing caterers’ licenses and related ABC regulations. Senator Julie Rocky Adams explained that the bill clarifies where and how licensed caterers may sell and serve alcohol, standardizes food-to-alcohol revenue requirements, and removes administrative barriers. A committee substitute was adopted that also changes a tobacco-related license deadline from January 1, 2026 to July 1, 2026. Members discussed ABC staffing concerns, but the sponsor said those costs had not been specifically addressed. The committee substitute and then the bill as amended both passed unanimously and were sent to the House floor.
The committee then considered three interstate compact bills. House Bill 36, the respiratory care compact, was presented as a straightforward compact aimed at helping military families, protecting the public, and improving real-time disciplinary data sharing; a committee substitute correcting immunity language was adopted, and the bill passed unanimously. House Bill 92, the dietitians compact, was described as improving portability of licensure, reducing burdens on licensees and states, supporting military families, and enhancing investigative and disciplinary information sharing; the committee substitute added background checks, and the bill passed unanimously. House Bill 628, the athletic trainer compact, was presented as a new compact with enough states moving forward to meet the threshold for establishment; members noted it had become a Department of Defense priority, and it also passed unanimously after a committee substitute.
House Bill 254 was then taken up as a bill to exempt certain temporary emergency housing structures from plumbing code enforcement, based on experience during disaster sheltering when new trailers could not be used quickly because of inspection delays. A committee substitute corrected a drafting issue that had unintentionally affected temporary structures, and the bill passed unanimously. Finally, House Bill 584, which removes a permanent ban on a physician reapplying for DEA prescribing authority after rehabilitation and restoration of their medical license, was debated more extensively. The sponsor said the bill preserves DEA discretion while allowing a second chance after a lengthy rehabilitation process; KMA had not taken a position. Several members explained their votes, and the bill ultimately passed. The committee then recorded votes on the day’s bills and adjourned.
ND
North Dakota 2026 1st Special Session
Health Care Committee Feb 12th, 2026 at 09:30 am
Transcript Highlights:
- Some issues that weren't discussed in the prior authorization bill.
- Last, we will talk about prior authorization and changes.
- Most recently, in 2025, approximately 78% of prior authorizations...
- have their claim potentially be denied for no authorization.
- Partial dentures will continue to require service authorization.
Summary:
The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options.
Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process.
PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.
NH
Transcript Highlights:
- I wouldn't want any one prescriptive measure to be applied to the study committee before they've done
- measure to be applied to prescriptive measure to be applied to the<00:39:28.599>
study <00:39: - Absolutely, and I wouldn't want, as I said, any prescriptive measure to come from the study committee
- measure bless you to come prescriptive measure bless you to come from<00:45:53.200>
the <00:45 - Our board had authorized the state template, but there were many different versions.
FL
Florida 2025 Regular Session
April 2, 2025 - 02:00 PM
Transcript Highlights:
- We are now going to consider HB 899, insurance disclosures on prescription drug coverage, by Representative
- This bill protects patients from mid-year prescription coverage changes that can interrupt care and raise
- was surprised to learn that the Agency for Health Care Administration does not have the regulatory authority
Summary:
The Health Care Facilities and Systems Subcommittee met with a quorum present and considered four measures. The first was the PCS for HB 815, which would direct AHCA to study referral patterns by Medicaid managed care organizations and plans, including whether patients are being steered to providers with ownership or profit-sharing ties and how those services compare in cost. Members discussed transparency and potential cost impacts, and the PCS was reported favorably by a 17-0 vote.
The committee then took up HB 1543, which narrows and clarifies an existing licensure attestation related to foreign countries of concern and controlling interests in health care entities. An amendment was adopted without objection to make clear the attestation applies to direct controlling interests. The bill was supported as a clarification for complex corporate structures, and it was reported favorably as amended by a 17-0 vote.
Next, HB 899 addressed prescription drug coverage disclosures, aiming to prevent mid-year changes that could disrupt treatment or increase out-of-pocket costs for patients with chronic conditions. Supporters from Epic Pharmacies and the Florida Society of Rheumatology appeared in support, and the bill was reported favorably by a 17-0 vote. Finally, the PCS for HB 493 on memory care facilities sought to add minimum standards and oversight for facilities advertising memory care services. The Florida Senior Living Association opposed the bill as overbroad and urged more refinement, while AHCA supported the added guardrails. The sponsor said the bill was intended to protect vulnerable residents and improve transparency, and the PCS was reported favorably by a 17-0 vote. The meeting then adjourned.
FL
Florida 2026 5th Special Session
Criminal Justice Oct 7th, 2025
Transcript Highlights:
- Even Injury while impaired, a mandatory blood draw is authorized.
- Collecting and testing blood evidence, the medical examiner has the authority to perform the autopsies
- HIPAA also prohibits release of blood results without legal authority.
- So HIPAA mirrors state law, prohibiting release of protected health information without legal authority
- As part of the 2024 updates to Part 2, patients can now sign a single written consent that can authorize
Summary:
The committee met with Senators Garcia and Simon excused and heard a presentation from FDLE Deputy Commissioner Vaden Pollard on homicide and violent-crime investigations, focusing on access to blood evidence, toxicology, medical records, mental health records, and the legal limits imposed by Florida law, HIPAA, and 42 CFR Part 2. He explained that autopsy evidence collected by medical examiners is generally available to law enforcement, while hospital records and mental health/substance abuse records usually require subpoenas, court orders, or consent, which can delay investigations. He also discussed the difference between DNA testing and toxicology testing, the role of warrants and probable cause for living suspects, and the special rules that apply when a suspect is deceased.
Members asked detailed questions about what toxicology panels include, whether medications can be tested for, how medical examiners review prior medical history, and whether FDLE tracks data linking violent crime to mental health issues or follow up with regulators after incidents. Pollard said the agency follows investigative leads where relevant, but regulatory follow-up depends on the circumstances. He also discussed behavioral threat assessment and management, and said risk protection orders have been used effectively to prevent violence and can lead to court-ordered evaluations and services.
The committee then shifted to crime lab capacity and turnaround times. Pollard said the average DNA turnaround time was 208 days for some evidence, with anything over 30 days considered backlog, but that sexual assault kits are prioritized and generally handled much faster, with rush cases sometimes completed within 24 hours. Members expressed concern about delays in unsolved violent and sexual assault cases and asked what resources would help reduce backlog; Pollard said additional analysts would improve turnaround times. The meeting concluded with thanks to the presenter and adjournment after Senator Bernard moved to adjourn.
WY
Transcript Highlights:
- prosecuting authority. prosecuting authority.
- authority shall blah blah blah. authority shall blah blah blah. >> Yeah. >> Yeah.
- general or prosecuting authority general or prosecuting authority pursuant<01:09:33.839>
to - So I guess if you could prescriptive.
- so necessary to be this prescriptive so necessary to be this prescriptive senator. >> Yeah, thank
Keywords:
felony, law enforcement, police officer, criminal penalties, public safety, sex offender, child care facility, residency restrictions, criminal law, sex offenders, child care facilities, legislation, false claims, civil penalties, state accountability, whistleblower protection, fraud prevention, 916, all
HI
Transcript Highlights:
- First up, SB 59 relating to prescription drugs. First up is Insurance Division providing comments.
- Next we have Elina Banos, Alliance for Transparency and Affordable Prescriptions, in support.
- Next we have Elina Banos, Alliance for Transparency and Affordable Prescriptions, in support.
- <00:02:22.120>
and prescriptions and prescriptions and support<00:02:24.040>um <00:02:24.760 - for example I may fill a prescription for example I may fill a prescription and<00:05:28.080>
Summary:
The joint hearing began with SB 59 on prescription drugs, which drew extensive testimony from insurers, pharmacies, patient advocates, and health organizations. Supporters argued the bill would address PBM practices such as spread pricing, unclear reimbursement, and patient steering, and would help independent pharmacies and lower patient costs by passing rebates through to consumers. Opponents from health plans and PBM-related groups raised concerns, while Walgreens supported the measure and suggested amendments to establish a reimbursement floor. After questions, the committee accepted the Hawaii Pharmacist Association’s proposed amendments, added technical changes and a defective date of December 31, 2050, and voted to pass SB 59 with amendments.
The remainder of the hearing focused on a series of nominations and reappointments to health, aging, disability, mental health, juvenile justice, and advisory boards. Nominees and agency representatives generally described their backgrounds and interest in serving, with support testimony emphasizing experience, continuity, and the value of volunteer service. Several nominees highlighted issues such as mental health access, substance abuse treatment, elder services, language access, disability access, and rehabilitation services. The Department of Health, SHPDA, DHS, and other organizations largely testified in support of the nominees.
No votes were taken on the nominations during the transcript excerpt, and the chair repeatedly thanked the nominees for their service and testimony. The hearing also included brief procedural remarks about time limits, Zoom testimony, and a possible reconvening date in case of technical difficulties.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 24 Mar 12th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- Misrepresentative, if I was to author a bill next year to change the way public schools' bond process
- ask you where, where your proposed law takes care of this: people who were on medical marijuana prescriptions
- applies this same type of rule to say having. you know received in the past, let's say 45 days a prescription
- I've worked for that did drug testing, if you tested positive for opioids or you know any of the. prescription
- drugs, you just needed to show that you actually had a prescription for that.
Bills:
HB2997, HB2021, HB3041, HB1823, HB3372, HB1427, HB3127, HB3128, HCR1020, HB4198, HB3000, HB3001, HB3002, HB3003, HB3004, HB3005, HB3006, HB3007, HB3008, SB392, HB3320
Keywords:
motor vehicles, administrative fines, license regulation, state agencies, employment levels, after-school programs, grant funding, community organizations, child care, Oklahoma Department of Human Services, credit card transactions, payment methods, service charge, consumer rights, financial regulation, housing finance, Oklahoma Housing Finance Agency, publication requirements, housing policy, state regulations
ND
North Dakota 2026 1st Special Session
Employee Benefits Programs Committee May 7th, 2026
Employee Benefits Programs Committee
Transcript Highlights:
- The 1963 Legislative Assembly did enact North Dakota Century Code 52-12, which authorized state agencies
- They placed the authority of that under the PERS Board, and they required our board to go out to bid
- And then last session, House Bill 1216 is where prescription co-payments go towards the out-of-pocket
- House Bill 1216 is where prescription co-payments go towards the out-of-pocket max.
- So right now, ...legislative management has authorized this committee with the authority to make that
Summary:
The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects.
The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis.
After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/18/26 - Evening Meeting
Transcript Highlights:
- , formularies, prior authorizations, formularies, prior authorizations, and<00:48:39.800>
confusion - Excessive prior authorization, burdensome prior authorization, confusing prior authorization such that
- burdens of prior authorization. burdens of prior authorization.
- and formularies in prior authorization and formularies in managed<01:12:13.320>
care. - prescription drugs. prescription drugs.
Summary:
The committee first took up House File 3939, a bill to support a Helping Paws service-dog litter named in honor of Gilbert and the Hortman family. Testimony from Helping Paws and service-dog graduate Angie Foley described the organization’s work, the significance of the “Guided by Gilbert” litter, and how the funding would help train dogs that provide independence and support to people with disabilities, veterans, and others. Members from both parties spoke warmly about Speaker Hortman’s connection to the organization and Gilbert, and the bill was laid over for possible inclusion.
The committee then considered House File 3769, the Department of Corrections’ technical omnibus bill, with an A1 amendment adopted to clarify tuberculosis testing language. The bill updates TB screening procedures in correctional facilities, including how refusals are handled, and adds Quantiferon Gold Plus testing as an option alongside existing methods. Members discussed whether the bill would create costs for counties and jails, with some noting added testing and segregation costs and others arguing the changes would improve accuracy and reduce time in restrictive housing. The bill, as amended, was recommended to the general register.
House File 3978 was next, a technical cleanup bill for a provider wellness program created last year. The bill expands eligibility and confidentiality protections from physicians to all health care providers, while supporters said the program is meant to address burnout and mental health strain in the workforce and does not require new money. Some members questioned whether the change was redundant or would broaden the program without additional funding, but the Minnesota Medical Association testified that the program is separate from insurance and was intended to serve all providers. The bill was recommended to the general register.
Finally, the committee began House File 3476, which Rep. Liebling described as a cleanup bill related to Minnesota’s Medicaid managed care system and public program oversight. She argued that the state spends billions through managed care organizations and that the system has never been proven better than direct payment, setting up a broader discussion of the bill’s purpose and the state’s oversight of public health care spending.
KY
Kentucky 2025 Regular Session
Administrative Regulation Review Subcommittee (4-14-25)
Transcript Highlights:
- We respect the authority of the Kentucky Board, but we are here today to make the case that U.S. and
- And this includes laser and eyelid surgeries, injection of anesthetics, steroids, and prescriptive authority
- <00:20:07.760>
authority <00:20:08.480>for steroids, and prescriptive authority for - steroids, and prescriptive authority for controlled<00:20:09.280>
oral <00:20:09.679>pharmaceuticals - I trust your authority and the board established under KRS 320.240 to have the statutory authority to
Keywords:
0:22 – Roll Call
0:30 – Approval of minutes
1:04 – Department of Veterans Affairs
2:06 – Board of Pharmacy
3:20 – Board of Optometric Examiners
39:26 – Board of Nursing
40:07 – Board of Emergency Medical Services
41:52 – Department of Fish & Wildlife Resources
44:36 – Transportation Cabinet: Department of Vehicle Registration
45:36 – Department of Alcoholic Beverage Control
47:00 – Cabinet for Health & Family Services: Department for Medicaid Services
49:59 – Cabinet for Health & Family Services: Department for Community-Based Services, 958, all
Summary:
The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection.
The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no.
Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.