Video & Transcript : 'formulary placement' :

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AR

Arkansas 2026 Regular Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Feb 18th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • Item Number Two is the December 2025 pharmacy formulary recommendations.
  • Be glad to answer any questions for the December formulary recommendations.
  • Next item up is the January 2026 pharmacy formulary recommendations.
  • Next item up is the January 26th pharmacy formulary recommendations.
  • The committee moved to the February 2026 pharmacy formulary recommendations.
ND

North Dakota 2026 1st Special Session

Employee Benefits Programs Committee May 7th, 2026

Employee Benefits Programs Committee

Transcript Highlights:
  • rebates really started becoming popular on the prescription drug side, we started implementing a formulary
  • And then we have also implemented things like out-of-pocket maximums, as well as some formulary maximums
  • if the participant is willing to use the drugs that are on the formulary plan as well.
  • a specific paid family leave policy that allows up to 12 weeks following the birth of a child or placement
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.
LA

Louisiana 2026 Regular Session

Senate May 31st, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • It's an act to amend Title 22 relative to health insurance to establish requirements for formulary placement
Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.
TX

Texas 89th Regular

Higher Education Apr 1st, 2025

Higher Education

Transcript Highlights:
  • In fact, 24% of programs had to reject qualified applicants due to a shortage of clinical placements.
  • students that I had to place in three different clinical rotations, and I only had 26 clinical placements
  • Even at the end of moving everybody around to try to get placements, I still needed spots, so I had to
  • throughout the state to determine how to best maximize clinical placement sites.
  • I was marked by instability and frequent placement changes, which often means changing schools.
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (03/04/2026)

Health and Human Services

Transcript Highlights:
  • know, as we recall, this is the bill that Senator Fenton brought in that deals with changing drug formularies
  • that is before you actually increases the notification timeline to give folks more time to appeal a formulary
  • </c><00:13:06.560><c> midstream</c><00:13:07.519><c> and</c> changing drug formularies midstream and
  • changing drug formularies midstream and the<00:13:08.000><c> fact</c><00:13:08.160><c> that</c><00:13
  • </c><00:13:52.880><c> change</c> more time to appeal a formulary change more time to appeal a formulary
MN

Minnesota 2025-2026 Regular Session

MA cover weight-loss drugs 3/25/26

Minnesota House Floor Meeting

Transcript Highlights:
  • In 2019 in 2021, the legislature removed the weight loss restriction from the drug formulary.
  • </c><00:03:44.360><c> At</c> restriction from the drug formulary.
  • At restriction from the drug formulary.
  • </c> med changes to the Medicaid formulary med changes to the Medicaid formulary that<00:06:36.680><c
  • Chair. formulary. Thank you, Mr. Chair.
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (02/04/2026)

Health and Human Services

Transcript Highlights:
  • </c> formularies under health benefit plans. formularies under health benefit plans.
  • ,</c><00:22:27.919><c> they</c> plan with a certain formulary, they plan with a certain formulary, they
  • It does not prohibit formulary costs.
  • [clears throat] formulary.
  • </c> to maintain 36 separate formularies. to maintain 36 separate formularies. [snorts] Thank you.
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-05-29 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • The major policy differences related to the program will have no formulary change, which will allow access
  • juvenile justice residential services, including funds for additional commitment beds, allowing for placement
  • thought was kind of a bad decision on DOH's part to say ViiV Healthcare should not be allowed on the formulary
  • actual fiscal sense, especially when they also have the lowest starting salary for graduates and job placement
  • actual fiscal sense to do that when they also have the lowest starting salary for graduates and job placement
Summary: The House convened with prayer, a moment of silence for former Senator Don Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. The chamber announced it would take up 11 budget conference committee reports, with no third-reading bills or special-order calendar items. Members were reminded that conference reports were subject to debate but not amendment, and that the required review periods had been satisfied. The first major action was on HB 7031E, the tax package. Representative Duggan explained that the conference report included a mix of retained, modified, and new tax provisions, including sales tax holidays, property tax and homestead-related changes, reductions in certain gaming and carbon-related taxes, changes to child care and documentary stamp tax credits, a new refund process for public works construction tax paid by universities and colleges, and other tax administration changes. Debate focused on the bill’s consumer impact, the reduction of the child tax credit from three years to one, the inclusion of firearm accessories in a sales tax holiday, the absence of gas tax relief and combined reporting, and the homestead exemption provision for certain deployed diplomatic and foreign service personnel. Critics argued the package favored niche or corporate interests over broad affordability relief, while supporters said it provided targeted tax relief and reflected conference negotiations. The House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began presenting the conference report for HB 501E, the state budget, which totaled $114.5 billion for fiscal year 2026-27 and was described as below the prior year’s spending level while maintaining reserves. Subcommittee chairs outlined major budget areas: pre-K-12 funding included an increase in FEFP, salary increases for veteran teachers, stabilization funding, and support for declining enrollment; higher education included full Bright Futures funding, workforce programs, college operating support, university initiatives, and school guardian expansion; IT funding focused on Palm, ACCESS, APD’s I-Connect replacement, corrections systems, emergency management systems, and cybersecurity grants; health care funding covered Medicaid, nursing home rates, waiver provider increases, ADAP funding and restructuring, child welfare, and behavioral health; transportation and economic development included housing, cultural grants, jobs and rural infrastructure, Visit Florida, Space Florida, highway patrol equipment, and local transportation projects; justice funding included correctional construction, juvenile justice facilities, law enforcement grants, and clerk and due process reimbursements; state administration included fire stations, constrained counties, building maintenance, and Safe Florida Home; and agriculture/natural resources funding emphasized Everglades restoration, water quality, land acquisition, Florida Forever, state parks, and citrus research. Members then began questioning the budget details, including school voucher accountability, school funding formulas, public defender parity, prison technology, wastewater monitoring in prisons, ADAP policy, SNAP fraud controls and AI-assisted verification, Florida Forever funding, school lunch funding, and coral reef restoration. No final vote on HB 501E appears in the transcript excerpt.
LA
Transcript Highlights:
  • And then there's a formulary, which I was Representative Chasson.
  • formulary that could be used for auto approval.
  • And the formulary—Nevada's not costing them a dime because we give the formulary.
  • Not the formulary. Okay.
  • were not covered under the Texas formulary.
Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.
FL

Florida 2026 5th Special Session

FL House Floor Session - 2025-05-02 (11:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • we disagree is because you must be certified in those courses to be able to teach those advanced placement
  • optometrists may prescribe and administer the generic or therapeutic equivalent of drugs included in the formulary
  • optometrists may prescribe and administer the generic or therapeutic equivalent of drugs included in the formulary
  • optometrists may prescribe and administer the generic or therapeutic equivalent of drugs included in the formulary
Summary: The House took up a series of Senate messages and concurred in several amendments before passing multiple bills. Early actions included unanimous passage of CS/CS/HB 1299 on Department of Health matters, CS/HB 1549 on financial institutions after removing a Senate-added trust-account provision, and CS/CS/SB 768 on foreign ties in business ownership after trimming registration requirements. The chamber also insisted on its housing amendment to CS/CS/CS/SB 184 after the Senate refused to concur. A major portion of the meeting focused on CS/CS/HB 875 on educator preparation. The House adopted an amendment restoring two teacher-prep courses, preserving the Florida Center for Teaching Excellence at Miami-Dade College in partnership with USF, and modifying the teacher candidate testing framework and mentor qualifications. Supporters said it reduced barriers while keeping standards; opponents raised concerns about the remaining “identity politics” language and other provisions. The bill then passed 91-22. The House also passed HB 1101 on out-of-network providers after adopting a House amendment that kept the original bill’s notice and referral provisions with a good-cause exemption, despite objections that it placed too much responsibility on doctors. Later, the chamber approved CS/CS/SB 180 on emergency preparedness and response, with members highlighting debris management, emergency planning, crane safety, and hurricane recovery provisions; it passed unanimously. The House then rejected concurrence in a Senate amendment to HB 1609 on waste incineration, and later spent substantial time debating CS/CS/HB 1115 on education, especially Schools of Hope, expanded co-location authority, funding, transportation, and school-district agreement terms. Critics argued the language was added late and could disadvantage traditional public schools, while supporters said it would expand options for students; the debate continued with the bill still under consideration at the end of the excerpt.
MD

Maryland 2026 Regular Session

House Floor Session, 3/10/2026 #1

Maryland House Floor Meeting

Transcript Highlights:
  • House Bill 784, Aquaculture Placement of Shellfish Bags, Nets, and Structures on Submerged Aquatic Vegetation
  • bioidentical hormones and repeals the naturopathic<01:08:21.839><c> doctors</c><01:08:22.319><c> formulary
  • </c> naturopathic doctors formulary council. naturopathic doctors formulary council.
  • Requires the department to notify applicants of possible educational placements and information on tax
  • </c><01:36:49.880><c> and</c> possible educational placements and possible educational placements and
Summary: The House convened with 124 members present, offered a prayer, and recognized foster youth visiting the chamber. Members then adopted two House resolutions honoring Dr. Sonja Santelises for 10 years as CEO of Baltimore City Public Schools and recognizing Sigma Gamma Rho Sorority, Incorporated, for 104 years of service, scholarship, and sisterhood. The House also received Senate bills and began taking up committee reports. Several bills were reported favorably and advanced to third reading, including measures on higher education grants, public safety pay restrictions, retirement and pension system work group extensions and cost-of-living adjustments, synthetic turf and aquaculture studies, rail crew requirements, Howard County speed limits, election address confidentiality, IT investment fund uses, ethics financial disclosures, Public Information Act divorce records, aging-in-place grants, judicial assignments, clerk and register salaries, and firearm literature distribution. House Bill 428, concerning temporary assignment of former judges, was special ordered until the next day after the minority whip requested time for an amendment. The chamber also considered and adopted amendments on several bills. House Bill 437, the Transportation and Climate Alignment Act of 2026, was amended to exempt the Chesapeake Bay Bridge project and then special ordered after questions about greenhouse gas impacts on major highway expansion projects. House Bill 457 on menstrual hygiene products at higher education institutions, House Bill 538 on student enrollment disclosures, House Bill 561 on child care credential funding, House Bill 720 on a veterans scholarship, and House Bill 212 on out-of-state vehicle registration all received amendments and favorable reports as amended. HB 212 drew extended debate about Maryland residents using out-of-state tags, with supporters saying it would help enforce registration laws and opponents raising concerns about legislative вмешательство in vehicle regulation and enforcement discretion.
MN

Minnesota 2025-2026 Regular Session

Minnesota House passes HF2403, the commerce policy bill 4/29/25

Minnesota House Floor Meeting

Transcript Highlights:
  • And these Medicare Advantage plans can also change their formulary, their drug formulary, which is something
  • we've talked about a lot on this floor, how unfair it is when you're on a drug and suddenly the formulary
  • ,<00:17:05.120><c> their</c><00:17:05.439><c> drug</c><00:17:05.760><c> formulary,</c><00:17:06.480><
  • c> which</c> formulary, their drug formulary, which formulary, their drug formulary, which is<00:17:06.880
  • </c> on a drug and suddenly the formulary on a drug and suddenly the formulary gets<00:17:13.120><c>
AL

Alabama 2025 Regular Session

Alabama Senate Mar 20th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • And that is a that is a list formulary. And that is a that is a list formulary.
  • If that drug is not listed in the formulary, then it's not u it's in the formulary, then it's not u it's
  • , the pharmaceutical industry formulary, the pharmaceutical industry formulary, the pharmaceutical industry
  • or they give rebates back to formulary or they give rebates back to formulary or they give rebates back
  • . formulary. formulary.
Bills: SCR 13 , SCR 24 , SB 1 , SB 12 , SB 15 , SB 17 , SB 24 , SB 57 , SB 65 , SB 213 , SB 371 , SB 372 , SB 378 , SB 379 , SB 388 , SB 400 , SB 402 , SB 427 , SB 495 , SB 499 , SB 502 , SB 509 , SB 535 , SB 583 , SB 610 , SB 621 , SB 650 , SB 706 , SB 740 , SB 840 , SB 854 , SB 856 , SB 875 , SB 893 , SB 918 , SB 925 , SB 974 , SB 995 , SB 1006 , SB 1018 , SB 1025 , SB 1061 , SB 1073 , SB 1106 , SB 1121 , SB 1194 , SB 1252 , SB 1253 , SB 1268 , SB 1300 , SB 1343 , SB 1362 , SB 1447 , SJR 36 , SJR 12 , SJR 57 , SCR 25 , SCR 22 , SCR 12 , SCR 24 , SCR 8 , SB 565 , SB 372 , SB 765 , SB 62 , SB 666 , SB 707 , SB 888 , SB 687 , SB 847 , SB 1248 , SB 740 , SB 14 , SB 1006 , SB 504 , SB 925 , SB 1121 , SB 995 , SB 857 , SB 305 , SB 296 , SB 284 , SB 815 , SB 1379 , SB 1300 , SB 1497 , SB 1499 , SB 1498 , SB 1061 , SB 65 , SB 241 , SB 304 , SB 402 , SB 499 , SB 621 , SB 974 , SB 1023 , SB 1024 , SB 1025 , SB 1106 , SB 686 , SB 112 , SB 371 , SB 204 , SB 400 , SB 609 , SB 1447 , SB 670 , SB 502 , SB 427 , SB 850 , SB 854 , SB 413 , SB 1555 , SB 1362 , SB 1346 , SB 1033 , SB 1220 , SB 1073 , SB 810 , SB 987 , SB 1539 , SB 893 , SB 447 , SB 875 , SB 406 , SB 509 , SB 985 , SB 965 , SB 1119 , SB 1505 , SB 24 , SB 57 , SB 1194 , SB 1253 , SB 1215 , SB 1532 , SB 1268 , SB 1302 , SB 856 , SB 650 , SB 583 , SB 673 , SB 840 , SB 213 , SB 681 , SB 1172 , SB 1252 , SB 378 , SB 610 , SB 918 , SB 1343 , SB 608 , SB 487 , SB 955 , SB 957 , SB 988 , SB 990 , SB 1019 , SB 1021 , SB 1120 , SB 251 , SB 958 , SB 535 , SB 761 , SB 1 , SB 541 , SB 315 , SB 379 , SB 1018 , SB 1737 , SB 266 , SB 1415 , SB 57 , SB 499 , SB 974 , SB 1025 , SB 1061 , SB 1268 , SR 302 , SR 303 , SR 304 , SR 305 , SB 30 , SB 1333 , SB 1666 , SB 30 , SB 1333 , SB 1666