Bills: HB761, HB1199

Keywords: rare cancers, advisory board, medical recommendations, oncologists, Louisiana cancer treatment, genetic testing, SCN2A, medical necessity, health insurance, rehabilitative services, neurological disorders

Summary: The Senate Insurance Committee met on May 27, 2006, with five members present. The committee announced it had two bills on the agenda and began with House Bill 761, carried by Senator Wheat, which concerns the advisory board created to recommend new treatments for rare conditions. The opening remarks indicate the bill relates to the board’s role and recommendations, though the transcript cuts off before the full explanation or testimony. No testimony, debate, or vote on HB 761 is included in the excerpt provided. The record ends shortly after the bill is introduced, so no further committee action is shown.

Bills: HB761, HB1199

Keywords: rare cancers, advisory board, medical recommendations, oncologists, Louisiana cancer treatment, genetic testing, SCN2A, medical necessity, health insurance, rehabilitative services, neurological disorders, 974, senate, all

Transcript Highlights:

• It requires individual and group health insurance policies and HMO contracts to cover medically necessary
• It treats activity limbs as medical needs, not add-ons.
• .patients and medical personnel safe, and consistency.
• Gas, To follow NFPA 99, National Fire Protection Association electrical system, medical gas, and medical
• Today, I take only two prescription medications.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• Medical Association as part of um the Medical Association as part of um the working<00:16:52.480><c>
• </c> Primary Care Association, Hawaii Medical Primary Care Association, Hawaii Medical Association.<00
• </c> They're sent to one place for medical They're sent to one place for medical care,<00:37:25.480><
• </c> out about their mental health or medical out about their mental health or medical condition,<00:
• </c> from the Medical Association. from the Medical Association.

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• that medical record.
• Yeah, so what I did is ask my medical doctor from the medical director to join us.
• Where's my medication?
• is medically necessary.
• ‘Oh, it’s a $400 medication, and we think you can take this $18 medication.’

Bills: HB282, HB293, HB390, HB456, HB460, HB561, HB819, HB1023, HB1047, HB1101

Keywords: employment discrimination, criminal history, rehabilitation, hiring process, human rights, gender identity, sexual orientation, workplace equality, labor rights, domestic abuse, unpaid leave, employee rights, workplace protection, mental health, survivor support, workers' compensation, employment benefits, claims process, fraud prevention, legal petition

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification

Transcript Highlights:

• </c> medications and and this is really good. medications and and this is really good.
• </c><00:19:02.799><c> so</c><00:19:03.280><c> medical</c> for those in the medical so medical for those
• in the medical so medical healthc<00:19:03.840><c> care</c><00:19:04.080><c> world</c><00:19:04.480>
• </c> than medical services. than medical services.
• </c> We have one last bill on the agenda, which is Senate File 122, Medical Necessity Standard Timeline

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification

Transcript Highlights:

• I'm the Executive Director of the Arizona Medical Board.
• Pete Seiple, an orthopedic surgeon and chief medical officer at Cobra Valley Regional Medical Center,
• A lot of the facilities that GAS covers are not medically directed, so even when it is medically directed
• necessity standards.
• necessity standards.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Transcript Highlights:

• which are protocols that establish a specific sequence in which prescription drugs for a specified medical
• which are protocols that establish a specific sequence in which prescription drugs for a specified medical
• coverage for all FDA-approved antiviral... ...sequence in which prescription drugs for a specified medical
• that they are international medical graduates who qualify for the pilot.
• medical graduates who qualify for the pilot.

Bills: SB5915, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The committee held public hearings on Substitute Senate Bill 6183, which would require health plans, including public and school employee plans, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management when therapeutic equivalents exist. The prime sponsor said the bill is part of Washington’s effort to end HIV/AIDS and argued that delaying access to needed medication is especially harmful for late-stage diagnoses. No one testified in person or remotely, and public testimony was closed. The committee then heard Substitute Senate Bill 6226, which would limit the Board of Hearing and Speech from adopting rules that prevent licensed audiologists, speech-language pathologists, and hearing aid specialists from using clinical judgment to choose telehealth or in-person care. Supporters said teleaudiology expands access, especially in rural areas and for patients with mobility barriers, while some testifiers raised patient safety concerns about first-time hearing aid fittings and asked for amendments or more time to review safeguards. One testifier said the Washington Hearing Society had moved to neutral after discussions on amendments. In executive session, the committee adopted amendments and advanced several measures. Substitute Senate Bill 5185, on international medical school graduate physician licensing, passed with a technical amendment and a do pass recommendation. Substitute Senate Bill 5845, on timing of claims payments, was amended to include tribal health care systems, shorten carrier refund-request timelines, and delay implementation to January 1, 2028, then passed 17-1. Senate Bill 5915, prioritizing certain health technology assessments, and Senate Bill 6025, modifying the definition of fetal death, both passed unanimously. Senate Joint Memorial 8002, asking the federal government to change Medicare policy, passed 15-3. The committee then adjourned.

Transcript Highlights:

• necessity.
• A licensed physician or health professional may deny a prior authorization request based on medical necessity
• Opioid treatment programs provide medication for the treatment of opioid use disorder as well as medical
• Abortion medications are defined for these purposes as substances used in the course of medical treatment
• Our medical journeys are not typical.

Bills: SB5915, SB5988, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The House Health Care and Wellness Committee held public hearings on several Senate bills and one joint memorial. SB 5915 would update the Health Technology Assessment Program by adding Medicare-recommended or guideline-recommended technologies to the review priority list, requiring broader evidence review for rare or life-threatening diseases, and setting posting and decision deadlines; supporters from rare disease families and clinicians said the current process is outdated and too rigid, while the sponsor said the bill reflects needed modernization. SJM 8002 urges the federal government to oppose Medicare privatization and make changes to original Medicare and Medicare Advantage, including eliminating the 20% coinsurance in original Medicare, adding dental/vision/hearing benefits, reducing Medicare Advantage overpayments, and recouping fraud and abuse funds; labor, senior, and retiree advocates supported it as a way to protect beneficiaries and the Medicare trust fund. The committee also heard SB 5395 on prior authorization, which would require more transparency in denial notices, limit denial decisions to licensed clinicians, restrict AI from being the sole basis for denials or delays, and address retrospective denials; providers, hospitals, and patient advocates supported the bill as a compromise to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. SB 5845 would tighten payment timelines for clean claims, require faster notice and information requests for non-clean claims, and authorize penalties for chronic noncompliance; hospitals and physicians said predictable payment is essential for financial stability, while insurers were neutral and requested a limited amendment. SB 6025 would change the fetal death definition to use the best clinically accurate gestational age rather than the last menstrual period; OB-GYNs, nurses, and medical groups supported it as a medically accurate update, while one opponent objected on moral grounds. The committee also heard SB 5988, which would authorize the Department of Health to continue accrediting opioid treatment programs and set fees to cover the program’s costs; the sponsor and DOH said it is needed to maintain a patient-centered accreditation option after budget cuts, and the bill was described as a companion to House legislation. Finally, SB 5917 would change how the Department of Corrections coordinates distribution of state-purchased abortion medications, remove the current cost-plus-fee requirement, and broaden the definition of abortion medication; supporters said it would allow the stockpiled medication to be distributed to providers and patients, while opponents argued it promotes abortion and misuses public funds. The transcript ends with the committee closing public testimony and adjourning, with no votes taken in the hearing.

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy

Summary: The Senate Business and Insurance Committee met to consider several bills, with the chair emphasizing pharmacy benefit managers (PBMs) and the impact on local and rural pharmacies. Before taking up the bills, the committee announced that Senate Bills 1620 and 1625 would be laid over. The committee also adopted an amendment to Senate Bill 1673 to exempt certain state-funded flexible benefit plans, and then passed the bill, which creates the Prosthetic Access and Accountability Act of 2026 and requires health plans that already cover prosthetic benefits to administer them without disability-based discrimination. The committee then passed several PBM-related measures. Senate Bill 1500 requires PBMs to reimburse rural pharmacies within 30 calendar days. Senate Bill 1447 adds safeguards to the Oklahoma Employee Insurance Plan by restricting PBM contracts, including disfavoring PBMs involved in recent lawsuits or those affiliated with insurers, retail pharmacy chains, specialty pharmacies, mail-order pharmacies, or drug manufacturers. Senate Bill 1646 strengthens utilization review standards for mental health and substance use disorder treatment, and Senate Bill 2007 prohibits PBMs from reducing reimbursement after a successful appeal and adds administrative fees when they fail to make required adjustments. The committee also passed Senate Bill 1275, which requires upfront disclosure of all fees for short-term rental bookings such as Airbnb and VRBO, with only tax added at checkout. Finally, the committee passed Senate Bill 2074 after extensive debate; it would require fairer and more transparent PBM reimbursement using a Medicaid-based methodology and a professional dispensing fee, with supporters arguing it would help independent and community pharmacies and opponents raising concerns about consumer costs and legal issues. All bills considered in the meeting were reported out with favorable votes, and the meeting adjourned after the chair noted one more meeting would be held the following week.

Transcript Highlights:

• However, when a patient is already in a secure medical facility, the skills of officers to locate and
• These things and more are all possible with alternative medical transport.
• The medical director of the department must identify prisoners who need...
• Joseph's and was finally diagnosed with schizophrenia and stabilized on medications.
• His symptoms improved, but once again, the jail stopped his medication for his suicidal behaviors.

Bills: HB2134, HB2253, HB2270, HB2402, HB2404, HB2673, HB2941

Keywords: critical infrastructure, foreign adversaries, China, communications, security, law enforcement, disciplinary action, administrative appeals, investigative files, due process, retaliation, county seal, law enforcement authority, sheriff's posse, public safety, county governance, ambulance services, certificate of necessity, emergency medical services, state regulations

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy

Transcript Highlights:

• necessity to ensure, again, that cost-neutral moment.
• It requires Medicaid to cover dental if it is needed for another medically covered procedure.
• That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement
• That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement
• Can hear special cases for extenuating and extraordinary medical and dental situations.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Transcript Highlights:

• We're medical men, you know, this... Reflect. We're medical men.
• Fifty-two percent of all medical school admissions are women.
• In the medical field, rehabilitation for people who are losing their vision is not a part of the medical
• They've also earned their medical license from the Arizona Medical Board.
• Court-ordered treatment is medical care, not punishment.

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Transcript Highlights:

• Medical or disability information. No, it depends.
• It is a bill to do professional loan repayment in the medical fields.
• That is about the average debt that a medical student has.
• Medical malpractice is a work in progress. It won't go to finance.
• Medical malpractice is a work in progress.

Bills: SB20, SB111, SB211, SB218, SB14

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• Amendment 3 excludes medical masks from being included with medical devices.
• , licensed medical facilities.
• When medical masks are used for medical purposes, the FDA actually defines them as medical devices.
• history or medical record.
• medical malpractice.

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Transcript Highlights:

• Um, I do want to say that there's been a lot of discussion, even prior to session, with the medical association

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits

Transcript Highlights:

• She's an associate professor of surgery and the trauma medical director at the University of Oklahoma
• Cross pursued her education at the University of Oklahoma, earning her medical degree in 2006.
• reason why we're here, not to fund Trump accounts, but to make sure our people have shelter, food, medical
• reason why we're here, not to fund Trump accounts, but to make sure our people have shelter, food, medical
• The scheduling of this bill does not get to the actual merits of your point regarding the necessity for

Bills: SB1177, HB3705, SB1942, SB2026, SB1533, SB1327, SB2065, SB2155, SB2159

Keywords: education funding, mental health services, public safety, housing, state budget, tax credit, parental choice, private school, income tax, dental insurance, health care, medical necessity, insurance claims, dentist rights, military discharge, veterans, DD Form 214, confidentiality, grandchildren access, veteran burial

Summary: The House convened, completed the roll call, received an invocation focused on grief and remembrance, and heard several special presentations recognizing a brave child, visiting groups, and multiple student-athlete teams and school groups in the galleries. The chamber also introduced the Doctor of the Day and Nurse of the Day. The main business was consideration of the Joint Committee report on Senate Bill 1177, the general appropriations bill, presented by Chairman Caldwell-Trey. Most of the floor time was spent on extended questions about the budget’s major features. Caldwell-Trey explained the bill as a largely flat or modestly increased budget that includes a $200 million transfer to a new sovereign wealth fund, $225 million in set-asides, a $12.5 million “dream accounts” program for newborns, and funding tied to teacher pay, education, workforce, public safety, agriculture, and health agencies. Members questioned the use of one-time funds for recurring expenses, the reduction in state contributions to the OPRS pension system, Medicaid assumptions, emergency management funding, veterans’ services, child care, school counselors, and the lack of funding for some requested items such as National Board Certified Teacher stipends and veterans’ facility maintenance. Caldwell-Trey defended the budget as transparent, early, and designed to preserve cash reserves while supporting core services. No final vote on the appropriations report is reflected in the transcript excerpt. The House also heard explanations that the limits bills would be run later in committee, and that the budget negotiations were still ongoing with the Senate and governor on some related items. The session ended with the queue closed after the budget questioning, and the transcript cuts off during additional remarks from Representative Timmons.

Transcript Highlights:

• This scope of practice bill is just designed to provide more access to these medical practitioners in
• that plan. with broad stakeholder support including the Texas Association of Health Plans, Texas Medical
• Texas Medical Association; we show you registered as neutral.
• I am speaking on behalf of the Texas Medical Association.
• I practice in San Antonio, and I am speaking on behalf of the Texas Medical Association for House Bill

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301