Video & Transcript Research : 'remote prescribing'

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TX

Texas 89th 2nd C.S.

Public Health Apr 21st, 2025

Public Health

Transcript Highlights:
  • Those are the drugs that we can't prescribe.
  • you needed it, that it couldn’t be prescribed off-label?”
  • “Well, it was prescribed for horses, too, right?” “Yes.” “Okay. Yes. All right.
  • I was the highest prescriber of hydroxychloroquine and ivermectin nationwide.
  • The way we could prescribe ivermectin off-label, you know, many doctors got scared of doing, of prescribing
Bills: HB216
Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.
FL

Florida 2026 Regular Session

Health Policy Feb 2nd, 2026

Health Policy

Transcript Highlights:
  • And they know what you could do, what you could prescribe, the procedures you could perform are absolutely
  • Florida law to ensure that education on sickle cell disease is included in both controlled substance prescribing
  • The fourth reform modernizes the Medicaid prescribed drug services program.
  • after receipt of the request for prior authorization, and a 72-hour supply of the high-cost drug prescribed
  • after receipt of the request for prior authorization and a 72-hour supply of the high-cost drug prescribed
Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Feb 12th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • medical report is needed, doctors and psychiatric nurses in the same practice are treated as one prescriber
  • needed only when there is a change in dosage, type of medication, manner of administration, or prescriber
  • Finally, the bill changes that physicians prescribing psychotropic medication to Medicaid children must
  • Basically, the bill helps ensure that we clean up the process, a well-monitored care when prescribed
  • Basically, the bill helps ensure that we clean up the process, a well-monitored care when prescribed
Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.
FL

Florida 2026 Regular Session

Fiscal Policy Feb 18th, 2026

Fiscal Policy

Transcript Highlights:
  • Florida law to ensure that education on sickle cell disease is included in both controlled substance prescribing
Summary: The Fiscal Policy Committee met and first reported favorably SB 774, which extends enhanced workers’ compensation benefits to 9-1-1 public safety telecommunicators for mental or nervous injuries, after adopting a late-filed amendment declaring an important state interest. The committee also heard supportive testimony from a Palm Beach County dispatcher. SB 770, which updates the definition of forensic clients so certain individuals with intellectual disabilities or autism can be housed with other Chapter 916 residents in secure forensic settings, was reported favorably as well. Members then approved CS/SB 86, which declares unauthorized operation of a commercial vehicle by an unauthorized alien an imminent safety hazard and imposes driver, carrier, and enforcement consequences, despite questions about vehicle impoundment and cargo handling and one appearance in opposition. SB 1594, which protects veterans’ benefits received on behalf of foster youth from being used as reimbursement and instead sets them aside for education and transition services, was reported favorably after supportive testimony. The committee also approved CS/SB 760, creating a new offense for willful violations of no-contact pretrial release conditions in certain violent crime cases, though the Florida Association of Criminal Defense Lawyers raised concerns about expanded warrantless arrest authority in one section. The committee next reported favorably CS/SB 554, a complete rewrite of Chapter 617 governing nonprofit corporations, after a technical delete-all amendment. It also approved CS/SB 844, requiring continuing education on sickle cell disease care for certain health care professionals; the bill drew extensive supportive testimony from advocates and patients describing pain management gaps and health disparities. SB 1022, expanding Florida Children’s Initiatives by adding programs in Bay County and Broward County, and CS/SB 1246, broadening the Linking Industry to Nursing Education Fund to include health science workforce programs and related uses, were both reported favorably. Finally, the committee approved CS/CS/SB 1230, which restricts the use, sale, and distribution of aqueous film-forming foam containing intentionally added PFAS and requires inventory and disposal reporting, after adopting amendments that removed airports from one provision. It also approved CS/CS/SB 128, directing DEP to erect markers for the Andrew Red Harris Spoil Island water body designation. Several senators requested to be recorded as voting in the affirmative on specific bills, and the committee adjourned without objection.
AZ

Arizona 2026 Regular Session

02/04/2026 - Senate Regulatory Affairs and Government Efficiency

Regulatory Affairs and Government Efficiency

Transcript Highlights:
  • diagnosis, treatment, and prescribing.
  • thank you thanks ...just prescribing.
  • I will not prescribe anything further now'?
  • Well, I think we have guardrails right now with the 14-day prescribing and then the second 14-day prescribing
  • We prescribe antibiotics, antivirals, antifungals already.
Summary: The committee approved the minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training instead of only a two-year curriculum. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and a veterinary technician employer, argued the bill would help address a veterinary technician shortage, reduce student debt, and expand access to care. Opponents, including the Arizona Veterinary Technician Association and some veterinarians, said Arizona already has an existing pathway, warned the bill could weaken competency standards and patient safety, and argued the shortage is more about retention and utilization than entry requirements. The committee adopted a Bolick amendment tightening supervision and documentation requirements, then passed SB 1144 as amended on a 6-1 vote. The committee next approved Senate Bill 1247 unanimously. That bill would allow an individual who does not need services to live with a resident in an assisted living center or other unit in the facility, and would bar the Department of Health Services from imposing care requirements on that individual. The sponsor and a lobbyist said the bill was intended to fix a recent statutory interpretation that could force spouses or other companions to separate or pay for services they do not use; a floor amendment was mentioned to extend the same treatment to assisted living homes. Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine, drew extensive testimony and was ultimately held for a possible amendment next week. Supporters, including the sponsor, the Arizona Humane Society, and Animal Policy Group, said telemedicine has expanded access in rural and underserved areas and that longer prescription windows would improve convenience and continuity of care while still excluding controlled substances. Opponents, including the Arizona Veterinary Medical Association and several veterinarians, argued the current 14-day limit is a compromise that protects animal safety, that telemedicine without an in-person exam can lead to misdiagnosis and delayed diagnostics, and that the bill could function like a “pill mill.” The committee then passed Senate Bill 1164, which would let Medicaid billing continue under the prior owner’s certification number during a change of ownership for skilled nursing and assisted living facilities. Supporters said the current process can delay reimbursement for 6 to 18 months and strain providers; Access said it had legal concerns about possible conflict with federal law but was working on fixes. The committee also heard Senate Bill 1181, which would expand CPA certification pathways by adding degree-and-experience options and updating reciprocity rules, and a supporter from the Arizona Society of CPAs said it would address workforce shortages and improve mobility.
TX

Texas 89th Regular

S/C on Juvenile Justice Mar 26th, 2025

S/C on Juvenile Justice

Transcript Highlights:
  • session, we passed House Bill 422. which authorized juvenile courts to conduct detention hearings remotely
  • requires judges to submit a plan to the Office of Court Administration, which will detail how the remote
  • Testifying on behalf of House Bill 2147, the bill relates to remotely conducting disposition hearings
  • That bill has been beneficial, and House Bill 2147, including the ability to have remote processes for
  • I just can't afford to do it, but if there were remote hearings, then we could do that, and that actually
TX
Transcript Highlights:
  • It requires physicians to obtain approval before providing certain services. prescribed treatment, test
  • It doesn't prescribe a one-size-fits-all approach. fits all solution.
TX

Texas 89th Regular

Public Health Apr 21st, 2025

Public Health

Transcript Highlights:
  • So those are the drugs. that we can't prescribe.
  • Doctors weren't prescribing it at all because medical boards would go after them for prescribing it for
  • It was prescribed for horses too, right? Yes. Okay. Yes.
  • And is provided or prescribed ivermectin.
  • The way we prescribe ivermectin off-label, you know, many doctors got scared of doing that. of prescribing
LA

Louisiana 2026 Regular Session

Civil Law and Procedure May 11th, 2026

Civil Law and Procedure

Transcript Highlights:
  • SCR 35 by Senator Foyle to urge and request the Louisiana State Law Institute to study the use of remote
  • This This SCR is—we have asked that it be brought to study and make changes to the remote online notary
  • The law that passed did restrict the use of authentic acts or execution of authentic acts by remote online
  • note is other civil law jurisdictions around the world, including Quebec and France, they have a remote
Summary: The House Civil Law Committee met on May 11, 2026, and reported several measures favorably. Senate Bill 466 by Sen. Seabaugh was approved without objection; it bars foreign adversaries from using expropriation authority in Louisiana and creates a narrow expropriation category for very large aerospace/LED-related projects on at least 20,000 contiguous acres with no residential structures. House Bill 986 by Rep. Kerner was also reported favorably; it requires child support payments in cases where a parent is convicted of vehicular homicide, with the stated purpose of helping children who lose a parent in such cases. The committee then considered two constitutional amendments by Sen. Morris. Senate Bill 123 would require the governor to certify a legislative removal of certain judges for cause; an amendment changed the ballot language to refer to removal for malfeasance, gross misconduct, or incompetence, and the committee adopted the 6.8A report and reported the measure favorably after a roll-call vote of 8-1. Senate Bill 97 would require prosecutorial consent for a defendant to waive a jury trial, except in capital cases; after adopting an amendment clarifying that capital cases are excluded, the committee heard opposition from the Louisiana Citizens Advocacy Group, which argued that jury-trial waiver should remain a defendant’s right. The bill was reported favorably on a 5-1 vote. The committee also reported favorably Senate Concurrent Resolution 35, which asks the Louisiana State Law Institute to study remote online notarization for authentic acts, with support testimony from the Louisiana Bankers Association emphasizing rural access and modernization of notary services. Finally, House Bill 1098 by Chairman McFarland, a narrowly tailored limitation of liability for FAA-licensed aerospace entities, was reported favorably without objection. House Bill 375 by Rep. Freeman was voluntarily deferred, and the meeting adjourned.
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:
  • It's just, they're doing it every day remotely, whereas it was a once-a-month visit that was previously
  • This is because kids with insurance are able to see their primary care pediatrician, who is able to prescribe
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Education and Environment Division Apr 7th, 2025 at 02:30 pm

Appropriations - Education and Environment Division

Bills: SB2004, HB1600
Summary: The committee reconvened to continue work on water-related appropriations and related bills, with the chair emphasizing the need to move the water bill to conference committee soon because of differences with the House. Members reviewed project funding levels and carryover balances across several water projects, including NAWS, Southwest, Valley City, Cirrus River flood control, Hart River, Redder water supply, municipal and rural water, general water, and discretionary funding. The discussion focused on reduced revenue forecasts, the use of a $150 million line of credit as a working assumption, and concerns about large carryover amounts and piling up cash. No final changes were made to the water funding numbers, but the chair said the committee would revisit the bill after further cleanup of the draft language. The committee then took up House Bill 1600, which would create an immigration law clinic at the University of North Dakota law school. Members agreed the program should be treated as a one-time pilot rather than ongoing general fund spending, so they adopted an amendment changing the $400,000 appropriation to one-time funding from the strategic investment fund. The amended bill passed unanimously, and Senator Meyer was assigned to carry it. House Bill 1417, dealing with parole and probation-related policy, was also amended. The committee removed Section 8, which eliminated the bill’s appropriations language, based on testimony that the referenced funding was already included elsewhere in the budget. The amended bill then passed unanimously. The committee also discussed possible future amendments to water study language, including earlier reporting deadlines and a proposal to require larger new water project requests to go through the Water Topics Overview Committee before being introduced, but no final action was taken on those concepts. Several other bills, including the AI-related House Bill 1448 and law enforcement bonus bill 1193, were left for later consideration.