Video & Transcript Research : 'step therapy'
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MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/10/26
Commerce Finance and Policy
Transcript Highlights:
- <00:41:36.280>
therapy By by By bypassing the step therapy By by By bypassing the step therapy - a step therapy protocol for eliminating a step therapy protocol for insulin<00:42:03.880>
is <00 - >
does <00:42:39.480>not step therapy requirements and does not step therapy requirements - regarding step therapy. regarding step therapy.
- > therapy use a step therapy step step therapy use a step therapy step step therapy protocol<00:47
Keywords:
nudification technology, image rights, privacy protection, sexual exploitation, cybersecurity, recreational camping, utility fees, electricity charges, consumer protection, energy policy, health insurance, insulin, step therapy, diabetes, patient care, prescription drugs, pet shops, animal welfare, dog sales, cat sales
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/23/26
Health Finance and Policy
Transcript Highlights:
- . therapy. therapy.
- But it's therapy and it's of therapy.
- This bill removes prior authorization and step therapy requirements for FDA-approved medications for
- This bill removes prior authorization and step therapy requirements for FDA-approved medications for
- This bill removes prior authorization and step therapy requirements for FDA-approved medications for
Keywords:
massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations Apr 3rd, 2025 at 08:30 am
Appropriations
Keywords:
adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program
Summary:
The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later.
House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum.
House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 6th, 2026 at 05:13 pm
Senate Health & Public Affairs
Transcript Highlights:
- about, that should have the protections of not having to go through this prior authorization or the step
- therapy process.
- I'm at home doing some step therapy on a cold. The pot toddy didn't work last night.
- Prior authorization, step therapy requirements may be used when necessary for the clinical safety of
- To me, this is a great solution to step forward.
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
HI
Transcript Highlights:
- In terms of automatic step support that.
- in the current contract, these step in the current contract, these step automatic<00:09:23.240><
- >
there, automatic step increases are in there, automatic step increases are in there, right? - HSTA have agreed to automatic step HSTA have agreed to automatic step increases<00:10:36.640>
- There are automatic steps are concerned.
Keywords:
teacher pay, teacher salaries, salary step increase, annual increment, longevity step, public school teachers, public charter school teachers, collective bargaining, Hawaii Department of Education, teacher retention, teacher recruitment, cost of living, educator compensation, public employee bargaining, appropriation, salary schedule, school staffing, teacher shortage, HB1888, Hawaii
Summary:
The committees heard three measures, beginning with HB 1890 HD3, which would provide automatic step increases and a COVID-era retention bonus for teachers. Supporters included HSTA, the Democratic Party’s Education Caucus, and a student who said higher pay and predictable salary growth would help retain teachers in Hawaii. The Department of Education supported the intent but asked that the bill be expanded to cover all department employees. The Attorney General’s office said the draft needed clarification to avoid conflict with Chapter 89 and to make clear any funding was subject to legislative appropriation. The Office of the Public Defender and B&F testified in opposition, and committee members questioned whether the step increases were already in the current contract and whether the bill was needed. HSTA said the current contract includes automatic step increases subject to funding, but argued the bill was still needed because funding is not guaranteed and the measure would codify the policy. HSTA also said the COVID bonus would apply only to active teachers who worked during the pandemic and estimated the total cost at roughly $150 million to $200 million over four years. No vote was taken in the portion provided.
The committee then took up HB 1888 HD3, which would require DOE and charter schools to report harassment incidents and strengthen penalties for harassment of educational workers from a petty misdemeanor to a misdemeanor. DOE supported the bill and suggested narrowing language about assisting workers with temporary restraining orders, saying that function would be better handled through the Attorney General’s pilot program. The Office of the Public Defender opposed the bill, arguing the harassment language was overly broad, vague, and potentially unconstitutional, and that existing assault and terroristic threatening statutes already protect educational workers. HSTA, the State Commission on the Status of Women, and several individual testifiers supported the measure, describing increased intimidation and harassment of teachers and other school staff, especially since COVID. The Special Education Advisory Council opposed the bill’s language on “disrupting and interfering” with school functions, saying it could chill parents of students with IEPs from advocating for their children. Testimony was split, with the chair noting 20 in support and 16 in opposition in the portion shown.
A final witness, Michelle Pestana, testified in opposition based on her family’s experience with special education services, describing alleged seclusion and restraint of her daughter and expressing concern that DOE testimony in prior hearings had targeted special education parents. Her remarks were cut off as time expired. The transcript ends before any committee action or vote on HB 1888 was taken.
LA
Transcript Highlights:
- If you must take a call, please step outside the committee room.
- therapy.
- They're not with step therapy. They're not.
- Not with step therapy, they don't.
- therapy, they can start with.
Keywords:
family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs
NM
New Mexico 2026 Regular Session
House - Health and Human Services Feb 16th, 2026 at 09:04 am
House Health & Human Services
Transcript Highlights:
- We'll make the secretary get in a few more steps.
- So, I understand the need for step therapy and prior authorizations...
- We're still doing that first step initially.
- This is simply the extra step of prior Authorization that this is addressing.
- And there's gonna be the other states are gonna step up and do. This as well.
Keywords:
SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 4th, 2026 at 06:25 pm
Senate Health & Public Affairs
Transcript Highlights:
- Pre-authorization is when your healthcare provider prescribes a medication to you that is not on the first step
- therapy level, and it might be at the second or at the third level.
- We recognize that the prior authorization process is not perfect, but we continue to make steps in improving
- More regular monitoring aligns to the standards of care, and some therapies aren't meant to be taken
- care providers can do the paperwork, go through the safety parameters, become licensed, and the one step
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
AZ
Arizona 2026 Regular Session
01/26/2026 - Senate Military Affairs and Border Security
Military Affairs and Border Security
Transcript Highlights:
- local law enforcement to assess whether someone is in the country lawfully or not, and what are the steps
- If you don't like it, go step out. All right, continue, Senator. Thank you, Mr. Chair.
- Now you could step up and get on out of here too. Yeah, okay.
- appropriates $300,640,000 in fiscal year 2027 from the State General Fund to the Hyperbaric Oxygen Therapy
- For veterans to be able to undergo hyperbaric oxygen treatment therapy.
Keywords:
immigration enforcement, law enforcement, illegal aliens, state legislation, civil penalties, hyperbaric oxygen therapy, veterans, military health, mental health treatment, funding allocation, 1182, all
Summary:
The Military Affairs and Border Security Committee heard two bills. SB 1055 would require state and local law enforcement to immediately notify ICE or CBP when a person unlawfully present in the U.S. is arrested for a state or local offense. Supporters said it simply clarifies and strengthens existing law and cooperation with federal authorities; opponents, including the ACLU of Arizona and several public commenters, argued it would intensify immigration enforcement, chill crime reporting, invite racial profiling, and conflict with existing SB 1070-related guidance and constitutional limits. The committee engaged in extended debate over whether the bill merely restated current law or would create new legal and practical burdens for police.
After public testimony and member discussion, SB 1055 was passed on a 4-3 vote and received a do-pass recommendation. Members voting in favor said the bill was about enforcing the law and improving cooperation; members opposed said it was redundant and harmful to community trust and public safety. The committee then took up SB 1065, which appropriates $300,640,000 in FY 2027 for a Hyperbaric Oxygen Therapy for Military Veterans Fund. The bill was presented as a way to provide non-drug treatment for veterans with PTSD and related conditions, with supporters describing potential benefits for mental health and recovery. Some members raised budget and implementation questions, including how veterans would be selected for treatment, but all members ultimately supported moving it forward.
SB 1065 passed unanimously, 7-0, with several members noting support for veterans while reserving questions about the budget process or future floor consideration. The committee adjourned after passing both bills.
KY
Kentucky 2025 Regular Session
Administrative Regulation Review Subcommittee (9-9-25)
Transcript Highlights:
- . >> Board of Lenture for Occupational Therapy 2011 K28240.
- This regulation has staff-suggested amendments. 2011 K28240 amends the occupational therapy compact to
- 2011 care 28240 amends<00:03:52.159>
the <00:03:52.319>occupational <00:03:53.280>therapy - <00:03:53.840>
compact amends the occupational therapy compact amends the occupational therapy - Board of Medical Imaging and Radiation Therapy 2011 K46010 Emergency and 46081 Emergency. 2011 KR460110E
Keywords:
:54 – Board of Pharmacy
2:00 – Board of Social Work
3:44 – Board of Licensure for Occupational Therapy
4:43 – Board of Registration for Professional Geologists
7:27 – Board of Imaging and Radiation Therapy
8:33 – Board of Emergency Medical Services
10:38 – Department of Fish & Wildlife Resources
17:37 – Transportation Cabinet
18:37 – Department of Education
25:00 – Department of Workplace Standards
27:06 – Cabinet for Health & Family Services, 958, all
Summary:
The Administrative Regulation Review Subcommittee met with a quorum, approved the minutes, and then reviewed a series of agency regulations, most of which had staff-suggested amendments. The Board of Pharmacy regulation on remote prescription processing was amended to make grammatical and KRS Chapter 13A compliance corrections, and the Board of Social Work regulation on continuing education, telehealth training, waivers, and related fees was deferred at the agency’s request. The Occupational Therapy Compact rule update and the Professional Geologists fee increase regulation both received staff amendments and were approved, with the geologists’ board explaining the increases were driven by rising oversight costs and declining revenue.
The committee also reviewed emergency regulations from the Board of Medical Imaging and Radiation Therapy, the Board of Emergency Medical Services, the Transportation Cabinet, and the Department of Workplace Standards. The EMS package covered licensing classifications, compliance audits, ambulance service rules, and electronic forms; the Transportation Cabinet’s emergency rule established procedures for street-legal special purpose vehicles; and Workplace Standards’ emergency rules updated Kentucky requirements to align with federal standards and House Bill 398, including shortening the discrimination complaint filing deadline from 120 days to 30 days and adjusting appeal procedures. Staff amendments were approved where offered, and members asked several clarifying questions about the rationale and effect of the workplace and EMS changes.
The Department of Fish and Wildlife Resources explained rules on aircraft and drone use in taking wildlife and on reciprocal hunting and fishing agreements with neighboring states. The agency said the drone restriction was intended to align with federal law and address hunter complaints, while the reciprocal agreement rule was a cleanup of older agreements that had lapsed or been overlooked; the committee deferred the wildlife regulation 301 KAR 2:031 at the agency’s request. The Department of Education also presented multiple KHSAA-related and standards updates, including academic eligibility, sports timing, health and physical education standards, and career studies/financial literacy standards; staff amendments were approved, and members questioned the athletic forms and the designation of KHSAA as the state’s athletic agent. Finally, the Cabinet for Health and Family Services presented emergency regulations to support a pediatric teaching hospital expansion and related certificate-of-need changes, which the agency said were aimed at improving pediatric and neonatal access to care; staff amendments were approved, and the committee concluded by setting its next meeting for October 13 at 1:00 p.m.
AL
Alabama 2025 Regular Session
Alabama House Boards, Agencies and Commissions Committee Apr 29th, 2025
Boards, Agencies and Commissions
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 23rd, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Transcript Highlights:
- To get moving, well, one thing: two sessions ago, I decided to see how far I could walk up the steps,
- , physical therapy, psychological inter-jurisdictional compact, and social work.
- Nearly 11 million adults and 65 or steps 650 million children children.
- And so I thank you for your stepping into the arena, and more than...
- Thank you for your stepping into the arena, and more than that, for your friendships.
Keywords:
SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine
Summary:
The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 22nd, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Transcript Highlights:
- North Dakota Century Code, relating to criminal history record checks by the Board of Occupational Therapy
- North Dakota Century Code relating to criminal history record checks by the Board of Occupational Therapy
- And so we decided that was maybe a step too far at this point.
Keywords:
SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine
Summary:
The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage.
Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced.
Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 21st, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Keywords:
SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine
Summary:
The Senate convened in special session with prayer, the Pledge of Allegiance, and roll call establishing a quorum of 45 members present and two absent. The chamber received certification from the Secretary of State and the governor’s executive order calling the special session to address funding for the Rural Health Transformation Program and to act quickly to accept and appropriate federal funds.
The main action was adoption of the procedural rules for the extraordinary session. Senator Klein explained the proposed rule changes, which were designed to speed up consideration of bills during the short session, including limits on bill introduction, same-day second reading and final passage, elimination of standing committees for the session, creation of a Joint Policy Committee and Joint Appropriations Committee, and authorization for remote testimony and limited remote participation. The procedural committee’s report on these rules was adopted without opposition.
The Senate also adopted reports naming members to the Joint Policy Committee and Joint Appropriations Committee. Announcements noted that the Senate Employment Committee, Joint Policy Committee, and Joint Appropriations Committee would meet later that morning, that the Senate would not reconvene at 4 p.m., and that a Highway Patrol presentation on legislator safety would be held. The Senate then moved through the listed orders of business and recessed, planning to meet in joint session with the House before adjourning until Thursday, January 22, 2026.
TX
Texas 89th Regular
S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025
S/C on Disease Prevention & Women's & Children's Health
Transcript Highlights:
- House Bill HB2036 is a critical step in expanding access to care.
- In a PHP level of care, they're receiving about 20 hours of group therapy and individual therapy as well
- The bill requires master's level clinician providers to deliver this therapy.
- You heard me earlier talk about MST, multisystemic therapies; this is FFT, functional family therapy.
- I'm just speaking more about Functional Family Therapy for those same reasons.
Keywords:
HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation
TX
Texas 89th Regular
S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025
S/C on Disease Prevention & Women's & Children's Health
Transcript Highlights:
- It's... ...a step toward making sure that where you live, what you earn, or even the color of your skin
- For adults and for folks in managed care and out there in the insurance world, there are several steps
- We know that intensive outpatient therapy and partial hospitalization programs are significantly less
- On top of that, when you provide these stair-step services, instead of going from very structured to
Keywords:
food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system
OK
Oklahoma 2026 Regular Session
Public Health REVISION 2- HB1912 - Added - Part 2 Feb 18th, 2026 at 10:10 am
Public Health
Bills:
HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912
Keywords:
interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure
OK
Transcript Highlights:
- So I think that was a step in the right direction as well.
- Well, you know, yeah, that's a good step.
- So, I mean, we've got to step outside the box, and just because we've always done it this way doesn't
Bills:
HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912
Keywords:
interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure
AL
Transcript Highlights:
- I would like to recognize the physical therapy students from Samford University.
Keywords:
food enrichment, corn masa, health regulations, nutritional standards, folic acid, respiratory therapy, interstate compact, public health, licensure, workforce mobility, military families, adverse actions, streamlined practice, traffic offenses, blood testing, law enforcement, chemical analysis, DUI, 1136, house
KY
Kentucky 2026 Regular Session
House Budget Review Subcommittee on Health and Family Services (2-3-2021)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=lbWKSd1kvAQ, 2026-06-21T07:16:57+00:00, 2.2.24, Data collected via generic collector engine, HOUSE BUDGET REVIEW SUBCOMMITTEE ON HEALTH & FAMILY SERVICES 2-3-2021
MEETING START 00:00
ROLL CALL 00:39
DISCUSSION WITH CHILDREN’S ALLIANCE PRESIDENT, MICHELLE SANBORN, RAINEY ESTEP HOME CEO, GINNY ANDERSON, AND PEER SUPPORT SPECIALIST, MARIE LYLES.
OVERVIEW OF K-STEP PROGRAM, BUDGET NEEDS OF CHILD WELFARE, CHILD CARE FACILITIES
NEEDS, AND FAMILY FIRST PREVENTION PROGRAMS. 02:02, 958, all, 2.2.42, 2.1.47