Video & Transcript : 'utilization management' :
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MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 4/9/25
Agriculture Finance and Policy
Transcript Highlights:
- </c> or must request extensions to utilize or must request extensions to utilize the<00:16:21.560><c>
- So, I just want to highlight the investment, additional investment in farm business management, continued
- So, I just want to highlight the investment, additional investment in farm business management, continued
- USIC is one of over 40 companies in the state that provides locating and utility marking services, and
- USIC is one of over 40 companies in the state that provides locating and utility marking services, and
Bills:
HF2446
Committee:
House Agriculture Finance and Policy
Keywords:
agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant
AZ
Transcript Highlights:
- I'm trusted as the last line in medical management between life and death for our community every day
- For example, antipsychotics, which have some very high-cost drugs, could increase utilization across
- For example, antipsychotics, which have some very high-cost drugs, could increase utilization across
- But the way the bill is written, where it says if you have any utilization management or steps on an
- say, I apologize—on behalf of the Arizona Association of Health Plans, which represents the Access managed
Committees:
House Health & Human Services , House House Health & Human Services Committee of Reference
Keywords:
controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation, employment services, developmental disabilities, Arizona Revised Statutes, occupational therapy, board regulation
AZ
Transcript Highlights:
- Member's questions, manager, please. Mr.
- Thank you, Manager. Dr. Heap, are these prosthetic devices not already covered by insurance?
- This is manageable.
- My mom works two jobs, and managing my prosthetics has become another full-time responsibility.
- that protect against the over-utilization of opioids.
Bills:
HB2176 , HB2333 , HB2435 , HB2447 , HB2617 , HB2683 , HB2686 , HB2725 , HB2726 , HB2906 , HB2953 , HB2958
Committees:
House Health & Human Services , House House Health & Human Services Committee of Reference
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
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 3/12/25
Agriculture Finance and Policy
Committee:
House Agriculture Finance and Policy
Keywords:
Minnesota agriculture budget, Department of Agriculture appropriation, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, farm bill, rural development, agricultural grants, soil health, livestock compensation, crop damage, meat inspection, poultry inspection, county agricultural inspectors, biofertilizer, nitrogen management, commercial nitrogen fertilizer, water quality, farm down payment assistance, beginning farmers
TX
Transcript Highlights:
- relating to the relationship between pharmacy. and health benefit plan issuers or pharmacy benefit managers
- Biomarker testing utilizes biospecimens such as blood or tissue to assist physicians in providing diagnoses
- Senate Bill 1822 would also require issuers and utilization review agents to submit an annual report
- to the Texas Department of Insurance (TDI) attesting that any algorithms used for utilization reviews
- Members, SB 1822 simply provides assistance with greater transparency regarding utilization reviews and
Committee:
House Insurance
Keywords:
autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties
LA
Transcript Highlights:
- This bill creates a very straightforward and manageable process to do that.
- And two, it says that if there's utilization management tools being used, then they can't be used at
- It doesn't restrict the ability of any plan from any pharmacy benefit manager negotiations.
- This next line says a health insurer or pharmacy benefit manager may implement co-pay assistance.
- There's some instructions on how the pharmacy benefit manager should send the claim.
Committee:
Senate Insurance
Keywords:
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, generic drugs, biosimilars, formulary placement, drug formulary, cost-sharing
MN
Committee:
House Ways and Means
Keywords:
Minnesota agriculture budget, Department of Agriculture appropriation, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, farm bill, rural development, agricultural grants, soil health, livestock compensation, crop damage, meat inspection, poultry inspection, county agricultural inspectors, biofertilizer, nitrogen management, commercial nitrogen fertilizer, water quality, farm down payment assistance, beginning farmers
TX
Transcript Highlights:
- and... ...and to expand insurance for these burn managers.
- managers is the lack or loss of general liability insurance.
- I know one is going to be testifying who is one of the premier burn managers in the state of Texas.
- It is important to note that House Bill 1818 does not add any new utilization review requirements.
- I mean, each examination of the utilization? Yes. Okay. Does TDI do this already?
Bills:
HB139 , HB1818 , HB1942 , HB1959 , HB2221 , HB2254 , HB2563 , HB2067 , HB2275 , HB3211 , HB139
Committee:
House Insurance
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
TX
Transcript Highlights:
- Many older individuals may rely on family members or caregivers to help manage their affairs, and a written
- Vision Benefit Managers, or VBMs, are large, vertically integrated organizations.
- Prescription drugs, preventive and wellness services, and chronic disease management screenings.
- For businesses, it's a management decision.
- The managed care organization negotiates contracts with them to maintain that relationship.
Bills:
HB139 , HB1818 , HB1942 , HB1959 , HB2221 , HB2254 , HB2563 , HB2067 , HB2275 , HB3211 , HB139
Committee:
House Insurance
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
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 4/2/25
Agriculture Finance and Policy
Transcript Highlights:
- </c><00:04:18.919><c> a</c> medicine rather than managing a medicine rather than managing a business<
- </c><00:15:27.279><c> a</c> that that they don't want to manage a that that they don't want to manage
- I'm the soil conservation manager with Olmsted County Soil and Water Conservation District.
- On our farm, we have utilized...
- We're able to utilize both of those on our dairy.
Committee:
House Agriculture Finance and Policy
Keywords:
agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant
OK
Oklahoma 2026 Regular Session
Public Health REVISION 2- HB1912 - Added - Part 2 Feb 18th, 2026 at 10:10 am
Public Health
Transcript Highlights:
- that patient's bill of rights would in any way intimidate patients and families from being able to utilize
Bills:
HB4336 , HB1818 , HB3194 , HB3538 , HB3682 , HB3762 , HB3793 , HB3930 , HB3931 , HB3934 , HB4124 , HB4200 , HB4410 , HB4457 , HB4473 , HB3884 , HB1912
Committee:
House Public Health
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:
- Members, House Bill 3538 is a bill to address the monopolistic practices within the pharmacy benefits managers
- The bill itself basically breaks up the vertical integration between a pharmacy benefits manager and
Bills:
HB4336 , HB1818 , HB3194 , HB3538 , HB3682 , HB3762 , HB3793 , HB3930 , HB3931 , HB3934 , HB4124 , HB4200 , HB4410 , HB4457 , HB4473 , HB3884 , HB1912
Committee:
House Public Health
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
TX
Bills:
HB345 , HB721 , HB2580 , SB815 , HB3057 , HB4603 , HB3233 , SB495 , HB3863 , HB3914 , HB4570 , HB5099 , HB5173 , SB458
Committee:
House Insurance
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage
TX
Transcript Highlights:
- I mean, is it the upper management?
- Managing this tedium is a very large reason that my colleagues do not accept insurance.
- CSHB 3233 prohibits PBMs, Pharmacy Benefit Managers, from storing the patient data of Texas residents
- I'm with the Pharmaceutical Care Management Association.
- It prohibits utilization review agents from using an automated decision system, wholly or partly, to
Bills:
HB345 , HB721 , HB2580 , SB815 , HB3057 , HB4603 , HB3233 , SB495 , HB3863 , HB3914 , HB4570 , HB5099 , HB5173 , SB458
Committee:
House Insurance
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage
LA
Transcript Highlights:
- to provide established timeframes for managed care organizations. ...to provide a utilization management
- to a third party for utilization management.
- And that third party says, well, you know, the plan has a process for utilization management.
- But we, as the third party, we have a process, our own internal process for utilization management.
- management entities that utilize these utilization management plans feet to the fire.
Bills:
HB288 , HB403 , HB420 , HB783 , HB815 , HB915 , HB927 , HB933 , HB944 , HB962 , HB971 , HR74 , SCR3 , SCR20 , SB5 , SB34 , SB37 , SB190 , SB255 , SB270 , SB273 , SB314 , SB415
Committee:
House Health and Welfare
Keywords:
medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, vital records, death certificates, financial institutions, confidentiality, state registrar, utilization management, prior authorization
TX
Transcript Highlights:
- The Office of Inspector General does utilization review audits, and so there's... ...they'll come in
- review by Medicaid Managed Care Organizations (MCOs), and child healthcare providers.
- That are three years old related to a glitch in a Medicaid managed care system.
- And then, Lynn Cowles, you are. with Health and Food Justice Program Managers Everett Texan.
- Texas should not require a federal court case to implement best practice models in the management of
Bills:
HB660 , HB4845 , HB3902 , HB5396 , HB4615 , HB1825 , HB1403 , HB4336 , HB4585 , HB4371 , HB863 , SB1589 , HB5223 , HB3195 , HB2734
Committee:
House Human Services
Keywords:
child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation
TX
Transcript Highlights:
- Duties include placement of administrative and case management for children and families who have been
- This adds to the DFPS toolbox to assume case management responsibilities in... ... or incrementally as
- Residents, our moms, trusted management to look out for their best interests, especially when it came
- It's something that will help motivate management to run a tighter ship.
- Which meant, according to that manager, that they hadn't had a death on that property in four years,
Bills:
HB660 , HB4845 , HB3902 , HB5396 , HB4615 , HB1825 , HB1403 , HB4336 , HB4585 , HB4371 , HB863 , SB1589 , HB5223 , HB3195 , HB2734
Committee:
House Human Services
Keywords:
child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation
OK
Committee:
House Public Health
Keywords:
Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs
OK
Oklahoma 2026 Regular Session
Health and Human Services Oversight Mar 4th, 2026 at 03:00 pm
Health and Human Services Oversight
Transcript Highlights:
- House Bill 3538 is a bill to address the monopoly, the monopolistic practices of pharmacy benefit managers
- as to What these things are and that way they can make sure that the three-tier system is being utilized
Bills:
HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457
Committee:
House Health and Human Services Oversight
Keywords:
childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing
AZ
Arizona 2026 Regular Session
02/19/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- That's the area that we're focusing on that we could open up and utilize those.
- But this is to get this open because there are plenty of beds up there not being utilized.
- We take care of these people, but the other concern I have is the amendment that the patients utilizing
- of the case management system used to track the placement and location of children in DCS care.
- of the case management system used to track the placement and location of children in DCS care.
Bills:
HB2408 , HB2434 , HB2725 , HB2728 , HB2729 , HB2730 , HB2731 , HB2732 , HB2733 , SB1192 , SB1398 , SB1399 , SB1494 , SB1557 , SB1813 , SB1821
Keywords:
controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation, employment services, developmental disabilities, Arizona Revised Statutes, occupational therapy, board regulation