Video & Transcript Research : 'utilization review'

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MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/24/25

Health Finance and Policy

Transcript Highlights:
  • These platforms all have algorithms that heavily weigh guest reviews, meaning that short-term rental
  • reviews.
  • reviews to DHS as it relates to utilization reviews.
  • Chapter 62M is typically applicable to commercial health plan utilization reviews to DHS as it relates
  • to utilization reviews.
AL

Alabama 2025 Regular Session

Alabama House Insurance Committee Apr 23rd, 2025

Insurance

Transcript Highlights:
  • like to also mention Representative Datcher's I'd like to also mention Representative Datcher's utilization
  • review bill.
Bills: SB190, HB515, SB190
TX
Transcript Highlights:
  • Utilize the load forecast etc.
  • I asked one utility to just run their interconnection queue for me, and they gave it to me. and this
  • run on the grid regularly, allowing that generator to be utilized more. which sends positive signals
  • Some utilities are charging those now, some aren't.
  • So to review, there's four main objectives that this bill accomplishes.
Bills: SB 6, SB6, SB504, SB765, SB815, SB929
TX
Transcript Highlights:
  • Now, the accrediting bodies tasked with upholding care standards like the Utilization Review Accreditation
  • review.
  • To understand what I mean by protecting patients is to understand the nature of utilization review.
  • We've seen an acceleration in the use of utilization review, particularly prior authorization, and we
  • and appropriate utilization.
Bills: SB 6, SB6, SB504, SB765, SB815, SB929
TX

Texas 89th Regular

Insurance Apr 23rd, 2025

Insurance

Transcript Highlights:
  • Adverse determinations refer to decisions by utilization review agents that certain health care services
  • It prohibits utilization review agents from using an automated decision system, wholly or partly, to
  • It grants the Texas Department of Insurance authority to audit and inspect a utilization review agent's
  • It should be evaluated by qualified human reviewers.
  • The bill ensures enough time to collect, review, and use the data properly.
LA

Louisiana 2026 Regular Session

Labor and Industrial Apr 28th, 2026

Labor & Industrial

Transcript Highlights:
  • We're also involved in utilization review support.
  • Pharmacy benefit managers conduct utilization review.
  • Pharmacy benefit managers conduct utilization review.
  • whoever is reviewing the medication for the authorization?
  • That is a purpose of that review as well.
TX

Texas 89th Regular

Insurance May 7th, 2025

Insurance

Transcript Highlights:
  • State law requires Texas-licensed healthcare professionals to review claim denials.
  • review of health services.
  • 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
WY

Wyoming 2026 Regular Session

House Judiciary Committee, February 13, 2026

Judiciary

Transcript Highlights:
  • party to this to the to this review. party to this to the to this review.
  • court reviewing?
  • court reviewing?
  • review it, what is the court reviewing? review it, what is the court reviewing?
  • and replacing that with reviews. and replacing that with reviews.
Bills: HB0066, HJ0005, HB0010
HI

Hawaii 2026 Regular Session

GVO DEFER, GVO, GVO-EIG, GVO Public Hearings 02-10-2026

Government Operations

Transcript Highlights:
  • But, you know, I think for the most part the EV stalls are pretty well utilized.
  • <00:15:51.279> I<00:15:51.519> mean<00:15:51.680> they pretty well utilized.
  • I mean they pretty well utilized.
  • If not, we're going to move on to 3216 relating to regular session review working group.
  • relating to regular session review relating to regular session review working<00:37:03.760> group
Bills: SB2543, SB2435, SB2352
Summary: The Committee on Government Operations reconvened on February 10, 2026, to take up measures previously heard on February 5. It advanced SB 2983 on criminal destruction of trees with technical, non-substantive amendments and a committee report note asking Judiciary to clarify that removal of invasive species remains allowed; the measure passed with one no vote. SB 2930 on the state risk management revolving fund also passed with amendments, including blanking out the amount, setting a defective date, and directing Ways and Means to review a spreadsheet before further action. The committee likewise passed SB 2928 on making the small business procurement program permanent and SB 2970 on standards of conduct for state agency contracts, adopting the Ethics Commission’s recommended language assigning compliance responsibility to department directors and deputy directors. SB 2927 and SB 3068 on procurement were deferred to a time certain on February 12, and SB 3015 on personal information, SB 2929 on public notice, and SB 2938 on search and rescue were also deferred for further discussion or to avoid re-referral issues. SB 2662 on external consultants was amended to remove a cap and preemptive approval language, narrow the expertise standard, and note possible auditor staffing or appropriation needs; it then passed with amendments. The joint GVO-EIG hearing then took up SB 2543 on state construction projects and an Office of the State Construction Manager within DAGS. Testimony from the Hawaii Iron Workers Stabilization Fund strongly supported the bill, saying it could reduce wasteful spending on large design-build projects and free money for tax credits and other public needs. DAGS, the University of Hawaii, and DLNR offered written comments, while one witness from KIC opposed the measure and asked for an exemption for member-owned electric cooperatives. A Hawaii Solar Energy Association witness also supported the bill but asked that landscape architects be excluded from the bill’s definition of design professionals, and Rocky Mold said Kauai permitting was efficient enough that he had no objection to carving it out. The committee adopted amendments from DNR, DAGS, and UH and passed SB 2543. The hearing also considered SB 2435 on EV charging infrastructure at state facilities. DAGS and the Hawaii State Energy Office supported the concept and explained that the goal was to retrofit managed parking facilities with infrastructure that can meet current and future EV needs, while acknowledging that some stalls can sit unused and that the state must balance space and enforcement. Members raised concerns about whether dedicating 25% of stalls to EV charging would reduce usable parking, and about rural and Big Island conditions where EV range and battery capacity remain limiting. The discussion noted that DOT, DNR, DOE, and DOH may have their own parking facilities outside DAGS control. The committee then indicated it would broaden the bill to apply to all state agencies and lower the threshold in response to member concerns, with final action not fully shown in the transcript.
US
Transcript Highlights:
  • review of administrative actions.
  • Second, we must expedite the review process.
  • And lastly, the judicial review of agency actions must be reformed.
  • One, establish a uniform judicial review period.
  • I want to ask about judicial review. It came up in almost everybody's testimony.
Summary: The meeting focused on critical discussions surrounding the need for modernizing the federal environmental review and permitting processes. Witnesses from various sectors, including Nucor, provided testimony on the delays and costs associated with current regulations, emphasizing the impact on infrastructure and economic growth. Major projects in West Virginia, such as the Corridor H and Coalfield Expressways, were highlighted as examples of initiatives stalled by excessive permitting hurdles, prompting calls for bipartisan legislation to streamline these processes while maintaining environmental protections. The committee expressed a commitment to address these issues immediately, highlighting the urgency to enhance efficiency in permitting to facilitate economic development.
TX
Transcript Highlights:
  • In the system or to a utilization management or review, prior authorization is only one of those.
  • Flip side, utilization, corporate practice of medicine. Most of you, did I see 97?
  • The easier it is to get a medical service, the more it will be utilized.
  • Independent reviews can only inform sound decision-making, and from the TMA, we support that.
  • One final question, should we go back and review the original Gold Card?