Video & Transcript : 'Medicaid reform' :

Page 101 of 500
TX

Texas 89th Regular

Senate Session Apr 7th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • needs. and the education process. entire session, all of 2023 basically, to bring a lot of these reforms
  • system. that is not actuarially sound and this bill would change that. similar to the ERS pension reform
  • This is already a requirement for Medicaid.
  • substitute, which would have required compliance with legislation as a condition to participate in Medicaid
  • Lafferini relayed the regulation of child life services and coverage of child life services under Medicaid
Bills: SJR 12 , SJR 81 , SCR 39 , SB 22 , SB 32 , SB 241 , SB 393 , SB 414 , SB 458 , SB 464 , SB 568 , SB 583 , SB 609 , SB 660 , SB 693 , SB 731 , SB 732 , SB 746 , SB 783 , SB 785 , SB 897 , SB 993 , SB 996 , SB 1008 , SB 1029 , SB 1035 , SB 1036 , SB 1120 , SB 1122 , SB 1147 , SB 1163 , SB 1188 , SB 1197 , SB 1209 , SB 1227 , SB 1245 , SB 1267 , SB 1307 , SB 1321 , SB 1332 , SB 1386 , SB 1394 , SB 1396 , SB 1470 , SB 1494 , SB 1537 , SB 1596 , SB 1598 , SB 1610 , SB 1664 , SB 1814 , SB 1822 , SB 1841 , SB 1948 , SB 2065 , SB 2155 , SB 2406 , SB 2407 , SJR 12 , SJR 36 , SJR 81 , SJR 50 , SJR 4 , SCR 22 , SCR 12 , SCR 39 , SB 765 , SB 62 , SB 666 , SB 888 , SB 687 , SB 847 , SB 1248 , SB 504 , SB 305 , SB 296 , SB 284 , SB 241 , SB 304 , SB 1023 , SB 204 , SB 609 , SB 670 , SB 850 , SB 854 , SB 413 , SB 1346 , SB 1033 , SB 1220 , SB 1073 , SB 810 , SB 1539 , SB 447 , SB 1119 , SB 1505 , SB 1215 , SB 1302 , SB 583 , SB 673 , SB 681 , SB 1172 , SB 955 , SB 957 , SB 1120 , SB 541 , SB 266 , SB 1415 , SB 53 , SB 1352 , SB 785 , SB 1450 , SB 1502 , SB 1566 , SB 414 , SB 1062 , SB 711 , SB 746 , SB 1404 , SB 1448 , SB 507 , SB 1026 , SB 1349 , SB 1355 , SB 1433 , SB 1434 , SB 1596 , SB 1403 , SB 667 , SB 1059 , SB 1567 , SB 310 , SB 311 , SB 505 , SB 1209 , SB 1210 , SB 1470 , SB 264 , SB 1029 , SB 1358 , SB 1364 , SB 1569 , SB 1376 , SB 1228 , SB 519 , SB 1350 , SB 462 , SB 827 , SB 1585 , SB 1396 , SB 1484 , SB 1273 , SB 927 , SB 1227 , SB 1229 , SB 1353 , SB 1464 , SB 1709 , SB 1729 , SB 1733 , SB 1744 , SB 1772 , SB 1841 , SB 1147 , SB 1008 , SB 2016 , SB 1173 , SB 1163 , SB 996 , SB 568 , SB 1370 , SB 1321 , SB 1101 , SB 860 , SB 993 , SB 693 , SB 1610 , SB 1537 , SB 1332 , SB 1307 , SB 963 , SB 493 , SB 984 , SB 619 , SB 1122 , SB 455 , SB 522 , SB 1057 , SB 1239 , SB 1254 , SB 1255 , SB 1259 , SB 1341 , SB 1664 , SB 1877 , SB 464 , SB 1277 , SB 32 , SB 732 , SB 660 , SB 731 , SB 921 , SB 268 , SB 1822 , SB 1188 , SB 1589 , SB 397 , SB 1058 , SB 1036 , SB 1267 , SB 2112 , SB 1930 , SB 532 , SB 1035 , SB 2155 , SB 508 , SB 292 , SB 291 , SB 901 , SB 1333 , SB 1436 , SB 1494 , SB 964 , SB 779 , SB 1378 , SB 2312 , SB 1719 , SB 1386 , SB 287 , SB 2143 , SB 1245 , SB 261 , SB 1247 , SB 1948 , SB 2406 , SB 2407 , SB 1882 , SB 1197 , SB 1814 , SB 618 , SB 38 , SB 393 , SB 2065 , SB 1371 , SB 1394 , SB 1365 , SB 2243 , SB 2226 , SB 2039 , SB 1919 , SB 1895 , SB 1598 , SB 1493 , SB 1810 , SB 1791 , SB 1706 , SB 1644 , SB 1238 , SB 783 , SB 458 , SB 22 , SB 651 , SB 897 , SB 1809 , SB 1080 , SB 745 , SB 826 , SB 989 , SB 1320 , SB 1437 , SB 2320 , SB 2289 , SB 1171 , SB 664 , SB 1637 , SB 2064 , SB 868 , SJR 40 , SJR 27 , SCR 38 , SCR 37 , SB 1079 , SB 1243 , SB 1504 , SB 1851 , SB 1879 , SB 2237 , SB 1257 , SB 2034 , SB 1522 , SB 883 , SB 249 , SB 1318 , SB 1151 , SB 596 , SB 1191 , SB 226 , SB 570 , SB 870 , SB 991 , SB 60 , SB 365 , SB 1067 , SB 1786 , SB 326 , SB 1401 , SB 1592 , SB 1728 , SB 1265 , SB 586 , SB 529 , SB 217 , SB 209 , SB 1923 , SB 1559 , SB 1839 , SB 387 , SB 1874 , SB 1872 , SB 1873 , SB 1921 , SB 1883 , SB 1677 , SB 95 , SB 1620 , SB 1838 , SB 2024 , SB 2429 , SB 1999 , SB 511 , SB 2309 , SB 2166 , SB 871 , SB 510 , SB 33 , SB 2420 , SB 1860 , SB 1541 , SB 1316 , SB 1314 , SB 1313 , SB 1426 , SB 1398 , SB 1869 , SB 1750 , SB 1871 , SB 36 , SB 855 , SB 1233 , SB 760 , SB 2425 , SB 2037 , SB 1758 , SB 1759 , SB 2365 , SB 1924 , SB 762 , SB 1271 , SB 1818 , SB 605 , SB 1405 , SB 1762 , SB 1968 , SB 1977 , SB 2077 , SB 2148 , SB 2321 , SB 1967 , SB 1662 , SB 1663 , SB 2124 , SB 2204
Summary: The meeting primarily focused on educational reforms, particularly in special education funding. Notably, Senator Bettencourt laid out the transformative impacts of Senate Bill 568, which aims to lift a historical cap on special education funding that affected approximately 775,000 students. The discussions included plans for an intensity-based funding model that could ensure fair distribution of resources depending on individual needs, thereby enhancing educational support for diverse learning requirements. Senators acknowledged past failures in the special education framework, emphasizing the necessity of moving towards a system that is transparent and focused on delivering adequate services.
NH

New Hampshire 2025 Regular Session

House Ways and Means (01/22/2025)

Transcript Highlights:
  • </c><00:46:33.760><c> um</c> covered or or carried by the Medicaid um covered or or carried by the Medicaid
  • And of that, almost $150 million in Medicaid costs.
  • </c><00:58:08.119><c> cost</c><00:58:08.440><c> to</c> 149.6 million in direct Medicaid cost to 149.6
  • costs and additionally a in Medicaid costs and additionally a number<00:58:18.079><c> that's</c><00:
  • </c> um uh will'll be on the side of Reform um uh will'll be on the side of Reform and<02:10:06.000><
Keywords: 928, house, all
Summary: The public hearing focused on HB 290, which would raise cigarette and e-cigarette/vaping taxes and create a committee to study tobacco and nicotine tax policy. Representative Jerry Stringham introduced the bill as both a public health and revenue measure, arguing that nicotine use causes health harms and public costs, and that New Hampshire’s cigarette tax has been unchanged at $1.78 per pack since 2013. He said the bill would raise the cigarette tax by $1 per pack to $2.78, still below most New England states, and would also adjust vaping taxes, which he described as having been set as placeholder rates in 2019. He said the bill would also establish a study committee to review broader tobacco and nicotine taxation, including products such as premium cigars. In response to questions, Stringham said the proposed cigarette tax would be roughly equal in real dollars to the 2008 rate after inflation, and he suggested that a smaller annual increase could be considered, though he believed a larger increase would have a stronger public health effect. He explained that the vaping tax structure differs between closed and open systems because one taxes a fixed hardware product while the other taxes reusable liquid, and he said the proposal would move the rates toward a more uniform approach. He also said New Hampshire would remain below neighboring states even after the increase, though members raised concerns about cross-border shopping, business impacts, and preserving the state’s competitive advantage. Several members questioned whether the bill’s main purpose was revenue or reducing smoking and vaping. Stringham said he viewed it primarily as a public health bill, but also as a revenue measure, and said he would consider it successful even if consumption fell enough to reduce revenue. Other members emphasized personal freedom and argued the committee should focus on taxation rather than cessation, while some supported the bill as a way to capture revenue from out-of-state buyers and keep New Hampshire’s rates below surrounding states. The hearing consisted of testimony and questions only; no vote or final action was taken in the excerpt provided.
FL

Florida 2025 Regular Session

Senate in Session May 1st, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • That is not reform, that's restriction.
  • Representatives that they may have broken the law by diverting and laundering millions in public Medicaid
  • This bill masquerades as reform, but is in truth, ... a direct assault on Floridians' fundamental right
  • Of Senator Trumbull's bill that has to do with Medicaid redetermination for people who are permanently
  • Senate Bill 7032, a bill to be entitled An Act relating to Medicaid enrollment for permanently disabled
Bills: HB135 , HCR64 , SCR3 , SCR30 , SB500 , SB739 , SB816 , SB898 , SB1283 , SB1351 , SB1423 , SB1531 , SB1540 , SB1666 , SB1721 , SB1886 , SB1931 , SB2001 , SB2075 , SB2154 , SB2173 , SB2217 , SB2284 , SB2375 , SB2383 , SB2386 , SB2398 , SB2448 , SB2476 , SB2540 , SB2580 , SB2589 , SB2693 , SB2707 , SB2776 , SB2786 , SB2801 , SB2864 , SB2927 , SJR84 , SCR30 , SB243 , SB324 , SB393 , SB457 , SB511 , SB529 , SB547 , SB636 , SB646 , SB659 , SB715 , SB731 , SB735 , SB800 , SB801 , SB904 , SB1065 , SB1141 , SB1181 , SB1224 , SB1241 , SB1242 , SB1250 , SB1266 , SB1285 , SB1359 , SB1434 , SB1442 , SB1467 , SB1502 , SB1524 , SB1528 , SB1551 , SB1585 , SB1640 , SB1754 , SB1757 , SB1777 , SB1844 , SB1863 , SB1972 , SB2007 , SB2035 , SB2046 , SB2055 , SB2069 , SB2082 , SB2119 , SB2139 , SB2154 , SB2200 , SB2201 , SB2269 , SB2310 , SB2330 , SB2357 , SB2366 , SB2401 , SB2422 , SB2514 , SB2530 , SB2533 , SB2543 , SB2544 , SB2550 , SB2568 , SB2589 , SB2660 , SB2693 , SB2695 , SB2707 , SB2717 , SB2721 , SB2742 , SB2753 , SB2807 , SB2846 , SB2891 , SB2925 , SB2938 , SJR3 , SJR18 , SB5 , SB326 , SB767 , SB769 , SB783 , SB914 , SB963 , SB1035 , SB1197 , SB1271 , SB1415 , SB1437 , SB1619 , SB1637 , SB1786 , SB1806 , SB494 , SB530 , SB2312 , SB1 , SB260 , HB135 , HB 1109 , HB1392 , HB22 , HCR64 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1085 , SB1975 , SB2717 , SB1262 , SB1524 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2458 , SB2201 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB1721 , SB1013 , SB2797 , SB2383 , SB2119 , SB2448 , SB1777 , SB1283 , SB2076 , SB2786 , SB2876 , SB2284 , SB1540 , SB2929 , SB2540 , SB2595 , SB2217 , SB715 , SB500 , SB1640 , SB2001 , SB2514 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB1449 , SB2529 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB1359 , SB2386 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB410 , SB2776 , SB2580 , SB1886 , SB1234 , SB739 , SB456 , SB1666 , SB2801 , SB2055 , SB1012 , SB2926 , SB2138 , SB1242 , SB2615 , SB2310 , SB1224 , SB2972 , SB2841 , SB3016 , SB2139 , SB1856 , SB2035 , SB1528 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586 , SB1551 , SB3039 , SB2819 , SB66 , SB629 , SB1015 , SB2342 , SB2903 , SB2933 , SB1965 , SB2477 , SB3029 , SB2605 , SB2419 , SB1957 , SB375 , SB250 , SB777 , SB628 , SB2523 , SB2367 , SB2703 , SB2608 , SB2778 , SB3044 , SB2965 , SB2521 , SB865 , HB2525 , HB3093 , SB1032 , SB2165 , SB2501 , SB2675 , SB2452 , SB2835 , SJR84 , SB457 , SB547 , SB904 , SB1467 , SB1757 , SB1777 , SB2055 , SB2069 , SB2139 , SB2401 , SB2530 , SB2543 , SB2695 , SR349 , SR367 , SR468 , SB3064 , SB3065 , HJR7 , HB 119 , HB 130 , HB163 , HB166 , HB201 , HB272 , HB331 , HB380 , HB654 , HB694 , HB718 , HB865 , HB 1266 , HB1397 , HB1500 , HB1552 , HB1576 , HB1583 , HB1584 , HB1760 , HB1894 , HB1965 , HB2018 , HB2029 , HB2286 , HB2340 , HB2427 , HB2455 , HB2467 , HB2508 , HB2523 , HB2730 , HB2756 , HB2791 , HB2970 , HB3016 , HB3096 , HB3248 , HB3255 , HB3336 , HB3623 , HB3698 , HB3699 , HB3803 , HB3804 , HB3805 , HB3806 , HB4129 , HB4187 , HB4236 , HB4238 , HB4643 , HB4738 , HB4739 , HB5333 , SCR3 , SCR30 , SB500 , SB739 , SB898 , SB1283 , SB1351 , SB1423 , SB1540 , SB1666 , SB1721 , SB1886 , SB1931 , SB2001 , SB2075 , SB2154 , SB2173 , SB2217 , SB2375 , SB2383 , SB2386 , SB2398 , SB2448 , SB2476 , SB2540 , SB2580 , SB2589 , SB2707 , SB2776 , SB2786 , SB2801 , SB2864 , SB2927 , HB135 , HCR64 , SB2284 , SB3064 , SB3065 , HJR7 , HB 119 , HB 130 , HB163 , HB166 , HB201 , HB272 , HB331 , HB380 , HB654 , HB694 , HB718 , HB865 , HB 1266 , HB1397 , HB1500 , HB1552 , HB1576 , HB1583 , HB1584 , HB1760 , HB1894 , HB1965 , HB2018 , HB2029 , HB2286 , HB2340 , HB2427 , HB2455 , HB2467 , HB2508 , HB2523 , HB2730 , HB2756 , HB2791 , HB2970 , HB3016 , HB3096 , HB3248 , HB3255 , HB3336 , HB3623 , HB3698 , HB3699 , HB3803 , HB3804 , HB3805 , HB3806 , HB4129 , HB4187 , HB4236 , HB4238 , HB4643 , HB4738 , HB4739 , HB5333
AZ
Transcript Highlights:
  • And I'm also interested in licensing reforms.
  • Can you tell me what licensing reforms you've implemented so far, or others that are in the wings?
  • Some of the licensing reforms that I spoke about earlier, we would roll out with assisted living, so
  • But if there is a Medicaid beneficiary and that person has been harmed in a behavioral health residential
  • When Access identifies suspected Medicaid fraud by a provider, so your role when that happens, what do
Summary: The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote. Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations. Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.
FL

Florida 2026 5th Special Session

Senate in Session May 1st, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • And let me be clear, that is not reform. That's restriction.
  • Representatives that they may have broken the law by diverting and laundering millions in public Medicaid
  • This bill masquerades as reform, but is in truth a direct assault on Floridians' fundamental right to
  • Next, we have the components of Senator Trumbull's bill that has to do with Medicaid redetermination
  • Senate Bill 7032, a bill to be entitled an act relating to Medicaid enrollment for permanently disabled
Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and a series of introductions recognizing interns, pages, and retiring Senate staff, including Pastor Gary Austin. Leaders also noted ongoing budget talks with the House and said senators would not need to plan on being in Tallahassee the following week. The chamber then moved to third reading and returned messages from the House later in the day. The main floor debate centered on Committee Substitute for House Bill 12.5, the citizen initiative/constitutional amendment bill. Sponsors said the measure was intended to address fraud in the petition process, citing investigations, arrests, pleas, and open cases involving paid circulators and invalid petitions. Opponents argued the bill would make citizen-led amendments far more difficult, expensive, and risky, warning it would chill grassroots participation, burden supervisors of elections, and effectively favor wealthy or corporate-backed efforts. Supporters responded that the bill preserved grassroots petitioning, placed reasonable guardrails on paid circulators and sponsors, and included a provision barring public funds from being used to advocate for or against ballot initiatives. The bill passed 28-10. The Senate also passed several education measures unanimously, including bills tied to Bright Futures, dual enrollment, educator preparation, and broader education policy. Later, the chamber concurred in House amendments on several bills: stem cell therapy legislation clarifying permitted therapies and penalties for improper use of fetal or embryonic tissue; an EKG requirement bill for student athletes with exemptions and partnership options for districts; and a cardiac emergency response bill that renamed the school emergency plan and removed a bill title honoring Rafe McCrone. These measures passed by wide margins, generally 37-0 or 38-0.
FL

Florida 2026 Regular Session

Senate in Session May 1st, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • And let me be clear, that is not reform. That's restriction.
  • Representatives that they may have broken the law by diverting and laundering millions in public Medicaid
  • This bill masquerades as reform, but is in truth a direct assault on Floridians' fundamental right to
  • Next, we have the components of Senator Trumbull's bill that has to do with Medicaid redetermination
  • Senate Bill 7032, a bill to be entitled an act relating to Medicaid enrollment for permanently disabled
Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of member introductions recognizing interns, pages, and a retiring Senate employee. Leadership also announced that budget talks with the House were continuing and that senators should not plan to be in next week, with hopes of sharing more budget news soon. The chamber then moved to third reading and took up a major bill on citizen initiatives and constitutional amendments, with sponsors saying it was needed to address documented petition fraud and to protect the integrity of the process. That bill drew extensive debate. Supporters argued that recent investigations showed widespread fraud in petition gathering, that the measure would add reasonable guardrails, and that it would prevent taxpayer-funded government messaging from being used to influence ballot measures. Opponents said the bill would make it much harder for ordinary Floridians to place amendments on the ballot by adding costs, deadlines, registration requirements, fines, and felony exposure, and they warned it would chill grassroots participation and effectively favor wealthy or corporate-backed campaigns. After debate, the Senate passed the bill 28-10. The Senate then adopted several House amendments and concurred on a series of education and public-safety measures, including bills on stem cell therapy, student-athlete electrocardiograms, cardiac emergency planning in schools, school safety, Bright Futures and other education policy items, and educator preparation. Most of those measures passed unanimously or with overwhelming support, and the chamber also recognized additional interns and a long-serving education advocate before recessing and returning to continue with House messages.
HI
Committee: House Water & Land
Summary: The Committee on Water and Land met on March 31, 2026, and heard testimony on several resolutions. HCR 13/HR 50, which asks DLNR to work with DOE and the Public Charter School Commission on a student coral stewardship program, drew comments from DLNR, which said it stood on written testimony and had proposed amendments, and from supporters in the room. HCR 61, urging investment in reforestation policies, workforce, nursery capacity, and related support for public and private lands, received strong support from DLNR and multiple testifiers, including members of a reforestation policy hui, a resident, and others who emphasized watershed protection, flood and fire resilience, and the need to upgrade nursery infrastructure and staffing. Committee members asked questions about nursery modernization, staffing, island-specific needs, and whether reforestation could reduce wildfire impacts; the DLNR witness said all islands need investment, with especially large opportunities on Hawaiʻi Island, and that healthier forests improve resilience though they cannot eliminate climate-related risks. The committee then heard HCR 136/HR 128 on wildland-urban interface safety standards for Maui plantation towns, but no one testified. It also heard HCR 185/HR 175, which urges denial of permits for ICE detention-related warehouses; Chris Coffey of Immua Alliance testified in support, saying migrant survivors of exploitation are harmed when ICE detains people and that Hawaii would not be the first place to take such action, citing examples from other states and cities. In questioning, members explored whether a local facility would keep people closer to families and services or instead increase local detention; Coffey said detention generally cuts off access to services and can intensify fear, and that a local facility could incentivize more detention and make survivors less likely to come forward. Finally, the committee heard HCR 155/HR 147 supporting the Hawaii Water Safety Coalition’s Hawaii Water Safety Act. Testifiers included Allison Shapera, who described the statewide water safety plan, Hawaii’s high drowning rate, the economic and human costs of drownings, and her personal loss of her daughter in a preventable drowning; Kirsten Hermstead and Kalani Vierra of the Hawaiian Lifeguard Association said the plan’s recommendations need legislative recognition to help with implementation and grant funding; and Jessamine Town Horner testified by Zoom as a co-founder and bereaved family advocate. The transcript provided does not show any votes or final committee actions on the measures discussed.
TX

Texas 89th Regular

Senate Session (Part II) Sep 3rd, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • with my staff to ensure a path to passage for both bills and achieve the landmark youth camp safety reforms
  • Receive the lion's share of the policy reforms that have been advocated for the last few weeks.
  • Along the way, he has spearheaded several major reforms in higher education, choice legislation, and
  • He's carried landmark legislation: DEI, CRT, school choice, teacher pay, tenure reform, parents' bill
  • of rights, and faculty senate reforms, just to name a few.
Bills: SB 8 , SB 1 , SB 2 , SB 5 , SB 10 , HB27 , HB7 , HB17 , HB1 , SB 9 , SB 7 , SB 17 , SB 4 , HB20 , HB18 , HB7 , HB17 , HB1 , HB20 , HB18 , SB9 , SB7 , SB17 , SB4 , SB1 , SR85 , SR87 , SB8 , SB5 , SB2 , SB10 , HB27
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/18/26

Health Finance and Policy

Transcript Highlights:
  • More frequent Medicaid redeterminations, including new work reporting requirements and administrative
  • More frequent Medicaid redeterminations, including new work reporting requirements and administrative
  • Sustained support for Medicaid, continued investment in rural training pathways, residency programs,
  • </c><00:35:15.280><c> and</c> our workforce and loan reforms and our workforce and loan reforms and medical
  • c> support for Medicaid continued support for Medicaid continued investment<00:35:26.880><c> in</c><00
Bills: HF1925
MN
Transcript Highlights:
  • the number one legislative priority this session is the need for fraud prevention and enforcement reform
  • But most of the Medicaid providers are really good.
  • most of the Medicaid providers are really<00:09:28.360><c> good.
  • The Medicaid Fraud Control Unit, or MFCU, works within the Attorney General's Office and investigates
  • And we need a Medicaid Fraud Unit in the Attorney General's Office to do that job.
Keywords: 1187, senate, all
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Forty Nine - Thursday, April 9

Missouri House Floor Meeting

Transcript Highlights:
  • The part of this bill that deals with Medicaid is going to cost the taxpayers of the state a million
  • the research, those who talk to the heads of the department, that the fraud that happens within Medicaid
  • And when we talk about trying to reform the system, this is what we're trying to reform: people that
Summary: The House opened with prayer, the Pledge of Allegiance, approval of the previous House Journal by a 101-0 vote, and numerous special guest introductions, including student groups, robotics teams, artists, and a choir. Committee reports from Fiscal Review recommended passage of several bills, including HB 1869, HB 2387/HB 2480, HB 2061, HB 2481, and HB 2885. The chamber then took up Senate changes to HB 2016, a bill addressing anti-Semitism in educational institutions. Supporters said the Senate amendments clarified that schools should consider context, protected criticism of Israel, added charter schools, and required reporting of all Title VI complaints; opponents argued the bill was redundant, could chill speech, and did not match the state’s broader anti-discrimination rhetoric. After a successful previous-question motion, the House adopted the Senate substitute 101-19 and then gave final passage to the bill 100-17. Several third-reading bills followed. HB 2481, dealing with SNAP and Medicaid-related verification and program restrictions, drew sharp debate over fraud prevention versus added bureaucracy and harm to low-income Missourians; it passed 95-44. HB 1869, creating a process to repair veteran gravestones damaged by natural causes, passed 137-2. HB 2927, requiring written settlement demands in bad-faith liability claims to remain open for 90 days and reference the statute, passed 90-50. HB 2387/HB 2480, reinstating the presidential primary and moving it to the first Tuesday in March, passed 116-23. HB 2885, redirecting the final $1 million from boat registration fees to fund the water patrol, passed 112-27. HB 2517, a real estate wholesaler disclosure bill, passed 130-6. HB 3107 was moved to the informal calendar. Debate also began on HB 1730, which would legalize firearm suppressors in Missouri; supporters framed it as a freedom, hearing-protection, and economic bill, while opponents warned it would make gun violence harder to detect and could aid criminals, but no final vote on that bill appears in the transcript.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 12:00 pm

Joint Committee on Ways and Means

Transcript Highlights:
  • That bill included a number of tax reforms that were not planned for in fiscal year 26.
  • The other big one is the work requirements, right, or the civic engagement requirements for Medicaid.
  • And is there kind of a virtuous cycle we can get into where we are keeping people enrolled in Medicaid
  • The other big one is the work requirements, right, or the civil engagement requirements for Medicaid.
  • And is there kind of a virtuous cycle we can get into where we are keeping people enrolled in Medicaid
Keywords: 995, all
Summary: The Senate and House Ways and Means chairs opened the FY 2027 consensus revenue hearing by emphasizing the need for a balanced, fiscally responsible budget amid federal funding cuts, health care cost pressures, and uncertainty around the federal tax law changes referred to as OB3. They also noted the state’s current revenue performance is slightly above benchmark and paid tribute to the late Representative Anne Margaret Ferranti. Secretary of Administration and Finance Matthew Gorkowitz echoed the call for caution, saying Massachusetts has protected core services while building reserves and that the FY27 budget process begins with a careful revenue estimate. Department of Revenue Commissioner Jeff Snyder, along with DOR staff, presented FY26 and FY27 tax forecasts and identified major drivers and risks: OB3’s negative impact on state revenue, surtax collections, labor market conditions, capital gains, and corporate/business excise taxes. DOR estimated OB3 would reduce FY26 revenue by about $664 million and FY27 by about $282 million, while surtax and capital gains were expected to remain strong in FY26 but soften in FY27. Members questioned the outlook for surtax, capital gains, and the potential fiscal effect of a ballot question reducing the income tax rate from 5% to 4%; DOR said that proposal could cost roughly $4.2 billion to $4.8 billion annually, with a smaller but still significant impact in FY27 because of phase-in timing. Treasurer Deb Goldberg testified next on the stabilization fund, lottery, PRIM, unclaimed property, and the Alcoholic Beverages Control Commission. She reported the rainy day fund at about $8.1 billion, said the lottery was on track for $1.5 billion in FY26 net profit and projected $1.25 billion in FY27, and highlighted that iLottery is expected to launch in summer 2026 with revenue beginning in FY27 and dedicated to child care initiatives. She also described strong PRIM performance and record unclaimed property returns, while members asked about the child care use of iLottery revenue, multilingual outreach, and the economic impact of expanded liquor licensing. Mass Taxpayers Foundation President Doug Howgate and Tufts’ Evan Horowitz then offered differing revenue outlooks and policy warnings. Howgate projected modest growth, cautioned against overusing reserves for ongoing obligations, and urged caution on federal tax conformity changes and health care spending pressures. Horowitz projected higher FY26 and FY27 revenues than other witnesses, warned that the surtax and capital gains make the tax system more volatile, and said a 4% income tax ballot question could reduce FY27 revenues by roughly $800 million to $1 billion. He also flagged the rent control ballot question as a potential risk to municipal finance and suggested the state consider giving a permanent home to the independent revenue model used by Alan Clayton-Matthews.
OK
Transcript Highlights:
  • programs that support 14c or who provides supports for individuals with disabilities either on the Medicaid
  • Is it Medicaid policy? What are the barriers?
  • I realize it can't fully be Medicaid policy if other states are doing it, but do we need to change some
  • There's also some need for some Medicaid Reforms, and we talked about the buy-in for Medicaid, that would
Keywords: 914, all
UT

Utah 2025 Regular Session

Health and Human Services Interim Committee - November 19, 2025

Health and Human Services Interim Committee

Transcript Highlights:
  • We are building on reforms already underway since DHS assumed oversight.
  • I just saw the Medicaid data in terms of utilization. And that is like the nation's solution.
  • Services. ...cooperative agreement from the Centers for Medicaid and Medicare Services.
  • The last requires DHS to establish requirements for the state Medicaid program that are substantially
  • Statistically, we know people that have Medicaid coverage, I don't know.
Keywords: 985, all
ND

North Dakota 2025-2026 Regular Session

Senate Judiciary Apr 2nd, 2025 at 09:00 am

Judiciary

Transcript Highlights:
  • are wanting to do, they're reaching out wanting to work on water projects, work on health care, Medicaid
  • individuals who have been convicted, completed all the terms of their sentence, and demonstrated reformation
  • to move on. terms of their sentence and demonstrated reformation to move on with their lives.
  • We want to make sure that people are working towards reformation.
  • We want to make sure that people are working towards reformation and becoming productive members of society
Bills: HB1455
Committee: Senate Judiciary
Summary: The Judiciary Committee first heard House Bill 1455, which would require the North Dakota Indian Affairs Commission to review introduced legislation for tribal implications and conduct consultation with affected tribes. Rep. Collette Brown said the bill was intended to formalize and strengthen tribal consultation, and Standing Rock Sioux Tribe representative Ross Bell testified in support. Brad Hawk, executive director of the Indian Affairs Commission, testified neutrally, saying the office already does much of this work but that the bill would add structure; several senators raised concerns about duplication, possible future staffing costs, and whether the bill was necessary. The committee amended the bill to replace “each measure” with “all legislation,” then passed a do-not-pass recommendation on HB 1455 by recorded vote, with Sen. Luick designated as carrier. The committee then took up House Bill 1032, dealing with municipal courts, appeals, and judge qualifications. Legislative Council and court staff walked through proposed amendments, including making municipal courts courts of record on a delayed effective date, clarifying appeal procedures, and adding standards for municipal judges. Members discussed whether to use the term “ethical standards” or “judicial conduct”; after questions about definitions and enforcement, the committee settled on replacing the language with “judicial conduct” in the amended bill. The committee adopted the amendments and then passed HB 1032 as amended on a do-pass vote, with Sen. Cory to carry. Later, the committee heard House Bill 1263, which would make it easier for people with criminal records to seek sealing after a denial by allowing an appeal and reducing the waiting period for a new petition from three years to one year. Rep. Nels Christensen, Christopher Davis, Travis Fink, and Brad Peterson all supported the bill’s goal of giving people a better path to rehabilitation and employment. The main point of disagreement was whether to keep the statutory presumption that the benefit to the petitioner must outweigh the presumption of openness of criminal records; several witnesses urged removing that language, while others said it was part of the compromise that created the current law. The committee closed the hearing without taking final action and said it would review the House discussion before deciding later.
FL

Florida 2025 Regular Session

March 26, 2025 - 11:30 AM

Transcript Highlights:
  • Lorette Balinski, Florida Justice Reform Institute, is an opponent of the bill and wishes to appear.
  • My name is Lorette Balinski, and I'm here on behalf of the Florida Justice Reform Institute.
  • Now I'm asked, is this pre- or post-tort reform? Oh, I've got to give this information to you.
  • The reforms that are in place have helped make this sort of patient abuse a thing of the past, and we
  • You know, we struck out the section where it says Medicare at 120% and Medicaid at 170%.
Summary: The committee met with a quorum and considered a large agenda of bills, mostly in the criminal justice, courts, civil procedure, and family/consumer protection areas. Early measures included CS/HB 1161 on removing altered sexual depictions posted without consent, HB 403 modernizing LLC law to allow protected series LLCs, CS/HB 97 on service of process in protection proceedings for vulnerable adults, and HB 813 as the state courts package addressing duty judges, arbitrator compensation, and notarization by judges. All of those bills were reported favorably, with HB 403 and HB 813 amended. The committee also heard and advanced CS/HB 947 on evidence of medical damages in personal injury and wrongful death cases, which drew substantial opposition from insurers, business groups, and defense-oriented witnesses, while the sponsor argued it would let juries hear all relevant evidence; it passed 19-3. Members also approved CS/CS/HB 615 allowing electronic delivery of landlord-tenant notices by email, after an amendment requiring opt-in language and written notice to update an email address; tenant advocates still raised concerns about eviction-related notices and receipt verification. HB 663 increased penalties for using tracking devices or apps to commit dangerous crimes and passed unanimously. CS/HB 385 made technical changes to the Florida Trust Code and passed unanimously after a conforming amendment. CS/HB 255, known as Dexter’s Law, increased penalties for aggravated animal cruelty and was supported by law enforcement and animal welfare groups; it passed unanimously. Later in the meeting, the committee approved HB 513 on electronic transmittal of court orders after the sponsor withdrew an amendment that would have changed the deadline from six hours to six business hours, following concerns that the delay could be too long for urgent orders. CS/HB 1099 gave law enforcement discretion in arrests involving individuals with significant medical conditions in facilities and passed unanimously. HB 653 added aggravating factors for capital felonies involving assassinations or attempted assassinations of heads of state; it drew opposition from the Florida Conference of Catholic Bishops and passed 20-2. CS/HB 59 expanded wrongful incarceration compensation by extending the filing deadline, removing the clean-hands bar, and allowing exonerees to choose between civil suit and the state claims process; it passed unanimously. PCS/HB 777 increased penalties for in-person luring or enticing of children and barred certain age-based defenses, passing unanimously. Finally, CS/HB 437 increased penalties for tampering with electronic monitoring devices; two amendments softened the bill by clarifying juvenile treatment and giving judges limited discretion to avoid automatic revocation of pretrial release, and the bill passed 21-1 before the meeting adjourned.
LA

Louisiana 2026 Regular Session

Senate May 29th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • Hardy is a prophetic reformer who carries heaven's perspective with conviction and compassion.
  • Department of Health to study increasing patient access to medically necessary breast pumps by increasing Medicaid
  • Department of Health to study increase patient access to medically necessary breast pumps by increasing Medicaid
  • So Louisiana's current Medicaid reimbursements are long-term health care.
  • So Louisiana's current Medicaid reimbursements are at $80 is far below the national average, which is
Summary: The Senate convened with a quorum, received a prayer and pledge, adopted the journal, and heard messages from the House reporting final passage of several Senate bills and concurrence in SCR 86 and 87. The chamber also observed personal privileges honoring the lives of Edith K. Kirkpatrick and Susan Ann Traylor Bidick, with family members present and a moment of silence held for Bidick. The House later refused concurrence on Senate amendments to HB 42 and HB 159. The Senate then took up a series of resolutions, most of which were adopted without objection. These included studies on energy infrastructure and modernization (SR 174, amended to add an alternative energy industry representative and a consumer advocate), breast pump Medicaid reimbursement (SR 175), digital student IDs (SR 176), lethality assessment protocols in domestic violence cases (SR 177), problem gambling prevention (SR 178), community water system grading (SR 179), condolences for Sharon Courtney (SR 180), and expansion of the Louisiana Tumor Registry (SR 181). The chamber also adopted SCR 85 honoring the Sam Houston High School Broncos baseball team after a recorded vote of 36 yeas and 8 nays. On bills returned from the House, HB 1222 on grocery initiative grants failed on final passage by a vote of 18 yeas and 19 nays. SB 312 had House amendments rejected, SB 348 and SB 485 had House amendments concurred in, and SB 121 on congressional redistricting was the subject of extensive debate over racial gerrymandering, district configuration, and expected litigation before the Senate concurred in the House amendments by 28 yeas and 10 nays. The Senate also concurred in several House concurrent resolutions, including studies or reports on flooded corn and migratory waterfowl, deer hunting with dogs in Kisatchie National Forest, support for a Senator Kennedy letter to the Fish and Wildlife Service, boating safety reporting, and subsurface data review. Finally, HB 944 creating a Women’s Health Consortium within the Department of Health was amended to address funding concerns and convert it into a more task-force-like structure, then passed 37-0 with nine coauthors. The Senate then recessed until 1:30 p.m. to continue work, including conference committee reports.
MA

Massachusetts 2025-2026 Regular Session

Formal House Session 63 Jul 1st, 2026

Massachusetts House Floor Meeting

Transcript Highlights:
  • requirement without providing a uniform alternative has undermined the goal of the 1993 Education Reform
  • committed to preserving both direct democracy and constitutional government, we should examine what reforms
  • a comprehensive evaluation of the initiative petition process, unquote, to determine exactly what reforms
  • advocate for community engagement, constitutional policing, accountability, and meaningful police reform
  • uncertain times, particularly in the health care sector, as last year's federal actions concerning Medicaid
Keywords: 1212, all
CA
Transcript Highlights:
  • final rule require state Medicaid agencies to calculate, report, and publish the percentage of Medicaid
  • Tyler Sadworth, State Medicaid Director.
  • Tyler Todd with State Medicaid Director, Department of Health Care Services.
  • In lieu of services is a permanent option for state Medicaid programs enshrined in federal Medicaid managed
  • However, Congress did not include a moratorium on the Medicaid access rule.
Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.