Video & Transcript : 'Medicaid reform' :

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MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Thirty Seven - Thursday, March 12

Missouri House Floor Meeting

Transcript Highlights:
  • There's some conditional release reform, time served credits, and again reform on some other criminal
  • And then also let me say that this is not criminal justice reform.
  • This is not juvenile justice reform. This is not improving and overhauling the legal system.
  • This is not criminal justice reform. The bill is really unclear. You know what?
  • The point of this is this is not criminal justice reform.”
Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior day’s journal by a 118-1 vote, and a series of special guest introductions, including family members, student groups, a basketball team, University of Missouri undergraduate researchers, and other visitors. The chamber also received Senate messages and committee reports, including recommendations that several House bills and joint resolutions “do pass.” The main floor debate centered on Senate Substitute No. 3 for Senate Bill 888, a broad juvenile justice and sentencing measure that combined juvenile reform with sentencing transparency and other criminal justice provisions. Supporters said it would improve public safety, clarify sentencing, address serious offenses, and add collaboration between prosecutors and juvenile systems. Opponents argued it was an oversized omnibus bill rushed through the process, warned it would increase prison time, expand adult-court involvement in juvenile matters, and could harm children and rehabilitation efforts. Members also debated the fiscal note, with supporters saying the large prison-cost estimate was speculative and opponents calling it evidence of a major new prison expense. After extended debate, the House invoked the previous question and SB 888 was finally passed 97-53. The House then took up House Committee Substitute for House Joint Resolutions 173 and 174, a proposal to change Missouri’s tax structure by reducing and potentially eliminating the state income tax and broadening the sales tax base to transactions involving goods and services. Supporters framed it as a modernization effort that would promote growth, increase take-home pay, and send the question to voters. Opponents said it would be the largest sales tax hike in state history, shift the burden onto working families and seniors, and create a large budget hole. After debate, the previous question was adopted 101-49, and the joint resolutions were third read and passed 98-54. The House then moved on to third-reading business, including House Bill 269 on autonomous vehicles, which was introduced as a transportation and economic development measure and then questioned on liability and taxation issues.
FL

Florida 2026 5th Special Session

FL House Floor Session - 2025-01-28 (4:30PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • While I agree that we must address border challenges and reform immigration policies, we must also be
  • Immigrants, nonetheless, we need serious immigration reform. We don't...
  • We need serious immigration reform. We don't have this in this bill. I urge you to vote no.
  • We made this point many times on the House floor that we need comprehensive immigration reform.
  • But in... ...on the House floor that we need comprehensive immigration reform.
Summary: The House convened with prayer, the Pledge of Allegiance, approval of the journal, and adoption of the special order calendar for the day. The chamber then took up House Bill 1B on immigration, along with discussion of anticipated Senate changes. The sponsor described the bill as creating a chief immigration officer housed in the Department of Agriculture, establishing an Office of State Immigration Enforcement, expanding cooperation with federal immigration authorities, increasing criminal penalties for certain offenses by unauthorized aliens, ending undocumented-student fee waivers, and providing substantial appropriations for enforcement and related programs. Members also questioned the Senate version’s proposed mandatory death penalty provision for certain capital offenses involving unauthorized aliens, as well as pretrial detention, 287(g) participation, DMV reporting requirements, and the bill’s effects on schools, teachers, social workers, and local agencies. The sponsor and supporting members repeatedly said the bill required broad cooperation with federal immigration enforcement and that existing federal law would control where conflicts arose. A major portion of the debate focused on whether the bill would allow or require immigration enforcement in schools and other sensitive settings, and whether teachers, school resource officers, and social workers could be placed in conflict with federal privacy or professional obligations. Members also raised concerns about detention based on suspected status, the standard of proof for immigration-status determinations, prison and jail impacts, workforce shortages, and the fiscal effects on counties and state agencies. The sponsor said the bill did not provide DMV funding, that the state would need to study some implementation questions, and that the appropriations included $25 million for a local law enforcement participation incentive program and up to $350 million for broader implementation and coordination. Several amendments were offered and failed. Representative Chambliss proposed protecting schools, churches, and places of worship from enforcement activity; Representative Escamani offered amendments to preserve in-state tuition for Dreamers and to grandfather currently eligible students; Representative Woodson offered a similar Dreamer-related amendment; and Representative Bartleman proposed barring local law enforcement from entering schools during school hours to detain children solely for immigration status. Supporters of these amendments argued they would protect children, preserve educational access, and prevent trauma in schools and houses of worship. The House rejected each amendment by voice vote, and the transcript ends during debate on the Bartleman school-safety amendment before final disposition is shown.
HI

Hawaii 2026 Regular Session

HSH Public Hearing - Tue Feb 10, 2026 @ 9:30 AM HST

Human Services & Homelessness

Transcript Highlights:
  • despite evidence that been reformed despite evidence that drug-free<00:12:33.279><c> zones</c><00:12
  • </c> Kentucky, and U-Haul that have reformed Kentucky, and U-Haul that have reformed their<00:13:27.120
  • Um, expanding automatic voter registration under these conditions is not reform.
  • </c><01:16:44.560><c> Um</c><01:16:44.880><c> it's</c> conditions is not reform.
  • Um it's conditions is not reform.
Bills: HB1546
Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.
TX
Transcript Highlights:
  • Medicaid definition of what a rule is, but it is different today.
  • I take care of people with Medicaid, as well as those who are uninsured.
  • Increase Medicaid payments, consider Medicaid-Medicare parity, and look at Medicare payments federally
  • This also adds to to the Medicaid and Medicare costs, which I was just going to tell you about.
  • Medicaid or on Medicare, you can't pay the bills, and that doesn't matter who's seeing the patients.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, July 23, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • He helped design Access, our state's Medicaid program, finding a made in Arizona solution to make sure
  • He helped design Access,<01:54:38.159><c> our</c><01:54:38.400><c> state's</c><01:54:38.719><c> Medicaid
  • </c><01:54:39.119><c> program,</c> Access, our state's Medicaid program, Access, our state's Medicaid
  • with the same brush, but I am saying enough of them are doing it for us to demand some additional reforms
  • </c> us to demand some additional reforms us to demand some additional reforms with<02:30:04.479><c>
MN

Minnesota 2025-2026 Regular Session

House Ways and Means Committee 4/21/25

Ways and Means

Transcript Highlights:
  • It creates problems, and we see it especially in the Medicaid space, but we see it in a lot of different
  • </c> and we see it especially in the Medicaid and we see it especially in the Medicaid space,<00:29:34.159
  • Um, and that reform and change is hard. Uh, but with that, we have to start this journey.
  • Um,<00:35:44.160><c> and</c><00:35:44.560><c> that</c><00:35:44.880><c> reform</c><00:35:45.280><c> and
  • </c> Um, and that reform and change is hard. Um, and that reform and change is hard.
Bills: HF2446 , HF2563 , HF2444
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 3/11/25

Taxes

Transcript Highlights:
  • Robbins for bringing this bill forward and consistently supporting us in an effort for tax relief and reformation
  • The taxes collected will go to programs that impact them, like being on Medicaid or Medicare, charitable
  • them<00:48:49.680><c> like</c><00:48:50.119><c> being</c><00:48:50.359><c> on</c><00:48:50.559><c> Medicaid
  • c><00:48:51.040><c> or</c><00:48:51.200><c> being</c><00:48:51.359><c> on</c> them like being on Medicaid
  • or being on them like being on Medicaid or being on Medicare<00:48:52.440><c> uh</c><00:48:52.599><c
Bills: HF169 , HF195 , HF194 , HF1756 , HF2133
Committee: House Taxes
NM
Transcript Highlights:
  • idea of how many people showed up on November 1st and how many will be showing up later once the Medicaid
  • light touch home visiting, and build the infrastructure needed to claim and draw down even more Medicaid
  • We have that to pay the Medicaid funding the match for FIT services.
  • I wanted to just share with you the wage scale and career lattice to share with you this critical reform
  • Silva said what's going to happen to the people, the part time job seekers trying to keep their Medicaid
TX
Transcript Highlights:
  • who are not enthralled with what happened with that piece of legislation, which is going to hurt Medicaid
  • If we live long enough, we will all need Medicaid, because your long-term health care, once you're hospitalized
  • , comes from Medicaid.
  • We also advocate for social justice, and we advocate for reforms that directly target the political power
  • hold House members responsible for passing tax cuts for billionaires while cutting SNAP benefits, Medicaid
NH

New Hampshire 2025 Regular Session

House Session (03/13/2025)

New Hampshire House Floor Meeting

Transcript Highlights:
  • We don't need to fix bail reform because we know that when bail reform went into effect, there were a
  • We don't need to fix bail reform because we know that when bail reform went into effect, there were a
  • 00.799><c> that</c> fix bail reform because we know that fix bail reform because we know that when<01
  • </c><01:07:21.119><c> over</c> been documented under bail reform over been documented under bail reform
  • </c><01:12:55.679><c> Bill</c> under the bipartisan bail Reform Bill under the bipartisan bail Reform
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Feb 19th, 2026 at 08:00 am

Health & Long-Term Care

Transcript Highlights:
  • universal licensing, and I've been talking with the NEAS Center at West Virginia University about good reform
  • I accept Medicare, Medicaid, and most commercial plans.
  • dietitian staffing to take care of clients, particularly clients who are low-income and qualify for Medicaid
Bills: HB2340 , HB2155 , HB2531
NM

New Mexico 2026 Regular Session

Senate Chamber Jan 26th, 2026 at 11:01 am

New Mexico Senate Floor Meeting

Transcript Highlights:
  • the tragedy and what that revealed in regard to repeat offenders, system failures, and the need to reform
  • Senator Padilla, an act relating to labor, requiring the Health Care Authority to set a minimum Medicaid
  • fee schedule for reimbursing personal care services, requiring at least 70% of Medicaid reimbursement
WA

Washington 2025-2026 Regular Session

House Environment & Energy Jan 20th, 2026 at 04:00 pm

Environment & Energy

Transcript Highlights:
  • Good news is the Recycling Reform Act, which you all passed in 2025, is going to make a big dynamic change
  • We'd rather have a state program that we would support, where, just like food stamps or Medicaid, the
  • Just like food stamps or Medicaid, if the state deems it's necessary, they should step up and fund it
Bills: HB2426 , HB2373 , HB2416
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Jul 22nd, 2025

Transcript Highlights:
  • about the 3B bill that is going to potentially reduce those individuals who qualify for... ...using Medicaid
  • They won't qualify anymore for Medicaid because... ...they don't need it because they're going to be
  • I think it's from my perspective, as you think about capital outlay and potential capital outlay reform
CA
Transcript Highlights:
  • “First, we look to our allies in the California Legislature to look at police oversight and reform, so
  • Under health equity, expand Medicaid coverage, improve health care access in underserved areas, and address
  • Seeing cuts to Medicaid and proposed legislation will only disproportionately affect our demographics
Summary: The Select Committee on Hate, Racism, and Xenophobia met to examine the scope of hate activity in California and hear from state agencies, commissions, and community organizations. The chair opened by framing hate as a persistent crisis affecting many protected groups, and Assembly Member Gonzalez briefly joined the committee. The first panel included the California Department of Justice and the California Commission on the State of Hate, both of which presented recent data and policy recommendations. The Department of Justice reported that in 2024 California saw 2,023 reported hate crime events, 2,568 hate crime offenses, and 2,491 victims, with anti-Black bias remaining the most common category, followed by anti-Jewish and anti-Latino bias. DOJ also said referrals for prosecution increased, and it described its hate-crimes guidance, rapid response protocol, and multilingual resources. The Commission on the State of Hate said hate is undercounted in law enforcement data and cited a survey suggesting about 2.6 million Californians experienced at least one hate act in a year, including more than half a million potentially criminal incidents. It recommended permanent data infrastructure, mandatory law enforcement training, and continued funding for community-based prevention and victim support. The committee then heard testimony from representatives of the NAACP, LULAC, Jewish Public Affairs Committee of California, CHIRLA, Asian Americans Advancing Justice Southern California, CARE, Equality California, and the Racial Equity Commission. Witnesses described systemic racism, anti-immigrant enforcement, antisemitism, Islamophobia, anti-Asian bias, and anti-LGBTQ+ hate, often linking these harms to political rhetoric, social media, and federal actions. They urged the Legislature to fund programs such as California vs. Hate, Stop the Hate, nonprofit security grants, language access, school and mental health supports, and legal assistance, while also protecting civil rights, due process, and free speech. No formal votes or committee actions were taken during the hearing, but members indicated they would request additional recommendations and continue the discussion in future hearings.
CA
Transcript Highlights:
  • first, we look to our allies in the California Legislature to look at... ...police oversight and reform
  • Under health equity, expand Medicaid coverage, improve health care access in underserved areas, and address
  • Seeing cuts to Medicaid and proposed legislation will only disproportionately affect our demographics
Summary: The Select Committee on Hate, Racism, and Xenophobia met to hear opening remarks, state data, and testimony from community organizations and equity commissions about rising hate and discrimination in California. The chair framed the hearing as a response to persistent targeting of protected classes, and members said the committee’s purpose was to elevate community voices and identify policy responses. Assembly Member Gonzalez and Assembly Member Lowenthal also briefly commented on the importance of listening to communities and developing legislative solutions. The California Department of Justice reported that 2024 hate crime events, offenses, and victims all increased from the prior year, with anti-Black bias remaining the most common category, followed by anti-Jewish and anti-Latino bias in different breakdowns. DOJ also noted increases in referrals for prosecution and described its hate-crimes guidance, rapid-response protocol, and outreach efforts. The California Commission on the State of Hate said hate is underreported, cited survey data suggesting millions of Californians experienced hate incidents, and recommended permanent data infrastructure, mandatory law-enforcement training, and sustained funding for victim support and prevention programs. Commissioners also emphasized that public messaging by leaders can influence hate and violence. A long panel of advocates described the impacts of racism, xenophobia, anti-Semitism, Islamophobia, anti-LGBTQ+ hate, and anti-immigrant enforcement on their communities. NAACP representatives focused on systemic racism in policing, education, health, housing, and environmental justice; LULAC and CHIRLA described ICE raids, profiling, and fear in Latino and immigrant communities; Jewish, Muslim, Asian American, and LGBTQ+ speakers highlighted rising threats, harassment, and the need for language access, school protections, security funding, and legal assistance. The Racial Equity Commission closed by describing its statewide framework work, community engagement, and a December 1 deadline for delivering recommendations to the Legislature and administration. No formal votes or committee actions were taken during the hearing, but members said they would request additional recommendations and continue the work through future hearings and briefings.
MN
Transcript Highlights:
  • for admission or to continue living there, which the speaker believes is already a condition for Medicaid
  • for admission or to continue living there, which the speaker believes is already a condition for Medicaid
  • Maybe Miss Gramm can tell me that there have been reforms and they're wonderful. Mr.
  • Some Medicaid fraud by a certain company, right?
  • As a state Medicaid agency, we need to have oversight of our provider enrollment for medical assistance
WV

West Virginia 2026 Regular Session

Senate in Session Mar 10th, 2026 at 11:05 am

West Virginia Senate Floor Meeting

Transcript Highlights:
  • bid solicitation for a pharmacy cost containment contract to examine prescribing practices, having Medicaid
  • Engrossed committee substitute for House Bill 5364, reforming boards and commissions.
  • House Bill 5364 is intended to streamline government by repealing, reforming, and transferring authority
NM

New Mexico 2025 Regular Session

IC - Legislative Council Jun 23rd, 2025

Legislative Council

Transcript Highlights:
  • The committee will also monitor federal actions related to health and human services, specifically Medicaid
  • I should note that this is the fourth such effort that the legislature has made to reform the interim
  • I'd like just for the record to ensure that Section K includes an update on the Behavioral Health Reform