Video & Transcript : 'Medicaid reform' :

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TX

Texas 89th Regular

S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025

S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:
  • Because obviously, it wasn't Medicaid; Medicaid didn't pay for that. Yeah, I had private insurance.
  • Than just if HHSC is the Medicaid. Is somebody from Medicaid here? Okay, sorry. Are you registered?
  • This bill requires Medicaid.
  • But in Texas Medicaid...
  • Medicaid were not auto-enrolled in Medicaid at birth, totaling over $22,000.
TX

Texas 89th Regular

S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025

S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:
  • Is it beneficial to increase Medicaid food as medicine options?
  • These services are completely lacking for children in our Medicaid system.
  • in strong support of this, but they don't see this as an added benefit or as a new expansion of Medicaid
TX

Texas 89th Regular

Public Health May 12th, 2025

Public Health

Transcript Highlights:
  • It is critical to note that ASCs... reduce expenses for patients, insurers, and Medicare and Medicaid
  • More than $4 billion of that savings are in the Medicare and Medicaid programs alone.
  • psychiatrists, except that we de-prescribe more often. ...and that we do serve patients who have Medicaid
  • Many prescribing psychologists also accept Medicaid, expanding care to those often left behind.
Committee: House Public Health
TX
Transcript Highlights:
  • Insurers are permitted, but not required, for the data plans to be subject to the law, including Medicaid
  • Medicaid, where we just created a pause.
  • ...on y'all accepting Medicare and Medicaid?
  • Right now, we are not certified for Medicare, Medicaid, and TRICARE.
  • providers, including those with ownership interests. those who finance Medicaid-enrolled entities and
TX
Transcript Highlights:
  • In fact, currently, Medicaid, CHIP, TRICARE, and 30 other states require this coverage.
  • I think the majority of the children that are... being put to sleep fall into the Medicaid category because
  • Medicaid has very strict documentation requirements, pre-screening, and prior authorizations and things
TX

Texas 89th Regular

Health and Human Services (Part II) Apr 9th, 2025

Health & Human Services

Transcript Highlights:
  • In fact, currently Medicaid, CHIP, Tricare, and 30 other states require this coverage.
  • I think the majority of the children that are being put to sleep fall into the Medicaid category because
  • they have so much more disease there, and Medicaid has very strict.
TX

Texas 89th Regular

Health and Human Services (Part I) Apr 9th, 2025

Health & Human Services

Transcript Highlights:
  • We fixed this in Medicaid, where we just created a pause.
  • Is there a federal prohibition on y'all accepting Medicare and Medicaid? Right. No, we are right.
  • At the present time, we are not certified for Medicare, Medicaid, and TRICARE.
  • And what this does is allow us to see Medicare, TRICARE, and Medicaid.
  • TRICARE and Medicaid.
Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.
TX

Texas 89th Regular

Ways & Means Mar 31st, 2025

Ways & Means

Transcript Highlights:
  • on the interest list for long-term services and supports under the state's program. the state's Medicaid
  • There are Medicaid programs for people who need full-time long-term care.
  • the end of the wait list, and then they're eligible to work because that care is provided by the Medicaid
Committee: House Ways & Means
OK

Oklahoma 2026 Regular Session

Administrative Rules REVISED: Links Added May 6th, 2026

Administrative Rules

Bills: SJR50 , SJR52 , SJR53
Summary: The Administrative Rules Committee met to consider three joint resolutions approving major rules. Chairman Kendricks presented SJR 50 and SJR 52, both related to Oklahoma Health Care Authority rules, and SJR 53, which was clarified to concern the Oklahoma Medical Marijuana Authority. Members asked why the Health Care Authority rules were split into two separate resolutions, and were told they could have been combined but were being handled separately. Each resolution was moved for adoption, there was little to no debate, and the committee voted to approve them. SJR 50 passed 10-0, SJR 52 passed 11-0, and SJR 53 also passed unanimously. After the votes, members exchanged brief remarks thanking one another for their work during the year and noting the committee’s efforts to reduce bureaucracy. A member asked whether suggestions should be raised at that time, and was told that was not the appropriate time. With no further business, the committee adjourned.
KY
Transcript Highlights:
  • </c> all of us that are Medicaid providers. all of us that are Medicaid providers.
  • ><c> Medicaid,</c> more talk about Medicaid, more talk about Medicaid, &gt;&gt; okay, &gt;&gt; okay,
  • Medicaid? Medicaid?
  • </c> can bill Medicaid for those services. can bill Medicaid for those services.
  • Medicaid state funding. The system is Medicaid state funding.
Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations Apr 3rd, 2025 at 08:30 am

Appropriations

Bills: SB2271 , HB1216
Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.
NV

Nevada 2025 Regular Session

Assembly Committee on Legislative Operations and Elections May 29th, 2025 at 01:00 pm

Legislative Operations and Elections

Transcript Highlights:
  • As a nonpartisan election reform organization, CLC believes that thoughtful expansion of this policy
  • This is a really important bill and a step in the right direction towards positive election reform, and
  • is Doug Goodman, D-O-U-G, G-O-O-D-M-A-N, founder and executive director of Nevadans for Election Reform
Bills: AB534 , AB562 , AB595 , AB597 , AB600 , SB74 , SB226 , SB422 , SB488