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.
Bills:
HB231 , HB231 , HB475 , HB488 , HB632 , HB821 , HB1786 , HB1955 , HB2036 , HB2060 , HB2659 , HB2677
Keywords:
HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation
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
Bills:
HB231 , HB475 , HB488 , HB632 , HB821 , HB1786 , HB1955 , HB2036 , HB2060 , HB2659 , HB2677 , HB231
Keywords:
food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system
TX
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.
Bills:
SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721
Committee:
House Public Health
Keywords:
e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid
TX
Transcript Highlights:
- We urge you to support Senate Bill 2721 in order to put in place these common-sense reforms to prevent
Bills:
SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721
Committee:
House Public Health
Keywords:
e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Apr 9th, 2025
Health & Human Services
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
Bills:
SB227 , SB269 , SB407 , SB463 , SB527 , SB547 , SB1283 , SB1380 , SB1383 , SB1511 , SB1640 , SB1784 , SB2069
Committee:
Senate Health & Human Services
Keywords:
school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity
TX
Texas 89th Regular
Senate Committee on 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
- Medicaid has very strict documentation requirements, pre-screening, and prior authorizations and things
Bills:
SB227 , SB269 , SB407 , SB463 , SB527 , SB547 , SB1283 , SB1380 , SB1383 , SB1511 , SB1640 , SB1784 , SB2069
Committee:
Senate Health & Human Services
Keywords:
school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity
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
- they have so much more disease there, and Medicaid has very strict.
Bills:
SB 227 , SB 269 , SB 407 , SB 463 , SB 527 , SB 547 , SB 1283 , SB 1380 , SB 1383 , SB 1511 , SB 1640 , SB 1784 , SB 2069
Committee:
Senate Health & Human Services
Keywords:
school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity
TX
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.
Bills:
SB227 , SB269 , SB407 , SB463 , SB527 , SB547 , SB1283 , SB1380 , SB1383 , SB1511 , SB1640 , SB1784 , SB2069
Committee:
Senate Health & Human Services
Keywords:
school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity
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.
AL
Transcript Highlights:
- We'll say the pregnant lady was on Medicaid, and the baby's already been born.
Committee:
Senate Judiciary
Keywords:
habitual felony offender, resentencing, Alabama Department of Corrections, victim notification, criminal justice reform, life sentences, parole eligibility, pardon, parole, law enforcement, GPS monitoring, data sharing, mail theft, stolen mail, criminal penalties, personally identifying information, felony, misdemeanor, SB47, Alabama
TX
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
Bills:
HB511 , HB972 , HB 1035 , HB2481 , HB2723 , HB2742 , HB2894 , HB2962 , HB3077 , HB3093 , HB3307 , HB3684 , HJR67 , HJR72
Committee:
House Ways & Means
Keywords:
ad valorem taxation, caregiver exemption, Medicaid, long-term services, tax relief, assisted living, housing support, property tax exemption, caregiver support, residence homestead, tax exemption, unpaid caregiver, state tax code, property tax, caregiver, waiting list, intellectual disability, developmental disability, ad valorem tax, family support
OK
Oklahoma 2026 Regular Session
Administrative Rules REVISED: Links Added May 6th, 2026 at 01:00 pm
Administrative Rules
Committee:
House Administrative Rules
Keywords:
Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval
OK
Oklahoma 2026 Regular Session
Administrative Rules REVISED: Links Added May 6th, 2026
Administrative Rules
Committee:
House Administrative Rules
Keywords:
Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval
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
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (3-9-26)
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, >> okay, >> 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.
Keywords:
00:00:00 - Call to Order/Roll Call
00:02:20 - Discussion of 26RS HB 689
00:13:13 - Discussion of 26RS SB 201
00:27:45 - Discussion of 26RS HB 583
00:46:37 - Discussion of 26RS HB 488
00:48:13 - Discussion of 26RS HB 2
01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program
01:18:24 - Public Comment, 958, all
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
Committee:
Senate Appropriations
Keywords:
adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program
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.
AL
Alabama 2025 Regular Session
Alabama House Constitution, Campaigns and Elections Committee Mar 5th, 2025
Constitution, Campaigns and Elections
Committee:
House Constitution, Campaigns and Elections
Keywords:
primary election, election calendar, off-presidential year, May primary, second Tuesday in May, fourth Tuesday in May, runoff primary, special primary, presidential primary, election administration, candidate filing, ballot access, political parties, county election officials, state election law, Alabama elections, elections, voter registration, publishing requirements, cost-saving
KY
Kentucky 2026 Regular Session
Joint Meeting of House and Senate Committees on Health Services (1-12-23)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=qnBH-9G46wI, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00:00
Roll Call: 00:00:42
Consideration of Referred Administrative Regulations: 00:10:20
Overview of the Organization and Structure of the Cabinet for Health and Family Services: 00:14:01
Update and Overview of the Kentucky Medicaid Program: 01:08:19, 958, all, 2.2.42, 2.1.47
LA
Louisiana 2026 Regular Session
Administration of Criminal Justice Apr 14th, 2026
Administration of Criminal Justice
Bills:
HB343 , HB378 , HB394 , HB396 , HB426 , HB439 , HB491 , HB523 , HB622 , HB676 , HB772 , HB1025 , HB1038
Committee:
House Administration of Criminal Justice
Keywords:
parole eligibility, juvenile offenders, rehabilitation, first-time offenders, reentry programs, substance abuse treatment, education programs, emergency responders, law enforcement, obstructing traffic, public safety, penalties, parole, criminal justice, release extension, prison reform, autopsy, criminal evidence, photographs, court proceedings
WA
Washington 2025-2026 Regular Session
House Community Safety Jan 29th, 2026 at 08:00 am
Community Safety
Transcript Highlights:
- Texas, Montana, Iowa, the United Kingdom, France, and New Zealand have reaped the benefits of this reform
Committee:
House Community Safety
Keywords:
rehabilitation, felony offenses, criminal justice reform, first-time offenders, pathways to rehabilitation, mental health, sentencing alternative, criminal justice, diversion programs, HB 2641, ICE out act, law enforcement hiring, immigration and customs enforcement, ICE officers, former federal employees, sworn officer, police staffing, general authority law enforcement agency, limited authority law enforcement agency, immigration enforcement
WA
Washington 2025-2026 Regular Session
Senate Human Services Jan 20th, 2026 at 01:30 pm
Human Services
Committee:
Senate Human Services
Keywords:
incarcerated individuals, escorted leaves, criminal justice, rehabilitation, state law, healthcare, incarcerated, extraordinary medical placement, criminal justice reform, medical care, children, youth, financial stability, care services, department of children and families, housing assistance, foster care, pilot program, social services, accountability
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
Keywords:
election reform, voter accessibility, conditional ballots, voter registration, mechanical voting systems, election audits, voter access grants, provisional ballot, voting technology, AB562, Nevada, Secretary of State, elections, elections management system, HAVA, Help America Vote Act, automatic voter registration, AVR, election technology, state appropriations