Video & Transcript : 'Medicaid reform' :
Page 159 of 495
KY
Kentucky 2026 Regular Session
Senate Standing Committee on State and Local Government. (2-4-26)
State & Local Government
Transcript Highlights:
- those residences and individuals behind them who want to take advantage of these people who get Medicaid
- those residences and individuals behind them who want to take advantage of these people who get Medicaid
- </c><00:25:06.880><c> So</c><00:25:07.039><c> when</c> business as Medicaid payback.
- So when business as Medicaid payback.
- </c> state for Medicaid benefit. state for Medicaid benefit. >> Thank<00:25:18.480><c> you.
Committee:
Senate State & Local Government
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/24/25
Health Finance and Policy
Transcript Highlights:
- Medicare Medicaid and looking at this Medicare Medicaid and looking at this because<00:45:51.920><c>
- So we're bringing this forward this year to try to do something with the Medicaid rates.
- </c><01:19:44.120><c> rates</c> something with the Medicaid rates something with the Medicaid rates obviously
- </c> plus% of that group is all on Medicaid plus% of that group is all on Medicaid uh<01:19:54.920><c
- Are we at risk of having the feds cut medical assistance or Medicaid money?
Committee:
House Health Finance and Policy
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 092 Apr 15th, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- It is not Medicaid, but it is a Medicaid-like program.
- Because remember, this is a Medicaid-like program. It's not Medicaid.
- Because remember, this is a Medicaid-like program. It's not Medicaid.
- 09.560><c> Medicaid.
- It's not Medicaid. And so they program. It's not Medicaid.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Jun 26th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- I think many of the impacts are potentially unlikely in programs like Medicaid or SNAP, not directly,
- If the child is Medicaid eligible, they should be the payer of first resort and then the state.
- We will be using, claiming Medicaid once we become certified.
- And then Medicaid pays the bulk of the services, and they pay that directly to the providers.
- , 66% of Medicaid births.
OK
Oklahoma 2026 Regular Session
Health and Human Services REVISED Apr 30th, 2026 at 01:00 pm
Health and Human Services
Transcript Highlights:
- who are important: Bradley Downs, who is the legislative liaison; Melissa Miller, who's the state Medicaid
- I have not seen or been updated on any lack of coverage of care due to providers opting out of Medicaid
- I'll be happy to give your office back some exact numbers on the people who have pulled out of Medicaid
- And you guys are basically the insurance company for Medicaid.
- We saw our Medicaid expansion numbers are ballooning and getting bigger and bigger.
Committee:
Senate Health and Human Services
FL
Florida 2026 Regular Session
FL House Floor Session - 2025-03-12 (3:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- to the Medicaid and the Medicaid managed care plans that are required.
- One of the practitioners made it clear that many of these who are on Medicaid, once they are assigned
- to the Medicaid managed care plan, each of them have their contract with ACCA, and they're obligated
- Medicaid will provide this.
- Medicaid will provide this.
Summary:
The Senate opened with prayer, the pledge, and several introductions recognizing visitors and groups in the gallery, including Moffitt Cancer Center for “Moffitt Day,” students from Lakeland Christian School, representatives from the space industry for Space Day, Kappa Alpha Psi fraternity members, licensed investigators, and local delegations from Groveland, Polk County, Auburndale, and the College of the Florida Keys. The chamber then moved to the special order calendar with Committee Substitute for Committee Substitute for Senate Bill 112, relating to children with developmental disabilities.
Senator Harrell presented the bill as a major autism-focused measure aimed at earlier diagnosis and expanded services. The bill would expand autism screening and referral grants, extend Early Steps services to age four with a federal waiver, designate the University of Florida Center for Autism and Neurodevelopment as a coordinating research hub, create grants for autism-focused charter schools and summer programs, and establish a microcredential for teachers, health workers, and daycare workers serving children with autism. Senators Davis, Jones, Osgood, Duma, and Wright spoke in support while raising concerns about provider recruitment, Medicaid managed care coverage, the need for technology and research, and the importance of early intervention and adult services. Harrell closed by saying the bill was only “step one,” addressed provider and funding questions, and emphasized research and statewide coordination.
The Senate passed CS/CS/SB 112 by a vote of 38-0 and then adopted a motion to waive the rules and immediately certify the bill to the House. Senators also co-introduced Senate Resolution 1856 honoring the life and legacy of Senator Geraldine Thompson, with 38 co-introducers recorded. In addition, Senate Bill 1324 by Senator Simon was withdrawn from further consideration, and the Senate adjourned until the following Wednesday.
TX
Transcript Highlights:
- **LBB** staff made a substantial error in OAG's budget that decreased funding to child support, Medicaid
- If you look at the cost in our budget, I think **Medicaid** and **CHIP** is roughly $75 billion in the
- Well, in the last two years, our civil Medicaid division cases have, I think, quadrupled the number of
- actions we've brought against Medicaid fraud.
- Yeah, I think it's pretty important to understand that, again, we love our Medicaid providers and we
Bills:
SB 1
Committee:
Senate Finance
Keywords:
campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, Attorney General, budget recommendations, funding swaps, salary increases, Landowner's Compensation Program, public testimony, law enforcement
Summary:
The meeting focused on the budget recommendations for the Office of the Attorney General (OAG), where key issues included the proposed decrease of $163.9 million for the 2024-25 biennium and various methodology swaps for funding. Attorney General Paxton discussed ongoing litigation expenditures and emphasized the need for continued investments in agency staffing to address rising demands within law enforcement. Notably, he requested a 6% salary increase for 2026 and 2027 to retain talented personnel amidst competitive job markets. Public testimony highlighted community awareness challenges regarding the Landowner's Compensation Program, indicating a need for enhanced outreach efforts.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/26/26
Commerce and Consumer Protection
Transcript Highlights:
- You know, as we all know, Medicaid is the largest payer of long-term care services in the country.
- But when individuals lack private coverage, they rely on Medicaid sooner and stay on it longer.
- </c> uh coverage, they rely on Medicaid uh coverage, they rely on Medicaid sooner<01:39:17.440><c> and
- or Medicare threshold, not Medicaid or Medicare threshold, not Medicare,<01:41:58.480><c> Medicaid</
- </c> Medicare, Medicaid threshold. Medicare, Medicaid threshold.
Committee:
Senate Commerce and Consumer Protection
OK
Oklahoma 2026 Regular Session
Health and Human Services REVISED Apr 30th, 2026
Health and Human Services
Transcript Highlights:
- And you guys are basically the insurance company for Medicaid.
- And we saw our Medicaid expansion numbers are ballooning and getting bigger and bigger.
- And I would argue that when Medicaid expansion was voted into the state of Oklahoma, nothing changed
- And I would argue that when Medicaid expansion was voted into the state of Oklahoma, nothing changed
- that when Medicaid expansion was voted into the state of Oklahoma, nothing changed except who pays the
Committee:
Senate Health and Human Services
Summary:
The Senate Health and Human Services Committee met to consider a series of gubernatorial nominations, first for several boards and commissions and then for key health-related executive positions. Early confirmations included Michael Vaughn to the Board of Licensed Alcohol and Drug Counselors, Tina Frazier to the State Board of Licensed Social Workers, Dr. Kanya Martin and Dr. Edgar Boyd to the Board of Examiners for Speech-Language Pathology and Audiology, Dr. Christopher Thurman to the Health Care Workforce Training Commission, Samuel Haubrick and Robert Wipp Jr. to the Committee of Home Inspector Examiners, and Dr. Gabriel Pittman to the State Board of Health. Each nominee briefly described their background and qualifications, and committee members generally emphasized professional experience, public service, and rural health needs. All of these nominations advanced on unanimous or near-unanimous votes.
The committee then considered Clayton Bullard for two roles: Cabinet Secretary of Health and Mental Health and Administrator of the Oklahoma Health Care Authority. Senators focused heavily on Medicaid managed care, provider payment delays, MCO oversight, and the short timeline before a new administration. Bullard said his priority would be stabilizing the agency, building a balanced budget, monitoring contractors and managed care organizations, and ensuring claims are paid promptly; he reported high rates of clean-claim payment within 14 days and said the agency would continue fining MCOs for noncompliance. Members also pressed him on legislative oversight and the need to keep lawmakers informed about policy changes. Both nominations were approved and sent to the full Senate.
Sharon Schell Millington was then nominated to lead the Office of Juvenile Affairs. Senators asked about security concerns, staff safety, de-escalation training, pay for direct care staff, and coordination with local law enforcement. Millington said the agency had increased staff pay, adopted nationally recognized restraint/de-escalation training, and was working to improve communication with law enforcement. Her nomination also passed and moved to the Senate floor. At the end of the meeting, the chair answered a question about board membership requirements, clarified that the statute limits how many members may reside in one congressional district but does not require every district to be represented, and thanked committee staff for their work as the committee’s final HHS meeting of the session.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (3-25-26)
Transcript Highlights:
- House Bill 689 will allow Kentucky to implement a Medicaid state-directed payment program for physician
- hospitals are not eligible for existing programs, creating a funding gap for those serving large Medicaid
- House Bill 689 will allow Kentucky to implement a Medicaid state-directed payment program for physician
- hospitals are not eligible for existing programs, creating a funding gap for those serving large Medicaid
- million annually in new federal Medicaid million annually in new federal Medicaid dollars<00:11:52.760
Summary:
The committee met with a quorum and took up a series of health-related measures. House Bill 178, on the psychiatric collaborative care model, was presented by Rep. Kim Mosher and psychiatrist Arthur Oliva. They said the bill would let primary care providers address mental health needs more quickly with psychiatrist consultation, reduce long wait times, and save money. Members voiced support, and the bill passed 7-0 with favorable expression and consent.
House Bill 387, presented by Speaker Pro Tem David Meade, would keep veterinarians excluded from KASPER reporting requirements and instead add two veterinarians to the Controlled Substance Council. Meade argued that veterinary prescribing is difficult to track by animal, that prior efforts created complications, and that rural Kentucky needs the flexibility. A senator asked about possible diversion of veterinary opioids to humans; Meade said there was no substantial evidence of widespread abuse. The bill passed 9-0 with favorable expression and consent.
House Bill 676, by Rep. Rebecca Raymer, was amended from creating a health data utility to directing LRC to study best practices for one during the interim, with a report due December 1, 2026. Members said the state needs a coordinated way to use health data. The amended bill passed 9-0 with favorable expression and consent. House Bill 689, presented by Rep. Amy Neighbors and Dr. Heidi Marley, would authorize a Medicaid state-directed payment program for qualifying hospital-affiliated physician and non-physician services, pending federal approval, with supporters saying it would improve access in underserved areas, support provider retention, and bring in about $29 million annually in federal funds without using state dollars. It also passed 9-0 with favorable expression and consent.
Finally, House Joint Resolution 24, presented by Rep. Kim Fleming, would direct the administration to withdraw a previously required community engagement waiver request because it is no longer needed. The resolution passed 9-0 with favorable expression and consent. The chair noted the next meeting might be April 1, though no bills were currently scheduled, and the committee adjourned.
AZ
Arizona 2026 Regular Session
03/19/2026 - Senate Health and Human Services
Senate Health and Human Services COR
Transcript Highlights:
- Arizona Medicaid members, particularly those seeking behavioral health treatment, recovery services,
- We have to give staff, stakeholders, providers, legislators, and everyone involved in the Medicaid system
- now reverted back to pre-fraud levels and the humanitarian crisis, at least when we look at the Medicaid
- Generally, the American Rescue Plan Act prohibited state Medicaid agencies who received ARPA funding
- from supplanting provider payments with the federal funds and required Medicaid agencies to preserve
Committee:
Senate Senate Health and Human Services COR
Summary:
The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities.
Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope.
The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Feb 4th, 2026
Transcript Highlights:
- next bill is House Bill 2555, which relates to coverage of traditional health care practices under Medicaid
- We're going to do... ...Medicaid and there are no amendments. Any questions on this?
- There are approximately over 800,000 total children receiving Medicaid in the state of Washington.
- CNA duties are not a Montana Medicaid reimbursable PCCA service.
- We spent a lot of time figuring out the appropriate Medicaid authority to ultimately put this under.
Summary:
The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills.
The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served.
The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 30 January, 2026; 9:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- . >> Medicaid will meet Monday at 2:30 in room 210. >> 210.
- Medicaid will meet on Monday in room 210 at 2:30 p.m.
- Medicaid will meet on Monday in room 210 at 2:30 p.m.
- Medicaid<00:25:17.919><c> will</c><00:25:18.080><c> meet</c><00:25:18.240><c> on</c><00:25:18.480><c>
- Monday</c><00:25:18.720><c> in</c><00:25:18.960><c> room</c><00:25:19.200><c> 210</c> Medicaid will
MN
Minnesota 2025-2026 Regular Session
Minnesota House passes the omnibus state government finance and elections bill, SF3045 5/1/25
Minnesota House Floor Meeting
Transcript Highlights:
- </c><01:15:31.120><c> So</c> the Medicaid fraud control unit. So the Medicaid fraud control unit.
- </c> talking about the work of the Medicaid talking about the work of the Medicaid fraud<01:30:26.639
- Medicaid accounts for 89%.
- we've seen in Medicaid.
- Second, it updates the Medicaid.
HI
Transcript Highlights:
- Because I'm looking at Medicaid funds.
- Because I'm looking at Medicaid funds.
- Because I'm looking at Medicaid funds.
- So, like, for instance, let's focus on Medicaid, okay?
- So, like, for instance, let's focus on Medicaid, okay?
Committee:
Senate Health and Human Services
Summary:
The Health and Human Services committee heard several gubernatorial nominations and appointments, beginning with Sunshine Cho and Barbara Tom for the Language Access Advisory Council. Both nominees said they stood on their written testimony and expressed interest in continuing to serve, and multiple organizations testified in strong support. No opposition or questions were raised on either nomination, and the committee moved on after hearing the testimony.
The bulk of the meeting focused on GM 642, the nomination of Ryan Yamane to be Director of the Department of Human Services. Yamane gave an extensive opening statement describing his social work background, long public service career, and philosophy of compassionate, balanced leadership. He emphasized DHS’s role in helping people from keiki to kūpuna with dignity and support, and shared personal stories from disaster response and family-service work to illustrate his approach. Support testimony came from a wide range of state officials, agency directors, community organizations, health systems, advocacy groups, and former colleagues, who praised his leadership, problem-solving, communication skills, and empathy.
One witness, Moani Kiala Katherine Tu Alun, testified in opposition, raising concerns about retaliation and safety issues affecting foster youth and alleging harmful treatment within Child Welfare Services. Another witness, Angela Melody Young, supported the nomination and said Yamane could help overcome barriers for vulnerable communities and improve DHS programs such as financial assistance, SNAP, and disability services. The committee also heard from DHS staff and related officials about the uncertainty surrounding possible federal funding and staffing cuts; Yamane said the department is gathering information, coordinating with Budget and Finance and federal partners, and preparing to prioritize services and adjust if federal changes affect programs. No votes were taken in the portion of the meeting provided.
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 113 May 7th, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- members who are in the custody Medicaid members who are in the custody of<01:57:54.320><c> a</c><01:
- And it is because we had an incredibly frustrating budget process around Medicaid and how to evaluate
- We need a deeper dive into whether Medicaid is doing all of the things that it should be doing.
- </c> need a deeper dive into whether Medicaid need a deeper dive into whether Medicaid is<02:18:11.679
- </c> should be looking at how Medicaid should be looking at how Medicaid impacts<02:18:39.120><c> people
MN
Transcript Highlights:
- Do they impact this for Medicaid?
- My best math is that the Medicaid budget somewhere...
- Senator Hoffman: Do Medicaid reimbursement rate work requirements impact this for Medicaid?
- My best math is that the Medicaid budget somewhere...
- My best math is that the Medicaid budget somewhere...
Committee:
Senate Human Services
MO
Transcript Highlights:
- companies from selling these memberships to individuals who are enrolled in MoHealthNet because Medicaid
- It will require that companies plainly state that these memberships are not insurance and that Medicaid
- Medicaid covers all these expenses with no out-of-pocket expense.
- In Missouri, we transported roughly 1,600 patients, and for Medicaid, 400.
- The state of Missouri, as already mentioned, ensures that Medicaid patients are fully covered with no
Committees:
House Insurance , House Insurance and Banking
MO
Transcript Highlights:
- companies from selling these memberships to individuals who are enrolled in MoHealthNet because Medicaid
- It will require that companies plainly state that these memberships are not insurance and that Medicaid
- So Medicaid covers all these expenses with no out-of-pocket expense.
- In Missouri, we transported roughly 1,600 patients, and for Medicaid, 400.
- The state of Missouri, as already mentioned, ensures that Medicaid patients are fully covered with no
Committee:
House Insurance and Banking
Summary:
The House Committee on Insurance met with 12 members present and opened with remarks honoring longtime committee clerk Sherry Anderson, who recently passed away. The committee then took up House Bill 2874, sponsored by Representative Phelps, a consumer protection measure concerning air ambulance membership programs.
Representative Phelps explained that the bill would prohibit air ambulance companies from selling memberships to MoHealthNet enrollees, require clear disclosures that the memberships are not insurance and are unnecessary for Medicaid recipients, and allow current members who enroll in MoHealthNet to cancel within 30 days for a prorated refund or transfer to a household member. Committee members asked about the 30-day window, the bill’s unchanged language from last session, and whether future changes to MoHealthNet coverage could require revisiting the bill. Phelps and the chair emphasized that the measure is intended to prevent consumers from buying a product they do not need and to clarify that membership does not guarantee service in all circumstances.
Doug Flanders of Air Methods testified in support, saying the bill uses negotiated language from last session and would protect MoHealthNet enrollees from unnecessary purchases. He noted Air Methods’ Missouri operations and said Medicaid patients are already fully covered for emergency air medical transport with no out-of-pocket cost. No one testified in opposition or for informational purposes, and the chair closed the public hearing on HB 2874 with no further business before adjourning.
FL
Florida 2025 Regular Session
Fiscal Policy Mar 6th, 2025
Transcript Highlights:
- ONE OF THE QUESTIONS THEY HAD WAS WITH THE FLORIDA MEDICAID AND MANAGED-CARE PLANS BE REQUIRED TO COVER
- CHILDREN WHO ARE CURRENTLY COVERED UNDER MEDICAID WILL CONTINUE TO BE COVERED UNDER MEDICAID.
- THE EARLY STEPS PROGRAM, I'M NOT SURE HOW THAT INTEGRATES INTO MEDICAID BUT EVERY CHILD ON MEDICAID WILL