Video & Transcript : 'Medicaid reform' :

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FL

Florida 2026 Regular Session

Appropriations Committee on Criminal and Civil Justice Feb 12th, 2026

Appropriations Committee on Criminal and Civil Justice

Transcript Highlights:
  • We remove the requirement that a health care provider's participation in the Medicaid supplemental reimbursement
  • We keep emergency medical transport at reimbursement rates not to exceed the Medicaid allowable rates
  • Adjustment of compensation for hospital emergency medical services and care: we have it currently at the Medicaid
Bills: S0760 , S1012 , S1536 , S1582 , S1792
HI

Hawaii 2026 Regular Session

CPC Public Hearing - Tue Mar 24, 2026 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • to set us up use of funds for PBM reform to set us up for<00:18:03.520><c> success</c><00:18:03.920>
  • Looking at MAC pricing alone is a really small subset of PBM reform.
  • Looking at MAC pricing alone is a really small subset of PBM reform.
  • </c><00:32:48.160><c> managed</c><00:32:48.520><c> care</c> including Medicaid managed care including
  • Medicaid managed care programs,<00:32:49.800><c> to</c><00:32:49.920><c> cover</c><00:32:50.200><c>
Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.
TX
Transcript Highlights:
  • It also causes issues with Medicaid—who covers these costs in the hospital if the birth mom changes her
  • Also, Medicaid babies need medical care, and who's going to pay for that?
  • Medicaid. If they can get the Medicaid. I think that, oh, you just started. Okay.
  • This is the other piece—building a... ...pro-life state, and improving adoption and reforming our foster
  • comprehensive report to guide. future policy efforts, and HB 12 of the 88th legislature extended Medicaid
HI
Transcript Highlights:
  • We're a nonprofit focused on finding reforms in the criminal justice system.
  • This is not reform. This is another loophole.
  • This is not reform. This is another loophole.
  • If they're in the community, they can be on Medicaid.
  • We're going to take up SB 3324 SD1 HD1 relating to Medicaid.
Bills: HCR93 , HCR14 , HR85
Committee: House Finance
AZ

Arizona 2026 Regular Session

03/16/2026 - Senate Federalism and Family Law

Federalism and Family Law

Transcript Highlights:
  • Tieran, members, HCM 2006 states that the legislature praised that the President and the Congress reformed
  • What we're doing is we're urging the President, the Congress of the United States, to reform the Endangered
  • What we need to do is we need to redefine that one, and that's what we're doing: we're urging reform
  • at the congressional level to delist the wolves and then also reform the migratory bird species, the
  • Beyond that, a postcard to Congress to ask them to open up and reform the Endangered Species Act because
AZ

Arizona 2026 Regular Session

03/04/2026 - Senate Judiciary and Elections

Judiciary and Elections

HI

Hawaii 2026 Regular Session

PBS Public Hearing - Wed Feb 18, 2026 @ 10:00 AM HST

Public Safety

Transcript Highlights:
  • >> Well, the 1115 waiver is really about Medicare, but it's Medicaid services that also provide housing
  • 57:40.559><c> services</c><00:57:40.960><c> that</c><00:57:41.200><c> also</c> &gt;&gt; but it's Medicaid
  • services that also &gt;&gt; but it's Medicaid services that also provide<00:57:41.920><c> housing</c
  • /c><00:59:25.359><c> if</c><00:59:25.760><c> they</c><00:59:26.160><c> have</c><00:59:26.480><c> Medicaid
  • </c> >> Well, if they have Medicaid... >> Mr.
Bills: HB1997 , HB2343 , HB2566 , HB2493
Committee: House Public Safety
Summary: The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript. The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded. House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript. Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.