Video & Transcript Research : 'ACA'

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NM

New Mexico 2025 Regular Session

IC - Legislative Finance Oct 15th, 2025

Transcript Highlights:
  • they were enhanced for individuals at higher income levels than what was originally available for the ACA
US
Transcript Highlights:
  • You also mentioned that you and President Trump want to fix the ACA by making premiums more affordable
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, July 23, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • We found out what is it, 2.8 million of our brothers and sisters enrolled in subsidized ACA plans as
AZ

Arizona 2026 Regular Session

03/23/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • One of the things you can do on the ACA is it allows you to sign up as an individual, go on the federal
  • One of the things you can do on the ACA is it allows you to sign up as an individual and go on the federal
Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.
AZ
Transcript Highlights:
  • He said that under the ACA, the state, not the insurer, would now be responsible for the additional cost
Keywords: 1182, all
Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.
MN
Transcript Highlights:
  • And we're expecting a loss of $7.2 million for the ACA expansion.
  • expecting a loss of 7.2 million<01:26:33.120> for<01:26:33.280> the<01:26:33.440> ACA
  • <01:26:35.360> So<01:26:35.600> to million for the ACA expansion.
  • So to million for the ACA expansion.
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

Senate Finance (04/28/2025)

Finance

Transcript Highlights:
  • So in terms of how it would happen, I think, you know, compared to the ACA exchange coverage, this coverage
  • /c><02:03:47.360> compared<02:03:47.760> to<02:03:47.920> the<02:03:48.320> ACA
  • um you know the compared to the ACA um you know the compared to the ACA exchange<02:03:49.920>
Keywords: 1191, senate, all
CA

California 2025-2026 Regular Session

Assembly Floor Session Jun 29th, 2026

California House Floor Meeting

Transcript Highlights:
  • Just days ago, the body passed ACA 20, which was presented as a way to protect and strengthen deposits
Keywords: 988, house, all
CA

California 2025-2026 Regular Session

Assembly Floor Session Jun 29th, 2026

California House Floor Meeting

Transcript Highlights:
  • Just days ago, the body passed ACA 20, which was presented as a way to protect and strengthen deposits
Summary: The Assembly convened after a quorum call, prayer, and pledge, then moved through a largely procedural session with several unanimous-consent motions, guest introductions, and budget-related trailer bills. Members also adopted resolutions recognizing June as Dairy Month and June 2026 as Electronic Dance Music Month, and later approved H.R. 88 commemorating the 250th anniversary of the Declaration of Independence. Guest introductions highlighted the Los Angeles Dodgers, San Diego Kappa League, Assembly staff member Mukhtar Ali, and Jennifer Levy, who is advocating against drunk driving after the death of her son. On the floor, the Assembly considered a series of Senate budget trailer bills presented by Assembly Member Gabriel. SB 170 reorganizes housing and homelessness agencies; SB 171 makes labor-related cleanup changes; SB 172 addresses general government, broadband, and NextGen 9-1-1; SB 174 extends remote court hearings and related court provisions; SB 177 advances options related to Medi-Cal and employer contributions; SB 180 extends the California Competes tax credit and conforms tax treatment for certain savings accounts; SB 169 covers transportation and DMV-related provisions; SB 168 creates a zero-emission vehicle incentive program and other clean-energy changes; SB 166 implements natural resources and environmental protection budget items; SB 165 extends the skilled nursing facility financing framework; SB 163 updates developmental services; and SB 135 funds higher education initiatives, including community college enrollment and Cal Grant changes. Most of these measures passed with bipartisan support, though several drew opposition over concerns about bureaucracy, fees, oversight, or policy direction. The Assembly also passed SB 719, which updates vehicle-related protections for domestic violence survivors, SB 97, an urgency bill making clarifying changes to digital financial asset law, SB 1350, which supports hydrogen and clean energy development, and SB 1344, which aims to reduce meritless lawsuits delaying affordable and supportive housing projects. AB 182, which sets the order for proposition numbers on the November ballot, was approved despite criticism that it manipulates the ballot numbering process. Votes on the measures were recorded, with many passing on strong margins and several transmitted immediately to the Senate or Governor as noted in the proceedings.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 12:30 pm

Joint Committee on Financial Services

Transcript Highlights:
  • While ACA preventive coverage rules requiring PrEP coverage remain intact, recent litigation has highlighted
Keywords: 995, all
Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • After the ACA passed, Medicare and Medicaid qualification requirements still made it challenging to get
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.
MA
Transcript Highlights:
  • It's worth noting that under federal law, the ACA prohibits QALYs, but it is still being used today in
Keywords: 995, all
Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 15th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • And so much of our work through the ACA, all of the work that we've done to build a health care system
Keywords: 987, senate, all
Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, and related discussion of the legislative budget agreement. Committee staff and the Department of Finance described a two-year balanced plan with about $253 billion in General Fund spending, roughly $5.5 billion in higher assumed revenues than the May Revision, and about $36.5 billion in combined reserves. They said the package preserves or expands funding for schools and community colleges, child care, IHSS, Medi-Cal-related county administration, housing and homelessness programs, public hospitals, courthouse construction, and some criminal justice and prison-closure savings, while delaying or modifying several prior health care reductions and some Medi-Cal changes. Much of the member discussion focused on Medi-Cal, H.R. 1, and the impact on low-income and immigrant Californians. Several Democrats argued the budget protects vulnerable residents by delaying some cuts, funding county eligibility work, indigent care, public hospitals, and food banks, and rejecting the Governor’s IHSS cuts and asset-limit proposal. Republicans criticized the budget for assuming future revenues, relying on new taxes, and not doing enough to address the structural deficit or improve accountability. Members also raised concerns and support around homelessness funding, Prop. 36, judgeships and courthouse funding, transit and GGRF allocations, local journalism, Caltrans fleet spending, and a proposed “fair share” revenue measure that was not yet before the committee. Public testimony was largely supportive of the budget’s health and human services provisions, especially the rejection of IHSS cuts and the asset-limit proposal, and the inclusion of funding for child care, sickle cell centers, domestic violence services, trauma recovery centers, distressed hospitals, county eligibility work, and transit programs. Some witnesses representing hospitals and health plans cautioned about the effects of moving certain Medi-Cal populations to fee-for-service and about proposed tax changes affecting health care providers. The chair said revenue trailer bills were still being finalized and would likely come back later in the week; the committee then moved to public comment, with the chair limiting speakers to about one minute each.
CA

California 2025-2026 Regular Session

Senate Public Safety Committee Jun 9th, 2026

Public Safety

Transcript Highlights:
  • Aubrey-Gradriguez with ACA California Action in opposition.
Keywords: 987, senate, all
Summary: The committee first heard AB 647, a cleanup bill to AB 630 that would clarify that local agencies in Los Angeles and Alameda counties can use a pilot program to remove and dismantle certain abandoned, inoperable RVs valued at $4,000 or less. Supporters, including the author and Los Angeles Mayor Karen Bass’s representative, said the measure would help address public health and safety hazards tied to dilapidated RVs and homelessness. Opponents argued existing abandoned-vehicle laws already provide tools, and warned the bill could be used to remove vehicles occupied by unhoused residents without offering services. AB 647 was later approved on a due pass to Appropriations vote. The committee then considered AB 1656, which would give courts discretion to consider a prosecutor’s scheduling conflict when deciding whether to continue a human trafficking case, with amendments making the continuance discretionary and limited. Supporters said the bill would help preserve vertical prosecution and continuity for traumatized survivors; opponents raised speedy-trial and due process concerns. After discussion about balancing victim support and constitutional rights, the committee voted AB 1656 out on a due pass as amended to the floor. Members also heard AB 917, which would require prosecutors to file a motion to reinstate charges dismissed at a preliminary hearing rather than simply adding them back, with amendments clarifying procedures and violent felony refiling. Supporters said it would protect due process and respect judicial decisions; district attorneys opposed the bill as procedurally unnecessary and burdensome. The committee approved AB 917 on a due pass as amended to Appropriations. AB 2636, which would require courts to consider loaded-firearm possession when deciding whether a juvenile is eligible for deferred entry of judgment, also passed on a due pass to the floor after supporters emphasized public safety and opponents argued it would reduce rehabilitative opportunities for youth. Finally, the committee heard AB 1632, which would replace the notarization requirement for 602 trespass authorization letters with a statement under penalty of perjury. Supporters said the change would reduce administrative burden and help property owners and police address trespassing more efficiently; opponents warned it could weaken safeguards and be misused against tenants or unhoused people. The bill passed on a due pass as amended to the floor. The hearing also began consideration of AB 1974, a voluntary firearm safe-storage bill inspired by Pierce’s Pledge, with the author and a survivor advocate presenting the measure, but the transcript cuts off before the committee completed action on that bill.
AZ

Arizona 2026 Regular Session

03/25/2026 - House Transportation & Infrastructure

Transportation & Infrastructure

Transcript Highlights:
  • So right now, the Office of Defense Innovation is established under the ACA, and this would fall under
Summary: The committee first heard Senate Bill 1273, which would appropriate $14 million in FY 2027 for pavement rehabilitation of Olga Frontage Road between Bowie and San Simon. Members asked about the project length and whether it was on the rural transportation priority list. The bill was moved and passed out of committee on a 3-2 vote with a due pass recommendation. Senate Bill 1452, as amended, would create a cargo theft task force in the Attorney General’s office and require regular meetings, investigations, and reporting. Testimony from the Arizona Trucking Association described cargo theft as a growing, sophisticated crime and said the task force would help coordinate law enforcement and use Consumer Fraud Protection Fund dollars rather than the general fund. Members discussed the fund balance, possible costs, and whether the AG’s office had capacity; the committee adopted the amendment and then approved the bill 5-0 with a do pass recommendation. The committee then took up Senate Bill 1332, which orders a study of light rail expansion in Maricopa County by the Auditor General and an independent transportation research entity. Supporters, including local business owners, argued the study was needed before further expansion, while opponents said light rail already had extensive study, strong ridership, and local voter approval, and that the state should not override local decisions. After extensive debate and public testimony, the bill passed 4-3 with a do pass recommendation. Finally, Senate Bill 1059, one of several rural transportation appropriation bills discussed by Senator Wendy Rogers and Representative Blackman, would fund an additional right-turn lane at State Route 87 and State Route 260. The sponsors described it as a safety and congestion issue for Payson and surrounding rural communities, and members discussed broader rural road needs and funding. The committee approved SB 1059 unanimously, 7-0, with a due pass recommendation. The transcript also included extended discussion of Senate Bill 1209, which would waive non-operating ID fees for unhoused people and homeless shelter residents, but the committee had not yet finished action on that bill in the portion provided.
AZ

Arizona 2026 Regular Session

02/03/2026 - House Natural Resources, Energy & Water

Natural Resources, Energy & Water

Transcript Highlights:
  • sure that it's clear that I don't want to impede any other projects currently in the pipeline that the ACA
Summary: The committee heard several energy and transportation bills, with testimony largely split between sponsors, industry groups, local governments, and environmental advocates. HB 2428, dealing with county and ADEQ authority to issue voluntary permits certifying emission reduction credits for mobile and non-road sources, drew neutral support from ADEQ and support from Maricopa County; it was amended and passed 10-0 with a due pass recommendation. HB 2145, which expands who may petition on gasoline supplier alternative standards, also passed, 5-4, with no amendment. A lengthy debate followed on HB 2331, as amended, which would require electric utilities to ensure 85% of generating capacity serving retail load comes from “reliable resources” by 2030. The sponsor and supporters argued the bill was needed to preserve affordable, dependable power and prevent overreliance on intermittent renewables, while opponents from the Sierra Club and Rural Arizona Action said it would effectively favor fossil fuels, raise costs, and limit cleaner energy options. The committee adopted the strike-everything amendment and the sponsor’s amendment, then passed the bill 6-4. HB 2795, which limits county zoning authority over small modular reactors once federal permitting and certification steps are met, drew strong support from nuclear and business advocates and opposition from county, city, and environmental representatives concerned about local control, safety, waste, and preemption; it passed 6-4 after amendment-related discussion. The committee also passed HB 2340, which allows the power plant and transmission line siting committee to evaluate the plant itself when reviewing transmission line applications, by a 5-4 vote. Finally, HB 2400, an emergency measure to suspend the motor vehicle fuel tax in Areas A and C during summer months and replace the lost revenue with state highway funds, prompted testimony about gas prices, boutique fuel requirements, and transportation funding needs; cities and counties opposed the diversion of highway funds, while the sponsor argued it would help consumers facing higher fuel costs. The Griffin amendment was adopted, and the bill passed with a due pass recommendation after debate on affordability versus road funding.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Health Subcommittee Jan 22nd, 2026 at 09:30 am

A&B Health Subcommittee

Transcript Highlights:
  • If we get somebody north of 20 hours, they qualify for ACA So, if we need this provision in legislation
Keywords: 914, all
NM
Transcript Highlights:
  • to be navigating a lot... ...work requirements, reduction in SNAP benefits, or a reduction in their ACA
Keywords: 996, all