Video & Transcript Research : 'ACA'

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FL

Florida 2026 5th Special Session

FL House Floor Session - 2025-04-09 (1:00PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • And do you know how much Medicaid funding has been deferred to future budget amendments that ACA will
Summary: The House convened with prayer, the pledge, quorum call, and several recognitions, including guests for Education and Sharing Day, law enforcement officer of the day Detective Miata Anderson, and later FAMU Day at the Capitol and other visiting groups. The chamber adopted the special order report and then moved through a series of budget-related bills and conforming measures, with debate focused largely on recurring funding, environmental programs, housing, insurance reserves, and tax policy. Members approved HB 5011/SB 2506, which conform environmental resource funding to the proposed budget by shifting Seminole Gaming Compact-related dollars from recurring to nonrecurring funding; supporters said this preserves annual legislative review, while opponents warned it would reduce funding for the Resilient Florida program, wildlife corridor protection, invasive species removal, and other conservation efforts. The House then passed HB 5013, reducing state-funded property reinsurance reserves by lowering the RAP program and repealing FORA funding, and HB 5501, which redirects documentary stamp tax revenues from housing and transportation trust funds to general revenue; Democrats argued the housing changes would reduce affordable housing support, while Republicans said the move was needed to control recurring spending. The chamber also passed HB 5015 on state group insurance, HB 5201 on Florida PALM accounting conforming changes, HB 5203 on Capitol Center tenancy and utilities control, and HB 5009 creating a Florida Accountability Office and revising audit and budgeting functions. The most extended debate came on HB 7031, which permanently reduces the state sales tax rate from 6% to 5.25% and also lowers several related tax rates. Supporters described it as broad-based, immediate tax relief for Floridians, while opponents said property tax relief would be more targeted and that sales tax cuts also benefit tourists and out-of-state visitors. The bill passed 112-0. The House then took up the main budget bill, HB 501, and subcommittee chairs outlined the proposed $112.9 billion budget, including education, health care, transportation, agriculture and natural resources, higher education, state administration, justice, and IT spending. Members began questioning the pre-K-12 budget on school funding, vouchers, proration, mental health and safety allocations, and inflation, with the discussion continuing beyond the excerpt provided.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, March 24, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • The unfortunate truth is that the ACA failed in its promise to lower health care costs. service.
  • The unfortunate truth is that the<00:24:20.960> ACA<00:24:21.440> failed<00:24:21.760><
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, June 4, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • Studies predict that this may climb to as many as 5 million people dropping out of the ACA market by
  • Studies predict that this may climb to as many as 5 million people dropping out of the ACA market by
  • Studies predict that this may climb to as many as 5 million people dropping out of the ACA market by
NH

New Hampshire 2026 Regular Session

House Finance Division I (02/09/2026)

Transcript Highlights:
  • We have, under the ACA, our essential health benefits in our benchmark plan, and those benefits in that
Keywords: 928, house, all
Summary: The committee first heard testimony on House Bill 1042, which would increase the BFA contingent credit limit. State Treasurer Monica Misipelli explained that under RSA 66, state debt capacity is tied to unrestricted revenue and that guaranteed debt counts in the calculation even though it is contingent rather than direct debt. She said the state currently has about 4.2% to 4.3% debt-to-revenue ratio, about $120 million in additional capacity, and that approving the bill’s proposed increase would reduce available capacity for future state borrowing, including capital budgets. She noted the BFA has a long history of using guarantees without a state payout, but said the legislature should consider whether the full additional $250 million is needed and whether unused guarantee authorizations, such as one for the Pease Development Authority, should be reviewed in the future. Committee members asked whether guarantees have the same effect as actual debt for bonding capacity, and the treasurer confirmed that they do for purposes of the formula. Members also asked about the usual level of debt relative to the statutory 10% cap, and she said the state generally stays well below that limit. BFA Executive Director James Key Wallace then testified that the request was driven by rising project costs, inflation, and the need for more runway so the agency does not have to return to the legislature in an emergency. He said the BFA is self-supported, has never had a guarantee paid out by the state, requires collateral and reserves, and believes the appropriate range is closer to $400 million to $450 million; he also said a Senate bill would raise the limit to $400 million. He added that the BFA’s pipeline includes projects from about $15 million to $100 million and that housing availability is an important factor in business location decisions. After closing the work session on House Bill 1042, the committee opened House Bill 241, a bill on health insurance coverage for pain management services for chronic pain. Representative Dave Nagel, the prime sponsor, gave extensive background on his long career in pain medicine and said the bill is intended to improve access to non-opioid therapies and evidence-based pain management. He described the broad population affected by chronic pain and opioid use disorder, and said the proposal has long had bipartisan and stakeholder support. No vote or final action was taken on House Bill 241 in the portion of the meeting provided.
NH

New Hampshire 2026 Regular Session

House Finance Division I (02/09/2026)

Transcript Highlights:
  • Um, we have under the ACA our essential health benefits in our benchmark plan, and those benefits in
Keywords: 1189, house, all
Summary: The committee first heard testimony from State Treasurer Monica Misipelli on House Bill 1042, which would increase the contingent credit limit for the BFA. She explained that under RSA 66 the state’s debt capacity is capped at 10% of unrestricted revenue, and that guaranteed debt counts in the calculation even though it is not direct debt. She said the state currently has about 65% of its capacity used, roughly $120 million of remaining room, and that raising the BFA contingent credit limit from $200 million to $450 million would reduce that capacity. She noted the state’s debt-to-revenue ratio is about 4.2%, that the state’s credit rating is not immediately affected by the guarantee program unless the state actually has to assume the liability, and suggested unused guarantee authorizations, such as one for the Peace Development Authority, could be reviewed in the future. Members asked whether a credit guarantee affects bonding ability like actual debt, what the usual debt level is relative to the statutory cap, and whether the increase would crowd out future capital borrowing. Misipelli answered that guarantees are included in the formula and do affect available capacity, though the current ratio remains manageable. She also said she had been using a $120 million benchmark for capital budget planning and was now modeling $130 million in future state debt. When asked whether the full $250 million increase was necessary, she deferred to the BFA, saying the question should be answered by the agency. James Key Wallace, executive director of the New Hampshire BFA and interim commissioner of Business and Economic Affairs, then testified in support of the bill. He said the request was driven by larger project costs over the last several decades, with construction inflation causing guarantees to be used up in bigger chunks, and by the fact that the BFA has been close to its current cap. He said the agency does not use taxpayer funds, has never had a payout on a guarantee in nearly 35 years, and requires collateral, reserves, and an 80% loan-to-value buffer. He told members the Senate had a similar bill to raise the limit to $400 million and that the BFA considered that range acceptable. In response to questions, he said a smaller increase such as $150 million would cover known transactions but might not provide enough runway for future opportunities, and he confirmed the bill was brought at the BFA’s request. He also said businesses consider housing availability when deciding whether to locate in New Hampshire, since housing and workforce are key location factors. At the end of the work session, the chair closed House Bill 1042 and opened House Bill 241, a bill on health insurance coverage of pain management services for chronic pain. Representative Nagel began introducing the bill and asked for copies of the treasurer’s debt-capacity report, but the transcript cuts off before any further action on HB 241.
KY
Transcript Highlights:
  • We added the adult preventive benefit through ACA expansion.
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.
MN

Minnesota 2025 1st Special Session

Committee on Finance - 02/27/25

Finance

Transcript Highlights:
  • That would be the group that was added during the ACA.
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Senate Public Safety Committee Jun 23rd, 2026

Public Safety

Transcript Highlights:
  • Aubrey Rodriguez with ACA of Cal Action, proud supporter.
Keywords: 987, senate, all
VT

Vermont 2025-2026 Regular Session

Senate Session - 2026-03-24 - 9:30AM

Vermont Senate Floor Meeting

Transcript Highlights:
  • c><01:29:07.000> um Blue Cross and Blue Shield, MVP, Cigna, all of our QHP plans, all of our ACA
Keywords: 927, senate, all
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (10/01/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • in the past, if you didn't meet the work requirement, um, you could, you had the option of getting ACA
Keywords: 1189, house, all
CA

California 2025-2026 Regular Session

Assembly Public Safety Committee Jul 15th, 2025

Transcript Highlights:
  • Aubrey Rodriguez with ACA California Action in proud support.
Summary: The committee heard several public safety measures, with extensive testimony on firearms regulation, disability and sexual assault, mental health diversion, emergency response, and law enforcement masking. SB 704 by Senator Arreguín would require firearm barrels to be purchased through licensed dealers with a background check, as a response to the rise in ghost guns and 3D-printed firearms; supporters said barrels are a key component of untraceable guns, while opponents argued the bill burdens lawful gun owners and does little to stop criminals. SB 258 by Senator Wahab would eliminate the remaining spousal rape exception for victims unable to consent because of disability; supporters called it a needed closure of an archaic loophole, while disability-rights advocates opposed it unless amended, warning it could worsen misunderstandings about capacity to consent and harm disabled people’s autonomy. After debate, SB 258 passed the committee on a due-pass motion to Appropriations, with several members voting aye and the bill held on call. Senator Umberg presented SB 398, which closes a loophole in the law prohibiting paying or offering money or other value to induce someone to vote or register to vote; there was little opposition, and the bill passed on a due-pass motion to Appropriations and was held on call. He also presented SB 27, a CARE Court cleanup measure that would allow certain misdemeanor defendants found incompetent to stand trial to be routed into CARE Court and would expand eligibility to some people with mood disorders with psychotic features. Supporters said it would improve access to treatment and reduce unnecessary incarceration, while county behavioral health directors and disability advocates warned it could blur the line between voluntary civil treatment and coercive criminal proceedings and expand CARE Court beyond its intended scope. SB 27 passed on a due-pass motion as amended to Appropriations. The committee also heard SB 36 from Senator Umberg, a price-gouging measure tied to wildfire-related emergency conditions that also expands search-warrant authority for certain misdemeanor investigations. Public defenders opposed the search-warrant expansion as unnecessary, while a late supporter from the Los Angeles County District Attorney’s Office spoke in favor; the bill was moved on a due-pass motion as amended to Appropriations and held on call. SB 571 by Senator Arreguín would increase penalties for impersonating emergency personnel and related conduct during disasters; supporters cited post-fire looting and impersonation, while opponents argued longer sentences do not deter crime and that existing law is sufficient. The bill passed on a due-pass motion as amended to Appropriations and was held on call. Finally, Senator Wiener presented SB 627, which would prohibit law enforcement from wearing extreme masks except in limited circumstances, aimed largely at masked federal immigration enforcement operations. Supporters said masked, unidentified officers create fear and undermine trust, while law enforcement groups argued the bill wrongly sweeps in local officers, is too broad, and should instead target federal agents or impersonators. Testimony was still underway when the transcript ended, and no final committee action on SB 627 is shown here.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, May 21, 2025 - Part 2)

US Federal House Floor Meeting

Transcript Highlights:
  • You slash hundreds of Medicaid, undermining the ACA, and cutting half a trillion in Medicare, adding
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 02/19/26

Health and Human Services

Transcript Highlights:
  • He added that his doctor colleague next to him made a good point: the ACA enhanced premium tax credits
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (02/05/2025)

Health and Human Services

Transcript Highlights:
  • So if I was a normal amputee that has an ACA Healthcare plan, they wouldn't pay for that foot, and I
  • So if I was a normal amputee that has an ACA Healthcare plan, they wouldn't pay for that foot, and I
Keywords: 1191, senate, all
FL

Florida 2026 Regular Session

FL House Floor Session - 2025-04-30 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • Again, it'll be up to ACA to determine what that penalty is.
Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, a resolution honoring Vietnam veterans exposed to Agent Orange, and a remembrance of former Senator Karen Johnson Gendron. The chamber then moved to special order bills. CS/HB 687 on transportation offenses involving death was substituted for SB 138, amended to add warnings and penalties for refusal of breath or urine tests, and passed 37-0. CS/SB 306 on Medicaid providers, requiring broader after-hours access and network availability for Medicaid enrollees, also passed 37-0. The Senate then took up CS/CS/HB 913 on condominium associations, a major post-Surfside reform bill. Senator Bradley explained that the measure was intended to provide financial relief and flexibility while preserving safety and accountability. The bill was substituted for SB 1742, amended several times to limit milestone inspections and structural integrity reserve studies to buildings three habitable stories or more, and then passed 37-0 after extensive debate. Senators from both parties praised Bradley, Pizzo, Garcia, and staff for years of work on condo safety and affordability, with several members describing the bill as a balance between protecting residents and avoiding financial hardship. The final major item was CS/HB 1205, the bill on amendments to the state constitution and citizen petition drives. Sponsors Gates and Grohl argued the bill was needed to combat fraud, identity theft, and misuse in the petition process, citing a lengthy Office of Election Crimes and Security report. The House bill was substituted for SB 7016, and the chamber considered a long series of amendments and substitute amendments addressing petition circulator registration, volunteer participation, submission deadlines, invalid-signature thresholds, voter notification, and fiscal impact statements. Several amendments were adopted, while others were debated over whether they would protect access to the citizen initiative process or strengthen election integrity. The transcript ends during debate on the main substitute amendment, before final disposition on the bill is shown.
MN

Minnesota 2025 1st Special Session

Committee on Education Finance - 02/05/25

Education Finance

Transcript Highlights:
  • ACA serves a very diverse student population.
Keywords: 1187, senate, all
Summary: The Education Finance Committee met on February 5, 2025, to hear testimony from representatives of Minnesota’s Catholic and other nonpublic schools, focused on state nonpublic pupil aid, transportation, counseling, nursing, and related support programs. Meg Forette of the Archdiocese of St. Paul and Minneapolis argued that Catholic schools serve more than 30,000 students across many districts, educate a diverse population, and achieve strong academic results while operating at far lower per-student costs than public schools. She urged lawmakers to reject proposed cuts to nonpublic funding, saying they would be inequitable and harmful to lower-income families, and also raised concerns about state teacher-licensing requirements conflicting with Catholic values. Trisha Menshu, principal of St. John Paul II Catholic School in Northeast Minneapolis, described a student body with high levels of poverty, learning needs, and academic gaps, and said state-funded nurse and guidance-counseling services are essential to keeping students safe, healthy, and on track for high school. She said the school absorbs many costs itself, including medical supplies and significant staff time, and credited the support programs with helping students make strong academic growth and graduate on time. In response to a senator’s question, she clarified that the school uses the nursing aid for limited nurse time and pays other medical-related costs from operating funds, with no billing back to public school districts. Committee members asked follow-up questions about the relationship between teacher licensing and Catholic values, and about how medical needs for nonpublic students are funded. Forette said the concern was not with welcoming all students but with how DEI-related trainings and language are presented in ways that conflict with Catholic teaching. The committee then moved on to the next testifier, Andrew Hiliker of Stella Maris Academy in Duluth, who began by describing his school’s growth and the state’s role in supporting all students, regardless of school choice.
NH

New Hampshire 2025 Regular Session

House Finance (04/01/2025)

Transcript Highlights:
  • This change brings the retiree plan in alignment with the current state employee plan and other ACA plans
  • This change brings the retiree plan in alignment with the current state employee plan and other ACA plans
Keywords: 928, house, all
Summary: The committee first considered House Bill 66, a right-to-know measure that would broaden access from “citizen” to “person,” including out-of-state requesters. Members also adopted an amendment removing the current no-filing-fee provision for appeals of unfavorable right-to-know ombudsman rulings, citing budget concerns. The bill was then reported ought to pass as amended on a 16-9 vote, with a minority report requested. House Bill 187, which would let a parent or guardian seek a protective order on behalf of a minor alleging abuse by someone outside the family or household, was described as a narrow fix with little fiscal impact. It passed unanimously, 25-0, and was placed on the consent calendar. House Bill 215, requiring landfill permit applicants to submit a report on potential harms and benefits, was retained because its policy had been folded into House Bill 2; the committee voted 25-0 to retain it. House Bill 219, dealing with renewable portfolio standard changes and lower renewable energy certificate values, drew opposition from members who said it would weaken renewable energy development and raise concerns about energy costs, but the motion to retain was adopted 14-11, allowing the bill to be moved into House Bill 2. The committee then retained House Bills 365, 552, 566, 572, 607, 611, and 624, all by unanimous or near-unanimous votes, generally because the relevant policy or funding had been incorporated into House Bill 2 or because the bills were viewed as technical or low-impact. HB 566 was described as a landfill leach-management bill with a fiscal note under $10,000 annually and was sent to consent. HB 572 and HB 607 were retained because their money components were moved into HB 2, though one member objected that HB 607 represented an unfunded mandate for the Hampton Beach Area Commission. House Bill 511, concerning ICE detainers and county detention practices, generated the most debate. Supporters said the amendment clarified how long counties may hold detainees without a federal contract and compared the detention period to existing bail rules; opponents argued the bill could sanction detention of people not charged with crimes and raised due-process concerns. The committee adopted the amendment 14-11 and then reported the bill ought to pass as amended on another 14-11 vote, with a minority report requested. House Bill 639, involving securities and digital currency issues, was also reported ought to pass after members noted unresolved concerns but said the Secretary of State’s Securities Division was willing to continue working on it in the other body; the vote was 16-10.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, February 3, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • There is bipartisan support to extend the ACA premium tax credits.
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (01/16/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • Hampshire Medicaid program is that people who may go over the cliff, but who we recognize are eligible for ACA
Keywords: 1189, house, all