Video & Transcript Research : 'Medicaid reform'

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OK

Oklahoma 2026 Regular Session

Children, Youth and Family Services REVISED: HB3637 - Added Feb 18th, 2026

Children, Youth and Family Services

Summary: The committee first considered House Bill 3552, which would let child care providers bridge the gap between subsidy reimbursement rates and tuition rates. An amendment was adopted unanimously to make the bill subject to approval by the Administration for Children and Families, with the author explaining it was intended to protect federal DHS funding. The bill then passed on a 4-1 vote. Members then heard several child welfare and human services measures. House Bill 3380, on foster care reform and DHS transparency, passed 5-0 after questions about how public input and scoring would be documented. House Bill 3502, the parental rights and child welfare bill, passed 4-1 after debate over whether the bill addressed a real problem and whether resources would be better spent recruiting foster parents. House Bill 3849, updating and broadening a mentoring program for children and youth, passed 5-0, and House Bill 3886, requiring Health Department personnel to remain on site after an immediate jeopardy finding at a nursing home until a removal plan is accepted, also passed 5-0. The committee also approved House Bill 3907, which would prohibit certain facilities serving vulnerable juveniles and adults from being staffed through temporary staffing agencies, on a 5-0 vote. House Bill 4201, changing master teacher requirements in licensed child care from license capacity to actual enrollment, passed unanimously after discussion of how staffing ratios would work in practice. House Bill 4302, as amended, passed unanimously after removing subpoena language and instead allowing the Office of Juvenile System Oversight to disclose a complainant’s identity to law enforcement when needed to protect safety. House Bill 3448, requiring umbrella insurance coverage for certain child care caregivers, and House Bill 3409, streamlining recertification for five-star child care providers, both passed unanimously. House Bill 4095, reauthorizing and clarifying the 211 collaborative as the state lead entity for hotline services, also passed 6-0. The most extensive debate came on House Bill 3131, which would establish statewide baseline standards for transparency, public safety, and health safety in homeless shelters and create an advisory board. Members raised concerns about local control, rural county burdens, agency workload, and whether the bill duplicated existing requirements, while the author said he was open to further changes, including strike title and possible population-based exceptions. Despite objections, the bill advanced to the Oversight Committee on a 4-3 vote. Before adjournment, the chair said the committee would begin a deeper review of OCCY multidisciplinary teams and CAC child advocacy groups in upcoming meetings.
HI

Hawaii 2026 Regular Session

GVO DEFER, AEN-GVO Public Hearings 02-12-2026

Government Operations

Summary: The committee met on February 12, 2026, to take decision-making on measures previously heard earlier in the month. Several bills were deferred indefinitely or set for later discussion, including SB 2064 on the Office of the State Architect, SB 3068 on procurement, and SB 3216 after its contents were moved into another measure. SB 2862 on gubernatorial appointments, SB 2781, and SB 315 were all deferred to Tuesday, February 17 at 3 p.m. in Room 225 for further work. The committee also noted that if technical problems interrupted the meeting, it would reconvene later for outstanding decision-making. The committee passed SB 2343 on the Legislature with amendments incorporating language from SB 3216, technical changes, and a defective date of 2525. SB 2075 was advanced as a Senate draft 1 after amendments responding to constitutional concerns raised by the attorney general and SPO. SB 2927 on procurement was also passed with amendments clarifying debriefing requirements and adding technical changes, and SB 2938 on search and rescue was amended to place the position in Hima rather than the Governor’s office before being adopted. SB 3249 on procurement protests was amended to remove the term "frivolous," reduce the forfeiture to half the bond amount, and note unresolved issues, then adopted. The committee also took up SB 3332 on state-funded travel, amending it to remove certain lines, report travel by position number to protect confidentiality, remove subsection G, and add a defective date of 2525; it was adopted. SB 2929 on public notice was amended into a pilot project for counties with populations between 100,000 and 175,000, with a year-end report to the Legislature, and was adopted. Later, the committee returned to SB 2094 on environmental action levels, heard testimony from the Department of Health in support of its current scientific process and from an environmental caucus witness in strong support of the bill’s transparency and petition provisions, and then deferred decision-making to February 17 at 3 p.m. in Room 225. In the joint hearing portion, SB 3233 on agricultural workforce housing drew generally supportive testimony from ADC, the Farm Bureau, the Chamber of Commerce, the Hawaii Farmers Union, and the State Procurement Office, with concerns focused on clarity, flexibility for smaller farms, and avoiding concentration of benefits in one large operation. The committee ultimately recommended passing SB 3233 with the State Procurement Office’s clarifying amendments and the Hawaii Farmers Union’s amendment to ensure workforce housing incentives benefit multiple farmers, and the measure was adopted.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 9th, 2026 at 06:43 pm

House Judiciary

Transcript Highlights:
  • What is Medicaid going to cover these devices?
  • Madam Chair and Leader, I just want to clarify: we had a great conversation with Alana, Director of Medicaid
  • There's been a commitment that they're wanting to expand this coverage as well for Medicaid users, but
  • Madam Chair and Leader, yeah, the process for our state's Medicaid program is they must put that in the
  • CMS is the Centers for Medicare and Medicaid Services.
NM

New Mexico 2026 Regular Session

Senate - Judiciary Feb 9th, 2026

House Judiciary

Summary: The committee first took up Senate Bill 40, a committee substitute addressing automated license plate readers (ALPRs) and privacy. Sponsor Sen. Worth said the bill was intended to preserve ALPRs as a law-enforcement tool while adding guardrails to prevent sharing or selling data for immigration enforcement, protected health care activity, or criminalizing constitutionally protected conduct. Supporters included state and local law enforcement, the ACLU, immigrant-rights, reproductive-rights, and sexual-assault advocacy groups. Law enforcement witnesses said the bill balanced privacy with public safety and cited cases where ALPRs helped locate kidnapped children, murder suspects, and stolen vehicles; opponents and some senators argued the bill was too narrow, too focused on immigration and health care, and raised concerns about federal law, data sales, and enforcement. After debate, the committee adopted an amendment removing subsection F, then approved the committee substitute and advanced SB 40 on a do-pass motion. The committee then heard Senate Bill 104, which would create a process for removing wildlife commissioners after the 2023 wildlife commission legislation and the governor’s veto of the prior removal language. Sen. Worth explained that SB 104 would allow the governor to initiate removal for malfeasance, incompetence, or failure to attend meetings, with notice, a hearing, and exclusive review by the state Supreme Court; he said it was modeled on the Board of Regents removal process and was intended to complete the wildlife commission reforms. The New Mexico Wildlife Federation, Audubon Southwest, and the Department of Game and Fish supported the bill, saying it would depoliticize wildlife management and provide stability. Senators asked about the existing “three consecutive meetings” vacancy language, current vacancies, and the prior removal of a commissioner. The committee discussed the governor’s earlier veto and whether the bill was necessary, but no amendment was adopted and the committee approved SB 104 on a do-pass motion.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 9th, 2026

House Judiciary

Transcript Highlights:
  • What is Medicaid going to cover these devices?
  • So there's been a commitment that they're wanting to expand this coverage as well for Medicaid users,
  • Yeah, the process for our state's Medicaid program is they must put that in the CMS applications, which
  • CMS is the Center for Medicaid and Medicare. So that is how those devices will be approved.
  • CMS is the center for Medicaid and Medicare. So that is how that those devices will be approved.
Summary: The committee heard House Bill 38, which would require insurance coverage for specialized wheelchairs, activity chairs, and related mobility devices for people with limb loss or other disabilities, with guardrails limiting the number of covered devices over time. The sponsor and supporters, including the Office of Superintendent of Insurance, Disability Rights New Mexico, the Disability Coalition, physical therapists, and disability advocates, said the bill would improve access, inclusion, and physical activity without significant premium impact. Questions focused on the substitute language, the device limits, and how Medicaid would handle coverage separately. The committee ultimately passed the House Health and Human Services Committee substitute for HB 38 on a 10-0 vote. The committee then approved House Bill 165, which expands the C-PACE financing program to businesses using industrial revenue bonds and clarifies that counties and municipalities are not liable for payments. Support came from economic development and business groups, who said the bill would remove a barrier to energy- and water-efficiency upgrades and encourage investment. The bill passed on a 10-0 vote. House Bill 127 also passed unanimously after discussion of its three parts: a provisional licensure pathway for internationally trained physicians, a telehealth registry for out-of-state providers, and changes to expedited licensure. Supporters said it would help address provider shortages, especially in rural and underserved areas, while the sponsor explained that the amended version includes safeguards such as exam requirements, supervised practice, and a provisional-to-restricted-to-full licensure path. The committee voted 11-0 to advance the bill. House Bill 72, which would increase penalties for distributing certain controlled substances, including methamphetamine, to minors, drew strong support from law enforcement and the chamber of commerce but significant concern from the Public Defender and several members over strict liability, mandatory sentencing, and the breadth of the penalty. After debate over whether the bill could reach low-level or peer-to-peer conduct and whether the penalty was proportionate, the committee voted to table the bill by a 6-4 vote. The committee then took up House Bill 151, a revised childhood sexual abuse statute of limitations bill. The sponsor presented a committee substitute that changed commission appointments, added reporting and solvency-related provisions, and adjusted procedures for compensation and appeals. Members raised concerns about parity, definitions, administrative costs, and how awards would be determined, but the committee approved the committee substitute on a 7-0 vote.
NM

New Mexico 2026 Regular Session

Senate - Rules Feb 13th, 2026 at 09:19 am

Senate Rules

Transcript Highlights:
  • So there's some things that we've already begun to think of as to how to reform. Right?
  • So there's some things that we've already begun to think of as to how to reform and planning us should
Bills: SM20, SM9, SJR6, HB124
NM

New Mexico 2026 Regular Session

Senate - Rules Feb 13th, 2026

House Rules & Order Of Business

Transcript Highlights:
  • So there's some things that we've already begun to think of as to how to reform. ...travel, so there's
  • some things that we've already begun to think of as to how to reform and planning us should this more
Bills: SM20, SM9, SJR6, HB124
Summary: The committee first considered the appointment of Mary Patricia Roman to the State Investment Council. Senator Campos presented her as highly qualified, citing more than 34 years in global investing, leadership at J.P. Morgan, and prior service on the SIC investment committee. Roman described her experience with asset allocation, fiduciary responsibility, and the SIC’s vetting process. Senators asked about the council’s role in pension investments, staffing levels, and whether personal values could influence decisions. Roman said the SIC process is robust, heavily staff-driven, and insulated from individual value judgments. The committee reported broad support and voted 8-0 to advance her nomination to the full Senate. The committee then heard the reappointment of John F. Bingaman to the SIC. Senator Worth praised his leadership as SIC chair and his background in private equity, public service, and economics. Bingaman emphasized the growth of New Mexico’s sovereign wealth funds to more than $70 billion, the importance of staffing and asset allocation, and the SIC’s role as a fiduciary for New Mexicans. Senators asked about protecting the funds in a weaker market and about the Blackstone/PNM matter; Bingaman declined to comment on the memorial because he had not read it. The committee voted 9-0 to send his reappointment to the full Senate. The committee next took up Senate Memorial 20, calling for a statewide youth violence summit. Senator Lopez and an expert from the Council of State Governments said New Mexico lacks a cohesive statewide infrastructure for youth violence prevention and intervention, limited data collection, and enough evidence-based services. Supporters from the ACLU, behavioral health organizations, youth-serving nonprofits, and youth advocates backed the memorial as a way to center lived experience, community engagement, and research-based solutions. Some members raised concerns that victims’ families were not explicitly included in the planning group, but the memorial passed on a 6-3 vote. Finally, the committee debated Senate Memorial 9, which asked the Legislative Finance Committee to study whether New Mexico should invest in equity stakes in PNM and New Mexico Gas Company and requested that the PRC pause consideration of the private-equity acquisitions while the study was completed. Supporters argued the state should examine whether utility ownership value could remain in New Mexico, protect ratepayers, and diversify revenue, while opponents from PNM, Blackstone’s representatives, chambers of commerce, and utility advocates said the proposal would duplicate the PRC’s review, create uncertainty, and risk higher rates and delayed investment. The committee adopted an amendment removing references to the PRC, but the memorial then failed on a 4-4 tie after a motion for due pass as amended.
HI

Hawaii 2026 Regular Session

JDC Public Hearing 02-10-2026

Judiciary

Transcript Highlights:
  • Uh, the state is in desperate need of bail reform.
Summary: The Judiciary Committee heard testimony on several bills. SB 2248 would expand financial disclosure requirements to certain gubernatorial nominees subject to Senate confirmation. The State Ethics Commission supported the measure, saying disclosures should be filed before confirmation so the public and interested parties can review them in advance. Testimony was overwhelmingly in support, with 22 supporters, no opposition, and one comment. SB 2530 would broaden Hawaii’s campaign contribution ban for state and county contractors to include officers and immediate family members, and would extend the ban to certain grantees and their officers and family members, with specified contract thresholds. The Campaign Spending Commission said the bill is its own proposal and would align the thresholds with procurement guidelines. Testimony was entirely favorable, with 30 in support, no opposition, and two comments. Members asked about conforming amendments and how the existing prohibition on soliciting contributions applies; CSC said the calendar-day language clarifies current practice and that the solicitation ban already applies to contractors, with the bill extending the same standard to officers and immediate family members. SB 2732 would require courts to consider a defendant’s ability to pay when setting bail, including excluding public benefits from income calculations and clarifying the 40-hour affordability benchmark for those above 150% of the federal poverty level. The Office of the Public Defender, the Hawaii Correctional System Oversight Commission, and the ACLU of Hawaii supported the bill, arguing that unaffordable bail creates wealth-based disparities, contributes to jail overcrowding, and can cause severe collateral consequences for people not yet convicted. There was one opposition testimony and 18 supporters. Committee discussion focused on when the 40-hour period should begin, how income would be verified, and whether misrepresentation could affect bail; the Public Defender said the measure should be read to start from initial appearance and that judges could address false statements through existing remedies. SB 2871 would prohibit discrimination based on perceived characteristics, association with someone who has or is perceived to have protected characteristics, and intersectional combinations of characteristics. The Department of Education supported the intent but asked for clear definitions, while the Hawaii Civil Rights Commission said the bill does not add new protected classes and simply codifies the Lamb v. University of Hawaii decision on intersectional discrimination. LGBTQ+, civil rights, ACLU, and other advocacy groups testified in support, with one opposition testimony and a total of 27 in support, two opposed, and one comment. The committee then heard SB 2919, which appropriates funds for one full-time public deputy public defender position. The Public Defender’s Office said the position would provide statewide legal support and a centralized resource on constitutional, appellate, and immigration-related issues; several advocacy groups supported the measure, and committee questions focused on how the new position would complement existing training and keep staff updated on changing law.
AZ

Arizona 2026 Regular Session

02/09/2026 - Senate Finance

Finance

Transcript Highlights:
  • I've done a lot of work in litigation reform over the years.
  • We actually have fiduciary statutes already in our pension system that came with pension reform.
  • We actually have fiduciary statutes already in our pension system that came with pension reform.
  • The good Senator Leach has fought many battles at the Capitol, and we've had reforms to this in at least
  • I think that we've made good steps towards reforming it, and I do thank Senator Leach for his work on
WA

Washington 2025-2026 Regular Session

Senate Early Learning & K-12 Education Jan 28th, 2026 at 10:30 am

Early Learning & K-12 Education

Summary: The committee began by waiving the five-day notice rule for Senate Bill 6320, then heard several education-related bills. Senate Bill 6222 would let school districts and educational service districts sell surplus technology hardware such as laptops and tablets to public school students at depreciated cost, or give them free to low-income students, with priority for low-income public school students. The sponsor and witnesses said the bill would help students keep access to devices for school, work, and college; one member asked whether tribal compact schools were included. Testimony was generally supportive. The committee then heard Senate Bill 6263, which raises school district public bid thresholds for purchases and repairs. The sponsor said the limits had not been updated in about 20 years and should be aligned with cities and ports to reduce costs and delays. School employees, finance officers, and coalition representatives supported the bill, saying current thresholds create unnecessary administrative burden and can slow maintenance and purchasing; the fiscal note showed no fiscal impact. The committee also heard Senate Bill 6261, which would require parents of six- and seven-year-olds not enrolled in school to file annual signed declarations of their education plans. The superintendent of public instruction supported the bill as a way to align Washington with other states and improve enrollment data, while homeschool parents, students, and advocacy groups strongly opposed it as burdensome, intrusive, and unnecessary. Senate Bill 6118 would require each school district to create cardiac emergency response plans for schools and athletic facilities, including AED placement, staff training, and coordination with emergency responders. The sponsor said the bill was personal because of her brother’s death from heart failure, and witnesses described sudden cardiac arrest incidents and argued that preparedness saves lives. The committee also heard Senate Bill 6320, which would restrict state-funded online and remote alternative learning experiences to public or nonprofit providers and reduce levy equalization for some remote ALE enrollment, with limited exceptions for medically fragile, severely ill, injured, or severely bullied students. Supporters said it would prevent privatization and better align funding with in-person schooling, while opponents said it would harm students who rely on online programs, especially those with special needs or other barriers to traditional school.
NM

New Mexico 2026 Regular Session

Senate - Finance Jan 27th, 2026 at 09:18 am

Senate Finance

Transcript Highlights:
  • We have kind of seen a declining enrollment trend in Medicaid.
  • people are going to roll off of Medicaid in pretty large numbers.
  • The hospital will have to enroll in Medicaid at that point.
  • The hospital will have to enroll in Medicaid at that point.
  • And we did see from the Medicaid unwinding and the pandemic, the pressures of the Medicaid unwinding
Bills: SB37, SB29
TX
Transcript Highlights:
  • In 2019, the legislature passed Senate Bill 2, which reformed the property tax appraisal rate-setting
  • refer back to the slide because this is really the master slide of what the next step in property tax reform
  • Senator Bettencourt, thank you very much for laying out where we are as it relates to some of the reforms
  • But this is a A big part of these reforms is taking this to the public.
Bills: SB9, SB 9
TX

Texas 89th Regular

Delivery of Government Efficiency Mar 12th, 2025

Delivery of Government Efficiency

Transcript Highlights:
  • We have invited TDLR and the Coalition for Regulatory Efficiency Reform to offer personal perspectives
  • On behalf of the Coalition for Regulatory Efficiency and Reform, and you will be testifying neutrally
  • I am Rod Bortolon here on behalf of- behalf of the Coalition for Regulatory Efficiency and Reform.
  • Today I'm here to speak to you about House Bill 10, which reforms the procedure by which state agencies
  • Members again Rod Bordelon coalition for regulatory efficiency and reform we are And I am testifying
Bills: HB10, HB 12, HB675, HB10, HB12