Video & Transcript Research : 'Medicaid reform'

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WA

Washington 2025-2026 Regular Session

Senate Law & Justice Feb 3rd, 2026 at 08:30 am

Law & Justice

Summary: The Law and Justice Committee met on February 3 to consider several bills on executive action, along with gubernatorial appointments. On Senate Bill 5925, which would expand Attorney General civil investigative demand authority, members debated amendments narrowing the bill for small businesses, law enforcement use-of-force matters, criminal investigations, and response deadlines. Amendment Charlie was adopted, Amendment Delta was rejected, Amendment Echo was withdrawn as duplicative, and the bill ultimately received a do-pass recommendation to Rules. The committee also confirmed Kristen Ferrer, Lisa Mannion, Kate Ben Ward, and Rochelle Cleland to their respective appointments. The committee then considered Senate Bill 6086 on judicial officer safety and threat assessments. A proposed substitute retained threat assessment authority and removed internet personal-information provisions, while amendments to limit consultant authority and tighten threat standards were debated. The amendment to remove security consultants was rejected, and the proposed substitute was approved and sent to Rules. Senate Bill 6074 on reinstituting parole was narrowed to create a parole re-institution work group; an amendment adding two victim-advocate members was adopted, and the bill was sent to Rules. Senate Bill 6296 on involuntary treatment drew the most discussion. The proposed substitute removed some enforcement and firearms-related provisions, narrowed definitions, and adjusted law enforcement and court procedures. Amendments addressing firearms, officer liability, and warrant-entry authority were debated but not adopted. The committee noted that some language would need further cleanup, but the proposed substitute ultimately received a do-pass recommendation and was referred to Ways and Means. The meeting ended with thanks to committee staff and adjournment at the House of Origin policy cutoff.
WA

Washington 2025-2026 Regular Session

Senate Agriculture & Natural Resources Feb 2nd, 2026 at 01:30 pm

Agriculture & Natural Resources

Summary: The Senate Agriculture and Natural Resources Committee heard staff reports on a series of bills covering agricultural marketing, tribal representation on the Board of Natural Resources, irrigation district ethics, ungulate population management, a green fertilizer incentive program, agricultural mitigation and impact statements, conservation futures participation by tribes, timber sale efficiencies, wildlife penalty assessments, shellfish fees, and a joint memorial on federal wildfire response. Staff outlined fiscal notes and several proposed substitutes or amendments, including changes to tribal board representation, limits on the green fertilizer program, and revisions to the agriculture protection bill. During executive session, the committee adopted a proposed substitute for SB 5838 after rejecting amendments that would have required tribal board members to have forest-management experience or would have alternated representation between eastern and western Washington. The committee also adopted substitutes for SB 5971 and SB 6097, and advanced SB 5816, 5971, 6097, 6216, 6233, 6318, and SJM 8015. SB 5930, SB 5960, SB 6075, and SB 6104 were taken no action on. SB 6233 drew discussion about possible unintended consequences and the need for clearer definitions, while SB 6318 was supported as a way to avoid fees that could harm shellfish growers. Several members explained their votes, particularly on SB 5838, where concerns were raised about conflicts of interest and the need for relevant forestry expertise on the Board of Natural Resources. On SB 6233, supporters said the bill updated penalty amounts tied to endangered species enforcement, while opponents wanted more specificity. The committee concluded that all listed executive-session items had been either moved forward or dropped, and the meeting adjourned after the board signing process.
NM

New Mexico 2026 Regular Session

Senate - Education Jan 26th, 2026 at 08:32 am

Senate Education

Transcript Highlights:
  • My name is Mandy Torres and I am Reform Director for Think New Mexico and a former elementary teacher
  • My name is Mandy Torres and Reform Director for Think Thank you. Good morning, Mr.
  • My name is Mandy Torres and Reform Director for Think New Mexico and a former elementary teacher.
Bills: SB29, SB64
HI

Hawaii 2026 Regular Session

Senate Floor Session 02-17-2026 11:30am

Hawaii Senate Floor Meeting

Transcript Highlights:
  • while other critical DOE measures were before us, universal school lunches, DOE bus transportation, Medicaid
  • universal school lunches, DOE bus us, universal school lunches, DOE bus transportation,<00:05:24.160><c> Medicaid
  • </c><00:05:24.639><c> reimbursements</c> transportation, Medicaid reimbursements transportation, Medicaid
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 14th, 2026 at 01:49 pm

New Mexico House Floor Meeting

Transcript Highlights:
  • patients, while also assuring our physicians and other health care providers that we are serious about reforming
  • medical malpractice is a major problem, and today we are listening to their calls for fair and balanced reform
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 14th, 2026

New Mexico House Floor Meeting

Transcript Highlights:
  • patients, but also assuring our physicians and other health care providers that we are serious about reforming
  • medical malpractice is a major problem, and today we are listening to their calls for fair and balanced reform
Summary: The House opened with quorum, invocation, pledge, and several announcements recognizing guests and Early Childhood Day at the Roundhouse, including remarks supporting New Mexico’s universal child care efforts. The chamber then received and adopted a long series of committee reports, moving multiple bills forward, including HB 303, SB 96, HB 195, HB 279, HB 292 (with a Judiciary substitute), SB 30, HB 234, SB 35, SB 40, SB 43, HB 153 (with an Appropriations substitute), HB 253, HB 255, HB 287, HB 371 (with an Appropriations substitute), SB 143, HB 248 (with a Taxation and Revenue substitute), HB 309, SB 48, and enrollment/signing reports for memorials. The House also received Senate Judiciary Committee substitute for SB 41, which would eliminate the statute of limitations for certain sexual crimes and was referred to Judiciary. The main floor debate centered on House Judiciary Committee substitute for HB 99, a medical malpractice reform bill. Supporters said it would balance patient compensation with provider stability by capping punitive damages, raising the burden of proof for punitive damages, and limiting when such claims can be pleaded. Several members described the bill as the product of months of bipartisan work and argued it would help retain doctors, especially in rural areas. The House passed HB 99 on final passage by a vote of 16-3. The House also passed HB 66, expanding the health care provider loan repayment program, by 69-0; HB 306, addressing unexpected patient-facing facility fees, by 69-0; HB 38, adding wheelchairs to insurance coverage for certain prostheses-related benefits, by 69-0; HB 20, allowing Native American applicants to request a distinguishing designation on driver’s licenses and ID cards, by 66-3; and HB 253, preserving and regulating virtual education with an emergency clause, by 69-0. The chamber then took up HB 213, which expands optometrists’ scope of practice to include certain laser eye procedures. A proposed amendment requiring patients to sign a disclosure acknowledging that optometrists are not MDs or DOs and did not attend medical school was debated at length, with supporters framing it as informed consent and opponents calling it demeaning and unnecessary. The House tabled that amendment 35-19, and the underlying bill continued in debate at the end of the transcript.
OK
Summary: The House began with a quorum call and several introductions, including Wagner Student Council, Heartland Homeschool educators, Northwest Technology Center leadership students, Leadership Oklahoma Class 37, and guests from domestic violence and sexual assault service providers. The chamber then took up House Bill 3131 on homeless shelter standards. The bill, as amended, would set baseline health, safety, sanitation, incident reporting, and fiscal transparency standards for shelters receiving state-administered federal funds, with a limited board to help write rules and local officials notified of issues. Supporters said it was aimed mainly at smaller communities lacking resources, while opponents argued it added state oversight without collaboration or funding and could burden nonprofits and faith-based shelters. The bill passed 65-31. Members then passed several other measures: House Bill 3015 authorizing Service Oklahoma to issue and manage electronic credentials; House Bill 3472 on environment and natural resources; House Bill 3453 on eminent domain, shifting the burden of proof in court to the condemning authority while carving out utilities and oil and gas; House Bill 1638 expanding the Governmental Tort Claims Act definition of public trust to include trusts overseeing county jail facilities; House Bill 4128 on Game and Fish, adjusting bear hunting rules in selected eastern counties; and House Bill 4126 limiting liability for motocross and similar recreational tracks. House Bill 2710 created a 15-member committee to review future statewide radio system needs, and House Bill 2696, an open records bill for school district security and cybersecurity information, was amended and passed. House Bill 3552, giving child care providers flexibility to bridge subsidy reimbursement and tuition rates, also passed, though its emergency clause failed. Later, House Bill 3031 was amended to create a workforce development fund in the Department of Commerce and passed, but its emergency clause failed. House Bill 3544 was narrowed to regulate social AI companions and protect minors from harmful interactions, and passed unanimously. House Bill 3521 modernized money transmission law, updated fees, and added rules for digital asset kiosks. House Bill 4488 established a standardized appraisal process for first-party motor vehicle damage disputes under insurance law. House Bill 1746 allowed juvenile detention facilities for high-risk youth to adopt safety plans. Finally, House Joint Resolution 1069 updated constitutional county boundary language and county-seat references, including adding Cotton County to the Constitution and making other boundary cleanup changes; it passed 74-14. The House then recessed.
OK
Transcript Highlights:
  • Medicaid population from the expansion population.
  • with which to decrease the expenditures of Medicaid.
  • No, if this passes, Medicaid expansion, we're a Medicaid expansion state.
  • This does not take Medicaid expansion away. We continue to be a Medicaid expansion state.
  • But the people of Oklahoma voted to expand Medicaid.
Summary: The House considered and passed a series of bills focused on public finance, securities, pharmacy regulation, criminal penalties, energy, housing associations, and Medicaid. Early votes included House Bill 4428, which requires public retirement systems to base proxy voting and related engagement on fiduciary, pecuniary factors, and House Bill 4429, which adds disclosure requirements for proxy advisors and excludes charitable organizations from the definition; both passed. House Bill 1170, also dealing with public finance and aligning definitions with the earlier retirement-system bill, passed the House, but its emergency clause failed. The chamber also adopted a motion to suspend House Rule 4.4J to allow food on the floor for the rest of the legislative day. Members then passed House Bill 3538, a negotiated pharmacy benefits manager measure that establishes a mandatory minimum dispensing fee for pharmacies and was described as intended to help independent pharmacies; it passed unanimously. House Bill 4124, allowing pharmacies to sell human ivermectin over the counter, also passed after extended debate. House Bill 3904, which changes Oklahoma Medicaid maternity payments to separate prenatal, delivery, and postpartum reimbursements, passed with broad support. House Bill 4106, lowering the felony threshold for repeated petty larceny from $1,000 to $900 and tying it to multiple offenses within 180 days, passed after amendment. The House also approved House Bill 2999, which would prohibit requiring public officials to sign nondisclosure agreements under certain conditions, and House Bill 3982, addressing temporary tags for new and used dealerships and commercial vehicles. House Bill 3464, an energy bill adding landowner protections, notice, decommissioning, and permitting reforms for wind, solar, and battery storage facilities, passed unanimously and its emergency clause also passed. House Bill 2588, requiring HOA board members to own property and physically reside in the association, passed as well. A major debate centered on House Joint Resolution 1077, a constitutional amendment to restructure how tobacco settlement funds are used: it would move TSET legacy functions to the Health Department, direct more funding toward Oklahoma’s Promise/OLAP and related education opportunities, and preserve the corpus while redirecting distributions. Supporters framed it as a long-term investment in education and workforce opportunities; opponents argued it would undermine public health funding and repurpose a voter-created trust. The resolution passed the House, and the special-election referral required for the constitutional amendment also received the necessary two-thirds vote. Later, House Bill 4440, which would move Medicaid expansion from the Constitution into statute and separate expansion from traditional Medicaid, also passed after substantial debate over health care access, provider rates, and the role of voters. Finally, House Bill 3462 on plumbing licensing was laid over after amendments were discussed, including changes to apprenticeship and out-of-state reciprocity.
OK
Summary: The House convened, completed roll call, heard the invocation and Pledge of Allegiance, and recognized the Doctor and Nurse of the Day. The main floor focus was House Bill 4420, the Strong Readers Act, which Speaker Hilbert described as a major literacy overhaul. The bill’s amendment was adopted without objection and would clean up and standardize the statute, create a new SRA funding formula, expand summer teacher credentialing academies with $3,000 stipends, add statewide benchmarking, notify parents within 30 days when students are below basic, and reinstate third-grade retention beginning with the 2027–2028 school year. Hilbert argued the bill is intended to address Oklahoma’s low reading outcomes, reward improvement rather than penalize schools, and align with science-of-reading practices. The House passed HB 4420 86-0, and the emergency clause also passed 86-6. Members then suspended the rules to hear untimely amendments on HB 3974, which was amended and passed 86-6 with its emergency clause approved. The bill concerns the Government Tort Claims Act and allows governmental entities that share incarceration costs to form an entity with liability protections; Hilbert said the late amendment responded to a recent court ruling that could have exposed cities and counties to unlimited liability in certain jail-sharing arrangements. The House also passed HB 3016, creating a two-year pilot screening project for early childhood reading issues through the Departments of Education and Health, by a vote of 82-7, and HB 3062, allowing retired municipal judges to carry statewide under specified conditions, by a vote of 83-3. Additional bills passed with little or no debate: HB 3021, a graduation requirements cleanup measure consolidating conflicting statutes, passed 82-8 and its emergency clause also passed; HB 3145, a language cleanup bill for commercial hunt areas, passed 92-0 after a question clarified it does not affect private landowners hunting feral pigs. HB 4128, another Game and Fish bill, was laid over until the afternoon. The House then recessed until 1 p.m.
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 16th, 2026

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • House Bill 4050 is the OPERS reform, where we are dropping the employer contribution amount by 7%.
  • House Bill 4050 is the OPERS reform, where we are dropping the employer contribution amount by 7%.
  • thing that he tried to do that, unfortunately, did not happen, was the measure that would have moved Medicaid
Summary: The Senate opened with roll call, prayer, and several gallery introductions recognizing guests and honorees, including the Medford Cardinals football team for their academic and athletic success, Guthrie Day, the Oscar J. Upham post office designation, the OKC Spark professional softball team, the Elks organization, and the YMCA’s 175th anniversary. Senators also welcomed a new intern and acknowledged Senator Carl McDowell’s return to the chamber. Most of the early floor time was devoted to ceremonial citations and concurrent resolutions, all of which were adopted without recorded opposition. The chamber then moved through a series of Joint Committee Reports and third-reading votes on appropriations and related measures. HB 4031 reauthorized $41 million for previously approved ODAA projects and passed 36-8, declared an emergency. HB 4032 redirected industry fees to the Department of Mines and passed 34-11, emergency. HB 4034 appropriated $142,137 for salary increases for certified shorthand reporters and passed 45-0, emergency. HB 4036 transferred $5 million from the Film and Oklahoma revolving fund to a new sitcom-related revolving fund and passed 30-15. HB 4037 raised the Ethics Commission Fund retention cap from $150,000 to $250,000 and passed 45-0, emergency. Several transportation, health, and public safety measures also advanced. HB 4038 moved $5 million for the eight-year road plan and additional project funding, passing 28-17 and then as an emergency measure after vote changes. HB 4040 set up cash-flow funds for the State Department of Health’s $223 million federal award and passed 45-0, emergency. HB 4041 appropriated $2.25 million to the Attorney General, including $2 million for a trafficking victim pilot program and $250,000 for a public safety technology fund, and passed as an emergency. HB 4042 appropriated $500,000 for the Commerce census revolving fund and passed 35-9. HB 4043 transferred $1 million to Emergency Management for Oklahoma Task Force 1 and passed 44-0, emergency. The most extended debate centered on HB 4045 and HB 4046, which expanded and funded the Military Readiness, Innovation, Education, and Aviation program. Supporters said the measures would help military bases, schools, infrastructure, simulation training, and defense-related economic development; critics questioned the broad language, lack of detail, and whether the projects fit a broader strategy. HB 4045 passed 37-7 and HB 4046 passed 39-7, both as emergency measures. HB 4047 funded Commerce projects including housing for aged-out foster youth, the State Fair, a university upgrade, and a COG-related economic development request; it passed 30-16 and then 40-6 as an emergency. HB 4048 appropriated $13 million for transportation infrastructure, drew criticism for bypassing the eight-year plan, and passed 36-10 before being declared an emergency. Finally, HB 4030, the Education Budget Limits Bill, was explained in detail, including $43.75 million for the Strong Readers formula, $5 million for literacy coaches, and $5 million for a charter school revolving loan fund; after questions about bonds, charter schools, and the revolving fund, it passed 39-5 and was declared an emergency measure.