Video & Transcript Research : 'Medicaid reform'

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OK

Oklahoma 2026 Regular Session

Criminal Judiciary REVISED: HB3996 - Added Feb 17th, 2026

Criminal Judiciary

Summary: The committee heard and advanced a long agenda of criminal justice bills, with most measures receiving due pass recommendations after brief explanations and little or no debate. Early bills included HB 3586 on modifications to the charging process for abuse and neglect, HB 3584 on sentencing changes for human trafficking involving minors and people with mental disabilities, HB 3587 on outpatient treatment procedures for individuals in the criminal justice center, HB 3743 on community-based outpatient restoration treatment under a PCS and amendment, and HB 3742 on criminal discovery process changes. All of these were reported out favorably, generally by unanimous or near-unanimous votes. Members also advanced HB 4227, Trey’s Law, which would protect child sexual abuse survivors by allowing claims and limiting nondisclosure agreements; HB 3764, which increases penalties for people charged while on the DOJ terrorist list, after an amendment changing the proof language; HB 3767, an Oklahoma Bureau of Narcotics request adding controlled substances and updating terminology; HB 3606, allowing court review for removal from the sex offender registry in cases of medical infirmity or cognitive decline; HB 3299, creating a new offense for unauthorized digitized or synthetic media intended to cause harm; HB 3835, a human trafficking prevention bill; HB 3244, expanding fraud and identity theft laws; and HB 4130, addressing online sweepstakes/casino gaming enforcement with an amendment clarifying tribal gaming under federal law. HB 318 and HB 3302 were laid over. Later, the committee approved HB 3053, creating a narrow parole pathway for incarcerated people age 65 and older, with amendments excluding violent offenses, sex offenses, and certain other crimes; HB 3269, allowing electronic arrest warrants; HB 3301, aligning state law with federal law on short-barreled firearms after an amendment restoring the 16-inch language; HB 3430, revising court fines and fees collection and distinguishing permanent from temporary inability to pay; HB 3497, clarifying when the state may appeal a pretrial order; HB 3755, requiring OJA to provide prescribed medication and medical information to detention facilities within 48 hours for juveniles in custody; HB 3848, easing transitional housing restrictions for released sex offenders; HB 3903, requiring domestic violence incident reports and filing of VPO petitions and adding judicial training; HB 3905, allowing counties to use available funds for GPS monitoring in domestic violence cases; HB 3996, requiring OIDS to pay for expert witnesses in capital post-conviction cases; HB 4142, expanding explosives laws to cover attempts and intent; HB 1322, creating a public registry for persistent domestic violence offenders; and HB 4108, expanding critical infrastructure trespass laws to include airports. Most bills were reported due pass, with votes commonly ranging from unanimous to a few dissenting votes, and the chair recessed/adjourned after the agenda was completed.
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Feb 16th, 2026

Oklahoma Senate Floor Meeting

Summary: The Senate convened with a quorum, opened with prayer and pledges, and recognized several guests and Senate family members, including the psychologist and nurse of the day. Members then moved to the agenda, laying over items 1 and 4 before taking up several bills. Senate Bill 1395, a recommendation from the Incentive Evaluation Commission, would eliminate the tax credit portion of the investment and new jobs tax credit incentive and limit carry-forward of the investment portion to seven years; it passed 48-0. Senate Bill 1456, as amended, extended the sunset of the Board of Tests for Alcohol and Drug Influence, with the amendment changing the sunset date to 2031; it passed 48-0 and was also approved as an emergency measure. Senate Bill 1562, requested by the Oklahoma Hospice and Palliative Care Association, was described as protecting terminally ill patients and families from aggressive hospice marketing practices; it passed 48-0. Senate Bill 1613, requested by the Oklahoma Liquefied Gas Association, was revised to remove language the governor had previously objected to regarding vehicle ownership and leasing outside OMES; it passed 48-0. Senate Bill 1983 directed the Department of Human Services to provide de-identified foster care data to resource family partners, including information on children without placement, demographic and geographic trends, areas of high need and low availability, placement disruptions, sibling separations, and distance from original homes. After a question from Senator Deevers about the scope of the data, the bill advanced and passed 48-0. The Senate then heard announcements about committee meeting times and adopted a motion to adjourn until Tuesday, February 17, 2026, at 1:30 p.m.
LA

Louisiana 2026 Regular Session

Health and Welfare May 26th, 2026

Health and Welfare

Transcript Highlights:
  • She did exclude a category of just Medicaid providers if they're solely that Medicaid provider.
  • However, what if that Medicaid provider falls into the other definition of covered... had a moment to
  • She did exclude a category of just Medicaid providers if they're solely that Medicaid provider.
  • However, what if that Medicaid provider falls into the other definition of Co.
  • However, what if that Medicaid provider falls into the other definition of covered entity because they
Bills: HR290, HR298, SB405, SCR61, HR318
LA

Louisiana 2026 Regular Session

Senate and Governmental May 20th, 2026

Senate & Governmental Affairs

Transcript Highlights:
  • giving them the authority to review income tax data for the purpose of confirming eligibility for Medicaid
  • The LDH came in on the House side and asked that we add SNAP to this, so it's Medicaid and SNAP at LDH's
  • For instance, the work that we did on finding deceased people on Medicaid, etc.
  • And obviously, somebody with a million-dollar AGI should probably not be on Medicaid or SNAP.
  • We found we matched up Medicaid data with OMV data and determined that several thousand people had moved
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/13/26

Health Finance and Policy

Transcript Highlights:
  • The goal of this bill is to address the gaps in the commercial and Medicaid policies and add capacity
  • managed</c><00:14:43.280><c> care</c><00:14:43.760><c> organizations</c><00:14:44.680><c> to</c> Medicaid
  • managed care organizations to Medicaid managed care organizations to strengthen<00:14:45.480><c> early
  • I just want to say that for the past six years I've been working closely on dental reform, on making
  • on making sure that the people reform on making sure that the people who<01:28:35.080><c> are</c> who
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 3/18/26

Children and Families Finance and Policy

Transcript Highlights:
  • So to be clear, I'm talking about Medicaid.
  • So to be specifically around Medicaid.
  • </c><00:29:37.440><c> Um</c> Clear, I'm talking about Medicaid.
  • ,</c> past, we're told to wait for reform, past, we're told to wait for reform, wait<00:41:00.760><c>
  • ,</c><01:43:08.280><c> child</c> SNAP funding, Medicare, Medicaid, child SNAP funding, Medicare, Medicaid
WA

Washington 2025-2026 Regular Session

House Early Learning & Human Services Feb 24th, 2026 at 01:30 pm

Early Learning & Human Services

Transcript Highlights:
  • The work group must develop supported living Medicaid rate recommendations to promote equitable compensation
  • Bringing more transparency to how the Medicaid rate for supported living becomes real wages for me and
  • raise our wages and instead would be cutting benefits, even though the legislature approved a higher Medicaid
Bills: HB1873, HB2600, SB5957
KY
Transcript Highlights:
  • The as the Medicaid advisory committee.
  • </c> Medicaid Services. Medicaid Services.
  • </c> heart disease um and di in the Medicaid heart disease um and di in the Medicaid program<00:04:01.920
  • And I think the Medicaid for the cost.
  • I've worked in Medicaid for concerns.
Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.
NM

New Mexico 2026 Regular Session

House - Education Feb 6th, 2026

House Education

Bills: HB2, SB204, SB241, HB34
Summary: The committee heard House Bill 253, as substituted, which would create a framework for full-time virtual/distance learning programs in New Mexico. Sponsors and agency witnesses said the bill is intended to preserve virtual options while adding approval, reporting, and compliance requirements, including definitions for distance learning programs, annual reporting, renewal every three to five years, and a pause on new programs while existing ones are grandfathered for a period. They also said the bill addresses budget concerns by limiting enrollment growth units and excluding distance-learning students from certain funding calculations, including rural population units, to prevent unexpected losses in the state equalization guarantee. Public testimony was sharply divided. Supporters included district superintendents and education officials who said the bill is needed to protect school funding, improve accountability, and gather basic data that the state currently lacks. Opponents included parents, students, teachers, charter-school representatives, and business and advocacy voices who argued virtual education has been lifesaving for medically fragile, bullied, rural, neurodivergent, and working students, and that the bill’s caps, geographic limits, and approval authority would reduce school choice and could eliminate some programs. Several witnesses stressed that virtual charter schools such as Pecos Cyber Academy and New Mexico Connections would not be affected, while others said the bill still reaches too broadly. Committee members raised extensive questions about the 10% enrollment cap, the adjacent-district requirement, the denial-and-appeal process, the treatment of charter schools versus district programs, and the effect on rural or small districts. Witnesses explained that the bill is meant to be temporary, with an interim study in 2026 to develop longer-term policy, but some members said they remained concerned about overreach and unintended consequences. No final vote or action on the bill was shown in the transcript excerpt.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 14th, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • For background, under Washington's Medicaid transformation waiver, the state was recently authorized
  • Our MTM coalition is also working to ensure these services will be Medicaid reimbursable through an 1115
  • waiver. ...is also working to ensure these services will be Medicaid reimbursable through an 1115 waiver
  • While we've received cost-based payment under Medicare and Medicaid, our financial viability depends
  • providers and standardization in this space, be it in commercial insurance, but also across the Medicaid
Summary: The committee heard public hearings on several health-related bills. HB 1904 would prohibit cat declawing except for therapeutic purposes, with staff describing fines, recordkeeping, and reporting requirements; the prime sponsor and animal welfare and veterinary witnesses argued declawing is cruel and causes pain and behavior problems, while the Washington State Veterinary Medical Association supported the ban but asked to remove the added reporting and disciplinary provisions. HB 2211 would direct implementation standards for medically tailored meals under Medicaid-related nutrition supports; the sponsor said it clarifies an existing program and prioritizes Washington-based nonprofits, and supporters from Meals on Wheels, food coalitions, distributors, farms, and nonprofits said local sourcing improves health outcomes, keeps dollars in-state, and builds capacity, while questions were raised about whether the local provider requirement could limit current vendors. HB 2329 would allow licensed midwives to delegate certain tasks to medical assistants and supervise medical assistants, with the sponsor and birth center/midwife witnesses saying it would fix an omission and reduce staffing barriers, especially in rural areas; they also indicated the lactation consultant provision would likely be removed. The committee also heard extensive testimony on HB 2247, which would expand and clarify veterinary telehealth and the veterinarian-client-patient relationship. Supporters, including animal shelter leaders, nonprofit outreach providers, veterinarians, and an attorney, said telehealth would improve access in rural and underserved areas, help triage cases, reduce shelter intake, and allow care when transportation, cost, or mobility barriers prevent in-person visits; opponents or cautionary testimony from the veterinary association said they were working on amendments to preserve guardrails and clarify when access-to-care exceptions are documented. HB 2339 would modernize nursing licensure language for ARNPs, clarify titles for the four ARNP roles, adjust rules for CRNAs’ controlled substance administration, remove transcript submission requirements, and let the Board of Nursing issue interim permits directly; nursing witnesses and the Board supported the bill as technical cleanup, while hospitals and physicians raised concerns about title language and the deletion of a reference to the medical profession. Finally, HB 2106 would restrict health carriers from making significant mid-contract changes to provider agreements without notice and acceptance, requiring 90 days’ notice and voiding noncompliant changes; the sponsor and provider groups said carriers are unilaterally changing payment and service terms mid-contract, while UW Medicine described repeated insurer policy changes that can reduce reimbursement and disrupt patient care.
TX

Texas 89th 2nd C.S.

Human Services May 13th, 2025

Human Services

Transcript Highlights:
  • SB 1266 will amend the Government Code so that the provider support team shepherding Medicaid providers
Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/27/25

Human Services Finance and Policy

Transcript Highlights:
  • suggested that PACE can generate cost savings compared to traditional fee-for-service Medicare and Medicaid
  • PACE can generate cost savings compared to traditional fee-for-service Medicare and Medicaid programs
  • </c> technical changes to existing Medicaid technical changes to existing Medicaid law<00:05:08.919><
  • eligibility requirements except Medicaid eligibility requirements except the<00:05:23.199><c> pace</
  • </c> is a huge move in both saving Medicaid is a huge move in both saving Medicaid dollars<01:02:13.319
LA

Louisiana 2026 Regular Session

Civil Law and Procedure Apr 7th, 2026

Civil Law and Procedure

Transcript Highlights:
  • The most significant tort reforms, again, were last year.
  • Get us the reform. All I want is a level playing field.
  • I know that we've passed some great reforms.
  • Your constituents pay it through Medicare and Medicaid tax.
  • Your constituents pay it through Medicare and Medicaid tax.
MN

Minnesota 2025-2026 Regular Session

House Judiciary Finance and Civil Law Committee 3/26/26

Judiciary Finance and Civil Law

Transcript Highlights:
  • We certainly support reform, and we believe good policies informed by the members we serve day in and
  • Representative Anderson: The Attorney General is still responsible for Medicaid fraud and always will
  • Representative Anderson: The Attorney General is still responsible for Medicaid fraud and always will
  • Representative Anderson: The Attorney General is still responsible for Medicaid fraud and always will
  • for Medicaid fraud and always<02:05:42.640><c> will</c><02:05:42.800><c> be</c><02:05:42.960><c> by<
TX

Texas 89th Regular

Ways & Means Mar 3rd, 2025

Ways & Means

Transcript Highlights:
  • work. over a period of a number of years to really chip away and to provide. a very meaningful tax reform
  • Without these reforms, local governments will undo the relief provided by the this bill through higher
  • And I encourage you to continue pushing for even greater reductions in reform.
  • And then, again, controlling, bringing these reforms to the local level as well.
  • Y'all are doing a lot, but the reforms have to come in on the other side. Thank you.
Bills: HB8, HB9, HJR1, HB22, HB8, HB9, HJR1, HB22