Video & Transcript : 'Medicaid reform' :

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WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 4th, 2026 at 01:00 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • And the reform that came out of the Ombudsman program that was related to this asked for that reform
  • , which is what this will allow for them, to be able to retire before they have to wait for that Medicaid
Summary: The Senate received messages from the House transmitting several signed bills, then moved through a series of second- and third-reading actions on multiple measures. Engrossed Substitute House Bill 2508, clarifying the scope and authority of the Office of Independent Investigations, was advanced to final passage without objection and passed 44-4. Senators supporting it described it as a technical housekeeping bill aligning statute with current practice, while noting it had broad support from law enforcement groups and the ACLU; opponents raised concerns about overlapping investigations and authority. Engrossed Substitute House Bill 1408, which dedicates a share of sales tax revenue from the stadium area to the South Downtown/Pioneer Square community preservation and development authority, was amended by a Ways and Means striking amendment declaring an emergency and then passed 47-1. Supporters said it would fund earthquake reinforcement, preservation, and community development in a historic district, with reporting and sunset provisions. Engrossed Substitute House Bill 1500, dealing with resale certificates for common interest communities and homeowners associations, was amended to clarify disclosure and litigation provisions and passed 39-9. Substitute House Bill 1570, allowing collective bargaining for certain employees enrolled in academic programs at public institutions, failed an amendment to remove the emergency clause and then passed 29-19; supporters framed it as recognition of student workers’ organizing rights, while opponents warned it blurred student and employee roles. The Senate also passed Substitute House Bill 1390, repealing the Community Protection Program and directing participants into other developmental disability services, after rejecting a series of amendments that sought to preserve sex-offender-related restrictions, add assessments, damages, or prosecutorial review. The bill passed 29-20 amid sharp debate over whether the program was coercive and outdated or necessary to protect vulnerable people and communities. Other bills passed included Substitute House Bill 2114 on defective license plates, Engrossed Substitute House Bill 2471 on collective bargaining if the NLRB is unavailable, House Bill 1069 on bargaining over supplemental retirement contributions for Department of Corrections employees, House Bill 2441 expanding medical premium reimbursements for surviving spouses of line-of-duty deaths, and Engrossed Third Substitute House Bill 1710 adding preclearance requirements under the Washington Voting Rights Act; the voting rights bill drew opposition over local control and litigation concerns. The transcript ends during the roll call on final passage of Engrossed Third Substitute House Bill 1710.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 4th, 2026 at 09:00 am

Washington Senate Floor Meeting

Summary: The Senate opened with roll call, the Pledge of Allegiance, prayer, and approval of the previous day’s journal. It received a House message that the House had passed second engrossed substitute Senate Bill 5010, and then took up Senate Resolution 8700 honoring Yolanda Cortinas Trout Manuel for her community service, business leadership, and public service. Senator Fortunato sponsored the resolution and spoke warmly in support, and the Senate adopted it by voice vote and recognized the guest in the gallery. The chamber then confirmed Gubernatorial Appointment No. 9142, Maria Seguyenza to the Western Washington University Board of Trustees, after supportive remarks from Senators Bateman and Wilson-Clair. The Senate also passed Substitute House Bill 2248, described as a technical cleanup bill for Secretary of State corporate filings, and House Bill 2309, which removes postgraduate degree requirements for certain state jobs to broaden applicant pools. House Bill 2348 passed as a Department of Natural Resources efficiency measure allowing smaller land sales to be posted online and clarifying fair-market-value requirements. The Senate deferred Second Substitute House Bill 1128 at first, then later adopted a striking amendment and passed the bill as amended. The bill creates a child care workforce standards board to study workforce conditions and make recommendations; several proposed amendments by Senator King to add child-safety training language, add an expiration date, and narrow the board’s scope were rejected. Supporters said the board would professionalize child care work and improve wages and standards, while opponents argued it would add government and costs without solving affordability. The Senate also passed Engrossed Second Substitute House Bill 2523 on the Community Reinvestment Program, with supporters emphasizing accountability, periodic review, and an independent study, and passed Substitute House Bill 2428 to prevent unintentional lapses in life insurance policies by allowing third-party notices. Finally, the Senate passed House Bill 2340, expanding the CARES substance use disorder recovery program to nursing assistants, and Engrossed House Bill 2317, which streamlines licensing for Early Childhood Education and Assistance Program sites in certain educational settings. Most bills passed by wide margins, though Second Substitute House Bill 1128 passed with a narrower 28-19 vote. The Senate then recessed for lunch and caucus.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 4th, 2026

Washington Senate Floor Meeting

Transcript Highlights:
  • And the reform that came out of the Ombudsman program that was related to this asked for that reform
Summary: The Senate took up a series of House bills, often suspending the rules to move measures directly to final passage after brief debate. Messages from the House reported signed bills being transmitted, and the Senate later signed several measures in open session. The chamber also excused a few members from voting on specific bills. Among the first major actions, Engrossed Substitute House Bill 2508, clarifying the scope and authority of the Office of Independent Investigations, passed 44-4 after supporters described it as a technical housekeeping bill and opponents raised concerns about overlapping investigations. Engrossed Substitute House Bill 1408, which dedicates 20% of sales tax revenue from the two large stadiums to a community preservation and development authority in South Downtown/Pioneer Square/Chinatown International District, passed 47-1 after supporters emphasized reinvestment in historic buildings and neighborhood safety. Engrossed Substitute House Bill 1500, requiring more complete resale certificates for common interest communities and homeowners associations, passed 39-9 after a successful amendment clarifying litigation language. Substitute House Bill 1570, allowing collective bargaining for certain student employees at public institutions, failed an amendment to remove the emergency clause and then passed 29-19 despite objections that it blurs student and employee roles. The chamber then debated Substitute House Bill 1390, which repeals the Community Protection Program and directs DSHS to transition participants into other developmental disability services. Numerous amendments sought to preserve restrictions, add assessments, or create liability protections, but most were rejected; the committee striking amendment updating agency names and dates was adopted. The bill passed 29-20 after a lengthy, emotional debate over whether the program protects public safety or unfairly restricts people with developmental disabilities, with supporters citing civil rights concerns and opponents warning about risks to vulnerable residents and the lack of a detailed transition plan. Other measures passed with broad support, including Substitute House Bill 2114 on defective license plates (48-0), Engrossed Substitute House Bill 2471 on collective bargaining if the NLRB loses authority (31-18), House Bill 1069 on bargaining over supplemental retirement contributions for Department of Corrections employees (31-18), House Bill 2441 expanding medical premium reimbursements for surviving spouses of line-of-duty deaths (49-0), and Engrossed Third Substitute House Bill 1710 adding preclearance requirements under the Washington Voting Rights Act, which drew debate over local control and litigation but had not yet reached a final vote by the end of the transcript.
OK

Oklahoma 2026 Regular Session

Health and Human Services Oversight Feb 25th, 2026

Health and Human Services Oversight

Transcript Highlights:
  • When I read it on page two, when we're talking about Medicaid...
  • I just had a clarifying question because of what Representative Roe was asking as far as Medicaid and
  • This is a Medicaid audit bill. So that's what it's for. For Medicaid? Yes, for Medicaid.
  • This is a Medicaid audit bill. So that's what it's for. For the Medicaid? Yes, for Medicaid.
  • For the Medicaid? Yes, for Medicaid. And so that way... You're recognized for a follow-up.
Summary: The committee took up a series of health and human services bills, beginning with House Bill 4248, which was reported due pass on a 9-0 vote after an unclear procedural vote call. The next major item was House Bill 3194, a bill to prevent pregnancy resource centers from being singled out for discrimination. The author said the measure was intended to protect private nonprofit pregnancy centers from lawsuits and government interference, including in staffing and mission-related decisions. Members questioned the bill’s impact on counseling, contraception referrals, ectopic pregnancy treatment, employment practices, and whether it was necessary given existing law. The bill was reported due pass on a 10-2 vote. The committee then advanced House Bill 3849, a request bill from the Oklahoma Commission on Children and Youth to update language and broaden mentoring program credentialing, and House Bill 4095, which reaffirms the state role in the 211 collaborative and clarifies that it applies to hotline services for needs such as food, housing, clothing, transportation, and medical assistance. House Bill 4302 would allow the Office of Juvenile System Oversight to disclose a complainant’s identity to law enforcement if the complainant threatens harm. All three were reported due pass unanimously. Members also approved House Bill 3342, described as a Medicaid audit reform bill intended to curb punitive audits of providers; the author said the bill arose from cases where providers were penalized over reporting issues rather than fraud. House Bill 3344, aimed at improving foster care standards and home placements, passed 10-2 after questions about income thresholds, letters of recommendation, and whether the bill would apply to guardianship placements; the author said the goal was to raise standards and improve outcomes for children. House Bill 3287, requiring hospitals to post information and develop protocols for domestic violence and human trafficking victims, passed 12-0. House Bill 3645 created an alternate pathway for hospice referrals when a patient lacks next of kin or power of attorney, and House Bill 3647 established an all-payer claims database while emphasizing that the data could not be sold; both passed 12-0 after members raised concerns about federal consistency and privacy. Later, House Bill 3930, which defines “service animal” and requires sellers of emotional support animals to disclose that they are not service animals, passed 10-2. House Bill 3931 corrected a prior death-certificate change deadline and was reported due pass unanimously. House Bill 1818, a social work licensing cleanup bill, was amended to extend a sunset date to 2028 and then reported due pass 12-0. House Bill 4336 clarified pain-management definitions, including acute pain, and was reported due pass 12-0 after questions about labor and epidural care. House Bill 4454, an untimely PCS on medical marijuana edibles, would require clearer THC labeling and prohibit child-attractive shapes; the author cited pediatric ingestion incidents, and the bill passed 11-1. The committee then revisited House Bill 1818 to change the effective date to November 1, 2026, by unanimous consent.
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 12th, 2026 at 06:25 pm

Washington House Floor Meeting

Summary: The House took up second reading and final passage on several bills. House Bill 2575, relating to reducing certain environmental reporting obligations, was amended to direct savings from reduced utility reporting toward low-income electricity assistance, then passed 95-0. House Bill 2334, on cash transaction rounding for the loss of pennies, passed 89-6 after debate over common-sense rounding, tax treatment, and concerns about moving away from cash. House Bill 2714, updating caseload forecasting for food and nutrition assistance programs including SNAP, passed 95-0. Engrossed Substitute House Bill 2557, concerning parental access to special education evaluation meetings and timelines, passed 95-0 after a technical amendment clarifying terminology and discussion about giving parents more time to prepare for meetings. The House also passed Substitute House Bill 2594, which codifies protections for unhoused students and aligns state law with federal McKinney-Vento protections; supporters described the bill as ensuring continued educational access for homeless youth, and it passed 94-1. House Bill 2348, updating timber sale process efficiencies, including electronic notice and appraisal/approval requirements for certain land sales, passed 95-0. Engrossed Second Substitute House Bill 2215, dealing with Climate Commitment Act compliance obligations for fuels, drew extensive debate over market fairness, fuel prices, rural impacts, and Ecology’s authority; after adopting a striking amendment and rejecting several others, it passed 57-38. The House then considered House Bill 1710, a Washington Voting Rights Act compliance bill creating a new chapter in Title 29A RCW. Members debated numerous amendments focused on preclearance standards, lookback periods, fee shifting, rulemaking authority, settlement treatment, and the use of citizen voting-age population. Some technical amendments were adopted, while many substantive amendments were rejected. The transcript ends during continued amendment debate on the bill, before final passage is recorded.
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 12th, 2026 at 12:35 pm

Washington House Floor Meeting

Transcript Highlights:
  • Also, the Federal Center for Medicaid and Medicare and also the Federal Center for Medicaid and Medicare
  • So again, I'll say, if we need reform, Then let's work on the reform, but let's not completely do away
  • So if that, again, if we need reform, Mr.
  • Speaker, let's do that in the interim and really sit down and come up with a better reform.
  • Speaker, and vote no and work on reforming this program rather than deleting it.” “Deleting it.
Summary: The House took up several bills on second and third reading, beginning with House Bill 2360 on expanding access to albuterol in public and private schools. A motion to recommit the bill to the House Health Care and Wellness Committee failed on a roll call vote, 38 yeas to 56 nays. Supporters said the bill would help school nurses respond to students in respiratory distress and reflected input from nurses, OSPI, and the Department of Health. Opponents raised concerns about training, drug interactions, follow-up care, costs to districts, and schools making medical decisions without a diagnosis. The bill then passed 60-34. House Bill 2467, clarifying measurement rules for fifth-wheel travel trailers, passed 94-0 after sponsors said it would help Washington dealers and consumers. House Bill 1983, relating to timberland tax treatment when land is sold to DNR, passed 68-26 amid debate over whether it would help forest management or make it easier for DNR to acquire timberland. House Bill 2531, updating ambulance transport fund quality assurance rules to align with federal regulations and preserve matching funds, passed unanimously 94-0. The House also passed Substitute House Bill 1390, which phases out the Community Protection Program for certain developmentally disabled individuals with high-risk histories and transfers participants to other waiver programs. Supporters said the program was overly restrictive, out of compliance with federal law, and had trapped people in long-term confinement-like conditions; opponents argued it would weaken public safety and move dangerous individuals into community settings without adequate safeguards. The bill passed 52-44. House Bill 2367, eliminating a preferential treatment related to the former TransAlta coal plant in Centralia, passed 63-33 after supporters framed it as closing the book on coal and opponents warned about energy reliability, jobs, and an emergency clause. Substitute House Bill 2133, making a property tax exemption for certain senior centers permanent, passed 96-0. Substitute House Bill 2355, establishing labor protections for domestic workers, passed 57-39 after supporters emphasized dignity and long-standing worker abuse concerns, while opponents cited fiscal impacts. The House then passed Engrossed Substitute House Bill 2534, with a technical amendment, to improve educational stability for children in military families; it passed 96-0. Engrossed Second Substitute House Bill 1974, creating a land banking framework to support affordable housing, passed 59-37 after an amendment reduced fiscal impact by striking some tax preference sections. House Bill 2223, allowing certain irrigation district board service by farmers with spouses employed by the district, passed 93-3. Substitute House Bill 2239, allowing family burial grounds on private property, passed 96-0 after supporters cited rural needs, cultural traditions, and personal family stories. The session also included a brief congratulatory recognition for Representative David Stuebe after his first bill passed the House.
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 12th, 2026 at 09:00 am

Washington House Floor Meeting

Summary: The House convened with a quorum, recited the Pledge of Allegiance, and heard a prayer before approving the previous day’s minutes and taking caucus breaks. Members were reminded that the three-minute rule for debate had begun and would remain in effect through House of Origin cutoff. The chamber then moved through second- and third-reading action on a series of bills, mostly on capital, consumer, labor, and professional licensure topics. Several bills were advanced and passed with broad or unanimous support. House Bill 2338 would expand low-income weatherization work to community-scale and multifamily projects; House Bill 2353 raises the threshold for requiring pre-design on public projects; Substitute House Bill 2363 allows music therapy students to practice under supervision while exam scores are pending; Substitute House Bill 2525 creates a Heritage Orchard Program to preserve rare apple varieties; Substitute House Bill 2420 increases small works roster thresholds; Substitute House Bill 2428 prevents unintended lapses in life insurance by allowing a third-party designee to help maintain coverage; House Bill 2604 allows electronic signatures for transferring a vehicle to an insurer; and Substitute House Bill 2107 makes permanent a requirement that L&I provide written notice to employers/contractors when hazards are identified. Each of these bills passed by large margins, generally 94 yeas and no nays, except HB 2338, which passed 93-1. The House also adopted Amendment 1517 to Engrossed Substitute House Bill 2247, a striker that revised the veterinary client-patient relationship bill to require annual veterinarian visits for certain animal production, commercial, and breeding operations and to align the measure with federal law. Supporters said it would allow veterinarians to use telehealth between physical exam visits and improve access for rural and agricultural communities. After the amendment, the bill passed 94-0. The session ended with more caucus announcements and the House at ease.
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 12th, 2026

Washington House Floor Meeting

Summary: The House convened with a quorum present, the Pledge of Allegiance and prayer were offered, and the chamber approved the previous day’s minutes. Members then caucused briefly before moving into second reading and third reading action on several bills, with the day also marking the start of the three-minute debate rule through House of Origin cutoff. The House passed House Bill 2338, which expands the low-income home weatherization program to support community-scale weatherization projects, especially for multifamily housing. It also passed House Bill 2353, raising the threshold for requiring predesign work on public projects from $10 million to $15 million, and Substitute House Bill 2363, a trailer bill allowing music therapy students to practice under supervision while exam scores are pending. Members described these as efficiency measures and consumer or workforce improvements. The chamber also approved Substitute House Bill 2525 to establish the Heritage Orchard Program and a registry at Washington State University to preserve rare and heritage apple varieties, with sponsors emphasizing the importance of Washington’s apple industry and agricultural history. Additional bills passed unanimously included Substitute House Bill 2420 on increasing small works roster thresholds, Substitute House Bill 2428 on preventing unintended lapses in life insurance by allowing third-party designees, House Bill 2604 allowing electronic signatures for transferring salvage vehicles to insurers, and Substitute House Bill 2107 making permanent a pilot requiring Labor and Industries to notify employers of identified job-site hazards within 10 days. Finally, the House adopted Amendment 1517 and passed Engrossed Substitute House Bill 2247, which updates veterinarian-client-patient relationship rules to allow telehealth between required physical visits and requires annual veterinarian oversight for certain animal production, commercial, and breeding operations. All of the listed bills received overwhelming support, with each final passage vote recorded at 94 yeas and 0 nays, except House Bill 2338, which passed 93-1.
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.
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.
Bills: HB37 , HB51 , HB173 , HB180 , HB192 , HB306 , HB366 , HB393 , HB485 , HB516 , HB521 , HB526 , HB638 , HB752 , HB817 , HB976 , HB1006 , HB1044
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
Committee: House Ways & Means