Video & Transcript Research : 'Medicaid reform'
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TX
Transcript Highlights:
- SB number 14 by King Relating to reforming the procedure by which state agencies adopt rules and impose
- I'm here to speak to you about Senate Bill 14, which reforms the the procedure by which state agencies
- actually puts Texas to the left of the federal government when it comes. to issues of regulatory reform
- Transparency and accountability in Texas state government house bill 12 bills on the success of past reform
Keywords:
regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel
TX
Transcript Highlights:
- So, by a 10 to 1 vote, the bill will be reformed. and referred to the Calendars Committee. lays out his
- criminal justice reform advocates about potential unintended consequences on this legislation.
Keywords:
sexual assault, victim rights, forensic examination, medical care, trauma-informed care, crime victims compensation, evidence retention, child sexual abuse material, child pornography, digital services, reporting requirements, children's protection, sex offender registration, indecent assault, educator-student relationship, criminal justice, legislation, crime victims, compensation fund, information disclosure
TX
Transcript Highlights:
- He was instrumental in passing HB 2442 and he's. been at the legislative forefront on all these reform
Keywords:
coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation
TX
Keywords:
coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation
AL
Alabama 2025 Regular Session
Alabama House State Government Committee Mar 19th, 2025
State Government
Keywords:
homelessness, homeless individuals, unsheltered, transient, shelter, encampment, street outreach, relocation, displacement, law enforcement, municipal government, county government, local government, interjurisdictional transport, Class A misdemeanor, criminal penalties, public safety, social services, Alabama Code 15-20A-4, environmental regulation
TX
Keywords:
regulatory reform, state agencies, efficiency, rulemaking, judicial review, SB 217, Historic Texas Freedmen's Cemetery Designation Program, Texas Historical Commission, Freedmen's cemetery, freed slave burial site, cemetery designation, historic cemetery, African American history, Black cemetery, burial grounds, cemetery preservation, historical marker, medallion, property owner notice, adjacent landowners
TX
Transcript Highlights:
- And she could have been alive today, and that's why this is such a fun. fundamental reform because we
- of them. them every night somebody is killed and they could have been stopped by this common-sense reform
Bills:
SJR 5, SJR 36, SJR 5, SJR 5, SR 105, SR 121, SB 17, SB 19, SB 25, SB 28, SB 17, SB 19, SB 25, SB 28
Keywords:
bail, felony offenses, criminal justice reform, public safety, constitutional amendment, school safety, mental health, emergency response, education policy, law enforcement, SR 121, Senate Resolution 121, Pete Alfaro, Pedro Cuellar Alfaro, Pedro Alfaro, Baytown, Texas Senate tribute, in memory, memorial resolution, condolence resolution
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Mar 25th, 2026 at 01:12 pm
Oklahoma Senate Floor Meeting
Bills:
SB1778, SB1570, SB134, SB1966, SB1636, SB1725, SB1726, SB259, SB504, SB592, SB2030, SB1572, SB843, SB1242, SB1255, SB1262, SB1264, SB1286, SB1581, SB1290, SB1316, SB1319, SB1369, SB1379, SB1381, SB1400, SB1427, SB1436, SB1461, SB1496, SB1509, SB1534, SB1553, SB904, SB1592, SB1645, SB1684, SB1767, SB1772, SB1813, SB1894, SB1928, SB1946, SB1980, SB2040, SB2060, SB2061
Keywords:
reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Mar 25th, 2026 at 09:00 am
Oklahoma Senate Floor Meeting
Transcript Highlights:
- We need to know if there's any kind of reform or we're just rearranging the jett.
- I I don't see any real reform. I see moving around, moving around.
- But where's the reform?
- There's no reform.
- We need serious reform with DHS.
Bills:
SB1778, SB1570, SB134, SB1966, SB1636, SB1725, SB1726, SB259, SB504, SB592, SB2030, SB1572, SB843, SB1242, SB1255, SB1262, SB1264, SB1286, SB1581, SB1290, SB1316, SB1319, SB1369, SB1379, SB1381, SB1400, SB1427, SB1436, SB1461, SB1496, SB1509, SB1534, SB1553, SB904, SB1592, SB1645, SB1684, SB1767, SB1772, SB1813, SB1894, SB1928, SB1946, SB1980, SB2040, SB2060, SB2061
Keywords:
reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Mar 25th, 2026
Oklahoma Senate Floor Meeting
Transcript Highlights:
- This does not set a limit for Medicaid recipients. There will be rules. Mr.
- So any idea how many we're talking, like what possibly the cost would be to Medicaid?
- Medicaid would cover this. Thank you for your question.
- regarding their gender transition, either before or after using Medicaid dollars.
- Using Medicaid dollars. That was the loophole that we're trying to shut down.
Bills:
SB1778, SB1570, SB134, SB1966, SB1636, SB1725, SB1726, SB259, SB504, SB592, SB2030, SB1572, SB843, SB1242, SB1255, SB1262, SB1264, SB1286, SB1581, SB1290, SB1316, SB1319, SB1369, SB1379, SB1381, SB1400, SB1427, SB1436, SB1461, SB1496, SB1509, SB1534, SB1553, SB904, SB1592, SB1645, SB1684, SB1767, SB1772, SB1813, SB1894, SB1928, SB1946, SB1980, SB2040, SB2060, SB2061
Keywords:
reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations
Summary:
The Senate first handled several gallery introductions recognizing visiting groups, including Muskogee Day, domestic violence advocates, Wagner High School leadership students, the Bixby Chamber and football team, and the Heartland Home Educators co-op. The chamber also adopted a motion to suspend debate rules for the remainder of the day so third-reading bills could be debated under shortened time limits.
Senate Bill 134, which shortens the waiting period for Oklahoma Public Employees Retirement System retirees to return to public employment from one year to six months, drew questions about “double dipping,” actuarial impact, and workforce shortages. The author said the bill was requested by the Association of County Commissioners to help counties retain experienced workers, noted an actuarial estimate that the system would drop from 107% to 105% funded, and explained there were no special safeguards beyond existing limits. The bill advanced and then passed 47-0.
Senate Bill 196, a measure naming multiple bridges, highways, and interchanges for veterans, law enforcement officers, and other honorees, was presented as a personal bill by the author, including a bridge named for his grandfather. After brief questions, it advanced and passed 47-0. Senate Bill 1636, which allows immediate family members or similar individuals to request OSBI review of cold homicide cases after a local law enforcement case-file review, also advanced after questions about eligibility, timing, and workload; supporters said it would give families a path to seek answers in long-unsolved cases. It passed 47-0.
The chamber then considered Senate Bill 1725, which addresses expressive activity on higher-education campuses by allowing content-neutral security fees, limiting discipline to narrowly defined harassment, and requiring free speech training for first-year students. Debate centered on campus free speech, university accountability, and whether the bill would add costs or sufficient enforcement; it passed 40-17 and was advanced as an emergency measure. Senate Bill 1726, a companion bill requiring training for graduate assistants who teach, emphasizing classroom management, academic integrity, and viewpoint neutrality, passed 41-7 and was also advanced as an emergency measure. Finally, Senate Bill 259, a long-debated water bill requiring metering or approved measuring devices for groundwater use, drew extensive discussion over costs, property rights, regional differences, and regulation of irrigators; the bill was advanced to final passage after a 34-8 vote, with debate continuing at the end of the transcript.
KY
Kentucky 2026 Regular Session
Administrative Regulation Review Subcommittee (7-8-26)
Transcript Highlights:
- . >> Department for Medicaid Services, Division of Long-Term Care and Supports, 907 KAR 27:20 and 27:
- Leslie Hoffman, Deputy Commissioner for Department of Medicaid. >> Jonathan Scott, Regulatory and Legislative
- 00:14:27.840><c> for</c><00:14:27.920><c> Department</c><00:14:28.280><c> of</c><00:14:28.360><c> Medicaid
- </c> Commissioner for Department of Medicaid. Commissioner for Department of Medicaid.
Keywords:
• 0:00 - Roll Call
• 0:19 - Approval of June 2026 meeting minutes
• 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178)
• 1:35 - Board of Veterinary Examiners (201 KAR 16:767)
• 4:10 - State Board of Elections (31 KAR 4:240 Emergency)
• 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600)
• 7:03 - Department of Revenue (103 KAR 43:341 Emergency)
• 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440)
• 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080)
• 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070)
• 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110)
• 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400)
• 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725)
• 28:11 - Next meeting and adjournment, 958, all
Summary:
The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations.
Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85.
The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.
LA
Transcript Highlights:
- Well, we get a per diem rate from Medicaid, and we provide 3.5, 3.1, 2.1, transitional housing, and workforce
- to treat both kidney disease, chronic kidney disease, and rare kidney diseases within our state's Medicaid
- 190 by Senator Mizell, relative to nursing facilities, to provide for the Centers for Medicare and Medicaid
Bills:
HR174, HR194, HCR98, SB39, SB124, SB190, SB236, SB270, SB273, SB359, SB415, SB426, SB437, SB451
Keywords:
fenbendazole, cancer treatment, public health, FDA, clinical trials, patient safety, visual acuity, student health, de-identified data, longitudinal analysis, education policy, SNAP, food stamps, Supplemental Nutrition Assistance Program, grocery delivery, delivery fees, service charges, online grocery, food access, food insecurity
LA
Keywords:
housing assistance, state-owned property, cost-burdened, state employees, affordable housing, fiscal audit, higher education, public funds, underrepresented minorities, Board of Regents, Louisiana legislation, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, airport authority, fire protection, supplemental pay, public safety
KY
Kentucky 2026 Regular Session
House Legislative Session Day 59 (4-14-26) - Part 1
Kentucky House Floor Meeting
Transcript Highlights:
- </c> Medicaid system. Medicaid system.
- of Medicaid.
- </c><00:15:02.639><c> There's</c> with this uh reform of Medicaid.
- There's with this uh reform of Medicaid.
- Medicaid coverage.
Bills:
SB141, SB124, SB56, SJR116, SB94, SB37, SB127, SB197, SB66, SB70, SB133, SB160, SB214, SB312, SB52, SJR62, SJR75
Keywords:
legal advertisements, tax rates, public hearings, transparency, local government, sick leave, education, teacher retirement, benefits, employee compensation, Medicaid, nonopioid analgesics, pain management, health care regulation, utilization controls, physician shortage, health care access, medically underserved areas, medical education, workforce development
AL
Alabama 2026 Regular Session
Alabama Senate Education Policy Committee Feb 11th, 2026
Education Policy
Keywords:
sales tax exemption, Consumer Price Index, local government, clothing, school supplies, emergency preparedness, Alabama Administrative Procedure Act, APA, administrative law, judicial review, agency deference, Chevron deference, de novo review, contested case, state agency, regulatory power, individual liberty, statutory interpretation, rule interpretation, license revocation
NM
Keywords:
general appropriation, budget, Medicaid, education funding, public safety, higher education, research funding, federal funding, New Mexico, appropriation, University of New Mexico, New Mexico State University, New Mexico Institute of Mining and Technology, child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool
AZ
Transcript Highlights:
- With H.R. 1 passing last July 4th and the SNAP and Medicaid reforms, along with the Rural Health Transformation
- of postpartum hemorrhage, type 2 diabetes, cancers, and depression, all high-cost conditions for Medicaid
- to operate under the Indian Self-Determination Act and are eligible for the same payments in the Medicaid
- waivers would maximize the 100% FMAP for tribal and IHS facilities received for services provided to Medicaid-eligible
Keywords:
radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice
WA
Transcript Highlights:
- If an agency is seeking Medicaid reimbursement or to provide court-ordered treatment, they are required
- If an agency is seeking Medicaid reimbursement or to provide court-ordered treatment, they are required
- Currently, about 78% of the patients we care for are covered by Medicare, Medicaid, or TRICARE.
- Senate Bill 5923 is necessary for us to also qualify for cost-based reimbursement for our Medicaid...
- Between Medicare and Medicaid, critical access status would allow us to draw down federal funds to help
Keywords:
preK promise account, early childhood education, child care, preschool, pre-kindergarten, DCYF, Department of Children, Youth, and Families, state treasury, trust fund, investment earnings, gift grants donations, dedicated account, general fund, nonreverting balance, appropriation, treasurer, Washington early learning, school readiness, education assistance program, legislative audit
Summary:
The Ways and Means Committee held a public hearing on nine bills. Senate Bill 5872 would create the Pre-K Promise Account to receive philanthropic gifts for the ECAP preschool program; supporters including the Ballmer Group, DCYF, and the governor’s office said the account would support a 10-year commitment to expand access by up to 10,000 seats per year, while members asked how the annual funding would flow. Senate Bill 5879 would eliminate two JLARC studies, one on lodging tax revenue use and one on the training benefits program; supporters said the reports were redundant and burdensome, while the Washington Hospitality Association cautioned against losing transparency on lodging tax spending. Senate Bill 6047 would permanently codify and update capital budget administration provisions, including minor works flexibility, lapse rules for projects, and a higher eligible percentage for some early learning grants; testimony focused on technical fixes for capital and early learning projects, including nonprofit co-located developments and a cultural center’s BCF funding issue.
The committee also heard Senate Bill 5988, which would authorize the Department of Health to charge fees for accrediting opioid treatment programs; DOH said the fee authority would keep accreditation services available, including for tribal programs, and would replace current funding sources. Senate Bill 5923 would allow Island Hospital in Skagit County to be paid as a critical access hospital once federally certified, which supporters said would improve rural hospital sustainability and Medicaid reimbursement. Senate Bill 5832 would raise the new motor vehicle arbitration fee from $3 to $6 to fund the Attorney General’s Lemon Law program; supporters said the program has a high consumer success rate and returns significant value, while the bill would increase receipts to the arbitration account and require system updates.
Two tax-related bills drew substantial testimony. Senate Bill 5970 would make permanent the property tax exemption for multipurpose senior citizen centers; AARP supported it as a way to preserve community services for older adults and caregivers. Senate Bill 5994 would preserve timber tax distributions for school districts that recently lost qualifying levies, with forest industry witnesses supporting the school funding fix and noting possible implications for state forest transfer lands. Senate Bill 5949 would narrow the B&O tax exemption for insurance-related businesses so it applies only to the insurer paying the premium tax and would apply retroactively to 2019; the Department of Revenue and supporters said it would restore tax equity and generate about $73 million over four years, while insurers and business groups opposed it, warning of retroactive liability, higher premiums, and possible effects on health, auto, home, and life insurance costs. No votes were taken; each bill was heard and the committee adjourned after public testimony.
KY
Kentucky 2026 Regular Session
Administrative Regulation Review Subcommittee (11-10-25)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=WMvRlWpK6m0, 2026-06-21T07:17:12+00:00, 2.2.24, Data collected via generic collector engine, 0:01 – Call to order/roll call
0:43 – Approval of minutes
1:07 – Kentucky Higher Education Assistance Authority
2:41 – Personnel Cabinet
5:03 – Board of Medical Licensure
31:23 – Vote for finding of deficiency for 201 KAR 009:270 (Board of Medical Licensure)
35:00 – Board of Landscape Architects
37:15 – Board of Speech-Language Pathology and Audiology
38:14 – Board of Licensure for Professional Engineers and Land Surveyors
39:04 – Board of Respiratory Care
42:42 – Department for Fish and Wildlife Resources
46:05 – Department of Criminal Justice Training
46:59 – Board of Education
47:55 – Kentucky Fire Commission
48:28 – Department of Workplace Standards
49:25 – CHFS – Office of the Inspector General – 900 KAR 005:020 & 900 KAR 006:075
57:17 – CHFS – Office of the Inspector General – 902 KAR 055:015E
1:19:40 – CHFS – Department for Medicaid Services, 958, all, 2.2.42, 2.1.47
TX
Keywords:
SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction