Video & Transcript : 'Medicaid reform' :

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KY
Transcript Highlights:
  • Switching to Department for Medicaid Services. 907 KAR 1:28.
Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.
LA

Louisiana 2026 Regular Session

House of Representatives Apr 9th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Title 28, Medicaid Behavioral Health Services; administrative requirements; telehealth services...
  • SCR 20 by Senator Wheat memorializes Congress and urges the Centers for Medicare and Medicaid Services
  • to authorize states to implement presumption of Medicaid eligibility during redetermination for elderly
  • House Bill 740 by Representative Sinn of Air, Medicaid managed care, independent claim review process
  • It really is trying to reform how we license plumbers. Rep.
Summary: The House convened with a quorum, opened with prayer by guest minister Reginald Tate, and adopted the journal and several leave requests. The chamber received Senate messages, including concurrence in HCR 44 and Senate adoption of SCRs 19 and 26, and referred a number of Senate resolutions and bills to committee. It also reported and adopted several House resolutions honoring individuals, schools, and organizations, including H.R. 112, 113, 114, and 52, and referred HCR 51 to Appropriations for a study of assessor and clerk compensation. The House then processed many bills on second and third reading, with numerous measures reported favorably or amended and advanced without objection. Topics included criminal justice and public safety (including hit-and-run as a crime of violence, video voyeurism, intentional exposure to HIV, bail conditions for human trafficking defendants, and post-conviction custody rules), health and insurance matters (AI disclosure in health care, hearing aid coverage, anti-cancer medication parity, pharmacy benefit managers, Medicaid/SNAP integrity, and rare cancer treatments), education and governance (special education due process, school funding, campaign finance, public records, and legislative website transparency), and natural resources and transportation items. Several bills were substituted or renumbered, and many were engrossed and passed to third reading. Two floor debates drew extended discussion. HCR 15, urging Congress to pass the SAVE Act and require voter identification in federal elections, passed 65-32 after questions about voter roll purges and documentation requirements. HCR 14, supporting federal efforts to eliminate the U.S. Department of Education, prompted extensive debate over federal education funding, Title I, special education, student loans, land-grant institutions, desegregation oversight, and whether federal functions could be shifted to other agencies; it was adopted 59-28 with 23 coauthors. Later, HB 108, barring persons convicted of violent crimes or sex offenses from jury service, passed 68-32 after debate over jury pool size, second chances, and whether the bill would apply to civil and criminal trials. The House also passed HB 98 on penalties for unlawful release of victim information, HB 131 on custody pending appeal, HB 161 on bail conditions for human trafficking defendants, and HB 288 requiring “miscarriage” to appear alongside “spontaneous abortion” in medical records and billing.
LA

Louisiana 2026 Regular Session

House of Representatives Apr 9th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Title 28, Medicaid Behavioral Health Services; administrative requirements; telehealth services.
  • SCR 20 by Senator Wheat memorializes Congress and urges the Centers for Medicare and Medicaid Services
  • SCR 20 by Senator Wheat memorializes Congress and urges the Centers for Medicare and Medicaid Services
  • House Bill 181 by Representative Bacallup: Medicaid Program; Supplemental Nutrition Assistance Program
  • It really is trying to reform how we license plumbers. Rep.
OK

Oklahoma 2026 Regular Session

Judiciary Feb 24th, 2026 at 01:30 pm

Judiciary

Transcript Highlights:
  • with several parties, district attorneys, counsel, OSBI, as well as a number of criminal justice reform
  • There are states turning to these sorts of reforms to provide more certainty so that there might be more
  • bill would do is if they don't have insurance, then the, and even if they're not on Medicare or Medicaid
  • Is there anything in here that creates projections for what Medicare or Medicaid reimbursements might
  • to include it at what point guardian ad litems need to be included, and we need guardian ad litem reform
Committee: Senate Judiciary
OK

Oklahoma 2026 Regular Session

Judiciary Feb 24th, 2026

Judiciary

Transcript Highlights:
  • working with several parties, district attorneys council, OSBI, as well as a number of criminal justice reform
  • There are states turning to these sorts of reforms to provide more certainty so that there might be more
  • and even if they're... ...is if they don't have insurance, and even if they're not on Medicare or Medicaid
  • Is there anything in here that creates projections for what Medicare or Medicaid reimbursements might
  • And we need guardian ad litem reform.
Committee: Senate Judiciary
Summary: The Senate Judiciary Committee heard and advanced a series of bills covering criminal justice, family law, elections, insurance, and property issues. Among the measures approved were SB 2030, a clean-slate/automatic expungement bill; SB 1926, allowing victims seeking protective orders to file in another county; SB 2170, requiring supervised visits when sexual abuse allegations are substantiated by DHS; SB 2151, giving prosecutors discretion to seek a 65% sentence instead of an 85% sentence in some cases; SB 2166, setting evidentiary rules for calculating future medical damages; SB 1213, allowing certain inmates to start at a higher earned-credit level; SB 1381, creating a statewide pretrial hearing process with a pilot program approach; SB 1824, updating corporation and LLC statutes; SB 1876, modernizing service of process on foreign insurers; SB 1728, adding a domestic violence definition for coercive control; SB 1582, defining bona fide resident and lawful permanent resident for alien land ownership rules; SB 1286, requiring more political subdivisions to provide polling places at no cost; SB 1386, creating a courtroom transparency pilot program using audio-video recording; and SB 1708, creating a rebuttable presumption of joint custody and equal parenting time. Several bills were amended before passage, including title-striking motions on multiple measures and committee-substitute language changes. Debate centered on the policy tradeoffs in several of the more controversial bills. Senators raised concerns about forum shopping and judicial bias in the protective-order bill, the fairness and practical effects of the future-damages bill on injured plaintiffs and insurers, the impact of the custody presumption bill on domestic violence cases and guardian ad litem practice, and the risks of foreign land ownership. Supporters generally framed the bills as responses to constituent concerns, efforts to improve fairness or transparency, or ways to modernize outdated statutes and procedures. Opponents or skeptics focused on unintended consequences, possible burdens on victims, and whether existing law already addressed the problems being raised. The committee also heard that SB 1381 would likely return as a pilot program in one county because of fiscal concerns, and SB 1386 was discussed as a limited courtroom-recording pilot rather than a full statewide rollout. SB 1582 passed after discussion of the meaning of “bona fide resident” and whether certain noncitizens could buy land. SB 1708 drew especially detailed debate over whether the law should begin with a presumption of equal parenting time or leave custody decisions entirely to the judge’s best-interest analysis. Most measures advanced on bipartisan roll-call votes, with some dissent on SB 1926, SB 2166, SB 1386, and SB 1708.
TX
Transcript Highlights:
  • This bill replaces the STAAR test, as has been asked for on the call, and it reforms our Texas assessment
  • The system is in need of reform.
  • To change this and solve this problem, if we fail to act and pass meaningful reforms, we will remain
Bills: HB8 , HB12 , SB 3 , HJR1 , SB 11 , SB 16 , SB 14 , HB 8 , HB 12 , SB 3 , HJR 1 , SB 11 , SB 16 , SB 14
TX

Texas 89th Regular

Senate Session (Part II) Aug 21st, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • all of us over the last few weeks by being united, organizing, and advocating so effectively for reforms
  • do hope that the work we have accomplished together brings some comfort to you, knowing that the reforms
  • Reform efforts for years since I've sat next to you.
Bills: SB 9 , SB 7 , SB 17 , SB 4 , SB 1 , HB4 , HB4 , SB9 , SB7 , SB17 , SB4 , SB1 , SB2 , SB5
LA

Louisiana 2026 Regular Session

Appropriations May 5th, 2026

Appropriations

Transcript Highlights:
  • Seth Goldwood, Louisiana Department of Health, Medicaid Director for the department.
  • In Medicaid, for example, we regularly use data sources from other state agencies to conduct eligibility
  • also receive information from the Department of Corrections to make sure that we aren't paying for Medicaid
  • Yes, Seth Gold, again with Medicaid Director at the Louisiana Department of Health.
  • Yes, Seth Gold, again, Medicaid Director at the Louisiana Department of Health.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 3rd, 2026 at 04:00 pm

Ways & Means

Transcript Highlights:
  • For the purposes of Medicaid reimbursement, there are a variety of types of hospitals.
  • For example, In the Medicaid reimbursement system, there are a variety of types of hospitals.
  • reimbursement and what Medicaid pays critical access hospitals in the state.
  • Because Toppenish is a prospective payment hospital and not a critical access hospital, Medicaid paid
  • The $9.5 million difference between Medicaid payments and costs is comparable to the hospital's most
Committee: Senate Ways & Means
TX
Transcript Highlights:
  • The filed version by Representative Alverson ensures... ...that our state's Medicaid dollars are not
  • So the bill expands access to criminal history records for purposes of the Medicaid program.
  • It's about access to criminal history records for the purpose of the Medicaid program.
  • attention, but it is really useful. ...tool for you all as appropriators as we look at potential reforms
  • What this would allow is, as these ideas for reforming our state benefit plans come up, a proposal can