Video & Transcript : 'Medicaid reform' :

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LA

Louisiana 2026 Regular Session

House of Representatives Jun 1st, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • House Bill 1028 by Representative Lyons provides relative to non-emergency medical transport and Medicaid
  • relative to the Department of Health, including certain additional items, information, and a monthly Medicaid
  • It drills down into Medicaid information and requires them to provide more information.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Jul 22nd, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • You know, again, Medicaid—our own New Mexico Medicaid Authority—is reporting that we have a potential
  • Almost all of the reforms that have been implemented—certainly the reforms that have been implemented
  • Your Medicaid program has its own.
  • The next level of reform is a higher investment. Reform is a higher investment.
  • The most recent Medicaid contract would also require starting with looking at what your Medicaid contract
NE

Nebraska 2025-2026 Regular Session

Legislative Morning Session Apr 9th, 2026

Nebraska Unicameral Floor Meeting

Transcript Highlights:
  • amends section 81-831.45, with changes to eligibility for grants, and appropriates $300,000 to the Medicaid
  • disrespectful and it's disingenuous to those in the body who have worked hard to bring actual property tax reform
  • disrespectful and it's disingenuous to those in the body who have worked hard to bring actual property tax reform
  • Did some reform. It didn't make it out of committee.
  • Close to real property tax reform, and that's what this can do. Thank you, Mr. President.
NE

Nebraska 2025-2026 Regular Session

Legislative Afternoon Session Apr 9th, 2026

Nebraska Unicameral Floor Meeting

Transcript Highlights:
  • It also references federal law, Medicaid assistance, and related account treatment upon the death of
  • It also references Medicaid assistance and a spouse or husband on the medical assistance program.
NM

New Mexico 2025 Regular Session

IC - Revenue Stabilization and Tax Policy Dec 15th, 2025 at 01:04 pm

Revenue Stabilization & Tax Policy Committee

Transcript Highlights:
  • So, first of all, the medical malpractice reform. So how do we reform medical malpractice?
  • Medicaid in the state.
  • The second piece on Medicaid reform—I'm not on the Appropriations Committee.
  • But for me, what I've seen is really our reform on Medicaid is falling out because of the big beautiful
  • Medicaid reform—we got screwed by the feds.
Keywords: 996, all
NM
Transcript Highlights:
  • So first of all, the medical malpractice reform. So how do we reform medical malpractice?
  • The second piece on Medicaid reform, I'm not an appropriations committee.
  • But for me, what I've seen is really our reform on Medicaid is falling out because of the big, beautiful
  • And unless something changes in D.C., like, we, The Medicaid reform before it's all lost will be important
  • Medicaid reform, we got screwed by the feds.
Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.
US
Transcript Highlights:
  • , paid for by Medicaid.
  • I want the people who benefit from Medicaid to have a great Medicaid program, and I look at a situation
  • Vought, let me ask you about Medicaid.
  • Well, I'm not sure I used efficiency as the reason to justify reforms to Medicaid.
  • Today, Senator, I hope there's a better Medicaid program and that Medicaid is an important program for
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • So here we had a Medicaid program paying ...a Medicaid program paying one rate, the fee for service,
  • You know, but the behavioral health facilities need the Medicaid patients, and the Medicaid patients
  • You know, someone's in fee-for-service, they're Medicaid. Someone's in MCO, they're Medicaid.
  • Our Medicaid census today is 94%, and I've been averaging over 90% Medicaid for the last several years
  • costs because of these reforms.
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.
KY

Kentucky 2026 Regular Session

House Standing Committee on Appropriations and Revenue (2-24-26)

Appropriations & Revenue

Transcript Highlights:
  • Reform Act.
  • Reform Act.
  • Reform Act.
  • </c><00:42:37.839><c> Medicaid</c><00:42:38.480><c> has</c><00:42:38.720><c> become</c> Medicaid Reform
  • Medicaid has become Medicaid Reform Act.
KY
Transcript Highlights:
  • </c> Department of Medicaid Services. Department of Medicaid Services.
  • </c> for the Medicaid program. for the Medicaid program.
  • Section 16, the Medicaid data Thank you. Section 16, the Medicaid data sharing.
  • </c> reform in 1996. reform in 1996.
  • So, thank you again for your time and for the judicious approach that you're taking to Medicaid reforms
Keywords: 958, all
Summary: The committee met with a quorum to consider the Senate Committee Substitute for House Bill 2, a major Medicaid bill. Members first adopted the substitute and then adopted Amendment 9770. The bill was described as a lengthy rewrite aimed at aligning Kentucky Medicaid policy with federal requirements under HR 1, while also preserving program integrity and addressing due process concerns. Senators and staff repeatedly emphasized that the measure was the product of extensive meetings with providers, associations, and work groups. The sponsor’s section-by-section summary highlighted several key changes: delaying and reducing cost-sharing requirements; pushing eligibility redetermination deadlines to the federal date; restoring some flexibility for hardship waivers; allowing self-attestation as a last resort; modifying MCO audit provisions; clarifying non-emergency medical transport GPS costs; expanding waiver attestation authority to nurse practitioners and licensed psychologists; adding qualified aliens to waiver eligibility to comply with federal law; requiring Medicaid data sharing with the oversight board; limiting changes to Medicaid benefits without General Assembly authorization; narrowing the prescription drug exclusion to drugs prescribed primarily for weight loss; and delaying the dental ASO transition until 2029. The substitute also deleted a proposed auditor review requirement and retained an emergency clause. Committee discussion focused heavily on the policy and fiscal implications of the cost-sharing and recertification provisions. Senators raised concerns about whether the co-pays would be effective or simply shift costs to providers, whether the recertification process would burden the Cabinet and cause eligible people to lose coverage, and how the bill would affect people transitioning from Medicaid into work. Supporters said the lower cost-sharing amounts were intended to encourage appropriate use of care, protect providers, and comply with federal law, and they noted that the Medicaid Oversight and Advisory Board would help shape future changes. A public witness, Maggie Chisholm, gave emotional testimony about her daughter’s experience with a Medicaid waiver and argued that policy delays and administrative disconnects can harm vulnerable families. No final vote on the bill itself was recorded in the excerpt, but the substitute and amendment were adopted and testimony continued.
FL

Florida 2026 Regular Session

Health Policy Feb 2nd, 2026

Health Policy

Transcript Highlights:
  • Medicaid controls the budget. Senate Bill 1758 will enact five reforms dealing with Medicaid.
  • The fourth reform modernizes the Medicaid prescribed drug services program.
  • Medicaid overpayments; second, a Medicaid work requirement; third, expanded home and community-based
  • The Medicaid rules would apply.
  • work in a state that hasn't expanded Medicaid, excuse me, Medicaid.
Keywords: 999, senate, all
Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.
MN
Transcript Highlights:
  • This is true for many other entitlement programs outside of Medicaid as well.
  • Medicaid: the federal government provides a large share of our budget.
  • Over a two-year period, just in Medicaid, about 17 billion.
  • </c> bipartisan bill that aims to reform bipartisan bill that aims to reform homeowners<00:24:58.520>
  • are also part of the decision reforms are also part of the reform<00:25:16.600><c> package</c><00:25
Keywords: 1187, senate, all
LA

Louisiana 2026 Regular Session

Insurance May 6th, 2026

Insurance

Transcript Highlights:
  • This bill reinforces the financial health of the insurance market at a critical time for insurance reform
  • this bill reinforces the financial health of the insurance market at a critical time for insurance reform
  • Senator Foil: I'm allowing LDH to make that number, whatever they have from Medicaid.
  • 2025, No. 474, by clearly defining the professional dispensing fee and tying it to the Louisiana Medicaid
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 29th, 2026

Health and Welfare

Transcript Highlights:
  • Just to show you all how much this disease impacts our state real quick, it's costing our Medicaid program
  • Chairman and members, we have Senate Bill 222 by Senator Presley, relative to Medicaid behavioral health
  • written, if you make a rural ASC that's barely making it, that's doing GI cases, and has had their Medicaid
OK

Oklahoma 2026 Regular Session

Administrative Rules REVISED: Links Added Apr 28th, 2026

Administrative Rules

Summary: The committee took up several joint resolutions dealing with agency rules. H.J.R. 1090, approving energy- and agriculture-related agency rules, was adopted and passed 10-0. H.J.R. 1091, covering business and commerce rules, was also adopted and passed 10-0. H.J.R. 1092, which had been split out from the business and commerce packet because of a reported $10 million cost impact on one business, was adopted after discussions with regulators about delaying remodeling requirements and addressing safety concerns; it passed unanimously. H.J.R. 1093, approving health-related agency rules, passed 11-0, with some Oklahoma Health Care Authority major rules noted as being handled separately in the Senate. The committee then discussed H.C.R. 1094, a major rule from the Long-Range Capital Planning Commission. Members raised concerns that the agency’s rule impact statement contained errors, incorrect notice and hearing information, and an incomplete economic analysis. After debate over whether the resolution could be amended or had to be accepted or rejected as a whole, the committee voted 11-0 that it did not pass. The committee then considered H.J.R. 1095 with an amendment to specifically disapprove a proposed permanent rule change by the Long-Range Capital Planning Commission that would have allowed the commission to ignore its own rules in the “best interest of the state.” The amendment was adopted 11-1, and the resolution as amended passed. At the end of the meeting, the chair thanked members and staff for their work and said the committee would try to move the resolutions to the floor on Thursday, with another meeting likely needed to address additional major rules coming from the Senate. A committee member also suggested a brief educational review of a prior procedural issue at a future meeting, and the chair agreed to discuss broader concerns about the administrative rules process in a later wrap-up.
HI

Hawaii 2026 Regular Session

CPC Public Hearing - Tue Mar 31, 2026 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • Expands the services eligible for Medicaid prospective payment system reimbursement to include certain
  • Eligible for Medicaid prospective payment system reimbursement to include certain services furnished
  • :40.760><c> were</c><01:32:40.920><c> very</c><01:32:41.640><c> um</c> We were very pleased that Medicaid
  • section six, it says it kind of gives a trigger for the approved by the Centers for Medicare and Medicaid
  • will take on this, but I know that there's precedent for it elsewhere in the country and in the Medicaid
Summary: The committee first heard HCR 168 and HR 158, which would create a temporary working group to study utility capacity, coastline infrastructure lifespan, and the costs of needed expansions. Public Utilities Commission staff said the commission was not the right entity to direct all of the work because it lacks authority over many affected agencies. Members discussed whether the study should be limited to a coastal area or broadened to the whole island, and in decision-making the committee amended the measure to focus on the County of Honolulu, correct references to the Public Utilities Commission, and revise the working group membership to include the PUC chair, legislative designees, and directors or designees from DLNR, DOT, HIEMA, and DCCA Consumer Advocacy. The committee then passed both resolutions with amendments; the vote was adopted unanimously, with some members excused. The committee next considered HCR 145 and HR 137, which would convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division stood on its written comments, the Climate Change Mitigation and Adaptation Commission supported the intent, and the Attorney General opposed the measure, warning that a working group could create discoverable materials that might complicate the state’s climate litigation and noting a technical ambiguity in the reference to the Hawaii Hurricane Relief Fund administrator. After questions about discovery and the lawsuit, the committee amended the resolutions to replace the administrator reference with the chair of the Hawaii Hurricane Relief Fund Board of Directors, remove the Attorney General as convener while keeping the office as a member, and have the working group share findings and recommendations with the House CPC and Senate CPN committees instead of issuing a report. The committee passed the measures with amendments, with Rep. Martin voting with reservations. In the later agenda, the committee heard SB 2607, SD 1 on landscape architect licensure. The Board of Professional Engineers, Architects, Surveyors, and Landscape Architects supported the bill, explaining it modernizes licensure requirements to align with national standards and clarifies the profession’s design-focused role. The bill was discussed as distinguishing landscape architecture from groundskeeping and from civil engineering drainage work. No opposition was heard. The committee also heard SB 2031, SD 2 on consumer protection and price transparency for live ticket events and short-term lodging. The Office of Consumer Protection supported the bill, saying it largely mirrors an FTC rule requiring all-in pricing and would give the state enforcement authority and remedies. The Hawaii Financial Services Association opposed the bill as drafted and sought a limited exemption for credit card issuers relying on third-party hotel information, while the Hawaii Hotel Alliance supported the measure but asked for language deeming compliance with the federal rule sufficient for short-term lodging. Committee members questioned whether those proposed exemptions would conflict with federal law or weaken state enforcement, and the discussion focused on preemption, liability, and the value of state remedies such as restitution.
HI

Hawaii 2026 Regular Session

HSH-HLT Joint Public Hearing - Thu Mar 19, 2026 @ 9:30 AM HST

Human Services & Homelessness

Transcript Highlights:
  • coverage because maybe they Medicaid coverage because maybe they make<01:13:09.720><c> too</c><01:13
  • </c> decades ago but have not been reformed decades ago but have not been reformed despite<01:22:26.440
  • </c><01:31:35.080><c> I</c> citizens, advocating for legal reform.
  • I citizens, advocating for legal reform.
  • and Medicaid services.
Summary: The committee heard SB 709 SD2, which would require the Department of Health to respond to reports involving persons with severe mental illness, assess eligibility for assisted community treatment, and coordinate treatment when appropriate. Testimony from the Department of Human Services and the Department of Health supported the measure, with DOH saying it generally supported the bill but had comments on one section it viewed as unnecessary. The Department of Law Enforcement later explained that the bill would shift certification and standards for crisis intervention officer training from DOH to DLE, while still involving DOH in the training process. Opposition came from the Hawaii Disability Rights Center and an individual testifier, both of whom argued the bill expands state authority over people with mental illness and could worsen forced treatment practices. The Disability Rights Center also raised procedural concerns, saying the bill was effectively moved from a prior administration measure that had not been heard this session, and questioned whether the bill’s changes to assisted community treatment, blood tests, urinalysis, and living arrangements went beyond current law. The individual testifier argued the bill would further entrench harmful psychiatric drugging and urged the committee to defer it. Committee members questioned the administration about the bill’s process, the role of the Attorney General in treatment-over-objection proceedings, and the practical effects of moving CIT certification to DLE. The Attorney General’s office said the bill was intended to fill a gap by allowing it to assist with treatment proceedings, while public defenders would continue to represent respondents and due process protections would remain in place. DLE and DOH said the change would better align certification with law enforcement training needs, improve speed in crisis response, and still keep DOH involved; members also discussed whether WAM counted as a hearing and whether the bill should more explicitly preserve DOH’s role. No vote or final action was taken in the portion provided.
TX

Texas 89th Regular

Insurance Apr 17th, 2025

Insurance

Transcript Highlights:
  • Medicaid and Medicare have...
  • Medicaid anti-fraud statutes will be applied to the commercial insurance market.
  • These reforms are not just necessary; they are long overdue.
  • Pharmacies and highlight the urgent need for reform.
  • Medicaid more than $5 million.