Transcript Highlights:

• So I see where it goes to Medicaid. I don't see where it goes to the health safety net.
• ... ...because it's improved Medicaid reimbursements.
• , and insurer cost reforms.
• It was a shock to the Medicaid system, right? I remember living through that.
• It was a shock to the Medicaid system, right? I remember living through that.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• We need to protect Medicaid.
• Medicaid and Social Security.
• We have to go in and loot Medicaid that serves about 30% of our country.
• Around Medicaid and half of them have Alzheimer's.
• Millions of small business employees rely on Medicaid. for example.

Keywords: joint hearing, small business, Tax Cuts and Jobs Act, economic recovery, tax relief, job creation

Summary: In this joint hearing of the House Committee on Small Business and the Senate Committee on Small Business and Entrepreneurship, the primary focus was on the importance of making the Tax Cuts and Jobs Act of 2017 (TCJA) permanent. The chair emphasized that small businesses are crucial for the nation's economic recovery, especially in the wake of current federal policies perceived as detrimental. Witnesses shared their experiences and highlighted how the tax cuts facilitated job creation and business expansion, stressing the need for continued support through ongoing tax relief measures. The meeting included discussions about the economic implications of the TCJA's potential expiration, with members voicing their concerns regarding how this could impact small businesses and the broader economy.

Transcript Highlights:

• Melissa Weatherton, director of Medicaid specialty populations at the Department of Human Services.
• Director of Medicaid Specialty Populations at the Department of Human Services.
• But at one time, we did study this through the Healthcare Reform Task Force, correct?
• “Okay, so DCO will still determine whether or not somebody meets Medicaid eligibility.”
• The health care reform task force—that's why that was put in place.

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• These reforms have been tested.
• And finally, what I'll say is that it's smart reform...
• And finally, what I'll say is that it's smart reform.
• The Medicaid prices is lower.
• The Medicaid prices is lower.

Summary: The committee met with all members present, temporarily replacing Vice Chair Keshel with Representative Taylor, and held HB 4014 at the sponsor’s request. It then heard HB 415, which would extend existing state rules on paid petition circulators and initiative/referendum disclosures to municipal and county measures, require paid circulators to display identifying information, and require local measures to disclose expenditures and revenue sources. The sponsor and supporters, including the Arizona Chamber of Commerce, argued the bill would improve transparency and keep initiatives driven by Arizona residents; the bill passed 5-2. The committee also heard the mirror resolution, HCR 2051, which passed 4-3. The committee next considered HCM 2010, urging Congress to propose a constitutional amendment repealing the Seventeenth Amendment and returning selection of U.S. senators to state legislatures. The sponsor argued it would restore state sovereignty and accountability, while opponents raised concerns about direct democracy and the practical problems that led to the Seventeenth Amendment. The motion initially appeared to pass 4-3, but after a vote correction and a present vote, the measure ultimately failed. The committee then took up HB 2940, a complex AHCCCS/DES bill aimed at tightening eligibility verification, expanding competition in managed care contracting, and creating a unified eligibility rules engine. The sponsor said it would improve fiscal discipline and competition; AHCCCS and health plan representatives said many verification steps already exist, some provisions would add cost or duplicate federal/state processes, and the bill would significantly alter the managed care model. Despite those concerns, HB 2940 passed 4-3. Later, HB 2874 passed unanimously 7-0. That bill would ease termination requirements and penalties for candidate committees, PACs, or parties that never received contributions and later file termination statements. The committee then heard HB 467, which would require county recorders to display certain voter status information in precinct registers, signature rosters, or electronic poll books; after testimony from county officials and the Association of Counties, the committee adopted a verbal amendment changing “shall” to “may” and passed the bill 5-2. Finally, HB 2775, as amended, passed 4-3. The bill would bar state and local governments from using state resources to implement or enforce rules or policies of international organizations, and the amendment added restrictions on Arizona public universities’ dealings with certain foreign entities, with ABOR given review authority. Supporters framed it as a sovereignty and anti-foreign-influence measure, while the amendment’s removal of rulemaking authority was cited as important to the vote in favor.

Transcript Highlights:

• MassHealth covers both the state's Medicaid and CHIP program.
• Like, they could be putting their Medicaid funding at risk, their Medicare and Medicaid funding at risk
• They could be putting their Medicaid funding at risk, their Medicare and Medicaid funding at risk, by
• We're concerned about looming cuts to HIV and STI prevention and Medicaid.
• I believe Mariano Care. original Massachusetts health care reform.

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• Centers for Medicare and Medicaid Services for the justice-involved supports.
• Those will all receive federal matching funds from Medicaid.
• The reform fund is now going to switch to the Public Education Growth Fund.
• Chair, the legislation is reforming the reform fund. Okay. Very good. Thank you all. Thank you.
• Of patients could be upwards of 44% on Medicaid. And historically, Medicaid pays below Medicare.

Transcript Highlights:

• children who receive skilled nursing services and will provide them with Medicaid-eligible children
• This amendment is to component two of the bill involving the Medicaid waiver.
• Medicaid-managed care program, and in that situation, the state pays Medicaid providers a capitated
• Now, present day, AHCA has been managing this statewide Medicaid-managed care process for 10 years.
• These reforms align Florida with national best practices, improve patient access to timely care, and

Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.

Transcript Highlights:

• </c><00:57:41.280><c> can</c> until more comprehensive PBM reforms can until more comprehensive PBM reforms
• They're not reforming lot of money.
• </c> the reforms. the reforms.
• </c> additional federal Medicaid dollars. additional federal Medicaid dollars.
• </c><01:31:49.920><c> By</c> underfunded Medicaid providers. By underfunded Medicaid providers.

Keywords: 1187, senate, all

Transcript Highlights:

• four Medicaid programs.
• Provider participation in Medicaid is network.
• We are a Medicaid plan here in Texas.
• And so the companies that the Medicaid...
• It's used for Medicaid.

Bills: HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access

Transcript Highlights:

• I'm Tyler Sadwick, the Medicaid Director.
• to non-Medicaid units.
• to non-Medicaid units.
• So the impact of the as compared to non-Medicaid units.
• Here with rate reforms in Sub 3.

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• Medicare and Medicaid both are habitual underpayers.
• You can see that the Medicaid operating margin...
• What's the number for Medicaid?
• But because of fear of lawsuits and with the lack of tort reform, The lack of tort reform means the doctor
• We spoke yesterday about the idea of increasing Medicaid, expanding Medicaid, and the knee-jerk reaction

Keywords: 916, all

Transcript Highlights:

• Given this shift in costs and with program integrity flaws, the Kentucky Reform Medicaid Act, House Bill
• <00:11:53.519><c> Medicaid</c><00:11:53.920><c> reform</c><00:11:54.399><c> act,</c><00:11:55.279><c>
• House</c><00:11:55.600><c> Bill</c> reform Medicaid reform act, House Bill reform Medicaid reform act
• The Kentucky Medicaid Reform Act's remaining sections would help improve the program and its integrity
• The Kentucky Medicaid Reform Act's remaining sections would help improve the program and its integrity

Keywords: 958, all

Transcript Highlights:

• Medicaid. Say again, sir. Medicaid. Yeah, thank you. Mr.
• The fourth reform modernizes the Medicaid-prescribed drug services program.
• Medicaid expansion would cause a vast expansion of our Medicaid budget.
• Medicaid expansion would cause a vast expansion of our Medicaid budget.
• Adopting Medicaid expansion would make Florida increasingly, Medicaid enrollees.

Keywords: 999, senate, all

Transcript Highlights:

• Debt reform for medical debt and garnishment, making sure kids get treatment for their rare diseases,
• supporting Medicaid dental system where dentists can barely stay in business because of the challenges
• of Medicaid funding, getting more funding for housing and bonding bills, funding for solar on public
• </c><00:03:33.800><c> debt</c><00:03:34.239><c> and</c> Um debt reform for medical debt and Um debt reform
• <00:03:48.840><c> funding,</c> Medicaid funding, Medicaid funding, getting<00:03:50.400><c> more</c><

Keywords: 1183, house

Transcript Highlights:

• I'm Tyler Sadwick, the Medicaid Director.
• to non-Medicaid units.
• Here with rate reforms in Sub 3.
• Oregon has set up an advisory group to suggest how to fund Medicaid.
• Oregon has set up an advisory group to suggest how to fund Medicaid.

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• Medicaid medical pharmacy costs.
• I'm just talking about Medicaid here, our Medicaid program, which of course is one of our main uses of
• Top Medicaid drugs.
• These factors impact our Medicaid population and the overall Medicaid costs.
• Is it going to encompass both kind of the fee-for-service Medicaid and managed care Medicaid?

Transcript Highlights:

• That often creates a barrier to reform and an organizational and program culture.
• And also, Utah has the lowest number of constituents per capita on Medicaid and on SNAP.
• And also, Utah has the lowest number of constituents per capita on Medicaid and on SNAP.
• and create the welfare reform movement of the 1990s.”
• That's why we have the 1996 reform.

Keywords: 1204, all

Transcript Highlights:

• Stephen Rosinski, Florida Justice Reform Institute. You're recognized.
• Stephen Rosinski, Florida Justice Reform Institute. You're recognized.
• I'm here today on behalf of the Florida Justice Reform Institute.
• Laura Bollenski, again, on behalf of Florida Justice Reform Institute.
• Now, with regard to Medicare and Medicaid numbers, they're needed.

Summary: The subcommittee considered a long agenda of civil justice and claims measures. HB 1173, relating to the Florida Trust Code, was presented as a clarification of standing in trust litigation after recent case law; after questions about who may sue, an amendment was adopted clarifying that an expressly named charity retains standing, and the bill passed 14-2. HB 1437, on attorney’s fees in motor vehicle PIP disputes, drew testimony from insurers and reform groups opposing a return to fee-driven litigation and from medical groups supporting fee recovery for prevailing parties; it passed 17-0. CS/HB 147, addressing prohibited debt-collection communications during nighttime and early morning hours, was described as a clarification of an outdated statute in light of modern communications, with support from business groups and no opposition in the vote; it passed 18-0. The committee then heard several claims bills against the Department of Children and Families. HB 6511, for relief of L.P., described severe injuries to a child after DCF allegedly failed to act on warning signs; a technical amendment was adopted and the bill passed 18-0. HB 6515, for relief of Michael Barnett, involved DCF’s alleged failure to investigate domestic violence that preceded the killing of three children and injury of a fourth; members asked about the settlement amount and the case’s circumstances, and the bill also passed 18-0. HB 1517, expanding wrongful death law to allow parents of an unborn child to recover for the child’s death, generated the most extensive debate. The sponsor said it aligns civil law with existing criminal definitions and excludes claims against mothers and providers of lawful medical care, including IVF; opponents warned it could be used to target reproductive care, support networks, and domestic violence survivors, while supporters framed it as a justice measure for families. An amendment clarifying damages rules for minors and unborn children was adopted, and the bill passed 13-4. Finally, HB 947, on evidence of medical damages in personal injury and wrongful death cases, sought to allow broader evidence at trial and to change “shall” to “may”; supporters said it would improve fairness and transparency, while opponents argued it would weaken post-2023 tort reforms and reintroduce inflated medical damages. The amendment was adopted and the bill was then taken up with additional opposition testimony.

Transcript Highlights:

• This is a fiscally responsible, good-government reform.
• I urge my colleagues to support this bill and help us move this important reform forward today.
• WHEN MEDICAID REIMBURSEMENT When Medicaid reimbursement rates were already too low for them to completely
• Oh, by the way, a lot of their customers are also Medicaid...
• OH, BY THE WAY, A LOT OF THEIR CUSTOMERS ARE ALSO MEDICAID Recipients.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 8, 2025, 1012, house, all

Transcript Highlights:

• And there were folks in this body who said we will never get to reform.
• We've also reworked the Medicaid quality metrics, We've also reworked the Medicaid quality metrics to
• Last year, the people of Louisiana voted for judicial reform.
• The legislature acted, consolidated, and reformed the system, but many of those reforms have been undone
• Consolidated and reformed the system, but many of those reforms have been undone.

Summary: The House convened with a quorum, received and accepted multiple resignation notices from members representing Districts 37, 39, 60, 69, 97, and 100, and then recognized the election and qualification of the members-elect who filled those vacancies: Doyle Boudreau, Reese Broussard, Chasity Verrett-Martinez, and Edwin Murray. Each member-elect was sworn in, and the House also appointed committees to notify the Senate and the governor that it was ready to conduct business for the 2026 regular session. The chamber then handled a large number of procedural actions related to prefiled legislation. By motion and without objection, the House suspended rules to refer prefile bills to committee and introduced a broad slate of House bills and resolutions. Topics included the state budget and appropriations, retirement system changes, carbon capture and sequestration, criminal justice and bail, public safety, education, health care, local government matters, transportation, and several memorial or commemorative resolutions. Several resolutions and bills were noted as lying over, and some prefiled bills were withdrawn from the files. The House also received a Senate message that SCR 1 had been adopted, and the resolution was taken up without objection. The chamber then recessed for a joint session with the Senate to hear the governor’s address and a presentation honoring Technical Sergeant Adam W. Brister with the Distinguished Flying Cross. In his remarks, Governor Jeff Landry highlighted his administration’s priorities, including education, tax reform, workforce development, health and nutrition, insurance reform, transportation infrastructure, fiscal discipline, and criminal justice reform, while urging support for his agenda and several related bills and constitutional amendments.