Video & Transcript : 'Medicaid reform' :
Page 52 of 500
NJ
New Jersey 2026-2027 Regular Session
Assembly Budget Jun 28th, 2026
Transcript Highlights:
- They decline it because they're on Medicaid.
- Who's paying for Medicaid? Taxpayers?
- Medicaid, by the way, the cost of Medicaid is much more than the fee that these companies are paying.
- They could... ...with Medicaid.
- That's who is cutting Medicaid.
Summary:
The Assembly Budget Committee met on June 28, 2026 and considered a long list of budget and policy bills, reporting many of them out of committee, often with amendments. Early measures included AB 2550 on continued dependent health coverage for certain adults with disabilities, AB 4794 allowing tax data sharing with the New Jersey Innovation Authority and Secure Choice Savings Board, and AB 3381/SB 1493 updating occupational therapy licensure requirements. The committee also advanced AB 4014, creating a social media research center at a public four-year institution, though one member opposed it as unnecessary spending given existing research on social media harms. Another bill, AB 5048/SB 1281, would ban certain apparel and diaper products with intentionally added PFAS; some members opposed it over safety and cost concerns, especially for firefighter gear, but it was reported. The committee also moved AB 383, which promotes volunteerism to help FamilyCare and SNAP recipients meet eligibility requirements, and AB 4357, extending telehealth pay parity, though one member objected to parity between telehealth and in-person care.
The committee then took up several energy, environmental, and housing-related bills. AB 5188, the Advanced Grid Technologies Act, was released despite opposition from some members and labor interests. AB 2524 would let dual-use solar projects participate in community solar, and AB 5236 would strengthen pediatric psychiatry and behavioral health services; both were reported. AB 5348, allowing temporary use of open-space and related funds for certain municipalities, drew sharp criticism as a diversion of preservation money to fill budget holes, but passed. AB 5280 returned unexpended county appropriations to Hudson County and authorized supplemental operating aid; it also passed despite objections about prior bidding violations. AB 5347 provided certain motor vehicle-related funding to municipalities and was reported, as was AB 5334/SB 4423, appropriating Green Acres and CBT revenues for local open space and park projects.
A major portion of the meeting focused on tax and business-related bills. AB 5329 increased the child tax credit for 2026-2028, with testimony urging that the expansion be made permanent; it was reported. AB 3899, the General Contractor Licensing Act, also passed. AB 5310/SB 4406 clarified sentencing under certain circumstances and was reported. AB 5330, allowing temporary transfers in the pension system, drew testimony from NJEA warning that the State Health Benefits Program was in crisis and asking for a longer repayment period to avoid rate spikes; the bill was still reported. AB 1326 created a higher education governance and funding task force and was amended to add a Talmudic institution or theological seminary representative. Later, AB 5333/SB 4424 appropriated additional Green Acres and CBT funds for recreation and conservation projects and was reported.
The committee also advanced several business and alcohol-related measures, including AB 5235 establishing the School-Based Partnership for Access and Resilience for Kids program, AB 5325 reducing business formation fees, AB 4836/SB 2368 on portable solar devices, AB 4881 establishing an advanced nuclear energy procurement program, AB 3974/SB 3183 revising renewable energy incentive and solar interconnection rules, AB 4013 creating a social media research center focused on addictive behavior, AB 5225 making temporary alcohol beverage provisions permanent, and AB 5295 revising alcoholic beverage licensing laws. The most contentious debate came on AB 4085, the Fair Price Protection Act, which would restrict “surveillance pricing” and regulate grocery pricing practices. Consumer advocates supported the bill as a protection against individualized pricing, while retailers and chambers of commerce argued the language was too broad and could undermine loyalty programs, discounts, and electronic shelf labels. Despite those objections, the committee voted to report the bill after amendments. Finally, AB 4530/SB 3739 on EV supply equipment standards was reported, and AB 5322 imposing a temporary cap on net operating loss deductions under the corporate business tax sparked strong opposition from business groups and a policy debate over whether legitimate losses and investment-related deductions should be limited; the bill was still moved out of committee.
OK
Bills:
HB2299, HB2939, HB2941, HB2960, HB3062, HB3087, HB3114, HB3244, HB3262, HB3304, HB3345, HB3386, HB3431, HB3498, HB3581, HB3645, HB3648, HB3764, HB3852, HB3974, HB4141, HB4144, HB4227, HB4237, HB4343, HB4425
Keywords:
Article V, convention, amendments, criminal penalties, legislative authority, absentee voting, electronic communication, facsimile device, voting materials, military voters, fentanyl, overdose, first responders, drug reporting, immunity, controlled substances, penalties, firearm liability, tort reform, manufacturers
OK
Bills:
HB2299, HB2939, HB2941, HB2960, HB3062, HB3087, HB3114, HB3244, HB3262, HB3304, HB3345, HB3386, HB3431, HB3498, HB3581, HB3645, HB3648, HB3764, HB3852, HB3974, HB4141, HB4144, HB4227, HB4237, HB4343, HB4425
Keywords:
Article V, convention, amendments, criminal penalties, legislative authority, absentee voting, electronic communication, facsimile device, voting materials, military voters, fentanyl, overdose, first responders, drug reporting, immunity, controlled substances, penalties, firearm liability, tort reform, manufacturers
Summary:
The Senate Judiciary Committee considered a large slate of executive nominations and bills. The nominations of Kevin Buchanan to the Oklahoma State Council of Interstate Adult Offender Supervision, Bobby Raines to the Polygraph Examiners Board, and Colton Richardson to the Oklahoma Indigent Defense System Board were each advanced to the full Senate without opposition. The committee then heard and advanced several measures on elections, criminal law, public safety, and civil procedure, including bills on Article V convention commissioner guardrails, precinct official terms and oaths, fraud and identity theft, treatment screening for arrested individuals, electronic monitoring eligibility, press access to certain arrest information, foreign terrorist organization-related offenses, CDL eligibility tied to the meth registry, sheriff service fees, fentanyl overdose reporting and presumptions, corporate law updates, appraiser fees in condemnation cases, child sexual abuse reporting protections, eviction mediation, garnishment response deadlines, retired municipal judges carrying firearms, critical mineral ownership restrictions, removal of a sunset on a sexual assault nurse examiner coordinator, enhanced riot and assault penalties, ability-to-pay hearings at sentencing, firearm component liability protections, hospice admission authority, government tort claims coverage for OU Health Authority, and tort claims coverage for county jails housing inmates for other entities.
Several bills drew notable questioning and amendments. House Bill 2299, dealing with Article V convention commissioners, was advanced after debate over the bill’s “intimidation” language and its potential effect on political speech; Senator Jett opposed it on vagueness grounds. House Bill 3852 on precinct officials was amended to reflect Election Board recommendations, including changing a disqualification period from three to six years, before advancing. House Bill 2939, removing obsolete fax-machine references from election law, was amended to strike a repealed-law reference and then advanced. House Bill 4343, setting a $350 fee for court-appointed appraisers, prompted extended concern about fixing a market rate in statute; the title was stricken so the measure could be worked on further, but it still advanced. House Bill 4227, the child sexual abuse NDA bill, advanced after the author recognized concerns and agreed to strike the title for further work, and House Bill 3386 on same-day eviction mediation also advanced after the author struck title to revisit discrimination concerns.
Other measures advanced with little or no opposition, including House Bills 3244, 3345, 3114, 4144, 3764, 3304, 3262, 2941, 3498, 4141, 4237, 3062, 3431, 3581, 3648, and 3974. Some bills generated focused policy questions, such as whether the fentanyl overdose presumption would be rebuttable, whether the meth registry is lifetime or time-limited, whether the electronic monitoring bill would be too restrictive, and whether the riot-mask felony language could affect law enforcement officers operating in an official capacity. The committee also restored title on several measures before advancing them. The meeting concluded with Chairman Howard thanking the committee and staff and noting it was his final policy committee meeting as chair before adjournment.
AL
Bills:
SB309, HB192, SB178, SB179, SB237, HB10, HB107, HB189, HB37, HB226, SB309, HB192, SB178, SB179, SB237, HB10, HB107, HB189, HB37, HB226
Keywords:
automated driving systems, oversized vehicles, transportation, regulations, permits, HB192, international wire transfer, wire transfer fee, remittance fee, money transmission business, Alabama Securities Commission, Department of Revenue, Education Trust Fund, ELL instructors, English Language Learner, ESL teachers, income tax credit, remittances, international money transfer, migrant families
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, May 7, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- They rely on Medicaid. They rely on Medicaid.
- They rely on Medicaid.
- Medicaid.
- That's why House Democrats are fighting to protect Medicaid. Please keep your hands off Medicaid.
- </c><08:20:22.558><c> The</c> Medicaid. I yield back. Thank you. The Medicaid. I yield back.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 10 March, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- </c> House Bill 1665 is a PBM reform bill. House Bill 1665 is a PBM reform bill.
- </c> reform, and we've protected businesses. reform, and we've protected businesses.
- </c> Medicaid where we saved money. Medicaid where we saved money.
- We're not fighting over PBM reform anymore because we have a PBM reform bill.
- You passed meaningful PBM reform. I said PBR reform when I was in the committee.
NE
Nebraska 2025-2026 Regular Session
Legislative Afternoon Session Apr 8th, 2026
Nebraska Unicameral Floor Meeting
Bills:
LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504
Keywords:
paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes
NE
Nebraska 2025-2026 Regular Session
Legislative Morning Session Apr 8th, 2026
Nebraska Unicameral Floor Meeting
Transcript Highlights:
- This is within the Medicaid bucket.
- So it still does not, again, expand Medicaid.
- And initially, I do not want to increase any cost to Medicaid.
- So it still does not, again, expand Medicaid.
- for... ...previous bill and Medicaid.
Bills:
LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504
Keywords:
paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Dec 9th, 2025 at 08:40 am
Transcript Highlights:
- role, and Alana Dantzis is our interim Medicaid director.
- So, there will be reduced retroactive Medicaid.
- To leverage that federal Medicaid match, recognizing that much of the population they serve is Medicaid
- They just make major reforms.
- the status of Just Health Plus, which is our Medicaid waiver program bringing Medicaid into jails and
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services May 21st, 2025
Transcript Highlights:
- the funding that flows for in-home supportive services from Medicaid.
- CalWORKs reform.
- This is a proposal now in the implementation of rate reform.
- codes and rate reform by the end of this month.
- I urge you to protect and expand the program and safeguard Medicaid.
Summary:
The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored.
Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants.
The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services.
Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.
MS
Mississippi 2026 Regular Session
Appropriations - Room 216, 24 February, 2026; 1:30 PM
Appropriations
Transcript Highlights:
- Procurement reform.
- Um, we have inside of Medicaid four enterprise systems that are really used to run the Medicaid agency
- </c> Medicaid management information system. Medicaid management information system.
- </c> really used to to run the Medicaid really used to to run the Medicaid agency.<01:05:18.160><c> So
- 16.719><c> provides</c> our Medicaid technical bill provides our Medicaid technical bill provides that
LA
Transcript Highlights:
- The Medicaid part of it, I know we really haven't seen... ...the Medicaid part of it, we really haven't
- Most of the savings are found in the Medicaid program based on eligibility checks.
- So you heard earlier people who are incarcerated are not eligible for Medicaid.
- One of those reports had to do with Medicaid. We pulled that report off the shelf.
- The reforms of the special session of 2024 are working, and we are well in our...”
Summary:
The committee began a series of House Appropriations budget hearings focused on the fiscal year 2026-2027 executive budget, the preamble, and the executive department. Staff presented revenue and spending trends showing projected declines in revenues alongside increasing expenditures, with members emphasizing the need for a standstill budget and additional efficiencies. The House Fiscal Division also reviewed the FY25 surplus and FY26 excess, the constitutional uses of surplus funds, and the overall FY27 budget structure, including the distinction between discretionary and non-discretionary spending. The commissioner of administration described the administration’s use of one-time money, efficiency reviews, and budget reductions, while members asked about revenue forecasts, the motor vehicle sales tax dedication, corporate tax changes, and the impact of federal policy changes on state costs, especially SNAP and Medicaid administration.
The committee then moved through several executive department agencies. The Division of Administration presentation covered its budget, vacancies, debt service, and reductions tied to statewide adjustments and efficiency measures. GOSEP’s functions were described as transferred into the Department of Military Affairs under Act 262 of 2025, and military officials outlined the new combined structure, emergency response duties, overseas deployments, youth programs, and concerns about future federal funding. The Coastal Protection and Restoration Authority reviewed its largely dedicated funding and explained that large apparent balances reflect long-term project planning and multi-year capital work. The Office of the State Inspector General presented a budget increase for consulting services tied to the governor’s DOGE-style efficiency initiative, and the inspector general said the effort had identified nearly $1 billion in savings across the executive branch, largely through eligibility reviews in Medicaid and SNAP and implementation of prior audit recommendations.
Members raised questions throughout about how budget figures were calculated, why some totals appeared to rise while state general fund support fell, and how federal changes would affect state agencies. There were also questions about the transition of GOSEP into Military Affairs, the status of school safety centers, and whether the new structure would change local emergency responsibilities. No formal votes or amendments were taken during the portion provided; the meeting consisted of presentations, explanations, and member questions.
FL
Transcript Highlights:
- And so I spent five years trying to reform alimony.
- that have expanded Medicaid in their state.
- Medicaid controls the budget. The budget is controlled by Medicaid.'
- The budget is controlled by Medicaid.
- It provides a robust authority to investigate fraud and recover Medicaid overpayments, Medicaid overpayments
Summary:
The Senate began with opening prayer, the Pledge of Allegiance, and recognitions, including the doctor of the day and a lighthearted “Cannoli Day” introduction. The chamber then held an extended farewell celebration for Senator Joe Gruters, with numerous senators, colleagues, and family members praising his loyalty, political skill, family focus, and service in the Legislature and Republican Party. Gruters was presented with a commemorative gift recognizing his work on a 2019 public-safety and immigration bill that prohibited sanctuary cities and required local cooperation with federal immigration enforcement. The Senate adopted a motion to spread Gruters’s remarks upon the journal and then recessed briefly.
After recess, the Senate returned to regular business and took up third-reading bills. Committee Substitute for Committee Substitute for Committee Substitute for Senate Bill 354, relating to blue ribbon projects, was temporarily postponed. The chamber then considered Committee Substitute for Committee Substitute for Senate Bill 1758, relating to public assistance, with Senator Gates explaining that it contained five reforms to the public assistance system discussed earlier in session.
During debate on SB 1758, Senator Berman opposed the bill, saying he could not support it in its current form because he believed the Medicaid-related provisions would create a coverage cliff after the one-year transition period and could leave people without care while increasing costs to hospitals and taxpayers. He also said SNAP error reduction should be a priority, but argued the state should focus on fixing administrative errors and fraud rather than imposing a work requirement whose costs and effects were uncertain.
FL
Transcript Highlights:
- And so I spent five years trying to reform alimony.
- On the Medicaid work expansion, they specifically said, on the Medicaid work requirements, they specifically
- Medicaid controls the budget. The budget is controlled by Medicaid.'
- The budget is controlled by Medicaid.
- It provides a robust authority to investigate fraud and recover Medicaid overpayments, Medicaid overpayments
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several introductions, then devoted most of the first part of the meeting to a farewell-style recognition of Senator Joe Gruters. Senators from both parties offered extended remarks praising his loyalty, political instincts, family involvement, and work as a legislator and as incoming Republican National Committee chair. Gruters responded with remarks about his background, including overcoming a childhood speech impediment, his service in the Legislature, and major policy efforts he highlighted such as alimony reform and the undergrounding of utilities. A ceremonial gift was presented to him recognizing his work on a 2019 public-safety/immigration bill, and the Senate adopted a motion to spread his remarks upon the journal before recessing briefly.
After the recess, the Senate returned to regular business. No committee reports, governor’s messages, House messages, or reconsideration matters were reported. The chamber then moved to third reading and temporarily postponed CS/CS/CS/SB 354, relating to blue ribbon projects. The next bill, CS/CS/SB 1758, relating to public assistance, was taken up, and Senator Gaetz explained that it contained five reforms to the public assistance system previously discussed by the Senate. Debate was about to continue when the transcript ended.
ID
Transcript Highlights:
- We don't want to get into what some other states have gotten into with Medicaid.
- This deals with the Medicaid expansion.
- This deals with the Medicaid expansion.
- So I think it's if you want the benefit health and welfare in order to stay on Medicaid.
- I believe it's up to the enrollee to verify that they are still qualified for Medicaid.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Nov 6th, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- So nationally, on average, Medicaid dollars made up just shy of 70% of the total share of funding that
- At different times and in different ways, Medicaid, for example, won't be affected in the short term,
- There have been discussions about reform for FEMA, which will be helpful.
- I know in talking to Charles Lee and LFC, Medicaid billing is just cumbersome; it just is.
- And you can argue both sides, but we do need reform.
VA
Virginia 2026 Regular Session
Disability Commission Jun 18th, 2026
Transcript Highlights:
- We've been looking at their updates to Medicaid waivers in recent years. ...their updates to Medicaid
- And then my last comment was just the third meeting about criminal justice reform.
- And the criminal justice reform.
- Thank you so much for including... ...or form and the criminal justice reform.
- They've had Medicaid waivers since they were 10 and 11, and I've experienced the whole... ...Medicaid
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 2nd, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- Notable changes to Medicaid work requirements.
- In aggregate, say 40% of them are going to be on Medicaid, and Medicaid pays 90% of what Medicare pays
- Pretty close to the Medicaid 43.
- money on Medicaid.
- Medicaid.
MN
Minnesota 2025-2026 Regular Session
Bill to formally end housing stabilization services program 2/18/26
Minnesota House Floor Meeting
Transcript Highlights:
- it was noted to me over the summer that there was a very bright young but foolish uh chair of the reform
- One is whenever we have um Medicaid waiver request or Medicaid state plan amendments as required, there's
- </c> One is whenever we have um Medicaid One is whenever we have um Medicaid waiver<00:03:15.360><c>
- ><c> plan</c> waiver request or Medicaid state plan waiver request or Medicaid state plan amendments<
- </c> Number one, uh terminate any Medicaid Number one, uh terminate any Medicaid program<00:03:42.319
NM
Transcript Highlights:
- I think this doesn't replace bonding reform.
- And now with this bill, in terms of the funding, the procurement reform, and the look at the due process
- So while there is some of the fund being used for Medicaid, the majority of the individuals that are
- So it does, the premium tax does apply to Medicaid as well.
- And So, does that mean if a billion dollars worth of Medicaid payments come in?