Video & Transcript : 'Medicaid reform' :

Page 53 of 500
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/7/26

Human Services Finance and Policy

Transcript Highlights:
  • </c><00:30:33.080><c> Our</c> do not have access to Medicaid. Our do not have access to Medicaid.
  • One part of this is rate reform.
  • </c> Medicaid funds for room and board costs. Medicaid funds for room and board costs.
  • Medicaid Medicaid in<00:57:02.080><c> the</c><00:57:02.240><c> existing</c><00:57:02.880><c> Medicaid
  • One is the Medicaid access rule.
Keywords: 1183, house
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Apr 10th, 2025

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • Today I'm presenting Senate Bill 306, Medicaid providers.
  • It also requires AHCA to develop a comprehensive plan to redesign the Medicaid model waiver.
  • It also requires AHCA to develop a comprehensive plan to redesign the Medicaid model waiver.
  • Another key reform was data-driven policy and workforce development.
  • During Florida’s Medicaid unwinding process, many Floridians, including individuals with permanent...
Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 7th, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • Is that the funding that is being utilized to basically complete the mission of Medicaid?
  • So, it's really kind of all tied to the numbers that are Utilizing Medicaid services.
  • And then once the healthcare needs and the expansion of the Medicaid population kind of levels out.
  • We've requested for reforms. We've requested for transparency.
  • Nobody saw the increase in utilization in Medicaid and Medicaid utilization.
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.
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-03-09 (1:00PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • And so I spent five years trying to reform alimony.
  • specifically said on the Medicaid work requirements... ...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 robust authority to investigate fraud and recover Medicaid overpayments, including Medicaid
Keywords: 998, house, all
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 6th, 2026

Transcript Highlights:
  • So $90 million to Medicaid.
  • So $90 million to Medicaid.
  • So $90 million to Medicaid.
  • It has no impact on Medicaid.
  • It has no impact on Medicaid.
Summary: The committee first heard Substitute House Bill 1128, which would create a Child Care Workforce Standards Board within the Department of Labor and Industries to study child care workforce conditions and make recommendations on employment standards. Staff explained that the proposed second substitute narrows the board’s role from setting enforceable standards to making recommendations, with estimated ongoing costs for L&I staffing and smaller costs for board member stipends and possible DCYF support. Supporters, including child care providers, SEIU 925, and labor representatives, said the bill would help address understaffing, low wages, and retention problems; opponents, including child care industry groups and private schools, argued it duplicates existing work, adds bureaucracy, and creates unfunded costs. No vote was taken in the hearing. The committee then heard Second Substitute House Bill 1634, which would direct OSPI and ESDs to develop a technical assistance and training framework to help schools coordinate student behavioral health supports. Staff said the bill aligns with the Washington Thriving Strategic Plan and could largely be implemented with existing work and limited additional costs, though DOH would need some support. Testifiers from behavioral health and school counseling fields described severe youth mental health needs and urged passage, and OSPI said the work is doable with current resources. The committee also heard Substitute House Bill 2636, which would create a public education review advisory council to recommend K-12 policies and funding provisions for JLARC review; staff described JLARC, OSPI, and State Board costs, and no public testimony was offered. The committee next heard House Bill 1316, which would expand the Supporting Students Experiencing Homelessness program so additional university campuses can access funding. The sponsor said the program has strong retention outcomes, and student advocates testified that campuses such as UW Bothell need access to already appropriated funds for emergency aid, food pantries, and case management. Staff then briefed Substitute House Bill 2474, which would allow the Student Achievement Council Tuition Recovery Trust Fund to be used for refunds tied to broader consumer protection violations, with no expected fiscal impact; there was no testimony. The committee also heard Substitute House Bill 2365 on digital equity, which would expand the Broadband Office’s role, revise the digital equity forum, and rename the grant program; supporters emphasized rural access, affordability, and the loss of federal digital equity funding, while staff estimated significant Commerce staffing costs and some additional agency impacts. Finally, the committee heard House Bill 2401, creating a Washington State Boys and Men Commission contingent on non-state funding, with staff outlining OFM startup and fundraising costs and an estimated operating budget if fully funded. Supporters said boys and men face mental health, education, and mentorship gaps and that the commission would improve coordination; the bill drew testimony from rural school leaders, nonprofit advocates, and community members. The committee then heard Substitute House Bill 2475 on language access, which would require the Office of Equity to develop uniform language-access guidelines and a report on interpreter and translator shortages; staff said the office could absorb the work but other agency and local government impacts were uncertain. Substitute House Bill 2517, on permitting for high-capacity transit, would let regional transit authorities apply for permits earlier and streamline land-use processes; Sound Transit and the sponsor said it would speed delivery of major projects, while staff estimated Commerce technical-assistance costs and possible local government impacts. The last bill heard was Substitute House Bill 2145 on the 340B drug pricing program, which would bar manufacturers from restricting contract-pharmacy access and require reporting to DOH; supporters said it protects safety-net providers and patient services, while opponents warned of higher costs for employers, state health plans, and litigation burdens. No final committee action or votes were recorded in the transcript.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 1st, 2026

Health and Welfare

Transcript Highlights:
  • Louisiana Medicaid program simply has lagged behind this important federal reform.
  • And I think Medicaid is behind on the service.
  • The majority of my patients are Medicaid, some of them actually.
  • This legislation reforms Medicaid utilization management and prior authorization practices to ensure
  • This is all Medicaid. Okay. So you're just wanting to speed up the Medicaid.
Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 17th, 2025

Transcript Highlights:
  • And actually, Medicaid, I think if you were to factor in New Mexico's poverty. poverty rate using Medicaid
  • Medicaid doesn't even allow an interview, so we don't actually speak to most of the applicants for Medicaid
  • their Medicaid while healthier people roll off.
  • So, we did do a number of reforms.
  • So Medicaid is much faster.
FL

Florida 2026 Regular Session

February 26, 2026 - 03:30 PM

Commerce Committee

Transcript Highlights:
  • Prior to these reforms, double-digit increases in insurance were common.
  • He thanked the bill sponsor for the common-sense, ground-level, basic first reform.
  • I'm aware that NICA had, or Medicaid had, sued NICA for pushing program participants into the Medicaid
  • , with NICA reimbursing Medicaid for cost.
  • And we have that, I believe, 2% of Medicaid threshold for infant mortality.
Summary: The committee first heard CS/HB 1263 on insurance regulation. The sponsor said the bill would strengthen the Office of Insurance Regulation’s tools to oversee property and auto insurance markets, including market conduct and solvency exams, mitigation discounts, storage of mitigation inspection forms, and clearer oversight of pharmacy benefit managers. An amendment narrowing fingerprinting requirements was adopted, and the bill passed favorably after supportive testimony from OIR and others. Members then considered CS/HB 527, which would require a qualified human review before an insurance claim can be denied or reduced when artificial intelligence is used in the process. After an amendment removing the word “algorithm” was adopted, insurers and trade groups testified in opposition, arguing current law already covers claims handling and that the bill could create duplicative work and slow innovation. Supporters, including a consumer and labor representative, said human judgment is needed to protect claimants. The bill passed favorably. The committee also approved CS/HB 637 on farm equipment “lemon law” rights, with an amendment clarifying consumer definitions, refund rights, repair-period extensions, and a July 1, 2026 effective date. CS/HB 107 on data centers also passed after an amendment narrowing the five-mile siting restriction to data centers over 50 megawatts and adding noise-study requirements; business groups supported a framework but opposed the NDA ban and siting limits, while several members raised competitiveness and local-impact concerns. Later, the committee passed CS/HB 1291 on NICA funding and solvency, CS/HB 185 on a sales tax exemption for home-hardening products, CS/HB 425 on historic African-American cemetery preservation, CS/CS/CS/HB 1177 on Space Florida and spaceport operations, CS/CS/CS/HB 657 on community associations and HOA/condo reforms, and CS/CS/HB 1221, the DFS package. The final major item discussed was CS/HB 1001 on local government DEI restrictions, which drew extensive questioning about definitions, exceptions, cultural and religious observances, advisory councils, and contracting rules; the transcript cuts off before the bill’s final disposition.
CA
Transcript Highlights:
  • the funding that flows for in-home supportive services from Medicaid.
  • In recent years, we have adopted extremely significant reforms to the rates for foster caregivers.
  • codes and rate reform by the end of this month.
  • I urge you to protect and expand the program and safeguard Medicaid.
  • We are opposed to the implicit bias training. as well as the rate reform hold harmless cuts.
Keywords: 988, house, all
ID

Idaho 2026 Regular Session

Agenda Mar 17th, 2026

Transcript Highlights:
  • So this one will kind of tie it and put it into statute so that we have good oversight on how Medicaid
  • We don't want to get into what some other states have got into with Medicaid.
  • This deals with the Medicaid expansion.
  • are working, you have to submit this application to 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.
Summary: The Ways and Means Committee met and introduced several RS drafts on a range of topics. Representative Raymond presented RS 33739 on coordinating the Department of Lands and Parks and Recreation for recreational opportunities on state lands and allowing a fee to support the endowment; it was introduced unanimously. Representative Veiley’s RS 33737 on large-load electricity rates and preventing socialization of costs to other ratepayers was also introduced unanimously. Representative Van der Woude brought RS 33718 and RS 33740, both related to Medicaid oversight and Medicaid expansion work requirements. Members raised concerns about added administrative burden, costs, and potential loss of coverage; both RSs were introduced, with Representatives Rubel, Birch, and Church recorded as nays. Representative Redman’s RS 33558 would impose a five-year moratorium on new administrative rules and fee increases and shift small rule chapters into statute; it was introduced after debate over separation of powers, public participation, and agency expertise. Redman also presented RS 33724 on school recess discipline and RS 33745 on rural health funding oversight, both of which were introduced and sent to the second reading calendar. The committee also introduced RS 33679, which would authorize AI-assisted analysis in the state rule-review process. Members discussed the need for human review and safeguards, and the sponsor noted the bill requires qualified personnel to verify AI output. Finally, Representative Pickett’s RS 33742 on Idaho Digital Learning Alliance restructured IDLA, capped administrative costs, set course fees, and addressed funding duplication; a motion to return it to the sponsor failed, and the RS was introduced, with several members recorded in opposition. The committee then adjourned.
AL

Alabama 2025 Regular Session

Alabama House Apr 10th, 2025

Alabama House Floor Meeting

Transcript Highlights:
  • This plan does not affect Medicaid This plan does not affect Medicaid This plan does not affect Medicaid
  • I I you know, this Medicaid question. I I you know, this Medicaid question.
  • uh when they go on Medicaid. U this is for when they go on Medicaid.
  • that they cannot be on Medicaid, right? that they cannot be on Medicaid, right?
  • beyond Medicaid, right?
NM

New Mexico 2025 Regular Session

House - Appropriations and Finance Jan 27th, 2025

House Appropriations & Finance

Transcript Highlights:
  • They conducted a study of how to reform financial compliance. With state agencies.
  • We are working on reforming those tiers.
  • Seventy-five to eighty-five percent are on Medicaid.
  • A recipient of Medicaid.
  • Because when the Medicaid...
NM

New Mexico 2025 Regular Session

IC - Revenue Stabilization and Tax Policy Jun 6th, 2025

Revenue Stabilization & Tax Policy Committee

Transcript Highlights:
  • State Senator Bill Scherer, and I think it's time we talked about real tax reform, not fiddling around
  • I think real tax reform says do it with all the credits, exemptions and deductions, and then you have
  • real tax reform.
  • This doesn't include any other reductions in federal spending, just Medicaid and SNAP, and New Mexico
  • This, uh, as you mentioned, um, it maybe closely reflects exclusively Medicaid and SNAP.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • government is particularly interested in the Medicaid program and the DTA program and the Medicaid program
  • What are the reforms that we need to do? What are programs that we need to shy away from?
  • The first big hits to Medicaid are going to come in the next fiscal year.
  • the Medicaid drug rebate program, meaning they will offer a rebate when Medicaid purchases the drug,
  • In Medicaid, there's a limit on how much we can charge for co-pays.
Keywords: 995, all
Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.
MN
Transcript Highlights:
  • The current system, Medicaid, which is the main public program around the country for low-income people
  • Right now if you are in Medicaid patient you are given a choice of which insurer you want to use.
  • Right now if you are in Medicaid patient you are given a choice of which insurer you want to use.
  • Right now if you are in Medicaid patient you are given a choice of which insurer you want to use.
  • Right now if you are in Medicaid patient you are given a choice of which insurer you want to use.
Keywords: 918, senate, all
Summary: The segment focused first on Senator John Marty’s bill, SF 3612, which would remove private insurers and HMOs from Minnesota’s state health care programs and replace them with a statewide administrative services model. Marty argued that managed care has created churn, coverage disruptions, and administrative waste in Medicaid and MinnesotaCare, and said the state should instead pay providers directly while investing more in care coordination, case management, and wraparound services through primary care clinics and county-based purchasers. He said the goal is better care, not just savings, though he also cited potential taxpayer savings and pointed to Connecticut as a model. He acknowledged the bill is not expected to become law this year and said a fiscal note and more details are still pending. Marty said the proposal has support from the governor and groups such as the American Cancer Society, but that his current co-authors are all DFL members. He expressed hope for bipartisan support and said the simpler system would also improve fraud detection and transparency. He addressed concerns about insurance-industry jobs by saying workers should be treated fairly and that retraining and dislocated-worker assistance would be part of the transition. He also said the broader goal is universal coverage for all medical needs, including mental health and dental care, without co-pays or deductibles. The second half highlighted Senator Jeff Howe and Minnesota’s Hometown Heroes Assistance Program for firefighters. Howe described the program as a statewide effort for roughly 20,000 career, paid-on-call, and volunteer firefighters that provides up to $20,000 in assistance for occupational illnesses such as cancer and heart disease, along with training, counseling, and family support. He said the program helps firefighters process trauma and has been recognized as the nation’s most comprehensive firefighter well-being initiative. Howe said the most recent version of the bill received unanimous bipartisan support in both chambers, and he suggested future expansions could include retired firefighters and possibly peace officers. The segment also noted a separate therapy approach using retired racehorses to help first responders work through trauma, with participants saying it has helped them stay on the job and manage anxiety and PTSD.
NM

New Mexico 2025 Regular Session

House - Appropriations and Finance Mar 20th, 2025

House Appropriations & Finance

Transcript Highlights:
  • To, uh, behavioral health and the Medicaid trust fund, uh, there is categorically lines in there.
  • Um, on the school reform fund, were any changes made to the, to what we sent to the House on the school
  • reform funds?
  • We added 100 million to the Medicaid trust fund, uh, I mean the Behavioral Health Trust Fund.
  • Thank you, Senator, and I agree that um the Medicaid, the issue of Medicaid and, and future funding is
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 02/25/26

Health and Human Services

Transcript Highlights:
  • Uh the Medicaid the aging population.
  • </c> full brunt of the loss of the Medicaid full brunt of the loss of the Medicaid funding<01:18:46.960
  • Medicaid is the healthcare continued.
  • In Medicaid, you get 40% or something.
  • </c> paid if I was a Medicaid? paid if I was a Medicaid?
Keywords: 1187, senate, all
LA

Louisiana 2026 Regular Session

Appropriations Mar 2nd, 2026

Appropriations

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.
  • They are no longer on the Medicaid rolls, and we will continue to automate those checks.
Keywords: 965, house, all