Video & Transcript : 'Medicaid reform' :

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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.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 15th, 2026

New Mexico House Floor Meeting

Summary: The meeting opened with prayers, the Pledge of Allegiance, and a series of announcements and personal remarks. Members then spent a large portion of the session honoring Representative Joanne Ferrary, who announced she will not seek re-election. Speakers from both parties praised her persistence, mentorship, and work on public safety, environmental protection, health care, women’s rights, and advocacy for workers and families. Ferrary thanked colleagues and said she hoped to continue supporting initiatives in the interim and beyond. The House also recognized Representative Matthew McQueen, who is running for commissioner of public lands and will leave the legislature after this term. Members highlighted his work on conservation, land grants, wildlife protection, legislative drafting, and his reputation for principled, detailed review of bills. McQueen thanked colleagues and said he hoped to remain involved in the building in another capacity. The House then moved to third reading and passed House Bill 371, the House Appropriations and Finance Committee substitute creating a temporary funding source for land grants and acequias from remaining sponge bond revenues. Supporters said it would provide a more stable, long-term funding mechanism for acequia and land grant infrastructure while preserving existing funding streams and requiring legislative appropriation and annual reporting. Some members raised concerns about oversight and the lack of a sunset or review clause, but the bill passed 63-2. The chamber also passed House Bill 248, authorizing $392 million in general obligation bond capacity, by a vote of 65-0. The House then debated House Bill 153, a committee substitute creating a market-based framework for carbon reduction and economic development. The bill includes an environmental product declaration act, a low-carbon materials rebate, and an industrial carbon reduction grant program. Supporters said it would reduce greenhouse gas emissions while encouraging economic development and new technology at industrial facilities. Members questioned the timing of the grants, anti-donation concerns, and whether companies would receive funding only after making investments, and sponsors explained that entities must pre-certify and then apply after beginning production or retrofits. Debate was ongoing at the end of the excerpt, with no final vote shown on HB 153.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Part 2 Feb 12th, 2026

New Mexico House Floor Meeting

Transcript Highlights:
  • And whereas Representative Herrera sponsored historic legislation in 2022 that reformed predatory lending
Summary: The House spent much of the meeting on recognitions and tributes, including remarks supporting New Mexico’s dairy industry, honoring Gadsden Independent School District educators and students, recognizing Broadband Day at the Capitol, and celebrating the retirement of Representative Susan Herrera. Members from both parties praised Herrera’s long public-service career, especially her work on water, acequias, land grants, rural communities, modernization, early childhood, and predatory lending reform. Herrera thanked colleagues and said she was leaving to spend more time with family, grandchildren, and personal pursuits. The chamber also received a Senate message on House amendments to Senate Bill 3, with the Senate concurring in most items and asking the House to recede from two provisions. Committee reports were then adopted on a series of bills and resolutions, including House Bills 99, 206, 213, 250, 267, 270, 322, and 323; Senate Bills 17, 48, 55, 104, and 193; House Joint Resolution 5; and House Memorial 39. Most reports were adopted without objection, while some bills were advanced with committee substitutes or referrals to other committees. On third reading, the House passed several measures. House Bill 63, funding New Mexico Finance Authority water projects, passed 66-0; House Bill 64, appropriating about $13.25 million for PPRF-related funds, passed 67-0; House Bill 285, refining the disabled veteran property tax exemption, passed 67-0; House Bill 165, expanding C-PACE economic development uses, passed 67-0; House Bill 184, consolidating legacy fund investment accounts, passed 67-0; and House Bill 200, appropriating $10 million for the New Homes for New Mexico starter-home program, was debated at length and then passed. House Bill 291, the tax cleanup bill, drew a failed floor amendment that was tabled 41-24 before the bill passed 59-8. The debate on HB 200 focused on whether the program would help smaller builders and rural communities, while the HB 291 amendment debate centered on adding broader tax provisions and concerns about fiscal impact and policy scope.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 12th, 2026

New Mexico House Floor Meeting

Summary: The House resumed third reading after a brief evacuation caused by a fire alarm, which members later said was triggered by a faulty sensor in the print shop. The chamber then completed final passage on three bills. House Bill 111 passed 51-3 after debate in which a member from Lee objected that the bill’s language shifted the burden onto landowners and water right owners to prove innocence. House Bill 96, as amended, passed 61-0 after a friendly floor amendment added minority leader appointments to the proposed space commission working group and set the working group to dissolve on December 31, 2026. House Bill 108, as amended, passed 63-1; it made technical changes to soil and water conservation districts, including clarifying district definitions, director appointment procedures, and tax procedures.
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
Keywords: 1183, house
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (01/21/2026)

Health and Human Services

Transcript Highlights:
  • </c> who should continue to receive Medicaid. who should continue to receive Medicaid.
  • </c> Medicaid would meet the requirements. Medicaid would meet the requirements.
  • </c> that about 13% of New Hampshire Medicaid that about 13% of New Hampshire Medicaid recipients<04:
  • </c> people on Medicaid are children. people on Medicaid are children.
  • </c> Henry Litman, the state's Medicaid Henry Litman, the state's Medicaid director.<04:35:39.119><c>
Keywords: 1191, senate, all
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

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.
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
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, April 9, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • ,</c><00:09:50.320><c> small</c> Social Security and Medicaid, small Social Security and Medicaid, small
  • </c><02:44:45.359><c> But</c> Medicaid. It's a lifeline for them. But Medicaid.
  • Make Medicaid more effective.
  • </c><03:09:25.359><c> Yesterday</c> reform. Fear-mongering again. Yesterday reform.
  • Hands off Medicaid. clear. Hands off 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.
TX

Texas 89th Regular

Senate Session May 31st, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Without Senate Bill 1, those reforms are just words on paper.
  • That's $150 million for rural hospitals, plus paying 100% of their cost on Medicaid.
  • I was just wondering about the Medicaid funding on this biennium.
  • And so, you know, we had all those Medicaid, all of those that didn't roll off of Medicaid with the emergency
  • We also additionally had some increases on wages for, not wages, but Medicaid rates.
Summary: The Senate opened with an invocation and then took up several conference committee matters and resolutions. It granted the House request for a conference committee on House Bill 46 and adopted a conference report on Senate Bill 37, which was described as higher education governance reform, including stronger board authority, changes to faculty senates, general education requirements, and a new ombudsman office. Senators also adopted a large package of resolutions and HCRs by voice vote. A major focus was Senate Bill 12, the “Parental Bill of Rights,” whose conference report was adopted after extended questioning. The bill was described as giving parents more access to school materials and grievance procedures, requiring parental consent for student clubs, and restricting school district employees from assisting with social transitioning or related gender-identity instruction. Senators raised concerns about effects on students already socially transitioned and on parental rights in medical or psychological decisions; the author said the House language was retained in key areas and that districts would need policies and parent notification. The report passed 20-11. The Senate then adopted a resolution allowing the conference committee on Senate Bill 1, the state budget for fiscal years 2026-2027, to go outside the bounds, and later adopted the budget conference report. Senators highlighted major funding for public education, property tax relief, public safety, health and human services, child care, water and transportation infrastructure, and the Texas Energy Fund. The budget discussion also covered higher education, mental health facilities, community attendant wages, rural hospitals, DFPS case management, child care assistance, and a study rider on TRS. The report passed unanimously, 30-0. Finally, the Senate suspended rules to take up Senate Bill 8 and adopted its conference report. The bill requires counties with jails or jail contracts to participate in the federal 287(g) immigration enforcement program, with sheriffs choosing among available models and counties receiving tiered grants to help cover costs. Supporters framed it as a public safety measure targeting criminal illegal aliens, while opponents questioned whether it would divert local resources and increase fear in immigrant communities. The report was adopted after debate.
ID

Idaho 2026 Regular Session

Agenda Mar 17th, 2026

Ways and Means

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.
Keywords: 989, all
Summary: The Ways and Means Committee met and introduced a series of RS drafts covering state lands recreation, large-load electricity rates, Medicaid oversight and Medicaid expansion work requirements, occupational licensing rulemaking, school discipline, rural health funding oversight, AI-assisted rule review, and Idaho Digital Learning Alliance policy. Representative Raymond’s RS 33739 would direct the Department of Lands and Parks and Recreation to cooperate on recreation on state lands and allow a fee to support the endowment’s return. Representative Veley’s RS 33737 would codify utility practices to prevent costs from new large electricity loads from being shifted to other ratepayers. Representative Van der Wada’s RS 33718 and RS 33740 focused on Medicaid administration and work requirements; RS 33718 drew concerns from Representative Rubel about added staffing and paperwork burdens and possible coverage losses, but both motions to introduce passed with Rubel, Birch, and Church recorded as nays on RS 33718 and RS 33740. Representative Redmond presented several measures. RS 33558 would impose a five-year moratorium on new administrative rules and fee increases while moving small rule chapters into statute; it prompted debate over legislative versus executive authority, with supporters saying it restores policymaking to lawmakers and opponents warning it would undermine agency expertise and public participation, but it was introduced. RS 33724, a revised school discipline bill, was introduced and sent to the second reading calendar after Redmond said it would prevent withholding recess from an entire class. RS 33745, also sent to second reading, would revise rural health funding oversight tied to federal dollars, and RS 33679 would require AI-assisted analysis in rule review; members raised concerns about AI reliability and the need for human review, which the sponsor said was built into the bill. The committee also considered RS 33742 on the Idaho Digital Learning Alliance. The bill would clarify IDLA’s mission, reorganize its board, cap administrative costs at 30 percent, require audits, set course fees, and eliminate certain funding uses; it carried a negative $13.5 million fiscal note. Representative Church moved to return it to the sponsor, arguing IDLA is an essential service, especially for rural schools, but the substitute motion failed and the committee then voted to introduce the bill, with nays recorded for three members. The committee then adjourned.
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