Video & Transcript : 'H.R. 1834' :

Page 60 of 74
CA
Transcript Highlights:
  • We then have the big legislation last year, H.R. 1, and I think everyone here probably in this hearing
OK
Transcript Highlights:
  • Please recognize Representative West to present H.R. 1046.
Bills: HR1046 , SB1733 , SB1439
Summary: The House convened with prayer, the Pledge of Allegiance, and several special recognitions tied to the 31st anniversary of the Oklahoma City bombing. The chamber honored the 138th Fighter Wing Civil Engineer Squadron Fire Department as Veterans of the Week, and also recognized Dr. Camissa Stewart as Doctor of the Day and Tammy Powell as Nurse of the Day for their roles in the 1995 bombing response. A lengthy floor presentation followed, featuring remarks from legislators, Lieutenant Governor Matt Pinnell, memorial museum leaders, Justice Stephen Taylor, and Pastor Ronnie Fields, all focused on remembrance, the Oklahoma standard, the victims and survivors, and the importance of hope, civility, and the rule of law. On legislation, Senate Bill 1733 was presented and debated. The bill requires school personnel who have reason to believe a student is a victim of child sexual abuse or sexual misconduct to report it to law enforcement within 24 hours. Supporters said it clarifies and strengthens reporting requirements to protect children, while opponents warned it could trigger harmful public accusations and undermine trust in educators and administrators. The House passed the bill 92-1, and the emergency clause also passed 92-1. The House also considered Senate Bill 1439, an oil and gas measure intended to bar speculative climate-related lawsuits and limit liability to actual violations and provable harm. Supporters argued it would prevent frivolous litigation, protect the state’s energy economy, and keep costs down for consumers; opponents said it would create a special legal carve-out for industry and shift costs to taxpayers and families. The bill passed 74-16. In addition, Senate Bill 2184 was assigned to Rules, and H.J.R. 1078 and H.J.R. 1079 were withdrawn from Rules and sent to appropriations and budget committees. The House adjourned after announcements and introductions.
CA
Transcript Highlights:
  • Transformation Program is the state’s implementation of the $50 billion national program authorized by H.R
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • Because in the one big beautiful bill, H.R. 1, there were some changes to how people can participate,
Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • Because in the One Big Beautiful Bill, H.R. 1, there were some changes to how people can participate,
Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.
MO
Transcript Highlights:
  • Congress passed, and the President signed, H.R. 5371.
MO
Transcript Highlights:
  • Congress passed and the president signed H.R. 5371.
Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the House Journal by roll call vote, 126-0. Members then offered several points of personal privilege and introductions, including recognition of Sigma Gamma Rho Sorority, a tribute and moment of silence for the late Reverend Jesse Jackson, and greetings to various visiting groups such as manufacturers, FFA students, university graduate students, and the Lewis and Clark Fife and Drum Corps for an America 250 event. The chamber then moved through first reading of several bills and took up multiple measures for perfection and printing. House Bill 2596, dealing with multiple employer self-insured health plans for small businesses, received supportive testimony from members who said it would help small employers recruit and retain workers and modernize outdated law; it was adopted and ordered perfected and printed. House Bill 1644, establishing a franchise-specific joint employer standard, drew extensive debate over liability, franchisor control, and whether it would protect small franchise businesses without limiting legitimate claims; it was also adopted and ordered perfected and printed. House Bill 2423, updating consumer credit licensing fees for the fee-funded Division of Finance, was presented as a way to keep the agency self-funded and maintain consumer protection staffing, and it too was ordered perfected and printed. The House also considered House Bill 2641, which would regulate intoxicating hemp products and align state law with federal changes set to take effect on November 12, 2026. The bill’s sponsor said it was intended to protect children, provide clarity, and create a coordinated enforcement framework, while opponents argued it was unconstitutional because it would effectively reclassify hemp products under the marijuana framework in Article 14 of the Missouri Constitution and could harm lawful hemp businesses. An amendment and a technical amendment were adopted, and the bill was then adopted and perfected and printed as amended. The House later announced committee meetings and other notices before voting to recess until 2 p.m.
ID

Idaho 2026 Regular Session

Legislative Session Day 26 Feb 6th, 2026

Idaho House Floor Meeting

Transcript Highlights:
  • H.R. 25 is a resolution under Article 5 of the U.S.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 28th, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • enrollment recently ended, and customers had to navigate numerous federal changes, including changes from H.R
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 28th, 2026

Transcript Highlights:
  • enrollment recently ended, and customers had to navigate numerous federal changes, including changes from H.R
Summary: The House Health Care & Wellness Committee held public hearings on HB 2564 and HB 2599, then moved into executive session on several bills. HB 2599, which would restrict the use of AI in therapy and psychotherapy services, drew strong support from the prime sponsor, mental health professional groups, a privacy advocate, and an AI ethics researcher, all of whom warned that chatbots can mislead users, encourage delusions or self-harm, and lack licensure, accountability, and confidentiality protections. Several witnesses from health systems and telehealth organizations supported the bill’s intent but asked for narrower definitions and amendments to avoid unintended impacts on clinician-supervised tools, screening questionnaires, scribes, and other legitimate uses of AI. No vote was taken on HB 2599 during the hearing. HB 2564, which would give the Health Benefit Exchange authority to adopt market-factor certification criteria for exchange plans, was presented as a way to address affordability, bare counties, and plan duplication. Supporters included the Exchange, consumer advocates, rural and tribal representatives, navigators, and some individual consumers, who said the bill could improve access, preserve bronze plan availability, and help stabilize the market in counties with too few carriers. Opponents from health plans, Regence, Premier, and insurance producer groups argued the bill would expand exchange authority without clear standards, could reduce competition and carrier participation, and might conflict with existing OIC filing and confidentiality processes; the OIC supported the bill but requested an amendment on rate disclosure timing. The committee then moved to executive session and later reported out HB 1784, HB 2242, HB 2384, and HB 2505 with due pass recommendations, while deferring action on HB 1809 and HB 2261. In executive session, the committee adopted a substitute for HB 1784 on certified medical assistants by an 18-0 vote, adopted one amendment and passed a substitute for HB 2242 on preventive services and immunization recommendations by an 11-7 vote, and passed a substitute for HB 2384 on actuarial reviews for continuing care retirement communities by a 16-2 vote. It also adopted an amendment and passed a substitute for HB 2505 on limited adult family home licensure exemptions for certain foster family situations by an 18-0 vote. The meeting adjourned after those actions.
AZ
Transcript Highlights:
  • If the federal big budget betrayal bill, H.R. 1, bankrupts our rural hospitals, then I wonder what happens
Summary: The committee heard and advanced six measures. SB 1118, as amended, appropriates $3 million to the Department of Health Services for a grant program to help rural hospitals install enhanced radiation protection systems in cardiac catheterization rooms; testimony from an interventional cardiologist emphasized worker safety, reduced radiation exposure, and recruitment/retention of physicians, and the bill passed 10-0. SB 1154 provides $500,000 to ADOT for a traffic and safety study on SR 64 between Williams and the Grand Canyon; local officials, law enforcement, and fire personnel described heavy tourism, rising crashes, and the need for broader roadway improvements, and it passed 6-4. SB 1063 appropriates $10.4 million for safety improvements on U.S. 70 in the San Carlos Apache area; tribal leaders and law enforcement cited high fatality and injury rates, dangerous design features, and limited federal funding, and it also passed 6-4. The committee then approved SB 1153, which creates a Grand Canyon National Park specialty license plate and fund; the Grand Canyon Conservancy supported the measure as a way to generate dedicated revenue for park programs, and it passed 10-0. SCM 1001, as amended, urges naming SR 260 the Donald J. Trump Highway through the State Board on Geographic and Historic Names rather than ADOT; the memorial drew sharply divided testimony and debate, but it passed 6-4. Finally, SB 1209 exempts homeless individuals and those using shelter addresses from non-operating ID fees and extends the validity period for those IDs to eight years; advocates said the change would help people obtain housing, jobs, and services, and it passed 9-0.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, May 8, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • Union Calendar Number 60, H.R. 276, a bill to ...
  • Union Calendar Number 60, H.R. 276, a bill to rename the Gulf of Mexico as the Gulf of America.
  • have five legislative days to revise and extend their remarks and to include extraneous material on H.R
  • </c> I rise in support of H.R. 276, sponsored by Congresswoman Green of Georgia.
  • Huffman of California moves to recommit the bill, H.R. 276, to the Committee on Natural Resources.
Bills: SCR12 , HR276
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 13th, 2026 at 09:00 am

Washington House Floor Meeting

Bills: HB1160 , HB1289 , HB1339 , HB1798 , HB1065 , HB1795 , HB2107 , HB2113 , HB2124 , HB2125 , HB2133 , HB2134 , HB2140 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2245 , HB2253 , HB2283 , HB2343 , HB2406 , HB2501 , HB2531 , HB2574 , HB1170 , HB1544 , HB1834 , HB2156 , HB2188 , HB2206 , HB2360 , HB2471 , HB2478 , HB2525 , HB2605 , HJM4012 , HB1104 , HB1152 , HB1254 , HB1443 , HB1710 , HB1750 , HB1903 , HB1941 , HB1974 , HB1982 , HB1983 , HB2006 , HB2034 , HB2105 , HB2179 , HB2203 , HB2215 , HB2223 , HB2239 , HB2247 , HB2297 , HB2303 , HB2322 , HB2329 , HB2334 , HB2338 , HB2345 , HB2348 , HB2350 , HB2353 , HB2355 , HB2363 , HB2367 , HB2379 , HB2388 , HB2399 , HB2418 , HB2420 , HB2428 , HB2441 , HB2462 , HB2464 , HB2467 , HB2495 , HB2505 , HB2534 , HB2539 , HB2544 , HB2551 , HB2554 , HB2557 , HB2575 , HB2577 , HB2588 , HB2594 , HB2604 , HB2636 , HB2714 , HB1160 , HB1289 , HB1339 , HB1798 , HB1065 , HB1795 , HB2113 , HB2124 , HB2125 , HB2134 , HB2140 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2245 , HB2253 , HB2283 , HB2343 , HB2406 , HB2501 , HB2574 , HB1170 , HB1544 , HB1834 , HB2156 , HB2188 , HB2206 , HB2471 , HB2478 , HB2605 , HJM4012 , HB1104 , HB1152 , HB1254 , HB1443 , HB1903 , HB1941 , HB1982 , HB2006 , HB2034 , HB2105 , HB2179 , HB2203 , HB2297 , HB2303 , HB2322 , HB2329 , HB2345 , HB2350 , HB2379 , HB2388 , HB2399 , HB2418 , HB2462 , HB2464 , HB2495 , HB2539 , HB2544 , HB2551 , HB2554 , HB2588 , HB2636 , HB1128 , HB1408 , HB1570 , HB1742 , HB1823 , HB2089 , HB2104 , HB2114 , HB2172 , HB2192 , HB2207 , HB2251 , HB2262 , HB2266 , HB2294 , HB2298 , HB2319 , HB2320 , HB2323 , HB2351 , HB2354 , HB2374 , HB2401 , HB2405 , HB2429 , HB2431 , HB2442 , HB2451 , HB2479 , HB2496 , HB2515 , HB2523 , HB2540 , HB2593 , HB2632 , HB2661 , HB1496 , HB1898 , HB2095 , HB2157 , HB2225 , HB2274 , HB2311 , HB2325 , HB2333 , HB2476 , HB2508 , HB2552
CA

California 2025-2026 Regular Session

Senate Floor Session May 19th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • H.R. 1 makes significant changes to Medicaid eligibility, including new work requirements and more frequent
  • Finally, SB 1202 requires DHCS to create a public dashboard tracking the impact of H.R. 1 on Medi-Cal
Summary: The Senate began with a roll call, a moment of silence for the shooting at the Islamic Center of San Diego, prayer, and the Pledge of Allegiance. The body then moved through gubernatorial appointments, confirming Julia Montgomery as General Counsel for the Agricultural Labor Relations Board and reappointing Dr. Cynthia Glover Woods, Dr. Brenda Lewis, and Gabriela Orozco Gonzalez to the State Board of Education, and George Cardona as Chief Trial Counsel for the State Bar. The Senate also heard a guest introduction welcoming Cal Lutheran University students, faculty, and staff to the gallery. The chamber then took up several resolutions, including SR 111 recognizing the International Day Against Homophobia, Biphobia, Intersex Phobia, and Transphobia; SCR 129 designating part of Highway 152 as the Rusty Arraes Highway; SCR 169 proclaiming October 2026 as Women's Small Business Month; and SCR 173 designating May 2026 as California Fairgrounds Appreciation Month. All of these resolutions passed, with members speaking in support of Arraes, women-owned businesses, and the public safety and community roles of fairgrounds. The Senate also passed a series of policy bills. These included SB 1154 on best-value procurement for community college public works, SB 1369 on judicial recall safeguards, SB 1106 shortening the data broker deletion timeline under the Delete Act, SB 1417 increasing transparency for mutual water companies, SB 1408 authorizing a future Contra Costa transportation sales tax measure, SB 1172 adding guardrails to local tax sharing agreements, SB 1383 protecting locally adopted labor standards in density bonus projects, SB 1371 barring waste haulers from suspending service during lawful labor disputes, SB 908 streamlining residential window replacement permits, SB 1361 limiting actions taken solely to avoid transit-oriented housing standards, SB 1014 requiring early fee and improvement estimates for housing projects, SB 1272 giving homeowners more time to fix preexisting code violations, SB 1406 targeting the Montana tax loophole, SB 1238 increasing HOA transparency and oversight, and SB 868 creating a plug-in solar framework. Most passed on largely party-line votes, with some Republican members objecting to labor-related or regulatory measures. Later in the day, the Senate approved additional health, education, privacy, and AI measures, including SB 950 on early-onset Alzheimer’s treatment coverage, SB 874 on Medi-Cal behavioral health treatment oversight, SB 1049 on correcting health plan claims, SB 1067 on early math screening, SB 1202 on Medi-Cal outreach amid federal changes, SB 944 on acupuncture coverage, SB 957 on notice for federal subpoenas to social media companies, SB 998 on discrimination prevention coordinators, and SB 1000 on AI content transparency. The final item shown, SB 1056 on protective orders for sexually explicit material involving adult victims, was introduced with the author noting ongoing work on amendments, but the transcript cuts off before final action is shown.
LA

Louisiana 2026 Regular Session

Health and Welfare May 6th, 2026

Health and Welfare

Transcript Highlights:
  • Next, I will do my H.R.—oh, I'm sorry. You will? Yes, personal privilege by Representative Turner.
  • Chasson has made a motion to report H.R. 27 favor. Are there any objections?
Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.
LA
Transcript Highlights:
  • It's identified as H.R. 8 and is in the Senate chamber, and it's a modernization infrastructure act that
  • If you'd like to look at it, it's H.R. 8. Again, we have done analysis for the full eight years.
Summary: The House Natural Resources Committee met on House Bill 7 by Speaker Pro Tem Johnson, the Louisiana Landowners Protection Act, which would remove eminent domain authority for carbon capture and geological sequestration projects. After housekeeping and roll call, the committee adopted a set of technical amendments that cleaned up definitions, removed a stray statutory reference, and changed “commissioner” to “secretary.” The author then gave an extended presentation arguing the bill was needed to align Louisiana law with the state constitution’s property-rights protections and recent court rulings, and to ensure carbon capture projects proceed only through voluntary agreements rather than forced takings. Several members questioned the author and supportive witnesses about whether the bill would stop carbon capture, affect oil and gas pipelines, or disrupt investment. The author and supporters said it would not stop projects, only prevent taking land without consent, and argued that landowners—especially small and rural owners—should not face the threat of expropriation. Supportive testimony also emphasized family land, inheritance, and constitutional limits on takings. Some members raised concerns about changing the rules after prior legislative action and about the economic importance of carbon capture, but the author responded that the legislature had made a mistake in 2020 and should correct it now. Opposition testimony came from representatives of the Louisiana Mid-Continent Oil and Gas Association, the Louisiana Chemistry Association, and attorneys who handle right-of-way matters. They argued that eminent domain is a rare last resort, that existing law and the Landowner Bill of Rights already protect owners, and that the Constitution’s provisions for private-entity expropriation are different from the provisions discussed by the bill’s supporters. They warned that removing the tool for carbon capture would chill investment, threaten jobs and revenue, and could spill over into other energy infrastructure. The committee did not reach a final vote on the bill in the portion of the meeting provided.