Video & Transcript : 'Medicaid reform' :
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MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/12/25
Human Services Finance and Policy
Transcript Highlights:
- Many people with mental illnesses use CADI Medicaid waivers, and while it was stated that the waiting
- Many people with mental illnesses use CADI Medicaid waivers, and while it was stated that the waiting
- Many people with mental illnesses use CADI Medicaid waivers, and while it was stated that the waiting
- Many people with mental illnesses use CADI Medicaid waivers, and while it was stated that the waiting
- So 340B is one of the reasons, or one of the reasons for 340B, being those Medicaid underpayments.
MA
Massachusetts 2025-2026 Regular Session
Senate Session (Full Formal with Calendar) Jun 21st, 2026 at 11:00 am
Massachusetts Senate Floor Meeting
Transcript Highlights:
- threat, President Spilka and the members of both chambers recognize the vital importance of rules reform
- The conference report includes a number of reforms. Legislature.
- The conference report includes a number of reforms, such as all joint votes will be recorded and posted
- There is the willingness... ...to find agreement to reform the rules.
- His leadership included authoring legislation on health care cost containment, drunk driving reform,
Summary:
The Senate first adopted three congratulatory resolutions recognizing the retirements of Dolores Hayes, Lisa Audet, and Kate Fitzpatrick. It then handled several procedural matters, including suspending Joint Rule 12 to refer a sick leave bank bill for a Suffolk County Sheriff’s Office employee to the Committee on Public Service and referring House petitions to their respective committees. The chamber also adopted a conference report on the joint rules for the 2025-2026 session after remarks from Senators Creem, Tarr, Lovely, and Fattman emphasizing transparency, public access, recorded votes, longer notice for hearings and conference reports, remote participation, and periodic review of the rules. The report was accepted by a 40-0 roll call.
The Senate then took up the bill strengthening health care protections in the Commonwealth, Senate No. 2538, commonly described as Shield Act 2.0. Senator Friedman and others argued the bill was needed to protect reproductive and gender-affirming care from out-of-state and federal interference, to limit disclosure of sensitive information, to create a state-level EMTALA-style protection for emergency care and active labor, and to strengthen privacy and licensing protections for providers and institutions. Senators Cyr, Lovely, and Fattman also spoke in support, framing the bill as a response to recent federal and state threats and as an extension of Massachusetts’ prior shield-law work.
The chamber considered numerous amendments. Several were rejected, including amendments by Senators Finegold and Keenan and multiple Tarr amendments on topics such as medical records, consistency with existing law, and public health data collection. Some amendments were adopted, including a Montigny amendment on health-connected data disclosure, a Brownsberger amendment further protecting privacy for reproductive and gender-affirming care, a Rauch amendment clarifying protections for patients in active labor, a Tarr amendment removing an exemption for data from personal tracking devices, and a Rodrigues corrective amendment. After the amendments, the Ways and Means substitute was adopted, the bill was ordered to a third reading, and it then passed to be engrossed by a 37-3 roll call.
At the end of the session, the Senate adopted a memorial adjournment in honor of former Senate Majority Leader Louis P. Bertinazi. The Governor also filed a message submitting a bill to build resilience for Massachusetts communities, authorizing future capital spending for energy and environmental affairs, which was referred to the Committee on Environment and Natural Resources. The Senate then adopted an order to meet again the following Monday at 1 p.m. and adjourned.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 27th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- And the federal government is particularly interested in the Medicaid program and the DTA program.
- What are the reforms that we need to do? What are programs that we need to shy away from?
- and asylees will lose Medicaid coverage.
- 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.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, May 5, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Miss Shannon Bradford Reform Commission.
- </c> bill to amend the Export Control Reform bill to amend the Export Control Reform Act<04:22:02.800
- </c> health care and taking away Medicaid health care and taking away Medicaid coverage.<07:36:08.478
- These Medicaid, 160,000 people on SNAP.
- And some of them are Republican districts. third highest Medicaid enrolly district third highest Medicaid
TX
Transcript Highlights:
- Here, Lee Parsley, on behalf of Texans for Lawsuit Reform, registered for the bill.
- For close to 40 years, tort reform has been ongoing in Texas. The goal of all tort reform...
- The goal of all tort reform bills has been to guarantee fairness and efficiency in the civil justice
- Companies, maybe they get it from Medicare, maybe they get it from Medicaid.
- And it says, or the lesser of three times Medicaid here.
Bills:
HB4806
Keywords:
civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all
MN
Minnesota 2025-2026 Regular Session
House Floor Session - part 2 May 5th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- It's the Medicaid Not Millionaires Act.
- What does Medicaid do in Minnesota?
- their coverage through Medicaid.
- in Minnesota is paid for by Medicaid.
- We found reforms in here to make this work.
TX
Transcript Highlights:
- There's no reform.
- What kind of reforms are there in the bill?
- When we did the PFC reform, there was none.
- And still with HB 21 today, the other reforms that are necessary.
- SB963 by Hughes, relating to allowing Medicaid managed care organizations to inform Medicaid recipients
Bills:
HJR98, HJR8, HJR133, HB23, HB33, HB144, HB 109, HB 103, HB148, HB3809, HB1686, HB2217, HB2156, HB220, HB2421, HB2363, HB3773, HB421, HB2584, HB2615, HB2455, HB3711, HB2559, HB3747, HB2775, HB2886, HB3126, HB3666, HB3595, HB3260, HB3506, HB1638, HB3376, HB3826, HB3628, HB1349, HB3770, HB1831, HB1762, HB2614, HB3113, HB267, HB322, HB431, HB869, HB 1203, HB 1201, HB 1244, HB1875, HB1950, HB2152, HB2290, HB2341, HB2436, HB2809, HB2856, HB3012, HB2954, HCR56, HCR102, HB 107, HB1587, HB3684, HB658, HJR99, HB1399, HJR5, HJR2, HJR6, HJR31, HB1971, SJR3, HB1775, HJR72, HB502, HB3109, HJR98, HJR8, HJR133, HB 118, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1618, HB1672, HB1722, HB1338, HB787, HB2618, HB879, HB 1126, HB4134, HB3513, HB718, HB1536, HB1445, HB1640, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3272, HB3276, HB3516, HB4145, HB1585, HB4810, HB2989, HB2558, HB3014, HB2742, HB1695, HB23, HB33, HB144, HB 109, HB 103, HB148, HB3809, HB1686, HB2217, HB2156, HB220, HB2421, HB2363, HB3773, HB421, HB2584, HB2615, HB2455, HB3711, HB2559, HB3747, HB2775, HB2886, HB3126, HB3666, HB3595, HB3260, HB3506, HB1638, HB3376, HB3826, HB3628, HB1349, HB3770, HB1831, HB1762, HB2614, HB3113, HB267, HB322, HB431, HB869, HB 1203, HB 1201, HB 1244, HB1875, HB1950, HB2152, HB2290, HB2341, HB2436, HB2809, HB2856, HB3012, HB2954, HCR56, HCR102
Keywords:
Article V, federal government, fiscal restraints, constitutional amendment, term limits, nuclear energy, electric generation, funding, Texas nuclear development fund, advanced reactors, HJR 133, Texas constitutional amendment, ad valorem tax, property tax exemption, homestead exemption, surviving spouse, veteran, veterans benefits, service-connected death, presumed service-connected condition
MN
Minnesota 2025-2026 Regular Session
House Floor Session 5/12/25 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- It's medicaid-mattersoral-health.
- </c> majority of their patients in Medicaid majority of their patients in Medicaid or<01:59:15.119><c
- </c> I think the uh Medicare Medicaid I think the uh Medicare Medicaid inflators<02:20:58.640><c> are
- They still get the Medicaid that.
- So, are Democrats in this Medicaid.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 39 Apr 13th, 2026
Oklahoma House Floor Meeting
Transcript Highlights:
- Senate Bill 1847, by Moore of the House and Green of the Senate, an act relating to Medicaid, home and
- Senate Bill 1847, by Moore of the House and Green of the Senate, an act relating to Medicaid, home and
- So this is going to be a great reform, not only for reading, but also for math.
- This is not relief, it's not reform, and it's not protection.
- No reform. And that's not respect, for sure.
Bills:
SB1290, SB1530, SB1847, HR1050, SB169, SB1377, SB1990, SB1991, SB1778, SB1579, SB1992, SB3, SB2028, SB1928, SB2127, SB2117, SB1439, SB1930, SB330, SB1191, SB2110, SB2134, SB2069, SB2095, SB1613, SB1246, SB1976, SB1346, SB1509, SB2071, SB259, SB1314
Keywords:
2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, Medicaid, ADvantage Waiver, home-based services, eligibility criteria, healthcare, senior services, Taiwan, Oklahoma, sister-state relationship
Summary:
The House convened, completed the roll call, and heard an invocation, a Veteran of the Week recognition for Colonel William S. Hartzell, and several guest introductions and special presentations, including the Coeta Tigers wrestling team, the Murray State College shotgun team, and visitors from Taiwan. The chamber also recognized the Psychologist of the Day, Nurse of the Day, Doctor of the Day, and Pages of the Week, along with committee meeting announcements and a motion to adjourn at the end of business.
Members then considered and passed a series of bills. Senate Bill 1290 on 211 services passed 82-0 and its emergency clause also passed. Senate Bill 1530 on state government and innovation/research funding passed 58-27. Senate Bill 1847 on Medicaid home and community-based services passed 78-10 with its emergency clause. Senate Bill 169 increasing longevity pay for state employees passed 85-4 with emergency. Senate Bill 1377 requiring DHS to provide duffel bags and hygiene items for foster children passed 88-4 with emergency. Senate Bill 1990 on the Incentive Evaluation Commission passed 88-4. Senate Bill 1991, a cleanup measure redirecting certain lease and land-sale revenues to O-CAMP, passed and its emergency clause also passed.
The House also adopted H.R. 1050 reaffirming Oklahoma’s sister-state relationship with Taiwan, followed by remarks from Taiwanese officials. Senate Bill 1778, the Strong Readers Act, passed 87-5 with emergency after discussion about reading screeners, funding tiers, and an optional second-grade assessment. Senate Bill 1579, described as a taxpayer bill of rights related to ad valorem tax, drew extended debate over property taxes and state savings before passing 85-0. Senate Bill 1992, defining strategic financial partners for an income tax credit, passed 65-24. The House then moved to adjourn until Tuesday, April 14, 2026, at 9:30 a.m.
MN
Minnesota 2025-2026 Regular Session
Omnibus budget for health, children and families passes House floor 5/12/25
Minnesota House Floor Meeting
Transcript Highlights:
- It's medicaid-matters/oral-health.
- And medicaid-matters/oral-health.
- </c> um to help the underfunded Medicaid um to help the underfunded Medicaid providers.<02:39:23.240>
- </c> really bad fees and Medicaid really bad fees and Medicaid reimbursements.<03:12:50.399><c> You</
- ,</c> magazine from the Minnesota reformer, magazine from the Minnesota reformer, "Child<03:56:20.399
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 8th, 2025
Transcript Highlights:
- cuts, and it is exactly... ...of tight budgets when we are facing Medicaid cuts.
- We've passed big reforms and created ...and how we treat behavioral health.
- We've passed big reforms and created new ways to reach more people.
- We've passed big reforms and created new ways to reach more people.
- AB 1037 undermines those reforms and takes us backwards.
Summary:
The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion.
The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills.
The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.
MN
Minnesota 2025-2026 Regular Session
House Floor Session - part 2 May 12th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- And so it's on the DHS website, it's Medicaid Matters Oral Health, and there's this wonderful set of
- First of all, I am completely on board with what Chair Liebling said about the need for dental reform
- , about the need for Structural health care reform.
- I think the Medicare and Medicaid inflators are great.
- Yes, I am a green vote for the families that need the Medicaid.
KY
Kentucky 2026 Regular Session
House Legislative Session Day 12 (1-22-26)
Kentucky House Floor Meeting
Transcript Highlights:
- House Bill 471, Representative Wilner, an act relating to Medicaid coverage for doula services.
- , Representative Lockett, a concurrent resolution establishing the Child Welfare and Family Court Reform
- coverage for doula relating to Medicaid coverage for doula services.<00:21:57.280><c> House</c><00:21
- </c><00:22:49.840><c> House</c> Family Court Reform Task Force.
- House Family Court Reform Task Force.
Keywords:
Convene 00:00
Senate Message 06:30
Calendar/2nd Readings 07:18
Report of Committees 08:19
Orders of the Day 09:04
HB 96 09:16
Motions, Petitions, and Communications 15:21
Introduction of New Bills and Resolutions 21:24
Recess for ConC and Rules Meeting 23:35
ConC and Rules Report 31:06
Floor Amendments 32:42
Return to Rules Report 33:28
Adjournment 34:27, 958, all
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Feb 19th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- So we can definitely identify recipients who receive Medicaid, who receive SNAP, who may be participating
- in TANF or work... ...receive Medicaid, who receive SNAP, who may be participating in TANF or work pays
- Now we're going to shift topics and talk about Medicaid community engagement requirements.
- So while we sat here today and talked about SNAP and Medicaid and those as programs, we really haven't
- So while we sat here today and talked about SNAP and Medicaid and those as programs, we really haven't
Summary:
The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules.
Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA.
The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Revenue Feb 12th, 2026
Joint Committee on Revenue
Transcript Highlights:
- bill before you lays out a thoughtful, phased-in approach to implement a number of the key OB3 tax reforms
- This bill proposes a few small additional reforms, including the adoption of a provision modeled after
- Those are three excellent elements of reform.
- Those cost shifts make up for the cuts to multiple safety net programs such as Medicaid and SNAP.
- Medicaid cuts are triggering a crisis for Massachusetts health care workers and patients that is only
Bills:
H4975
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Sep 23rd, 2025
Transcript Highlights:
- federal level may affect Medicaid in the future.
- No one has to lose Medicaid.
- There may not have been as many people on Medicaid.
- Is malpractice tort reform one of them? I don't know.
- How are we going to prioritize Medicaid and SNAP?
CA
California 2025-2026 Regular Session
Senate Labor, Public Employment and Retirement Committee Apr 22nd, 2026
Labor, Public Employment and Retirement
Transcript Highlights:
- I think there's a lot to be said about reforming our tax credit system.
- And year after year, we come and talk about how we need CEQA reform. It is an abused statute.
- And so I do think that we need CEQA reform because I think the balance is not there.
- We need to look and tackle the big issues in California, and I think there needs to be CEQA reform.
- For too long, working people have relied on Medicaid, SB 1284 is needed now.
Summary:
The committee heard SB 921, which would create a tax credit to help agricultural employers offset overtime premium costs for farmworkers. Senator Grove and supporters, including farmworkers, the California Farm Bureau, and agricultural groups, argued the bill would restore lost hours and take-home pay after California’s agricultural overtime law reduced schedules. Opponents, including the California Federation of Labor Unions and CRLA Foundation, argued the proposal would subsidize employers with taxpayer dollars and undermine the principle that employers should pay overtime themselves. The bill was held in subcommittee until more members arrived.
The committee then took up SB 1083, a cleanup bill to the prior year’s school employee misconduct database law. The author and supporters said it would add due process protections for classified school employees, require an administrative law judge review before placement in the database, and improve notice and vetting rules for contractors and non-permanent staff. School employer groups and other opponents warned the bill could slow investigations and weaken child-safety protections. The committee approved the bill 3-0 and sent it to Senate Appropriations.
Members also considered SB 1089, which would require CalPERS health plans to cover GLP-1 medications and expand access through CalRX for chronic weight management and related health conditions. The author and supporters, including the American Diabetes Association and medical groups, said the drugs can prevent diabetes and improve health outcomes but remain unaffordable for many. Pharma representatives expressed concerns about the bill as drafted but said they were open to continued discussions. The bill passed 4-0 to Appropriations. The committee also approved the consent calendar 4-0.
Later, the committee heard SB 954, which would narrow and add guardrails to last year’s CEQA exemption for advanced manufacturing, including environmental review near disadvantaged communities and labor standards such as prevailing wage and skilled-and-trained workforce requirements. Labor, environmental, and community groups supported the bill as a cleanup of an overly broad exemption, while business and manufacturing groups opposed it, warning it would discourage investment and worsen California’s competitiveness. The bill passed 3-1 to Appropriations. Finally, SB 1299, a fire sprinkler fitter certification bill, was heard and passed 3-0 to Appropriations with support from the sprinkler fitters and building trades and no recorded opposition.
MN
Transcript Highlights:
- We must protect Medicaid and build a Medicaid system that incentivizes care, not profit seeking.
- must protect Medicaid and build a Medicaid<00:19:11.919><c> system</c><00:19:12.240><c> that</c><00:
- </c> fraud within the Medicaid system. fraud within the Medicaid system.
- </c> public messaging and Medicaid public messaging and Medicaid instability<00:35:51.839><c> has</c>
- </c> UKare because that was the Medicaid UKare because that was the Medicaid insurance<00:46:00.160><
TX
Transcript Highlights:
- We did do some reform on that for this past session.
- We did PFC reform last session.
- But they didn't talk about reforms.
- on Medicaid, I want to have an income.
- I would get Medicaid, and I wouldn't have an $893 copayment because Medicaid and the system would pay
Keywords:
housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, housing assistance, financial assistance, low income housing, community support, affordability, veterans housing, community involvement, air conditioning, tenant support, healthcare, elderly, taxation
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 4/28/26
Health Finance and Policy
Transcript Highlights:
- The high rate of Medicaid patients makes the hospital especially vulnerable to changes in Medicaid policy
- </c> Medicaid disenrollment. Medicaid disenrollment.
- So if they have Medicaid insurance, we take their Medicaid insurance.
- </c> Medicaid um that higher Medicaid Medicaid um that higher Medicaid population.<01:08:49.199><c> So
- It's Medicaid only.