Video & Transcript : 'Medicaid reform' :

Page 69 of 500
CA
Transcript Highlights:
  • Tyler Sadworth, State Medicaid Director. This is not a budget solution.
  • plans or otherwise disproportionately burden Medicaid plans.
  • Some of these resources are also... community supports and behavioral health reforms.
  • The first is ensuring access to Medicaid services budget change proposal adjustment.
  • The first is ensuring access to Medicaid services budget change proposal adjustment.
Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-02-19 (9:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • It fully funds Florida's $36.8 billion Medicaid program to serve an anticipated 4 million Medicaid beneficiaries
  • It fully funds Florida's $36.8 billion Medicaid program to serve an anticipated 4 million Medicaid beneficiaries
  • Also, as far as the Medicaid managed care providers, the ITN, you know, Medicaid 3.0 was instituted last
  • We're proposing two key reforms to protect the solvency of the fund.
  • Finally, the bill reforms the Office of Supplier Diversity.
Keywords: 998, house, all
CO

Colorado 2026 Regular Session

Colorado House 2026 Legislative Day 116 May 9th, 2026

Colorado House Floor Meeting

Transcript Highlights:
  • But surely Hickpuff cares about reforming Medicaid and at least not having it rise by so much per year
  • But surely Hickpuff cares about reforming Medicaid and at least not having it rise by so much per year
  • </c><04:20:54.880><c> Medicaid</c><04:20:55.279><c> and</c><04:20:55.680><c> at</c> cares about uh reforming
  • Medicaid and at cares about uh reforming Medicaid and at least<04:20:56.080><c> not</c><04:20:56.319
  • Many people will be proud to get together to talk about how to reform Medicaid.
Keywords: 981, all
FL

Florida 2026 5th Special Session

Ethics and Elections Mar 10th, 2025

Transcript Highlights:
  • To make the process even harder is not a reform; it's suppression.
  • Major reforms. Thank you very much for your testimony.
  • Let's look at the folks who need Medicaid expansion.
  • Let's look at the folks who need Medicaid expansion.
  • Will we see the Medicaid expansion? I don't know.
Summary: The Senate Committee on Ethics and Elections heard SPB 7016, a bill revising Florida’s citizen initiative petition process to address fraud, voter information, and ballot integrity. The bill and its amendments would add sponsor bonds and deposit requirements, require more identifying information from signers and circulators, bar certain felons and non-citizens from circulating petitions, require circulator training, shorten the time to submit signed petitions, require notices to voters whose signatures are verified, and change how financial impact statements are handled. Several amendments were adopted, including a $1 million bond framework, 10-point font and page limits for petition forms, a ban on incentive-based pay tied to petition counts or speed, removal of a requirement that fraud be proven by criminal conviction before administrative fines, county deposit and payment procedures for supervisors of elections, invalidation of petitions gathered by ineligible circulators, training requirements within 30 days, and a prohibition on public funds being used to advocate for or against constitutional amendments. Committee discussion focused heavily on implementation and fairness. Supporters, including the sponsor and the Florida Chamber of Commerce, argued the bill was needed to deter fraud, protect voter information, and ensure sponsors—not taxpayers—bear the costs of the initiative process. Supervisors of elections testified that county taxpayers should not subsidize petition verification, but also warned that some provisions would be difficult to implement quickly because of software and operational constraints. Senators raised questions about the bond cost, the 10-day submission deadline, notice to voters whose petitions are invalidated, the effect on returning citizens, and whether the bill could disenfranchise voters who sign petitions in good faith. Public testimony was overwhelmingly opposed. Common Cause, the League of Women Voters, NAACP Florida, Florida Rising, Equality Florida, All Voting Is Local, and other advocates said the bill would suppress grassroots participation, criminalize volunteers, create costly barriers, and favor wealthy or corporate interests. They objected especially to the bond, the new signer identification requirements, the shorter submission window, and the lack of notice when a petition is invalidated. A few supporters, including the Florida Chamber, backed the measure as a safeguard against fraud and outside influence. After debate, the committee did not reach a final vote on the bill in the portion provided, but the bill remained before the committee as amended.
AZ

Arizona 2026 Regular Session

01/21/2026 - House Appropriations

House Appropriations Committee of Reference

Transcript Highlights:
  • Last year when we were in the cage and we were negotiating, we had some reforms we were talking about
  • We do need to do some reforms.
  • I hope we have some reforms that the executive would agree to and we're making the budget, because we
  • And typically the Medicaid match rate is around, let's say, 64%.
  • And typically the Medicaid match rate is around, let's say, 64%.
Summary: The Committee of Appropriations met on January 21, 2026, and first considered House Bill 2116, which would appropriate $1 million in fiscal year 2027 to the Colorado River Litigation Fund. The sponsor and Arizona Department of Water Resources both supported the bill, describing it as a backup measure to protect Arizona’s Colorado River entitlements if post-2026 negotiations among the basin states fail. Members discussed how the bill relates to the governor’s separate Colorado River Protection Fund proposal, and staff clarified the two funds serve different purposes. The committee approved HB 2116 on a 17-1 roll call vote. The committee then took up House Bill 2053, which would provide $100,000 for updated stormwater recharge mapping and expand the work beyond state trust lands to private lands. An amendment in the chair’s name was adopted to extend the coordination timeline, broaden the agencies involved, and revise language about mapped sites and appropriable surface water. The sponsor said the bill is intended to identify more places to capture stormwater for recharge rather than letting most rainfall evaporate. ADWR testified neutrally, supporting the mapping effort but raising a concern about language that could be read as requiring the department to determine whether water is appropriable, which it said is a legal question for the courts. The amended bill passed 11-7. House Bill 2148, as amended, was then heard and approved 11-7. The bill would give the legislature authority to appropriate non-custodial federal monies and set requirements for those appropriations. The chair’s amendment excluded federal research grants to universities, university employees, and the Arizona Board of Regents. The sponsor framed the bill as a transparency measure, saying the legislature should know how federal funds are being spent. No outside testimony was offered, and the committee approved the measure after debate about legislative oversight of federal funds. After the bills, the committee received a lengthy JLBC presentation comparing the executive budget with the JLBC baseline. Discussion focused on revenue forecasts, tax conformity, sports betting, lottery and tourism revenue assumptions, SNAP administrative costs and error-rate penalties, developmental disability and Access caseload growth, and K-12 enrollment and ESA spending. Members repeatedly questioned the executive budget’s use of one-time funding for ongoing costs, especially for SNAP administration and DES staffing, and expressed concern about rising supplemental needs and the lack of long-term budget capacity. No votes were taken on the presentation.
AZ

Arizona 2026 Regular Session

01/21/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • Last year when we were in the cage and we were negotiating, we had some reforms we were talking about
  • And in my opinion, we had agreements, actually, on some of the reforms, and not all, but a handful of
  • We do need to do some reforms.
  • And typically the Medicaid match rate is around, let's say, 64%.
  • And typically the Medicaid match rate is around, let's say, 64%.
Bills: HB2053, HB2116, HB2148
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services May 20th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • Thank you, Madam Chair. 2 elephants in the room, medical malpractice reform.
  • And secondly, What will we do in the event That Medicaid comes down to the states in a different form
  • And we will just count that now as Medicaid reimbursement rates and we'll look at who needs what and
  • Medicaid rates.
  • We also passed, um, a lot of money for, uh, Medicaid, right?
NH

New Hampshire 2026 Regular Session

House State-Federal Relations and Veterans Affairs (01/30/2026)

State-Federal Relations and Veterans Affairs

Transcript Highlights:
  • <00:39:16.160><c> anti-corruption</c> reform anti-corruption reform anti-corruption measure<00:39:18.560
  • </c> qualify for Medicaid qualify for Medicaid at<01:06:50.880><c> the</c><01:06:51.119><c> end</c><01
  • Medicaid is under reimbursed because it's state-run, so there are doctors who will not accept Medicaid
  • Medicaid is under reimbursed because it's state-run, so there are doctors who will not accept Medicaid
  • Medicaid is under reimbursed because it's state-run, so there are doctors who will not accept Medicaid
Keywords: 1189, house, all
FL

Florida 2026 Regular Session

FL House Floor Session - 2025-04-09 (1:00PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • The budget fully funds Florida's $34.8 billion Medicaid program to serve an anticipated 4.8 million Medicaid
  • It looks like Medicaid could be cut by nearly $4 billion.
  • It looks like Medicaid could be cut by nearly $4 billion.
  • This is real, meaningful reform.
  • This is real, meaningful reformreform that puts money back into the pockets of everyday Floridians.
Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then adopted the special order report and moved into a series of budget-related bills. The chamber first took up HB 5011/SB 2506 on environmental resource management and natural resources funding, where Democrats argued the bill would reduce recurring support for the Resilient Florida program, the Florida Wildlife Corridor, invasive species removal, and other conservation efforts. Supporters said the change would shift money from recurring to nonrecurring funding so the Legislature could reassess priorities each year and rely more on private-sector stewardship. After a strike-all amendment and conference posture change, SB 2506 passed 97-12. HB 5013, reducing state-funded property reinsurance reserves, passed 108-0, and HB 5501, redirecting documentary stamp tax distributions from housing and transportation trust funds into general revenue, passed 82-26 after extended debate over its impact on affordable housing and transportation funding. The House also passed HB 5015 on state group insurance, which requires DMS to develop a formulary management system and was described as producing significant savings; members raised concerns about prescription access and implementation, but the bill passed 109-0. HB 5201 on state financial accounting and HB 5203 on the Capitol Center both passed unanimously, as did HB 5009, which creates a Florida Accountability Office and reorganizes audit functions. The chamber then passed HB 7031, a major sales tax reduction bill lowering the state sales tax rate and several related rates; supporters framed it as permanent relief for all Floridians, while opponents said property tax relief would be more meaningful and that the sales tax cut would also benefit tourists and out-of-state visitors. HB 7031 passed 112-0. The House then began consideration of HB 501, the proposed fiscal year 2025-26 budget, totaling $112.9 billion and emphasizing reduced recurring spending and large reserves. Subcommittee chairs outlined their budget silos: K-12 education at $20.6 billion with teacher raises, school hardening, literacy, transportation stipends, and security funding for Jewish day schools; health care at $47 billion with full Medicaid and KidCare funding, opioid settlement spending, mental health beds, and senior services; transportation/economic development at $18.5 billion; agriculture and natural resources at $5.8 billion with reduced Everglades spending but continued water, resiliency, and land management funding; higher education at $8.7 billion; state administration at $2.9 billion; justice at $7.3 billion; and IT at $529 million for Florida PALM, FX, and other systems. Members then began questioning the K-12 budget, focusing on FEFP funding, proration, voucher growth, stabilization dollars, mental health and school safety funding, and whether districts would be held harmless under the proposed allocations.
MS

Mississippi 2026 Regular Session

Accountability, Efficiency, Transparency - Room 210, 3 March, 2026; 2:30 P.M.

Accountability, Efficiency, Transparency

Transcript Highlights:
  • Section 1, the short title, Creating Logical Efficiency and Accountability Reform CLEAR Act.
  • Section 3, Medicaid Non-Emergency Transportation Evaluation, amends Medicaid-related law to require PEER
  • Section 3, Medicaid Non-Emergency Transportation Evaluation, amends Medicaid-related law to require PEER
  • Section 3, Medicaid<00:12:30.760><c> Non-Emergency</c><00:12:31.440><c> Transportation</c> Medicaid Non-Emergency
  • Medicaid related law to amends Medicaid related law to require<00:12:38.080><c> peer</c><00:12:38.400
TX

Texas 89th Regular

Senate Session Apr 8th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • homeownership, ensuring equitable education policies, advocating for fairer and just criminal justice reform
  • applications for SNAP and other public assistance programs to automatically re-enroll people on Medicaid
  • The committee substitute for Senate Bill 921 helps protect the Medicaid program by prohibiting the state
  • state does what it has traditionally done, which is use verified information to renew a person's Medicaid
  • This will help ensure that Medicaid resources go to those who truly need them. With that, Mr.
Summary: The Senate opened with a quorum, an invocation, and routine motions to excuse Senator King and dispense with the reading of the previous journal. Members then took up several ceremonial resolutions and recognitions, including honoring Duncanville High School’s boys basketball state championship, recognizing the city of Palestine, welcoming the Texas African American Lawyers Foundation and Barbara Jordan Leadership Institute, acknowledging the Cibolo Chamber of Commerce, and designating Texas County Treasurer’s Day and Mesquite Day. A memorial resolution for Clyde Vance Dunham of Waco was adopted, with multiple senators speaking in tribute to his long legal career and community service; the Senate agreed to adjourn in his memory. The chamber then considered a series of bills, most of which were advanced on expedited motions. Senate Bill 1948, concerning fire prevention standards for certain agricultural facilities, passed after suspension of the rules and the three-day rule. Senate Bill 1394, updating weight and tire-load rules for ready-mix concrete trucks, passed unanimously. Senate Bill 1814, creating an electronic database to provide information to certain veterans, also passed unanimously. Senate Bill 241, tightening enforcement of the public camping ban and authorizing state enforcement and reimbursement mechanisms, drew questions about impacts on unhoused people but ultimately passed. Senate Bill 1147, withdrawing Texas from the Interstate Mining Compact, passed unanimously. The Senate also passed Committee Substitute for Senate Bill 921 on Medicaid ex parte renewals after a narrower vote, and Senate Bill 609, requiring school districts and charter schools to comply with legally required policies, after rejecting an amendment by Senators Menendez and Perry that would have added a good-faith/resource-limitation safeguard for districts. Committee Substitute for Senate Bill 660, requiring bollards or similar barriers near certain hospital emergency rooms, passed with rural exemptions and exceptions for existing protections. Senate Bill 2155, a cleanup bill returning veterinary board authority from TDLR to the State Board of Veterinary Medical Examiners, passed with amendments. Committee Substitute for Senate Bill 1209 on election dates and Committee Substitute for Senate Bill 1396 prohibiting national sex education standards in public schools also passed. The Senate then received first-reading bills and adjourned until the next day.
NM

New Mexico 2025 Regular Session

IC - Courts, Corrections and Justice May 27th, 2025

Courts, Corrections & Justice Committee

Transcript Highlights:
  • I don't know systems reform the way these folks do.
  • Bail reform went in.
  • Also, police training reform. I'm, I'm committed to moving forward on police training reform.
  • also getting back to DOC, uh, probation reform.
  • I agree with juvenile justice reform.
MO

Missouri 2026 Regular Session

Local Government Mar 11th, 2026

Local Government, Elections and Pensions

Transcript Highlights:
  • We appreciate the property tax reforms that are happening.
  • There's also a lot of things that people with disabilities need that aren't covered by Medicaid or by
  • And I grew up before we had home and community-based services through Medicaid as an opportunity or an
  • option in that household that I experienced. through Medicaid as an opportunity or an option in that
  • So that does help fit the bill again for our property tax reform discussions.
Summary: The Local Government Committee first met in executive session and voted do pass on two House committee substitutes: House Bills 3283 and 3306 passed 11-1, and House Bills 1728, 2161, and 1830 passed 12-1. The committee then moved into public hearings. Senate Substitute for Senate Bill 914, dealing with septic system regulation, was presented as a measure to replace percolation testing with soil morphology testing as the baseline standard and to address a permit fee issue. The sponsor and supporters argued the bill would improve accuracy, consumer protection, and local public health administration; one witness noted the continuing-education language already exists in regulation and pointed out a minor wording change in the substitute. No opposition testified. House Bill 3467, sponsored by Representative Houseman, would allow county developmental disability boards to seek voter approval for a sales tax of up to one-half of 1% if property tax revenue is reduced or eliminated. The sponsor and multiple witnesses from county disability boards, sheltered workshops, and related associations said the bill was intended as a safeguard to preserve services, transportation, employment supports, and community-based care for people with developmental disabilities. Some members raised concerns about shifting from property tax to sales tax and the burden on low-income taxpayers, while others supported the measure as a revenue-diversification tool. No vote was taken. House Bill 312, relating to county treasurer duties and bank signature authority, drew testimony from the sponsor, county treasurers, auditors, and association representatives. Supporters said the bill clarifies that the county treasurer should have sole authority over county funds and reflects current practice, while also noting a forthcoming amendment to address what happens when a treasurer is absent. Some witnesses asked for stronger safeguards, including a bonded backup designee and clearer succession procedures, and one witness urged updating surety-bond requirements. The hearing closed with no opposition testimony and no committee action taken.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Jan 29th, 2026 at 01:30 pm

Appropriations and Budget

Transcript Highlights:
  • I was asked to step in to help stabilize the agency during a rather critical period of reform.
  • Proactively reforming the CCBH model to remain a leader in mental health statewide coverage.
  • In the CBH model reform, the cost reports, the other services that they provide, and we need to make
  • I think Of Medicaid, and so you know, we are that the behavioral health portion of the state's actuaries
  • That is for the state's portion of Medicaid for behavioral health services.
Keywords: 914, all
LA

Louisiana 2026 Regular Session

Labor and Industrial Apr 28th, 2026

Transcript Highlights:
  • Practice approach in our best practice thinking as we consider some of these reforms.
  • Broad and restrictive reforms such as those proposed by this bill are neither necessary nor prudent.
  • when we know Medicaid is going to be cut at the end of this year.
  • And if they don't have insurance, is that going to add to the state's cost for Medicaid?
  • and workers' compensation reform.
Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.
PA

Pennsylvania 2025-2026 Regular Session

Senate Session (Jul 12 2026)

Pennsylvania Senate Floor Meeting

Transcript Highlights:
  • They met at the Reformed Calvinist Church in Philadelphia, and this was the prayer that was given.
  • If you factor in the managed care payment reforms, this budget reflects a $50.8 billion budget, a mere
  • This legislation delivers critical reforms to the Ignition Interlock Program thanks to the...
  • , ...or during COVID to pay for doctors, for people on Medicaid, where other states have clawed that
  • Whether she was advocating for criminal justice reform, Whether she was advocating for criminal justice
Summary: The Senate opened with prayer, the Pledge of Allegiance, communications, committee reports, and leaves of absence. The journal was approved 50-0. The chamber then took up House Bill 1505, which drew extended debate over school funding and adequacy/tax equity. Senators Coleman and Keefer argued the bill continued to pour money into districts like Allentown without accountability or improved results, while Senators Costa, Miller, Haywood, and Anthony Williams defended the funding as a response to historic underfunding and the Commonwealth Court decision. A motion allowing Senator Coleman a third speaking turn was adopted 27-23, and the bill ultimately passed 45-5. The Senate then considered House Bill 2400, the General Appropriation Act. Supporters, including Senators Martin, Dush, Phillips-Hill, Costa, Ward, Street, Hughes, and Pittman, emphasized that the budget was balanced without using the rainy day fund or raising taxes, reduced the governor’s proposal, increased education and child care funding, supported nursing homes, rape crisis centers, infrastructure, and workforce programs, and shifted money from lapsed or unused accounts to current priorities. Opponents, including Senators Saval and Muth, said the budget failed to address structural deficits and omitted new revenue options, emergency services funding, and other major issues. The bill passed 44-6 with amendments and was returned to the House for concurrence. The Senate also passed a series of other bills, including House Bills 2412, 2413, 96, 858, 1042, 1286, 1646, 1851, 1862, 2017, 2024, 2401, and 2559, with varying margins, and sent them to the House, some with amendments. House Bill 1042 drew a negative recommendation from Senator Costa over a late amendment involving second-degree murder/felony language, but after reconsideration and vote changes it passed 30-20 with amendments. House Bill 1862, creating an Ignition Interlock Driver’s License, passed 45-5 after support from Senator Judy Ward. House Bill 1248 passed 43-7 and designates Pennsylvania rye whiskey as the official state spirit, with Senators Bartolotta and Robinson speaking in support. The chamber also adopted Senate Resolution 216, after defeating Senator Haywood’s amendment to narrow the scope of a proposed Legislative Budget and Finance Committee study of managed care organizations; the resolution passed 31-19. Several other bills were held over in their order, and the Senate later moved toward a condolence resolution.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/10/25

Health Finance and Policy

Transcript Highlights:
  • So Medicaid is the primary payer.
  • The Behavioral Health Fund covers individuals who are eligible for but not enrolled in Medicaid.
  • agency and the single state the Medicaid agency and the single state Authority<00:34:07.360><c> they
  • ><c> treatment</c> payer um Medicaid pays for um treatment payer um Medicaid pays for um treatment for
  • </c> jails this is a yearslong systems reform jails this is a yearslong systems reform effort<00:42:36.480
Bills: HF696, HF1429, HF1379
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Mar 24th, 2026

Joint Committee on Ways and Means

Transcript Highlights:
  • fact that they are in our facilities, they would receive their federal Medicaid benefits.
  • We were the first state to be given a waiver regarding Medicaid. This will apply.
  • We were the forced state to be given a waiver regarding Medicaid. This will apply.
  • Regarding Medicaid, this will apply.
  • This office supports those bills and the important reforms to the campaign finance law.
Summary: The Joint Committee on Ways and Means held its sixth public hearing on the Governor’s FY27 H-2 budget proposal, focused on public safety and judiciary agencies, at the Foxborough Community Center. After opening remarks and local welcomes, the committee heard testimony from the Executive Office of Public Safety and Security (EOPSS), led by Secretary Gina Kwan, who described the $1.72 billion budget as a 4% increase over FY26 and emphasized readiness, local partnerships, and support for core operations rather than expansion. She highlighted ongoing work on firearms-law implementation, State Police academy reforms, DOC’s new strategic plan, disaster response, hate-crime prevention, and planning for major 2026 events including the World Cup, Marathon, and America’s 250th anniversary. Members also raised concerns about State Police capacity, DNA backlog reporting, academy boxing/training reforms after a trooper’s death, ICE coordination, diversity in public safety leadership, the disaster relief fund, crime lab funding, reentry programming, and whether OEMS should move from DPH to EOPSS; Kwan said she would keep an open mind on some issues but was not ready to commit to an OEMS transfer. The committee then questioned EOPSS officials and the State Police colonel on several operational matters. The colonel said the academy boxing program remains suspended and likely will not return in its prior form, pending an IACP review, and that future training will likely emphasize jujitsu-style control techniques. He also said the State Police uses the civil service exam, with current advancement scores ranging from 83.72 to 98.78 for the most recent class, and acknowledged the need to improve recruitment, preparation, and diversity. On the DNA and sexual assault kit backlog, EOPSS said it supports extending the statute of limitations and is working with the courts and crime lab to identify and collect lawfully owed DNA. On disaster preparedness, officials said the new disaster relief fund is being developed with MEMA and A&F, is currently capitalized at $14 million with another $14 million expected, and should be designed to respond flexibly to different regional needs. They also said the crime lab increase is largely to cover core operations and a structural deficiency rather than expansion. Several members focused on public safety coordination and staffing. Questions from legislators from Bristol, Plymouth, Cape Cod, and elsewhere stressed the need for State Police to absorb additional forensic work if county resources shift, and to maintain strong communication with local chiefs and federal partners. Rep. Holmes pressed EOPSS on racial and gender diversity in the department and State Police; Kwan and Colonel Noble said diversity has improved but will take time to show up in senior leadership, and they pointed to internships and hiring practices as ways to broaden the pipeline. The hearing also included discussion of the World Cup security plan, with Kwan saying planning has been underway for about 18 months through 14 working groups and that current staffing and overtime resources appear sufficient for now. After EOPSS concluded, the committee recessed briefly and then began testimony from district attorneys, led by Suffolk DA Kevin Hayden, who said prosecutors are seeking a 10% budget increase to address staffing and salary pressures, especially the widening pay gap between assistant district attorneys and newly hired public defenders after recent CPCS funding increases.
KY
Transcript Highlights:
  • And everybody else has got either Medicaid<00:14:11.120><c> or</c><00:14:11.279><c> Medicare</c> Medicaid
  • or Medicare Medicaid or Medicare &gt;&gt; or<00:14:12.240><c> Orisa</c><00:14:12.800><c> plans</c> &
  • Um, when you talked about the number of Kentuckians on the marketplace versus the number on Medicaid,
  • </c><00:26:22.400><c> what</c> encouraged to get on Medicaid what encouraged to get on Medicaid what
  • </c><01:01:36.480><c> to</c> insurance prices by enacting reforms to insurance prices by enacting reforms
Summary: The committee met with a quorum, approved the September 16 minutes, and then received an update from Insurance Commissioner Sharon Clark and staff on the Department of Insurance. Clark reviewed department activity, including growth in premium volume and licensing, consumer complaints and recoveries, and a rise in fraud referrals. She said the department has 66 open fraud cases and described common schemes such as staged auto accidents, inflated repair or cleanup charges, and roofing scams. She also said the department’s investigators often prepare strong cases but face reluctance from local prosecutors, especially in Fayette and Jefferson counties, to pursue them. Clark reported favorable workers’ compensation news, saying rates will decrease 9.7% next year for the 20th straight year. She contrasted that with a difficult property insurance market driven by storms, reinsurance costs, inflation, labor shortages, and litigation, but said Kentucky’s market remains relatively stable, citing the Kentucky Fair Plan’s small number of policies. She then warned of significant 2026 health insurance premium increases on the exchange: 16.1% for Molina, 23% for Anthem, and 37% for WCare, after CareSource withdrew. She said the rates were reviewed by actuaries and found fair, but that the biggest pressure point is the scheduled expiration of enhanced premium tax credits, which she said could leave about 90% of exchange enrollees facing a compounded increase. Members questioned Clark about fraud prosecution, the number of people in commercial versus public coverage, and the impact of expiring subsidies. Clark said the prosecution issue is mainly with Commonwealth attorneys and that rural counties are more cooperative than urban ones. She also said the health market is individually rated and that older enrollees would be hit harder, while the loss of tax credits could push some people out of the marketplace. One member asked about the attorney general’s recent opinion on SB 188, the PBM bill; staff said attorneys were still reviewing it. Clark closed by noting that Kentucky’s fraud and towing/storage legislation has become a model for other states.
LA

Louisiana 2026 Regular Session

Senate May 21st, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • women, to provide Medicaid coverage for continuous glucose monitoring devices.
  • women, to provide Medicaid coverage for continuous glucose monitoring devices.
  • women, to provide Medicaid coverage for continuous glucose monitoring devices.
  • Members, this legislation reforms Medicaid utilization management and prior authorization practices to
  • ensure timely, transparent, and medically appropriate access to care for Medicaid enrollees.
Bills: SR134, SR135, SR136, SR137, SR140, SR141, SR142, SCR75, SCR77, SCR12, HB75, HB1199, HB221, HCR89, HCR96, HCR103, HCR108, HCR58, HB9, HB177, HB181, HB198, HB202, HB223, HB225, HB387, HB398, HB457, HB459, HB540, HB591, HB616, HB766, HB775, HB783, HB797, HB895, HB906, HB950, HB975, HB1028, HB1052, HB1057, HB1076, HB1100, HB1139, HB1155, HB1160, HB1182, HB1186, HB1220, HB1222, HB1223, HB1224, HB1228, HB1231, HB1245, HB1256, SCR3, SB393, SB401, SB415, SB426, SB435, SB487, SB488, SB523, SB56, SB163, SB341, SB504, SB322, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR27, HCR28, HCR66, HCR67, HCR72, HCR31, HCR47, HCR41, HB363, HB368, HB377, HB380, HB386, HB392, HB431, HB441, HB559, HB664, HB685, HB715, HB741, HB822, HB856, HB908, HB980, HB990, HB999, HB1010, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB316, HB511, HB799, HB1039, HB12, HB66, HB145, HB167, HB196, HB213, HB218, HB222, HB256, HB291, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB17, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB211, HB226, HB271, HB324, HB337, HB351, HB399, HB571, HB712, HB723, HB726, HB750, HB759, HB844, HB966, HB1006, HB1018, HB1036, SB29, SB42, SB43, SB78, SB208, SB217, SB274, SB300, SB379, SB382, SB387, SB441, SB449, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB149