Video & Transcript : 'Medicaid reform' :
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OK
Oklahoma 2026 Regular Session
Health and Human Services 2ND REVISED Apr 8th, 2026 at 10:00 am
Health and Human Services
Committee:
Senate Health and Human Services
Keywords:
rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics
OK
Oklahoma 2026 Regular Session
Health and Human Services 2ND REVISED Apr 8th, 2026
Health and Human Services
Committee:
Senate Health and Human Services
Keywords:
rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics
Summary:
The Senate Health and Human Services Committee met to consider several House bills, beginning with a series of sunset extensions for professional licensing and review boards. House Bill 3000 extended the State Board of Cosmetology and Barbering to 2031 after brief questions about prior executive-branch efforts to improve board transparency; House Bill 3001 extended the Child Death Review Board to 2031; House Bill 3003 extended the Board of Chiropractic Examiners to 2031; and House Bill 3004 extended the Board of Examiners in Optometry to 2031. Each of these bills advanced on unanimous 9-0 votes.
The committee also advanced House Bill 366, which creates a revolving fund at the Health Care Workforce Training Commission to receive rural health transformation funds. Members asked about the timing and distribution of the funds, but no timeline was available. House Bill 3904 changed prenatal delivery and postpartum services from a global payment model to individualized payments, with supporters saying it would improve access to local and rural prenatal care and could help hospitals qualify for birth-friendly designations and related funding. That bill also passed 9-0.
Two health-related policy bills were amended in committee and advanced. House Bill 3644, the Blake Burgess Act, requires certain hospitals to adopt policies to prevent venous thromboembolism; members asked whether the required report would be public, and the author said that was the intent. House Bill 1687, the Uniform Health Care Decisions Act, replaces older advance directive and health care agent laws with a single framework for end-of-life decision-making, with committee substitute changes adding safeguards and clarifying surrogate authority. House Bill 3920 created a sales tax exemption for LifeShare Network, matching an exemption already given to the Oklahoma Blood Institute, and it also passed after supportive testimony. All measures considered were reported out favorably, and the committee adjourned after announcing it would meet again the following week.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/23/26
Health Finance and Policy
Transcript Highlights:
- The first of which is related to federal conformity to a new federal rule that's applicable to Medicaid
- And that new language gives DHS the explicit authority to disenroll Medicaid providers if they haven't
- authority to disenroll Medicaid authority to disenroll Medicaid providers<00:23:02.880><c> if</c><00:
- I think a larger reform is probably needed.
- I mean, I reform is probably needed.
Committee:
House Health Finance and Policy
Keywords:
healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Feb 25th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- Members, we have today up in the south gallery a group from Grace Reform Baptist Church homeschool co-op
Bills:
HJR1032 , SB1314 , SB1257 , SB1326 , SB1365 , SB1932 , SB169 , SB1991 , SB1992 , SB1204 , SB1339 , SB182 , SB1847 , SB1360 , SB1346
Keywords:
HJR1032, House Joint Resolution 1032, Service Oklahoma, administrative rules, rule repeal, joint resolution, Oklahoma Administrative Code, OAC 670:15-1-10, OAC 670:15-1-14, agency regulation, legislative oversight, Secretary of State, Oklahoma Register, rulemaking, permanent rules, administrative code, groundwater, indemnity fund, well drilling, pollution prevention
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Feb 25th, 2026
Oklahoma Senate Floor Meeting
Transcript Highlights:
- Members, we have today up in the South Gallery a group from Grace Reform Baptist Church, homeschool co-op
Bills:
HJR1032 , SB1314 , SB1257 , SB1326 , SB1365 , SB1932 , SB169 , SB1991 , SB1992 , SB1204 , SB1339 , SB182 , SB1847 , SB1360 , SB1346
Keywords:
HJR1032, House Joint Resolution 1032, Service Oklahoma, administrative rules, rule repeal, joint resolution, Oklahoma Administrative Code, OAC 670:15-1-10, OAC 670:15-1-14, agency regulation, legislative oversight, Secretary of State, Oklahoma Register, rulemaking, permanent rules, administrative code, groundwater, indemnity fund, well drilling, pollution prevention
Summary:
The Senate convened with a quorum, opened with prayer, and recognized the Doctor and Nurse of the Day, along with several guests and visiting groups, including a military honoree, a women’s rugby team from Southern Nazarene University, a homeschool co-op, gun-rights advocates, and other constituents. The chamber also heard a citation honoring Chief Master Sergeant Scott R. Irwin for 34 years of military service, and the SNU women’s rugby team was congratulated for winning the 2025 National Collegiate Rugby Division I championship.
On the floor, members considered House Joint Resolution 1032, which would align Service Oklahoma rules with existing law and executive action regarding changes to birth certificate and license sex markers. The measure drew extended questioning and debate about gender identity, intersex individuals, and whether the repeal would change current practice. Minority Leader Kurt opposed it as political and harmful, while the author said it simply removed outdated administrative code. HJR 1032 passed 38-8.
The Senate then passed Senate Bill 1314, increasing caps on the groundwater well drillers and pump installers indemnity fund, 46-0; Senate Bill 1257, classifying THC as a Schedule I drug, 43-3; Senate Bill 1326, modernizing the self-storage facilities lien act and changing notice provisions, 40-4; Senate Bill 1365, raising the threshold for Oklahoma Tourism and Recreation Department inventory purchases from local vendors and making it an emergency measure, 35-11; and Senate Bill 1932, allowing certain motor carriers to be represented by an officer or partner at administrative hearings, 46-0. The Senate also heard announcements about an Appropriations Committee meeting and an upcoming Bible Reading Marathon before adjourning until February 26, 2026.
FL
Transcript Highlights:
- Robert Schulte, Florida Justice Reform Institute. For two minutes.
- I am a member of the Florida Bar representing the Florida Justice Reform Institute today.
- Chamber Institute for Legal Reform, you are recognized for two minutes.
Bills:
S0014 , S0016 , S0024 , S0052 , S0308 , S0504 , S0506 , S0564 , S0572 , S0590 , S0594 , S0806 , S1396 , S7020 , S7024 , S7026
Committee:
Senate Rules
Keywords:
negligence, settlement, police conduct, municipal liability, personal injury, compensation, injuries, Miami-Dade County, places of worship, house of worship, church, mosque, synagogue, religious security, armed security, volunteer security, private security, security guard licensing, licensure exemption, Florida Statutes chapter 493
Summary:
The Committee on Rules met with 14 members present and considered a long agenda of bills, including several open-government sunset reauthorizations, consumer and election measures, claims bills, and policy bills on public safety, ethics, and child protection. The committee reported favorably SB 7024 and SB 7026, which extend and consolidate public-records/public-meeting exemptions for cybersecurity information and trade secrets held by agencies, and SB 7020, which reenacts the aquaculture records exemption for the Department of Agriculture and Consumer Services. It also approved SB 14 and SB 24, two uncontested Miami-Dade County claims bills, and SB 16, a claims bill for Heriberto Sanchez Mayan involving severe injuries after an unlawful arrest and transport incident in St. Petersburg.
Several bills drew substantial testimony. SB 308, creating the Florida Museum of Black History Board of Directors and designating St. Johns County as the museum site, received extensive support from advocates and lawmakers who emphasized preserving the full and accurate history of Black Floridians; some speakers urged safeguards to ensure historians and community members help shape the museum’s content. The committee also favorably reported CS for SB 564, allowing registered or pre-registered high school students to volunteer at polling places for community service hours, with supporters saying it would build civic engagement and help election offices. CS for SB 52, which exempts unpaid volunteer armed security at houses of worship from Class D and G licensing requirements, was also reported favorably after testimony both supporting the need for church security and cautioning that congregations should retain control over whether weapons are allowed.
The committee approved CS for SB 1396 on litigation financing and consumer protection after a lengthy debate over transparency, foreign funding, and whether the bill would chill access to courts. Supporters said it would create guardrails and disclose foreign involvement; opponents argued it could burden plaintiffs and reveal litigation strategy. The committee also reported favorably CS for SB 504 and SB 506, creating a framework and related public-records exemption for code inspector body cameras, with discussion about notice to property owners and protection of sensitive footage. Additional favorable actions included CS for SB 572, updating ethics law to reflect foster family relationships, and CS for SB 590, tolling the statute of limitations for failure-to-report child abuse offenses until the offense is known to law enforcement or another charging authority.
NV
Transcript Highlights:
- , and it was eliminated from our Medicaid state plan.
- She had the implant put in on Medicaid.
- She is Medicaid eligible, and then the repair, the battery replacement for the implant, was not covered
- under Medicaid.
- Ann Jensen is here with us from the Division of Medicaid as we were looking at a rate of reimbursement
Bills:
AB49 , AB169 , AB188 , AB284 , AB296 , AB306 , AB356 , AB366 , AB467 , AB499 , AB515 , AB540 , AB542 , AB595
Committee:
Senate Finance
Keywords:
educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, health insurance, speech-language pathology, stuttering, rehabilitative services, habilitative services, coverage requirements, health plans, retired public employees, subsidy, Medicare, health reimbursement arrangement, Public Employees' Benefits Program
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation Education Committee Apr 30th, 2025
Finance and Taxation Education
Committee:
Senate Finance and Taxation Education
Keywords:
rural health, hospital funding, tax credits, qualified donations, Alabama Department of Revenue, HB273, Hunger-Free Campus Act, hunger free campus, food insecurity, college hunger, student hunger, campus pantry, food pantry, SNAP, Supplemental Nutrition Assistance Program, basic needs, student food assistance, meal vouchers, meal credits, food vouchers
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2025-04-03
Human Services Finance and Policy
Transcript Highlights:
- ..and most importantly, with youth, to reduce and end youth homelessness, sex trafficking, and to reform
Committee:
House Human Services Finance and Policy
Keywords:
human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/3/25
Human Services Finance and Policy
Transcript Highlights:
- board, and most importantly with youth to reduce and end youth homelessness, sex trafficking, and to reform
Committee:
House Human Services Finance and Policy
Keywords:
human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator
MN
Minnesota 2025-2026 Regular Session
State Committee Meeting - 2025-03-27
State Government Finance and Policy
Transcript Highlights:
- from Medicaid.
- Medicaid, in contrast, accounts for 89%.
- They calculate our staffing needs based on the size of our state Medicaid budget.
- More Medicaid dollars being paid for services means more staff needed to investigate fraud.
- We investigate and prosecute Medicaid provider fraud.
Committee:
House State Government Finance and Policy
Keywords:
state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 3/27/25
State Government Finance and Policy
Transcript Highlights:
- </c> increase our capacity on Medicaid fraud. increase our capacity on Medicaid fraud.
- </c> for the Medicaid Fraud Control Unit. for the Medicaid Fraud Control Unit.
- Medicaid in contrast accounts grants. Medicaid in contrast accounts for<01:09:44.520><c> 89%.
- </c> on our Medicaid Fraud Control Unit. on our Medicaid Fraud Control Unit.
- </c> and prosecute Medicaid provider fraud. and prosecute Medicaid provider fraud.
Committee:
House State Government Finance and Policy
Keywords:
state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- not diverted away from pregnant women, children, the elderly, and vulnerable individuals for whom Medicaid
- workers that deal with claims, social workers, and people who deal with the hospital process for Medicaid
- Reform, giving them a fair chance to save their own lives.
- Think of the pink book that we all have for Medicaid and CHIP.
- such as community clinics and federally funded programs, ... ...or specific providers covered by Medicaid
Bills:
SB95 , SB268 , SB493 , SB619 , SB660 , SB922 , SB984 , SB1098 , SB1188 , SB1307 , SB1332 , SB1822
Committee:
Senate Health & Human Services
Keywords:
immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) Mar 5th, 2025
Health & Human Services
Transcript Highlights:
- Association of Manufacturers and 72 of the Fortune 100 companies have come out nationally for PBM reform
- Some even buying TV ads trying to promote its passage because PBM reform is a big issue nationally.
Committee:
Senate Health & Human Services
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
TX
Transcript Highlights:
- Association of Manufacturers and 72 of the Fortune 100 companies have come out nationally for PBM reform
- , some even buying TV ads trying to promote its passage because PBM reform is a big issue nationally.
Committee:
Senate Health & Human Services
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
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.
- The justification being, of course, that Medicaid is surely full of people who just don't want to work
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 21st, 2026
Transcript Highlights:
- Tyler Sadworth, State Medicaid Director. This is not a budget solution.
- In late 2025, CMS clarified that outpatient dialysis is not considered emergency Medicaid.
- plans or otherwise disproportionately burden Medicaid plans.
- We were able to do distressed hospitals, direct impact into the Medicaid, Medi-Cal program.
- The first is an ensuring access to Medicaid services budget change proposal adjustment.
TX
Transcript Highlights:
- HB 4459 by Ba Johnny Earlings of the revision of certain services under the Medicaid Managed Care Program
- HB 4533 by Oliver and relieving reimbursement of prescription drugs under Medicaid and Child Health Plan
- Services including the services provided under the Medicaid managed Care and Child Health plan programs
- AG 48, so 45 by GAR relating to Medicaid provider enrollment revalidation for the Committee on Human
- The provision of certain mental and behavioral health services by the Medicaid, Medicaid coverage and
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Health Committee and Senate Health Committee Aug 19th, 2025
Transcript Highlights:
- volumes compared to those with higher Medicaid volumes, or taxes Medicaid units of services at a higher
- rate than non-Medicaid units of services.
- Affordable Care Act Medicaid expansion population, they are not exempt.
- HR1, as you heard, cuts nearly $1 trillion from Medicaid over 10 years.
- Medicaid covers 75% of all publicly funded family planning care.
Summary:
The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education.
Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness.
Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes.
In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.
ID
Transcript Highlights:
- Great reforms can take time. Thoughtful policies require deliberation.
- She was a senior advisor to the state Medicaid director there.
- When you look at health and welfare and realize the majority of their budget is Medicaid, and you see
- Recommend that we support her in this. and realize the majority of their budget is Medicaid, and you
- see how much Medicaid experience she has.