Video & Transcript : 'Medicaid reform' :

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • Since police reform, sheriff's departments, there's police chiefs, the Attorney General's office is on
  • I had a group of people who came into the State House wanting to do some reforms around the road that
  • And I hope and remain to pray that nationwide will see comprehensive gun reform at some point in time
  • On Medicaid reentry demonstrations, Massachusetts is a national leader as the fourth state to secure
  • for Medicare & Medicaid Services.
Keywords: 995, all
Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.
NM

New Mexico 2025 Regular Session

House - Appropriations and Finance Oct 1st, 2025

House Appropriations & Finance

Transcript Highlights:
  • In some cases, this is appropriate for a wide range of reasons, ranging from. the necessity of Medicaid
  • Legislation, H.R. 1, which had deep reductions regarding Medicaid, SNAP, and other safety net programs
  • That are at risk of being denied access to Medicaid, so denied access to health care coverage.
  • That's under 65 and has a dependent under 14 is at risk of losing Medicaid unless they choose not to
  • That, why was the study on tort reforms not included in here?
AZ

Arizona 2026 Regular Session

03/16/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • Chair Werner has been very taking the lead in Access reform as well as DCS over the summer.
  • Very simply, this bill is a step toward real reform via clear and concise...
  • The bill complies with federal Medicaid standards.
  • The bill complies with federal Medicaid standards and does not restrict enforcement authority.
  • During that time, facilities continue to care for all text members, but cannot bill Medicaid for those
ID

Idaho 2026 Regular Session

Legislative Session Day 37 Feb 17th, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • Great reforms can take time. Thoughtful policies require deliberation.
  • advisor to the state Medicaid director there.
  • I've known Juliet since she was the Medicaid director in the state of Idaho, and working with her, and
  • When you look at Health and Welfare and realize the majority of their budget is Medicaid, and you see
  • how much Medicaid experience she has, we truly have somebody who is going to be looking out for Idaho
Summary: The Senate convened with a quorum, prayer, and the Pledge of Allegiance, then approved the journal and moved through committee reports and messages. Committee actions included referral of a large group of newly printed Senate bills to the appropriate standing committees, a do-pass report on House Bill 55 from Health and Welfare, and referral of Senate Bills 1270 and 1271 for possible amendment. The Senate also received a gubernatorial appointment of Jeff Seelich to the Public Employee Retirement System of Idaho Board and House bills 576, 577, 632, and 607 for introduction. In the 10th order, the Senate adopted Senate Resolution 114 on Education Committee rules and Senate Resolution 115 on temporary and pending rules for several state agencies, both without opposition. It also adopted Senate Joint Memorial 109, which urged Congress to address campaign finance concerns and out-of-state influence in Idaho elections, and House Joint Memorial 9, which asked Congress to reaffirm FLPMA as the governing framework for federal land management and exchanges. House Joint Memorial 11 was also adopted, calling on Congress to fully fund IDEA at the promised 40% level; supporters emphasized the burden on state and local budgets and property taxpayers, while opponents argued the state should resist federal overreach and dependency. The Senate confirmed the committee report recommending Ryan Lanham as State Athletic Commissioner, with supportive testimony highlighting his combat sports background and experience. It also adopted the committee report confirming Juliet Sharon as Director of the Department of Health and Welfare, with senators citing her Medicaid and program integrity experience and the size and complexity of the agency. In first and second reading, the Senate referred House Bills 576 and 577 to Transportation and House Bills 632 and 607 to State Affairs, and advanced House Bill 533, Senate Bill 1258, and House Bill 502 to third reading. The chamber then heard announcements about caucus and lunch events before adjourning until the next day.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 3/18/26

Taxes

Transcript Highlights:
  • </c> um a considerably high Medicaid um a considerably high Medicaid caseload,<00:24:37.520><c> um</c
  • , Medicaid, Medicaid, we<00:25:59.720><c> have</c><00:25:59.880><c> seen</c><00:26:00.400><c> a</c><00
  • Medicaid. Medicaid.
  • </c><01:42:46.480><c> We</c> uh, the the changes to Medicaid. We uh, the the changes to Medicaid.
  • </c> folks that aren't on Medicaid anymore. folks that aren't on Medicaid anymore.
Bills: HF4343
Committee: House Taxes
KY

Kentucky 2026 Regular Session

Senate Standing Committee on Families and Children.(3-17-26)

Families & Children

Transcript Highlights:
  • </c> rely on SNAP, Medicaid, and TANF. rely on SNAP, Medicaid, and TANF.
  • When we talk about both of these reforms, we're talking about identifying households that are ineligible
  • , we're talking about identifying reforms, we're talking about identifying households<00:38:49.680><c
  • So it's based on enrollment in government assistance programs, particularly TANF, SNAP, and Medicaid.
  • that's meant to talking about a reform that's meant to prevent<00:44:25.440><c> the</c><00:44:25.560
Keywords: 958, all
OK

Oklahoma 2026 Regular Session

Judiciary Feb 10th, 2026

Judiciary

Committee: Senate Judiciary
Summary: The Senate Judiciary Committee heard and advanced a long slate of bills covering tort claims, marriage age, probate, drug court eligibility, child welfare, juvenile facility employee protections, transfer-on-death deed paperwork, sex trafficking sentencing, DUI ignition interlocks, open carry on vessels, drone restrictions near critical infrastructure, victim notification for clemency hearings, consumer protection enforcement, OSBI reporting and records, CASA standards, county legal defense obligations, OU Health liability coverage, recordable instrument margins, and trust code updates. Several measures were described as constituent requests or technical cleanups, while others were framed as public safety or child protection bills. The committee also laid over Senate Bill 2072 and noted that future Judiciary meetings would likely be longer and more contentious. Members asked a number of clarifying questions on several bills. Senate Bill 1638, dealing with accrual of claims under the Government Tort Claims Act for ongoing accidents or exposures, drew questions about when the statute of limitations would begin; the author said the intent was to prevent people from being priced out of justice and to allow claims after the condition ends. Senate Bill 1446 would change child sex trafficking sentencing from a maximum of 10 years to a minimum of 10 years, and the author said the goal was to ensure stronger punishment for crimes that leave lifelong harm to children. Senate Bill 1256, requiring ignition interlocks for certain DUI defendants as a bail condition, was amended to make the requirement discretionary with written findings if a judge declines to impose it. Other bills advanced with little or no opposition, including raising the marriage age to 18 in Senate Bill 504, updating probate agent residency rules in Senate Bill 1283, restoring district attorney discretion for drug court eligibility in Senate Bill 1216, creating the Children’s Specialty Program under Sooner Select in Senate Bill 1655, and extending protections to detention contracted employees in county juvenile facilities in Senate Bill 2011. Senate Bill 1224 was amended so victim clemency notices would be sent by both email and first-class mail rather than email alone. Senate Bill 1597, which removes mandatory adherence to national standards for Oklahoma CASA, prompted discussion about federal funding and compliance; an Oklahoma CASA representative said some funding flows through national CASA, but the author said state standards would remain similar and the bill would provide more flexibility. Most bills passed the committee by unanimous or near-unanimous votes, with Senate Bill 1446 passing 7-1 and Senate Bill 1597 passing 7-1.
TX
WA
Transcript Highlights:
  • So, I mean, I think Republicans have been talking about some type of tort reform for a long, long time
  • I hope that someday we can get in a position where we talk about reforming that.
  • It comes from missed rebates for Medicaid. So this is a very, very complicated issue.
  • The cut to Medicaid MCOs is going to result in Medicaid MCOs increasing prices on hospitals to the tune
Keywords: 904, all
Summary: Senate and House Republican leaders held a joint media availability focused on affordability, budget concerns, and opposition to several Democratic tax proposals. John Braun and Drew Stokesbary said Washingtonians are still struggling with the cost of food, gas, housing, child care, and health care, and argued Democrats are not advancing bills that would ease those pressures. They criticized a draft income tax proposal they said would function as a small business tax, especially because it would disallow loss carryforwards and could discourage investment in housing and other capital-intensive sectors. They also objected to a proposed tire fee and a bill they said would prevent tire sellers from telling customers about the tax. The Republicans said they planned to raise budget and tax concerns in an upcoming meeting with Governor Ferguson, and Stokesbary said he had introduced a budget-savings bill to consolidate University of Washington investment management with the State Investment Board. They also discussed a bill to make it harder to qualify citizen initiatives, calling it anti-democratic, and said they want stronger oversight and legal reforms related to DCYF and state liability in child welfare cases. Braun and Stokesbary said they were open to discussing tort reform and a civil claims process, but emphasized the underlying problem is state failure in protecting children. On health care, they said they were still reviewing a bill to eliminate interest on medical debt and a separate 340B drug-pricing proposal, warning both could have unintended effects on hospitals, patients, and drug innovation. They also said they support the idea of protecting children online and in schools, but want any social media, AI chatbot, or cell phone-related bills written carefully to avoid First Amendment problems and unintended consequences. On public safety, they expressed concern about a bill restricting police retention of automatic license plate reader data, arguing law enforcement needs such tools to solve crimes. No votes were taken, and the event ended with the Republicans reiterating their opposition to tax increases and their focus on affordability.
WA
Transcript Highlights:
  • So, I mean, I think Republicans have been talking about some type of tort reform for a long, long time
  • I hope that someday we can get in a position where we talk about reforming that.
  • It comes from missed rebates for Medicaid. So this is a very, very complicated issue.
  • The cut to Medicaid MCOs is going to result in Medicaid MCOs increasing prices on hospitals to the tune
Summary: Republican legislative leaders used the availability to focus on affordability, budget pressures, and opposition to several Democratic tax proposals. They criticized a circulating draft income tax proposal as a de facto small-business tax, arguing it would hurt LLCs, S corporations, housing investment, and the broader economy. They also attacked a proposed tire fee, a possible cigarette tax increase, and other tax ideas as regressive or hidden from consumers, while saying Republicans would not support any tax increases and urging budget cuts and spending restraint instead. The leaders said they planned to raise these concerns in an upcoming meeting with Governor Ferguson, along with questions about his budget and how he reconciles prior opposition to a wealth tax with support for an income tax. They also discussed a bill to make it harder to qualify initiatives for the legislature, calling it anti-democratic, and said the majority was ignoring or undermining voter-driven policy efforts. On child welfare, they criticized DCYF oversight and supported stronger accountability, including a bill to fix the state’s “imminent harm” standard and another proposal to stop the state from collecting certain federal disability and survivor benefits from foster youth. Other topics included tort liability reform, where Republicans said the state’s repeated failures in child welfare and juvenile rehabilitation are the underlying problem, not just the cost of claims, though they were open to limited reforms such as disclosure of litigation financing. They also discussed the 340B drug pricing program, saying it is complicated and could affect hospitals, FQHCs, patients, and pharmaceutical innovation. On public safety and technology, they expressed cautious support for bills regulating kids’ social media and AI use, but stressed First Amendment concerns and the need to avoid private rights of action; they were more skeptical of a bill limiting police retention of automatic license plate reader data, saying law enforcement needs effective tools to solve crimes. No votes were taken, and the event ended with Republicans reiterating that affordability was their top priority.
CA
Transcript Highlights:
  • Care Services is the single state agency responsible for financing and administering the state's Medicaid
  • supposed to be a one-stop shop for Medi-Cal members to navigate all the multiple layers of their Medicaid
  • Under federal law, there's a process in the Medicaid world called facilitated enrollment.
  • Mandated reporting: So, again, acknowledge and appreciate your commitment to these reforms, to comprehensively
  • mandated reporting and making it more of a community-supporting program, and I generally support those reforms
Keywords: 988, house, all
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 28th, 2026

Health and Welfare

Transcript Highlights:
  • Some governments basically, too, just don't understand this Medicaid complicated stuff, right?
  • And I see that this only applies to Medicaid. Is that correct? Yes, sir.
  • So this is kind of the first step on that, baby step, and hey, we get it in Medicaid, then we show, hey
  • So what we're doing here with 404 is a fairly significant vision benefit plan reform.
  • What we're doing here with 404 is a fairly significant vision benefit plan reform.
Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 28th, 2026

Health and Welfare

Transcript Highlights:
  • Some governments basically, too, just don't understand this Medicaid complicated stuff, right?
  • And I see that this only applies to Medicaid. Is that correct? Yes, sir.
  • This is kind of the first step on that, baby step, and hey, we get it in Medicaid, then we show, hey,
  • So what we're doing here with 404 is a fairly significant vision benefit plan reform.
  • What we're doing here with 404 is a fairly significant vision benefit plan reform.
Bills: SCR37 , SB145 , SB237
ND

North Dakota 2026 1st Special Session

Human Services Committee May 27th, 2026 at 09:00 am

Human Services

Transcript Highlights:
  • One hundred percent of the survey respondents indicated that access to Medicaid, SNAP, TANF, and child
  • Most of that is as a Medicaid, your typical F-MAP. Okay, very good. Thank you.
  • Children with family incomes below 152% are covered under regular Medicaid.
  • The Medicaid and CHIP benefits package for children in North Dakota is the same.
  • changing, and so that went from Medicaid to CHIP.
Keywords: 908, all
AZ

Arizona 2026 Regular Session

04/29/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • They did most of these reforms.
  • They did most of these reforms.
  • There needs to be reforms in Access. There needs to be reforms in the Health Insurance Trust.
  • To do some major reforms, bipartisan reforms, to get.
  • In my opinion, to do some major reforms, bipartisan reforms, to get this plan as a minimum break-even
Summary: The House convened, approved the journal, and spent much of the opening portion recognizing guests and interns from both parties, along with former lawmakers and a newly seated member, Representative Sylvia Allen. The chamber then took up House Concurrent Resolution 2065 honoring the late Alfredo Gutierrez. Members from both parties gave extended remarks about his life as a civil rights advocate, student activist, legislator, and mentor, and the resolution was unanimously adopted and transmitted to the Senate. Family members of Gutierrez were recognized in the gallery during the memorial tribute. The House then moved into Committee of the Whole on the first budget-related measures. On House Bill 4138, the “feed bill”/budget operations measure, Democrats argued the budget favored corporations and data centers over seniors, health care, housing, universities, and vulnerable families, while Republicans defended it as a continuation of prior policy and said it preserved tax conformity and modest agency cuts. After debate and questions, the committee recommended the bill do pass and the House adopted that report, sending HB 4138 to engrossing. The chamber next considered House Bill 4139, the amusement/gaming-related budget bill. Members debated whether it was essentially unchanged from last year’s budget language, with Republicans saying it was a continuation bill and that gaming-related provisions would support rural economies and tourism, while Democrats questioned the broader budget context and its effects on working families. The committee recommended HB 4139 do pass, and the House adopted that recommendation. The House then began debate on House Bill 4140, the state budget implementation bill, focusing on the budget stabilization fund and a proposed government efficiency initiative; discussion was still underway at the end of the transcript.
US
Transcript Highlights:
  • dodging accountability are sheltered by a system that protects performance mediocrity and resists reform
  • Past administrations have pursued reforms.
  • will change under your leadership and how you will work with Congress and this committee to pursue reform
  • Reforms in a thoughtful and collaborative manner and I look forward to having a productive discussion
  • We've gone from $642 billion in other mandatory, not Social Security, Medicare, or even Medicaid, $642
Summary: The committee convened to discuss the nominations of Scott Cooper for Director of the Office of Personnel Management and Eric Ulan for Deputy Director at the Office of Management and Budget. This meeting highlighted the critical roles both positions play in managing the federal workforce, which comprises over two million civilian employees. Concerns were raised regarding the current administration's approach to federal employment, citing issues like mass firings and the undermining of collective bargaining rights. Members expressed the need for better accountability and transparency within the federal system, emphasizing the importance of attracting talented public servants.
NM

New Mexico 2026 Regular Session

House - Health and Human Services Feb 7th, 2026 at 09:05 am

House Health & Human Services

Transcript Highlights:
  • It keeps Medicaid dollars in New Mexico and encourages laboratories to expand or relocate operations
  • We currently serve 47% of Medicaid members in SED treatment.
  • We currently serve 47% of Medicaid members in SED treatment.
  • The top says Medicaid fee schedule versus legislative proposal.
  • I would then be billing the MCO, Medicaid, the larger G-code of $370.
Keywords: 996, all
WA

Washington 2025-2026 Regular Session

House Appropriations Mar 2nd, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • Although I do see some of the merit and some of the reforms made in here, notwithstanding what we're
  • Medicaid dollars and how this is going to disproportionately affect them in the rural communities.
  • The legislature just cut, over the biennium, a billion dollars from Medicaid, and we're risking more
  • Medicaid dollars, which comes with federal matching dollars in almost every instance.
  • We're here to reform it. Those are the words of Governor Bob Ferguson. And I appreciate this move.
Bills: HB2689 , SB5420 , SB5868 , SB5877