Video & Transcript : 'Medicaid reform' :

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MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 01/23/25

Health and Human Services

Transcript Highlights:
  • Of our Medicaid and MinnesotaCare work on the basic health care plan.
  • </c> nursing facilities through the Medicaid nursing facilities through the Medicaid Program<00:09:08.720
  • </c> the department operate the Medicaid the department operate the Medicaid Minnesota<00:54:07.359><
  • You can see somebody under 133% of poverty could be eligible for Medicaid.
  • </c><01:02:29.400><c> Program</c> information about the Medicaid Program information about the Medicaid
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Assembly Floor Session Aug 21st, 2025

California House Floor Meeting

Transcript Highlights:
  • But despite that, my dad pressed forward on his earnest request to establish reform on a national level
  • Trump's big, ugly bill ripped $900 billion out of Medicaid just to line the pockets of the wealthy few
  • That is not reform. That is robbery. That is not reform. That is robbery.
  • Cuts to Medicaid.
  • Cuts to Medicaid, I hear a lot about health care, cuts to Medicaid that hurt the poorest of Californians
Summary: The Assembly met after a quorum call, recess, prayer, and the Pledge of Allegiance, then moved into a highly procedural and contentious floor session centered on redistricting measures. Members debated a point of order raised by Assembly Member DeMaio challenging the constitutionality of SB 280, ACA 8, and AB 604; the Speaker ruled the point not well taken, and the Assembly sustained that ruling on appeal. The body also took up consent-calendar and procedural motions, including suspending rules to adopt late amendments on ACA 8 and to bring the measure up without reference to file. Several motions to re-refer or suspend rules on related measures failed, while the motion to adopt the late amendments on ACA 8 carried. The main substantive item was ACA 8, the Assembly Constitutional Amendment related to redistricting, presented by Assembly Member Berman as a response to mid-decade redistricting efforts in other states, especially Texas. Supporters argued the measure was a temporary, voter-driven response to protect democracy, counter partisan gerrymandering, and address broader threats tied to the Trump administration, including immigration enforcement and health care cuts. Opponents argued ACA 8 would undermine California’s independent citizens redistricting commission, violate the state Constitution, and amount to partisan gerrymandering or a power grab. Members on both sides framed the issue as a defense of democracy, but disagreed sharply over whether the Legislature should act or leave redistricting to voters and the existing commission. No final vote on ACA 8 is shown in the transcript excerpt, but the Assembly did vote on several procedural matters: the appeal of the Speaker’s ruling was sustained 58-18; the motion to adopt late amendments on ACA 8 passed 58-19; a motion to re-refer ACA 8 and SB 280 to Judiciary failed 19-58; and a motion to take up A.J.R. 21 without reference to file failed 19-58. The session remained focused on ACA 8 and related redistricting questions, with extensive floor speeches from both supporters and opponents.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee considers HF169 3/11/25

Transcript Highlights:
  • <00:12:49.920><c> tax</c><00:12:50.199><c> relief</c><00:12:50.639><c> and</c><00:12:51.639><c> Reformation
  • </c><00:12:52.279><c> of</c><00:12:52.440><c> the</c> for tax relief and Reformation of the for tax relief
  • and Reformation of the tax<00:12:52.880><c> laws</c><00:12:53.240><c> as</c><00:12:53.399><c> they</
  • have significant needs, but the taxes we collect will go to programs that impact them like being on Medicaid
  • have significant needs, but the taxes we collect will go to programs that impact them like being on Medicaid
Keywords: 919, house, all
Summary: The committee took up House File 169, which would change the tax structure for charitable gambling. Representative Robbins offered and the committee adopted the A1 author’s amendment, described as a technical correction to ensure sports-themed tip boards are not inadvertently taxed under the bill. Robbins then presented the bill as a way to replace the current tiered combined net receipts tax on charitable gambling with a flat 5% rate, arguing charities were being overtaxed and that prior promises of relief had not been fully delivered. Chair Stevenson pushed back on several of Robbins’ factual claims, correcting the record on the status of E-pull tabs, the share of charitable gambling revenue they represent, and the amount of tax relief already enacted in 2023 and 2024. He said E-tabs were not eliminated, that the revenue split between paper pull tabs and E-tabs is closer to 45/55, and that charities had already received a $15 million tax cut plus savings from reduced developer fees. Robbins responded that the changes still significantly reduced revenue and that the bill was intended as a middle-ground approach. Testimony largely came from charitable gambling and veterans groups in support of the bill. Rachel Jenner of Allied Charities of Minnesota said nearly 1,000 charities depend on charitable gambling, cited high taxes and fees, and said many organizations were seeing revenue declines after the new E-pull tab rules took effect. Dr. Christy Jano of the American Legion Department of Minnesota said charitable gambling funds support veterans, youth, and community programs, and that a flat 5% tax would help posts continue those efforts. Members asked about the size of the revenue drops and how much gambling proceeds go to overhead and operating costs; Jenner said the losses varied by organization and that it was too early to know the long-term effect, while Jano said some expenses are used for property taxes and building upkeep. The committee then moved on to additional testimony, including Tim Angstrom, but no final vote on the bill was taken in the portion provided.
MN

Minnesota 2025-2026 Regular Session

February 2026 State Budget and Economic Forecast Presentation - 2/27/26

Minnesota Senate Floor Meeting

Transcript Highlights:
  • If state law requirements for Medicaid.
  • in Medicaid and childare money<00:37:45.280><c> missing.
  • </c><01:31:49.120><c> funding</c> cuts to Minnesota's Medicaid funding cuts to Minnesota's Medicaid funding
  • </c><01:34:47.040><c> I</c> Medicaid cuts just a moment ago. I Medicaid cuts just a moment ago.
  • Uh that she supported his Medicaid cuts.
Keywords: 1187, senate, all
MN
Transcript Highlights:
  • ><c> coverage</c><00:15:02.639><c> for</c><00:15:02.880><c> babies</c><00:15:03.600><c> with</c> Medicaid
  • coverage for babies with Medicaid coverage for babies with positive<00:15:04.240><c> newborn</c><00:
  • while positive newborn screening results while their<00:15:06.399><c> full</c><00:15:06.759><c> Medicaid
  • ><00:15:07.399><c> application</c><00:15:08.040><c> is</c><00:15:08.240><c> being</c> their full Medicaid
  • application is being their full Medicaid application is being processed<00:15:09.639><c> by</c><00:15
Keywords: 1187, senate, all
LA

Louisiana 2026 Regular Session

Appropriations Mar 11th, 2026

Appropriations

Transcript Highlights:
  • One of the questions: there's obviously legislation and reforms concerning DOC custody and different
  • It's just like a regular inmate that goes to a hospital: once he's there 24 hours, Medicaid takes over
  • I'd like to start a little bit about, I know we're known for tax reform.
  • Richard did a fantastic job; I'll do... ...a little bit about, I know we're known for tax reform.
  • So those were... ...those tax reform initiatives that the governor put together and Nelson helped get
Summary: The committee heard FY27 budget presentations for the Department of Public Safety and Corrections, beginning with Public Safety Services. House Fiscal Division staff reviewed the department’s recommended budget of $645.9 million, including supplemental pay, State Police, Motor Vehicles, and the State Fire Marshal. Officials explained that the overall budget reflects a net decrease from FY26, driven largely by shifts in funding sources, removal of one-time statutory dedications, and adjustments tied to undercollections in fees and self-generated revenues. State Police was recommended at $459.7 million, OMV at $86.7 million, and the Fire Marshal at $41.1 million. Department leaders also described ongoing modernization efforts, staffing vacancies, and the use of efficiencies identified internally. Lieutenant Colonel Robert Burns and agency heads testified about State Police operations, including increased cadet graduations, improved Mardi Gras security, progress on APHIS and OMV modernization, and the new crime lab under construction. Members asked about undercollections, vacancies, the role of public tag agents, and whether the agency could expand counter-drone capabilities. Burns said the department has identified about $11 million in efficiencies, but warned that counter-drone work would require additional funding, citing a $4.5 million fiscal note for HB 940 and roughly $9 million more for a robust unit. OMV officials said staffing and retention remain difficult, but modernization should improve service and reduce lines; they also said the agency continues to rely on public tag agents and is working through reinstatement fee collection issues. The committee then reviewed the Department of Corrections FY27 budget, recommended at $902.3 million, with most funding from State General Fund and a large increase tied to higher incarceration costs, medical needs, overtime, and added capacity at Louisiana State Penitentiary. DOC officials said the department remains under pressure from vacancies, turnover, contraband, and medical costs, and that the budget includes funding to add 150 correctional officers at Angola and to house ICE detainees at Camp J. They also discussed criminal justice reinvestment savings, prison enterprises, and reentry programs funded through the Second Chance Act. Members asked about staffing, inmate deaths at Elaine Hunt, work-release pay, and whether the department is tracking the true long-term cost of incarceration. Officials said they are pursuing pay increases, recruitment, expanded training and reentry programs, and more data-driven workforce alignment, while acknowledging that many budget pressures remain unresolved.
ID

Idaho 2026 Regular Session

Agenda Mar 24th, 2026

Transcript Highlights:
  • authorize discrimination, and it expressly preserves compliance with federal civil rights laws and Medicaid
  • What I think is most important to note here is that Medicaid participation is voluntary.
  • or disparity reduction programs required or encouraged by federal law, Centers for Medicare and Medicaid
  • And yet, the state government continues to subsidize DEI practices through Medicaid dollars.
  • This is because Medicaid is an important part of access to her... ...clinic.
Summary: The Senate Health and Welfare Committee first approved the minutes from February 25 and February 26, 2026, then took up House Bill 928, the Merit-Based Health Care Act. The bill’s sponsor said it would prohibit DEI-related considerations in Medicaid-funded health care hiring, promotion, contracting, and training, while preserving compliance with federal law and allowing certain clinical and quality-improvement activities. Committee members questioned how the bill would apply in practice, especially to hiring and patient preferences, and the sponsor said an amendment would remove certain terms to align with federal code. The committee heard extensive testimony on HB 928. Physicians and the Idaho Academy of Family Physicians opposed the bill, arguing it would restrict evidence-based training, create legal uncertainty, worsen recruitment and retention in a state already facing provider shortages, and interfere with use of social determinants of health and implicit bias training to improve patient care. Supporters, including a plastic surgeon, Idaho Family Policy Center, and the bill sponsors, argued DEI undermines merit and that taxpayer-funded health care should be based on qualifications and excellence. After debate, the committee voted to send HB 928 to the 14th order for possible amendment, with Senators Harris and Wintrow recorded as opposed. The committee then heard House Bill 916, which would create a legislative rural health transformation oversight committee to monitor federal rural health funds flowing to Idaho. The sponsor said the committee would provide legislative stewardship over the money without appropriating funds, while some senators raised concerns that the bill did not require rural representation on the committee and that appointments should reflect rural advocacy. After testimony from a supporter emphasizing oversight and taxpayer stewardship, the committee voted to hold HB 916 in committee. The meeting ended with notice of a two-hour committee meeting scheduled for the next day.
FL

Florida 2026 5th Special Session

FL House Floor Session - 2025-04-30 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • She helped pass CS for House Bill 1373, a bill relating to certifying Medicaid funding in schools.
  • Losing their son, Robert and Mandy have been tirelessly advocates for the reform of DUI and vehicular
  • Today, I'm proud to be joined by them... ...advocates for the reform of DUI and vehicular homicide.
  • Committee Substitute for Senate Bill 306, a bill to be entitled an act with lien to Medicaid.
  • The sufficient services on an existing Medicaid waiver program. Senator Davis.
Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.
FL

Florida 2025 Regular Session

Senate in Session Apr 30th, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • Medicaid funding in schools.
  • Colleagues, SB 306 Medicaid providers, Florida continues to trail behind states that have taken action
  • **Can we substitute for Senate Bill 306,** a bill to be entitled an act relating to Medicaid providers
  • Last year, we passed sweeping reforms targeting corruption, mismanagement, fraud, and election abuse.
  • We tried; there were major reforms to PIP in 2012, requiring insurance premium reduction.
Bills: HCR35 , SJR59 , SJR84 , SCR30 , SB127 , SB317 , SB324 , SB457 , SB506 , SB511 , SB529 , SB547 , SB584 , SB619 , SB636 , SB646 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB904 , SB1026 , SB1049 , SB1065 , SB1181 , SB1224 , SB1250 , SB1383 , SB1467 , SB1524 , SB1528 , SB1531 , SB1568 , SB1585 , SB1640 , SB1681 , SB1754 , SB1757 , SB1777 , SB1972 , SB1980 , SB2007 , SB2041 , SB2046 , SB2050 , SB2055 , SB2069 , SB2080 , SB2119 , SB2138 , SB2139 , SB2154 , SB2201 , SB2225 , SB2268 , SB2306 , SB2308 , SB2310 , SB2330 , SB2366 , SB2375 , SB2392 , SB2401 , SB2422 , SB2480 , SB2514 , SB2530 , SB2533 , SB2543 , SB2544 , SB2589 , SB2610 , SB2615 , SB2623 , SB2660 , SB2662 , SB2693 , SB2695 , SB2707 , SB2722 , SB2742 , SB2753 , SB2807 , SB2843 , SB2844 , SB2858 , SB2880 , SB2885 , SB2891 , SB2925 , SB2938 , SB2986 , SJR3 , SJR18 , SB5 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SB1786 , SB326 , SB767 , SB769 , SB783 , SB1035 , SB1271 , SB1619 , SB1637 , SB1806 , SB1 , SB260 , HB135 , HB 1109 , HCR35 , HCR64 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB619 , SB2742 , SB646 , SB1026 , SB2880 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB584 , SB1085 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB1721 , SB2366 , SB1013 , SB2797 , SB2383 , SB1754 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2929 , SB1972 , SB2540 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB506 , SB2514 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB410 , SB659 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586 , HB1392 , HB22 , SB1551 , SB3039 , SB2819 , SB66 , SB629 , SB1015 , SB2342 , SB2903 , SB2933 , SB1965 , SB2477 , SB3029 , SB2605 , SB2419 , SB1957 , SB375 , SB250 , SB777 , SB628 , SB2523 , SB2367 , SB2703 , SB2608 , SB2778 , SB3044 , SB2965 , SB2521 , SB865 , SB127 , SB506 , SB529 , SB584 , SB659 , SB735 , SB771 , SB784 , SB800 , SB1049 , SB1383 , SB1531 , SB1568 , SB1681 , SB1972 , SB1980 , SB2007 , SB2041 , SB2046 , SB2050 , SB2080 , SB2225 , SB2306 , SB2308 , SB2366 , SB2392 , SB2544 , SB2610 , SB2660 , SB2662 , SB2807 , SB2843 , SB2844 , SB2885 , SB2938 , SB2986 , SB324 , SB1065 , SB1754 , SB2330 , SB2693 , SB2858 , SR448 , SR463 , HCR35 , SB324 , SB619 , SB646 , SB1026 , SB1065 , SB1754 , SB2330 , SB2693 , SB2742 , SB2858 , SB2880 , SB3063 , HJR5 , HJR98 , HB 109 , HB 114 , HB388 , HB421 , HB431 , HB879 , HB 1244 , HB1399 , HB1445 , HB1672 , HB1695 , HB1734 , HB1875 , HB1893 , HB1950 , HB2152 , HB2217 , HB2558 , HB2559 , HB2775 , HB2789 , HB2809 , HB2856 , HB3012 , HB3126 , HB3135 , HB3163 , HB3229 , HB3306 , HB3513 , HB3770 , HB4134 , HCR56 , HCR102 , SB3063 , HJR5 , HJR98 , HB 109 , HB 114 , HB388 , HB421 , HB431 , HB879 , HB 1244 , HB1399 , HB1445 , HB1672 , HB1695 , HB1734 , HB1875 , HB1893 , HB1950 , HB2152 , HB2217 , HB2558 , HB2559 , HB2775 , HB2789 , HB2809 , HB2856 , HB3012 , HB3126 , HB3135 , HB3163 , HB3229 , HB3306 , HB3513 , HB3770 , HB4134 , HCR56 , HCR102
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 1st, 2026 at 01:15 pm

Senate Health & Public Affairs

Transcript Highlights:
  • I think about our rate of Medicaid usage in the state.
  • It does not reform reporting and, in fact, eliminates transparency.
  • New Mexico Medicaid has covered abortion care for decades now, so that data is available.
  • Is Medicaid the only payer? Are there self-paid people participating in this process?
  • Some states, like New Mexico, Medicaid does cover abortion care.
Bills: SB41 , SB33 , SB32 , SB30
FL

Florida 2026 Regular Session

Appropriations Jun 1st, 2026

Appropriations

Transcript Highlights:
  • Reforms legislatively, we have the option to do that.
  • Maybe this property tax reform is going to go as well as some of the supporters...
  • The Tax and Budget Reform Commission deal with this in its entirety so that it is uniform.
  • So what happens is whatever's not paid by them, Medicare and Medicaid, we write off, we lose.
  • This bill also takes an additional step at property tax reform.
Keywords: 999, senate, all
ID

Idaho 2026 Regular Session

Agenda Jan 13th, 2026

Transcript Highlights:
  • In order for Medicaid to fully comply with the holdbacks, Medicaid would have needed to cut expenditures
  • In order for Medicaid to fully comply with the holdbacks, Medicaid would have needed to cut expenditures
  • I mean, the largest one being in Medicaid, and it seems like we always are in Medicaid.
  • So, I mean, you look at what Medicaid actually submits in general.
  • I mean, the largest one being in Medicaid, and it seems like we always are in Medicaid.
Keywords: 989, all
Summary: The Joint Finance-Appropriations Committee opened the session with roll call, confirmed a quorum, and introduced new members, staff, and pages. Co-chairs and staff then reviewed JFAC’s role as the legislature’s main budget committee, the committee’s daily schedule, and the resources available through legislative staff, the impact team, and the newly released 2026 Legislative Budget Book and related budget tools. The committee received a detailed briefing from the Division of Financial Management on the JFAC calendar and then from Governor’s Budget Director Lori Wolf on the governor’s FY 2026 and FY 2027 budget recommendations. Wolf said the budget is balanced but tight, relying on a mix of ongoing reductions and one-time actions rather than reserve fund transfers. Major budget actions included a 3% ongoing reduction across most state agencies, reversions of certain one-time balances to the general fund, no recommended pay increase for state employees or teachers, and higher employee health insurance costs. The budget also proposed reductions or policy changes in Medicaid, virtual school funding, Idaho Digital Learning Academy, and some transportation and water-related funds, while preserving funding for public safety, education, water, and transportation priorities. Members questioned the assumptions behind the budget, especially the projected ending balances, the use of one-time transfers, the impact of rising health insurance costs on employees, the effect of Medicaid cuts on services and cost shifts, and the rationale for reductions to online education and IDLA. Several members also asked about the proposed federal tax conformity changes, including the timing of implementation and the treatment of Idaho’s existing R&E tax credit. Wolf said the conformity estimate was based on Tax Commission analysis and that the administration was not recommending use of the budget stabilization fund. No votes or formal actions were taken; the committee concluded by noting that the Economic Outlook Committee would meet later in the week and that JFAC would continue budget hearings the next day.
ID

Idaho 2026 Regular Session

Legislative Session Day 50 Mar 2nd, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • So there is another committee over there that is looking at Medicaid.
  • So for us to remove one, we still have the one that looks over Medicaid, runs through rules, and looks
  • at everything that needs to be taken care of with Medicaid.
  • The comment was made that this bill does not cut the public school support, the Division of Medicaid,
  • The comment was made that this bill does not cut the public school support, the Division of Medicaid,
Summary: The Senate opened with roll call, prayer, and approval of the corrected journal, then received committee reports and House messages before moving into floor action on several bills. Among the measures introduced and referred were bills on housing, education, machine guns, cash rounding, virtual currency kiosk fraud prevention, unauthorized workers, and other State Affairs topics. The Senate also took up a number of third-reading bills, including Senate Bill 1314 on Health and Welfare board structures, Senate Bill 1316 on newborn screening exemptions, Senate Bill 1301 on brewer retail taprooms, Senate Bill 1331 on a broad rescission/appropriations reduction package, Senate Bill 1332 on cash transfers to balance the budget, and later Senate Bill 1308 on mediation and Senate Bill 1309 on juvenile corrections. Senate Bill 1314 drew the most substantive debate early in the meeting. Supporters said it would eliminate outdated board structures in the Department of Health and Welfare and regional behavioral health boards that no longer served a necessary function, while opponents argued the boards still provided public accountability, regional input, and transparency, especially for behavioral health services. The bill passed 28-7. Senate Bill 1316, which updated exemption language for newborn screenings to align with other Idaho law and clarify parental rights, passed unanimously 35-0. Senate Bill 1301, allowing small brewers to expand from one to two remote taproom locations, passed 31-4 after supporters framed it as a free-market and small-business measure. The most contentious vote was on Senate Bill 1331, the rescission bill reducing fiscal year 2026 appropriations by about $192.7 million, including cuts to general fund, federal, and dedicated funds, along with reductions in FTEs and some program funding. Supporters said it was needed to balance the budget amid revenue uncertainty and that agencies had been asked where to make the additional 1% cuts; opponents criticized the bill as an across-the-board, opaque “Christmas tree” approach that cut lean and bloated agencies alike and created confusion about specific reductions. After extended debate, the bill passed narrowly 18-17. Senate Bill 1332, which transferred money from several funds back to the General Fund to help balance the budget, also drew criticism for shifting money from programs such as Launch, water pollution control, and building projects, but it passed 26-9. Later, Senate Bill 1308 passed 35-0 and Senate Bill 1309 passed 35-0 with little opposition. The Senate then returned to other business, introduced Senate Bill 1361 on public safety appropriations, and began consideration of Senate Bill 1300, which would change confirmation and appointment provisions for certain state agency directors.
AR

Arkansas 2026 1st Special Session

REVENUE & TAXATION- HOUSE May 4th, 2026

Transcript Highlights:
  • Today, those reforms add up to nearly a billion dollars a year staying in the pockets of Arkansas families
  • But a tax cut of a few dollars a month does nothing for the family that just lost their Medicaid coverage
  • I myself am not eligible for Medicaid or SNAP benefits.
  • hospitals, and the rural hospital transformation fund only makes up 5% of the expected loss for Medicaid
Summary: The committee heard House Bill 1001, sponsored by Representative Les Eaves, which would lower Arkansas’s personal income tax rate to 3.7% retroactive to the current year and reduce the corporate income tax rate to 4.1% beginning in 2027. Eaves argued the bill continued a decade-long strategy of broad-based tax relief, would help working families, and would keep Arkansas competitive with other states. He said the measure would reduce future surpluses rather than cut current services, and noted the average taxpayer could see roughly $800 to $1,000 in annual savings from recent tax changes. Several witnesses testified against the bill. Arkansas Appleseed’s Anna Morchetti, Missy Wyatt Joyce, Pastor Preston Clegg, Michelle Pedro of the Arkansas Coalition of Marshallese, and Arkansas Advocates for Children and Families’ Pete Guest all argued the state should prioritize funding for public schools, health care, supported living services, food assistance, rural hospitals, and early childhood education instead of further tax cuts. They said Arkansas faces significant unmet needs, including underfunded schools, food insecurity, and shortages in disability and community-based services, and warned the tax cut would mainly benefit higher earners while reducing resources for essential programs. After testimony, the committee limited debate time for witnesses to five minutes. Representative Eaves closed by saying the state had been responsible in prior tax cuts and that the bill would return money to taxpayers without reducing services. Representative Bray also spoke in support, saying the legislature has continued to fund major priorities while still providing tax relief to working families. The committee then voted to pass the bill, and HB 1001 was approved.
MO

Missouri 2026 Regular Session

Live Feed Feb 19th, 2026

Transcript Highlights:
  • This is the bill we heard two days ago on juvenile justice reform.
  • As we discussed when we heard this bill for perfection, this is nothing more than an attack on Medicaid
  • Also, there's the shared value that only able-bodied people should not be on the rolls of Medicaid.
  • we voted for Medicaid expansion in our state because we want to take care of our baby boomers.
  • Your special committee on property tax reform will meet in Hearing Room 1 at 10 minutes after the hour
Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal by roll call, and recognized a Black History Month tribute to Dr. Penelope Martin Knox, superintendent of Raytown C-2 Schools. Members also introduced guests, including the day’s pledge leader Adeline Overcast and visitors from a rural hospital in Rolla. Several new bills were read for the first time, including measures on blind pensions, first responder harassment, and flag display at the state capitol, and committee reports were received recommending passage of several deferred measures. The chamber then took up multiple third-reading bills. House Bill 2596, concerning multiple employee self-insured health plans for small businesses, passed 145-0 after supporters said it would help small employers offer affordable coverage. House Bill 1644, addressing franchise employment liability and joint-employer issues, passed 103-45 after debate over whether it would unfairly limit workers’ rights to sue franchisors. House Bill 2423, dealing with Division of Finance licensing fees and oversight, passed 146-0 despite concerns about fee increases. House Committee Substitute for House Bill 2641, which aligns state law with federal restrictions on intoxicating hemp-derived products, passed 109-34 after extensive debate over whether the bill unfairly carves out beverages and harms hemp businesses. House Bill 2498, a juvenile justice reform measure shifting some certification-related responsibilities and expanding information sharing, passed 100-44 after supporters argued it would improve accountability and opponents warned it would politicize juvenile cases and burden treatment facilities. House Committee Substitute for House Bills 2637 and 3155, a sentencing bill increasing mandatory minimums and clarifying time-served and parole eligibility, passed 102-45 amid debate over whether it was truly a transparency measure or an increase in punishment. The House also debated House Committee Substitute for House Joint Resolution 154, a proposed constitutional amendment tied to Medicaid expansion/work requirements. Supporters said it would encourage work and reduce administrative costs, while opponents argued it would undermine Medicaid expansion and risk coverage for vulnerable residents. After a previous-question motion, the resolution passed 99-48. The session ended with announcements about upcoming committee meetings, a Black History Celebration, and other caucus and committee gatherings, followed by adjournment until Monday afternoon.
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Twenty Four - Thursday, February 19

Missouri House Floor Meeting

Transcript Highlights:
  • This is the bill we heard two days ago on juvenile justice reform.
  • As we discussed when we heard this bill for perfection, this is nothing more than an attack on Medicaid
  • Also, there's the shared value that only able-bodied people should not be on the rolls of Medicaid.
  • we voted for Medicaid expansion in our state because we want to take care of our baby boomers.
  • Your special committee on property tax reform will meet in Hearing Room 1 at 10 minutes after the hour
Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal by roll call vote, and established a quorum. Members then offered personal privilege remarks recognizing Dr. Penelope Martin Knox for Black History Month and introducing guests, including Adeline Overcast, who was made a page for the day, and visitors connected to a rural hospital in Rolla. Several bills were read for the first time, including measures on blind pension tax levies, penalties for impeding first responders, and flag display in the state capitol, and committee reports recommended passage of multiple deferred measures. The chamber then took up several bills on third reading. House Committee Substitute for HB 2596, concerning multiple employee self-insured health plans for small businesses, passed 145-0. HB 1644, dealing with franchise employment liability and joint-employer issues, passed 103-45 after debate over worker rights and franchisor liability. HB 2423, which would increase funding for the Division of Finance through higher licensing fees, passed 146-0 despite concerns about costs being passed on indirectly. House Committee Substitute for HB 2641, which aligns state law with federal restrictions on intoxicating hemp-derived products, drew extensive debate over hemp, beverages, and the impact on small businesses and consumers; it passed 109-34 with six present. Members also debated HB 2498 on juvenile justice reform, including changes to certification procedures and information sharing. Supporters argued it would improve accountability and public safety, while opponents warned it would politicize juvenile decisions, burden treatment facilities, and push more youth into the adult system. After a successful previous-question motion, the bill passed 100-44 with three present. House Committee Substitute for HB 2637 and 3155, described as a truth-in-sentencing measure that would make parole eligibility and time-served credit clearer, passed 102-45 with two present after debate over whether it effectively increased mandatory minimums. Finally, the House took up House Committee Substitute for HJR 154, a proposed constitutional amendment tied to Medicaid expansion and work requirements. Supporters framed it as encouraging work and reducing dependency, while opponents called it an attack on Medicaid expansion that would increase administrative costs and risk coverage losses for vulnerable residents. The transcript ends during the motion for the previous question on that resolution, before the final vote is shown.
WA

Washington 2025-2026 Regular Session

House Early Learning & Human Services Jan 20th, 2026 at 01:30 pm

Early Learning & Human Services

Transcript Highlights:
  • And how do we really leverage the federal Medicaid dollars coming in?
  • My mission is simple: to reform foster care in Washington so that safety is a guarantee, not a gamble
  • got a sunk cost, and it turns them into a revenue generator by allowing those facilities to take Medicaid
  • already got a sunk cost and it turns them into a revenue generator by allowing those facilities take Medicaid
  • rate reforms and coding that recognizes the additional time and expertise required for this population
Bills: HB2429 , HB2171 , HB2314 , HB2364 , HB2415
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-06-02 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • My next question is, counties pay a state-mandated share of Medicaid costs.
  • My next question is, counties pay a state-mandated share of Medicaid costs.
  • Well, you got the first part of the question because they help register people for Medicaid and other
  • I do believe there are opportunities for meaningful tax reform.
  • The time for reform is now. 39.5% of our homestead owners are seniors. Yes, like my mom.
Summary: The House met in special session, opened with prayer and the Pledge of Allegiance, approved the journal, and adopted the special order report setting the day’s calendar. The chamber then took up CS/House Joint Resolution 1F, the Governor’s property tax proposal, which would raise the homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property from 10% to 5%, and restrict county and municipal ad valorem revenue to public safety and certain other uses. Sponsor Rep. Overdorf said the measure would return money to homeowners and give local governments flexibility, while opponents repeatedly argued the ballot language was misleading and that the proposal could create large local revenue shortfalls, shift costs to other taxpayers, and threaten local services and debt obligations. Members debated a series of amendments aimed at protecting specific programs from the bill’s effects. Rep. Bartleman’s amendment to exempt Children’s Services Councils and Children’s Trusts was defeated 25-74 after supporters said those entities fund child care, mental health, aftercare, and family support, while opponents said local governments could still choose to fund them. Rep. Cross’s amendment to include water management districts in allowable uses of ad valorem taxes was also defeated, despite testimony that the districts are essential for flood control, water supply, Everglades restoration, and drought response. Rep. Eskamani’s amendment to require the Legislature to backfill public safety funding failed 25-71 after debate over whether the proposal could reduce police and fire budgets and response times. The House then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other aging services, and opponents saying the state already funds senior programs. Finally, Rep. Gant’s amendment to protect veteran services was introduced and debated, with members emphasizing housing, mental health, transition assistance, and homelessness concerns for veterans; the transcript cuts off before the vote on that amendment. Throughout the debate, sponsors and supporters of the main resolution maintained that local governments would retain spending discretion and could use other revenue sources, while critics argued the measure lacked clear backfill provisions and could force cuts or tax shifts at the local level.
TX
Transcript Highlights:
  • One of the ways that the hospital concealed their illegal billing of hormones to Medicaid was through
  • Today, I'm here to talk to you about Archer and how these reforms could attract.
  • Thank you for your leadership. for considering how these reforms can help fuel companies like ours to
  • And I want to thank our friends. at Texans for Lawsuit Reform as well, a great, great leader in this
  • Michigan has spent years reforming and changing again, for example, establishes criminal penalties for
Bills: SB29 , SB406 , SB447 , SB875 , SB893 , SB1033 , SB1346 , SB1362 , SB1539 , SCR22 , SB 29