Video & Transcript Research : 'Medicaid reform'

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OK

Oklahoma 2026 Regular Session

Joint Committee on Appropriations and Budget Apr 13th, 2026

Joint Committee on Appropriations and Budget

Summary: The Joint Committee on Appropriations and Budget met to consider a long agenda of appropriations, retirement COLAs, revolving funds, and limits bills. Early actions included Senate Bill 1144 and Senate Bill 1145, which provided cost-of-living adjustments for retired teachers and OPRS retirees, respectively, and Senate Bill 1146, 1147, 1148, and 1149, which extended similar retirement benefit increases or a one-time stipend for law enforcement, firefighters, judges, and certain retired police and firefighters. The committee also advanced bills funding the Pardon and Parole Board, OSBI cybercrimes and fraud work, juvenile medication, and several agency limits bills for Health Care Authority, Health Department, Mental Health and Substance Abuse Services, and DHS. Members also heard and passed a series of education, public safety, and economic development measures, including funding for school security at the School for Science and Math and the Schools for the Blind and Deaf, support for National Board certified teachers, and appropriations for the Rural Health Transformation Program, the Decennial Census Revolving Fund, Task Force One, and the Oklahoma State Bureau of Investigation forensic center. Several bills created or expanded revolving funds and financing tools, including military readiness and aviation funds, a taxpayer endowment trust fund, water infrastructure loan and REAP-related measures, and a revised non-coal mining fee structure. The committee also approved a bill increasing court reporter pay and another reducing employer contributions to the retirement system after it reached over 100% funding. There was notable discussion on a $5 million film-related pilot program for sitcom production, with questions about the amount and certification requirements, and on a rural economic development package that included money for the state fairgrounds and a university energy plant, which drew objections over whether those projects fit the intended purpose of rural prep funds. Other debated items included a bill directing funds to the Oklahoma Dream Act/Trump accounts, a bill rejecting judicial pay increases recommended by the Board of Judicial Compensation, and a proposal to move $200 million from the stabilization fund into a new Taxpayer Endowment Trust Fund. Most measures were reported out with due pass votes, though several drew dissenting votes, including the film bill, the fairgrounds/economic development bill, the water projects bill, and the trust fund and judicial pay measures. The committee adjourned after completing the agenda.
AZ

Arizona 2026 Regular Session

03/25/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • Whether it's music or painting or dance or theater, it feeds the soul and allows us to reform.
  • So this bill, I'm running this bill because this 1776 allows our state to obtain Medicaid reimbursements
  • comments, you can go either way on this, whether it's important to keep the commission so it can be reformed
  • I'd rather see a reform if this continues, happy to discuss with the Chair and anyone else.
FL

Florida 2026 Regular Session

Health Policy Jan 26th, 2026

Health Policy

Bills: S1082, S1168, S1756, S1156, S1480
Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.
ND

North Dakota 2025-2026 Regular Session

Senate Agriculture and Veterans Affairs Apr 10th, 2025 at 09:00 am

Agriculture and Veterans Affairs

Bills: HB1318
Summary: The Agriculture and Veterans Affairs Committee met on April 10 and took up House Bill 1318, a bill dealing with pesticide-related liability and warning-label issues. The chair explained that the bill had drawn strong interest from both agriculture and public health sides, and that the committee was trying to craft language that would protect consumers without unduly harming agricultural production. He said the committee had worked through multiple draft amendments and was now considering Amendment 1006, which was described as a compromise combining earlier proposals and narrowing the bill’s scope to pesticides registered with the state commissioner. Members discussed whether the amendment would weaken the original intent of the bill. Senator Myrdal said the revised language added needed guardrails and addressed concerns about overly broad preemption language and warning-label standards, while also preserving agriculture’s ability to operate. After a motion to rescind the earlier action on the bill passed, Amendment 1006 was adopted unanimously by the members present. A motion to move the bill without committee recommendation failed for lack of a second. The committee then voted on House Bill 1318 as amended. The do-pass motion passed on a roll call vote, with Senators Weber, Luick, Myrdal, and Lemm voting yes, and Senators Marcellais and Weston voting no. The chair said he would carry the bill. The meeting ended with members thanking the chair and staff for their work during the session, and the chair noted he might call the committee back if a conference committee report required further input.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Feb 3rd, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • House Bill 2555 relates to coverage of traditional health care practices under Medicaid.
  • In 2024, the Federal Centers for Medicare and Medicaid Services established criteria for the approval
  • of Medicaid waivers to cover traditional health practices delivered at tribal health facilities by employees
  • apply for that waiver from CMS to allow for the coverage of traditional health care practices under Medicaid
  • And then if they want to serve Medicaid patients, they also... ...but DOH plays a role there.
Summary: The House Health Care and Wellness Committee held public hearings on four bills. HB 2555 would require the Health Care Authority to apply by July 1, 2026, for a Medicaid waiver to cover traditional health care practices at tribal and urban Indian facilities. Supporters, including the prime sponsor, tribal health leaders, and the Health Care Authority, said the bill would recognize traditional medicine, expand access, and potentially reduce downstream costs, while HCA noted the timeline may be difficult and that reimbursement issues, especially for urban Indian organizations, are still being worked out. HB 2685 would codify tribal data sovereignty principles, require state agencies to handle tribal data consistently with those principles, direct disease reporting to tribal health jurisdictions, and exempt certain tribal data from public disclosure. Tribal leaders supported the bill as a way to improve access to data and better tell the story behind it, while the Washington Coalition for Open Government opposed the broad public records exemption and HCA said the bill may be overbroad, especially regarding data sets that include tribal members and undefined ownership interests. HB 2658 would require health carriers to report standardized coverage and access data, especially for behavioral health, and the Insurance Commissioner would post the data publicly and maintain a dashboard. Supporters said it would expose gaps between promised and actual behavioral health coverage, while opponents argued it duplicates recent parity reforms, could be misread, and adds administrative burden. HB 2683 would shorten carrier credentialing timelines from 90 days to 30 days and require carriers to post billing and coverage information more openly. Supporters said it would help providers join networks faster and improve transparency for patients, while opponents raised concerns about safety checks, privacy, and implementation burden. After public hearing, the committee took executive action on three bills: it adopted two amendments and passed HB 2168, which concerns overdose mapping data, by a 16-1 vote; it rejected an amendment to HB 2196 but then passed the bill, which requires coverage for PANDAS/PANS treatments, by a 15-2 vote; and it passed HB 2545, allowing elective percutaneous coronary interventions at ambulatory surgical facilities, by a 13-4 vote. The committee then adjourned.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 23rd, 2026

Health and Welfare

Transcript Highlights:
  • Rather, I'm here to argue that the process, as it currently operates, requires reform.
  • basic due process protections is small by comparison and should not be used as a reason to oppose reform
  • I do think that all 50 states would benefit from some comprehensive reform.
  • Members, as long as I'm in this building, I will work to create reforms in the pharmacy benefit manager
  • It provides relative to non-emergency medical transportation, to provide for Medicaid reimbursement rates
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 56 (3-31-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • </c><02:13:52.159><c> state</c> establishment of a Medicaid state establishment of a Medicaid state directed
  • And reforms, and financial transparency.
  • So we address both Medicaid and private insurers. Mr.
  • So we address both Medicaid and private insurers. Mr.
  • So we address both Medicaid and private insurers. Mr.
Bills: HB567, HB776, HB2, HB568, HB619
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Feb 25th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • SB 1110 authorizes Medicaid to cover specified orthotics or prosthetics services and directs the Agency
  • I know it's going to have an impact on the state budget through Medicaid.
  • Therefore, it is paid for by insurance, Medicare, or Medicaid. So...
  • Therefore, it is paid for by insurance, Medicare, or Medicaid.
  • If we don't meet that, we don't get Medicaid or Medicare.
Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.
MN

Minnesota 2025-2026 Regular Session

House State Government Finance and Policy Committee 2/19/26

State Government Finance and Policy

Transcript Highlights:
  • Medicaid Fraud Control Unit. Medicaid Fraud Control Unit.
  • </c><00:11:43.360><c> budget</c> has a much bigger state Medicaid budget has a much bigger state Medicaid
  • </c><00:11:53.320><c> budget</c> was set when our state Medicaid budget was set when our state Medicaid
  • </c> states with similar sized Medicaid states with similar sized Medicaid spending<00:14:25.000><c>
  • So, worth of Medicaid fraud since 2018.
Bills: HF1338
WA

Washington 2025-2026 Regular Session

House Civil Rights & Judiciary Feb 4th, 2026 at 08:00 am

Civil Rights & Judiciary

Summary: The Civil Rights and Judiciary Committee met on February 4 and took executive action on five bills. House Bill 2255 on litigation finance would require disclosures and prohibit certain acts by third-party litigation funders; members described it as a transparency measure rather than a ban, and it was reported out 12-1. House Bill 2354 on WUCIOA and small common interest communities would exempt smaller communities from many WUCIOA requirements, adjust reserve study and audit rules, and was reported out unanimously 13-0. The committee also advanced House Bill 2595, which extends the deadline for post-conviction collateral attacks from one year to three years and allows the Office of Public Defense to represent eligible indigent offenders in those proceedings. Supporters framed it as an access-to-justice measure, while opponents warned of added strain on the courts; it passed 8-5. Before voting, the committee heard staff summaries of House Bill 2320 on restricting manufacture and distribution of certain firearms made with 3D printers or CNC machines, and House Bill 2597 on civil remedies for constitutional violations during immigration enforcement. For House Bill 2320, the committee adopted Representative Walsh’s amendment removing a rebuttable presumption about intent tied to digital firearm manufacturing code, then reported the substitute bill out 8-5. Supporters said the substitute was narrowed after stakeholder input to target untraceable firearms without unduly affecting hobbyists or industry, while opponents argued it remained too broad and could chill lawful 3D printing. House Bill 2597, as amended by substitute, would create a civil cause of action for constitutional violations during civil immigration enforcement, align some defenses with Section 1983 practice, and shorten the limitations period to two years; it was also reported out 8-5 after supporters emphasized remedies for rights violations and opponents questioned its necessity and scope.
TX
Transcript Highlights:
  • Last session, the Texas Legislature passed historic reforms to community college funding and education
  • As part of these reforms, the legislature authorized community colleges the option to offer core curricula
Bills: SB2847, SB3039
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Mar 2nd, 2026 at 10:30 am

Ways & Means

Transcript Highlights:
  • representatives with certain employee information to all public employers under the Personnel System Reform
  • This is relating to the Medicaid Access Program.
  • House Bill 2385, concerning the Medicaid access program.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 6th, 2026 at 04:24 pm

House Judiciary

Transcript Highlights:
  • There was a 1% decline in CMS patients, Medicare and Medicaid patients, in short-term private equity
  • Part of why this has become such a big issue is that litigation has become the catch-all for systems reform
  • But I agree wholeheartedly that we cannot use the legal system to reform health care.
  • I believe we can reform and improve our malpractice system.
  • I believe we can reform and improve our medical system.
Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136
NM

New Mexico 2026 Regular Session

Senate - Judiciary Feb 6th, 2026

House Judiciary

Transcript Highlights:
  • Chair, Senator Townsend, public dollars, for example Medicaid dollars, are used for a whole range of
  • Chair and Senator, most Medicaid dollars that are spent...
  • Most Medicaid dollars that are spent are reported, maybe not individually, but we know how much was spent
  • Teter, who's got some, I think, specific information about the Medicaid piece of this here in New Mexico
  • on a variety of health care... ...database, which contains data from both commercial plans and Medicaid
Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136
Summary: Senate Judiciary began by announcing that Senate Bill 136 would be rolled over because the sponsor was unavailable. The chair then addressed criticism from the floor over how a prior bill had been handled, defending the committee’s practice of using committee substitutes and amendments without waiting for a new version from council, and emphasizing his authority to set hard stops and limit debate when he believes discussion is repetitive or dilatory. Several members responded, with some supporting the chair’s approach and others arguing that contentious bills deserve more time and fuller committee vetting. The committee then heard Senate Bill 30, which would repeal New Mexico’s requirement that induced abortions be reported to the state registrar. The sponsors argued the reporting law is outdated, unnecessary for public health, and potentially dangerous because provider information can be disclosed under broader vital statistics statutes; supporters from the ACLU, League of Women Voters, Bold Futures, and NOW echoed privacy and safety concerns. Opponents argued the reporting requirement provides transparency and public health data. After debate, the committee approved SB 30 on a roll call vote. Next, the committee heard Senate Bill 43, a bipartisan measure to modernize the Adult Parole Board statute after a prior veto. The bill would update parole factors for life-sentenced inmates, authorize per diem and closed hearings, and prevent parole hearings from being scheduled on victims’ birth or death dates. It received support from corrections officials and victims’ advocates, and the committee passed it without objection. The final major item was Senate Bill 50, which would remove several statutory in-service training mandates for law enforcement and give the Standards and Training Council more flexibility to set curriculum. Supporters said the current requirements are outdated and too rigid; opponents warned the bill could weaken recurring training in domestic violence, sexual assault, crisis intervention, and other high-risk areas. A motion to table failed, and the committee ultimately passed SB 50 on a roll call vote, despite divided member views.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 6th, 2026

House Judiciary

Transcript Highlights:
  • There was a 1% decline in CMS patients—Medicare and Medicaid patients—in short-term private equity hospitals
  • Part of why this has become such a big issue is that litigation has become the catch-all for systems reform
  • But I agree wholeheartedly that we cannot use the legal system to reform health care.
  • I believe we can reform and improve our malpractice system.
  • I believe we can reform and improve our medical system.
Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136
Summary: The committee first took up House Bill 99, which would make changes to the Medical Malpractice Act, especially around punitive damages. The chair and sponsor said the bill would not be voted on that day and that public comment would wait until Monday, when a fuller presentation and any recommended substitute would be considered. Dr. Brooke Baker, a physician-lawyer, gave a long presentation on physician wellness, malpractice stress, and the effect of litigation on staffing and burnout, while also discussing hospital ownership structures, private equity, and rural hospital vulnerability. She argued that punitive damages are often pled too broadly in New Mexico, that the amendment language was unclear about which entities would be capped, and that better oversight and internal quality systems—not punitive damages—are the better tools for addressing bad actors and unsafe care. Committee members from both sides asked extensive questions about the patient compensation fund, indemnification, corporate structures, the effect of caps on insurance and recruitment, and whether the bill would protect physicians’ personal assets. No vote was taken on HB 99, and the committee recessed before moving to the next bill. The committee then returned to House Bill 49, a public safety measure increasing penalties for felons who possess firearms. The sponsors and law enforcement witnesses said the bill is aimed narrowly at serious violent felons who are already prohibited from having guns, and that it would align state sentencing with federal law and give police and prosecutors a stronger tool against repeat violent offenders. An amendment was offered to narrow the bill further, add destructive devices, and make the offense a second-degree felony rather than escalating to first degree on repeat offenses. The amendment was adopted without opposition. Public testimony on HB 49 was largely opposed. The Law Office of the Public Defender argued the bill criminalizes possession without a new act of violence, that current law already punishes felon-in-possession conduct, and that New Mexico has repeatedly increased penalties without evidence of reduced gun crime. The ACLU of New Mexico also opposed the bill, saying increased penalties are not a proven deterrent. The transcript cuts off as additional online opposition testimony was beginning.