Transcript Highlights:

• This is the place where all of those things intersect, and there is no single reform that is going to
• This is the place where all of those things intersect, and there is no single reform that is going to
• First, a large proportion of maternal deaths occur among Medicaid beneficiaries.
• And these pregnant Medicaid beneficiaries often struggle to access obstetric care.
• First is expanding Medicaid coverage to cover doulas.

Summary: The committee held its inaugural meeting and heard opening remarks from the chair and vice chair about the committee’s purpose: studying issues affecting women and children in Louisiana, including health, education, economic opportunity, safety, and criminal justice. After roll call, the committee proceeded with informational presentations rather than taking any formal votes. Members emphasized the committee’s role in gathering testimony and identifying policy solutions. The first major presentation came from the Governor’s Office of Human Trafficking Prevention. The director reviewed 2025 data showing 2,963 identified victims, 15,437 service instances, and trafficking reports in 62 of 64 parishes. She explained Louisiana’s coordinated response system, including screening tools, child advocacy center referrals, and the DCFS hotline option for trafficking reports. She also described familial trafficking, new victim outreach and identification tools, and two priority bills: HB 321, which would create immunity from prostitution offenses for child victims under Safe Harbor principles, and SB 83, which would require school board trafficking policies and expand victim advocacy services to labor trafficking victims and survivors up to age 21. Committee members asked about reporting procedures, school use of the tools, service gaps, and whether the data showed increases due to better identification. The committee then heard from the Attorney General’s office on online child exploitation and child sexual abuse material. The presenter said the Louisiana ICAC Task Force received 31,203 tips in 2025, made 545 arrests, identified or rescued more than 80 child victims, and executed over 1,500 search warrants. He described rapid tip-to-arrest responses in recent cases, the expansion of partner agencies statewide, and the creation of an Orleans Metro ICAC task force. Members asked about community presentations, the role of social media in exploitation, the use of geolocation, the prosecution of out-of-state offenders, and the need for more analysts and outreach staff. The discussion also covered sadistic online enticement, sextortion, live-streamed abuse, and the need for parents and schools to monitor children’s online activity. At the end of the meeting, the committee began receiving a legislative auditor’s presentation on the treatment and care of incarcerated women, focusing on jail policies, health care, restraint use, and reentry, but the transcript cuts off before that presentation is completed. No committee votes or formal actions were recorded in the portion provided.

Transcript Highlights:

• So, we'll do a refresh Medicaid 101.
• So Medicaid 101 refresh.
• You can see the different threshold amounts for Medicaid eligibility groups through Medicaid and CHIP
• Medicaid enrollment on slide 25.
• I, I think the anecdotally from Medicaid.

Transcript Highlights:

• Over the past decade, we've delivered meaningful across-the-board tax relief, and today those reforms
• Let's talk about postpartum Medicaid.
• Arkansas is the only state in the country that hasn't extended postpartum Medicaid coverage to struggling

Keywords: 1204, all

Transcript Highlights:

• HB10 by Kerrig-Leone, related to the reforming the procedure by which the state agencies adopt rules
• Services and supports under the Medicaid program which the individual on the waiting list for services
• 21, by B.U.C., proposing a constitutional amendment requiring the state to expand eligibility for Medicaid

Keywords: 1184, house, all

Transcript Highlights:

• If my brother loses his Medicaid, we will be lost.
• If my brother loses his Medicaid, we will be lost.
• If my brother loses his Medicaid, we will be lost.
• Her health has improved thanks to Medicaid.
• and Medicaid.

Bills: HB2334 , HB2140 , HB2326 , HB2100

Committee: House Finance

Keywords: cash transactions, pennies, currency adjustment, economic impact, consumer protection, tax exemption, governmental transfer, agriculture, land use, property tax, emergency medical services, levies, healthcare funding, local government, taxation, excise tax, large companies, payroll expenses, minimum wage, Well Washington fund

Transcript Highlights:

• Um Medicaid, as we this core service.
• </c><01:20:36.560><c> oversight</c> true for us is that Medicaid oversight true for us is that Medicaid
• So historically Medicaid when we can.
• </c><01:25:14.000><c> funding</c> between um potential Medicaid funding between um potential Medicaid
• </c> issues with our grantees or Medicaid issues with our grantees or Medicaid providers.<01:27:17.920

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• </c> about is how they have slashed Medicaid about is how they have slashed Medicaid and<00:58:46.400
• Medicaid Largest cut to Medicaid in<01:02:16.319><c> American</c><01:02:16.720><c> history.
• </c><02:28:17.040><c> and</c> hurt people who are on Medicaid and hurt people who are on Medicaid and
• Slashing Medicaid repeating.
• </c> billion in cuts to Medicaid. billion in cuts to Medicaid. $536 $536 billion in cuts to Medicaid.

Keywords: U.S. House of Representatives Floor Proceedings on Friday, September 19, 2025, 1012, house, all

Transcript Highlights:

• And I know the chairman could speak quite eloquently to the reforms of the entitlement programs that
• pertains to the government efficiency and reform initiative savings target of $100 million.
• These reforms are necessary to ensure that people who need the benefits can get them.
• And these reforms are included, and they will become law.
• They've worked on H.R. 1 and Medicaid and SNAP. ...the reforms to make the state function and deliver

Keywords: 1182, all

Transcript Highlights:

• We're making sure that Medicaid stays strong for the people who truly count on it.
• . this Medicaid uh the lies the lies. this Medicaid uh package<07:24:14.638><c> is</c><07:24:14.958><
• reform, the fight<08:11:40.000><c> continues.
• , Medicare, the Fair Act, Medicaid, Medicare, the Fair Housing<08:13:53.200><c> Act.
• Take the tragic action on Medicaid, for example.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, July 14, 2025, 1012, house, all

Transcript Highlights:

• Chair Gates: Well, that's how we did it in the PFC reform. We said 80% was moderate.
• Chairman Gates should be commended for striving to achieve these broad reforms.
• We did PFC reform last session. Why did we do that?
• But they didn't talk about reforms.
• I don't qualify for Medicaid. I don't qualify for food stamps.

Bills: HB21 , HB211 , HB223

Committee: House Intergovernmental Affairs

Keywords: HB 21, Texas Tax Code, ad valorem tax, property tax, delinquent taxes, tax delinquency, penalty reduction, interest rate, split payment, installment payment, tax relief, county tax collector, taxing unit, property owner, tax collection, voter-approval tax rate, no-new-revenue tax rate, tax increase election, supermajority, 60 percent threshold

Transcript Highlights:

• We reformed the eligibility for behavioral health fund for substance use services.
• More than 42% of our kids are on Medicaid, and the seniors who are depending on nursing homes, people
• I think that if we as a body can move ahead and also add to your work with a rate reform bill, which
• So individuals who are billing uh<00:23:46.799><c> for</c><00:23:47.039><c> Medicaid</c><00:23:47.520
• </c> rate reform rate reform bill,<00:26:46.000><c> which</c> bill, which bill, which is<00:26:48.480

Bills: HF2433 , HF2434

Committee: House Ways and Means

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• And the fact that it's tied in with SB 401 also means that you'll be able to see these reforms working
• And the fact that it's tied in with SB 401 also means that you'll be able to see these reforms working
• It's problematic because it inflates costs for employers and state Medicaid programs.
• It's problematic because it inflates costs for employers and state Medicaid programs.
• So what we're addressing here is PBM compensation reform at the end of the day.

Committee: House Insurance

Summary: The House Insurance Committee met on April 29 with a quorum present and took up several insurance and health care-related bills. SB 192, a dental reimbursement bill, was amended to allow dentists to opt in electronically to credit-card payment methods and to clarify applicability and effective date; it was reported as amended. SB 84 would require prostate cancer screening coverage for men over 40 under current clinical guidelines and prohibit cost-sharing; supporters from the American Cancer Society said Louisiana has a high incidence of prostate cancer and that out-of-pocket costs deter early screening. The committee adopted amendments and reported the bill as amended. SB 275, dealing with reimbursement and network participation for certified registered nurse anesthetists, drew support from nursing and hospital groups and was reported favorably. SB 169, a cleanup bill on biomarker testing, was also amended and reported. The committee spent substantial time on SB 401, which creates a temporary prescription drug affordability board to review pricing data on selected drugs and report findings to the legislature. Supporters said the board would improve transparency and help lawmakers understand drug pricing trends; opponents raised concerns about confidentiality, market effects, and the lack of a defined policy outcome beyond reporting. Amendments narrowed the scope, added confidentiality protections, and removed opposition cards, and the bill was reported as amended. SB 387, a major PBM reform bill tied to SB 401, would change PBM compensation, rebate handling, formulary practices, audits, and appeals, while excluding ERISA plans after discussion and amendment. Supporters argued it would curb spread pricing and other practices that raise costs, while opponents from the Pelican Institute and PCMA warned it would interfere with private contracts, reduce flexibility, and could raise premiums or disrupt city, school board, and small-group plans. After extensive debate and a roll call, SB 387 was reported with amendments by a 10-4 vote. The committee also considered SB 241, which requires certain insurance adjusters and public adjusters to include license numbers in written communications. After amendments limiting the requirement to individual licenses and removing one statutory reference, the bill was reported as amended. Throughout the meeting, members and witnesses repeatedly discussed the need for transparency in drug pricing and PBM practices, the role of ERISA and non-ERISA plans, and potential impacts on public employers and consumers.

Transcript Highlights:

• Contra Costa County faces similar pressures as federal cuts cascade through Medicaid, SNAP, and other
• dollars for California alone, the defund meant that the state lost over $300 million in federal Medicaid
• Lenny Goldberg, on behalf of the California Tax Reform Association, and I'm here because I was here 40
• Danny Kando Kaiser on behalf of the California Tax Reform Association, which includes AFSCME California
• Because of the FTB reports and the sheer volume of people testifying against this reform.

Summary: The Assembly Committee on Revenue and Taxation heard several bills dealing with tax policy, local revenue authority, consumer protections, and incentives for development. AB 1726 would create catastrophe savings accounts for homeowners to save pre-tax dollars for disaster mitigation and recovery costs; it drew support from the Department of Insurance and the California Bankers Association, while the California Teachers Association opposed it because of the General Fund and Prop. 98 impact. The bill was referred to suspense. AB 1768 would authorize Los Angeles and Contra Costa counties to ask voters to approve local transaction and use taxes to offset projected federal funding cuts affecting health care and safety-net services; it received broad support from health providers and county representatives, opposition from one member and a resident, and passed the committee 5-2 to the Assembly Local Government Committee. The committee also considered AB 1790, which would repeal the Waters Edge corporate tax election and require worldwide combined reporting for multinational corporations. The author and supporters argued it would close a loophole, raise several billion dollars annually, and help fund schools, Medi-Cal, and other programs; opponents warned of double taxation, compliance burdens, retaliation from foreign governments, and job losses. After extensive testimony and member debate, the bill was referred to suspense. AB 2020 would provide a full property tax exemption for the primary residence of 100% disabled veterans and surviving spouses, and AB 2069 would create a targeted sales and use tax exemption to spur development projects at fairgrounds; both measures had support from sponsors and related organizations, no opposition, and were referred to suspense. Finally, AB 2705 would regulate third-party “asset finders” who help claim excess proceeds from tax sales by requiring written agreements, disclosure that claims can be filed free with the county, and a cap on fees at 10%. County officials and local government groups supported the bill as a consumer protection measure, while recovery companies and related firms opposed it, arguing the work is complex and the cap would reduce access to services. The committee moved AB 2705 to the Assembly floor on a 4-0 vote.

Transcript Highlights:

• having to conform with what is happening on the federal level in regard to eligibility across the Medicaid
• realize those savings and to use it to support broadly the rest of the budget, which includes the Medicaid
• Which includes the Medicaid program. So this budget's basically on the backs of those people.
• This bill allocates $125 million for emergency services for people losing Medicaid.
• We would like to continue working with the Legislature next year on reforming this inequitable policy

Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, as the main item. Committee leaders described the legislative budget agreement as a balanced two-year plan with about $355.9 billion in total spending, $253 billion from the General Fund, and $36.5 billion in reserves. The Legislative Analyst and Department of Finance said the package assumes about $5.5 billion in higher revenues than the May Revision and uses those resources for a mix of spending changes, including higher Proposition 98 support, additional child care slots, housing and homelessness funding, delayed Medi-Cal reductions, and added support for counties, public hospitals, and distressed hospitals. The administration said the plan resembles the May Revision’s overall structure but includes new spending and revenue assumptions, and members noted that separate revenue trailer bills would be heard later in the week. Much of the committee discussion focused on Medi-Cal, H.R. 1, and the impact on immigrants, low-income workers, counties, and hospitals. Several senators criticized the budget for locking in savings from delayed or reduced Medi-Cal coverage and for not including a mechanism to restore eligibility, while administration and LAO staff said the package delays some reductions but does not automatically reinstate coverage. Finance staff said roughly 1.5 million to 2 million people with unsatisfactory immigration status would move from managed care to fee-for-service, with coverage largely unchanged except for certain services not federally allowed. Members also discussed county administrative funding, indigent care, public hospital support, and the expected rise in uncompensated care. Other topics included In-Home Supportive Services, child care, homelessness funding, Prop. 36, courthouse construction and new judgeships, transit and cap-and-invest/GGRF funding, local journalism, and workforce or reentry programs. Committee members split along party lines in their comments. Democratic members generally supported the agreement as a difficult but responsible compromise that protects core services, preserves reserves, and makes targeted investments in education, housing, health care, and justice system capacity. Republican members argued the budget relies on unrealistic revenue assumptions, does not sufficiently reduce spending, and includes costly policy choices and tax increases. Public testimony largely came from advocates and stakeholders who supported IHSS, Medi-Cal, child care, domestic violence services, hospitals, transit, and other programs, while some business and health plan representatives raised concerns about tax proposals and the shift from managed care to fee-for-service. The chair then moved the committee to public comment and indicated that the revenue bills would return later in the week; no final vote on AB 109 is reflected in the portion provided.

Transcript Highlights:

• , Representative Lockett, a concurrent resolution establishing the Child Welfare and Family Court Reform
• act relating to the establishment<00:07:30.360><c> of</c><00:07:30.480><c> a</c><00:07:30.520><c> Medicaid
• </c><00:07:31.000><c> state</c> establishment of a Medicaid state establishment of a Medicaid state directed
• <00:07:49.400><c> and</c><00:07:49.520><c> Family</c><00:07:49.840><c> Court</c><00:07:50.120><c> Reform
• </c> Child Welfare and Family Court Reform Child Welfare and Family Court Reform Task<00:07:50.920><c

Keywords: 958, all

Transcript Highlights:

• intellectual and developmental disabilities and must comply with federal requirements for Hawaii's Medicaid
• 00:16:14.920><c> Hawaii's</c> federal requirements for Hawaii's federal requirements for Hawaii's Medicaid
• </c> Medicaid 1915 waiver. Medicaid 1915 waiver.
• He said he cited evidence from Florida, a 2026 working paper that studied Florida's similar reform.
• </c> studied Florida's similar reform. studied Florida's similar reform.

Committee: House Labor

Keywords: 910, house, all

Summary: The House Committee on Labor met on February 19, 2026, and heard a series of bills largely focused on public employment, staffing, and professional licensing. Early measures included HB 2276 and HB 2472, both relating to Hawaii Employer-Union Health Benefits Trust Fund staff salaries, which were supported by trust fund representatives and received no opposition or questions. The committee also heard HB 1714 HD1 on housing, where the Hawaii Public Housing Authority testified with comments and the Deputy Attorney General raised concerns about the scope of autonomy, civil service, collective bargaining, and a possible separation-of-powers issue involving legislative approval of long-term contracts. The committee then considered several personnel and civil service bills. HB 2325 HD1, relating to civil service exempt positions at DLNR, drew support from DLNR and the Office of Planning and Sustainable Development, but HGEA opposed it and urged the department to seek other recruitment and retention solutions while keeping employees in civil service. HB 1541, relating to Department of Health positions, was supported by DOH on the grounds that the positions serve vulnerable populations and require specialized expertise, while HGEA opposed. HB 2140 HD1, relating to essential permanent positions, received support from OPSD, HGEA, and the Chamber of Commerce, with written comments from the city Department of Budget and Fiscal Services. HB 2315 HD1, relating to state employment benefits, was strongly supported by DOH, UPW, and HGEA as a recruitment and retention incentive; members questioned the pilot program, and DOH explained it would allow employees to cash out vacation leave earlier than current policy allows. The committee also heard HB 2295 on government contracting, with DOE support not present and IBEW 1186 in opposition. HB 1720, relating to professional engineers, drew strong support from the City and County of Honolulu’s planning department, which argued the bill would help with affordable housing review and only affect eligibility to sit for the licensure exam, but strong opposition from engineering industry and licensing board representatives, who warned it would lower licensing standards and harm reciprocity; members questioned both sides about plan review experience and licensure requirements. HB 2367, relating to employment earnings and pay transparency, received strong support from the Hawaii Civil Rights Commission, AAUW, the Commission on the Status of Women, and others, who said transparency helps small businesses and retention, while written opposition came from the Maui Chamber of Commerce and NFIB. Finally, HB 1935, relating to personal information, drew comments from the Attorney General and the Campaign Spending Commission about implementation burdens and disclosure requirements, with UPW supporting the home-address redaction portion but opposing the broader disclosure process; additional written testimony was noted from OIP, the League of Women Voters, Public Press Law Center, HGEA, and DCCA.

Transcript Highlights:

• They are part of Students Demand Action, an advocacy group that is working for common-sense gun reform
• They also do the investigations for Medicaid fraud.
• They also do the investigations for Medicaid fraud.
• He prioritized education reform, raising teacher pay and expanding access to community colleges.
• He modernized state government, reformed civil service, and invested in public health.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions and moments of silence, including tributes related to the FSU campus shooting, Coach Amir Abdur-Rahim, John Thrasher, the Florida Wildlife Corridor, and visiting student and community groups. The chamber then moved into special order bills and adopted a resolution honoring Coach Abdur-Rahim. A number of measures were taken up and passed, including child care and early learning provider regulation updates, false reporting/swatting penalties, health care billing and collection protections, hazardous walking conditions for schoolchildren, young adult housing support for foster and homeless students, the Family Empowerment Scholarship Program, trust fund interest rules for IOTA accounts, transportation-related changes, public records exemptions for AHCA investigators, JQC employees, and appellate court clerks, municipal water and sewer utility rates in Miami-Dade, motor vehicle offenses involving obscured plates and impersonating law enforcement, trespass at large-scale ticketed events, refund of patient overpayments, stem cell therapy standards, insulin administration by direct support professionals and relatives, pre-arranged transportation services, and the Uniform Commercial Code update for digital assets. Several bills were amended before passage, often by substituting House companions and adopting late-filed amendments. The transportation bill was significantly revised to remove speed-limit increases and utility-related provisions while adding beach equipment removal, flood-wake enforcement, expectant mother parking permits, and local regulation of micromobility devices; it passed 37-0. The trust fund interest bill drew the most debate, with supporters arguing it right-sized a volatile funding stream for legal aid and opponents warning it would sharply reduce support for legal aid organizations; it passed 28-10. The municipal water and sewer rate bill also prompted extended debate over fairness, fiscal impact, and accusations of racism, but passed 36-2. Public records exemption bills for AHCA investigators, JQC employees, and appellate clerks passed with varying margins, with supporters emphasizing safety and anti-doxing protections. One bill on cardiac emergencies and another on education were temporarily postponed. Most measures were adopted by wide margins, often unanimously, after brief sponsor explanations and little or no debate. The Senate also adopted a resolution honoring the late USF coach Amir Abdur-Rahim and recognized several visiting groups in the gallery. After completing the day’s special order calendar, the Senate recessed for lunch until 1:30 p.m. or on call of the President.

Transcript Highlights:

• Medicaid is losing 100... These are the cuts.
• And the Center for American Progress noted that the cuts to Medicaid, CHIP, that's children's health
• But we reformed it.
• But he did a good job of adding reforms to the infrastructure reimbursement program.
• But he did a good job of adding reforms to the infrastructure reimbursement program.

Summary: The meeting began with prayer, the Pledge of Allegiance, attendance, and a guest introduction for Deputy Frank Sloop. The Senate then moved through multiple Committee of the Whole calendars, with most measures receiving do-pass recommendations after brief explanations and, in several cases, floor amendments. Topics included public records, capital outlay review, local government, taxation, state budget implementation, higher education appropriations, utility regulation, towing regulation, homeowners association disclosures, nursing board regulation, veteran services, criminal justice, human services, K-12 education, state property management, and the continuation of the Arizona State Board of Nursing. Several bills were amended on the floor before receiving favorable recommendations. House Bill 2114 on motorcycle-related provisions was amended to require that at least one registered owner be legally licensed to operate a motorcycle in Arizona. House Bill 2397 on HOA/condominium disclosures was amended to change disclosure timing and fee rules and make other conforming changes. House Bill 2408 on nursing board regulatory action was amended to remove a clear-and-convincing-evidence burden in disciplinary matters and clarify complaint-sharing procedures. House Bill 2957 on driver’s license/handheld provisions, House Bill 2305 on towing regulation, and House Bill 2321 on DCS-related reporting also received amendments before do-pass recommendations. The largest item was Senate Bill 1847, the 2026-2027 General Appropriations Act. Senators offered extensive floor amendments affecting agriculture, corrections, criminal justice, school safety, law enforcement equipment, vehicle theft task force funding, liquor licensing, and other budget items. During third reading and debate on the budget, Democratic senators praised negotiated gains such as funding for aging services, food assistance, civil legal aid, school meals, heat relief, and a three-year moratorium on new data center tax incentives, while criticizing border-related funding, ESA/voucher policy, and cuts to higher education and adult education. One member’s remarks were ruled dilatory after repeated off-topic comments, and the ruling of the chair was sustained by a 16-12 vote. The transcript ends with additional budget-related explanation of votes continuing after the budget’s third reading.

Transcript Highlights:

• The promise of CalAIM and payment reform has been realized by many counties in the past two years, as
• There are many holes and gaps in coverage, whether it is the IMD exclusion in Medicaid or services and
• that has been done over the course of the last five, seven years with CalAIM and some of the other reforms
• And with CalAIM and payment reform and really the focus on the managed care plan...
• With CalAIM and payment reform and really the focus on the managed care plans taking on their portion

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• Why the hell would we give them more money without real reforms?
• </c> which ripped away Medicaid which ripped away Medicaid from<00:27:39.279><c> 14</c><00:27:39.600>
• </c><00:27:45.039><c> At</c><00:27:45.279><c> the</c> Medicaid in American history.
• At the Medicaid in American history.
• So, the one big ugly bill defunded Medicaid.

Keywords: U.S. House of Representatives Floor Proceedings on Friday, March 27, 2026, 1012, house, all