Video & Transcript : 'Medicaid reform' :
Page 93 of 489
LA
Transcript Highlights:
- Well, right now, Medicaid is the only payer on said services.
- There’s not a cap on the Medicaid side.
- We will save Medicare and Medicaid money and make it work.
- This set of amendments removes Medicaid from the bill. Thank you. Medicaid from the bill.
- Reform, present and would like to speak in opposition.
Committee:
House Appropriations
Summary:
The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration.
The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended.
House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/25/25
Commerce Finance and Policy
Transcript Highlights:
- whether it's coming from a Medicare Advantage plan, a Medicare Supplement Plan, or in many cases Medicaid
- there are only about 10% cases Medicaid there are only about 10% of<00:02:36.280><c> Medicaid</c><00
- members overall just have of Medicaid members overall just have basic<00:02:38.599><c> Medicare</c><
- </c><00:25:24.640><c> in</c> states have done this type of reform in states have done this type of reform
- </c> so the financial institution reform so the financial institution reform recovery<00:37:40.240><c
Committee:
House Commerce Finance and Policy
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Revenue Jun 21st, 2026 at 10:00 am
Joint Committee on Revenue
Transcript Highlights:
- The uncertainty of federal funding, the possibility of reductions in Medicaid and Medicare, and the lack
- The uncertainty of federal funding, the possibility of reductions in Medicaid and Medicare, and the lack
- I'm a housing attorney at the Massachusetts Law Reform Institute.
- I'm a housing attorney at the Massachusetts Law Reform Institute.
- The MBTA Communities Act and Affordable Homes Act are both once-in-a-generation initiatives to reform
Committee:
Joint Joint Committee on Revenue
Summary:
The Joint Committee on Revenue held a public hearing on a series of bills focused largely on local-option real estate transfer fees and housing funding tools for communities facing severe affordability pressures. Testimony strongly favored bills for Somerville, Concord, Martha’s Vineyard, Nantucket, Chatham, and a statewide local-option transfer fee, with speakers arguing that high-end real estate transactions should help fund affordable housing, anti-displacement efforts, workforce housing, and related capital improvements. Elected officials and local housing leaders described rising rents and home prices, investor activity, shrinking year-round housing stock, and difficulty recruiting or retaining teachers, police, health care workers, and other essential employees. Several witnesses emphasized that the proposals would be optional for municipalities, could include exemptions for first-time homebuyers or seniors, and would direct revenue into local affordable housing trust funds or housing banks. Committee members asked questions about who would pay the fee and whether it could make housing less affordable, and supporters responded that the fees would be targeted at higher-value transactions and designed with local flexibility.
For Somerville, the delegation and Mayor Katjana Ballantyne backed both a local home rule petition and statewide enabling legislation, saying the city has already used zoning reform, inclusionary zoning, and local housing funds but still needs a new revenue source to address displacement and investor-driven purchases. For Concord, Representative Carmine Gentile and Concord housing advocates supported a home rule petition and the statewide bill, arguing that a modest fee on sales above $1 million could generate predictable revenue for affordable housing production and preservation. One committee exchange focused on whether the fee would affect most Concord sales and whether it would be passed on to buyers; supporters said the policy was intended to shift costs toward higher-value properties and help leverage other funding sources.
The committee also heard testimony on House 4105, which would redirect a casino-related revenue stream to the Healthy Incentives Program. Farmers, advocates, and residents said the current funding was originally intended to support horse racing but has not met that goal, and that the money would be better used to support Massachusetts farmers and food-insecure residents through HIP. In a separate bill, Senator Becca Rausch testified in support of Senate 268, which would create a state-level hostile learning environment complaint process for higher education institutions and potentially strip tax exemptions from colleges or universities found to have such environments; she cited anti-Semitic and transphobic incidents on campuses and argued that existing federal protections should be mirrored in state law. The hearing also included testimony on college tuition debt reduction legislation from Senator Michael Moore, who said the bill would allow a deduction for tuition and fees paid to Massachusetts public colleges and universities to ease student debt and support the state’s workforce.
A major portion of the hearing focused on Martha’s Vineyard and Nantucket housing bank proposals. Hospital, school, housing, planning, and municipal officials from Martha’s Vineyard said the island’s year-round housing shortage is harming health care, schools, and the local workforce, and urged approval of a housing bank funded by a local-option transfer fee. Nantucket witnesses made similar arguments, pointing to a very high median home price, a large seasonal housing stock, and the need for a dedicated revenue stream to preserve and create year-round housing. Supporters repeatedly cited the long-running success of the islands’ land banks as evidence that transfer fees can work without harming real estate markets. Senator Julian Cyr and Representative Thomas Moakley Luddy also backed the Cape and Islands transfer-fee bills, saying the region needs bold action and a sustainable local funding source to address its housing crisis.
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 097 Apr 21st, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- And to me, it speaks volumes to the fact that there had to be an amendment to carve out Medicaid with
- going</c> And to me, it speaks volumes to the fact that there had to be an amendment to carve out Medicaid
- Senate Bill 150 by Senators Ball and Juden and Representatives Frolick and Jackson, concerning reforms
- and Juden and Representatives Frolick and Jackson<00:39:58.400><c> concerning</c><00:39:58.800><c> reforms
- reforms to the Regional<00:39:59.800><c> Transportation</c><00:40:00.440><c> District</c><00:40:00.800
AZ
Arizona 2026 Regular Session
03/23/2026 - Senate Federalism and Family Law
Federalism and Family Law
Transcript Highlights:
- I'm with Red State Reform, a civic action group here in Arizona.
- I'm with Red State Reform, Civic Action Group here in Arizona.
- I'm the father of reform, civic action group here in Arizona.
- We think there are better ways, such as expanded Medicaid postpartum coverage, increasing prenatal care
- Not everybody is on Medicaid or assistance, so that seems like a red herring to me.
Bills:
HB2041 , HB2144 , HB2239 , HB2321 , HB2371 , HB2594 , HB2661 , HB2662 , HB2793 , HB2968 , HB2995
Committees:
Senate Federalism and Family Law , Senate Senate Federalism and Family Law Committee of Reference
Keywords:
child neglect, financial resources, behavioral health, Christian Science treatment, parental rights, child support, preborn children, retroactive support, medical expenses, child welfare, child care, grant program, low-income, early learning, infrastructure, economic growth, security freeze, credit reporting, dependent children, parental notification
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 10:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- Can you clarify the additional reforms planned for home care relative to this budget, and why are you
- Medicaid and the forthcoming cuts.
- particularly interested in Holyoke, but also in Chelsea, too, how that rollout in the governance reform
- interested in Holyoke, but also in Chelsea, too, how that roll, as that rollout in the governance reform
- We've also undertaken a significant effort to maximize Medicaid waiver revenues to ensure the fiscal
Committee:
Joint Joint Committee on Ways and Means
Summary:
The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began.
MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services.
The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal.
The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 20th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- Can you clarify the additional reforms planned for home care in this budget and why are you so deeply
- really significant impacts from the loss or anticipated loss of federal dollars to programs like Medicaid
- Medicaid and the forthcoming cuts.
- interested in Holyoke, but also in Chelsea, too, how that roll, as that rollout in the governance reform
- We've also undertaken a significant effort to maximize Medicaid waiver revenues to ensure the fiscal
Committee:
Joint Joint Committee on Ways and Means
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Forty Nine - Thursday, April 9
Missouri House Floor Meeting
Transcript Highlights:
- The part of this bill that deals with Medicaid is going to cost the taxpayers of the state a million
- the research, those who talk to the heads of the department, that the fraud that happens within Medicaid
- And when we talk about trying to reform the system, this is what we're trying to reform: people that
CA
California 2025-2026 Regular Session
Senate Health Committee Mar 25th, 2026
Transcript Highlights:
- support and also our lead witnesses, I think that, you know, we are all aware of the fact that, under Medicaid
- H.R. 1, the federal reconciliation bill signed last year, makes significant changes to Medicaid eligibility
- We think this is a common-sense bill that helps us provide necessary reforms and ensure that we don't
- This is a common-sense reform that reduces unnecessary conflict, improves efficiency, and keeps the focus
Summary:
The Senate Committee on Health heard several health-related bills, with extensive public testimony and multiple roll-call votes. SB 895, by Senator Wiener, would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support science and health research in California amid federal funding cuts. The author and UC researchers argued the measure would protect jobs, public health, and the state’s research leadership; many universities, labor groups, and patient advocates testified in support, and there was no opposition. The committee members praised the bill, and it passed 6-0 to the Committee on Natural Resources and Water. SB 944, also by Senator Wiener, would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds. Supporters, including acupuncturists, patients, community organizations, and health access advocates, described acupuncture as effective, low-cost, and culturally important care; there was no opposition. The committee discussed access for API communities and Medi-Cal patients, and the bill passed 6-0 to the Committee on Appropriations.
SB 987, by Senator Wiener, would create a California Health Access Fund to capture state savings if federal Medicaid changes cause Medi-Cal enrollment losses, with the goal of redirecting those savings to care for affected patients and providers. Support came from disability, consumer, family physician, emergency physician, psychiatric, medical, and safety-net hospital groups. Committee members discussed prioritizing indigent care, prevention, and other vulnerable populations if savings materialize. The bill passed 8-0 to Appropriations. SB 964, by Senator Smallwood-Cuevas, would limit prior authorization barriers by allowing certain dose or frequency adjustments for covered medications without repeated authorization, up to two clinically appropriate changes. The bill was supported by a Crohn’s and colitis patient and sponsor testimony describing delays in care, while health plans and insurers opposed it over safety, FDA-labeling, and cost concerns. Committee members raised questions about off-label use and clinical standards, but the author said the bill was intended to reduce delays and avoid emergency care; it passed 11-0 to Appropriations.
SB 1099, by Senator Reyes, would clarify local governments’ authority to provide state and local public benefits to all residents under PRWORA-related exemptions, to reduce legal uncertainty for local safety-net programs. County counsel and city attorney representatives said the bill would preserve local flexibility to provide services such as health care, shelter, crisis response, and food distribution without unnecessary eligibility barriers; there was no opposition, and the bill passed 11-0 to the Committee on Human Services. SB 1033, by Senator Padilla, would require manufacturers of protein products to test for heavy metals and disclose results. Supporters cited Consumer Reports findings of lead, cadmium, arsenic, and mercury in protein powders and beverages, while opponents asked for narrower scope and raised concerns about naturally occurring metals and over-warning consumers. The committee discussed narrowing the bill and the need for transparency, and it passed 11-0 to the Committee on Environmental Quality. Finally, SB 1049, by Senator Weber-Pearson, would give providers a fair opportunity to correct certain claim errors after a health plan action, rather than being barred by original filing deadlines. An OBGYN testified that a missing diagnostic code led to large clawbacks and delayed payments despite appropriate care; the bill was presented as a limited fix for honest mistakes. The transcript ends during testimony on SB 1049, before a final vote is shown.
CA
Transcript Highlights:
- support, and also our lead witnesses, I think that, you know, we are all aware of the fact that, under Medicaid
- H.R. 1, the federal reconciliation bill signed last year, makes significant changes to Medicaid eligibility
- We think this is a common-sense bill that helps us provide necessary reforms and ensure that we don't
- This is a common-sense reform that reduces unnecessary conflict, improves efficiency, and keeps the focus
Committee:
Senate Health
WV
West Virginia 2026 Regular Session
Senate in Session Mar 10th, 2026 at 11:05 am
West Virginia Senate Floor Meeting
Transcript Highlights:
- bid solicitation for a pharmacy cost containment contract to examine prescribing practices, having Medicaid
- bid solicitation for a pharmacy cost containment contract to examine prescribing practices, having Medicaid
- Engrossed Committee Substitute for House Bill 5364, reforming boards and commissions, second reading
- House Bill 5364 is intended to streamline government by repealing, reforming, and transferring authority
Summary:
The Senate opened with prayer, the Pledge of Allegiance, journal approval, and numerous guest introductions, including students, community leaders, food bank representatives, and visitors connected to Hunger Free West Virginia Day. A resolution recognizing March 10, 2026, as Hunger Free West Virginia Day was adopted, and Senate Concurrent Resolution 7 on the Southern West Virginia water crisis was referred to the Rules Committee. The chamber also heard remarks highlighting Hunger Free West Virginia’s work and a West Virginia company, Unigen, developing pharmaceutical manufacturing in the state.
The Senate concurred with House amendments and passed several measures, including Senate Bill 467 on enforcement of Purple Heart parking spaces, Senate Bill 712 on cattle guards on certain public roads, and Senate Bill 781, a supplemental appropriation measure that was also made effective from passage. The chamber then adopted and passed Senate Bill 844, a large supplemental appropriation to the Department of Human Services, and Senate Bill 87, a supplemental appropriation to the Department of Commerce, both effective from passage. Other third-reading bills passed included the Blue Envelope Program for drivers with autism, dementia, or intellectual and developmental disabilities; coverage for scalp cooling systems during chemotherapy; expansion of sex-offender registration to include solicitation of a minor and non-consensual disclosure of private images; child safety reporting requirements for school personnel; age-verification requirements for websites hosting harmful sexual material; free Gold Star parent vehicle registration; online training and updated standards for sanitarians; sheriff hiring authority; organ donor registration through voter registration; a Cold Case Task Force; abandoned vehicle title procedures; nutrition continuing education for physicians; special plate rules; gift card fraud offenses; protections for athletic officials; in-year school personnel movement; administrative services powers; pharmacy benefit manager regulation; vape shop regulation; reduced parole supervision fees; disability service credit for certain troopers; property valuation reporting changes; and quarterly Hope Scholarship payments.
The Senate also advanced a large number of House bills and committee substitutes on second reading, including supplemental appropriations and measures on mental health examinations, dog registration rules, juvenile jurisdiction on military installations, military interpersonal violence, kinship care subsidies, a statewide prevention plan, contraband smuggling into federal prisons, forestry equipment levy treatment, and Commerce Department rules for microgrid districts and high-impact data centers. Several committee amendments were adopted, and many bills were advanced to third reading without objection. No executive communications were reported.
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Mar 18th, 2025
Appropriations Committee on Health and Human Services
Transcript Highlights:
- So under Medicaid right now, are there caps on qualified home and community-based services?
- So under Medicaid right now, are there caps on qualified home and community-based services?
- My name is Andy Bolin, and I am here on behalf of the Florida Justice Reform Institute.
- So you can imagine the interest I would have in legal reform.
Summary:
The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably.
The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-05-29 (9:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- More than 76 percent of that growth, or $1.7 billion, fully supports the Medicaid and KidCare caseload
- You mentioned some of the reforms that the Senate was leading on, thanks to the leadership of President
- And now that it's gone outside of those two Medicaid... ...fill all of the seats that were available.
- And now that it's gone outside of those two Medicaid regions to statewide, I believe that they've had
- I want to shift gears over to the Medicaid managed care plans.
AZ
Transcript Highlights:
- It includes important reforms for small businesses.
- I would love to see that same standard set on Medicaid and every other agency where she's not doing her
- costs and all of that, this Provision will help in creating a healthier populace but also reduce Medicaid
- costs and all of that this provision will help in creating a healthier populace but also reduce Medicaid
Summary:
The House convened with prayer, the Pledge of Allegiance, and several guest introductions and proclamations, including International Mother Language Day, Arizona Nurses’ Day, Environmental Day, Teamsters Local 104, and Arizona Aerospace Day. Attendance was recorded at 57 present, zero absent, and three excused. The chamber also announced committee meetings, bill referrals, and later adjourned until Thursday, February 12, 2026.
The main floor action centered on House Bill 2785, a taxation measure tied to federal tax conformity. Members debated whether Arizona should conform to federal tax changes, with supporters arguing it would validate current tax forms and provide tax relief, and opponents warning it would mainly benefit wealthy taxpayers and corporations while reducing state revenue. The bill passed 32-26 with two not voting. The House then resolved into Committee of the Whole for two calendars of bills.
In Committee of the Whole, the House advanced HB 2190, HB 2206, HB 2396, HB 2442, and HB 2448, all on health and human services topics, with amendments adopted on the first three. HB 2206 drew extended debate over SNAP payment error rates and whether the bill would impose an unfunded mandate and make benefits harder to access; supporters said it would reduce waste and save money, while opponents said it would set DES up for failure. HB 2396, which would restrict certain SNAP purchases, drew testimony over whether it would improve nutrition or unfairly limit low-income families and create a “food police” system. HB 2442 and HB 2448 also drew criticism over added SNAP work requirements and limits on agency waiver authority during recessions. The Committee later advanced HB 2688, HB 2689, HB 2690, HB 2796, and HB 2797, including bills on government staffing, hospital immigration-status data collection, unemployment benefits, SNAP eligibility/redeterminations, and fraud reporting. HB 2689 prompted sharp opposition over fears it would deter immigrants and mixed-status families from seeking medical care, while HB 2796 and HB 2797 were criticized as adding administrative burdens and duplicative SNAP checks. The House adopted the Committee of the Whole report, and a motion to amend the report to show HB 2689 failed was rejected 24-32.
AZ
Transcript Highlights:
- It includes important reforms for small businesses.
- I would love to see that same standard set on the Medicaid and every other agency where she's not doing
- costs and all of that, this provision will help in creating a healthier populace but also reduce Medicaid
- costs and all of that this provision will help in creating a healthier populace but also reduce Medicaid
CA
Transcript Highlights:
- And the bill, we think, represents a narrow targeted reform, maybe a beginning of a longer conversation
- Though this issue is severely stigmatized, reform is not only needed; it's necessary and incumbent upon
- SB 1221 directly addresses these challenges through targeted reforms.
- As part of our responsibility to administer our state's Medicaid program, we need to look at the data
- As an autistic consumer of public programs, my survival depends on Medicaid.
Committee:
Senate Health
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (04/01/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- </c> the Medicaid um cover the Medicaid the Medicaid um cover the Medicaid recipients<01:46:48.880><c
- </c> New Hampshire Medicaid program. New Hampshire Medicaid program.
- </c> the Medicaid would be paying for this. the Medicaid would be paying for this.
- </c> Medicaid cost.
- For the expanded Medicaid Medicaid cost.
Committee:
House Commerce and Consumer Affairs
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, November 19, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Work with us on humane immigration reform.
- </c> on oversight and government reform on oversight and government reform printed<03:59:24.640><c> in
- The Cash Bail Reform Act we know is unfair and bad policy.
- And I note that there's no reform act.
- </c><04:47:01.520><c> amendment</c> policing and justice reform amendment policing and justice reform
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (02/25/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- Well, there's a lot of intercommunication between—we have someone from Medicaid financial services.
- </c><00:19:45.919><c> We</c> from Medicaid um financial services.
- We from Medicaid um financial services.
- </c><00:36:30.320><c> funded</c> don't qualify for Medicaid funded don't qualify for Medicaid funded
- </c> don't always qualify for the Medicaid don't always qualify for the Medicaid waiver<00:36:48.079>
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 23rd, 2026 at 09:13 am
House Appropriations & Finance
Transcript Highlights:
- On line 128, there is a new earmark from the Public Education Reform Fund balance of $2 million for Martinez-Jazi
- that there's, like you said, capacity within some of the recommendations for the Public Education Reform
- there is an earmark in there that, for $59 million of the SEG, says this is for other educational reforms
- If I just became, I'm on Medicaid, I'm trying to keep my child care assistance.
- I mean, I'm trying to keep my Medicaid. And I have an infant and an after-school child.
Committee:
House House Appropriations & Finance
Summary:
The meeting began as an informal education budget work group focused on reviewing a revised House Appropriations and Finance Committee scenario and flagging concerns rather than taking votes. Staff outlined the main changes from the LFC recommendation, including moving the statewide student information system appropriation, adding funding for the Black, Bilingual, Multicultural and Hispanic Education Act, universal school meals overrun costs, an evidence-based CTE pilot with a 50% local match, STEM network funding, wellness room pilots, Martinez-Yazzie action plan items, and changes to innovation zone and out-of-school time appropriations. A separate handout on the seven-year CTE pilot explained spending patterns, reversions, and possible federal maintenance-of-effort concerns if the state continues funding beyond a true pilot. Members then debated CTE extensively, with several arguing it improves attendance, graduation, and career readiness and should be sustained or expanded, especially in rural areas, while staff and others emphasized that much of the current funding has gone to general operational costs rather than intentional program design and that regional or matched funding models may be more effective. Members also discussed STEM and math initiatives, the need for more industry involvement, and whether the proposed match requirements would be too burdensome for smaller districts and BIE schools.
The discussion also covered the Black, Hispanic, and Multilingual Education Acts and the Martinez-Yazzie lawsuit. Some members stressed that the acts should be explicitly named in the budget language and not merely implied, while staff said the scenario reaffirms prior commitments by building the costs into agency operating budgets. Members raised concerns about charter school hold-harmless funding, declining enrollment, and the need to align spending with the needs of at-risk students. The work group ended the education portion without any votes, with staff noting they would incorporate the feedback and return with clarifications, including on CTE funding, the educational acts, and the charter hold-harmless item.
The meeting then shifted to the child well-being and early childhood work group, where staff presented a revised Early Childhood Education and Care Department scenario. The proposal moved money toward child care assistance and early pre-K, kept the FIT program funding level unchanged, and used a mix of trust fund, TANF, federal, and operating-budget adjustments to close part of the gap between the executive and LFC recommendations. Members questioned the policy direction, especially the shift toward infant and toddler care and pre-K expansion, the impact on school-age child care, and the implications for continuity of care and provider costs. Staff explained that the scenario prioritizes younger children and at-risk families, includes language for a wage and career ladder, and would require legislation to raise the early childhood trust fund distribution cap from 500 to 525. Members also discussed a separate proposed CYFD pilot bill (HB 65), which would be distinct from ECECD funding. No votes were taken, and staff said they would return with more cost information on full pre-K plus wraparound care.
A final work group reviewed C2 and Department of Information Technology-related appropriations. Staff compared the LFC and executive recommendations for new funding and reauthorizations, noting that the LFC generally limited new projects while the executive funded more. Members discussed several IT modernization requests, including the Secretary of State’s voter registration and election management systems, the Spaceport Authority, Game and Fish, the State Engineer’s WATERS system, ECECD’s FitKids and EPIC replacement discovery, and Aging and Long-Term Services’ enterprise system modernization. The main themes were whether to fund planning versus full replacement, how to avoid piecemeal spending, and whether new systems should wait for incoming leadership. The Secretary of State’s office said its system is nearing end of life and the planning funds would help prepare a realistic replacement request, while other agencies described aging infrastructure, cybersecurity risks, and the need for modernization. The work group did not vote on any of the items and ended with staff noting additional follow-up on funding needs and reauthorization details.