Video & Transcript : 'Medicaid reform' :

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HI

Hawaii 2026 Regular Session

House Chamber - Thu Apr 23, 2026, 12:00PM HST - Day 50

Hawaii House Floor Meeting

Transcript Highlights:
  • Um, April is Medicaid Awareness Month, which for Hawaii means QUEST Awareness Month.
  • </c><00:11:48.160><c> Um</c><00:11:48.560><c> April</c><00:11:49.000><c> is</c><00:11:49.200><c> Medicaid
  • Um April is Medicaid Thank you, Speaker.
  • Um April is Medicaid Awareness<00:11:50.480><c> this</c><00:11:50.760><c> month,</c><00:11:51.200><c>
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 8th, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • I feel moved to talk about Medicaid expansion because I've seen what it does.
  • I've seen that not only 250,000 Oklahomans receive health coverage from Medicaid expansion.
  • Our reimbursement of Medicaid expansion alone creates or supports about 1,400 jobs.
  • It will be unmistakable if Medicaid expansion were to come to an end.
  • We're going to work as hard as we can to protect Medicaid expansion in the state of Oklahoma.
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 8th, 2026

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • I feel moved to talk about Medicaid expansion, because I've seen what it does.
  • I've seen that not only 250,000 Oklahomans receive health coverage from Medicaid expansion.
  • Our receipt, our reimbursement of Medicaid expansion alone creates or supports about 1,400 jobs.
  • It will be unmistakable if Medicaid expansion were to come to an end.
  • We're going to work as hard as we can to protect Medicaid expansion in the state of Oklahoma.
Summary: The Senate convened, established a quorum, and opened with prayer. The chamber then recognized several guests and groups, including the Doctor of the Day Dr. Abby Woods, Nurse of the Day Kara de la Pena, and multiple student and community delegations. These included Dominic Matthias of Moore High School for his cross-country accomplishments, Calumet boys baseball and basketball teams for state championships, the Oklahoma Federation of Republican Women, Morris High School’s academic team, the Junior Chamber of Catoosa, Rogers County Leadership Program participants, and Legacy Christian Schools students. The Senate adopted Senate Resolution 40, designating the second week in April as Lung Cancer Action Week in Oklahoma. The resolution was presented in support of the American Lung Association’s efforts to raise awareness, encourage screening, and promote early detection, especially given the low screening rate among high-risk Oklahomans. The resolution passed without opposition, and unanimous consent was granted to make all senators co-authors unless they declined. The chamber also hosted Cherokee Nation Legislative Day. Principal Chief Chuck Hoskin Jr. and other Cherokee leaders spoke about the tribe’s history, sovereignty, and major investments in education, housing, health care, workforce development, and economic growth in Oklahoma. Hoskin emphasized the Cherokee Nation’s partnership with the state and urged support for Medicaid expansion, arguing it helps fund health care services and jobs. Later, Senator Weaver offered a personal privilege statement mourning the death of Trooper Vernon Brake in the line of duty, followed by a moment of silence. The only other action was an announcement inviting members to a Sportsman’s Caucus reception. With the clerk’s desk clear, the Senate adopted a motion to adjourn until Thursday, April 9, 2026, at 9:30 a.m.
AZ

Arizona 2026 Regular Session

03/31/2026 - Senate Appropriations, Transportation and Technology

Appropriations, Transportation and Technology

Transcript Highlights:
  • We really appreciate members on both sides of the aisle helping on the amendment and these reforms, and
  • We are screaming for reform. Tony, I have a question, and... Tony, I have a question.
  • We are screaming for reform. Tony, I have a question. and... Tony, I have a question.
  • 20, 2026, at 12:12 p.m., appropriates $12 million from the State General Fund and $36 million in Medicaid
  • It was her choice to live at home for as long as possible, and with the benefit of home care and Medicaid
OK

Oklahoma 2026 Regular Session

Health and Human Services REVISED Mar 2nd, 2026 at 02:00 pm

Health and Human Services

Transcript Highlights:
  • anticipate insurance reimbursing for this activity, which is why it does have a fiscal impact for Medicaid
  • the state department of health systems of vital statistics when verifying eligibility to receive Medicaid
  • authority to conduct a monthly death record verification of all individuals enrolled in the state Medicaid
  • Once a person has died, they remain on the Medicare Medicaid rolls. Thank you, Mr. Chair.
OK

Oklahoma 2026 Regular Session

Health and Human Services REVISED Mar 2nd, 2026

Health and Human Services

Transcript Highlights:
  • the State Department of Health system of vital statistics when verifying eligibility to receive Medicaid
  • If the death of an applicant is confirmed, the authority shall deny the applicant Medicaid funding.
  • in a State Department of Health System of vital statistics when verifying eligibility to receive Medicaid
  • program beginning no later than January 1, 27. are rolled in the state Medicaid program beginning no
  • Once the person has died, they remain on the Medicare or Medicaid rolls. Thank you, Mr. Chair.
Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.
HI
Committee: House Health
Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.
AL

Alabama 2026 Regular Session

Alabama Senate Finance and Taxation General Fund Committee Jan 21st, 2026

Finance and Taxation General Fund

Transcript Highlights:
  • I will get Medicaid eligibility as well.
  • </c><00:22:58.559><c> Medicaid</c><00:22:59.280><c> recipients</c> about 19% of the Medicaid recipients
  • </c> &gt;&gt; And obviously, you know, from a Medicaid &gt;&gt; And obviously, you know, from a Medicaid
  • /c> standpoint, Medicaid programs throughout standpoint, Medicaid programs throughout the<00:23:27.440
  • ><c> is</c> Medicaid healthc care coverage is Medicaid healthc care coverage is critically<00:28:40.080
Bills: SB61 , SB8 , SB58 , SB60 , SB167 , SB61 , SB8 , SB58 , SB60 , SB167
TX

Texas 89th Regular

Health and Human Services (Part II) May 7th, 2025

Health & Human Services

Transcript Highlights:
  • Texas is known throughout the nation for its child welfare reform, and we should lead the nation in implementing
  • teach them how to open these boarding homes without getting a license or a permit and how to get Medicaid
  • A lot of times they have the retirement, and they can get Medicaid, they can get hospice, and there's
  • getting the Social Security, all the... ...are basically getting the Social Security, all their Medicaid
  • I think it got caught up in property tax reform priority. We look forward to working with you.
Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.
TX

Texas 89th Regular

Public Health Apr 21st, 2025

Public Health

Transcript Highlights:
  • So if it's Medicaid, NSHIP, and then private.
  • typically do not cover the full cost of Medicaid. care.
  • So Medicaid is also. tax dollars.
  • and CHIP and then non Medicaid and CHIP.
  • There's emergency Medicaid in the state also.
Committee: House Public Health
TX

Texas 89th Regular

Public Health Apr 7th, 2025 at 03:30 pm

Public Health

Transcript Highlights:
  • database as special counsel to the Office of Medicaid Fraud and Abuse Control.
  • However, fully one-third of our people are on Medicaid.
  • Between January 1 of... 2017 and October 31st of 2023, Kentucky Medicaid paid for 110 million doses of
  • Medicaid dollars costs $108,000 taxpayer dollars.
  • On Medicaid? Yeah. No question. No question, yeah. Thank you. Any other questions?
Committee: House Public Health
Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.