Video & Transcript : 'Medicaid reform' :

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TX

Texas 89th Regular

Human Services Mar 18th, 2025

Human Services

Transcript Highlights:
  • individual was in a group. poem, and therefore, generally, people in group homes are. covered by Medicaid
  • And we just happened to have CPS reform hearings over that year. And guess who showed up?
  • And all the child advocates around to help mom or dad, you know, get access to Medicaid or SNAP and kind
  • to where it would be like, OK, they're on Medicaid, they're on SNAP, you name it. What's that?
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 13th, 2026 at 05:37 pm

House Judiciary

Transcript Highlights:
  • If medical malpractice reform is the goal, both parties' insurance needs to provide legal counsel at
  • I agree that reform needs to change. Thank you, sir. I appreciate it. Thank you. Thank you.
  • Of those, approximately a third are covered by Medicaid? Okay, I'm sorry, Madam Chair.
  • There is no information in this data about Medicaid or health insurance.
  • There is no Medicaid data in this.
Bills: HB195 , HB279 , SB30 , HB234 , HB292 , SB100 , SB23 , SB221 , SB261 , SB264
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 13th, 2026

House Judiciary

Transcript Highlights:
  • If medical malpractice reform is the goal, both parties' insurance needs to provide legal counsel at
  • I agree that reform needs changed. Thank you, sir. I appreciate it. Thank you. Thank you.
  • Of those, approximately a third are covered by Medicaid? Okay. I'm sorry, Madam Chair.
  • There is no information in this data about Medicaid or health insurance.
  • There is no Medicaid data in this.
Bills: HB195 , HB279 , SB30 , HB234 , HB292 , SB100 , SB23 , SB221 , SB261 , SB264
Summary: The committee first took up House Bill 195, which would protect the personal assets of certain health care providers from collection in medical malpractice judgments. Supporters said the bill would help recruit and retain physicians, especially in high-liability fields like obstetrics, while opponents argued broader malpractice reform should focus on insurance and legal representation. Members discussed whether the bill’s definition of “independent provider” matched existing law, and the committee adopted a friendly amendment to add osteopathic physician. HB 195 then passed on a 9-0 vote. The committee then heard House Bill 279, a health care privacy and safety measure for reproductive and gender-affirming care. The sponsor said it would strengthen protections for sensitive health information, limit geofencing around clinics, allow providers to keep personal addresses confidential, and remove provider names from medication abortion packaging. Supporters framed it as a privacy and safety bill; opponents said it would weaken parental access, create confusion for emergency physicians, and shield abortion access. After extensive questions about HIPAA, emergency care, and data collection, the bill passed 6-3. Senate Bill 30, which would repeal the requirement that induced abortions be reported to the state registrar, drew similar testimony. The sponsor and supporters argued the reporting requirement is outdated, medically unnecessary, and exposes providers to surveillance and possible out-of-state targeting; opponents said the data supports transparency and public health oversight. Members questioned what data would be lost and how the state currently uses the reports. SB 30 passed 6-3. The committee also heard House Bill 234 on fentanyl definitions, with law enforcement and business groups supporting clearer criminal penalties; members and the sponsor worked through possible amendment language to better align the bill with existing controlled-substance definitions, and the discussion was continued for a revised draft. Finally, House Bill 292, the New Mexico Prison Rape Elimination Act, received broad support from advocacy groups and passed the committee substitute 7-0.
FL

Florida 2026 Regular Session

Senate in Session Mar 5th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • This is not reform. This is surrender. And I am vehemently opposed. Senator Wright in debate.
  • for fee-for-service claims, since Medicaid is the payer of last resort.
  • for fee-for-service claims, since Medicaid is the payer of last resort.
  • to the process you are trying to reform now through your bill.
  • to the process you are trying to reform now through your bill.
Keywords: 999, senate, all
FL

Florida 2025 Regular Session

Senate in Session Apr 23rd, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • are part of Students Demand Action, an advocacy group that is working for common sense government reform
  • Administration, most of us think of it as the agency that handles Medicaid.
  • They also do the investigations for Medicaid fraud.
  • He prioritized education reform, raising teacher pay and expanding access to community colleges.
  • He modernized government, reformed civil service, and invested in public health.
Bills: SJR85 , SCR29 , SCR38 , SCR42 , SB23 , SB39 , SB209 , SB227 , SB240 , SB330 , SB527 , SB584 , SB618 , SB619 , SB636 , SB663 , SB715 , SB732 , SB758 , SB801 , SB825 , SB826 , SB843 , SB844 , SB847 , SB870 , SB884 , SB912 , SB957 , SB1013 , SB1020 , SB1065 , SB1143 , SB1152 , SB1164 , SB1183 , SB1257 , SB1299 , SB1325 , SB1349 , SB1413 , SB1455 , SB1539 , SB1558 , SB1574 , SB1583 , SB1624 , SB1642 , SB1643 , SB1667 , SB1717 , SB1718 , SB1727 , SB1734 , SB1756 , SB1757 , SB1784 , SB1789 , SB1832 , SB1868 , SB1870 , SB1883 , SB1896 , SB1920 , SB1924 , SB1963 , SB2010 , SB2018 , SB2024 , SB2037 , SB2052 , SB2073 , SB2111 , SB2161 , SB2196 , SB2207 , SB2253 , SB2268 , SB2322 , SB2323 , SB2332 , SB2349 , SB2371 , SB2533 , SB2570 , SB2601 , SB2626 , SB2692 , SB2705 , SB2717 , SB2774 , SB2788 , SB2877 , SB2920 , SB2 , SB260 , SB1786 , SB1 , HJR4 , SJR36 , SJR50 , SJR63 , SJR85 , SJR84 , SCR12 , SCR39 , SCR38 , SCR42 , SCR29 , SCR4 , SCR18 , SCR43 , SCR46 , SB2023 , SB825 , SB2010 , SB1870 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1539 , SB1505 , SB583 , SB957 , SB1502 , SB507 , SB1026 , SB1349 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB618 , SB393 , SB1791 , SB826 , SB1257 , SB870 , SB529 , SB209 , SB1883 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1860 , SB2037 , SB1924 , SB2253 , SB2018 , SB2206 , SB1963 , SB1643 , SB1299 , SB841 , SB668 , SB584 , SB1085 , SB2431 , SB1490 , SB1868 , SB2314 , SB434 , SB2046 , SB1667 , SB1727 , SB2127 , SB1975 , SB1760 , SB1734 , SB1335 , SB2246 , SB2439 , SB1624 , SB1244 , SB1468 , SB2717 , SB1612 , SB1262 , SB604 , SB2395 , SB1832 , SB1745 , SB1746 , SB2207 , SB1784 , SB1524 , SB528 , SB437 , SB269 , SB1137 , SB968 , SB636 , SB747 , SB1325 , SB1789 , SB1455 , SB2056 , SB1940 , SB2052 , SB1579 , SB2068 , SB3034 , SB844 , SB1920 , SB1558 , SB1236 , SB1044 , SB884 , SB463 , SB227 , SB240 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2216 , SB2681 , SB1717 , SB2141 , SB2323 , SB2200 , SB2332 , SB2199 , SB1642 , SB1757 , SB2050 , SB1138 , SB2626 , SB2458 , SB1864 , SB2201 , SB1862 , SB1583 , SB1055 , SB2660 , SB1898 , SB2662 , SB2161 , SB2964 , SB2881 , SB1065 , SB801 , SB2743 , SB2533 , SB1413 , SB2073 , SB3014 , SB3013 , SB2774 , SB2702 , SB2629 , SB2443 , SB2349 , SB2167 , SB2145 , SB2121 , SB758 , SB648 , SB647 , SB512 , SB438 , SB1721 , SB2268 , SB1495 , SB2705 , SB2366 , SB1422 , SB1369 , SB1013 , SB682 , SB2692 , SB2570 , SB2797 , SB2111 , SB1896 , SB1164 , SB1020 , SB663 , SB2371 , SB1152 , SB2196 , SB2383 , SB2581 , SB2798 , SB330 , SB646 , SB843 , SB1998 , SB1418 , SB2788 , SB1169 , SB2873 , SB1754 , SB1534 , SB1718 , SB2779 , SB2004 , SB1143 , SB1756 , SB912 , SB2119 , SB2032 , SB527 , SB1580 , SB1952 , SB2601 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB1183 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB39 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB23 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , HB135 , HB 1109 , SCR48 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SJR85 , SB23 , SB826 , SB844 , SB957 , SB1413 , SB1539 , SB1583 , SB1642 , SB1643 , SB1789 , SB1883 , SB1963 , SB2024 , SB2626 , SB2774 , SB825 , SB1870 , SB2010 , SB240 , SB618 , SB870 , SB1257 , SB1727 , SR424 , SR428 , SCR29 , SCR42 , SCR49 , SB3056 , SB3057 , HB2 , HB20 , HB 120 , HB142 , HB210 , HB215 , HB451 , HB 1022 , HB 1151 , HB1458 , HB1700 , HB2000 , HB3093 , SB3056 , SB3057 , HB2 , HB20 , HB 120 , HB142 , HB210 , HB215 , HB451 , HB 1022 , HB 1151 , HB1458 , HB1700 , HB2000 , HB3093
NM

New Mexico 2025 Regular Session

House - Judiciary Mar 19th, 2025

House Judiciary

Transcript Highlights:
  • The care coordinators are written into the Turquoise care contracts for Medicaid, so the MCOs would be
  • And it also ensures that we can leverage Medicaid for program sustainability.
  • the Secretary of State's office, having publicly run primaries, was a really important democratic reform
  • , small d democratic reform.
  • I do agree with him that I think with our new latest reforms, it's not that the primaries are, you know
MA

Massachusetts 2025-2026 Regular Session

Formal House Session 63 Jul 1st, 2026

Massachusetts House Floor Meeting

Transcript Highlights:
  • requirement without providing a uniform alternative has undermined the goal of the 1993 Education Reform
  • committed to preserving both direct democracy and constitutional government, we should examine what reforms
  • a comprehensive evaluation of the initiative petition process, unquote, to determine exactly what reforms
  • advocate for community engagement, constitutional policing, accountability, and meaningful police reform
  • advocate for community engagement, constitutional policing, accountability, and meaningful police reform
Summary: The House opened with routine procedural actions, including suspension of Joint Rule 12 for two petitions and suspension of Rule 7A to take up several bills immediately. Members advanced multiple Ways and Means bills to third reading, including measures on campaign finance reporting for statewide ballot questions, tax-free medical devices, fairness for Massachusetts Water Resources Authority employees, releasing land use restrictions in Revere, and authorizing a land taking in Norwood. Several engrossed local and special bills were then passed to be enacted, including measures affecting Boston police age waivers, the Hudson charter, Plymouth’s land acquisition account, Falmouth sewer-related costs, and Randolph’s charter. The House also considered Senate Bill 2916 on campaign finance reporting for ballot questions. Supporters said the bill would strengthen disclosure, close reporting loopholes, and improve transparency around ballot question committees and signature gathering, while also creating a commission to review the initiative petition process. Amendments were adopted, including changes to the commission’s membership and a separate amendment related to signature-gathering provisions. After debate, the bill passed to be engrossed by roll call vote 149-0. Members then took up the fiscal year 2027 budget conference report, House No. 5555, totaling about $63.4 billion. Supporters highlighted funding for Chapter 70 education aid, local aid, Fair Share investments in education and transportation, MBTA and regional transit support, housing and homelessness programs, food assistance, and immigration legal aid. The conference report was adopted by roll call 142-6, the emergency preamble was adopted, and the budget bill was passed to be enacted by the same vote. The House also declined concurrence on Senate Bill 3064, “to build resilience for Massachusetts communities,” and appointed a committee of conference, and later appointed a conference committee on House Bill 4646, enhancing child welfare protections. The session ended with a moment of silence for community figures and adjournment to the next day.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Revenue Jun 21st, 2026 at 01:00 pm

Joint Committee on Revenue

Transcript Highlights:
  • According to the National Institute for Criminal Justice Reform, gun violence costs the U.S. economy
  • 2021, U.S. hospitals incurred $7.7 billion in initial treatment costs for firearm injuries, with Medicaid
  • Critically, Medicaid reimbursement often fails to cover the full expense, forcing safety-net hospitals
  • Against this backdrop, and with the federal government cutting Medicaid and pulling back from community
  • Committee, this is necessary and important reform to the Commonwealth's tax code to enhance fairness,
Keywords: 995, all
Summary: The Joint Committee on Revenue held a long hybrid hearing on a wide range of tax bills, with testimony covering cigarette and tobacco taxes, nicotine pouches, contractor rental equipment exemptions, aircraft sales tax exemptions, rolling stock, advanced sales tax payments, a gun and ammunition excise tax, a digital services tax, and a psilocybin cultivation/tax proposal. Committee chairs outlined the hearing process and noted that 39 House-filed sales and excise tax bills were being heard for required reporting by November 28. No votes were taken during the hearing. On tobacco-related bills, supporters including Senator Keenan, the American Heart Association, the American Cancer Society, and Tobacco Free Mass backed higher cigarette taxes and closing the synthetic nicotine loophole, arguing the measures would reduce youth initiation, encourage cessation, and offset health care costs. Retailers, wholesalers, and convenience-store groups opposed the increases, warning of smuggling, out-of-state purchasing, and harm to small businesses; premium cigar representatives argued cigars should be treated separately from cigarettes. The committee also heard testimony on H. 3067 and related bills concerning nicotine pouches, with public health advocates supporting taxation and industry witnesses urging a lower, more competitive rate. Several other bills drew sharply divided testimony. United Rentals supported H. 3065 to simplify contractor rental equipment exemption paperwork, while airport and aviation groups opposed bills to repeal the aircraft sales tax exemption, saying it would hurt airport competitiveness and jobs. The Transportation Association of Massachusetts backed rolling stock tax exemptions, saying the current tax discourages fleet investment and interstate commerce. Restaurant industry representatives supported repealing advanced sales tax payments and changing penalty rules, saying businesses were hit with retroactive penalties after unclear pandemic-era changes. On H. 3082, an excise tax on guns and ammunition, gun violence prevention advocates, Roca, and Giffords supported the bill as a dedicated funding source for prevention and survivor services, while sportsmen’s groups opposed it as unfair to lawful gun owners and harmful to conservation funding. The committee also heard testimony on H. 3208, a digital advertising services tax, with Representative Paulino supporting it as a way to capture revenue from online advertising and fund public needs, while the Chamber of Progress opposed it as costly and burdensome for small businesses and campaigns. Finally, multiple witnesses testified on H. 4050 regarding psilocybin cultivation and taxation: advocates from Mass Healing, Roca, the Reason Foundation, and individuals describing personal medical benefits urged a regulated, permit-based system, while the hearing ended after all signed-up speakers were heard and the chair adjourned the meeting.
VT

Vermont 2025-2026 Regular Session

House Session - 2026-05-29 - 5:30PM

Vermont House Floor Meeting

Transcript Highlights:
  • This appropriation will expand statewide capacity to support SNAP and Medicaid beneficiaries support
  • SNAP and Medicaid beneficiaries in obtaining and maintaining access to their benefits.
  • million, is to be reserved as we did last year for addressing future federal fund shortfalls, Vermont Medicaid
  • I'll use education reform as an example. I'll use education reform as an example.
Keywords: 926, house, all
MS

Mississippi 2026 Regular Session

Public Health and Welfare - Room 216, 24 March, 2026; 11:15 AM

Public Health and Welfare

Transcript Highlights:
  • which we're starting to do, is going to, because of the sheer amount of data that comes through both Medicaid
  • getting that part right, which we're starting to do, is going to be important. ...comes through both Medicaid
  • federal court case, and you all passed a law saying that by 12/1/26 of this year we need, along with Medicaid
  • consider—and this is not the official Board of Health position, it's just me talking—but I think that the reforms
  • consider—and this is not the official Board of Health position, it's just me talking—but I think that the reforms
TX
Transcript Highlights:
  • This 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
  • They can get Medicaid, they can get hospice, and there are a lot more benefits that can be taken that
  • in the hospitals, these third-party vendors, are basically getting the Social Security, all their Medicaid
  • It was vetoed by the governor; I think it got caught up for other reasons. ...tax reform priority, so
TX
Transcript Highlights:
  • Um, I'm here to present a pair of bills that together create a ...a comprehensive cannabis reform package
  • like to remind everybody that today, July 30th, marks the 60th anniversary of the signing of the Medicaid
  • so it's fitting, I think, also to mention that our own President Lyndon Baines Johnson signed the Medicaid
Summary: Senator Nathan Johnson presented a pair of bills he described as a comprehensive cannabis reform package for Texas. He said one bill would regulate hemp-derived THC with a 21-and-over purchase age, a 5 mg THC threshold, testing, labeling, licensing, packaging, and marketing standards, an advisory committee to report to the Legislature, and a tax structure that would direct revenue to public health, law enforcement, testing, and the Texas Compassionate Use Program. He also said the legislation reflects work by Chairman Ken King and is intended as an alternative to a total ban, which he argued would be unenforceable and undesirable. Johnson said the second bill would decriminalize possession and personal use of up to 2 ounces of marijuana, allow limited home cultivation, and create a path to expunction for people convicted of conduct that would no longer be illegal. He argued current Texas THC laws are inconsistent, harmful, and disproportionately affect communities of color, while also diverting law enforcement resources. He said the bills aim to create a more consistent and enforceable framework and to support medical THC use. Supportive testimony came from Shawn Salvahi, a veteran and Texas Cannabis Collective representative, who said decriminalization and homegrow would help veterans and first responders and that leaders should correct mistaken policy. Senator Molly Cook, an ER nurse, also backed Johnson’s approach and opposed SB 5, saying prohibition has failed, worsened safety, and created criminal and economic harms. In questions, Johnson said the Senate is likely to move SB 5, that the House could still change the outcome, and that he has been consistent in opposing a ban since 2018. The discussion also briefly touched on redistricting, with participants urging attention to flooding and criticizing proposed maps, but the main action was the presentation and defense of the THC bills ahead of floor consideration.
FL

Florida 2026 5th Special Session

Appropriations Jun 1st, 2026

Transcript Highlights:
  • Folks, this is why we should not be completely reforming our tax structure in the state of Florida in
  • The Florida Tax and Budget Reform Commission, which meets every 20 years, is convening next year.
  • The Reform Commission should deal with this in its entirety so that it is uniform.
  • So what happens is whatever's not paid by them, Medicare and Medicaid, we write off, we lose.
  • This bill also takes an additional step in property tax reform.
Summary: The Committee on Appropriations took up SJR 2-F, a proposed constitutional amendment to reduce property taxes by lowering assessment caps on non-homestead property, expanding homestead exemptions over time, and allowing local governments to increase exemptions further. The sponsor argued the measure would provide broad property tax relief while requiring revenues to be directed to core services such as public safety, education, infrastructure, and natural resource projects, with a trust fund intended to help local governments transition. Senators raised concerns about the lack of a fiscal score, the effect on counties, cities, school districts, and special districts, and whether the proposal would shift costs to fees or other taxes. Several amendments were debated. Senator Polsky’s amendment to explicitly authorize user fees and non-ad valorem assessments to offset lost property tax revenue failed. Senator Avila’s amendment broadening permissible uses of ad valorem revenue to include county constitutional officers and other expenditures approved by local governing bodies was adopted after debate over whether the bill would otherwise underfund essential functions. Senator Smith’s sunset amendment, which would have made the constitutional changes expire after five years, failed. Senator Smith’s amendment to allow tourism development tax revenue to support public safety and education also failed. Senator Graal’s amendment removing the constitutional trust fund language was adopted, with supporters arguing the Constitution should not promise an unfunded account. Additional late-file amendments were considered. Senator Berman’s proposal to change the ballot title to more neutrally describe the measure as affecting property taxes and local community service reductions failed. Senator Trumbull’s amendment removing school board ad valorem taxes from the proposal was adopted, preserving school taxes. Senator Smith’s amendment narrowing the non-homestead assessment cap reduction to small businesses only failed. The committee then returned to the bill as amended and continued questioning the sponsor about eligibility, fiscal impacts, and whether the proposal could lead to local governments offsetting lost revenue through special assessments or other charges.
NH

New Hampshire 2025 Regular Session

House Session (03/06/2025)

New Hampshire House Floor Meeting

Transcript Highlights:
  • Okay, so let's talk about circumcision in Medicaid.
  • That means Medicaid.
  • That means Medicaid.
  • that Medicaid is State administered know that Medicaid is State administered and<02:01:16.040><c> varies
  • </c> Medicaid from Medicaid for circumcision Medicaid from Medicaid for circumcision is<02:12:45.840>
Keywords: 1189, house, all
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Mar 26th, 2026

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • So it's always good if you do want to advance a reform like this, as I hope we will do today, to talk
  • Sometimes we can spend the money better, better reforms.
  • That is an actual reform.
  • If things slow down a little bit, you reform. You find a way to do it.
  • That's not reform. That's imbalance.
Summary: The Senate first considered Senate Bill 1623, a measure updating the state charter for state-regulated credit unions to make them more competitive with federal credit unions. Two amendments were adopted: one changing certain board authority language from “shall” to “may,” and another restoring the title. Supporters said the bill was the product of years of negotiation with bankers and credit unions and would not affect national banks; after questions about membership expansion and census-tract service areas, the bill passed 44-0. The chamber then took up Senate Joint Resolution 39, which would send to voters a constitutional amendment lowering annual caps on assessed-value growth for homestead and agricultural property from 3% to 1%, and for other property from 5% to 3%. Proponents argued it would slow property-tax growth, help seniors and fixed-income homeowners stay in their homes, and not reduce government revenue but only slow future growth; opponents warned it would reduce local revenue growth for schools, counties, infrastructure, and bonding capacity, and would disproportionately benefit higher-value property owners. The resolution passed 38-8, and the special-election referral also passed 38-8. Senate Joint Resolution 47, which would place current voter ID requirements into the Constitution, also advanced and passed 39-8, with the special-election provision passing by the same margin. Supporters said it simply constitutionalized existing law requiring proof of identity and would preserve election security; critics said Oklahoma already has voter ID rules, the measure was unnecessary, and the language could create uncertainty for absentee voters and future changes. Debate also touched on provisional ballots, military and overseas voting, and whether the measure would make future adjustments harder. Later, Senate Bill 2084 passed 35-7 and as an emergency measure. The bill limits wrongful-termination settlements for faculty members at higher education institutions to two times annual salary, including pay and accrued benefits. Supporters said it would provide certainty for universities and regents; questions focused on tenure, free-speech claims, and how the cap would interact with existing tort limits. The Senate also passed Senate Bill 1655 unanimously to allow Oklahoma Complete Health’s Children’s Specialty Program to contact adoptive parents and offer continued voluntary services for post-adoption children, and Senate Bill 1679 was introduced as the “Preserving Oklahoma Values Act,” aimed at codifying adherence to the U.S. and Oklahoma Constitutions and rejecting foreign law, with debate beginning over its enforcement and scope.
CA
Transcript Highlights:
  • On patient care, and this is a very sobering note, Congress is considering cuts to Medicaid that would
  • As you all know, Medi-Cal is California's implementation vehicle for Medicaid.
  • We are concerned about proposals that would reduce Medicaid coverage through work requirements or more
  • I remind us all that 56% of California's children are covered by Medicaid.
  • So it's not a call to set tort limits or make any other far-reaching tort reforms.
Keywords: 988, house, all
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 9th, 2026 at 10:03 am

Senate Finance

Transcript Highlights:
  • versus paying for FIT services for kids who qualify for Medicaid.
  • Chairman, I think the recommendation had the money going into the Medicaid Behavioral Health Program,
  • It's like the federal government says you're not getting any more federal Medicaid expansion dollars.
  • It could be a big IT project like the Medicaid Management Information System, where you're getting 90%
  • Chairman, is it's contingent on the larger Medicaid information management system getting built out at
Keywords: 996, all
WA

Washington 2025-2026 Regular Session

House Appropriations Mar 2nd, 2026

Transcript Highlights:
  • Although I do see some of the merit and some of the reforms made in here, notwithstanding what we're
  • Representative Marshall: Medicaid dollars and how this is going to disproportionately affect them in
  • I mean, the legislature just cut over the biennium a billion dollars from Medicaid, and we're risking
  • more Medicaid dollars, which comes with federal matching dollars in almost every instance.
  • We're here to reform it. Those are the words of Governor Bob Ferguson. And I appreciate this move.
Summary: The committee heard public testimony on Substitute Senate Bill 5828, which would restore and adjust Washington College Grant and College Bound Scholarship award levels for students attending private, not-for-profit four-year institutions. Staff explained the bill would set the awards at 90 percent of the regional and state college rate rather than 50 percent of the research rate, with an estimated fiscal impact of $3.3 million in fiscal year 2027 and $18.6 million over four years. Testimony was largely in support from private college presidents, students, and school counselors, who said the bill would help low-income and first-generation students and preserve access and enrollment choices; some public college student representatives said they did not oppose the bill but argued that cuts to public-school aid should be restored first. The committee also heard Substitute Senate Bill 5911, which would prohibit DCYF from using benefits or funds of youth in extended foster care as reimbursement for their cost of care beginning in 2027, while requiring support for benefit management and payee arrangements and allowing protected accounts such as ABLE accounts. Staff estimated a net fiscal impact of $608,000 in fiscal year 2027 and $2.2 million per biennium thereafter. Testimony in support said the bill would end the practice of withholding SSI and other benefits from youth in care and better support disabled youth transitioning to adulthood. Members asked questions about fiduciary responsibility and representative payee arrangements. In executive session, the committee adopted amendments and advanced several bills. It adopted Amendment Clark 350 to House Bill 2689, raising the required provider response rate for the child care market rate survey to 65 percent, and then reported the bill out with a due pass recommendation by a vote of 18-11, with two excused. It adopted Amendment H-3743.1 to Engrossed Second Substitute Senate Bill 5395 on retrospective prior authorization denials and reported that bill out unanimously. It also adopted Amendment Pool 272 to Senate Bill 5420 and reported that bill out unanimously. For Engrossed Second Substitute Senate Bill 5496, the committee adopted several amendments clarifying scope and penalties but rejected amendments that would have delayed the bill or replaced it with a study; the bill was then reported out with a due pass recommendation. The committee also heard amendment briefings on other bills, including 5981, 6026, 6160, 6184, and 6211, but deferred action on some items heard that morning.
NH
Transcript Highlights:
  • I think like the Medicaid rates is a really good example.
  • I think like the Medicaid rates is a 2.
  • </c><00:17:12.079><c> the</c><00:17:12.240><c> Senate</c> Medicaid rates by 3%. the Senate Medicaid rates
  • And what we did was we partnered with Medicaid.
  • Our system only tracks the Medicaid.
Keywords: 928, house, all
Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.
US
Transcript Highlights:
  • We cannot cut Medicaid to give tax breaks to billionaires.
  • So let's turn to Medicaid. No, I had to correct you on several things. Mr.
  • Medicaid, you said yesterday to Senator Cassidy, Medicaid is fully paid for by the federal government
  • away from 60,000 people in New Hampshire would make Medicaid better.
  • We can do Medicaid, Medicare, and Obamacare should be valued.