Video & Transcript : 'Medicaid reform' :
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NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Sep 10th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- A reform to all of that, this is what you're talking about. Thank you.
- So our Medicaid numbers, of course... Across the country, all the Medicaid numbers went up.
- This isn't Medicaid or anything. These numbers start becoming substantial.
- Income support programs, including SNAP and Medicaid.
- On eligibility for Medicaid and SNAP for clients.
LA
Louisiana 2026 Regular Session
House of Representatives Apr 27th, 2026
Louisiana House Floor Meeting
Transcript Highlights:
- House Bill 1028 by Bourriaque and Lyons, concerning non-emergency medical transport, provides for Medicaid
- Next bill: House Bill 224 by Representative Barrow, Medicaid coverage for dental procedures, to require
- Members, this bill would require LDH Medicaid to cover dental if it is needed for another procedure in
- Medicaid.
- A lot of people who are on Medicaid are not covered for dental, but they have a medical procedure that
Bills:
HR195 , HR196 , HR197 , HR198 , HR199 , HR200 , HR201 , HR202 , HR203 , HR204 , HR205 , HR206 , HR207 , HR208 , HR209 , HCR87 , HCR88 , HCR89 , HCR90 , HR192 , HR193 , HR194 , HCR80 , HCR81 , HCR82 , HCR83 , HCR84 , HCR85 , SB235 , SB416 , SB425 , SB435 , SB439 , HCR15 , HCR41 , HCR76 , HCR77 , SCR3 , HB91 , HB167 , HB227 , HB243 , HB264 , HB321 , HB335 , HB398 , HB492 , HB623 , HB624 , HB660 , HB689 , HB708 , HB719 , HB802 , HB804 , HB884 , HB906 , HB926 , HB934 , HB940 , HB955 , HB968 , HB969 , HB978 , HB985 , HB1005 , HB1022 , HB1028 , HB1029 , HB1069 , HB1077 , HB1095 , HB1104 , HB1107 , HB1185 , HB1187 , HB1199 , HB1201 , HB1203 , HB1217 , HB1220 , SB66 , SB68 , SB76 , SB139 , SB336 , SB475 , HR1 , HR17 , HCR5 , HCR4 , HCR47 , HCR32 , HR38 , HR96 , HR160 , HCR31 , HCR61 , SCR19 , HB64 , HB68 , HB92 , HB12 , HB42 , HB205 , HB222 , HB267 , HB324 , HB325 , HB350 , HB478 , HB610 , HB617 , HB745 , HB749 , HB752 , HB797 , HB807 , HB821 , HB896 , HB979 , HB992 , HB1000 , HB1024 , HB1050 , HB1166 , HB1172 , HB1173 , HB1207 , HB1218 , HB1223 , HB316 , HB549 , HB578 , HB748 , HB798 , HB824 , HB988 , HB989 , HB1001 , HB1032 , HB1081 , HB1108 , HB1129 , HB1140 , HB1157 , HB1192 , HB1195 , HB1198 , HB1244 , SB73 , SB89 , SB128 , SB149 , SB191 , SB196 , SB238 , SB318 , SB340 , HB306 , HB366 , HB911 , HB1161 , HB1230 , HB59 , HB481 , HB772 , HB897 , HB1003 , HB1008 , HB1112 , HB1180 , HB1189 , HB525 , HB1058 , HB181 , HB1118 , HB1082 , HB901 , HR20 , HR74 , HB225 , HB284 , HB393 , HB458 , HB459 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB773 , HB864 , HB996 , HB1035 , HB1113 , HB1234 , HB1240
Keywords:
Louisiana Young Heroes Day, Louisiana Public Broadcasting, LPB, house resolution, ceremonial resolution, special observance, youth recognition, student achievement, community service, public service, high school students, youth leadership, disability advocacy, autism, diabetes, epilepsy, foster care, STEM, robotics, literacy
Summary:
The House convened with a quorum, opened with prayer and the pledge, adopted the journal, and then spent much of the day on recognitions and resolutions. Members recognized NAMI and proclaimed Mental Health Awareness Month, honored fourth graders from Alpine Christian School, Hunter Nation supporters, Vermilion Parish visitors, and Louisiana Young Heroes. The chamber also observed a moment of silence for Martha Odom, a Lafayette student killed in the Mall of Louisiana tragedy, and heard remarks condemning political violence and social-media harassment. Several resolutions were adopted or advanced, including measures on rural mental health day, domestic violence prevention, nurses’ day, wildlife studies, child abuse reporter training, privacy/FISA reform, and Law Institute studies on property, foreign-entity terminology, and carbon sequestration issues.
The House then moved through a long series of committee reports and floor actions on bills covering criminal justice, education, health, insurance, transportation, alcohol regulation, wildlife, elections, retirement, and public benefits. Many bills were advanced unanimously or near-unanimously, including measures on school emergency plans, impaired driving, victims’ compensation, sexual assault response, Medicaid dental coverage tied to other procedures, TOPS Tech eligibility, early childhood student IDs, highway priority program deadlines, CDL rules, and toll dispute procedures. Some bills were recommitted to Appropriations or returned to the calendar, and several were amended before being sent onward.
On final passage, the House approved H.R. 1 adopting the annual State Integrated Coastal Protection Plan for FY 2026-2027 by 101 yeas, and also passed H.R. 17 on TOPS return-on-investment study, H.C.R. 4 suspending certain feeding and baiting restrictions in chronic wasting disease areas by 63-30, H.C.R. 47 on child abuse reporter training, H.R. 30 on FISA reform, H.B. 12 expanding death benefits for reserve auxiliary law enforcement officers, H.B. 205 allowing parish supplementation of election commissioner pay, H.B. 224 on Medicaid dental coverage for related procedures, H.B. 324 on judicial salaries, H.B. 325 on TOPS Tech eligibility, H.B. 350 expanding a charter school’s grade levels, H.B. 745 extending special vehicle permit sunsets, H.B. 797 creating the Bayou Gold Program, H.B. 807 creating a workforce instructor capacity investment program, H.B. 821 moving the Center for Safe Schools, H.B. 896 on toll signage and customer service, H.B. 979 increasing first responder survivor benefits to $404,000 via amendment, H.B. 992 assigning early childhood student IDs, H.B. 1000 on highway priority program administration, H.B. 1024 creating a Democratic Party license plate, H.B. 1050 on CDL age and hazmat rules, and H.B. 1173 on installment agreements for OMV fines and late fees. Several other bills were reported favorably, amended, or recommitted, with no recorded opposition on most of the final votes.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 16th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- So this is a Medicaid matching fund.
- DPI has to withhold money for payments for that, and the students are eligible for Medicaid, and then
- they reimburse DHS for the special ed units when they have a Medicaid issue.
- Since then, a number of other PBM reforms were passed and placed under that same section.
- Senate amended the bill by adding a new level of care for individuals receiving services through Medicaid
Summary:
The Senate opened with prayer, the Pledge, a quorum call, and approval of journal corrections. It then handled several House messages, appointing conference committees on Senate Bills 2004 and 2006 and House Bills 1018, 1019, and 1363, and re-referring House Bill 1216 to Appropriations. The chamber also adopted amendments to House Bill 1601, which would have expanded special assistant attorney general authority for certain offices, but the bill failed on final passage after strong opposition centered on preserving the Attorney General’s control and avoiding a solution in search of a problem.
A major portion of the day focused on education funding. House Bill 1369 was amended to raise per-pupil aid from 2% and 2% to 3% and 3% and to increase the school construction loan transfer from $75 million to $100 million; supporters said this would help local schools and military base projects, while opponents raised questions about special education placement language and state coordination. The bill passed 44-3. House Bill 1013, the DPI budget, was also amended extensively to adjust staffing, funding sources, grants, meal assistance, teacher training, and other education programs; it passed 45-2. House Bill 2234, dealing with Choice Ready grants, was amended to shift funding away from general funds and toward federal or other sources, but then failed on final passage after the sponsor urged a red vote.
The Senate also approved House Bill 1482, restricting bond and indebtedness elections for counties, cities, school districts, and park districts to primary or general election days, and House Bill 1332, creating a value-added agriculture facility incentive program with an emergency clause. House Bill 1010, the Insurance Department budget, passed unanimously after amendments reflecting the merger of the Securities Department into Insurance and adding staff and fee changes, while House Bill 1011, the separate Securities Department budget, failed because its funding was already included in HB 1010. House Bill 1584, a major pharmacy benefit manager reform bill, passed with an enforcement fund and new licensing/enforcement structure despite debate over ERISA and market transparency.
In other action, the Senate concurred in House amendments and passed Senate Bills 2226, 2230, 2069, 2082, 2387, 2385, and 2186, with SB 2186 on parenting time interference and a child custody task force passing 27-20 after debate over whether the issue should be left to the courts. Senate Bill 2234, on Choice Ready grants, and Senate Bill 2243, on driver’s license points and traffic penalties, both failed after concurrence motions were adopted but final passage votes were overwhelmingly negative. The chamber also advanced Senate Bill 2291 to conference committee consideration near the end of the transcript.
NM
New Mexico 2025 Regular Session
House - Health and Human Services Feb 5th, 2025
House Health & Human Services
Transcript Highlights:
- Medicaid payment parity, opportunity scholarship.
- Increase student loan repayment and Medicaid reimbursement.
- It may be cited as the Behavioral Health Medicaid Waiver Act.
- this Medicaid waiver program for them.
- Term services and supports component of Medicaid.
Committee:
House House Health & Human Services
FL
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.
- 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.
- 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 recognizing guests, students, advocates, and a resolution honoring the late USF men’s basketball coach Amir Abdur-Rahim. Senators also observed moments of silence for victims of recent campus violence and for former FSU President John Thrasher. The chamber then moved to special order bills, with several members explaining measures and, in some cases, substituting House companions before final passage.
Among the bills passed were measures updating child care and early learning provider regulation; strengthening penalties and cost recovery for false reporting and swatting; extending protections against extraordinary medical debt collection; expanding hazardous walking condition criteria for schoolchildren; creating young adult housing support for foster and homeless students; and requiring private schools participating in the Family Empowerment Scholarship Program to disclose which accommodations they will provide. The Senate also passed a bill adjusting interest rules for trust accounts funding legal aid, after extended debate over the impact on legal aid funding and banking practices, and a transportation package that was heavily amended to address issues such as school bus camera hearings, beach vehicle use for equipment removal, flooded-street wake restrictions, expectant mother parking permits, micromobility regulation, and traffic signal modernization.
The chamber also approved public-records exemptions for Agency for Health Care Administration investigators, Judicial Qualifications Commission employees, and appellate court clerks; a municipal water and sewer rate bill affecting Miami-Dade residents near a plant; motor vehicle offenses involving impersonating law enforcement and obscured license plates; trespass penalties at law-enforcement-controlled locations and large ticketed venues; refund requirements for patient overpayments; stem cell therapy authorization with source and consent limits; and insulin administration authority for direct support professionals and relatives in group homes. Several bills were temporarily postponed, including cardiac emergencies, chemicals and consumer products, and motor vehicle manufacturer/franchise dealer legislation. Most measures passed with strong bipartisan support, though the trust fund interest bill drew notable opposition and passed 28-10, and the Family Empowerment Scholarship bill passed 37-1.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 53 Afternoon Session May 6th, 2026
Oklahoma House Floor Meeting
Transcript Highlights:
- House Bill 3650 by Stinson of the House and Rosino of the Senate, an act relating to Medicaid.
- I love the program, just wanting to understand the Medicaid.
- Is this state-matched funds like a waiver, or is this straight Medicaid funds?
- House Bill 2749 by Caldwell of the House and Hall of the Senate, an act relating to Medicaid.
- So Medicaid, SoonerCare, those are federal and state dollars.
Bills:
SB1687 , HB1687 , HB4431 , HB2894 , HB2979 , HB3262 , HB3298 , HB3369 , HB3431 , HB3462 , SB1226 , SB1876 , SB1916 , SB1920 , HB3467 , HB3498 , HB3500 , HB3521 , HB3581 , HB3650 , HB3673 , HB3764 , HB3767 , HB3781 , HB3800 , HB3831 , HB3834 , HB3941 , HB2749 , HB3970 , HB3972 , HB3979 , HB3980 , HB3981 , HB3996 , HB4095 , HB4104 , HB4191 , HB4248 , HB4298 , HB4338 , HB4427 , HB4428 , HJR1023 , HB3660 , HB3718 , HB4326 , HB3443 , HB3880 , HB3649 , HB3000 , SB1651 , SB504 , SB372 , SB1326 , SB1633 , SB248 , SB1242 , SB1238 , SB423 , SB1989 , SB1286 , SB904 , SB1213 , SB1216 , SB1827 , SB65 , SB1390 , SB259 , SB1944 , SB540 , SB2139 , SB346 , SB1595 , SB1400 , SB1555 , SB1209 , SB2110 , SB1670 , SB1061 , SB2104 , HR1057 , SB1946 , SB1734 , SB1316 , SB1360 , SB1557 , SB1684 , SB2049 , SB1410 , SB2011 , SB1437 , SB1204 , SB1732 , SB1775 , SB2084 , SB1380 , SB1572 , SB1772 , SB1224 , SB710 , SB1338 , SB1266 , SB1303 , SB1307 , SB1562 , SB1794 , SB1191 , SB1983 , SB1832 , SB1448 , SB1534 , SB1593 , SB1597 , SB1630 , SB1489 , SB1726 , SB1796 , SB1806 , SB1877 , SB1451 , SB1553 , SB1632 , SB1423 , SB1425 , SB1502 , SB2180 , SB1725 , SB2182 , HB3003 , HB3004 , HB4434 , HB4324 , HB4342 , HB2137 , HB4432 , SJR50 , SJR52 , SJR53
Keywords:
driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment
Summary:
The House recognized several visitors and groups during the day, including the Norman North High School Cheer and Stunt Team, a student page, Bartlesville Day at the Capitol, and Leadership Elk City. The chamber then took up a long series of Senate amendments and final passage votes on a wide range of measures, with most amendments adopted without objection and many bills passing by wide margins. Topics included advanced health care directives, the Oklahoma Rural Jobs Act, motor vehicle and insurance changes, food truck fire suppression, foreign adversary land ownership restrictions, plumbing licensing reform, probate procedure, financial institutions, riots, Medicaid, court reporters, public finance, district attorney recruitment incentives, child care, the Oklahoma Brine Development Act, adjunct teachers, workers’ compensation, and other technical or policy updates.
Several bills drew substantive debate. The Oklahoma Rural Jobs Act prompted questions about the additional $15 million funding tranche, return on investment, and the use of out-of-state fund managers; supporters said the program had created thousands of jobs and generated strong tax revenue, while opponents criticized the lack of independent ROI data and transparency. House Bill 3500 on probate procedure also drew questions about a nine-month deadline for successor affidavits, with the author saying the change would prevent a “gotcha” that could defeat a decedent’s wishes. House Bill 3660 on natural organic reduction was the subject of extended debate, with supporters arguing for personal freedom and rejecting claims about misuse of the resulting material, while opponents raised concerns about the practice and its regulation.
The House passed most measures by comfortable margins, including bills on advanced health care directives, professions and occupations, motor vehicles, Medicaid, insurance, child care, court reporters, public finance, and criminal law. A few measures failed or were reconsidered: Senate Bill 1916 initially failed on a 46-39 vote, but the House later voted to reconsider and then passed it on reconsideration. Several bills also carried emergency clauses, which were adopted where required by two-thirds votes. The session ended with the House still considering debate on House Bill 3660 after the chamber had recessed and returned to order.
HI
Hawaii 2026 Regular Session
House Chamber - Mon Mar 23, 2026, 12:00PM HST - Day 32
Hawaii House Floor Meeting
Bills:
HR206 , SB3083 , SB2377 , SB2816 , SB3248 , SB2436 , SB2259 , SB2928 , SB2577 , SB2697 , SB2399 , SB2665 , SB2851 , SB3102 , SB2521 , SB3157 , SB3255 , SB3016 , SB2765 , SB1432 , SB17 , SB2401 , SB2972 , SB3014 , SB3032 , SB3137 , SB847 , SB2261 , SB2271 , SB2272 , SB2804 , SB3007 , SB3019 , SB3250 , SB2603 , SB3022 , SB2256 , SB2147 , SB2014 , SB2114 , SB2115 , SB2117 , SB2246 , SB2519 , SB3055 , SB3095 , SB3144 , SB3264 , SB2325 , SB2211 , SB3245 , SB2090 , SB2803 , SB2866 , SB2250 , SB2497 , SB2032 , SB2487 , SB3136 , SB2756 , SB2615 , SB3262 , SB2024 , SB2177 , SB2552 , SB2319 , SB2407 , SB2153 , SB2321 , SB2805 , SB3010 , SB2892 , SB2781 , SB2489 , SB2174 , SB2169 , SB3123
Keywords:
Robert Bob Toyofuku, Hawaii legal community, House Resolution, commendation, honorary resolution, legal education, continuing legal education, CLE, William S. Richardson School of Law, University of Hawaii law school, Pacific Law Institute, attorney training, legal ethics, professional responsibility, legal mentorship, legal profession, court-annexed arbitration, alternative dispute resolution, appellate decisions, Hawaii Supreme Court
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, March 5, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Speaker, and I thank my... including cuts to Medicaid that cover including cuts to Medicaid that cover
- Al Green is not the one trying to gut Medicaid. Trump is the one trying to gut Medicaid.
- I have constituents who need Medicaid.
- <07:22:45.398><c> I</c><07:22:45.558><c> have</c> Medicaid I have Medicaid I have constituents<07:22:
- </c> up and asked him not to cut Medicaid up and asked him not to cut Medicaid really<07:33:43.878><c
FL
Florida 2025 Regular Session
Banking and Insurance Mar 25th, 2025
Transcript Highlights:
- And, you know, certainly the benefits, you know, that we're certainly seeing from some of the reforms
- AKA reports that SB 15, 70 would have a minimal operation costs on the agency because the Florida Medicaid
- again and supplemental best breast cancer screenings services are already provided to the Florida Medicaid
- We have a little bit of background and the precious metal monetary reform for decade and a half back
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, February 10, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- The cuts to Medicaid that will be proposed will be devastating.
- The reforms proposed in this bill will accomplish just that.
- </c> this good bill this bill will reform this good bill this bill will reform CDB's<04:03:22.199><c>
- De La Cruz, who's done so much to advance these reforms in HUD in our committee.
- De La Cruz, who's done so much to advance these reforms in HUD in our committee.
CA
California 2025-2026 Regular Session
Senate Elections and Constitutional Amendments Committee Jan 13th, 2026
Elections and Constitutional Amendments
Transcript Highlights:
- Medicaid the voting machines, but there has to be process under the subpoena of power approved by federal
- As you all know, under the Political Reform Act of 1974, elected officials and certain employees of state
- It ensures fairness while preserving the integrity and enforcement of the Political Reform Act.
- We were able to act on what we learned in the 2024 election cycle and reform the signature curing process
Summary:
The committee heard three bills. SB 73, by Senator Cervantes, would bar county registrars from allowing federal agents to inspect voting machines and was presented as a response to alleged federal interference in California elections. Supporters said it would help local governments defend election systems, while Senator Choi opposed it as unnecessary and beyond state authority, arguing federal law already governs access to voting equipment. The bill passed on a 4-1 vote to Appropriations after the call was lifted.
SB 401, by Senator Hurtado and presented by Senator Allen, would authorize the Fair Political Practices Commission to extend Form 700 and other economic-interest filing deadlines during declared emergencies. Testimony and committee discussion focused on whether the bill gave the FPPC too much open-ended discretion, with members asking for clearer limits on how long extensions could last and when they would apply. The author and FPPC counsel said they would work on clarifying the language, and the bill passed 5-0 to Labor, Public Employment and Retirement.
SB 46, by Senator Umberg, would give the Secretary of State authority to remove constitutionally ineligible presidential or vice presidential candidates from the California ballot, aimed at preventing a third presidential term. Supporters from CREW and a constitutional law professor argued the measure was constitutional and necessary to enforce the 22nd Amendment, while the Secretary of State’s office raised concerns about creating an investigative role and suggested alternative language or use of an independent special counsel. Members debated whether ballot eligibility determinations should be made at the state or federal level, and the bill passed 4-1 to Appropriations. The chair then thanked committee staff and adjourned the hearing.
CA
California 2025-2026 Regular Session
Senate Elections and Constitutional Amendments Committee Jan 13th, 2026
Transcript Highlights:
- Medicaid the voting machines, but there has to be processed under the subpoena of power approved by federal
- As you all know, under the Political Reform Act of 1974, elected officials and certain employees of state
- It ensures fairness while preserving the integrity and enforcement of the Political Reform Act.
- We were able to act on what we learned in the 2024 election cycle and reform the signature curing process
Summary:
The committee heard three bills. SB 73 by Senator Cervantes would bar county registrars from allowing federal agents to inspect voting machines, framed by the author as a response to federal interference in California elections. The Secretary of State supported the concept and asked for amendments to clarify procedures for inspection requests. Senator Choi opposed it as unnecessary and beyond state authority, arguing federal subpoena rules already govern such inspections. The bill passed on a 4-1 vote to Appropriations after the call was lifted.
SB 401 by Senator Hurtado, presented by Senator Allen, would authorize the FPPC to extend filing deadlines for statements of economic interest during declared emergencies. Testimony from the FPPC said the commission had no formal position but could administer the extensions, while members raised concerns that the bill was too open-ended and lacked a defined extension period. The author and committee members agreed to work on narrowing the language, and the bill passed 5-0 to Labor, Public Employment and Retirement.
SB 46 by Senator Umberg would give the Secretary of State authority to remove constitutionally ineligible presidential or vice presidential candidates from the California ballot, with the author focusing on preventing a third presidential term. Supporters argued the Secretary of State already has a role in enforcing ballot qualifications and that the bill is constitutional. The Secretary of State’s office raised concerns about turning the office into an investigatory body and suggested alternative language limiting the measure to the 22nd Amendment or using an independent special counsel. Members debated whether the state should make such determinations, and the bill passed 4-1 to Appropriations. The chair also used the end of the hearing to thank staff and note it was her final hearing as committee chair.
NV
Nevada 2025 Regular Session
Senate Floor Session Jun 2nd, 2025 at 12:00 pm
Nevada Senate Floor Meeting
Transcript Highlights:
- defenses that constitute smash-and-grabs, juvenile justice, and driving under the influence-related reforms
- Assembly Bill 234, introduced by Assemblymember Anderson, requires Medicaid coverage for screening for
- This bill changes Medicaid. Any further remarks? Secretary will open the roll.
- Assembly Bill 428 requires public and private health insurance plans, including Medicaid, and insurance
- Without urgent reform, we risk a future where insurance is unaffordable or even unavailable for many
ID
Transcript Highlights:
- review panel in trying to move us into one big MCO to oversee Medicaid.
- move us into one big MCO to oversee Medicaid.
- Senators, this is pretty complex work as we look at Medicaid and the federal waivers, the contracts,
- Montana has also adopted this reform, though they do make it mandatory for cities to do this.
- Montana has also adopted this reform, though they do make it mandatory for cities to do this.
Summary:
The Senate convened with 31 members present, approved the March 31 journal, and moved through committee reports, gubernatorial messages, and House messages before taking up several bills on final reading. Among the measures considered were House Bill 930 on campaign finance, House Bill 949 on consolidating the STEM Action Center with the Workforce Development Council, House Bill 950 providing a one-time appropriation for a consultant to support Medicaid review work, House Bill 952 revising the Secretary of State’s budget, Senate Bill 1444 for public school support, House Bill 940 revising Idaho Digital Learning Academy policy, Senate Bill 1438 funding the IDLA budget, House Bill 516 on parental rights and education, and House Bill 897 on the Idaho information technology equipment sales tax exemption. The chamber also received and referred additional bills, including House Bill 968 and several appropriations and committee reports.
House Bill 930 passed after debate centered on campaign finance transparency, separate campaign accounts, limits on investments, and requiring self-loans over $1,000 to be deposited into campaign accounts. Supporters said it would improve accountability; opponents questioned enforcement and warned against weaponizing campaign reporting. House Bill 949 passed with discussion of consolidating STEM and workforce functions, shifting funds and staff, and reducing administrative costs. House Bill 950 passed as a one-time $200,000 appropriation for a consultant to assist the legislature’s Medicaid review panel. House Bill 952 passed with a small reduction to the Secretary of State’s ongoing general fund budget. Senate Bill 1444 passed despite objections that the school budget underfunds district health insurance and shifts costs to local districts; supporters emphasized federal fund authority and other budget adjustments. House Bill 940 passed after extensive debate on narrowing IDLA’s mission, ending state support for certain uses, limiting elementary and online participation, and reducing enrollments and costs.
Senate Bill 1438, the companion IDLA appropriation bill, also passed after debate over the size of the cut, the use of the Public Education Stabilization Fund, and whether the budget should include a cap on enrollments; supporters said it matched the policy changes in House Bill 940, while opponents argued it was too restrictive and could harm students’ access to courses. House Bill 516, dealing with parental rights and education and teacher-union-related payroll and activity restrictions, passed after a lengthy and sharply divided debate over whether it protected taxpayer dollars or unfairly targeted educators and unions. House Bill 897, as amended, was then taken up for final consideration on the Idaho information technology equipment sales tax exemption, with the sponsor explaining that the bill narrows the exemption to internal server equipment and limits it to 20 years in response to changing data-center trends and water-use concerns.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, April 22, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- Communities where Medicaid is not a talking point.
- I because their family lost Medicaid.
- If they truly support clean restore the Medicaid coverage it took restore the Medicaid coverage it took
- The other is in Medicaid.
- Uh it come on the roles of Medicaid.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Mar 17th, 2025
Transcript Highlights:
- the chance of a Medicaid shortfall was 50-50, likely, or almost certain.
- a Medicaid shortfall was 50-50, likely, or almost certain.
- And so we share Assembly Member Shiaevil's request to reform the share of cost program.
- Likely taking advantage of our Medicaid program today.
- I'm the State Medicaid Director at the Department of Health Care Services.
Summary:
The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions.
The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs.
The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Oct 15th, 2025
Transcript Highlights:
- Doctor and get paid by Medicaid? The short answer is no.
- So, as of right now, Medicaid is not impacted.
- Second question, Medicaid.
- I remember when COVID hit, and we were pumping up Medicaid; we wanted to get as many people on Medicaid
- I used to be a Medicaid rates expert. I worked at Medicaid for 20 years, but I would.
NH
Transcript Highlights:
- </c> Medicaid does the opposite. Medicaid does the opposite.
- I know firsthand how essential Medicaid is because Medicaid changed my life.
- Please protect Medicaid.
- They rely on Medicaid.
- They rely on Medicaid.
Committee:
Senate Finance
AZ
Arizona 2026 Regular Session
01/28/2026 - House Appropriations
House Appropriations Committee of Reference
Transcript Highlights:
- The majority of people on SNAP are also on Medicaid.
- Hopefully it can come from our savings in Medicaid on the other side. Thank you.
- The majority of people on SNAP are also on Medicaid.
- But yeah, for a program... ...you should come over and reform you, right?
- I'm a senior fellow with the Cicero Institute, and I focus on homelessness policy reform nationwide.
Summary:
The Appropriations Committee met on January 28 and heard several bills, beginning with introductions of members and staff. The committee first considered HB 2056, which would appropriate $100,000 to the Arizona Department of Water Resources for a feasibility study of brackish groundwater desalination sites. Sponsor Rep. Gail Griffin argued the state should explore use of large brackish groundwater reserves amid Colorado River concerns, while one speaker opposed the bill on aquifer-protection grounds. The committee voted 11-6-1 to give HB 2056 a due pass recommendation.
The committee then took up HB 2798, as amended, which appropriates $100,000 to the Arizona Geological Survey to compile data on materials relevant to nuclear energy, including thorium and other non-uranium fuels. Rep. Carbone and others framed the bill as an economic development and national security measure, while opponents questioned whether Arizona has meaningful deposits and whether the state should fund the research. The University of Arizona testified that the Geological Survey could do the work. The committee adopted the Livingston amendment and then approved the bill 11-5-1.
Next, the committee considered HB 2303, which codifies investment standards for the State Treasurer, emphasizing safety and principal preservation and prohibiting speculative investments and insider misuse. The Treasurer’s Office supported the bill, saying it reflects existing policy and ethics rules, though members asked for clearer definitions of “speculative” and how the bill would interact with other statutes. The committee passed HB 2303 15-0 with two members present and one not voting. HB 2344, which directs the Treasurer to manage the local government investment pool internally and allows a third-party contract only for emergency backup, also passed after questions about local control and whether the bill was necessary; the vote was 12-2-3 with one not voting.
The committee later heard HB 2759, a $500,000 appropriation to the Department of Veterans’ Services to partner with an educational institution in Yavapai County for veterans programs. Retired Navy SEAL Chief Richard Rodriguez testified about Embry-Riddle’s veteran population and emergency assistance needs for housing, travel, and equipment, while opponents objected to using state funds for a private institution and argued veterans services should be broader and statewide. The bill received a due pass recommendation 11-6-1. The committee also approved HB 2207, which funds the prison Braille transcription program at $300,000 and was described as a successful rehabilitation and service program, and HB 2224, as amended to $1 million, which funds the Double Up Food Bucks produce incentive program through SNAP; supporters said it helps families, farmers, and local economies, and the committee adopted the amendment and passed the bill.
HI
Hawaii 2025 Regular Session
CPC Public Hearing - Tue Feb 11, 2025 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
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Committee:
House Consumer Protection & Commerce
Summary:
The committees heard testimony on several transportation and consumer-related bills. HB 496, relating to mamaki tea labeling, drew support from the Department of Agriculture, the Department of Weights and Measures, and the Hawaii Farm Bureau, which said the bill would help protect a culturally important crop and the Hawaii brand. Members questioned Agriculture about staffing and whether the bill was being used to reopen a package-labeling inspection branch; the department said it currently has no Oahu inspectors for that function but has a place for an additional inspector. No opposition was registered on the measure.
HB 978, relating to electric utilities, and HB 1316, relating to DLNR/park reservations, were also heard. HB 1316 received support from State Parks, and members discussed where reservation fees would go and whether the statewide reservation system for three parks would cover its costs; the committee indicated a change would be made so fees go to the special fund. HB 914, relating to water carriers, drew support or comments from the PUC, Department of Agriculture, Department of Transportation, Young Brothers, and the Hawaii Harbor Users Group. The main discussion focused on the proposed automatic rate-adjustment mechanism tied to the GDP price index, with members asking for alternative index ideas and questioning whether the PUC already had authority to adopt such a mechanism. Young Brothers said the measure would provide clarity and help recover inflationary costs, while the chair raised concerns about repeated rate increases and asked for further testimony on possible alternative indices.
HB 1161, relating to transportation and road usage charges, received support from the Insurance Division, DOT, and the State Energy Office, with comments from the Tax Foundation of Hawaii and the Hawaii Food Industry Association. Members asked whether counties need state authorization to adopt mileage-based charges and why the bill included funding for implementation; DOT said it is helping counties build the data collection and billing system and that Honolulu is handling much of the collection work. A question was also raised about whether plug-in hybrids would be covered, and DOT said vehicles under the federal electric-vehicle definition would be included. HB 1301, relating to transportation network companies, drew opposition from the Hawaii Association for Justice, Lyft, and Uber, all arguing that classifying TNCs as common carriers and changing liability rules would raise costs, reduce access, and disrupt the current statewide framework. No votes or final committee actions were taken in the portion of the meeting provided.