Video & Transcript Research : 'Medicaid eligibility'
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OK
Transcript Highlights:
- So under this proposal, future legislatures could alter or scale back Medicaid Eligibility without a
- Yes, the Medicaid spending is a recurring expense to the state.
- This legislation here does nothing to shrink the Medicaid expansion.
- This isn't Strengthening Medicaid, it's weakening its foundation.
- This bill does absolutely nothing to cut Medicaid.
Keywords:
Medicaid, low-income adults, healthcare, eligibility restrictions, constitutional amendment, Medicaid expansion, SoonerCare, health coverage, federal matching funds, FMAP, Article XXV-A, state question, special election, Title 63, public assistance, healthcare funding, federal-state match, Medicaid eligibility, Oklahoma Constitution, ad valorem
AL
Alabama 2026 1st Special Session
Alabama House Constitution, Campaigns and Elections Jan 21st, 2026
Constitution, Campaigns and Elections
Keywords:
parental rights, drag performances, public schools, public libraries, overnight programs, gender identity, minor safety, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination
AL
Alabama 2025 Regular Session
Alabama House Ways and Means General Fund Committee Feb 12th, 2025
Ways and Means General Fund
Transcript Highlights:
- The volunteer has to have a medical physical within six months to be eligible for this benefit and must
- for Medicaid.
- Your income would qualify for Medicaid, and we would assume that for pregnancy Medicaid.
- No, I'm saying the presumptive is about the income eligibility, sir.
- The presumptive is about the income eligibility. If they... ...is about the income eligibility.
Keywords:
elections, post-election audit, election audit, risk-limiting audit, ballot audit, election integrity, voter confidence, Secretary of State, judge of probate, canvassing board, poll watchers, ballot containers, manual tally, recount, county election, statewide election, general election, absentee ballots, provisional ballots, election transparency
AL
Alabama 2026 1st Special Session
Alabama Senate County and Municipal Government Committee Feb 4th, 2026
County and Municipal Government
Keywords:
income tax, research expenditures, economic development, tax deductions, Tax Cuts and Jobs Act, Alabama tax law, educational intervention, State Superintendent, local boards of education, subpoena, accountability, state control, electric vehicles, registrations, license tax, public transportation, funding infrastructure, K-12 education, wireless communication devices, digital safety
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation General Fund Committee Mar 5th, 2025
Finance and Taxation General Fund
Transcript Highlights:
- This is the presumptive eligibility bill. Any questions on that particular bill?
- But these funds would be pulled down anyway because these people would be eligible.
- If you are pregnant, you qualify for Medicaid.
- So all this will do is give them presumptive eligibility, so they can start their... ...eligibility so
- We had already— we didn't turn people away waiting on their eligibility.
Keywords:
income tax, CHOOSE Act, education funding, ABLE account, tax credits, poverty threshold, legislative funding, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/4/26
Health Finance and Policy
Transcript Highlights:
- c> OB3<00:04:31.759>
and Medicaid eligibility changes in OB3 and Medicaid eligibility changes - in the bill. to eligibility, specifically Medicaid to eligibility, specifically Medicaid expansion<00
- most Medicaid eligibility and the most Medicaid eligibility and the most significant<00:09:00.959
- c><00:09:08.480>
Medicaid condition of eligibility for Medicaid condition of eligibility for Medicaid - >
states Medicaid eligibility programs and states Medicaid eligibility programs and states have
Keywords:
Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test
Summary:
The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility.
She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase.
During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation General Fund Committee Apr 2nd, 2025
Finance and Taxation General Fund
Transcript Highlights:
- for Medicaid.
- women for Medicaid.
- But we can do a better job in making sure that the folks that are on SNAP or Medicaid are truly eligible
- and staying eligible.
- The last thing I will say is we all know that the federal government is looking at eligibility for Medicaid
Keywords:
SB245, public assistance, Medicaid, SNAP, food assistance, Alabama Medicaid Agency, Department of Human Resources, eligibility verification, self-attestation, data matching, fraud prevention, improper payments, program integrity, benefit eligibility, income verification, residency verification, asset verification, electronic benefit transfer, EBT, cross-checks
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, March 2, 2026
Labor, Health & Social Services
Transcript Highlights:
- Uh, so right here the first kind of line in red just corrects Medicaid to Medicaid.
- Uh, so right here the first kind of line in red just corrects Medicaid to Medicaid.
- Uh, so right here the first kind of line in red just corrects Medicaid to Medicaid.
- Uh, so right here the first kind of line in red just corrects Medicaid to Medicaid.
- Medicaid. Medicaid.
Keywords:
medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification
WY
Wyoming 2026 Regular Session
Senate Labor, Health & Social Services Committee, March 2, 2026
Labor, Health & Social Services
Keywords:
medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Human Services Subcommittee Feb 9th, 2026 at 10:30 am
A&B Human Services Subcommittee
Keywords:
home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Jan 27th, 2026
Children, Families, and Elder Affairs
Transcript Highlights:
- SB 1016, medical assistance eligibility for working persons with disabilities, is presented by Chair
- adults with developmental disabilities in a Medicaid waiver program be automatically enrolled.
- Eligible adults with developmental disabilities in a Medicaid waiver program be automatically enrolled
- The bill also codifies the income and asset provisions of the program to maintain Medicaid eligibility
- I, as well as many others, have lost their Medicaid multiple times due to this barrier.
Keywords:
child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support
Summary:
The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably.
The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (8-27-25)
Transcript Highlights:
- It is an integrated eligibility and enrollment system that determines eligibility not only for Medicaid
- is just temporary Medicaid eligibility is just temporary Medicaid eligibility for<00:15:39.440><
- eligible and didn't know it. ...were nearly 9,000 Kentuckians who were Medicaid eligible and didn't
- eligible for Medicaid in the past, i.e. eligible for Medicaid in the past, i.e. job<00:31:14.960
- <01:33:06.560>
eligibility House Resolution 1, Medicaid eligibility House Resolution 1, Medicaid
Keywords:
1. Call to Order and Roll Call – 00:00:00
2. Approval of Minutes – 00:02:10
3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31
4. Discussion of the Role of Kynectors and Navigators – 00:27:29
5. Discussion of Presumptive Eligibility – 01:11:57
6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09
7. Update on Rural Health Transformation Program Application Process – 01:47:35
8. Public Comment – 01:59:57
9. Adjournment – 02:06:10, 958, all
Summary:
The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change.
The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income.
The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 56 (3-31-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- Those pre-two previous readings make them now eligible to be in the possession of the Rules Committee
- <02:13:52.159>
state establishment of a Medicaid state establishment of a Medicaid state directed - So we address both Medicaid and private insurers. Mr.
- So we address both Medicaid and private insurers. Mr.
- So we address both Medicaid and private insurers. Mr.
Keywords:
open records, public access, transparency, government accountability, public agency, dental practice, licensing, administrative regulations, dental assistants, supervision, Medicaid, community engagement, healthcare, managed care, eligibility, public assistance, insurance, public adjuster, claim process, contract requirements
AZ
Arizona 2026 Regular Session
01/28/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- Centers for Medicare and Medicaid Services.
- Centers for Medicare and Medicaid Services.
- mandatory hospital presumptive eligibility and restrict presumptive eligibility determinations to children
- As rising Medicaid spending becomes increasingly unsustainable, ensuring Medicaid is there for the truly
- It does not reduce any eligibility.
Bills:
SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368
Keywords:
SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy
Summary:
The Health and Human Services Committee approved the January 21 minutes and then heard a series of bills focused on developmental disabilities oversight, behavioral health fraud, AHCCCS operations, child safety, and state hospital capacity. SB 1179 would make the Developmental Disabilities Group Home Monitoring Program permanent and remove the appropriations contingency; Disability Rights Arizona and program managers testified that Commit had identified systemic care problems, while the sponsor said the work should continue. The bill received a 6-1 do-pass recommendation. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for behavioral health patient brokering investigations; Native advocates described widespread recruitment and exploitation of vulnerable people, especially Native Americans, and the bill passed 8-0. SB 1115 would prohibit AHCCCS from allowing remote work for Access employees; the sponsor argued in-person oversight was needed, while AHCCCS warned of space and staffing problems. It passed 4-3. SB 1051 would require hospitals to collect and report patients’ citizenship or immigration status for cost accounting; supporters called it a data-collection measure, while nurses and physicians said it would create fear and deter care. It passed 4-3. SB 1122, as amended, would replace prior authorization with 100% prepayment review for certain behavioral health services under the American Indian Health Plan, and passed 7-0 after AHCCCS said it had worked on the amendment. SB 1132, to appropriate unspecified funds for a new Arizona State Hospital wing, drew testimony from families and advocates describing severe shortages of state hospital beds and the need for more long-term treatment capacity; it passed 7-0. SB 1169, to fund graduate medical education and a new residency program, passed 6-0. SB 1171, requiring AHCCCS to check for dual enrollment in exchange plans and AHCCCS, passed 4-2-1 after AHCCCS said implementation would require system changes and costs. SB 1172, requiring more experienced DCS investigators for repeated abuse/neglect reports and court notification of hotline calls in dependency cases, passed 7-0. SB 1173, requiring behavioral health facility applicants, owners, and licensees to be U.S. citizens or lawfully present permanent residents with fingerprint clearance cards, passed 4-3 after an amendment clarifying the lawful-presence requirement.
WY
Keywords:
healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment
WY
Transcript Highlights:
- >
rates <00:02:28.239>for rates uh the Medicaid rates for rates uh the Medicaid rates for - <00:04:22.479>
pays standard call for EMS, Medicaid pays standard call for EMS, Medicaid pays - I think the to $1,000 for Medicaid.
- Um, this is not an expansion of Medicaid.
- an expansion of Medicaid. an expansion of Medicaid.
Keywords:
healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment
WY
Keywords:
healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment
TX
Texas 89th Regular
S/C on Disease Prevention & Women's & Children's Health Mar 27th, 2025
S/C on Disease Prevention & Women's & Children's Health
Transcript Highlights:
- That program is what sets the financial eligibility criteria for the Medicaid program.
- House Bill 321 simply ensures that if a child is also eligible for health coverage, Medicaid or CHIP,
- The number of kids who are uninsured but are eligible is about 400,000 who are eligible for Medicaid
- Unfortunately, too many children who are eligible for Medicaid and CHIP are not enrolled.
- We estimated that about 400,000 kids are eligible for CHIP or Medicaid and had not enrolled.
Keywords:
Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility
LA
Bills:
HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415
Keywords:
medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements
AL
Alabama 2025 Regular Session
Alabama Senate Children and Youth Health Committee Feb 12th, 2025
Children and Youth Health
Transcript Highlights:
- This is the Medicaid providing presumptive eligibility for...
- She also must make an application to Medicaid 16 days after she gets that in order to be eligible to
- This will just give presumptive eligibility, and if you're pregnant, you're going to qualify for Medicaid
- So it's... presumptive eligibility is going to turn into being eligible and being awarded Medicaid, and
- Eligible and being awarded Medicaid, and it will just facilitate those people getting in for their first
Keywords:
parental rights, minor consent, medical consent, mental health services, school counseling, student counseling, parental notification, opt-in, health records, HIPAA, vaccine consent, adolescent health, youth privacy, confidential counseling, school mental health, reproductive health, pregnancy services, sexually transmitted infections, STI treatment, substance abuse treatment