Video & Transcript Research : 'Medicaid reform'
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AL
Alabama 2026 1st Special Session
Alabama Senate Education Policy Committee Feb 25th, 2026
Education Policy
Keywords:
military installations, tall structures, local government, construction approval, wind energy facilities, archives, history, board of trustees, vacancies, government control, computer science, education reform, digital literacy, high school graduation, teacher training, education, public schools, constitution amendment, national anthem, weekly broadcast
MN
Minnesota 2025-2026 Regular Session
Judiciary Committee Meeting - 2026-04-14
Judiciary Finance and Civil Law
Transcript Highlights:
- With the support of these grants, we implemented a wide range of reforms.
- <00:25:26.000>
and leader in guardianship reform and leader in guardianship reform and innovation - implemented a wide range of reforms. implemented a wide range of reforms.
- the guardianship systems from the reform the guardianship systems from the grant<00:31:10.320>
20 - HR1 changed those Medicaid programs.
Keywords:
foster care, ombudsperson, investigative powers, children's rights, complaint process, HF4428, Medical Assistance, Medicaid, community engagement, work requirement, work mandate, employment requirement, community service, 80 hours, half-time student, income threshold, federal minimum wage, eligibility verification, benefit suspension, benefit termination
TX
Transcript Highlights:
- Under federal law, newborns of Medicaid enrolled mothers should be automatically enrolled in Medicaid
- HHSC data from 2023 shows that nearly 1 in 5 newborns were not automatically enrolled in Medicaid in
- In the meantime, as newborns are manually being enrolled, a mother's Medicaid ID can and should be used
- Under federal law, if a mother enrolled in Medicaid, uh, is enrolled in Medicaid when she delivers a
- baby, her newborn is eligible and should automatically be enrolled into Medicaid from birth.
Bills:
HB 2646, HB 3941, HB 5153, HB 5155, HB 5394, HB 1106, HB 426, HB 4529, HB 3984, HB 4273, HB 1097, HB 3940, HB 1941, HB 4377, HB 3153
Keywords:
child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health
HI
Hawaii 2026 Regular Session
HSH Public Hearing - Thu Feb 12, 2026 @ 10:30 AM HST
Human Services & Homelessness
Transcript Highlights:
- <00:42:51.040>
HB2224 is relating to Medicaid HB2224 is relating to Medicaid HB2224 which< - <00:42:56.319>
more which basically gives uh Medicaid more which basically gives uh Medicaid - <00:44:13.200>
is this authority to DHS is the Medicaid is this authority to DHS is the Medicaid - juvenile justice reform. juvenile justice reform. um<01:08:53.279>
we've <01:08:53.600> - on that track to reform. on that track to reform. >> Thank<01:09:30.159>
you.
Keywords:
LGBTQ+ rights, commission membership, representation, youth involvement, Hawaii legislation, child well-being, financial support, expectant mothers, Hawaii Rx kids program, economic stability, youth homelessness, financial assistance, housing instability, emergency services, transitioning youth, Medicaid, pharmaceutical benefits, human services, healthcare access, public funds
Summary:
The committee heard testimony on HB 1877, which would expand the membership of the Hawaii State LGBTQ+ Commission and add a youth seat. The commission’s vice chair supported the bill, saying the commission started with eight members, has growing interest, and would benefit from an odd-numbered board and youth representation. Members asked about quorum, and the commission said it has generally met monthly with only one quorum issue in the past 18–19 months and would work with legislative leaders to have appointments ready if the bill passes. Written testimony included support from Kokopac and one individual in opposition.
The committee then took up HB 2006, which would create a cash assistance program for pregnant women and mothers of babies. The Department of Human Services explained current TANF rules, including eligibility requirements, child support cooperation, and work-program participation, and said the state has recently raised benefit levels to the maximum allowed, with a family of three or four receiving a little over $900 per month. Supporters from the Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, and others argued the bill could reduce child poverty and improve maternal and child health, citing evidence from Michigan’s Rx Kids program and the temporary federal child tax credit expansion. A mother and Oahu Youth Action Board member testified from personal experience about the need for direct support during pregnancy. The committee also noted support from several organizations and about 26 individuals.
The committee next heard HB 2167, which would direct the Office of Youth Services to run a pilot program providing financial assistance to homeless youth. The Office of the Public Defender, youth advocates, and several organizations supported the measure, saying even small amounts of help can prevent homelessness and help youth transition safely to adulthood. The Office of Youth Services said it supports the intent of the bill but requested clarification, and committee members discussed whether the program should be run directly or through contracted community agencies, how to set performance metrics, and how to structure the RFP and contract process. The chair indicated the committee wanted to work with the vice chair and OYS offline to refine the bill before moving forward. The committee then began discussion of HB 2224, relating to Medicaid pharmacy benefit management, with testimony generally supporting giving DHS flexibility to negotiate with PBMs.
TX
Transcript Highlights:
- , which constitutes only about 5% of Medicaid right now.
- So Medicaid needs many reforms and much debate... about that as well.
- So we're covering these Medicaid payments.
- And all the bill does is have Medicaid and CHIP.
- That's only for Medicaid, but CHIP does not cover that.
Bills:
HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153
Keywords:
child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health
TX
Transcript Highlights:
- Under federal law, newborns of Medicaid-enrolled mothers should be automatically enrolled in Medicaid
- from 2023 shows that nearly one in five newborns were not enrolled. not automatically enrolled in Medicaid
- Meanwhile, as newborns are manually being enrolled, a mother's Medicaid ID is also affected. can and
- this bill seeks to do is close the gap by ensuring that notification of being able to use mom's Medicaid
- and should automatically be enrolled into Medicaid from birth through the first year of their life.
Bills:
HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153
Keywords:
child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health
FL
Transcript Highlights:
- LET'S PASS ACTUAL REFORMS RATHER THAN SYMBOLIC GESTURES.
- ] A COUPLE OF YEARS AGO, THE INSURANCE INDUSTRY CAME TO THE LEGISLATURE AND SAID WITHOUT SWEEPING REFORMS
- Where we find waste let us bring reform. Where there is injustice let us bring accountability.
Keywords:
property insurance, insurance reform, housing, healthcare, public education, public safety, budget reform, tax policy, government accountability, taxpayer protection
Summary:
The Florida House of Representatives convened for the 2025 Regular Session. Speaker Perez delivered opening remarks emphasizing collaborative governance over personal priorities, announcing no House Bill 1 to focus on collective work. He outlined key policy areas including property insurance reform, with plans for subcommittee hearings and subpoena powers to investigate insurance company practices and potential accounting irregularities. The Speaker called for meaningful reforms in housing, healthcare, education, and public safety, while challenging budget subcommittees to find recurring revenue savings rather than relying on temporary tax holidays. The session will focus on government accountability, waste elimination, and taxpayer protection. Governor DeSantis requested to deliver the State of the State address on March 4th, which was approved through concurrent resolution.
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 2026 1st Special Session
Alabama Senate State Governmental Affairs Committee Feb 25th, 2026
State Governmental Affairs
Keywords:
HB213, Calhoun County, board of registrars, registrar compensation, county commission, local legislation, election administration, county general fund, expense allowance, officeholder compensation, public officials pay, county election officials, Alabama Code 45-8-110, Teacher's Retirement System, TRS, DROP, Deferred Retirement Option Plan, retirement benefits, teacher retirement, classroom teacher
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
OK
Transcript Highlights:
- 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.
- I noticed that when Arkansas took Medicaid expansion, Obamacare, and passed it.
- 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
TX
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, February 23, 2026
Labor, Health & Social Services
Transcript Highlights:
- One is SF 4, Medicaid rate increase for EMS services, and SF 6, eligibility for Medicaid criteria.
- It's about Medicaid. We already have Medicaid.
- It's about Medicaid. We already have Medicaid.
- "We already have Medicaid.
- these services, Medicaid, in 14 years. these services, Medicaid, in 14 years.
Bills:
HB0004
WY
Wyoming 2026 Regular Session
Senate Labor, Health & Social Services Committee, February 23, 2026
Labor, Health & Social Services
Bills:
HB0004
TX
Transcript Highlights:
- So I like discretion just like we like the bail reform bills giving judges discretion.
Bills:
HB316
TX
Texas 89th 2nd C.S.
Pensions, Investments & Financial Services May 5th, 2025
Pensions, Investments & Financial Services
Bills:
HJR40
TX
Texas 89th Regular
Senate of the 89th Legislature Feb 19th, 2025 at 11:00 am
Texas Senate Floor Meeting
Keywords:
bail denial, illegal aliens, felony offenses, constitutional amendment, law enforcement, bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, bail bonds, public funds, political subdivision, injunctive relief, taxpayer rights, bail, criminal justice reform
MS
MS
Transcript Highlights:
- I do work with Medicaid a bit and the MCOs with Medicaid.
- I do know when we're looking at pain medicines with Medicaid and the MCOs within Medicaid, that's the
- in Medicaid. in Medicaid.
- Medicaid could be significant. Medicaid could be significant.
- the state share portion to Medicaid. the state share portion to Medicaid.
Summary:
The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design.
The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation.
Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes.
Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.
MS
Mississippi 2026 Regular Session
Medicaid - Room 216, 3 February, 2026; 10:30 AM
Transcript Highlights:
- Chairman and members of the Senate Medicaid Committee.
- Senate Bill 2674 is about access to care, hospital stability, and fairness in how Mississippi's Medicaid
- procedures is significantly below Medicare and below most southern states. in how Mississippi's Medicaid
- in how Mississippi's Medicaid program<00:01:04.640>
pays <00:01:04.960>for <00:01:05.119 - to gain meaningful allowing Medicaid to gain meaningful long-term<00:02:57.120>
savings.
Summary:
The Senate Medicaid Committee heard testimony on Senate Bill 2674, which would increase Mississippi Medicaid reimbursement for outpatient vagus nerve stimulation (VNS) procedures used to treat drug-resistant epilepsy. Dave Weinberger of LivaNova said current Medicaid rates are far below Medicare and most neighboring southern states, creating financial pressure on hospitals and causing some to stop offering the procedure. He argued the therapy provides durable clinical benefits and long-term savings for Medicaid, and said the bill would align Mississippi’s rates with Medicare’s 2026 outpatient rates and with other states.
Weinberger said the bill would set reimbursement at $45,000 for CPT 64568 and $35,000 for CPT 61885, and framed the measure as improving access, hospital stability, and fairness for vulnerable patients. Committee members did not ask questions during this hearing, though the chair noted the bill had been double referred and would go to appropriations, with a more detailed hearing scheduled for the next day.
After discussion, a motion was made that the title was sufficient and the bill do pass. The committee approved the motion, and the bill was reported out of committee.