Transcript Highlights:

• Narcan is an important medication to help prevent death from opioid overdose, currently EMTs and paramedics
• Paramedics who practice under the licensed physician's director would be more appropriate than EMTs to
• naloxone is an important medication to help prevent death from opioid overdose, currently EMTs and paramedics
• Al Chris: Paramedics who practice under the licensed physician's director would be more appropriate than

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support. The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse. During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.

Transcript Highlights:

• We have hospitals-at-home programs now that we're seeing pop up everywhere, paramedic programs that go
• We have hospitals at home programs now that we're seeing pop up everywhere, paramedic programs that go

Keywords: 995, all

Summary: The commission meeting focused on continuing care retirement communities (CCRCs), beginning with a presentation from Two Life Communities on its Opus Newton model, which is opening in the fall. Two Life described Opus as a middle-income, modern CCRC built around affordability, care coordination in residents’ apartments rather than separate care buildings, and resident-driven community life. Commissioners asked about financing, home care arrangements, affordability, Medicaid/MassHealth access, and the role of resident councils versus board representation. Two Life said it wants to remain within the CCRC framework, but expressed concern about proposals that would require multiple discrete care levels, impose deadlines on entrance-fee refunds, or require resident board seats. The commission then discussed possible recommendations. There was broad support for Senate Bill 478, which would require clearer disclosure of entrance-fee refund terms in a separate document for prospective residents. On refund timing, members were divided: some favored a one-year deadline or a deadline with waivers, while others opposed a fixed deadline because of financing risks and the potential impact on new development and current residents. Several members suggested keeping the status quo but adding better data collection and reporting on refund timing. On the CCRC definition and marketing, members debated whether the current statutory definition is too vague and whether the commission should recommend clearer standards or a certification-like process, while also noting resource limits for state oversight. Members also discussed the Age CCRC Consumer Guide, with general agreement that it should be updated and made more useful to consumers, possibly with clearer questions to ask and more information about facilities, though some cautioned against adding subjective financial-risk statements that would be hard to administer. On resident representation, several commissioners strongly supported requiring resident voting members on boards, while providers argued that strong resident associations and regular meetings with boards may be preferable and that communities should retain flexibility. The meeting ended with a request for written comments by July 11, draft recommendations to be circulated July 18, and a possible final meeting on July 21, with the commission aiming to finish by August 1.

Transcript Highlights:

• My brother was not a firefighter, but he was a paramedic with Arizona Fire and Medical Authority.
• My brother was a, it was not a firefighter, but he was a paramedic with Arizona Fire and Medical Authority

Bills: HB2665, HB2904, HB2917

Keywords: manslaughter, suicide encouragement, assisted suicide, online harassment, social media, text messaging, directed communication, minor suicide, youth suicide prevention, criminal liability for speech, online bullying, free speech, homicide, class 2 felony, Cade's Law, Arizona criminal law, sovereignty, border security, health crisis, drug cartels

Summary: The House Committee on Public Safety and Law Enforcement heard three bills. HB 2665, named Cade’s Law, would expand Arizona’s manslaughter statute to cover intentionally directed communications—verbal, written, or electronic—that encourage a minor to die by suicide, while excluding general public commentary and non-directed discussion of suicide or mental health. The sponsor and several parents and suicide-prevention advocates testified in support, emphasizing teen suicide risks and the need to address online communication. Some members raised concerns about ambiguity, peer-to-peer counseling, and whether minors could be swept into the statute. After a verbal amendment clarifying the communication language, the bill passed 10-4 with several members voting present due to drafting concerns. HB 2904 declared fentanyl trafficking across the Arizona-Mexico border a public health crisis and directed state health officials to act within their authority. The sponsor argued the bill was needed to combat cartels and protect Arizona from fentanyl-related deaths. The ACLU of Arizona opposed it, saying the bill used vague and unprecedented terms such as “unlawful invasion,” could sweep in asylum seekers or low-level drug offenders, and might affect bail and sentencing. After a contentious debate over border security, sovereignty, and the bill’s definitions, the committee gave HB 2904 a do pass recommendation by an 8-6 vote. HB 2917 would create a firefighter cancer registry at the Department of Health Services to collect and analyze data on cancer among Arizona firefighters. Firefighter representatives supported the measure as a way to better understand occupational exposure and improve prevention, but members questioned whether the bill’s reporting requirements were truly voluntary, since the draft appeared to require participation and provider reporting of medical information. The sponsor and supporters said the intent was not to mandate disclosure and were open to amendments to clarify consent and privacy. The committee approved the bill 12-1, with one present vote and one absence, while noting that cleanup amendments would be needed before floor consideration.

Transcript Highlights:

• Firefighters who, based in proviso, firefighters who have either a paramedic or EMT certification.
• Firefighters who have either a paramedic or EMT certification.

Bills: S0048

Keywords: housing, accessory dwelling units, affordable housing, local government, zoning regulations, military families, density bonus, homeownership, property taxes

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development heard presentations on the Governor’s recommended budget for fiscal year 2026-27 and then considered one bill, CS/SB 48 on accessory dwelling units (ADUs). The Governor’s office outlined a $117.4 billion overall budget, with transportation and economic development receiving about $18 billion statewide and $601 million in general revenue. Agency heads then presented priorities for Commerce, Highway Safety and Motor Vehicles, Military Affairs, State, Transportation, Emergency Management, and the Florida State Guard, emphasizing workforce development, housing, tourism marketing, aviation and space infrastructure, law enforcement recruitment, emergency preparedness, and military readiness. In the Commerce presentation, Secretary Kelly highlighted funding for housing programs, the Hometown Heroes program, the Florida Job Growth Grant Fund, rural infrastructure and workforce grants, Reconnect and Florida WINS systems, law enforcement and firefighter recruitment bonuses, defense support, Visit Florida, Space Florida, and SelectFlorida. Senators asked about Visit Florida’s private match requirements and whether the agency fully leveraged prior appropriations; Visit Florida’s CEO said the match was met and exceeded, though it is difficult but important. The Highway Safety and Motor Vehicles presentation focused on trooper pay, pursuit vehicles, aviation assets, and enterprise data systems, with questions about immigration enforcement and body cameras. Military Affairs requested funding for readiness centers, training facilities, education and health benefits for Guardsmen, and maintenance of existing armories; members discussed Guard deployments, staffing levels, and a proposed firing range project. The Department of State requested funds for automated election audits, a conservation lab, and historic preservation, and defended its arts grant process and rule changes. Transportation’s budget emphasized a $14.3 billion work program, road and bridge maintenance, aviation and aerospace, safety initiatives, and seaport investments, while Emergency Management requested funding for preparedness, flood mitigation, WebEOC, grants management, and alert systems; senators also asked about the Alligator Alcatraz detention facility. For CS/SB 48, Senator Gates explained that the bill would require local governments to allow property owners to voluntarily create ADUs, while preserving local authority over setbacks, construction, and permitting. An amendment removed reusable tenant screening reports and clarified that conforming ADUs would be allowed by right without a separate hearing. The Florida Restaurant and Lodging Association supported the bill, saying ADUs could help provide long-term housing for service workers. After questions about local government and HOA authority, the committee adopted the amendment and then reported CS/SB 48 favorably by roll call vote.

Transcript Highlights:

• We represent over 2,000 active and retired firefighters, dispatchers, and emergency paramedics throughout
• firefighters, dispatchers, and emergency firefighters, dispatchers, and emergency um<01:14:16.560> paramedics
• > throughout<01:14:17.440> the<01:14:17.600> state<01:14:17.679> of um paramedics
• throughout the state of um paramedics throughout the state of New<01:14:18.000> Hampshire.
• We represent over 2,000 active and retired firefighters, dispatchers, and emergency paramedics throughout

Keywords: 1191, senate, all

Transcript Highlights:

• number continues to rise and that it will carry through to the next generation of lifeguards, EMTs, paramedics
• were able to begin CPR and administer four shocks with an AED, keeping that person alive until paramedics
• number continues to rise and that it will carry through to the next generation of lifeguards, EMTs, paramedics
• were able to begin CPR and administer four shocks with an AED, keeping that person alive until paramedics

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.

Transcript Highlights:

• guess has the authority sometimes to get people away, and a lot of times you only have EMS guys, paramedics
• And a lot of times you only have EMS guys, paramedics, and firefighters there, and, you know, we're not
• <00:06:48.000> have<00:06:48.160> EMS<00:06:48.800> guys,<00:06:49.120> paramedics
• times you only have EMS guys, paramedics times you only have EMS guys, paramedics and<00:06:49.919

Bills: SB255, SB199, SB47, HB605, HB216, HB621, HB148, HB389, HB509, HB248, SB255, SB199, SB47, HB605, HB216, HB621, HB148, HB389, HB509, HB248, SB336, SB293, SB43, HB420, HB60, HB188, HB106, HB105, HB11

Keywords: SB255, cannabinoid, hemp, hemp-derived THC, THCa, delta-8 THC, HHC, CBD, THC, novel cannabinoid products, hemp products, intoxicating hemp, delta-8, retail license, Department of Revenue, Department of Agriculture and Industries, testing and labeling, third-party laboratory, product safety, public health

Transcript Highlights:

• The two that I remember mostly with that were paramedics.
• Paramedics had not been allowed by any other PDMP across the country to access the system.

Keywords: 959, house, all

Transcript Highlights:

• The two that I remember mostly with that were paramedics.
• Paramedics had not been allowed by any other PDMP across the country to access the system.

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.

Transcript Highlights:

• association that represents over 9,200 members: career firefighters and public-sector EMTs and paramedics
• Our firefighters, EMTs, and paramedics are the ones who respond to emergencies across our state, rescuing

Keywords: 964, all

Transcript Highlights:

• in adding $5 million to this for firefighters, firefighters who, based in proviso, have either a paramedic
• really create a teamwork effort to make sure that we're marketing firefighters who have either a paramedic

Summary: The committee met to hear the Governor’s proposed budget for the Transportation, Tourism, and Economic Development silo and to consider one bill. The Governor’s Office outlined a $117.4 billion state budget, including $18.3 billion for the TED area, with major allocations for the Department of Transportation, Commerce, Highway Safety and Motor Vehicles, State, Military Affairs, Emergency Management, and the Florida State Guard. Agency heads then presented their priorities, including housing and disaster recovery funds at Commerce; pay, vehicles, aviation, and data systems at Highway Safety; facility modernization, recruitment, retention, and maintenance at Military Affairs; election audit, conservation lab, and historic preservation funding at State; transportation, aviation, seaport, and safety investments at DOT; and emergency response, flood mitigation, grant systems, and alerting at Emergency Management. Members asked questions about Visit Florida’s private match, FHP’s role in immigration enforcement and body cameras, National Guard deployment tempo and staffing, State Guard staffing and facilities, arts grant rules, rail funding, and the number of detainees at the Everglades detention site. Several notable positions were expressed during questioning. Visit Florida said it met and exceeded its private match requirement and described the match as important to ensuring value from public dollars. The Highway Patrol said its aviation assets have been used more heavily in immigration enforcement and that in-vehicle camera systems were a higher priority than body cameras at present. The National Guard and State Guard both emphasized heavy operational demands, readiness needs, and the importance of additional funding for facilities, personnel, and equipment. The Department of State said its audit funding would help counties move to automated post-election audits and that its arts grant rule changes were intended to create more consistent scoring rather than reduce access. The committee then took up CS/SB 48 on accessory dwelling units. The bill requires local governments to allow property owners to voluntarily create ADUs, preserves homestead treatment for the primary residence portion, limits parking restrictions, and extends density bonus incentives to housing for military families receiving basic housing allowance. An amendment was adopted removing reusable tenant screening reports and clarifying that compliant ADUs are allowed by right without a separate hearing or permit. Testimony from the Florida Restaurant and Lodging Association supported the bill, especially the long-term rental requirement, as a tool to help workforce housing. The committee reported the bill favorably by a roll call vote, and then adjourned.

Transcript Highlights:

• I've been serving as a firefighter paramedic since 2018 for the great city of Long Beach.
• I've been serving in a capacity as a firefighter paramedic since 2018 for the great city of Long Beach

Summary: The committee heard several bills focused on public employment, retirement, and recognition of cultural and public service issues. AB 569 would allow local governments and unions to negotiate supplemental pension contributions for certain employees; AB 989 would make California Native American Day an official paid state holiday; AB 268 would recognize Diwali as an official state holiday; AJR 3 would urge protection of Social Security, Medicare, and Medi-Cal from federal cuts; AB 1067 would require misconduct investigations to continue even if an employee retires during the process; AB 1510 made technical and conforming changes to state employee pay and benefits laws and to Santa Clara Valley Transportation Authority labor law; and AB 1233 would create a statewide database of classified school employee employment history and serious misconduct records. The committee also took up AB 1383, which would lower the retirement age for certain first responders and restore some bargaining rights over retirement benefits, drawing extensive testimony for and against. Supporters of the holiday bills emphasized long-overdue recognition of Native American and South Asian communities and the importance of honoring California’s diversity. Supporters of AJR 3 described the reliance of seniors, people with disabilities, and families on federal and state health and retirement programs, warning that cuts would cause serious harm. AB 1067 was presented as a way to prevent employees from retiring to avoid accountability, while AB 1233 was framed as a student-safety measure to help schools identify applicants with prior egregious misconduct. Opposition to AB 1233 focused on due process and the breadth of the misconduct records, and opposition to AB 1383 argued it would reverse PEPRA reforms, raise pension costs, and strain local budgets, while supporters said firefighters and other first responders face unique health and safety risks and deserve earlier retirement. Most bills were reported out of committee on unanimous or near-unanimous votes and placed on hold for add-ons or referral to Appropriations or another committee. AB 912 was taken up on the consent calendar and held; AB 569, AB 989, AB 268, AJR 3, AB 1067, and AB 1510 all advanced with do-pass recommendations and were placed on hold. AB 1233 was moved to the Committee on Education. AB 1383 drew the most extensive debate, with many witnesses in support and opposition, and committee members largely expressing support for first responders while also noting concerns about cost and pension policy.

Transcript Highlights:

• And it requires all emergency departments to designate a physician, a nurse, paramedic, or physician
• And it requires all emergency departments to designate a physician, a nurse, paramedic, or physician

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• Next up, we have HB 519, Administration of Controlled Substances by Paramedics, by Representative Bartleman
• just amending lines 8 through 11 under his or her direction and supervision only by a certified paramedic

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• , it falls upon the job of the first responders like the police and the fire department and the paramedics
• , it falls upon the job of the first responders like the police and the fire department and the paramedics
• , it falls upon the job of the first responders like the police and the fire department and the paramedics
• 15:53.920> department<01:15:54.320> and<01:15:54.560> the<01:15:54.719> paramedics
• the fire department and the paramedics. the fire department and the paramedics.

Bills: HB1769

Keywords: criminal justice reform, rehabilitation, private prisons, racial equity, Native Hawaiians, community well-being, mass incarceration, 910, house, all

Summary: The committee heard House Bill 1769, which would require the Department of Corrections and Rehabilitation to incrementally reduce the number of people incarcerated in private out-of-state correctional institutions. The DCR director opposed the bill, saying the department does not control overall prison population levels because courts determine admissions, and arguing that Hawaiʻi’s in-state facilities are already over capacity, especially Halawa, which he said is 165% over design capacity. He said only a small portion of the population is under departmental control through furlough programs and argued that bringing people home would require building a new medium-security prison. Supporters, including the Office of Hawaiian Affairs, the Hawaii Correctional System Oversight Commission, the Public Defender’s office, and several individuals, argued the bill creates a phased, accountable path to reduce reliance on mainland prisons and bring people home. Supporters emphasized the harms of separating incarcerated people from ʻohana and culture, the disproportionate impact on Native Hawaiians, and the need for diversion, treatment, re-entry support, and fair sentencing. Several testifiers also said the department has more control than it claimed, pointing to underused furlough options, reclassification, and empty beds at some in-state facilities, while others urged clearer statutory language and guardrails. Members questioned the director about whether people could be reclassified or moved to available beds at facilities such as Kulani and Waiawa, and about whether the department could do more through staffing and contract changes. The director said some proposals had been sent to the Department of Human Resource Development, but that major facility changes would be costly and that minimum-security facilities would need substantial upgrades to house medium-security inmates. After discussion, the chair said the committee would defer HB 1769 to Wednesday, February 18, 2026, at 11:30 a.m. for decision-making and adjourned the meeting.

Transcript Highlights:

• He said OD Map is a real-time thing, and as a law enforcement official or paramedic, it is up to a person
• <01:31:41.920> or<01:31:42.440> you<01:31:42.560> know official or a paramedic
• or you know official or a paramedic or you know comes<01:31:43.119> out<01:31:44.000> it's
• He said OD Map is a real-time thing, and as a law enforcement official or paramedic, it is up to a person
• Representative Nadeau said OD Map is a real-time thing, and as a law enforcement official or paramedic

Bills: HF696, HF1429, HF1379

Keywords: HF696, rural EMS, ambulance, emergency medical services, uncompensated care, payment pool, rural health, Office of Emergency Medical Services, public safety answering point, PSAP, nontransport, unpaid ambulance calls, EMS reimbursement, rural ambulance provider, general fund appropriation, Minnesota health finance, specialized life support, metropolitan counties, emergency response funding, HF1429

Transcript Highlights:

• I was a paramedic out there.
• Denver<01:16:28.120> I<01:16:28.239> was<01:16:28.320> a<01:16:28.440> paramedic
• <01:16:28.920> out outside of Denver I was a paramedic out outside of Denver I was a paramedic
• whatever they have, you've already started to roll in medical, outside medical, so you'll have the paramedics
• whatever they have, you've already started to roll in medical, outside medical, so you'll have the paramedics

Keywords: 1183, house

Transcript Highlights:

• mention around that is when our ambulance service has one staff rig or two staff rigs without a paramedic
• , we're sending one of our RNs on the floor in the ambulance as the paramedic, which means we don't have
• , we're sending one of our RNs on the floor in the ambulance as the paramedic, which means we don't have
• We're sending one of our RNs on the floor in the ambulance as the paramedic, which means we don't have
• Secondly, we want to train paramedics and others in the field in the latest basic obstetrical techniques

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• The last program I'll talk about is another temporarily funded program: the Minnesota Paramedic Scholarship
• This fall was our first year with this program, and it's intended to help people completing a paramedic
• For example, the paramedic scholarship and the aspiring teachers of color program, and then the loan
• <01:08:59.359> scholarship<01:08:59.960> and<01:09:00.120> that uh paramedic
• scholarship and that uh paramedic scholarship and that aspiring<01:09:00.759> teachers<01:09:

Keywords: 1187, senate, all

Transcript Highlights:

• Chief Ferguson has more than 30 years of experience as a paramedic.
• He holds multiple instructor paramedic.
• It's about coming together as a nation to say thank you to the EMTs, paramedics, dispatchers, trainers
• It's about coming together as a nation to say thank you to the EMTs, paramedics, dispatchers, trainers
• It's about coming together as a nation to say thank you to the EMTs, paramedics, dispatchers, trainers

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, May 21, 2025, 1012, house, all