Transcript Highlights:

• We will serve as a model for higher education, united as one system, We will serve as a model for higher
• But we track in our performance-based funding model how many degrees universities award in these areas
• . ...in our performance-based funding model how many degrees universities award in these areas, both
• Over time, the funding model has proven to be an effective model in improving student outcomes at all
• Sorry, slide 32 shows you the metrics each university is measured on in the PBF model.

Summary: The committee heard a presentation on the State University System’s new strategic plan, SUS 30, from Emily Sykes and later the system’s legislative budget request from Sarah Denagie. The strategic plan centers on five priorities: One SUS collaboration, elevating student success, operational excellence, world-class talent, and innovative research and economic development. Testimony highlighted Florida’s continued status as the nation’s top higher education system, record rankings, improved four-year graduation rates, higher median graduate wages, strong licensure pass rates, and expanded focus on research commercialization and workforce alignment. Senators asked about programs of strategic emphasis, mental health and teacher workforce needs, use of the My Florida Future wage data tool, support for first-generation and Pell students, and the role of liberal arts degrees. The system said it would provide follow-up information, including the full strategic-emphasis list and a report on campus safety best practices after a recent summit following the FSU shooting. The committee also received an update on line funding for nursing and health care partnerships. Officials said the $6 million appropriation was fully subscribed through 24 proposals from all 10 nursing programs, supporting scholarships, faculty recruitment, internships, simulation, and expanded nursing capacity. They reported more than 1,900 new nursing graduates, over 200 new student slots, more than 300 scholarships, and a 92% NCLEX pass rate. Senators asked about expanding eligibility for the program, and staff indicated that would be examined this year. For the legislative budget request, the Board of Governors asked for $634.5 million total, including $295 million to maintain the institutional performance-based funding base, $400 million for the state investment portion of performance-based funding, $125 million for preeminence funding, $100 million for faculty recruitment and retention, $6.4 million for UF/IFAS extension workload, and $3.1 million for state fire marshal inspections. The chair noted that resources are limited and that difficult budget decisions will be required. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• <00:12:55.600> of effective, and coordinated model of effective, and coordinated model of
• our charge we must establish this model our charge we must establish this model um<00:13:35.279>
• <00:21:19.280> while beyond the classroom model while beyond the classroom model while maintaining
• <00:32:49.360> of world, the traditional model of world, the traditional model of education
• This model has proven to be a powerful tool in boosting student engagement and achievement.

Keywords: 1187, senate, all

Transcript Highlights:

• and the challenges of the AHEAD model.
• and the challenges of the AHEAD model.
• Okay, model, Paul, and then I'll turn it over to you. Thank you, Chair.
• They will continue that and we'll see if that's a model that can be scaled to other FQHCs.
• They will continue that and we'll see if that's a model that can be scaled to other FQHCs.

Bills: HB20, HB276, HB644, HB812, HB816, HB916, HB1131, HB1247, HB1518, HB1525, HB1537, HB1541, HB1546, HB1553, HB1562, HB1565, HB1566, HB1576, HB1577, HB1591, HB1605, HB1612, HB1613, HB1614, HB1618, HB1620, HB1650, HB1656, HB1658, HB1661, HB1664, HB1668, HB1676, HB1707, HB1711, HB1713, HB1715, HB1718, HB1727, HB1749, HB1756, HB1774, HB1776, HB1801, HB1802, HB1805, HB1813, HB1815, HB1831, HB1838, HB1853, HB1854, HB1859, HB1863, HB1871, HB1872, HB1918, HB1920, HB1952, HB1965, HB1966, HB1967, HB1969, HB1972, HB1973, HB1974, HB1975, HB1980, HB1985, HB2005, HB2023, HB2031, HB2033, HB2062, HB2113, HB2114, HB2116, HB2138, HB2139, HB2156, HB2158, HB2159, HB2171, HB2208, HB2268, HB2270, HB2272, HB2273, HB2276, HB2289, HB2310, HB2315, HB2335, HB2338, HB2339, HB2340, HB2343, HB2361, HB2384, HB2387, SB2338, SB2431, SB2438, SB2593, SB2907, SB2671, SB2321, SB3084, SB2401, SB3033, SB2972, SB3032, SB2806, SB3014, SB2108, SB2981, SB2973, SB2423, SB2078, SB2322, SB2397, SB2896, SB2088, SB2347, SB2408, SB2970, SB2851, SB2713, SB2697, SB2312, SB2192, SB2363, SB2530, SB3028, SB2024, SB3007, SB2599, SB2596, SB2662, SB2930, SB3334, SB2378, SB3019, SB3231, SB2240, SB2372, SB2175, SB2046, SB2298, SB2922, SB2835, SB3263, SB2174, SB2128, SB2006, SB2489, SB3134, SB2982, SB2425, SB2849, SB2797, SB2795, SB2575, SB2521, SB2765, SB2386, SB2852, SB2022, SB2117, SB2277, SB2387, SB2688, SB2885, SB3132, SB3219, SB2169, SB2591, SB2090, SB2983, SB888, SB3249, SB2611, SB2429, SB2463, SB3154, SB3131, SB3152, SB3315, SB2448, SB2054, SB2140, SB2520, SB2377, SB2986, SB2010, SB2189, SB2026, SB3010, SB2818, SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Transcript Highlights:

• have used that same model in a lot of ways.
• have used that same model in a lot of ways.
• have used that same model in a lot of ways.
• have used that same model in a lot of ways.
• have used that same model in a lot of ways.

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met in August with a quorum present and approved the prior meeting minutes without objection. The committee then reviewed several regulations, generally adopting staff-suggested amendments without objection, and heard brief explanations from agency representatives on each item. The Board of Pharmacy regulations would clarify what registered and certified pharmacy technicians may do under supervision and what certified technicians may not do, while updating registration applications. The Board of Cosmetology package included changes to executive director authority, licensure and reciprocity rules, school requirements, training hours, instructor ratios, sanitation and disease-related rules, complaint procedures, and permit terms; members asked about straight razor language and the increase in student-to-instructor ratios, and the board explained that cosmetologists are not permitted to use straight razors and that the higher ratio was intended to give schools flexibility, especially for part-time students and schools with wait lists. The Occupational Therapy emergency compact regulation added four compact rules adopted in April 2025, and Senator West raised a technical question about certification requirements under House Bill 6; the agency said it had been instructed to file the regulation as submitted. The Department for Fish and Wildlife Resources presented a package covering wildlife management area rules, a northern pintail bag limit increase, reportable disease reporting, and a repeal tied to boat registration fees. After a brief explanation of the new wildlife disease reporting rule, the agency requested and received a deferral of 301 KAR 2:031 to avoid a gap while replacement language is finalized. The Economic Development Finance Authority explained an emergency regulation for the Kentucky Entertainment Incentive Program, saying it was needed because the program had become oversubscribed and because administration was shifting to a new film office and council; members also asked about certification issues under House Bill 6, and the agency said it had filed the regulation as directed. The Department of Workplace Standards emergency PPE regulation was also discussed, with members asking about HB 6 certification language, and the agency gave the same response. The Department of Insurance regulation would create a $10,000 registration fee and a $1,000 annual licensing fee for pharmacy benefit manager licenses, with an agency amendment exempting PBMs that solely serve workers’ compensation plans. Members asked how many PBMs would be affected and why workers’ compensation PBMs were carved out; the agency said there were 70 registered PBMs total, four solely workers’ comp, and that workers’ comp rates are set by statute and could not absorb the fee. Finally, the Public Service Commission’s pole attachment regulation was summarized as a broadband-expansion measure that speeds application review, increases the number of poles allowed in a single application, and shortens dispute timelines; the commission explained it grew out of earlier legislative direction and subsequent emergency amendments, and the committee adopted the staff amendment.

Transcript Highlights:

• We want to ultimately help build this out to a much bigger model.
• We want to ultimately help build this out to a much bigger model.
• Uh we That's just the way the model is.
• Um the models successfully execute this.
• Uh the model that we see around done.

Keywords: Call to Order and Roll Call – 0:00:04 Approval of Minutes – 0:03:57 United Way of Southern Kentucky –0:04:30 Preschool Education – 0:36:46 School Safety Updates – 1:01:41 Kentucky Association of School Superintendents – 1:41:47 Educational Cooperatives – 1:55:18 Adjournment – 2:07:37, 958, all

Summary: The committee opened its sixth meeting of the 2025 Interim Joint Committee on Education, confirmed a quorum, recorded attendance votes, and approved the minutes. Chair Lewis reminded presenters to keep remarks brief because of the full agenda and limited time. The first presentation was from United Way of Southern Kentucky, with Anne Puckett, Craig Browning, and Warren County Schools Superintendent Rob Clayton introducing a regional early childhood initiative. The presenters argued that kindergarten readiness and early childhood support are critical to later academic and life outcomes. They cited research and statistics about brain development in the first five years, the effects of unprepared kindergarten entry, and links between low literacy, school discipline, dropout rates, and incarceration. They said their region’s readiness scores fell during COVID and after a tornado, and that the most effective response was in-home parent education to help families support children from birth to age five. They described the model as voluntary, community-based, and not requiring new buildings, and said similar programs have been successful in Missouri. The group said it had already raised more than $1 million in private donations and committed three years of funding for four additional staff, expanding service in Allen, Logan, and Warren counties. They requested $600,000 per year for the next two-year budget cycle to add 12 more educators, serve about 360 families and 660 additional children, and build evidence for a possible statewide model. Members generally expressed support for the concept, with Representative Tipton and Representative Jackson discussing a prior home-based preschool pilot and the importance of starting early. Representative Calloway questioned whether increased family chaos and government involvement justified the approach; presenters responded that the program uses community educators, not a government-run organization, and is aimed at helping overwhelmed families. Representative Stalker asked about eligibility and early intervention, and presenters said the program serves children from birth to age five and can help identify needs early enough to connect families with services such as First Steps.

Transcript Highlights:

• The legislation employs a similar model as approved legislation for the Austin Police Retirement Fund
• stronger financial guardrails for future COLAs; third, establishing an actuarially determined funding model
• The actuarially determined funding model pays off the legacy liability of $327 million, along with an
• So, you know, this is a model that you have seen before in the city of Houston.
• You've seen this funding model before for Austin police and Austin civilians.

Bills: HB135

Keywords: civil liability, motor vehicle, legal protection, removal, animals

Summary: The Senate Finance Committee heard Senate Bill 2345, as a committee substitute, which would reform the Austin Firefighter Retirement Fund. Senator Schwertner explained that the bill is based on an agreed voluntary funding soundness restoration plan between the City of Austin and the fund, and would create a new reduced benefit tier for firefighters hired on or after January 1, 2026, adjust COLAs for current retirees, establish an actuarially determined funding model to address legacy liabilities and 2024 asset losses over 30 years, and add new board seats. Mayor Kirk Watson, city finance staff, the fund executive director, trustees, and retired firefighters all testified in support, describing the measure as an agreed-to, fiscally responsible compromise that protects benefits, supports recruitment, and reduces risk to taxpayers. The committee adopted the committee substitute, but left SB 2345 pending. The committee also heard House Bill 135, which clarifies tax treatment for exotic game or exotic livestock operations by defining them within agricultural exemptions and stating that sales of exotic livestock are not subject to sales and use taxes. Senator Flores described it as a clarification to provide consistency and fairness, and a witness for the Exotic Wildlife Association said it would resolve a Comptroller-related tax issue and benefit ranchers, landowners, and hunters. The committee closed public testimony and reported HB 135 favorably to the full Senate, with a motion to place it on the local and uncontested calendar. Senate Bill 771, by Senator Hinojosa, was also heard and later reported favorably. The bill would allow diesel fuel used in auxiliary power units or power takeoff units to qualify for the same fuel tax credit or refund already available for gasoline, correcting an inadvertent exclusion from the 2003 motor fuel tax rewrite. A witness supported the bill as a matter of tax equity. The committee then considered House Bill 1109, the House companion to SB 935, which exempts counties from certain motor fuel taxes on fuel used in county vehicles; Senator Hall explained it as simply exempting government agencies from paying the tax on their own vehicles. HB 1109 was reported favorably to the full Senate. The committee adjourned after completing its business.

Transcript Highlights:

• The peer research model is important because, as Black and Latinx disabled persons with lived experience
• Benefit designs and care models.
• The first leader has a case model, Trentzini, and my patient is used to live. That's that way.
• And they said that the 200 families participate in the model.
• A year, as they said, over 200 families participate in the model.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• More recently, Google's AI model threatened a college student, telling them they are, quote, a waste
• highlighted the potential limitations of big tech's computing intensive models.
• And I think you have these models.
• I think we have large language models. I don't understand my Southern accent.
• . models, but withheld them because they couldn't figure out how to integrate them with search and not

Keywords: antitrust, competition policy, digital advertising, monopoly, America Act, big tech, consumer rights

Summary: The meeting, titled 'Big Fixes, Big Tech', marked the first hearing of the Senate antitrust competition policy and consumer rights subcommittee in the 119th Congress. Chairman Lee opened the session focusing on the urgent need for effective solutions regarding anti-competitive behavior among major tech firms like Google and Facebook, highlighting several ongoing court cases regarding monopolistic practices in the digital advertising and search markets. Key discussions included the limitations imposed on small businesses and innovation due to the dominance of these tech giants, with many testimonies advocating for stronger legislative measures, including the America Act. The act aims to disrupt the monopolistic capabilities of these firms and restore competitive integrity in the marketplace, which has suffered under their oppressive market control.

Transcript Highlights:

• case—our veterans who have served this country admirably—from claim sharks, from this insidious business model
• case—our veterans who have served this country admirably—from claim sharks, from this insidious business model
• case—our veterans who have served this country admirably—from claim sharks, from this insidious business model
• and normalize this model."
• Now, like the folks we this model."

Keywords: 1183, house

Transcript Highlights:

• I was building my business model place.
• This bill is an Encoil model legislation, which was adopted in April of 2025.
• The model act would require time frame.
• These model acts were all process.
• In addition to these model regulators.

Keywords: 1187, senate, all

Transcript Highlights:

• Funding models are key in education.
• We do a lot of different funding models, and every silo practically has a funding model of some sort
• to that, so that's one of our funding models.
• This is our logic model.
• This is our logic model.

Summary: The committee held its first meeting of the session and received an overview of the Higher Education Appropriations budget from staff director Tim Elwell. He explained the committee’s broad jurisdiction over universities, state colleges, district workforce programs, vocational rehabilitation, blind services, student financial aid, private colleges, and the Board of Governors, and reviewed key budget concepts such as local funds, funds per FTE, performance funding, and the distinction between the total appropriation and the recurring base budget. He noted that higher education is funded largely through state and local sources, with substantial flexibility compared with other state budgets, and that the base budget is heavily weighted toward lump-sum allocations to the public systems. The committee then heard a presentation from the University of South Florida’s Florida Center for Cybersecurity (Cyber Florida), led by retired Marine Gen. Frank McKenzie and USF representative Mark Walsh. They described Cyber Florida as a statewide cybersecurity platform created by the Legislature in 2014 to support education, research, workforce development, public policy, and community engagement. McKenzie emphasized the growing cyber threat environment, Florida’s leadership role, and several funded initiatives, including K-12 outreach, workforce training, a cyber range for county governments, critical infrastructure assessments, grant development, and public conferences and outreach. Members asked about public cyber awareness, the lack of a national cyber defense strategy, school district participation in Cyber Launch, and which counties are most at risk; McKenzie said smaller counties with limited cybersecurity staffing are generally more vulnerable and offered to provide follow-up information. Finally, the committee heard from the Florida Center for Students with Unique Abilities at the University of Central Florida, led by Dr. Drew Andrews, along with program and parent representatives from participating institutions. Andrews explained the center’s role in coordinating Florida’s postsecondary comprehensive transition programs for students with intellectual disabilities, supporting program development, distributing grants and scholarships, and monitoring outcomes. He reported that the state now has 33 approved programs at 35 institutions, including universities, state colleges, and technical colleges, and that scholarship and grant funding has grown significantly. He said student retention is about 88 percent, many graduates are employed, and median hourly earnings have increased over time. A representative from Southeastern University described how the center’s support helped build and sustain SEU Link, including a new third-year employment-focused option for students.

Transcript Highlights:

• What does this do to your business model if this bill passes?
• I don't think it changes our business model whatsoever.
• What does this do to your business model? This bill passes?
• I don't think it changes our business model whatsoever. Does it follow-up? Yes.
• What does this do to your business model? This bill passes?

Bills: S0266, S0394, S0540, S0632, S0642, S0832, S0834, S1028

Keywords: public adjuster, contract cancellation, state of emergency, vulnerable adults, disciplinary actions, financial regulation, information security, financial exploitation, licensing, transportation, insurance, TNC, ride-sharing, automobile liability, bail bond, insurance regulation, foreign insurers, financial disclosure, premium reporting, residential property insurance

Summary: The Committee on Banking and Insurance met with a quorum and took up several bills, beginning with SB 834 on insurance requirements for nonprofit religious organizations and health care sharing ministries. The bill repeals a recent restriction on licensed insurance agents marketing or selling faith-based health care sharing programs. Supporters argued the change restores free speech and consumer education while preserving existing fraud and disclosure protections; opponents said allowing agents and brokers could create consumer confusion and has been associated with bad actors. A title amendment was adopted, and after debate the committee reported the bill favorably. The committee also heard and passed SB 642, which extends reporting and duty requirements to foreign and alien bail bond insurers, and SB 394, a technical bill updating reinsurance intermediary manager law to match current DFS practice. SB 266, which lets vulnerable adults rescind public adjuster contracts without penalty, was reported favorably after testimony from supporters in the insurance and elder law communities and a public adjuster who said the intent was good but the bill may need refinement. SB 832, a residential property insurance transparency bill requiring rate breakdown reports and a consumer resource center, also passed after discussion about consumer clarity and whether the required cost categories can be compiled as written. Later, the committee approved SB 540, which creates cybersecurity requirements for mortgage and money service businesses, closes a regulatory gap for certain investment advisers, adjusts OFR examination-payment deadlines, changes de novo charter requirements, allows virtual credit union meetings, and makes other financial regulation updates. Several amendments were adopted, including a substitute amendment removing fintech sandbox provisions. Finally, SB 1028 on Citizens Property Insurance Corporation was reported favorably after debate over a commercial lines clearinghouse intended to reduce Citizens’ exposure and shift more business to the private market; members discussed taxpayer risk, market competition, and consumer protections. The meeting ended with adjournment.

Transcript Highlights:

• This has been a fantastic program for scaling across the state, allowing us to expand that model into
• The apprenticeship model is crucial, especially for our businesses.
• It's an employer-driven model that produces the talent they need when they need it.
• That funding model works extremely well.
• If you look at the workforce model, schools and districts are funded at roughly 80 to 85%.

Keywords: 999, senate, all

Transcript Highlights:

• We’ve plugged those into this model and we’ve updated it with new data.
• We still have work ahead of us as we work through this model.
• MRI funding was the model that was used.
• MRI funding was the model that was used. I would like to see a funding was the model that was used.
• But I think the Western Area Water Supply model is a good model to see how industry can help with that

Keywords: 908, all

Transcript Highlights:

• You talked about billing systems, sort of transitioning to new models around billing and payment.
• You talked about billing systems, sort of transitioning to new models around billing and payment.
• <00:31:01.919> that evaluated all the different models that evaluated all the different models
• <00:33:05.039> for And also a move to a managed model for And also a move to a managed model
• One of our services and supports model.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• There's no model right now, no standard, no safety net.
• And finally, in order to solve this broken system, this is a professional model.
• So this is a professional model, right?
• In all those professional models, they have a Players Association who, In all professional models, they
• San Diego State is already modeling what forward-thinking support can look like.

Keywords: 988, house, all

Transcript Highlights:

• But unfortunately, to put Los Angeles next to Alpine County is a very different model.
• The way that this bill is written is to say that ...is a very different model.
• Some of the testimony was about the old model of the group homes.
• Some of that was in the group home model before this really moved to this model.
• And I think that model really works.

Keywords: 987, senate, all

Transcript Highlights:

• Do you have any models? Models like autonomous vehicle models to demonstrate with.
• We'll get you an autonomous vehicle model. I think we can do that. I was just checking. Model.
• And is it realistic to work on a model such as that? Everybody does that.
• Have you all studied the Florida model at all? Not in particular.
• We've studied the Florida model and we understand.

Bills: HB1540, HB3837, HB5571, SB370, SB2425

Keywords: government review, Texas Sunset Act, regulatory oversight, agencies, sunset provisions, autonomous vehicles, regulation, safety, criminal offense, Autonomous Vehicle Commission, registration, regulations, Level 4 automation, Level 5 automation, self-driving technology, traffic laws, permit system, collision reporting, safety standards, Automated Vehicle Commission

Transcript Highlights:

• This proposal would be a very similar model.
• Uh we took be a very similar model here.
• What type of funding models might work best for here in Wyoming?
• What type of funding models might work best for here in Wyoming?
• What type of funding models might work best for here in Wyoming?

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• Our system is built on a flawed model that primarily reimburses only for patients transported to the
• Our system is built on a flawed model that primarily reimburses only for patients transported to the
• Our system is built on a flawed model that primarily reimburses only for patients transported to the
• Our model is broken.
• the government model doesn't start the government model doesn't start reimbursing<00:33:14.720> differently

Keywords: 919, house, all

Summary: The meeting focused on the financial and workforce crisis facing Minnesota emergency medical services, especially ground ambulance providers in rural areas. Michael Johnson of the Minnesota Ambulance Association said EMS serves more than 600,000 Minnesotans a year and argued that reimbursement rates do not cover the cost of readiness, staffing, and 24/7 response. He and others called for ongoing EMS sustainability funding of about $50 million, higher Medicaid reimbursement, and continued support for EMT/paramedic scholarships, first responder training, and high school EMS programs. Senator Grant Hoschild and Representative Jeff Backer echoed the urgency, describing EMS as a moral imperative and emphasizing that rural communities cannot wait for ambulances when lives are at risk. Backer, who also volunteers as an EMT, described staffing shortages, reliance on volunteers, and a recent cardiac arrest response to illustrate the importance of local EMS coverage. Becca Hitch of PUM Area EMS said rural services are paid only when patients are transported, not for responding or treating on scene, and that one-time aid helped but did not solve underlying deficits. Bradley Peterson of the Coalition of Greater Minnesota Cities said local governments that hold ambulance licenses are being forced to absorb unrecovered costs through property taxes, and that state support is needed to prevent service failures and rising local burdens. In response to questions, speakers said a 2023 statewide study found about $120 million in need, with roughly half tied to operational deficits and half to volunteer support; last year’s aid included about $24 million for rural services and some improvements in volunteer call pay and equipment needs. They also discussed a proposed 10% Medicaid increase, possible special tax district ideas, and the need to target any new funding toward rural services most at risk.