Video & Transcript Research : 'paramedic authority'

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TX

Texas 89th Regular

Land & Resource Management Apr 17th, 2025 at 09:04 am

Land & Resource Management

Transcript Highlights:
  • Section 31.158 of the Natural Resources Code provides that the legislature may authorize the sale of
  • When I was made aware of this concern, I did all my due diligence in meeting with the author of H.B.
  • And so a city council has the authority to authorize those.
  • Okay, I can ask the bill author, but I'm just curious to find out. So is this hampering that?
  • And I think what we're looking to do is to create regulation around how that gets authorized.
Summary: The committee heard testimony on a series of land use, housing, and local government bills. House Bill 447, relating to TIA requirements for certain MUD bond issuances, drew opposition from a witness who argued it would duplicate work already done, strain agency resources, and delay development; after the author’s closing, the committee substitute was withdrawn and the bill was left pending. The committee then voted out Senate Bill 1202 (third-party review of home backup power installations), House Bill 2494 (disannexation for failure to provide services), House Bill 1835 (removing barriers to HUD co-manufactured homes), and Senate Bill 15 (lot size and density limits in certain municipalities), with House Bill 1835 receiving one no vote and the others passing unanimously. House Bill 897, authorizing sale or lease of two state-owned Austin properties, was laid out and left pending after brief questions and no public testimony. The committee also heard and left pending several MUD creation bills for Montgomery and Fort Bend counties, including House Bills 5652, 5654, 5661, and 5656, each presented as template district bills with local support and no opposition recorded at the table. A major portion of the meeting focused on House Bill 2673, which would restore prior restrictions on new cemeteries near growing urban areas by repealing changes made last session. Representative Lujan and supporters argued the current law created unintended consequences, including loss of developable land, tax-exempt property in urban cores, and conflicts with infrastructure planning; they said cities already have authority to establish their own cemeteries if needed. Opponents, including a funeral services industry representative, argued the 2023 change was intended to let communities decide and that the bill would take local decision-making backward. After extensive testimony from both sides, the bill was left pending. The committee also heard House Bill 3680, which would create a Cameron County-specific process allowing local discretion under the model subdivision rules. Supporters said the bill would preserve colonia protections while reducing costly platting and replatting burdens on families trying to sell or pass down land; county officials and realtors testified in favor. The bill was left pending after closing. House Bill 4812, a clarification to the Texas Uniform Condominium Act to prevent counties from imposing subdivision platting requirements on condominiums, received support from builders and a condominium attorney who said current county practices create duplicative hurdles and higher costs; it too was left pending. Finally, House Bill 5148, which would allow certain single-stair apartment buildings up to six stories, generated the most detailed policy debate. Supporters, including housing advocates and architects, said the bill would lower costs, improve unit design, and expand affordable, family-friendly housing while maintaining safety through sprinklers and other safeguards. Fire officials from Corpus Christi opposed the bill, warning that a single stairwell could hinder firefighting and occupant evacuation, especially if sprinklers fail or smoke spreads. The author said the bill was aimed at new construction only and was part of a broader effort to reduce outdated housing regulations; the committee substitute was withdrawn and the bill was left pending at adjournment.
TX

Texas 89th Regular

Land & Resource Management Apr 17th, 2025

Land & Resource Management

Transcript Highlights:
  • Section 31.158 of the Natural Resources Code provides that the legislature may authorize the sale of
  • Cities already have the authority to purchase, establish, and manage cemeteries within their limits if
  • When I was made aware of this concern, I did all my due diligence in meeting with the author of H.B.
  • And so a city council has the authority to authorize those.
  • And I think what we're looking to do is to create regulation around how that gets authorized.
TX

Texas 89th Regular

Land & Resource Management Apr 17th, 2025

Land & Resource Management

Transcript Highlights:
  • The bill does not express. grant any additional rulemaking authority to any state office or institution
  • Additionally, House Bill 5437 does not create a new taxing authority. Thank you.
  • I appreciate the bill's author and their team, but I think it's a little bit misguided and unartful in
TX

Texas 89th 2nd C.S.

Finance Apr 2nd, 2025

Finance

Transcript Highlights:
  • They are exclusively owned and operated by transit authorities.
  • Lastly, metropolitan transit authority boards have eight-year term limits.
  • I am also a paramedic and have been for about 40 years.
  • I am the EMS chief for Seminole EMS and a licensed paramedic.
  • I would like to thank Senator Perry and the co-authors for authoring this bill.
Summary: The Senate Finance Committee heard several bills focused on tax administration, transportation, emergency services, historic preservation, forensic training, pension funding, and the state’s rainy day fund. Senate Bill 1337, by Senator Creighton, would require the comptroller to assess penalty and interest only on the net tax due and allow sales and use tax overpayments to offset underpayments more automatically; it was left pending while the author, comptroller staff, and a private witness continued working on the language and fiscal note. Senate Bill 1371, by Senator Hinojosa, would address Corpus Christi transit authority operations, including emergency refueling coordination, fare-setting procedures, and board term limits; it received supportive testimony and was left pending. Senate Bill 1377, by Senator Perry, would create a grant program for rural counties to buy ambulances, with a committee substitute expanding eligible uses in some cases to equipment and setting a sunset date; numerous EMS officials, county representatives, and association witnesses testified in support, emphasizing rising ambulance costs, staffing shortages, and the need for rural emergency coverage, and the bill was left pending after testimony. Senate Bill 868, by Senator Sparks, would direct at least 10% of volunteer fire department assistance funding to high wildfire-risk areas; Texas A&M Forest Service explained the map and methodology, and the committee substitute was adopted. The committee also heard Senate Bill 1426, which would place the First Capitol State Historic Site in West Columbia under Texas Historical Commission stewardship, and Senate Bill 1620, which would create a Texas Forensic Analyst Apprenticeship Pilot Program through the Office of Court Administration to address forensic scientist shortages; both had no opposition in testimony and their committee substitutes were adopted. Senate Bill 2065 would change the Texas Emergency Services Retirement System funding structure to require an actuarially determined state contribution and address the system’s unfunded liability over 30 years; Pasadena fire department representatives testified that the pension is an important volunteer retention tool, and the bill was left pending after testimony. Senate Joint Resolution 4 would raise the Economic Stabilization Fund cap from 10% to 15% of biennial revenue deposits, with a committee substitute correcting the effective date to September 1, 2027; the committee discussed the fund’s current balance and purpose before adopting the substitute. After quorum was established, the committee voted out the measures. Senate Bill 1868, Senate Bill 1371, Senate Bill 264, Senate Joint Resolution 4, Senate Bill 1426, Senate Bill 1620, and Senate Bill 2065 were all reported favorably to the full Senate, with some bills also certified for the local and uncontested calendar. The committee substitute for Senate Bill 868 was adopted and the bill was reported favorably as well. The committee then recessed subject to the call of the chair.
TX
Transcript Highlights:
  • The chair lays out Senate Bill 883 and recognizes its author, Senator Jackson, to explain the bill.
  • Chair lays out Senate Bill 331 and recognizes the author, Senator Kolkhorst, to explain the bill.
  • Members, any questions for the author? Hearing none, the chair opens up the invited testimony.
  • The chair lays out Senate Bill 2426 and recognizes the author, Senator Hall, to explain the bill.
  • The chair recognizes its author, Senator Hughes, to explain the bill. I know.
WA

Washington 2025-2026 Regular Session

JLARC I-900 Subcommittee for SAO Performance Audits Oct 8th, 2025

JLARC I-900 Subcommittee for SAO Performance Audits

Transcript Highlights:
  • They operate under the state law that authorized CARES programs for fire agencies in 2013.
  • So if you live in Port Angeles, two community paramedics or EMTs would arrive.
  • I have been in the fire service for 38 years, a paramedic for 35, and in this state for 20.
  • The paramedics, well, all the providers, social workers, nurses, we have great shortages.
  • Paramedics can do a great job adding to the depth of response with authorization.
Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.
MN

Minnesota 2025 1st Special Session

House Higher Education Finance and Policy Committee 3/25/25

Higher Education Finance and Policy

Transcript Highlights:
  • medical technicians and our paramedics. medical technicians and our paramedics.
  • <00:22:24.159> is And what we find is that a paramedic is And what we find is that a paramedic
  • > in<00:26:46.080> the paramedic scholarship program in the paramedic scholarship program
  • still does not recognize uh paramedics still does not recognize uh paramedics or<00:26:55.360>
  • it's the $3 million paramedic it's the $3 million paramedic scholarship<00:31:28.559> program
Keywords: 1183, house
TX
Transcript Highlights:
  • As a paramedic, I carry that truth with me every day.
  • Licensed paramedics are often the first on the scene in emergencies.
  • Paramedic. Yes ma'am. Is that correct? Correct. Your paramedic job. Do you still do paramedic?
  • Specifically in paramedics, do you? Yes, I'm a licensed paramedic.
  • All the way up to paramedic.
OK

Oklahoma 2026 Regular Session

Senate legislative Session Mar 23rd, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • But certainly under the authority of these decisions, we are able to go in and make alterations to our
  • We do not want to give prescriptive authority to any APRN that has not completed those hours.
  • Authority to the nurses. So that would be so I'll be a no vote today. Thanks.
  • President, my question is, would the author be open to adding an amendment that says up to $190?
  • Currently, the healthcare authority has over 2,800 liens across the state.
TX

Texas 89th Regular

Local Government (Part I) Apr 28th, 2025

Local Government

Transcript Highlights:
  • convention center without an election as long as the city has passed a resolution or ordinance authorizing
  • This bill would authorize a municipality that is annexing an area to annex additional land the railway
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 03/19/25

Health and Human Services

Transcript Highlights:
  • Minnesota um with community paramedics Minnesota um with community paramedics and<00:01:02.640><
  • So paramedics leave than we are come in.
  • and an ambulance or two EMT, a paramedic and an ambulance or two paramedics<00:34:39.040> or<
  • You allowed paramedics or two EMTs.
  • I mean, you're every author of know.
Keywords: 1187, senate, all
KY
Transcript Highlights:
  • > in<00:59:15.920> our can't regulate paramedics in our can't regulate paramedics in our
  • Two of which are either a paramedic now or have been a paramedic in the past, a nurse practitioner who
  • Two of which are either a paramedic now or have been a paramedic in the past, a nurse practitioner who
  • paramedic now or have been a paramedic paramedic now or have been a paramedic in<01:31:59.840>
  • and then two other also a uh paramedic and then two other paramedics<01:32:07.199> that<01:32
Keywords: 958, all
Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.
NM

New Mexico 2026 Regular Session

House - Judiciary Jan 26th, 2026 at 01:47 pm

House Judiciary

Transcript Highlights:
  • The Health Care Authority stands in strong support of this bill.
  • The response continued that they can practice as a state EMT or paramedic when called.
  • So they're razor sharp when it comes to being paramedics.
  • So if you have an EMT, if you have a paramedic, I would like for that paramedic to have the same set.
  • If you have an EMT, if you have a paramedic, I would like for that paramedic to have the same set of
Keywords: 996, all
MN

Minnesota 2025-2026 Regular Session

House Floor Session 2/17/25

Minnesota House Floor Meeting

Transcript Highlights:
  • I rise today in honor of Officer Matthew Ruge, Officer Paul Elmstrand, and firefighter-paramedic Adam
  • Adam<00:11:40.519> fth<00:11:41.200> who<00:11:41.399> gave firefighter paramedic
  • Adam fth who gave firefighter paramedic Adam fth who gave their<00:11:42.320> lives<00:11:43.320
  • Officers Ruge and Elmstrand served our community with courage and integrity, and Firefighter-Paramedic
  • fin February 18th firefighter paramedic fin February 18th 2024<00:15:15.120> was<00:15:15.240
Keywords: 1183, house
AZ

Arizona 2026 Regular Session

02/17/2026 - Senate Natural Resources

Natural Resources

Transcript Highlights:
  • Chair and members, Senate Bill 1335 requires the Arizona Water Banking Authority Commission to post a
  • We've expanded some of their authorities, statutory authorities, kind of complying them with the federal
  • authorities.
  • We've allowed them, and made it where they have statutory authority to receive grants and do certain
  • Nick Ponder for Mohave County Water Authority, in respectful opposition to 1559.
Summary: The Senate Natural Resources Committee first considered two nominations. Jessica Manuel was introduced as a nominee to the Arizona Game and Fish Commission, where testimony emphasized her science background and experience working with agencies and stakeholders. Members asked about wolf management and her qualifications, and the committee voted 8-0 to recommend her confirmation. Stephen Williams was then introduced for the Arizona Livestock Loss Board, with discussion focused on his livestock and State Land Department experience and how the board handles wolf-related livestock losses. The committee also voted 8-0 to recommend his confirmation. The committee then took up several bills. SB 1785, which would codify ADWR’s one-mile safe-harbor policy for recovery wells near groundwater storage facilities, passed 5-3 after ADWR said it largely reflected current practice but requested clarifying language. SB 1082, requiring sanitation measures and signage for petting zoos and similar animal encounter exhibits, drew strong testimony from a parent advocate describing severe E. coli/HUS cases and opposition from fair/agriculture representatives who argued the bill was too broad and unnecessary; after amendment, it failed 4-4. SB 1336, extending the State Land Department and creating a temporary oversight committee with a broad amendment on lease holdovers, notice periods, and committee membership, passed 6-2 after significant debate over the committee’s composition and scope. Later, SB 1200, which would require ADWR to revisit certain Phoenix AMA assured water supply applications using older groundwater models, passed 5-3 despite opposition from CAP and ADWR over added replenishment obligations and concerns about relying on outdated models. SB 1335, requiring the Arizona Water Banking Authority to post its annual report online, passed 7-1. SB 1559, creating rural groundwater management work groups in each basin to report to ADWR, passed 5-3 after supporters said it would improve basin-level coordination and opponents argued it created new bureaucracy without enforcement tools. SB 1761, appropriating $47.7 million to the University of Arizona for the Yuma Center of Excellence for Desert Agriculture, Cooperative Extension, and the Experiment Station, passed 7-1 amid broad support but some concern about funding levels. Finally, SCM 1007, urging Congress to divest and improve the San Carlos Irrigation Project electric system, passed unanimously.
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 13th, 2026 at 04:01 pm

Senate Health & Public Affairs

Transcript Highlights:
  • I'm speaking on behalf of the Health Care Authority. We stand in strong support of this bill.
  • In regard to physician assistants, Madam Chair, I'm not the author of the bill per se.
  • So again, it clarifies that New Mexico has the authority to address New Mexico law.
  • So again, it clarifies that New Mexico has the authority to address New Mexico law.
  • I'm speaking on behalf of the Health Care Authority. We support this bill.
Bills: HB10, HB12, HB34, SB130, SM21