Video & Transcript : 'nursing program' :

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MA

Massachusetts 2025-2026 Regular Session

Formal House Session 66 Jul 8th, 2026

Massachusetts House Floor Meeting

Transcript Highlights:
  • On robotics, this bill reauthorizes $25 million for a robotics investment program.
  • It waives redundant testing for internationally trained nurses.
  • It waives redundant testing for internationally trained nurses.
  • It makes changes at our state quasi-agencies that will make them and their programs more efficient and
  • board and special permit granting authority education pieces, we provide a comprehensive training program
Keywords: 1212, all
NH

New Hampshire 2025 Regular Session

House Judiciary (02/03/2025)

Transcript Highlights:
  • uh to establish in either marac program uh to establish in either marac or<00:22:21.240><c> or</c><00
  • Why would you do you need the nurse or anything?
  • Yeah, yeah, we're in recess till 11:15, and I'll turn... do you need the nurse or anything nurse do you
  • need the nurse or anything nurse got<01:11:51.600><c> the</c><01:11:51.679><c> number</c> 11:15<01:12
  • </c> degree program degree program so<03:42:44.199><c> I</c><03:42:44.319><c> suppose</c><03:42:44.840
Keywords: 928, house, all
Summary: The House Judiciary Committee opened with a hearing on CACR 7, a proposed constitutional amendment to explicitly state that defendants are innocent until proven guilty in all cases and suits brought by the state. The prime sponsor argued the amendment would strengthen due process, prevent government overreach, and extend the presumption of innocence beyond criminal cases into civil and administrative matters such as forfeiture and family court proceedings. In testimony and questioning, the sponsor cited New Hampshire constitutional provisions, historical examples, and concerns about courts shifting burdens onto individuals. Committee members raised questions about the amendment’s wording, its relationship to existing law, and whether it would have practical effect if current statutes already place the burden on the state. The hearing was then closed without further witnesses. The committee next moved to executive session on House Bill 480, which establishes a procedure for restoring competency and creates a pilot forensic liaison position in Merrimack or Strafford County to assist with that process. After discussion about prior concerns, including an email from the Disabilities Rights Center and whether enough members were present, the committee voted to adopt Amendment 2025-61H and then voted ought to pass as amended. The amendment passed unanimously, and the bill passed on a 10-1 roll call, with Representative Andrew voting no. The chair noted the bill would not go on consent and that no minority report was planned. Finally, the committee opened a hearing on House Bill 666-FN, which would add restitution for violations of library-use confidentiality and expressly include library cards and membership status among confidential records. The sponsor said the bill was intended to strengthen privacy protections after a local dispute and to provide a remedy and deterrent for improper disclosure. Committee questions focused on whether the restitution penalty would apply to accidental disclosures, how the bill interacts with existing exceptions such as court orders or investigations, and whether the language was consistent with current confidentiality law. The hearing remained open at the end of the transcript.
LA

Louisiana 2026 Regular Session

Insurance May 13th, 2026

Insurance

Transcript Highlights:
  • We are former consultants to the Louisiana Medicaid program.
  • Years ago, in the '90s, they created the Medicaid Drug Rebate Program.
  • They For Medicaid, they didn't actually cover medicines as a federal and state program.
  • After the creation of the Medicaid Drug Rebate Program, they instituted the 340B program, which was an
  • This would allow the overage to be transferred to the Fortified Roof Program. All right. Mr.
Committee: Senate Insurance
Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.
MO

Missouri 2026 Regular Session

Health and Mental Health Apr 23rd, 2026 at 08:30 am

Health and Mental Health

Transcript Highlights:
  • HCR 42 simply calls on Congress to support more programs like the Generous Cost Reduction program.
  • Protonix through the Trump program is $200.
  • just simply getting a program... ...program has shown that it actually has higher costs than just simply
  • getting a program, getting your prescriptions using a program like GoodRx or getting a generic through
  • So these are pretty significant training programs.
Keywords: 959, house, all
LA

Louisiana 2026 Regular Session

Administration of Criminal Justice Apr 29th, 2026

Administration of Criminal Justice

Transcript Highlights:
  • In 2022, the Louisiana Highway Safety Commission allowed a pilot program in the Acadiana area.
  • It was led by the late Judge Jules Edwards, and that program is basically where we get this bill from
  • Our nursing director, chief nursing officer, is here if you want to know.
  • Our nursing director, chief nursing officer, is here if you want to know, I guess it would sort of be
Summary: The Criminal Justice Committee met on April 29, 2026, and first voluntarily deferred House Bill 517. The committee then heard and passed several bills focused on impaired driving, wrongful conviction compensation, gaming promo play, child protection, and criminal penalties related to sexual exploitation and worship-service interference. Senate Bill 118 would require substance use disorder screening for all misdemeanor DUI offenders, with supporters arguing early screening could identify treatment needs and reduce repeat offenses; it was reported favorably. Senate Bill 125 increased the wrongful conviction compensation cap from 10 to 15 years and from $400,000 to $600,000, with testimony emphasizing the hardship faced by people who were wrongfully imprisoned for decades; it also passed favorably. Senate Bill 294 allowed gaming operators to allocate promotional play across licenses without increasing the total amount, and it was reported favorably despite one opposition card. The committee also approved Senate Bill 87, which clarified the definition of commercial sexual activity to address conflicts in child sex trafficking statutes and better reach online solicitation and related conduct. Senate Bill 93 established minimum bond amounts for certain child sex abuse material offenses, and Chair Villio offered an amendment expanding related bail and revocation provisions for certain violent, sex, and firearm offenses; the amendment was adopted and the bill was reported favorably as amended. Senate Bill 98 added certain school employees, including school resource officers and security guards, to the definition of educator for purposes of prohibited sexual conduct with students, and it passed favorably. Senate Bill 199 imposed a mandatory minimum sentence for a second offense of purchasing commercial sexual activity and required sex offender registration; after a technical amendment, it was reported favorably as amended. The committee then took up House Bill 333, which would require the Department of Public Safety and Corrections to house inmates within 30 miles of their home or offense location. The author argued this would preserve family ties and reduce recidivism, but sheriffs, district attorneys, and DOC representatives opposed it as impractical given limited bed space, security needs, and existing placement criteria; the bill was not moved. House Bill 828 would create an independent Louisiana Correctional Medical Review Board to investigate deaths in custody, but law enforcement and corrections witnesses warned it could interfere with homicide investigations and duplicate existing coroner and agency reviews; the author asked for voluntary deferral, which the committee granted. House Bill 146, authorizing a Sabine Parish sports wagering election, was heard but received no motion and remained in committee. The committee also approved Senate Bill 277, expanding concealed-carry exemptions for certain statewide elected officials in the State Capitol, and Senate Bill 306, creating the crime of obstructing worship services in a church or other place of worship; SB 306 was amended to reduce a proposed fine from $10,000 to $2,500 after concerns about jury-trial implications. The meeting ended with adjournment after all remaining items were disposed of.
FL

Florida 2025 Regular Session

Judiciary Mar 25th, 2025

Transcript Highlights:
  • delete the section of the bill that requires physicians medical examiner's carpark to physicians, nurses
  • I also worked in the Office of The Guardian ad Litem program office also work for use in the Office of
  • The Guardian ad litem program.
  • Nursing care and supervision.
  • Yes, phd's liability results for nurses failure to monitor jada's condition and subsequent failure to
Keywords: 999, senate, all
NH

New Hampshire 2026 Regular Session

Senate Education (01/27/2026)

Education

Transcript Highlights:
  • </c> Lang said, this is a free program. Lang said, this is a free program.
  • own program?
  • program or dilute their own program?
  • </c> would opt in for this program. would opt in for this program.
  • </c><01:08:17.880><c> Um</c> this this program. Um this this program.
Committee: Senate Education
Keywords: 1191, senate, all
FL
Transcript Highlights:
  • High school, for example, try to get some kids to be interested in a particular program.
  • We need more doctors, nurses and skilled professional staff. Here.
  • We did not already have some of these programs included.
  • That dei programs gave me to learn about the cybersecurity space.
  • And you buy residency programs.
Keywords: 999, senate, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (09/29/2025)

Transcript Highlights:
  • </c> The senior companion program was funded. The senior companion program was funded.
  • So, my amendment really does program.
  • </c> the retired uh senior volunteer program the retired uh senior volunteer program uh<00:29:03.919>
  • /c><00:31:07.679><c> and</c> existing federally funded program and existing federally funded program
  • </c><00:52:47.520><c> If</c> through other treatment programs. If through other treatment programs.
Keywords: 928, house, all
Summary: The House Finance Division 3 work session opened with routine announcements, including new and absent members, a tribute to former chair Rep. Jess Edwards, and an explanation that Division 3 is advisory and will make recommendations to full Finance. Chair Mooney also distributed a self-created index to the budget binder and reviewed the committee’s options under House Rule 45. Members discussed scheduling a future visit to the Veterans Home in Tilton, with several October dates unavailable, and the chair said she would circulate possible dates. The committee also reviewed the second-year budget context and sources of funding, including surplus monies, existing and new revenue streams, grants, reappropriations, and the rainy day fund. The committee then took up several retained bills and repeatedly heard that their substance had already been addressed in the budget. House Bill 519, funding the Waypoint Youth and Young Adult Shelter, was moved ITL and passed 10-0. House Bill 547, county reimbursement funds, was also moved ITL and passed 10-0 after members noted the reimbursement had been included in HB 2. House Bill 570, repealing the prescription drug affordability board, was moved ITL and passed 10-0, with minority members saying they still believed the board had value but acknowledging the repeal had already occurred in HB 2. House Bill 704, concerning caregiver respite and senior volunteer programs, received the most discussion. Mr. Ripple explained that most items were already funded or suspended in the budget, leaving only the senior volunteer grant program unfunded. Chair Mooney offered amendment 2963H to fund the RSVP program at $180,000 for one year, contingent on surplus funds, and DHHS witnesses explained that RSVP is a federally funded AmeriCorps program that would be added to existing state licensing structures. The amendment was adopted unanimously, and the bill was reported ought to pass as amended on a 10-0 vote. The committee then heard House Bill 751, which would require licensure of outpatient substance use disorder treatment facilities and create an ombudsman-related complaint process. DHHS witnesses said the bill had been narrowed substantially from an earlier certification model with multiple positions and IT costs to a licensing model using existing department infrastructure, reducing the fiscal note to $211,000 for one position. They also said the ombudsman section was no longer needed because licensed facilities would fall under existing oversight. Members questioned how many facilities exist and whether licensing fees would cover costs; DHHS said it did not know the full provider landscape and that licensing revenue across the board does not cover the department’s costs. Rep. Daniels then proposed amendment 2964H to form a study committee because of the remaining questions and lack of a clear revenue stream, and the committee was still discussing that amendment when the transcript ended.
MI

Michigan 2025-2026 Regular Session

Transportation and Infrastructure 26-06-24

Transportation and Infrastructure

Transcript Highlights:
  • and Rachel Hetzner from the Michigan Council of Nurse Practitioners.
  • Now, for many years, nurse practitioners had been signing these applications without issue.
  • I am here today representing the Michigan Council of Nurse Practitioners and nurse practitioners across
  • I am a family nurse practitioner and an active member of A&A Michigan.
  • Not wishing to speak in support of the bill: Callie Bedwin from the Michigan Nurses Association.
Summary: The Senate Committee on Transportation and Infrastructure met with a quorum present and adopted the June 16, 2026 minutes. The committee first took up House Bill 5644, which would allow nurse practitioners, physical therapists, and occupational therapists to certify applications for disability windshield placards and disability license plates. The sponsor and witnesses from the nursing profession said the bill restores a practice that had worked for years, reduces delays and extra costs for patients, and improves access, especially in rural and underserved areas. A Department of State representative explained the issue arose after an Auditor General review found the statute was unclear. The bill was reported to the floor on a 10-0 vote. The committee then heard Senate Bill 791, which would designate a portion of I-475 in Genesee County as the St. John Street Community Memorial Highway. Senator Cherry and representatives of the St. John Street Historical Committee described the history of the St. John Street neighborhood in Flint, its displacement by urban renewal and highway construction, and the effort to memorialize the community’s cultural significance and trauma. No members asked questions, and the bill was reported to the floor unanimously, 10-0. House Bill 4415, previously heard by the committee, was also reported to the floor without further testimony. The committee then considered Senate Bill 959, which had a new S-2 substitute. Senator Klinefelt explained the substitute as a compromise that reorganizes rail detector regulations and changes distance and speed thresholds for Class 1, 2, and 3 rail lines. The substitute was adopted 10-0. After additional comments from Senator McBroom opposing the bill due to concerns about impacts on Upper Peninsula commerce and rail operations, the committee reported the S-2 version of Senate Bill 959 to the floor by a 6-4 vote. The committee then adjourned.
NH

New Hampshire 2026 Regular Session

House Session (04/23/2026)

New Hampshire House Floor Meeting

Transcript Highlights:
  • . program. program.
  • . program. program.
  • These programs are run on a explain. These programs are run on a razor-thin<04:04:02.560><c> margin.
  • </c> exchange program harvests syringe waste. exchange program harvests syringe waste.
  • </c> are syringe exchange programs. are syringe exchange programs.
Keywords: 1189, house, all
KY
Transcript Highlights:
  • </c> training program. training program.
  • </c> the KCTCS trains program. the KCTCS trains program.
  • </c> the KCTCS trains program. the KCTCS trains program.
  • I just would like a very brief overview or explanation of the trains program and the BSSC program.
  • </c> the trains program and the BSSC program. the trains program and the BSSC program.
Summary: The committee met with a quorum to hear a recap of the 2021 special session legislation, Senate Bill 5, and then receive testimony from the Secretary of Economic Development on the Blue Oval SK project and related economic development issues. Staff explained that Senate Bill 5 appropriated five amounts from the budget reserve trust fund for a project tied to a minimum $2 billion investment: $350 million for forgivable loans through the Kentucky Economic Development Finance Authority, $10,639,600 to pay off a Hardin County loan tied to 47 tracts of property, $20 million for Bluegrass State Skills Corporation training grants, $5 million for KCTCS training grants, and $25 million for a KCTCS on-site training center. Staff also noted there were no job-related requirements in the bill itself. The secretary said the Blue Oval SK incentive was structured as a $250 million forgivable loan rather than the state’s usual pay-as-you-go incentives, with clawback provisions tied to jobs, wages, investment, and changes in ownership or operations. He said the project had already exceeded the $2 billion investment threshold, that corporate guarantees were required from SK On and Ford, and that the agreement’s compliance period begins in December 2026 with payments starting in March 2027 and running through 2038. He said the state’s goal after the joint venture dissolution was to protect taxpayers, support affected workers, and preserve future job creation, while also ensuring the money would be repaid if performance targets are not met. Members asked about the workforce impact, the training programs, and whether the jobs targets would be revised. The secretary said the project had about 1,850 workers at the site, with both production and salaried employees affected, and described state-led job fairs, a job portal, and other rapid-response efforts to help displaced workers find new jobs or training. He said Ford had agreed to continue discussions, invest an additional $2 billion in the site for energy storage solutions, and pursue roughly 2,100 new jobs, while the state sought to keep the company accountable for the full repayment obligation if jobs are not created. One senator raised broader concerns about mega-projects displacing small businesses and creating infrastructure burdens in surrounding communities.
CA

California 2025-2026 Regular Session

Senate Health Committee Mar 25th, 2026

Transcript Highlights:
  • Research Education Program, or PREP, were canceled in 2025.
  • Madi Lopez with the California Nurses Association in support.
  • , we know our residents and their needs best, and we design programs to respond to those needs.
  • Hello, Alana Laticer with the American Nurses Association of California, in support.
  • Hello, Alana Laticer with the American Nurses Association of California in support.
Summary: The Senate Committee on Health heard several health-related bills, with extensive public testimony and multiple roll-call votes. SB 895, by Senator Wiener, would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support science and health research in California amid federal funding cuts. The author and UC researchers argued the measure would protect jobs, public health, and the state’s research leadership; many universities, labor groups, and patient advocates testified in support, and there was no opposition. The committee members praised the bill, and it passed 6-0 to the Committee on Natural Resources and Water. SB 944, also by Senator Wiener, would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds. Supporters, including acupuncturists, patients, community organizations, and health access advocates, described acupuncture as effective, low-cost, and culturally important care; there was no opposition. The committee discussed access for API communities and Medi-Cal patients, and the bill passed 6-0 to the Committee on Appropriations. SB 987, by Senator Wiener, would create a California Health Access Fund to capture state savings if federal Medicaid changes cause Medi-Cal enrollment losses, with the goal of redirecting those savings to care for affected patients and providers. Support came from disability, consumer, family physician, emergency physician, psychiatric, medical, and safety-net hospital groups. Committee members discussed prioritizing indigent care, prevention, and other vulnerable populations if savings materialize. The bill passed 8-0 to Appropriations. SB 964, by Senator Smallwood-Cuevas, would limit prior authorization barriers by allowing certain dose or frequency adjustments for covered medications without repeated authorization, up to two clinically appropriate changes. The bill was supported by a Crohn’s and colitis patient and sponsor testimony describing delays in care, while health plans and insurers opposed it over safety, FDA-labeling, and cost concerns. Committee members raised questions about off-label use and clinical standards, but the author said the bill was intended to reduce delays and avoid emergency care; it passed 11-0 to Appropriations. SB 1099, by Senator Reyes, would clarify local governments’ authority to provide state and local public benefits to all residents under PRWORA-related exemptions, to reduce legal uncertainty for local safety-net programs. County counsel and city attorney representatives said the bill would preserve local flexibility to provide services such as health care, shelter, crisis response, and food distribution without unnecessary eligibility barriers; there was no opposition, and the bill passed 11-0 to the Committee on Human Services. SB 1033, by Senator Padilla, would require manufacturers of protein products to test for heavy metals and disclose results. Supporters cited Consumer Reports findings of lead, cadmium, arsenic, and mercury in protein powders and beverages, while opponents asked for narrower scope and raised concerns about naturally occurring metals and over-warning consumers. The committee discussed narrowing the bill and the need for transparency, and it passed 11-0 to the Committee on Environmental Quality. Finally, SB 1049, by Senator Weber-Pearson, would give providers a fair opportunity to correct certain claim errors after a health plan action, rather than being barred by original filing deadlines. An OBGYN testified that a missing diagnostic code led to large clawbacks and delayed payments despite appropriate care; the bill was presented as a limited fix for honest mistakes. The transcript ends during testimony on SB 1049, before a final vote is shown.
ID

Idaho 2026 Regular Session

Legislative Session Day 58 Mar 10th, 2026

Idaho House Floor Meeting

Transcript Highlights:
  • It wasn't until the 2022-23 school year that they started a full bus transportation program.
  • And they tried to explain that they did not have a full bus program.
  • That's contracted. $70 an hour for a nurse.
  • And the challenge is we want these programs, and we vote for our CTE programs, but it’s very difficult
  • I’ll just give one example: the welding program.
Keywords: 989, all
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - Part 1 - 04/02/25

Jobs and Economic Development

Transcript Highlights:
  • program.
  • </c><00:42:58.960><c> was</c> the program was facing, the program was the program was facing, the program
  • </c> does meet the program requirements. does meet the program requirements.
  • </c> training program? Uh to the testifier. training program? Uh to the testifier.
  • we hire for the program.
Keywords: 1187, senate, all
TX

Texas 89th Regular

89th Legislative Session Mar 26th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • HB 3727 by Patterson concerns the grant program for certain railroad grade separation projects for the
  • HB 3795 by Polis relates to the licensing and regulation of advanced practice registered nurses and the
  • HB 3799 by Orr relates to the establishment of the apprenticeship training program sponsorship fund,
  • HB 3821 by Gerties relates to the implementation of a veteran discount program for the use of certain
  • HB 3849 by Kinala relates to program categories and the unified transportation program for the Subcommittee
Keywords: 1184, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 02/17/25

Jobs and Economic Development

Transcript Highlights:
  • </c> been able to expand our program been able to expand our program and<00:07:30.240><c> our</c><00:
  • </c><00:07:53.159><c> without</c> all men who come to our program without all men who come to our program
  • </c><00:10:01.959><c> that</c> you know know there was a program that you know know there was a program
  • program fantastic through a training program fantastic question<00:25:27.159><c> so</c><00:25:27.399
  • </c> equipment that goes into these programs equipment that goes into these programs so<00:35:32.079>
Keywords: 1187, senate, all
NH

New Hampshire 2026 Regular Session

Senate Executive Departments and Administration (01/21/2026)

Executive Departments and Administration

Transcript Highlights:
  • for first responders and whether to build one organization for these programs so that the peer programs
  • </c> crisis intervention team program crisis intervention team program training<00:38:20.160><c> that
  • </c><01:02:24.079><c> Uh</c> therapeutic cannabis program. Uh therapeutic cannabis program.
  • In order for our program, our TCP, to remain an evidence-based, highly regarded program, we have to be
  • </c><05:12:42.160><c> This</c> outpatient treatment programs. This outpatient treatment programs.
Keywords: 1191, senate, all
NH

New Hampshire 2026 Regular Session

Senate Executive Departments and Administration (04/22/2026)

Executive Departments and Administration

Transcript Highlights:
  • </c><00:03:33.160><c> There</c> funds, we will not do the program.
  • There funds, we will not do the program.
  • </c><01:04:30.800><c> to</c> We're going to use these for programs to We're going to use these for programs
  • I believe it was an extra nurse. Two, three nurse. Four, four, three, one. Page one first.
  • </c> nurse. Two three nurse. nurse. Two three nurse.
Keywords: 1191, senate, all
MN

Minnesota 2025-2026 Regular Session

House/Senate Press Conference 4/8/25

Transcript Highlights:
  • school EMS training programs.
  • school EMS training programs.
  • school EMS training programs.
  • school EMS training programs.
  • </c> training programs. training programs.
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.