Transcript Highlights:

• under Chapter 395 or in a college health service, or care rendered in a pre-hospital setting by paramedics

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The Rules and Ethics Committee report setting the special order calendar was adopted, and the Speaker announced schedule changes for the following week, including canceling the floor session on Monday and starting Tuesday at 10:30 a.m. The main floor action centered on CS/HB 7033, the House tax package. Sponsor Rep. Duggan described broad tax changes, including reducing the state sales tax rate from 6% to 5.25%, exempting certain bullion sales, repealing the aviation fuel tax, delaying the natural gas fuel tax, changing corporate income tax treatment for charitable trusts, reducing the pari-mutuel tax on card rooms, and major changes to tourist development tax (TDT) use. The bill would redirect most TDT revenue toward property tax relief, dissolve tourist development councils, and include related property tax and local tax administration changes. Several amendments were debated: a Driscoll amendment to preserve local TDT flexibility failed; Duggan’s amendment giving local governments 25% discretion over TDT revenues was adopted; Eskamani’s combined-reporting amendment failed; and a Duggan amendment requiring audit certification of compliance with the TDT/property tax relief provisions was adopted. After debate, CS/HB 7033 passed 78-29. The House then took up CS/CS/HB 1221 on local option taxes, which was presented as a companion-style measure to give local governments more flexibility while redirecting TDT revenues toward property tax relief. Supporters argued the bill would provide immediate relief to property owners and restore accountability in local tax use, while opponents warned it would undermine tourism funding, infrastructure, and local services. An amendment allowing local governments to retain 25% of TDT revenues for general purposes was adopted, and the bill passed 62-45 after floor debate. The final item shown was the reading of CS/CS/HJR 1257, a proposed constitutional amendment related to property tax exemptions and assessment limits, but the transcript cuts off before debate or action on that measure.

Transcript Highlights:

• under Chapter 395, or in a college health service, or care rendered in a pre-hospital setting by paramedics

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The chamber approved the journal and adopted the special order report, and the Speaker announced a schedule change canceling the floor on Monday and starting Tuesday at 10:30 a.m. The main business was CS for HB 7033, the House tax package, presented by Rep. Duggan. He described a broad set of tax changes, including the previously passed sales tax rate reduction from 6% to 5.25%, exemptions for certain bullion sales, changes to tourist development tax (TDT) use, property tax administration updates, affordable housing-related exemptions, repeal of the aviation fuel tax, delayed natural gas fuel tax implementation, corporate income tax changes, and other provisions. Debate focused heavily on the TDT section and the bill’s property tax relief structure. Amendments to preserve local flexibility or remove the TDT restrictions were offered and debated; one Duggan amendment was adopted to allow local governments to keep 25% of TDT revenues for general use while directing 75% to property tax relief, and another amendment requiring audit certification of compliance was also adopted. A combined reporting amendment offered by Rep. Eskamani to close corporate tax loopholes was debated at length but failed. On final passage, supporters argued the bill provides immediate, permanent tax relief and affordability help, while opponents said it diverts tourism dollars away from local needs and could harm tourism-dependent counties and services. CS for HB 7033 passed the House 78-29. The chamber then took up CS for CS for HB 1221 on local option taxes, which would give local governments more control over certain local taxes and, as presented, redirect TDT revenues toward property tax relief with some local flexibility. After questions and amendments, including a Miller amendment allowing 25% of TDT revenue for general purposes and another accountability amendment, the bill moved to final debate. Members split sharply: supporters framed it as immediate tax relief and local accountability, while opponents warned it would undermine tourism marketing, infrastructure, and county budgets. The transcript ends during closing debate on HB 1221, before final passage is recorded.

Transcript Highlights:

• the According to the Journal of Occupational Health, approximately 20% of firefighters and paramedics
• Austin, Texas, highlights a clear link between the traumatic situations faced by firefighters and paramedics

Keywords: 1189, house, all

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• Through virtual physician support with emergency physicians, paramedics can connect directly with experienced

Keywords: 1184, house, all

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• If we have a paramedic with the ambulance service that decides that that patient can be treated in place

Keywords: 920, all

Summary: The Alabama Senate convened with prayer, the pledge, and roll call, establishing a quorum and adopting routine motions to excuse absent senators, dispense with the prior journal, and allow bills and committee reports to be received throughout the day. The chamber also welcomed several guests, including members of the Kappa Alpha Psi fraternity and other visitors in the gallery. The Senate received multiple House messages, referring several House bills on taxation, local legislation, and the entertainment industry to committee, and concurred in House amendments to Senate Bill 259 on counties and Senate Bill 228 on the Alabama Space Authority. Committee reports then advanced a number of bills, including favorable reports from Judiciary, County and Municipal Government, and Local Legislation committees, with several bills receiving substitutes or minor dissent. The Senate also re-referred Senate Bill 333 to Local Legislation, Mobile County, and Senate Bill 292 to County and Municipal Government. Members adopted several commemorative resolutions, including Senate Joint Resolutions honoring Lt. Col. Jonathan David Schultz, Honda’s 25 years of operation in Alabama, Mrs. Kelly Fischer as Alabama High School Principal of the Year, and Peggy Sers Benson on her retirement from the Alabama Board of Nursing. The Senate also adopted a Rules Committee report setting a special order calendar that included bills on ground ambulance services, counties and municipalities, solid waste collection fees, public schools, and public assistance. On the floor, the Senate passed local bills including Senate Bill 324 on Tallapoosa County, House Bill 485 on Clark County, House Bill 479 on Cusa County, House Bill 410 on Limestone County, and House Bill 412 on Limestone County. The chamber then took up Senate Bill 254 on parole, adopting an amendment offered at the request of district attorneys to clarify the Pardons and Paroles Board’s discretion, and passed the bill 26-2. The Senate also debated Senate Bill 269 on ground ambulance services, with the sponsor describing it as a pilot bill addressing reimbursement, surprise billing, reporting requirements, and “treat in place” options; Senator Stutts raised concerns that it would shift costs to a smaller group of payers and increase premiums, while the sponsor argued it could reduce unnecessary transports and save money. The transcript ends during that discussion, with no final vote on SB 269 shown.

Transcript Highlights:

• It's law enforcement, EMS, social workers, and the community paramedic teams.

Keywords: 958, all

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.

Transcript Highlights:

• During the COVID-19 pandemic, Pasquotank County EMS, like many counties, faced a serious shortage of paramedics
• innovative tiered response system, allowing ambulances to quickly respond to emergencies while paramedics

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, July 17, 2025, 1012, house, all

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• If you're a paramedic trying to stabilize a critical patient, you might be missing some critical records
• If you're a paramedic trying to stabilize a critical patient, you might be missing some critical records

Keywords: 1189, house, all

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• We represent the 475 professional firefighters, paramedics, and emergency medical technicians right here

Keywords: 1187, senate, all

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• By way of background, you know, I'm a paramedic, but in my full-time work, I'm the executive director
• By way of background, you know, I'm a paramedic, but in my full-time work, I'm the executive director

Keywords: 1189, house, all

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• But those alternative response units are a social worker and a community paramedic.

Keywords: 1187, senate, all

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• apprehended, the helicopter crashed, taking the lives of Marine veteran Robert Skanki and trooper paramedic

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, February 12, 2026, 1012, house, all

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• He noted that in some years there were four or five paramedics on the committee, but this year he thinks

Keywords: 928, house, all

Summary: The committee held an orientation for new and returning members of the House committee on agencies and administration, with introductions from members and staff. Chair Carol Maguire outlined her expectations for hearings: keep questions focused on the bill, be respectful to witnesses, and use the committee’s orientation opportunities to learn about the jail staff, retirement system, and Office of Professional Licensure. Members also discussed related assignments on other bodies, including the Joint Legislative Committee on Administrative Rules and the Joint Committee on Employee Classification, and noted that some members already serve on those panels. A substantial portion of the meeting focused on the State Building Code and the committee’s upcoming workload. Members explained how the state code is intended to provide a common baseline while allowing limited local options, and why municipalities must formally adopt and publish any local amendments. They reviewed several anticipated bills: a consolidation bill to gather building-code enforcement materials in one place, a bill to update the state energy code, a bill to restrict municipal adoption of building-code changes, and a bill to update the electrical code. Members also discussed how building codes apply to older homes and commercial buildings, and why code updates are important for safety and clarity. The chair said the committee had 36 bills currently scheduled, including many early bills that must move by March 6 because they will be heard by two committees. She said the committee would use subcommittees for harder bills, with three subcommittees this year: pensions, licensing, and likely state building code. She also outlined the hearing schedule, including lighter bills on February 12 and the expectation of executive sessions later in the month. No votes were taken during the orientation, but members were told that public hearings do not require a quorum and that hard copies of bills would be distributed by committee staff.

Transcript Highlights:

• funded at 3.5 FTE, and the purpose for that is that they're supposed to be on call 24/7 to the paramedics

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Bills: SB2969, SB3263, SB2602, SB3229, SB3199, SB2550, SB2877, SB3325, SB2024, SB2614, SB2613, SB3063, SB2319, SB2800, SB2892, SB2321, SB2407, SB2805, SB2153, SB2595, SB2781, SB3233, SB2360, SB1432, SB2543, SB2599, SB3053, SB2001, SB2041, SB3247, SB3253, SB2401, SB2673, SB3067, SB411, SB2934, SB3219, SB2919, SB2239, SB2532, SB2601, SB1032, SB2446, SB2152, SB2721, SB3076, SB3140, SB2671, SB2338, SB2268, SB99, SB2930, SB3069, SB3096, SB3097, SB3090, SB2060, SB3028, SB2544, SB2069, SB2552, SB3218, SB3022, SB148, SB2259, SB2578, SB2928, SB2816, SB2580

Keywords: SB2969, Maui wildfire, Maui wildfires, wildfire exposure, Maui Health Registry, University of Hawaii, public health, biomonitoring, medical screening, mental health services, trauma recovery, disaster recovery, first responders, kupuna, children's health, medically vulnerable, environmental exposure, toxic exposure, respiratory illness, community health

Bills: HB1519, HB1541, HB1737, HB1782, HB1854, HB1860, HB2023, HB2104, HB2276, HB2335, HB2455, HB2468, HB2551, SB177, SB411, SB874, SB2053, SB2069, SB2108, SB2268, SB2360, SB2363, SB2405, SB2407, SB2530, SB2543, SB2568, SB2803, SB2818, SB2851, SB2907, SB2934, SB2969, SB2999, SB3097, SB3103, SB3233, SB3238, SB3245, SB3001, SB3138, HB1946, HB389, HB1510, HB469, HB1573, HB1705, HB1858, HB1875, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, SB888, SB2169, SB2367, SB2557, SB2575, SB2698, SB3082, HB344, HB939, HB1688, HB1853, HB2443, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR35, HCR98, HCR42, HCR53, HCR181, HCR101, HCR179

Keywords: campaign contributions, lobbyists, transparency, election funding, ethical regulations, HB1541, Act 057, Department of Health, Hawaii State Hospital, Developmental Disabilities Division, civil service, civil service exemption, HRS 76-16, HRS 334-4, mental health program, state hospital, secure psychiatric rehabilitation facility, associate administrator, project manager, security manager

Bills: SB2138, SB2054, SB2987, SB2908, SB2702, SB2924, SB3248, SB2635, SB3127, SB3001, SB2294, SB2037, SB2797, SB2765, SB2961, SB2210, SB2948, SB3108, SB3240, SB2045, SB2675, SB2338, SB2451, SB2552, SB2553, SB3089, SB3176, SB3285, SB2234, SB2219, SB2312, SB2336, SB2343, SB2849, SB2928, SB2930, SB3332, SB2927, SB2983, SB2906, SB2353, SB2848, SB2340, SB2845, SB3246, SB3077, SB3254, SB2934, SB2571, SB2248, SB2471, SB2298, SB2413, SB2425, SB3045, SB2843, SB2595, SB2907, SB3204, SB2311, SB2532, SB2528, SB2313, SB3300, SB2530, SB2693, SB2010, SB3156, SB2697, SB2991, SB3153, SB2812, SB2527, SB2376, SB3081, SB3218, SB3219, SB3333, SB2232, SB2192, SB2378, SB2070, SB3011, SB2676, SB2957, SB2434, SB2673, SB3301, SB2247, SB2453, SB2457, SB2075, SB2811, SB2601, SB2258, SB2612, SB3263, SB3261, SB3334, SB2613

Keywords: SB2138, Hawaii National Guard, state tuition assistance, STAP, graduate degree, graduate education, tuition assistance, University of Hawaii, UH, Department of Defense, adjutant general, enlisted personnel, warrant officers, company grade officers, military education, veterans benefits, higher education, state residency, professional development, retention

Transcript Highlights:

• workers—those who weren't able to, you know, work from Zoom or work from home: our firefighters, our paramedics

Keywords: 919, house, all

Summary: The House met with a quorum present, approved the previous day’s journal, and welcomed an honored guest, Kenyan Parliament member Joshua Aduma Aore, introduced by Representative Momanyi-Hiltsley. The main business of the day was a series of retirement speeches from departing members, with the chamber proceeding in seniority order. Representative Perryman said she was leaving the House to run for the Senate and reflected on four years of service, thanking constituents, family, colleagues, and staff. She emphasized integrity, compassion, and the belief that people in public office share more in common than what divides them. Representative Perez Vega gave a lengthy farewell centered on her identity, district, and legislative priorities, thanking staff and colleagues and highlighting work on drivers’ licenses for all, housing justice, the Read Act, ethnic studies, workforce development, and funding for a Minnesota Latino Museum. She also spoke about the importance of representation, community, and continuing to fight for children, families, and immigrant communities. Representative Weiner said his time in the House had been educational and urged less division, more civility, and a return to public service over party conflict. He cited George Washington’s warnings about factions, said he would carry a calmer voice to the Senate, and argued for more single-subject bills and against careerism in office. Representative Bakeberg thanked members, staff, and his family, spoke about faith and service, and said his work was motivated by constituents and by the example of children visiting the Capitol. Representative Ryer also thanked staff and colleagues, reflected on serving during COVID and after George Floyd’s murder, and listed policy successes and disappointments, including medical debt reform, rare disease treatment, Medicaid dental support, housing and bonding, solar on public buildings, and soil and water funding; she also criticized failures on immigrant protections, disability services, and gun violence measures, and called for protecting human rights, voting rights, and democratic norms. No votes or formal legislative actions were taken beyond the journal approval and recognition of guests and speakers.

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• for over 40 years, recently retiring from the Hudson Fire Department as a career fire captain and paramedic

Keywords: 1189, house, all

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• Firefighters of New Hampshire, and I represent approximately 2,000 active and retired firefighters, paramedics

Keywords: 1189, house, all