Transcript Highlights:

• Now, being very familiar with the 9-1-1 system, EMTs are trained to deliver babies.
• Well, I'll tell you as an EMT, we are very basic.
• As EMTs, we're trained on mannequins; we do not touch the real thing.
• "I know when I talk to most EMTs, they would be more than glad to continue that care.
• The EMT calls in: ‘We have a midwife requesting to go in. We don’t have room.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained. The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation. The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.

Transcript Highlights:

• None of our members expect to become wealthy working as firefighters, firefighter EMTs, fire inspectors
• We also seek to ensure that firefighters who are required to be certified as EMTs or paramedics as a
• We also seek to ensure that firefighters who are required to be certified as EMTs or paramedics as a
• 20% pay additive for the enhanced certification requirements requiring them to be dual certified as EMTs
• This means that these firefighter EMTs who provide services at Florida State Hospital and to the surrounding

Summary: The Joint Select Committee on Collective Bargaining met to hear impasse presentations from the Department of Management Services and several bargaining units. The department reported that most articles had been resolved in each of the full-book contracts, with remaining disputes centered largely on wages and a handful of non-economic issues. For the FDLE special agents, security services, law enforcement, Florida Highway Patrol, and Florida State Fire Service units, the state described its wage offers as generally a 2% competitive increase plus a 3% special pay increase, along with various bonuses, retention funds, or career-development funding in some units. The department also said it wanted to keep existing language on work schedules, seniority, grooming, equipment, grievance procedures, and other items, often characterizing its changes as housekeeping or alignment with current practice. The department noted that insurance had been agreed to with no increased employee cost, and it confirmed that correctional officers do receive overtime pay. Representatives for the Florida State Fire Service Association strongly disputed the state’s position, arguing that firefighters should not be required to perform major construction work, that their work schedules and on-call/callback arrangements unfairly suppress overtime, and that wildfire and fire-rescue employees are underpaid and underprotected. They also pressed for better compensation for EMT/paramedic-certified firefighters, additional protective clothing, on-site decontamination and shower/laundry facilities, and stronger cancer-prevention language. The association said the state had not bargained in good faith and urged the committee to support the union’s proposals. The Police Benevolent Association’s Florida Highway Patrol unit focused on wages and a career development plan, saying troopers remain underpaid compared with other states and are leaving for better-paying agencies. It also sought a veteran stipend, broader grooming/tattoo language, safety improvements for high-mileage vehicles, and changes to seniority and inflation-related pay. The PBA law enforcement unit raised similar safety concerns about aging vehicles, sought limits on performance evaluations tied to case presentations, and requested a $7,000 across-the-board wage increase. The security services unit, representing correctional officers, probation officers, and ISS officers, said its main issue was wages and asked for an $8-per-hour starting pay increase, retention bonuses, special pay for death row and close-management staff, added pay for SOTEC officers, and overtime pay for lieutenants and captains who currently receive comp time instead. No votes were taken, no public testimony followed, and the committee adjourned after taking the presentations under advisement.

Transcript Highlights:

• Norwood Fire and EMT were incredibly fast to respond and provided excellent medical care.
• Norwood Fire and EMT were incredibly fast to respond and provided excellent medical care.
• There are over 20,000 EMT transports a year combined in the 10 towns.
• Is there any kind of analysis that you've done in terms of the effect on the EMTs and the paramedics
• We have had to pay EMTs; firefighters are spending more time on shift because of the longer transport

Keywords: 995, all

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• nurse getting cornered by some patient, and he was definitely knowingly, willingly— and if one of my EMTs
• , and if, uh, and if, uh, one<00:28:46.080> of<00:28:46.160> my<00:28:46.400> EMTs
• hadn't<00:28:47.320> stepped<00:28:47.720> in<00:28:48.440> and one of my EMTs
• years and continuing to talk to both prosecutors and lawyers is, one, it's not the decision of the EMT
• One, it's not the decision of the EMT or the nurse whether to press charges.

Keywords: 1189, house, all

Transcript Highlights:

• EMTs are earning as little as $16 an hour.
• One in three EMTs... Most departments still prioritize fire.
• One in three EMTs leave their jobs within a year.
• Awareness of SUDEP can be raised in many ways and across many disciplines, whether it's EMTs, medical
• And all those are firefighter paramedics, firefighter EMTs, at all levels, basic paramedic.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public health and emergency services bills, with many speakers focusing on EMS system failures, hospital service closures, trauma preparedness, epilepsy awareness, drink-spiking response, sudden cardiac arrest, and survivor financial assistance. Several legislators and advocates described the EMS system as underfunded and overstretched, citing long ambulance waits, staffing shortages, and the need for statewide oversight, a special commission, and clearer recognition of EMS as an essential service. A number of speakers also supported bills to preserve essential hospital services after closures such as Nashoba Valley Medical Center and birthing services in Leominster, arguing that current closure rules lack enforcement and leave communities without critical care. Multiple panels testified in support of bills requiring trauma kits in public buildings, public education on SUDEP and epilepsy mortality, and improved cardiac arrest response. Supporters of the trauma-kit bill said public buildings should have bleeding-control kits and trained staff, comparing them to AEDs and first aid supplies. Epilepsy advocates, clinicians, and grieving parents urged a public health campaign on SUDEP, saying families are often not warned about the risk and that awareness could improve medication adherence, reduce guilt, and save lives. On cardiac arrest, EMS professionals and the American Heart Association backed measures to improve telecommunicator CPR, create an AED registry, and strengthen dispatch and training standards. The committee also heard extensive testimony on a bill addressing illicit drink spiking. Senators, city officials, victims, physicians, and an international anti-spiking advocate described cases in which hospitals refused toxicology testing unless a sexual assault was reported, and argued for standardized testing protocols, better data collection, and coordination with law enforcement and licensed venues. Another bill drew a sharp exchange over local public health control and the SAFE 2.0 law, with one senator arguing for more local approval and voluntary participation, while committee members defended the earlier law as a response to inequities in local public health capacity. Finally, advocates from Jane Doe, Inc. supported legislation to provide flexible financial assistance to survivors of domestic and sexual violence, saying unrestricted cash helps survivors meet basic needs, escape abuse, and rebuild stability.

Transcript Highlights:

• So many calls I respond to by our firefighters, EMTs, and paramedics.
• So many calls I respond to by our firefighters, EMTs, and paramedics.
• It's taking a heavy toll on police, EMTs, and paramedics, and they need help too.
• Firefighters and EMTs see these clients multiple times.
• Firefighters and EMTs see these clients multiple times.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• <00:17:50.440> in Lake County Ambulance Services EMT in Lake County Ambulance Services EMT
• registered EMT. registered EMT.
• And just recently, I was hired as an EMT And just recently, I was hired as an EMT at<00:18:09.560
• on the 19-year-old EMT student on the ambulance. ambulance. ambulance.
• This is the to provide EMT services.

Keywords: 1187, senate, all

Transcript Highlights:

• Yeah, I just want to point out I'm a certified EMT as well as being a registered nurse.
• Yeah, I just want to point out, I'm a certified EMT as well as being a registered nurse.
• EMTs fall under the Department of Health Services.
• So in committee, it was brought up, well, if you're doing this for the EMTs, why not the paramedics?

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior journal, and several recognitions and proclamations, including a doctor of the day introduction, a thank-you to members who supported care packages for deployed troops, a visit from Mom’s Demand Action, and a proclamation honoring the 205th anniversary of Greek Independence Day. The chamber also announced committee substitutions, bill referrals, and the day’s calendar, then moved into Committee of the Whole to consider measures on the calendar. In Committee of the Whole, the House recommended do pass on Senate Bill 1125, which was described as a response to child welfare and tribal communication issues raised after the Emily Pike tragedy; members noted the Department of Child Safety supported the bill. The committee also adopted an agreed floor amendment to Senate Bill 1193 and recommended it do pass as amended; discussion focused on protecting EMTs and paramedics from disclosure of private information sold through vendors. Senate Bill 1448 was also amended and recommended do pass; the bill would add certain utility, telecommunications, and video service workers to aggravated assault protections when they are engaged in work duties, and members debated whether the protection was appropriately limited to on-duty work situations. The House then adopted the Committee of the Whole report and referred the amended bills to engrossing. In open session, Senate Bill 1023 passed 43-10 and Senate Bill 1211 passed 53-0. The House also received announcements about upcoming committee meetings and a personal privilege proclamation designating April 26 to May 2, 2026, as Arizona Water Professionals Week. The chamber adjourned until 1:15 p.m. on Wednesday, March 25, 2026.

Transcript Highlights:

• And before I touch them, I'm an EMT. I can help you. Would you like me to help you?
• So if I identify myself and they know I'm an EMT and now they choose to punch me in the face because
• That's not an EMT, so that doesn't apply to me.
• and doing I identify myself I am an EMT and doing I identify myself I am an EMT I'm<00:14:54.279
• I was an EMS myself, and I have two daughters: one's an EMT, one's a paramedic.

Keywords: 1189, house, all

Transcript Highlights:

• EMTs are taking advantage of it, and in terms of helping with recruitment and retention, because what
• course itself, but an opportunity for an EMT to advance, say, to an advanced EMT or paramedic, are not
• technician courses which not say the EMT technician courses which not say the EMT course<00:59:51.079
• <00:59:55.520> or EMT to advance say to an advanced EMT or EMT to advance say to an advanced
• EMT or param<00:59:56.039> iic<00:59:56.280> are<00:59:56.440> not<00:59:56.640

Keywords: 1191, senate, all

Transcript Highlights:

• signal to the local 911 call<00:03:46.720> center<00:03:47.599> the<00:03:47.760> EMT
• 00:03:48.439> First<00:03:48.840> Responders<00:03:49.560> and call center the EMT
• a bad situation and they needed EMT, then they would hit it X number of times for that.
• eight times it goes then it goes to EMT eight times it goes then it goes to EMT uh<00:20:14.919>
• and they needed EMT then they would<00:20:19.679> hit<00:20:19.880> it<00:20:20.159>

Keywords: 958, all

Summary: The House Primary and Secondary Education Committee met and first took up House Bill 14, which would establish Alyssa’s Law in Kentucky public schools. The bill, as amended by committee substitute, would allow districts to implement wearable panic alert systems for school staff beginning in the 2025-26 school year. Sponsor Rep. Kevin Jackson and supporters described the system as a silent badge/button that can alert school offices, 911, first responders, and other personnel, with different button sequences for different emergencies. Testimony from Lori Alade, Alyssa’s mother and founder of Make Our Schools Safe, emphasized that “time equals life” and said the technology can help in active threats, medical emergencies, weather events, and other urgent situations. Students from St. Margaret Mary’s Kentucky Youth Assembly also supported the bill, citing the Georgia school shooting response as an example of how such systems can save lives. Members asked about vendor neutrality, costs, training, and whether the system could be used off campus; sponsors said the bill is intended to be vendor neutral, estimated statewide costs ranged from about $2 million to $6 million, training would be provided before the school year, and they would follow up on the off-campus question. The committee approved HB 14 with the committee substitute attached. The committee then reconsidered and approved House Bill 48, a cleanup measure related to school reporting requirements. The substitute was described as addressing department concerns about eliminating certain reporting forms while preserving district flexibility and reducing burdensome reporting. It would allow schools to maintain or use alternative reporting methods, provide KDE a timeline and guidelines for reporting on Cognia software used for CPS and C-dips, and require a written report to the LRC describing reporting requirements imposed on public schools and districts, with items not reapproved by the legislature sunsetting in 2026. The bill passed the committee with the committee substitute attached. Finally, the committee heard House Bill 190, as amended by committee substitute, which would shift the measure from a planning-and-action bill to a planning-only bill for advanced coursework and codify some gifted-student regulations. Rep. Duvall and Dr. Julia Link Roberts of WKU said the bill is intended to expand opportunities for high-potential students by requiring districts to set policies on advanced coursework or accelerated learning options for grades 4 through 12. The substitute changes the standard from “proficient” to “distinguished,” allows districts flexibility in how they implement the policies, and may require automatic enrollment for students scoring distinguished, with opt-out provisions and a principal exception if coursework conflicts with career pathways or CTE access. Members discussed how the proposal differs from current advanced programs, the broader inclusion of students, and district variation in available opportunities. No final vote on HB 190 was included in the transcript excerpt.

Transcript Highlights:

• There's not enough EMTs and paramedics. And I'm not sure how we do that.
• There's not enough EMTs and paramedics. There's not. And we have these deserts like you said.
• There's not enough EMTs and paramedics. There's not. And we have these deserts like you said.
• There's not enough EMTs and paramedics. There's not. And we have these deserts like you said.
• There's not enough EMTs and paramedics. There's not. And we have these deserts like you said.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• I'm grateful for the EMTs who arrived without hesitation.
• I'm<00:11:04.320> grateful<00:11:04.960> for<00:11:05.080> the<00:11:05.240> EMTs
• <00:11:05.920> who<00:11:06.040> arrived I'm grateful for the EMTs who arrived I'm
• grateful for the EMTs who arrived without<00:11:06.800> hesitation.

Keywords: 918, senate, all

Summary: The Minnesota Senate convened for opening day with a prayer, the Pledge of Allegiance, and a roll call establishing a quorum. The agenda included receipt of executive and official communications, first reading of introduced Senate bills, and adoption of authors’ motions, all handled without recorded debate. Senator Fateh was noted as intending to vote remotely under Rule 40.7. The main focus of the meeting was a series of remarks centered on grief, recovery, and the start of the session after recent violence and loss. Senator Hoffman delivered an emotional address describing the attempted assassination that injured him, his wife Evette, and their daughter Hope, thanking family members, first responders, law enforcement, medical staff, and colleagues from both parties for their support. He said the experience reinforced the importance of family, community, decency, and governing in good faith, and he pledged to protect vulnerable Minnesotans and pursue truth and fairness. Senate leaders responded with tributes and messages of support. Senator Johnson acknowledged the deaths of former Speaker Melissa Hortman and Bruce Anderson, the injuries to the Hoffman family, and the chamber’s increased security measures, while welcoming new members Senators Holmstrom and Hemmingsen-Jaeger. Senator Murphy praised Hoffman’s return and his commitment to lead with dignity and compassion. The Senate then moved to adjourn, and the motion prevailed, adjourning the body until February 19 at 11:00 a.m.

Transcript Highlights:

• different than the others in that people are certified within the state to meet the requirements of EMTs
• he had experience with what was happening in Ruidoso and their total lack of appropriate numbers of EMTs
• For example, with the EMTs, we're under the national average by about 2,300 EMTs.

Transcript Highlights:

• We actively now have a paid fire department, and with the paid fire department we do have EMT 1 and 2
• We have a paid fire department with Firefighter 1s, Firefighter II, EMTs, and paramedics.
• You had to be an EMT or a paramedic. Firefighter.
• You had to be an EMT or a paramedic. Firefighter.
• An EMT can be an EMT. A paramedic—I can't start IVs. I can't do things like that. So we're limited.

Summary: The Ways and Means Committee met on April 8, 2025, and first took up several local bills that were presented briefly and then approved without public opposition. HB 4035 would merge the Fort Myers Beach Mosquito Control District and the Lee County Mosquito Control District, contingent on approval by voters in both districts at the 2026 election; it passed 15-0. HB 307 would extend to county property appraisers the same authority tax collectors already have to use salary savings for employee bonuses or incentives, and it passed 17-0 after testimony from property appraisers and their associations in support. HB 4047 and HB 4049 would adjust assessment caps for the Fort Pierce Farms Water Control District and the North St. Lucie River Water Control District, respectively, with inflation indexing, annual increase limits, and referendum approval requirements; both passed unanimously. The committee also adopted an amendment to the committee substitute for HB 1169, a broader water management district bill covering quorum and meeting rules, lobbying restrictions, ad valorem taxing authority for certain capital projects by referendum, budget reporting, bidding preferences, and additional oversight and funding information; the amended bill passed 16-0 and was reported favorably with committee substitute. The final and most heavily debated item was HB 4079, which would dissolve the Town of White Springs and return it to unincorporated Hamilton County. The sponsor argued the town had a pattern of mismanagement, including financial problems, audit findings, canceled elections, and public safety concerns, and said dissolution would lower taxes and preserve services through the county. Committee members asked about the town’s finances, audits, law enforcement, fire protection, debt, and whether the county could absorb services and liabilities. Public testimony was sharply divided. Supporters of dissolution cited audit findings, alleged illegal gambling operations, double taxation for law enforcement, high administrative costs, and intimidation at meetings. Opponents, including current and former town officials and residents, said the town had made progress, had corrected audit issues, maintained reserves, and was working to restore services and governance; they asked for more time and pointed to an upcoming election. No vote was taken on HB 4079 in the portion provided.

Transcript Highlights:

• L, can I ask, um, this medication would be a pain reliever that would be administered by EMTs?
• L, can I ask, um, this medication would be a pain reliever that would be administered by EMTs?
• I'm here in strong support of HB 816, which would allow EMTs to administer buprenorphine after Narcan
• to administer buprenorphine allow EMTs to administer buprenorphine after<02:43:02.160> nxone<
• highlighting why we need this need EMTs highlighting why we need this need EMTs to<02:44:06.880>

Keywords: 910, house, all

Summary: The House Committees on Health and Labor heard testimony on HB 1244, a measure relating to labor standards at health care facilities and nursing staff ratios. Committee members opened by explaining hearing procedures, including a suggested two-minute testimony limit and Zoom rules. The bill drew extensive testimony from hospitals, nursing organizations, unions, and individual nurses, with the central debate focusing on whether staffing ratios should be set by statute or left to collective bargaining and unit-level staffing decisions. Opponents included the Department of Labor and Industrial Relations, the Healthcare Association of Hawaii, Straub Benioff Medical Center, Hawaii Pacific Health, Kapiolani Medical Center, and Queen’s Health Systems. They argued that fixed ratios are too rigid for the changing conditions of hospital care, could worsen workforce shortages, and should be handled through labor negotiations, staffing committees, and existing agreements. Several also pointed to investments in nursing education, loan repayment, and workforce development as better solutions. Queen’s said it had recently reached an agreement with nurses after more than 40 meetings that included a staffing framework, and Kapiolani and others emphasized the need for flexibility in emergencies and specialty care. Supporters, including the Hawaii State Center for Nursing, Pride at Work Hawaii, the Hawaii Nurses Association/American Nurses Association chapter, Hawaii Nurses Association Local 50, UNAC/UHCP, and individual nurses, said unsafe staffing levels contribute to burnout, turnover, errors, and patient harm. Testifiers described chronic short staffing, emotionally and physically exhausting workloads, and situations in which nurses were responsible for too many patients at once. Supporters argued that safe ratios are necessary to protect both patients and nurses, and that collective bargaining has not been enough to ensure safe conditions statewide, especially in facilities without unions. No vote or final committee action was announced in the portion provided.

Transcript Highlights:

• None of our members expect to become wealthy working as firefighters, firefighter EMTs, fire inspectors
• We also seek to ensure that firefighters who are required to be certified as EMTs or paramedics as a
• 20% pay additive for the enhanced certification requirements requiring them to be dual certified as EMTs
• This means that these firefighter EMTs who provide services at Florida State Hospital and to the surrounding

Summary: The Joint Select Committee on Collective Bargaining met for an informational public hearing on several state employee bargaining units at impasse. The Department of Management Services outlined negotiations for the FDLE special agents, security services/correctional officers, sworn law enforcement officers, Florida Highway Patrol troopers, and Florida State Fire Service units. Across the units, the state said most contract articles had been resolved, with remaining disputes centered mainly on wages, hours of work, grievance language, safety, grooming, travel, and other housekeeping items. The state repeatedly emphasized proposed 2% competitive pay increases plus specialty or special pay increases in some units, insurance held harmless with no added employee cost, and its desire to keep current scheduling practices and remove outdated grievance language referencing the Federal Mediation and Conciliation Service. No votes were taken. Representatives for the Florida State Fire Service Association argued that firefighters are being asked to perform work far outside their job descriptions, including major construction, and said the state’s work-schedule and on-call practices unfairly avoid overtime and underpay firefighters. They also sought higher on-call compensation, a stronger wage plan with incentives and certification-based increases, restoration of a pay differential for firefighter-EMTs, and added PPE, decontamination, and cancer-prevention protections. The PBA’s Florida Highway Patrol unit said troopers need a larger career development plan, veteran stipends, updated grooming/tattoo rules, safer and newer vehicles, and better pay to address turnover. The PBA’s law enforcement unit focused on vehicle safety, performance evaluation language to prevent case-presentation quotas, and a $7,000 across-the-board raise, while disputing whether certain articles were timely opened. The security services unit said correctional officers, probation officers, and ISS officers need an $8-per-hour starting pay increase, retention bonuses, special pay for death row and close-management assignments, and overtime pay for lieutenants and captains who currently receive comp time and sometimes work beyond their limits. The committee heard the presentations, asked a brief question about correctional officers’ overtime, accepted written materials from the FOP special agent unit, and adjourned without action.

Transcript Highlights:

• Interestingly, I was one of the first EMTs to get an EMT license.
• EMTs to get an EMT license back in the 1970s. I started driving in the emergency. Which state?
• And service was pretty low at that time, and then they created the EMT system.
• I was in the first EMT course. It was probably only about 60 hours.
• people who live elsewhere to not have to go back to square one to get their EMT license to work here

Bills: SB1176, SB1186, SB1235, SB1286, SB1446, SB1458, SB1515, SB1616, SB1641, SB1668, SB1670, SB1678, SB1747, SB1787

Keywords: stormwater, water storage, replenishment credits, groundwater, aquifer, Arizona Revised Statutes, disclosure, state contracts, procurement records, donations, transparency, EMS, reciprocity, interstate compact, paramedics, emergency medical technicians, licensure, public safety, military personnel, veterinary telemedicine

Summary: The committee approved the minutes and then heard Senate Bill 1668, which would extend the deadline for funeral establishments or responsible persons to submit required documentation from seven calendar days to 14 business days and make related changes involving disposition of unborn or stillborn children, minors, and abortion clinic forms. Funeral industry testimony said the current timelines are difficult to meet and create stress for grieving families, while a mother described problems caused by requiring an ex-spouse’s signature after her child’s death. The bill passed on a 4-3 vote, with some members supporting the timing and family-law fixes and others objecting to the abortion-clinic provisions. The committee then took up Senate Bill 1286, on veterinary telemedicine prescriptions. An amendment shortened the telemedicine prescription period for non-antimicrobial drugs from 60 days to 30 days, allowed antimicrobial prescriptions for up to 14 days based on an electronic exam, and barred further antimicrobial prescriptions without an in-person exam. Veterinarians and the Arizona Veterinary Medical Association moved to neutral on the amended bill but warned about safety, overprescribing, and the limits of telemedicine; supporters argued it would improve access for rural, elderly, and low-income pet owners. The committee adopted the amendment and then passed the bill as amended on a 4-3 vote. Senate Bill 1235, creating the emergency services personnel licensure interstate compact, passed unanimously after sponsor testimony that it would improve reciprocity for EMTs and paramedics and help military personnel. Senate Bill 1446, which would change dialysis-center social worker documentation from monthly to quarterly, also passed unanimously, with DeVita Dialysis Services saying the change would reduce paperwork and align Arizona with federal and most-state practice. Senate Bill 1515, a cleanup bill for the Industrial Commission of Arizona that renames positions, removes outdated duties, and changes publication of fee schedules, passed after an amendment and supportive agency testimony. The committee also heard Senate Bill 1678, which would require direct-care staff in certain facilities to complete patient information forms and reestablish the Vulnerable Adult Systems Study Committee. An amendment removed the form requirement and instead required DHS to investigate complaints from EMS personnel about missing DNR orders; first responders and provider groups supported the revised approach, though some members wanted minority-party appointments added to the study committee. The bill passed as amended on a 6-0-1 vote. Finally, the committee began hearing Senate Bill 1747 on social media protections for minors, with the sponsor framing it as a child-safety measure and opponents from NetChoice, TechNet, and Meta warning about privacy risks, age-verification problems, constitutional concerns, and the possibility that teens would evade restrictions; supporters argued parents need stronger controls and pointed to app-store-based alternatives, but no vote was taken in the portion provided.

Transcript Highlights:

• But, I just want to EMTs in a moment.
• It takes EMTs a lot of training out of a tight schedule in a year.
• It takes EMTs a lot of training out of a tight schedule in a year.
• It takes EMTs a lot of training out of a tight schedule in a year.
• It takes EMTs a lot of training out of a tight schedule in a year.

Keywords: 1191, senate, all

Transcript Highlights:

• nurse getting cornered by some patient, and he was definitely knowingly, willingly, and if one of my EMTs
• , and if, uh, and if, uh, one<00:28:46.080> of<00:28:46.160> my<00:28:46.400> EMTs
• hadn't<00:28:47.320> stepped<00:28:47.720> in<00:28:48.440> and one of my EMTs
• hadn't stepped in and one of my EMTs hadn't stepped in and grabbed<00:28:48.880> his<00:28:49.040
• /c><00:42:05.440> decision<00:42:06.200> of<00:42:06.760> the<00:42:06.880> EMT

Keywords: 928, house, all

Summary: The committee first took up Senate Bill 409 in executive session, with the chair noting a caucus break to explain amendments to several substitute members. Members discussed a proposed amendment to narrow the bill’s felony provisions by limiting them to specific, knowingly dangerous conduct rather than making the offense too broad. The committee also noted a planned floor amendment to add missing “or” language to clarify that the listed acts were alternatives, not cumulative requirements. The amendment was adopted 13-0, and the bill as amended was then reported OTPA by a 13-0 vote. It was initially said to be headed to consent, but members later agreed it would not go on consent because a floor amendment was anticipated. The committee then opened House Bill 667, which would extend protections for medical personnel into emergency room settings. Supporters said the bill was needed because emergency room staff face increasing assaults and existing protections did not fully cover ER circumstances. Several members described firsthand or secondhand incidents involving nurses, EMTs, and other staff being threatened or injured, and argued that stronger penalties would help deter violence and improve prosecution. Others supported the bill but raised concerns about how it might affect people experiencing mental health crises, dementia, or intellectual and developmental disabilities. A proposed amendment from Representative Sher would exempt people experiencing a mental health crisis who have a mental health diagnosis, and also address dementia and certain developmental disabilities. Supporters said the amendment was narrowly tailored and had backing from the Disability Rights Center, NAMI New Hampshire, and the New Hampshire Nurses Association. Opponents argued that the criminal justice system already has safeguards such as prosecutorial discretion, insanity defenses, and competency rules, and warned against creating special exceptions that could weaken equal application of the law. After debate, the committee voted 10-3 to report HB 667 ought to pass, with members noting that minority and majority reports would be prepared.