Transcript Highlights:

• In response, some fire agencies have established CARES programs to reduce non-emergency use of emergency
• from a program.
• program.
• as a pilot program in 2000 as one of their early programs.
• as a pilot program in 2000 as one of their early programs.

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

Transcript Highlights:

• this program.
• You all spoke about the FRAME program. You spoke about the TEACH program.
• You all spoke about the frame program. You spoke about the teach program.
• The women in the program experienced 94% lower emergency department visit rates and 82% lower hospitalizations
• The women in the program experienced 94% lower emergency department visit rates and 82% lower hospitalizations

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• All right, the Senate Emergency Management Committee will come to order.
• And that's two new programs: the innovation outreach and coordination program And that's two new programs
• The report found that many emergencies remain open for extended periods of time long after the emergencies
• States of emergency ...budget or legislative process.
• The bill does not eliminate or weaken emergency powers.

Summary: The Senate Emergency Management Committee heard several wildfire- and emergency-related bills. SB 1270 by Senator Richardson would expand the California Wildfire Mitigation Program to more counties and direct future funding toward areas with the greatest wildfire risk and social vulnerability; supporters included CSAC and the South Coast Air Quality Management District. SB 1079 by Senator Stern would create a permanent fire innovation unit within Cal Fire to identify operational needs, test new technologies, and speed deployment of successful tools; it drew support from Megafire Action, fire agencies, and several advocacy groups. SB 1020 by Senator Niello would require annual reporting on open gubernatorial states of emergency, including spending and lessons learned, to increase legislative oversight without limiting emergency powers; the LAO provided technical assistance on the bill. SB 894 by Senator Allen would establish a wildfire resilience loan program modeled on Go Green to help finance home hardening and defensible space improvements, with broad support from state, local, environmental, and credit union interests. Testimony on the bills emphasized wildfire risk, the need for broader home hardening access, and the value of innovation and oversight in emergency management. Supporters of SB 894 said grants alone cannot meet the scale of needed mitigation and that low-cost financing could leverage private capital. Supporters of SB 1079 argued California needs a more formal system to connect firefighters with innovators and scale proven technologies. On SB 1020, the author and committee discussed balancing executive emergency authority with transparency and accountability. There was no recorded opposition to the measures during testimony. After discussion, the committee accepted amendments on the bills and voted to pass SB 894, SB 973, SB 1020, SB 1270, and SB 1079 as amended to the Senate Appropriations Committee. The transcript shows multiple roll calls as quorum was established and absent members were called; each bill ultimately received unanimous support from members present and was reported out of committee.

Transcript Highlights:

• Those emergency alerts and emergency services were going out.
• COVID's not an emergency. We don't have any emergencies—not a federal or state emergency.
• So, do we have other programs where we've made emergency rule-making that we know and understand?
• Speaker, while not a perfect program, is a very comprehensive health insurance program.
• program expired.

Transcript Highlights:

• Therapies are emerging.
• Therapies are emerging.
• Therapies are emerging.
• Therapies are emerging.
• Therapies are emerging.

Keywords: 919, house, all

Summary: The meeting focused on a House counteroffer to a higher education budget and policy agreement, with Ken Savory walking members through spreadsheet changes and Mr. Hopkins reviewing policy items. On the budget side, the House adjusted several appropriations and savings targets, including state grants, child care grants, student teacher and shortage area grants, student parent support, spinal cord injury and traumatic brain injury research grants, dual training grants for legal cannabis employers, and University of Minnesota cannabis research. The House also noted no change to Minnesota State, alignment with the Senate on the summer academic enrichment program, and that remaining state grant parameters would continue to be negotiated. On policy, the House said some items were agreed to and grayed out, including campus sexual misconduct policy and treatment of appropriations. The House kept its original position on the NN Mayo Clinic Partnership and did not include K-12 direct admissions or the College Financing Literacy Act. It also proposed adjusting OHEI appropriations for competitively and legislatively named grant programs so administrative cost reserves would conform to 10% and 5% parameters when current law is below those levels. The committee then heard testimony in support of continuing the spinal cord injury/traumatic brain injury grant program at its current level. Joey Carlson described his spinal cord injury, his career path, and how the program helped advance research and industry connections, while Matthew Broadick argued the program has produced clinical trials, FDA approval-related progress, jobs, and strong return on investment. He also said the program belongs at the Office of Higher Education rather than the Department of Health because its mission better fits research and innovation. Members asked about the program’s long-term home, and the witnesses defended OHE’s role. No votes were taken; the chair thanked the House for the offer, said it would be reviewed, and recessed the meeting.

Transcript Highlights:

• Programs. Programs.
• emergency management [snorts] um lobby? emergency management [snorts] um lobby?
• the community with emergency management. the community with emergency management.
• the pilot program. the pilot program. >> Thank<02:53:09.040> you.
• information and relevant to emergency information and relevant to emergency responses.

Bills: HB676

Keywords: HB676, Hawaii correctional facilities, youth correctional facilities, adult correctional facilities, Department of Corrections and Rehabilitation, Office of Youth Services, inmate phone calls, prison phone calls, jail phone calls, free prison calls, free communication services, incarcerated persons, prison reform, reentry, family visitation, recidivism, video visitation, electronic messaging, commissions, ancillary fees

Summary: The committee heard three public safety bills. HB 2235 would appropriate $1.3 million for the Military Affairs and Community Relations Office to strengthen coordination on military and defense issues. Supporters, including the Hawaii National Guard and DBEDT’s military relations office, said the office helps Hawaiʻi understand federal contracting, USA Jobs, and military-related economic impacts. One member questioned why the state should fund a DoD-related office while Hawaiʻi remains under-reimbursed on impact aid; supporters responded that the office serves Hawaiʻi communities and helps prepare residents for federal jobs. The chair said she intended to recommend the bill pass with a HD1, a blank appropriation to be filled in the committee report, technical amendments, a defective effective date, and updated office title language. HB 2263 would expand Hawaiʻi family leave law to cover qualifying military exigencies. The Department of Labor and Industrial Relations, DBEDT’s military relations office, and the Hawaii National Guard supported the measure, saying military families often face short-notice deployments, relocations, briefings, and urgent family arrangements that require time away from work, and that aligning state law with federal standards would provide clarity and consistency. The chair said she would recommend passage with a HD1, a defective effective date, and technical amendments. HB 2291 would clarify that certain National Guard Youth and Educational Programs employees are excluded from collective bargaining, rename the program, and codify its Hawaiian name. The Hawaii National Guard said it was a housekeeping bill with no appropriation, but requested an amendment to align the bill with updated authorities and program references; the chair asked for proposed language before the later decision-making. She said she would recommend passage with a defective date and the requested amendment if provided, and then recessed the hearing until 11:30 a.m. for decision-making on all three bills.

Transcript Highlights:

• Program, and the Law Enforcement Recruitment Bonus Program.
• The Hallmark State Rental Program is a State Apartment Incentive Loan Program, known as SAIL, financed
• Another new program in the Live Local Act was a tax credit contribution program.
• And, of course, the last program is the SHIP program, State Housing Initiatives Partnership.
• Our largest element in our program is the recurring work program.

Summary: The committee met to review agency program funding as it prepared to build the budget, hearing brief presentations from six agencies and then taking member questions. Florida Division of Emergency Management highlighted its role in response, preparedness, recovery, and mitigation, describing a largely federal pass-through budget, major technology investments, and large disaster and preparedness grant activity. The Department of Commerce, Department of State, Florida Housing Finance Corporation, Department of Transportation, Department of Military Affairs, Florida State Guard, and Department of Highway Safety and Motor Vehicles also summarized their budgets, staffing, and major programs, including workforce and economic development, elections and arts funding, housing assistance, transportation work programs, military readiness, state guard expansion, and highway safety and motorist services. Members focused questions on several issues: arts and library grant funding and whether award criteria had changed; Commerce’s rural infrastructure and job growth grants and why funds were not being disbursed faster; Florida Housing’s use of SAIL, Live Local, Hometown Heroes, and SHIP funds and how smaller agencies learn about and access funding; and DOT’s work program gap between agency and governor proposals. The most extensive questioning was directed to Highway Safety and Motor Vehicles about long DMV lines, vacancies, overtime, staffing shortages, and the ability to shift funds between divisions. The department said staffing and pay constraints, especially in South Florida, were driving service delays and vacancy rates, and that overtime was being used because troopers were leaving for better-paying jobs. The Florida State Guard was also questioned about its spending and procurement pace, including aircraft purchases and facilities. Its director said long procurement timelines explained the low initial spending and that obligations had risen sharply as contracts matured. Members also asked about the department’s public opposition to Amendment 3 and whether agency resources were used in that effort; the director said no contracts or purchases were made to influence the vote and said the colonel’s comments were made off the clock. The meeting ended with the chair asking agencies to respond promptly to unanswered questions, and the committee adjourned without any recorded votes or formal actions beyond receiving the presentations and questions.

Transcript Highlights:

• There's a lack of stable and substantial funding for local emergency management programs.
• Local emergency management programs also include planning, training, and other operations.
• Winona County's emergency management program grant was $28,000 per year, but was recently cut to $20,000
• Minnesota state law requires emergency management programs but does not support them with state funding
• this program. this program.

Keywords: 1187, senate, all

Transcript Highlights:

• Um, the office is quite supportive of both the community emergency medical technician program which you
• Um, the office is quite supportive of both the community emergency medical technician program which you
• <00:02:48.879> medical<00:02:49.200> technician<00:02:49.760> program emergency
• medical technician program emergency medical technician program which<00:02:50.480> you<00:02:
• What this bill does is it takes the program that we did last year where we provided emergency aid to

Keywords: 1187, senate, all

Transcript Highlights:

• They have another grant from FEMA from the Emergency Management Performance Grant Program.
• They have another grant from FEMA from the emergency management performance grant program.
• or the crime victims program.
• It's a once-a-year grant program.
• And then we manage that program.

Keywords: 1204, all

Transcript Highlights:

• It's a USDA program. So you reporting. It's a USDA program.
• Resilience Program.
• One is the key project in Kāneʻohe, and the other is in Hula Hula emergency leadership program with Donnie
• One is the key project in Kāneʻohe, and the other is in Hula Hula emergency leadership program with Donnie
• One is the key project in Kāneʻohe, and the other is in Hula Hula emergency leadership program with Donnie

Bills: HB2437, HB1815, HB1614, HB1613, HB1612, HB2411, HB2597, HB2583, HB2474, HB1863, HB2590, HB1813, HB1838, HB2138, HB1967, HB1576, HB2139, HB1605, HB2113, HB812, HB1831, HB1707, HB2561, HB1805, HB2469, HB2472, HB2387, HB1658, HB1661, HB1664, HB1859, HB2276, HB2335, HB1656, HB2116, HB2272, HB2273, HB2340, HB2158, HB2339, HB2489, HB2159, HB2171, HB2338, HB2005, HB1952, HB1872, HB1676, HB2384, HB2614, HB20, HB1776, HB1565, HB2310, HB1975, HB1801, HB1668, HB2114, HB1972, HB1546, HB1518, HB1131, HB2208, HB2156, HB2268, HB2622, HB2581, HB2498, HB2443, HB1577, HB2033, HB2031, HB2023, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB816, HB1562, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1537, HB1541, HB276, HB2606, HB2270, HB1920, HB1756, HB1727, HB1718, HB1715, HB1713, HB1711

Keywords: arts education, student engagement, cultural literacy, public schools, funding, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund, one percent for art, public art, art in public places, relocatable works of art, DBEDT, Department of Business, Economic Development, and Tourism, DAGS

Transcript Highlights:

• of our program to change.
• Like another program.
• program for MassHealth patients stepping down from an inpatient or emergency department level of care
• and non-emergency situations.
• and non-emergency settings.

Keywords: 995, all

Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.

Transcript Highlights:

• Finally, there are also emergency well plugging efforts.
• During an emergency well plugging job, like many other types of emergencies, the commission, as the responding
• During an emergency, while plugging job, like many other types of the 141 of emergencies, the commission
• This is the spay and neuter program previously discussed.
• This is the spay and neuter program previously discussed.

Summary: The committee met with a quorum present to hear Article VI Natural Resources agency budget recommendations, beginning with the Railroad Commission. LBB staff summarized the commission’s 2026-27 base recommendation at $458.7 million, down from the prior biennium, with an increased FTE cap. The presentation highlighted reduced federal IIJA funding, volatility in oil and gas regulation account 5155, continued support for IT modernization, and rider changes. The commission’s major exceptional items were then presented, including requests for produced water and injection data reporting, an authorized pit registration system, regulatory filing/permitting upgrades, an underground injection well investigation team, site remediation support, and especially $100 million for orphan well plugging. Members asked about biennium-to-biennium comparisons, salary biennialization, the scale of orphan well risks, federal funding delays, bonding, and whether the state should rely more on industry or general revenue for plugging costs. Commission leadership explained that orphan wells can threaten water and public safety, that plugging costs have risen sharply, and that current funding is insufficient to keep up with emergency wells and the backlog; they also said the agency is moving to cloud-based systems with cybersecurity protections and that the proposed performance measure may need adjustment if funding does not increase. The Railroad Commission testimony was followed by LBB and agency testimony for the Texas Animal Health Commission. LBB described a $42 million recommendation for 2026-27, an increase overall, but with a reduced FTE cap due to turnover and salary reallocation. The recommendation maintained funding for cattle fever tick work, chronic wasting disease, lab testing through an MOU with Texas A&M’s veterinary diagnostic lab, and a new $5 million spay-and-neuter pilot program, while deleting a capital budget rider and adjusting riders tied to entry point inspection stations and clinical trials. Agency leadership then outlined the commission’s mission to protect livestock health and the state’s $22 billion animal industry, and described major disease threats including highly pathogenic avian influenza, cattle fever ticks, New World screwworm, and chronic wasting disease. Their exceptional items focused on recruiting and retaining veterinarians, replacing fleet vehicles, creating an ectoparasite identification lab, adding field staff and IT support, improving records and epidemiology reporting, strengthening central administration, supporting secure food supply planning, expanding chronic wasting disease work, and staffing the new spay-and-neuter program. Members asked about field identification of ticks, the use of disinfectants and PPE, fleet management, the scale of cattle fever tick risk, and chronic wasting disease; the agency explained its current inspection and lab-confirmation process, its reliance on field disinfecting and biosecurity, and the need for more staff and better data systems to keep pace with growing workloads and disease threats.

Transcript Highlights:

• therefore, and declaring an emergency. therefore, and declaring an emergency.
• therefore in declaring an emergency. therefore in declaring an emergency.
• room for non-emergency services. Um room for non-emergency services.
• . emergency. emergency.
• Program, Education and Training Plan. Program, Education and Training Plan.

Keywords: 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state. The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted. The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39. After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.

Transcript Highlights:

• This is a homegrown Missouri program with the purpose of getting better medical information for emergencies
• So our goal is the emergency information is free at the time of an emergency.
• is an EMS program, not a hospital program.
• Emergency room, so the emergency room physicians can see that, but kept referencing the STARS program
• Emergency medical technicians, advanced emergency medical technicians, like I said, bank personnel, our

Keywords: 959, house, all

Summary: The Committee on Health and Mental Health met with a quorum and first voted in executive session to give House Bills 2370, 3278, and 1638 due pass, with recorded votes of 13-9, 15-0, and 17-0 respectively. The committee then moved to public testimony on Senate Bill 1015, which would create a court process for assisted outpatient treatment for adults with serious mental illness who cannot voluntarily engage in care and are at risk of deterioration, hospitalization, or harm. Senator Maggie Nuremberg and supporters from the Missouri Behavioral Health Council and the Missouri Association of Public Administrators said the bill would help people stay stable in the community, reduce hospitalization and incarceration, and save costs; there was no opposition testimony. The committee also heard a presentation on the STARS program from SSM Health, which was described as a Missouri-based emergency planning system for medically complex children. Witnesses explained that STARS provides physician-approved, electronic emergency care plans for EMS and emergency departments, with education and quality improvement components, and that it is funded by participating children’s hospitals rather than families or EMS agencies. Members asked about costs, access, and how the program differs from the bill previously discussed by Representative Burns; the witness emphasized that STARS is an EMS program and not the same as the proposed hospital-flagging requirement. House Bill 2903, sponsored by Representative Don Mayhew, would change rules for county and district hospitals to make them more competitive with private hospitals by narrowing Sunshine Law exposure for sensitive business information, adjusting board qualifications, and aligning financial reporting deadlines. Supporters from Phelps Health said the bill would reduce administrative burdens and protect proprietary information, while still preserving public transparency for core financial information. Finally, House Bill 3379, sponsored by Representative David Dolan, would expand and strengthen the employee disqualification list and mandated reporting rules for abuse, neglect, and financial exploitation of vulnerable adults, including adding certain bank personnel and first responders as reporters and creating penalties for failure to report. DHSS supported the bill, while the Missouri Bankers Association supported the goal but raised concerns about mandatory reporting obligations for bank staff when customer participation in adult day programs may be unknown; the committee took no final action on the public testimony bills before adjournment.

Transcript Highlights:

• Representative Quan was just asking is the non-emergency medical transportation a well-established program
• . emergency. emergency.
• Senator Rest asked whether, from what she gathered, the emergency program, topic 30, is the program used
• But topic number 30, the emergency one, was just done as a program evaluation in 2022.
• the emergency program<00:12:32.639> which<00:12:32.959> would<00:12:33.279> is<

Keywords: 919, house, all

Summary: The Legislative Audit Commission Evaluation Subcommittee met on October 6, 2025, to choose additional program evaluation topics for the Office of the Legislative Auditor. Deputy Legislative Auditor Jody Mson Rodriguez explained that the commission had previously selected seven topics from an initial list of 11, with background papers already prepared on five of those items, and that the subcommittee was now being asked to select five more topics for background papers before narrowing the full set to four recommendations later in the fall or early spring. Members discussed several possible topics, especially emergency medical services, non-emergency medical transportation, MinnesotaCare eligibility, child care assistance, medical assistance fraud prevention, and U.S. Bank Stadium. David Kersner of OLA said emergency medical services and non-emergency medical transportation are distinct programs, and noted the EMS topic was evaluated in 2022 while non-emergency medical transportation had not been reviewed since 2011. Auditor Judy Randall said MinnesotaCare eligibility, child care assistance, and medical assistance fraud prevention are better suited to OLA’s financial audit division or special review unit rather than program evaluation, and that financial audits and special reviews do not require Legislative Audit Commission nomination. On process, Mson Rodriguez said the subcommittee had already met its minimum required selections under the commission’s policy and was free to choose additional topics. The discussion also covered whether to broaden the stadium topic beyond U.S. Bank Stadium; staff said the U.S. Bank financing structure alone would be a major undertaking, but they could help craft a future topic focused on maintenance across multiple facilities. No final vote or motion was taken in the portion of the meeting provided, and the chair indicated the committee would continue nominations and discussion.

Transcript Highlights:

• I don't know how many times you have to extend an emergency until it's not really an emergency anymore
• Some of the details around what the emergency spending is for a state of emergency, as we understand
• funds can go on as long as the, for a natural emergency, can go on as long as the state of emergency
• funds for emergency relief.
• Not about emergency preparedness.

Keywords: 998, house, all

Transcript Highlights:

• Can you tell me more about those programs?
• We have outstanding programs.
• Provides an overview of TDM's emergency response funding.
• Additionally, TES will develop an emergency preparedness exercise program for community leaders and first
• Additionally, a modest investment in the rural Veterinarian incentive program, a loan repayment program

Transcript Highlights:

• to states program.
• teachers around the emergency hires. teachers around the emergency hires.
• So existing programs like the programs.
• The DOE has come to us and said, like, create the J-1 pathway program or look at the emergency hires
• program or look at the um emergency program or look at the um emergency hires<02:40:35.520> and

Keywords: 910, house, all

Transcript Highlights:

• responder training programs, and high school EMS training programs.
• responder training programs, and high school EMS training programs.
• responder training programs, and high school EMS training programs.
• responder training programs, and high school EMS training programs.
• 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.