Video & Transcript Research : 'field sobriety'
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KY
Kentucky 2025 Regular Session
Interim Joint Committee on Health Services (9-16-25)
Transcript Highlights:
- Possible for people to enter certain fields or do certain things. That won't work for a physician.
- And I do think that this brings the field forward tremendously.
- And I the field forward tremendously.
- Uh, we don't have any field sobriety tests and that sort of thing.
- </c> research. uh we don't have any field research. uh we don't have any field sobriety<01:56:49.119>
Summary:
The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments.
Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight.
A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/10/25
Health Finance and Policy
Transcript Highlights:
- </c><00:58:18.240><c> we're</c><00:58:18.359><c> training</c> into the into the field we're training
- into the into the field we're training people<00:58:18.880><c> how</c><00:58:19.000><c> to</c><00:58:
- </c><01:10:31.640><c> and</c> that are in a journey of of sobriety and that are in a journey of of sobriety
- As we have more and more EMS agencies trying different programs such as field-initiated buprenorphine
- As we have more and more EMS agencies trying different programs such as field-initiated buprenorphine
Keywords:
HF696, rural EMS, ambulance, emergency medical services, uncompensated care, payment pool, rural health, Office of Emergency Medical Services, public safety answering point, PSAP, nontransport, unpaid ambulance calls, EMS reimbursement, rural ambulance provider, general fund appropriation, Minnesota health finance, specialized life support, metropolitan counties, emergency response funding, HF1429
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (01/29/2025)
Health and Human Services
Transcript Highlights:
- I've been in the field for 50 years. I spent 31 years at Headrest in Lebanon, New Hampshire.
- </c><00:44:23.920><c> for</c><00:44:24.200><c> 50</c> person uh I've been in the field for 50 person
- uh I've been in the field for 50 years<00:44:25.280><c> I</c><00:44:25.440><c> spent</c><00:44:25.800
- so I'm I'm speaking from their sobriety so I'm I'm speaking from that<00:51:37.200><c> I'm</c><00:51
- That's a new and emerging field, and more and more are being covered in all different areas.
US
US Federal 2025-2026 Regular Session
Hearings to examine the poisoning of America, focusing on fentanyl, its analogues, and the need for permanent class scheduling. Feb 4th, 2025 at 09:30 am
Senate Judiciary
Transcript Highlights:
- Successful reintegration and, most importantly, sustained sobriety post-release from our jails.
- To get people in sobriety, which will then deal with the narcotics economy on the supply chain side of
- Then, by the very next year, just six months into the year, by July of 2024, the DEA's Rocky Mountain Field
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- And experts in our field have consensus that the lightening and prevention of thickening is most effective
- And you are worthy of sobriety, my friend. Recovery looks good on you.
- And you are worthy of sobriety, my friend.
- I've worked in this field for over 10 years, and although part of this bill is asking for reimbursement
Summary:
The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules.
Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access.
The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.
MO
Transcript Highlights:
- that a person with a high tolerance might blow a 0.30 on a breathalyzer and still do fairly well on field
- sobriety tests, while a student who had not been drinking might be unable to stand at 0.08.
- varies widely and that some people with very high BAC levels can still perform relatively well on field
- sobriety tests.
Summary:
The committee met with a quorum and first went into executive session, where House Bills 3012, 2997, and 3058 were combined into a House committee substitute and then voted do pass by a 17-0 roll call. House Bill 2868 was set aside for further work on a substitute. The committee then moved into public hearings, beginning with House Bill 1740, “Melanie’s Law,” which would increase penalties for intoxicated driving cases involving injury or death and expand ignition interlock requirements, including for high-BAC offenders. The sponsor and family members of victims described the bill as a response to fatal crashes involving loved ones, while law enforcement, MoDOT, prosecutors, and MADD supported the measure as a prevention tool and cited data on recidivism and fatal crashes. Members asked about BAC thresholds, whether the bill would cover drug impairment, fiscal impacts, and the relationship to existing sentencing and parole rules. No vote was taken on HB 1740 during the hearing.
The committee also heard House Bills 3049 and 368, described by the sponsors as technical cleanup bills to resolve conflicts in Missouri’s sex offender registry statutes after court rulings and to reorganize and clarify the law. A prosecutor testified in support, and members discussed registry tiers, age-of-consent issues, and how the changes might affect people whose offenses were tied to older laws or unusual fact patterns. The bills were presented as consistency and cleanup measures, and no opposition testimony was offered.
Next, House Bill 2311 was heard, proposing to raise the age of consent to 18 and reduce the close-in-age exception from four years to three. The sponsor said the change was intended to align the law with recent marriage-age changes and avoid mixed signals. Members raised concerns about criminalizing high-school relationships and about consistency with existing law, but there was no testimony in opposition or a vote.
Finally, House Bill 3105, a revised Second Amendment Preservation Act-style bill, was heard. The sponsor said it would remove unconstitutional language from the prior law, bar state and local officials from knowingly violating law-abiding citizens’ firearm rights, and preserve cooperation with federal law enforcement. Supporters, including sheriffs, argued it protects constitutional rights while allowing officers to act against dangerous criminals and people in crisis. Opponents, including gun-rights advocates, argued the bill still lacked a meaningful deterrent to federal overreach and raised concerns about vague language such as “danger to self or others,” which they said could function like a red-flag law and be misused. The hearing ended without a vote on HB 3105.
FL
Florida 2025 Regular Session
Agriculture Mar 17th, 2025
Transcript Highlights:
- EDUCATIONAL PROGRAMS ADDRESS A KEY ISSUE TO THE GROWING NEED FOR YOUNG TALENTED PEOPLE IN A VARIETY OF FIELDS
- WHERE STUDENTS GAIN INSTRUCTION AND LEARN NECESSARY SKILLS TO OBTAIN INDUSTRY CERTIFICATIONS IN THEIR FIELD
- IF I WASN'T EDUCATED ENOUGH TO KNOW THAT WAS BEER AND DID NOT THC I WOULD HAVE BROKEN MY SOBRIETY BECAUSE
- SUPPORT USING FLORIDA LABS TO ENSURE PRODUCTS ARE UP TO FLORIDA STANDARDS BECAUSE IT LEVELS THE PLAYING FIELD
- I WANT TO THANK SENATOR BURTON FOR BECOMING AN EXPERT IN THIS BILL AND HOPEFULLY AN EXPERT IN THE FIELD
TX
Transcript Highlights:
- I would personally feel a lot safer on the road with someone who has proven their new sobriety multiple
- But perhaps our suspect was so injured in the crash that we had no standardized field sobriety tests,
- So, you're looking at field sobriety tests or if there's an accident, you're not going to really get
Bills:
HB 1194, HB 1221, HB1738, HB1913, HB2177, HB2178, HB2180, HB2229, HB2282, HB2448, HB2492, HB2777, HB2984, HB3357, HB3553, HB3602
Keywords:
emergency protection order, protective order, magistrate, criminal procedure, victim safety, family violence, domestic violence, stalking, assault, magistrate's order, temporary protection, court order duration, defendant restrictions, Article 17.292, Texas Code of Criminal Procedure, emergency restraining order, victim protection, firearm restriction, pretrial intervention, reimbursement fee
MN
Minnesota 2025-2026 Regular Session
Prioritizing Public Safety – Senator Ron Latz Apr 14th, 2025
Minnesota Senate Floor Meeting
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/19/25
Human Services Finance and Policy
Transcript Highlights:
- While we found children can often be a driving factor for a mother to achieve and maintain sobriety,
- </c><00:24:46.279><c> they</c> to achieve and maintain sobriety they to achieve and maintain sobriety
- I think sobriety is a key to a lot of really healthy living.
- </c><00:30:05.080><c> is</c><00:30:05.320><c> a</c> walk through this I think sobriety is a walk through
- this I think sobriety is a key<00:30:05.640><c> to</c><00:30:05.799><c> a</c><00:30:05.880><c> lot</
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 11:00 am
Joint Committee on Mental Health, Substance Use and Recovery
Transcript Highlights:
- He was able to briefly attain sobriety.
- Today, I have 27 years of sobriety.
- Working in this field, my ultimate goal has always been to work myself out of a...
- from the practice field.
- from the practice field.
Summary:
The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony.
Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities.
Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (9-9-25)
Transcript Highlights:
- You'll see the field slots there, and the field slots have names attached to them.
- slots um there and You'll see the field slots um there and the<00:51:07.599><c> field</c><00:51:07.920
- Um, I suffered from addiction for 27 years before achieving sobriety in 1999.
- </c><01:53:02.159><c> Founded</c><01:53:02.560><c> the</c> achieving sobriety in 1999.
- Founded the achieving sobriety in 1999.
Summary:
The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings.
A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting.
Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 58-1 May 14th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- Around Oklahoma, one of those people for me was Paul Fields.
- My representative Hardin and I had the honor of knowing Paul Fields for many years.
- foundation provides housing and support so women veterans can focus on obtaining and maintaining sobriety
- It doesn't touch our state collections in field tax, which we use a percentage of that for the well plugging
Keywords:
legislative procedure, session calendar, deadline schedule, bill deadlines, joint resolution, Oklahoma Legislature, 61st Legislature, regular session, adjourn sine die, floor deadline, third reading, committee deadlines, bill drafting, appropriations, budget bills, ethics commission, agency rules, administrative procedures act, local and special laws, pension legislation
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 58-1 May 14th, 2026
Oklahoma House Floor Meeting
Transcript Highlights:
- And one of those people for me was Paul Fields.
- Me and Representative Harden got the honor of knowing Paul Fields for many years.
- And great guy, just And got the honor of knowing Paul Fields for many years.
- foundation provides housing and support so women veterans can focus on obtaining and maintaining sobriety
Keywords:
legislative procedure, session calendar, deadline schedule, bill deadlines, joint resolution, Oklahoma Legislature, 61st Legislature, regular session, adjourn sine die, floor deadline, third reading, committee deadlines, bill drafting, appropriations, budget bills, ethics commission, agency rules, administrative procedures act, local and special laws, pension legislation
Summary:
The House convened, completed roll call, and heard an invocation and pledge before moving through several ceremonial presentations. Members recognized Monty Smith for 43 years of service with the Oklahoma Department of Transportation, honored the Marlow Lady Outlaws girls golf team for winning the Class 3A state and academic state championships, and acknowledged the final group of pages for the 60th Legislature. The House also adopted HCR 1030, which sets the legislative procedure schedule and deadlines for the 61st Oklahoma Legislature.
The chamber then met in a joint session with the Senate to observe Veterans Awareness Day. Speakers from both chambers and the Oklahoma Veterans Council delivered remarks honoring veterans, Gold Star families, and military service, and highlighted recent policy achievements for veterans, including the full tax exemption for 100% disabled veterans, the exemption of military retirement pay from state income tax, improved funding for veterans’ homes, and restructuring of the Oklahoma Veterans Commission. The Veterans Council also presented its annual awards, naming Sen. Kerry Hicks as Outstanding Senator of the Year, Rep. Andy Menz as Outstanding Representative of the Year, Aaron Higgins as Veteran of the Year, and the Speed family as Veteran Family of the Year, and recognized Scott Howell for his service to the council. The joint session then adjourned.
Back in the House, members took up Senate amendments to House Bill 1370, which concerns the Corporation Commission plugging fund and a repealer tied to a state fuel-tax offset provision. The bill’s author explained that the amendment would prevent the state from capturing savings if the federal fuel excise tax is reduced, so any reduction would benefit consumers rather than state revenue. After questions about fiscal impact and the well-plugging fund, the House adopted the Senate amendments without objection and passed HB 1370 on final passage by a vote of 89-1; the emergency clause also passed 89-1. The House then recessed, later returned for a staff appreciation and sine die-style recognition, including a tribute to long-serving bill drafter Mark Carter, and recessed again while awaiting any additional legislation from the Senate.
MO
LA
Transcript Highlights:
- We filed a cross-appeal based on field preemption.
- Judge Jackson had not quite reached field preemption.
- establishments, and that is what Senator Morris is trying to address by putting them on a level playing field
- establishments, and that is what Chairman Morris is trying to address by putting them on a level playing field
- I'm asking is when you refer to Commissioner Brown as a good-looking man, I have to question your sobriety
Keywords:
legal representation, attorney general, elected officials, defense, legislative acts, judicial review, judiciary, election, judges, 19th Judicial District Court, East Baton Rouge, precincts, coroner, retention, body, mortuary, investigation, missing persons, Amber Alert, Endangered Missing Child Advisory
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/13/25
Health and Human Services
Transcript Highlights:
- She then ran into our field, where she lay unresponsive for nearly an hour in the frozen ground until
- Over the next several days, we fielded multiple phone calls from doctors threatening to report us to
- multiple phone calls from fielded multiple phone calls from doctors<00:07:23.199><c> threatening</c>
- </c><00:20:45.320><c> of</c> have been practicing in the field of have been practicing in the field of
- Sobriety works. Treatment works. Therapy connections help us heal through relationships.
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Feb 16th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Bills:
SB1323, SB1863, SB1932, SB1950, SB1956, SB1970, SB1599, SB1312, SB1776, SB1858, SB1985, SB1302, SB1809, SB1401, SB2053, SB1503, SB1553, SB1427, SB1642, SB1421, SB1837, SB1566, SB1567, SB1794, SB1484, SB1557, SB1564, SB1591, SB1395, SB1456, SB1562, SB1613, SB1983, SB1550, SB2065, SB2152, SB2159, SB2172, SB2110, SB2111, SB2114
Keywords:
memorial designation, highway, Sheriff Marty Grisham, transportation, Oklahoma Statutes, memorial highway, road designation, John Skelley, motor carrier, administrative hearing, legal representation, corporate liability, aviation, aircraft, surveillance, regulations, fees, Oklahoma statutes, memorial, highway designation
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Feb 16th, 2026
Oklahoma Senate Floor Meeting
Bills:
SB1323, SB1863, SB1932, SB1950, SB1956, SB1970, SB1599, SB1312, SB1776, SB1858, SB1985, SB1302, SB1809, SB1401, SB2053, SB1503, SB1553, SB1427, SB1642, SB1421, SB1837, SB1566, SB1567, SB1794, SB1484, SB1557, SB1564, SB1591, SB1395, SB1456, SB1562, SB1613, SB1983, SB1550, SB2065, SB2152, SB2159, SB2172, SB2110, SB2111, SB2114
Keywords:
memorial designation, highway, Sheriff Marty Grisham, transportation, Oklahoma Statutes, memorial highway, road designation, John Skelley, motor carrier, administrative hearing, legal representation, corporate liability, aviation, aircraft, surveillance, regulations, fees, Oklahoma statutes, memorial, highway designation
Summary:
The Senate convened with a quorum, opened with prayer and pledges, and recognized several guests and Senate family members, including the psychologist and nurse of the day. Members then moved to the agenda, laying over items 1 and 4 before taking up several bills. Senate Bill 1395, a recommendation from the Incentive Evaluation Commission, would eliminate the tax credit portion of the investment and new jobs tax credit incentive and limit carry-forward of the investment portion to seven years; it passed 48-0.
Senate Bill 1456, as amended, extended the sunset of the Board of Tests for Alcohol and Drug Influence, with the amendment changing the sunset date to 2031; it passed 48-0 and was also approved as an emergency measure. Senate Bill 1562, requested by the Oklahoma Hospice and Palliative Care Association, was described as protecting terminally ill patients and families from aggressive hospice marketing practices; it passed 48-0. Senate Bill 1613, requested by the Oklahoma Liquefied Gas Association, was revised to remove language the governor had previously objected to regarding vehicle ownership and leasing outside OMES; it passed 48-0.
Senate Bill 1983 directed the Department of Human Services to provide de-identified foster care data to resource family partners, including information on children without placement, demographic and geographic trends, areas of high need and low availability, placement disruptions, sibling separations, and distance from original homes. After a question from Senator Deevers about the scope of the data, the bill advanced and passed 48-0. The Senate then heard announcements about committee meeting times and adopted a motion to adjourn until Tuesday, February 17, 2026, at 1:30 p.m.
AL
Alabama 2026 Regular Session
Alabama House Ways and Means General Fund Committee Feb 18th, 2026
Ways and Means General Fund
Transcript Highlights:
- I work in the field.
- I work in<00:25:20.559><c> the</c><00:25:20.640><c> field.
- am</c><00:25:22.240><c> the</c><00:25:22.400><c> current</c><00:25:22.720><c> director</c> in the field
- I am the current director in the field.
- </c> could put better equipment in the field could put better equipment in the field for<00:27:39.039
Keywords:
appropriation, transportation, judicial system, funding, state budget, Pickens County, local act, vehicle tag fee, registration fee, issuance fee, motor vehicle registration, license plate, replacement tag, transfer tag, renewal fee, county revenue, earmarked funds, ambulance service, emergency medical services, EMS