Transcript Highlights:

• </c> have to put more money into um rural EMS have to put more money into um rural EMS we<00:08:58.959
• </c> look at line 3.1 for eligible EMS look at line 3.1 for eligible EMS response<00:13:44.120><c> 101
• </c> what are the what does eligible EMS what are the what does eligible EMS responses<00:14:37.279><
• </c> would get 200 points and then the EMS would get 200 points and then the EMS director<00:15:36.120
• </c> eligible EMS eligible EMS responses<00:16:28.480><c> um</c><00:16:29.120><c> it</c><00:16:29.279

Bills: HF696, HF1429, HF1379

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

Transcript Highlights:

• Andrew Yuen with the Department of Health EMS. We stand by. Not present. Not present.
• Andrew Yuen with the Department<00:17:07.520><c> of</c><00:17:07.560><c> Health</c><00:17:07.760><c> EMS
• /c><00:17:08.720><c> We</c><00:17:08.839><c> stand</c><00:17:09.120><c> by</c> Department of Health EMS

Bills: SCR7, SCR59, SCR182

Keywords: emergency care, reproductive health, abortion services, EMTALA, patient safety, hospital regulations, medical treatment, health care professionals, emergency response, licensure, disaster response, telehealth, SCR182, S.C.R. 182, Hawaii Trauma System, trauma care, trauma center, Tripler Army Medical Center, military-civilian partnership, civilian trauma patients

Summary: The Committee on Health heard testimony on three concurrent resolutions. SCR-7 would affirm that hospitals must provide life-saving emergency care to pregnant people; supporters included the Hawaii State Commission on the Status of Women, AAUW Hawaii, the Healthcare Association of Hawaii, and Hawaii Women’s Lawyers, with two individuals in opposition. A member raised a wording concern about “pregnant people” versus “pregnant women,” and the chair agreed to note the comment in the committee report. The committee then recommended passage, and the measure was adopted by vote, with Representatives Alcos voting no and Garcia not voting. SCR-59 SD1 would ask the governor to establish procedures allowing certain health care professionals to practice in Hawaii without a Hawaii-issued license during a state of emergency. The Hawaii Organization of Nurse Leaders strongly supported the resolution, citing emergency response problems during Kona low storms and the Lahaina wildfires when out-of-state licensed providers were available but could not serve. The committee recommended passage as is, and the recommendation was adopted, with Representative Garcia voting with reservations. SCR-182 would request that the governor and Department of Health work with the U.S. Department of Defense and other federal military partners to explore a military-civilian trauma partnership to strengthen Hawaii’s trauma system. The Department of Health supported the measure, and a member suggested the title should reflect “Department of War,” while another member noted the federal department name has not changed; the chair said the comments would be noted in the report. The committee recommended passage, and the resolution was adopted without objection, with Representatives Martin and Olds excused.

Bills: HB3, HB3

Keywords: education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management

Transcript Highlights:

• And so, and because it's often an expensive option for the school district. is that the state reimburses
• It doesn't match like speech therapy where we can get covered through insurance reimbursement.

Bills: HB3, HB3

Keywords: education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management

Transcript Highlights:

• .. ...high-cost or low-population areas would give providers excessive leverage to demand high reimbursement
• market factor certification criteria may not directly impose network participation requirements or reimbursement

Bills: HB2564, HB2599, HB1809, HB2242, HB2261, HB2384, HB2505

Keywords: healthcare, insurance, certification, state regulation, health plan, therapy, psychotherapy, mental health, regulation, professional standards, behavioral health, mental health crisis, crisis response, co-response, co-responder, first responder, EMS, emergency medical services, paramedic, EMT

Summary: The House Health Care & Wellness Committee held public hearings on House Bill 2564, concerning the health benefit exchange, and House Bill 2599, concerning the use of AI in therapy services. HB 2564 would let the exchange adopt annual market-factor certification criteria to address access and affordability issues, including requiring more meaningful plan differences, broader county participation, and availability of lower-premium options. Supporters, including the exchange, former Sen. Karen Kaiser, consumer advocates, rural and tribal representatives, and some brokers, said the bill could help prevent bare counties, improve affordability, and reduce confusing plan duplication. Opponents, including carrier groups, insurers, the hospital association, and insurance producers, warned it could reduce carrier participation, create uncertainty, overlap with OIC authority, and raise provider costs. HB 2599 would restrict licensed therapy providers from using AI to make independent therapeutic decisions, directly interact with clients, generate treatment plans without review, or advertise AI as therapy; supporters said it was needed to prevent deceptive or dangerous chatbot therapy, while several professional groups and Teladoc supported the intent but asked for narrower definitions and clearer carveouts for routine clinician-supervised tools. The committee also heard testimony on the bills’ details and possible amendments, but took no public-hearing votes on either bill. In executive session, the committee considered five bills. HB 1784, on certified medical assistants entering and activating orders, passed with a proposed substitute that added standing written protocols, annual review requirements, and a 24-hour countersignature deadline; it was reported out 18-0. HB 2242, on preventive services and immunization recommendations, had three amendments considered: two were rejected and one JLARC study amendment was adopted, after which the substitute bill passed 11-7. HB 2384, on actuarial reviews for continuing care retirement communities, passed as a substitute after technical changes and was reported out 16-2. HB 2505, creating an exemption from adult family home licensure for certain foster family situations, adopted an amendment adding disqualifying conditions and then passed 18-0. The committee deferred action on HB 1809 and HB 2261, and adjourned after completing its work.

Bills: HB213, HB136, HB182, HB213, HB136, HB182

Keywords: HB213, Calhoun County, board of registrars, registrar compensation, county commission, local legislation, election administration, county general fund, expense allowance, officeholder compensation, public officials pay, county election officials, Alabama Code 45-8-110, Teacher's Retirement System, TRS, DROP, Deferred Retirement Option Plan, retirement benefits, teacher retirement, classroom teacher

Transcript Highlights:

• would handle it, and it's just a straightforward bill for our volunteer rescue squads for the reimbursement

Bills: SB213, HB24, HB163, HB226, HB271, HB288, HB319, HB24

Keywords: utility tax, poultry industry, energy consumption, agricultural exemption, tax exemption, HB24, Volunteer Rescue Squad Tuition Reimbursement Program, EMS, emergency medical services, EMSP, paramedic training, EMT training, tuition reimbursement, scholarship, workforce development, volunteer rescue squad, volunteer fire department, ambulance service, nonprofit ambulance, Alabama Department of Public Health

Bills: SB279, HB478, SB279, HB478

Keywords: Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures, furnishings, reuse, recycling, upcycling, surplus property, public assets, legislative chambers, desk sale, chair sale, state auditor

Transcript Highlights:

• is just allowing military men and women to be able to carry their credits over from the military to EMS
• is just allowing military men and women to be able to carry their credits over from the military to EMS
• their credits over from the military to their credits over from the military to um<00:07:07.039><c> EMS
• </c> um EMS. um EMS.

Bills: SB100, SB122, SB127, HB182, HB275, SB100, SB122, SB127, HB182, HB275

Keywords: property tax, ad valorem tax, real property assessment, assessment cap, county-wide reappraisal, CPI-U, Consumer Price Index, tax assessor, Class II property, Class III property, local government revenue, property tax relief, reappraisal, tax increment district, retroactive tax law, Alabama Code 40-7-2.2, appropriation, education funding, Southern Preparatory Academy, fiscal responsibility

Bills: HB186, HB185, HB182, HB183, HB184, HB312, HB460, HB405, HB186, HB185, HB182, HB183, HB184, HB312, HB405

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• practice now takes 50/50: 50% Medicaid and 50% other federal, HMO, or commercial insurance, and we are reimbursed
• insurance and HMO or um just commercial insurance and we<00:24:28.280><c> are</c><00:24:28.560><c> reimbursed
• </c><00:24:29.320><c> If</c><00:24:29.480><c> it's</c><00:24:29.679><c> Medi-Medi,</c> we are reimbursed
• If it's Medi-Medi, we are reimbursed.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Rules for credentialing and accreditation standards for private companies when dealing with EMS.
• So when this gets approved, we didn't want folks to then say, "Well, the state's reimbursing this, so
• Reimbursing this, so now we can raise our cap to some crazy amount."
• So, because the EMS regions fall under the Department of Public Health, the Department of Public Health
• They can reimburse what they had if they have federal loan debt. Okay.

Bills: HB226, HB24, HB309, HB315, HB272, HB24, HB226, HB309, HB315, HB272

Keywords: HB226, homestead exemption, ad valorem tax, property tax, property tax relief, widow, widower, unremarried spouse, surviving spouse, senior exemption, elderly, disabled, permanently and totally disabled, blind taxpayer, deed ownership, principal residence, school tax, county tax, municipal tax, Alabama Department of Revenue

Transcript Highlights:

• The point of the bill is to let rural fire departments, ambulance services, or EMS services train EMS
• They can set it up locally through the regional EMS council.
• </c><00:12:30.320><c> personnel</c> EMS services uh train uh EMS personnel EMS services uh train uh EMS
• </c><00:12:43.040><c> councils</c> EMS council.
• There are six EMS councils EMS council.

Bills: HB3, HB116, HB165, HB178, HB3, HB116, HB165, HB178

Keywords: illegal alien, enhanced sentencing, criminal offenses, minor victims, felonies, Alabama legislature, HB116, Alabama Sunset Law, sunset bill, sunset review, Alabama Professional Bail Bonding Board, bail bonding, bail bonds, bail bond industry, professional bail bondsman, licensing board, state agency continuation, agency reauthorization, regulatory board, criminal justice

Transcript Highlights:

• </c> currently in the in the private EMS currently in the in the private EMS setting,<00:25:52.400><c
• </c> make sure they had EMS coverage. make sure they had EMS coverage.
• Our our providers that are out EMS.
• </c> if they doctors can't see them the EMS if they doctors can't see them the EMS workers<00:30:59.600
• </c> there is reimbursement for that expense. there is reimbursement for that expense.

Bills: HB185, HB378, SB28, HB400, SB155, HB312, HB185, HB378, SB28, HB400, SB155, HB312

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

Bills: SB 302, SB 1335, SB 1734, SB 1760, SB 1975, SB 2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, guardianship, incapacitated persons, guardianship fees

Bills: HB 3

Keywords: emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management, public safety infrastructure, Project 25, P25, broadband emergency alerting, outdoor warning sirens, homeland security, disaster response

Transcript Highlights:

• Maybe we could put a study on this, that they should reimburse dollar for dollar for the women... ...
• that they should reimburse dollar for the women that stay home with—oh, it doesn't have to be women.
• Chairman, as reimbursing doulas under Medicaid, and there was some contention among the folks who do
• that service whether or not they wanted to get certified so they could get reimbursed under Medicaid.

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The committee reconvened and first reconsidered House Bill 1612, the aerospace medical and mental health support center bill. Senator Cleary offered an amendment to reduce the general fund appropriation from $500,000 to $250,000 and require the university or project sponsors to find the remaining funding from other sources. The amendment passed, and the bill was then recommended do pass as amended, with members citing concerns about university funding, but others supporting the project as a one-time seed investment. The committee also discussed a possible future FMAP increase beginning October 1, 2026, which could reduce general fund costs by roughly $9 million, though members noted the figures were still preliminary and could be addressed later if needed. The committee then returned to Human Services budget items, including early childhood and child care funding, a community cultural center grant, and several other adjustments. Members discussed reducing the “best in class” amount, changes to child care grants and quality/infrastructure funding, and clarifying that prior child care assistance appropriations were in fact being spent. They also agreed to reduce the 1915(i) Medicaid waiver line by $2 million, with the understanding that the entitlement would still be funded as needed. The committee also considered taking guardianship funding out of House Bill 1012 because a separate bill, Senate Bill 2029, would move that funding elsewhere; members agreed that removing it from the budget could help the overall bill and could be restored if the separate bill failed. Several study amendments were discussed. Senator Cleary proposed adding a maternal health study related to prenatal services, doulas, midwives, and Medicaid, and members expressed support. The committee also discussed a software/case-management study proposal, but the department said it had not requested it and would not support it as presented, so members leaned against advancing it unless the department first evaluated it. Another amendment would authorize the department to work with the city of Grafton on a long-term plan for the LSTC campus and require a report back to the legislature; members supported that as legislative intent. The committee also agreed to remove a truancy study section for later conference discussion, and it reviewed other possible study ideas, including assistive technology, before adjourning to await updated long sheets and bill text.

Transcript Highlights:

• I don't think we're going to solve that issue, as far as reimbursement is concerned, for purposes of

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals. A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later. The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on. Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.

Transcript Highlights:

• I am here in support of creating a new preemptive reimbursement option within the Minnesota Petroleum
• It primarily helps reimburse cleanup costs after a petroleum spill or leak has already occurred.
• Allow limited, targeted reimbursement for proactively replacing high-risk piping systems before a release

Bills: HF3298

Keywords: underground storage tanks, petroleum, reimbursement program, environmental regulation, pollution control, 1183, house

Transcript Highlights:

• The benefits are clear: improved mental health outcomes, cost savings, and sustainable reimbursement
• The benefits are clear: improved mental health outcomes, cost savings, and sustainable reimbursement
• The benefits are clear: improved mental health outcomes, cost savings, and sustainable reimbursement
• </c> collaborative care model a reimbursable collaborative care model a reimbursable medical<00:07:48.159
• reimbursement rates that attract<00:09:15.440><c> and</c><00:09:15.600><c> retain</c><00:09:16.720><

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation