Transcript Highlights:

• Uh this bill deals with reimbursement for ambulance services.
• </c><00:20:21.440><c> for</c> bill deal with reimbursement for bill deal with reimbursement for ambulance
• This bill deals with reimbursement of EMS services, ambulance services across the state.
• In Alabama, we're currently, I say we, the ambulance transport services, reimbursed at approximately
• It talks about the reimbursement rate will be, and then line 126 shall be 200% of the Medicare ambulance

Bills: SB294, HB296, HB300, SB269

Keywords: public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks

Transcript Highlights:

• Now, the first thing we talked about was reimbursement rates for ambulance services.
• In network, the minimum reimbursement rate shall be 200% of the Medicare ambulance fee schedule as published
• 00:05:02.560><c> rate</c> network, the minimum reimbursement rate network, the minimum reimbursement
• </c> So, uh, we talk about out of network: the minimum reimbursement should be 180% of the Medicare ambulance
• </c> ambulance association supports this ambulance association supports this bill. bill. bill.

Bills: SB9, HB400, SB9, HB400

Keywords: Alabama Athletic Commission, Attorney General, criminal penalties, unarmed combat, regulation, boxing, mixed martial arts, civil fines, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, smoking ban, vaping, public health, indoor air quality, clean air, ambulance services, health insurance

Transcript Highlights:

• what happened is then they got reimbursed.
• </c><00:03:32.680><c> what</c> transferred in the ambulance what transferred in the ambulance what happened
• </c><00:03:34.599><c> and</c> happened is then they got reimbursed and happened is then they got reimbursed
• I am the interim director at Dodge Center Ambulance in southern Minnesota.
• </c><00:08:46.120><c> it</c> know then he won't have to reimburse it know then he won't have to reimburse

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

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

Bills: HB0122, SF0004, SF0012, SF0013, SF0067, SF0070, SF0124

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Bills: HB0122, SF0004, SF0012, SF0013, SF0067, SF0070, SF0124

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Transcript Highlights:

• One, what is our average reimbursement, private or insurance-based reimbursement?
• That's our average reimbursement Medicaid, and our average reimbursement Medicare.
• </c> important in increasing ground ambulance important in increasing ground ambulance reimbursement<
• , ground ambulance.
• , ground ambulance.

Bills: HB0122, SF0004, SF0012, SF0013, SF0067, SF0070, SF0124

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Transcript Highlights:

• House Bill 4329 changes the definition of covered services from reimbursable to reimbursed without a

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

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:

• Association of Ambulance Alabama Association of Ambulance Services<00:21:04.559><c> shall</c><00:21:
• </c> &gt;&gt; Medicare like we get an ambulance &gt;&gt; Medicare like we get an ambulance inflation<
• Treating place, uh, there is no provision for reimbursement for ambulance services that come to my in-laws
• . reimbursement for ambulance services reimbursement for ambulance services that<00:39:26.880><c> come
• </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

Transcript Highlights:

• Montgomery and those efforts of law enforcement, that any money is expended, that they would be reimbursed
• That's being reimbursed out of the city coffers. That's why I said earlier the money is there.
• Montgomery and those efforts of law enforcement, that any money is expended, that they would be reimbursed
• That's being reimbursed out of the city coffers. That's why I said earlier the money is there.
• That's being reimbursed out of the city coffers. That's why I said earlier the money is there.

Bills: HB450, HB469, SB298, HB450, HB638, HB469, SB298

Keywords: HB450, judges, judicial office, constitutional amendment, Alabama Constitution, age limit, mandatory retirement, judicial eligibility, supernumerary judge, judicial retirement, state judicial retirement benefits, election law, appointment, voter approval, ballot measure, Judiciary Committee, ambulance services, balance billing, health insurance, emergency transportation

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

Transcript Highlights:

• What they're looking at is just trying to add in some language so that any ambulance or EMT personnel

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Transcript Highlights:

• What they're looking at is just trying to add in some language so that any ambulance or EMT personnel
• What they're looking at is just trying to add in some language so that any ambulance or EMT personnel

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Summary: The Senate Health and Human Services Committee heard and advanced a series of health, licensing, and child welfare measures. Senate Bill 1806 would allow eligible individuals receiving Oklahoma Department of Human Services services to voluntarily remain in those services until age 21; the author said the title was struck while fiscal estimates were being revised, and the bill passed 11-0. Senate Bill 1430 would shift authority over hiring, supervising, and removing the commissioner of mental health from the governor to the governing board; it passed 8-2 after questions about removal provisions. Senate Bill 206, as amended, added tribal entities to EMS-related essential services to help draw down federal funding, and passed 10-0, while Senate Bill 1849 made a cleanup change allowing the State Board of Podiatric Medical Examiners to approve medical marijuana education for continuing education credit and passed 11-0. The committee also approved Senate Bill 1428, creating an Office of Alzheimer’s and dementia-related services within the Department of Health; the author said outside funding would cover the first two years and the bill would have no state budget impact, and it passed 9-2. Senate Bill 1653 created the Occupational Therapy Licensure Compact and passed 9-2 after discussion of closed meetings and compact operations. Senate Bill 1984 updated and clarified the Osteopathic Medicine Act and passed unanimously. Senate Bill 1644 required alpha-gal syndrome to be added to the reportable diseases list and passed 12-0. Senate Bill 1561, requested by regional EMS, added disciplinary steps for ambulance and EMT personnel to avoid automatic disqualification and passed 12-0. Senate Bill 1813 enacted the athletic trainer compact and passed 10-2. The committee then took up major child welfare restructuring. Senate Bill 1570 would create a Department of Child Safety and Well-Being by consolidating DHS Child Welfare Services and the Office of Juvenile Affairs, with a phased implementation timeline and a future board and interim commissioner; members discussed protecting ongoing cases and adding lived-experience representation on the board. The bill passed 12-0. Senate Bill 1796 shortened the period for informal foster care arrangements from seven days to 72 hours and added guardrails for temporary foster care placements; the author said it was intended to prevent harm when children are left with unvetted caregivers, and it also passed 12-0. The committee adjourned after distributing a handout related to the foster care/respite care changes.

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

Transcript Highlights:

• just putting in writing that there's additional money left in the fund that funds them, that the ambulance
• Chair, I may add that my understanding is all the ambulance companies have gone through this and are
• emergency medical districts, and even the cities, including larger cities, with the county buying ambulances

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

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:

• The cost of the new ambulance in my service alone has gone up just as a ambulances in rural areas.
• However, our reimbursement rates have stayed the same.
• Like my other counterparts, I purchased an ambulance in 2017 for $167,000.
• Also, I represent Texas Ambul Association.
• She gets chased, rolls the ambulance, has to come back to the ER again.

Bills: SB868, SB1337, SB1371, SB1377, SB1426, SB1620, SB2064, SB2065, SJR4

Keywords: SB 868, rural volunteer fire department assistance program, volunteer fire department assistance fund, Texas Government Code, wildfire, wildland fire, high-risk wildfire area, fire suppression, rural fire departments, volunteer firefighters, emergency response, public safety, grant allocation, appropriations, disaster preparedness, tax penalties, interest calculation, overpayment, tax law, refund process

Summary: The Senate Finance Committee heard several bills focused on tax administration, transportation, emergency services, historic preservation, forensic training, pension funding, and the state’s rainy day fund. Senate Bill 1337, by Senator Creighton, would require the comptroller to assess penalty and interest only on the net tax due and allow sales and use tax overpayments to offset underpayments more automatically; it was left pending while the author, comptroller staff, and a private witness continued working on the language and fiscal note. Senate Bill 1371, by Senator Hinojosa, would address Corpus Christi transit authority operations, including emergency refueling coordination, fare-setting procedures, and board term limits; it received supportive testimony and was left pending. Senate Bill 1377, by Senator Perry, would create a grant program for rural counties to buy ambulances, with a committee substitute expanding eligible uses in some cases to equipment and setting a sunset date; numerous EMS officials, county representatives, and association witnesses testified in support, emphasizing rising ambulance costs, staffing shortages, and the need for rural emergency coverage, and the bill was left pending after testimony. Senate Bill 868, by Senator Sparks, would direct at least 10% of volunteer fire department assistance funding to high wildfire-risk areas; Texas A&M Forest Service explained the map and methodology, and the committee substitute was adopted. The committee also heard Senate Bill 1426, which would place the First Capitol State Historic Site in West Columbia under Texas Historical Commission stewardship, and Senate Bill 1620, which would create a Texas Forensic Analyst Apprenticeship Pilot Program through the Office of Court Administration to address forensic scientist shortages; both had no opposition in testimony and their committee substitutes were adopted. Senate Bill 2065 would change the Texas Emergency Services Retirement System funding structure to require an actuarially determined state contribution and address the system’s unfunded liability over 30 years; Pasadena fire department representatives testified that the pension is an important volunteer retention tool, and the bill was left pending after testimony. Senate Joint Resolution 4 would raise the Economic Stabilization Fund cap from 10% to 15% of biennial revenue deposits, with a committee substitute correcting the effective date to September 1, 2027; the committee discussed the fund’s current balance and purpose before adopting the substitute. After quorum was established, the committee voted out the measures. Senate Bill 1868, Senate Bill 1371, Senate Bill 264, Senate Joint Resolution 4, Senate Bill 1426, Senate Bill 1620, and Senate Bill 2065 were all reported favorably to the full Senate, with some bills also certified for the local and uncontested calendar. The committee substitute for Senate Bill 868 was adopted and the bill was reported favorably as well. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• The Big Three PBMs control over 80% of the market for prescription drug reimbursements in the country
• A minor clerical error will not result in the PBM taking back the reimbursement.
• and providers, not patients. financial ruin simply for calling the ambulance for an emergency.
• It is a great effort at protecting patients who nobody really expects to be in an ambulance, but for
• Okay, we have you registered as Rachel Horakson with Texas Ambulance Society for SB916, correct?

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

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

Bills: SB17, SB35, SB164

Keywords: gun control, firearm safety, dealer regulation, illegal trade, background checks, judgeship, judiciary, court system, appropriation, district court, ambulance standards, Department of Health, emergency medical services, certification, public safety, tariffs, 996, all