Transcript Highlights:

• The chair sees a qual the senate Health and Human Services will come to order.
• Senate Bill 1806 allows eligible individuals currently receiving services through the Oklahoma Department
• of Human Services to voluntarily remain in those services until age 21.
• The compact is designed to enhance access to athletic training services across state lines.
• So all the services that child welfare currently has would all transfer to this piece.

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:

• Many rural communities in Texas struggle to provide reliable ambulance and transport services.
• services and the number of qualified rural ambulance service providers operating in the county.
• The cost of a new ambulance in my service alone has gone up, just as Chief Ebram has stated, anywhere
• The cost of the new ambulance in my service alone has gone up just as a ambulances in rural areas.
• Our communities have depended on their volunteers for years to run their ambulance services, especially

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:

• Many rural communities in Texas struggle to provide reliable ambulance and transport services.
• Ability to pay for ambulatory services and the number of qualified rural ambulance service providers
• The cost of the new ambulances in my service alone has gone up, just as Chief Abrams has stated, anywhere
• Our communities have depended on their volunteers for years to run their ambulance services.
• Senate Bill 1377 will help rural EMS services.

Bills: SB868, SB1337, SB1371, SB1377, SB1426, SB1620, SB2064, SB2065, SJR4, SJR 4

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

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:

• Our ambulance services are really struggling in our state.
• > really ambulance services uh are really ambulance services uh are really struggling<00:02:15.040
• And as everybody else has been saying, we are in trouble in terms of ambulance service.
• we are in trouble in terms of ambulance we are in trouble in terms of ambulance service. service
• almost 3/4 73% felt that ambulance almost 3/4 73% felt that ambulance services<00:09:31.440>

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:

• It just allows them, while they're in service, to be able to transfer their credits to their professional

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:

• Um, we're running upside down, and um, all services across the state that provide any type of ambulance
• Fox, please introduce yourself and proceed with your testimony. which we do not as an ambulance service
• which we do not as an ambulance service transport<00:02:39.040> we<00:02:39.159> do<00
• This gives them the ability to share the data from all of the ambulance services that are reported to
• He said several ambulance services already make reports to OD Map on their own, but they are having to

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:

• , manufacturing, small business, and public service.
• This bill is a request from the Department of Human Services.
• But because we've made this emphasis to go provide internet service broadband service to all of Oklahoma
• We're still gonna have businesses and our service provided where There's no service before, so that's
• It was only for these areas that were 10% or less in service coverage.

Bills: SB2102, SB1940, SB1625, SB1442, SB1623, SB1242, SB1949, SB1592, SB1913, SB592, SB992, SB1241, SB259, SB1928, SB1426, SB1531, SB1561, SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees

Transcript Highlights:

• And before we move on, a large part of the amendment comes from the commission on evaluation of services

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: 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

Transcript Highlights:

• When I was first honored with the call into the service of my country, then on the eve of an arduous
• Health and Human Services will meet immediately after session, and when we get a quorum, we will start

Bills: SB683, SB1579, SB1389, SB1387, SB1390, SB1391, SB2063, SB1829, SB2060, SB1842, SB1398, SB1212, SB2158, SB102, SB1772, SB1958, SB2010, SB1595, SB1687, SB1684, SB2049, SB1966, SB1989, SB1191, SB1258, SB1920, SB1936, SB2143, SB2122, SB330, SB2071, SB2169, SB2069, SB2095, SB2157, SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: education, tax credit, student support, private school, Oklahoma Parental Choice Tax Credit, financial assistance, homeschooling, qualified expenses, property tax, valuation increase, taxpayer rights, homestead, protest process, school choice, tuition assistance, income limits, parental choice, accreditation, sales tax, motor vehicles

Transcript Highlights:

• Madam Chair, members, House Bill 2179 establishes definitions relating to air ambulance services to distinguish
• It just states ambulance. It does not define between air ambulance and ground ambulance.
• air ambulance.
• It does add a clear definition for an air ambulance service and attendant.
• We ambulance is, who the air ambulance service and attendant. We have worked with DHS.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, AHCCCS, lactation care, breastfeeding, health services, healthcare access, Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, childhood cancer, rare diseases, research funding, healthcare, clinical trials

Summary: The committee opened with attendance and member introductions, then heard a series of health-related bills, many focused on access to care in rural and underserved communities. HB 2049 would allow particle accelerators for radiation therapy in critical access hospitals and counties under 400,000 population under general supervision; sponsors and rural oncology witnesses said it would reduce travel burdens for cancer patients while maintaining safety protocols. HB 2050 updated radiologic technologist statutes to align with current national standards, adjust accreditation and clinical-hour requirements, and allow radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing a separate license to use diagnostic X-ray machines. Both bills were supported by testimony about workforce shortages and access, though one member voted no on HB 2050 over concerns about oversight and board authority. Both measures received do-pass recommendations, with HB 2050 amended. The committee then unanimously advanced HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials. Testimony came from families affected by pediatric brain cancer, including a parent who described traveling internationally for treatment and a college student currently undergoing treatment who urged the state to invest in research. Members expressed strong sympathy and support, and the bill passed 12-0. Next, HB 2015 would require Access to cover breastfeeding and lactation services in multiple settings; the sponsor and medical witnesses described breastfeeding as preventive care with benefits for infants and mothers, while Access testified neutral and noted a fiscal estimate was being developed and that the amendment would protect the state if CMS does not approve the services. The bill, as amended, also received a unanimous do-pass recommendation. The committee also approved HB 2177, which directs Access to seek CMS waivers so tribal and Indian Health Service facilities can be reimbursed for certain covered services, including dental care, for American Indian and Alaska Native members. The sponsor and a Sage Memorial Hospital representative said the bill would help rural tribal facilities keep services local and maximize federal matching funds; it passed unanimously as amended. HB 2178, requiring a state agency medical chief officer to hold an active medical or osteopathic license, was described as a cleanup measure after a lapse in licensure exposed a statutory gap, and it also passed unanimously. HB 2179, which clarifies definitions separating air ambulance from ground ambulance regulation, was supported as a technical clarification to avoid unintended consequences and likewise received unanimous approval. Finally, the committee advanced HB 2183, which creates an emergency medicine study committee to examine Arizona’s EMS system, including rural and urban capacity, workforce burnout, uncompensated care, and emergency department utilization. The sponsor said the study would help the state understand system pressures and identify policy solutions; firefighters, health care advocates, and an emergency medicine nurse practitioner testified in support, emphasizing the ER’s role as the safety net and the strain from staffing shortages, rural closures, and high volumes. The bill was still under discussion at the end of the transcript, with testimony continuing after the initial supporters spoke.

Transcript Highlights:

• The Alabama Association of Ambulance Services shall contract with a business school accredited by the
• Association of Ambulance Alabama Association of Ambulance Services<00:21:04.559> shall<00:21:
• They've been doing it for four years. 7,300 ambulance services across the country.
• services reimbursement for ambulance services that<00:39:26.880> come<00:39:27.680> to
• We provide a lot of the ambulance service for southeast Houston County, most of the unincorporated areas

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:

• Uh this bill deals with reimbursement for ambulance services.
• ambulance services. ambulance services.
• <00:20:33.440> are ambulance service just like we are ambulance service just like we are threatening
• Uh represent the ambulance uh services.
• This bill deals with reimbursement of EMS services, ambulance services across the state.

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:

• And what we've done is put it in a position where there are some specific additions of services that
• We've done is put it in a position where there are some specific additions of services that the general
• things like that is what we services things like that is what we were<00:09:04.480> focused<00
• But while you’re looking for that, we have the right to refuse service to anybody. >> Oh, I agree. >>
• But while you’re looking for that, we have the right to refuse service to anybody. >> Oh, I agree. >>

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:

• This is just consider the Federal funding eligibility would make ambulances by public entities, such
• as municipal, county, tribal, or other public entities, consider essential services.

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Bills: SB1465, SB2110, SB1771, SB206, SB1584, SB1386, SB1696, SB1806, SB1428, SB1390, SB1381, SB201, SB1778, SB1332, SB1836, SB1369, SB1794, SB1290, SB175, SB1379

Keywords: professional engineers, surveyors, licensure board, sunset extension, state board, occupational licensing, engineering license, surveying license, professional regulation, regulatory board, sunset review, emergency clause, Oklahoma O.S. 59, board appointments, lay member, Oklahoma Workforce Commission, workforce development, data collection, economic development, outside counsel

Transcript Highlights:

• Now, the first thing we talked about was reimbursement rates for ambulance services.
• <00:04:43.440> Alabama's rates for ambulance services.
• Alabama's rates for ambulance services.
• services stay in will help our ambulance services stay in business. business. business.
• do have private ambulance sure that we do have private ambulance service<00:06:01.520> for<00

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:

• know sometimes we make it more difficult, but that's not our intention, and we thank you for your service
• reimbursement program pays tuition on behalf of students who are studying to qualify for emergency medical services
• exchange for tuition, the students contract with the program to work for at least two years for an ambulance
• service, a volunteer rescue squad, or a volunteer fire department.
• Alabama Department of Public Health through its regional agencies of the Office of Emergency Medical Services

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