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

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:

• service to provide ambulance services to a geographic area that has fewer than 10,000 residents if the
• services, stipulates that ambulance services and interested parties have seven days to intervene in
• service to provide ambulance services to a city, town, or fire district that has a population of fewer
• service to provide ambulance services to a geographic area that has a current noncompliant certificate
• service to provide ambulance services to a geographic area that has a current noncompliant certificate

Bills: HB2134, HB2253, HB2270, HB2402, HB2404, HB2673, HB2941

Keywords: critical infrastructure, foreign adversaries, China, communications, security, law enforcement, disciplinary action, administrative appeals, investigative files, due process, retaliation, county seal, law enforcement authority, sheriff's posse, public safety, county governance, ambulance services, certificate of necessity, emergency medical services, state regulations

Summary: The Committee on Public Safety met, approved the March 11, 2026 minutes, and heard two presentations before moving to bills. The Arizona Department of Corrections, Rehabilitation and Reentry presented on its K-9 program, describing staffing, dog types, functions such as contraband interdiction, search and rescue, and offender apprehension, and noting aging vehicles and the need for replacement canines. Biometrica then presented a privacy-focused facial recognition/sensor system intended to help law enforcement identify missing persons and known offenders in real time without storing video or audio; members asked questions but took no action on the presentation. The committee then considered HB 2134, which would create the Arizona Critical Infrastructure Protection Act to restrict Chinese-owned or Chinese-produced equipment and software in critical infrastructure and require reporting and oversight by the Corporation Commission. The sponsor said the bill was revised to be prospective and more workable; supporters framed it as a national security measure, while some members raised cost and implementation concerns. The bill passed 4-3. HB 2404, which shifts inter-facility transport of behavioral health patients away from peace officers and toward authorized transporters except in limited circumstances, drew support from a Phoenix police crisis intervention officer and the Arizona Police Association and passed 7-0. HB 2402, dealing with ambulance certificates of necessity for small or underserved areas, was amended to require rather than allow certain certificates and to streamline reporting and application processes; the sponsor and firefighters said it would preserve access and modernize a decades-old system. It passed as amended 7-0. HB 2673, as amended, was reduced to creating a study committee on inmate mental health services after originally proposing broader jail and prison screening and treatment requirements; the sponsor and a victim’s family member described the bill as a response to failures in the mental health and jail systems. It passed 6-0 with one not voting. HB 2253, protecting employees from retaliation for testifying in law enforcement disciplinary appeals, passed 5-0 with two not voting, and HB 2270, expanding county control over use of county seals, logos, and sheriff’s posse names, passed 6-0 with one not voting. Finally, HB 2941, which would make certain motorcycle lane-splitting or passing behavior reckless driving except as allowed by existing lane-filtering rules, drew support from the sponsor and motorcycle advocates who said it targets dangerous high-speed lane splitting, but one speaker warned the language could unintentionally criminalize safe filtering. The bill passed 5-1 with one not voting. The committee then adjourned.

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:

• 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:

• 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:

• 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: 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

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:

• 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:

• 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

Transcript Highlights:

• services from being charged exorbitant prices.
• rates for municipal ground ambulance services do not exceed inflationary rates.
• We do connect with the Internal Revenue Service.
• . the public has regarding these services.
• Taking ambulances out of services to transport and then overloading our ERs with patients that necessarily

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene.
• We have our unique challenges, as was stated this morning, in rural child welfare services.
• , especially mental health services.
• Patients too often face confusing disputes with insurance carriers over ambulance services, which are
• Thank you all for the continued support of emergency medical services. ...in Texas.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene, come to order, and members don't need
• The bill promotes child welfare services in rural Texas, ensuring the vulnerable children and families
• We have our unique challenges, as was stated this morning in rural child welfare services.
• Especially mental health services.
• Patients too often face confusing disputes with insurance carriers over ambulance services frequently

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• increase mental health services increase mental health services statewide. statewide. statewide.
• 21.359> service,<00:35:22.079> which the the service, which the the service, which >
• They have to have a lot of services.
• Department of Human Services on Zoom. Department of Human Services on Zoom.
• We're not human services. >> Oh, wait. We're not human services.

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• air ambulance service, modifies the definition of ambulance to remove an air vehicle acting as an ambulance
• air ambulance service, modifies the definition of ambulance to remove an air vehicle acting as an ambulance
• of the Department of Health Services, must require air ambulance to staff an air ambulance during transport
• In addition, for air ambulance, air ambulance service, and air ambulance attendant, this is an update
• In addition, for air ambulance, air ambulance service, and air ambulance attendant, this is an update

Bills: HB2049, HB2178, HB2179, HB2307, HB2322

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, HB2178, Arizona, state agencies, chief medical officer, medical license, physician license, osteopathic license, licensure requirement, Title 41, Title 32, Arizona Revised Statutes, A.R.S. 41-5902, public health administration, agency leadership, state government personnel

Summary: The Committee on Health and Human Services heard several bills and held HB 2307. HB 2049 would allow particle accelerator treatment for human diseases under general supervision in certain rural counties and critical access hospitals, with documentation, observation, and physician availability requirements. Supporters from the Arizona Hospital and Health Care Association and rural radiation oncologists said it would improve access to cancer care in underserved areas while maintaining safety. The committee also heard HB 2178, requiring state agency chief medical officers to hold an active medical license, and HB 2179, which separates air ambulance definitions and regulations from ground ambulances to clarify statute and align oversight with current practice; both were described as cleanup/common-sense measures and supported by the air medical industry. The committee also heard HB 2322, which would require audio or video recording of DCS interviews with children subject to investigations, with limited exceptions for equipment failure or lack of access. Testimony in support came from a human trafficking survivor, a health care worker and counselor, and a foster parent/child welfare advocate, who argued recordings would improve accuracy, accountability, and child protection, and help preserve a child’s exact words. No opposition was presented. The bill includes a conditional enactment tied to future federal grant legislation and directs DCS to apply for grants if available. After discussion, the committee voted unanimously to give HB 2049, HB 2178, HB 2179, and HB 2322 due pass recommendations, each by a 7-0 vote. The committee then announced HB 2307 would be held and adjourned.