Transcript Highlights:

• are 842 fire departments and 300 emergency services districts across the state of Texas, and most paramedics
• emergency medical services across the state of Texas, and the tuition exemption does not apply to paramedics
• employed in one of those 32 standalone EMS departments, which employ an estimated 9 percent... of paramedics
• impact on universities, the bill will have a tremendously positive impact. on our stand-alone EMS paramedics
• So while this bill looks long, all it does really is close a loophole for those stand-alone EMS paramedics

Bills: SB750, SB2995, SB1716, SB2430, SB203, SB1679, SB2683, SB1414

Keywords: tuition exemption, paramedics, higher education, public institutions, laboratory fees, education code, financial aid, education, student support, scholarships, nontraditional education, student enrollment, financial assistance, Texas students, foreign adversaries, trade secrets, research integrity, security measures, international agreements, student privacy

Bills: SB1128, SB1137, SB1144, SB1145, SB1186, SB1235, SB1238

Keywords: scrap metal theft, study committee, Arizona, regulated industries, public safety, underground utilities, utility locating, dig safe, call before you dig, 811, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire

Summary: The Committee on Regulatory Affairs and Government Efficiency heard several bills and took action on three of them. Senate Bill 1137 would update underground facility excavation rules by requiring white lining before notice, creating coordination meeting requirements for large projects, adding an interactive response system, and directing the Arizona Corporation Commission to adopt rules. Supporters from SSC Underground, Arizona 811, and the Associated General Contractors said the bill would improve communication, reduce delays, and modernize the 811 system; the League of Arizona Cities and Towns raised concerns about staffing, project scope, meeting requirements, and liability, but said it was working on amendments. The committee passed SB 1137 on a 7-0 vote. Senate Bill 1145 would shift licensing and regulation of behavior analysts to the Committee of Behavior Analysts under the Psychology Board, reduce the board from 10 to 8 members, and remove the requirement for two behavior analysts on the board. Supporters said the current structure creates delays and that the change would let the board focus on psychology issues while the committee handles behavior analyst matters. A self-advocate also supported the bill, citing long waitlists and the importance of behavior analysts for people on the autism spectrum. The committee passed SB 1145 on a 7-0 vote. Senate Bill 1128 would create a study committee on scrap metal theft to review current laws, industry compliance costs, and penalties, and report recommendations by December 1, 2026. The Arizona Scrap Recyclers Association supported the bill as a way to evaluate whether current reforms remain effective, while members discussed the difficulty of tracing stolen metal and the need to keep the process bipartisan. The committee passed SB 1128 on a 7-0 vote. Senate Bill 1238, which adopts the Physician Assistant Licensure Compact to allow multistate licensure privileges, also received support from the Arizona State Association of Physician Assistants, who said it would improve workforce mobility, help military families, and expand access to care; the committee passed it on a 7-0 vote. The committee then held SB 1235 at the sponsor’s request and adjourned.

Transcript Highlights:

• I am also an active-duty, 24-year Arizona firefighter paramedic, and I ask for your support and a yes

Bills: SB1176, SB1186, SB1235, SB1286, SB1446, SB1458, SB1515, SB1616, SB1641, SB1668, SB1670, SB1678, SB1747, SB1787

Keywords: stormwater, water storage, replenishment credits, groundwater, aquifer, Arizona Revised Statutes, disclosure, state contracts, procurement records, donations, transparency, EMS, reciprocity, interstate compact, paramedics, emergency medical technicians, licensure, public safety, military personnel, veterinary telemedicine

Summary: The committee approved the minutes and then heard Senate Bill 1668, which would extend the deadline for funeral establishments or responsible persons to submit required documentation from seven calendar days to 14 business days and make related changes involving disposition of unborn or stillborn children, minors, and abortion clinic forms. Funeral industry testimony said the current timelines are difficult to meet and create stress for grieving families, while a mother described problems caused by requiring an ex-spouse’s signature after her child’s death. The bill passed on a 4-3 vote, with some members supporting the timing and family-law fixes and others objecting to the abortion-clinic provisions. The committee then took up Senate Bill 1286, on veterinary telemedicine prescriptions. An amendment shortened the telemedicine prescription period for non-antimicrobial drugs from 60 days to 30 days, allowed antimicrobial prescriptions for up to 14 days based on an electronic exam, and barred further antimicrobial prescriptions without an in-person exam. Veterinarians and the Arizona Veterinary Medical Association moved to neutral on the amended bill but warned about safety, overprescribing, and the limits of telemedicine; supporters argued it would improve access for rural, elderly, and low-income pet owners. The committee adopted the amendment and then passed the bill as amended on a 4-3 vote. Senate Bill 1235, creating the emergency services personnel licensure interstate compact, passed unanimously after sponsor testimony that it would improve reciprocity for EMTs and paramedics and help military personnel. Senate Bill 1446, which would change dialysis-center social worker documentation from monthly to quarterly, also passed unanimously, with DeVita Dialysis Services saying the change would reduce paperwork and align Arizona with federal and most-state practice. Senate Bill 1515, a cleanup bill for the Industrial Commission of Arizona that renames positions, removes outdated duties, and changes publication of fee schedules, passed after an amendment and supportive agency testimony. The committee also heard Senate Bill 1678, which would require direct-care staff in certain facilities to complete patient information forms and reestablish the Vulnerable Adult Systems Study Committee. An amendment removed the form requirement and instead required DHS to investigate complaints from EMS personnel about missing DNR orders; first responders and provider groups supported the revised approach, though some members wanted minority-party appointments added to the study committee. The bill passed as amended on a 6-0-1 vote. Finally, the committee began hearing Senate Bill 1747 on social media protections for minors, with the sponsor framing it as a child-safety measure and opponents from NetChoice, TechNet, and Meta warning about privacy risks, age-verification problems, constitutional concerns, and the possibility that teens would evade restrictions; supporters argued parents need stronger controls and pointed to app-store-based alternatives, but no vote was taken in the portion provided.

Bills: HB 1105, HB1527, HB1787, HB1972, HB2081, HB3296, HB3976, HB4071, HB4234, HB4438, HB4701, HB5092, HB5150, HB5180, HB5265, HB5333, HJR203

Keywords: tuition exemption, paramedics, higher education, laboratory fees, emergency medical services, peace officers, criminal justice, law enforcement, degree programs, public institutions, HB 1787, HPV, human papillomavirus, college health, university health, student health, public health education, prevention program, screening, early detection

Bills: SB1519, SB1775, SB1900, SB1948, SB2080, SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Bills: SB1519, SB1775, SB1900, SB1948, SB2080, SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Bills: SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951

Keywords: motor vehicle, accident, notification, liability, civil action, gender neutral, SB1456, Board of Tests for Alcohol and Drug Influence, sunset extension, sunset law, breath alcohol testing, DUI, DWI, drunk driving, drug testing, chemical testing, field sobriety, roadside screening, blood test, saliva test

Bills: SB1519, SB1775, SB1900, SB1948, SB2080, SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Bills: SB874, SB2098, SB2110, SB2126, SB2154, SB2160, HB818, SB2047, SB2116, SB2246, SB2250, SB2334, SB2505, SB2520, SB2561, SB2721, SB2820, SB2971, SB3019

Keywords: veterinary medicine, prescription, consumer rights, transparency, pet medication, agriculture, clean plant program, disease-free plants, Hawaii agriculture, plant propagation, conservation, soil health, climate change, food security, small farmers, technical assistance, Hawaii, grant program, small farms, midsize farms

Transcript Highlights:

• It is a community paramedic in their county.
• A public perception of paramedics is typically one of trust, but enlisting paramedics to initiate detentions
• The paramedic. Paramedic determines that, oh, they're in crisis, police.
• In my area, the firefighters are now the paramedic.
• And I understand, but you and And you're a paramedic, which most paramedics I know aren't RNs, right?

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• 2023 by any we established the paramedic 2023 by any we established the paramedic scholarship<00
• <00:21:32.159> business coming into the paramedic business coming into the paramedic business
• Paramedic and paramedic are our highest available prehospital clinician.
• If you can give us a sense of the reduction in licensed paramedics, or paramedics that have the appropriate
• <00:29:37.840> on emergency responses have a paramedic on emergency responses have a paramedic

Keywords: 1187, senate, all

Transcript Highlights:

• medical technicians and our paramedics. medical technicians and our paramedics.
• <00:22:24.159> is And what we find is that a paramedic is And what we find is that a paramedic
• > in<00:26:46.080> the paramedic scholarship program in the paramedic scholarship program
• still does not recognize uh paramedics still does not recognize uh paramedics or<00:26:55.360>
• it's the $3 million paramedic it's the $3 million paramedic scholarship<00:31:28.559> program

Keywords: 1183, house

Transcript Highlights:

• I'm also a paramedic, and I still work the streets.
• , we represent over 200 uh, paramedics, we represent over 200 uh, paramedics, dispatchers,<00:05:
• <00:05:11.120> I paramedic for 12 years full-time. I paramedic for 12 years full-time.
• Last week our dispatchers paramedics Last week our dispatchers paramedics bravely<00:10:30.079><
• This led paramedics and offices.

Keywords: 1187, senate, all

Transcript Highlights:

• But when it's not, the EMTs' and paramedics' specialized skills aren't put to good use, and emergency
• So if you live in Port Angeles, two community paramedics or EMTs would arrive.
• I have been in the fire service for 38 years, a paramedic for 35, and in this state for 20.
• The paramedics, well, all the providers, social workers, nurses, we have great shortages.
• Paramedics can do a great job adding to the depth of response with authorization.

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.

Transcript Highlights:

• I rise today in honor of Officer Matthew Ruge, Officer Paul Elmstrand, and firefighter-paramedic Adam
• Adam<00:11:40.519> fth<00:11:41.200> who<00:11:41.399> gave firefighter paramedic
• Adam fth who gave firefighter paramedic Adam fth who gave their<00:11:42.320> lives<00:11:43.320
• Officers Ruge and Elmstrand served our community with courage and integrity, and Firefighter-Paramedic
• fin February 18th firefighter paramedic fin February 18th 2024<00:15:15.120> was<00:15:15.240

Keywords: 1183, house

Transcript Highlights:

• > in<00:59:15.920> our can't regulate paramedics in our can't regulate paramedics in our
• Two of which are either a paramedic now or have been a paramedic in the past, a nurse practitioner who
• Two of which are either a paramedic now or have been a paramedic in the past, a nurse practitioner who
• paramedic now or have been a paramedic paramedic now or have been a paramedic in<01:31:59.840>
• and then two other also a uh paramedic and then two other paramedics<01:32:07.199> that<01:32

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• As a paramedic, I carry that truth with me every day.
• Licensed paramedics are often the first on the scene in emergencies.
• Paramedic. Yes ma'am. Is that correct? Correct. Your paramedic job. Do you still do paramedic?
• Specifically in paramedics, do you? Yes, I'm a licensed paramedic.
• All the way up to paramedic.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• Minnesota um with community paramedics Minnesota um with community paramedics and<00:01:02.640><
• Fenel talked about and moving them into the paramedic level.
• So paramedics leave than we are come in.
• and an ambulance or two EMT, a paramedic and an ambulance or two paramedics<00:34:39.040> or<
• You allowed paramedics or two EMTs.

Keywords: 1187, senate, all

Transcript Highlights:

• Um, paramedics are at our company.
• U, when a paramedic is protocols.
• Um, one of our paramedics is a dairy paramedic.
• <02:14:20.880> paramedic<02:14:21.360> that<02:14:21.599> we paramedic.
• Um another paramedic that we paramedic.

Keywords: 1189, house, all