Transcript Highlights:

• Um, we're running upside down, and um, all services across the state that provide any type of ambulance
• </c> services across the state that provide services across the state that provide any<00:03:52.920><
• ><c> no</c><00:03:55.360><c> load</c> any type of ambulance has no load any type of ambulance has no
• </c> again I think a lot of our rural again I think a lot of our rural services<00:09:48.279><c> are<
• Most of our rural cities do not.

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:

• This bill provides two pathways for any rural hospital located on a federally recognized Indian reservation
• to receive cost-based payments for their Medicaid services that the rural hospital provides.
• We now have Senate Bill 6103, making payments for services provided by a rural emergency hospital subject
• The state must provide parity between the agency provider rates and the individual provider rates.
• Emergency care is typically routed to the mainland hospitals, and air ambulance providers generally will

Bills: SB5985, SB6019, SB6161, SB6183, SB6210, SB6194, SB6102, SB6103

Keywords: endometriosis, healthcare, reproductive health, patient education, awareness campaign, home care, home care services, home care agency, home care worker, caregiver, direct care, consumer directed employer, consumer-directed care, Medicaid, long-term care, aging services, disability services, personal care, respite care, vendor rate

Summary: The committee first met in executive session and advanced SB 6102, SB 6103, and SB 6194. SB 6102, concerning the Ambulance Transport Fund quality assurance fee, and SB 6103, concerning payments for rural emergency hospitals, were both given due pass recommendations to the Rules Committee. SB 6194, which would allow cost-based Medicaid payments for certain rural hospitals on federally recognized Indian reservations, was referred to the Ways and Means Committee without recommendation. All three actions were approved without recorded opposition. The committee then held hearings on several public hearing bills. SB 6183 would require health plans, including public employee plans, to cover all FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with one therapeutic-equivalent exception for prevention drugs. The prime sponsor argued it would reduce barriers to timely treatment and prevention, and a person living with HIV testified that insurance changes had once interrupted access to medication. The hearing drew substantial public interest, with testimony and sign-in counts reported as 53 pro, 58 con, and one other. SB 5985 would create an endometriosis online resource center, Department of Health training modules, and related school health curriculum updates. The sponsor and multiple patients and clinicians described long diagnostic delays, dismissed symptoms, and the need for better education; testimony was strongly supportive, though the sign-in count showed both support and opposition. SB 6019 proposed changes to home care rate statutes to preserve parity and set administrative-rate caps; labor and provider witnesses supported it as a technical fix, while the committee also discussed an updated fiscal note. SB 6161 would direct the Department of Health to include dementia risk-reduction information in public health materials and provider resources when appropriate; the sponsor, Alzheimer’s advocates, and family members supported it as a low-cost prevention measure. Finally, SB 6210 would let the Health Benefit Exchange add a new certification criterion for exchange plans to address affordability and access, including county availability and plan differentiation. The sponsor, the Exchange, and supporters said it could help prevent bare counties and improve affordability amid rising premiums and federal subsidy changes, while the Insurance Commissioner requested an amendment to protect rate confidentiality. Carriers, brokers, and some insurers opposed the bill, warning it could destabilize the market, reduce competition, and pressure premiums; AARP and some consumers supported it as a way to preserve access and choice.

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.
• ambulance service providers in rural counties like mine.
• ambulance service providers in rural counties like mine.
• The cost of the new ambulance in my service alone has gone up just as a ambulances in rural areas.

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
• service providers in rural counties like mine.
• These much-needed funds for rural EMS agencies would provide significant help.
• The Texas Rural Volunteer Fire Department Assistance Program provides funding to rural volunteer fire

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

Transcript Highlights:

• And most rural hospitals have some contracts or affiliations that have, probably, multi-care provide
• ambulance transport providers.
• By way of background, in 2020, a new federal Medicare provider type was established called the rural
• A rural emergency hospital is allowed to provide emergency department services, observation care, and
• Under this bill, payments for eligible recipients for Medicaid services provided by a rural hospital

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Summary: The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other. The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other. The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other. Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.

Transcript Highlights:

• As you know, the Rural Health Transformation Program is a five-year investment into rural health in our
• tasked with $7.5 million dollars over five years to help support behavioral health professionals in rural
• marriage and family therapists, professional counselors, alcohol and drug counselors, behavioral Health providers

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

Transcript Highlights:

• And when we look at our ambulance services, and I know I represent a rural area that is threatening to
• </c> ambulance services. ambulance services.
• </c> rural rate, or a super rural rate. rural rate, or a super rural rate.
• CMS has what he called the urban, the rural, and the super rural add-ons, and the rural add-on is 2%.
• rural rural &gt;&gt; super<00:30:48.720><c> rural.

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:

• , it's most likely that surrounding ambulance services would also be in jeopardy, providing very limited
• There's an amendment being prepared for the Rural Health Transformation Bill that is going to provide
• realities faced by patients, providers, critical access hospitals, and rural clinics.
• the rural transformation group. ...looking at this and the information that we were provided, I didn't
• However, in looking at the pages that were provided today, it talks about the North Dakota Rural Health

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• with a school, with a rural ambulance group, those kinds of things.
• health care provider, school, Would like every health care, rural health care provider, school, public
• patient or the rural We have to ask the question, is the rural patient or the rural citizen being the
• You can literally change what a rural health care facility can provide by one estate gift—one.
• Funding, safety net provider.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

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:

• </c> as provided by this act. as provided by this act.
• </c><00:02:44.080><c> health</c> don't want to get the rural health don't want to get the rural health
• Rural health this request.
• , 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

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:

• as a rural resource.
• as a rural resource.
• an appropriation, to provide a transfer, to provide an effective date, and to provide for an expiration
• faced by patients, providers, critical access hospitals, and rural clinics.
• one-way ride in an ambulance.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• Services for Federal Rural Health Transformation Program grant funds, to provide an appropriation to
• Services for Federal Rural Health Transformation Program grant funds, to provide an appropriation to
• To provide an exemption, to provide for an application, to provide for a report, and to provide for an
• With our company, we provide health care to rural North Dakota.
• This might give a rural ambulance the ability to go from a BLS service to an ALS service, or advanced

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The House convened in special session, opened with prayer and the Pledge, confirmed a quorum, and recognized visiting students from Shiloh High School. Members also observed a moment of silence for former Representative Cindy Shriver Beck, and the House adopted the Employment Committee report approving special-session staff appointments. The chamber then considered House Bill 1621, which would require the presidential physical fitness test in K-12 physical education courses with exemptions for students with disabilities and an effective date of August 1, 2027. Supporters framed it as a return to a historic fitness standard and a response to federal direction; the bill passed 90-0. The House next took up House Bill 1624, a universal school meals bill that would place the program in statute rather than the Constitution, start it a year earlier than the initiated measure, and appropriate $65 million for the first year. Debate centered on whether universal meals were needed, whether the bill would preserve legislative flexibility and property-tax relief, and whether it would help families or subsidize those who could pay. The bill passed 55-38. Finally, the House began debate on House Bill 1623, the rural health transformation package tied to federal grant funds and a Bank of North Dakota loan program to support rural health projects, EMS, behavioral health, and related infrastructure. The sponsor and supporters emphasized North Dakota’s strong grant award, the need to move quickly, and the bill’s role in filling rural health gaps statewide. Some members raised concerns about federal spending, inflation, and telehealth, while others stressed the need to address EMS and workforce shortages. The transcript ends during debate on HB 1623, before any final vote is shown.

Transcript Highlights:

• The special session of the Legislative Assembly is convened to act on funding related to the Rural Health
• Act on funding related to the Rural Health Transformation Program.
• transmitted to the second house immediately after second reading, unless the majority or minority leader provides
• After second reading, unless the majority or minority leader provides notice of intent to reconsider.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.

Transcript Highlights:

• On our rural healthcare and our nursing homes and our providers, so just really trying to understand
• It amends to provide a $50... ...It amends to provide a $50 million Bond Authority.
• HB 182 is the same provider tax; this being for...
• The same provider tax, this being for the Emergency Medical Transport providers, the assessment period
• back into our rural transport providers.

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:

• our state’s flagship institution should be providing.
• Well, this is a provider tax that is continuing.
• The quality assurance fee needs to better serve the services that our ambulances are providing in transportation
• The quality assurance fee needs to better serve the services that our ambulances are providing in transportation
• Representative Stoner: are providing in transportation.

Bills: HB2565, HB1607, HB2254, HB2385, HB2531, HB2543

Keywords: investment, gifts, grants, University of Washington, funding, higher education, recycling, waste reduction, environmental policy, sustainability, municipal regulations, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment

Summary: The House Appropriations Committee heard House Bill 2565, which would require the University of Washington to place gifts and endowment funds with the Washington State Investment Board instead of managing them through UW’s own investment office. Staff and the prime sponsor argued the state board could achieve higher returns at lower fees, while UW testified in opposition, saying its investment company is self-sustaining, transparent, and manages funds with different legal and liquidity constraints. No questions were raised during the hearing, and the bill was not advanced at that point. The committee then took up amendments and executive action on several bills. For Third Substitute House Bill 1607 on beverage container recycling and waste reduction, members debated and rejected amendments that would have changed redemption-site locations, redirected unredeemed deposits to the Working Families Tax Credit and litter programs, added accountability requirements for grants, or created a supplemental SNAP benefit. The committee adopted only a technical amendment and then approved the bill on a 17-13 vote. For Engrossed Substitute House Bill 1622 on public employers bargaining over artificial intelligence use, the committee adopted one amendment refining the AI definition and rejected amendments that would have narrowed bargaining triggers further; the bill then passed 19-11. The committee also advanced House Bill 2254 on the Partnership Access Line assessment, House Bill 2385 extending timelines for the Medicaid Access Program after federal changes, House Bill 2531 adjusting a quality assurance fee for ground transportation/ambulance reimbursement, and House Bill 2543 allowing county clerks to raise fees to cover required court-related changes. Each of those bills was reported out with a do pass recommendation after brief discussion and recorded roll-call votes.

Transcript Highlights:

• It's a rural community.
• 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
• 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

Transcript Highlights:

• I'm not sure I'll be able to add anything else, but I'm happy to provide any clarity.
• And we keep coming back to provide us some language. We like to talk language.
• We don't know how else to get over some of these hurdles and provide the protection and allow us to move
• We're actually trying to provide compensation to those royalty owners.
• did not print it out for you today, but you're welcome to go out there and look at it again, just providing

Bills: SB2339

Keywords: wildfire mitigation, utility liability, strict liability, electric utility, public service commission, PSC, rural electric cooperative, municipal utility, transmission provider, vegetation management, power lines, reclosers, electrical safety, wildfire prevention, grid reliability, public safety, first responders, ANSI A300, National Electrical Safety Code, community outreach

Summary: The Energy and Natural Resources Committee continued work on House Bill 1459, which concerns rare earth and critical mineral recovery from North Dakota lignite coal. Testimony from UND researcher Dan Ludo and industry representative David Straely focused on the urgency of developing the process quickly, the technical differences between extracting minerals from coal versus ash, and the potential value of elements such as terbium, dysprosium, gallium, germanium, and synthetic graphite. Straely argued the bill is constitutional, limited to minerals within the coal seam, and needed to avoid years of quiet title litigation and provide certainty for development and compensation to royalty owners. Committee members raised questions about landowner rights, compensation levels, possible amendments from the Department of Trust Lands, and whether the bill should be modified to address constitutional concerns or sunset provisions. No final action was taken on HB 1459; the chair said parties could work on language until Monday before the committee revisits it. The committee then returned to House Bill 1579, a high-load study bill with a possible energy infrastructure investment amendment. Jody Smith of the Retirement and Investment Office presented updated language adding guardrails for in-state infrastructure investing, including requiring approved projects to be underwritten and managed by a qualified investment manager or financial institution and to follow the Legacy Fund investment policy. Members discussed whether the amendment had been shared with the House sponsor and noted that the related bill 1330 was still pending, so HB 1579 was being held for the time being. Finally, the committee took up House Bill 1566, which had an amendment from the Agriculture Commissioner’s office. The committee adopted the amendment 7-0, then passed a due-pass motion on the amended bill and referred it to Appropriations, also by a 7-0 vote. Members discussed the bill’s fiscal impact, including an estimated $580,000 for two FTEs over two years, and clarified that the study component remains in the bill. Senator Gerhardt was assigned to carry the measure.