Relating to the requirements for certain emergency medical services certification providers; authorizing a fee.

HB 4521 requires for-profit emergency medical services (EMS) certification providers in specific Texas counties (adjacent to the Mexico border, with over 500,000 residents, and no city exceeding that population) to meet new standards. Providers must publicly disclose course costs online, pay a 10% fee based on student enrollment costs to the Health and Human Services Commission, and cannot charge students for this fee. The bill also mandates that course coordinators hold a bachelor's degree and have at least 10 years of EMS instructor experience. These requirements apply to all affected providers starting September 1, 2025, and do not apply to non-profit providers or other counties.