Transcript Highlights:

• Mike Jimnetsky, contractor, State License Board.
• Physicians who are licensed in other states have experienced long delays in receiving a license.
• Physicians who are licensed in other states have experienced long delays in receiving a license to practice
• only two who violated the law lost their license.
• It merely permits the AG, working with the CSLB, to obtain licensing remedies such as license discipline

Summary: The committee heard a long agenda of bills, with most measures drawing support from industry, professional, local government, and advocacy witnesses, and several receiving committee amendments before moving forward. AB 8 on hemp and cannabis drew the most extensive debate: supporters said it would close loopholes around intoxicating hemp products, strengthen enforcement, and bring THC products into the regulated cannabis supply chain; opponents, including small cannabis farmers and environmental groups, warned it could undermine Proposition 64’s closed-loop system, harm California cultivators, and reduce tax revenues for youth, environmental, and law enforcement programs. The author said the bill was intended to protect consumers and children and to work further with stakeholders. AB 476 on copper theft was presented as a public safety and infrastructure bill to tighten reporting, documentation, and penalties for scrap metal theft; supporters from cities, utilities, broadband, and recycling-related groups described major losses and outages from copper theft, and the remaining opposition moved to neutral after amendments, with the bill advancing with committee support. The committee also heard AB 985, which would allow nationally certified anesthesiologist assistants to practice under direct supervision of licensed anesthesiologists to address anesthesia workforce shortages. Supporters, including the California Society of Anesthesiologists, medical groups, students, and patients, said it would expand access and bring California in line with other states; nurse anesthesiology groups expressed concerns and sought further clarification, but there was no formal opposition at the hearing. AB 506, aimed at online pet sales, would void contracts that fail to disclose an animal’s origin or veterinary records or that require non-refundable deposits; animal welfare groups said it would curb puppy mill pipelines and deceptive online sales, and there was no opposition. AB 876, on certified registered nurse anesthetists, generated the sharpest health care policy dispute: supporters said it would codify existing practice and clarify CRNA duties, while physicians and medical associations argued it would expand scope too far and reduce patient safety. After a roll call, AB 876 passed the committee 9-0, as amended, to Appropriations. Other bills advanced with broad support after amendments. AB 432, the Menopause Equity Act, would require continuing medical education on menopause-related care for certain physicians; the author and medical experts said the bill addresses widespread gaps in menopause treatment and research, while CMA and ACOG opposed the mandate as an inappropriate CME requirement, though they agreed the underlying problem is real. The bill passed on call, as amended, to Health. AB 759 would allow eligible architectural candidates to use the title “architect in training” to encourage completion of licensure and improve diversity in the profession; it passed unanimously, as amended, to Appropriations. AB 967 would create an optional expedited licensure fee for out-of-state physicians to reduce delays in bringing doctors into California’s workforce; supporters said it would help address shortages and improve patient access, and the bill was presented with support from medical stakeholders.

Transcript Highlights:

• ONGOING PROFESSIONAL COMPETENCY REMOVING THE EXEMPTION FOR CONTINUED EDUCATION, BUILDING PROFESSIONAL LICENSE
• IT PROVIDES LICENSING WITH EXPERTISE AND LIMITS RESIDENTIAL INSPECTORS TO ONE AND TWO FAMILY HOMES PER
• THIS FURTHER ADDS ITS INSURANCE COMPONENT TO THE HOME INSPECTOR LICENSE, REQUIRING ERRORS AND OMISSIONS
• THIS FULLY SUPPORTS ANY EFFORT TO FURTHER DETER BAD ACTORS FROM CONTRACTING WITHOUT A LICENSE.
• WE DO A GOOD JOB IN MY COUNTY OF MAKING ELECTRICITY AVAILABLE.

Keywords: 999, senate, all

Transcript Highlights:

• enjoys hunting, fishing, and baseball, and in the future, he plans to open and operate a guiding or electrical
• upon conviction of driving on a revoked license, making driving on a revoked license a case of record
• in metropolitan court, providing that an ignition interlock license is valid for four or eight years
• expulsion or suspension of children in early pre-kindergarten. ...or pre-kindergarten program in a licensed
• Department for a moratorium on new licenses.

Transcript Highlights:

• Uh it's not electricity, water, sewer.
• The one I stayed in out in the state parks, it wasn't hooked up to electricity or anything.
• hooked up to electricity and everything. hooked up to electricity and everything.
• It had a small electricity or anything.
• > the<02:25:49.320> community, licensed components of the community, licensed components of

Keywords: 1191, senate, all

Transcript Highlights:

• dozen new vocational programs in our facilities across the Commonwealth, including now an operating licensed
• 00:09:08.399> now<00:09:08.720> an<00:09:09.040> operating<00:09:10.320> licensed
• including now an operating licensed including now an operating licensed cosmetology<00:09:11.839
• diesel welding, carpentry, HVAC, diesel mechanic<00:20:18.000> technology,<00:20:19.360> electric
• <00:20:19.919> lineman mechanic technology, electric lineman mechanic technology, electric

Keywords: 958, all

Summary: The House Judiciary Committee met for its sixth regular-session meeting and first took up House Bill 5, as substituted by committee amendment, which would authorize KCTCS to partner with the Department of Corrections to create a vocational training campus at North Point Training Center. The sponsor and witnesses described the bill as a prison education and re-entry initiative aimed at reducing recidivism, saving taxpayer money, and meeting workforce needs, citing Michigan’s vocational village model as evidence that prison-based training can lower reoffending. Testimony emphasized that the program would include high-demand vocational fields, credentials, eligibility and security safeguards, data collection, annual reporting, and re-entry documentation such as certificates of employability and employment protections. Several members voiced support, including comments that the bill builds on existing second-chance and employability efforts. One member asked whether post-release employment outcomes could also be tracked, and the sponsor said that would be encouraged and discussed as a possible friendly amendment. After discussion, the committee voted 19-1 to adopt the committee substitute and pass House Bill 5. The committee then began consideration of House Bill 468, which would update the Kentucky Civil Rights Act to conform the state definition of disability to the 2008 federal ADA amendments and clarify the meaning of “qualified individual with a disability.” The bill sponsor said it would remove the Kentucky Human Rights Commission’s adjudicative authority over employment and public accommodations cases, while leaving investigative powers intact and preserving housing-related adjudication, with the goal of placing those disputes in court and preserving jury-trial rights. In response to questions, the sponsor said a local mandate analysis found the court impact would be minimal to moderate, and cited commission data showing relatively few hearings. The transcript cuts off during continued discussion of HB 468.

Transcript Highlights:

• to become a licensed to become a licensed educator<00:04:53.840> that<00:04:54.840> puts
• Well, the license was a K through 8 license, and as a school administrator I often saw the demographic
• , not seeking an initial license.
• , not seeking an initial license.
• , not seeking an initial license.

Keywords: 928, house, all

Summary: The committee first heard House Bill 362, which would grant the Department of Education rulemaking authority related to educator licensure and testing requirements, including passing scores on professional education assessments. Representative Ladd said the bill is intended to preserve New Hampshire’s standards for classroom teachers and CTE instructors, while allowing DOE flexibility through rulemaking. He emphasized maintaining high standards, including for career and technical education, and said he was open to DOE clarifying the language further. Committee members raised concerns that the bill, as written, could remove language recognizing industry-recognized credentials for CTE instructors. Department of Education Director Steven Appy said DOE had drafted an amendment to clarify that the requirement applies to an initial New Hampshire license, to exempt CTE teachers from content exams, and to preserve current administrative practice allowing basic academic skills testing and industry-recognized credentials as substitutes. The committee discussed the distinction between basic academic skills tests and content assessments, and Appy said the amendment was meant to avoid conflating those requirements. The chair said the committee would take up executive session on HB 362 and related bills later. The committee then took up House Bill 90, which narrows and defines the rules for part-time teachers, especially in concurrent enrollment settings. Representative Ladd explained that the bill is meant to allow qualified college faculty or adjuncts from the University System or Community College System to teach high school concurrent-enrollment courses when local schools lack a teacher with the needed master’s-level credentials, particularly in math and STEM subjects. He said the bill is intended to expand student access to college-level coursework, save money, and preserve standards, while still requiring background checks and adherence to ethics and conduct rules. Members began asking questions about how the bill would work in practice, including certification and endorsement issues, but the hearing was not concluded in the portion provided.

Transcript Highlights:

• House Bill 1619 relating to electric vehicle infrastructure.
• Uh, we have Hawaiian Electric also in support.
• <00:29:18.799> vehicle Bill 1619 relating to electric vehicle Bill 1619 relating to electric
• Uh, we have Hawaiian Electric Uh, we have Hawaiian Electric also<00:30:01.840> in<00:30:02.159
• Um, House Bill 1619 relating to electric vehicle infrastructure.

Bills: HB644, HB1802, HB1569, HB1619, HB1620, HB1730, HB1749

Keywords: PFAS, single-use plastics, environmental health, food ware, pollution reduction, HB1802, conservation banking, conservation bank, mitigation banking, compensatory mitigation, incidental take permit, incidental take license, habitat conservation plan, HCP, DLNR, BLNR, Board of Land and Natural Resources, endangered species recovery committee, threatened species, endangered species

Summary: The committee heard several environmental and energy bills, beginning with HB 644 on single-use plastics. DLNR and DOH supported the measure, and environmental advocates said it would reduce plastic waste in oceans and landfills. Testifiers urged the bill to avoid weakening existing county ordinances, and some supported delaying implementation to use up inventory, while Upstream opposed compostable-plastic exemptions and urged prompt passage. Committee members asked whether reusable and refillable foodware could be added to the PFAS prohibition, and Upstream said that would be consistent with the bill’s goals. The committee then took up HB 1802 on conservation mitigation banks, HB 1569 on microfiber filters for newly manufactured washing machines, and HB 1619 on electric vehicle infrastructure. HB 1802 drew mostly agency testimony from DLNR, with opposition testimony noted from environmental groups, and members discussed whether suggested amendments would address concerns. HB 1569 received limited testimony, with support from the Hawaii Reef and Ocean Coalition and opposition from the Association of Home Appliance Manufacturers. HB 1619 was supported by the PUC, Hawaiian Electric, the Department of Transportation, and several advocacy groups; Earthjustice said the bill was needed to address a widening EV charging shortfall and described the funding increase as relatively small compared with the benefits. The committee also heard HB 1620, which would increase the barrel tax to fund the EV charging rebate program. The State Energy Office and PUC offered comments, while the Tax Foundation of Hawaii opposed the special-fund approach and said the bill should also address the non-petroleum fossil-fuel portion of the barrel tax. Earthjustice and youth transportation advocates supported the measure, and the chair asked for information on unused hydrogen fueling subaccount funds; PUC said no hydrogen program funds had been deployed and estimated the balance was likely around $2 million, with exact figures to be provided later. Finally, the committee heard HB 1730 on wastewater systems, which would create a wastewater technical advisory group and fund positions at DOH. DLNR, DOH, OPSD, UH, and several environmental groups supported the bill, emphasizing cesspool pollution, affordability, and the need for more staffing and technical assistance. Testifiers suggested amendments to create a separate cesspool conversion implementation working group and debated the size and composition of the advisory group, including whether to include outside engineers and whether SHIP should be on the panel. No votes were taken during the hearing segment provided.

Transcript Highlights:

• advanced when it comes to extended producer responsibility in areas like solar panel recycling, electric
• Senator Allen has had two important ones, SB 501 on household hazardous waste, SB 615 on electric vehicle
• Senator Allen has had two important ones, SB 501 on household hazardous waste, SB 615 electric vehicle
• Steve has even recommended looking to things like the New Jersey LRP License Remediation Professional
• Program to help with... ...the New Jersey LRP License Remediation Professional Program to help with

Summary: The joint oversight hearing focused on DTSC’s implementation of SB 158 reforms, including enforcement, community engagement, fee stability, the hazardous waste management plan, permitting backlogs, and the Safer Consumer Products program. Senators and Assembly members emphasized protecting overburdened communities and asked how DTSC and the Board of Environmental Safety are using their authority to improve accountability, reduce delays, and address hazardous waste facilities and consumer product chemicals. The hearing also included discussion of extended producer responsibility programs and whether DTSC can support them more efficiently, including through coordination with CalRecycle. DTSC Director Katie Butler said the department is now more transparent, accountable, and fiscally stable, citing stronger enforcement actions, an interactive inspections map, expanded community outreach, and emergency response work on the Los Angeles wildfire cleanup. She said DTSC has made progress on fee reform, the hazardous waste management plan, cleanup grants, permit renewals, and safer consumer products rulemaking, including adding microplastics to the candidate chemical list. Board Chair Andrew Rakestraw said the board has held multiple public meetings and hearings, is working on fee rates and performance metrics, and is revising the hazardous waste management plan after public comment, including removing a proposal to send certain contaminated soil to municipal landfills. He also noted remaining concerns about fee structure, permit delays, and the pace of the safer consumer products program. Public witnesses offered sharply different views. A representative of the California Council for Environmental and Economic Balance said SB 158 reforms have improved permitting and transparency, but urged more attention to risk-based decision-making, reduced duplication, and possible General Fund support for plan implementation rather than relying only on fees. Earthjustice argued DTSC remains too slow and that communities continue to suffer from long-delayed permits and weak protections, urging the Legislature to take a more active role and to prioritize eliminating hazardous substances rather than minimizing costs. Committee members pressed the witnesses on permit renewals, community impacts, and the pace of the safer consumer products program, while DTSC defended its progress and said further legislative collaboration may be needed on hazardous waste management and emerging waste streams.

Transcript Highlights:

• I am a faculty member in electrical and computer engineering.
• Right now, we are short nearly 5,000 licensed social workers.
• These are rare earth minerals that we use in our cell phones, computers, and electric vehicles (EVs).
• Currently, I am a senior electrical engineering major at UT Dallas.
• He is an electrical engineer. Thank you, Mr. Chairman. Thank you, sir. Thank you, members.

Bills: SB 37

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction, 1184, house, all

Transcript Highlights:

• In addition to being a builder-developer, I'm also a licensed septic designer.
• I've had my license for over 15 years now. And we deal with this stuff day in and day out.
• In addition to being a builder-developer, I'm also a licensed septic designer.
• I've had my license for over 15 years now. And we deal with this stuff day in and day out.
• In addition to being a builder-developer, I'm also a licensed septic designer.

Keywords: 928, house, all

Summary: The subcommittee on SB 170 opened with the Pledge of Allegiance and then worked through the bill section by section, focusing first on a housing-related provision that would prohibit municipalities from requiring occupants to be related by blood or marriage. The chair proposed adding “school enrollment status” as a protected class to prevent towns from limiting where students may live, especially in Durham. Members debated whether that phrase was too vague and whether “educational status,” “enrollment status,” or “school enrollment status” was the best wording. Public testimony raised concerns that adding a new protected class could have broader implications under the state’s anti-discrimination law and could also affect municipal zoning authority, while supporters argued the bill was aimed at preventing local rules that restrict student housing and group living arrangements. The subcommittee did not take a final vote on that language during the discussion. The committee then turned to land-use and subdivision provisions. The Department of Environmental Services testified that its test-pit and related land-development rules are already protective of groundwater and surface water, and that municipalities sometimes impose stricter setbacks or other requirements locally. Builders and housing advocates argued that more stringent local requirements for test pits, well siting, and related approvals add time and cost and can impede housing development, while some municipal concerns were raised about aquifer and wellhead protection overlay districts and local groundwater safeguards. Public testimony also supported making state standards uniform across municipalities, though one speaker noted that local and state review processes can differ and that the bill could simplify approvals. The subcommittee also discussed a road-length provision, with one member supporting limits on municipal caps that could impede development and another suggesting a possible water-and-sewer-capacity qualifier. Additional sections were explained as allowing utilities and infrastructure to be placed in subdivision open spaces or perimeter buffers, and requiring municipalities to act quickly on plan changes after initial review. The chair indicated support for several of the sections as drafted, and the discussion ended with the committee moving through the remaining provisions without recorded final votes in the transcript.

Transcript Highlights:

• We're not paying the electric bill. We're not paying the water. We're not paying anything.
• We're not paying the electric bill. We're not paying the water. We're not paying anything.
• How is it going as far as applications for licensing?
• define what the licensed positions are, and they have to have a minimum base salary of 27,500.
• The law does ask for a renewal, and so that comes up with the renewal of their license.

Keywords: 908, all

Transcript Highlights:

• They don't have the cash reserves, the electric utilities to make these repairs.
• CenterPoint Energy is a combined gas and electric utility serving 2.8 million electric customers in the
• I'm also a licensed professional engineer in the State of Texas.
• But when we put a mark on the ground, as does the electric company, we're excavators.
• The guy that's got to go out and mark all of these lines, whether it's the electric, the gas. the water

Bills: HB206, HB 1285, HB1335, HJR107, HB206

Keywords: pipeline, construction, cash bond, county authority, local government, HB 1285, Railroad Commission of Texas, RRC, drones, unmanned aircraft, UAS, drone inspections, oil and gas, pipeline inspection, surface mining, well sites, tank batteries, disposal wells, injection sites, natural resources

Transcript Highlights:

• electricity to power the lights and then >> Yeah.
• And we did give you the license<01:08:52.080> back,<01:08:52.400> right?
• license back, right? license back, right? >> Yes. >> Yes. >> Yes.
• appropriate as they are both licensed appropriate as they are both licensed practitioners<02:12:
• We will be in recess until then. the licensed professionals. So that the licensed professionals.

Keywords: 1189, house, all

Transcript Highlights:

• Madam Chair and members, Martin Vindiole, on behalf of the California State Association of Electrical
• Madam Chair and members, Martin Vindiole, on behalf of the California State Association of Electrical
• Madam Chair and members, Martin Vindiole on behalf of the California State Association of Electrical
• California already licenses contractors and forces workplace safety standards through Cal/OSHA and maintains

Keywords: 988, house, all

Summary: The Assembly Labor and Employment Committee heard several bills focused on worker protections, enforcement, and technology in the workplace. SB 909 would strengthen enforcement of public works prevailing wage laws by raising contractor registration fees and penalties and directing part of penalty revenue back to enforcement; labor groups supported it as a way to deter wage theft, while contractor groups opposed the fee and penalty increases as burdensome and potentially costly for public projects. The committee members generally expressed support for stronger enforcement but also concern about the state’s backlog and capacity to enforce the law. SB 909 passed on a due pass vote and was re-referred to Appropriations. The committee also considered multiple bills addressing AI and workplace rights. SB 951 would require 60-day notice when technology displaces 25 or more workers and would require reporting on AI-related job impacts; labor and education groups supported it, while business, public sector, and industry groups argued it was premature and overbroad. SB 947 would require human review of automated discipline, termination, or deactivation decisions and prohibit predictive behavior analysis; supporters said it would prevent algorithmic abuse, while opponents raised concerns about independent contractors, private rights of action, and forum shopping. Both bills advanced on party-line style votes to the Committee on Privacy and Consumer Protection. The committee also approved SB 1149, which would expand bereavement leave to cover a “designated person” equivalent to family, with emotional testimony from a witness describing the loss of a long-term partner. Supporters said the bill reflects modern family structures, especially for LGBTQ and older Californians; there was no opposition. SB 1185, applying skilled-and-trained workforce standards to pharmaceutical facility construction, also passed despite opposition from contractors and business groups who said there was no demonstrated safety problem and warned of higher costs and fewer bidders. In addition, the committee approved consent-calendar bills SB 1316, SB 1046, and SB 1059, and left rolls open for absent members before adjourning.

Transcript Highlights:

• bill we heard previously concerning the denial of access to the database of the... dealer-issued license
• states to permit vehicles to be overweight up to 82,000 pounds that were powered by natural gas, electric
• In our Texas law, we have the same allowance, but just for natural gas and electric.
• To be able to lead with natural gas, electric, and hydrogen... Is that correct?

Bills: HB137, HB283, HCR114, HB137, HB283, HB1398, HB1960, HB2153, HB2431, HB2638, HB2699, HB2999, HB3208, HB3389, HB3413, HB3510, HB3642, HB3859, HB3974, HB3986, HB4142, HB4173, HB4174, HB4542, HB4605, HB4663, HB4731, HB5064, HB5216, HB5218, HB5332, HB5453, HB5577

Keywords: state budget, fiscal biennium, budget repeal, financial management, state funding, Medicaid, healthcare access, Affordable Care Act, federal funding, low-income individuals, insurance coverage, memorial, pedestrian bridge, Houston, Sergio Ivan Rodriguez, city council, oversize vehicles, transportation permits, Hidalgo County, port authority

Transcript Highlights:

• We also added on that same line that it has to be licensed.
• , so it's licensed by the department.
• Same with health insurance companies; they're licensed by the department.
• technically the company has the powers to take away a license of a... ...powers to take away a license
• Um,... ...company licensed by the department.

Keywords: 923, senate, all

Transcript Highlights:

• by ensuring that individuals who have received corrective eye surgery can receive their updated licenses
• Their updated license is obtained by mailing or emailing verification from a licensed physician to the
• They will apply the driver with the new license, which eliminates the corrective lens restriction.
• in the same manner as sex offender registration licenses.
• The Supreme Court ruling was based on a 1904 statute that relates to inner urban electric work railway

Bills: HB647, HB791, HB1242, HB1729, HB2003, HB2029, HB2061, HB2775, HB3751, HB4804, HB3611

Keywords: driver's license, vision correction, medical verification, Texas Department of Public Safety, renewal fees, HB 791, Central Catholic High School, San Antonio, specialty license plate, specialty plates, license plate, Texas Department of Motor Vehicles, Transportation Code, general revenue fund, With Loyal Hearts, Catholic school, private school, religious school, school spirit plate, commemorative plate

Transcript Highlights:

• Licensed media specialists.
• license and stay in the field. license and stay in the field.
• Licensed media specialists. of reading. Licensed media specialists.
• licensing rules.
• In most cases, we are purchasing a license, and they're called one-to-one licenses.

Keywords: 1187, senate, all

Transcript Highlights:

• the state to get out the information that you exist, like someone goes and renews their driver's license
• And then work with licensed professionals, making sure that mortgage professionals are licensed like
• They're searchable through the Nationwide Multi-State Licensing System.
• .. ...every direct ACH payment that they have set up for their water bill, their gas bill, their electric
• set up every direct ACH payment that they have set up for their water bill their gas bill their electric

Keywords: 1204, all

Summary: A joint House-Senate Insurance and Commerce meeting focused on the growing threat of financial fraud in Arkansas, with members hearing from bankers, the Attorney General’s office, the state bank and securities commissioner, the insurance department, AARP, and mortgage industry representatives. Witnesses described fraud as increasingly organized, technology-driven, and often transnational, with common schemes including spoofed bank calls and texts, fake websites and social media impersonations, business email compromise, gift card and wire scams, crypto kiosk fraud, check fraud, and mortgage/real estate fraud. Several witnesses emphasized that seniors are disproportionately targeted and that losses are often underreported because victims feel embarrassed or do not know where to report incidents. Testimony highlighted both state and national responses. Bankers and regulators pointed to Arkansas’s 2025 actions on crypto ATMs and elder-fraud education, including training for gift-card sellers and safe-harbor protections for banks under the Safe AR Act. The Attorney General’s Consumer Protection Division described its complaint process, a new financial fraud task force, and examples of recovered funds, including quick recoveries from Bitcoin kiosk scams and wire fraud cases. The American Bankers Association and others urged stronger accountability for telecoms and social media platforms, citing spoofed caller ID, impersonation ads, Section 230 issues, and the need for a national scam-prevention strategy or federal office. Artificial intelligence was identified as a major emerging risk because it can generate convincing scam emails, websites, and impersonation content at scale. Members asked about reporting procedures, whether banks reimburse fraud losses, how crypto affects recoverability, the safety of tap-to-pay versus chip use, and whether public online records contribute to fraud. Witnesses generally advised victims to report scams through the proper channels, avoid clicking links or responding to suspicious messages, and verify requests independently by contacting institutions directly. The committee also heard that banks and regulators are already sharing information and educating consumers, but that more legislative and cross-agency action may be needed. No formal vote or bill action was taken beyond approval of the November 3, 2025 minutes.

Transcript Highlights:

• Representatives Pettigrew, Mason, and Block, an act relating to renewable energy, amending the Rural Electric
• House Bill 226, amending the Rural Electric Cooperative Act and the Renewable Energy Act to include natural
• malpractice cases, extending the period in which the New Mexico Medical Board may summarily suspend licenses
• Representatives Ferrary, Hochman-Vigil, De La Cruz, and Lara, a memorial requesting the Regulation and Licensing

Bills: HM3, HM11, HM14, HM15, HM21

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial