Video & Transcript : 'direct care services' :
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MN
Minnesota 2025-2026 Regular Session
House Environment and Natural Resources Finance and Policy Committee 3/18/25
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- The folks that are actually doing the service are, again, being extremely supportive and respectful to
- Veterans with total service-connected disabilities often live on a very small, fixed income and face
- This bill removes small financial burdens and allows veterans with service-connected disabilities to
- small financial burdens and allows it laws veterans with service-connected disabilities to continue to
- with that have evolved, which then this additional funding would allow us to provide more of that direct
Keywords:
commercial diving, scuba diving safety, aquatic plant management, workplace safety, environmental regulations, HF78, Minnesota veterans, veteran retreats, Camp Bliss, Walker, Independent Lifestyles Inc., Department of Veterans Affairs, veterans affairs grant, general fund appropriation, family members, spouse, domestic partner, children, therapy, transportation
HI
Hawaii 2026 Regular Session
AGR Public Hearing - Fri Apr 17, 2026 @ 10:30 AM HST
Agriculture & Food Systems
Transcript Highlights:
- Um, and I'd like to direct you folks to our testimony.
- Um, the legislature is free next year to put whatever legislation it wants without having a direction
- Um, the legislature is free next year to put whatever legislation it wants without having a direction
- Um, the legislature is free next year to put whatever legislation it wants without having a direction
- Um, the legislature is free next year to put whatever legislation it wants without having a direction
Committee:
House Agriculture & Food Systems
Keywords:
rangelands, pastoralists, pastoralism, ranching, ranchers, paniolo, livestock, grazing, grasslands, land management, conservation, sustainable agriculture, agriculture, Board of Agriculture and Biosecurity, University of Hawaii, ecosystem services, carbon sequestration, wildlife habitat, Hawaii counties, International Year of Rangelands and Pastoralists
LA
Transcript Highlights:
- This is a direct request from our superintendent in Livingston Parish Schools.
- So I care a lot about the STEM initiatives in Louisiana. I care a lot about this council.
- So I care a lot about the STEM initiatives in Louisiana. I care a lot about this council.
- We're not going to rely on your services.
- Charles School Board, and Cindy Bishop, Child Care Association of Louisiana. Rep.
Committee:
House Education
Keywords:
mandatory reporting, school employees, child protection, training requirements, Department of Children and Family Services, education, reading program, student eligibility, literacy, school performance, R.E.A.D. program, book distribution, École Pointe-au-Chien, French immersion, public school, Terrebonne Parish, grade levels, independent school, virtual school, extracurricular activities
FL
Florida 2026 Regular Session
Appropriations Committee on Criminal and Civil Justice Feb 12th, 2026
Appropriations Committee on Criminal and Civil Justice
Transcript Highlights:
- We're going to take up Tab 3, Senator Yarbrough's 102 on inmate services by Senator Yarbrough.
- and care.
- percent of the Medicare allowable rate if they enter into an agreement to: one, provide health care
- services to inmates in a secure unit within the community health care provider's medical facility; two
- This is a big move in, I think, a positive direction with this bill.
Keywords:
pretrial release, bond conditions, violations of release conditions, violent crimes, victim safety, public safety, warrantless arrest, probable cause, pretrial detention, first appearance hearing, law enforcement immunity, domestic violence, stalking, battery, aggravated assault, robbery, kidnapping, sexual battery, murder, manslaughter
Summary:
The Criminal and Civil Justice Committee met with a quorum present and began with a notice that the committee would not present its budget that day, explaining that the budget rollout would be coordinated with House partners and Senate notice requirements, with the next opportunity expected the following week. The committee then moved to legislation, starting with CS for SB 760 by Senator McLean, the Victim Safety and Pre-Trial Release Act, which would address willful violations of court-ordered no-contact conditions for defendants on pretrial release for serious violent crimes. The bill had support from the Florida Sheriffs Association, received no debate, and was reported favorably by roll call vote.
The committee next considered SB 1536 by Senator Pizzo on digital voyeurism, described as expanding the reasonable expectation of privacy to include a privately fenced yard. The transcript shows the chair moved on before questions or a vote were taken on that bill. The committee then took up CS for SB 102 by Senator Yarbrough on inmate services, first adopting a leave-filed amendment that revised provisions on inmate welfare trust funds, Medicaid supplemental reimbursement participation, emergency transport reimbursement, and negotiated rates for certain community health care providers, including telehealth and secure-unit care. Justin Senior of the Safety Net Hospital Alliance of Florida testified in information, saying the amendment was a major positive move, and the amended bill was then reported favorably.
At the end of the meeting, the chair noted that two agenda items were being temporarily postponed: CS for SB 1582 on statewide data sharing of secondhand dealer and pawnbroker transactions and SB 1792 on public records for pawnbroker transactions. No further business was raised, and the committee adjourned after a motion by Senator Simon.
HI
Transcript Highlights:
- Uh, this relating to 911 services.
- </c> across the emergency medical services across the emergency medical services system.<00:32:20.559
- </c> and the emergency medical services and the emergency medical services section<00:32:36.640><c> to
- That's a key advanced directives.
- </c><00:48:13.200><c> Chair's</c> relating to 911 services. Chair's relating to 911 services.
Committee:
House Public Safety
Keywords:
Hawaii National Guard, tuition assistance, graduate degrees, education, military personnel, funding, school districts, state budget, performance metrics, emergency announcements, American Sign Language, accessibility, public safety, broadcast media, Smart911, 911, 911 Board, emergency response, public safety answering point, PSAP
Summary:
The Committee on Public Safety held its first hearing and began with House Bill 1531, which would require the governor or county mayor to provide an ASL interpreter during official emergency announcements broadcast on television or the internet, ensure the interpreter is visible, and require news outlets to show the interpreter in a picture-in-picture window. Testimony was strongly supportive from disability advocates, who said live captions can be inaccurate and that ASL access is critical during emergencies, but broadcasters raised practical concerns that the bill as drafted could require extra camera crews and reduce coverage. Members discussed possible alternatives such as government-provided pool feeds and interpreter placement, and the chair recommended deferring decision-making on the bill to the following Wednesday to allow time for amendment language.
The committee then heard House Bill 1751, which would expand the Hawaii National Guard State Tuition Assistance Program to include graduate degrees at the University of Hawaii for qualified enlisted personnel. The Hawaii Army National Guard, the Department of Defense, and University of Hawaii representatives supported the measure as a recruiting, retention, and professionalization tool. A member asked about funding, and the response was that the program is funded through a state appropriation currently set at $250,000 and was described as sufficient at present. The bill drew no opposition in the hearing.
Next, House Bill 1752 was taken up. This measure would remove the Adjutant General as a nonvoting ex officio member of the HAIMA advisory committee and add the HAIMA administrator as a nonvoting ex officio member of the MSAC. The Department of Defense and Department of Health supported the bill, with the Department of Health asking that it be aligned with other EMS modernization provisions in the governor’s package so the related measures remain consistent. No objections were raised.
The committee also heard House Bill 1577 on 911 services, which would require the 911 Board to establish a statewide emergency safety profile system for residents to voluntarily store emergency-relevant personal information. The Department of Health, disability advocates, the 911 Board, and others supported the concept, saying it could improve emergency response for people with disabilities, kūpuna, families, and others with functional needs. Testimony also raised concerns about funding, system integration, confidentiality, advanced directives, and liability protections if information does not reach responders in time. Members discussed statewide coordination and existing county systems, and the hearing continued with those issues unresolved.
WA
Washington 2025-2026 Regular Session
House Civil Rights & Judiciary Jan 23rd, 2026 at 10:30 am
Civil Rights & Judiciary
Transcript Highlights:
- Private cemeteries have to comply with a number of state laws related to cemetery property, bailment care
- because they didn't have an insurance product, do you think this bill would kind of move us in that direction
- coverage for these types of condominium buildings, and condos are typically located near transit, health care
- , local businesses, and essential services, supporting healthy aging and reducing isolation.
Committee:
House Civil Rights & Judiciary
Keywords:
interment, location choices, remains, Washingtonians, funeral services, condominium, housing, warranty, property rights, construction, public safety, vulnerable users, pedestrians, protected classes, transportation, corporate filings, secretary of state, business entity filings, annual reports, foreign corporation
WA
Washington 2025-2026 Regular Session
House Technology, Economic Development, & Veterans Jan 21st, 2026 at 08:00 am
Technology, Economic Development, & Veterans
Transcript Highlights:
- Washington Tourism Marketing Authority, the Authority, contracts for statewide tourism marketing services
- First, it directs the Authority to develop and administer a tourism assessment program, the TAP, which
- A tourism business includes lodging, travel services, attractions, recreation, and beverage producers
- I'll follow this up with it written if you don't have a direct answer right now.
- There's also... these are services customers actually want.
Keywords:
tourism, promotion areas, state funding, economic development, community engagement, tourism promotion, Washington Tourism Marketing Authority, assessment, self-supported assessment, visitor economy, destination marketing, statewide marketing, lodging, hotels, restaurants, travel services, attractions, recreation, retail, beverage producers
WA
Transcript Highlights:
- services.
- And health care services means medical, surgical, dental, chiropractic, hospital, optometric, podiatric
- and care that you’re provided.”
- and the care to the patient.
- service.
Committee:
Senate Law & Justice
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Jan 12th, 2026
Children, Families, and Elder Affairs
Transcript Highlights:
- and foster care board payments.
- When we look at, especially on group care and residential care, this varies region to region.
- that care.
- is in need of services.
- that's court-ordered services or official formal case management services.
Committee:
Senate Children, Families, and Elder Affairs
Keywords:
child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, Alzheimer's disease, Alzheimers, dementia, related dementias, brain health, early detection, caregiver support, elderly affairs, Department of Elderly Affairs, Department of Health, public health outreach, memory loss
Summary:
The committee met with a quorum and first heard SB 624, which would codify DCF’s current practice of allowing batterers intervention programs to offer supplemental faith-based activities so long as participation is voluntary. The bill drew support from faith-based and family organizations, which argued it would restore access to effective rehabilitation options and remove discriminatory barriers. SB 624 was reported favorably after a roll call vote.
The committee then heard SB 42, which would require child protective investigators and child protection teams to rely on qualified medical professionals when a child has a documented pre-existing diagnosis or when a parent requests an exam, and would require clearer notice to parents and custodians at the start of an investigation. Testimony overwhelmingly came from parents, advocates, and disability rights representatives describing cases in which medically complex children were allegedly misdiagnosed as abuse victims and families were separated unnecessarily. Members expressed sympathy and support, and SB 42 was reported favorably.
Next, the committee considered CS/SB 578, creating an Alzheimer’s disease awareness initiative within the Department of Elder Affairs to promote early detection, brain health education, research updates, and clinical trial awareness, with outreach focused on older adults and at-risk populations. An amendment was adopted to place the campaign within the Alzheimer’s Disease Initiative. A caregiver testified about the need for public education and early diagnosis, and the bill was reported favorably.
The committee also took up SPB 7018, a committee bill on child welfare that would extend the definition of “visitor” for foster homes to reduce repeated background checks, make the Step Into Success foster youth workforce pilot permanent and statewide, and create a program through the Florida Institute for Child Welfare to catalog best practices among community-based care lead agencies. The bill was approved as a committee bill and reported favorably. Finally, the Department of Children and Families presented its 2025-26 final funding methodology and rates report for community-based care. Members questioned the proposed tiered model, including insurance costs, risk corridors, prevention funding, performance measures, and regional funding disparities. No vote was taken on the presentation, but members discussed the possible need for follow-up legislation and additional stakeholder input.
TX
Texas 89th Regular
Water, Agriculture, and Rural Affairs May 19th, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- Timothy Stevenson, Department of State Health Services, Consumer Protection on the bill.
- We've got to take care of our keystone species. That's right. Oysters and bees.
- We've got to take care of our keystone species. That's right. Oysters and bees.
- We've got to take care of our keystone species. That's right. Oysters and bees.
- We've got to take care of our keystone species. That's right. Oysters and bees.
Committee:
Senate Water, Agriculture and Rural Affairs
Keywords:
agriculture, finance, young farmers, financial assistance, pest control, honey production, beekeeping, food safety, local regulation, bovine producers, dairy farms, permits, bovine tuberculosis, public health, wildlife management, disease prevention, alert system, Texas A&M, white-tailed deer, public safety
Summary:
The Senate Committee on Water, Agriculture, and Rural Affairs met with only four members initially present, so quorum was not established until later in the hearing. The committee heard several agriculture-, wildlife-, and food-labeling-related bills, including HB 3479 on expanding the Rio Grande vegetative management program beyond carrizo cane to other noxious vegetation, SB 823 on shrimp origin labeling and restrictions on misrepresenting imported shrimp as Texas or Gulf shrimp, HB 3088 on giving Texas Parks and Wildlife more flexibility to procure resale goods for park gift shops, HB 1275 on permits for non-bovine dairy farms in certain TB-affected areas, HB 519 on honey production and packaging rules, HB 609 on cleaning oyster cages in-bay with bay water only, HB 1592 on a voluntary AgriLife pest and disease alert system, HB 2842 on targeted urban deer depredation permits, and HB 4163 on limiting city requirements that agricultural operators maintain roadside rights-of-way. Testimony generally came from industry groups, agency resource witnesses, and affected producers, with most witnesses supporting the bills and several bills drawing questions about enforcement, labeling responsibility, and the scope of local authority.
The most extensive discussion centered on SB 823, where Vice Chair Hancock and others questioned why wholesalers would be covered if they cannot relabel products. The bill author and restaurant association witness said the measure was intended to improve transparency and allow enforcement against intentional mislabeling, while preserving a good-faith defense and clarifying that the bill does not create a private cause of action. HB 519 also drew supportive testimony from beekeepers and a family farm, who argued that current rules treat honey extraction and bottling too much like food manufacturing and burden small operations. HB 609 was presented as a way to save time and resources for cultivated oyster mariculture by allowing cage cleaning in the bay without soaps or chemicals, and HB 1592 was described as a voluntary opt-in alert system for pests and diseases coordinated through AgriLife and other state agencies.
HB 43 generated the most detailed policy debate. The bill would restructure and expand the Texas Agricultural Finance Authority, update grant and loan programs, and create a pest and disease control depredation program. The committee substitute reduced some funding caps, changed references from predators to depredating animals, and made the financial provisions contingent on appropriations. Supporters from Texas Farm Bureau, cotton growers, grain and feed interests, and young farmers described severe drought, inflation, land loss, rising input costs, and shrinking infrastructure as major threats to agriculture, while one witness urged preserving priority for young farmers. After testimony, the committee adopted the committee substitute and reported HB 43 favorably. The committee also voted HB 519, HB 609, HB 1275, HB 1592, HB 3088, HB 3479, HB 2842, and HB 4163 favorably, with several recommended for the local and uncontested calendar. SB 823 was reported from committee on a 6-2 vote after adoption of the committee substitute. The meeting ended with notice that the committee would tentatively reconvene Friday morning and then recessed subject to the chair's call.
TX
Transcript Highlights:
- Members, in 2023, the Texas Department of Family and Protective Services reported over...
- Members, in 2023, the Texas Department of Family and Protective Services reported over 83,000 cases of
- The Department of Health and Human Services reports that one of the largest challenges in combating elder
- I mean, does that take care of somebody, or does this just serve notice and then they have 30 days to
- or child welfare services. ...contractor to provide community-based care or child welfare services.
Committee:
House Judiciary & Civil Jurisprudence
Keywords:
statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary, revenue distribution, SB 2933, elder abuse, neglect, judicial training
Summary:
The Committee on Judiciary and Civil Jurisprudence heard testimony on Senate Bill 1015, which would clarify that the comptroller is responsible for distributing excess judicial fund payments back to statutory probate courts. Judge Guy Herman testified in support, saying the bill would help ensure probate courts receive funding they are entitled to, while Ed Heimlich testified against the bill with broad criticism of probate courts and judicial practices. The committee then heard Senate Bill 2933, which would add elder abuse training to required judicial education for several categories of judges and judicial officers; Dr. Bruce Hargrave supported the bill, citing the prevalence and underreporting of elder abuse and the need for judges to recognize warning signs. No votes were taken on either of those bills, and SB 2933 was left pending.
The committee then reconsidered Senate Bill 38, an eviction-related bill, and Vice Chair Hayes described two agreed floor amendments: one limiting the summary disposition procedure to forcible entry and detainer cases involving squatters, and another requiring a notice to pay rent or vacate for tenants who had been timely payers but missed a payment. After discussion, the committee voted 6-4 to report SB 38 without amendments. The committee also adopted or advanced a series of other bills and resolutions, including SB 293, SB 1141, SB 1448, SB 1536, SB 1558, SB 1838, SB 1940, SB 2127, SB 53, SB 251, SB 311, SB 387, SB 441 (with a substitute), SB 1164, SB 1335, SB 1574 (with a substitute), SB 1719, SB 1760, SB 1839, SB 1923 (with a substitute), SB 2807, and SJR 27 (with a substitute).
Most measures were reported favorably on largely party-line or near-unanimous votes, with a few close votes on SB 942, SB 311, SB 2807, and SJR 27. SB 942, relating to retroactive child support beginning at conception, initially failed 5-5 but was reconsidered and then passed 6-5. The committee adjourned after completing its agenda.
TX
Transcript Highlights:
- Members, in 2023, the Texas Department of Family and Protective Services reported over...
- Members, in 2023, the Texas Department of Family and Protective Services reported over 83,000 cases of
- I think we discussed yesterday something about them being able to—and this takes care of it—being able
- I mean, does that take care of somebody, or does this just serve notice and then they have 30 days to
- or child welfare services. ...contractor to provide community-based care or child welfare services.
Committee:
House Judiciary & Civil Jurisprudence
Keywords:
statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary, revenue distribution, SB 2933, elder abuse, neglect, judicial training
TX
Texas 89th Regular
Water, Agriculture, and Rural Affairs (Part I) Apr 14th, 2025
Water, Agriculture and Rural Affairs
Bills:
SB 1169 , SB 1285 , SB 1583 , SB 1611 , SB 1898 , SB 1976 , SB 2160 , SB 2161 , SB 2658 , SB 2661 , SB 2662 , SB 2692 , SB 1055 , SB 1359 , SB 2660
Committee:
Senate Water, Agriculture and Rural Affairs
Keywords:
water service, sewer service, public utility, joint operation, infrastructure, municipality, compliance, groundwater management, water conservation, district planning, environmental regulation, sustainability, groundwater, conservation, fees, agricultural uses, water regulation, wastewater treatment, environmental testing, pollutants
AL
Alabama 2025 Regular Session
Alabama Senate State Governmental Affairs Committee Apr 9th, 2025
State Governmental Affairs
Committee:
Senate State Governmental Affairs
Keywords:
cybersecurity, Office of Information Technology, data management, telecommunications, state government, emergency management, public awareness, promotional materials, education, state funding, Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs Mar 3rd, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- We represent over 900 utilities that provide water and wastewater utility services to rural communities
- I'm with Travis County Emergency Service District No. 2, also known as the Pflugerville Fire Department
- So I want to commend Senator Sparks for this bill, the fire service, and I stand behind him.
- I'll just state I've heard, and is this correct, that 85% of our fire protection services are provided
- I appreciate you and what you do, and you're an invaluable service to communities.
Committee:
Senate Water, Agriculture and Rural Affairs
Keywords:
water resources, interlocal contracts, local government, collaboration, planning activities, wildfire response, firefighting equipment, emergency services, state database, Texas Forest Service, customer complaints, Public Utility Commission, water service, complaint process, utility regulation, SB 971, Texas Water Assistance Program, Water Code, rural political subdivision, rural water
KY
Kentucky 2026 Regular Session
House BR Subcommittee on Personnel, Public Retirement, and Finance (3-8-23)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=zRfrJJC6X9w, 2026-06-21T07:17:03+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00
ROLL CALL 00:43
APPROVAL OF MINUTES 01:08
DISCUSSION WITH FINANCE AND ADMINISTRATION OFFICE OF PROCUREMENT SERVICES, 01:56
HOLLY JOHNSON, SECRETARY OF FINANCE AND ADMINISTRATION CABINET, AND
BRIAN THOMAS, GENERAL COUNSEL ON PROCUREMENT FOUNDATION, MODEL PROCUREMENT
CODE, KY PURCHASING ORDERS, SERVICE CONTRACTS, ADMINISTRATIVE REGULATION, AND
PROCESS TIME LINES., 958, all, 2.2.42, 2.1.47
HI
Hawaii 2026 Regular Session
SCP Informational Briefing 08-04-2021 1:30pm
Hawaii Senate Floor Meeting
Keywords:
HI Senate YouTube, https://www.youtube.com/watch?v=MYt3jrA4CRo, 2026-07-02T01:22:53+00:00, 2.2.24, Data collected via generic collector engine, The Senate Special Committee on Procurement is charged with improving state procurement policies and processes. The purpose of this briefing is to meet with the Department of Accounting and General Services to discuss their procurement and bid protest procedures, challenges, and suggested recommendations for addressing them.
Agenda:
http://www.capitol.hawaii.gov/session2021/hearingnotices/HEARING_SCP_08-04-21_INFO_.HTM, 912, senate, all, 2.2.42, 2.1.47
LA
Louisiana 2026 Regular Session
House and Governmental Affairs May 6th, 2026
House and Governmental Affairs
Transcript Highlights:
- to create a statewide framework for sexual assault nurse examiners, thereby increasing access and care
- As a health care person, you know, I'm bound by HIPAA, but as would an RN, if that makes any sense.
- In support, not wishing to speak: Sean Hotstream with the Hospital Service District Coalition, Scott
- Representative Walters, this is for service members who are outside of the country.
- I think these steps are some good final steps to kind of send us in a certain direction.
Committee:
House House and Governmental Affairs
Keywords:
human rights, individual liberties, Magna Carta, constitutionalism, free speech, Uniform Construction Code, building code, construction code, inspector licensing, building inspectors, plans examiners, public inspector, private inspector, private inspector company, building official, code enforcement, Louisiana Uniform Construction Code Commission, state fire marshal, International Building Code, International Residential Code
LA
Transcript Highlights:
- Yeah, but who cares about all that chunk of Constitution?
- So y'all look overseas and the FBI and law enforcement will take care of problems at home.
- But we've tilted back in the other direction now. We really have.
- , issues with being serviced.
- Provides for testimony of medical experts in child custody and child need of care cases.
Bills:
HR38 , HR96 , HR160 , HCR31 , HCR61 , HB578 , HB668 , HB1198 , SCR19 , SB66 , SB68 , SB76 , SB139 , SB336 , SB475
Committee:
House Civil Law and Procedure
Keywords:
privacy rights, surveillance, USA Patriot Act, FISA, Fourth Amendment, civil liberties, government oversight, civil bench warrants, judgment debtors, notification process, judgment debtor examination, Louisiana State Law Institute, property transfer, public records doctrine, bad faith, real estate law, HCR 31, House Concurrent Resolution 31, foreign entities, foreign corporation
OK
Oklahoma 2026 Regular Session
Alcohol, Tobacco and Controlled Substances REVISED: SB1501 - Added Apr 8th, 2026 at 10:30 am
Alcohol, Tobacco and Controlled Substances
Transcript Highlights:
- Rosecratsi, Culver, A, Morei, Dollens's, I, Ere, she cared to vote Rosecratsi, Culver, A, Morei, Dollens's
- , I, Ere cared to vote Gann and Cornwell declared the vote having received the majority votes present
- modifications to the requirements specifically for events with abbel where we're now requiring her directing
Keywords:
SB65, naloxone, Narcan, opioid overdose, overdose reversal, opioid antagonist, emergency opioid antagonist, substance abuse services, harm reduction, public health, overdose prevention, good samaritan, civil immunity, criminal immunity, controlled substances, addiction treatment, fentanyl, opioid crisis, school overdose response, first aid