Transcript Highlights:

• Relative Foster Care Payments, again, it's a no-cost item that puts kinship care into part of the program
• There are ways we can ensure children are safe and well cared for in high-quality child care environments
• Child care environments.
• child care is in the personal home of the provider.
• centers. burden on my care centers.

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras

Transcript Highlights:

• Many have accepted the managed care pilot program, many have accepted to go into that, and then we've
• Robert Astellos: Family care councils, two things for us.
• And so strong family care councils are extremely important to us.
• Emmett Reed, Florida Health Care Association, waving in support.
• Florida Health Care Association, waving in support.

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• I'm Carrie Armijo, I'm the Cabinet Secretary of the Health Care Authority.
• investments in treatment, workforce, and quality of care.
• level of health care for all New Mexico residents.
• In order to provide that comprehensive level of health care.
• We need to address the shortage of health care providers in New Mexico.

Bills: SB101, SB21, HM52, HB132, SB14, SB20

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Transcript Highlights:

• Medical care in our state or lack thereof.
• , health care, jobs, or education.
• the current foster care plus project?
• I'm assuming that those are different from treatment foster care homes or regular foster care homes?
• Assuming that those are different from treatment foster care homes or regular foster care homes?

Bills: HB145, HB164, HR1, HB20, HB65, HB66, HB80, HB306, SB29, SB37, HB99, HB206, HB213, HB270, SB104, SB193, HB38, HB254, HB256, SB58, SB64, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM29, HM43, HM59, HM11, HM14, HM21, HM34, HM50, HB253

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation, subpoena power, public corruption, criminal activity, Zorro ranch, Santa Fe County

Transcript Highlights:

• Manager Myron Joe from Beclavito Chapter House. Welcome to the House.
• care facilities that participate in the Child Care Assistance Program, providing eligibility and regulatory
• make sure that her employees were taken care of.
• Be really, really careful as we go down this road and what we do.
• Would you agree with me that everybody is here because they care?

Bills: HB145, HB164, HJR6, HR1, HB20, HB65, HB66, HB80, HB166, HB295, HB306, SB29, SB37, HB99, HB206, HB213, HB270, HJR5, SB104, SB193, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM11, HM14, HM21, HM34, HM50

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, constitutional amendment, legislative sessions, veto override, New Mexico legislature, session length, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation

Transcript Highlights:

• He's known for his compassionate patient-centered approach to care. Dr.
• He completed his internal medicine residency at OU and went on to complete a pulmonary care fellowship
• He has received many honors for excellence in research and clinical care, including a Martin H.
• Research and clinical care, including a Martin H.
• United States with empirically validated Tool to enhance their ability to assess suicide risk and manage

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344, SB1839, SB1280, SB1832, SB2001, SB1405, SB2143, SB1989, SB1393, SB1392, SB1395, SB1400, SB1220, SB1516, SB1239, SB1531, SB1349, SB1221, SB1538, SB1309, SB1434, SB2108, SB2121, SB2171, SB2061, SB2112, SB2138

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• In addition, it provides the pharmacist care services as it applies to pharmacy rules.
• Page three and four addresses the pharmaceutical care, allowing the pharmacist to decline participation
• throat] excuse me, care, [clears throat] excuse me, allowing<00:03:14.959> the<00:03:15.120><
• Um, that's part of those pharmacist care services. Yes. Thank you.
• you're talking about pharmacist care you're talking about pharmacist care services.<00:08:55.760

Bills: SF0121

Keywords: pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, 916, all

Transcript Highlights:

• We made sure that everyone who is being cared for 365, they get the care that they need for 365 days.
• We made sure that everyone who is being cared for 365, they get the care that they need for 365 days.
• We made sure that everyone who is being cared for 365, they get the care that they need for 365 days.
• We made sure that everyone who is being cared for 365, they get the care that they need for 365 days.
• That everyone who is being cared for 365, they get the care that they need for 365 days.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• and targeted case management. and targeted case management.
• . management. management.
• Frank Jadwin, program manager for the collaborative care model services at Hennepin Healthcare, said
• > the the program manager for the the program manager for the collaborative<01:42:50.000> care
• innovative care care model is a proven innovative care model<01:43:15.360> with<01:43:15.679>

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• There's certain ways if you love a dog or you got a hunting dog or whatever, are you going to take best care
• going<00:05:51.600> to<00:05:51.680> take<00:05:52.000> best<00:05:52.240> care
• <00:05:52.880> you<00:05:53.120> can are you going to take best care you can are you
• going to take best care you can for<00:05:53.600> that<00:05:53.759> dog?

Bills: SB361

Keywords: dogs, dog tethering, dog confinement, animal welfare, animal cruelty, animal neglect, outdoor shelter, kennel standards, leash laws, trolley system, animal control officer, law enforcement enforcement, service animals, working dogs, hunting dogs, herding dogs, USDA breeder, commercial breeder, pet care, veterinary care

Transcript Highlights:

• Senate Bill 101, Health Care Delivery and Access Repeal.
• workforce quality of care initiatives.
• system and has accelerated investments in treatment workforce and quality of care.
• I'm going to defer to the Secretary of the Health Care Authority. Mr.
• I'm the General Manager at Affordable Solar. We've been around since 1997.

Bills: SB101, SB58, SB55

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB58, metropolitan redevelopment, redevelopment property, property tax exemption, payments in lieu of taxes, PILOT, municipal redevelopment, local government

Transcript Highlights:

• Individuals with sickle cell disease routinely report delayed care and inadequate pain management and
• Individuals with sickle cell disease routinely report delayed care and adequate pain management and provided
• I take care.
• continuing care of the department in extended foster care, who are under 21 will no longer need repeated
• or in the continuing care of the department in extended foster care who are under 21 will no longer

Bills: S0006, S0036, S0560, S0778, S0844, S0864, S1002, S1016, S1022, S1030, S1630

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• management.
• providing medical care.
• I think that you all are here because you care about access to health care for people.
• Our services we provide to acute care facilities, small and large health care acute care hospitals, and
• This is manageable.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.

Transcript Highlights:

• Yeah, in health care, we call it triage.
• care organizations.
• No, I don't care where they are otherwise.
• It just manages how these—” “It just manages how these drugs, the antiviral, antibacterial, and antibiotics
• They are providing care, and I don't want to put more on them. ...providing care, and I don't want to

Bills: SB1095, SB1114, SB1116, SB1162, SB1164, SB1178, SB1179, SB1249, SB1253, SB1346, SB1347, SB1446, SB1561, SB1813

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing

Summary: The committee first heard Senate Bill 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide. Sponsor Sen. Karen Werner described the bill as a response to fraud involving vulnerable Native Americans and said the county attorney would investigate the whole state. Some members questioned why the Attorney General was not handling the work and whether the funding should go to a county office, while others supported the effort. The committee voted 10-1 with one present to give SB 1114 a due pass recommendation. The committee then considered Senate Bill 1116, which would require that denials or adverse appeal decisions on behavioral health claims for the American Indian Health Program be reviewed by someone with at least two years of relevant clinical experience. Access testified neutral but said the bill’s language was too broad and could increase appeals and staffing needs, estimating about $490,000 for eight FTEs. Sen. Werner said the bill was meant to prevent inappropriate denials by reviewers without relevant expertise. Members raised concerns about definitions and staffing, and the committee approved the bill 7-4 with one present. Senate Bill 1346 would require Access to notify providers of claim deficiencies within 72 hours and decide corrected claims within 10 business days. Supporters said the measure would reduce long delays and help providers stay afloat; Access said it was working on process improvements but warned the bill would require more staff and system changes, estimating about $580,000. The committee passed SB 1346 7-5. Senate Bill 1347, requiring insurance coverage for fertility preservation services for cancer patients at risk of infertility, drew strong support from cancer survivors and advocates, with insurers neutral; the committee passed it unanimously 12-0. The committee also heard Senate Bill 1813, which would require Arizona State Hospital admissions to be based on clinical need rather than county of residence. Supporters argued the Maricopa County cap unfairly delays treatment and is not required by the underlying court ruling, while ADHS warned the bill could conflict with the Arnold v. Sarn settlement and could shift access away from rural counties. After extensive discussion, the committee passed SB 1813 9-2 with one present. Finally, the committee began hearing Senate Bill 1178, which would allow naturopathic physicians to administer IV antibiotics, antivirals, and antifungals; the initial testimony was largely opposed by medical associations on patient-safety and training grounds, with supporters yet to testify in the excerpt provided.

Transcript Highlights:

• of the case management system used to track the placement and location of children in DCS care.
• of the case management system used to track the placement and location of children in DCS care.
• Senate Bill 1821. in the care and custody of DCS is placed in kinship foster care Senate Bill 1821 deems
• This is simply a duty that is prescribed when we, as health care professionals, are taking care... ..
• .duty that is prescribed when we, as health care professionals, are taking care of patients and to break

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733, SB1192, SB1398, SB1399, SB1494, SB1557, SB1813, SB1821

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Summary: The committee took up several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law-enforcement notification rules for injured persons under 15; a Shamp amendment clarified that the bill does not limit existing liability protections, and the bill passed as amended. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months starting in 2027 and report eligibility data annually; Access testified neutral but raised concerns about costs and the lack of exemptions, while supporters framed it as a transparency and budgeting measure. The committee adopted a technical amendment and passed the bill as amended. SB 1399 would require prepaid capitated AHCCCS contractors to report annual spending on direct patient care versus administrative costs; it passed without amendment after testimony that the report would improve oversight of taxpayer dollars. The committee also considered SB 1494, a strike-everything amendment aimed at stopping patient brokering and steering, including prohibiting health care providers, institutions, and drug manufacturers from paying premiums or inducing plan changes tied to health-status factors. Blue Cross Blue Shield supported the concept, describing small-scale but harmful brokering and fraud concerns, while ARMA opposed the language as too broad and vague, warning it could chill ordinary provider-patient conversations and sweep in social workers and navigators. The committee adopted the striker and passed the bill as amended, though several members said they wanted to refine the language before floor action. SB 1813 would remove the Maricopa County cap on Arizona State Hospital civil beds tied to the Arnold v. Sarn settlement and require admission based on clinical need; the sponsor and supporters argued the cap is outdated and leaves beds unused while patients remain in crisis, while the Department of Health Services and others warned of rural access concerns, litigation risk, and the need for more resources. The committee adopted both amendments, including removal of a citizenship requirement, and passed the bill as amended after a lengthy debate about legality and possible court challenges. SB 1821, which would allow JLBC audit review of DCS case-management systems, authorize unannounced inspections of licensed group foster homes, prioritize kinship placements, and require one year of supervised training for new child safety workers, passed without amendment. SB 1557 would require signed informed consent before most medical interventions; supporters said it codifies standard practice, while the ACLU argued it was vague and could create burdens for ongoing care and politically sensitive treatments. The bill passed as introduced.

Transcript Highlights:

• the key ways we operate in this industry is helping our customers, and other industries as well, manage
• where the customer does not have enough staff to actually operate the facilities, we can provide managed

Bills: SB1041

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, 1182, all

Summary: The committee convened and announced that Senate Bill 1041 would not be heard, with the meeting limited to a presentation to keep the schedule moving. Brian Jenkins of Nalco Water, part of Ecolab, gave an informational presentation on the company’s work in the semiconductor industry, especially in Arizona. He described Ecolab’s role in helping chip manufacturers maximize production while reducing water and energy use, including data management, water reuse and recycle systems, and energy optimization for fabs. He also discussed anticipated semiconductor growth in Arizona, citing SEMI data projecting four additional fabs in the state over the next several years. Jenkins emphasized the high water and energy demands of semiconductor fabrication, explaining that fabs can use billions of gallons of water annually and that chip features have become extremely small, increasing the need for precise, resource-intensive manufacturing. He outlined technologies Ecolab uses to identify reusable water streams, model treatment options, and design and operate reuse systems, including treatment of hydrogen fluoride, CMP wastewater, and neutralized acid waste. He gave an example of a fab where Ecolab’s work reduced water consumption by 11 million gallons per year, cut contaminant discharge by 64%, and saved about $675,000 annually. Members thanked Jenkins for the presentation and referenced a prior tour of the facility. They discussed the importance of water conservation for Arizona’s growth in chip manufacturing and data centers, and encouraged follow-up conversations outside the meeting. Jenkins invited members to visit Ecolab’s facility in Naperville, Illinois. No votes were taken, and the meeting concluded after the presentation, followed by adjournment as the room was prepared for House members to join.

Transcript Highlights:

• So, Miss Somerfeld, be careful. have. So, Miss Somerfeld, be careful.
• :30.560> care.
• I was thinking like why just care.
• Um and I think this care about.
• Child care workers are taking care of our youngest Minnesotans.

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, 1183, house

Transcript Highlights:

• with uh relative foster care payments. with uh relative foster care payments.
• geographic barriers to child care. geographic barriers to child care.
• <00:50:57.839> truly of care, the care that they truly of care, the care that they truly deserve
• <00:59:52.720> They're very good care of them. They're very good care of them.
• OMBbuds for family child care providers. OMBbuds for family child care providers.

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, 1183, house

Transcript Highlights:

• I just don't care.
• I just don't care.
• My name is Taylor Avery, and I am the manager of political affairs for the Vegas Chamber.
• It'll also better prepare students for the demands of professional health care programs.
• , and the noncompetition covenants for certain providers of health care.

Bills: SB6, SB62, SB74, SB90, SB104, SB119, SB132, SB133, SB135, SB182, SB185, SB193, SB207, SB217, SB229, SB233, SB260, SB262, SB280, SB281, SB300, SB306, SB378, SB382, SB393, SB403, SB422, SB427, SB431, SB434, SB442, SB452, SB456, SB468, SB472, SB487, SB503, SB6

Keywords: cloud seeding, Nevada, water conservation, agriculture, Desert Research Institute, victim compensation, hate crimes, property remediation, criminal justice, vulnerable persons, elections, voter registration, mail ballots, candidate eligibility, cybersecurity, education funding, teacher grants, classroom supplies, instructional support, specialized personnel

Transcript Highlights:

• and manage long-term care.
• and manage long-term care.
• home care and manage long-term care. home care and manage long-term care.
• We're responsible for managing the care and then for the outcomes and providing the care.
• this is kind of functioning as a managed this is kind of functioning as a managed care<00:30:55.120

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

Keywords: county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services