Video & Transcript : 'facility operations' :

Page 133 of 500
CA
Transcript Highlights:
  • , and Amy Jenkins on behalf of the California Cannabis Operator Association as well.
  • Unfortunately, at this point, many licensed operators are saying the same thing: the most compliant operators
  • For small equity operators, this is not abstract.
  • living facilities, and patients needing medication and enteral nutrition for home use.
  • living facilities, and patients needing medication and internal nutrition for home use.
Summary: The Assembly Business and Professions Committee heard a long agenda of bills, with several cannabis-related measures drawing the most testimony. AB 1598 would extend and standardize licensing timelines for behavioral health professionals, AB 1850 would clarify that real estate wholesalers are subject to licensure and disclosure rules, AB 1794 would allow enteral formula to be shipped directly to patients’ homes, and AB 2402 would update an old cap on fees for multi-service health club studios. The committee also heard AB 1990 on compounded GLP-1 drugs, AB 2249 on cannabis packaging attractive to children, AB 2532 on cannabis beverage serving sizes, AB 2537 on prioritizing cannabis enforcement, and AB 1826 on due process protections for cannabis businesses facing embargoes or recalls. Testimony was generally split between public health or consumer-protection advocates and industry representatives. Supporters of the cannabis bills argued for clearer rules, better consumer safety, and more predictable enforcement, while opponents warned that some proposals could overreach, burden compliant businesses, or restrict legitimate branding and access. On AB 1990, supporters said compounded GLP-1 products need stronger testing and truthful advertising, while pharmacists and compounding advocates said existing law already covers much of the conduct and that the bill could create access problems. On AB 2249 and AB 2532, public health witnesses emphasized risks to children and accidental overconsumption, while industry groups sought narrower language and more implementation time. The committee took several roll-call votes after quorum was established. AB 2249, AB 1826, AB 2402, AB 1794, and AB 2532 were all approved and sent to Appropriations, and AB 1826 was sent to Judiciary. The chair and members repeatedly noted accepted committee amendments and, in several cases, said they were prepared to support the bills with those amendments. Some measures were left open or held pending further action as the hearing continued.
HI
Transcript Highlights:
  • </c> and maintenance in uh of that facility and maintenance in uh of that facility there<00:43:49.319
  • Yes, this is an operating request. Yes, this is an operating request. Okay, all right.
  • </c><01:50:22.040><c> or</c> for long-term care operations or for long-term care operations or something
  • </c><03:01:26.040><c> um</c> so that's one of the ca of operating um so that's one of the ca of operating
  • not going to be able to operate so we're not going to be able to operate so we're going<03:49:56.720>
Committee: House Finance
FL

Florida 2025 Regular Session

Senate in Session Apr 28th, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • Army and all forces in the Special Operations Command.
  • And I know there was a lot of conversation on the nurse, on the assisted living facilities.
  • Inadvertently, there were a couple of inconsistencies that relate to how timeshares operate.
  • Inadvertently, there were a couple of inconsistencies that relates to how timeshares operate.
  • Shall govern the management of timeshare facilities.
Summary: The Senate convened with prayer, the Pledge of Allegiance, and several recognitions, including remarks from Senator Berman outlining Democratic priorities such as education, health care, environmental protection, and opposition to rollbacks on child labor, book access, and gun safety. The chamber also recognized military guests and an intern before moving to the special order calendar. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, Medicaid oversight at one point in the flow, and mammogram coverage, though the Medicaid oversight bill was later taken up and passed. The Senate passed a series of bills, often after substituting House companions and adopting technical amendments. Among the major measures approved were the dangerous dogs bill (the Pam Rock Act), which tightened penalties and procedures after fatal attacks; a local government land regulation bill that streamlined comp plan review and defined impact-fee circumstances, though members raised concerns about quasi-judicial hearing limits and local costs; a vessel-related bill combining boating safety and voter-freedom provisions; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act; fleeing and eluding penalties; concealed carry and firearm possession rules for certain officers and service members; timeshare management reforms; and public education on background screening requirements. The chamber also approved bills on disability history and awareness instruction, manufacturing and a related fee bill, utility service restrictions, educational opportunities for military children, health facilities authorities, and veteran and spouse nursing home beds. The disability instruction bill drew extended debate about the use of the term “disability,” inclusion, and whether the measure was consistent with broader DEI debates; it passed unanimously after emotional testimony from the sponsor and families. The manufacturing and utility bills focused on statewide economic policy and preemption of local restrictions, while the military children bill was presented as a student-driven proposal. Most measures passed with strong bipartisan support, with recorded votes ranging from unanimous to 33-3 on the firearm bill and 26-8 on the land regulation bill.
NH

New Hampshire 2025 Regular Session

House Finance Division I (03/07/2025)

Transcript Highlights:
  • Yes, this would be any facility, whether it's a landfill, an incinerator, or even a transfer facility
  • Yes, this would be any facility, whether it's a landfill, an incinerator, or even a transfer facility
  • Yes, this would be any facility, whether it's a landfill, an incinerator, or even a transfer facility
  • It is a permit fee to operate for operators of drinking water systems, and we were seeking to get rid
  • It is a permit fee to operate for operators of drinking water systems, and we were seeking to get rid
Summary: The committee heard a presentation from the Department of Environmental Services on proposed changes in House Bill 2 and related technical changes in House Bill 1 tied to the governor’s permitting realignment initiative. The proposal would move environmental review staff from Fish and Game and DNCR to DES to create a more centralized “one-stop shop” for applicants needing DES permits, especially for wildlife and natural heritage reviews. DES said the goal is to speed permitting, support a 60-day review clock, and improve coordination among agencies while keeping the substantive review work in place. Members asked about staffing impacts, the scope of the transferred duties, and whether the change would create redundancy or weaken the other agencies. DES said most of the affected staff work primarily on these reviews, though Fish and Game staff also handle other state and federal reviews, which is why the proposal was adjusted to keep one of the four Fish and Game positions there and move three to DES, along with two positions from DNCR. DES also described a new supervisory position in HB 2 to manage the transferred staff within its land resources bureau. Officials said the reviews would still be done by specialists, but under DES supervision, and that the agencies would continue to coordinate recommendations on species impacts and mitigation. The committee also discussed fee increases intended to offset costs, including a 50% increase in wetlands fees and a 100% increase in alteration-of-terrain fees, with the department saying the changes would cover the new positions. Members raised concerns about impacts on private homeowners, possible incentives to work without permits, and whether fines should be used more as a revenue source or for mitigation. DES said wetlands permits are roughly split between homeowner-related and commercial projects, that permit-by-notification already creates a two-tier structure for smaller projects, and that enforcement relies partly on public complaints and online permitting systems. The department also said most fines currently go to the general fund and vary widely year to year, with about $75,000 budgeted, and that the proposal would also create permit-by-notification authority for alteration-of-terrain projects between 100,000 and 150,000 square feet, mirroring language in Senate Bill 110. No vote or final committee action was taken in the portion provided.
FL

Florida 2026 4th Special Session

January 20, 2026 - 03:30 PM

Transcript Highlights:
  • Is that an actual title that you could identify the person in each one of those facilities?
  • Absolutely, they want him to operate there.
  • I do remember that we just does need some territory in Homestead for spaceport operations.
  • So, oversight with operational oversight, including things like master planning.
  • Chair. >> Oversight with operational oversight, including things like master planning.
Summary: The Economic Infrastructure Subcommittee met to consider several bills, beginning with HB 335 by Representative Kendall, which sought to recognize space as a fifth mode of transportation, give voting rights to ex officio Space Florida board members, and reduce what the sponsor described as unnecessary state oversight of spaceport operations. The bill was presented as a response to feedback from NASA, Space Force, and other federal partners about clarifying the state’s role at federally owned facilities like Kennedy Space Center. Members raised questions about terminology, authority over federal property, and the role of Space Florida; the sponsor said an amendment would remove the voting-rights provision and instead require spaceports to provide an annual list of shovel-ready projects. The amendment was adopted, and HB 335 passed favorably. The committee then unanimously passed HB 885, which designates a road in Baker County near the courthouse in honor of former Representative and Judge John Cruz, and HB 403, which names a portion of the road leading into NAS Pensacola as Warriors Way to honor the sailors killed in the 2019 Pensacola attack and the broader naval community there. Both bills drew brief supportive remarks and no opposition. The committee also considered HB 25, a bridge designation for Coach Wilks, a longtime local basketball coach, and adopted a Senate amendment adding the Dickey Betts Memorial Highway designation on U.S. 41 in Sarasota County. HB 25, as amended, passed unanimously. The meeting concluded with adjournment after all measures on the agenda were reported favorably.
NH

New Hampshire 2025 Regular Session

Senate Judiciary (01/28/2025)

Judiciary

Transcript Highlights:
  • </c> and a class B felony if such operation and a class B felony if such operation results<00:18:09.240
  • </c> Flight a Class A fony if such operation Flight a Class A fony if such operation causes<00:18:16.799
  • </c><00:18:27.720><c> a</c> misdemeanor if the person operates a misdemeanor if the person operates a
  • , and a Class B felony if such operation is done with the purpose of delivering contraband into the facility
  • , and would fly over our facility.
Committee: Senate Judiciary
NH
Transcript Highlights:
  • And you'll see that operating budget.
  • </c> designated receiving facilities. Wow. designated receiving facilities. Wow.
  • And uh the New Hampshire facilities.
  • </c> to the designated receiving facility. to the designated receiving facility.
  • </c> or transport to a facility or transport to a facility can<00:50:14.400><c> be</c><00:50:14.640><
Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.
CA

California 2025-2026 Regular Session

Assembly Aging and Long-Term Care Committee Jun 24th, 2025

Aging and Long-Term Care

Transcript Highlights:
  • board rate protections for participants in the Assisted Living Waiver and CalAIM Assisted Living Facility
  • Recently some facilities and all assisted living program participants to keep a personal needs allowance
  • One report being charged $1,480 by her ALW facility from her monthly income of $1,500.
  • Facility Transitions Community Support, which is not included under that waiver.
  • Additionally, for child care facilities and adult day health facilities, which are paid based on daily
MN

Minnesota 2025-2026 Regular Session

Committee on Education Finance - 04/10/25

Education Finance

Transcript Highlights:
  • </c> that they need to be able to operate. that they need to be able to operate.
  • There's no adjustment for any other element of the facility that that charter school is operating in.
  • <00:24:47.840><c> for</c> previous facility maintenance for previous facility maintenance for charter
  • that that charter school is facility that that charter school is operating<00:25:34.000><c> in.
  • And as as others have operating in.
Bills: HF2433
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 5th, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • Quick background is the state operates at a number of dedicated accounts.
  • rather than a JR facility.
  • The average cost per individual in a juvenile facility is $291,000.
  • The average cost per individual in a juvenile facility is $291,000.
  • equally in the two accounts, which are operating and capital accounts.
LA

Louisiana 2026 Regular Session

Administration of Criminal Justice Mar 24th, 2026

Administration of Criminal Justice

Transcript Highlights:
  • So we had an inmate who was operating... Prisons.
  • So we had an inmate who was operating an illegal gaming operation for multi-millions of dollars, over
  • There are others as far as online illegally, especially with online operators operating offshore or that
  • constitutes reckless operation of a vehicle.
  • constitutes reckless operation of a vehicle.
Summary: The Criminal Justice Committee met on March 24, 2026, and heard a series of bills, with members generally expressing support for measures aimed at public safety, corrections, and criminal procedure. The committee first amended and reported HB 957, which removes the 72-hour advance notice requirement for sheriffs transferring prisoners, while adding notice to the prosecuting authority as well as the court. Testimony from the Louisiana Sheriffs Association said the change would help with overcrowding and security-related inmate moves, and the bill was reported favorably as amended. The committee then heard HB 106, which prohibits giving children non-prescription melatonin without parental consent. After debate over whether consent should be written, the committee rejected an amendment requiring prior written consent, but adopted a broader amendment making the bill apply to any person rather than only child care centers. Testimony from Gretna Police Chief Brett Lawson described a case involving a nanny and a one-year-old child, and child care representatives said licensed centers already require parental consent forms. HB 106 was reported favorably as amended. The committee also reported HB 111, which adds associate’s degrees to the existing sentence-reduction credits for incarcerated people who complete higher education programs; DOC said the programs are accredited and monitored, and supporters framed the bill as part of workforce reentry. Several other bills were advanced. HB 64 clarifies that judges may recall arrest warrants and requires notice to law enforcement when a warrant is recalled; former Rep. Joe Marino testified in support, describing problems with old or mistaken warrants remaining active. HB 53 adds certain gambling offenses as predicate acts under Louisiana’s racketeering law, with the Attorney General’s office citing illegal gambling operations and prison-based gambling rings. HB 152 updates the state controlled dangerous substances schedules to match federal changes, adding 13 opioids. HB 102 creates second-degree cruelty to elderly persons and persons with infirmities, with amendments adding the offense as a predicate felony and refining the penalty and affirmative-defense language; the bill drew emotional testimony from advocates and family members describing abuse and neglect of vulnerable adults, and it was reported favorably as amended. The committee also reported HB 137, which strengthens penalties for threats against schools and adds a civil cost component for false threats; the Speaker Pro Tem said the bill is meant to deter school threats and reduce disruption and emergency response costs. HB 57 was reported favorably to clarify that courts may consider criminal histories in ex parte temporary restraining order proceedings. HB 337 increases from two to four the number of special charitable bingo events allowed each year for licensed nonprofits. Finally, HB 100 was substantially amended so that driving 100 mph or more is treated as reckless operation rather than a new felony speeding offense, and HB 155 expands the prohibition on unlawful drone use to additional Capitol grounds locations; both were reported favorably as amended. The committee adjourned after reporting all measures favorably, with several bills supported by law enforcement, prosecutors, and advocacy groups and a few receiving limited opposition or informational cards.
CA

California 2025-2026 Regular Session

Assembly Natural Resources Committee Apr 6th, 2026

Natural Resources

Transcript Highlights:
  • From startup to operation and eventual decommissioning, all nuclear facilities require exhaustive safety
  • We're advocating that we don't need to continue to operate under that moratorium.
  • So just like we are doing in Oak Ridge, Tennessee, we have a facility.
  • We have a Part 70 application to build what's called a Category 2 fuel facility.
  • Do we use your facility in Oak Ridge?
CA
Transcript Highlights:
  • care facilities for the developmentally disabled.
  • Jennifer Snyder, on behalf of Flagstone Healthcare, which operates 70 skilled nursing facilities in the
  • It's a rehab facility. It's a national rehab facility.
  • It's a national rehab facility that services all populations.
  • And it would operate similarly.
Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
NM

New Mexico 2026 Regular Session

House - Commerce and Economic Development Jan 28th, 2026 at 02:54 pm

House Commerce & Economic Development Committee

Transcript Highlights:
  • And we have very rapidly expanded that facility.
  • Yet these assets operate in parallel rather than in concert.
  • Yet these assets operate in parallel rather than in concert.
  • I think it hovers around 20, but a lot of them are, like I said, DOD facilities.
  • And so having a... ...facilities.
HI

Hawaii 2025 Regular Session

WAM-LBT, WAM-TCA, WAM-HHS Informational Briefings 01-16-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • </c> Congress especially as our operations Congress especially as our operations are<01:34:08.920><c>
  • </c> extended Boom for maintenance facilities extended Boom for maintenance facilities to<02:14:50.599
  • as well as non-airport or operations as well as non-airport or Aviation<02:20:56.240><c> operations<
  • the car rental facility.
  • </c> will provide maintenance and operations will provide maintenance and operations so<03:21:50.680>
WA

Washington 2025-2026 Regular Session

Senate Housing Feb 25th, 2026 at 10:30 am

Housing

Transcript Highlights:
  • This allows cities and planning counties to review operation plans for step housing, including but not
  • policies or procedures, unless it can be demonstrated through the operation plan that a lower level
  • I really appreciate the point that we want a partnership and that we should have operational oversight
  • There are lots of ways we make sure that there is operational oversight, but adding it back into the
  • But if we're going to have these particular types of facilities, these homes in residential neighborhoods
Bills: HB2664
Committee: Senate Housing
OK
Transcript Highlights:
  • Really, then, that $63 million in addition to that $40 million dollar base, that $16 million operational
  • using our cash corpus and operating funds for the last three months.
  • We run Inpatient facilities for acute mental health.
  • So when we say we run these inpatient facilities, right? We've got a whole bunch of beds.
  • This commitment is reflected in several recent technological and operational advancements.
MA
Transcript Highlights:
  • Some of you may have these types of facilities, and I know I have one, an Erickson facility, in my community
  • There are currently 29 CCRCs operating in Massachusetts, and three quarters of those are operated by
  • OCES funded a hotel stay until we were able to find a short-term nursing facility.
  • Because of the aging and place facilities of our Because of the aging-in-place facilities of our Two
  • See our facility in person, please.
Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.
MN

Minnesota 2025-2026 Regular Session

House Veterans and Military Affairs Division 2/12/25

Veterans and Military Affairs Division

Transcript Highlights:
  • </c><00:20:18.440><c> Safety</c> murder of George Floyd Operation Safety murder of George Floyd Operation
  • </c> and if we don't have the facilities and if we don't have the facilities necessary<00:30:50.679><
  • :52.399><c> of</c> necessary to support the operations of necessary to support the operations of fighters
  • We have 24-hour operations.
  • </c><01:37:25.960><c> in</c> homes and also continue operations in homes and also continue operations
WA

Washington 2025-2026 Regular Session

Senate Early Learning & K-12 Education Jan 22nd, 2026 at 10:30 am

Early Learning & K-12 Education

Transcript Highlights:
  • When an individual submits a permit as required by the city or county to operate a licensed child care
  • Previous operators had retired, and they leased the center.
  • It connects providers to DCYF navigators who guide them through licensing, facility requirements, and
  • Facility development can be complex, it can be costly, and if we want to make child care available for
  • Facility development can be complex, it can be costly, and if we want to make child care available for