Video & Transcript Research : 'State Soldiers Assistance Program'
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HI
Transcript Highlights:
- Yes, we are talking to the state of Alaska at the moment. >> Okay.
- Yes, we are talking to the state of Yes, we are talking to the state of Alaska<00:14:13.680>
at difference in what the in what the state difference in what the in what the state would<00:26:52.480- It includes our capital improvement program.
- state. Um available for any questions. state. Um available for any questions.
Keywords:
water carriers, transportation, public utility, Department of Transportation, liability, agricultural rates, certificates of convenience, cruise ship, passenger head fee, harbor, capital improvement, funding, environmental impact, active intelligent speed assistance, intelligent speed assistance, speed limiter, speed limiting device, speed governor, vehicle telematics, traffic safety
Summary:
The joint committees on Transportation, Labor and Technology, and later Transportation and Economic Development and Tourism, heard several bills. SB 2573 would allow administrative driver’s license revocation hearings to be held by interactive conference technology such as Zoom and permit electronic exchange of evidence. The chief adjudicator for the ADLRO supported it as a non-mandatory option that has worked well since 2021, improving attendance and saving time and money; DOT also supported it. The committees voted to pass SB 2573 with technical, non-substantive amendments.
SB 3215 would make permanent the requirement that securing mooring lines at commercial docks be performed by labor subject to collective bargaining by repealing the sunset date in existing harbor safety law. DOT did not submit testimony, and the chair noted support from longshore labor. The committees voted to pass SB 3215 unamended.
The committees also heard SB 2693, which authorizes $15 million in general obligation bonds for planning, design, and construction of a 50,000-square-foot aerospace hangar and related facilities at Hilo International Airport. A Phoenix Space executive testified in support, saying Hawaii and Hilo have geographic advantages and that the project could support aerospace investment and jobs; several other organizations and individuals submitted supportive testimony. Committee members questioned whether federal matching funds or airport capacity existed, and DOT said it had no assurance of federal participation and would need to check on capacity and potential users. The hearing then moved to SB 2698, which would create a cruise ship special fund and impose a per-passenger head fee on cruise ships docking in state commercial harbors while repealing the existing cruise ship TAT framework effective January 1, 2026. DOT supported the bill but requested amendments to clarify that the new fee is in addition to existing passenger, port entry, and dockage fees and to raise the fee from $6.50 to $10; DOT said the higher amount would better fund harbor improvements such as shore power. Norwegian Cruise Line Holdings testified in support but said the added fee would significantly increase costs, while a local ship supply business supported the cruise industry and opposed the TAT approach, saying cruise activity benefits local farmers and jobs. No final vote on SB 2698 was taken in the excerpt provided.
WY
Transcript Highlights:
- out across the state.
- not it's not expected out of the state. not it's not expected out of the state.
- the state took over. the state took over.
- maintenance and set programs together. maintenance and set programs together.
- the School Foundation Program account. the School Foundation Program account.
Keywords:
HB0034, Wyoming retirement system, Wyoming Retirement Act, firefighter retirement, public employee retirement, retirement benefits, state pension, wildland firefighting, wildland firefighter, crash and rescue, Wyoming National Guard, Office of State Lands and Investments, Wyoming Retirement Board, correctional forestry crew, correctional crew supervisor, correctional forestry crew manager, general fund appropriation, state agency employees, service credit, benefit eligibility
WY
Keywords:
HB0034, Wyoming retirement system, Wyoming Retirement Act, firefighter retirement, public employee retirement, retirement benefits, state pension, wildland firefighting, wildland firefighter, crash and rescue, Wyoming National Guard, Office of State Lands and Investments, Wyoming Retirement Board, correctional forestry crew, correctional crew supervisor, correctional forestry crew manager, general fund appropriation, state agency employees, service credit, benefit eligibility
HI
Hawaii 2026 Regular Session
AEN-TRS, EDT-AEN, AEN DEFER, AEN Public Hearings 02-13-2026
Agriculture and Environment
Transcript Highlights:
- of a reimbursement program and a grant program within DAB to assist certain farmers and livestock producers
- First up is DAB. program within uh DAB to assist certain program within uh DAB to assist certain farmers
- So, this state program would complement the federal program, and there is a need for it. Mahalo.
- SB 3256, establishing the Hawaii egg transportation assistance program, consists of a reimbursement program
- the Hawaii egg transportation assistance the Hawaii egg transportation assistance program<02:00:
Keywords:
biosecurity, Department of Agriculture, quarantine, Akamai Arrival Program, importation regulations, pests control, plant health, animal health, compliance mechanisms, environmental review, transportation projects, NEPA, state sovereignty, federal compliance, streamlining, Hawaii Department of Transportation, 912, senate, all
Summary:
The hearing began with SB 2709, which would require the Department of Agriculture and Biosecurity to establish rules to enforce the Okami arrival program and strengthen quarantine enforcement for plants, non-domestic animals, and microorganisms. The Department of Land and Natural Resources and the Hawaii Invasive Species Council supported the bill, as did DAB, saying it would improve biosecurity and make some provisions mandatory rather than optional. Alaska/Hawaiian Airlines supported the goal but raised concerns about language changing inspections from “may” to “shall” for aircraft, warning of possible federal preemption and operational conflicts unless the bill is clarified to align with federal aviation safety, security, and operational requirements. Committee members questioned DAB about inspection timing, scope, and compliance; DAB said the measure is intended to increase enforcement, improve form completion rates toward a 90% goal, and expand beyond airlines to other entry modes, while also noting plans to restore detector dog use and improve software/AI tools for processing forms. Decision-making on SB 2709 was deferred to February 17 at 3:02 p.m. in Room CR229.
The committees then took up SB 3154, an administration measure authorizing the Department of Transportation to assume certain National Environmental Policy Act responsibilities for highway, rail, public transportation, and multimodal projects, with the aim of streamlining environmental review. DOT supported the bill and explained that it would allow the department to work directly with federal resource agencies such as U.S. Fish and Wildlife and SHPO rather than routing everything through federal highways. After brief discussion, the Committee on Transportation voted to pass SB 3154 with technical amendments, and the AEN committee followed with the same recommendation; the measure was adopted with five votes in favor.
A later portion of the transcript shifted to SB 2374 on the blue economy. DBED said it supported the concept but noted that it already sits on many working groups and would need resources if a new working group is created. DBED suggested the committee could instead request research through a letter or memo, and said agencies including ADC, HTDC, and Agriculture had already begun internal discussions. Testimony in support came from IMUA Alliance, Hawaii Food Policy, and others, emphasizing the potential for blue economy ventures to support survivors, align with climate and cultural goals, and create economic opportunity. No final vote on SB 2374 appears in the excerpt.
TX
Transcript Highlights:
- advice, consent, and confirmation of the Senate with respect to the following appointments to the Texas State
- McCall, Jr. from Grapeland, Texas State Board of Executives, Examiners of Psychologists, Mr.
Keywords:
hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity
KY
Kentucky 2025 Regular Session
Juvenile Justice Oversight Council (11-7-25)
Transcript Highlights:
- to state.
- to state.
- to state.
- to state.
- to state.
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:09
State of the Judiciary: 00:02:33
The Corrections - KCTCS Reentry Program: 00:49:44
Update on 2022 RS SB 90: 01:27:49, 958, all
Summary:
The Juvenile Justice Oversight Council met with a quorum, approved the October 8, 2025 minutes, and welcomed guests including Marshall County Attorney Jason Darnall. The main topic was juvenile interrogation, with a presentation from Kentucky Youth Advocates by Courtney Downs and Shannon Moody. They said their organization is supporting a 2026 Blueprint priority requiring children to consult with an attorney before waiving Miranda rights, and they emphasized research on adolescent brain development, susceptibility to peer pressure and impulsive decision-making, and the risk of false confessions. They cited National Registry of Exonerations data showing high rates of false confessions among exonerated youth, especially younger children, and described approaches in other states such as Maryland’s Child Interrogation Protection Act, Indiana’s statute allowing certain adults to waive rights in some circumstances, and laws in other states requiring recording of interrogations or limiting deceptive tactics.
Members asked about trauma and adverse childhood experiences, whether the proposal would require attorney consultation in every juvenile interview, whether parents could instead be the ones consulted, and how such a rule would affect law enforcement investigations and juvenile accountability. Senator Carroll and others raised concerns about feasibility, delays, and whether juveniles might avoid accountability if attorneys are required before questioning. The presenters responded that they were focused on ensuring children understand their legal rights, that some states use age- or offense-based limits, and that parent consultation is another model used elsewhere, though they said a lawyer is best suited to explain legal rights and process. Members also discussed the role of the Department of Public Advocacy and whether legislative action or court decisions should address the issue. The council did not take final action on the policy, but requested additional materials, including the text of laws from Maryland, Indiana, and North Carolina, for further review.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Judiciary (11-6-25)
Transcript Highlights:
- accessible courouses across the state. accessible courouses across the state.
- While veterans state. Many of our buildings are state.
- social benefits programs. social benefits programs.
- past, uh, three years of the program. past, uh, three years of the program.
- into this program. into this program. >> Thank<01:51:02.560>
you.
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:09
State of the Judiciary: 00:02:33
The Corrections - KCTCS Reentry Program: 00:49:44
Update on 2022 RS SB 90: 01:27:49, 958, all
Summary:
The Interim Joint Committee on the Judiciary met on November 6, 2025, approved the minutes, and welcomed guests including Kentucky Specialty Courts manager Elizabeth Nichols and Boyle/Mercer Family Court Judge Bruce Petri. The committee then heard the Chief Justice of Kentucky, Deborah Lambert, deliver her state of the judiciary address, focused largely on judicial branch funding, facilities, technology, and specialty court programs.
Chief Justice Lambert said the branch is facing a projected $14.3 million shortfall for fiscal year 2026 and asked lawmakers for supplemental support, access to reserve funds, and higher base appropriations to cover inflation and nondiscretionary costs. She also requested a 15% across-the-board pay increase for judicial branch employees, citing salary gaps with other state workers and declining judicial compensation relative to national averages. She emphasized that the branch has received a clean FY 2025 audit and said the requests were intended to sustain current operations rather than expand them.
A major portion of her remarks covered court technology and facilities. She described the move to Chamberlain during Capitol renovations, the purchase of that building as a cost-saving measure, and the need to fund courtroom audio/video systems and a new statewide case management system. She also discussed courthouse maintenance, flood damage, mold issues, security system upgrades, and the $47 million asset preservation fund created last session, while asking for additional local facilities funding and one-time disaster-related support. Lambert highlighted specialty court and statewide program results, including foster care review boards, family recovery courts, court designated worker programs, drug and mental health courts, and the Judicial Commission on Mental Health. She thanked legislators for prior bills and support, including House Bill 1, Senate Bill 26, and the CES law, and said 2026 recommendations will focus on civil commitment reforms under KRS 202C.
During questions, Senator Wheeler asked whether some courthouses are being overbuilt; Lambert said most facilities are inadequate, though some may be larger than needed, and that future needs and population changes must be considered. She also noted that virtual hearings and technology have improved efficiency. No votes or formal committee actions were taken beyond approving the minutes and receiving the presentation.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Appropriations and Revenue (11-5-25)
Transcript Highlights:
- I'll clarify that with an example here, but expand the program slightly at the state level through regulation
- So the senior meal program assistance.
- We just incorporated that into the state program here, both the age and the disability aspects. >> So
- year<00:42:56.880>
uh <00:42:57.040>25 meal program in state fiscal year uh 25 meal - program in state fiscal year uh 25 and<00:42:57.760>
26.
Keywords:
Meeting Start 00:00:00
State Health Insurance Plans 00:00:03
Executive Branch Salary Schedule Adjustments 00:29:15
Nutrition Program for the Elderly 00:34:52
Update on DORIS 01:05:38, 958, all
Summary:
The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage.
The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements.
After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2026-04-16
Human Services Finance and Policy
Transcript Highlights:
- in our state. in our state.
- dollars from the state. dollars from the state.
- So, you've got red states, blue states, purple states — they're all much more well-resourced in terms
- <00:29:56.120>
states, <00:29:56.840>you states, blue states, purple states, you states - >
programs.
Bills:
HF4338
Keywords:
human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management
MN
Minnesota 2025 1st Special Session
House Children and Families Finance and Policy Committee 3/12/25
Children and Families Finance and Policy
Transcript Highlights:
- food assistance program, TFAP, throughout Minnesota.
- food assistance program, TFAP, throughout Minnesota.
- food assistance program, TFAP, throughout Minnesota.
- food assistance program, TFAP, throughout Minnesota.
- food assistance program, TFAP, throughout Minnesota.
Keywords:
child care, day care, child care center, licensing, license requirements, parent access, guardian access, custody order, court order, furnishings, equipment standards, learning materials, early childhood education, infant care, toddler care, preschool, school-age child care, play materials, sensory materials, gross motor equipment
NV
Transcript Highlights:
- Secretary of State will have until 2028. provisional ballots in our state.
- the Secretary of State will have until 2028. ...cards upon request, though the Secretary of State will
- So, for example, like my daughter, out of state, college student, a master's program, but she's still
- coalition as Silver State Voices and the Latin-Vat-N-Vo Coalition in strong coalition, as Silver State
- state of Nevada in all 17 counties.
Bills:
AB49, AB169, AB188, AB284, AB296, AB306, AB356, AB366, AB467, AB499, AB515, AB540, AB542, AB595
Keywords:
educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, health insurance, speech-language pathology, stuttering, rehabilitative services, habilitative services, coverage requirements, health plans, retired public employees, subsidy, Medicare, health reimbursement arrangement, Public Employees' Benefits Program
OK
Transcript Highlights:
- There is already a series of These linked programs in existence in state governments, some of them serve
- These linked programs are for small businesses.
- that pays kids' tuition, with this type of program that we're going to be one step closer to the state
- These are not new state dollars; this bill doesn't have a fiscal impact.
- It doesn't become the Oklahoma State taxpayers' building.
Keywords:
education funding, linked deposits, education infrastructure, charter schools, nonprofit organizations, Oklahoma Education Infrastructure Program, HB1242, cervidae, deer, elk, sales tax exemption, agricultural exemption, livestock, ranching, farm tax, agricultural sales tax, Oklahoma Tax Commission, agriculture, producer sales, private treaty
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 4/15/26
Commerce Finance and Policy
Transcript Highlights:
- The program, And it said it was shown in their state to be very cost effective.
- First, your earlier question there: more than a dozen states have similar grant programs.
- We were the first northern and cold-weather state in the country to pass a program.
- The most mature programs in the country are in Gulf Coast states.
- The state of Alabama was mentioned earlier. They have the oldest and largest program today.
Keywords:
healthcare, insurance, regulation, financial institutions, prescription drug affordability, consumer protection, restitution account, financial compensation, attorney general, distributions, property insurance, homeowners insurance, fire and allied lines, hail insurance, appraisal clause, loss adjustment, alternative dispute resolution, insurance claims, claim valuation, actual cash value
ND
North Dakota 2025-2026 Regular Session
Senate Workforce Development Apr 10th, 2025 at 10:00 am
Workforce Development
Transcript Highlights:
- And after reviewing it with counsel, we thought that because this is the program evaluation component
- Senator Hogan said thank you, and the DOGE program... Senator Hogan. Thank you.
- And we decided to put in Legislative Council program evaluation because we pass laws and we sometimes
- And so there will be DOGE and there will be Legislative Council program evaluations.
- But the protocols may be... ...be DOGE and there will be Legislative Council program evaluations, but
Bills:
HB1119
Keywords:
child care, childcare, day care, daycare, early childhood education, child care licensing, provider licensing, child care regulations, administrative rules, Department of Health and Human Services, HHS, licensing advisory committee, child care providers, group child care, preschool programs, child to provider ratios, square footage requirements, staff training, certification requirements, child care funding
Summary:
The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body.
Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment.
Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.
MN
Transcript Highlights:
- I love all the grow-your-own programs that we have in the state.
- State Grant programs but eligibility for State Grant programs but it<01:20:16.679>
clarifies < - But each state has different requirements for their Grow Your Own programs.
- A couple other programs that are a little bit different are the hiring bonuses, and that’s a state program
- A couple other programs that are a little bit different are the hiring bonuses, and that’s a state program
Keywords:
education, special education, apprenticeship, funding, grants, intermediate school districts, teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district
TX
Keywords:
military education, early registration, ROTC, corps of cadets, higher education, military academy, student athletes, name image likeness, compensation, intercollegiate athletics, representation, tuition assistance, military, Texas State Guard, education, mandatory fees, scholarship, Texas Armed Services, student access, academic records
TX
Keywords:
military education, early registration, ROTC, corps of cadets, higher education, military academy, student athletes, name image likeness, compensation, intercollegiate athletics, representation, tuition assistance, military, Texas State Guard, education, mandatory fees, scholarship, Texas Armed Services, student access, academic records
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 14th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- Those 38 states, both blue states and red states, have a statute where they could do that.
- Everybody knows I've been opposed to that state question. I voted against the state question.
- I'm planning on the state being able to manage this program a little better than what we can right now
- This is what 38 other states do. Blue states, red states. This is not something new.
- Medicaid program.
Bills:
HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352
Keywords:
firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 14th, 2026 at 09:30 am
Oklahoma Senate Floor Meeting
Transcript Highlights:
- And as we thank as we do the business of this state, we pray that we will also be diligent in our service
- She's a friend, but this is about the yearbook program that they have at Westmore.
- The Westmore yearbook program competed in the 110th Oklahoma Scholastic Falledia Day.
- It is the state championship of journalism.
- Assistant superintendent at Westmore, Matt Thornton, career tech teacher.
Bills:
HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352
Keywords:
firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient
OK
Oklahoma 2026 Regular Session
Health and Human Services REVISED Apr 13th, 2026 at 02:00 pm
Health and Human Services
Transcript Highlights:
- I think we need to do as a state.
- It does not create a new state program or appropriate state funds. Therefore, the...
- You said other states are funding this as well, ma'am.
- United States, that have active legislation.
- Coverage applies only within the scope of state employment.
Bills:
HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647
Keywords:
dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation