Video & Transcript Research : 'dementia services program'
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TX
Texas 89th Regular
Press Conference: Lt. Governor Dan PatrickRegarding progress on Senate priorities for the 89th Legislative Session. Apr 3rd, 2025
Texas Senate Floor Meeting
Bills:
SJR 12, SCR 39, SB 27, SB 29, SB 241, SB 406, SB 414, SB 464, SB 568, SB 578, SB 609, SB 660, SB 689, SB 693, SB 785, SB 857, SB 879, SB 921, SB 922, SB 955, SB 985, SB 993, SB 996, SB 1008, SB 1035, SB 1036, SB 1059, SB 1098, SB 1120, SB 1122, SB 1147, SB 1188, SB 1197, SB 1209, SB 1227, SB 1245, SB 1267, SB 1307, SB 1321, SB 1332, SB 1386, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1537, SB 1596, SB 1610, SB 1664, SB 1741, SB 1814, SB 1822, SB 1841, SB 1948, SB 2065, SB 2155, SB 2188, SB 2230, SB 2406, SB 2407
Keywords:
parental rights, education, constitutional amendment, school choice, child education, business organization, internal management, corporate governance, partnerships, liability reduction, public camping, homelessness, local governance, enforcement, state authority, local entity, complaints, housing, public safety, birth certificate
MN
Transcript Highlights:
- This public facility will provide early intervention services, intensive special education programming
- services buildings.
- The only program we're aware of is the MPCA CAP grant program, or capital assistance program.
- The only program we're aware of is the MPCA CAP grant program, or capital assistance program. infrastructure
- CAP grant program or capital assistance CAP grant program or capital assistance program.<00:45:01.119
Bills:
HF4680, HF4047, HF4590, HF3757, HF3569, HF4507, HF4426, HF4927, HF4788, HF4757, HF4747, HF3561, HF4014, HF4013, HF4689, HF4766, HF4589
Keywords:
wastewater treatment, improvements, capital investment, Greenfield, bonds, water treatment, infrastructure, municipal funding, state bonds, public utilities, HF4590, Tamarack, municipal infrastructure, bonding bill, general obligation bonds, Public Facilities Authority, sewer system, collection system, street reconstruction, local infrastructure
AL
Alabama 2026 1st Special Session
Alabama House Ways and Means General Fund Committee Feb 25th, 2026
Ways and Means General Fund
Transcript Highlights:
- ,<00:13:28.480>
your you're left out of this program, your you're left out of this program - If you participate in the program, you don't pay balance billing.
- Office of Prosecution Services 1,92,000. Office of Prosecution Services 1,92,000.
- And then Department of Senior Services,<00:21:26.559>
500,000. - Miss Hall left, but Services, 500,000.
Keywords:
teachers retirement, credit purchase, St. Clair County, DAY Program, pension reform, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, HB444, vaccines, vaccine exemption, religious exemption, religious liberty, private school, church school, faith-based school, parochial school, school immunization
AZ
Transcript Highlights:
- for the Promise Program.
- of the Promise Program.
- would be the Arizona LEAP Program, the Community College Promise Program, the Arizona Promise Program
- It's a government-funded program.
- Ending the program. We're not changing the program. We're not telling them what to do.
Bills:
HB4138, HB4139, HB4140, HB4141, HB4142, HB4143, HB4144, HB4145, HB4146, HB4147, HB4148, HB4149, HB4150, HB4151, HB4152, HB4153, SB1831, SB1832, SB1833, SB1834, SB1835, SB1836, SB1837, SB1838, SB1839, SB1840, SB1841, SB1842, SB1843, SB1844, SB1845, SB1846
Keywords:
appropriations, education funding, health care, general fund, state budget, local funding, gaming, pari-mutuel, horse racing, regulatory assessment, first-time starters, budget implementation, federal funds, government services, budget stabilization, financial reporting, capital outlay, infrastructure, veterans services, highway construction
Summary:
The committee met in a special joint appropriations session to review the FY 2027 budget package, including House Bill 4138 and Senate Bill 1831, the general appropriations or “feed” bills. Staff described the budget as including a one-time transfer of state funds, a 5% lump-sum reduction to most agencies’ discretionary general-fund budgets, continued funding for the state health insurance plan and school facilities, and various one-time restorations or reversions of prior appropriations. Members spent much of the meeting clarifying how the 5% reductions would work, noting that formula and mandatory funding such as K-12 basic aid are excluded, while the governor’s executive branch would decide how to implement the cuts within agencies. The chair repeatedly emphasized that the committee was not specifying line-item cuts and that agencies would have discretion over implementation.
A large portion of the discussion focused on the practical effects of the budget on universities, public safety, health care, rural programs, and fund sweeps. Arizona Board of Regents and university representatives said the proposed reductions would amount to more than $85 million statewide and could affect programs such as the Arizona Promise Program, Teachers Academy, and tuition freezes, though no specific program cuts were written into the bill. Other testimony raised concerns about fund sweeps from encumbered balances, including university research funds, housing trust funds, utility regulation funds, and ADOT-related accounts, with some members warning about possible impacts on rural infrastructure and federal matching dollars. The committee also discussed the state employee health plan, including a $228 million general-fund infusion and proposed employee premium increases over three years, as well as questions about corrections, forestry and fire management, and rural critical access hospitals.
Public testimony was largely opposed to the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, health care, and local government argued that the package would reduce support for education, housing, SNAP, health care access, and rural communities while preserving tax benefits for data centers and wealthy taxpayers. A mayor from Globe described severe flood damage and asked for state help for a flood relief fund, while a motorcycle safety advocate questioned a proposed transfer from the motorcycle safety fund. Committee members debated whether the budget’s effects should be described as speculative or as likely consequences of the broad cuts, and several exchanges became contentious over comparisons to the Great Recession and references to federal tax policy. The meeting ended with continued public testimony and no final vote taken in the portion provided, though leadership had earlier said the committee planned a mass roll-call vote on all the bills at the end.
TX
Keywords:
Lake Houston, dredging, maintenance district, flood control, environment, public works, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code, unincorporated areas, right-of-way, public highway, parking lot, livestock sales, live animals, vendor regulation
Summary:
The Senate Local Government Committee briefly convened and then immediately moved to recess. Senator Paxton made a motion to recess subject to the call of the chair, which was accepted.
No bills, testimony, or substantive policy issues were discussed during the meeting. With no other business before the committee, it stood in recess subject to the call of the chair.
TX
Transcript Highlights:
- Having a bedroom community taxing only residential properties to supply all the services that we have
- And so basically this would be a way to try to collect grants for brain and memory care services to the
- takes into account stakeholder feedback and does the following: It removes the broadband internet service
- Police and other emergency services, and community amenities that provide the stability and safety of
- That's service, right? Yes. Okay. It's impressive. That should be at the very front. Very front.
Keywords:
Lake Houston, dredging, maintenance district, flood control, environment, public works, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code, unincorporated areas, right-of-way, public highway, parking lot, livestock sales, live animals, vendor regulation
Summary:
The committee heard and discussed several local-government-related bills, mostly with committee substitutes. House Bill 2731 would let certain border counties regulate roadside vendors selling live animals in unincorporated areas and along public rights-of-way; the substitute narrowed the bill to live animal sales only and excluded livestock and other roadside commerce. House Bill 3483 would streamline TCEQ review of special utility district revenue bonds by removing tax-bond requirements that do not apply to SUDs. House Bill 4308 would create a county industrial development district framework, limited in the substitute to certain counties including Fort Bend County, to help finance industrial sites and related infrastructure. House Bill 5663 would create a Wood County Hospital District memory-care-focused district with no taxing power, intended to help pursue grants and other funding for a new facility. House Bill 4582 addressed attainable housing in Dallas and Tarrant counties, allowing local reimbursement tools for developers under a uniform, optional framework. House Bill 5509 would let municipalities suspend or revoke a hotel’s certificate of occupancy if law enforcement and a criminal court both find probable cause of human trafficking, with the substitute adding due-process protections. House Bill 1532 created a Lake Houston dredging and maintenance district funded by revenue from dredged material sales and revenue bonds, with no taxing authority or eminent domain. House Bill 23, heard as pending business, would revise the process for local governments to rescind development documents and adjust third-party reviewer liability and eligibility rules. House Bill 4580, concerning property tax exemptions for charitable organizations such as the Houston Rodeo, was amended to remove language about exempting revenue from property use and instead focus on land used for agricultural, youth, and educational support.
Public testimony was generally supportive on the bills heard, with witnesses including county officials, utility and water association representatives, hotel industry representatives, and housing developers. Several speakers emphasized the need for faster financing or permitting tools, flood mitigation, housing affordability, anti-trafficking enforcement, or local economic development. Some members raised concerns about scope, precedent, consultation with affected senators, and due process, particularly on House Bill 4582 and House Bill 5509, but the committee largely accepted the committee substitutes as improvements. No public testimony was offered on several bills, and most measures were left pending before later being voted out.
The committee took recorded votes on multiple pending bills and reported them favorably, often with committee substitutes adopted in lieu of the filed versions. House Bills 1532, 2731, 3483, 5509, 5663, and 4580 were reported out, with 1532 and 5663 passing unanimously and 3483, 2731, and 5509 also receiving favorable votes despite one present-not-voting on 3483. House Bill 23 and House Bill 4582 were left pending subject to call of the chair. The committee then recessed until adjournment or later.
MN
Transcript Highlights:
- client service. Thank you. client service. Thank you.
- Has has that communication services.
- Um, this is a band-aid on a program.
our <00:18:38.400>uh <00:18:38.640>projected program.- I believe our uh projected program.
Keywords:
Department of Corrections, DOC, corrections budget, supplemental appropriation, deficiency funding, public safety finance, incarceration, prerelease services, community supervision, postrelease services, supervised release, probation, reentry, reentry services, prison reform, body-worn cameras, corrections officer cameras, ARMER radio system, PREA, Prison Rape Elimination Act
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 3 Feb 4th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- Coach Parnell said that his training program is threatening Each one of them with a stick.
Bills:
HB3840, HB3431, HB4422, HB4117, HB4300, HB4298, HB2984, HB3344, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951, HB3469, HB3173, HB3287, HB2947, HB3784, HB3901, HB4275, HR1031, HB4359, HB4115, HB3467, HB2978, HB3026, HB3032
Keywords:
foreign ownership, land acquisition, military installation, critical infrastructure, affidavit requirements, state law, penalties, Attorney General, foreign ownership of land, foreign adversary, foreign government adversary, foreign government enterprise, foreign government entity, foreign terrorist organization, specially designated national, SDN, FTO, critical minerals, land ownership, real property
OK
Oklahoma 2026 Regular Session
Senate Legislative Session May 4th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Bills:
SR28, SB201, SB1379, SB1525, SB1966, SB2112, SB2170, HB2749, HB3262, HB3265, HB3673, HB3781, HB3040, HB3076, HB3369, HB3982, HB3462, HB3465, HB3521, HB3796, HB3800, HB4095, HB4298, HB4316, HB4338, HB4408, HB4454
Keywords:
minimum salary, education funding, teacher compensation, Oklahoma education, salary schedule, human trafficking, victims, prevention, support services, Attorney General, pilot program, grant funding, SB1525, tourism, recreation, conference, Oklahoma Tourism and Recreation Department, Oklahoma Tourism and Recreation Commission, special agency account, private partnerships
AZ
Transcript Highlights:
- peace officers may contract with a screening agency or evaluation agency to provide the personal service
- and clarifies that an evaluation agency or screening agency may only receive reimbursement for the service
- peace officers may contract with a screening agency or evaluation agency to provide the personal service
- After the Senate's floor amendment, the bill effectively created a new line of service: the service of
- This includes the service of these documents, what they'll cost, how it will be undertaken, and more.
Keywords:
mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial
Summary:
The committee heard and advanced a series of health and human services bills, with most receiving unanimous or near-unanimous support. SB 1113 would allow screening or evaluation agency employees, under contract with a county, to personally serve court documents in involuntary mental health proceedings instead of requiring police officers; supporters said it would reduce burdens on law enforcement and be less disruptive for patients. An amendment clarifying county contracts and reimbursement was adopted, and the bill passed 12-0. SB 1122 would limit AHCCCS from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; AHCCCS was neutral and said it could implement the bill with additional staffing, and it passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during the period before board exam results are available; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve communication on tribal children in state care; DCS said it was already working on several pending MOUs, and the bill passed 12-0.
The committee also approved several bills related to cancer screening and mental health. SB 1165 would prohibit cost-sharing for diagnostic and supplemental breast cancer screening services in the commercial market; the sponsor and advocates said it would remove financial barriers that delay diagnosis, and it passed 12-0 amid personal testimony from members and the chair. SB 1243 would require notice to a patient’s guardian before discharge from court-ordered treatment and allow guardians to seek continuation of treatment; supporters said it closes dangerous gaps when treatment orders expire, and it passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling changes; supporters said it would speed access to new treatments, while one member voted no over concerns about relying on federal review, and it passed 8-2.
Additional bills addressed privacy and assisted-living referrals. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent, while still allowing de-identified data; the sponsor’s representative said the bill arose after DHS said vendor access to licensee data was not prohibited, and members discussed whether broader privacy protections should apply to other workers as well. It passed 10-0 with two absent. SB 1477 would require referral agencies serving assisted living facilities or homes to verify background-screening practices, maintain insurance, and provide documentation regarding APS registry status; the bill’s supporters said it raises standards for senior placement services, a technical amendment was adopted, and the bill passed 10-0 with two absent.
TX
Bills:
SR5, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SR5
Keywords:
redistricting, Senate procedures, public input, Texas Legislature, amendments, Texas Senate, congressional districts, legislative procedures, legislative transparency, Senate rules, public hearings, committee procedures, hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes
TX
Transcript Highlights:
- to get on, where you're either going to have line-of-sight wireless, or you're gonna have gaps in service
- , or you're gonna have to get on Elon Musk's satellite service.
- I'm sure there are still areas in Texas where there is no internet service, but those folks also would
- conference center or that hotel or wherever you were holding them at, we had trouble getting... continual service
Bills:
SR5, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SR5
Keywords:
redistricting, Senate procedures, public input, Texas Legislature, amendments, Texas Senate, congressional districts, legislative procedures, legislative transparency, Senate rules, public hearings, committee procedures, hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes
TX
Bills:
SB 614, SB 872, SB 1199, SB 1212, SB 1278, SB 1573, SB 1588, SB 1602, SB 1660, SB 1704, SB 1723, SB 1833, SB 1858, SB 1946, SB 2009, SB 2146, SB 2177, SB 2373, SB 2460, SB 2785
Keywords:
forensic science, capital writs, criminal justice, case review, Texas Forensic Science Commission, prisoner death, investigation, county jail, law enforcement, autopsy, trafficking, prostitution, affirmative defense, coercion, duress, victim rights, child abuse, mandatory reporting, criminal penalties, neglect
AL
Alabama 2025 Regular Session
Alabama House Military and Veterans Affairs Committee Mar 19th, 2025
Military and Veterans Affairs
Transcript Highlights:
- That's again the National Guard and Legal Service Office, the legal services bill.
- This is legal services through the National...
- Legal services through the National Guard can already be offered and is already provided to all of our
- Even we can get any sort of military service provided through that team.
- We have the legal service. Do we have a recommendation for a favor? Okay, do we have a second?
Keywords:
Alabama National Guard, National Guard legal services, legal assistance program, judge advocate, staff judge advocate, paralegal, military justice, military law, legal aid, preventive law, notary, notarial acts, Adjutant General, State Military Department, Office of General Counsel, Army Regulation 27-1, Army Regulation 27-3, Air Force Instruction 51-304, Air National Guard Instruction 51-504, Title 31
FL
Transcript Highlights:
- You asked about examples of tax incentive programs.
- I'm a product of an apprenticeship program. It was life-changing for me.
- come to utilize our services for skilled labor.
- They're informed users who are using these kiosks as a real cash-to-crypto service.
- And thank you for your service, too.
Keywords:
virtual currency, kiosks, money services business, regulation, financial services, consumer protection, cryptocurrency, registration, ADS-B, automatic dependent surveillance-broadcast, aviation, airports, airport fees, landing fees, departure fees, touch-and-go landing, general aviation, pilot privacy, airspace radius, aircraft tracking
Summary:
The committee first postponed SB 1456, then heard SB 1236, which would condition state economic development incentives on employers using secret-ballot union elections and prohibit neutrality agreements. The sponsor argued the bill protects workers from coercion and applies only to companies receiving taxpayer-funded incentives; opponents said it was government interference, likely to hurt contractors, apprenticeships, and business growth, and raised concerns about federal preemption and Attorney General enforcement. After debate, the committee reported SB 1236 favorably on a recorded vote.
The committee then considered CS/SB 198, a measure to regulate cryptocurrency kiosks by requiring operator registration, fraud warnings, transaction limits, blockchain analytics, receipts, and refund protections for certain first-time transactions tied to fraud. Supporters from the banking industry, AARP, and others said the bill would help stop scams that are targeting seniors and vulnerable adults; one industry witness supported the bill but suggested narrowing the limits for existing users and shortening the new-customer period. The committee reported the bill favorably.
Next, the committee took up CS/SB 1356 on dog breeding, pet sales, and breeder registration. The sponsor said the bill is intended to curb puppy mills, improve animal welfare, and add consumer protections, while an amendment removed state oversight of local animal shelters. Pet store representatives supported much of the bill but objected to the three-day waiting period for financed purchases, expanded reimbursement, and unfair trade practice penalties; others argued the bill would add red tape and litigation. The committee adopted the amendment and then reported the bill favorably.
The committee also heard SB 1722 on app stores and minors, which would require age verification, parental consent for minors, app-content disclosures, and enforcement by the Department of Legal Affairs. Supporters said the bill would help parents protect children online; opponents warned it could force collection of sensitive personal data, create privacy and constitutional problems, and duplicate existing parental tools. Members debated the balance between child safety and privacy, and the committee reported the bill favorably. Finally, the committee heard CS/SB 422 on ADS-B aviation data, which would bar use of ADS-B information to calculate certain landing or access fees; an amendment added departures to the restriction. Pilots supported the bill as a safety and privacy measure, while airport representatives opposed it as undermining airport finances and shifting costs. The amendment was adopted, and the hearing on the bill began with testimony from both sides.
LA
Louisiana 2026 Regular Session
Agriculture Apr 22nd, 2026
Agriculture, Forestry, Aquaculture, and Rural Development
Bills:
HCR77
MN
Minnesota 2025-2026 Regular Session
Judiciary Committee Meeting - 2026-04-09
Judiciary Finance and Civil Law
Transcript Highlights:
- Maintains strict service timelines. Maintains strict service timelines.
- <01:18:39.760>
um, personal data protection services. um, personal data protection services - Most grant programs have dried up anyway.
have grant programs.- Most grant programs have grant programs.
Keywords:
municipal nondisclosure agreement, NDA, public records, transparency, local government, county, city, town, school district, housing and redevelopment authority, economic development authority, port authority, economic development, land development, public financing, tax increment financing, TIF, abatement, municipal bonds, debt obligations
Summary:
The Judiciary Finance and Civil Law Committee approved the minutes from March 25 and March 26, then took up House File 4077, a bipartisan bill authored by Representatives Greenman and Roach. The bill would prohibit municipalities from entering into non-disclosure agreements with private entities that restrict disclosure about land development, economic development, or publicly funded projects, while preserving existing Chapter 13 data practices rules and trade secret protections. The authors argued the bill is needed to prevent secret agreements and backroom decision-making that undermine public transparency, and they moved that the bill be re-referred to the general register.
Several local officials and residents testified in support, including a St. Louis County commissioner, the mayor of Lonsdale, and residents from Farmington and Hermantown. Supporters said NDAs had been used in connection with data center and other development projects to keep elected officials and the public in the dark, eroding trust and limiting community input. They described the bill as a common-sense transparency measure and said existing law already protects legitimate trade secrets.
Opposition came from the Minnesota Chamber of Commerce and the Minnesota Business Partnership, which argued that NDAs are often necessary in early-stage economic development discussions to protect sensitive business information and remain competitive with other states. They warned the bill could discourage investment, jobs, and tax growth, and said it would impose a one-size-fits-all state mandate that limits local discretion. Committee members then debated whether the bill was too broad and whether it should be narrowed to data centers; supporters responded that the issue extends beyond data centers to other forms of economic development. A roll call vote was requested on the motion to re-refer the bill to the general register, but the final vote result was not stated in the transcript excerpt.
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 3/17/26
Children and Families Finance and Policy
Transcript Highlights:
- Minnesota must expand available services Minnesota must expand available services by<00:20:59.680
- support children services. support children services.
- care of a child care program.
- care of a child care program.
- <01:31:42.680>
Um child care program. Um child care program.
Keywords:
child care, child care center, day care, licensed child care, video security cameras, surveillance, security cameras, maltreatment, child abuse, child safety, public and shared areas, camera mandate, child care assistance program, CCAP, Great Start Compensation Support, early learning scholarships, licensed provider, Minnesota Statutes 142B.68, Harvey's Law, privacy
NV
Nevada 2025 Regular Session
Assembly Committee on Ways and Means May 30th, 2025 at 08:00 am
Ways and Means
Transcript Highlights:
- All programs are offered statewide.
- Our programs have a profound impact.
- As we all know, the Home Feeds Nevada Program, Agriculture Food Purchase Program, was established with
- services at FSEDs.
- part of the program.
Bills:
AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495
Keywords:
higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/10/26
Human Services Finance and Policy
Transcript Highlights:
- Shared services is an option in both the PCA program, both in traditional and PCA choice.
- Shared services is an option in both the PCA program, both in traditional and PCA choice.
- Shared services is an option in both the PCA program, both in traditional and PCA choice.
- We also provide home care services in the consumer-directed community support program.
- We also provide home care services in the consumer-directed community support program.
Keywords:
long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations