Transcript Highlights:

• Reviewed the minutes for January 29. I find them to be in order, and I move that they be approved.
• To assist the committee in its review, we have provided a detailed crosswalk of these changes.
• I will go over the changes to the IDAPA rules based on the review of the 2024 building codes.
• I will go over the changes to the ADAPA rules based on the review of the 2024 building codes.
• Anybody can go out and review those. Okay, perfect. That's all the questions I had.

Committee: Senate Commerce and Human Resources

Keywords: 989, all

Transcript Highlights:

• Some lines of insurance. are subject to different levels of review and regulation.
• For example, many large commercial risks. are not subject to rate filing and review.
• Home and auto insurers regulated by TDI must file their rates for review.
• However, this does not mean that the state does not review the files.
• and so we are also reviewing those forms and rates.

Committee: House Insurance

Keywords: 1184, house, all

Transcript Highlights:

• Hear State Auditor's Office Performance Audits, the Subcommittee of the Joint Legislative Audit and Review
• The office operates independently of the legislature and of the Joint Legislative Audit and Review Committee
• Jay Lark, the Joint Legislative Audit Review Committee members attending virtually can let, let's have
• Under the Joint Legislative Audit and Review Committee, you can also sign up for today's testimony.
• The Commission did not require or review compliance with the 40-hour training, even though state law

Keywords: 904, all

Summary: The Joint Legislative Audit and Review Committee subcommittee held a hybrid hearing to receive three State Auditor’s Office performance audits. The first audit examined implementation of the Law Enforcement Training and Community Safety Act. Auditors said the Criminal Justice Training Commission had developed most required training, but six community/cultural topics were still unfinished, the patrol tactics curriculum was incomplete in one area, and the agency lacked a systematic project management approach. They reported that most officers had not completed the 40 required hours, with low participation in patrol tactics training, weak communication, limited data to track compliance, and ineffective incentives or consequences. Committee members questioned staffing, liability, and enforcement, and the Commission said it generally agreed with the findings and had begun implementing recommendations, including improving training development and communication. The second audit reviewed Washington’s digital equity planning. Auditors concluded the state lacked a comprehensive, unified digital equity strategy, a designated lead, and reliable funding. They said the existing PEAR/Impact Plan, BEAD five-year plan, and NTIA-approved digital equity plan each addressed parts of the issue but none provided a full statewide framework with clear authority across agencies. The Department of Commerce’s Broadband Office and the Office of Equity said they agreed with the findings and were open to working with the legislature and the Digital Equity Forum on a more structured approach. A public witness described local and regional digital equity planning efforts and emphasized the importance of coordination and community-based work. The third audit focused on Commerce’s management of the Digital Navigator Program. Auditors said Commerce did not consistently use a competitive process, did not adequately vet grantees and subgrantees, wrote contracts that lacked clear deliverables and monitoring requirements, failed to enforce reporting, and paid $10.7 million without sufficient documentation to verify reimbursement eligibility. They said agency staff had raised concerns that were ignored and that some payments and contract expansions occurred despite warnings. Commerce officials said new leadership had already begun major contract-management reforms, including centralized oversight, risk assessments, clearer documentation standards, and staff training, and they said they would pursue recapture where appropriate. Committee members expressed strong concern about accountability, and the hearing ended after public testimony and committee discussion.

Transcript Highlights:

• Welcome to this morning's Sunset Review Oversight Hearing, which is being held jointly by the Assembly
• Welcome to this morning's Sunset Review Oversight Hearing, which is being held jointly by the Assembly
• It's a pleasure to be joining my colleagues for this joint Sunset Review hearing.
• Since its last sunset review, Since its last sunset review, the Bureau has reduced expenditures, eliminated
• So we never have a sunset review about the community colleges.

Keywords: 988, house, all

Transcript Highlights:

• And there is also human review.
• Review is by a trained parking enforcement agent before any citation is issued.
• </c><00:10:17.360><c> uh</c> And there is also human review. uh And there is also human review. uh review
• And so it is the the the human review.
• </c><00:17:39.440><c> If</c> it goes to a person for that review.

Keywords: 1183, house

Transcript Highlights:

• Jwan Char, LAO: We are continuing to review this BCP, but we would acknowledge that this request does
• So we are continuing to review the level of this request.
• John Char, Legislative Analyst's Office: As we continue to review this proposal, we would note that,
• John Char, Legislative Analyst's Office: As we continue to review this proposal, we would note that,
• So we are both conducting our own evaluation on an ongoing basis, reviewing data reported by counties

Summary: The Budget Subcommittee on Health and Human Services heard a series of budget items focused first on the California Department of Aging and then on the Department of Social Services. For Aging, the director reported the state is at the midpoint of the Master Plan for Aging, with about 300 initiatives launched and roughly three-quarters completed, nearly $1 billion invested, and expanded local planning, research, and stakeholder engagement. The committee also discussed HICAP modernization, which would add ongoing funding from the Special HICAP Fund to expand Medicare counseling capacity, and senior meal programs, including support for virtual congregate/to-go meals and the use of prior one-time nutrition investments. The chair raised concerns about federal H.R. 1 and its downstream effects on older adults, food assistance, and other safety-net programs, and the department said its direct budget was not affected but that other programs serving older adults could be under pressure. The committee then reviewed multiple CDSS proposals. These included implementing the federal Medicaid Access Rule by creating a statewide grievance process and critical incident reporting system for IHSS and other home- and community-based services; housing and homelessness programs such as CalWORKs Housing Support, Housing and Disability Advocacy, Home Safe, and Bringing Families Home, where the department described strong outcomes but warned that one-time funding is expiring and services are scaling back; and permanent position authority for the Housing and Homelessness Division. Members also heard about the facility management system modernization for Community Care Licensing, home care services branch solvency and regulation work, child care centers in multifamily housing, the Seizure Emergency Response Act, licensing during emergencies and disasters, the Family Preparedness Plan Act, and social services automation projects including CalSAWS, the enterprise data pipeline, and CalWORKs child support notices. The LAO and Department of Finance generally had no additional comments or were still reviewing several requests. A notable exchange occurred on the Community Care Licensing item, where Senator Grove pressed the department about the Autumn Oaks facility in Tulare County, citing dozens of complaints and severe conditions affecting seniors. The department said it had worked with the county and ombudsman on relocation, was reviewing what went wrong, and had authority to pursue administrative action even after a license surrender. The hearing ended with a stakeholder presentation from the California Association of Area Agencies on Aging supporting a $62.3 million Older Californians Act request, followed by public comment from advocates for housing, Meals on Wheels, HICAP, Home Safe, and H-DAP. The subcommittee adjourned without taking votes, and all items were held open.

Transcript Highlights:

• Seeing none, do I have a motion for review? Seeing none, do I have a motion for review?
• Review of this request will increase the total authorized positions by three.
• Seeing none, do I have a motion for review? I have a motion. Do I have a second? Second.
• Seeing none, do I have a motion for review? In a second, I've got a motion and a second.
• All right, seeing no questions, those reports stand reviewed.

Committee: All ALC-PERSONNEL

Summary: The committee reviewed several personnel and appropriation requests. Item C was a two-for-two position swap with no net increase in authorized positions and was approved. Item D, for South Arkansas College, added three net positions through a mix of growth and swap pool positions, including food service, public safety, housing, and compliance support roles, and was approved. Item E moved positions and $3 million in salary and match appropriation within Workforce Services to consolidate shared services, with no net change in positions, and was approved. The committee then considered a group of continuation items for FY27, covering previously approved growth and surrender pool positions, various differentials, hard-to-fill and on-call pay, a labor market adjustment for crime lab medical examiners, and continuation of grant-funded classifications tied to ARPA and IIJA grants across several agencies. These items were reviewed together and approved. Reports on the agenda required no action and were simply reviewed. On the supplemental agenda, the committee suspended the rules and approved OPM’s request for salary increases for 92 employees whose merit raises would place them over their grade maximums. Senator Dotson asked about several public safety medical examiner positions listed on the salary schedule, and staff indicated they were likely crime lab medical examiner roles. The meeting then adjourned.

Transcript Highlights:

• Seeing none, do I have a motion for review? Seeing none, do I have a motion for review?
• Review of this request will increase the total authorized positions by three.
• Seeing none, do I have a motion for review? I have a motion. Do I have a second? Second.
• Seeing none, do I have a motion for review? I've got a motion and a second. Any discussion?
• All right, at this time... seeing no questions, those reports stand reviewed.

Committee: All ALC-PERSONNEL

Summary: The committee reviewed several personnel and appropriation items, including Item C, which involved a two-for-two position swap with no net increase in authorized positions and was approved after motion. Item D for South Arkansas College added three net positions through a mix of growth and swap pool requests, including food service, public safety, housing support, and compliance-related roles; it was also approved. Item E moved positions and $3 million in salary and match appropriation within Workforce Services to consolidate shared services, with no net change in positions, and was approved. The committee then took up Items F through O as continuation requests for previously approved or reviewed positions and differentials to carry into FY27. These included growth and surrender pool positions at several agencies, various pay differentials such as second-language, on-call, hard-to-fill, certification, and labor market adjustments, as well as continuation of grant-funded classifications tied to ARPA and IIJA grants and other federal grants. After no questions, the committee approved the continuations in a single motion. Under the supplemental agenda, the committee suspended the rules and approved Item A-1, which authorized salary increases above grade maximums for 92 employees due to merit increases. A senator asked about several public safety classifications listed as Med 14, 16, 14, and 15, and staff indicated they were likely crime lab medical examiner positions. The meeting then adjourned.

Transcript Highlights:

• The trade-off is if you meet high standards, you get a level of certainty in review that cuts down on
• The trade-off is if you meet high standards, you get a level of certainty in review that cuts down on
• The trade-off is if you meet high standards, you get a level of certainty in review that cuts down on
• The trade-off is if you meet high standards, you get a level of certainty in review that cuts down on
• And just an initial review of what's in those amendments, it appears there's discrepancy between what

Summary: The committee heard SB 872, which would direct $150 million annually each for Central Valley subsidence repairs and Delta levee work. Senator McNerney and supporters from Restore the Delta, the State Water Contractors, and many water agencies, labor groups, environmental organizations, and local governments argued the bill is urgent to protect water delivery for 27 million Californians, safeguard levees and state assets, and address climate-related flood risks. There was no opposition testimony, and members asked about the bill’s focus on state-owned conveyance; the author said the distinction reflects the separate state and federal water projects. The bill was held while the committee lacked a quorum, with no vote taken at that point. The committee then heard SB 981, which would require CARB to include cost-of-living impacts in its existing regulatory analysis for major rules. Senator Niello and supporters from agriculture, manufacturing, business, propane, restaurants, and commercial property groups said the bill would improve transparency about how regulations affect gasoline, electricity, food, housing, and business costs. Opponents, including Coalition for Clean Air and the Union of Concerned Scientists, argued it would add delay, cost, and redundant analysis to CARB rulemaking and could not reliably measure the effects the bill seeks to capture. Committee members raised concerns that CARB already estimates costs, that the bill is burdensome and narrow, and that it does not fully account for benefits or the role of other agencies. No vote was recorded in the transcript. SB 887, by Senator Padilla, would require data center projects to undergo CEQA review while creating a streamlined path for projects meeting strong environmental, labor, and community-benefit criteria, including zero-carbon electricity, on-site storage, recycled water or water-efficient cooling, and full cost responsibility for grid upgrades. Supporters said data centers are rapidly expanding, can strain energy and water resources, and should be held to clear standards while still allowing beneficial development; labor and environmental groups backed the measure. Opponents from the Data Center Coalition, Silicon Valley Leadership Group, and business groups said the bill is overly prescriptive, discriminatory toward one industry, and could drive investment and jobs out of state. After discussion, the committee established a quorum and voted 3-1 to pass SB 887 as amended to the Senate Energy, Utilities, and Communications Committee, with the bill kept on call. The committee also heard SB 1008, which would renew a CEQA exemption for the closure of at-grade rail crossings ordered by the California Public Utilities Commission. Senator Ochoa Bogh and Union Pacific testified that the measure would help the state act quickly on rail safety by removing redundant environmental review for crossing closures, while still requiring collaboration with local jurisdictions and the PUC. There was support from railroad and business representatives and no opposition. The committee voted 4-0 to pass SB 1008 to the Senate Energy, Utilities, and Communications Committee, and the bill was kept on call.

Transcript Highlights:

• Today we will review with you our project objectives and recommendations.
• Additional reviews conducted and other committee topics reviewed.
• And then in 2021, we also did an acuity shift review.
• And then in 2021, we also did an acuity shift review.
• Additional applications are reviewed once funding from appeals is able to be released.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• </c><00:45:35.560><c> the</c> on Appropriations met and reviewed the on Appropriations met and reviewed
• c> the</c><01:09:45.920><c> amendment</c> Ways and Means reviewed the amendment Ways and Means reviewed
• A mandatory PUC review every two years and authority for the PUC to reopen reviews for good cause or
• A mandatory PUC review every rationale.
• </c><01:20:45.200><c> the</c> Infrastructure Committee reviewed the Infrastructure Committee reviewed

Keywords: 926, house, all

Transcript Highlights:

• </c><00:31:48.799><c> and</c> also reviewed available data and also reviewed available data and consulted
• > it</c><00:31:58.799><c> is</c> testimony andformational review, it is testimony andformational review
• They have a process where the rates then come in to DMS and it's reviewed on a regular basis.
• </c> concept of ant process a rate review concept of ant process a rate review schedule<01:29:30.400>
• </c> [clears throat] consistent rate review [clears throat] consistent rate review schedule.<01:35:03.440

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• </c><01:04:18.200><c> to</c> accountant supplies financial review to accountant supplies financial review
• </c><01:11:52.080><c> the</c> longer involved in reviewing the longer involved in reviewing the financial
• There was no issue with my financial review. There was actually no change in the law.
• </c> That you're looking at your CPA reviews, or audits, and they, um, there is a peer review that they
• </c> accounting that is required in a review accounting that is required in a review or<01:19:01.920>

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Keywords: 1187, senate, all

Transcript Highlights:

• The trauma medical review committee should reflect that.
• ><c> committee</c> The trauma medical review committee The trauma medical review committee should<01:
• Third, Trauma Medical Review Committee. If this sounds duplicative and overwhelming, you're right.
• Third, Trauma Medical Review Committee. If this sounds duplicative and overwhelming, you're right.
• </c><01:52:32.239><c> work</c> another study committee to review work another study committee to review

Keywords: 1189, house, all

Transcript Highlights:

• on the financial plan versus what was actually approved in the motions for these items as I was reviewing
• Both are finished with the schematic design phase and pending a PSFA review meeting of their progress
• The district has also indicated that they would seek a local match reduction for Crown review meeting
• KSFA staff completed 62 plan reviews and plan review updates to the facility assessment database.
• FMP vendors themselves provided updates for seven KSFA staff completed 62 plan reviews and plan review

Committee: House Public School Capital Outlay Oversight Task Force

Transcript Highlights:

• We've reviewed the proposals and raised no issues at this time. Thank you both.
• In reviewing the two salary adjustment proposals, they both seem reasonable to us.
• I'm happy to send them to the consultant for your review or later review.
• We reviewed these proposals for fund source and purposes.
• We've also reviewed this.

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• Step two, expeditious review.
• </c> official records to begin its review. official records to begin its review.
• </c><01:08:47.199><c> The</c> Step two, expeditious review. The Step two, expeditious review.
• </c><01:10:36.239><c> that's</c> trienal comprehensive review that's trienal comprehensive review that's
• </c> services, but if a whoever has reviewed services, but if a whoever has reviewed the<01:19:16.880

Committee: House Primary and Secondary Education

Keywords: 958, all

Transcript Highlights:

• Seeing none, do I have a motion for review? Seeing none, do I have a motion for review?
• Review of this request will increase the total authorized positions by three.
• Seeing none, do I have a motion for review? I have a motion. Do I have a second? Second.
• Seeing none, do I have a motion for review and a second? I've got a motion and a second.
• All right, seeing no questions, those reports stand reviewed.

Committee: All ALC-PERSONNEL

Keywords: 1204, all

Transcript Highlights:

• It's called the Transmission Project Review Process. I think it's FERC jurisdictional.
• But yes, it is like a bad transmission project review. Project review was used to. TPR.
• But yes, it is like a bad transmission project review. Project review was used to. TPR.
• The first is the transmission project review process.
• So we participate in reviewing the contracts for those bundled ratepayers.

Summary: The Assembly Committee on Utilities and Energy held an oversight hearing on accelerating clean energy development and helping projects capture expiring federal tax credits. The chair framed the hearing around federal actions under HR 1, which sharply shortens the timeline for wind and solar projects to qualify for tax credits, and Governor Newsom’s Executive Order N-3325, which directs state agencies to speed siting, permitting, and construction. Sarah Fitzsimmons of the Independent Energy Producers Association explained the federal deadlines, the shift from the 5% safe-harbor test to a physical-work test, and the main bottlenecks California projects face, especially interconnection delays, environmental review, and limited transparency around self-build options for network upgrades. Panelists from the Union of Concerned Scientists, Southern California Edison, and EDF Power Solutions largely agreed that transmission constraints, permitting, and queue management remain the biggest barriers. UCS emphasized long-standing transmission delays, the need for more accountability and standardized reporting, and the importance of keeping reforms focused on the projects most likely to reach completion. SCE said it has increased interconnection throughput through process changes, digital tools, and coordination with regulators, while noting that developers and utilities must work closely together on project-specific issues. EDF described how overlapping permitting, interconnection, and procurement timelines create risk, and argued that clearer policies on self-builds, equipment standards, and affected-system studies could help reduce delays. State agency representatives from the CPUC, CAISO, and Go-Biz reported strong recent clean energy progress, including record levels of new capacity and battery storage coming online, and described ongoing efforts such as the Integrated Resource Planning process, General Order 131-E updates, the Transmission Project Review Process, the Transmission Development Forum, and the TED Task Force. They said these efforts are helping identify delays, improve transparency, and coordinate solutions, including possible self-build arrangements and local permitting reforms. Committee members pressed the agencies on who is ultimately in charge of the effort, whether the state has quantified the ratepayer impact of losing federal tax credits, and whether the 90-day report required by the executive order is complete; the agencies said the report is still in development. Public commenters echoed the need to move beyond monitoring toward stronger prioritization and accountability to meet the 2029 and 2030 project deadlines.

Transcript Highlights:

• investigative records compiled or prepared by the OII in connection with an ongoing use of force review
• And none of those people made it past the current medical review, and they continue to be confined at
• We simply review the request, and if it doesn't meet our criteria, we close it out.
• would an internal review find any type of violation.
• It's decided by... ...review all documentation.

Bills: HB2387 , HB2490 , HB2508 , HB2539

Committee: House Community Safety

Keywords: elected sheriff, sheriff accountability, recall election, peace officer certification, certified peace officer, law enforcement authority, Washington RCW, criminal justice training commission, special election, public official recall, decertification, sheriff removal, voter accountability, county sheriff, police powers, extraordinary medical placement, compassionate release, medical parole, terminal illness, serious medical condition