Video & Transcript Research : 'behavioral disabilities'
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MN
Minnesota 2025-2026 Regular Session
State Committee Meeting - 2025-03-27
State Government Finance and Policy
Transcript Highlights:
- 2023 legislature to seek improvements to better promote employment of people with significant disabilities
- 2023 legislature to seek improvements to better promote employment of people with significant disabilities
- program, state services for the blind, both programs at DEED, as well as the Minnesota Council on Disabilities
- ultimately infrequently used supported work program into a new pathway for employing people with disabilities
- employment is really personal to identify work opportunities for individuals with significant disabilities
Keywords:
state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 3/27/25
State Government Finance and Policy
Transcript Highlights:
- 2023 legislature to seek improvements to better promote employment of people with significant disabilities
- disabilities within state government. government. government.
- </c> on Disabilities. on Disabilities.
- </c> disabilities into customized employment. disabilities into customized employment.
- </c><01:25:17.560><c> Trained</c> significant disabilities. Trained significant disabilities.
Keywords:
state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant
TX
Transcript Highlights:
- With children experiencing greater stability and improved behavioral and mental health.
- And a behavioral science approach to it, I think, is really important as well, too. so that there aren't
Keywords:
Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services
OK
Transcript Highlights:
- Clinical interns and accredited behavioral health graduate programs to build for Medicaid services they
- How spell. 3257 requires any state benefits available to 100% disabled veterans through a service-connected
- disability to also be provided to a veteran that is 100% disabled due to negligence care at a VA hospital
Bills:
HB2947, HB3257, HB3264, HB3834, HB3940, HB3944, HB3979, HB4003, HB4118, HB4326, HB4346, HB4421
Keywords:
behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, veterans, disability benefits, federal law, Oklahoma Statutes, military service, criminal justice, minimum sentences, parole eligibility, violent crimes, Oklahoma statutes, HB3834, Oklahoma Breakthrough Therapy Act, ibogaine, ibogaine-based therapeutics, ibogaine analogs
WA
Washington 2025-2026 Regular Session
Senate Floor Session Mar 6th, 2026
Washington Senate Floor Meeting
Bills:
SB6061, SB6234, SB6176, SB6335, SB6047, HB2235, HB2464, HB2619, HB1376, SB5808, SB5949, HB1347, HB1759, HB1983, HB2120, HB2264, HB2338, HB2385, HB2495, HB2521, HB2604, HB2610, HB2675, HB2426
Keywords:
tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects
Summary:
The Senate considered Engrossed Second Substitute House Bill 2034, a measure to terminate and restate the LEOFF 1 pension plan and use surplus funds for other state purposes if federal approval is obtained. During debate, senators discussed whether the plan should remain funded at 110% or 120% of actuarial value, whether surplus dollars should instead go to transportation or the budget stabilization account, whether members should receive an additional distribution, and whether local governments should be reimbursed for retiree health care costs. Several amendments were offered: a Gildon amendment to raise the funding target to 120% failed; a technical Robinson amendment adding a date passed; Holy, King, Harris, Schessler, and Conway amendments addressing member distributions, transportation, budget stabilization, local government health care costs, and a reconstituted board distribution all failed; and Robinson’s amendment removing Climate Commitment Act repayment language passed. The Ways and Means striking amendment, as amended, was then adopted.
On final passage, supporters argued the bill was actuarially sound, had been reviewed by attorneys, actuaries, the State Investment Board, and the Department of Retirement Systems, and would allow use of excess funding for other state needs. Opponents warned it left too little in the pension fund, should dedicate surplus dollars only to one-time uses, and did not adequately reimburse cities and counties for retiree medical obligations. After debate, the Senate passed E2SHB 2034 by a vote of 25 yeas, 22 nays, with one absent and one excused.
Afterward, the Senate returned to Substitute House Bill 2178, which was also passed on final passage by a vote of 39 yeas and 9 nays, with one excused. The chamber then adjourned until the next scheduled meeting.
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 5th, 2026
Washington House Floor Meeting
Transcript Highlights:
- Speaker, is: did their behavior change? Did they get their issue taken care of? Mr.
- It's very serious behavior that the commission is dealing with.
- And that serious behavior includes domestic violence and sexual assault.
- Unless it was behavior that was going on right now, then it would be a bit more...
- Unless it was behavior that was going on right now, then maybe we would.
Bills:
HB2720, HB2073, HB2487, SB5816, SB5919, SB5831, SB6137, SB6244, SB5420, SB5868, SB6044, SB6132, SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
Summary:
The House took up Second Substitute Senate Bill 5974, a bill modernizing and strengthening laws concerning sheriffs, police chiefs, volunteers, youth cadets, and related law enforcement roles. Members first considered a striking amendment and then a series of floor amendments, with debate repeatedly focusing on sheriffs as elected constitutional officers, the scope of state authority over local law enforcement, and whether the bill would create unfunded mandates or practical problems for counties. Supporters of the bill and many amendments argued for clarifying language, local flexibility, and state payment for new requirements; opponents generally warned the bill would weaken elected sheriffs, impose costs on counties, or overreach into local control.
Amendment 2343, which would have added intent language emphasizing that sheriffs are directly accountable to the electorate, was debated at length and defeated on a roll call vote, 41 yeas to 56 nays. Amendment 2373, shifting background-check costs to the state through the Washington State Patrol, was also defeated, 44 yeas to 53 nays. Amendment 2374, narrowing provisions affecting private security and specially commissioned officers, failed 41 to 56. Amendment 2369, clarifying rules for volunteers and youth cadets, failed 41 to 56. Amendment 2371, limiting surveillance-related provisions to situations requiring a warrant, failed 42 to 55. Amendment 2372, clarifying that only non-public information would be restricted from disclosure, also failed 41 to 56.
Later, Amendment 2370, which would have aligned the bill’s definition of volunteer law enforcement officers with existing statute, was defeated 42 to 55. Finally, Amendment 2352, which would have exempted current sheriffs from the bill’s new decertification rules, was debated as a protection against changing the rules midstream but was opposed on the grounds that the bill already grandfathered in the one sheriff who did not meet the new experience requirement; the amendment’s vote was not completed in the excerpt provided. The transcript also begins with the Speaker signing several bills, including Substitute House Bill 1570 and Substitute Senate Bill 6248.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 5 Feb 9th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- Doctor Martindell currently serves as the director of behavioral health and psychiatry services for Express
- collaboratively with other psychologists to ensure that, as artificial intelligence Integrates in behavioral
- Bill 397 by Endrix of the House and Bergstrom of the Senate, an act relating to the state board of behavioral
- It simply extends the sunset for the board of behavioral health licensure to July 1st, 2028.
- It is to license the behavioral health professionals such as licensed professional counselors and those
Bills:
HB2975, HB3405, HB3406, HB3728, HB3902, HB3977, SB397, HB1161, HB2938, HB2939, HB3306, HB3722, HB4113, HB4123, HB2293, HB3176, HB3545, HB3546
Keywords:
poultry waste, nutrient management, environmental regulations, agriculture, water quality, pollution prevention, best management practices, noxious weeds, poison hemlock, kudzu, landowner responsibilities, environmental control, public nuisance, eradication, burn bans, fire danger, drought conditions, emergency declaration, scrap metal, regulation
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
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
TX
Transcript Highlights:
- Russian, and other authoritarian regimes for harassment, assault, kidnapping, and even murder. ...This behavior
- When I started doing this, we didn't know what to call it, but in the past few years, this behavior has
- This is your wheelhouse, not that sort of behavior, of course.
- don't want someone to get the best economic result because they have to be... effectively completely disabled
Keywords:
election officials, confidentiality, personal information, government transparency, public safety, spirit beverages, alcoholic beverages, Texas Alcoholic Beverage Code, distribution, taxation, firearms, local regulation, archery equipment, weapons, voter registration, statewide list, county requirements, election integrity, computer services contracts, mental health
TX
Transcript Highlights:
- These are basic disability accommodations.
- Twelve percent of the state's population, or roughly 3 to 4 million Texans, has a disability.
- Physical disabilities make up a significant part of that percent.
- Many were also older, physically disabled, and living on extremely limited incomes like myself.
- There's three legs, but actually that gravely disabled leg should still be tied to danger.
Keywords:
flooding, disaster response, emergency preparedness, state guidance, public safety, election officials, confidentiality, personal information, government transparency, spirit beverages, alcoholic beverages, Texas Alcoholic Beverage Code, distribution, taxation, firearms, local regulation, archery equipment, weapons, voter registration, statewide list
TX
Transcript Highlights:
- And I want to discuss how a proposed mask ban would affect the disabled community.
- These are basic disability accommodations.
- Twelve percent of the state's population, or roughly 3 to 4 million Texans, has a disability.
- Physical disabilities make up a significant part of that percent.
- I am testifying on the bill on behalf of Disability Rights Texas.
Keywords:
election officials, confidentiality, personal information, government transparency, public safety, spirit beverages, alcoholic beverages, Texas Alcoholic Beverage Code, distribution, taxation, firearms, local regulation, archery equipment, weapons, voter registration, statewide list, county requirements, election integrity, computer services contracts, mental health
Summary:
The committee first adopted a committee substitute for Senate Bill 30 and then voted to report the substituted bill favorably to the full Senate; the roll call showed six ayes and one nay, with later unanimous-consent corrections noted for additional aye votes. The committee also reported Senate Bill 801 favorably to the full Senate by an eight-to-one vote. Both bills were left with no further action in the meeting after the votes.
The committee then heard Senate Bill 2595 by Senator Middleton and Senate Bill 2876 by Chairman Hughes, both aimed at addressing masked harassment and riot-related conduct. Supporters said the bills would deter intimidation, protect public order, and respond to recent protests and anti-Semitic incidents, while opponents from civil rights, disability, and advocacy groups argued the measures were overly broad, could chill peaceful protest, and would burden people who wear masks for religious, medical, or disability-related reasons. Public testimony was taken on both bills, and both were left pending after testimony closed.
Senate Bill 2753, by Senator Hall, proposed consolidating early voting and election day into a single continuous in-person voting period with common procedures and equipment, while preserving countywide voting and mail voting. The Secretary of State’s office said the bill could improve ballot secrecy and simplify administration, though witnesses raised concerns about ballot privacy, logistics, and access for disabled voters; some county election officials were neutral or supportive of the concept, while others opposed it as confusing or potentially burdensome. The bill was left pending after extensive testimony.
The committee also heard Senate Bill 2225 on allowing spirit-based ready-to-drink beverages to be sold in grocery and convenience stores, with supporters arguing the law should focus on alcohol content rather than the source of the alcohol and that the bill would modernize an outdated code. Later, Senate Bill 1540, which would add election officials and related workers to confidentiality protections, drew support from county election officials who described threats and harassment, though one witness suggested the bill’s language may need technical adjustment to better match its intent. Finally, Senate Bill 2382, concerning statewide voter registration systems and offline counties, drew opposition from county election administrators and vendors who warned about capacity, cybersecurity, and single-point-of-failure risks, while others suggested a phased approach or API-based integration; the transcript ends with testimony still open on that bill.
TX
Transcript Highlights:
- This behavior now has a name. When I started doing this, we didn't know what to call this, but...
- When I started doing this, we didn't know what to call this, but in the past few years, this behavior
- Well, and I know this is your wheelhouse, not... ...that sort of behavior, of course.
- don't want someone to get the best economic result because they have to be effectively completely disabled
Keywords:
election officials, confidentiality, personal information, government transparency, public safety, spirit beverages, alcoholic beverages, Texas Alcoholic Beverage Code, distribution, taxation, firearms, local regulation, archery equipment, weapons, voter registration, statewide list, county requirements, election integrity, computer services contracts, mental health
Summary:
The Senate Committee on State Affairs heard Senate Bill 3031, which would expand aggravated assault to cover certain road-rage shootings involving a person in or traveling to or from a motor vehicle, when a firearm is discharged and causes injury, property damage, or fear of serious bodily injury. Senator Schwertner laid out the bill for the author, described it as closing a gap in the law, and there was no public testimony; the bill was left pending.
The committee then heard Senate Bill 2514, a measure by Chairman Hughes aimed at creating a DPS unit to identify, investigate, and monitor hostile foreign influence operations and to require ethics training for state employees. Supportive invited testimony from Dr. Jacqueline Deal, Ambassador Kelly Curry, and Michael Lucci emphasized threats from the Chinese Communist Party, transnational repression, cyber intrusion, and state-level influence efforts, and argued Texas should take a leading role. Public testimony included opposition from speakers who raised concerns about free speech, privacy, and potential overbreadth. The bill was left pending after testimony closed.
Finally, the committee took up Senate Bill 30 as pending business and discussed a committee substitute. Senator Schwertner explained that the substitute would limit admissible medical expense evidence to amounts paid or up to 300% of Medicare, clarify treatment of provider testimony and attorney-referred providers, remove a requirement that plaintiffs use available health insurance to mitigate damages, strike a unanimous-verdict requirement for non-economic damages, and delete a remittitur provision. Senators questioned the impact on sexual assault and child abuse survivors, the use of Medicare as a benchmark, and whether the bill would still allow fair compensation. After discussion, SB 30 was left pending and the committee recessed subject to the call of the chair.
HI
Transcript Highlights:
- I'm Lou Erishek, the director of Disability Rights Center.
- I'm Lou Erishek, the director of Disability Rights Center.
- I'm Lou Erishek, the director of Disability Rights Center.
- I'm Lou Erishek, the director of Disability Rights Center.
- Disability. So, let me just ask it this way.
Bills:
SB2175, SB2410, SB2080, SB2276, SB2277, SB2282, SB2413, SB2425, SB2491, HB2315, HB2562, HB1532, HB1857, HB2209, HB1961, HB2343, HB2160, HB2505, HB1537, HB1562, HB1731, HB1853, HB1973, HB1974
Keywords:
environmental protection, waste management, disposable electronic smoking devices, plastic pollution, lithium-ion batteries, public health, electronic smoking devices, e-liquids, certification, FDA compliance, penalties, directory, mental health, telepsychology, interjurisdictional compact, psychology regulation, LGBTQ+ youth, access to care, professional licensing, surgical assistant
Summary:
The committee opened a hearing on multiple health-related bills and first took up HB 2315, which would create a Department of Health pilot program allowing eligible employees to defer unused vacation leave in exchange for a payout to help with home purchase assistance. The Department of Health testified in support, saying the proposal could aid recruitment and retention, and United Public Workers also supported it as a creative, cost-effective benefit that could help employees become first-time homebuyers. The chair likewise praised the department’s effort, and there were no questions or opposition before the committee moved on.
The committee then heard HB 2562 on workplace violence in health care settings. The Department of Health said it preferred requiring licensed hospitals to adopt workplace-violence prevention policies and public reporting rather than creating a new state program. The Department of Labor and Industrial Relations said it appreciated the intent and explained that, absent a specific standard, enforcement would rely on OSHA’s general duty clause, guidance, and inspections. Nurses and the Hawaii Nurses Association gave emotional testimony describing harassment, threats, doxxing, and fears for patient and worker safety, arguing that existing processes were too slow and that hospitals needed immediate, enforceable requirements. The committee discussed current hospital alarm systems and OSHA enforcement, and Labor said it does inspect hospitals and can receive complaints from employees.
HB 1532, concerning importation of large cigars and pipe tobacco, was announced as deferred at the request of the bill’s author so it could be refined with proponents and the Attorney General. The committee also discussed HB 1857, a very large measure redefining qualified health care provider and making extensive changes to health care law; the chair said the House would likely pass it without substantive changes and instead defer the effective date while using the Senate companion bill as the vehicle. Testimony on HB 1857 was generally supportive, including from the Hawaii Association of Nurse Anesthesiology and a certified genetic counselor, though both referenced proposed amendments.
Finally, the committee heard HB 2209, which would require insurers to honor a patient’s written assignment of benefits to a substance use disorder treatment provider. The Insurance Division and HMSA opposed the bill as drafted, arguing it would create a special class of providers, raise fraud and litigation concerns, and potentially increase premiums. Treatment providers and advocates strongly supported the measure, saying insurers often refuse direct payment even when patients assign benefits, forcing families to front large sums and delaying access to residential treatment; they argued the bill would improve access and help keep care in Hawaii. A psychiatrist testified that he had not seen fraud in Hawaii and that the bill could help address long wait times for life-saving treatment. The committee also received written support from multiple individuals and organizations, and members began asking questions about HMSA’s network size and wait times, with follow-up information requested."}】【。final json to=commentary 天天中彩票出票 to=commentary code 彩神争霸邀请码 to=commentary 彩票平台招商 to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary
OK
Transcript Highlights:
- Specifically, licensed professional counselors, licensed behavioral health practitioners, and licensed
Bills:
SJR50, SJR51, SJR52, SJR53, SJR54, HJR1090, HJR1091, HJR1092, HJR1093, HJR1094, HJR1095, SJR49
Keywords:
Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/23/26
Health Finance and Policy
Transcript Highlights:
- The next big bucket of changes is related to medical assistance for employed people with disabilities
- The next big bucket of changes is related to medical assistance for employed people with disabilities
- The next big bucket of changes is related to medical assistance for employed people with disabilities
- The next big bucket of changes is related to medical assistance for employed people with disabilities
- </c> consequences to you certain behaviors. consequences to you certain behaviors.
Keywords:
healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care
AZ
Arizona 2026 Regular Session
02/04/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- This bill does not get in the way of exemptions for pregnant women, the disabled, individuals in substance
- Those people still will not have to work if they have dependent children, if they're disabled, in those
- If they have dependent children, if they're disabled, right, in those situations.
Keywords:
informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421
TX
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness
TX
Transcript Highlights:
- Charlie Health is an integral part of Texas' behavioral health landscape in crisis response, serving
- can unlock access to employment for clinicians across the state, regardless of their geography, disability
- Prior to the opening of the Restoration Center, the main option for intervention into behavioral health
- Survivors of abuse, disabled individuals, or simply those facing financial hardships.
- All of these can cause confusion, disorientation, and odd behavior.
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness
TX
Transcript Highlights:
- The Workforce Coordinating Council, modeled after the existing Statewide Behavioral Health Coordinating
- It also reduces long-term disability and costs to our society.
- During this time, there was and remains an overwhelming need for behavioral health providers.
- she was disabled.
- I would say that we cannot control others. behavior of lack of standard or professionalism.
Bills:
HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46
Keywords:
peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards