Bills: SB2901, SB2902, SB2903, SB2904, SB2905, SB2906, SB2907, SB2908, SB2909, SB2910, SB2911, SB2912, SB2913, SB2914, SB2915, SB2916, SB2917, SB2918, SB2919, SB2920, SB2921, SB2922, SB2923, SB2924, SB2925, SB2926, SB2927, SB2928, SB2929, SB2930, SB2931, SB2932, SB2933, SB2934, SB2935, SB2936, SB2937, SB2938, SB2939, SB2940, SB2941, SB2942, SB2943, SB2944, SB2945, SB2946, SB2947, SB2948, SB2949, SB2950, SB2951, SB2952, SB2953, SB2954, SB2955, SB2956, SB2957, SB2958, SB2959, SB2960, SB2961, SB2962, SB2963, SB2964, SB2965, SB2966, SB2967, SB2968, SB2969, SB2970, SB2971, SB2972, SB2973, SB2974, SB2975, SB2976, SB2977, SB2978, SB2979, SB2980, SB2981, SB2982, SB2983, SB2984, SB2985, SB2986, SB2987, SB2988, SB2989, SB2990, SB2991, SB2992, SB2993, SB2994, SB2995, SB2996, SB2997, SB2998, SB2999, SB3000

Keywords: geological subsurface characterization, groundwater, geothermal resources, environmental review, Hawaii groundwater and geothermal resources center, scientific research, non-extractive, public trust doctrine, clean energy, greenhouse gas, carbon sequestration, climate change, energy policy, Hawaii state energy office, emissions reduction, sustainable development, fare-free transportation, greenhouse gas emissions, public transit, tax on petroleum

Bills: SB2901, SB2902, SB2903, SB2904, SB2905, SB2906, SB2907, SB2908, SB2909, SB2910, SB2911, SB2912, SB2913, SB2914, SB2915, SB2916, SB2917, SB2918, SB2919, SB2920, SB2921, SB2922, SB2923, SB2924, SB2925, SB2926, SB2927, SB2928, SB2929, SB2930, SB2931, SB2932, SB2933, SB2934, SB2935, SB2936, SB2937, SB2938, SB2939, SB2940, SB2941, SB2942, SB2943, SB2944, SB2945, SB2946, SB2947, SB2948, SB2949, SB2950, SB2951, SB2952, SB2953, SB2954, SB2955, SB2956, SB2957, SB2958, SB2959, SB2960, SB2961, SB2962, SB2963, SB2964, SB2965, SB2966, SB2967, SB2968, SB2969, SB2970, SB2971, SB2972, SB2973, SB2974, SB2975, SB2976, SB2977, SB2978, SB2979, SB2980, SB2981, SB2982, SB2983, SB2984, SB2985, SB2986, SB2987, SB2988, SB2989, SB2990, SB2991, SB2992, SB2993, SB2994, SB2995, SB2996, SB2997, SB2998, SB2999, SB3000

Keywords: geological subsurface characterization, groundwater, geothermal resources, environmental review, Hawaii groundwater and geothermal resources center, scientific research, non-extractive, public trust doctrine, clean energy, greenhouse gas, carbon sequestration, climate change, energy policy, Hawaii state energy office, emissions reduction, sustainable development, fare-free transportation, greenhouse gas emissions, public transit, tax on petroleum

Transcript Highlights:

• <00:14:26.000> Senator Mutual Insurance Authority. Senator Mutual Insurance Authority.
• <04:06:02.720> to does is it requires the insurers to does is it requires the insurers to
• The insurers prescription drugs.
• Insurance Authority. Senator McDaniel. Insurance Authority. Senator McDaniel.
• Kentucky Employers Mutual Insurance Kentucky Employers Mutual Insurance Authority,<05:24:52.878>

Bills: HB567, HB776, HB2, HB568, HB619

Keywords: open records, public access, transparency, government accountability, public agency, dental practice, licensing, administrative regulations, dental assistants, supervision, Medicaid, community engagement, healthcare, managed care, eligibility, public assistance, insurance, public adjuster, claim process, contract requirements

Transcript Highlights:

• It also bars insurers and HMOs from denying claims when such devices are needed to restore or maintain
• As you know, most insurance plans require you to pay 20% co-insurance.
• Insurance often labels them as extras or recreational.
• Therefore, it is paid for by insurance, Medicare, or Medicaid. So...
• Therefore, it is paid for by insurance, Medicare, or Medicaid.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• We could also look at insurance premium tax being higher because, unfortunately, people have to pay more
• for insurance, and that's becoming a thing.
• We also look at insurance...
• Unfortunately, people have to pay more for insurance, and that's becoming a thing.
• The first bill, HB 2089, relates to our health insurance premium benefit.

Bills: HB2011, HB2089, HB2090, HB2092, HB2477, HB2785

Keywords: individual income tax, subtraction, Arizona Revised Statutes, retirement benefits, adoption costs, charitable contributions, health insurance, premium payment, Arizona State Retirement System, contingent annuitant, long-term disability, benefits limitations, disability compensation, social security, retirement system, elected officials, ASRS, eligibility waiver, age 65, education savings

Summary: The committee first heard House Bill 2785, a tax conformity measure that would update Arizona statutes to conform to the Internal Revenue Code as of January 1, 2026, including retroactive provisions for tax year 2025. The sponsor and supporters said the bill would align state law with tax forms already issued by the Department of Revenue, provide certainty to filers, and deliver about $440 million in tax relief through provisions such as no tax on tips and overtime, a larger standard deduction, and a $6,000 senior deduction. Opponents argued the bill would significantly reduce state revenue, disproportionately benefit higher-income taxpayers, and should be considered alongside a broader budget plan. After debate and an amendment addressing retroactivity and foreign dividends, the committee approved HB 2785 on a 5-4 vote. The committee then took up several Arizona State Retirement System and education savings bills. HB 2089 clarified the health insurance premium benefit subsidy for retirees and passed unanimously. HB 2090 changed the disability determination period for long-term disability benefits from 24 months within a five-year period to a straight 24-month period and passed 8-1. HB 2092 allowed employees over age 65 to waive ARS participation within 30 days of becoming eligible and also passed 8-1. HB 2477 conformed Arizona’s 529 education savings plan to federal law, including expanded uses and a permanent rollover to ABLE accounts and Roth IRAs; testimony supported the cleanup and simplification, but some members raised concerns about the Roth rollover and possible use of transferred ESA funds. HB 2477 passed 5-3 with one present vote, and the committee then adjourned.

Transcript Highlights:

• The Insurance Committee will come to order.

Bills: SB19, HB40, HB27, HB40, HB27, HB40, HB27

Keywords: contraceptive rights, healthcare access, civil action, Attorney General, contraception enforcement, prostate cancer, health insurance, screening, high risk, cost-sharing, African American men, savings accounts, catastrophe, emergency funds, financial security, state laws, criminal justice, parole, Board of Pardons and Paroles, risk assessment

Transcript Highlights:

• We had to have insurance. We had to do it right.
• we had to do it right that's time ...have insurance, we have permits, you have to do it right.
• Anyway, and they're not having insurance because they don't need to.
• Chair, so right now they're not required to have insurance on a boat, correct?
• So the insurance requirement—if they don't have insurance and they get caught or stopped or whatever,

Bills: HB2003, HB2057, HB2109, HB2111, HB2112, HB2114, HB2256, HB2259, HB2317, HB2323, HB2398, HB2443, HB2446, HB2574

Keywords: driver education, instruction permit, underage drivers, motorcycle licenses, traffic regulations, special plates, centennial, Arizona Department of Transportation, vehicle registration, commercial discounts, Arizona Centennial, distracted driving, portable wireless communication devices, motorcycles, traffic safety, civil penalties, driver license, examinations, motorcycle awareness, public safety

Summary: The committee heard a presentation from New Core Steel on its Arizona operations, emphasizing its Kingman facility, recycled-scrap steel production, high-paying jobs, safety improvements, veteran hiring, community investments, and support for infrastructure projects. Members asked about safety gains, expansion plans, scrap sources, and average pay. The company said it has invested heavily in Arizona and asked legislators to consider local steel and manufacturing when funding transportation and infrastructure projects. The committee then took up several bills. HB 2574 would delay ADOT enforcement of a traffic judgment while an appeal is pending; the sponsor and a witness said it would close a due-process gap, and it passed 7-0. HB 2057 would lower the fee for Arizona Centennial special plates for fleet vehicles to encourage more purchases supporting the Arizona Mining, Mineral, Natural Resource Education Museum; it also passed 7-0 after discussion about possibly expanding the concept to other specialty plates. HB 2109 would raise penalties for repeat distracted-driving violations and add an enhanced penalty when a violation results in a motorcycle crash. The sponsor and motorcycle advocates argued stronger fines are needed, but several members also wanted an education component; the committee agreed to work on a COW amendment and the bill passed 7-0. HB 2317, which would bar local governments from prohibiting cruising, drew strong testimony both for and against: supporters framed cruising as cultural and historical, while opponents from neighborhoods and law enforcement described congestion, blocked streets, sanitation issues, and safety concerns. The chair held the bill for further work. The committee also heard HB 2003, which would lower the age to get an instruction permit to 15 and extend permit periods and supervised-driving requirements; the sponsor and a motorcycle advocate said more supervised time would improve teen safety, while some members expressed concern about lowering the age and wanted to discuss changes before moving it forward.

Transcript Highlights:

• restoring their Authority symbol 1430 focuses entirely on who hires, supervises, and can remove the commissioner

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Bills: HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298

Keywords: HB3043, Oklahoma Department of Veterans Affairs, ODVA, seasonal employees, project labor, pro rata jobs, unclassified service, state personnel law, state employee benefits, paid leave, paid holidays, retirement benefits, health insurance, dental insurance, life insurance, temporary workers, veterans affairs, Title 72, Oklahoma Personnel Act, budget reporting

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• contractors and I don't trust insurance contractors and I don't trust insurance companies<00:04:
• And when he referenced the insurance company, he's talking about the city insurance because right now
• sector insurers.
• Cocking is here from the insurance federation and he represents the private insurers.
• and he represents the private insurers. and he represents the private insurers.

Bills: HF4133, HF3419

Keywords: homeowner's insurance, peace officer, property damage, just compensation, exclusion policy, corporate powers, entity law, business corporations, nonprofit corporations, LLC, limited liability company, cooperative, partnership, trust, foreign entity, campaign finance, election spending, political spending, ballot measure, ballot initiative

Bills: SB210, SB225, HB280, HB287, HB94, HB88, SB157, HB7, HB8, HB42

Keywords: hospital liens, medical billing, government healthcare, insurance claims, patient rights, blood tests, DUI, law enforcement, traffic offenses, chemical analysis, public nuisance, event liability, local government, community health, legal action, transparency, reporting, public safety, regulation, accountability

Transcript Highlights:

• prohibitions for adjusters and contractors, including prohibiting an adjuster from proposing to any insured
• that the adjuster represents the insured while the property is experiencing a loss-producing event or
• Members, the Weninger amendment to Senate Bill 1206, as at the— Owners who are in an insurance situation
• language, it prevents contractors from acting as adjusters because what it— owners who are in an insurance
• , and all employees of the ADG, racing, Deputy Director, Executive Director, Commissioners, and all employees

Bills: SB1206, SB1254, SB1290, SB1421, SB1432, SB1515, SB1563, SB1641, SB1649, SB1670, SB1671, SB1747

Keywords: storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention, storm chaser, residential construction contract, workers' compensation, joint check, claim solicitation

Summary: The Commerce Committee heard and acted on a long series of bills, with several strike-everything amendments. SB 1421, dealing with restrictions on financial institutions, check cashers, and remittances involving undocumented immigrants, drew strong opposition on constitutional and economic grounds and support from the sponsor as a sovereignty measure; the committee rejected a Villegas affordable-housing striker and gave the bill a due pass recommendation. SB 1254, a continuation/cleanup bill for the Industrial Commission of Arizona and its divisions, was explained as mostly renaming and administrative changes and passed unanimously after adopting the chairman’s striker. SB 1515 created a Public Safety Parity Fund for DPS and corrections retention bonuses funded by investment earnings from the Budget Stabilization Fund; law enforcement witnesses supported it as a needed retention tool, while some members objected to using rainy-day fund interest, and it passed on a split vote. SB 1206 updated homeowner protection rules for adjusters and contractors after disasters, limiting certain conduct during loss events and emergency responses, and passed unanimously after amendment. The committee also approved SB 1563, which continues the Barbering and Cosmetology Board and lowers some fee caps, after testimony that the board protects public health and sanitation. SB 1649 established a Digital Assets Strategic Reserve Fund; a Ripple Labs witness discussed self-custody options for unclaimed crypto, while an Aguilar striker would have required reporting on employers whose workers receive public assistance, but that amendment failed and the underlying bill passed. SB 1290, originally about HOA closed meetings, became a major debate over transparency versus privacy; opponents warned the Carter striker would force disclosure of sensitive member and employee matters, supporters argued HOAs should not take secret action, and the committee adopted both the Aguilar consumer-protection striker and the Carter HOA transparency striker before passing the bill. SB 1670, preempting local contractor licensing and allowing certain journeyman licenses, was amended with a Villegas striker aimed at landlord algorithmic pricing and passed unanimously. The committee continued the Arizona Department of Gaming, Racing, and Boxing/MMA commissions in SB 1671, with the chairman’s amendment narrowing reporting requirements and adding aggregate complaint reporting; the department said it had worked with auditors and supported the bill, which passed. The meeting then moved into SB 1747, beginning discussion of social media application requirements for developers and covered companies, including age verification and parental consent, but the transcript cuts off before further testimony or action on that bill.

Transcript Highlights:

• Bobby Mitchell, and Commissioner Kevin Faulkner.
• A couple of other commissioners had to leave earlier.
• A couple of other commissioners had to leave earlier.
• We go directly to Commissioner Mitchell. And then Commissioner Falconer, thank you for all you do.
• The county commissioners have my cell phone number.

Bills: SJR12, SCR39, SB27, SB29, SB241, SB406, SB414, SB464, SB568, SB578, SB609, SB660, SB689, SB693, SB785, SB857, SB879, SB921, SB922, SB955, SB985, SB993, SB996, SB1008, SB1035, SB1036, SB1059, SB1098, SB1120, SB1122, SB1147, SB1188, SB1197, SB1209, SB1227, SB1245, SB1267, SB1307, SB1321, SB1332, SB1386, SB1396, SB1453, SB1484, SB1494, SB1536, SB1537, SB1596, SB1610, SB1664, SB1741, SB1814, SB1822, SB1841, SB1948, SB2065, SB2155, SB2188, SB2230, SB2406, SB2407

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: The Senate convened with a quorum present, heard an invocation, and approved the previous day’s journal. The chamber then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with senators highlighting the university’s growth, medical school, research expansion, and role in serving South Texas. The Senate also adopted Senate Resolution 368 honoring outgoing Texas A&M University System Chancellor John Sharp, with numerous senators praising his long public career, leadership in higher education, and statewide impact. Senate Resolution 361 recognizing Texas HBCU Day and Senate Resolution 362 recognizing Denton County Days at the Capitol were also adopted, along with other routine recognitions and gubernatorial appointments being read into the record. The Senate then took up several bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to shorten vacancy posting requirements, allow bilingual certification candidates to retake only failed test sections, give teachers more flexibility with paid leave, clarify classroom removal procedures, and ensure parents are informed of appeal rights. The bill passed to engrossment, the three-day rule was suspended, and it was finally passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment to establish a parent’s right to direct a child’s education, was also brought up and passed to engrossment after a contested suspension vote. The Senate next passed Committee Substitute Senate Bill 1741, which would require reporting of foreign funding at public universities, bar gifts from adversarial governments, and require training and reporting systems to prevent foreign influence and intellectual property theft in higher education. Committee Substitute Senate Bill 29, the so-called “Dexit” bill, was debated at length for its corporate governance changes, including codifying the business judgment rule and altering internal corporate litigation and records rules; it passed to engrossment, the three-day rule was suspended, and it was finally passed by a 30-1 vote. Senate Bill 857, allowing law enforcement discretion to tow vehicles driven by unlicensed or uninsured drivers, passed after discussion of towing abuses during flooding and disaster conditions. Committee Substitute Senate Bill 1536, requiring dementia and Alzheimer’s training for certain guardians, passed with broad support, and Senate Bill 922, addressing delayed electronic disclosure of sensitive medical test results so physicians can discuss them first, was taken up and passed to engrossment as the chamber continued through its calendar.

Bills: HB151, HB152, HB138, SB221, SB190, SB69, SB225, SB272

Keywords: fire chaplains, distinctive license plate, firefighter, volunteer service, criminal penalties, sales tax exemption, baby supplies, baby formula, maternity clothing, menstrual hygiene products, pregnancy, pregnant defendant, incarceration, jail intake, pregnancy test, bail, pre-incarceration probation, supervised probation, electronic monitoring, electronic supervision

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• They currently handle the mandatory liability insurance appeals, and they would use the same method to
• They currently handle the mandatory liability insurance appeals, and they would use the same method to
• They currently handle the mandatory liability insurance appeals, and they would use the same method to
• They currently handle the mandatory liability insurance appeals, and they would use the same method to

Bills: SB341, SB340

Keywords: SB341, Alabama, veteran license plate, veteran tag, distinctive license tag, specialty plate, radiation exposure, atomic bomb testing, ionizing radiation, World War II veterans, Vietnam veterans, Korean War veterans, Cold War veterans, Desert Storm, Desert Shield, Operation Iraqi Freedom, Operation Enduring Freedom, Operation Inherent Resolve, Department of Veterans Affairs, probate judge

Transcript Highlights:

• That is a short and succinct introduction, and I'm going to pass it over to our Assistant Commissioner
• I serve as the Assistant Commissioner of Federal and State Initiatives for the Minnesota Department of
• And so, uh, Assistant Commissioner, I have a question about the heat pump program.
• Next we have Assistant Commissioner Lissa Pollish. and storage market must be uh regulated and storage
• Next we have Assistant Commissioner<01:11:06.240> Lissa<01:11:06.680> Pollish. Ms.

Bills: HF4560, HF4559, HF2317, HF3179, HF4880, HF2862, HF4374

Keywords: Public Utilities Commission, PUC, energy regulation, utility regulation, electric utility, public utility, rate case, multiyear rate plan, decoupling, rate decoupling, greenhouse gas, social cost of carbon, environmental cost, resource planning, certificate of need, distributed renewable energy, interconnection, budget billing, electronic filing, contested case

Transcript Highlights:

• collaborative people skills and her expertise as a paralegal covering a variety of law from medicine and insurance
• Insurance policies that offer medical surgical benefits to insurers cannot terminate coverage solely

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health