Transcript Highlights:

• in correctional health care. in correctional health care.
• care for incarcerated medical care care for incarcerated persons,<01:02:16.840> not<01:02:17.120
• provide the medical care that they need. provide the medical care that they need.
• <01:09:28.200> So, care provider. So, care provider.
• not to delay necessary care. not to delay necessary care.

Bills: HF3547, HF3651, HF4043, HF4282, HF4095

Keywords: fireworks, public safety, regulation, tax revenue, local government, sale, safety standards, fire safety, ethanol, fuel equipment, compatibility standards, law enforcement, peace officer, unauthorized practice, criminal justice, civics education, jail medication, correctional facility, detention, incarcerated persons

Transcript Highlights:

• information collected from managed care information collected from managed care organizations<00
• Um, line 4.1 is the exception for our native populations. basically the expedited de um elig basically
• They still need care.
• going to impact our uncompensated care. going to impact our uncompensated care.
• <01:16:04.480> addressed subtracted. um we basically addressed subtracted. um we basically

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

Transcript Highlights:

• And how will that be taken care of?
• So basically, in the new sub, it says...
• And so the Reproductive and Gender-Affirming Health Care Freedom Act dealt with access to care, and the
• Reproductive and Gender-Affirming Health Care Protection Act dealt with the... ...to care, and the Reproductive
• It's not a health care facility.

Bills: SB40, SB104, SB136, SB164

Keywords: SB40, Driver Privacy and Safety Act, automated license plate reader, ALPR, license plate reader, vehicle surveillance, privacy, data sharing, law enforcement data, immigration enforcement, reproductive health care, gender-affirming care, civil liberties, surveillance, public records, Inspection of Public Records Act, New Mexico State Police, Department of Public Safety, data sovereignty, vehicle tracking

Transcript Highlights:

• So I think we need to be careful about that.
• provider who understands what access to care truly means for...” “...frontline health care provider
• From a health care perspective, this funding helps ensure continuity of care, protects emergency response
• Next year, basically April of 2027.
• In 2007, we initiated a trauma care study, and we had a trauma care surgeon at the podium, and I asked

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• health care provider, school, Would like every health care, rural health care provider, school, public
• And that would apply to eye care as well as dental care, as well as primary care simulation.
• We want to make sure, as we interviewed health care to health care facilities.
• Care in the home, one person at a time. Care in the home. One person at a time, right?
• Palliative care in the home.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• We offer prenatal care. We offer prenatal care. Um. We offer prenatal care.
• for reproductive health care.
• We must care for those who are caring for others. I respectfully ask for your support for HB 2403.
• We must care for those who are caring for others. I respectfully ask for your support for HB 2403.
• daily living: hygiene, personal care, oral care, all of these very intimate things that you cannot do

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Summary: The committee first took up HB 2211 only for discussion, not a vote. The strike-everything amendment would make it unprofessional conduct for certain health care licensees to submit an independent dispute resolution offer above 300% of Medicare or 300% of the qualified payment amount. The chair said he wanted more stakeholder meetings and broader consensus before moving the bill. Testimony was split: an ARMA representative opposed the measure, arguing it reflected insurer concerns, QPA data lacked transparency, and licensing discipline was the wrong tool for billing disputes; a Blue Cross Blue Shield representative supported it, saying a small number of private equity-backed providers were driving up surprise-billing costs and abusing the No Surprises Act. No action was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap as an absolute limit, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. Rep. Kyle Powell said the bill was meant to give homeowners more flexibility and help address housing shortages. Supporters framed it as a property-rights and housing issue, while opponents from neighborhood and city groups warned it would allow oversized ADUs, increase density, create safety and parking concerns, and weaken local zoning control. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. The committee next passed HB 2620, as amended, by a 17-0 vote with one member not voting. The bill appropriates $300,000 per year for five years to the Arizona Department of Veterans’ Services for grants to emergency shelters serving veterans. An amendment removed age and non-congregate-setting limits for eligible shelters. Rep. Blackman said the bill was intended to help homeless veterans, and shelter advocate Nathan Smith supported it, saying targeted resources could help veterans exit homelessness and stay housed. The committee then took up HB 2960, which would create a veterans specialty court grant program. The bill was amended to have the Office of the Courts administer the fund and to allow support for expansion of existing veterans courts. Testimony highlighted the success of the Lake Havasu veterans court and the need for more standardized programs and data collection; the transcript cuts off before the final vote on HB 2960.

Transcript Highlights:

• , and on health care.
• , and on health care.
• It was created decades ago to help people with child care and dependent care expenses, but it kind of
• It was created decades ago to help people with child care and dependent care expenses, but it kind of
• families already get child care subsidy. families already get child care subsidy.

Bills: HB2410, HB2235, HB1904, HB2201, HB2349, HB1972, HB2007, HB2385, HB2444, HB2391, HB2575

Keywords: Hawaii Technology Development Corporation, economic diversification, small business, innovation, manufacturing assistance, grants, technology programs, advanced manufacturing, military, community relations, economic development, defense-related programs, workforce development, local business readiness, in-state manufacturing, federal investment, space operations, orbital sustainability, aerospace, space traffic management

Summary: The committee heard testimony on several measures, beginning with HB 2410 relating to the Hawaii Technology Development Corporation. Testifiers from HTDC and the Hawaii Food Industry Association stood on written testimony, and members discussed the funding request, which was described as $1 million each for three programs, for a total of $3 million. The measure appeared to have broad support, with no opposition noted. The committee then took up HB 2235 HD1 on the military and community relations office, where Lori Moore of MACC asked for additional funding to support local businesses and education-to-career initiatives statewide. Members asked about the amount, and the request was identified as $1.3 million total. HB 904 on space operations followed, with three supporters and one opponent, though no substantive testimony was captured beyond the vote counts. HB 2201 on state enterprise zones drew testimony from Georgia Skinner of DBEDT’s Creative Industries division, who said the measure would build on a well-run enterprise zone program and help make Hawaii’s film industry more competitive. Tom Yamashita of the Tax Foundation also provided comments. The committee then considered HB 2349 relating to DCCA and DBEDT coordination; DCCA explained it already provides links and information to DBEDT programs, while DBEDT argued that direct data sharing would allow more proactive outreach. Members raised privacy and cost concerns, and DBEDT said it would consider opt-in collection and acknowledged system changes and possible funding needs. The committee also heard two tax credit bills. HB 1972 HD1, on a caregiver tax credit, received strong support from AARP, the Hawaii Public Health Institute, the Hawaii Children’s Action Network, and others, who described caregivers as an “invisible workforce” and argued the credit would help families keep loved ones at home and reduce financial strain. The Tax Foundation suggested a grant or subsidy program might be more efficient than a tax credit and raised concerns about debarment provisions. HB 20007 HD1, on the household and dependent care services tax credit, also drew strong support from public health and family advocacy groups, who said Hawaii families face some of the nation’s highest child care costs and that the bill would better reflect current expenses; the Tax Foundation again raised technical concerns about complexity and debarment. Members asked about fiscal impacts, and testimony indicated the current credit costs about $6 million, with the bill expected to increase that amount. The committee then moved on to HB 2385 HD1 on housing, where the Deputy Attorney General began presenting written comments on whether the bill limits county authority.

Transcript Highlights:

• Who is a recipient of the waiver and Whoever was caring for the infant or designated to care for the
• Uh, we are, um, a home care agency out of the Rio Grande Valley.
• HB 5136 codifies basic nonprofit best practices.
• We're just careful. I'm a lawyer. I like to be careful about these things as well.
• Yes, um, as they exit foster care. These are extremely important.

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• Confidential child care facilities. The chair offers a committee substitute.
• plans. and Medicaid managed care organizations.
• . caring for People LLC, but what they discovered was far from caring.
• . care.
• care needs.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• And whoever was caring for the infant or was designated to care for the infant, if they were on staff
• We are a home care agency out of the Rio Grande Valley.
• We're just careful. I'm a lawyer; I like to be careful about that. These things as well.
• The next millionaire, but they care about it.
• child care in Texas repeatedly.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• Well, that's really into your care.
• That is the basic training.
• That is the basic training.
• Are actively involved in seeking care, but care is not currently available.
• Fosters cannot foster care system.

Bills: HF2362, HF2136, HF1316, HF2009, HF1918, HF1614

Keywords: youth intervention, funding, mental health, education, community programs, HF1316, child support, new hire reporting, centralized work reporting system, independent contractors, payors, employers, payor of funds, withholding orders, income withholding, child support enforcement, Minnesota Department of Children, Youth, and Families, gig economy, rideshare drivers, delivery drivers

Transcript Highlights:

• Health, University of South Alabama received $1 million for the training of primary care providers in
• When I look at the senior services for kinship care, we find the number of our young people, young children
• who have been cared for by their grandparents or individuals because of family members. ...individuals

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• Senator Hamilton, you care to vote.
• Senator Wingingard Stuart Petersonalahar. oods Senator Murdock, you care to vote.

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

Transcript Highlights:

• next bill on the agenda is HB 533 by Margie Wilcox, which Vice Chairman Mark Shirey will be taken care
• <00:08:39.360> will<00:08:39.519> be<00:08:39.760> taken<00:08:40.000> care

Bills: HB299, HB533, HB299, HB533

Keywords: court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner

Transcript Highlights:

• care in other settings.
• care in other settings. care in other settings.
• IHS basic without, you know, training? IHS basic without, you know, training?
• I don't care. care. care.
• . care. care.

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• establishes parameters for the Oklahoma healthcare Authority when they're performing audits of long-term care
• Basically, the cap was being removed so they could cover that extra cost.
• Basically, what we're doing is this is a cleanup.
• The other, I'm sorry, there are some other changes, but basically, they're just cleanup.
• My question is what facilities in Oklahoma medical hospitals are wanting to provide this type of care

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• , For young people in state care, For young people in state care, opportunities<00:07:57.360>
• school care cost me over $26,000. school care cost me over $26,000.
• Um, the bill and before school care.
• Basically, um, our school. Basically, um, our superintendent,<00:41:04.480> Dr.
• <00:48:02.800> of<00:48:02.880> our um basically the northstar of our um basically

Bills: HF3714, HF4399, HF4176, HF2544, HF60, HF4231, HF4232

Keywords: foster care, child welfare, enrollment priority, education programs, child care assistance, education, school board, elections, local governance, school district, site-governed schools, education reform, local control, autonomy, interchange, bond issuance, transportation, infrastructure funding, Sherburne County, student eligibility

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• physicians across the health care field. physicians across the health care field.
• relating to home health care licensing. relating to home health care licensing.
• lack of psychiatric care. lack of psychiatric care.
• Thank you. wrap-around care. Two days of medicine wrap-around care.
• <01:19:55.680> So care for the past 10 years or so. So care for the past 10 years or so.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• She cares about people very deeply and wants to make sure that we improve access to medical care.
• House District 53 is filled with caring and tenacious health care providers.
• our health care system.
• And I know our laws have placed you in... ...of health care in our health care system.
• hours for care.

Bills: HM3, HM11, HM14, HM15, HM18, HM21, HB10, HB11, HB12, HB13, HB14, HB31, HB50

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial