Transcript Highlights:

• Adam was planning a life when he began using ChatGPT.
• By April, ChatGPT was helping Adam plan what it called a beautiful suicide.
• It's existing in many cases in private companies.
• And in this case, you know, it's pointing out that we're eliminating jobs.
• In other cases, women have been secretly filmed by strangers using smart glasses without In other cases

Keywords: 987, senate, all

Transcript Highlights:

• Sector so we can try to find an overall plan for the state.
• In some cases, it's a study, it's design, right-of-way acquisition; in other cases, it's construction
• That's in the planning years right now.
• It's a Phase 1A, 1B report, access management plan.
• and our TPF, our transportation project plan.

Transcript Highlights:

• And the Eny Policy Advocates case, in looking at the case, essentially what the Supreme Court did was
• And the Eny Policy Advocates case, in looking at the case, essentially what the Supreme Court did was
• <00:21:52.159> that believes as we said in that case that believes as we said in that case
• I’m not planning to request a fiscal note.
• Thank you. direct onpo uh case law about what the direct onpo uh case law about what the interpreting

Keywords: 1183, house

Transcript Highlights:

• So cases nowadays are about 6 months.
• He has stated plans, and he is spending his money in a way that is looking to execute those plans.
• but we do know that Elon Musk has plans but we do know that Elon Musk has plans for<00:57:43.040
• there were planned there were planned uh<01:03:01.040> petitions<01:03:01.599> be<
• convictions for mostly for murder cases. convictions for mostly for murder cases.

Keywords: 1183, house

Transcript Highlights:

• in some cases in some cases it<00:26:58.960> it<00:26:59.120> it<00:26:59.240>
• never execute the plan, but you go back and you revisit a plan and you update a plan, and it doesn't
• Planning is, you know, you plan for the knowns and then the unknown unknowns as well.
• Planning is, you know, you plan for the knowns and then the unknown unknowns as well.
• Planning is, you know, you plan for the knowns and then the unknown unknowns as well.

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• In one case, I think...
• A printout. ...in which case we would—yes, Martin.
• and plan for the future presence of SMRs.
• Does anyone want to make a strong case for keeping it?
• Okay, so a case to be made for leaving that in?

Keywords: 1064, all

Transcript Highlights:

• Supreme Court case of Maryland v.
• Supreme Court case of Maryland v.
• The first is that case was dealing case.
• <01:49:43.040> They their own cases. They are parties. They their own cases.
• In those 10% of cases, I would submit because there is no case law.

Keywords: 981, all

Transcript Highlights:

• > that<00:14:54.399> they renewable development plan that they renewable development plan
• , going to need to show that in this case, going to need to show that in this case, securization<
• <01:15:24.080> prudency like this through rate case prudency like this through rate case prudency
• I'm director of storage and supply planning at CenterPoint Energy.
• And so integrated resource planning.

Keywords: 1183, house

Transcript Highlights:

• So, to address those objectives, we plan So, to address those objectives, we plan to<00:12:23.200
• report and the uh corrective action plan report and the uh corrective action plan that<00:16:07.080
• except for the case of of reimbursement. except for the case of of reimbursement.
• this one case. this one case.
• Is that the plan?

Keywords: 1189, house, all

Summary: The committee received an update from the LBA on three audits related to education programs. Christine Young reported that the special education audit is in report-writing, with 44 of 81 observations completed, and that a draft is expected early in the third quarter with a final report later in the summer. She also said the doorway program audit has a draft report with 12 observations, auditee responses were received May 14, an exit conference was held May 18, and the report is now expected to be presented at the June fiscal committee meeting. The bulk of the discussion focused on the education freedom accounts audit and a proposed expansion of scope. Beulah Skids explained that the original audit, required by the 2022 law creating the EFA program, would be expanded to examine whether students were New Hampshire residents at enrollment and throughout participation, and whether records of educational attainment satisfied program requirements. She described the current work, the draft cooperation agreement being developed with the Department of Education and the Children’s Scholarship Fund, and the department’s concerns about the audit period and the term "educational progress," which the LBA said it would revise. The committee discussed that the expanded work would depend on a written agreement giving the LBA access to needed records, policies, and staff, with the Department of Education potentially serving as an intermediary for data access. Members raised concerns about the scope period and data access. Senator Lang asked that the residency review be limited to the 2024-25 and 2025-26 school years, rather than the broader 2022-25 period, because those years captured the major program expansions; the committee appeared to agree, with clarification that the reference was to school years, not fiscal years. Members also discussed reconciliation of EFA funds, noting that the department has agreed to reopen rulemaking to make reconciliation more frequent so unused funds can be returned to the state sooner. Several members expressed frustration that access to data had been delayed, while LBA staff said the cooperation agreement is intended to prevent further roadblocks and that the AG’s office could review it if needed.

Transcript Highlights:

• I think at least two of these cases there are other types of cases.
• cases we don't.
• case, and who was assigned to the case.
• The dates of cases opened and closed, the outcome of the case, and who was assigned to the case.
• cases statewide.

Summary: The committee received agency updates on several behavioral health and justice programs. The Health Care Authority reported that assisted outpatient treatment (AOT) has expanded from two counties to eight, with a ninth expected in December, and described AOT as a court-ordered, least-restrictive treatment model that depends on close coordination among courts, treatment providers, and local officials. The agency also reviewed Joel’s Law, which lets family members, guardians, conservators, or tribes petition for an initial involuntary detention when they disagree with a designated crisis responder’s decision. Judges Ferreira and Larson said petition use has increased significantly statewide and in Snohomish County, but many cases do not proceed beyond the initial detention stage; they also noted family frustration, disjointed processes, and bed shortages as ongoing issues. Committee members asked about expansion criteria, the law’s effectiveness, and how the system fits together with other mental health interventions. The Attorney General’s Office presented on the hate crimes and bias incidents hotline created by SB 5427. The hotline began a pilot in King, Clark, and Spokane counties on July 1, 2025, with a statewide launch planned for 2027. Officials said the advisory committee helped shape the referral process, intake questions, outreach materials, and public branding. In the first five months, the hotline received 301 reports, with roughly 45% from King County and about 38% from outside the pilot counties; 42% requested follow-up, and only about a quarter of those wanted law enforcement referral. Testimony emphasized that the hotline is non-emergency, anonymous if desired, and focused on referrals rather than investigation. Members asked about why callers do not seek law enforcement involvement, how the hotline compares with Oregon’s launch, and what kinds of incidents are being reported. The Office of Independent Investigations reported progress on its work investigating police deadly force fatalities. Director Roger Rogoff said the agency has grown to 66 employees, including 31 investigators, and has completed six fatality investigations, with two public final reports posted. He said the office now operates in Region 1 and plans to expand statewide as staffing allows, with a future east-side expansion dependent on additional investigators. He also said the office has 29 requests to review prior cases, but those reviews are time-intensive and limited to cases with new evidence. Committee members asked about staffing needs, local cooperation, and whether the office conducts parallel investigations; Rogoff said OII performs the criminal investigation, while agencies may still do administrative reviews. The committee then heard a lengthy panel on public defense caseload standards and funding. The Washington State Bar Association, Washington Defender Association, county representatives, and city representatives all discussed the new caseload standards and the implementation timeline. Speakers said the standards reflect modern public defense realities but warned that funding, attorney recruitment and retention, office space, and data collection remain major barriers. Survey results from county offices showed wide variation in readiness, with many counties uncertain about timelines and most citing lack of funding as the biggest obstacle; attorney attrition was also described as high. County and city representatives argued that the new standards will require far more attorneys and support staff, and that local governments cannot absorb the cost without substantial state funding. They urged the Legislature to increase state support, improve workforce pipelines, and address structural issues in the public defense system.

Transcript Highlights:

• In some cases, this was decades ago.
• I mean, a longer deal, longer plan. OK, thank you for the question. If I can address these.
• you're talking about, this isn't a five-year plan for turnpikes.
• Stuff on that you plan lasts 20 years or 16 years, 12 years.
• So, we know where the plan is and where these items are done.

Bills: SB1475, SB2049, SB1966, SB1531, SB80

Keywords: memorial, infrastructure, transportation, dedication, Toby Keith, SB 2049, Oklahoma Department of Transportation, ODOT, Transportation Commission, surety bond, surety company, performance bond, contractor nonperformance, construction contract, public works, transportation contracts, bond claim, state transportation projects, Title 69, OMES

Transcript Highlights:

• dedicated ASAP staff who are embedded in our hospitals, working closely with health care teams and case
• These liaisons play a vital role in coordinating patient discharges and developing tailored care plans
• In case my silver hair and wrinkles leave no doubt, I am a senior. I'm also a single woman.
• The bill said that assisted living shall have landlord-tenant law apply in the case of evictions.
• Supreme Court case, Olmstead v. L.C.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• But it was said we did not; that would not be the case. I asked the staff...
• But it was said we did not; that would not be the case.
• I wanted to go over some of the details of the cases I mentioned yesterday.
• or corrective action plan from dismissing a student for academic performance.
• Daniel plans to, during the summer, he plans to study for the L-S-A-T and apply to law school.

Summary: The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored a retiring Senate staffer and a wounded veteran, then moved into returning House messages and special order bills. Several measures were taken up and either concurred in or sent back to the House, with multiple unanimous or near-unanimous votes on noncontroversial bills. Among the bills addressed were SB 118 on recreational vehicle park assessments, SB 572 on ethics for public officers and employees, and HB 991 on election integrity. SB 118 and SB 572 were amended to reflect House changes and passed 38-0. HB 991 drew extensive debate over voter registration and identification requirements, with opponents arguing it would burden students, seniors, disabled voters, and others, while supporters said it would strengthen election security and streamline verification; it passed 27-12. The chamber also approved bills on historic cemeteries, chickee regulation, habitual traffic offender designation, military affairs, and a Department of Health package. The Department of Health bill (SB 902/HB 733) was the subject of detailed amendment work, including changes to medical marijuana rules, NICU educational materials, Early Steps, dental loan repayment, and pediatric trauma center designation. The Senate adopted an amendment to the amendment and then passed the bill 37-0. Other measures included a funeral services bill, which the Senate refused to concur in because the House strike-all would redefine cremation to include composting, and a veterans-related bill that was temporarily postponed. The Senate also recessed briefly, then returned to continue the calendar and additional recognitions.

Transcript Highlights:

• I don't know the cases you've given me here.
• Obviously, that's part of a broader plan here.
• This amendment clarifies the original intent of the bill, which is a compliance plan for operators.
• That is not the case.
• But that's no longer the case. And I agree with all of that.

Summary: The Senate opened with an invocation by Pastor Jim Harris of Tilden Baptist Church, followed by remarks from Senator Zaffirini recognizing his service and retirement as an agricultural teacher. The chamber also received a message from the governor on appointments to the Coastal Water Authority Board of Directors. Senators then adopted SR 434 honoring Goodwill Industries of San Antonio’s 80th anniversary, with Senators Gutierrez, Menendez, and Zaffirini praising its workforce training and second-chance employment mission; SR 435 recognizing Dr. Christine Ramos Camacho as Doctor of the Day; and a group of additional resolutions adopted by voice vote. Senator Zaffirini also introduced the McMullen County Day delegation, and Senator Gutierrez introduced the Doctor of the Day. The Senate then took up and passed several bills. SB 1951 addressed penalties for late property rendition filings and removed a financial incentive for appraisal districts; SB 1261 related to financing water supply projects in the state water plan; SB 1620 created a Texas Forensic Analyst Apprenticeship Pilot Program; SB 530 updated higher-education accreditation rules; SB 2183 standardized fireworks sales periods statewide; SB 2368 strengthened the Lone Star Infrastructure Protection Act and added foreign-affiliation safeguards for electricity market participants; SB 1398 limited children without placement (CWOP) practices and added community-based care transparency; and SB 1960 established digital replication rights for voice and visual likenesses. Each of these bills advanced through suspension of the regular order, passage to engrossment, suspension of the three-day rule, and final passage, with recorded votes generally showing strong support and some opposition on a few measures. The chamber also debated SB 825, which would require an annual study of the economic, environmental, and financial impacts of illegal immigration. Senators Middleton, Hinojosa, Gutierrez, and Eckhardt debated whether the study should include positive as well as negative impacts; an amendment to require that broader analysis failed, and the bill was left pending after passage to engrossment. Other measures passed included SB 2010, prohibiting political subdivisions from operating guaranteed income programs; SB 546, requiring reporting and continued implementation of school bus seat belts; SB 586, establishing the Historical Texas Cemetery designation program; SB 1150, requiring inactive oil and gas wells to be plugged or returned to production under a compliance plan; SB 1184, lowering the minimum age of wine eligible for sale by wine collection sellers; SB 2185, clarifying bilingual education allotment funding; SB 1923, making child support follow the child in certain temporary placements; SB 2252, expanding early literacy and numeracy supports and screening tools; SB 1870, barring local decriminalization of drugs; and SB 2405, the major TDCJ sunset bill, which included facility planning, parole and rehabilitation reforms, and an amendment protecting parole board discretion. Most of these bills were adopted after floor amendments and passed with recorded votes, often along party-line or near-party-line divisions.

Transcript Highlights:

• >> Plans. The manager's plan and commissioner's plan. >> Okay. Thank you.
• >> Plans. The manager's plan and commissioner's plan. >> Okay. Thank you.
• >> Plans. The manager's plan and commissioner's plan. >> Okay. Thank you.
• my guess is is that in uh some cases my guess is is that in uh some cases there<00:47:21.760>
• You do have plans to recoup all the any excess overtime payments that were made, and when do you plan

Keywords: 1183, house

Transcript Highlights:

• Ludlow, we conduct all of our board meetings in person with opportunities for remote participation on a case-by-case
• And the open meeting law prior to that, that was not the case.
• So in this case there are different rules already for a town in this case.
• You know, again, for us, we make remote participation available on a case-by-case basis because we're
• planning agency for 101 cities and towns.

Keywords: 995, all

Summary: The committee heard testimony on several bills related to open meeting law, municipal meetings, town meetings, and remote participation. Senator Rausch supported S. 2205 and S. 2206, and House companion H. 3382, saying they would make remote participation in public bodies permanent and streamline open meeting law and public records complaint processes to reduce burdens on local officials. Committee members and the senator discussed concerns about complaints being weaponized, the role of the Attorney General, and whether public testimony should be presumed allowed unless a chair limits it with justification. The senator said the bills do not change public records fees and are meant to improve process and transparency. A large portion of the hearing focused on H. 3342 and S. 2197, which would modernize municipal meetings, town meetings, and local elections by allowing permanent remote or hybrid participation. Supporters included Wayland officials, the Massachusetts Municipal Association, Newton Mayor Ruthanne Fuller, MAPC, MACC, and others, who argued that hybrid and remote options increase participation, help parents, caregivers, people with disabilities, and residents with travel or work constraints, and have worked well during the pandemic-era extensions. Municipal officials emphasized that a mandate would be costly and difficult for smaller communities because of staffing, technology, room design, cybersecurity, and uneven internet access, especially in western Massachusetts. Committee members asked about equal access, funding, and whether local discretion should remain; the chair said the committee wants a permanent solution beyond emergency rules but must balance access with local capacity. The committee also heard testimony on H. 3328, which would allow remote participation to count toward quorum for statewide appointed bodies such as commissions on women and LGBTQ issues. Supporters argued this would improve regional equity and make it easier for people outside Greater Boston to serve, while committee members noted it is a separate issue from municipal meetings and may be easier to address than broader local-government changes. Another bill, H. 4351, was supported by Rep. Brandy Fluker Reed, who described it as creating an Office of Freedmen Affairs to address longstanding racial wealth disparities affecting descendants of enslaved Americans. The hearing also included testimony on H. 3299 from Common Cause and MASSPIRG in favor of guaranteed hybrid access for public meetings with public participation components, with advocates saying it would improve transparency, accessibility, and civic engagement.

Transcript Highlights:

• That would be the new case management system for DFPS.
• That would be the new case management system for DFPS.
• Is that the case?
• In fact, isn't there a case that was recently remanded from...
• in place or they're going to put a plan in place for emergency plans.

Summary: The Senate opened with an invocation and then took up several conference committee matters and resolutions. It granted the House request for a conference committee on House Bill 46 and adopted a conference report on Senate Bill 37, which was described as higher education governance reform, including stronger board authority, changes to faculty senates, general education requirements, and a new ombudsman office. Senators also adopted a large package of resolutions and HCRs by voice vote. A major focus was Senate Bill 12, the “Parental Bill of Rights,” whose conference report was adopted after extended questioning. The bill was described as giving parents more access to school materials and grievance procedures, requiring parental consent for student clubs, and restricting school district employees from assisting with social transitioning or related gender-identity instruction. Senators raised concerns about effects on students already socially transitioned and on parental rights in medical or psychological decisions; the author said the House language was retained in key areas and that districts would need policies and parent notification. The report passed 20-11. The Senate then adopted a resolution allowing the conference committee on Senate Bill 1, the state budget for fiscal years 2026-2027, to go outside the bounds, and later adopted the budget conference report. Senators highlighted major funding for public education, property tax relief, public safety, health and human services, child care, water and transportation infrastructure, and the Texas Energy Fund. The budget discussion also covered higher education, mental health facilities, community attendant wages, rural hospitals, DFPS case management, child care assistance, and a study rider on TRS. The report passed unanimously, 30-0. Finally, the Senate suspended rules to take up Senate Bill 8 and adopted its conference report. The bill requires counties with jails or jail contracts to participate in the federal 287(g) immigration enforcement program, with sheriffs choosing among available models and counties receiving tiered grants to help cover costs. Supporters framed it as a public safety measure targeting criminal illegal aliens, while opponents questioned whether it would divert local resources and increase fear in immigrant communities. The report was adopted after debate.

Transcript Highlights:

• But for in the state CHB benchmark plan.
• I sometimes hear it categorized as health plans' money, and that health plans need to use their money
• Some plans are designed with higher cost sharing in order to provide a plan that has a lower monthly
• of the costs to the health plans. of the costs to the health plans.
• Triricare have begun offering a plan. Triricare have begun offering a plan.

Keywords: 1187, senate, all

Transcript Highlights:

• So that wasn't the case. that. So that wasn't the case.
• plan review.
• Um, the local planning board or, you know, some person from the planning department will go and walk
• Site plan site plan review, right?
• But those two cases were decided.

Keywords: 928, house, all

Summary: The Ways and Means Committee held a public hearing on Senate Bill 291, which would update religious land-use and property tax exemption rules for church-owned parsonages, parish houses, and similar properties. Senator Tim Lang, speaking for the sponsor, said the bill was intended to address situations where former parsonages are no longer occupied by clergy and are instead used for church-related purposes such as housing staff, religious education, or congregate living tied to ministry, including addiction recovery. He emphasized that the bill was not meant to create commercial rental housing and that it also preserves reasonable zoning and environmental regulations. Committee members pressed the sponsor on how the bill would be applied, especially the meaning of “religious purposes,” the six-unit limit, the “same lot” language, and whether churches could use the exemption to rent units for revenue. The sponsor said the six-unit cap was added to prevent large-scale commercial rental use, that congregate housing would be limited and defined, and that the bill was meant to cover uses like substance abuse recovery, homes for unwed mothers, and religious education, but not apartments converted for ordinary rental. He also said churches would still file annual exemption paperwork and towns could challenge claims they believed were commercial. Questions also raised concerns about whether the bill treated religious and nonreligious housing trusts differently; the sponsor responded that the bill was aimed at church-owned property used in pursuit of a religious mission. Several witnesses testified in support. Representative Mark Pearson, an active clergyman, said the bill would not remove additional property from the tax rolls because clergy housing allowances typically lead clergy to buy taxable homes elsewhere, while the church-owned parsonage remains exempt. Nick Taylor of Housing Action New Hampshire supported the bill as a modest expansion that could help create more attainable housing by allowing better use of existing religious land and structures, though he noted his organization would support even broader use. The hearing ended without a vote or final action, and the chair closed questions after the testimony.

Transcript Highlights:

• And Joe Carter and I sat down, and we worked out a plan, and we put him on a plan.
• And we worked out a plan, and we put him on a plan.
• That certainly could be the case, but I certainly think that it's allowable.
• That certainly could be the case, but I certainly think that it's allowable.
• The district and the city are a case. This bill creates a serious local control problem.

Bills: SB1290, SB1530, SB1847, HR1050, SB169, SB1377, SB1990, SB1991, SB1778, SB1579, SB1992, SB3, SB2028, SB1928, SB2127, SB2117, SB1439, SB1930, SB330, SB1191, SB2110, SB2134, SB2069, SB2095, SB1613, SB1246, SB1976, SB1346, SB1509, SB2071, SB259, SB1314

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, Medicaid, ADvantage Waiver, home-based services, eligibility criteria, healthcare, senior services, Taiwan, Oklahoma, sister-state relationship