Transcript Highlights:

• <00:09:55.080> welfare And in that program, our child welfare And in that program, our child
• You also see that it shows the cost per child.
• And the average cost per child spent care.
• Obviously, we get the child spent care.
• <00:15:07.240> welfare we have within our child welfare we have within our child welfare information

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:19 DCBS 00:01:58, 958, all

Transcript Highlights:

• them the opportunity to be children, and to train up a child does not mean beat up a child.
• That kills a child. Or attempts.
• Child care is high as all outdoors.
• We're talking about a child outside the womb, a child born.
• I don't know, for those of us that have held a child moments, A child born. I don't know.

Keywords: 959, house, all

Summary: The House opened with prayer and the Pledge of Allegiance, then approved the House Journal for the prior day by a 123-0 roll call vote. Members then used points of personal privilege to recognize National Police Week and honor fallen law enforcement officers with a moment of silence, and several members gave farewell remarks for departing colleagues and interns. The chamber also introduced a number of special guests, including student groups, interns, a former representative, and the University of Missouri wheelchair basketball team. The House then took up Senate messages and committee reports before acting on House Committee Substitute for House Bills 1839, 2921, and 3015. The sponsor explained the Senate amendment was a technical correction to an online age-verification provision related to pornography; the House concurred 104-30 and then finally passed the package 112-25. The chamber also considered the conference committee report on House Bill 2596, which was described as a small-business health plan measure that modernizes pooled-plan language and adds a 12-month contraception coverage provision while removing a Senate-added blood pressure cuff requirement. After debate on the conference report and a severability clause, the House adopted the report 120-26 and then third-read and passed the bill 119-27. Finally, the House debated Senate Bill 905, which would create the Missouri Ranger training program allowing schools to optionally place specially trained personnel with narrow law-enforcement authority on campus. Debate focused heavily on school safety, local control, training standards, liability, funding, and whether the proposal would improve protection or instead increase the presence of guns in schools. Supporters argued it would give districts another optional safety tool, especially where school resource officers are unavailable, while opponents said schools need more mental health and educational resources rather than armed personnel and raised concerns about training, child development, and unintended harm. The House adopted an amendment clarifying the program after a 96-46 vote, but the transcript cuts off before final passage of the bill.

Transcript Highlights:

• holds so that our DHR can continue to work with that child.
• our DHR takes custody of that child. our DHR takes custody of that child.
• So, what this child and before we can.
• <00:10:14.560> And continue to work with that child.
• And continue to work with that child.

Keywords: 1136, house, all

Transcript Highlights:

• <00:21:44.799> or fentinel exposure of a child or fentinel exposure of a child or vulnerable
• the birth of the child.
• Sections 20 and 21 expand the definition of pornographic work in the child pornography crime and thus
• birth of the child. birth of the child.
• <00:40:26.640> abuse relate to videotapes of child abuse relate to videotapes of child abuse

Keywords: 1183, house

Transcript Highlights:

• I also served as a member of the Child Protective Legal Representation Task Force, which, as mentioned
• These are cases where, for the child at the center of an abuse or neglect case, decisions about nearly
• welfare law and in child development and trauma.
• Specifically, the bill would create the Parent and Child Legal Representation Commission, which would
• I don't know what's going on with this child.

Summary: The Senate Committee on Civil Rights, Judiciary, and Public Safety met with a quorum and adopted the June 4, 2026 minutes. The committee first took up Senate Bill 712, adopting the S-2 substitute, which expands residency requirements to include adjoining districts and removes a provision allowing a district to appoint someone employed by the district. The committee then reported SB 712 to the floor. It also considered House Bills 4025 and 4026, described as safe storage tax exemption bills; the committee heard one supportive written card and reported both bills to the floor, each on a 5-1 vote. The committee next heard testimony on Senate Bill 885, which would create a statewide Parent and Child Legal Representation Commission and Office within LARA to address child protective legal representation. Senator Singh and Alicia Moon of the Michigan Supreme Court described the current county-by-county system as uneven, with attorney shortages, inconsistent pay, and limited specialized training. They said the bill would set standards for training, caseloads, client contact, and compensation, while requiring public comment and future appropriations before implementation. Testimony and written cards from a broad range of organizations and judges supported the measure, and the committee reported SB 885 to the floor on a 6-0 vote. The committee then heard extensive testimony on Senate Bills 1015 and 1016, which would create an Office of Community Violence Intervention and Prevention within MDHHS and establish a grant program to support community violence intervention efforts statewide. Sponsors and witnesses from Force Detroit, D-Live, Seize the Smoke, Advance Peace, public health, law enforcement, and advocacy groups described CVI as a public health and public safety strategy that reduces shootings, supports survivors, and saves public costs. Several witnesses cited local data showing reductions in shootings and homicides in Detroit and Lansing, while one witness from the Michigan Sheriff's Association opposed the bills as written. The committee voted to report both SB 1015 and SB 1016 to the floor, each on a 5-0 vote with one pass, and then adjourned after additional testimony and reading of support cards.

Transcript Highlights:

• I serve as the administrator for the Division of Child and Family Services.
• The practice to use a child's benefits to offset the cost of foster care began in 1993 when the child
• These proposed changes reduced our budget by $97,000 in payments to rural child welfare.
• For the record, Marley McDade Williams, 38 states and the District of Columbia currently use a child
• in foster care's SSI or Social Security benefits to offset the child welfare agencies.

Keywords: 909, all

Transcript Highlights:

• We has the ability to place the child.
• So, this aware that the child is moved.
• I asked for a child welfare case.
• in the bill um for legitimate child in the bill um for legitimate child welfare<01:35:10.880>
• was in the room. um you know, my child was in the room. um you know, my child might<01:39:54.639

Keywords: 1191, senate, all

Transcript Highlights:

• , family member means a parent, child, family member means a parent, child, spouse<00:18:25.280><
• After parent, after the comma, add stepparent comma, then it'll say child, and then after child, we'll
• <00:22:05.600> uh it'll say child and then after child uh it'll say child and then after child
• <00:22:22.640> and<00:22:22.960> stepchild child and stepchild child and stepchild [clears
• <00:22:31.200> and means a parent and steparent child and means a parent and steparent child

Bills: SF0061, SF0098, SF0110

Keywords: sales tax, motor vehicle, family transfer, tax exemption, Wyoming legislation, veteran, property tax exemption, Wyoming National Guard, honorable discharge, tax benefits, surviving spouse, military service, property tax, residential real estate, tax assessment, primary residence, tax revenue, 916, all

Transcript Highlights:

• I mean, how many agencies are involved in a child that's at risk of abuse and neglect?
• What does the child advocate do? But I'm also concerned that we... I just... I don't...
• I probably missed some, but it's a child...
• The child is involved, and their parent family are at risk, and the child has been identified as the
• You all have had the child welfare subcommittee for some period of time.

Transcript Highlights:

• Moving on to AB 120, this is the Early Learning and Child Care Omnibus.
• In addition, I, personally, as an educator, am very happy to see some progress on the COLA for child
• child care providers have been asking for, and this is important.
• Yesenia Jimenez with End Child Poverty in California. Parent Voices.
• It is critical to finalize this package in the human services trailer bill process on child care.

Keywords: 988, house, all

Transcript Highlights:

• was not able to reunify with her child.
• /c><00:04:58.199> help<00:04:58.960> while<00:04:59.080> the<00:04:59.199> child
• was in the out for help while the child was in the hospital<00:05:00.440> and<00:05:00.680>
• uh in the opinion the uh her child uh in the opinion the uh justices<00:05:08.840> all<00:05:
• They're probably just a someone's child or a sibling or something of that nature.

Keywords: 00:11 Call to Order/Roll Call 01:02 Discussion of 25RS SB 26 07:48 Roll Call Vote on 25RS SB 26 08:43 Discussion of 25RS SB 85 28:04 Roll Call Vote on 25RS SB 85 29:37 Discussion of 25RS HB 805 40:30 Roll Call Vote on 25RS HB 805 41:32 Adjournment, 958, all

Summary: The committee first took up Senate Bill 26, presented by Senator Brandon Storm, Family Court Judge Marcus Vanover, and Crystal Adams on behalf of the Kentucky Judicial Commission on Mental Health. The bill would ensure Kentucky complies with the ADA by prohibiting disability alone from being used to terminate adoption petitions, parental rights, or child-placement petitions. Testimony cited Kentucky Supreme Court and Court of Appeals cases involving parents with intellectual or developmental disabilities and national data showing high removal rates for parents with psychiatric, intellectual, or physical disabilities. The committee approved the bill 15-0 with favorable expression. The committee then heard Senate Bill 85 from Senator Steve Meredith and State Auditor Allison Ball, which continues the transition of the Office of the Ombudsman from the Cabinet for Health and Family Services to the Auditor’s office. Testimony focused on completing the transfer by clarifying access to the ITWIST database, ensuring complaints go directly to the Ombudsman, adding whistleblower protections, and making the office a separate office within the Auditor’s office for efficiency. Members asked about the prior conflict of interest when the Ombudsman was housed within CHFS, the database access dispute and lawsuit, and whether the office still remained independent. The bill passed with favorable expression after some members voted pass. Finally, the committee considered House Bill 805, with Representative Nick Wilson and Representative Sarah Stalker explaining a committee substitute and amendment. The bill would set timelines for the Cabinet to physically locate children reported at immediate safety risk and require annual kinship-care reporting to be automatically provided to the legislature and posted publicly. Wilson said the bill also cleans up language from last year’s House Bill 271, including changing “threats” to “risks” in the safety-plan definition and other terminology fixes. The committee adopted the substitute and amendment and advanced the bill with favorable expression.

Transcript Highlights:

• transfer 30% of our TANF award to child care.
• transfer 30% of our TANF award to child care.
• money from TANF into child care.
• Another thing is child care.
• Another thing is child care.

Keywords: 908, all

Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.

Transcript Highlights:

• And trust me, as a child, I tried it. They're not buying it.
• And trust me, as a child, I tried it. They're not buying it.
• They added that if the child or parents want the child to have an account, they can engage and create
• control over a person under 16, a child control over a person under 16, a child under<00:35:37.440
• to have a child account. to have a child account.

Keywords: Meeting start: 00:00 Roll call: 00:05 HB 227 discussion: 01:10 HB 227 voting: 49:38, 958, all

Summary: The committee met with a quorum to consider House Bill 227, a time-sensitive measure focused on social media use by minors. The bill sponsor, Rep. Matt Lockett, and supporters including counsel for Alliance Defending Freedom, the Attorney General’s office, and the Family Foundation argued that social media is addictive and harmful to children, contributes to mental health problems and exploitation, and that the bill would give parents more control while regulating addictive features rather than banning speech. Supporters said the bill is narrowly tailored, content-neutral, and designed to withstand constitutional scrutiny; the Attorney General’s office said it would defend the bill if challenged and described ongoing multi-state litigation against major platforms. One committee member also described seeing inappropriate AI-generated content on a 16-year-old’s phone as an example of the problem the bill seeks to address. Opposition testimony came from the Foundation for Individual Rights and Expression, NetChoice, and the Computer and Communications Industry Association. They argued the bill raises First Amendment concerns because it conditions minors’ access on parental consent, regulates how private platforms communicate with users, and could function as a de facto speech ban. They also warned that the age-estimation requirement could force platforms to collect more sensitive data, creating privacy and security risks, and that the ban on “addictive features” was overly broad and could sweep in personalized feeds, notifications, autoplay, and other common tools. Opponents said the bill could especially harm vulnerable youth who rely on online access for community or safety information and urged the committee to craft a constitutional alternative. During questions, members asked how the state could enforce the law against national companies and were told enforcement would come through the Attorney General within Kentucky and potentially through multi-state litigation. Members also discussed the bill’s practical effects, including advertising revenue from youth users and the need for guardrails to protect children. The discussion continued with questions about the bill’s scope, parental consent, age estimation, and liability provisions, but no final vote or other committee action was shown in the excerpt.

Transcript Highlights:

• Conceivably, we could have a DPA office that were to be tasked with perhaps representing the child in
• Conceivably, we could have a DPA office that were to be tasked with perhaps representing the child in
• Conceivably, we could have a DPA office that were to be tasked with perhaps representing the child in
• Child attorneys that are taking these types of cases.
• care, dealing with individuals with substance abuse disorders, and child welfare and forensics.

Keywords: 958, all

Summary: The subcommittee met to discuss the guardian ad litem system, including appointment qualifications, training, payment, and whether any changes are needed. Roll was called, the February 25, 2025 minutes were approved, and the chair emphasized that the meeting was informational only and no vote would be taken. Representatives from the Court of Justice, including Chief Justice Deborah Henry Lambert and several family and district judges, testified about how the system has evolved since concerns raised in 2019 about overappointment and fees. Court witnesses said the judiciary responded to earlier concerns by requiring open appointment lists of trained and qualified attorneys, improving training, and increasing oversight of fee orders. They reported that statewide GAL fees have fallen from a little over $14 million in 2019 to about $12 million, even as caseloads have grown, and said the average payment works out to about $650 per case, with the statutory cap for trial-level GAL fees still set at $500 since 1986. They argued that the current local appointment model works well, especially in rural areas, and warned that moving to a DPA-style regional model would create serious scheduling and conflict problems because of overlapping dockets and related criminal cases. Judges from rural districts described shortages of available attorneys, high burnout, travel burdens, and the difficulty of finding enough counsel in smaller counties. They also said the Court of Justice cannot seek certain federal Title IV-E reimbursements, but urged the legislature to encourage the Finance and Administration Cabinet and the Cabinet for Health and Family Services to pursue that funding through an MOU. One judge noted that some appointed attorneys are effectively underpaid relative to private rates and that better compensation would help attract and retain lawyers. The discussion also covered training standards adopted after the 2019 audit. Witnesses said Rule 37 now requires initial training and four hours of multidisciplinary continuing training every two years, with topics including child development, trauma-informed care, substance use, child welfare, forensics, ethics, and communication with clients. They said the Court of Justice has offered in-person regional trainings and remote options, and that the goal is to keep qualified attorneys on the appointment lists while improving representation for children and parents in dependency, neglect, abuse, and termination-of-parental-rights cases.

Transcript Highlights:

• artificial intelligence to create child artificial intelligence to create child sexual<01:33:48.480
• <01:45:39.599> pornography child pornography child pornography matters<01:45:41.679> because
• work to child abuse uh child<01:48:49.280> sexual<01:48:49.679> abuse<01:48:50.400>
• <02:27:45.840> Protection law enforcement Child Protection law enforcement Child Protection
• role that cac's play in supporting child role that cac's play in supporting child victims<02:29:

Keywords: 1187, senate, all

Transcript Highlights:

• them the opportunity to be children and to train up a child does not mean beat up a child.
• That kills a child. Or attempts.
• If they attempt to kill that child, it would be declared If they attempt to kill that child, it would
• Child care is high as all outdoors.
• It's talking about a child outside the womb, a child born. I don't know.

Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the House Journal by a 123-0 roll call vote. Members then used points of personal privilege to recognize National Police Week, honor Rep. Prouty, and share personal remarks, followed by numerous introductions of special guests, including school groups, interns, a militia reenactment group, and student teams from the University of Missouri and Hallsville FFA. The chamber then handled Senate messages and committee reports before taking up House Bills 1839, 2921, and 3015. Rep. from Cass explained a Senate amendment as a technical correction to House Bill 1839, which would add age-verification requirements for online pornography; the House concurred 104-30 and then finally passed the package 112-25. The House also adopted and then passed the conference committee report on House Bill 2596, which was described as modernizing pooled health plan language for small businesses and adding a provision expanding contraception insurance coverage from a six-month to a 12-month supply, while removing a Senate-added blood pressure cuff provision. The conference report was adopted 120-26 and the bill was third read and passed 119-27. The final major item was Senate Bill 905, creating the Missouri Ranger training program and allowing school districts to optionally place highly trained rangers on campus with narrow law enforcement powers. Supporters argued it would give districts another local-control option to improve school safety, especially where school resource officers are unavailable, and emphasized that it could be volunteer-based and not require state funding. Opponents argued the bill would add guns to schools, increase trauma and liability, and fail to address underlying mental health and school safety needs. After extended debate and a successful previous-question motion, the House adopted the amendment and continued consideration of the bill.

Transcript Highlights:

• emergency when the child has ASD.
• emergency when the child has ASD.
• And as you all know, when a child is born, we do a routine newborn screening on that child.
• as well as the comfort of the child.
• You know, running back to get the child or if the child is really safe because they took a chance and

Summary: The Senate convened with a quorum, opened with prayer and the Pledge, and heard several member introductions and recognitions. The Rules Chair moved CS/CS/SB 622 to the end of the special order calendar, which was adopted without objection. SB 80 on state land management was temporarily postponed, as were later bills SB 716 and CS/CS/CS/SB 1348. The chamber then took up a series of bills, often substituting House companions and adopting amendments before final passage. Measures approved included a comprehensive waste reduction and recycling plan (HB 295, 38-0), mitigation banking and land development changes with a phosphate mining lands amendment (CS/CS/SB 492, 35-3), aggravated animal cruelty with a searchable FDLE database and sentencing multiplier (HB 255, 37-0), the Spectrum Alert for missing children with autism and related training/funding (HB 711, 37-0), newborn screening for Duchenne muscular dystrophy (CS/CS/HB 1089, 36-0), and revisions to the My Safe Florida Condominium Pilot Program to expand eligible mitigation projects and adjust approval thresholds (CS/CS/HB 393, 37-0). The Senate also passed workforce education legislation allowing charter schools access to grant funding and expanding money-back guarantees (HB 1145, 37-0), a statewide study on automation and workforce impact (HB 827, 35-0), parole guideline revisions (HB 181, 37-0), court-appointed psychologist procedures in family law cases (HB 901, 37-0), sexual cyber harassment protections covering digitally forged intimate images (HB 1451, 37-0), a home health aide program for medically fragile children with training and reimbursement provisions (CS/CS/SB 1156, 37-0), substance abuse and mental health care changes including 988 oversight and involuntary examination procedures (HB 1091, 37-0), a feasibility study for a statewide pond data database (HB 1359, 37-0), and Department of Law Enforcement housekeeping changes and retired police dog reimbursements (HB 1053, 37-0). The most extensive debate centered on the charter schools bill (HB 443), which expanded charter autonomy, reporting parity, enrollment flexibility, and governance rules; after a delete-all amendment and a friendly amendment, it was placed on the third-reading calendar rather than immediately voted on. Several bills were briefly discussed with concerns about transparency, accountability, funding, and constitutional issues, but all bills brought to a vote during this segment passed.

Transcript Highlights:

• I was a previous member of the governor's task force and Child Protection.
• Secondly, training must be informed by professionals with expertise in child maltreatment.
• <00:15:37.639> abused in child mail treatment a child abused in child mail treatment a child
• Senator House, child, um, I think this is a pretty important issue.
• Senator House, child, do you have a comment?

Keywords: 1187, senate, all

Transcript Highlights:

• who's been a victim of child abuse or neglect, or a forensic interview video of a child who's been the
• victim of child abuse or neglect.
• We just don't want anybody seeing it because we don't want that to hurt the child as the child gets older
• custody protective action to protect that child.
• custody protective action to protect that child.

Summary: The committee met with a quorum and considered several bills, mostly dealing with open meetings, public records, election administration, and local government notice requirements. Senate Bill 1 by Sen. Jenkins would authorize electronic voting under the Open Meetings Law and apply retroactively to validate prior electronic votes; after brief discussion and support from the Louisiana Municipal Association, it was reported favorably. House Bill 1052 by Rep. Spell would exempt certain child advocacy center and multidisciplinary team work product, forensic interviews, and related sensitive records from public records disclosure to protect child abuse investigations; testimony from child advocacy organizations emphasized the need to prevent misuse of records and preserve court-controlled access, and the bill was reported favorably. Senate Bill 289 by Sen. Abraham, concerning confidentiality of certain university records and negotiations, was amended to clarify protections for proprietary research, donor confidentiality, and limited confidentiality for industry negotiations, then reported favorably as amended. Senate Bill 218 by Sen. Talbot, allowing alternative certification programs for election officials if approved by the State Board of Election Supervisors, and Senate Bill 220, a technical correction regarding the official journal of the state, were both reported favorably. Senate Bill 161 by Sen. Seaball, repealing a requirement that certain high-salary unclassified state employees register vehicles in Louisiana, was also reported favorably after questions about its scope and purpose. The committee then took up House Bill 1193 by Rep. Sawyer, which authorizes the Coastal Protection and Restoration Authority to use indefinite delivery/indefinite quantity construction contracts for maintenance and emergency work. CPRA officials said the model would speed small repairs and pre-construction tasks, improve efficiency, and mirror a similar DOTD approach; an amendment narrowed the public-records language and excluded design-build contracting. Members raised concerns about public records transparency and inclusion of minority and small contractors, but the bill was reported favorably as amended. House Bill 249 by Rep. Green, a constitutional amendment creating an independent compensation commission for elected officials and tying adjustments to CPI, drew extensive debate over removing the legislature from setting salaries, the appointment structure, and whether the state could afford automatic increases. After opposition from several members and a roll-call vote, the bill failed to be reported, 6 yeas to 9 nays. Because HB 249 failed, the companion enabling bill, House Bill 248, was deferred. Finally, the committee heard House Bill 997 by Rep. Edmondson, which would let parishes, municipalities, and school boards use their own websites as an alternative to newspaper publication for public notices. Supporters from the Police Jury Association argued the bill would reduce duplicative costs, preserve all existing notice requirements, and simply add a third option alongside newspaper publication and newspaper-hosted digital publication. An amendment narrowed the bill to parishes, municipalities, and school boards, removing other political subdivisions. Members questioned transparency, enforcement, record retention, and whether the change would undermine newspapers; supporters said courts would still enforce notice requirements and that local governments already maintain the records. The bill remained under discussion at the end of the transcript, with no final action shown in the excerpt.

Transcript Highlights:

• For my middle child was...
• Include my child, the same child who was required to get vaccinations for bilateral COVID-19 cochlear
• For a child under 18, do you know how many different doses a child under 18 is supposed to take?
• The child was not from Andrews; the child had been exposed in a clinic in Lubbock while in a waiting
• Our middle child also struggled.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians