Transcript Highlights:

• assurance testing, we were able to bring it back to the vendor, who was then able to put technical modifications
• Genetics right now. I'll let Dr. Obermeyer speak to the latter question.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• Emergency Preparedness Program, and we run a variety of other family health programs related to genetically
• There is language that allows us to make certain modifications in the event that we need that for federal

Keywords: 988, house, all

Transcript Highlights:

• House Bill 1199, by Representative Jordan, relative to health insurance, to require coverage for genetic
• House Bill 1199, relative to health insurance, to require coverage for genetic testing of SCN2A-associated
• And this is going to mandate certain genetic testing and treatments of this particular disorder.
• And this is going to mandate certain genetic testing and treatments of this particular disorder.

Bills: HR308, HR309, HR310, HR311, HR312, HR313, HR314, HR315, HR316, HR317, HR318, HR319, HR295, HR296, HR297, HR298, HR299, HR300, HR301, HR302, HR303, HR304, HR305, HR306, HR307, HCR115, HCR116, HCR117, SCR71, SCR72, SCR73, HR73, HR118, HR144, HR196, HR237, HR249, HR260, HR267, HR272, HR273, HR276, HR278, HCR85, HCR100, HCR105, HCR107, HCR113, HCR114, SCR5, SCR29, SCR33, SCR37, SCR63, HB255, HB378, HB509, HB1090, SB80, SB131, SB143, SB251, SB254, SB279, SB367, SB384, SB388, SB389, SB398, SB408, SB431, SB468, SB469, SB496, SB25, SB132, SB155, SB157, SB202, SB295, SB433, HR179, HR223, HR225, HR274, HCR89, HR252, HR253, HCR96, HCR103, HCR108, HCR26, HB250, HB265, HB339, HB427, HB445, HB463, HB468, HB606, HB639, HB649, HB665, HB746, HB781, HB853, HB861, HB872, HB886, HB916, HB937, HB1054, HB1068, HB1117, HB1237, HB74, HB108, HB956, HB1085, HB1137, HB62, HB193, HB210, HB220, HB246, HB364, HB420, HB475, HB584, HB622, HB772, HB784, HB949, HB953, HB1043, HB1070, HB1092, HB1134, HB1162, HB1176, HB1196, HB1214, HB1199, SB268, SB283, HB782, SB149, HR84, HB646, HB998, SB56, SB163, SB197, SB97, SB326, SB341, SB518, SB123, SB353, SB479, SB495, HB901, HR20, HR74, HR168, HCR65, HCR71, HCR98, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, HB134, HB258, HB359, SB29, SB42, SB43, SB217, SB274, SB300, SB379, SB382, SB441, SB449

Keywords: HR 308, House Resolution 308, Pope Leo XIV, Catholic Church, Holy See, Vatican, commendation, resolution, Louisiana Catholic heritage, St. Louis Cathedral, New Orleans, South Louisiana parishes, religious recognition, ceremonial resolution, faith leadership, pontificate, spiritual solidarity, human dignity, peace, mercy

Summary: The House convened with prayer, pledge, and a quorum, then spent much of the day on recognitions and commemorative resolutions. Members honored coach Jeffrey Craig Whittington, tourism and the Louisiana Oil Makers Association, Motorcycle Safety Awareness Month, the Tangipahoa Parish Fair, Washington Parish festivals, ACOG’s 75th anniversary, Louisiana Tech women’s basketball, and Memorial Day. A major Memorial Day presentation commended Lane Frenchy Boudreau for helping recover the body of Army Sgt. First Class James H. Moore in Vietnam; the House observed a moment of silence and presented a flag to Moore’s family. The chamber also received Senate messages, enrolled bills, and committee reports, and introduced several new resolutions on topics including Pope Leo XIV, orphan wells, scenic rivers, Teche water quality, and the LaMelle family’s pilgrimage to Rome. The House then took up numerous resolutions and bills, often adopting them without objection. Among the measures adopted or advanced were studies on neighborhood crime prevention districts, parish solid waste and disaster resiliency in Washington Parish, the Louisiana Climate Action Plan, the Louisiana Maneuvers museum/trail, cash-rounding practices after penny production ends, residential construction costs and inspection practices, roundabout education, Taiwan relations, TSA worker loan assistance in Shreveport, human growth and development standards, and the state income tax credit for water utility customers. The chamber also adopted or concurred in several Senate amendments on bills dealing with financial disclosure, video voyeurism, personal information protections, online child safety, STEM advisory council changes, dual enrollment tuition, fleet vehicle registration, menhaden fishing rules, recording fees, amusement ride insurance, drone footage authentication, garbage and trash contracts, insurance prescription periods, retirement system changes, juror qualifications, fireworks, inspection stickers, employment discrimination, and inactive boards and commissions. Several measures drew discussion or division. H.B. 1199, requiring coverage for genetic testing and treatment for SCN2A-associated disorders, passed 94-0 after being discharged from Appropriations. H.B. 302, which would prohibit vape sales within 300 feet of schools, passed 86-4. H.B. 84, encouraging an interest-free loan program for TSA workers at Shreveport Regional Airport, passed 64-27. H.B. 1054 on self-authentication of law enforcement drone footage passed 78-12, and H.B. 1137 limiting employment discrimination protections to state employees passed 71-23. The House rejected Senate amendments on H.B. 468 (residential real property wholesaling), H.B. 1117 (insurance contractual payments and prescriptive periods), H.B. 956 (fireworks dates), and H.B. 74 (Spectrum Alert for missing children with autism), while concurring in or adopting amendments on many other bills. The session ended amid continued consideration of Senate Bill 56 on the West Bank/Lafitte levee governance structure, including an adopted amendment to ensure Lafitte-area representation on the board, with extended remarks about the history and accomplishments of the existing levee authority.

Transcript Highlights:

• few breeders available and taking the commitment of special people to carry on healthy lines and genetics
• With this, we expend costs for genetic and health testing, large veterinary costs for health maintenance
• With this, we expend costs for genetic and health testing, large veterinary costs for health maintenance
• With this, we expend costs for genetic and health testing, large veterinary costs for health maintenance
• With this, we expend costs for genetic and health testing, large veterinary costs for health maintenance

Keywords: 910, house, all

Summary: The committee heard testimony on House Bill 1552, which would make the attorney general the interim chief election officer if that office becomes vacant until the Elections Commission appoints a replacement. The Department of the Attorney General opposed the bill, saying it could create a conflict of interest if the attorney general were both the state’s lawyer and the chief elections officer in any related litigation. The League of Women Voters supported having some interim backup for the office, but said it was not necessarily advocating that the attorney general fill the role. Several other testifiers, including the Hawaiian Islands Republican Women, opposed the bill, arguing the current law already provides for a prompt commission appointment and warning about partisan bias and concentration of power. Supporters, including Indivisible Hawaii, said an interim mechanism is needed to ensure election certification in a crisis. The chair also asked whether any statutory acting capacity already exists, and the attorney general said none was known. The committee then took up House Bill 2125, which would bar corporations operating under state law from engaging in election activity. The attorney general opposed the bill, citing Citizens United and arguing that corporations have First Amendment-protected political speech rights and that the bill would likely be unconstitutional. Indivisible Hawaii supported the measure, saying it would keep elections focused on the will of the people rather than corporate influence. Libertarian Party testimony was mixed: one witness supported the goal of reducing corruption but warned the bill could suppress organized dissent and sweep too broadly by treating many associations as corporations. The bill’s introducer asked whether the legislature could still enact it as a policy matter, but the attorney general maintained federal constitutional law would control. No vote was taken on either bill during the portion of the hearing provided. The committee also heard House Bill 2493 on wrongful imprisonment, which would set procedures and compensation for people whose convictions are reversed or vacated on grounds consistent with innocence and whose charges are dismissed. The Department of Corrections and Rehabilitation supported the bill’s intent but objected to language assigning it responsibility for helping released individuals secure housing, identification, health coverage, and other reentry needs, saying it no longer has jurisdiction after release and suggesting the courts or a community-based contractor handle that role. The Office of the Public Defender strongly supported the bill, emphasizing the harm of wrongful conviction and the need for compensation, case management, and medical coverage after release. No action or vote was reported on this measure in the excerpt.

Transcript Highlights:

• And that greatly limits our capacity to leverage many of our modern scientific advances, such as genetics
• On the genetic side, the screw worm's genome has been sequenced, so we know all of the DNA strands that
• They have strains of the fly that they currently rear, and they've been able to genetically modify them
• The second half of using and it is that it's a genetically modified organism, and you have to have special
• would have to have the cooperation. of the Mexican government to allow the release of the sterile, genetically

Keywords: 997, house, all

Transcript Highlights:

• PWS is a rare genetic disorder, and it affects about 1 in 30,000 live births.
• PWS is a genetic condition, and what it does is it affects the brain, the metabolism.
• disorder and and that's it, rare genetic disorder and and that's it, right?
• condition<00:09:16.160> and<00:09:16.399> what<00:09:16.560> it PWS is a genetic
• condition and what it PWS is a genetic condition and what it does<00:09:16.959> is<00:09:17.200

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Gender transition is an experiment, as no treatment can change a person's genetic composition, and no
• Gender transition is an experiment, as no treatment can change a person's genetic composition, and no
• You talked about inherited genetic traits and not wanting to change people's inherited genetic traits
• So why don't you want those inherited genetic conditions?
• So imagine my surprise hearing I have an insurmountable genetic competitive advantage in every sport.

Keywords: 959, house, all

Transcript Highlights:

• I think it was for cancer markers, genetic research in neuro.
• Markers for genetic research in neurodegeneration is the focus of his research at Hudson Alpha.

Keywords: 1136, house, all

Transcript Highlights:

• And so there is a lot of genetic heritability in our predisposition to...
• There's a lot of genetic heritability in our predisposition to form addiction to any substance, for that
• It has been genetically passed on, and you're wired to have that response based on the neurotransmitter
• So what studies have shown is that there is no difference in the genetic heritability of a substance
• So there is a genetic predisposition that has been passed on to every generation.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• Senate Bill 344 requires certain health insurance to cover certain screenings for certain genetic disorders
• to offer related services, insurance coverage, or individuals' control over their own reproductive genetic
• Therefore, Section 9 ensures that no... control over their own reproductive genetic material.
• Society is essentially saying that unless you are wealthy, you do not deserve a child that is genetically
• And IVF often includes advanced testing, which can help identify serious genetic conditions before pregnancy

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Transcript Highlights:

• Therapies now being developed could potentially treat many of these genetic illnesses, but none of these
• <03:54:33.399> illnesses<03:54:33.920> to young children with genetic illnesses to
• Similar genetic illnesses are being treated, and the other parents all have genetic illnesses.
• Foundation that's a lethal genetic Foundation that's a lethal genetic illness<04:06:30.359> that
• illnesses these these children genetic illnesses these these children are<04:06:38.640> very<

Keywords: 1189, house, all

Transcript Highlights:

• created human beings as males and females, designing them with complementary bodies and an unchangeable genetic
• defines female as an individual who has had, will have, or would have, but for a developmental anomaly, genetic

Bills: HB45, HB79, SB79

Keywords: Medicaid, colorectal cancer, screening tests, noninvasive tests, preventive care, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, sex-based terminology, gender identity, male, female, man, woman, boy, girl, single-sex spaces, women's rights

Transcript Highlights:

• There also are continuing efforts to ensure maximum genetic diversity in the wild population, and that
• is something... ...genetic diversity in the wild population, and that is something that needs the Endangered
• Yet the population still faces serious threats, including poaching, vehicle collisions, and genetic challenges

Bills: HB2013, HB2026, HB2056, HB2098, HB2113, HB2156, HB2158, HCM2011, HCR2057

Keywords: air pollution, wildfires, environmental standards, public health, Arizona Revised Statutes, assured water supply, groundwater, commingling, commingled water, water supply, Arizona Department of Water Resources, ADWR, active management area, AMA, subdivision plat, development approval, water rights, municipal provider, private water company, certificate of assured water supply

Summary: The committee approved the minutes from February 27 and March 3, 2026, and then heard several natural resources and water-related measures. House Bill 2013 would require ADEQ to submit an exceptional event demonstration to EPA when wildfire smoke from federally managed land affects Arizona air quality. The sponsor said this would help Arizona’s ozone/nonattainment position, while Sierra Club and ADEQ raised concerns that the bill duplicates an existing process and could waste staff time and resources. The bill passed 5-3. House Bill 2156 would appropriate $250,000 to the Livestock Compensation Fund. Supporters argued ranchers need help with livestock losses and drought impacts, while opponents criticized the board’s transparency and said the program already receives federal and prior state funding. The bill passed 5-3. House Bill 2113 would require RUCO to intervene in utility rate cases when a proposed increase reaches 100% or more; the sponsor said rural customers are being overlooked, while RUCO said it would need significant additional staff and funding and could not absorb the workload without more resources. The bill passed 6-2, with members noting they expected a future amendment to add funding. The committee also approved House Concurrent Memorial 2011, which urges Congress to delist the Mexican gray wolf and return management to states and local authorities. Supporters cited livestock losses and ranching impacts, while opponents said the species remains endangered and recovery decisions should remain science-based; the memorial passed 5-3. House Bill 2026, concerning how ADWR evaluates water availability when supplies are commingled, passed 5-3 despite concerns that it could weaken groundwater safeguards. House Bill 2056, which funds a feasibility study for brackish groundwater desalination sites, also passed 5-3 after debate over whether the study was necessary given existing groundwater accounting and treatment efforts. House Bill 2098, modernizing Pinal County Water Augmentation Authority bonding authority, passed unanimously 8-0. Finally, House Concurrent Resolution 2057, supporting a geothermal permitting roadmap and agency coordination for next-generation geothermal development, passed unanimously 8-0.

Transcript Highlights:

• that greatly limits our capacity to, um, Leverage many of our modern scientific advances such as genetics
• Um, on the genetic side, um, the screwworm's genome has been sequenced, so we know all of the, the, the
• And they've been able to genetically modify them.
• The second half of using it is that it's a genetically modified organism and you have to have special
• would have to have the cooperation of the Mexican government to allow the release of the sterile, genetically

Transcript Highlights:

• improving sterile fly production with AI tools and using modern genomic tools to deliver fly-killing genetic
• Purebred operators will have to take extra measures and endure additional costs to preserve the genetics
• they have been building, such as our genetics that we've been developing for the past 175 years.
• Now U.S. genetically based.
• We're not going to see additional cattle coming in and doing our normal import of those good, genetically

Keywords: 1184, house, all

Transcript Highlights:

• As far as genetic predisposition to psychosis, you’re welcome. We appreciate it. It is genetic.
• I have greatly suffered from anxiety attacks, depression, and pain from a genetic disorder.
• It may activate mental illness in people who are already predisposed, be it genetic or environmental.
• From a plant science perspective, there are no hemp genetics available for farmers to grow that only
• I'm wondering if these vendors are going to provide a genetic test along with each of their products

Bills: SB 3, HB28, SB3

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, hemp regulation, consumable products

Transcript Highlights:

• Uh, we had a question yesterday during our genetic data privacy bill about dark patterns and where they
• senator from Chittenden Central, and uh we continue to ask for your support protecting Vermonters' genetic
• Seeing none, listen to the third reading of the bill. >> H.639, an act relating to genetic data privacy
• . your support protecting Verters's your support protecting Verters's genetic<00:09:24.320> uh
• genetic uh data privacy. Thank you, Mr. genetic uh data privacy. Thank you, Mr.

Keywords: 927, senate, all

Transcript Highlights:

• It focuses on treatments that utilize genetic, chromosomal, DNA, genetic products, or metabolites for

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse