Video & Transcript Research : 'qualified apprenticeship program'
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ND
North Dakota 2025-2026 Regular Session
Senate Workforce Development Apr 10th, 2025 at 10:00 am
Workforce Development
Transcript Highlights:
- And after reviewing it with counsel, we thought that because this is the program evaluation component
- Senator Hogan said thank you, and the DOGE program... Senator Hogan. Thank you.
- And we decided to put in Legislative Council program evaluation because we pass laws and we sometimes
- And so there will be DOGE and there will be Legislative Council program evaluations.
- But the protocols may be... ...be DOGE and there will be Legislative Council program evaluations, but
Bills:
HB1119
Keywords:
child care, childcare, day care, daycare, early childhood education, child care licensing, provider licensing, child care regulations, administrative rules, Department of Health and Human Services, HHS, licensing advisory committee, child care providers, group child care, preschool programs, child to provider ratios, square footage requirements, staff training, certification requirements, child care funding
Summary:
The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body.
Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment.
Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.
ND
Transcript Highlights:
- This would basically amend century code relating to requirements to qualify for North Dakota scholarship
- This would basically amend century code relating to requirements to qualify for the North Dakota scholarship
Bills:
HB1404
Keywords:
HB 1404, North Dakota scholarship, scholarship eligibility, student aid, high school graduation, college readiness, career readiness, career and technical education, CTE, dual credit, advanced placement, AP exam, International Baccalaureate, IB exam, ACT, SAT, WorkKeys, ASVAB, JROTC, Civil Air Patrol
Summary:
The Senate Education Committee met with six members present and first took up House Bill 1404, which would update North Dakota scholarship eligibility language by allowing the NDA Plus assessment to be used in place of ACT scores in certain pathways. The Department of Public Instruction explained that the bill does not eliminate the ACT entirely, but removes outdated references tied to ACT accountability testing that will no longer apply after this year’s seniors graduate. Members discussed how the change affects public and nonpublic schools, then voted 6-0 to give HB 1404 a do pass recommendation.
The committee then returned to House Bill 1363, a bill dealing with school emergency response planning and automatic external defibrillators. Members adopted an amendment clarifying that the requirements apply to school-owned facilities and grounds, replacing language about school events and venues, and revising the planning language for school-based events not held on school-owned property. The committee also debated whether the bill should be mandatory or permissive; a motion to change “shall” to “may” failed, with members noting the bill’s liability protections. The committee then voted 5-1 to pass HB 1363 as amended, with Senator Gerhardt carrying the bill.
Before recessing, the chair noted that House Bill 1533 would be taken up later in the day after additional information from DPI was received.
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations Apr 3rd, 2025 at 08:30 am
Appropriations
Transcript Highlights:
- Section 4 applies to the Public Employees Retirement System, Uniform Group Insurance Program, or, for
- the chair and vice chair, which of course Senator Bekkedahl is the vice chair of Employee Benefit Programs
Keywords:
adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program
Summary:
The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later.
House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum.
House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.
TX
Texas 89th 2nd C.S.
S/C on Academic & Career-Oriented Education Mar 5th, 2025
S/C on Academic & Career-Oriented Education
Transcript Highlights:
- and logistics programs.
- , P-Tech and RPEP programs.
- And Irrespective of the cost of that program.
- The, uh, The RET program or the What are you asking?
- level four would qualify for the 1.47 weight.
Keywords:
fraudulent solicitation, disaster relief, nonprofit organizations, criminal penalties, consumer protection, fraud prevention, charitable donations, higher education, LGBTQ studies, DEI studies, program prohibition, educational policy, HB120, Texas, Texas Education Code, public universities, public colleges, queer studies, gay studies, lesbian studies
KY
Kentucky 2026 Regular Session
Interim Join Committee on Licensing, Occupations, and Administrative Regulations (9-26-24)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=fcrHjsNwpd0, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start 00:00:00
Roll Call: 00:00:06
Home Inspection Statute of Limitations 00:02:19
Eastern Kentucky University Fire Safety Engineer Program 00:18:00
Delta 9 Infused Drinks 00:39:47
Employment Application and licensing Process for Convicted Felons 01:15:20, 958, all, 2.2.42, 2.1.47
KY
Kentucky 2026 Regular Session
Joint Meeting of House and Senate Committees on Health Services (1-12-23)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=qnBH-9G46wI, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00:00
Roll Call: 00:00:42
Consideration of Referred Administrative Regulations: 00:10:20
Overview of the Organization and Structure of the Cabinet for Health and Family Services: 00:14:01
Update and Overview of the Kentucky Medicaid Program: 01:08:19, 958, all, 2.2.42, 2.1.47
LA
Transcript Highlights:
- Those only, that's what qualifies. Okay, that's what I want to make sure. Okay, thank you.
- Those only, that's what qualifies. Okay, that's what I want to make sure. Okay, thank you.
- So the EHDI program oversees that process.
- So the EHDI program oversees that process.
- In addiction, it's part of their programs and stuff. They want to get back. They want to help.
Bills:
HR174, HR194, HCR98, SB39, SB124, SB190, SB236, SB270, SB273, SB359, SB415, SB426, SB437, SB451
Keywords:
fenbendazole, cancer treatment, public health, FDA, clinical trials, patient safety, visual acuity, student health, de-identified data, longitudinal analysis, education policy, SNAP, food stamps, Supplemental Nutrition Assistance Program, grocery delivery, delivery fees, service charges, online grocery, food access, food insecurity
Summary:
The House Committee on Health and Welfare met on May 12 and first reported HCR 98 favorably without objection. The resolution asks the Louisiana Department of Health to study whether SNAP benefits could be used to pay grocery delivery fees and related costs, especially for elderly and mobility-limited recipients. The author said the measure would not change SNAP rules, only request a study, and LDH was not opposed.
The committee then advanced several Senate bills. SB 273, on hospice care in inpatient licensed facilities, was amended and reported favorably; the bill requires documentation of hydration, nutrition, and care decisions and clarifies facility responsibility when multiple providers are involved. SB 415, creating the Empower Louisiana Food Purchase Program, was amended and reported favorably; the author described it as a privately funded, charity-run food card program for people in need, with LDH to develop rules. SB 437, a cleanup bill on judicially referred residential substance abuse treatment facilities, was reported favorably, with LDH explaining that facilities providing treatment must be licensed and surveyed.
The committee also approved SB 451 on newborn hearing screenings, which updates terminology and expands reporting requirements to improve early detection and intervention for deaf or hard-of-hearing children. SB 426, modernizing the addictive disorder regulatory authority and creating a licensure pathway for peer support specialists, was reported favorably with amendments after testimony from behavioral health providers and training organizations. SB 236 on annual LDH reviews of kidney disease treatment in Medicaid, SB 39 creating provisional licenses for massage therapist graduates, SB 190 tightening oversight of nursing facilities in the CMS Special Focus Facility Program, and SB 124 allowing peer review sharing within a health system were all reported favorably, most with technical amendments. The committee also reported favorably HR 174 urging study of fenbendazole for cancer, SB 270 allowing terminally ill patients to use medical marijuana in health care facilities, SB 359 changing terms for a Morehouse Parish hospital district board, and HR 194 requesting de-identified school visual acuity screening data for researchers. The meeting ended with a motion to adjourn.
OK
Oklahoma 2026 Regular Session
Agriculture REVISED: SB722 - Link added Apr 6th, 2026 at 03:00 pm
Agriculture
Transcript Highlights:
- So then, since this is a loan program rather than a grant program, they can qualify for the loan and
- Um, the dairy Services program falls under, we help regulate that.
Keywords:
water infrastructure, wastewater, investment program, loans, local government, SB1509, groundwater, water wells, well spacing, water rights, Oklahoma Water Resources Board, OWRB, basin, subbasin, maximum annual yield, aquifer management, water allocation, water permits, temporary permits, irrigation
MN
Minnesota 2025-2026 Regular Session
Environment Committee Meeting - 2026-03-26
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- program, they can and should. program, they can and should.
- pay for their recycling programs? pay for their recycling programs?
- county-based recycling programs. county-based recycling programs.
- <01:26:38.360>
I county-based recycling programs." I county-based recycling programs." - We have to have a new program.
Keywords:
natural resources, environment, sustainability, conservation, outdoor recreation, wild rice, watercraft regulation, environmental protection, aquatic ecosystems, HF1426, product stewardship, extended producer responsibility, EPR, electronics recycling, e-waste, battery recycling, circuit boards, printed circuit boards, electrical products, covered products
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 3/5/26
State Government Finance and Policy
Transcript Highlights:
- c> and<00:30:33.039>
um <00:30:33.120>I <00:30:33.440>don't fraudridden programs - and um I don't fraudridden programs and um I don't think<00:30:33.679>
that's <00:30:33.919> most child care assistant program funds. most child care assistant program funds.- that are already available uh programs that are already available through<01:23:31.840>
utilities - This bill would strengthen the ability of agencies to stop payments to program participants when fraud
- that are already available uh programs that are already available through<01:23:31.840>
Keywords:
civil rights, law enforcement, federal collaboration, accountability, state law, immigration enforcement, economic impact, Operation Metro Surge, study, appropriation, local government, Legislative Commission on Legislative Security, legislator security, elected official security, staff security, statehouse security, capitol security, legislative district safety, political violence prevention, threat assessment
Summary:
The committee first attempted to approve minutes from February 24 and March 3, but members identified multiple spelling errors in names, so approval was held and the motion withdrawn. The committee then took up House File 3477, a bill by Representative Long proposing a civil remedy for constitutional violations by government actors, including federal actors. An author’s amendment (A4) was adopted to remove a subdivision and clarify retroactivity. In discussion, members raised concerns about Supremacy Clause and immigration-related issues; the author responded that the bill applies evenly to state and federal actors and is meant to enforce constitutional rights, not immigration law. After debate, the motion to re-refer the bill to the general register failed on a 6-7 vote, with one member excused.
The committee next heard House File 3480, authored by Representative Howard, which would commission an independent economic impact study of Operation Metro Surge. An A2 amendment was adopted to add a dollar amount for the study and clarify timing. Representative Howard said the study would help the legislature understand statewide impacts and noted reported harm to businesses, child care, schools, and local governments. Testimony in support came from Laura Santiago, reading a statement from Christopher Gomez of Willmar, who described ICE agents entering his family’s restaurant, the detention and deportation of family members, and resulting business losses. Rachel Ser, Minneapolis emergency management director, cited a preliminary city assessment estimating major impacts including food insecurity, lost wages, business revenue losses, hotel cancellations, and rental assistance needs. Some members questioned the cost and usefulness of the study, while others said suburban and greater Minnesota communities also wanted the data. The transcript ends during continued discussion of the bill.
AL
Alabama 2026 1st Special Session
Alabama Senate Finance and Taxation General Fund Committee Mar 4th, 2026
Finance and Taxation General Fund
Keywords:
education policy, wireless communication devices, internet safety, social media, mental health, HB487, Alabama G.I. Dependent Scholarship Program, veterans, disabled veterans, dependents, spouse benefits, widow benefits, children of veterans, tuition assistance, education benefits, scholarship, college aid, undergraduate tuition, private school reimbursement, books and fees
TX
Transcript Highlights:
- By fostering these positive influences... programs, out of school programs, empower students to make
- , socially and culturally relevant arts education programs.
- A competitive grant program would help us expand access to free or low-cost programs. and communities
- Okay, so this is not summer program.
- There's a scholarship program program that we associate with that.
Bills:
HB 1178, HB1411, HB1441, HB1773, HB1813, HB2107, HB2598, HB2911, HB2967, HB3672, HB5263, HB3797
Keywords:
education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance
TX
Transcript Highlights:
- These programs help communities across our state.
- event for reimbursement under the Major Events Reimbursement Program (MERP).
- In this program, I'm familiar with initiatives coming to San Antonio.
- Events Reimbursement Program. ...and the Motorsports Racing Trust Fund.
- The event would have qualified for enhanced funding under the Major Events Reimbursement Program.
Bills:
HB2385, HB3349, HB3962, HB3883, HB4396, HB4811, HB5088, HB4588, HB4867, HB4895, HB5398, HB5616
Keywords:
NRA, funding, major events reimbursement, annual meetings, exhibits, events trust fund, Pan American Games, Olympic Games, motor sports racing, local control, event support contract, INDYCAR, Arlington, tourism, funding eligibility, sporting events, economic impact, local governments, American Performance Horseman, American Rodeo
TX
Transcript Highlights:
- Under the Foundation School Program, the chair offers a committee substitute and recognizes Chairman
- in the fact that, in the original bill, we established that in a lot. under the Foundation School Program
- And we've changed that now to a grant program—simply a grant program.
- It is not under the Foundation School Program.
- But all of the students on free and reduced lunch would be eligible for this program.
Bills:
HB 1178, HB1411, HB1441, HB1773, HB1813, HB2107, HB2598, HB2911, HB2967, HB3672, HB5263, HB3797
Keywords:
education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance
MN
Transcript Highlights:
- <00:36:44.400>
will projections show that the program will projections show that the program - The only program we're aware of is the MPCA CAP grant program, or capital assistance program.
- The only program we're aware of is the MPCA CAP grant program, or capital assistance program. infrastructure
- CAP grant program or capital assistance CAP grant program or capital assistance program.<00:45:01.119
- <01:11:35.520>
for inter intergenerational programming for inter intergenerational programming
Bills:
HF4680, HF4047, HF4590, HF3757, HF3569, HF4507, HF4426, HF4927, HF4788, HF4757, HF4747, HF3561, HF4014, HF4013, HF4689, HF4766, HF4589
Keywords:
wastewater treatment, improvements, capital investment, Greenfield, bonds, water treatment, infrastructure, municipal funding, state bonds, public utilities, HF4590, Tamarack, municipal infrastructure, bonding bill, general obligation bonds, Public Facilities Authority, sewer system, collection system, street reconstruction, local infrastructure
AZ
Transcript Highlights:
- We have had 13 babies come out of our program.
- The need for the program remains urgent.
- I can speak to our program budget.
- I can speak to our program budget.
- This makes a nine-year pilot program.
Bills:
SB1095, SB1114, SB1116, SB1162, SB1164, SB1178, SB1179, SB1249, SB1253, SB1346, SB1347, SB1446, SB1561, SB1813
Keywords:
gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing
Summary:
The committee first heard Senate Bill 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide. Sponsor Sen. Karen Werner described the bill as a response to fraud involving vulnerable Native Americans and said the county attorney would investigate the whole state. Some members questioned why the Attorney General was not handling the work and whether the funding should go to a county office, while others supported the effort. The committee voted 10-1 with one present to give SB 1114 a due pass recommendation.
The committee then considered Senate Bill 1116, which would require that denials or adverse appeal decisions on behavioral health claims for the American Indian Health Program be reviewed by someone with at least two years of relevant clinical experience. Access testified neutral but said the bill’s language was too broad and could increase appeals and staffing needs, estimating about $490,000 for eight FTEs. Sen. Werner said the bill was meant to prevent inappropriate denials by reviewers without relevant expertise. Members raised concerns about definitions and staffing, and the committee approved the bill 7-4 with one present.
Senate Bill 1346 would require Access to notify providers of claim deficiencies within 72 hours and decide corrected claims within 10 business days. Supporters said the measure would reduce long delays and help providers stay afloat; Access said it was working on process improvements but warned the bill would require more staff and system changes, estimating about $580,000. The committee passed SB 1346 7-5. Senate Bill 1347, requiring insurance coverage for fertility preservation services for cancer patients at risk of infertility, drew strong support from cancer survivors and advocates, with insurers neutral; the committee passed it unanimously 12-0.
The committee also heard Senate Bill 1813, which would require Arizona State Hospital admissions to be based on clinical need rather than county of residence. Supporters argued the Maricopa County cap unfairly delays treatment and is not required by the underlying court ruling, while ADHS warned the bill could conflict with the Arnold v. Sarn settlement and could shift access away from rural counties. After extensive discussion, the committee passed SB 1813 9-2 with one present. Finally, the committee began hearing Senate Bill 1178, which would allow naturopathic physicians to administer IV antibiotics, antivirals, and antifungals; the initial testimony was largely opposed by medical associations on patient-safety and training grounds, with supporters yet to testify in the excerpt provided.
AL
Alabama 2026 1st Special Session
Alabama House Financial Services Committee Jan 28th, 2026
Financial Services
Transcript Highlights:
- And also, our program would need to be certified by the OC once that happens.
Keywords:
income tax credit, tax incentive, recruitment, remote work, remote worker, recruited worker, rural counties, small counties, county population tiers, opportunity zone, teacher recruitment, nurse recruitment, law enforcement recruitment, workforce development, economic development, relocation incentive, Alabama Department of Revenue, nonrefundable tax credit, tax carryforward, state income tax
AZ
Arizona 2026 Regular Session
03/31/2026 - Senate Appropriations, Transportation and Technology
Appropriations, Transportation and Technology
Transcript Highlights:
- and repeals the pilot program on January 1, 2029.
- and repeals the pilot program on January 1, 2029.
- This program, just to answer some of the questions, is not designed to be part of a sex education program
- I want to make sure the program requires that.
- I want to make sure the program requires that.
Bills:
HB2014, HB2111, HB2156, HB2165, HB2202, HB2305, HB2321, HB2399, HB2403, HB2416, HB2418, HB2446, HB2601, HB2615, HB2620, HB2812, HB2939, HB2940, HB2955, HB2957, HB2960, HB2992, HB4026, HB4049
Keywords:
air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, driver license, examinations, motorcycle awareness, public safety, traffic laws, livestock, compensation, funding, ranching, agriculture, veterans, state parks, admission fees, military exemption, recreation access
Summary:
The committee heard House Bill 2615, a strike-everything amendment creating an Independent Oversight Committee tied to the Department of Child Safety, with authority to review DCS practices, request briefings and audits, visit sites, and receive confidential complaints, along with a $2.2 million appropriation. The sponsor and several parents and advocates testified that stronger independent oversight was needed because of serious DCS failures affecting children and families. Some members supported the goal but objected to housing the committee in the Ombudsman’s office or questioned whether the structure was the right approach. The strike-everything amendment was adopted, but the bill itself then failed on a 5-5 vote.
The committee then passed House Bill 2620, which provides $300,000 annually for five years to the Arizona Department of Veterans Services to grant funds to emergency shelters serving veterans without requiring scheduled intake appointments. The sponsor and shelter representatives said the money would support trauma-informed case managers, help veterans connect to VA and shelter resources, and move the state closer to functional zero for veteran homelessness. The bill received unanimous support and a do-pass recommendation.
House Bill 2321 also passed unanimously. It requires DCS to place a security freeze on the credit reports of children entering foster care, with the freeze remaining until age 16 unless the child later chooses otherwise, and includes a $100,000 appropriation and one ongoing FTE. The sponsor said foster youth are especially vulnerable to identity theft and need automatic protection. House Bill 2601, which directs ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg, passed 6-4 after testimony from supporters who said it would keep the project moving and opponents who raised environmental, cost, and litigation concerns. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, also passed 6-4 after testimony from a survivor and advocates; supporters framed it as prevention and critics argued it duplicated existing sex education and should be handled through broader curriculum or parent education.
Additional bills considered included House Bill 2156, which appropriates $250,000 to the livestock compensation fund and passed 7-3 despite transparency and conflict-of-interest concerns from an opponent; House Bill 2165, which exempts certain veterans and military members from state park admission fees, as amended to narrow the exemption to retired or disabled veterans and similar National Guard members, and passed 6-4 amid concerns about lost park revenue; House Bill 2960, creating a veterans specialty court grant program and requiring better coordination on incarcerated veterans, which passed 8-0; House Bill 2014, directing studies on gasoline blends and emissions modeling, which passed 6-2 despite concerns about cost and limited impact; and House Bill 2957, preserving non-REAL ID driver licenses and restricting biometric collection and data sharing, which passed 5-4 after amendment.
TX
Bills:
HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131
Keywords:
workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies
TX
Bills:
HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131
Keywords:
workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies