Video & Transcript : 'rural impact' :
Page 212 of 500
AZ
Transcript Highlights:
- It impacts landlords, obviously.
- It impacts landlords, obviously.
- The impact is measurable.
- The impact is measurable.
- My concern is the rural areas.
Bills:
HB2118 , HB2181 , HB2308 , HB2309 , HB2402 , HB2476 , HB2682 , HB2698 , HB2875 , HB2877 , HB2903 , HB2910
Committee:
House Commerce
Keywords:
mobile food vendors, licensure, food safety, statewide regulations, health standards, zoning, temporary vendors, HB2181, death certificate, death certificates, vital records, funeral establishment, funeral home, human remains, medical certification of death, death registration, state registrar, local registrar, county medical examiner, alternate medical examiner
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, September 3, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- </c> stability, and the voices of rural stability, and the voices of rural America<04:43:06.958><c> will
- But with the impacted tribes as well.
- </c> high-paying jobs that sustain rural high-paying jobs that sustain rural communities.<04:50:14.718
- </c> impact on the decisions made in Alaska. impact on the decisions made in Alaska.
- </c> That's the definition of rural America. That's the definition of rural America.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, June 2, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- , and 76% report negative impacts on their mental health.
- This project consists of the Assiniboine and Sioux rural water system and the Dry Prairie rural water
- water system and the dry prairie rural water system and the dry prairie rural<04:22:19.920><c> water
- Together they will rural water system.
- </c> declining water quality, and the impacts declining water quality, and the impacts of<04:38:22.160
AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Feb 19th, 2025
Banking and Insurance
Transcript Highlights:
- But I'm also from a rural area and I know the importance of that small pharmacy.
- ... ...to us today because it directly impacts them.
- SB93 also impacts our across 13 states.
- SB93 also impacts our plan design as it prohibits us from promoting one pharmacy over another.
- We've got a health care crisis; close to another ER in a rural county this week, right?
Committee:
Senate Banking and Insurance
CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Mar 25th, 2025
Transcript Highlights:
- We have love meetings with system-impacted families.
- Anya Loller here today on behalf of the California Rural Legal Assistance Foundation.
- Anya Loller here today on behalf of the California Rural Legal Assistance Foundation.
- So the California Voting Rights Act had an impact and an influence.
- I think the future impacts of this bill are really good.
Summary:
The committee heard several bills, with the most detailed discussion focused on AB 316, AB 251, AB 474, AB 1201, AB 464, and AB 614. AB 316 would prevent AI developers or deployers from arguing in civil cases that an AI system’s alleged autonomy absolves them of responsibility. Supporters framed it as a narrow guardrail to protect families, especially children, from harms like dangerous chatbots and deepfakes; opponents, including TechNet and the Chamber of Progress, raised concerns about possible strict-liability implications. The bill was moved out of committee to Privacy and Consumer Protection.
AB 251 would let judges lower the burden of proof in elder abuse cases when a skilled nursing facility or RCFE intentionally destroys evidence. Supporters said the measure is needed because elder abuse victims are often unable to testify and records are vulnerable to spoliation, while opponents argued existing sanctions are sufficient and warned of more litigation. The bill passed, with committee members emphasizing the vulnerability of elder abuse victims. AB 474 sought to expand nonprofit home-sharing programs, including tax incentives for low-income homeowners and changes to housing law and lodger rules. Supporters said it would help older adults and low-income Californians avoid homelessness, but several members and the California Apartment Association raised concerns about removing lodger-law protections for homeowners; the author committed to keep working on the issue. The bill passed to Human Services.
AB 1201 would give courts discretion to provide family reunification services to parents with certain violent felony convictions, rather than applying an automatic bypass. Supporters from Starting Over Inc. described personal experiences with permanent family separation and argued the bill would give parents a fair chance when the conviction is unrelated to child safety. Some members supported the measure but questioned whether domestic violence histories should be treated differently; the author said the bill still allows courts to deny services when reunification would endanger a child. The bill passed to Human Services. AB 464 addressed sexual abuse and retaliation in state prisons by extending reporting time after release, adding 90-day monitoring after reports, barring rehiring of confirmed abusers, and strengthening reporting and anti-retaliation rules. Survivors testified about abuse, retaliation, and failures in CDCR’s response; the bill passed to Appropriations.
AB 614 would standardize the Government Claims Act filing deadline at one year for all claims. The author and supporters argued the current six-month deadline for injury and wrongful death claims is too short for victims to learn the process, find counsel, and gather evidence, while businesses often get a full year. A civil rights attorney and a family member of a deceased jail detainee testified in support, describing how the current deadline can block meritorious claims. The bill was presented for committee consideration as the hearing continued.
CA
California 2025-2026 Regular Session
Senate Natural Resources and Water Committee Apr 14th, 2026
Natural Resources and Water
Transcript Highlights:
- Indirect losses that impact things like fence damage and herd disruption. Sure.
- These harms disproportionately impacted poor communities.
- The impacts on UC Davis, obviously, there are impacts on our pushing back the frontiers of knowledge
- But it's also had devastating impacts on the community and the infrastructure.
- Stacey Heaton with the Rural County Representatives of California.
Committee:
Senate Natural Resources and Water
MN
Minnesota 2025-2026 Regular Session
Minnesota House passes the human services finance bill, HF2434 5/5/25
Minnesota House Floor Meeting
Transcript Highlights:
- > impact in fiscal year impact in fiscal year 2026.<00:58:40.960><c> While</c><00:58:41.200><c> this<
- </c> how how are you how is it impacting how how are you how is it impacting kids?
- </c> distance-wise, you know, we are in rural distance-wise, you know, we are in rural Minnesota<01:26
- Big economic impact. They're Minnesota. Big economic impact.
- If I was given and we were in impact.
CA
California 2025-2026 Regular Session
Joint Committee on Fisheries and Aquaculture Oct 1st, 2025
Joint Committee on Fisheries and Aquaculture
Transcript Highlights:
- And that has had a massive impact.
- And it has far-reaching impacts.
- These situations have not only immediate financial impacts, but also local long-term economic impacts
- These situations have not only immediate financial impacts, but also local long-term economic impacts
- And impacts this year.
Summary:
The Joint Committee on Fisheries and Aquaculture held its annual State of the Fishery forum, focusing on salmon, Dungeness crab, kelp, ocean conditions, and related aquaculture and committee reports. Opening remarks from committee leadership emphasized climate impacts, reduced federal NOAA support, state investments through Proposition 4, coastal resilience funding, and the importance of fisheries to rural economies and tribal communities. Secretary of Natural Resources Wade Crowfoot described a decade of drought and climate stress, highlighted progress such as Klamath River dam removal, wetland restoration, and the state’s salmon strategy, and warned that federal funding uncertainty and staffing cuts could undermine restoration and fishery recovery efforts. Senator Cortese raised concerns about illegal cannabis cultivation damaging riparian habitat and water flows, and both Crowfoot and Fish and Wildlife Director Bonham said enforcement against illicit grows remains a major environmental priority but is constrained by resources.
Director Bonham provided a broad update on California fisheries, reporting encouraging signs for salmon after several difficult years, including improved ocean conditions, stronger returns in some runs, and successful short recreational openings in 2025. He also noted major challenges, including reduced federal hatchery production at Nimbus, ongoing uncertainty around winter-run and spring-run recovery, and the need for continued habitat restoration, monitoring, and hatchery investment. On Dungeness crab, Bonham said the fishery remained valuable but constrained by whale entanglement risk, warming ocean conditions, and domoic acid concerns; he described new marked-line distribution, ropeless and alternative gear trials, and ongoing aerial and vessel monitoring. He also said the department’s unified cannabis enforcement task force had served numerous warrants and seized large amounts of illegal cannabis, but more funding is needed for sustained operations.
In the salmon panel, Yurok Tribe fisheries director McCovey said the Klamath still faces low run sizes, climate-driven warming, wildfire impacts, and federal uncertainty, but he pointed to dam removal, restoration work, and AB 263’s river-flow protections as major advances. PCFFA president Bradshaw stressed that the three consecutive salmon closures have devastated coastal communities and argued for major reinvestment in aging Central Valley hatchery infrastructure and better broodstock management at Fall Creek. CalTrout’s Schneider said salmon remain at risk statewide, but cited Prop 4, habitat reconnection, floodplain restoration, improved water management, and monitoring as the main tools for recovery. In the crab panel, CDFW’s Schumann reported that the 2024–25 season produced record prices per pound and about $55 million in value despite delays and trap reductions, but he warned that three confirmed whale entanglements and elevated whale presence could force a conservative opener for 2025–26. PCFFA’s Domrash supported marked line, alternative gear, and a new gear-recovery network, while also criticizing the current ramp system as a response to a problem not fully grounded in science.
WA
Washington 2025-2026 Regular Session
House Transportation Feb 26th, 2026
Transcript Highlights:
- For WSDOT, they listed an impact of greater than $50,000.
- The estimated cost impact of this work is 0.3 FTEs and $42,000 annually.
- zone, public park impact zone, school walk zone.
- It will take effect 90 days after the end of session and no fiscal impact is anticipated.
- Washington State Patrol reports no anticipated fiscal impact.
Summary:
The committee held public hearings on several transportation bills. ESSB 6262 would raise the maximum vehicle weight subject to transportation benefit district vehicle fees from 6,000 to 9,000 pounds for vehicles subject to gross weight license fees; the sponsor and city representatives said it would close a loophole, make fees more equitable, and help fund road maintenance, while the fiscal note was described as indeterminate. SB 5824 would clarify how fifth-wheel travel trailers are measured, aligning Washington with other states and supporting RV dealers; the bill drew support from the RV industry. SB 6110 would exclude certain faster electric vehicles from the e-bike definition and create a Department of Licensing work group to recommend a framework for electric motorcycles; testimony generally supported the effort but urged clearer e-motorcycle definitions and earlier work-group action, with some concern about youth safety and local enforcement. SB 5833 would allow a person to leave a vehicle running for up to 30 minutes to heat or cool a pet inside, with locking and brake requirements; the sponsor and a sheriffs’ association witness discussed balancing pet safety with auto-theft concerns, and the committee heard no fiscal impact.
The committee also heard ESSB 6066, which would establish crash prevention zones in areas with unusually high serious-injury or fatal-crash rates, initially for a specific stretch of U.S. 395 and later more broadly beginning in 2029. The bill would allow local governments and WSDOT to designate zones, conduct engineering and traffic studies, increase enforcement, use speed cameras in the zones, and dedicate related revenues to safety improvements; supporters from Pasco and county risk pools backed the approach, while the sponsor asked for broader geographic coverage. ESSB 6311 would require continuous, accessible pedestrian passage during construction near hospitals, parks, and school routes, with temporary routes, safety plans, inspections, and enforcement tools such as stop-work orders and penalties; the sponsor said it was modeled on local practices and aimed at protecting pedestrians during construction, and contractors and transportation advocates supported it with a requested amendment clarifying design responsibility in design-bid-build projects. No votes were taken; the chair closed each public hearing and adjourned the meeting after testimony.
AZ
Transcript Highlights:
- In rural and tribal communities like ours, reliable internet is not always guaranteed.
- So that could possibly affect our very rural or even cities that want to keep print.
- Chair, I understand that, but in the very rural— One. So, Mr.
- does this impact me?
- That's in a rural district.
Summary:
The committee first took up SB 1167, which would allow municipalities and counties to satisfy certain public-notice requirements by posting advertisements, publications, and printings on their official websites. The sponsor argued the bill is permissive, intended to modernize notice practices, reduce costs, and help governments meet statutory deadlines, while a Blackmun amendment required a six-month transition period in which notices would still be published in newspapers and the public would be alerted to the change. Newspaper and media representatives, along with tribal and rural community advocates, opposed the bill, arguing that print notices remain important for transparency, historical recordkeeping, and access in areas with limited internet service. Supporters from county and local government said newspaper publication schedules have become unreliable and that websites are a more effective way to reach the public. The committee adopted the Blackmun amendment and then passed SB 1167 as amended on a 4-3 vote.
The committee then considered SB 1021, as amended by a strike-everything that would require the Auditor General to refer evidence of possible criminal activity involving health profession regulatory boards to the Attorney General, with procedures for investigation and conflict-of-interest handling. The sponsor and amendment sponsor said the measure would create a mechanism for criminal findings in audit work to be acted on. With no opposition testimony, the committee adopted the amendment and passed SB 1021 as amended on a 4-3 vote.
Next was SB 1011, which would require county medical examiners or forensic pathologists to review an infant’s immunization and vaccination history, along with any countermeasures administered in the prior 90 days, in sudden unexplained infant death cases. The sponsor said the bill was a data-collection measure meant to improve accuracy, transparency, and prevention efforts. Opponents, including vaccine advocacy and disability representatives, said Arizona already collects this information, that unsafe sleep is the primary issue in most SIDS cases, and that the bill could fuel misinformation about vaccines. The committee passed SB 1011 on a 4-3 vote.
The committee also heard SB 1013, a merit-based public employment bill that would prohibit hiring based on conditions other than merit. Supporters said it would ensure public employees are selected by qualifications and objective criteria; opponents argued existing law already bars discrimination and that the bill could create litigation risks and hinder outreach to underrepresented communities. The committee passed SB 1013 on a 4-3 vote. Finally, the committee considered SB 1015 and a strike-everything amendment that would replace the bill’s original detransition-liability language with the Arizona Thriving Families Act, creating a family and medical leave insurance program within Medicaid beginning in 2029. The original bill sponsor defended the underlying detransition-related liability concept as accountability and support for detransitioners, while opponents said it would function as a discriminatory backdoor ban on transition care for minors. The transcript ends during debate and explanation of the strike-everything amendment, before a final vote on SB 1015 is shown.
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Jun 22nd, 2026
Transcript Highlights:
- Operational impacts, fiscal impacts, and, again, I cannot stress this enough, prolonged delivery times
- Water is scarce in the rural areas during wildfires.
- impacted.
- In Los Angeles County, we have seen these impacts firsthand.
- I would assume climate change is not having as much of an impact on local.
Summary:
The committee held an informational hearing on the rising cost and long delivery times for fire apparatus and related equipment, with opening remarks stressing that aging fleets, supply chain problems, and delayed replacements are affecting emergency readiness across California. Cal OES and Cal Fire described statewide procurement challenges, including higher prices, multi-year delivery timelines, two-year encumbrance limits, and the strain on mutual aid when engines remain in service beyond their intended replacement cycles. Cal Fire said it operates 537 engines, with 300 meeting replacement criteria and 243 at least 16 years old, and explained the difference between mandatory contracts and one-time acquisitions. The Department of General Services said vendors have cited labor costs, chassis pricing, and the need for longer production timelines, while also noting that statewide contracts can include nominal price increases but not open-ended price hikes.
Local fire chiefs from Santa Barbara County, Los Angeles County, Napa, and Fullerton testified that apparatus prices have risen sharply while delivery times have stretched from under a year to three to five years or more. They described specific examples of engines and ladder trucks costing far more than prior purchases and arriving years later, forcing departments to keep older reserve apparatus in service, spend more on maintenance, and defer other budget priorities. Several witnesses said industry consolidation has reduced competition and contributed to delays and price increases, with Los Angeles County and Fullerton noting they have pursued antitrust complaints and litigation against major manufacturers. Napa also described proprietary parts and software limiting in-house repairs, and Santa Barbara County said a vendor’s unfulfilled delivery promise caused the department to lose its place in line.
Members asked about possible solutions, including whether the state should consider manufacturing apparatus itself, whether procurement rules or prototype requirements could be streamlined, whether DGS staffing or contract processes could be accelerated, and whether more stable long-term purchasing commitments would help manufacturers plan production. Witnesses said safety-driven specification changes are necessary but can add time, and that the main bottlenecks are industry capacity, consolidation, and vendor performance. The vice chair raised concerns about how grant funding windows and local matching requirements are affected by multi-year delays, especially for small and rural departments that rely on grants and on used apparatus passed down from larger agencies. No votes were taken; the hearing concluded with committee members indicating interest in possible legislative, regulatory, and antitrust follow-up.
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Jun 22nd, 2026
Emergency Management
Transcript Highlights:
- Operational impacts, fiscal impacts.
- Operational impacts, fiscal impacts, and, again, I cannot stress this enough, prolonged delivery times
- Water is scarce in the rural areas during what...
- smaller departments are impacted.
- In Los Angeles County, we have seen these impacts firsthand.
Committee:
House Emergency Management
TX
Texas 89th Regular
Appropriations - S/C on Articles VI, VII, & VIII Feb 24th, 2025
Appropriations - S/C on Articles VI, VII, & VIII
Transcript Highlights:
- than the estimated economic impact of congestion.
- When these disruptions occur, they don't just impact families on subsidy, they impact all of our families
- It's called the prenatal three impact policy center.
- Urban to rural, high income, low income, it doesn't matter.
- The impact of the support ended far beyond high school.
VA
Transcript Highlights:
- But we were able to do that, and especially in rural Virginia.
- But we're able to do that, and especially in rural Virginia.
- Speaker, in rural Virginia.
- And even educating others in rural Virginia how different the rural coastal region is, where I represent
- Speaker, living that lifestyle in rural Virginia is worth protecting.
MN
Minnesota 2025-2026 Regular Session
House Floor Session 5/18/25 - Part 1
Minnesota House Floor Meeting
Transcript Highlights:
- All of which rural Minnesota needs. So with that, I'll close.
- All of which rural Minnesota needs. So with that, I'll close.
- All of which rural Minnesota needs. So with that, I'll close.
- Impact on 600 farms across 45 counties in Minnesota.
- ><c> families,</c><00:49:18.920><c> seniors,</c> that is impacting families, seniors, that is impacting
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 10th, 2026 at 01:45 pm
Washington House Floor Meeting
Transcript Highlights:
- We want to find out what the impact of this income tax is having.
- Speaker, that, nope, doesn't have an impact.
- Few folks would be potentially impacted by this income tax.
- The impact on rural counties will be significant, Madam Speaker: fewer jobs, fewer local purchases, less
- Every decision impacts someone, and often many people.
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification
DE
Delaware 2025-2026 Regular Session
Senate Health & Social Services Committee Meeting Jun 24th, 2026
Health & Social Services
Transcript Highlights:
- same impact regardless, that we plan to stop filing in those cases.
- same impact regardless, that we plan to stop filing in those cases.
- I am a certified peer support specialist with Impact Life.
- I am a certified peer sports specialist with Impact Life.
- I have a history with using cradle. with Impact Life.
Committee:
Senate Health & Social Services
Keywords:
hemp, marijuana, THC regulations, cannabis products, adult-use industry, public health, youth protection, child support, reunification, Department of Services for Children, family court, liability
Summary:
The committee met in late June with Senators Hansen, Buckson, Siegfried, Townsend, and Huxable present, and first approved the meeting minutes by voice vote. The opening bill, HB 341, would limit DFS from filing child support in foster care cases unless doing so would not hinder reunification; Children’s Department staff said the department has already decided to stop filing in all such cases, with an estimated fiscal impact of about $140,000 annually. Public testimony from the League of Women Voters supported the bill as a compassionate measure to help families reunite.
The committee then heard HB 446/related anaphylaxis legislation for colleges and universities, which would allow institutions to stock and use intranasal epinephrine alongside auto-injectors and update training and reporting requirements. The Asthma and Allergy Foundation of America supported the measure, emphasizing the need for needle-free options and faster treatment of anaphylaxis. The committee also took up HS1 for HB 356 on PFAS, which would ban firefighting foam containing PFAS beginning in 2028, require disclosure if PPE contains PFAS, and address recalls; DNREC and the fire service supported it, saying most departments have already transitioned away from PFAS foam.
A major portion of the meeting focused on HB 305, a diabetes wellness pilot program that would use continuous glucose monitoring, app-based care coordination, lab testing, and DHIN data analysis to shift care toward prevention and remission. Sponsor Senator Siegfried described the bill as a response to Delaware’s high diabetes costs and prevalence, and the Medical Society of Delaware supported it as a proactive model. The committee also discussed HB 395, which would regulate intoxicating hemp-derived products and synthetic cannabinoids by classifying products over a THC threshold as marijuana and creating penalties for unlicensed sales; the Office of the Marijuana Commissioner supported the bill, while hemp industry representatives and Senator Hoffner warned it could harm legitimate hemp retailers and access to hemp products.
The final item, HS1 for HB 332, would ban sales and marketing of kratom products to those under 21 and direct the state to study testing and regulation of kratom and synthetic variants. Supporters, including the Delaware Healthcare Association and several recovery advocates, said age-gating is a reasonable first step and that synthetic products are the main concern; opponents and some senators argued the bill should go further and fully ban kratom or better distinguish synthetic products from natural leaf kratom. No formal roll-call votes were taken on the substantive bills during the transcript, and the meeting adjourned after public comment.
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Education and Environment Division Apr 2nd, 2025 at 09:00 am
Appropriations - Education and Environment Division
Transcript Highlights:
- If you are a very large rural school district, or a rural school district, that factor takes into account
- The buildings don't impact the funding a whole lot.
- The Rural Outreach Program, we'd leave that at $425,000.
- This decrease will have an impact on our services provided to our students.
- It's going to impact jobs. That's eight people that we employ that support these kids.
Summary:
The committee met to hear and discuss three education bills and related budget items. House Bill 1214 would revise K-12 transportation funding by replacing the current rider-based formula with a new formula tied more closely to district size, square mileage, building counts, and the weighted student payment. Sponsors and DPI said the change would better reflect actual transportation costs, hold districts harmless overall, and likely increase funding by about $4 million beyond current spending; they also said parent-provided transportation and open-enrollment mileage rules would remain largely unchanged. No opposition was heard, and the committee closed discussion without taking final action in the transcript.
The committee then reviewed House Bill 1013, the education appropriations bill, and walked through proposed adjustments to program and pass-through grants. The chair proposed keeping or reducing some items, eliminating others, and moving one-time items to the stabilization fund; examples included leaving free meals at $4.5 million for now, keeping the paraprofessional-to-teacher program, reducing some grant lines, and removing several new or one-time grants. DPI also explained that the student information system would remain a flow-through grant for this biennium but would move in-house after July 1, 2026. The committee also discussed adding an FTE for the School for the Blind and making a small equipment swap at the Center for Distance Education.
House Bill 1369 was discussed as the main school aid bill, including a proposed 2 percent and 2 percent per-pupil payment increase, higher construction bidding thresholds, elimination of the 12 percent cap, and a transfer of $75 million from Foundation Aid to the School Construction Revolving Loan Fund, with the chair suggesting $100 million instead. DPI explained that the bill also included a policy change returning placement decisions for students with disabilities in congregate care to the Superintendent of Public Instruction, with support from the governor’s office. The committee heard testimony from school officials seeking gap funding for Title I losses caused by a switch from free-and-reduced-lunch to census-based allocations, saying districts with many open-enrolled students could lose substantial funding and staff positions. Later, the governor’s office presented a proposed $1.5 million one-time appropriation to help schools buy secure storage for student cell phones if a statewide device policy is adopted; members raised concerns about cost, local control, and whether the money would be enough. The committee also heard student testimony and then recessed without voting on the amendment in the transcript.
TX
Transcript Highlights:
- general aviation airports, and then we also have a very important role in supporting Maintaining our rural
- It distributes funds across the state to all the regions, including the rural, urban. and metro areas
- TxDOT's been a great partner. and that the funding went to the most impactful projects.
- Wrapping up, members, Texas Port ready to deliver impactful projects in a timely manner just as we did
- So it's made a huge impact for this state. And over the last three years.
Committee:
House Transportation
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-05-13 - 10:00AM
Vermont Senate Floor Meeting
Transcript Highlights:
- The second change that they proposed is the rural industrial development grant program, which we had
- And this makes changes to that rural industrial development grant program.
- </c><00:47:57.520><c> industrial</c> proposed is uh the rural industrial proposed is uh the rural industrial
- </c> that are considered federally impacted. that are considered federally impacted.
- </c> impact on Vermont's health care system. impact on Vermont's health care system.