Video & Transcript : 'Arizona Long Term Care System' :
Page 225 of 500
AZ
Transcript Highlights:
- members, House Bill 2207 appropriates $300,000 from the state general fund in fiscal year 2027 to the Arizona
- This is a program that operates in partnership with the Arizona Department of Corrections and teaches
- This has actually turned into the biggest prison Braille program in the nation and has resulted in Arizona
- These materials that are transcribed in our prison Braille system account for about 75% of all Braille
Bills:
HB2207
Committee:
Senate Public Safety
NM
New Mexico 2025 Regular Session
House - Appropriations and Finance Feb 3rd, 2025
House Appropriations & Finance
Transcript Highlights:
- Long time no see.
- We need to start taking care of our employees.
- In fact, next week I will be going to Arizona.
- Chair, that we need to take care of.
- And I'm thinking in terms of cab fare, cash, debit cards.
Committee:
House House Appropriations & Finance
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Feb 2nd, 2026
Transcript Highlights:
- We know even short gaps in coverage can lead to overwhelming medical bills, delayed treatment, and long-term
- And long-term health consequences.
- Instead of investing in housing, peer support, and voluntary care, this bill expands coercive systems
- We need systems of care that support people in their own communities, not policies that pull them out
- We need systems of care that support people in their own communities, not policies that pull them out
Summary:
The committee began with Senate Bill 5962 on spring blade knives, first suspending the five-day notice requirement. Staff explained the bill would remove spring blade knives from the list of dangerous weapons while keeping restrictions on carrying them in schools, child care, and other protected locations. Proponents, including Knife Rights and the prime sponsor Sen. T’wina Nobles, described the measure as a modernization and cleanup bill that would reduce confusion and support lawful use and manufacturing; one testifier strongly objected to the bill’s added location-based restrictions. Public testimony was overwhelmingly in support, and the hearing then moved on without a vote.
Senate Bill 6105 would raise the wage exemption from garnishment for medical debt judgments from 30 to 60 times the state minimum wage, while keeping the 80% disposable earnings exemption and adding notice requirements identifying the debt as medical. Sen. Marko Liias said the bill is intended to protect low-wage workers from severe financial hardship and reduce incentives to work off the books. Supporters from patient, consumer, AARP, and anti-poverty groups said medical debt is often unexpected and garnishment can destabilize families; opponents from collectors and trade groups argued the bill was too broad, lacked stakeholder input, could hurt providers, and should define medical debt more clearly. The hearing closed with no action taken.
The committee then heard Senate Bill 6203, which would clarify that out-of-state convictions can include foreign-country convictions for offender scoring if obtained with sufficient due process safeguards. The sponsor, Sen. Matt Boehnke, said the bill closes a gap in sentencing law; prosecutors supported the concept and suggested simplifying the language, while the Sentencing Guidelines Commission, defense attorneys, and public defense opposed it, citing undefined standards, difficulty verifying foreign convictions, and due process concerns. The committee also heard Senate Bill 6296 on involuntary treatment, which would expand who may petition for detention, change rules for assisted outpatient treatment and police assistance, require firearm surrender compliance procedures, and make other ITA changes. The sponsor and several providers and family members supported the bill as a needed modernization, while DCRs, disability advocates, behavioral health organizations, hospitals, and others raised concerns about due process, implementation, rural transport, capacity, and unintended consequences. No votes were taken on either bill during the hearing.
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Apr 7th, 2026
Transcript Highlights:
- The term human trafficking was not in my vocabulary.
- The term human trafficking was not in my vocabulary.
- We consider it a failure of our system to support them.
- The current medical education system systematically excludes Medical education system systematically
- You know, the system in itself, right?
Summary:
The Assembly Higher Education Committee heard a series of bills focused on student access, equity, and campus support services. AB 2660 would codify the CalBridge and ENLACE STEM pipeline programs to help underrepresented students move from high school through Ph.D. and faculty or industry careers; AB 2121 would let community colleges temporarily exclude certain local backfill dollars from the 50% instructional spending law so they can replace lost federal funding for MSI and TRIO programs; and AB 1920 would clarify that students do not lose California College Promise eligibility if they earn a certificate as part of a stackable pathway to an associate degree. AB 1636 would authorize Cerritos College to use voluntary data-sharing agreements with K-12 districts to create ready-to-enroll student records, AB 1845 would add human trafficking training and reporting requirements to campus Title IX-related processes, AB 1784 would extend pregnancy and parenting protections to undergraduate students, AB 2229 would create a CSU reentry support program for stopped-out students, AB 1852 would create a conditional pathway for a Kern County medical school if UC does not act, AB 1928 would allow both an advisor and a support person in campus sexual misconduct proceedings, and AB 2392 would require training before AI tools are deployed to students, faculty, or staff.
Testimony was largely in support of the measures, with authors and witnesses emphasizing student success, equity, and removing administrative barriers. Supporters included community college and university officials, student leaders, advocacy groups, and survivors. AB 2121 drew the most mixed testimony: community college leaders and students supported it as a temporary response to federal cuts, while faculty groups opposed it or raised concerns about weakening the 50% law and the need for the proposal. AB 1852 also drew opposition from the CSU Chancellor’s Office, which argued the proposal could have broader operational and governance implications, though supporters said Kern County’s doctor shortage justified a local solution. AB 1784, AB 1845, and AB 1928 were framed as protections for vulnerable students in pregnancy, trafficking, and sexual misconduct proceedings, respectively, while AB 2392 was presented as a modest training and transparency requirement to accompany AI adoption.
The committee took action on the bills after testimony. Most measures were approved on bipartisan roll calls and re-referred to the appropriate committees, including AB 1636, AB 1784, AB 1845, AB 1920, AB 1928, AB 2229, AB 2392, and AB 2660. AB 2121 and AB 1852 also advanced, though AB 1852 had several members not voting and AB 2121 drew one no vote. The committee also approved a consent calendar that included AB 1591, AB 2203, and AB 2572, and members were invited to add on to bills after the votes.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services May 20th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Alzheimer's disease affecting a larger portion of our community and what's available through aging and long-term
- People in our state and how it impacts our healthcare system.
- Uh, in terms of whether they're, uh, adequately being served.
- It's a systems issue.
- It's very exciting to see the revamping and new programs with aging and long-term services.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Higher Education Jun 21st, 2026 at 01:00 pm
Joint Committee on Higher Education
Transcript Highlights:
- The Commonwealth is in the midst of a long-term care workforce crisis, as we all know, at the same...
- The Commonwealth is in the midst of a long-term care workforce crisis, as we all know.
- Licensed practical nurses are a vital part of our long-term care workforce and play a critical role on
- The historic long-term care bill that we all worked on last session will provide a strong career-led
- care bill and as such as... ...did last year on the long-term care bill, and as such, I respectfully
Committee:
Joint Joint Committee on Higher Education
Summary:
The Joint Committee on Higher Education held its fourth public hearing, opening with remarks about the importance of protecting and expanding access to higher education amid federal disinvestment. The chairs also announced future informational hearings on the impact of federal cuts and on ASAP models. The hearing then focused on several bills, beginning with S. 951/H. 1462, An Act to Support College Students in Recovery, which would require recovery-focused housing on public campuses and expand naloxone access and overdose training. Senator Rausch, medical professionals, students, and advocates testified in support, emphasizing the prevalence of overdose risk among college students, the value of recovery housing, and the need for campus naloxone; committee members asked about implementation details and the existing state pilot program. Deb Schmill and Rep. Tarski gave especially personal testimony in favor of the bill, and the committee discussed broadening the naloxone language to opioid reversal agents.
The committee also heard testimony on H. 1461, which would expand MassReconnect scholarships to practical nursing students at vocational and technical schools to help address the long-term care workforce shortage. Rep. Stanley argued that vocational schools graduate more practical nursing students than community colleges and serve many low-income students in areas without nearby community college programs. The committee then took up H. 1433, which would require public higher education institutions to accept IEPs and 504 plans as sufficient documentation for disability accommodations. Advocates from the National Center for Learning Disabilities described the high cost and burden of repeat testing, the lifelong nature of disabilities, and the need for more uniform access across campuses; committee members raised questions about documentation freshness, campus autonomy, and how to preserve the integrity of accommodations.
Later, the committee heard S. 919/H. 1454 on modernizing the Community College Endowment Match Program so community colleges could receive state matching funds for current-use donations as well as endowments and capital gifts. Community college foundation leaders said the change would help fund immediate student needs such as food pantries, child care, emergency aid, and equipment. The hearing then moved to faculty-related bills: S. 933 on UMass faculty rights and tenure transparency, S. 930/H. 3948 on contingent faculty rights and career advancement, and S. 940/H. 1429 on an Adjunct Bill of Rights. Testimony from faculty and union representatives focused on low pay, lack of benefits, job insecurity, and the need for clearer pathways to full-time positions and fairer treatment for adjuncts who teach large shares of courses. No votes were taken during the hearing; the committee primarily received testimony and asked clarifying questions.
MO
Missouri 2026 Regular Session
Special Committee on Tourism Apr 15th, 2026
Special Committee on Tourism
Transcript Highlights:
- that she went about her business, how she conducted herself, she never raised her voice, she took care
- of what she had to take care of.
- of what she had to take care of.
- I'm assuming it was Amtrak from Kansas City to Arizona. Would that have been on Amtrak? Correct.
- To Arizona. Would that have been on Amtrak? Okay, because that was a really cool ride.
Committee:
House Special Committee on Tourism
Summary:
The Special Committee on Tourism first met in executive session and approved the Senate substitute for Senate Bill 1000, which concerns the tourism supplemental revenue fund and how its money is collected and distributed. The motion to do pass received 11 ayes and 0 noes.
In public hearing, the committee heard House Bill 2213, which would establish U.S. Grant Day in Missouri on April 27, Grant’s birthday. Representative Riggs described Grant’s many Missouri ties and his later legacy, and members offered supportive comments. No opposition was presented, and the hearing was closed without a vote. The committee then heard Senate Bill 1613, which would designate November 24 as Frankie Muse Freeman Day in Missouri. Senator Mosley and supporters emphasized Freeman’s civil rights work, especially in housing discrimination and voting rights, and witnesses spoke about her legacy and the importance of remembering segregation-era history. There was no opposition.
The committee also heard House Bill 3216, which would designate May 10 as Missouri River Runner Day to raise awareness of Amtrak’s River Runner route across Missouri. Representative Wilson explained the bill’s connection to Train Awareness Day and the route’s usefulness for travel across the state, including to Jefferson City, St. Louis, and Kansas City. A witness provided informational testimony about the broader rail network and tourism value, and members discussed train travel safety and access. No opposition was offered, and the committee adjourned after the hearing.
MO
Missouri 2026 Regular Session
Special Committee on Tourism Apr 15th, 2026
Special Committee on Tourism
Transcript Highlights:
- that she went about her business, how she conducted herself, she never raised her voice, she took care
- of what she had to take care of.
- of what she had to take care of.
- I'm assuming it was Amtrak from Kansas City to Arizona. Would that have been on Amtrak?
- Correct. to Arizona. Would that have been on Amtrak? Okay, because that was a really cool ride.
Committee:
House Special Committee on Tourism
NM
New Mexico 2026 Regular Session
Senate Chamber Feb 9th, 2026 at 11:18 am
New Mexico Senate Floor Meeting
Transcript Highlights:
- education is essential to individual opportunity, economic opportunity, economic mobility, and the long-term
- Gaining valuable experience in animal care, responsibility, and showmanship.
- Gaining valuable experience in animal care, responsibility, and showmanship.
- Senator Tobiassen is in Arizona with her husband. Thank you for the update.
- I mean, they played tough all night long.
FL
Transcript Highlights:
- Because emergency powers for spending are meant for hurricanes, tornadoes, and flooding, not long-term
- If we have extra left over, if we're flush, I don't, I really don't care if—I really don't care.
- I don't care. Here's what I care about. I got to sit there and beg.
- I don't care what you spend the money on, as long as you take care and raise your own children first.
- This is the next step to really cement those long-term relationships.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 13th, 2026 at 01:35 pm
House Appropriations & Finance
Transcript Highlights:
- term.
- And I, you know, as we were sitting, we heard from the aging and long-term disability earlier, right?
- , which is also known as the foster care legal system.
- And those are people who have been through the child welfare system or some of the related systems like
- the behavioral health system.
Committee:
House House Appropriations & Finance
ID
Idaho 2026 Regular Session
Agenda Feb 16th, 2026
Transcript Highlights:
- Jessup, we're up to you this morning, all morning long. So thank you.
- And so that's something that we can certainly have... ...our National Forest System lands.
- and water system infrastructure grants that the agency oversaw.
- and water system infrastructure. large water system and water system infrastructure grants that the
- It would not be until we fail to fulfill our responsibilities that most people really care.
Summary:
The Joint Finance-Appropriations Committee heard budget presentations for the Endowment Fund Investment Board, the Department of Lands, and the Department of Environmental Quality. The EFIB presentation emphasized its small staff, low administrative costs, and a modest request for a laptop replacement. The Department of Lands presentation focused heavily on fire suppression funding, the fire suppression deficiency fund, and the agency’s endowment and forest management work. Director Dustin Miller said 2025 fire costs were just over $40 million, noted that the Legislature had previously funded the deficiency account, and warned that current holdbacks could reduce staffing for fire operations, especially in eastern Idaho. He also explained a proposed shift of 1.25 FTE and $160,000 from the Abandoned Mines Lands Fund to the Navigable Waterways Fund, and discussed House Bill 511 as a possible future fire-preparedness funding source.
Committee members asked detailed questions about how the fire suppression deficiency fund works, when it can be used, and whether it can cover prevention or only active fires. Staff explained that the fund is for active suppression and that any negative balance would later be settled through a supplemental request. Members also asked about staffing, vacancy rates, and the impact of budget reductions on fire readiness and forest health work. Miller said the agency had filled many key vacancies but still faced recruitment challenges, and he described the Eastern Idaho Forest Protective District and the agency’s growing Good Neighbor Authority work with the U.S. Forest Service.
The Department of Environmental Quality presentation covered staffing, water infrastructure funding, loan and grant programs, air and water quality, and solid waste oversight. Director Jess Byrne said targeted pay increases had reduced turnover and vacancies, and that DEQ had distributed more than $835 million in grants and low-interest loans over five years, mostly to small communities. He also said the agency has fewer staff than 25 years ago despite a much larger population, leading to permit backlogs and reduced monitoring. Byrne explained that the Drinking Water Loan Fund is built from federal capitalization grants, state match, and repayments, and that its rising balance reflects awarded but not yet reimbursed projects rather than unused money. He also said DEQ is considering fee increases in air quality and drinking water programs, and supported a proposed solid waste transfer only if it includes a fee structure. No votes were taken, and the committee adjourned after the presentations and questions.
NM
New Mexico 2025 Regular Session
IC - Science, Technology and Telecommunications Nov 12th, 2025
Science, Technology & Telecommunications Committee
Transcript Highlights:
- Madam Chair, I don't care where else you're from; the Netherlands is dear to my heart.
- We do a deep dive into utility economics and the long-term best interest of the state as a whole.
- We have a pretty good mix in terms of where we're getting our energy from right now.
- In terms of building more supply, 100% yes: geothermal, wind, solar, SMEs, all of that.
- I was just curious: are you familiar with energy storage systems called gravity storage?
TX
Transcript Highlights:
- They are long overdue.
- So the instructions are pretty long.
- Yes, it's, I think pharmacists have the care and they feel like that they need to take care of the community
- I know you all had a long day.
- So provider provides the care.
Committee:
House Insurance
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 50 Apr 30th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- discourse found in John's gospel chapter 13 all the way through to chapter 17, which seems rather long
- Because a dream won't chase you back, and if you're gonna love somebody hold them as long and as strong
- Is there something in here that lifts that cap in terms of grant-making for the public school?
- Please be prepared next week for pretty long nights. We're going to be busy every night.
- I know it went a little bit long, but thank you guys so much. I love this place.
Keywords:
bail bondsman, bondsman license, multicounty agent bondsman, surety bondsman, Insurance Commissioner, bail bond regulation, bond deposit, forfeiture, deposit ratio, writing capacity, license transfer, power of attorney, surety bond, bail industry, Oklahoma insurance law, financial solvency, administrative action, Oklahoma Local Food for Schools, school meals, local food procurement
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 50 Apr 30th, 2026
Oklahoma House Floor Meeting
Transcript Highlights:
- Representative Patzkowsky, care to vote. Representative Schreiber, care to vote.
- To Nicole Miller, we've been close for a long, long time.
- To Nicole Miller, we've been close for a long, long time, and I love Nicole.
- To Nicole Miller, we've been close for a long, long time, and I love Nicole.
- And she was on his care team in the hospital to help take care of her.
Keywords:
bail bondsman, bondsman license, multicounty agent bondsman, surety bondsman, Insurance Commissioner, bail bond regulation, bond deposit, forfeiture, deposit ratio, writing capacity, license transfer, power of attorney, surety bond, bail industry, Oklahoma insurance law, financial solvency, administrative action, Oklahoma Local Food for Schools, school meals, local food procurement
Summary:
The House convened, called the roll, and heard an invocation focused on “leading with the farewell,” followed by the Pledge of Allegiance and a series of floor recognitions honoring guests and student groups. Presentations included the nurse of the day, Susan Hollingsworth, and multiple student champions and visitors, including the Clinton High School 4A hip hop state champions, Pryor High School’s Life Smarts state champions, the Elgin High School wrestling team, the Fort Gibson FFA livestock judging team, Putnam City North’s girls basketball champions, visiting students from Douglas, OSU environmental science graduate students, and Oklahoma Energy Resource Board teachers of the year.
The chamber then took up several Senate bills. SB 378, updating bail bondsman regulations, passed 77-3. SB 985, codifying the local food for school program in statute, passed 79-0. SB 1246, which would update and speed up DEQ permitting while preserving transparency, drew questions about agency outreach and environmental impacts; after a division vote on advancing the bill passed 30-28, the bill itself passed 81-0. Later, SB 1500 on pharmacy benefit managers passed 81-0, SB 1984 on osteopathic medicine passed 74-0, and SB 1644 creating a reporting mechanism for suspected alpha-gal syndrome passed 82-0.
The House also adopted Senate amendments to HB 3720, the local food freedom bill, and passed it 81-0. HB 4118, the family caregiver credit, also passed 81-0 after the Senate amendment restored the title “Caring for Caregivers Act.” A motion was made to reject Senate amendments to HB 2992 and request conference. House Joint Resolution 1100, relating to OMES proposed major rule changes, was read on second reading and referred to administrative rules.
A lengthy debate centered on an amendment to SB 1546, a teacher-related bill, which would expand the Oklahoma Equal Opportunity Scholarship Fund tax credit to support the Strong Readers Act, the Oklahoma Math Proficiency Act, and certain capital projects for scholarship-granting organizations. Supporters said it would encourage private investment in education and add instructional capacity; opponents argued it would favor wealthy private schools, do little for rural or high-poverty districts, and divert scholarship resources. The amendment was adopted unanimously, and the bill was advanced to final passage, with debate continuing at the end of the transcript.
HI
Hawaii 2026 Regular Session
CPC Public Hearing - Thu Apr 9, 2026 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- long.
- Short-term cash management must be prioritized over long-term savings.
- <01:16:40.400><c> over</c> management must be prioritized over management must be prioritized over long-term
- </c><01:16:41.960><c> For</c><01:16:42.080><c> example,</c><01:16:43.080><c> deferred</c> long-term savings
- For example, deferred long-term savings.
Committee:
House Consumer Protection & Commerce
Keywords:
SB3302, homemade food products, farm kitchens, home kitchens, Department of Health, DOH, food safety, food labeling, value-added agriculture, small farms, agricultural land, commercial food establishment permit, cottage food, direct-to-consumer sales, local food systems, Hawaii Revised Statutes, chapter 91, farm-to-table, food processing, public health regulation
Summary:
The committee on Consumer Protection and Commerce met on April 9, 2026, and heard testimony on several measures. SB 3302 SD1 HD1, dealing with homemade food products, would require the Department of Health to adopt rules for farm kitchens producing homemade food products that are no more stringent than rules for home kitchens. The Department of Health said it supported the bill with technical amendments, and the Hawaii Food Industry Association and Grassroot Institute of Hawaii also supported it. No opposition was heard.
A lengthy discussion focused on SB 2061 SD2 HD1, which concerns a 99-year leasehold residential condominium project and HCDA’s rules for sales, income restrictions, and buyback pricing. HCDA supported the bill and said the House draft clarified unclear provisions and would help move the project to pre-sales. Testimony and committee questions centered on whether the project should remain owner-occupied in perpetuity or allow investor purchases after an initial sales period. HCDA explained that the bill was revised to make the project feasible in the market, that 60% of units would be income-restricted for buyers at or below 140% of area median income, and that the remaining units could be sold without owner-occupancy restrictions. Some members and testifiers expressed concern that the bill had shifted away from the original owner-occupancy vision and could become an investment property model, while others argued the changes were necessary for the project to pencil out and compete with fee-simple developments. No vote was taken during the discussion shown.
The committee also heard SB 2050 SD1 HD1, which would allow chiropractic students in accredited programs to engage in clinical practice beginning July 1, 2028. The Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association supported the measure, and one testifier described personal experience with student chiropractic care in California. Members questioned why the board requested delaying implementation until 2030, and the board said it needed more time to develop rules because it meets only a few times a year and rulemaking is lengthy. Finally, SB 2102 SD2 HD1, on industrial hemp in commercial feed, was introduced; the Department of Agriculture and Biosecurity offered comments, the Department of Health raised concerns about regulating pet food and possible jurisdictional conflict, and a farmer testifying in support suggested narrowing the bill to federally approved livestock feed rather than pet food.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/26/26
Commerce Finance and Policy
Transcript Highlights:
- With the funding mechanism adopted in 2025, this creates long-term market stability while preserving
- With the funding mechanism adopted in 2025, this creates long-term market stability while preserving
- system.
- </c><00:20:28.840><c> And</c><00:20:29.640><c> the</c><00:20:29.720><c> waiver</c> health care system
- And the waiver health care system.
Committee:
House Commerce Finance and Policy
Keywords:
trusted contact, financial exploitation, elder abuse, elder financial abuse, fraud prevention, financial institution, banking, credit union, broker-dealer, account security, dormant account, consumer protection, scam, suspicious activity, protective services, law enforcement reporting, Minnesota Statutes chapter 45A, HF3388, Minnesota premium security plan, reinsurance
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 3/24/26
Higher Education Finance and Policy
Transcript Highlights:
- </c> goes to pay for our higher ed system. goes to pay for our higher ed system.
- </c> able to defend themselves and take care able to defend themselves and take care of<00:22:04.000>
- </c> internal data u drive from our systems internal data u drive from our systems that<00:49:15.839>
- as well as the University of system as well as the University of Minnesota<01:08:11.200><c> system.
- </c> Minnesota system. Minnesota system. >> Vice<01:08:13.280><c> Coulter.
Committee:
House Higher Education Finance and Policy
Keywords:
firearms, guns, gun rights, gun control, campus safety, public college, university, postsecondary institution, higher education, visitor carry, concealed carry, open carry, campus policy, Minnesota Statutes 624.714, petty misdemeanor, parking lot carry, firearm possession, public safety, college campus, student carry
AL
Alabama 2026 Regular Session
Alabama House Public Safety and Homeland Security Committee Feb 25th, 2026
Public Safety and Homeland Security
Transcript Highlights:
- So it takes care of property damage.
- So it takes care of property damage.
- So it takes care of property damage.
- And in terms of when we talk about our community college system, we talk about education and training
- And in terms of when we talk about our community college system, we talk about education and training
Committee:
House Public Safety and Homeland Security
Keywords:
fundraising, Alabama Educational Television, state authority, public broadcasting, legislation influence, emergency management, public funds, educational materials, promotional materials, state agency, ambulance services, balance billing, health insurance, emergency transportation, reimbursement rates, water recreation, public access, water bodies, recreational use, water commissions