Video & Transcript : 'Operation Enduring Brain Health' :
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TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) May 7th, 2025
Health & Human Services
Transcript Highlights:
- The Senate Committee on Health and Human Services will come to order.
- Mental Health Care Consortium.
- care and you don't have a health care system, you don't have a health care system.
- The bill also requires a Health and Human Services agency to...
- This letter was from the Department of Health and Human Services.
Bills:
HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Feb 26th, 2025
Health & Human Services
Transcript Highlights:
- .. those health care expenditures on chronic and mental health conditions.
- This has got to be a part of health; a pill isn't going to fix everything.
- And in regulatory policies that put corrupt profits over public health.
- Not just in business, not just in energy or innovation, but in health.
- Additionally, 20% of our kids have a mental health issue. This is nuts.
Keywords:
attorney ad litem, indigent parents, parent-child relationship, legal representation, Texas Family Code, court procedures, nutrition, health standards, food labeling, education, dietary guidelines, medical education, food safety, school meals, child nutrition, food additives, public health, 1185, senate, all
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) Feb 26th, 2025
Health & Human Services
Transcript Highlights:
- health education.
- I'm with the non-profit Health Code. Great, super. Thank you.
- . ...health.
- in this space because it's so important to health.
- There are so many of our health food markets and health food stores... who have initiatives and programs
Keywords:
attorney ad litem, indigent parents, parent-child relationship, legal representation, Texas Family Code, court procedures, nutrition, health standards, food labeling, education, dietary guidelines, medical education, food safety, school meals, child nutrition, food additives, public health, 1185, senate, all
LA
Louisiana 2026 Regular Session
Administration of Criminal Justice Mar 25th, 2026
Administration of Criminal Justice
Transcript Highlights:
- I stand here for every family that has had to endure this kind of loss.
- bill will increase legal protections for energy infrastructure, deter interference with energy operations
- The third amendment adds that unauthorized entry also includes operating an unmanned aircraft system,
- I just want to clarify that the current law, R.S. 14:334, prohibits a person from operating a vehicle
- However, R.S. 14:334 does not prohibit that person from operating a vehicle without the interlock.
Keywords:
bail, conviction, aggravated offense, minors, constitutional amendment, bail reform, post-conviction, minor victims, legal rights, ignition interlock device, DUI, public safety, vehicle operation, criminal justice reform, DWI, driving under the influence, vehicular homicide, penalties, criminal justice, jury commission
HI
Transcript Highlights:
- Your Committee on Education and Health and Human Services will hold a public hearing on Senate Bill Nos
- Your committee on education and<00:03:34.319><c> health</c><00:03:34.560><c> and</c><00:03:34.720><c>
- human</c><00:03:34.959><c> services</c><00:03:35.360><c> will</c><00:03:35.599><c> hold</c> and health
- and human services will hold and health and human services will hold a<00:03:36.080><c> public</c><00
- Your committees on Labor and Technology and Government Operations will hold a public hearing on Senate
Bills:
SB2060, SB2342, SB2577, SB2580, SB2809, SB2397, SB2315, SB2442, SB2152, SB2380, SB2462, SB2055, SB2438, SB2533, SB2203, SB2087, SB768, SB877, SB1139, SB787, HB963, SB277, SB2663, SB2555, SB2140, SB2115, SB2761, SB2198, SB2032, SB2579, SB2671, SB2835, SB2356, SB2095, SB2093, SB2318, SB2323, SB2485, SB2309, SB2321, SB2405, SB2153, SB2129, SB2170, SB2259, SB2578, SB2544, SB2701, SB2861, SB2108, SB2089, SB2106, SB847, SB3326, SB2047, SB2695, SB2667, SB2919, SB2446, SB2146, SB2723, SB2210, SB2527, SB2645, SB3331
Keywords:
rental housing revolving fund, HHFDC, Hawaii Housing Finance and Development Corporation, mixed-income housing, mixed-income rental project, affordable housing, low-income housing, housing finance, housing development, preservation, rehabilitation, pre-development, construction financing, equity investment, credit enhancement, collateral, gap financing, area median income, AMI, perpetual affordability
ND
North Dakota 2025-2026 Regular Session
Senate Agriculture and Veterans Affairs Apr 3rd, 2025 at 02:30 pm
Agriculture and Veterans Affairs
Bills:
HCR3018
Keywords:
water rights, wetlands, inundated lands, taxation, property tax, drainage, flooded land, seasonal wetlands, meltwater, navigability, jurisdiction, county tax rolls, agricultural land, soil health, wildlife habitat, environmental regulation, public health, land ownership, riparian, drain and fill
Summary:
The Agriculture and Veterans Affairs Committee was brought back to order and first took up a conference committee report on House Bill 1151, which concerns cultured meat. Members noted that the House had refused to concur with the Senate amendments and that the bill had previously been turned into a study. The committee discussed appointing conferees, with Randy identified as chair and Weston agreeing to serve as well.
The chair explained that because the House did not concur with the committee’s change, further action would be needed and the House would chair the conference committee since it is their bill. Members briefly discussed whether additional conferees were needed, but no further names were settled beyond those mentioned.
The committee also reported that Representative Porter could not be reached, leaving the committee at a standstill. With no further business, the meeting was adjourned until 9:00 a.m. the next day.
ND
North Dakota 2025-2026 Regular Session
Senate Agriculture and Veterans Affairs Apr 3rd, 2025 at 09:00 am
Agriculture and Veterans Affairs
Transcript Highlights:
- people just in the last few weeks, and they're doing really well and working with the DEQ and the health
- And then the health districts will still inspect. And it seems like everybody's okay with that.
- And so I've got to believe that they're up on the science and they're as concerned as anybody about health
- As concerned as anybody about health and stuff because, you know, they are reluctant.
- of the ideas of where this is at and going is, and this is just way back here in the corner of my brain
Bills:
HCR3018
Keywords:
water rights, wetlands, inundated lands, taxation, property tax, drainage, flooded land, seasonal wetlands, meltwater, navigability, jurisdiction, county tax rolls, agricultural land, soil health, wildlife habitat, environmental regulation, public health, land ownership, riparian, drain and fill
Summary:
The Agriculture and Veterans Affairs Committee met with a quorum and first took up House Concurrent Resolution 3018, which was amended to expand a study of wetlands and jurisdictional water issues, including questions about taxing authority over land inundated by water. The committee adopted the amendment and then passed the resolution as amended on a roll call vote, with all members present voting yes or aye. Senator Weston agreed to carry the measure.
The committee then considered House Bill 1581, relating to funding for the Native American Tourism Alliance. Senator Marcellais explained an amendment restoring the funding level to $500,000 and adding a 10% tribal match. Members debated the budget impact and the likelihood of the bill surviving in that form. The amendment failed on a 3-3 tie, after which the committee moved to the original House version. That version, with $100,000 total funding and matching requirements, received a 4-2 do pass recommendation and was sent to Appropriations, with Senator Marcellais designated as carrier.
The committee also discussed House Bill 1541, which would create a new commission to oversee septic systems, but members indicated a preference for a different approach already moving in the House that would place licensing and oversight under DEQ with health units still handling inspections. No final action was taken on that bill. Finally, the committee reviewed House Bill 1280, a water/drainage-related measure involving voting eligibility for landowners who have not paid assessments, but members raised legal questions and deferred further action. The committee also discussed broader concerns about a chemical-labeling bill and related public emails, then recessed until the call of the chair.
LA
Transcript Highlights:
- disease, economic impact of health care, and our health care assets.
- And then also just in general, minors seeking health care related to sexual health or reproductive health
- And then also just in general, minors seeking health care related to sexual health or reproductive health
- You'll notice that we talk about public health condition, public health disease, public health inquiry
- It's all about public health, not individual health.
Bills:
SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214
Keywords:
SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 8th, 2025
Health & Human Services
Transcript Highlights:
- costs across health care. public health, and criminal justice systems. that directs the Health and Human
- That is what Texas A&M Health found.
- Some of our state hospitals are really local mental health hospitals. That's how they are. operate.
- I encourage this committee, the Human Health and Services, to allow health to be promoted today to give
- health care providers.
Keywords:
SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction
TX
Transcript Highlights:
- costs across health care, public health, and criminal justice systems.
- One was a study that Texas A&M Health did on the need for inpatient mental health beds for children.
- That is what Texas A&M Health found.
- I am a recovering internal medicine physician and the Chief Health Officer at Parkland Health, and I
- Sixty percent of them die outside of the... ...physician and the Chief Health Officer at Parkland Health
Keywords:
SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction
Summary:
The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data.
Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed.
The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 23rd, 2026 at 08:00 am
Health Care & Wellness
Transcript Highlights:
- Welcome to today's Friday morning Health and Health Care & Wellness Committee for January 23rd.
- wildlife health and particularly reproductive health of wildlife.
- care providers in addition to other health care providers and health care entities.
- It adds Indian health care providers and urban Indian health organizations to the definition of health
- This is our Indian health care providers and our urban Indian health organization ask it for a yes vote
Keywords:
continuing care retirement community, CCRC, life plan community, senior housing, retirement community, long-term care, assisted living, nursing home, actuarial analysis, solvency, financial oversight, resident contracts, entrance fee, disclosure statement, registration, insurance commissioner, DSHS, consumer protection, elder care, aging services
TX
Transcript Highlights:
- The Senate Committee on Health and Human Services will come to order.
- health care system.
- We save annually the health care system about $42 billion nationally. ...the health care system about
- It could have been another health care provider.
- It’s the behavioral health law enforcement unit.
Bills:
SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422
Keywords:
healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care
Summary:
The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed.
The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending.
Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending.
Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/26/26
Commerce Finance and Policy
Transcript Highlights:
- Um, getting these large health insurance companies out of the health care business.
- Um, getting these large health insurance companies out of the health care business.
- Um, getting these large health insurance companies out of the health care business.
- They are my brains.
- They are my brains. They make me Sam. They are my brains.
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 Human Services Finance and Policy Committee 3/24/26
Human Services Finance and Policy
Transcript Highlights:
- </c> their health their health care teams. their health their health care teams.
- This will cause a mental health stress.
- And options: operate at a loss or close.
- </c><00:35:42.160><c> under</c> residential service that operate under residential service that operate
- </c> providers like me have already endured providers like me have already endured multiple<00:51:03.760
Keywords:
Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance
OK
Oklahoma 2026 Regular Session
Economic Development, Workforce and Tourism REVISED Feb 17th, 2026
Economic Development, Workforce and Tourism
Transcript Highlights:
- It actually touched three entities: commerce, education, and health care.
- We have checked in with everybody. ...and education and health care.
- The responsibility for health care workforce is now housed with the Department of Commerce, which is
- So the work done on developing pipeline and retaining health care workforce folks in Oklahoma is now
- It being immediately necessary for the preservation of the public peace, health, or safety, an emergency
Keywords:
Oklahoma Historical Society, Oklahoma Arts Council, J.M. Davis Memorial Commission, historical preservation, arts funding, museum, gun collection, state agency contracts, 501(c)(3), nonprofit corporation, public funds, sectarian, religious funding restriction, appropriations, fiscal oversight, cultural institutions, historical artifacts, SB1425, health care, healthcare workforce
Summary:
The Economic Development, Workforce and Tourism Committee heard a presentation from Tourism Director Amy Blackburn on the Oklahoma Tourism spring 2026 marketing campaign. She described the agency’s new advertising contractor, spending plans split between in-state and out-of-state markets, and campaign themes centered on Route 66, state parks, fishing, Western heritage, and spring travel. She said the campaign’s goal is to increase visitation, bookings, park revenue, and traffic to TravelOK.com, and noted the use of data tools to track marketing performance.
The committee then considered several Senate bills. SB 1307, by Sen. Daniels, would remove language that could bar religious organizations from receiving neutral public benefits or grants; it passed 7-1 after questions about church-state concerns. SB 1425, also by Sen. Daniels, repealed an obsolete healthcare workforce assistance board/program and passed 9-0. SB 1826, by Sen. Reinhart, removed the sunset on the Oklahoma Local Development and Enterprise Zone Incentive Leverage Act; members discussed reporting and oversight, and it passed 7-1.
SB 1365, by Sen. Fricks, was amended to add an emergency clause and to raise from $25,000 to $75,000 the threshold for Tourism Department retail purchases exempt from the Central Purchasing Act, with testimony that it would help stock gift shops and support local vendors; it passed 8-0. SB 1696, by Sen. Coleman, created a Commerce Department grant program to help cities and counties recruit new residents through local incentives advertised on MakeMyMove.com; members raised concerns about sunsets, audits, and overlap with other incentives, and the bill passed 5-3.
TX
Transcript Highlights:
- Often requiring surgery and even if the babies survived could leave them with long-term health problems
- It's a mental health battle that lies between our men and women, not just in the service, but now you
- It's a mental health battle that lies between our men and women, not just in the service, but now you
- It's a mental health battle that lies between our men and women, not just in the service, but now you
- Brownsville's focus on creating a bike-friendly environment helped it earn a Culture of Health Prize
Bills:
SB2959, HB3096, HCR29, HCR56, HCR12, HCR55, HCR74, HCR78, HCR116, HCR117, HCR6, HCR50, HCR107, HCR80, HCR58, HCR70, HCR71, HCR72, HCR75, HCR93
Keywords:
firearm safety, awareness month, public safety, responsible ownership, storage, recreational use, profound autism, awareness day, caregiver, disabilities, support, counseling, mental health, awareness, support services, community health, necrotizing enterocolitis, premature infants, breastfeeding, health awareness
Summary:
The Senate Committee on Administration met with a quorum and took up a series of pending resolutions, bills, and the local uncontested calendar. The committee first reported HCR 80 favorably and placed it on the May 9, 2025 local and uncontested calendar. It then heard and approved several commemorative resolutions, including HCR 12 designating September as Deaf Awareness Month for 10 years, HCR 55 reaffirming Poteet as the Strawberry Capital of Texas, HCR 56 designating May as NEC and Breastfeeding Awareness Month, and HB 3096 creating Profound Autism Awareness Day on March 17. Each of these measures was reported favorably to the full Senate, with no opposition in testimony except HB 3096, which included supportive testimony from Tara Duval describing the needs of individuals with profound autism and their families.
The committee also approved HCR 58 redesignating Dripping Springs as the Wedding Capital of Texas, SB 2959 designating August as Firearm Safety Month, HCR 74 naming Carthage the Country Music Capital of Texas, HCR 78 establishing Lone Star Santa’s Charities Day, HCR 116 redesignating Brownsville as the Bicycling Capital of the Rio Grande Valley, and HCR 117 designating Port Aransas as the Fishing Capital of Texas. SB 2959 drew supportive testimony from Stephen Price, who emphasized gun safety, suicide prevention, and public awareness, while other measures received no public testimony. All were reported favorably and recommended for the May 9 local and uncontested calendar.
Later, the committee approved HCR 6 naming Galveston the Juneteenth Capital of Texas, HCR 50 naming Galveston the Mardi Gras Capital of Texas, HCR 107 making the Texas Almanac the official State Book of Texas, HCR 70 designating Jim Hogg County as the Vaquero Capital of Texas, HCR 71 recognizing LaSalle County for wild hog hunting and related traditions, and HCR 29 designating April as Counseling Awareness Month. HCR 6 received testimony from a Galveston city representative in support of the Juneteenth designation, and HCR 29 received testimony from the Texas Counseling Association supporting recognition of counselors. Finally, the committee certified the May 9, 2025 local and uncontested calendar after removing 32 bills for reasons including penalties, fiscal notes, or opposition, specifically noting SB 317 was removed due to criminal and civil penalties, and then recessed.
TX
Transcript Highlights:
- Three, 128 districts left TRS Active Care because they thought they would be able to find better health
- So any of the 128 districts, we put no money. towards their health care.
- And my mental health affected my physical health as well.
- Buckley asked me if I I was better now, after my mental health struggles.
- It includes looking at the mental health and behavioral health needs of the children. crisis intervention
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:
- I hold a degree in science in nursing and have 27 years of experience in trauma, home health, and school-based
- These numbers underscore a stark reality: families in our community often lack access to basic health
- I am thankful that his brain still recognizes input from both of his eyes.
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
AL
Alabama 2026 Regular Session
Alabama House Boards, Agencies and Commissions Committee Feb 25th, 2026
Boards, Agencies and Commissions
Transcript Highlights:
- That's been operational for a little over a year now and it's been operating well, but they realized
Keywords:
emergency medical services, military training, licensure, public health, veterans, health benefits, nonprofit organization, agriculture, insurance regulation, taxation, hospital liens, medical billing, government healthcare, insurance claims, patient rights, HB462, chiropractic, chiropractor, State Board of Chiropractic Examiners, professional licensing
WA
Washington 2025-2026 Regular Session
House Early Learning & Human Services Jan 30th, 2026 at 08:30 am
Early Learning & Human Services
Transcript Highlights:
- And one more bill, House Bill 2429, supporting children and youth behavioral health.
- relates to implementation of the Washington Thriving Strategic Plan for Children and Youth Behavioral Health
- relates to implementation of the Washington Thriving Strategic Plan for Children and Youth Behavioral Health
- This modifies the membership requirements for the leadership council to address children and youth health
- and wellness issues created in the underlying bill and the existing children and youth behavioral health
Keywords:
community oversight, residential services, regulation, service providers, monitoring, poverty, task force, legislative, executive, social programs, juvenile justice, youth sentencing, juvenile rehabilitation, DCYF, Department of Children Youth and Families, community supervision, community transition services, suspended disposition, less restrictive alternative, sentencing grid