Transcript Highlights:

• act relating to enticing a child, to revise a provision regarding enticing a child by use of the Internet

Keywords: 989, all

Transcript Highlights:

• : the 2010 Wild comeback, the 2003 Wild playoff comeback, and, you know, those people get on the internet

Keywords: 1187, senate, all

Transcript Highlights:

• I encourage you to follow along, especially for those who are joining via the internet.

Summary: The committee began a series of House Appropriations budget hearings focused on the fiscal year 2026-2027 executive budget, the preamble, and the executive department. Staff presented revenue and spending trends showing projected declines in revenues alongside increasing expenditures, with members emphasizing the need for a standstill budget and additional efficiencies. The House Fiscal Division also reviewed the FY25 surplus and FY26 excess, the constitutional uses of surplus funds, and the overall FY27 budget structure, including the distinction between discretionary and non-discretionary spending. The commissioner of administration described the administration’s use of one-time money, efficiency reviews, and budget reductions, while members asked about revenue forecasts, the motor vehicle sales tax dedication, corporate tax changes, and the impact of federal policy changes on state costs, especially SNAP and Medicaid administration. The committee then moved through several executive department agencies. The Division of Administration presentation covered its budget, vacancies, debt service, and reductions tied to statewide adjustments and efficiency measures. GOSEP’s functions were described as transferred into the Department of Military Affairs under Act 262 of 2025, and military officials outlined the new combined structure, emergency response duties, overseas deployments, youth programs, and concerns about future federal funding. The Coastal Protection and Restoration Authority reviewed its largely dedicated funding and explained that large apparent balances reflect long-term project planning and multi-year capital work. The Office of the State Inspector General presented a budget increase for consulting services tied to the governor’s DOGE-style efficiency initiative, and the inspector general said the effort had identified nearly $1 billion in savings across the executive branch, largely through eligibility reviews in Medicaid and SNAP and implementation of prior audit recommendations. Members raised questions throughout about how budget figures were calculated, why some totals appeared to rise while state general fund support fell, and how federal changes would affect state agencies. There were also questions about the transition of GOSEP into Military Affairs, the status of school safety centers, and whether the new structure would change local emergency responsibilities. No formal votes or amendments were taken during the portion provided; the meeting consisted of presentations, explanations, and member questions.

Transcript Highlights:

• This is exacerbated by the unreliability of internet services in these areas, making it difficult for

Summary: The Senate Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor, and Transportation held a hearing focused first on courthouse facility funding and then on the Governor’s proposed court facilities budget. Legislative Analyst’s Office staff outlined the state’s court-facilities funding structure, including the 2002 shift of trial court facility responsibility from counties to the state, the main funding accounts, the insolvency of the construction fund, the move to General Fund support, the backlog of deferred maintenance, and the large estimated cost of needed new construction and repairs. Judicial Council representatives and judges from Los Angeles and Mendocino described severe seismic, safety, ADA, security, and maintenance problems, with examples of floods, elevator failures, asbestos-related closures, and long-delayed or underfunded projects. They argued that chronic underinvestment is making facilities less safe and more expensive to maintain, and that courthouse conditions directly affect access to justice and public confidence. Committee members pressed witnesses on how projects are prioritized, whether population and filing volume are adequately reflected, why reassessments have not been updated since 2019, how long acquisitions and construction take, and what level of funding would actually close the gap. Members also questioned the fixed county contribution, the use of General Fund backfills, and whether the state should set a clearer long-term funding target for the judicial branch. LAO staff emphasized that any new General Fund commitment would require tradeoffs with other budget priorities and said the Legislature must decide its appetite for funding. Judicial Council staff said the current prioritization was based on the 2019 reassessment and trailer bill language, that a new reassessment would cost about $14 million, and that acquisition delays are often driven by willing-seller issues and CEQA requirements. The chair asked for written testimony and indicated the committee would consider a future field hearing. In the second panel, Judicial Council and Department of Finance representatives reviewed the Governor’s budget proposals for court facilities. They said the proposal includes continued backfill for the State Court Facilities Construction Fund, several new construction and reappropriation items, relocation of Los Angeles courtrooms from the Spring Federal Building, and completion of a fire/life-safety project in Orange County. A court executive from Ventura testified that courthouse conditions affect public trust, employee morale, and the quality of service, citing roof leaks, elevator breakdowns, and HVAC failures as examples of why sustained facilities funding is needed.

Transcript Highlights:

• This is exacerbated by the unreliability of internet services in these areas, making it difficult for

Summary: The Senate Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor, and Transportation held a hearing focused on courthouse facility funding and the Governor’s budget proposals for the judicial branch. The Legislative Analyst’s Office outlined the state’s courthouse funding structure, including the Trial Court Facilities Act, the main facility funds, the fixed county facility payment, and the heavy reliance on General Fund backfill. LAO also explained that the state’s construction funds were depleted after large transfers and declining fine-and-fee revenue, leaving a backlog of roughly 80 construction projects and more than 22,000 deferred maintenance projects statewide. Members and witnesses discussed the long timelines for capital projects, the need for reassessments, and the impact of inflation, CEQA, and site acquisition delays. Judicial branch representatives, including Justice Hill, Judge Moorman, and Judge Tapia, testified that courthouses across the state face serious seismic, ADA, security, and maintenance problems. They described cost-cutting efforts in design and construction, but emphasized that many facilities are aging and unsafe, with examples from Los Angeles, Compton, Ukiah, and other courts involving flooding, elevator failures, asbestos issues, and closures that disrupted thousands of cases. Judge Moorman highlighted the Ukiah courthouse replacement as an example of a project that is on time and on budget and would improve access, safety, and community services. Judge Tapia stressed that deferred maintenance in Los Angeles County alone exceeds $1.4 billion and argued that preventive maintenance is fiscally prudent because emergency repairs and closures are more costly. Committee members pressed the panel on how priorities are set, whether caseload and population growth are adequately reflected, how quickly projects can be accelerated, and what level of funding would actually meet statewide needs. The Department of Finance and Judicial Council staff explained that the county contribution is fixed and not inflation-adjusted, that acquisitions require willing sellers and can be delayed by CEQA and market conditions, and that the Judicial Council’s prioritization process was based on 2019 criteria that may need updating. LAO cautioned that any new General Fund commitment would require tradeoffs with other state priorities and suggested the Legislature decide what level of funding it is willing to support. The committee also reviewed the Governor’s budget proposals for courthouse facilities, which include backfill for the construction fund, selected new construction and judgeship-related projects, and major facility modifications such as the Orange County Central Justice Center and relocation of Los Angeles courtrooms from the Spring Federal Building.

Transcript Highlights:

• This was before the Internet was invented. So it takes a little digging.

Keywords: 989, all

Transcript Highlights:

• Safa, if you can hear us, I think there's a bandwidth problem on your internet.

Summary: The committee first heard a briefing on the proposed Senate capital budget, Substitute Senate Bill 6003, which would spend about $723 million total using debt-limit bonds, Climate Commitment Act funds, and other cash resources. Staff described major investments in housing and homelessness, human services, local infrastructure, flood response, water conservation and clean energy, K-12 school modernization and seismic work, and higher education projects. Members then took public testimony from a wide range of advocates and project sponsors, most of whom urged the Senate to preserve or increase funding for specific projects in the final budget, including affordable housing, permanent supportive housing, child care facilities, food banks, behavioral health and substance use treatment centers, tribal courthouse relocation, school modernization, community colleges, university projects, floodplain restoration, community forests, and local civic or cultural facilities. Several witnesses also asked the Senate to match or approach House funding levels on items such as the Housing Trust Fund, permanent supportive housing, the Community Forest Program, Floodplains by Design, and CCA-supported clean energy and water projects. The chair noted that amendments to the capital budget were due the next day at noon. The committee then received a briefing on Engrossed Second Substitute House Bill 2251, which would restructure Climate Commitment Act accounts by repealing three existing accounts and replacing them with two new accounts: a CCA operating account and a CCA capital account. Staff explained that the bill would preserve most existing uses while changing revenue distribution formulas, capping Ecology administrative costs, expanding allowable uses for EV-related costs, housing, and carbon capture/sequestration, and changing reporting and tribal consultation provisions. The bill also shifts some reporting from annual to biannual and modifies the thresholds for tribal-supported and overburdened-community investments. The fiscal note was described as relatively small, with the main impact being the revised revenue allocation structure. Public testimony on the CCA bill was mixed. Supporters, including the League of Women Voters, said the restructuring better aligns spending with the intent of the CCA and could improve investments for tribes and overburdened communities. Critics, including the Washington Policy Center, argued the bill still lacks strong requirements to ensure CCA spending is effective and objected to reducing the frequency of the state’s climate-spending report. No votes were taken during the portion of the meeting provided.

Transcript Highlights:

• Internet access. Okay. And finally, some changes in fees, like...

Keywords: 959, house, all

Summary: The House established a quorum and then took up several bills for perfection and printing. House Bill 2189, sponsored by the Jasper member, would allow five-year vehicle registrations, eliminate the old even/odd model-year registration rule, and limit the five-year option to vehicles six years old or newer. Members discussed how the bill would interact with emissions, safety inspections, insurance verification, and county tax collection systems. House Amendment 1, which set the five-year fee at $45, was adopted, and the bill was then perfected and printed. The chamber next considered House Committee Substitute for House Bill 1790, a ballot-language measure sponsored by the St. Louis County member. The bill requires clearer ballot wording for local tax levies, including stating levy amounts in dollar terms, alphabetic labeling of propositions, disclosure when a measure would nullify a prior sunset, and a rollback rule tied to reassessment years and voter-approved levies. Members generally supported the transparency goals, and a drafting correction amendment adding a comma was adopted before the committee substitute was perfected and printed. House Committee Substitute for House Bill 2178, sponsored by the Pike member, drew the most extended debate. The bill would limit commercial property assessment increases to 15% per reassessment cycle, require a physical inspection if increases exceed that threshold, and require Board of Equalization decisions by the end of September or revert to the prior year’s assessment. Amendments were adopted to add short-term rental protections so assessors cannot reclassify residential short-term rentals as commercial property, to incorporate ballot-language provisions from other bills, and to add taxpayer protections requiring clearer assessment notices, faster refunds, and litigation-cost recovery in some successful appeals. The body adopted House Amendment 1 by roll call, 92-43 with 5 present, and later adopted House Amendments 2 and 3; House Amendment 4 was then taken up for further discussion at the end of the transcript.

Transcript Highlights:

• Internet access. Okay.

Summary: The House established a quorum and then moved to House bills for perfection and printing. House Bill 2189, sponsored by the gentleman from Jasper, would allow five-year vehicle registrations, eliminate the current odd/even model-year registration rule, and limit the five-year option to vehicles six years old or newer. Members asked about emissions and safety inspections, insurance verification, and personal property tax compliance; the sponsor said the Department of Revenue could track those items electronically and that the bill was intended to simplify registration for citizens. House Amendment 1, which set the five-year fee at $45, was adopted, and the bill was then perfected and printed as amended. The House then took up House Committee Substitute for House Bill 1790, a “fair ballot language” bill. The sponsor said it would require clearer ballot language for local tax levies, including stating tax rates in cents and their dollar impact, labeling propositions alphabetically, requiring disclosure when a measure would nullify a prior voter-approved sunset, and closing a loophole in the Hancock Amendment so taxing entities still roll back levies after reassessment while retaining voter-approved increases. Members generally supported the transparency goals, and a brief amendment adding a comma to existing statutory language was adopted. The committee substitute was then adopted, perfected, and printed. House Committee Substitute for House Bill 2178 was then considered, with several amendments. House Amendment 1, offered by the gentleman from Pike, capped assessment increases at 15% over two years and provided a tax credit for amounts above that threshold; after a roll call, it was adopted 92-43. House Amendment 2, from the gentleman from Clay, prevented assessors from reclassifying short-term rental properties from residential to commercial solely because of short-term rental use; it was adopted after debate over whether LLC-owned properties should be treated differently. House Amendment 3, from the gentleman from Jackson, incorporated ballot-language provisions from earlier bills to require clearer labeling and disclosure on property tax measures, and it was adopted. House Amendment 4, also from the gentleman from Jackson, required assessors to disclose valuation methods and supporting data, set a 30-day refund deadline with interest for late refunds, and allowed taxpayers to recover certain litigation costs when appeals succeed; it too was adopted. The bill then continued with discussion of Hancock-by-subclass and related property tax issues, with members debating how the proposal would affect residential, commercial, and agricultural taxpayers.

Transcript Highlights:

• that in the rural parts of the state, a lot of our senior citizens do not have access to high-speed internet

Summary: The committee heard extensive testimony on House Bill 2651, a broad property tax reform bill sponsored by Representative Burns. Burns said the bill is intended to close perceived loopholes in the Hancock Amendment, including moving tax-related elections to November, eliminating the new-construction exclusion, allowing multiple subclass rates, and preventing counties from opting out of multiple levies. Supporters argued the bill would better protect homeowners from large tax increases, while opponents and several members raised concerns about the loss of local control, the impact on growing communities, and whether the proposal was revenue neutral. No vote was taken; the bill remained in public testimony. The committee then heard House Bill 2944, which would change Missouri’s senior homestead property tax relief so eligible seniors would only have to apply once instead of annually. Representative Billington said the current yearly paperwork burdens older residents on fixed incomes and can contribute to them losing their homes. Some members supported simplifying the process, but others and the Missouri Association of Counties opposed the bill as written, arguing annual recertification helps ensure only eligible taxpayers receive the credit and that counties need a way to verify continued eligibility. Questions also focused on how to handle deaths, moves, and possible recapture of improperly granted credits. No action was taken. Finally, the committee heard House Bill 1786/2060, a joint short-term rental property tax classification proposal from Representatives Brown and Vernetti. The sponsors argued that single-family homes used as short-term rentals should remain classified as residential, not commercial, and said some assessors have reclassified them in a way that sharply raises taxes. They cited case law and IRS treatment to support their position and said the bill would protect homeowners and local tourism economies. The Missouri Hotel Lodging Association opposed the measure, saying short-term rentals used as a business should be taxed accordingly, while the Missouri Realtors supported it. Testimony highlighted concerns about local control, the effect on housing availability, and whether short-term rentals should be treated differently based on frequency of use. No vote was taken on this bill either.

Transcript Highlights:

• that in the rural parts of the state, a lot of our senior citizens do not have access to high-speed internet

Keywords: 959, house, all

Transcript Highlights:

• , and then also that there's an understanding of rural communities and then places where it's an internet

Summary: The Senate Judiciary and Elections Committee heard several election, victims’ rights, family court, and probation-related measures. SB 1425, an emergency bill moving Arizona’s primary election date earlier and adjusting related election timelines, was amended to move the primary to the second-to-last Tuesday in July and to remove the proposed compression of cure/ID deadlines; county officials supported it, and it received a do pass recommendation. SB 1289 and SCR 1013/SCR 1014 focused on foreign money in election administration and ballot measure campaigns, with supporters arguing the bills would close loopholes that allow foreign-backed funding to influence elections; some members raised concerns about breadth and enforcement, but both measures advanced. SB 1402 would require probationers on certain sex-offense-related monitoring to pay the cost of electronic monitoring; supporters said it would improve accountability and child safety, while opponents warned it could punish indigent people and divert money from treatment. It also received a do pass recommendation. The committee spent substantial time on family court bills. SB 1330 would allow a parent with less than 35% parenting time or no legal decision-making authority to request a jury trial in custody-related disputes; supporters described severe financial and emotional harm in family court and argued juries would provide a neutral check, while county and legal representatives opposed the bill as costly, slow, and ill-suited to specialized child-welfare decisions. Despite those objections, SB 1330 passed with a do pass recommendation. SB 1328, as amended, declared Arizona public policy to include protecting parents and a child’s right to equal access to both co-parents; supporters said it would clarify legislative intent, while opponents called it duplicative of existing law. It also passed. The committee also heard SB 1329, which would let parents sue court-appointed professionals in custody and parenting-time matters if the professional deviated from licensing ethics or standards. Supporters argued that quasi-judicial immunity and weak oversight have allowed harmful, expensive practices in family court, while opponents said existing malpractice and licensing remedies already exist and warned against expanding litigation. The bill received a do pass recommendation. SB 1326, allowing courts to award attorney fees and costs to victims when a party violates or worsens a victim-rights violation, also passed after supporters said it would help pro bono and victims’ attorneys enforce rights, and opponents said the term “exacerbates” was vague and the need was unclear. The committee approved the minutes and held SB 1285 and SB 1392 without hearing them.

Transcript Highlights:

• The electronic postings must be on the Internet in a manner that is accessible to its employees.

Keywords: 999, senate, all

Summary: The committee took up several bills and one set of confirmations. SB 330, relating to disability provisions for firefighters, law enforcement, and correctional officers, was explained as clarifying the heart disease presumption and allowing transferred law enforcement officers to rely on a prior physical if the new agency fails to provide one; it was reported favorably. SB 526, a broad commercial construction bill, was amended with a title amendment and a delete-all amendment before being reported favorably. SB 1192 created a pilot program for callback queues at certain executive agencies to reduce hold times, and it was also reported favorably. SB 1078 established gubernatorial transition procedures, including liaisons, briefing materials, office space, and access to records; an amendment narrowed and reassigned some duties and increased penalties for improper disclosure, and the bill passed favorably. SB 7022 extended and updated a public records exemption for classroom examinations and assessment instruments through 2031, and it was reported favorably. SB 1250 removed the Florida Commission on Human Relations’ requirement to use registered mail for certain notices, allowing less expensive notice methods, and it passed favorably. SB 1698 allowed certain employer notices and posters to be posted electronically instead of physically, and it was reported favorably. The committee also recommended confirmation of 10 appointees to the Florida Commission on Human Relations and the State Retirement Commission. SB 1072 created an anti-Semitism task force within the Attorney General’s Office of Civil Rights to review anti-Semitism in Florida, improve community relations, advise on law enforcement training, assess digital media literacy efforts, review hate crime statutes, and issue annual reports. The bill drew extensive public testimony, with many speakers opposing it on First Amendment, academic freedom, and equal-protection grounds and arguing it could chill criticism of Israel or be used selectively; supporters said it was needed to address rising anti-Semitism and that the state’s definition of anti-Semitism had already been adopted in statute. After debate, the bill was reported favorably. SB 862, as amended, set a $60,000 salary goal by 2030 for state correctional officers, probation officers, and institutional security specialists, with annual raises subject to appropriations; members questioned a separate provision allowing deployment of correctional officers during emergencies, including whether that could intersect with immigration enforcement, but the sponsor said he would follow up and that the bill was aimed at recruitment, retention, and workforce stability. The bill received support from law enforcement and corrections groups and was reported favorably. SB 1642, the Freedom in the Workplace Act, generated the most contentious discussion: it would bar certain pronoun-related requirements, prohibit mandatory training or activities related to sexual orientation, gender identity, or gender expression as a condition of employment, require sex on employment forms to reflect biological sex, and extend similar protections to public employees and contractors. Supporters framed it as protecting free speech, conscience, and against compelled speech; opponents argued it would authorize discrimination against transgender and nonbinary people, invite litigation, and harm workplace safety and inclusion. An amendment moved the bill into the chapter governing public employers and employees, and the bill was then reported favorably.

Transcript Highlights:

• That's kind of been our repository of information on the internet for folks to get to that and keep it

Summary: The Senate Human Services Committee held a work session on juvenile rehabilitation trends and then a hearing on Senate Bill 6062. The work session featured a national overview from NCSL, DCYF updates on Green Hill, Harbor Heights, and community transition services, and local/community perspectives from Pierce County, Team Child, and Northwest Credible Messengers. The national presentation described broad juvenile justice trends, including limits on extreme sentencing, expanded diversion and due process protections, reduced fines and fees, record clearing, and changes in juvenile court jurisdiction. Committee members asked about juvenile crime trends and overcrowding, and the presenter noted that crime has generally decreased overall since 2020, though some offenses have risen in some places and overcrowding remains an issue in certain states. DCYF reported on its behavior management system, Harbor Heights opening as relief for overcrowding, Green Hill population pressures, and expansion of community transition services. Officials said the behavior management system is intended to improve safety, consistency, and restorative accountability, while Harbor Heights has added programming and family engagement but still faces space, IT, and medical-infrastructure challenges. Green Hill leaders said reduced population has improved stability, programming, and use-of-force outcomes, but overcrowding remains a concern. DCYF also highlighted an ombuds process, family listserv updates, staffing changes, and a proposed budget request for additional JR capacity and staffing. Pierce County described its long-running detention reform work, reduced average daily detention population, and plans for a new juvenile justice center, while Team Child and Northwest Credible Messengers emphasized community-based supports, culturally responsive services, healing-centered engagement, and reentry planning. Senate Bill 6062 was then briefed as a measure revising juvenile sentencing and JR placement rules. The bill would require courts to grant suspended disposition alternatives in eligible cases unless the court finds community supervision would not adequately protect the community, expand eligibility for certain sentencing alternatives, require midpoint review hearings, and set rules for transfers from JR to DOC when facilities exceed 105% of rated bed capacity. The committee also voted to waive the five-day notice rule for hearings on Senate Bills 6319 and 5979, and that motion passed. During public testimony on SB 6062, youth from Green Hill supported the bill and asked for clearer standards around DOC transfers, while DCYF supported efforts to reduce JR population but said the bill needs stronger emergency transfer language to address overcrowding at Green Hill. Committee members and the bill sponsor emphasized rehabilitation, individualized sentencing, and the need to balance community safety with better placement and services for youth.

Transcript Highlights:

• When you look at the form agreements that are available on the internet, they appear to say, "Well, you

Transcript Highlights:

• jurisdictions publish their proposed tax rates on their internet websites and post them in the newspaper

Bills: HB17, HB16, SB 10, HB27, HB23, SB 15, SB 18, HB 17, HB 16, SB 10, HB 27, HB 23, SB 15, SB 18

Keywords: property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support

Transcript Highlights:

• Is the internet out?

Bills: HB8

Keywords: HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround

Summary: The House Committee on Public Education met to hear House Bill 8, which would replace STAAR with a new assessment and accountability system beginning in the 2027-28 school year. The chair described the bill as reducing testing time, limiting benchmark tests, adding beginning-, middle-, and end-of-year assessments, requiring faster score turnaround, involving Texas teachers in test development, and tightening accountability timelines and transparency rules. Members also discussed provisions on A-F ratings, cut scores, CCMR, local accountability plans, and TEA reporting requirements. Committee members and invited witnesses split sharply on the bill’s approach. Supporters, including the chair, TEA Commissioner Mike Morath, and Ed Trust’s Nicholas Munyon Penny, argued the bill would reduce high-stakes pressure, provide quicker and more actionable data, limit over-testing, and better align assessments to Texas standards while preserving criterion-referenced accountability. They said the new system would help teachers and parents intervene sooner and would improve transparency, including parent access to student responses and automatic rescoring in some writing cases. Opponents, including Rep. Hinojosa and student witness Ella Moran, argued the bill still increases testing and replaces one high-stakes test with multiple TEA-created tests. Moran testified that STAAR creates anxiety, disrupts instruction, and does not reflect real learning, while Hinojosa said the House had previously passed a better bill based on a nationally norm-referenced model and criticized the new proposal as a concession to the Senate. Questions also focused on AI scoring of writing, rescoring rates, and whether the bill’s new accountability rules would be reliable and fair. The committee did not take a final vote during the portion provided, but the chair said a vote on HB 8 would be called after public testimony later in the day.

Transcript Highlights:

• statutory purpose were 2003 and 2007 when we were... in a different space data-wise and with the internet

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• Assembly Bill 392 by Assemblymember Dixon, an act relating to the Internet.

Keywords: 988, house, all

Transcript Highlights:

• The challenge with the TMB rule is that, if you go in the Wayback Machine on the internet, 10 years ago

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid