Transcript Highlights:

• But we have to work in incremental steps.
• I honestly, if you can work with me here, I can work with you on that.
• But we have to work in incremental steps.
• , if you can work with me here, here, here, I<00:08:44.160> can<00:08:44.360> work<00:08
• Last year, the Children and Families Committee worked on this first-in-the-nation camera mandate.

Keywords: 1183, house

Transcript Highlights:

• This is my fifth session working at the Senate. I'm... ...happy to work with you. Very good.
• So for us, this is really more or less an unfunded mandate.
• any kind of ongoing funding supply for the mandate.
• I’m not mandating CPR training. That’s already the law.
• I'm not mandating CPR training. That's already the law.

Bills: SB1009

Keywords: cardiopulmonary resuscitation, AED training, high school curriculum, public school, safety training, emergency response, 1182, all

Summary: The committee meeting began with member and staff introductions, followed by consideration of SB 1009, which would expand Arizona high school emergency response training to include instruction on using automated external defibrillators (AEDs) alongside CPR. The sponsor, Senator Kavanaugh, argued the bill would improve school safety, cost schools nothing because it would be folded into existing CPR instruction, and would help students and staff respond to sudden cardiac arrest. Supporters included the American Heart Association and student witnesses, who emphasized that AED and CPR training can save lives and should be available in schools. The Arizona Education Association opposed the bill, saying it adds an unfunded mandate, could take instructional time away from core subjects, and may require staff time and resources that schools do not have. The Arizona School Boards Association was neutral but raised concerns about funding and implementation, especially for rural districts. During questions, senators debated whether AED instruction is already included in existing CPR standards and whether the bill would create new costs. Senator Kavanaugh said many programs already include AED training and that the bill simply ensures it is part of all school CPR instruction. Opponents questioned the lack of a fiscal note and the reliance on tax credit funding. After discussion, the committee voted on SB 1009 and passed it with a due pass recommendation by a 5-2 vote. Senators Diaz and Brown voted no, while Senators Dunn, Mesnard, Miranda, Werner, and Angius voted yes.

Transcript Highlights:

• mandating is mandating is training<00:02:41.680> there<00:02:41.800> is<00:02:42.000>
• 02:44.319> in mandate in mandate in here here here so<00:02:47.760> I<00:02:47.840>
• Like I said, this is not the only thing that this is mandating; it is mandating that 20 people take an
• That's all it's mandating. It's not mandating anything else, but we need people.
• it's not mandating it's mandating it's not mandating anything<00:09:53.480> else<00:09:53.959

Keywords: 928, house, all

Summary: The committee heard testimony on HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training through the police standards system. Representative Barbara Coma, the sponsor, said the bill was prompted by problems in animal cruelty cases, especially in rural areas without animal control officers, and she described it as a limited training measure. She said an amendment was forthcoming that would add an eight-hour approved course and a two-hour refresher every three years, and she emphasized that the trained officers would serve as resources rather than being required to take action themselves. Members asked about cost, due process, overlap with animal control officers, how trained officers would be identified and notified, and whether veterinarians could fill the role. Coma responded that the bill would not be a heavy financial lift, would not interfere with animal control officers, would apply to livestock as well as companion animals, and would still require law enforcement involvement because veterinarians cannot lawfully remove animals from property. She also said the training could improve due process by helping officers better understand when animal removal is appropriate and how cases should proceed. Sheriff William Wright, speaking for the New Hampshire Sheriffs Association, testified in opposition. He said training itself was acceptable, but the bill went beyond training by creating an obligation for sheriffs and state police to respond to and potentially investigate animal cruelty cases, which he argued would be ambiguous, unfunded, and burdensome for staffing and resources. He said some sheriff’s offices do not have investigative deputies and that the bill could create liability and uncertainty about who would lead investigations. In response to questions, he said the association would likely have no objection if the bill were limited to training, but it opposed the assistance/investigation mandate as written.

Transcript Highlights:

• So, there's a busing mandate<00:03:05.840> that mandate that mandate that requires<00:03:07.680
• . mandate. mandate.
• working on.
• And if it doesn't work, it doesn't work. But I'd like to give it a try. way. Okay.
• And if it doesn't work, it<01:51:01.440> doesn't<01:51:01.600> work.

Keywords: 1191, senate, all

Transcript Highlights:

• It doesn't grant the employer the ability to mandate or not mandate medical interventions.
• work for me?
• Is that the way it works?
• How does that work?
• Maybe it needs some work.

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• <00:05:27.800> for necessarily think we need a mandate for necessarily think we need a mandate
• <00:19:27.600> within because it's impossible to work within because it's impossible to work
• hard in school successful if they work hard in school and<00:19:36.960> work<00:19:37.200>
• Many members of the work group expressed concern that their work seemed incomplete and also asked who
• group meeting many members of the work group meeting many members of the work group<00:21:54.640

Bills: HF29, HF921, HF922, HF1048, HF1049

Keywords: railroad, infrastructure, transportation funding, environmental remediation, capital investment, HF921, tax increment financing, TIF, excess tax increment, school district aid, levy adjustment, property tax levy, education finance, Minnesota education aid, decertification, local government finance, school funding formula, state aid reduction, referendum equalization aid, debt service equalization

Transcript Highlights:

• I think there's a lot of work to be done.
• I'm happy to work with you on that.
• a mandated a mandated reporter<00:44:17.480> my<00:44:17.760> my<00:44:17.960>
• actually know who it is who the mandated actually know who it is who the mandated reporter<01:17
• We just have to work on it a bit.

Keywords: 1191, senate, all

Transcript Highlights:

• Thank you. mandate and will make the voting process mandate and will make the voting process more<00:
• through testimony and email we worked through testimony and email we worked with<00:57:40.119>
• He asked how this all works.
• <01:13:21.440> in enrollment found that if they work in enrollment found that if they work
• are mandated in rule.

Keywords: 1189, house, all

Transcript Highlights:

• We're going to continue working on that.
• We're going to continue working on that.
• We have a any new healthcare mandates.
• So in standards and reducing mandates.
• city that they're able to to work in. city that they're able to to work in.

Keywords: 919, house, all

Summary: House Republican leaders outlined their agenda for the tied legislative session, saying their priorities are to stop fraud, make Minnesota more affordable, safer, and more competitive, and reduce mandates while raising education standards. They highlighted several planned bills, including an independent inspector general (HF 1), a “Fraud Isn’t Free” measure to impose consequences on agencies and commissioners that allow fraud, and statutory guidelines for high-fraud-risk programs. They also said they want to lower health care costs through a permanent reinsurance program and cost defrayal for new mandates, study property tax increases, conform state tax law to federal changes on tips, overtime, and scholarship tax credits, and avoid any tax increases. On public safety, Republicans said they will pursue tougher penalties for repeat offenders and repeat gun crimes, judicial accountability, and a school safety package that would support public and nonpublic schools, school safety personnel, and facility improvements. In education, they emphasized school choice tax credits, reading proficiency, and curriculum focused on basic academic fundamentals. They also said they want to protect and expand mining, reform permitting, end the nuclear moratorium, and make the state more attractive to businesses. On housing, one member said they are working on a more targeted affordable housing package rather than a broad sweeping bill. A substantial portion of the discussion focused on immigration and cooperation with federal authorities. Republicans said they want a statewide framework for local law enforcement cooperation with federal immigration enforcement, referencing House File 16 and saying they are open to changes and bipartisan work. They argued that local and state cooperation would improve safety and prevent situations where criminal suspects are released into the community. They also said Democrats have blocked similar efforts in committee and on the House floor. In response to questions, leaders said there is no current appetite for sports betting, bonding will be discussed but there are no promises, and they do not support the 2024 omnibus bill model. They said they are not interested in vaccine mandates, but will consider Medicaid funding impacts and other health-related proposals if bills are introduced. They also said election integrity measures such as voter ID, provisional ballots, and voter-roll cleanup will remain priorities. Throughout, leaders said they expect a bipartisan process in the tied House and expressed hope that both parties can work together on some issues.

Transcript Highlights:

• These schools are coming to us and saying the issue is they are being mandated, and mandated, and mandated
• These schools are coming to us and saying the issue is they are being mandated, and mandated, and mandated
• These schools are coming to us and saying the issue is they are being mandated, and mandated, and mandated
• These schools are coming to us and saying the issue is they are being mandated, and mandated, and mandated
• These schools are coming to us and saying the issue is they are being mandated, and mandated, and mandated

Keywords: 1183, house

Transcript Highlights:

• Could it be the mandated reporters?
• Thank you for all of your work.
• There is much work to be done, and I implore this committee to set the floor for that work.
• Toward that end, it has to be incorporated into the work, the daily work, foster care bill of rights.
• We do actually have evidence from other states that expanding mandated reporters does not work.

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on a series of child welfare bills focused on DCF, foster care, mandated reporting, educational records, and family support. Chair Kennedy and Chair Livingstone opened with accessibility and testimony rules, then heard testimony on bills including S.127 on expanding mandated reporters, S.107/H.235 on a Foster Children’s Bill of Rights, S.106/H.228 on transferring foster care review from DCF to the Office of the Child Advocate, H.258/S.125 on an electronic backpack for foster children’s educational records, H.205 on kinship foster care background checks, H.246/H.266 on minimizing trauma in care and protection cases, and S.159 on support for families after sudden unexpected infant death. Supporters of the mandated reporter bill, led by Sen. Feeney and Foxborough advocates, described a local model that trains all adults who work with children and argued the state should scale that approach statewide to improve recognition and reporting of abuse. Testimony on the foster care bills emphasized the need for clearer rights, better notice to children and attorneys, stronger remedies, and independent oversight. Advocates, youth with lived experience, and legal organizations described placement instability, delayed notifications, abuse in care, poor educational continuity, and the need for rights around safety, family contact, culture, language, and access to records. Several witnesses urged that the Foster Children’s Bill of Rights include enforceable court remedies, not just reporting requirements. On the oversight bill, supporters argued DCF should not review its own foster care system and pointed to poor outcomes, high placement instability, and recent investigative reporting as evidence for moving review responsibilities to the Office of the Child Advocate. On the electronic backpack bill, testimony focused on the need for real-time data sharing and a centralized system so schools can receive foster students’ records quickly and support continuity. On the trauma-minimization bill, Rep. Miskin framed the proposal as a set of practical changes to reduce harm during removals and court involvement. On the SUID bill, Sen. Lovely said families should be given information about available grief and support resources after an infant death. No votes were taken during the hearing; the committee primarily received testimony and questions.

Transcript Highlights:

• Or I work and I can't live here.
• The status quo is not working. The many. The status quo is not working.
• who work a lot and have busy children. who work a lot and have busy children.
• What we are doing is not working. worse. What we are doing is not working.
• we work through this process together. we work through this process together.

Keywords: 1183, house

Transcript Highlights:

• This bill repeals the California car mandate. It adds mandates for auto manufacturers.
• Those are a few of the things that are most concerning about it. c car mandate adds mandates for the
• auto c car mandate adds mandates for the auto manufacturers<00:01:56.960> it<00:01:57.079>
• Lambert: We are anti-mandates.
• > do<00:18:55.240> any<00:18:55.480> mandate there any sales mandate do any mandate

Keywords: 1183, house

Transcript Highlights:

• <00:16:25.519> on over the years I've been working on over the years I've been working on
• <00:34:00.559> on it is our intent to continue working on it is our intent to continue working
• had a particularly um specific mandate had a particularly um specific mandate such<00:53:35.520>
• the commissioner authority to mandate the commissioner authority to mandate modifications<00:54:
• Um, a lot of work has already been done over the summer and uh, we continue to work. Mr.

Keywords: 1189, house, all

Transcript Highlights:

• facilities and some mandated reports. facilities and some mandated reports.
• core work.
• <00:35:51.680> mandated added to perform those mandate mandated added to perform those mandate
• mandated core<00:35:52.800> work.
• of foundational work. of foundational work.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Human Services met to review budget items carved out in the prior session budget, including long-term care surveyor contracts, funding for local health departments, and expansion of the central laboratory. The committee approved the June 4 minutes and then heard an update from the Office of Inspector General’s Division of Health Care on long-term care certification surveys and complaint investigations. Officials said the $1 million annual appropriation for contracted survey work, along with salary increases and other resources, helped the state reduce its backlog. They reported that Kentucky completed 101 long-term care certification surveys in fiscal year 2024, up from 28 in fiscal year 2023, and had completed 186 surveys by July 7, 2025, with a goal of 40 to 50 more before the end of fiscal year 2025. Outstanding complaints fell from 1,565 at the end of fiscal year 2024 to 695 by July 7, 2025, and outstanding priority-one or immediate-jeopardy complaints were reduced to zero. Members asked about the definition of priority-one cases, survey timing, the number of facilities still overdue, vacancy rates, federal funding reliance, and the use of contract surveyors. Officials said priority-one cases involve serious harm or high risk of harm, that surveys are required within a 12- to 15.7-month window, and that the agency now has 40 contract surveyors and an outside team option. Several members praised the progress but warned that delays in surveys can endanger residents and urged continued funding and monitoring. The committee then began hearing from Mike Tuggle of the Department of Public Health on the Public Health Transformation Initiative, with Tuggle noting the legislation’s importance to public health financing. The transcript cuts off as he began his remarks.

Transcript Highlights:

• certain<00:53:27.440> percentage SB81 mandates that a certain percentage SB81 mandates that
• > expect<00:56:12.160> higher mandate, we should expect higher mandate, we should expect
• > Competition disciplines prices mandates Competition disciplines prices mandates do<01:02:35.599>
• . mandated. mandated.
• and I'm generally not trying to mandate and I'm generally not trying to mandate anything.<01:09:

Bills: SB170, SB177, SB207, SB208, SB215, HB27, SB219, SB247, SB232, SB81

Keywords: 923, senate, all

Transcript Highlights:

• investment and also a recurring mandated investment and also a recurring mandated program<00:08:
• <00:12:40.880> uh representative Tipton uh we worked uh representative Tipton uh we worked
• Please know that when mandated program.
• :30.320> with<00:14:30.720> uh looking we are working with uh looking we are working with
• <00:14:57.440> uh good work that they're doing there. uh good work that they're doing there

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met to begin hearing budget requests from Kentucky universities. Eastern Kentucky University President David McFaden highlighted EKU’s enrollment growth, its large population of Pell-eligible and first-generation students, and its role in producing graduates for Kentucky’s workforce, especially in health care, public safety, manufacturing, engineering, and aviation. He said EKU is seeking support for a Center for Health Innovation, including a doctor of osteopathic medicine program, with a $50 million accreditation escrow and startup funding that would be returned to the state after accreditation. He also described EKU’s health programs, which have strong pass rates and high in-state employment outcomes, and said the university wants continued asset preservation funding, inflationary operating support, and other recurring budget items. McFaden also outlined EKU’s aviation request, including $10 million for new aircraft and support for an enhanced air traffic control program created in response to a legislative study. He said the program would enroll cohorts of about 30 students, likely attract out-of-state students, and require a $5 million startup investment plus $1.5 million in annual recurring support. He added that EKU’s lab school is seeking a revised funding model tied to enrollment rather than a flat mandated amount. Committee members asked follow-up questions about the medical school escrow, aircraft needs, and program capacity, and McFaden clarified that the escrow would remain intact until accreditation and then be returned to the general fund. Kentucky State University President Kakpo then reviewed prior capital support that helped repair a dorm and several leaking roofs, and said the university is still addressing campus infrastructure problems. He said KSU’s main request is a new health sciences building to house its growing nursing program and language program, along with $40 million for additional dorm renovations and a carve-out for its aquaculture program. Kakpo said the aquaculture PhD proposal would be federally funded and could bring in more revenue, while the new building would help relieve overcrowding and support KSU’s research role. In response to questions, he said KSU’s campus housing capacity would be about 1,334 beds if all dorms were repaired, and that the university is rotating students through renovated buildings while trying to keep them on campus. Committee members also raised safety concerns about the December campus shooting at KSU. Kakpo said the incident was isolated, expressed sympathy for the families affected, and said the university has reviewed campus procedures, added police and security positions, and is strengthening safety processes. The meeting did not include any votes or formal actions; it was a budget presentation and question-and-answer session.

Transcript Highlights:

• you work through our insurance provider.
• you work through our insurance provider.
• or are students in addition to app-based work.
• But the state has not mandated that on those forms of transportation simply because it hasn't mandated
• So we're working through those issues now.

Summary: The hearing focused on transportation network companies in California, with the chair framing it as an informational hearing on the history, regulation, safety, climate, accessibility, and data issues surrounding Uber, Lyft, and smaller or autonomous TNC services. The CPUC described its decade-long regulatory role, including safety rules, background checks, insurance requirements, reporting obligations, and two major legislative programs from 2018: the Clean Miles Standard and the Access for All program. Members asked about complaint trends, data collection and disclosure, program implementation, and how the CPUC uses annual reports for policymaking, compliance, and program oversight. Uber and Lyft said the statewide framework has supported growth while providing safety and access benefits, but both companies emphasized that insurance is a major cost driver and argued that California’s UM/UIM requirement is unusually high compared with other vehicles. They said the Clean Miles Standard is pushing electrification but faces headwinds from EV affordability and charging infrastructure, while Access for All has expanded wheelchair-accessible service but still needs continued support. They also discussed transit partnerships, wildfire response, and the potential role of autonomous vehicles, with both companies saying human drivers will remain important and that future regulation should account for new technology. The final panel, including the San Francisco County Transportation Authority and UC Berkeley researchers, presented evidence that TNCs have increased congestion and reduced transit ridership, especially in dense urban areas. They described prior research showing TNCs contributed to congestion growth in San Francisco and noted that this work helped spur local taxes on ride-hailing trips to fund safety and transit improvements. The panel also discussed the CPUC’s evolving data-disclosure decisions, arguing that public access to TNC trip data is important for understanding transportation impacts and informing local policy.

Transcript Highlights:

• and fostter long-term success let's work and fostter long-term success let's work together<00:37
• I am about the working together.
• together um I think as we try to working together um I think as we try to work<01:11:44.639> hard
• <01:18:09.520> in Improvement specialist I've worked in Improvement specialist I've worked
• We talk about mandates.

Keywords: 1183, house

Transcript Highlights:

• That's how it works.
• it's very sensitive work.
• existing mandates.
• That's a new mandate.
• For instance, let's say it was a mandate bill you were working on, Ms.

Bills: HB24, HB45, HB15, HB35, HB38, HB47, HB318, HB349, HB554, HB1359, HB1373, HB1647, HB2254, HB2259, HB2853, HB3073, HB3088, HB353, HB355, HB786, HB762, HB705, HB932, HB849, HB 1160, HB 1119, HB1612, HB3041, HB713, HB3104, HB3970, HB3962, HB5061, HB4042, HB4115, HB4490, HB1731, HB1705, HB2607, HB3556, HB138, HB3689, HB1788, HB1887, HB1914, HB2402, HB2306, HB1809, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB3527, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HCR6, HCR12, HCR34, HCR50, HCR55, HCR58, HCR70, HCR71, HCR72, HCR74, HCR75, HCR78, HCR80, HCR93, HCR100, HCR107, HCR116, HCR117, HCR90, SB1806, SB783, SB1271, SB326, SB1637, SB769, SB897, SB1035, SB1706, SB1185, SB1194, SB384, SB1426, SB1468, SB1215, SB1066, SB599, SB1930, SB2065, SB767, SB1619, SB1738, HB1500, HB718, HB23, HB34, HB 119, HB 128, HB 130, HB132, HB2756, HB166, HB406, HB186, HB331, HB380, HB1583, HB1584, HB621, HB303, HB552, HB366, HB463, HB 1211, HB1327, HB1461, HB923, HB1760, HB2467, HB5333, HB1592, HB1576, HB1552, HB2018, HB3511, HB1781, HB2013, HB2340, HB2508, HB2970, HB865, HB2851, HB3385, HB3336, HB3309, HB 1127, HB 1232, HB1397, HB4236, HB4041, HB1965, HB2730, HB3698, HB3699, HB163, HB201, HB272, HB405, HB519, HB654, HB694, HB791, HB 1136, HB 1240, HB 1266, HB 1275, HB1437, HB1532, HB1675, HB1842, HB1868, HB1894, HB1943, HB1990, HB2029, HB2061, HB2286, HB2523, HB2622, HB2652, HB2692, HB2842, HB2885, HB3016, HB3096, HB3248, HB3255, HB3479, HB3611, HB3623, HB3803, HB3804, HB3805, HB3806, HB3810, HB3816, HB4129, HB4163, HB4187, HB4238, HB4454, HB4588, HB4643, HB4738, HB4739, HB4945, HB5015, HB5616, HB1749, HB1775, HB 118, HB1762, HB2520, HB24, HB45, HB15, HB35, HB38, HB47, HB318, HB349, HB554, HB1359, HB1373, HB1647, HB2254, HB2259, HB2853, HB3073, HB3088, HB353, HB355, HB786, HB762, HB705, HB932, HB849, HB 1160, HB 1119, HB1612, HB3041, HB713, HB3104, HB3970, HB3962, HB5061, HB4042, HB4115, HB4490, HB1731, HB1705, HB2607, HB3556, HB138, HB3689, HB1788, HB1887, HB1914, HB2402, HB2306, HB1809, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB3527, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HCR6, HCR12, HCR34, HCR50, HCR55, HCR58, HCR70, HCR71, HCR72, HCR74, HCR75, HCR78, HCR80, HCR93, HCR100, HCR107, HCR116, HCR117, HCR90

Keywords: zoning, public notice, local government, residential development, protests, peer support, first responders, mental health, confidentiality, emergency services, information network, health services, client referral, data privacy, disaster preparedness, accreditation, community services, sexual assault, victim rights, forensic examination