Video & Transcript Research : 'certificate programs'
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LA
Louisiana 2026 Regular Session
Administration of Criminal Justice Mar 18th, 2026
Administration of Criminal Justice
Keywords:
HB 36, Act 780, Acadiana Regional Juvenile Justice District, juvenile justice, juveniles, Evangeline Parish, regional district, board of commissioners, commission membership, Louisiana juvenile law, R.S. 15:1109, R.S. 15:1109.1, parish governance, district boundaries, local government, HB 52, Act 192, Louisiana criminal procedure, misdemeanor jury trial, six-person jury
LA
Keywords:
transfer on death, TOD, beneficiary designation, investment accounts, brokerage accounts, securities, nonprobate transfer, estate planning, succession, probate, community property, forced heirship, financial advisor, broker-dealer, custodian, transfer agent, banking, wealth transfer, inheritance, Louisiana Revised Statutes
OK
Oklahoma 2026 Regular Session
Commerce and Economic Development Oversight Feb 26th, 2026 at 10:30 am
Commerce & Economic Development Oversight
Transcript Highlights:
- They have opportunities for the Genesis program, which looks at advanced computing and things of that
Bills:
HB2445, HB2123, HB3048, HB3176, HB3239, HB3263, HB3794, HB3796, HB4265, HB4266, HB4317, HB4321, HB4322, HB3673
Keywords:
HB2445, Route 66, Oklahoma Route 66 Centennial Forward Commission, centennial, historic highway, preservation, tourism, historical society, scenic byway, National Historic Trail, Route 66 Alliance, Route 66 Association, Oklahoma Historical Society, Oklahoma Department of Transportation, Oklahoma Tourism and Recreation Department, historic preservation, heritage tourism, public-private partnership, sunset extension, commission extension
AZ
Arizona 2026 Regular Session
02/19/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- 23% that you continue to cite on ABD members doesn't include ABD members who are enrolled in MAGI programs
- Blue Cross Blue Shield had a PPO program, meaning that we had an out-of-network benefit, and so a very
- that navigators and social workers would still be able to help people enroll in Medicaid or access programs
Bills:
HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733, SB1192, SB1398, SB1399, SB1494, SB1557, SB1813, SB1821
Keywords:
nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation
Summary:
The committee took up several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law-enforcement notification rules for injured persons under 15; a Shamp amendment clarified that the bill does not limit existing liability protections, and the bill passed as amended. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months starting in 2027 and report eligibility data annually; Access testified neutral but raised concerns about costs and the lack of exemptions, while supporters framed it as a transparency and budgeting measure. The committee adopted a technical amendment and passed the bill as amended. SB 1399 would require prepaid capitated AHCCCS contractors to report annual spending on direct patient care versus administrative costs; it passed without amendment after testimony that the report would improve oversight of taxpayer dollars.
The committee also considered SB 1494, a strike-everything amendment aimed at stopping patient brokering and steering, including prohibiting health care providers, institutions, and drug manufacturers from paying premiums or inducing plan changes tied to health-status factors. Blue Cross Blue Shield supported the concept, describing small-scale but harmful brokering and fraud concerns, while ARMA opposed the language as too broad and vague, warning it could chill ordinary provider-patient conversations and sweep in social workers and navigators. The committee adopted the striker and passed the bill as amended, though several members said they wanted to refine the language before floor action.
SB 1813 would remove the Maricopa County cap on Arizona State Hospital civil beds tied to the Arnold v. Sarn settlement and require admission based on clinical need; the sponsor and supporters argued the cap is outdated and leaves beds unused while patients remain in crisis, while the Department of Health Services and others warned of rural access concerns, litigation risk, and the need for more resources. The committee adopted both amendments, including removal of a citizenship requirement, and passed the bill as amended after a lengthy debate about legality and possible court challenges. SB 1821, which would allow JLBC audit review of DCS case-management systems, authorize unannounced inspections of licensed group foster homes, prioritize kinship placements, and require one year of supervised training for new child safety workers, passed without amendment. SB 1557 would require signed informed consent before most medical interventions; supporters said it codifies standard practice, while the ACLU argued it was vague and could create burdens for ongoing care and politically sensitive treatments. The bill passed as introduced.
AL
Alabama 2026 1st Special Session
Alabama Senate Education Policy Committee Feb 4th, 2026
Education Policy
Transcript Highlights:
- And um it also allows for report at the end so that we can know the number of programs, where they are
- program and high quality.<00:10:10.080>
A <00:10:10.240>lot <00:10:10.320>of <00 - <00:10:49.600>
that <00:10:50.240>u subsidy dollars or a prek program that u subsidy - dollars or a prek program that u receives<00:10:50.959>
state <00:10:51.440>dollars <00 - programs are using in in this state? programs are using in in this state?
Keywords:
military installations, tall structures, local government, construction approval, wind energy facilities, tobacco regulation, vaping, sales restrictions, youth protection, tobacco compliance, public health, education programs, electronic nicotine delivery systems, judicial compensation, salary adjustments, district attorneys, Judges, local officials, computer science, education reform
AL
Bills:
HB41, HB149, SB230, SB87, SB169, SB238, SB233, HB72, HB41, HB149, SB230, SB87, SB169, SB238, SB233, HB72
Keywords:
sexual offenses, penalties, rape, sodomy, criminal justice, Judicial Branch, Alabama State Bar, legal profession, commissioners, government agency, campaign finance, security measures, candidates, elected officials, legislative protection, civil procedure, statute of limitations, real estate appraisers, legal complaints, appraisal board
AL
Keywords:
parole, pardons, paroles board, board of pardons and paroles, Alabama criminal justice, sentencing reform, prison reform, reentry, recidivism, risk assessment, validated risk and needs assessment, supervision, probation, parole denial, parole reconsideration, medical parole, violent offense, nonviolent offense, law enforcement member, board appointments
TX
Texas 89th Regular
Licensing & Administrative Procedures Apr 15th, 2025 at 10:04 am
Licensing & Administrative Procedures
Transcript Highlights:
- By streamlining the process for recognizing and supporting CTE programs, If there is no objection, HB
- programs include additional requirements that they certify the courses and instructors.
- The number of available instructors is causing the question of the need for the program.
- HB 4767 abolishes the TDLR ATV and off-highway vehicle training program.
- Participation in the program is extremely low, and there's only one registered provider in the program
Bills:
HB 1301, HB2278, HB2776, HB2820, HB3848, HB3920, HB4172, HB4215, HB4284, HB4285, HB4463, HB4517, HB4690, HB4765, HB4766, HB4767, HB4768, HB4769, HB4773, HB4830, HB5506
Keywords:
alcohol, beverages, winery permit, restaurant, malt beverages, Texas Alcoholic Beverage Code, alcohol production, home brewing, family use, craft beverages, massage therapy, licensing, criminal offenses, sexually oriented businesses, public safety, bingo, charitable gaming, operating capital, regulation, funding
Summary:
The Committee on Licensing and Administrative Procedures met with a quorum present, corrected the minutes from April 8, and then took up a long list of pending bills, most of which were reported favorably or left pending after hearing testimony. Early action included HB 1764 (accounting practice for certain out-of-state CPAs), HB 1788 (continuing education for barbers and cosmetologists on recognizing and assisting victims of sexual assault, domestic violence, and human trafficking), HB 2204 (land surveyor regulation), HB 2885 (local option elections on alcohol sales), HB 2996 (gambling offense definitions and prosecution), HB 3250 (real estate appraisals and appraisal management companies), HB 3352 (driver education on work zones), HB 3385 (farm winery permit), HB 3756 (powers of certain nonresident sellers’ permit holders who also hold a winery permit), HB 3816 (cruelty to livestock animals), HB 3913 (real estate licensing), and HB 3928 (electronic notice of towed vehicles), all of which were advanced with unanimous or near-unanimous votes. Several of these bills were reported with committee substitutes, and some were also sent to the Committee on Local and Consent Calendars.
The committee then heard testimony on HB 2278, which would legalize limited home distilling of spirits for personal or family use and add honey as an approved ingredient; supporters framed it as a consistency and freedom issue, and the bill was left pending. HB 3920, a TDLR workforce/CTE bill, and HB 1301, which would allow beer or malt beverages to be sold at certain wineries with on-site restaurants, were also laid out and left pending after discussion. HB 2776, aimed at tightening massage therapy licensing restrictions for people convicted of sexual and trafficking-related offenses and strengthening TDLR enforcement, and HB 3848, which would allow electronic filing of elevator and escalator inspection reports, were both heard and left pending as well.
A major portion of the meeting focused on alcohol-related bills. HB 4215 would place delivery network companies under a statewide TDLR regulatory framework; Favor Delivery supported it, and it was left pending after the committee substitute was withdrawn. HB 4172 and HB 2820 would raise bingo reserve limits and update charitable bingo rules; supporters from veterans and nonprofit groups argued the changes would help charities, but both bills were left pending after the substitutes were withdrawn. HB 4463, a broadly supported bill allowing contract brewing and alternating brewery proprietorships, was also left pending. HB 4284 would remove the “excessive discount” prohibition in alcohol sales, HB 4285 would allow airlines to store alcohol within five miles of an airport in the same county, HB 4517 would create a complaint process for Texas distillers not paid by wholesalers, and HB 4773 would let breweries and brewpubs transport their own beer between facilities; HB 4773 drew the most debate, with supporters citing efficiency and opponents warning about unintended consequences and possible effects on the three-tier system, but it too was left pending. The committee also heard and left pending a series of TDLR cleanup bills and other measures, including HB 4765 through HB 4769, HB 4830 on service contracts for lease vehicles, HB 5506 giving civil immunity to ringside physicians at combative sports events, and HB 4690 on gasoline vapor pressure compliance. The meeting ended after all business was completed and the committee adjourned.
TX
Texas 89th Regular
Licensing & Administrative Procedures Apr 15th, 2025
Licensing & Administrative Procedures
Transcript Highlights:
- significant workforce challenges by streamlining the process for recognizing and supporting CTE programs
- That way, we, as legislators, can follow how the programs are doing business-wise, as well as on the
- program with additional requirements to certify the courses and instructors.
- HB 4767 abolishes the TDLR ATV and off-highway vehicle training program.
- Participation in the program is extremely low, and there is only one registered provider in the program
Bills:
HB 1301, HB2278, HB2776, HB2820, HB3848, HB3920, HB4172, HB4215, HB4284, HB4285, HB4463, HB4517, HB4690, HB4765, HB4766, HB4767, HB4768, HB4769, HB4773, HB4830, HB5506
Keywords:
alcohol, beverages, winery permit, restaurant, malt beverages, Texas Alcoholic Beverage Code, alcohol production, home brewing, family use, craft beverages, massage therapy, licensing, criminal offenses, sexually oriented businesses, public safety, bingo, charitable gaming, operating capital, regulation, funding
TX
Transcript Highlights:
- It also starts with... business and industry partnerships, building degree programs that are unique to
- Also, to build upon existing healthcare programs through A&M's current end of residency program with
- types of programs, two-thirds of our students are workforce students.
- A&M's residency program, which was brought to Victoria some years back, is highly, highly successful.
- Department of Education's 2019 rule change now allows Texas public universities to seek certification
Bills:
SB530, SB757, SB769, SB1085, SB1241, SB1242, SB1409, SB1878, SB2138, SB2314, SB2231, SB2361, SB2431, SJR59
Keywords:
accreditation, postsecondary education, Texas Higher Education Coordinating Board, baccalaureate degrees, junior colleges, program delivery, faculty recruitment, higher education, performance standards, student loan debt, degree programs, funding, students with disabilities, accessibility, enrollment, report, SB 1085, Sul Ross State University, Rio Grande College, Del Rio
TX
Transcript Highlights:
- . program before phasing it out.
- This system introduces real action for programs that leave graduates worse off.
- So by targeting problematic programs... and rewarding those that offer value.
- under the Foundation School Program.
- So they choose to enroll in Rice's Student Health. insurance program.
Bills:
SB530, SB757, SB769, SB1085, SB1241, SB1242, SB1409, SB1878, SB2138, SB2314, SB2231, SB2361, SB2431, SJR59
Keywords:
accreditation, postsecondary education, Texas Higher Education Coordinating Board, baccalaureate degrees, junior colleges, program delivery, faculty recruitment, higher education, performance standards, student loan debt, degree programs, funding, students with disabilities, accessibility, enrollment, report, SB 1085, Sul Ross State University, Rio Grande College, Del Rio
NM
New Mexico 2026 Regular Session
House - Chamber Meeting Feb 15th, 2026 at 01:58 pm
New Mexico House Floor Meeting
Bills:
HB145, HR1, HB80, SB29, SB37, HB206, SB193, SB58, SB64, HB153, HB195, HB234, HB248, HB255, HB279, HB287, HB292, HB303, HB309, HB371, SB30, SB35, SB40, SB43, SB48, SB96, SB143, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM29, HM43, HM59, HM11, HM14, HM21, HM34, HM50
Keywords:
high-wage jobs, tax credit, job creation, New Mexico, economic development, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation, subpoena power, public corruption, criminal activity, Zorro ranch, Santa Fe County, public accountability, government oversight, impeachment power, children and vulnerable persons, public funds
TX
Transcript Highlights:
- Sparks relating to a rural community-based care pilot program.
- It adds additional required information to be included on a management certificate and caps resale certificate
- HB 1831 by Johnson relating to the eligibility to participate in certain programs.
- HB 1831 relates to drug court programs.
- To the use of funds awarded under the Jobs and Education for Texans grant program.
Bills:
HJR98, HJR8, HJR133, HB23, HB33, HB144, HB 109, HB 103, HB148, HB3809, HB1686, HB2217, HB2156, HB220, HB2421, HB2363, HB3773, HB421, HB2584, HB2615, HB2455, HB3711, HB2559, HB3747, HB2775, HB2886, HB3126, HB3666, HB3595, HB3260, HB3506, HB1638, HB3376, HB3826, HB3628, HB1349, HB3770, HB1831, HB1762, HB2614, HB3113, HB267, HB322, HB431, HB869, HB 1203, HB 1201, HB 1244, HB1875, HB1950, HB2152, HB2290, HB2341, HB2436, HB2809, HB2856, HB3012, HB2954, HCR56, HCR102, HB 107, HB1587, HB3684, HB658, HJR99, HB1399, HJR5, HJR2, HJR6, HJR31, HB1971, SJR3, HB1775, HJR72, HB502, HB3109, HJR98, HJR8, HJR133, HB 118, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1618, HB1672, HB1722, HB1338, HB787, HB2618, HB879, HB 1126, HB4134, HB3513, HB718, HB1536, HB1445, HB1640, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3272, HB3276, HB3516, HB4145, HB1585, HB4810, HB2989, HB2558, HB3014, HB2742, HB1695, HB23, HB33, HB144, HB 109, HB 103, HB148, HB3809, HB1686, HB2217, HB2156, HB220, HB2421, HB2363, HB3773, HB421, HB2584, HB2615, HB2455, HB3711, HB2559, HB3747, HB2775, HB2886, HB3126, HB3666, HB3595, HB3260, HB3506, HB1638, HB3376, HB3826, HB3628, HB1349, HB3770, HB1831, HB1762, HB2614, HB3113, HB267, HB322, HB431, HB869, HB 1203, HB 1201, HB 1244, HB1875, HB1950, HB2152, HB2290, HB2341, HB2436, HB2809, HB2856, HB3012, HB2954, HCR56, HCR102
Keywords:
Article V, federal government, fiscal restraints, constitutional amendment, term limits, nuclear energy, electric generation, funding, Texas nuclear development fund, advanced reactors, HJR 133, Texas constitutional amendment, ad valorem tax, property tax exemption, homestead exemption, surviving spouse, veteran, veterans benefits, service-connected death, presumed service-connected condition
TX
Transcript Highlights:
- SB 2521 seeks to address this problem by requiring registrars to via a list of recent death certificates
Keywords:
municipal sales tax, street maintenance, local option tax, Tax Code Chapter 327, sales and use tax, street repair, sidewalk maintenance, water infrastructure, wastewater system, stormwater system, local election, ballot language, reauthorization, municipal finance, infrastructure funding, Texas municipalities, street and sidewalk tax, special district tax, public works, property tax
TX
Transcript Highlights:
- In 2015, the Legislature established a relief program administered by the Comptroller for certain qualified
- permissive; it's asking for permission for them to be eligible, and those that are already in the program
- There is no such program for modern horizontal wells, even though they're producing the same product.
- Despite this, no formal nor state-administered program provides funding for non-profit organizations
- So that was the structure behind the program.
Keywords:
SB 524, Texas franchise tax, veteran-owned business, new veteran-owned business, business tax exemption, filing fee exemption, Tax Code Chapter 171, Business Organizations Code, Comptroller, small business, veterans, entrepreneurship, tax repeal, privilege tax, beginning date, franchise tax exemption, severance tax, oil, gas, restimulation wells
TX
Transcript Highlights:
- had a record that a certificate of occupancy had been issued.
- For example, their records don't have the original certificate of occupancy.
- had a record that a certificate of occupancy had been issued.
- Okay, the last bill would be the 4753 by Gaineson Parker and about the certificate.
- It's about a lost certificate of occupancy. All right.
Keywords:
HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test
Summary:
The Committee on Local Government heard and discussed a series of House bills dealing with municipal structure, tax payment timing, local provider participation funds, firefighter cancer screenings, sunset review of the Trinity River Authority, replacement certificates of occupancy, and open meetings enforcement. HB 303 would remove the 501-resident floor so very small type A and B municipalities can convert to type C cities; HB 2742 would give property owners a later first split-payment deadline when tax bills are mailed after November 30; HB 3305 and HB 3348 were local provider participation fund measures with committee substitutes; HB 198 would require political subdivisions to offer occupational cancer screenings for firefighters; HB 1535 was a sunset bill for the Trinity River Authority; HB 4753 would allow a municipality-issued proof of a certificate of occupancy to substitute for a lost original; and HB 3711 would treat certain Open Meetings Act violations as offenses against public administration and require public explanation when prosecutors decline to act.
Testimony was generally supportive or limited, with several witnesses and senators emphasizing practical fixes, firefighter health and cost savings, local government transparency, and administrative cleanup. For HB 198, firefighter representatives gave emotional testimony about cancer deaths and the value of early screening. On HB 3711, a witness supported the bill but urged stronger enforcement and broader application. Several senators raised policy concerns on HB 2715 about routing removal proceedings through a regional presiding judge rather than the local county, arguing it could politicize the process.
The committee took no public testimony on most bills and repeatedly left them pending subject to call of the chair before later voting them out. HB 21, HB 30, HB 1535, HB 1520, HB 198, HB 303, HB 2742, and HB 4753 were reported to the full Senate, generally by unanimous or near-unanimous votes, and several were also recommended for the local and uncontested calendar. HB 30 passed on a 5-1 vote, while the other reported bills were approved unanimously or with no recorded opposition. The committee then recessed subject to the call of the chair.
TX
Transcript Highlights:
- HB 149 creates the AI Sandbox program, allowing companies to deploy and test AI systems in a controlled
- HB 149 creates the AI Sandbox program, allowing companies to deploy and test AI systems in a controlled
- governance in Texas, and the AI Council is tasked with studying regulatory updates, overseeing the sandbox program
Bills:
HB12, HB149, SB229, SB1361, SB1749, SB1897, SB2113, SB2566, SB2677, SB1652, SB2327, SB2344, SB2696
Keywords:
artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, automobile sales, finance, retail seller, motor vehicle purchase, motor vehicle sales, pricing restrictions, third-party financing, education, funding, student assessment, accountability, standards, motor vehicle, financing
Summary:
The Senate Committee on Business and Commerce heard testimony on HB 149, the Artificial Intelligence Governance Act. Senator Schwertner described the bill as an outcomes-based AI framework that would require disclosure when people interact with AI, prohibit manipulative or social-scoring systems, address biometric capture, discrimination, and deepfake child exploitation, and give the Attorney General enforcement authority. It would also create an AI Sandbox and AI Council. Witnesses from the Texas Public Policy Foundation, a Houston attorney, TechNet, and the Texas Association of Business strongly supported the bill, praising its stakeholder process and pro-innovation approach, while Texas Appleseed suggested regulators should have more examination authority over sandbox participants. The bill was left pending.
The committee then heard SB 229, which would prohibit motor vehicle dealers from conditioning a sale on dealer-offered financing or charging more because a buyer uses outside financing or cash. Senator West said the bill is meant to stop forced financing and bait-and-switch pricing, and he noted the bill passed the committee and Senate in the prior session. The Texas Automobile Dealers Association opposed the bill, arguing it would force dealers to accept any third-party lender or cash transaction on terms they cannot control. The Texas Credit Union Association supported the bill, saying consumers should be able to choose outside financing without hidden fees or pressure. After questions about cash purchases and dealer practices, the bill was left pending.
The committee also took up SB 2566, which would clarify legislators’ access to information from executive agencies, including confidential information, by setting response deadlines, limiting confidentiality agreements to statutory terms, requiring a standard AG form, and creating a complaint and penalty process for noncompliance. No witnesses testified, and the bill was left pending. Finally, SB 1749, as substituted, would let certain court-related employees and judicial conduct commission personnel keep personal information such as home addresses and phone numbers confidential, with work addresses used in place of home addresses for certain purposes. District clerk and judicial conduct commission witnesses described threats and harassment as the reason for the bill, and a court administration witness answered questions about how the address protections would work with voter registration and precinct records. That bill was also left pending, and the committee recessed without further business.
TX
Transcript Highlights:
- One of the programs that we offer at SA Youth is the YAS Center.
- . birth certificate.
- In that process, we helped her get her birth certificate and her ID.
- Our state certification process requires federal certification before a vendor can even come to the state
- , and we require that federal certification in order to stay certified.
Keywords:
SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission
TX
Keywords:
SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 27th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- There's no Requirement for the certification of the teachers that are working with them.
- program for only 40,000 students out of 700,000 students.
- House Bill 3980 creates the rule loans assistance program.
- It could be immediately, or they might do a payment program.
- President, are we incentivizing young people to go into debt with this program?
Bills:
SJR50, SJR51, SJR52, SJR53, SJR54, SJR39, SB1290, HB4028, HB4029, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, HB1250, HB2951, HB2961, HB3151, HB3581, HB3705, HB3970, HB3972, HB3980, HB3981
Keywords:
Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs