Bills: SB1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Bills: SB1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Transcript Highlights:

• funding and 280 FTEs in each fiscal year to allow HHSE to operate a residential treatment facility for youth

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Transcript Highlights:

• I miss you, Senator Big.
• So if you open up a file and there's a piece of paper missing, okay, out of that file, you fail.
• gets in response to that is neither one of those orders I've mentioned, just a letter saying you missed
• They are anywhere from very, very young children to preteens, youth, and even young adults.
• that are out there in the state of Texas, but it also... ...damaged youth that are out there in the

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee first heard the Legislative Budget Board and Secretary of State Jane Nelson on the Secretary of State budget. LBB said the recommendation would reduce the agency’s appropriation by about $40.3 million overall, with major changes including removing federal HAVA funding and one-time business system replacement money, adjusting the agency’s base request, deleting an outdated Interstate Crosscheck rider, and directing HAVA funds to be drawn down first. Secretary Nelson and staff defended the agency’s needs, emphasizing election security, business filings, international protocol, and the Texas Register, and requested additional staff, a new website, digitization of records, IT and cybersecurity upgrades, and renovation of the Rudder Building. Senators discussed voter-roll maintenance, cross-checking data, call-center response times, and the need for online voter registration and more efficient election administration. No votes were taken. The committee then took up the Office of the Governor and trustee programs. LBB outlined a $2.4 million decrease for the office proper and a much larger decrease in trustee programs, driven by unexpended balances and the removal of one-time federal and border-security items, while noting continued funding for disaster response, victim assistance, and $2.9 billion for border security at roughly the prior level. Governor’s staff said Texas remains focused on border security, economic development, and public safety, and discussed efforts to seek federal reimbursement for prior border spending. Members asked about the National Guard’s status, possible federal assumption of border costs, the music incubator program, the Semiconductor Innovation Consortium, the Governor’s University Research Initiative, defense economic adjustment grants, and a new $5 million nonprofit security grant proposal. Staff said the semiconductor program has 12 approved projects totaling about 948 jobs and $17 billion in capital investment, and that the nonprofit security request was added late to address threats to houses of worship and other nonprofits. No formal action was taken. Finally, the committee heard the Texas Facilities Commission and lease-payment recommendations. LBB said the Facilities Commission recommendation would reduce appropriations by about $2.0 billion, mainly by removing border wall construction funding and capital complex bond funding, while adding money for higher utility costs, Rudder Building refurbishment, and additional staff. The lease-payment recommendation would decrease general revenue by $9.3 million. LBB also noted new riders related to completing the State Library and Archives building, tenant communication during disruptions, and a space-utilization report. In agency testimony, members asked about border wall maintenance responsibility, total facilities-related debt, and the status of capital complex construction. The Rudder Building renovation and related security needs were repeatedly discussed as important one-time infrastructure investments.

Transcript Highlights:

• I miss you, Senator Big.
• So if you open up a file and there's a piece of paper missing, okay, out of that file, you fail.
• So if you open up a file and there's a piece of paper missing, okay, out of that file, you fail.
• gets in response to that is neither one of those orders I’ve mentioned, just a letter saying you missed
• that are out there in the state of Texas, but it also... ...damaged youth that are out there in the

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee began with Article I budget items for the Secretary of State. LBB staff outlined recommendations that would reduce the agency’s appropriation by about $40.3 million, including changes to HAVA funding, removal of one-time business system replacement money, and a rider directing the agency to use Fund 5095 first. Secretary Jane Nelson and staff then defended several exceptional items, especially additional staffing for elections and business filings, a new website, digitization of records, cybersecurity tools, and renovation of the James Earl Rudder Building. Members focused heavily on election administration, cross-checking voter rolls, Harris County complaints, call-center response times, and whether online voter registration should be expanded. No votes were taken; the discussion was informational and budget-focused. The committee then heard the Office of the Governor and trustee programs. LBB presented a recommended $2.4 million decrease for the governor’s office proper and a much larger decrease in trustee programs driven by one-time funding and unexpended balances, while still preserving major border security funding and victim assistance funding. Governor’s staff emphasized Texas’ economic growth, the importance of border security, and efforts to seek federal reimbursement for the roughly $11 billion Texas has spent on border operations. Members discussed whether shifting National Guard deployment to federal control could reduce state costs, and they also reviewed the music incubator program, the Governor’s University Research Initiative, and the semiconductor innovation consortium. Staff highlighted a $5 million late-added request for grants to protect nonprofits from violence and terrorism. Again, the exchange was largely explanatory, with no formal action. Finally, the committee took up the Texas Facilities Commission and lease payments for revenue bonds. LBB recommended major reductions overall, including removal of border wall construction funding and capital complex bond funding, but added money for higher utility costs, renovation of the Rudder Building, and additional facilities staff. George Purcell also noted stable maintenance-and-renewal funding and new riders related to the Texas State Library and Archives Commission building, tenant communications, and space utilization. For lease payments, LBB recommended a smaller appropriation tied to revenue-bond costs allocated across agencies. The discussion was informational, with members asking about the Rudder Building renovation, border wall progress, and capital complex construction timelines; no votes were recorded.

Transcript Highlights:

• Maybe there's a chart missing from your presentation, but I was hoping to hear something about...
• It's such a bummer I just missed it under a cold course.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken. The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information. The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.

Transcript Highlights:

• population by 200 youth.
• population by 200 youth.
• population by 200 youth.
• 50 youth.
• these youth local.

Bills: SB1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard a Legislative Budget Board presentation and then testimony from the Department of Public Safety on the Article 5 public safety budget. LBB said DPS’s 2026-27 recommendation totals $3.7 billion, down from the prior base, while FTEs rise by 856.7. Major items included increased funding for driver license services and customer support, new trooper funding and recruit schools, crime lab operations, border security, and reductions tied to one-time facility, vehicle, and aircraft spending. The committee also discussed new riders, including one to lapse unused trooper funds and require reporting after recruit schools. Members focused heavily on driver license operations, questioning why prior staffing increases and a prior efficiency study had not solved long wait times, high call abandonment, and appointment delays. DPS and LBB said the agency receives about 22,000 calls per day, answers only about 9 percent, and is seeking more staff plus technology upgrades such as automation, kiosks, and better online processing. Senators also raised concerns about rural access, REAL ID document requirements, and whether the department should rethink its processes rather than simply add employees. DPS leadership then described needs for the Williamson County training academy, additional troopers, Capitol and Alamo security, border operations, aircraft and vehicle replacement, and regional headquarters in El Paso and San Antonio. Members asked about Operation Lone Star costs, overtime, pursuit safety, border crime, oilfield theft, and sexual assault kit and toxicology backlogs. DPS said border deployments remain focused on criminal threats, that overtime is partly driven by deployments and staffing shortages, and that the sexual assault kit backlog is down to 118 cases with a goal of zero by April. The committee later recessed and began the Texas Alcoholic Beverage Commission budget presentation, where LBB outlined a $115.1 million recommendation and noted ongoing costs for the AIMS technology project.

Transcript Highlights:

• We didn't just absorb 50 youth.
• population by 200 youth.
• youth local.
• Certainly, yes, they are youth.
• Certainly, yes, they are youth.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee heard a presentation from the Legislative Budget Board on the Texas Department of Public Safety’s Article 5 budget. LBB recommended $3.7 billion in all funds for 2026-27, a 5.2 percent decrease from the base, while FTEs would rise by 856.7. Major items included funding for driver license services, DPS facilities, troopers and recruit schools, crime labs, vehicle and aircraft operations, border security, and rider changes. The committee also reviewed DPS exceptional items not included in the recommendation, including additional staffing, technology, and facility requests. Members focused heavily on driver license operations, criticizing long wait times, call abandonment, and repeated staffing increases without clear process improvements. LBB said the agency’s call-answer rate was about 9 percent in fiscal 2024, with average hold times around 34 minutes, later reduced to roughly 22-25 minutes. Senators questioned whether more FTEs alone would solve the problem and urged a broader efficiency study and better use of technology. DPS officials said they were pursuing process changes, including appointment-system upgrades, online pre-population of forms, and remote issuance options, while noting that Real ID requirements and population growth continue to drive demand. DPS leadership then outlined the agency’s priorities: completion of the Williamson County training academy, recruitment and retention of troopers, capital needs for vehicles and aircraft, and expanded responsibilities at the Capitol complex and the Alamo. Officials said the new trooper funding would help address staffing shortages, public safety, and border operations, and that overtime and deployment patterns had been adjusted to reduce burnout and improve flexibility. They also discussed Operation Lone Star, saying DPS spending is largely overtime, travel, and fuel, and that the agency continues to coordinate with federal partners while awaiting clarity on possible federal reimbursement for border security costs. Senators also raised concerns about oilfield theft, cartel activity, high-speed pursuits, bilingual pay, and the Texas Ranger Hall of Fame and Museum, and DPS said it would follow up on some of those issues.

Transcript Highlights:

• One thing I'm not going to miss is him sitting here, like, saying inappropriate jokes in my ear while
• One thing I'm not going to miss is him sitting here like saying inappropriate jokes in my ear while I'm
• I do have to say, I do miss my colleague from Houston. We all did a great job.
• I'm missing anybody. Thank you, Madam Chair, members. Thanks for being here.
• But missing at least one required report. Are you familiar with that?

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee held its first hearing of the 89th regular session, adopted nearly identical committee rules from the previous legislature by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the budget framework, emphasizing conservative spending, a $332.9 billion all-funds budget, and major priorities including property tax relief, public education, border security, health and human services, transportation, energy, and water infrastructure. She also introduced committee and leadership staff and described the hearing schedule and public testimony procedures. Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending, including a $23.8 billion ending balance, but warned that revenue growth is returning to more normal levels and that lawmakers should avoid using temporary spikes for ongoing commitments. Senators questioned him extensively about the Economic Stabilization Fund cap, sales tax trends, inflation, and whether the state should consider raising the cap or using severance-tax revenues differently. Hager said the Rainy Day Fund is expected to hit its cap, which would leave more severance-tax revenue in general revenue, and he stressed that infrastructure needs remain significant. The Legislative Budget Board then gave a detailed overview of SB 1 and the budget’s major components. LBB staff explained that the bill includes continued funding for the Foundation School Program, $850 million for the Texas State Technical College endowment, $1.3 billion for the Texas University Fund, $6.5 billion for border security, salary increases for correctional officers and state troopers, $3 billion for dementia research, higher community attendant wages, expanded community-based care, $5 billion for the Texas Energy Fund, and funding to clear volunteer fire department grant backlogs. They also outlined supplemental priorities such as water infrastructure, retirement legacy payments, rail grade separations, wildfire aircraft, and emergency facilities, and said the current controlling budget limit is the tax spending limit. A major portion of the hearing focused on property tax relief. LBB explained that prior-session relief grew from an expected $18 billion to $22.7 billion because of higher-than-anticipated property values and interactions among hold-harmless provisions, and that SB 1 continues and expands relief with $51 billion in total property tax relief, including $3 billion more for compression, $3 billion to raise the homestead exemption from $100,000 to $140,000, and a $500 million placeholder for business tax relief. Senators discussed the automatic nature of some of these costs, the effect of the non-homestead circuit breaker, the role of federal COVID funds, and the need to maintain school finance commitments if the state continues to compress school tax rates.

Transcript Highlights:

• One thing I'm not going to miss is him sitting here saying inappropriate jokes in my ear while I'm trying
• One thing I'm not going to miss is him sitting here saying inappropriate jokes in my ear while I'm trying
• I do have to say I do miss my colleague from Houston. We all did a great job.
• I'm missing anybody. Thank you, Madam Chair, members. Thanks for being here. Okay.
• But missing at least one required report. Are you familiar with that?

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee convened for its first hearing of the 89th regular session, confirmed a quorum, adopted committee rules by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the committee’s organization, introduced staff, and described the budget as conservative and focused on one-time investments. She highlighted major SB 1 priorities including property tax relief, full funding for public education formulas, teacher pay, school safety, border security, Medicaid growth, dementia research, energy and water infrastructure, transportation, wildfire suppression, and other capital and public safety needs. Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending in 2026-27, with a projected $23.8 billion ending balance from the current biennium. He cautioned that revenue growth is returning to more normal levels and that lawmakers should avoid committing short-term surpluses to ongoing expenses. He also explained that the Economic Stabilization Fund is projected to hit its constitutional cap, meaning an estimated $5.6 billion in severance tax and related revenue would remain in general revenue in the upcoming biennium rather than flow into the fund. Senators discussed whether to raise or rename the fund and the implications of keeping more severance-tax revenue in general revenue. The Legislative Budget Board then gave an overview of SB 1 and the budget’s major funding changes. LBB staff explained that the bill is essentially flat at $332.9 billion in all funds, but includes large method-of-finance shifts and major property tax relief. They detailed how prior property tax relief enacted in the 88th Legislature grew from an estimated $18 billion to $22.7 billion because of higher property values and hold-harmless provisions, and said SB 1 continues that relief with a total of $51 billion in ongoing and new property tax support. Members asked extensive questions about the automatic growth in school tax compression, the constitutional homestead exemption, COVID-era federal funding, Medicaid assumptions, and the sunset of the non-homestead circuit breaker. No additional votes or final budget actions were taken beyond adoption of the committee rules.

Transcript Highlights:

• Today's about youth leadership and youth education when it comes to workforce.
• That would be Miss Johnson, uh, Miss Noel, and Miss Engles.
• 22.559> Miss<00:17:22.880> Noel,<00:17:23.520> and<00:17:24.240> Miss be
• Miss Johnson, uh, Miss Noel, and Miss be Miss Johnson, uh, Miss Noel, and Miss Engles.<00:17:25.039><
• Spot on, Miss Johnson. Thank >> Spot on. Spot on, Miss Johnson.

Bills: HF3650, HF2238

Keywords: student career pathways, education framework, experiential learning, employer engagement, career technical education, HF2238, Minnesota, workforce development, construction trades, youth skills training, youth apprenticeship, pre-apprenticeship, construction training, career and technical education, CTE, child labor laws, minor labor, labor exemption, workforce pipeline, skilled trades

Transcript Highlights:

• Our organization, with Earthjustice, represents the 13 youth plaintiffs in the Navajin case, which resulted
• Next is Luca Kuniberti from the Hawaii Youth Transportation Council.
• the 13 youth plaintiffs in the<00:15:31.360> Navajin<00:15:32.079> case,<00:15:32.320>
• 25.600> Hawaii Next is Luca Kuniberti from the Hawaii Next is Luca Kuniberti from the Hawaii Youth
• Youth Transportation Council. Youth Transportation Council.

Bills: SB2699

Keywords: fare-free transit, youth transportation, environmental tax, transit equity, public transit, Hawaii, 912, senate, all

Summary: The committee reconvened and first addressed SB 2699 on public transit/free transportation for young people. Members noted that the Committee on Transportation had already deferred the measure, and this committee said it would defer it as well before adjourning that brief reconvened session. The hearing then moved to SB 2373, which would establish a state goal to strengthen nature-based carbon emissions reduction solutions and authorize the Hawaii State Energy Office to develop methods to quantify carbon reductions from marine ecosystem restoration. The Energy Office said marine carbon sequestration was outside its expertise and asked to be removed from that portion of the bill, while DLNR and OPSD offered comments and said the work fit better with their areas, with DLNR saying it could take it on if properly resourced. Testimony included support from environmental groups, and committee discussion focused on which agency should lead and whether existing methodologies could be used. Next was SB 21001 on organic waste reduction and diversion. The Department of Health supported the intent but raised implementation concerns. Hawaii Farmers Union strongly supported the bill, arguing it would help build compost supply, improve soil health, and give counties time to develop infrastructure; they cited Vermont as a model and said the bill could extend landfill life and reduce methane. Members asked about the Vermont approach and the need for infrastructure before household-level diversion. The committee also heard SB 2905, which would increase the environmental response, energy, and food security tax and direct more revenue to the electric vehicle charging system subaccount. The Energy Office, PUC, and Tax Department offered comments; youth and clean transportation advocates strongly supported the bill as a way to expand charging access and meet EV adoption goals. A member questioned whether the proposed increase would outpace the state’s ability to deploy chargers, and PUC staff said the current annual appropriation is about $750,000 and that they could provide more data on an appropriate funding level. Additional measures were briefly taken up: SB 3231 on condominium maps and county zoning certification in A districts drew support from the Department of Agriculture and Biosecurity and the Hawaii Farm Bureau; SB 2486 on climate change drew comments from the Energy Office, Climate Commission, and OPSD, who said it duplicated existing climate planning and should include adaptation language; and SB 2376 on the renewable fuels production tax credit drew support from industry and agricultural groups, while the Energy Office and Tax Department raised concerns about the rollover provision and the scale of the credit. No final votes were recorded in the excerpt beyond the earlier deferral of SB 2699.

Transcript Highlights:

• Advancing Texas, or SEAT, a movement of young people developing transferable skills and demonstrating youth

Keywords: public education, Department of Education, funding, Trump, Kassar, Elon Musk, education policy, youth advocacy, billionaire influence

Summary: This was a press conference organized by student advocates and Texas Democratic lawmakers to oppose efforts by the Trump administration and allies to dismantle the U.S. Department of Education and to criticize Texas voucher proposals. Speakers argued that the department and its Office for Civil Rights are essential for enforcing civil rights protections, supporting special education, Title I, Pell Grants, career and technical education, and other federal education programs. They said eliminating the department would weaken oversight, shift power to states that have a poor record on student protections, and harm marginalized, low-income, disabled, and rural students. Congressman Greg Casar framed the issue as a transfer of public money from schools to billionaires, tying the department fight to federal budget and tax-cut debates and to Texas voucher efforts. State Representative Gene Wu said Texas public education is already near collapse and warned that losing federal support would worsen school closures, staffing shortages, and class-size increases. Representative Gina Hinojosa highlighted Texas’s past special education cap and attacks on Section 504, and said she filed bills to route federal block grants directly to schools if federal policy changes move forward. Representative Vicki Goodwin said the state should fund schools rather than vouchers and noted underfunding of special education and inflation pressures. Round Rock ISD trustee Melissa Ross and Texas AFT president Zef Capo emphasized that federal oversight protects students and that Texas has a history of underfunding and mishandling special education, meals, and other services. The final speaker, Westwood High School senior Eliza Abert, said the loss of federal education support would most harm low-income and middle-class students and called on attendees to oppose the changes. No votes were taken; the event ended with a call for public pressure on lawmakers and continued advocacy.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• . $100 million for missing . $100 million for general way Japan.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• once we've won and we have the cash, it's better to pay them off and not incur the cost unless I'm missing

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Did I miss anything?
• youth local.
• youth local.
• youth local.
• And these youth offenders, of course, the counties do about 90% of their youth, but the youth offenders

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• One thing I'm not going to miss is him sitting here like saying inappropriate jokes in my ear while I'm
• I do miss my colleague from Houston, but he's doing a great job. He is. Thank you, Senator.
• I do have to say I do miss my colleague from Houston. We all do. Great job. He is.
• I'd missed anybody. Thank you, Madam Chair, members. Thanks for being here.
• And Senator Royce West, I'm glad that you circled back on this because I thought I was missing something

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• ,<00:42:07.280> and Department of Children, Youth, and Department of Children, Youth, and
• youth bill of rights. youth bill of rights.
• support of foster youth, I am a foster. support of foster youth, I am a foster.
• better for our foster youth. better for our foster youth.
• Passing the foster youth bill of rights means foster youth will know their rights.

Bills: HF3877, HF3714, HF3750, HF3024

Keywords: public authorities, dissolution cases, court system, child protection, legal notice, foster care, child welfare, enrollment priority, education programs, child care assistance, foster youth, extended foster care, bill of rights, out-of-home placement, Minnesota Statutes chapter 260C, social services agency, caseworker, permanency team, sibling visitation, relative contact

Transcript Highlights:

• They educate families, youth, and also small business owners, many immigrants.
• Forty percent of sex trafficking cases... involve youth.
• Services are available to youth through the age of 24.
• We are now seeing referrals for youth as young as eight or nine years old.
• youth unable to access housing due to past criminal history as a result of their trafficker.

Bills: HF2779, HF1645, HF1885, HF1289, HF1534, HF2707, HF1675, HF3046

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation