Transcript Highlights:

• Hospitals, assisted living facilities, nursing homes, adult family homes, and ambulatory surgical facilities
• You send a message: this is a facility first, room and around the dining table.
• You send a message: this is a facility first, a home second.
• And inter-facility transports are a big part of that rural health care service.
• And inter-facility transports are a big part of that rural health care service.

Bills: HB2261 , HB2283 , HB2425 , HB2110 , HB2113 , HB2122 , HB2152

Committee: House Health Care & Wellness

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Transcript Highlights:

• We're not a medical facility.
• So we're not a medical facility. There's an addition to the hospice. Correct. All right.
• I do know that in some of these facilities, there are some provisions that they can apply for.
• So a lot of those facilities don't apply for that care or for that funding.
• Their behavior ...facilities are shipped out in all parts of Louisiana.

Bills: SB57 , SB405 , HB62 , HB193 , HB203 , HB222 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB815 , HB949 , HB1092 , HB1214

Committee: House Health and Welfare

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Bills: SB2054 , SB2143 , SB2145 , SB2400 , SB2447 , SB2494 , SB2723 , SB2727 , SB3131 , HCR187 , SCR177 , SR172 , SCR5 , SCR85 , SR75 , SCR139 , SR131 , SCR146 , SR138 , SR84 , SCR31 , SR27 , SCR46 , SR45 , SCR48 , SR47 , SCR9 , SR11 , SCR83 , SR73 , SCR20 , SR17 , SCR56 , SR54 , SCR87 , SR79 , SCR160 , SR151 , SCR28 , SCR120 , SCR129 , SR121 , SCR71 , SR66 , SCR147 , SR139 , SCR79 , SCR179 , SCR181 , SCR182 , SCR60 , SR81 , SR174 , SR176 , SR177 , SCR89 , SCR69 , SCR74 , SR68

Keywords: public safety, Hawaii National Guard, military deployment, governor authority, federal assistance, elections, chief election officer, vacancy, order of succession, election commission, law enforcement, recording rights, private action, civil rights, police accountability, SB2400, seaglider, wing-in-ground craft, wing in ground effect, WIG craft

Transcript Highlights:

• We were at the facility last week and you will be impressed with the work they're doing there.
• Now I can go to any medical facility.
• As facility-based providers, anesthesiologists have separate contracts with carriers than the facilities
• There are 67 facilities that are inpatient facilities.
• The cases were eventually dismissed, but not without trauma to parents and children.

Bills: HB136 , HB451 , SB425 , SB466 , SB905 , SB1986 , SB2311 , SB2450 , SB2805 , SB2826 , SB2919 , SB3001 , HB136

Committee: Senate Health & Human Services

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• They're able to mitigate these traumas quickly.
• They're able to mitigate these traumas quickly because this is in place in statute.
• Just to continue on this awful example that you cited, this would extend the trauma services to people
• It is based specifically on each individual trauma, so back to the point of allowing other groups in,
• I just want to say that we're extremely, I'm extremely sorry for any trauma that has been experienced

Bills: SB1216 , SB1391 , SB1493 , SB1520

Committee: House Public Safety & Law Enforcement

Keywords: trauma, public safety, counseling, mental health, employee benefits, law enforcement, stress management, suicide prevention, workforce readiness, disciplinary action, appeals, termination, superior court, investigative process, reinstatement, immigration, data sharing, federal government, undocumented immigrants, visa overstays

Transcript Highlights:

• These are the pharmacies serving our nursing homes, assisted living facilities, and rehab centers.
• They have to provide delivery to facilities, maintain emergency, often 24-hour access, use specialized

Bills: HB184 , HB235 , HB546 , HB557 , HB584 , HB747 , HB902 , HB930

Committee: House Health and Welfare

Keywords: charitable pharmacy, healthcare fees, outpatient prescription, exemption, Louisiana Department of Health, sewerage systems, individual systems, community systems, local governance, legislation, installation regulations, protective custody, peace officers, mental health, emergency medical services, involuntary admission, long-term care, healthcare, pharmacy, residents

Transcript Highlights:

• , the benefits of impacts of trauma, the benefits of cultural<00:10:19.640><c> connection,</c><00:10:
• While using substances, I was subjected to trauma that I wouldn't wish on any teenager.
• And it has only been within the last few months that I have become aware of the extent of this trauma
• My trauma occurred when I was 17.
• </c> experiencing the trauma that I endured. experiencing the trauma that I endured.

Bills: HCR67 , HCR102 , HR61 , HR94

Committee: House Human Services & Homelessness

Keywords: disability, communication access, healthcare, sign language interpreters, deaf, hard of hearing, deaf-blind, auxiliary aids, effective communication, peer counselor, youth mental health, social disconnection, Hawaii schools, wellness program, student support, cultural responsiveness, trauma-informed care, disability rights, peer counseling, education

Summary: The joint Committee on Human Services and Homelessness and Committee on Health heard two measures on April 7, 2026. HCR 67/HR 61 would request the Disability and Communication Access Board to study communication needs in health care settings for people who are deaf, hard of hearing, or deaf-blind and develop guidelines. Written testimony supported the measure from the State Health Planning and Development Agency, DCAB, Local Independent Living Hawaii, and one individual. A DCAB representative noted the proposal could serve as a backup if related measures do not move forward. No one testified in opposition, and both committees voted to pass the measure unamended. The second measure, HCR 102/HR 94, urged the Department of Education, in collaboration with the Department of Health and the Office of Wellness and Resilience, to establish a statewide peer counselor program to address youth loneliness and social disconnection in schools. Support came from the Department of Education, the Office of Wellness and Resilience, and individual testifiers Katie Smith and Ray Ward. Smith said peer support can reduce stigma, increase belonging, and improve school climate. Ward, speaking from lived experience, described the harms of loneliness and trauma and said a peer counselor program could provide culturally grounded support and safer pathways to help. No opposition was offered, and both committees voted to pass the measure unamended.

Bills: SB175 , SB277 , SB374 , SB400

Committee: Senate Education

Keywords: military, veterans, education, teaching, Junior Reserve Officers’ Training Corps, licensure, certification, public schools, charter schools, school social worker, school counselor, school psychologist, internship, practicum, student support services, mental health, harassment, bullying, power-based violence, school safety

Transcript Highlights:

• We have a pilot project working with them now at two of our facilities, the Women's Correctional Facility
• and the Waiawa Correctional Facility for that purpose.
• We have a pilot project working with them now at two of our facilities, the Women's Correctional Facility
• The passing of Facility with backpacks full of basic Facility with backpacks full of basic toiletries
• </c> homelessness, and significant trauma. homelessness, and significant trauma.

Bills: HB1518 , HB1699 , HB1747 , HB1705 , HB1565 , HB1801 , HB1645 , HB2115 , HB2114

Committee: House Human Services & Homelessness

Keywords: HB1518, Hawaii SNAP, Supplemental Nutrition Assistance Program, food stamps, Department of Human Services, DHS, pre-release SNAP, pre-release application process, incarcerated individuals, prisoner reentry, reentry services, formerly incarcerated, jail release, prison release, recidivism, food security, benefits eligibility, controlled substance felony, drug felony, drug conviction

Summary: The committee opened its first meeting of the 2020 session and heard testimony on several measures, beginning with HB 1518, which would allow people incarcerated and nearing release to apply for SNAP benefits before release. The Department of Corrections and Rehabilitation and the Department of Human Services said they support the bill and are already piloting a pre-release application process at two facilities, with plans to expand it. The Attorney General’s Office supported the intent but noted a technical issue: one section of the bill appears to affect TANF as well as SNAP, while the title refers only to SNAP. A wide range of advocates, including Catholic Charities, the Hawaii Public Health Institute, Hawaii Hunger Action Network, Drug Policy Forum of Hawaii, Hawaii Children’s Action Network, ACLU of Hawaii, and others, testified in strong support, emphasizing food insecurity after release, reentry stability, and reduced recidivism. The committee did not take a vote during the hearing. The committee then heard HB 1747, which would direct the Department of Human Services to seek federal waivers or extensions related to restricting certain SNAP purchases, including sugary drinks. DHS said it had already been approved for a narrow demonstration waiver and was working with retailers on implementation, with a target date of August 1. Supporters of the measure argued it would promote healthier choices, while opponents, including Hawaii Appleseed, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and the Hawaii Food Industry Association, said such restrictions are ineffective, stigmatize low-income residents, create burdens for retailers and DHS, and may be difficult to implement. Members asked DHS to clarify the scope of the waiver and confirmed it applies to sugary drinks and beverages containing more than 10 grams of sugar. Finally, the committee took up HB 1705, which would allow licensed mental health counselors to serve as child custody evaluators, but there was no testimony from the relevant agencies and the item was quickly set aside. The committee also heard HB 1565, which would establish a judiciary working group to improve family court processes and legal representation for youth in the child welfare system. The Attorney General’s Office offered minor technical amendments, and supporters from the Office of Wellness and Resilience, High Hopes Hawaii, Hawaii Children’s Action Network, and a social work student described the need for legal representation, citing better reunification and stability outcomes and the importance of youth voice in court proceedings. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• </c> youth and adult correctional facilities. youth and adult correctional facilities.
• </c> facilities every day with our clients. facilities every day with our clients.
• individuals. for persons in correctional facilities, for persons in correctional facilities, I<01:55:
• :50.400><c> to</c> require correctional facilities to require correctional facilities to provide<01:55
• </c><02:50:11.600><c> to</c> eligible care home facilities to eligible care home facilities to implement

Bills: HB676

Committee: House Public Safety

Keywords: HB676, Hawaii correctional facilities, youth correctional facilities, adult correctional facilities, Department of Corrections and Rehabilitation, Office of Youth Services, inmate phone calls, prison phone calls, jail phone calls, free prison calls, free communication services, incarcerated persons, prison reform, reentry, family visitation, recidivism, video visitation, electronic messaging, commissions, ancillary fees

Summary: The committee heard three public safety bills. HB 2235 would appropriate $1.3 million for the Military Affairs and Community Relations Office to strengthen coordination on military and defense issues. Supporters, including the Hawaii National Guard and DBEDT’s military relations office, said the office helps Hawaiʻi understand federal contracting, USA Jobs, and military-related economic impacts. One member questioned why the state should fund a DoD-related office while Hawaiʻi remains under-reimbursed on impact aid; supporters responded that the office serves Hawaiʻi communities and helps prepare residents for federal jobs. The chair said she intended to recommend the bill pass with a HD1, a blank appropriation to be filled in the committee report, technical amendments, a defective effective date, and updated office title language. HB 2263 would expand Hawaiʻi family leave law to cover qualifying military exigencies. The Department of Labor and Industrial Relations, DBEDT’s military relations office, and the Hawaii National Guard supported the measure, saying military families often face short-notice deployments, relocations, briefings, and urgent family arrangements that require time away from work, and that aligning state law with federal standards would provide clarity and consistency. The chair said she would recommend passage with a HD1, a defective effective date, and technical amendments. HB 2291 would clarify that certain National Guard Youth and Educational Programs employees are excluded from collective bargaining, rename the program, and codify its Hawaiian name. The Hawaii National Guard said it was a housekeeping bill with no appropriation, but requested an amendment to align the bill with updated authorities and program references; the chair asked for proposed language before the later decision-making. She said she would recommend passage with a defective date and the requested amendment if provided, and then recessed the hearing until 11:30 a.m. for decision-making on all three bills.

Transcript Highlights:

• It excludes school instructional facilities located on military bases from a district's inventory of
• It excludes school instructional facilities located on military bases from a district's inventory of
• that the cost might range somewhere between $35 million and $40 million for a 50,000-square-foot facility
• It's a secure facility.
• We've got facilities over there.

Bills: HB2295

Committee: House Capital Budget

Keywords: Washington capital budget, supplemental capital budget, capital appropriations, state building construction account, taxable building construction account, climate commitment account, natural climate solutions, housing trust fund, affordable housing, supportive housing, homelessness, manufactured home communities, mobile home parks, school construction, school modernization, school seismic safety, healthy schools, school electrification, SCAP, behavioral health facilities

Transcript Highlights:

• They are not designed for temporary facilities. They are not optional infrastructure.
• They are not designed for temporary facilities. They are not optional infrastructure.
• I'm here today on behalf of Star Early Washington and the Early Learning Facilities Coalition.
• Because of this investment, we'll be able to break ground on our third facility here.
• We have a limited window to complete the purchase of that facility.

Bills: HB2295

Committee: House Capital Budget

Keywords: Washington capital budget, supplemental capital budget, capital appropriations, state building construction account, taxable building construction account, climate commitment account, natural climate solutions, housing trust fund, affordable housing, supportive housing, homelessness, manufactured home communities, mobile home parks, school construction, school modernization, school seismic safety, healthy schools, school electrification, SCAP, behavioral health facilities

Transcript Highlights:

• Another focus of this budget is urgent state facility needs, specifically those that...
• These are projects that preserve and modernize university facilities.
• And the rest are improvements at existing juvenile rehabilitation facilities.
• , and this project will allow for future connections to 16 additional facilities on our campus.
• Carson Elementary is 78 years old, and the Stevenson High School facility is 72 years old.

Bills: HB2295

Committee: House Capital Budget

Keywords: Washington capital budget, supplemental capital budget, capital appropriations, state building construction account, taxable building construction account, climate commitment account, natural climate solutions, housing trust fund, affordable housing, supportive housing, homelessness, manufactured home communities, mobile home parks, school construction, school modernization, school seismic safety, healthy schools, school electrification, SCAP, behavioral health facilities

Transcript Highlights:

• And this did not just occur within the IHS facilities, but anybody that provided healthcare to those.
• United States of America. which causes Native women to bear the heaviest burden of the historical trauma
• The unspoken trauma caused marriage to dissolve, alcohol, drug abuse, living with shame, and Women are
• Unfortunately, I bled for nine months straight and no matter what IHS facility or private hospital or
• and unequal access to informed consent, the impacts of these actions live on through generational trauma

Bills: SM14

Committee: Senate Senate Indian, Rural & Cultural Affairs

Keywords: forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs, Commission on the Status of Women, survivor testimony, reproductive health access, genocide, transitional justice

Transcript Highlights:

• district for regional aquatics and sports facilities.
• This kind of public facilities district, or PFD, can fund and operate a regional center.
• The need for a public swimming facility in Olympia is not new.
• It allows cities and counties to work together to build swimming facilities.
• Our capital facilities committee, payers in an efficient manner.

Bills: HB2459 , HB2480 , HB2530 , HB2129 , HB2223

Committee: House Local Government

Keywords: school siting, urban growth, education policy, zoning regulations, community planning, residential development, commercial zones, mixed-use zoning, urban planning, state regulations, public facilities district, regional aquatics, sports facilities, local government, infrastructure, agritourism, agriculture, tourism, economic development, local businesses

Transcript Highlights:

• In addition, just by adopting this, it doesn't mean that our organizations, facilities, individuals have
• for SUDs in the access nonpar facilities for SUDs in the state<00:54:26.000><c> at</c><00:54:26.000>
• that we would be able to pay the facility directly. >> Thank you.
• that we would be able to pay the facility directly.
• to pay the facility would be able to pay the facility directly.<00:57:19.440><c> If</c><00:57:19.680

Bills: HB1853 , HB1591 , HB1961 , HB1854 , HB1965 , HB1962 , HB1959 , HB2505 , HB2576 , HB1801 , HB1804 , HB1864 , HB2319 , HB2314 , HB2115

Committee: House Health

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• SB 1196 on waste facilities by Senator Sherri. SB 1196 on waste facilities by Senator Sharif.
• It applies only to new facilities.
• out of a waste-to-energy facility.
• of a waste energy facility.
• They don't have the facility to recycle.

Bills: S0912 , S1196 , S1422 , S1510 , S7034

Committee: Senate Environment and Natural Resources

Keywords: battery collection, battery stewardship, environment, recycling, hazardous waste, waste management, regulation, environmental protection, facilities, hazardous materials, coral reefs, natural resource, climate change, coastal flooding, solar facilities, wastewater treatment, nutrient reduction, land conservation, water conservation, Florida Department of Environmental Protection

Summary: The Environment and Natural Resources Committee met with a quorum and took up several environmental bills and one appointment. SB 1422, as amended by a strike-all focused on coral reef protection and designating coral reefs as critical natural infrastructure, was reported favorably after support from Audubon Florida was noted. The committee then considered SPB 7034, a DEP rule ratification related to minimum flows and levels for the Lower Santa Fe and Ichetucknee Rivers and associated recovery strategy; witnesses from the Florida Springs Council and local river advocates criticized the plan as too delayed and too dependent on a single future water project, while committee members raised questions about funding and utility responsibility. Despite concerns, the committee approved the bill as a committee bill, with Senator Smith voting no. The committee next heard SB 1510, as amended, which made technical changes to DEP-related provisions including B-MAP notice and timing, septic system requirements in Florida Springs areas, biosolids, fees, land acquisition, and rulemaking procedures. The main public testimony came from the Florida Springs Council, which opposed the 60-day delay for B-MAP effectiveness as harmful to spring restoration, while DEP and others supported the measure. The bill was reported favorably. The committee also considered SB 1196, a targeted siting bill restricting new ash-producing incinerators or waste-to-energy facilities within two miles of large federally authorized water impoundment areas, with an amendment narrowing the practical effect to Miami-Dade and Broward counties. Supporters, including the City of Miramar, argued it would protect water resources and communities; opponents from the Florida Waste-to-Energy Coalition argued it would limit local waste-disposal options and could force more landfilling. The bill was reported favorably. Finally, the committee heard SB 912, the Safe Battery Collection and Recovery Act, which would require battery stewardship organizations and related recycling plans to keep batteries out of the waste stream. Industry and recycling representatives supported the bill, citing growing battery volumes and fire risks at recycling facilities. The committee also recommended confirmation of Gary Jennings to the Atlantic States Marine Fisheries Commission. All measures were approved favorably except that Senator Smith voted against SPB 7034; the meeting then adjourned.

Transcript Highlights:

• The discussion that we were having about the facilities at UNM and NMSU, and one of them was for the
• Just on page 223 of the budget here, on the NMSU for the improvements to the athletic facility.
• It was just the athletic facility. Okay, that's all. Thank you, Mr. Chair. Thanks.
• Well, on the facility side, both of them have planned upgrades to their facilities.
• Well, on the facility side, both of them have planned upgrades to their facilities.

Bills: HB97 , HB280 , HB183 , HB151 , HB202

Committee: Senate House Appropriations & Finance

Keywords: Shaken Baby Syndrome, abusive head trauma, child safety, training and education, healthcare funding, youth internships, workforce development, education, grant funding, employment, drinking water, water quality, environment, public health, water filtration, private well testing, federal funding, childhood sexual abuse, time limitations, civil actions

Summary: The committee took up House Bill 2, the General Appropriations Act, and reviewed the Senate Finance Committee substitute and amendments. Staff described the budget as balanced, with recurring growth of about 2.65% and reserves maintained at roughly 28% if the related disaster reform bill passes. Members discussed the bill’s major spending areas, including health care, child care, public safety, economic development, natural resources, and education, along with technical corrections, cleanup items, and where the public could find the revised bill online. There was also discussion of contingent appropriations that depend on other bills passing, and staff said a hot list of those items would be circulated. Several members asked about specific allocations, including university athletics and facilities funding for UNM and NMSU, tourism, the State Racing Commission, the Spaceport Authority, and school-related items. The committee also discussed reserve levels, oil and corporate income tax revenue assumptions, disaster and fire recovery funding, and concerns about fraud, waste, and abuse in emergency spending. Members raised questions about a Gallup DA funding issue, online school funding, and a personal care/health care item in the Health Care Authority budget. Staff clarified several line items and explained that some appropriations were tied to future legislation or temporary provisions. After debate, the committee adopted the Senate Finance Committee amendments and then voted on the committee report for House Bill 2. The motion to do pass House Bill 2 as amended passed 8-3. The chair noted that the committee would need to return later because of caucuses and the floor schedule, and staff thanked members for the process and preparation.

Transcript Highlights:

• Among those would be amusement facilities, home construction, hotels and motels, restaurants and clubs
• Among those would be amusement facilities, home construction, hotels and motels, restaurants and clubs

Bills: HB2405 , HB2406 , HB2471 , HB2478 , HB2492

Committee: House Labor & Workplace Standards

Keywords: mental health, PTSD, treatment program, research, pilot program, veteran support, trauma, healthcare funding, labor, communication, Department of Labor and Industries, workplace standards, modernization, collective bargaining, labor relations, employee rights, union representation, non-covered employees, wage enforcement, labor standards

Transcript Highlights:

• inmates who have a history of assault or violent behavior while in the custody of any correctional facility
• I think we need more facilities, especially in our county, to separate inmates from those with severe
• They witness violence, endure trauma, and yet we expect them to just carry on.
• The two-week period refers to when they are assigned to the facility, right?
• Facility, so I am aware that this is a serious issue that impacts law enforcement agencies across the

Bills: HB1482 , HB2017 , HB2103 , HB2341 , HB2756

Committee: House Corrections

Keywords: community supervision, repeat offenders, intoxication, Texas Penal Code, criminal justice reform, intoxication manslaughter, criminal penalties, mandatory supervision, parole eligibility, Grayson's Law, mental health, trauma, jailers, law enforcement, occupational health, diligent participation, state jail felony, time credits, rehabilitation programs, de-escalation