Video & Transcript Research : 'qualifying facility'
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NM
New Mexico 2026 Regular Session
Senate Chamber Feb 12th, 2026 at 12:12 pm
New Mexico Senate Floor Meeting
MN
Minnesota 2025-2026 Regular Session
How will federal law affect Medicaid in Minnesota? 2/24/26
Minnesota House Floor Meeting
Transcript Highlights:
- So going over the qualifying activities. So going over the qualifying activities.
- This does not apply to nursing facilities or intermediate care facilities for people with developmental
- This does not apply to nursing facilities or intermediate care facilities for people with developmental
- , a stroke facility.
- at the Mayo Clinic, a stroke facility. at the Mayo Clinic, a stroke facility.
Summary:
The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match.
Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment.
The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.
NM
New Mexico 2025 Regular Session
Other - PSCOC Apr 14th, 2025
Public School Capital Outlay Oversight Task Force
Transcript Highlights:
- facility and still need to look for a facility.
- Those schools that are already in their permanent facility and are in a facility that is owned by their
- We can move forward with those facilities, but those that are in privately owned facilities, it's a matter
- Every single time we have a facility master plan, this team comes together, they look at our facility
- I've been in the facilities, and we hope to be able to be in these facilities sometime soon.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2025
Transcript Highlights:
- or served by our federally qualified health centers.
- Or are you saying that more seniors qualified, and so it costs more?
- care facilities for the developmentally disabled.
- It's a rehab facility. It's a national rehab facility.
- It's a national rehab facility that services all populations.
Summary:
The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56.
DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement.
The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
FL
Transcript Highlights:
- That would bring parity to what we already allowed our state-run facilities.
- You can't make more than 27% of the poverty level in Florida and qualify.
- So those... ...and qualify. For a family of three, that's $600 a month.
- So I'm well aware of how bad and decrepit and awful a lot of these facilities are.
- And it includes university research facilities as educational facilities.
Keywords:
child welfare, negligence, settlement, injury compensation, Department of Children and Families, motorcycle accident, compensation, Department of Transportation, legal claim, autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment
Summary:
The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics.
Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived.
The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.
FL
Florida 2025 Regular Session
Health Policy Oct 7th, 2025
Transcript Highlights:
- EACH FACILITY TYPE WAS ALSO CAPPED AT THE AMOUNT THEY COULD RECEIVE EACH YEAR.
- WERE CAPPED AT $100,000 IN THE FACILITY FOR THE FISCAL YEAR.
- FACILITY ORGANIZATION FOR THE UPCOMING 25 26 YEAR.
- BUT THEY WERE CLOSE TO 100 MORE FACILITIES ACROSS THE STATE.
- AND OF THE 210 NONACCREDITED FACILITIES 23 REACH THE CAP OF 75,000.
NH
Transcript Highlights:
- <00:09:03.519>
uh operate charitable Gaming facilities uh operate charitable Gaming facilities - <00:48:51.400>
would our 18 licens facilities and you would our 18 licens facilities and you - I'm going to talk a little... walk into any other gaming facility and walk into any other gaming facility
- <01:04:55.359>
would allow it online um the facilities would allow it online um the facilities - 1,400 employees of these facilities 1,400 employees of these facilities right<01:09:42.960>
now
TX
Transcript Highlights:
- So this is the facility is where you would be transferred from the county jail to the facility.
- Um, the facility, the main facility in my district, usually people stay around 5 to 7 days.
- Hospital and if they are if they do qualify to go to one of these private facilities, who pays the cost
- To and from the facility? Which your facility you're not inpatient? Yes, we are.
- For they would qualify first.
WA
Washington 2025-2026 Regular Session
House Appropriations Dec 4th, 2025
Transcript Highlights:
- So they can't go to our community facilities, our minimum security facilities, which we'll talk a little
- And then in the community facility, we have eight community facilities across the state of Washington
- of Corrections facility campus.
- It's not facility-based.
- An intensive behavioral health treatment facility really is a mental health treatment facility.
Summary:
The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later.
The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services.
A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods.
Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.
TX
Transcript Highlights:
- Significant planning and construction are underway for the facilities.
- In a state facility, that CAP is approximately $20 an hour, roughly.
- We have individuals that qualify based on being medically needy.
- Families qualify? We think there are about 3.7 million. in kids, I think, that would qualify.
- So over 3 million children would qualify. How much would that be?
Keywords:
budget, House Bill 1, public education, healthcare, border security, federal funding, spending limits
Summary:
The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.
MN
Transcript Highlights:
- Enterprise real property facilities Enterprise real property facilities condition<00:33:46.840><
- that facility that facility unfortunately<00:36:59.520>
it's <00:36:59.720>30 <00:37 - <00:48:55.799>
so um this is a state-owned facility so um this is a state-owned facility so - Beautiful facility.
- it is to maintain that facility.
NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (09/24/2025)
Transcript Highlights:
- This would make that a bit easier to qualify for services, presumptive eligibility.
- This would make that a bit easier to qualify for services, presumptive eligibility.
- This would make that a bit easier to qualify for services, presumptive eligibility.
- This would make that a bit easier to qualify for services, presumptive eligibility.
- nursing facility population. nursing facility population.
Summary:
The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care.
The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers.
The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.
AL
Transcript Highlights:
- <03:34:55.279>
The or facilities and fixtures. The or facilities and fixtures. - or facilities.
- or facilities.
- user or users of the facility or facilities and other information as the local governing body shall
- improvements, new buildings, facilities improvements, new buildings, facilities or<04:05:13.840>
Summary:
The meeting included a Senate recognition ceremony honoring the Winona High School boys basketball team for winning the 2026 Alabama High School Athletic Association 5A state championship. A resolution was read commending the team for its 101-40 victory over Silicag, noting the team’s record-setting performance, Brendan Davis’s MVP honor, the contributions of other players, and Coach Cedric Lane’s leadership. Senators and the lieutenant governor praised the players’ sportsmanship, the school community, and the team’s historic season, and copies of the resolution were presented to the team, coaches, and administrators. Several guests and school representatives also spoke briefly, including the coach and principal, who thanked the Senate and noted the team’s success and the principal’s retirement after 35 years.
After the recognition, the Senate returned to session and adopted the Committee on Rules report setting the special order calendar. The calendar included Senate Bill 99 on the Ten Commandments, Senate Bill 298 on Class 3 municipalities, House Bill 381 on camp safety, Senate Bill 370 on tax increment districts, Senate Bill 363 on the Department of Economic and Community Affairs, House Bill 466 on firefighters, House Bill 95 on elections, House Bill 259 on stablecoin, and Senate Bill 342 on education.
The chamber then took up SB 99, sponsored by Senators Kelly and Sessions. Senator Kelly described the bill as requiring local school boards to display the Ten Commandments, together with founding documents such as the Declaration of Independence, Constitution, Bill of Rights, and Alabama Constitution preamble, in certain history classrooms and common areas for grades five through 12, using donated displays and funds when available. He said the bill was intended as a historical and educational measure, not religious instruction, and emphasized the inclusion of a disclaimer stating Alabama is not establishing a religion. After extended debate and a petition to close debate from the Rules Committee, the Senate voted on the bill by long roll and passed SB 99, with the recorded vote announced as 30 yeas and 4 nays.
MN
Transcript Highlights:
- be considered non-qualified be considered non-qualified distributions<00:06:39.360>
and <00 - a qualifying small business.
- Uh uh as a qualifying small business.
- <00:26:12.880>
for three-year property that qualifies for three-year property that qualifies - Facility in the country, and truly it's an amazing facility and what it does for this state.
Keywords:
January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, Blaine, local sales tax, special tax, restaurant tax, lodging tax, admissions tax, amusement tax, hotel tax, redevelopment, capital improvements, municipal finance, bonding authority, tourism tax
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee Jul 16th, 2025
Transcript Highlights:
- We cannot state whether the jobs and wages at the LNG facility met the jobs objective.
- First, part of the recommendation: could we include a criteria review to qualify?
- What is the criteria to qualify?
- These are facilities that provide a wide array of services to older adults.
- But that facility was built outside of the state, and the preferences were never used.
Summary:
The meeting began with JLARC’s biennial executive committee elections. After confirming a quorum, members unanimously elected Representative Pollet as chair, Senator Wagoner as vice chair, Representative Orcutt as secretary, and Senator Solomon as assistant secretary for the 2025-27 biennium. The committee also approved the May 14 meeting minutes unanimously. Chair Pollet then outlined a commitment to more member input on audit scope and coordination with the State Auditor’s Office.
Staff presented a preliminary report on Washington State recreation boating programs. They reported that six agencies administer boating-related activities, that the state collected about $108 million in boating-related revenue in 2021-23, and that $86 million was spent, mostly on infrastructure and water access, environmental protection, boater safety, and marine law enforcement. Staff said Washington’s boating laws and programs are broadly similar to other states and noted that the final report is expected in September.
JLARC then reviewed several tax preferences. For natural gas used as a transportation fuel, staff said the preferences reduce fuel costs but did not meet emissions-reduction targets because fewer vessels and vehicles converted to natural gas than expected; staff recommended continuing some exemptions and modifying reporting requirements. For travel agents and tour operators, staff said the preference continues to provide tax relief, but large beneficiaries’ savings are rising while small beneficiaries’ use is declining, leading to recommendations to continue the small-business rate and add or revise performance metrics. Staff also reviewed a nonprofit low-income housing property tax exemption, concluding it helps developers build homes as intended but that the performance metric should better reflect housing outcomes; they recommended the legislature decide whether to continue or modify it. Other reviews covered multipurpose senior citizen centers, disabled veteran adapted housing, trade convention attendance, agricultural fertilizer and seed wholesaling, hazardous substance tax treatment for pesticides, and silicon smelter energy preferences, with recommendations ranging from continuation to expiration depending on whether the stated objectives were met.
The committee then adopted the final cannabis market study for distribution. Staff reported that Washington businesses produced two to three times more cannabis than retailers sold in 2023, and that inaccurate and incomplete reporting limits the Liquor and Cannabis Board’s ability to regulate the market. The board said it concurs with the recommendations, including developing a plan for a new data system and considering broader social equity options. Finally, staff presented the proposed final report on Department of Health oversight of hospital data reporting, inspections, and complaints. Staff said DOH was late on most acute-care hospital inspections, had not fully verified third-party inspection standards, and did not adequately review adverse event correction plans or assess language access barriers in its complaint system. DOH said it concurs with all six recommendations and has already made some transparency improvements, including a public dashboard for adverse event reporting.
AR
Transcript Highlights:
- They'll have a list to select from to choose qualified vendors within a certain pricing structure.
- They'll have a list to select from to choose qualified vendors within a certain pricing structure.
- They'll have a list to select from to choose qualified vendors within a certain pricing structure.
- This is to provide residential facilities for DYS. ...Right of Passage.
- Most of it goes into our kitchens at the facilities, but some is sold out for commodities. Okay.
Summary:
The committee met to review a supplemental agenda, procurement rule revisions, methods of finance, discretionary grants, contracts, and a member disclosure. The Office of State Procurement presented rule changes tied to 2025 legislative changes, including Act 782, with updates to sole-source definitions, unrealistic bids, protest requirements, debarment procedures, and recodification references; the committee voted to accept the supplemental agenda and approve the rules. Members also approved eight methods of finance covering university repairs, equipment replacement, property purchase, and capital projects, along with a large slate of discretionary grants for courts, health, DHS, historic preservation, and tobacco prevention programs.
The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys, Department of Health costs from an ice-storm-related water leak, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, Veterans Affairs HVAC and medical-service payments, and a UA Little Rock painting contract. The Department of Public Safety ratification drew extended questioning about why the expired Motorola contract had not been renewed sooner and why the issue took months to reach the committee; agency officials said the project was bond-funded, had not been tracked in ASIS, and involved ongoing negotiations and system updates. Despite concerns, the committee approved the ratifications.
Members also reviewed a long list of construction, intergovernmental, out-of-state, and in-state contracts, including numerous university, DHS, health, corrections, and state agency agreements. Several contracts were discussed in more detail, including an SAU custodial contract question about sales tax and transparency reporting, and Department of Corrections aerial application contracts for Tucker and Cummins farms, which officials said served separate facilities in different parts of the state. The committee approved the contract lists, reviewed reports, and accepted a disclosure from Representative Andrew Collins regarding his investment interest in a company leasing property to Arkansas Rehabilitation Services before adjourning.
TX
Transcript Highlights:
- At the federal level, laws have been made to make it easier to qualify for qualified public service to
- So many Texas employees who qualify for the program. program are not aware that they do qualify.
- An adjunct professor with the standard nine classroom hours workload may qualify.
- However, the current facilities hinder these activities.
- Since HEAF is funded, we can address the facility inefficiencies across our campus.
Bills:
HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125
Keywords:
higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso
CA
California 2025-2026 Regular Session
Assembly Labor and Employment Committee Jun 24th, 2026
Labor and Employment
Transcript Highlights:
- , including both construction and operation at these facilities.
- near sensitive receptors or if facilities emit significant amounts of air pollution.
- And, as previously in the Natural Resources Committee, when their analysis outlined all the facilities
- Consider a manufacturer evaluating where to locate a new facility.
- If California requires a labor peace agreement just to act, where to locate a new facility.
TX
Transcript Highlights:
- . facilities, Ms.
- Four or five I think four facilities.
- would be $2,220 a month for their child to qualify for Medicaid.
- Families qualify? We think there are about 3.7 million. in kids, I think, that would qualify.
- So over 3 million children would qualify. How much would that be?
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 11th, 2026 at 05:14 pm
Senate Health & Public Affairs
Transcript Highlights:
- There may be young women in the facility.
- They are there to examine the parts of the facility.
- So we license both the individual performance services and the facility itself to make sure the facility
- That wouldn't be their facility at all. It would be yours. That wouldn't be their facility at all.
- We talked about qualified immunity for the state of New Mexico.
Keywords:
massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services