Transcript Highlights:

• Department of Agricultural Biosecurity and an open large-capacity cesspool in Waimānalo, about which the EPA

Keywords: 912, senate, all

Summary: The Judiciary Committee first considered Governor’s Message 574, confirming Michael Tenoi to continue serving on the Commission to Promote Uniform Legislation through June 30, 2028. Several supporters testified, and Tenoi said he valued working with Hawaii and national commissioners and hoped to focus on emerging issues such as artificial intelligence, cybersecurity, and data security. The committee recommended advise and consent and adopted the measure, with a photo taken afterward. The committee then heard HB 1519 on campaign contributions, which would require disclosure of compensated officers and immediate family members of certain state contractors and grantees. The Campaign Spending Commission and State Procurement Office supported the bill but asked for clarifying amendments; several advocacy groups supported the measure but urged stronger language, including removing branch-of-government limits and narrowing loopholes. The chair proposed amendments to remove monetary thresholds, limit the bill to paid officers, add appropriations for the Campaign Spending Commission and State Procurement Office, define “officer” more broadly, and note that false-name contributions are already felonies. The committee voted to pass HB 1519 with amendments. HB 2250, the claims against the state bill, drew testimony from the Attorney General and multiple departments in support, but members raised extensive questions about why many claims would be paid from the general fund, how corrective action is being pursued, and the handling of several specific claims, including wrongful imprisonment, a cesspool citation, Department of Corrections deaths, a large special education settlement, a charter school lease dispute, and an outdated check. Because of those outstanding questions, the committee postponed decision-making on HB 2250 until Tuesday, March 24, at 10:30 a.m. in Room 016. Later, the committee also considered Governor’s Message 725, confirming Daniel M. Gluck as an associate judge of the Intermediate Court of Appeals; the committee recommended consent and adopted the measure.

Transcript Highlights:

• So EPA would not have an automatic oversight of this to start with.

Bills: HB542, HB566, SB270, HB618, HB617, HB542, HB566, SB270, HB618, HB617

Keywords: HB542, district attorney, prosecutor, supernumerary district attorney, Employees' Retirement System, ERS, Alabama retirement, public employee retirement, pension, retirement benefits, post-retirement employment, salary cap, dual participation, double dipping, District Attorneys' Plan, assistant district attorney, deputy district attorney, state pension, survivor benefits, Office of Prosecution Services

Transcript Highlights:

• I will note that literally right before the session, I think EPA put out a notice urging people to stay

Bills: SB78, SB235, SB22, SB310

Keywords: nuclear energy, renewable energy, sustainability, carbon emissions, energy regulation, microgrid, zero carbon resources, Public Regulation Commission, energy generation, electric utilities, motor vehicle manufacturers, licensing, dealers, franchise agreements, consumer protection, water supply, sewage improvements, environment, funding, Mora County

Transcript Highlights:

• We're very proud of our role in what we've been able to accomplish working with EPA.

Keywords: 985, all

Transcript Highlights:

• brought up earlier, and how our alignment... ...was brought up earlier and how our alignment with the EPA

Summary: The Assembly Select Committee on Regulatory Authority held its first hearing to examine how California’s regulatory framework affects housing production, affordability, and timelines. Chair Pacheco and Assemblymember Haney framed the discussion around the state’s housing shortage and the need to reduce costs while maintaining environmental, safety, and community protections. The first panel featured housing experts and industry representatives who argued that state regulations, code complexity, utility constraints, and agency review processes add substantial cost and delay to development. Bill Fulton described overlapping state and local land-use authorities and the tension among housing, coastal protection, climate, and wildfire goals. CBIA’s Chris Ochoa and California Apartment Association representative Bob Raymer said building codes, energy mandates, and agency processes have materially increased per-home costs, and they urged more centralized affordability analysis and greater scrutiny of regulatory impacts. The Bay Area Council’s Louis Marante called for a statewide cost target for housing and stronger timelines and accountability for state agency reviews. The second panel brought in state agencies to explain their roles. HCD said its housing element enforcement, streamlining laws, and technical assistance have helped increase production, shorten entitlement timelines, and improve compliance by local governments. CARB said SB 375 is a planning law that does not directly regulate land use, and argued that regional housing assumptions in sustainable communities strategies are not being fully implemented on the ground. The Coastal Commission said it works with local governments to balance coastal protection, sea-level-rise risk, and housing, and noted recent guidance and pilot efforts to streamline housing approvals in the coastal zone. The Energy Commission said its building energy standards are designed to be cost-effective and save consumers money over time, though they can add some design and documentation complexity. Fish and Wildlife and DTSC both emphasized early engagement and collaboration to reduce delays while protecting natural resources and public health; DTSC said it is refining vapor intrusion guidance and using brownfield grants to support redevelopment. The State Water Resources Control Board said it uses general orders and basin planning to provide predictable permitting while balancing water quality, water rights, and housing needs, and noted billions in grants and loans for water infrastructure and site remediation that can support housing affordability. In response to questions from Assemblymember Haney, several agencies described ongoing coordination across departments, including regular meetings among HCD, CARB, the Coastal Commission, and transportation agencies, as well as broader interagency efforts to reduce redundancies and identify pinch points in project delivery. No formal votes or legislative actions were taken during the hearing; the main outcome was informational testimony and discussion of possible future reforms to improve coordination, predictability, and affordability in state regulatory processes.

Transcript Highlights:

• So the more that we can all do to really make sure that the EPA is looking at this, that we're proactively

Summary: The Assembly Committee on Arts, Entertainment, Sports, and Tourism held an informational hearing on the state of California tourism amid declining international visitation and broader economic and political headwinds. Visit California CEO Caroline Betetta said the industry remains a major economic driver, with 2024 visitor spending of $157 billion, 1.2 million jobs supported, and $12.7 billion in state and local tax revenue, but warned that 2025 forecasts show the first post-pandemic decline in visitation, driven largely by a projected 9.2% drop in international travel. She cited concerns about the strong dollar, visa wait times, border and immigration rhetoric, and a proposed federal visa integrity fee, while emphasizing Visit California’s marketing campaigns and the importance of upcoming mega-events like the World Cup and 2028 Olympics. A second panel of destination leaders described local impacts and strategies. Visit Sacramento’s Mike Testa said the city has diversified beyond conventions into music festivals, sports, and food events, but noted that international apprehension is affecting events like Terra Madre Americas and that California should do more to incentivize major festivals to stay in-state. Santa Monica Travel and Tourism’s Lauren Salisbury said the city is seeing lower international visitation, especially from Canada, Australia, and Europe, and that wildfire coverage and later federal troop presence in Los Angeles hurt local sentiment and caused cancellations. Yosemite Sierra Visitors Bureau’s Rhonda Salisbury reported steep drops in international visitation to the gateway region, ongoing concerns about wildfire, reservations, insurance costs, and park access, and praised a new federal requirement for quarterly meetings between national parks and gateway communities. San Diego Tourism Authority COO Carrie Verbeck-Cappich said tourism is the region’s second-largest sector, but 2025 is softer than 2024, with spending down despite modest visitation growth. She pointed to weaker Canadian and Asian travel, government-related meeting cancellations, and the need for more support to bid on and host major events; she also highlighted border-crossing delays, insufficient federal staffing at ports of entry, and the Tijuana River sewage crisis as major regional issues. Committee members discussed the effects of federal rhetoric, infrastructure, and cross-border conditions on tourism, and several witnesses urged continued support for Visit California, Brand USA, event incentives, and efforts to present California as welcoming and open. Public comment then opened, beginning with testimony from the California Attractions and Parks Association.

Transcript Highlights:

• This bill puts in statute what already exists as federal regulations in the EPA around elevated elevated

Keywords: 988, house, all

Transcript Highlights:

• This has joined a lawsuit against the EPA methane rule, which requires operators to find and fix leaks

Bills: HB3619, HB3652, HB4572, HB4891, HB4941, HB5103, HB5105, HB5106, HB5224, HB5600

Keywords: surface estate, well plugging, Railroad Commission, landowner rights, liability, strategic reserve, gas supply, petroleum products, disaster response, Railroad Commission of Texas, energy security, emergency planning, oil and gas waste, environmental regulation, waste management, mining pits, groundwater monitoring, regulation, commercial disposal facilities, environmental standards

Transcript Highlights:

• Both agencies receive funding through the EPA, uh, through the Clean Water Act section 319H nonpoint

Bills: HB294

Keywords: energy efficiency, tax exemption, residential properties, sustainability, real estate

Transcript Highlights:

• We also handle geothermal permitting, uranium mines, and are seeking primacy from the EPA to be the sole

Summary: The committee met with a quorum present to hear Article VI Natural Resources agency budget recommendations, beginning with the Railroad Commission. LBB staff summarized the commission’s 2026-27 base recommendation at $458.7 million, down from the prior biennium, with an increased FTE cap. The presentation highlighted reduced federal IIJA funding, volatility in oil and gas regulation account 5155, continued support for IT modernization, and rider changes. The commission’s major exceptional items were then presented, including requests for produced water and injection data reporting, an authorized pit registration system, regulatory filing/permitting upgrades, an underground injection well investigation team, site remediation support, and especially $100 million for orphan well plugging. Members asked about biennium-to-biennium comparisons, salary biennialization, the scale of orphan well risks, federal funding delays, bonding, and whether the state should rely more on industry or general revenue for plugging costs. Commission leadership explained that orphan wells can threaten water and public safety, that plugging costs have risen sharply, and that current funding is insufficient to keep up with emergency wells and the backlog; they also said the agency is moving to cloud-based systems with cybersecurity protections and that the proposed performance measure may need adjustment if funding does not increase. The Railroad Commission testimony was followed by LBB and agency testimony for the Texas Animal Health Commission. LBB described a $42 million recommendation for 2026-27, an increase overall, but with a reduced FTE cap due to turnover and salary reallocation. The recommendation maintained funding for cattle fever tick work, chronic wasting disease, lab testing through an MOU with Texas A&M’s veterinary diagnostic lab, and a new $5 million spay-and-neuter pilot program, while deleting a capital budget rider and adjusting riders tied to entry point inspection stations and clinical trials. Agency leadership then outlined the commission’s mission to protect livestock health and the state’s $22 billion animal industry, and described major disease threats including highly pathogenic avian influenza, cattle fever ticks, New World screwworm, and chronic wasting disease. Their exceptional items focused on recruiting and retaining veterinarians, replacing fleet vehicles, creating an ectoparasite identification lab, adding field staff and IT support, improving records and epidemiology reporting, strengthening central administration, supporting secure food supply planning, expanding chronic wasting disease work, and staffing the new spay-and-neuter program. Members asked about field identification of ticks, the use of disinfectants and PPE, fleet management, the scale of cattle fever tick risk, and chronic wasting disease; the agency explained its current inspection and lab-confirmation process, its reliance on field disinfecting and biosecurity, and the need for more staff and better data systems to keep pace with growing workloads and disease threats.

Transcript Highlights:

• least, and it's making neighbors sick, and we have an emergency, and we. ...have a situation where the EPA

Keywords: 988, house, all

Transcript Highlights:

• We saw it from things like having the EPA push EV mandates, homeland security ignoring illegal immigration

Transcript Highlights:

• this legislation, instead of having to obtain a Section 401 certification from a state through its EPA-delegated
• 401 certification from a state through 401 certification from a state through its<00:21:28.159> EPA
• delegated<00:21:29.280> authority,<00:21:30.640> FK<00:21:31.039> would its EPA
• delegated authority, FK would its EPA delegated authority, FK would incorporate<00:21:31.840> this

Keywords: U.S. House of Representatives Floor Proceedings on Friday, December 12, 2025, 1012, house, all

Transcript Highlights:

• Within the island of Oahu itself, pretty much your only option is going to be in the EPA caprock.
• c> to<00:59:38.160> be<00:59:38.240> in<00:59:38.400> the<00:59:38.480> EPA
• only option is going to be in the EPA only option is going to be in the EPA caprock.<00:59:39.440

Keywords: 910, house, all

Summary: The committee heard several housing, landlord-tenant, and condominium-related measures. Senate Bill 62, relating to the Hawaii Public Housing Authority, would allow HPHA-owned parcels and related areas such as parking lots to be closed to the public with posted signage; HPHA strongly supported the bill, saying it would help reduce loitering, drinking, and other problems, and no further testimony was offered. Senate Bill 822, relating to the landlord tenant code, would create a three-year working group in the Department of the Attorney General to study and improve the residential landlord-tenant code. The Judiciary supported the measure but said the scope should be narrowed; the Attorney General opposed leading the group and suggested another agency should do so; Hawaii Realtors and the Hawaii Worker Center supported the concept and suggested moving the chairmanship to the Judiciary and including Legal Aid participation. The Judiciary said it could chair the group if the bill were narrowed to matters within the court’s purview. Senate Bill 38, relating to housing, would limit counties from imposing stricter conditions, AMI requirements, or fee-waiver reductions on certain affordable housing proposals if those changes would increase project costs. HHFDC supported the bill, saying county changes after state approval create uncertainty for developers, while the Hawaii State Association of Counties opposed it as an intrusion on local authority and a restriction on county safety and infrastructure conditions. Members asked about whether existing county review periods were sufficient, and the county association said the main concern was the bill’s language limiting counties from making cost-increasing conditions. Senate Bill 146, relating to condominiums, would revise alternative dispute resolution procedures for condo disputes, including evaluative mediation and binding arbitration. The Hawaii Real Estate Commission said it took no position overall but supported a $150 mediation fee and asked for a similar arbitration fee; Community Associations Institute supported the bill with suggested amendments; however, most testimony was strongly opposed by condominium owners and advocates, who said the bill had been changed to the detriment of owners and would increase costs and reduce protections. The committee noted 44 testimonies on the bill, with 2 in support, 37 in opposition, and 2 with comments. Senate Bill 253, relating to condominium reserves, would require a detailed budget summary to stand on its own, remove a good-faith defense for certain noncompliant budgets, and clarify standing and the association’s burden regarding substantial compliance. Hawaii Realtors and Community Associations Institute supported the measure as improving transparency and giving owners and buyers a clearer picture of association finances. Greg Msakian also supported it, arguing it would help owners and describing problems he experienced with budget committee exclusion and budget noncompliance in his own association. The discussion ended while testimony on the bill was still underway, with additional witnesses expected.

Transcript Highlights:

• The EPA had issued a rule, and there'll be new maximum contaminant levels for 6P fast that will require
• about<01:27:13.000> that<01:27:14.000> um<01:27:14.840> the<01:27:15.000> EPA
• <01:27:15.440> had Communications about that um the EPA had Communications about that um the
• EPA had issued<01:27:15.880> a<01:27:16.000> rule<01:27:16.719> and<01:27:16.840

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• populated area of South Broward County that was permitted before the creation of the department, before the EPA
• populated areas; and additionally, that we study these landfills that were created and permitted before the EPA
• I appreciate That were created and permitted before the EPA was created.

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• populated area of South Broward County that was permitted before the creation of the department, before the EPA
• populated areas, and additionally, that we study these landfills that were created and permitted before the EPA
• I appreciate That were created and permitted before the EPA was created.

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange on the 50th anniversary of the fall of Saigon. The chamber also observed a moment of silence for former Senator Karen Johnson Gendron. After routine business, the Senate took up several special-order bills. The first major bill, transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses. An amendment added penalties for refusal to submit to breath or urine testing and required law enforcement to notify suspects of those penalties. The bill passed 37-0. The Senate then passed SB 306 on Medicaid providers, requiring broader after-hours and holiday access to care and setting network standards for Medicaid managed care plans, also by a 37-0 vote. The chamber next considered a major condominium and cooperative associations bill responding to post-Surfside safety and financial concerns. Senators described the measure as balancing building safety with financial relief, extending reserve-study deadlines, allowing temporary reserve relief after inspections, tightening oversight of managers and inspectors, and adjusting voting, resale, and reserve rules. After extensive debate and praise from members for the bill’s sponsors and staff, the bill passed 37-0. The longest discussion centered on a constitutional amendments/petition process bill aimed at curbing fraud in citizen initiative petitions. Sponsors argued that the 2024 petition process was plagued by fraud and identity theft and proposed tighter rules for circulators, faster submission deadlines, voter notification, penalties, and limits on petition handling. Senators offered and adopted multiple amendments, including changes to petition-circulator definitions, invalid-signature thresholds, and voter notification procedures. After a substitute amendment was withdrawn, the Senate continued debating the underlying amended bill, with members split between concerns about election integrity and worries that the bill would burden volunteers and make it harder for citizen initiatives to qualify.

Transcript Highlights:

• populated area of South Broward County that was permitted before the creation of the department, before the EPA
• populated areas, and additionally, that we study these landfills that were created and permitted before the EPA
• I appreciate ...that were created and permitted before the EPA was created.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, a resolution honoring Vietnam veterans exposed to Agent Orange, and a remembrance of former Senator Karen Johnson Gendron. The chamber then moved to special order bills. CS/HB 687 on transportation offenses involving death was substituted for SB 138, amended to add warnings and penalties for refusal of breath or urine tests, and passed 37-0. CS/SB 306 on Medicaid providers, requiring broader after-hours access and network availability for Medicaid enrollees, also passed 37-0. The Senate then took up CS/CS/HB 913 on condominium associations, a major post-Surfside reform bill. Senator Bradley explained that the measure was intended to provide financial relief and flexibility while preserving safety and accountability. The bill was substituted for SB 1742, amended several times to limit milestone inspections and structural integrity reserve studies to buildings three habitable stories or more, and then passed 37-0 after extensive debate. Senators from both parties praised Bradley, Pizzo, Garcia, and staff for years of work on condo safety and affordability, with several members describing the bill as a balance between protecting residents and avoiding financial hardship. The final major item was CS/HB 1205, the bill on amendments to the state constitution and citizen petition drives. Sponsors Gates and Grohl argued the bill was needed to combat fraud, identity theft, and misuse in the petition process, citing a lengthy Office of Election Crimes and Security report. The House bill was substituted for SB 7016, and the chamber considered a long series of amendments and substitute amendments addressing petition circulator registration, volunteer participation, submission deadlines, invalid-signature thresholds, voter notification, and fiscal impact statements. Several amendments were adopted, while others were debated over whether they would protect access to the citizen initiative process or strengthen election integrity. The transcript ends during debate on the main substitute amendment, before final disposition on the bill is shown.

Transcript Highlights:

• committee, natural cultural resources, uh, various groups that maybe the environmental New Hampshire EPA
• that maybe the environmental New groups that maybe the environmental New Hampshire<01:44:26.600> EPA

Keywords: 1189, house, all

Transcript Highlights:

• The bill prohibits local governments. and the EPA from issuing construction permits for any facility
• that landfill has not been fully remediated because it was built prior to the establishment of the EPA

Bills: SB 5, SJR 3, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972, SB 365, SB 1786, SB 5, SJR 3, HB 14, HB 43, HB 36, HB 26, HB 149, HB 121, HB 206, HB 136, HB 3114, HB 2733, HB 1732, HB 3700, HB 467, HB 1130, HB 1846, HB 1442, HB 1147, HB 2176, HB 2701, HB 805, HB 2890, HB 1154, HB 1644, HB 2118, HB 1718, HB 2488, HB 2596, HB 2468, HB 484, HB 2578, HB 3204, HB 1041, HB 307, HB 685, HB 538, HB 2525, HB 3125, HB 2027, HB 2894, HB 3077, HB 106, HB 18, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972

Keywords: dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, tax exemption, intellectual disability