Transcript Highlights:

• authority to res- restrict<00:49:44.120> that<00:49:44.360> internet<00:49:44.880> access
• electronic media, including but not limited to a computer, tablet, gaming system, or phone that allows access
• electronic media, including but not limited to a computer, tablet, gaming system, or phone that allows access
• Give me an example of a person who has a job that uses a computer and has to access the internet.
• Well, um, I would also submit there's a lot of jobs, of course, that don't require access to the internet

Bills: SB118, SB203, HB420, HB414, HB363, HB405, HB261, HB263, HB327, HB348, HB228, HB282, SB273, HB7, SB296, SB199, SB47, SB204, HB80, HB11, HB192

Keywords: bail, offenses, constitutional amendment, criminal justice, law enforcement, public safety, dental insurance, medical loss ratio, premium regulation, insurance commissioner, rebate, consumer protection, Baldwin County, local bill, education funding, school tax, privilege license tax, county tax revenue, municipal school board, Baldwin County Board of Education

Transcript Highlights:

• My name is Karen Gray, Chief of Access and Opportunity for Round Rock ISD.
• We recently brought HB 547 UIL equal access to our local school board.
• HB 775 would open the doors to true equal access. for these Texas children.
• The child's IEP, Individualized Education Program, is accessible to each.
• Each regular education person or teacher, anybody who has access to them.

Bills: HB4, HB54, SB 10, SB 24, HB4, HB54, HB775, HB850, HB 1122, HB 1249, HB1405, HB2336, HB2757, HB3372, HB3622, HB4442, HB4687, HB4893, HB5089, HB5515, HB5606, SB10, SB24, HB1573, HB3369

Keywords: district composition, congressional election, Texas, legislature, voting districts, citizenship, U.S. citizen, non-citizen, public office, advisory board, task force, state government, local government, political subdivision, commission board, appointment eligibility, officeholder qualifications, public service, naturalization, Texas Government Code

Bills: HB4, HB54, HB775, HB850, HB 1122, HB 1249, HB1405, HB2336, HB2757, HB3372, HB3622, HB4442, HB4687, HB4893, HB5089, HB5515, HB5606, SB10, SB24, HB1573, HB3369, HB4, HB54, SB 10, SB 24

Keywords: non-human behaviors, education, Texas schools, policy, regulation, funding, teacher salaries, school districts, state budget, non-enrolled students, University Interscholastic League, participation, eligibility standards, school participation, academic standards, Texas education, interscholastic league, extracurricular activities, academic proficiency, AED

Transcript Highlights:

• Chair and members, Senate Bill 1141 requires presidential electors to cast Electoral College votes for
• vote at the meeting of electors.
• Arizona state law lays out the responsibilities of presidential electors to cast their electoral votes
• So then any elector who attempts to cast their electoral vote for the successor would be replaced by
• It also clarifies that if a presidential elector is not present at the meeting of electors or refuses

Keywords: 1182, all

Summary: The committee heard several bills and a memorial focused on foreign law, land ownership, presidential electors, and campaign finance/federalism. SB 1018 would amend Arizona’s foreign-law statute to explicitly include Sharia law; the sponsor and supporters said it was needed to prevent foreign legal systems from influencing Arizona courts, while opponents from the ACLU and others argued it singled out Islam, was unnecessary because foreign law is already prohibited, and would be unconstitutional. After debate, the committee recommended SB 1018 do pass by a 4-3 vote. The committee then considered SB 1075, which restricts conveyance of Arizona land to foreign entities deemed hostile to the United States and adds disclosure, penalty, and enforcement provisions through a five-page amendment. The sponsor said it was modeled on other states’ efforts to keep adversarial nations from acquiring land near sensitive sites; the committee adopted the amendment and recommended the bill as amended do pass by a 3-3 vote. SB 1141, dealing with presidential electors, would require electors to vote for a properly nominated successor if a winning presidential or vice presidential candidate dies or withdraws before the Electoral College meets, and would deem an elector’s office vacant if the elector fails to vote. Supporters said it closes a gap in Arizona law and improves election continuity; it received a unanimous do pass recommendation. Finally, the committee heard SCM 1003, a memorial urging Congress to support federalism and a constitutional amendment affirming state authority over election processes and campaign finance. Supporters argued that money in politics and out-of-state or international influence have grown too large and that states should regain more control; some members noted concerns about the rhetoric around ActBlue and other groups but still supported the memorial’s general purpose. SCM 1003 received a unanimous do pass recommendation.

Transcript Highlights:

• , reduce access, reduce access, undermine<00:40:03.960> the<00:40:04.040> rights<00
• it will reduce rather than expand access it will reduce rather than expand access to<00:40:26.640
• > State accessible education material State accessible education material State Services<00:42:55.400
• ... ...provision of accessible education materials, accessible education materials, uh E A E E A M in
• > will<01:12:26.960> be means they their access will be means they their access will be

Bills: HF4456, HF4544, HF3698

Keywords: data broker, data brokerage, consumer privacy, personal data, data privacy, Minnesota attorney general, registration, public registry, civil penalties, enforcement, special revenue fund, privacy rights, data sales, data collection, consumer protection, chapter 325M, controller, processor, data broker registry, transparency

Transcript Highlights:

• more engaged and informed electorate. more engaged and informed electorate.
• of whether you have an account on X or Facebook, or whatever platform is being used, that you can access
• The amendment passes to the author. to access these um meetings in you know to access these um meetings
• used um that whatever platform is being used um that you<00:15:04.160> can<00:15:04.320> access
• this right by by a mere you can access this right by by a mere link<00:15:07.120> because<00:

Bills: HF4319, HF3295, HF3589, HF3587, HF3588, HF4295, HF3571, HF3895

Keywords: public utilities commission, Lake City, port authority, Red Wing, terms of appointment, local government, elections, open meeting law, transparency, public engagement, social media, government accountability, voter access, polling place, ballot, unexpected needs, election judge, public information, political parties, HF4295

Transcript Highlights:

• Uh, I mean, it's said we're talking 3,000 acres of land that they have basically no access to.
• Uh, I mean, it's said we're talking 3,000 acres of land that they have basically no access to.
• Uh, I mean, it's said we're talking 3,000 acres of land that they have basically no access to.
• <00:10:50.240> It's<00:10:50.560> been have basically no access to.
• It's been have basically no access to.

Bills: SB337, HB520, HB75, SB337, HB520, HB75

Keywords: SB337, Montgomery County, probate judge, judge of probate, county officer compensation, salary increase, circuit judge parity, local legislation, county commission, general fund, public official pay, judicial compensation, Montgomery County Legislation, discrimination, immunization, facial coverings, healthcare rights, religious convictions, civil rights, Attorney General

Bills: HF2354, HF3621, HF3429, HF3483

Keywords: medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, fraud, payment withholding, withheld payments, program integrity, public funds, state agency, program participant, credible allegation of fraud, administrative reconsideration, contested case, chapter 14, data practices, confidential data, protected nonpublic data, anti-fraud

Summary: The committee approved the minutes from March 5 by voice vote and welcomed new member Representative Van Binsbergen. It then took up House File 2354, which Chair Liebling moved to re-refer to the Public Safety Finance and Policy Committee. Representative Norris presented the bill as an updated version of the Medical Assistance Protection Act, aimed at strengthening the Attorney General’s Medicaid Fraud Control Unit, closing loopholes, equalizing fraud penalties, and increasing penalties for large-scale Medicaid fraud. Attorney General Ellison said the bill would add 18 specialized staff to the unit, moving it from 32 to 50 positions, and argued the federal-state matching structure makes the Attorney General’s office the proper home for the funding because the unit is dedicated to Medicaid fraud work. Nick Wonka, director of the Medicaid Fraud Control Unit, explained the bill’s provisions affecting committee jurisdiction: expanded subpoena authority to obtain financial account contents in provider-fraud investigations, conforming legal representation language to preserve the unit’s authority, venue changes to allow charging in counties where parts of the offense occurred, and a restitution change to let courts order restitution for related conduct in the same scheme. He said the subpoena change would speed investigations and align the Attorney General’s authority with other agencies, and that the restitution change would help recover more fraudulently obtained Medicaid funds. No public testimony was offered. Members questioned why the funding should go to the Attorney General’s office rather than the BCA, whether the new records authority was federally required, how the venue language would work across state lines, and whether the added FTEs indicated the fraud problem was larger than expected. Ellison and Wonka responded that the federal grant requires the work to stay within the Medicaid Fraud Control Unit, that the unit’s investigators are specialized and work with, but separate from, law enforcement, and that the venue provision applies only within Minnesota while out-of-state matters would be referred to the appropriate authorities. The amendment that had been posted was withdrawn and not offered.

Transcript Highlights:

• We think this is something that could improve access to care services, help families meet basic needs
• c> think this is something that could think this is something that could improve<00:18:58.559> access
• to<00:18:59.039> care<00:18:59.280> services,<00:18:59.760> help improve access
• to care services, help improve access to care services, help families<00:19:00.640> meet<00:19
• to localarmacies and prohibit access to localarmacies and small<00:44:08.000> places.

Bills: HB1877, HB2006, HB2167, HB2224, HB1626, HB1690, HB2012

Keywords: LGBTQ+ rights, commission membership, representation, youth involvement, Hawaii legislation, child well-being, financial support, expectant mothers, Hawaii Rx kids program, economic stability, youth homelessness, financial assistance, housing instability, emergency services, transitioning youth, Medicaid, pharmaceutical benefits, human services, healthcare access, public funds

Summary: The committee heard testimony on HB 1877, which would expand the membership of the Hawaii State LGBTQ+ Commission and add a youth seat. The commission’s vice chair supported the bill, saying the commission started with eight members, has growing interest, and would benefit from an odd-numbered board and youth representation. Members asked about quorum, and the commission said it has generally met monthly with only one quorum issue in the past 18–19 months and would work with legislative leaders to have appointments ready if the bill passes. Written testimony included support from Kokopac and one individual in opposition. The committee then took up HB 2006, which would create a cash assistance program for pregnant women and mothers of babies. The Department of Human Services explained current TANF rules, including eligibility requirements, child support cooperation, and work-program participation, and said the state has recently raised benefit levels to the maximum allowed, with a family of three or four receiving a little over $900 per month. Supporters from the Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, and others argued the bill could reduce child poverty and improve maternal and child health, citing evidence from Michigan’s Rx Kids program and the temporary federal child tax credit expansion. A mother and Oahu Youth Action Board member testified from personal experience about the need for direct support during pregnancy. The committee also noted support from several organizations and about 26 individuals. The committee next heard HB 2167, which would direct the Office of Youth Services to run a pilot program providing financial assistance to homeless youth. The Office of the Public Defender, youth advocates, and several organizations supported the measure, saying even small amounts of help can prevent homelessness and help youth transition safely to adulthood. The Office of Youth Services said it supports the intent of the bill but requested clarification, and committee members discussed whether the program should be run directly or through contracted community agencies, how to set performance metrics, and how to structure the RFP and contract process. The chair indicated the committee wanted to work with the vice chair and OYS offline to refine the bill before moving forward. The committee then began discussion of HB 2224, relating to Medicaid pharmacy benefit management, with testimony generally supporting giving DHS flexibility to negotiate with PBMs.

Transcript Highlights:

• /c> sector, the potential uh damage of sector, the potential uh damage of losing<00:05:02.320> access
• /c><00:05:02.880> those<00:05:03.120> federal<00:05:03.440> resources losing access
• to those federal resources losing access to those federal resources shouldn't<00:05:04.639> be
• Develop a market access strategy, align and harmonize state branding initiatives, and report certain
• Um, our priority is to ensure that those who have access to the most hazardous products, which is the

Bills: SB2350, SB2349, SB2407, SB3320

Keywords: agriculture, aquaculture, livestock, agribusiness, Department of Agriculture, regulatory functions, employee benefits, restorative practices, sustainability, environmental stewardship, local food systems, Native Hawaiian, workforce development, agricultural development, Hawaii Island, property manager, state employment, SB3320, Hawaii, Agribusiness Development Corporation

Summary: The committee heard testimony on SP 2350, which would transfer oversight of the Department of Agriculture’s Agricultural Development Division and the aquaculture and livestock support services branch to the Agribusiness Development Corporation. The Department of Agriculture and ADC both testified, with ADC opposing the bill as written while supporting the goal of strengthening agriculture. ADC said the transfer could create federal operational and coordination risks, jeopardize federal funding and program continuity, and was unnecessary because ADC is a business development entity, not a regulatory agency. The Hawaii Farmers Union also expressed concern that moving the programs could weaken the department’s ability to access federal resources, while the Hawaii Farm Bureau submitted written testimony and the Hawaii Aquaculture and Aquaponics Association and H-Plan were noted as supporting the measure; the Hawaii Cattlemen’s Council was noted as opposing it. Much of the discussion focused on aquaculture’s economic potential and the role of regulation, permitting, and funding. Committee members questioned why aquaculture had not grown faster, citing current gross revenues of about $66 million last year, a prior high of $82 million, and a possible long-term target of $500 million. Testimony identified permitting and feed costs as major barriers, along with market conditions and water quality issues affecting producers. ADC described ongoing efforts on feed development, permitting streamlining, coastal-state collaboration on seaweed and restorative aquaculture, and national advocacy for more parity in seafood import standards. Members also pressed the Department of Agriculture on its leadership and priorities, criticizing the lack of bills and resources dedicated to aquaculture and asking whether the department should have more authority to pursue land purchases and development opportunities. The department said it relies on divisions and industry feedback for bill ideas, noted it funds an annual aquaculture survey, and said it was pursuing congressional earmarks and other funding for aquaculture parks, research, and export/import issues. ADC said it would work with the department if the bill passed, but that its current statute does not give it regulatory authority and any such change would require a statutory amendment.

Transcript Highlights:

• appropriates funds out of the ADL loan revolving fund to increase its expenditure ceiling and thereby expand access
• Uh, so we do believe that land access continues to be a barrier, especially for beginning farmers and
• Um, so we would like to see some effort move forward to support land access, whether that's this measure
• Uh, so we do believe that land access continues to be a barrier, especially for beginning farmers and
• Um, so we would like to see some effort move forward to support land access, whether that's this measure

Bills: SB2309, SB2317, SB2318, SB2319, SB2321, SB2323, SB2332, SB2405, SB2485

Keywords: agricultural loans, financial support, Hawaii agriculture, food security, revolving fund, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, agricultural statistics, data collection, Department of Agriculture and Biosecurity, economic analysis, market development, grant funding, climate resiliency

Summary: The committee heard testimony on several agriculture-related measures, beginning with SB 2309, which would require the agricultural loan division to sell portions of its loan portfolio and use the proceeds to expand the agriculture loan revolving fund. The Department of Agriculture and Biosecurity and the Hawaii Farm Bureau supported the bill, along with several other organizations and individuals. A committee question focused on the risk of not finding a qualified buyer for the loan portfolio; DAB said a mandatory sale of the full amount could force a less favorable rate, while flexibility to sell different amounts could produce a more equitable return. The measure drew eight supporters and no opposition. The committee then took up SB 2317, which directs DAB to study insurance coverage for small producers and report back to the Legislature. DAB and multiple farm groups supported the bill. In response to a question about cost, DAB estimated about $250,000 would be needed, with the study likely covering crop, health, and liability insurance. The next measure, SB 2318, would establish an agriculture statistics program in statute. DAB said it strongly supported the bill and could ramp up quickly if positions were provided; the committee discussed whether a first report could be completed by year’s end if the bill became law midyear, and DAB said yes. SB 2319, which would fund and make permanent a full-time grant writer position at DAB, also drew strong support from DAB, the Hawaii Farm Bureau, Ulupono Initiative, the Hawaii Cattlemen’s Council, the local food coalition, and others, with testifiers emphasizing the position’s return on investment and success in bringing in federal funds. The committee also heard SB 2321, establishing a two-year pilot program to respond to the twoline spittlebug. DAB, ranching groups, and many others supported the bill, citing the pest’s spread and the need to act before it becomes unmanageable. A DAB pest control manager said he would need to research past response details and provide them later. Members emphasized the importance of early intervention. For SB 2323, which creates a farmland transition commission to study barriers to farmland access and recommend solutions, DAB offered comments and support for the intent, while farm groups generally supported the concept but raised concerns about the proposed age range and whether a separate commission was necessary. DAB said the Board of Agriculture likely would not have the capacity to perform the commission’s duties and estimated there would be costs to establish it, though no figure was available at the hearing. Finally, the committee heard SB 2332, which reestablishes the agriculture and food security special fund, creates a carbon emissions tax and dividend fund, gradually raises carbon-related tax rates, and provides a refundable carbon cashback credit. DAB supported the measure and deferred to Taxation on details; the Department of Taxation said it would stand on its comments, and the Attorney General’s office offered comments and recommendations. Carbon Cashback Hawaii and the County of Hawaii Department of Research and Development supported the bill, arguing it would reduce emissions, protect lower-income households, and be relatively simple to administer.

Transcript Highlights:

• Oklahoma just established a new law protecting access to release time programs.
• We want access for all, and with the federal policy that's already in place.
• We just want to support that so that everyone has access.
• And so this provides equal access to all students. access to every student.
• To access release time programs for religious education for their children.

Bills: SB226, SB413, SB571, SB1049, SB2398, SB2920

Keywords: residency, public schools, child safety placement, enrollment, education code, school boards, transparency, public meetings, attendance, recording, misconduct, child abuse, educators, investigation, criminal offense, education law, suspension, reporting requirements, released time, religious instruction

Transcript Highlights:

• present evidence with substantial public support, and the burden they have to prove is that restricting access
• to the... ...access to the water is a substantial public interest to protect the water source, and they
• burden was not met by that board, and that there was not a substantial interest, a reason to close the access
• So, I think the end result is just trying to get access back in a safe manner for the citizens in the

Bills: HB473, HB397, HB397

Keywords: water recreation, public access, water bodies, recreational use, water commissions, real estate, disclosures, equitable interest, disciplinary actions, Alabama Real Estate Commission, HB397, homestead exemption, ad valorem tax, property tax, tax relief, senior exemption, elderly homeowners, retiree exemption, disability exemption, blind exemption

Transcript Highlights:

• where the legislature is going to look at a vital step forward by passing legislation that provides access
• This bill ensures that all first responders have access to care and treatment for PTSD under the workers
• qualify for those services, but still need some job skills support like professional etiquette, to access
• I just want to make sure that's clear, so it doesn't have to, they can have that access.
• And so getting students access as soon as possible helps them pursue those different careers that are

Bills: HB322, HB331, HB673, HB 1147, HB 1154, HB2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Transcript Highlights:

• We need more access, not less. We need more. transparency and accountability, not less.
• And to say that it needs to be readily accessible on the. entity's homepage.
• Um, you know, AI drive thrives on high quality. well-structured and accessible data.
• In April� we are deploying changes to restrict access to information.
• and not give you any more access than you need. That's something that's really important.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• But too many are unaware of its benefits or unable to access it.
• However, there are still many barriers standing between community members and SNAP access.
• That's what we do, so we're helping them access those benefits.
• <01:47:18.000> those so we're helping them access those so we're helping them access those
• this is a a training on how to access this is a a training on how to access and<01:48:00.480>

Bills: HF22, HF45

Keywords: parent's bill of rights, parental rights, minor consent, minors, parents, guardians, education rights, school records, home schooling, charter school, private school, health care consent, medical privacy, patient records, exam room access, biometric data, DNA samples, blood samples, mental health, physical health

Transcript Highlights:

• I think we all know someone who has utilized the access to GLP-1s.
• The bill will allow the state to provide state employees with access to weight loss medications without
• OJJ has given us a device and we have access to their system. LDH is working with us.
• So in a way, it short-cuts all of the steps that DCFS would be involved in if we have access to their
• And also the ombudsman, because she— And also the ombudsman, because she, and then giving her access

Bills: SB25, SB132, SB155, SB157, SB202, SB237, SB250, SB433

Keywords: registrar of voters, parish registrar, chief deputy registrar, confidential assistant, election administration, elections, salary schedule, compensation, merit evaluation, population-based pay, census-based pay, Department of State, Secretary of State, State Board of Election Supervisors, redistricting, senate districts, Senate District 33, Senate District 34, Senate District 35, precincts

Transcript Highlights:

• <00:33:07.440> to our goal is to provide access to our goal is to provide access to comprehensive
• <01:03:22.720> to that Celu will approve access to that Celu will approve access to criminal
• A kind of a long-standing issue with this access to the fingerprinting. the access to fingerprinting
• <01:19:16.000> and supportive of expanding access and supportive of expanding access and having
• or funding so we can expand this access or funding so we can expand this access to<01:20:04.159>

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• organization called the Ksec Scho343 fund and we, as veterans, thousands of veterans across America, have accessed

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• they're doing that not only are economic drivers, but they provide real-world solutions to things like access
• they're doing that not only are economic drivers, but they provide real-world solutions to things like access
• chronically or excessively absent from school, providing juvenile probation services with immediate access

Bills: HM3, HM11, HM14, HM15, HM21

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial