Transcript Highlights:

• of Forensic Science, Alabama Department of... ...Forensic Science, Alabama Department of Human Resources
• Multiple Needs Children's Fund, Department of Public Health, and Department of Rehabilitation Services
• . ...Department of Rehabilitation Services and the Department of Youth Services, again for the total
• Trust Fund, Alabama Medicaid Agency, and the Department of Senior Services. ...the Department of Senior
• That will be run through the Ops agency, Department... through the Ops agency, Department of a dedicated

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Bills: SB1636, SB1772, SB1221, SB1932, SB1687, SB1213, SB843, SB1410, SB1317, SB1338, SB1976, SB1314, SB1191, SB1613, SB1246, SB1439, SB1930, HR1044

Keywords: cold case, unsolved homicide, violent crime, case file review, law enforcement, police records, victim family, immediate family member, designated person, forensic testing, witness reinterview, investigative leads, cold case unit, unsolved murder, public safety, Title 21, Oklahoma statutes, motor vehicle safety, headlamps, headlights

Transcript Highlights:

• Uh, in Etowah County, the gentleman that is with the sheriff's department that handles the evictions
• administrative rule that deals with foreclosures, which takes precedence and says the sheriff's department

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

Bills: HB3840, HB3431, HB4422, HB4117, HB4300, HB4298, HB2984, HB3344, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951, HB3469, HB3173, HB3287, HB2947, HB3784, HB3901, HB4275, HR1031, HB4359, HB4115, HB3467, HB2978, HB3026, HB3032

Keywords: foreign ownership, land acquisition, military installation, critical infrastructure, affidavit requirements, state law, penalties, Attorney General, foreign ownership of land, foreign adversary, foreign government adversary, foreign government enterprise, foreign government entity, foreign terrorist organization, specially designated national, SDN, FTO, critical minerals, land ownership, real property

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344, SB1839, SB1280, SB1832, SB2001, SB1405, SB2143, SB1989, SB1393, SB1392, SB1395, SB1400, SB1220, SB1516, SB1239, SB1531, SB1349, SB1221, SB1538, SB1309, SB1434, SB2108, SB2121, SB2171, SB2061, SB2112, SB2138

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• of Commerce.
• <00:03:40.080> to impossible for the Department to impossible for the Department to calculate
• <00:04:20.919> is the revisor's office but Commerce is the revisor's office but Commerce is
• <00:04:37.440> of transparency for the Department of transparency for the Department of Commerce
• of Commerce, which should never have been necessary.

Bills: HF2601, HF2607, HF2027, HF2608

Keywords: financial institutions, insurance regulation, insurance holding company, group capital calculation, liquidity stress test, NAIC, National Association of Insurance Commissioners, insurer solvency, affiliate transactions, groupwide supervision, internationally active insurance group, lead state commissioner, policyholder protection, hazardous financial condition, deposit or bond, contract for deed, conventional loan, cooperative apartment loan, mortgage interest rate cap, average prime offer rate

Transcript Highlights:

• Chair: I call this meeting of the House Commerce Committee to order.
• <00:08:05.240> so to turn it over to the department so to turn it over to the department so
• <00:10:43.040> um just want to comend the department um just want to comend the department
• The department will verify this, but I believe it was the original position of the department to have
• The department will verify this, but I believe it was the original position of the department to have

Bills: HF1672, HF1877, HF1735, HF1734, HF1271, HF1634, HF1615

Keywords: medical cannabis, medical marijuana, cannabis, cannabinoids, hemp, marijuana registry, patient registry, visiting patient, Tribal cannabis, Tribal medical cannabis program, Tribal sovereignty, Office of Cannabis Management, designated caregiver, home cultivation, adult-use cannabis, cannabis flower, cannabis products, dispensary, cannabis retail endorsement, patient protections

Transcript Highlights:

• This would move the Oklahoma receivership office within the insurance department.
• Our commerce and our local city economic developers are going to be scrutinizing labor discussions at
• We've seen through the West Virginia Insurance Department that Has recently released an analysis that
• Existing funds within the Department of Education mean there'll be no new appropriated dollars going
• Oklahoma Receivership Office within the Insurance Department.

Bills: SB65, SB248, SB330, SB378, SB844, SB1330, SB1410, SB1475, SB1476, SB1565, SB1618, SB1623, SJR39, SJR47, SB2084, SB1655, SB1679, SB2174, SB1775, SB1873, SB1204, SB1884, SB1916, SB1937, SB1447, SB1500, SB2007, SB2074, SB1944, SB2018, SB1984, SB2026, SB2045, SB2049, SB2062, SB2112, SB2118, SB2127, SB2134, SB2135, SB2139, SB2154, SB1195

Keywords: SB65, naloxone, Narcan, opioid overdose, overdose reversal, opioid antagonist, emergency opioid antagonist, substance abuse services, harm reduction, public health, overdose prevention, good samaritan, civil immunity, criminal immunity, controlled substances, addiction treatment, fentanyl, opioid crisis, school overdose response, first aid

Transcript Highlights:

• And you know, in working in the emergency department, we would see opioid overdoses.
• Would it be the state of Oklahoma or the tourism department? Thank you for that question.
• The Department of Wildlife has 400,000, and those acres are has to be managed, and it costs money.
• The licensing will all go through the Department of Wildlife.
• , only done by a department of A?

Bills: SB65, SB248, SB330, SB378, SB844, SB1330, SB1410, SB1475, SB1476, SB1565, SB1618, SB1623, SJR39, SJR47, SB2084, SB1655, SB1679, SB2174, SB1775, SB1873, SB1204, SB1884, SB1916, SB1937, SB1447, SB1500, SB2007, SB2074, SB1944, SB2018, SB1984, SB2026, SB2045, SB2049, SB2062, SB2112, SB2118, SB2127, SB2134, SB2135, SB2139, SB2154, SB1195

Keywords: SB65, naloxone, Narcan, opioid overdose, overdose reversal, opioid antagonist, emergency opioid antagonist, substance abuse services, harm reduction, public health, overdose prevention, good samaritan, civil immunity, criminal immunity, controlled substances, addiction treatment, fentanyl, opioid crisis, school overdose response, first aid

Transcript Highlights:

• Uh, this is tasking Department of Education to uh expand their programming and I believe they're already
• 00:25:42.720> this<00:25:42.960> is<00:25:44.240> tasking<00:25:45.120> department
• <00:25:45.520> of >> Uh, this is tasking department of >> Uh, this is tasking
• department of education<00:25:46.320> to<00:25:47.600> uh<00:25:47.760> expand<00

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• <00:11:25.440> of and Regulation in the Department of and Regulation in the Department of
• the Department of the Attorney General. the Department of the Attorney General.
• In drafting the report, our department collaborated with the Department of Health, the Department of
• Commerce and Consumer Affairs, numerous state legislators, the Department of Taxation, the Banking Commissioner
• department would not oppose HB1625. department would not oppose HB1625.

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Bills: HB51, HB58, HB69, HB82, HB93, HB143, HB166, HB231, HB429, HB806, HB884

Keywords: bail, conviction, aggravated offense, minors, constitutional amendment, bail reform, post-conviction, minor victims, legal rights, ignition interlock device, DUI, public safety, vehicle operation, criminal justice reform, DWI, driving under the influence, vehicular homicide, penalties, criminal justice, jury commission

Transcript Highlights:

• Additionally, we’re working with our IT department to ensure that we can collect data on the outcomes
• concerns related to the care provided by a licensed health aid additionally we're working with our IT department
• “Madam Chair, members, House Bill 2728 continues the Arizona Department of Economic Security for four

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• It references clean it up and lock in banking department regulator for banking, make sure there's no
• > references clean it up and lock in references clean it up and lock in banking banking banking department
• > regulator<00:07:19.280> for<00:07:19.440> banking<00:07:19.919> make department
• regulator for banking make department regulator for banking make sure<00:07:20.160> there's<00

Bills: HB259, SB247, HB259, SB247

Keywords: income tax credit, tax incentive, recruitment, remote work, remote worker, recruited worker, rural counties, small counties, county population tiers, opportunity zone, teacher recruitment, nurse recruitment, law enforcement recruitment, workforce development, economic development, relocation incentive, Alabama Department of Revenue, nonrefundable tax credit, tax carryforward, state income tax

Transcript Highlights:

• dyslexia screening after formative assessments any time during the year, and it directs the State Department
• It directs the State Department to let parents know that that's an option.
• And that would be up to the department in the rulemaking process, but that would certainly satisfy my

Bills: HB4491, HB3240, HB4146, HB4158, HB4159, HB3718

Keywords: extracurricular activities, charter schools, student eligibility, virtual education, Oklahoma Secondary School Activities Association, prayer, religious freedom, public schools, consent, First Amendment, school policy, paid maternity leave, school employees, public health, childcare, work-life balance, education, family leave, tuition, grant

Transcript Highlights:

• I'm here with Secretary of Workforce Development Department, Sweden Nair.
• Chair, members of the committee, Matthew Stack, pulling me off at the Albuquerque Chamber of Commerce
• Matthew Stackpole, with the Greater Albuquerque Chamber of Commerce.
• Allison Riley with the New Mexico Chamber of Commerce, in strong support of House Bill 80.
• Matthew Stackpole, on behalf of the Greater Albuquerque Chamber of Commerce.

Bills: SB241, SB145, HB2

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• The Commerce Committee is called to order. Secretary, please note the roll.
• Good afternoon, Chairman and members of the Commerce Committee.
• Department of Labor's wage and hour division.
• Department of Labor or to file a lawsuit.
• We've done everything we can to improve efficiencies within our labor department.

Bills: HB2174, HB2496, HB2744, HB2863, HB2910, HB2938

Keywords: insurance regulation, modeling organizations, financial disclosure, rate-making, predictive models, revitalization districts, construction contracts, infrastructure, municipal services, intergovernmental agreements, user fees, landowner agreements, overtime, wages, employee rights, industrial commission, complaints, adjudication, landlord, tenant

Summary: The Commerce Committee heard and advanced five bills. HB 2174, as amended by a strike-everything, redefined “advisory organization” as a modeling and data organization and allowed models used by insurers for rate-making to be filed with DIFI, with DIFI able to require supporting data to verify compliance. The sponsor said the measure was the product of extensive stakeholder negotiations and technical cleanup. The committee adopted the amendment and then approved the bill 10-0 for a due-pass recommendation. HB 2496 would require revitalization district construction contracts to include payment protections allowing contractors and subcontractors to pause or stop work if the district fails to pay. Supporters argued it was a fairness measure to prevent contractors from being forced to continue work without payment; opponents, including bond counsel and the League of Arizona Cities and Towns, warned it could disrupt public infrastructure projects, misalign incentives, and create bond-financing concerns. The committee passed the bill 9-1 with one member present. HB 2910 would extend from 10 to 20 days the time a contractor has to contest an ROC recovery fund claim after notice. The sponsor and Home Builders Association said it was a minor, technical change and requested more time to respond to claims. The committee approved it 10-1. HB 2938, the “penny” bill, would require Swedish rounding for cash transactions when pennies are unavailable, with an amendment clarifying taxes and fees are calculated before rounding and protecting businesses complying with the rule. The sponsor described inconsistent business practices and support from stakeholders; the committee adopted the amendment and passed the bill. HB 2744 would authorize the Industrial Commission of Arizona to investigate and adjudicate overtime wage violations at the state level. Supporters from the carpenters’ unions said federal enforcement is too slow and workers need a faster path to recover earned wages; the Industrial Commission said it would need additional FTEs and spending authority but not general fund money. One member opposed expanding agency authority over private wage disputes, but the committee ultimately passed the bill 10-1 and adjourned.

Transcript Highlights:

• > and<00:01:48.079> Industrial Department of Labor and Industrial Department of Labor and
• Right. >> Yeah, the Department of Health is also very large, and the reason for the director of the Department
• Whereas, um, to head the director of the Department of Health.
• Whereas, um, to head the director of the Department of Health.
• agency instead of department of health? agency instead of department of health?

Bills: SB2841, SB2533

Keywords: SB2841, human trafficking, trafficking awareness, transient accommodations, hotel industry, lodging, hospitality, hotel workers, housekeeping, front desk staff, contract workers, third-party contractors, employee training, signage, reporting requirements, National Human Trafficking Hotline, labor trafficking, sex trafficking, commercial sexual exploitation of children, anti-trafficking

Summary: The joint Judiciary, Labor, and Technology Committee heard two bills in the morning session and later took up two Judiciary decision-making items. SB 2841 would require human trafficking awareness training for transient accommodation workers. Testimony was generally supportive from the Department of Labor and Industrial Relations, the Department of Law Enforcement, and the Hawaii Hotel Alliance/American Hotel and Lodging Association, which also proposed amendments to preserve existing industry training programs and broaden coverage. Members clarified that the administration wanted DLE to be the lead agency instead of DLIR, while the Attorney General would still handle approval of training programs. The committee recommended passage with amendments, including coverage for third-party contractors and implementation dates, and the measure was adopted with no recorded opposition. SB 2533 would adjust the salaries of the Campaign Spending Commission’s executive director and associate director to better align with comparable enforcement/compliance positions. The commission supported the bill, saying its salaries lag behind similar offices by about $30,000 and that recruitment and workload have become more difficult, while one testifier opposed the proposal. Members questioned why the bill used the Department of Health as the salary comparator and whether Ethics would be a better benchmark; the committee agreed to revise the bill to peg the salaries to the Ethics Commission instead, blank out the dollar amounts for further review, and note the requested appropriation in the report. The committee recommended passage with amendments, and the measure was adopted. In the Judiciary decision-making agenda, SB 2203, concerning the use of masks or personal disguises by law enforcement officers, was amended to allow exceptions for officers who are unmasked nearby or who are supporting undercover operations, to change the term to “facial covering,” and to add definitions covering federal, state, and county law enforcement. The committee also set a far-future effective date and passed the bill with amendments. SB 2442, relating to judiciary purchase-of-service contracts with community-based organizations, was also passed with amendments; the committee added a far-future effective date, clarified the consumer price index reference, and noted a recommended appropriation amount of $4.26 million in the committee report. All measures were adopted without recorded no votes or reservations.

Transcript Highlights:

• Sher Bird uh Hawaii Police Department. Sher Bird uh Hawaii Police Department.
• So the department stopped or not moving.
• >> Hello chair sniffing with the department >> Hello chair sniffing with the department of
• We'll stand on Department of Taxation.
• Chamber of Commerce of interest as well.

Bills: HB1694, HB1695, HB1986, HB1797, HB1879, HB2034

Keywords: sustainable aviation fuel, tax credit, greenhouse gas emissions, renewable energy, Hawaii, economic development, carbon footprint, aviation sector, renewable fuels, local production, energy resilience, agricultural innovation, job creation, clean fuel standard, alternative fuels, carbon intensity, emission reduction, greenhouse gases, transportation, autonomous vehicles

Summary: The committee opened by explaining hearing procedures, including a two-minute oral testimony limit and that decision-making would follow after testimony. It then took up SB 20008, which would set 55 mph as the maximum speed limit on all parts of the DKI/Saddle Road highway. The bill’s introducer described it as a response to safety concerns and noted prior public opposition when the speed limit was lowered from 60 mph; the Hawaii Police Department was listed in opposition, while DOT and several individuals testified in support. No vote was taken during the portion provided. The committee next heard SB 20009, requiring new plates/tags or emblems for used motor vehicles transferred between private individuals, and SB 2026, which would require drivers approaching stationary vehicles on the shoulder or roadside to slow down and, if necessary, change lanes. The Attorney General supported SB 2026 but recommended narrowing and clarifying the language by removing references to shoulder/roadside, collision or mechanical problem, and other limiting definitions so the duty would apply more broadly and be easier to enforce; AAA and OMA also supported the measure. Members discussed the practical need for a mandatory move-over rule, especially for roadside workers and tow operators, and the committee heard concerns about enforceability on two-lane roads and in accident scenes. SB 2053 was then heard, authorizing electronic signatures on supporting documents used to transfer ownership of total-loss vehicles to insurers without notarization and requiring insurers to indemnify the finance director for claims arising from those electronic title issuances. The Hawaii Insurers Council, Copart, the City and County of Honolulu, and others supported the bill, with Copart describing it as a modernization that would reduce delays for total-loss settlements; technical amendments were requested. The committee also heard SB 2172, which would allow all-terrain vehicles to operate at night if equipped with lights and a slow-moving vehicle emblem, adjust helmet requirements, define utility terrain vehicles, and include ATVs in motor vehicle insurance law. DOT said it could support the bill only if limited to low-speed areas, and the insurance industry warned it could create a new insurance scheme; the City and County of Honolulu opposed while the Hawaii Farm Bureau and an individual supported. Finally, SB 2253 was introduced to expand first-degree negligent injury to include injuries negligently inflicted by intoxicated drivers, with DOT, county prosecutors, and the Honolulu Prosecutor’s Office in support; Honolulu prosecutors said they would oppose a proposed amendment because they wanted the language to preserve the offense as a lesser included offense tied to negligent homicide.

Bills: SB205, SB222, SB205, SB222

Keywords: appropriation, education funding, priority schools, Alabama education, State Department of Education, medical clinic board, clinic board, hospital bankruptcy, Chapter 11, bankruptcy, debt restructuring, municipal indebtedness, municipal bankruptcy, health care provider, acute care hospital, lease property, board immunity, director liability, civil liability, healthcare finance