Transcript Highlights:

• they're medically retired and they go home before 20 years, somewhere down the road they run into a disability
• Department of Education and local public school governing authorities to develop and submit a report on accommodation
• the Department of Education and local school boards to develop a report on how they could better accommodate
• the Department of Education and local school boards to develop a report on how they could better accommodate

Bills: HB410, HR310, HR314, HR316, HR317, HR321, HR275, HR276, HR279, HR282, HR286, HR289, HR292, HR295, HR302, HR319, HR307, HR273, SCR59, SCR61, SCR62, SCR68, SCR69, SCR70, SCR54, SCR55, SCR64, SCR75, HCR32, HB776, HB42, HB119, HB159, HB302, HB1017, HB1028, SB217, SB283, HB953, SB208, HR74, HB998, HB901, HR20, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, SB97, SB123, SB237, HB36, HB74, HB75, HB258, HB259, HB414, HB459, HB784, HB848, HB956, HB1095, HB1220, HB1252, SB469, SB479

Keywords: recording, privacy, notification, direct conversation, law enforcement, first responder, penalties, oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding

Transcript Highlights:

• they're medically retired and they go home before 20 years, somewhere down the road they run into a disability

Bills: HB410, HR310, HR314, HR316, HR317, HR321, HR275, HR276, HR279, HR282, HR286, HR289, HR292, HR295, HR302, HR319, HR307, HR273, SCR59, SCR61, SCR62, SCR68, SCR69, SCR70, SCR54, SCR55, SCR64, SCR75, HCR32, HB776, HB42, HB119, HB159, HB302, HB1017, HB1028, SB217, SB283, HB953, SB208, HR74, HB998, HB901, HR20, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, SB97, SB123, SB237, HB36, HB74, HB75, HB258, HB259, HB414, HB459, HB784, HB848, HB956, HB1095, HB1220, HB1252, SB469, SB479

Keywords: recording, privacy, notification, direct conversation, law enforcement, first responder, penalties, oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding

Summary: The House convened with a quorum, opened with prayer, the pledge, and a national anthem performance, then moved through several personal privileges and recognitions. Members welcomed a student cancer survivor and entrepreneur, Bella of Brave Bella Bead Company, and also recognized a new legislative assistant, a page leaving for college, and a resolution honoring National Mississippi River Day. The chamber also received conference committee reports and enrollment reports, and returned some previously failed measures to the calendar, including H.R. 119 and H.B. 410. The main floor action centered on a series of Senate concurrent resolutions, most of which were adopted overwhelmingly. These included SCR 59 on re-evaluating flood maps and insurance rates tied to the Comite River Diversion Canal, SCR 61 urging higher reimbursement for behavioral health crisis centers, SCR 62 calling for review of school-zone safety and speed limits, SCR 68 creating a blockchain and digital innovation task force, SCR 69 encouraging continued research to reduce sugarcane burning, SCR 70 supporting the Major Richard Star Act for medically retired combat-wounded veterans, SCR 54 supporting the Mississippi River Basin Fishery Commission Act, SCR 55 designating the Peggy Martin Rose as the official state rose, SCR 64 creating a construction manager-at-risk task force, SCR 75 studying a Louisiana maneuvers museum and trail, and SCR 80 creating a task force on the minimum foundation program and long-term teacher pay funding. Most passed with little or no opposition, with SCR 84 on earthquake seismic activity in several parishes amended to adjust task force membership before final adoption. The House also heard a personal privilege statement honoring the late Ponder P.C. Clinton Jr., a noted Black farmer, cattleman, and community leader in Shreveport’s Cedar Grove neighborhood, and expressed condolences to his family. Later, members received a hurricane-season reminder from Rep. Jay Galle about disaster response procedures and the need to work through parish emergency offices. The transcript ends as the House moves into additional concurrent resolutions returned from the Senate with amendments.

Bills: HB2117, HB2155, HB1832, HB1601, HB2297, HB2397, HB1893, HB2533, HB1890, HB2004, HB1810, HB2323, HB1691, HB1671, HB2619, HB1481, HB2314, HB2319, HB2214, HB2488, HB2009, HB2007, HB1964, HB2218, HB1535, HB1977, HB2054, HB2046, HB146, HB2094, HB2181, HB2515, HB2444, HB2385, HB1724, HB1733, HB2416, HB2001, HB1603, HB1753, HB2140, HB1962, HB1963, HB2096, HB1959, HB1960, HB2293, HB2288, HB1752, HB1573, HB469, HB2091, HB1851, HB1688, HB1696, HB2417, HB2375, HB2333, HB2152, HB1881, HB2395, HB1721, HB1921, HB1730, HB1697, HB1824, HB2282, HB2078, HB2321, HB2279, HB1522, HB2097, HB2433, HB2106, HB2274, HB2452, HB1764, HB2438, HB1860, HB2604, HB2118, HB2017, HB2216, HB1934, HB2454, HB2427, HB2207, HB1840, HB1644, HB1645, HB1946, HB1648, HB2324, HB1509, HB1514, HB1515, HB2164, HB2165, HB2283, HB2386

Keywords: arts education, data mapping, task force, creative economy, cultural preservation, workforce development, geographic information systems, agriculture, data collection, statistical program, sustainable practices, Hawaii, aquaculture, biosecurity, food security, sustainable seafood, regulatory framework, interagency coordination, environmental stewardship, invasive species

Transcript Highlights:

• presentation from the University of Arkansas program supporting students with autism and other disabilities
• Other disabilities. If, okay, we're gonna, I'm gonna say these names correctly, right? Okay.
• To talk about the two programs for our students with autism and other disabilities.
• studies and disability services, autism waiver program.
• This is not a neurodivergent- or disability-only development, but the intent is to have an integrated

Summary: The meeting opened with routine business, including approval of the January 13, 2026 minutes, and a brief recognition of Autism Awareness Month. The task force then heard a presentation from the University of Arkansas College of Education and Health Professions on two student support programs: the Empower Program for non-degree-seeking students ages 18–24 with mild intellectual disabilities, and the Autism Support Program for degree-seeking students with autism. Speakers described academic coaching, peer and career coaching, residential supports, person-centered planning, internships, and scholarship/fee structures, noting that both programs charge a $5,000 per-semester fee and rely on scholarships and fundraising to offset costs. Members asked about dorm arrangements, individualized plans, and how students transition in and out of supports; presenters explained that Empower students remain in the program throughout, while Autism Support Program students may enter or leave services as needed. The committee next heard from Pulaski Technical College’s 3D program, a three-year transition and post-secondary program for students with intellectual and developmental disabilities focused on culinary, baking, and hospitality training. Presenters outlined integrated classes with traditional students, faded support over time, internships, and outcomes such as 97 students enrolled since the program began, 57 graduates, strong completion rates, and many graduates obtaining and retaining jobs in the food service industry. Members asked about how success is measured, why rates are not 100 percent, the role of integrated classes, tuition, and community partnerships; staff explained that grading includes technical and professional skills, tuition is $5,700 per semester, and scholarships such as GETS and FAFSA help reduce costs. They also noted plans to expand offerings and pursue accreditation through the Inclusive Higher Education Accreditation Council. Finally, the task force received a presentation from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, community activities, and advocacy. Leaders described a long-term vision tied to the Cato Springs mixed-use development, where housing, jobs, clinical services, and community amenities would be integrated in a “live, work, play” model. They discussed a residential program, a new vocational program called Program Forge, community events, and the challenges of the “services cliff” after age 21, especially for adults with complex support needs. Members and parents spoke about the importance of trained direct support professionals, ABA-based supports, and the need for better funding and service models for adults. The meeting ended with announcements about upcoming autism-related events and a request for future discussion on task force appointments and broader issues around ABA oversight and misuse.

Transcript Highlights:

• We're trying to accommodate everybody. You know what I mean, too? And who are we missing?
• He should be on 100% disability, but his application with the VA has reached a stalemate, and we can't
• I'm also the parent of a child with a disability.
• blessed and lucky that my student is now thriving in a school that meets his needs and is able to accommodate
• Okay. ...who's now thriving in a school that meets his needs and is able to accommodate him.

Keywords: 995, all

Summary: The hearing of the Joint Committee on Veterans and Federal Affairs was opened by Chair Joe McGonagle and Vice Chair Senator Mike Rush, who noted that Chair John Velis was deployed with the Massachusetts National Guard. The chairs explained the hybrid format, three-minute testimony limit, live streaming, and filing deadlines, and said the committee would hear 11 House bills and eight Senate bills dealing with federal and overseas issues. Much of the hearing centered on competing resolutions about Article 5 constitutional conventions, along with related resolutions on D.C. statehood, child labor, Citizens United, and Cambodia. Supporters of H. 4692 and S. 284, a joint resolution to rescind all prior Massachusetts Article 5 convention applications, argued that old resolutions from the 1930s and 1970s could be used to count Massachusetts toward the 34-state threshold for calling a federal constitutional convention. Testifiers from Common Cause, the League of Women Voters, the ACLU, Reproductive Equity Now, labor groups, and others warned that a convention would have no clear rules, could not be reliably limited to specific topics, and could put civil rights, reproductive rights, labor protections, and other constitutional protections at risk. Several speakers also cited a recent federal lawsuit and said the safest course was to remove outdated applications from the books. A large opposing panel testified in support of H. 3888, a resolution calling for a Convention of States to propose amendments limiting federal power, imposing fiscal restraints, and establishing term limits. Supporters argued that Article 5 provides a lawful way to address federal overreach, debt, and congressional stagnation, and said the process would be limited by state applications and ratification by 38 states. Some committee members and witnesses raised concerns about a runaway convention, broad language in the resolution, and whether Congress could or should set rules for such a convention. Representative Gentile also testified in support of several related resolutions on overturning Citizens United, D.C. statehood, and the child labor amendment, while Representative Howard and Representative Tongue supported a Cambodia resolution condemning political oppression and urging free and fair elections. No votes or final actions were taken during the hearing.

Transcript Highlights:

• This bill allows the Texas Atlantic Groundwater District to accommodate its Board of Directors.
• This bill allows the Texas Atlantic Groundwater District to accommodate its Board of Directors.
• Metcalfe relating to increasing the criminal penalty. for the offense of indecent assault against a disabled
• Metcalf relating to increasing the criminal penalty for the offense of indecent assault against a disabled
• Texas law reflects the seriousness of crimes committed against our most vulnerable individuals and disabled

Bills: HB2293, HB2694, HB2999, HB3694, HB3254, HB4662, HB5629, HB5632, HB5675, HB5664, HB5671, HB5680, HB5682, HB5693, HB4158, HB5695, HB4669, HB5696, HB5698, HB5677, HB5699, HB5694, HCR81, HCR83, HCR84, HCR89, HCR111, HCR142, HR868, SB682, SB1351, SB1895, SB1931, SB2141, SB3044, SCR1, SCR6, SCR37, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HB75, HB5354, HB4683, HB4847, HB1449, HB3833, HB265, HB1845, HB 108, HB1960, HB1955, HB2512, HB2581, HB2803, HB1738, HB636, HB2638, HB2655, HB871, HB 1107, HB1765, HB1822, HB3679, HB4099, HB3732, HB3171, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2658, HB2757, HB2080, HB3063, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3405, HB475, HB3463, HB3441, HB3520, HB3178, HB158, HB2060, HB4991, HB1991, HB5596, HB2014, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB4916, HB5624, HB4505, HB5093, HB5302, HB5402, HB5606, HB4630, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5520, SB1177, SB1559, SB746, SB434, SB1383, SB1214, SB1079, SB3031, SB2141, SB2185, SB1895, SB1241, SB901, SB1883, SB552, HB 1249, HJR218, HB5623, SB687, SB1332, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141, HCR46, HCR109, HCR10, SB3037

Keywords: Sweeny Hospital District, board of directors, local governance, elections, healthcare administration, Brazoria Drainage District, commissioners, vacancies, resignation, hydrogen vehicles, weight limitations, transportation, environmental impact, clean energy, deep fake, intimate depictions, consent, digital media, criminal penalties, State Board of Education

Transcript Highlights:

• directs the California Fish and Game Commission to adopt regulations that provide reasonable accommodations
• to thank the author for your leadership on this, and, gentlemen, as a veteran and as a dad to a disabled

Keywords: 988, house, all

Transcript Highlights:

• Um, I also want to say thank you for accommodating my schedule.
• <00:14:02.639> my to say thank you for accommodating my to say thank you for accommodating
• This was a lawsuit where even though users had tracking disabled, you're familiar.
• This was a lawsuit where even though users had tracking disabled, you're familiar.
• Well, if accommodate current technology.

Keywords: 1183, house

Transcript Highlights:

• They will make any accommodation to your seating or needs that you need. Please let us know.
• They will<00:00:46.800> make<00:00:46.960> any<00:00:47.120> accommodation<00:00
• :47.680> to<00:00:47.920> your will make any accommodation to your will make any accommodation
• People with disabilities and seniors and the workers who work for them.
• <02:18:47.599> the but we'll have to accommodate the but we'll have to accommodate the members

Keywords: 1187, senate, all

Transcript Highlights:

• Chair and members, Samuel Jan with Disability Rights California.
• youth experiencing racial, gender, or disability discrimination in school.
• Samuel Jan with Disability Rights California, in support. Thank you.
• Thank you for accommodating our presentation. Members, I'm going to be presenting SB 1256.
• Disability Rights California, strong support. Disability Rights California, strong support.

Summary: The committee heard several bills focused on civil rights, housing, public safety, and administrative process. Early items included SB 46, which would authorize the Secretary of State to remove constitutionally ineligible presidential and vice presidential candidates from California ballots; SB 1078, requiring notice to the Civil Rights Department when court filings involve civil rights violations; SB 989, expanding access to Care Court by letting first responders refer cases through county behavioral health agencies; SB 998, clarifying and expanding discrimination prevention coordinators in the new Office of Civil Rights; SB 1146, requiring disclosure for AI-generated health advertisements and giving physicians a limited private right of action; SB 1164, a California Voting Rights Act expansion responding to federal voting-rights rulings; SB 1256, a housing bill aimed at limiting repeated litigation over the Harmony Grove Village South project; SB 1267, addressing HOA liability and indemnification for EV charger installations; and SB 1425, authorizing an encroachment permit program for high-speed rail right-of-way management. The committee also later heard SB 873, restricting ICE arrests near courthouses, and SB 1160, requiring eviction data reporting by zip code. Most bills drew support from sponsors, advocacy groups, labor organizations, or local officials, while opposition centered on concerns about county workload, due process, fire safety, civil liberties, or the scope of the policy changes. Members generally expressed support for the bills while noting unresolved issues and the need for amendments or further stakeholder work, especially on SB 1164, SB 1256, SB 1267, SB 1425, and SB 1160. The Judicial Council opposed SB 1160 because of the burden of adding zip-code reporting to court systems, while the author and supporters argued the data would help target eviction-prevention efforts. SB 873 drew strong support from public defenders, immigrant-rights groups, and court-related stakeholders, with the San Bernardino County Sheriff’s Department opposing. SB 989 drew support from firefighters and family advocates, while Disability Rights California opposed, arguing Care Court is too costly and diverts resources from community-based services. SB 1164 received broad civil-rights and voting-rights support, with cities opposing unless amended over definitions, cure periods, and litigation risk. SB 1256 drew support from housing and labor interests and opposition from local residents and environmental groups concerned about fire safety and evacuation. SB 1267 was supported by the HOA and utility stakeholders after amendments addressing liability concerns. After quorum was established, the committee voted to pass a consent calendar and then approved the listed bills, sending them to the appropriate committees or to Appropriations, including SB 46, SB 873, SB 989, SB 998, SB 1078, SB 1146, SB 1164, SB 1256, SB 1267, and SB 1425. The transcript ends with SB 1160 still under discussion, with members indicating support for the bill’s goals but acknowledging the Judicial Council’s implementation concerns and the need for further work.

Transcript Highlights:

• I appreciate your flexibility and accommodation in appearing remotely.
• For example, disability is an access challenge.
• Disability is an access challenge for people living with disabilities, and it's not related necessarily
• It's related to their disability.
• How do we ensure that the disability community, for example, is not left behind if the enumeration of

Summary: The Appropriations Committee on Higher Education first took up a block of confirmation hearings for trustees and board members at several public universities and state colleges. Appointees from Florida A&M University, Florida International University, New College of Florida, Pasco-Hernando State College, South Florida State College, Valencia College, Florida Atlantic University, and the University of Florida described their backgrounds and emphasized themes such as governance, student success, workforce alignment, fiscal stewardship, research growth, and institutional reputation. Members asked a few questions, but most nominees received no substantive opposition. The committee then voted unanimously to recommend confirmation of the group of appointees on tabs 3 through 18 and forwarded them to Ethics and Elections. The committee next heard Senate Bill 114 by Senator Trumbull, which would create the Florida Center of Excellence in Insurance and Risk Management at Florida State University, move the public hurricane loss projection model from FIU to FSU, and provide funding for the effort. Trumbull said the bill is intended to strengthen the state’s insurance research capacity and broaden study of insurance lines beyond wind risk. Senators asked about the impact on FIU and the distinction between the new center and existing FIU work; Trumbull said FIU’s Wall of Wind would remain and that the state-owned model would simply be contracted to FSU instead of FIU. The committee reported the bill favorably. The committee then considered Committee Substitute for Senate Bill 1624 by Senator Calatayud, a wide-ranging higher education bill addressing tuition, workforce programs, institutional operations, and naming changes. Amendments were adopted to create state college regional consortium service organizations for rural colleges, remove a proposed out-of-state fee change for nonresident online students, extend university master plan update cycles from five to 10 years, and rename Hillsborough Community College as Hillsborough College. The bill also changed several references from specific minority categories to “underrepresented,” revised aid and waiver provisions, adjusted adult education and career program rules, and made other technical changes. Senators Smith and Davis questioned the shift away from enumerated categories, arguing it could obscure disparities affecting groups such as Black students, women in STEM, and students with disabilities; Calatayud said the intent was to focus on socioeconomic access and flexibility for institutions. After debate, the committee voted 6-2 to report the bill favorably, with Senators Davis and Smith voting no, and then adjourned.

Transcript Highlights:

• of disabled students.
• I just think we need to kind of work a little more specifically accommodating some of the STEM courses
• I'm the policy director at Disability Rights Education and Defense Fund, DREDF, and I speak on behalf
• Today, our board continues to include both disabled persons and parents of kids with disabilities.
• I reiterate our desire to work with the authors of AB 2490 to make sure the bill works for disabled,

Keywords: 987, senate, all

Transcript Highlights:

• Disability is a natural part of the human condition.
• And disability advocates work on policy. That's what led me, Mr.
• with disabilities of all sorts.
• Only for students with disabilities. It's for the general population.
• Students with disabilities need a different type of approach.

Bills: HB111, HB103, HB60, HB108, HB120, HB145, HB154, HB164, HB291, HJR6, HR1, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM11, HM14, HM21, HM34, HM50, HB38, HB47, HB63, HB64, HB127, HB165, HB184, HB200, HM20, HM51

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• There is an asset limit for people who are 65 or older, and people who are disabled.
• About 60% of Medicaid spending is for older adults and people with disabilities.
• And those that don't, the vast majority of that group, have a reason: a disability.
• Two, when you talk about the new adults, these are not disabled. These are not children.
• These are not disabled. These are not children. They are not aged; they are not elderly.

Bills: HB44, HB400, HB444, HB487, SB249, SB252, SB58, HB44, HB400, HB444, HB487, SB249, SB252, SB58

Keywords: teachers retirement, credit purchase, St. Clair County, DAY Program, pension reform, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, HB444, vaccines, vaccine exemption, religious exemption, religious liberty, private school, church school, faith-based school, parochial school, school immunization

Transcript Highlights:

• those convicted of human trafficking, specifically of minors and individuals that have mental disabilities

Bills: HB1322, HB3053, HB3180, HB3244, HB3269, HB3299, HB3301, HB3302, HB3430, HB3497, HB3584, HB3586, HB3587, HB3606, HB3742, HB3743, HB3755, HB3764, HB3767, HB3835, HB3848, HB3903, HB3905, HB4108, HB4130, HB4142, HB4227, HB3996

Keywords: domestic violence, offenders registry, public safety, law enforcement, victim protection, conviction records, elderly, parole, criminal justice reform, inmate rehabilitation, Oklahoma statutes, firearms, handgun permits, self-defense, training requirements, Oklahoma Self-Defense Act, elderly exploitation, identity theft, crimes and punishments, criminal offenses

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Bills: HB4139, HB4143, HB4144, HB3974, HB3303, HB3790, HB3697, HB3262, HB4226, HB2936, HB3322, HB4296, HB3278, HB4202, HB3648, HB3500, HB3037, HB3428, HB3257, HB3432, HB3043, HB3044, HB3078, HB3940

Keywords: home warranty, service contracts, transparency, insurance regulation, consumer protection, motor vehicles, traffic collisions, car accident, auto accident, crash report, collision report, property damage threshold, Department of Public Safety, DPS, law enforcement reports, insurance claims, financial responsibility, uninsured motorist, private property accidents, public roadway

Bills: HB34, HM7, HM8, HM17, HM3, HM11, HM14, HM15, HM21, HM25

Keywords: HB34, school nurse, school nurses, nurse licensure, licensure, charter school, charter schools, school district, public education, Department of Health, Public Education Department, registered nurse, RN, mentorship, evaluation, competency, teacher salary parity, minimum salary, level one license, level two license

Transcript Highlights:

• requirements of school districts and charter schools regarding distance learning and students with disabilities
• requirements of school districts and charter schools regarding distance learning and students with disabilities

Bills: HM3, HM11, HM14, HM15, HM21, HM25, HB9, SB2, SB19

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