Video & Transcript Research : 'stroke system'
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CA
California 2025-2026 Regular Session
Assembly Transportation Committee Jul 14th, 2025
Transcript Highlights:
- But these consequences can impact California's transportation system, too.
- We should have a statewide rail system.
- It's actually systemic for multi-jurisdictional projects.
- And again, just to make sure that it is the entire system. Yes.
- to contest a violation, easing the burden on our court system and our 911 services.
Summary:
The committee first took up SB 712, which would expand California’s smog-check exemption for classic vehicles by adding model years 1976 through 1986 in phases, with a sunset in 2032. The author and supporters, including lowrider advocates and the Specialty Equipment Market Association, argued the bill would preserve car culture, support a small class of rarely driven collector vehicles, and reduce burdens on owners who struggle to find equipment for older smog tests. Opponents, including air district officials, the American Lung Association, and other environmental groups, warned the bill would weaken an important emissions-control program and increase pollution. After discussion, the committee adopted the motion to do pass as amended to Appropriations on a roll call vote of 10-0, with the roll held open for additional votes.
The committee then heard SB 800, which requires Caltrans, working with local governments, to assess mitigation measures for suicide prevention on locally owned overpasses crossing state highways. The bill was presented as a response to recent tragedies in Rancho Cucamonga and was supported by local officials, health organizations, and suicide-prevention advocates, who said the measure would help identify high-risk locations and lead to life-saving interventions. There was no registered opposition. The committee members expressed support, and SB 800 was passed to Appropriations on a unanimous roll call vote, with the roll held open.
Next, the committee considered SB 30, which would prohibit California public entities from selling, donating, or transferring decommissioned diesel locomotives and railroad equipment with Tier 1 or older engines unless the engine is removed, while allowing Tier 2 and newer transfers under certain conditions. The author and supporters framed the bill as a climate and public-health measure to prevent older, dirtier locomotives from continuing to pollute elsewhere, while transit agencies opposed it, arguing it could limit useful transfers of equipment that still supports passenger service and could be better handled through case-by-case air-quality review. After debate, the committee voted 6-4 to pass SB 30 as amended to Appropriations, with the roll held open for later additions. The committee also heard SB 791, which replaces the flat dealer document processing charge cap with a 1% fee capped at $350, along with new disclosure requirements. Dealers and industry groups supported the bill as a way to recover costs and improve transparency, while consumer advocates opposed it as an unjustified increase that would burden buyers. The committee approved SB 791 on a 8-? roll call vote and held the roll open. The meeting then moved on to SB 34, a port-air-quality bill presented by Senator Richardson, but the transcript ends during testimony and debate on that measure.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (3-18-26) - Reupload
Transcript Highlights:
- dyslexia, all the way up to adults who are perhaps relearning that ability to communicate following a stroke
Keywords:
Due to a technical issue, the first part of the meeting did not stream live. This reupload restores that portion, 958, all
Summary:
The committee met with a quorum and heard four House bills, adjusting the order to accommodate members’ schedules. House Bill 510, on organ donation procedures, would require health care providers involved in organ procurement to pause the process if any signs of life are observed and restart the process if needed. The bill was presented as a consensus measure, received no opposition, and passed with favorable expression by unanimous vote and consent.
House Bill 176 would create a framework for insurers to implement a waiver program reducing prior authorization requirements before care is provided. The sponsor said the language had been worked out with insurers to cut red tape and improve transparency. The committee approved the bill unanimously with favorable expression and then consent.
House Bill 266 would add audiology and speech-language pathology to the Kentucky Healthcare Workforce Investment Fund eligibility list. Testimony emphasized that these professions are essential to patient care across the lifespan and meet the fund’s training and licensure standards. The bill passed unanimously with favorable expression and consent.
House Bill 393 concerned Alzheimer’s-related statutory cleanup, adding a caregiver council seat and requiring the council to develop and distribute an early detection and diagnosis toolkit for health care providers. The bill was supported as a way to improve Alzheimer’s awareness and care, with one senator explaining a yes vote in memory of a parent who had Alzheimer’s. It also passed unanimously with favorable expression and consent. The chair announced the next committee meeting would be Wednesday, March 25 at 8:00 a.m.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Elder Affairs Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- As you know, home care services are a vital and growing part of the health care delivery system.
- Home care is a much-needed, cost-effective, and humane part of the health care system.
- Let's expose the bad actors that abuse the system for their own gain.
- Sadly, we are one of only four states that do not have a licensure system.
- Sadly, we are one of only four states that do not have a licensure system.
Summary:
The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance.
The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers.
Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Jan 14th, 2026
Appropriations Committee on Health and Human Services
Transcript Highlights:
- The last item I want to discuss is funding for the health care connection system, also affectionately
- It also includes supports for our IT system.
- That's the system that, if you're applying for benefits, you utilize.
- It's also the system that our team works within to determine benefit eligibility.
- And that covers both the maintenance and operations, as well as enhancements to that system.
Summary:
The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management.
Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications.
Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.
FL
Florida 2026 5th Special Session
Appropriations Committee on Health and Human Services Jan 14th, 2026
Transcript Highlights:
- Of that $51.2 million, $47.7 million is for the continued modernization of the system.
- It also includes supports for our IT system.
- That's the system that, if you're applying for benefits, you utilize.
- It's also the system that our team works within to determine benefit eligibility.
- And that covers both the maintenance and operations as well as enhancements to that system.
Summary:
The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year.
AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment.
Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Arts, Entertainment, Sports, and Tourism Committee and Joint Committee on the Arts May 14th, 2025
Transcript Highlights:
- Similarly, right, in the education system, libraries are an essential part of the education system, but
- people in our positions, but that is the system that we work in.
- Those come from systemic problems in our society that stem from genocide.
- So the foundational aspects of these programs permeate the system.
- They don't feel like they have a support system that they can fall back on.
Summary:
The joint informational hearing focused on how recent federal actions are affecting arts, culture, humanities, libraries, museums, and the creative economy in California. Chair Ben Allen and Vice Chair Chris Ward opened by describing the hearing as a response to proposed and ongoing federal cuts to the NEA, NEH, IMLS, and public broadcasting, as well as grant terminations and leadership changes at cultural institutions. Several members emphasized the economic and civic importance of the arts, while one Republican member argued for greater ideological diversity in the arts and noted the loss of music programs in small schools.
Testimony from Aaron Harky of Americans for the Arts and Jolie Fisher of SAG-AFTRA described the impact of federal policy on grants, jobs, and production. Harky said executive orders and the FY 2026 budget proposal threaten arts agencies and arts education, and that rescinded grants are causing hiring freezes, shutdowns, and losses for small organizations, especially in rural and underserved communities. Fisher focused on runaway film and television production, outdated tax rules, and the need for federal incentives, intellectual property protections, and action on AI and digital replicas. Members also discussed bipartisan support, the role of business and tourism partners, and the need to include more diverse voices in arts advocacy.
The second panel featured Rick Noguchi of California Humanities, Greg Lucas of the State Library, and Danielle Purcell of the California Arts Council. Noguchi said NEH funding was cut immediately, putting California Humanities’ grantmaking and documentary programs at risk and prompting consideration of litigation and possible state support. Lucas reported that IMLS funding for California libraries was briefly canceled but partly restored, though a budget gap remains. Purcell said the California Arts Council is still awaiting federal award language for state partnership funds, but NEA grant terminations and the proposed elimination of federal cultural agencies create major uncertainty; she also said the council is assessing the damage and tracking impacts on grantees. Members asked about measuring outcomes, AI’s threat to creative work, documentary funding losses, and possible state and national strategies to protect cultural institutions and jobs.
NM
New Mexico 2025 Regular Session
IC - Investments and Pensions Oversight Jul 18th, 2025
Investments & Pensions Oversight Committee
Transcript Highlights:
- A new system.
- NTT is providing the independent verification and validation of the system.
- the new system, anytime there's missing information.
- In broad strokes, here's what I intend to cover.
- Is there any benefit to uniting the systems?
DE
Delaware 2025-2026 Regular Session
Senate Environment, Energy - Transportation Committee Meeting Jun 18th, 2026
Transcript Highlights:
- And so it's a little frustrating when it's a broken system. I get it, but it's a broken system.
- individual drives anyway and is pulled over, the police officer will run their license and see in the system
- to drive again, When the individual is clear to drive again, the ban is lifted and the flag in the system
- This is for, this could be a stroke situation, a seizure, or maybe some type of visual impairment.
Summary:
The committee met in hybrid format on June 18, 2026, but initially lacked a quorum, so minutes were not approved until later in the meeting after additional members joined. The committee heard a series of bills, with most receiving supportive testimony from sponsors, agency officials, advocacy groups, and frequent public commenter Robert Overmiller. Several measures focused on transportation and public safety, including HB 363 on residential speed limits, HB 384 extending DelDOT open-end contracts from three to five years, HB 413 allowing green flashing lights on road work and emergency vehicles, HB 456 streamlining subaqueous lands permitting, and HB 388 letting drivers with temporary medical suspensions keep their license for ID purposes while being flagged in the system as not allowed to drive. Members asked questions mainly about implementation, enforcement, and scope, and sponsors or agency witnesses explained that the bills were intended to improve safety, efficiency, and administrative clarity.
The committee also took up HB 111, which would require single-use food service items such as utensils, straws, napkins, and condiments to be provided only upon request, with exemptions for schools, nonprofits, health care facilities, correctional facilities, and similar settings. Supporters, including Plastic Free Delaware and the Sierra Club, said the bill would reduce waste and save businesses money, while opponents from the restaurant industry argued it could confuse customers, hurt tourism, and be difficult to enforce. Sponsors emphasized that restaurants could still ask customers if they wanted items and that the bill included a phase-in period and capped penalties. The committee also heard HB 393, a consumer protection bill for third-party electric suppliers that tightens oversight, training, reporting, renewal notices, and rate limits after concerns about misleading sales and unexpectedly high bills; it drew support from environmental advocates and members who had seen constituent complaints.
Finally, the committee heard HB 412 on hunting and trapping education and wildlife drug administration, which was described as a safety and modernization measure and supported by the Division of Fish and Wildlife and sportsmen’s groups, and SB 346, which would speed up Environmental Appeals Board hearings and decisions. SB 346 drew broad support from DNREC, the Nature Conservancy, the Sierra Club, and business groups, though one witness asked to clarify that Superior Court appeal rights would remain intact; DNREC confirmed they would. The committee also approved the June 10, 2026 minutes after quorum was established, and the meeting ended with a motion to adjourn and unanimous approval.
FL
Florida 2025 Regular Session
FL House Floor Session - 2025-03-19 (2:30PM Session)
Florida House Floor Meeting
Transcript Highlights:
- The second component is the increase of children coming into the system and the placement array.
- your interest in Senator Grall: this and your continued commitment to the children that are in our system
- what is not, and how we make sure Senator Grall: these services are available to the children in the system
- in hopes they don't repeat the cycle that placed them in the system.
- practice facilities, hospital capital improvement, and innovative training programs. that focus on stroke
MN
Minnesota 2025 1st Special Session
House Health Finance and Policy Committee 3/26/25
Health Finance and Policy
Transcript Highlights:
- <00:14:55.920>
disease, pharmarmacology, and systemic disease, pharmarmacology, and systemic - A slight error can spread cancer, scar tear drainage systems, paralyze nerves, or cause blindness.
- Medical school and residency training are a proven system that ensures competency and safety.
- system that ensures competency<00:19:54.480>
and <00:19:54.799>safety. - , which is a major obstacle for system, which is a major obstacle for all<01:30:22.360>
IMGs.
FL
Florida 2025 Regular Session
Transportation Mar 19th, 2025
NM
New Mexico 2025 Regular Session
IC - Investments and Pensions Oversight May 22nd, 2025
Investments & Pensions Oversight Committee
Transcript Highlights:
- places um the, you know, sole authority over managing investments in the boards of the different systems
- a large number of employees with relatively more generous pension benefits that are still in the system
- On how a system of individual retirement accounts funded by payroll deductions could improve our pension
- Perhaps we can have an engaging dialogue between, um, Maybe that's not the only system.
- I was recommending that yes, we have various systems of retirement, various retirement systems available
NM
New Mexico 2025 Regular Session
House - Health and Human Services Mar 5th, 2025
House Health & Human Services
Transcript Highlights:
- This bill would also create a reporting system to help shed light on the problem and get more information
- We also need to discuss why there's a prescription drug monitoring system.
- It is very clearly a problem, and I just want to reiterate the piece on the pharmacy system.
- I helped push for updates to our medical care system.
- Federal law does, federal sources of money do come into the system, but ultimately, the requirements
TX
Transcript Highlights:
- testify in person today, please ensure that you're registered with the electronic witness affirmation system
- That support geothermal water conveyance systems.
- These systems provide clean, affordable energy for heating and cooling, reduce monthly utility bills,
- They leverage natural heat sources, including lakes, rivers, wastewater systems, and underground energy
- These are not abstract systems; they're built and maintained right here in Texas.
Bills:
HB386, HB1449, HB1701, HB2142, HB2675, HB2857, HB3063, HB3171, HB3641, HB3732, HB4045, HB4370, HB4491, HB4505, HB4626, HB5267, HB5356
Keywords:
construction contracts, change orders, local government, budget limits, Texas legislation, HB 1449, mobile food vendors, food trucks, mobile food service establishments, permits, county health permit, municipal permitting, Health and Safety Code Chapter 437A, Chapter 437, inspection agreements, permit reciprocity, fee cap, preemption, large counties, population over one million
HI
Hawaii 2026 Regular Session
FIN Info Briefing - Tue Jan 6, 2026 @ 9:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- ,<00:17:20.160>
including civil service system, including civil service system, including - uh EFS, the enterprise financial system. uh EFS, the enterprise financial system.
- looking at some kind of um HR system looking at some kind of um HR system whether<00:23:15.919><
- >
system emergency reporting information system emergency reporting information system where<01 - up. across the system applications are up. across the system by<01:37:54.719>
122%.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 22 Morning Session Mar 10th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- They are our state's only Joint Commission certified stroke center.
- nurses, associates, community members, and legislators, we're one of the region's largest health systems
- We have other opportunities in our higher ed education system for partnerships through Research at this
- This punishment resulting in great Bodily harm should not be on the list for a GPS monitor system.
- System to warn people, scare them, cause mayhem. Correct?
Bills:
HB4104, HB3722, HB3787, HB3700, HB3701, HB3310, HB3404, HB2964, HB2398, HB3024, HB3499, HB3278, HB3279, HB3645, HB3649, HB2293, HB3260, HB3176, HB3177, HB3114, HB3172, HB3322, HB3323, HB4248, HB3720, HB2210, HB1322, HB1937, HB3301, HB4107
Keywords:
Oklahoma criminal law, felony classification, Class B5, Class D1, sentencing enhancement, repeat offender, domestic violence, stalking, voyeurism, peeping tom, clandestine recording, hidden camera, privacy offense, sex offender registry, Sex Offenders Registration Act, protective order violation, animal cruelty, cockfighting, dogfighting, public safety
NM
New Mexico 2025 Regular Session
House - Government, Elections And Indian Affairs Feb 5th, 2025
House Government, Elections & Indian Affairs
Transcript Highlights:
- Because when you start taxing the system this way, putting rental properties at risk, then you're putting
- believe that this bill is the bare minimum step towards fairness, dignity, and a more humane housing system
- Indeed, in 2023, one in five animals that entered the sheltering system were euthanized.
- When they enter the sheltering system, many shelters also operate with inadequate infrastructure.
- events brought to these communities, including new diagnoses of lung diseases, increased rates of strokes
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/26/25
Health and Human Services
Transcript Highlights:
- rebuilding a sustainable rate system rebuilding a sustainable rate system which<00:14:10.360>
- I'm worried about the system as a whole.
- I'm worried about the system as a whole.
- I'm worried about the system as a whole.
- <01:45:21.960>
located is a rural healthc care system located is a rural healthc care system
MO
Transcript Highlights:
- having a... ...creating a more business, pro-business environment by not having a crazy high wage system
- So if I have a heart attack or a stroke out on my cattle farm, which I really wish I was there today
Summary:
The Missouri House Legislative Rules Committee held a rare public hearing on House Bill 2243, sponsored by Rep. Bryant-Wolfen, which would repeal a local sales tax exemption for certain industries that was enacted in a prior omnibus bill tied to the Wayfair-related tax changes. The sponsor argued the exemption shifted revenue away from counties and onto local residents, and said the bill would restore local tax collections that had been lost without a guaranteed replacement. Several members questioned whether the proposal amounted to a tax increase on manufacturers and whether it could deter investment or job growth; the sponsor responded that the tax burden had already been shifted to Missourians and that other pro-business reforms could address competitiveness.
Supporters from Iron County, St. Genevieve County, and Adair County testified that the exemption had reduced local revenue for roads, law enforcement, ambulance, and 911 services. They described budget shortfalls, service cuts, and the impact on counties that had already approved local sales or use taxes by voter approval. One Iron County commissioner said the loss of revenue had forced higher property tax levies and reduced ambulance coverage, while St. Genevieve officials cited large drops in monthly sales tax receipts and rising costs. Adair County officials said the exemption affected revenue from large solar and wind projects and argued that the taxes were intended to support local infrastructure and schools.
Opponents, including Associated Industries in Missouri, argued the exemption was originally adopted to keep Missouri’s tax system uniform and compliant with the U.S. Supreme Court’s Wayfair framework for out-of-state sellers. They warned that removing the exemption could create a $35 million annual burden on manufacturers and potentially jeopardize broader local use-tax collections if the state’s system were challenged again. Committee members also discussed the possibility of requiring local voter approval or a replacement revenue source before changing the exemption. No vote was taken during the hearing, and the chair said he planned to execute the bill later in the week.
NM
New Mexico 2025 Regular Session
House - Appropriations and Finance Mar 18th, 2025
House Appropriations & Finance
Transcript Highlights:
- reducing air pollution from fires and fossil fuels will lower rates of lung disease, heart attacks, strokes
- Reporting and accounting system. So, I could use a little tutorial, Mr.
- Chair, to accounts as reflected in the central financial reporting and accounting system.
- Chair, Representative Brown, that's basically the SHARE system.
- It's the accounting system of the state. Thank you. OK. Mr.