Video & Transcript Research : 'modification'
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TX
Transcript Highlights:
- does provide a process whereby a three-fourths majority of the city council can make necessary modifications
Bills:
SB32, SB464, SB996, SB1163, SB1173, SB1277, SB1452, SB1453, SB1548, SB1882, SB1883, SB2016, SB 32
Keywords:
ad valorem taxation, tax exemption, franchise tax credit, income production, personal property, SB 464, school buffer zone, tobacco retailer, vape shop, e-cigarette, vaping, nicotine, tobacco products, retail permit, comptroller, Class A misdemeanor, school proximity, youth access, public school, private school
TX
Transcript Highlights:
- easily, but does provide a process whereby a 3/4 majority of the city council can make necessary modifications
Bills:
SB 32, SB 464, SB 996, SB 1163, SB 1173, SB 1277, SB 1452, SB 1453, SB 1548, SB 1882, SB 1883, SB 2016
Keywords:
ad valorem taxation, tax exemption, franchise tax credit, income production, personal property, SB 464, school buffer zone, tobacco retailer, vape shop, e-cigarette, vaping, nicotine, tobacco products, retail permit, comptroller, Class A misdemeanor, school proximity, youth access, public school, private school
TX
TX
Transcript Highlights:
- the bill, and then it says the TRS statute defines actuarial soundness for purpose of of making modifications
Keywords:
public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace
TX
Transcript Highlights:
- A modification is required for I also believe the United States Postal Service, under no conditions,
Keywords:
Texas Commission on Environmental Quality, water regulation, environmental protection, pesticide management, natural resources, LP-gas, property owner notice, gas installations, safety notification, petroleum theft, task force, oil and gas, law enforcement, economic impact, environmental regulation, water permits, water quality, land application, 1185, senate
NH
New Hampshire 2025 Regular Session
House Environment and Agriculture (02/04/2025)
Transcript Highlights:
- the veterinarian will counsel them and talk to them about not doing this and what other behavior modification
- The veterinarian will counsel them and talk to them about not doing this and what other behavior modification
- basically<05:20:33.240>
that those 10 words basically that those 10 words basically that modification - 35.040>
it <05:20:35.280>clear <05:20:36.160>that <05:20:36.360>our modification - makes it clear that our modification makes it clear that our their<05:20:36.840>
job <05:20:37.280
Summary:
The Environment and Agriculture Committee met in work session on several bills, beginning with HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training. Members said the bill had been sent to the Animal Protection and Licensing Subcommittee, where Representative Kuttab is expected to schedule a meeting soon to consider possible amendments based on testimony and other ideas. The committee later returned to HB 153 and confirmed a work session was planned for February 14, with discussion also including whether to explore a task force concept raised in testimony.
The committee also discussed HB 215 and HB 566, both related to landfill permitting and leachate or harm/benefit reporting. Representative Gerana said he had met with the DES director and was working on amendments that would add a preliminary screening phase for determining net public benefit and expand the list of benefits beyond capacity need to include items such as economic and infrastructure benefits. HB 566 was said to be in the same posture as HB 215, and both were slated for subcommittee review the following Tuesday morning. HB 171 was also added for subcommittee discussion, with members saying the changes would be technical rather than substantive.
HB 240, which removes forfeiture penalties for non-payment of dog licenses, drew support for a simple amendment changing a statutory “shall” to “may” so municipal officials would have discretion about issuing a warrant. Representative Bixby said OLS advised that this was the cleanest way to provide flexibility, and he reported that the sponsor was agreeable to the change. The committee also discussed HB 179, concerning hazardous waste accident fees, where the sponsor proposed a revised amendment imposing a $1,000-per-day penalty after 90 days of non-payment. Members raised concerns about homeowners, hobby farmers, and whether the bill could unfairly burden people who were not negligent or whose insurance claims were delayed. The sponsor and others said the intent was to recover costs from responsible parties, especially businesses, and to protect local taxpayers and fire departments from bearing the cost of damaged hazardous materials equipment. No votes were taken; the bills were left for further subcommittee work and amendment drafting.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Environment and Natural Resources Jun 21st, 2026 at 01:00 pm
Joint Committee on Environment and Natural Resources
Transcript Highlights:
- The beaver population exploded and mandated a modification of the law to allow for effective removal
- S. 634 is a modification of the law to allow for the use of the Conibear during the regulated season,
- S634 is a modification of the law to allow for the use of the kind of bear during the regulated season
Summary:
The committee hearing covered a wide range of animal, wildlife, hunting, and environmental bills. Early testimony focused on deer management, with Rep. Markey urging creation of a deer commission to address crop damage, vehicle collisions, and Lyme disease, and Sen. Durant supporting bills to allow Sunday bow hunting, expand crossbow use, and reduce the 500-foot dwelling restriction for archery hunting. Supporters framed these measures as practical wildlife-management tools, while questions centered on how they would differ from existing Fish and Wildlife authority and whether they would allow hunting closer to residences. Later, Rep. Sena also spoke in support of a bill to increase protected wildlife management areas and another to require non-lead ammunition, arguing both would benefit biodiversity and reduce environmental harm.
A substantial portion of the hearing addressed animal welfare and commerce. Multiple witnesses supported bills to ban or phase out the retail sale of dogs, cats, rabbits, and guinea pigs in pet shops, arguing that pet stores rely on puppy mills and obscure the source of animals, while opponents said the bills would hurt responsible breeders, small businesses, and consumer choice. The committee also heard strong testimony for bills to ban the sale of cats and dogs in pet shops, with supporters citing sick animals, consumer deception, and the need to cut off the puppy mill supply chain. In a separate animal-testing segment, witnesses backed bills requiring non-animal testing methods for cosmetics and household products, saying alternatives are more accurate and humane; biomedical research representatives opposed those bills and a related research-animal measure, warning of unintended restrictions on research institutions and arguing animal models remain necessary for many studies.
The committee also heard testimony on horseshoe crab conservation, with supporters of H. 898 urging an end to taking horseshoe crabs for bait because of population declines, shorebird impacts, and the species’ importance to biomedical science. On wildlife trafficking, witnesses backed bills to ban intrastate sales of ivory and rhino horn, saying Massachusetts should close loopholes that aid poaching and align with federal law and other states; one antique dealer testified in support, saying he avoids such items and still sees them in the marketplace. Additional testimony supported bans on fur products from factory farms and on force-feeding birds for foie gras, with advocates emphasizing cruelty, public health, and environmental concerns. The hearing was lengthy and heavily attended, with the chairs repeatedly limiting testimony to three minutes and inviting written submissions; no committee votes or final actions were taken during the transcript excerpt.
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 120 May 14th, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- Senate Bill 78 by Senators Mobble and Kirk and Representative Smith and Tagert, concerning modifications
- Bill 1289. >> House Bill 1289 by Representatives Garcia and Brown and Senator Weisman concerning modification
- House Bill 1289 by Representative Garcia and Brown and Senator Weissman, concerning modification of certain
MN
Transcript Highlights:
- This is an extension of a request, a modification of an existing sales tax that we have had in place
- The amendment deletes the first section of the bill, which would make some modifications within the sales
make <01:01:05.000>some um which would uh make some um which would uh make some modifications
HI
Hawaii 2026 Regular Session
TRN Public Hearing - Tue Feb 3, 2026 @ 10:30AM HST
Transcript Highlights:
- many other ways, from land and water use to toxicity, competition with food, risks from genetic modification
- many other ways, from land and water use to toxicity, competition with food, risks from genetic modification
- many other ways, from land and water use to toxicity, competition with food, risks from genetic modification
Summary:
The committee heard testimony on HB 1694, which would create a sustainable aviation fuel tax credit, and HB 1695, which would expand the state’s renewable fuels production tax credit. For HB 1694, supporters from the airlines, renewable fuels industry, business groups, and some environmental and youth representatives said sustainable aviation fuel is a practical near-term way to cut emissions in aviation, a hard-to-decarbonize sector, and argued the credit would send a market signal, support local production, and help meet state climate goals. Opponents, including Energy Justice Network and a taxpayer-focused testifier, argued the bill could subsidize expensive fuels that may not be truly clean, could duplicate benefits available under other tax provisions, and should not support transpacific aviation or technologies they said are unproven or harmful. The Department of Taxation stood on written testimony, and the chair later asked that all verbal testimony on remaining bills be limited to one minute because of time constraints.
HB 1695 drew similar support and opposition, but focused more broadly on renewable fuels for transportation, trucking, shipping, and other sectors. Supporters, including the Hawaii State Energy Office, airlines, PAR Hawaii, the Hawaii Renewable Fuels Coalition, Pacific Biodiesel, and the RNG Coalition, said the bill would help scale local fuel production, reduce greenhouse gas emissions, support jobs and agriculture, and advance the state’s climate and energy goals. Several supporters emphasized that the credit would help build a local industry and that life-cycle accounting should be used to measure emissions benefits. Opponents repeated concerns that some biofuels and waste-based fuels may not be climate-beneficial, may rely on flawed modeling, and could create costly infrastructure that would need to be replaced later. No votes or final committee action were taken in the portion of the meeting provided.
AZ
Transcript Highlights:
- There are many treatments that have become available, not just medications, but lifestyle modifications
- POINTER Study that lifestyle modifications, diet, exercise, cognitive stimulation, proper sleep, all
- We haven't really made any analytical modifications beyond just taking what CBO put out and prorating
Keywords:
physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC
Summary:
The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained.
The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation.
The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.
MN
Minnesota 2025-2026 Regular Session
House Elections Finance and Government Operations Committee 3/23/26
Elections Finance and Government Operations
Transcript Highlights:
- While there have been modifications to this bill, cities continue to oppose it as being too preemptive
- While there have<01:11:35.600>
been <01:11:35.840>modifications <01:11:36.480>to - <01:11:36.800>
this <01:11:36.960>bill, have been modifications to this bill, have been - modifications to this bill, cities<01:11:38.159>
continue <01:11:38.560>to <01:11:38.800
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
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/17/26
Public Safety Finance and Policy
Transcript Highlights:
- These modifications simply make a strong law stronger and ensure it continues to protect Minnesota communities
- These modifications<00:07:38.040>
simply <00:07:38.320>make <00:07:38.480>a <00:07 - :38.520>
strong <00:07:39.080>a modifications simply make a strong a modifications simply
Keywords:
disaster assistance, contingency account, Minnesota emergency management, public safety, state disaster aid, FEMA, federal cost-share, emergency relief, natural disaster, budget report, appropriations report, management and budget, local governments, utility cooperatives, public works, infrastructure repair, chapter 12B, chapter 12A, emergency management, disaster recovery
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/4/26
Human Services Finance and Policy
Transcript Highlights:
- Through waiver case management, modest home modifications and durable medical supplies were authorized
- waiver case management,<01:14:58.480>
modest <01:14:58.960>home <01:14:59.199>modifications - management, modest home modifications management, modest home modifications and<01:15:00.159>
Keywords:
pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 048 Mar 3rd, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- House Bill 1064, by Representatives Jackson and Rydin and Senators Mabrey and Mlet, concerning modifications
- Senator<00:51:30.720>
Mlet <00:51:31.119>concerning <00:51:31.440>modifications < - 00:51:31.839>
to Senator Mlet concerning modifications to Senator Mlet concerning modifications
Summary:
The Senate opened with a quorum present, approved the February 27, 2026 journal, and then moved out of order to consider resolutions. Senate Resolution 003, designating March as Arts Education Month in Colorado, was read at length and supported by Senators Snyder and Basley, who emphasized the educational, social, and economic value of arts instruction and noted concerns about unequal access across the state. Senator Coleman and Senator Danielson also spoke in support, highlighting personal experiences with the arts and the importance of preserving arts programs in schools. The resolution passed unanimously, 35-0, and the current roll call was added as co-sponsors.
The chamber then adopted House Joint Resolution 1019, recognizing Caregiving Youth Day. Senator Judah described caregiving youth as children and teens who provide substantial care for family members while balancing school and other responsibilities, citing statewide and national data on the prevalence of youth caregivers and the risks they face. Senator Gonzales also spoke in support, urging the legislature to recognize and support this often invisible work. The resolution passed 35-0, and the current roll call was added as co-sponsors.
The Senate next took up third-reading consent calendar House Bill 1035, which enacts the 2025 Colorado Revised Statutes as positive and statutory law; it passed 32-3, with Senators Baisley, Lynda Zamora Wilson, and Long voting no. Senate Bill 53, expanding eligible borrowers for Colorado Housing and Finance Authority mortgages, then passed 29-6 after no-vote requests from Senators Zamora Wilson, Amabile, Sullivan, Hinrichsen, Baisley, and R. Pelton. House Bill 1064, concerning modifications to the youthful offender system, passed 23-12 after several no-vote requests, and Senate Bill 43, concerning regulation of firearm barrel transfers and related criminal penalties, was introduced for final passage with Senator Zamora Wilson delivering extended opposition focused on Second Amendment and fiscal concerns; the transcript cuts off before the vote on that bill.
HI
Transcript Highlights:
- And also to adopt the amendment proposed in HHFTC's testimony to allow for a waiver or modification of
- c><01:57:13.440>
a <01:57:13.599>waiver <01:57:13.920>or <01:57:14.080>modification - <01:57:14.639>
of to allow for a waiver or modification of to allow for a waiver or modification
Bills:
HB1604, HB1713, HB1722, HB2270, HB2401, HB2515, HB1979, HB1593, HB1743, HB2122, HB1756, HB1837, HB1729
Keywords:
agriculture, housing, workforce, land use, zoning, public-private partnerships, tax credit, school impact fees, impact fee exemption, school facilities authority, residential development, housing shortage, affordable housing, infill housing, land dedication, fee in lieu, school construction, developer exactions, fair share contributions, education contribution agreement
Summary:
The committee heard testimony on HB 1604, which would create an agricultural workforce housing group within the Department of Agriculture and Biosecurity to address shortages of farmworker housing. The department said it supported the bill’s intent but emphasized that the group’s early work should focus on gathering data and surveying farm operators to assess actual demand, to avoid “mission creep.” Testimony from the City and County of Honolulu Office of Economic Revitalization, Hawaii Farmers Union, Hawaii Farm Bureau, Housing Hawaii’s Future, and the Maui Chamber of Commerce was in support, with one witness suggesting a housing advocacy nonprofit be added to the working group for balance.
The committee then discussed HB 1713 on school impact fees, which would clarify exemptions for certain affordable housing projects and exempt new residential developments of fewer than 100 units. The Attorney General’s office said the bill should define “low to moderate income households” because that term is not defined in chapter 302A. HHFDC, the School Facilities Authority, Grassroot Institute of Hawaii, and others supported the measure, arguing it would reduce administrative burden and remove barriers to housing. Members questioned whether the bill should instead repeal the school impact fee entirely; supporters said they also favored full repeal but viewed this bill as a more feasible step. The School Facilities Authority also explained that about $28 million in school impact fees had been collected across four districts and none had yet been spent, and discussed how recent nexus requirements limit how the funds can be used.
HB 1722, relating to residential condominiums, drew extensive testimony and questioning. HCDA supported the bill and explained that it amends the 99-year leasehold pilot program created by Act 97 of 2023 by reducing owner-occupancy restrictions from 100% of units to 60%, allowing some rental or subleasing flexibility for the owner-occupied units, and permitting up to 40% of units to be sold to qualified residents after being on the market for more than 60 days. HCDA said the original restrictions, combined with rising construction costs, higher interest rates, and competition from nearby projects, made the pilot project difficult to market and finance; it said the changes are needed to make the project feasible and competitive. Supporters including AP Hawaii, Kila LLC, and project representatives said the amendments would help make the demonstration project in Kakaʻako viable. Some members raised concerns that the changes could weaken long-term affordability and questioned why certain ownership language was being deleted if rentals would still be restricted. No votes or final committee actions were taken in the portion of the hearing provided.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Health Services (11-12-25)
Transcript Highlights:
- these folks are saying, and I worked with the ARH leadership team to actually create a regulation modification
- 01:33:07.360>
regulation to actually create a regulation to actually create a regulation modification - which<01:33:09.640>
included <01:33:10.080>the <01:33:10.160>changes modification - which included the changes modification which included the changes that<01:33:10.960>
they <01
Summary:
The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation.
The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids.
The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken.
Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.
MN
Minnesota 2025-2026 Regular Session
Conference Committee on S.F. 1832 - Jobs and Labor Omnibus - 05/14/25
Transcript Highlights:
- Senator Draheim has talked about what he was thinking about and why he felt this was an important modification
- again, I can— and why he felt this was an important um and why he felt this was an important um modification
- 53.440>
Any <00:20:54.080>thoughts <00:20:54.400>from <00:20:54.640>the modification - Any thoughts from the modification.
MN
Minnesota 2025-2026 Regular Session
Conference Committee on HF2431 5/13/25
Transcript Highlights:
- inability to have the resources meet the needs of the students through our previous offsets or modifications
- inability to have the resources meet the needs of the students through our previous offsets or modifications
- inability to have the resources meet the needs of the students through our previous offsets or modifications
- Modifications that save the program um about 79 million per biennium. Thank you, Miss Lori.
Summary:
The Higher Education Conference Committee reviewed differences among the Governor’s, House, and Senate proposals for state grant parameter changes and their effects on state grant spending, North Star Promise spending, and average student awards. Nonpartisan staff explained that the proposals use different combinations of parameter changes, with the Governor’s and Senate plans modeled to avoid or minimize rationing, while the House plan would require rationing to balance the program. Staff reported projected biennium balances of a positive $29.836 million for the Governor’s proposal, a negative $60.758 million for the House proposal without rationing, a positive $994,000 for the House proposal with rationing, and a positive $3.623 million for the Senate proposal; North Star Promise balances also varied, with the Senate showing a positive balance and the Governor and House with rationing showing negative balances. Staff also said the Senate proposal would extend availability of the state grant appropriation and suspend surplus procedures through fiscal year 2029, allowing the balance to carry forward.
The committee then focused on the House-only tuition and fee cap provision, which would limit the tuition recognized for state grant purposes for four-year programs to the University of Minnesota Twin Cities level, with 1% annual increases in fiscal years 2026 and 2027. House members said the cap was intended to address rising tuition, especially at the University of Minnesota, and to produce savings in the state grant program. The governor’s office confirmed the provision was not included in the Governor’s bill. Representatives from the University of Minnesota and the Minnesota Private College Council opposed the cap, arguing it would reduce awards for low-income students and shift costs to students rather than address underlying tuition pressures; they also said it could discourage enrollment at higher-cost institutions. Supporters from Minnesota State argued the cap would improve fairness because students at lower-tuition institutions are effectively capped lower, while students at more expensive institutions receive larger awards, and they said the legislature should intervene in a variable that has grown substantially over time.
Committee members questioned how the cap would work and whether it was tied to the Twin Cities campus rate. Testifiers clarified that the state grant formula is tied to the University of Minnesota level, but because Minnesota State institutions are below that level, the cap effectively limits their students to their own lower tuition while allowing higher awards at the University of Minnesota and private colleges. No formal vote or final action was taken in the portion of the meeting provided; the chair indicated the committee would continue with item-by-item review of the remaining parameter changes and hear additional testimony from agencies and institutions.
TX
Transcript Highlights:
- This bill is a sensible modification to existing law.
- coaches of all sports who completed the coach safety course reported making at least one practice modification
- One notable result of these modifications led to 82% of youth football coaches which is reporting their
- modifications effective at reducing head injuries.
Bills:
HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274
Keywords:
e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians