Transcript Highlights:

• Our vision is a high-performing and inclusive workplace, improving the lives of all Minnesotans, and
• specialists at MMB that provide tools, consult with agency partners, and then track resolution of audit
• <00:09:48.839> uh<00:09:49.000> that<00:09:49.120> was response to an OA audit
• uh that was response to an OA audit uh that was released<00:09:50.160> uh<00:09:50.800> last
• request moving into grantee performance request moving into grantee performance evaluations<01:49

Keywords: 1187, senate, all

Transcript Highlights:

• I need to keep her on for an additional six months for those audits and closeouts that need to happen
• What are your audit processes for making sure that the grants that you award are used appropriately.
• And would you be willing to make those audits available to this committee?
• And we anticipate some performance issues soon that might also affect our fire alarm system, access control

Keywords: 914, all

Transcript Highlights:

• So here, again, looking just at the NCLEX RN, our accredited programs tend to perform higher than the
• Here you can see that we have some high-performing regions and some are a bit lower, specifically South
• We do a baseline test for their board to see how they would perform at that moment.
• So we've seen the impact that Miami, for example, can make or not make with regard to the performance
• If you offer them that additional support and say, you know what, if you want to come and audit a class

Summary: The Appropriations Committee on Higher Education met to focus on nursing education funding, workforce supply, and Florida’s low NCLEX pass rates. The chair emphasized that Florida ranks last nationally in nursing exam pass rates and said the committee wants to use budget decisions and a forthcoming nursing bill to improve outcomes. The Florida Center for Nursing at USF presented preliminary workforce and education data showing RN supply is moving toward equilibrium with demand through 2037, while LPN shortages are projected to worsen, especially in some regions. The center also reported on enrollment, retention, faculty vacancies, and NCLEX trends, noting Florida still underperforms the national average but has shown some recent improvement, including higher RN pass rates in 2024 despite fewer test takers. The center highlighted that students who test sooner after graduation tend to pass at higher rates. A panel of nursing education leaders from public universities, state colleges, technical colleges, and private institutions described how prior state pipeline and line-item funding helped expand enrollment, simulation labs, faculty hiring, student support services, and partnerships with hospitals. UNF, Galen College, College of Central Florida, Keiser University, and Lorenzo Walker Technical College each reported strategies such as expanded simulation, mental health and social work support, test-prep and remediation, and efforts to grow faculty pipelines. Several speakers said faculty recruitment and retention remain major barriers because of salary competition with hospitals, faculty debt, and aging faculty. Technical college representatives also stressed the need to strengthen LPN pathways, English-language support, and LPN-to-RN bridge programs. Members asked for ideas to improve NCLEX outcomes and discussed possible policy options, including student loan forgiveness, critical shortage supplements for faculty, incentives for students to test soon after graduation, and possible changes to timing or regulation around NCLEX eligibility. Several witnesses supported more flexible or recurring funding, while noting that one-time line funding has been useful for simulation, scholarships, and faculty support but is harder to sustain. The committee adjourned after the discussion, with the chair saying the ideas would be considered in future funding and policy decisions.

Transcript Highlights:

• on the federal return, which allows the comptroller to leverage the work that the IRS is doing on audits
• The city is responsible for administering and auditing the use of HOT as set forth in state and local
• Recent audits have investigated the Parks Board's use of restricted funds.
• SB 2779 is a direct impediment to our city council's ability to perform these essential oversight duties
• As Sheila mentioned, the park board is under an audit.

Transcript Highlights:

• Renew recommends supporting Governor Healey's affordability legislation looking to perform procurements
• , though we have some suggestions on how that proposed method is performed.
• It also ensures that this work is performed safely by trained professionals held to the same highest
• Financial incentives should be audited for their benefits to environmental justice communities.
• Financial incentives should be audited for their benefits to environmental justice communities.

Keywords: 995, all

Summary: The Joint Committee on Telecommunications, Utilities and Energy held a hearing on grid transmission and distribution, green financing, environmental justice, renewable portfolio standards, and clean energy workforce policy. Testimony on H. 352/S. 2268 focused on eliminating or scaling back the Alternative Energy Portfolio Standard, with Green Energy Consumers Alliance arguing it costs ratepayers about $30 million annually and largely subsidizes fossil-fuel combined heat and power, biodiesel blending, and woody biomass. Committee members raised concerns that a full repeal could affect heat pumps and solar thermal projects that currently receive APS credits, and the witness acknowledged those technologies are the strongest part of the program but said Mass Save would be a better home for them. Renew Northeast supported H. 3497 on renewable portfolio standard review and clean energy procurements, but urged an indexed renewable energy credit model like New York’s rather than an attribute-only arrangement, arguing it would reduce financing risk and consumer costs. Vote Solar and Senator Liz Miranda testified in support of H. 3540/S. 2303 on clean energy equity, saying environmental justice communities and renters receive too few benefits from clean energy spending and need stronger tracking, tenant protections, and measurable benefit allocation. Miranda described long-standing environmental harms in Roxbury and called for data and accountability to ensure benefits reach environmental justice communities. A major portion of the hearing was devoted to H. 3475/S. 2276 on just transition and clean energy workforce standards. Labor representatives from the pile drivers, building trades, electrical contractors, SEIU, United Steelworkers, the AFL-CIO, and Climate Jobs Massachusetts Action backed the bill, emphasizing prevailing wage, project labor agreements, apprenticeship requirements, workforce transition plans, and protections for gas workers and other fossil-fuel employees as the state shifts to clean energy. They argued the bill would create family-sustaining jobs, support training, and prevent workers from being left behind during the transition. The hearing concluded after all sign-ups were heard, and the committee voted to close the hearing.

Transcript Highlights:

• Um you there is an audit<00:46:07.839> trail<00:46:08.400> that<00:46:08.640> is
• trail to see how you of that audit trail to see how you proved<00:46:28.160> that<00:46:28.400
• However, then there was push back during the audit from the FBI. >> Correct. >> Thank you.
• Um during our audit with records unit.
• the audit from the FBI. the audit from the FBI. >> Correct. >> Correct.

Keywords: 928, house, all

Summary: The committee first held a public hearing and then an executive session on Senate Bill 401, which DHHS described as a cleanup bill. Testimony from the department explained that the bill would repeal obsolete reporting requirements tied to a repealed municipal reimbursement program and to the now-repealed commission on demographic trends. No one testified in opposition, and the committee voted 12-0 ought to pass, placing the bill on the consent calendar. The committee then heard Senate Bill 402, which would eliminate certain non-compete agreements for physician associates going forward. Senator Gray introduced the bill, and a representative of the New Hampshire Society of Physician Associates said it would improve workforce recruitment and access to care without changing scope of practice or affecting existing agreements. Committee members asked about the length of current restrictions and whether the change would make New Hampshire more attractive to PAs. The committee voted 12-0 ought to pass and sent the bill to the consent calendar. Next, the committee took up Senate Bill 426, which would repeal the permissible fireworks committee. Senator Uler and the deputy state fire marshal said the committee’s original purpose had been overtaken by later changes adopting federal fireworks standards, and that the fire marshal now has the necessary authority. The committee voted 12-0 ought to pass and placed the bill on the consent calendar. Finally, the committee began hearing Senate Bill 469, a DMV modernization bill allowing electronic signatures in place of wet signatures for certain motor vehicle title and registration processes. Senator Lang, Carvana, the New Hampshire Auto Dealers Association, Copart, and DMV staff all supported the measure, saying it would reduce delays, errors, and paperwork burdens. Members asked about AI, consumer protections, costs, and how electronic signatures would work in practice, including in cases involving deceased owners. The transcript cuts off during that hearing before any committee action on SB 469.

Transcript Highlights:

• performing students internationally. performing students internationally.
• as demonstrated by high performing as demonstrated by high performing countries<00:15:29.839>
• <04:39:21.520> but assistant or an independent audit but assistant or an independent audit
• <05:21:25.600> The<05:21:25.760> audits Foundation 9990s are public.
• The audits Foundation 9990s are public. The audits are<05:21:26.320> public.

Keywords: 928, house, all

Summary: The committee held a hearing on House Bill 1571, which would direct the Department of Education to review and revise statewide academic standards and curriculum and make an appropriation. Representative Kristen Noble, the sponsor, said the bill is intended to update outdated standards, especially in math, and to have the department create a list of high-quality curriculum and materials aligned to the revised standards. She noted she would likely amend the bill to change a requirement that districts “shall” select from the list to “may,” and said a misplaced crossed-out section would need to be restored and moved by amendment. She also said assessments would need to be updated to match any new standards. Testimony from Marie Banfield strongly supported the bill and the move away from a mandate, arguing that current standards are outdated and that Common Core and related standards have not improved student outcomes. She criticized the math standards for emphasizing multiple strategies and written explanations over computation, and said stronger standards would better support students, including those with learning or communication challenges. She also argued that New Hampshire should follow examples such as Massachusetts, which she said used rigorous standards successfully. Nate Green of the Department of Education did not take a position on the bill but explained that the bill would affect statewide academic standards, state assessments, and potentially federal compliance. He distinguished academic standards from minimum standards in statute, said any standards revision would require work with content experts, State Board approval, and then a corresponding assessment update that could take about two years. He estimated assessment development costs could range from about $200,000 to $500,000 for minor revisions and $1 million to $2 million for a wholesale new set of standards. He also said the bill would apply to public and charter public schools, not private or homeschool students, and that the department does not currently provide a statewide list of curriculum materials because curriculum decisions have historically been local.

Transcript Highlights:

• It has to be perform their evaluation.
• We're have to even look at the audit process, and I'm concerned that when we're audited to ensure that
• academic performance in the classroom. academic performance in the classroom.
• we're audited to concerned that when we're audited to ensure<00:38:35.359> that<00:38:35.760>
• Our 990s are online, and we're audited annually. We have, you know, a CFO, CEO.

Keywords: 1189, house, all

Summary: The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations. The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability. Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.

Transcript Highlights:

• , or spending all their time performing, their primary duties.
• or spending all their time performing their primary duties.
• So we issued regulations relative to auditing and maintenance of records recently.
• But having an audit program we believe is critical to ensure compliance by everybody.
• We are fundamentally going to be changing the way that we perform investigations.

Keywords: 995, all

Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.

Transcript Highlights:

• Since HYS has already been performed in the libraries, we think this is a great project, not a pilot,
• Uh since HYS has already<00:12:08.560> been<00:12:08.720> performed<00:12:09.040> in
• <00:12:09.200> the<00:12:09.360> libraries already been performed in the libraries
• already been performed in the libraries and<00:12:10.079> we<00:12:10.320> think<00:12:
• have members [snorts] that perform. have members [snorts] that perform.

Bills: HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049

Keywords: maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools

Transcript Highlights:

• mechanism, most concerningly, to verify that the required training will actually produce field performance
• produce field field performance produce field field performance improvement<02:18:18.960> and
• we can actually measure the performance we can actually measure the performance in<02:20:02.880>
• of measured outcomes and performance of measured outcomes and performance improvement<02:20:16.960
• <02:20:59.840> objectives, build it into performance objectives, build it into performance

Bills: HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049

Keywords: maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools

Bills: SB1936, SB1612, SB1543, SB1260, SB1988, SB1859, SB2041, SB1257, HB4272, HB3277, HB3148, HB3651, HB3323, HB4287, HB4105, HB3304, HB3345

Keywords: forfeiture, criminal offenses, law enforcement, Class D1 offenses, property seizure, SB1612, mandatory reporting, violent injury reporting, gunshot wound, stab wound, poisoning, burn injury, explosive injury, medical reporting, healthcare providers, law enforcement notification, evidence preservation, patient video records, confidentiality waiver, misdemeanor penalty

Bills: SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16, SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16

Keywords: education, accountability, public school assessment, state law, transparency, intervention, performance ratings, Texas congressional redistricting, U.S. House districts, congressional map, redistricting, gerrymandering, 2020 Census, census tracts, block groups, voting districts, election law, Texas House of Representatives districts, federal congressional districts, 2026 elections

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

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

Transcript Highlights:

• been numerous reports of nurses and medical support staff being physically assaulted while trying to perform
• What you were doing on the county level to increase oversight and auditing in these processes.
• It may be that 1,200 were served, but the performance requirements under this contract were minimal.

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Bills: SB 434, SB 844, SB 898, SB 1177, SB 1214, SB 1454, SB 1920, SB 1927, SB 1935, SB 1965, SB 2010, SB 2046, SB 2068, SB 2073, SB 2183, SB 2260, SB 3034, SB 907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Transcript Highlights:

• been numerous reports of nurses and medical support staff being physically assaulted while trying to perform
• Can y'all speak to what you were doing on the county level to increase oversight and auditing in these
• I've seen a number that maybe 1,200 were served, but the performance requirements under this contract

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Summary: The committee heard several bills dealing with local government authority, homeowners associations, hospital district policing, school AED inspections, special district annexation, public contracting penalties, and guaranteed income programs. Senate Bill 2073 by Sen. Zaffirini would clarify that appraisal districts may finance purchases, leases, or construction of real property for appraisal offices without prior approval from taxing units; it was supported by the Texas Association of Appraisal Districts and left pending. Senate Bill 1935 by Sen. Hinojosa would increase homeowner control of property owners association boards, require more transparency, limit fines and assessment increases, and require accessible meeting locations; HOA and builder representatives opposed it, arguing it would hinder maintenance and make dues harder to manage, and the bill was left pending. Senate Bill 434 by Sen. Miles would authorize Harris County Hospital District police officers, was supported by Harris Health, and was left pending. Senate Bill 1177 by Sen. Alvarado, as substituted, would require school AED inspections during fire inspections and reporting to school leadership; it was left pending. Senate Bill 1214 by Sen. Perry would update Concho County Hospital District law to align with current procurement and notice rules; it was left pending. Senate Bill 1965 by Sen. Middleton, for Sen. King, would tighten notice and proximity rules for special district annexations; district witnesses warned the bill could interfere with service to noncontiguous tracts, and the bill was left pending. The committee also took up Senate Bill 2046 by Sen. Bettencourt, which would increase criminal penalties for county purchasing act violations involving unauthorized separate or sequential purchases to evade competitive bidding, and create a tiered penalty structure based on contract amount. Former Harris County DA Kim Ogg, Deputy Attorney General Josh Reno, and James Quintero supported the bill, citing recent Harris County bid-rigging cases and arguing the current Class C misdemeanor penalty is too weak to deter misconduct; some members questioned whether the proposed thresholds were too low and whether stronger oversight, rather than higher penalties alone, would be more effective. The bill was left pending. Finally, Senate Bill 2010 by Sen. Bettencourt would bar counties and other political subdivisions from operating guaranteed income programs and address constitutional gift-clause concerns. Testimony split sharply: Ogg and Quintero argued such programs are unconstitutional, can be used for political data collection, and should not be funded with public money, while Paige Terry Barry defended the bill as protecting taxpayers and discouraging dependency. Senators also debated whether the state can restrict use of federal grant funds and whether local governments should be allowed to run such programs; the bill was left pending.

Transcript Highlights:

• Ayala. and Selena whose appearance in 1985 when she was still a teenager was one of her first TV performances

Bills: SJR3, SB5, SJR36, SJR3, SB616, SB565, SB384, SB5, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842, SB971, SB790, SB767, SB480, SB1066

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code

Transcript Highlights:

• sort of incites us to start um an audit sort of incites us to start um an audit of<00:51:19.560>
• But we do perform those.
• We work But, we do we do perform those.
• She does independent audits Leslie Pond.
• , audits, audits, uh<01:32:49.480> which<01:32:49.680> means<01:32:49.920> that<

Keywords: 1189, house, all

Summary: The committee met on May 29 and approved the draft minutes. DHHS Commissioner Weaver then opened the department update by asking Medicaid Director Henry Litman to brief members on federal and state Medicaid changes, and later turned to DHHS Chief Operating Officer David Weathers for an update on data governance. Members also asked that acronyms be spelled out in future materials and requested a follow-up on the federal Medicaid rule once it is published. Litman reviewed several federal Medicaid provisions tied to HR 1/"OBBA" and related state implementation issues. He said the first major change would be restrictions on certain non-citizens’ Medicaid coverage, affecting about 400 people in New Hampshire, with notices likely 30 to 60 days before the effective date. He also discussed new work requirements/community engagement rules, saying New Hampshire is on track to implement them and will likely need a state plan amendment rather than an 1115 waiver. Other changes included shorter retroactive coverage periods, a new state option for certain community-based services with an estimated $740,000 in implementation support, a freeze and phased-down reduction in the Medicaid enhancement tax beginning in state fiscal year 2029, and limits on directed payments to hospitals after a grandfathering period. He also noted that Medicaid enrollment has fallen from pandemic-era levels, with about 167,000 people covered as of May 1, and that the department is working with CMS on child premiums and other cost-sharing changes approved in HB 2. Committee members asked how the department could plan for the 2029 changes given the number of elections before then, and Litman said federal rules may be adjusted over time as states and stakeholders raise concerns. He emphasized planning for the worst while hoping for the best, and said rural health care transformation funding would help the state prepare. In the second presentation, Weathers explained that data governance is now embedded in DHHS operations to control access, manage reporting, and respond to risk. He defined it as managing what data is collected, how it is used, who can access it, and what laws apply, and said DHHS has moved from governance as a committee to governance as an operational process. He described privacy impact assessments for new systems going into production, monthly privacy and security training, and ongoing review of access controls and data-sharing rules.