Transcript Highlights:

• Chairman, members, Senate Bill 1249 requires the Department of Health Services to establish a dementia
• services program and develop an Alzheimer's disease state plan.
• Finally, the bill appropriates $600,000 in fiscal year 2027 from the Health Services Lottery Moneys Fund
• to DHS for the dementia services program and the implementation of the state plan.
• The legislature and governor approved Arizona's first Dementia Services Program and adopted the state

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Summary: The Committee on Appropriations heard two bills. Senate Bill 1131 would require school districts and charter schools to report AED counts, CPR/AED training levels, and cardiac emergency response plans to ADE, and would appropriate $1 million for AED purchases and maintenance. The committee adopted an amendment shifting the funding source from the general fund to the industry-recognized certification and licensure reimbursement fund, after staff said the fund had an estimated $2 million balance and continued to receive $1 million annually. The American Heart Association testified in support, emphasizing the need for AEDs, CPR training, and emergency planning in schools. The bill was returned with a due pass recommendation by a 15-1 vote, with two members voting present and several members noting concerns about using the special fund rather than general funds. Senate Bill 1249 would create or continue a dementia services program and Alzheimer’s state plan at the Department of Health Services and appropriate $600,000 from the Health Services Lottery Moneys Fund. The Alzheimer’s Association testified in strong support, saying the prior three-year appropriation helped establish the plan and workgroups and that the new funding would support implementation, caregiver support, data collection, training, and grant applications. Several members raised concerns about taking money from a fund that supports maternal and child health programs such as Health Start and WIC, describing it as “robbing Peter to pay Paul,” while others said they supported the policy but wanted a sustainable funding source. The bill received a due pass recommendation on a 9-3 vote, with three members voting present.

Transcript Highlights:

• Director Collier, 40 years of service to the state. Congratulations to you.
• Director Collier, 40 years of service to the state. Congratulations to you.
• I've been in constable service for 24 years.
• Thank you all for your service. Thank you. Thank you.
• Harris County is the hub for mental health services.

Bills: HB47, HB171, HB285, HB305, HB449, HB908, HB 1024, HB 1306, HB1443, HB1445, HB1741, HB1866, HB1902, HB2001, HB2282, HB2355, HB2492, HB2637, HB2697, HB3464, HB4263, HB4996, HB5667

Keywords: sexual assault, victim rights, forensic examination, medical care, trauma-informed care, crime victims compensation, evidence retention, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, animal cruelty, nonlivestock, prosecution, veterinary defense, animal welfare, pretrial hearings

Summary: The Senate Committee on Criminal Justice met with a quorum and heard a long agenda of bills on criminal justice, public safety, mental health, victims’ rights, and related administrative issues. Early bills included HB 47, the omnibus sexual assault survivors bill, which would expand post-assault care, require courts to consider delays for adult survivors, bar sex offenders from rideshare driving, allow lease termination regardless of where an assault occurred, and require more reporting from sexual assault response teams. Testimony was generally supportive, though one witness raised concern that the bill’s reporting requirements could jeopardize county grant funding. HB 171, the Annel Borrego Act, would set a minimum period for court-ordered chemical dependency treatment; NAMI Texas supported it. HB 908 would require missing children reports to be sent to the National Center for Missing and Exploited Children within two hours, and HB 1443 would criminalize possession and promotion of childlike sex dolls; both drew supportive testimony and were left pending. HB 567, changing juvenile board chair selection in Parker County, and HB 4263, a TJJD workforce retention bill, were also heard and left pending after brief discussion and adoption of committee substitutes where applicable. The committee also heard several bills focused on jail and prison safety, court process, and victim protection. HB 2282 would raise the arrest warrant fee from $50 to $75; constables supported it as a cost-recovery measure, while the Texas Fair Defense Project opposed it as a regressive fee that burdens low-income defendants. HB 3464 would increase penalties for correctional employees who bring drugs or alcohol into prisons, with support from Harris County jail officials and a formerly incarcerated advocate who described the dangers of contraband and retaliation. HB 285, “Poncho’s Law,” would add criminal negligence to non-livestock animal cruelty offenses; animal welfare advocates said it would close a loophole that lets pet service businesses avoid accountability, and the bill was left pending. HB 2355 would keep certain Crime Victims Compensation records confidential when held by the Attorney General, and HB 2637 would standardize jury exemption ages and clean up jury disqualification reporting; both were left pending after limited testimony. Mental health and competency-related bills received significant attention. HB 305 would require a pretrial hearing within 14 days after a defendant is restored to competency, aimed at reducing repeated decompensation and the forensic waitlist; NAMI Texas supported it. HB 1741 would tighten procedures for not-guilty-by-reason-of-insanity outpatient commitments by requiring a stronger nexus to the receiving county and clearer supervision authority; law enforcement and mental health witnesses said it would improve public safety and treatment success. HB 2492 would make the four-hour family-violence post-bond cooling-off period mandatory rather than discretionary, and HB 1445 would allow a managed assigned counsel director to designate someone to approve certain payments for indigent defense attorneys; both were left pending. HB 1024 would require prompt execution of warrants for parole violators on superintensive supervision, and HB 1306 would extend first-responder-style benefits to death investigation professionals; neither drew opposition in the hearing. The committee also heard a series of public integrity and technology bills. HB 449 would expand the deepfake sexual content statute to include sexually explicit images, with Public Citizen supporting the change as necessary to address a rapidly growing problem. HB 1902 would create a new offense for “jugging,” or following bank or ATM customers to rob them; the Texas Bankers Association supported it. HB 2697 would require sureties to notify prosecutors before surrendering a felony defendant’s bond, and HB 2001 would sharply increase penalties for misuse of public information for financial gain and related coercion, with prosecutors and Texas Rangers describing bid-rigging and public corruption investigations as difficult to prove under current law because of short limitations periods and limited penalties. HB 1866 would grant Texas peace officer authority to National Park Service rangers within Texas park boundaries, and HB 4996 would increase penalties for fraudulent liens filed against public servants. Throughout the hearing, most bills were left pending after testimony, and several committee substitutes were adopted without objection.

Transcript Highlights:

• that's going to change is the billing process because now they're unable to charge for any of that service
• Are they currently billing insurance companies for these services? Thank you for that question.
• Is when a suicide happens, we talk about that person, but everyone around that person is trauma And it
• reason they do collect data on someone who's completed a suicide that was being served with the services

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Transcript Highlights:

• Cabinet for Health and Family Services, Department for Medicaid Services, 907 KAR 1:0840, Emergency,
• The staff suggested an services.
• Department for Community Based Services, 922 KAR 1:360, with staff suggested amendment. very unusual
• talked about it. and I took it services talked about it. and I took it as<00:27:10.720> a<00:
• in a way that's in offer the services in a way that's in their<00:30:20.799> best<00:30:21.080

Keywords: 0:16 – CALL TO ORDER 0:20 – ROLL CALL 0:56 – ELECTION OF CO-CHAIRS 1:54 – APPROVAL OF MINUTES 2:10 – OFFICE OF THE ATTORNEY GENERAL 3:28 – PERSONNEL BOARD 4:30 – EDUCATION AND LABOR CABINET, BOARD OF EDUCATION, DEPARTMENT OF EDUCATION 5:18 – PUBLIC PROTECTION CABINET, OFFICE OF CLAIMS & APPEALS 12:03 – PUBLIC PROTECTION CABINET, DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 12:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 14:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR COMMUNITY-BASED SERVICES 31:44 – NEXT MEETING ANNOUNCEMENT/ADJOURNMENT, 958, all

Summary: The Administrative Regulation Review Subcommittee met to reorganize its leadership for the new term, renewing Representative Derek Lewis as House co-chair and Senator Steven West as Senate co-chair. The committee then approved the minutes and moved through a series of agency regulations, generally adopting staff-suggested amendments without objection. Among the regulations reviewed were an Attorney General rule changing how a commission reviews and distributes funds and how grant reporting is handled; Personnel Board changes abolishing and renaming certain job classifications and adjusting probationary periods; an Education and Labor Cabinet rule removing references to local board of education members; several Public Protection Cabinet rules covering Board of Claims and Crime Victims’ Compensation procedures; an Alcoholic Beverage Control rule on direct-to-consumer shipping forms; and a Medicaid Services emergency regulation establishing the Kentucky Trauma Hospital Rate Improvement Program for rural hospitals serving many Medicaid patients. The committee also heard that the Board of Claims and Crime Victims’ Compensation regulations included both staff and, in one case, an agency amendment, which were approved. The most extended discussion came on the Department for Community Based Services’ regulation increasing per diem rates for private child-placing therapeutic foster care levels 2 and 3. Committee members questioned the estimated $10 million biennial cost, the source of the funding, and why the cabinet had not yet filed regulations implementing Senate Bill 151 on kinship care. DCBS staff said the rate increase was discretionary and intended to address placement crises for children with high needs, while acknowledging they could not personally explain the budget decisions. A kinship caregiver testified in support of the rate increase but urged the cabinet to also implement SB 151 and expand support for kinship families. The committee expressed frustration over the lack of SB 151 implementation but stated the rate increase itself was appropriate and allowed the regulation to proceed.

Transcript Highlights:

• see the lowest of lows for service see the lowest of lows for service members<00:09:28.120> uh
• <00:42:16.119> is people um among its core Services is people um among its core Services is
• <00:43:15.000> uh twin cities wide um Community Service uh twin cities wide um Community Service
• I gained the B Management Services.
• change their trajectory and the services change their trajectory and the services when<01:04:41.559

Bills: HF1439, HF1004, HF498, HF1326

Keywords: HF1439, Minnesota Grocers Association Foundation, Carts to Careers, workforce development fund, DEED, Department of Employment and Economic Development, grocery industry, food industry, food retail, retail workforce, job training, career pathways, scholarships, certifications, workforce pipeline, one-time appropriation, industry training, labor shortage, youth employment, apprenticeship

Bills: HB24, HB950, HB 1228, HB24

Keywords: zoning, public notice, local government, residential development, protests, municipal services, annexation, disannexation, zoning regulations, full municipal services, municipal obligations, landowner rights, service provision, groundwater, conservation, water permits, sustainability, resource management, 1184, house

Transcript Highlights:

• Behavioral Health Services in the State Behavioral Health Services in the State uh<00:15:45.839> DCT
• <00:35:04.400> but extended they get better services but extended they get better services
• uh to successfully provide the services uh to successfully provide the services needed<00:35:29.599
• Services um I am Max's president and I'm Services um I am Max's president and I'm here<01:13:10.239><
• <01:14:19.280> an beds particularly forensic Services an beds particularly forensic Services

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• as and in lieu of service, just as certain mental health and substance abuse services are currently
• We have seen 14 of 16 MCOs provide some form of mental health service in lieu of other services like
• So it is in lieu of other services.
• So it is in lieu of services.
• And so there, there would be no cost to Medicaid services with it being to the client services, um.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• now with victim Services funding victim Services<00:10:23.120> funding<00:10:24.079> is
• um have access to victim Services um have access to victim Services there's<00:10:41.200> a
• So services funded must include services for victims of crime in underserved communities most impacted
• They need to get these services.
• for our fire service who can provide<01:08:15.520> trauma<01:08:15.799> and<01:08:15.960

Bills: HF1082, HF1042, HF1295, HF1686, HF1998, HF1775, HF1163

Keywords: public safety, law enforcement, mental health, domestic violence, appropriations, criminal justice, Minnesota corrections, victim services, task force, personal safety, Independent Use of Force Investigations Unit, criminal sexual conduct, sexual assault, peace officers, law enforcement oversight, Minnesota National Guard, U.S. armed forces, military installation, armory, air base

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• However, the quality of this service often fails to meet provider needs.
• It's important that students with disabilities receive all services, including medically necessary services
• An example would be through personal care services.
• Mental health services are delivered within their communities.

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• or operate that services. or operate that services.
• providing the services. providing the services.
• . service. service.
• For them, service based services.
• Um cuz I was I was getting all my services, services, services, you<01:30:09.199> know,<01:30:

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• <00:31:51.399> for Protection Case Management Services for Protection Case Management Services
• They have taught me a lot, but also I know that they need a lot of support in services.
• They have taught me a lot, but also I know that they need a lot of support in services.
• I know they both need significant supports and services.
• /c><01:11:41.199> the<01:11:41.360> trauma situation exasperates the trauma situation exasperates

Bills: HF1346, HF1169, HF1276

Keywords: mandatory reporting, training requirements, child maltreatment, abuse detection, local welfare agency, child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services

Transcript Highlights:

• House File 1346, so I will move House File 1346 before the committee to be re-referred to the Human Services
• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• on Human Services finance and policy<00:18:51.280> all<00:18:51.440> those<00:18:51.600

Bills: HF1346, HF1169, HF1276

Keywords: mandatory reporting, training requirements, child maltreatment, abuse detection, local welfare agency, child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services

Transcript Highlights:

• <00:31:49.760> at Defense for the provision of services at Defense for the provision of services
• Affair uh services. Mr. Alamoden. Affair uh services. Mr. Alamoden.
• Janette Hayes for the Department of Human Services, SNAP administrator.
• >> Human<00:48:09.200> Services, >> Human Services, >> Human Services, >&
• Department of Human Services, >> excuse me.

Bills: HB2264, HB2336, HB2298, HB1518

Keywords: protective orders, military, law enforcement, judicial coordination, victim safety, community safety, federal military installations, disaster response, emergency services, state funding, transportation department, public safety, Hawaii, education, high school diploma, veterans, wartime practices, armed services, HB1518, Hawaii SNAP

Summary: The committee opened by announcing that it would hear testimony but would not take decisions on the day’s bills, with action deferred to a later decision-making agenda. The first measure, HB 2264, would require notification to military security forces when a protective order is issued involving a military-affiliated person. Support came from the U.S. Defense State Liaison Office, the Hawaii National Guard, and DBEDT’s Military Affairs office, all emphasizing better coordination and faster notice to help protect victims and support command oversight. Family Court Judge Jesse Hall supported the intent but asked for deferral, explaining that a prior fax-and-email notification system had broken down and that the military had not re-engaged with the court. The Hawaii State Coalition Against Domestic Violence supported the bill but recommended narrowing it so it applies only when the respondent is actually marked as military-connected and delaying the effective date to January 1, 2027 to allow implementation. In questions, members discussed the current breakdown in communication, the number of military-marked TROs statewide, and whether the bill would be necessary if the old system were restored; the military witness said she would try to reestablish contact with the court. The committee then took up HB 2336, which would authorize the Department of Transportation to enter into agreements with the U.S. Department of Defense for services at federal military installations and charge an administrative fee. DOT and the Military Affairs office supported the measure, describing it as a way to speed projects, combine state and federal resources, and strengthen infrastructure that also supports disaster response and the economy. Members questioned why the bill was needed if similar arrangements had existed before, and whether Title 23 federal highway funds could be used; DOT responded that the bill would help expedite projects and supplement, not supplant, federal funding, while each project would still require review of the appropriate funding source. The committee also heard HB 2298, which would allow the Department of Education to award high school diplomas to qualified people whose schooling was interrupted by military service or wartime practices during World War II, the Korean War, or the Vietnam War. The U.S. Defense State Liaison Office, the Hawaii Office of Veterans Affairs, and DOE supported the bill, and DOE said implementation would have only a minimal printing cost. Finally, the committee heard HB 1518, which would require DHS, upon obtaining a federal waiver, to create a pre-release SNAP application process for inmates nearing release by January 1, 2028. DHS said it was already working on a pilot and stood on its testimony; the County of Hawaii, the Correctional System Oversight Commission, the ACLU of Hawaii, and the Hawaii Public Health Institute supported the measure, arguing it would improve reentry outcomes and would not cost the state additional money. No votes or final committee actions were taken on any of the bills during this meeting.

Bills: SB 397, SB 481, SB 596, SB 760, SB 855, SB 1195, SB 1196, SB 1233, SB 1257, SB 1318, SB 1368, SB 1388, SB 1398, SB 1524, SB 1558, SB 1589, SB 1677, SB 1792, SB 2034

Keywords: data privacy, consumer rights, technology, business regulation, cybersecurity, emergency preparedness, nursing facilities, assisted living, resident safety, power outage, voting by mail, legal guardian, electoral process, foster care, medical consent, out-of-network, healthcare access, Medicaid, child protection, expungement

Transcript Highlights:

• It does not require pharmacists to provide services that they are not comfortable providing.
• These services met him where he was and treated him with dignity.
• Twelve years ago, I was a participant in syringe services. My client ID was 2812.
• Twelve years ago, I was a participant in syringe services. My client ID was 2812.
• I'm the legislative director with the Office of Defense Services. Good afternoon.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Transcript Highlights:

• Welcome to the second session of the 60th legislature for Health and Human Services.
• In fact, I know that this is something that's already being done with child protective services that
• a Senator Peugh bill at a time when we had memory care units holding themselves out as providing services
• The report shall summarize the services rendered under the TMAh model, detailed financial information
• It requires money to be spent on nutritional support services.

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344

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