Video & Transcript : 'lobbying activities' :
Page 71 of 500
LA
Louisiana 2026 Regular Session
Commerce May 20th, 2026
Commerce, Consumer Protection, and International Affairs
Transcript Highlights:
- We did have another red card from Lobby with Shelby Dunbar.
- Is there like an active effort to bring people here that may be able to assist in what you're trying
- So until the program is really active, it's not going to impact any cost to the trust.
- Really active, it's not going to impact any... Right.
- , and the bill defines activity broadly, logging... ...owner's last activity, and the bill defines activity
Summary:
The Senate Commerce Committee met on April 20, approved the prior meeting minutes, and then heard a series of bills and resolutions. It first advanced H. CR 66, which directs Louisiana Economic Development, working with the Governor’s Office of Rural Development, to study rural parish economic assets, infrastructure, workforce, and development opportunities. The committee also moved HB 387, a clarification allowing the fire marshal to review architectural and engineering plans equally, and HB 1223, which seeks to promote clinical trials in Louisiana by having LED market the state’s research capacity and by adjusting internal review board procedures. HB 1228, a cleanup bill for hearing aid dealers that updates definitions, contracts, testing periods, licensing, and related requirements, was also reported favorably, as was HB 950, which would create an elderly consumer perception program through the Office of Elderly Affairs to help seniors recognize scams and fraud.
The committee spent the most time on HB 617, a broad “hidden fees” consumer transparency bill. The author and supporters said it would require mandatory fees to be included in upfront pricing so consumers can make informed choices, while opponents from grocery, restaurant, hotel, housing, retail, and business groups argued the bill was vague, overly broad, and likely to create compliance burdens and litigation risk. Housing advocates objected to the bill’s housing exemption, warning it could weaken renters’ ability to bring claims over undisclosed fees. After extensive debate over variable pricing, sales taxes, enforcement, and the scope of the bill, Senator Morris moved to defer HB 617, and the committee agreed without objection.
The committee also heard HB 797, which would create a “Bayou Gold” certification program for certain gold vendors and transactional gold products. The sponsor said the program would encourage vendors to keep gold insured, segregated, and closer to Louisiana consumers, with the Treasury administering the certification through participant fees. Several senators and an outside witness raised concerns that the state seal could be mistaken for an endorsement, could create liability or consumer confusion, and would favor a narrow set of vendors. Despite opposition, the committee reported HB 797 favorably, with members noting it still had to go to Finance. Later, the committee advanced HB 1186, which would create a more uniform statewide building code and licensing system for inspectors, add disciplinary authority, and impose a small permit fee to support the program, and HB 1222, which would let LED develop a grocery initiative to address food deserts and food insecurity. The meeting concluded with the committee hearing HB 1256 on abandoned digital assets, which would require dormant digital assets to be held in original form for three years so owners can reclaim them.
AR
Transcript Highlights:
- If you need to lobby, go ahead and go outside. If you can, grab your chairs.
- they're in prison for a reason, and now they're continuing to be able to operate their criminal activity
- And they're using, one follow-up, they're using this as criminal activity also, not just cell phones,
- but they're using it for criminal activity.
- But is it not a fact that when it pings, when a phone is activated, it emits a signal, a ping, as it's
Committee:
All JOINT BUDGET COMMITTEE
Summary:
The committee first received a report on the executive protection detail, which was filed without questions. Members were then given a long advance list of House and Senate bills ready for consideration, followed by several amendment requests from agencies. The committee adopted amendments for the Auditor of State to increase special deputy expense allowance, the Administrative Office of the Courts for court interpreters and substitute court reporters, and several other items including local sales tax refunds, county property tax redistribution, and local law enforcement funding. It also held one amendment on House Bill 1034 and moved a Northwest Arkansas Community College cash fund increase tied to tornado-related campus repairs.
The committee then considered a series of member amendments and appropriation items, including increases for the Public Defender Commission and deputy prosecuting attorneys to cover higher bar license fees, and a $12 million federal appropriation-only item. A lengthy discussion followed on a proposal from Senator Wallace and Representative Tosh to fund a pilot program for prison cell-phone detection/jamming technology at two correctional facilities. Sponsors and Department of Corrections officials said the system would target illegal contraband phones, would be procured through an RFP, and would be a two-year pilot; members raised questions about legality, cost, scope, data, and whether the department should use existing budget authority. The committee ultimately advanced the item by motion.
The committee also took up an amendment from Senator Caldwell for the University of Arkansas Division of Agriculture, seeking a $4 million appropriation increase. Testimony emphasized that the division’s extension offices and research functions are underfunded, that salaries are not competitive, and that the request would help with staffing and flexibility; other members questioned why the division needed more appropriation authority when it already had room under current limits and noted that the request exceeded the higher education board’s recommendation. The amendment was adopted after extended debate.
Finally, the committee began acting on governor’s letters, adopting amendments for a $150 million increase to the homestead property tax credit, a $23,000 reallocation for the Insurance Department’s conference costs, $100,000 for property appraisal review work, $1.5 million for career and technical education professional development, $300,000 for DFA regulatory federal spending, $5 million for Inspector General fraud investigations, a consolidation of appraiser/abstractor/home inspector appropriations, deletion of a completed Fort Chaffee readiness center appropriation, and a revised reappropriation for corrections capital projects that would add special language restricting use of the $73.7 million prison-expansion reappropriation. The committee also heard a summary of a supplemental appropriations package involving fund transfers for pregnancy resource centers, senior centers, assistance grants, used tires, and UAMS pregnancy/stroke programs.
AR
Transcript Highlights:
- If you need to lobby, go ahead and go outside. If you can grab your chairs, let's go.
- And they're using, one follow-up, they're using this as criminal activity also, not just cell phones,
- but they're using it for criminal activity.
- And we're, as long as we delay, we're abiding or helping them to further their criminal activity while
- But is it not a fact that when it pings, when a phone is activated, it emits a signal, a ping, as was
Committee:
All JOINT BUDGET COMMITTEE
FL
Florida 2026 Regular Session
Environment and Natural Resources Jan 27th, 2026
Environment and Natural Resources
Transcript Highlights:
- , framework, requirement, or policy related to reducing the use of carbon-intensive products or activities
- , framework, requirement, or policy related to reducing the use of carbon-intensive products or activities
- . related to reducing the use of carbon-intensive product or activity so a target so if a city just sets
- , all of the carbon-intensive activity, is always going to be cheaper.
- It was lobbied by the general contractors to allow them to continue to install utilities.
Committee:
Senate Environment and Natural Resources
WA
Washington 2025-2026 Regular Session
Senate Ways & Means Jan 22nd, 2026
Transcript Highlights:
- Employees' Retirement System, and this includes DNR employees that engage in wildland firefighter activities
- The changes in this bill include clarifying the types of activities that are taxable as a retail service
- We are actively in discussions with DOR, and they've assured us that their only goal is to prevent double
- system is what ensures rapid identification of emerging health threats, support for prevention activities
- I didn't lobby outside. I hope people are listening because if we can save nearly half a million...
Summary:
The committee held a public hearing on several tax and retirement bills, beginning with Senate Bill 6073, which would move eligible Department of Natural Resources wildland and aviation firefighters from PERS into LEOFF 2 prospectively. Committee staff described the higher retirement age and benefit differences between the systems and noted a small implementation cost and a modest actuarial rate increase. DNR, the Washington Public Employees Association, and a committee member all raised support or questions, with DNR acknowledging additional review with the LEOFF board was still needed.
The hearing then turned to Senate Bill 6113, a Department of Revenue request bill making technical and administrative changes to the tax code, including clarifications tied to last session’s ESSB 5814 service-tax changes, a six-month transition period for reclassified businesses, and a section affecting advertising-related exclusions. DOR said the bill was revenue neutral and intended to codify guidance and improve certainty, while school districts, arts groups, broadcasters, newspapers, and business groups testified both in support of the technical fixes and in opposition to provisions they said would continue or worsen unintended consequences from last year’s tax law. Senators also questioned how some definitions would apply, especially to school and higher-education-related services.
Senate Bill 6116 would restore the vapor-products tax structure by moving nicotine-containing vapor products back under the per-milliliter vapor tax instead of the 95% other tobacco products tax, and would restore distributions to the Andy Hill Cancer Research account and Foundational Public Health Services account. Public health agencies, cancer research representatives, and some retailers supported the bill as a fix to funding disruptions, while tobacco-control groups opposed lowering the tax and argued it would weaken public health policy. The committee also heard that the current law creates a double-tax issue on pre-existing inventory because products held when the definition changed became subject to a new tax classification.
Finally, Senate Bill 6129 proposed a broader nicotine-tax overhaul, including a 90% tax on nicotine products, a 10% tax on flavored nicotine products, higher cigarette taxes, and new revenue distributions and tribal compact provisions. Supporters, including public health organizations, pediatricians, and civil rights advocates, said higher taxes would reduce youth use and restore funding for cancer research and public health; opponents, including retailers, tobacco and vapor businesses, broadcasters, and some harm-reduction advocates, argued the bill was regressive, would fuel illicit markets, and would harm small businesses and adult consumers using lower-risk products. The committee then began a briefing on Senate Bill 6162, a property tax reform bill that would expand senior and disability property tax relief, adjust state property tax rates, and change property tax billing statements, but the hearing on that bill was not completed in the portion provided.
CA
California 2025-2026 Regular Session
Assembly Floor Session May 29th, 2025
California House Floor Meeting
Transcript Highlights:
- ACR 89 honors not only those in active duty, but also reservists, members of the National Guard, retirees
- of the illnesses and ailments that she's experiencing that she no longer can work and she was an active
- My region, San Diego County, has an estimated 370,000 active duty personnel and veterans who are assets
- From their active service roles and their contributions on the civilian side, their importance cannot
- It's increased vulnerability to addiction and disruptions to daily activities.
NM
Transcript Highlights:
- He left active duty in 2009 after 23 years of service.
- He left active duty in 2009 after 23 years of service.
- a grand council of Sigma Chi Fraternity, and a member of Phi Beta Kappa, and whereas Patrick was active
- law firm, and the first time I was looking at one of these beautiful paintings at the firm in the lobby
- I told my co-sponsor, Senator Worth, that I've never served in active combat.
Summary:
The Senate opened with roll call, an invocation, pledges, and a series of announcements and guest introductions tied to several recognition days, including Disability Rights Awareness Day, Elevate the Spectrum Day, Geothermal Rising Legislative Day, DWI Awareness Day, and Adult Education and Literacy Day. Senators also welcomed guests for New Mexico Down Syndrome Day and other constituent visits, and the chamber read certificates recognizing the Hurley family and the New Mexico Military Museum, as well as adult education and literacy programs across the state. Testimony and remarks highlighted the service of the Hurley family, the importance of adult education for workforce and civic participation, and the contributions of people with disabilities and their families. The Senate adopted multiple committee reports and received House messages on several bills and resolutions.
On third reading, the Senate passed Senate Bill 96, as amended, which streamlines child care licensing and reduces administrative barriers to opening or expanding child care homes and centers; an HOA-related floor amendment was adopted after discussion about local restrictions and neighborhood traffic concerns. The chamber then passed Senate Bill 14, as amended, which expands the state’s health professional loan repayment program with $25 million in funding split between physicians and allied health professionals/nurses, with questions focused on eligibility, prioritization, and whether the funding would be sufficient to address shortages. Senators also debated the bill’s support for part-time service and its role in helping New Mexico compete for medical workers.
The Senate next passed Senate Bill 104 unanimously, establishing a process for removing a wildlife commissioner that requires gubernatorial initiation, notice and a hearing, and direct review by the state Supreme Court; debate centered on due process, the removal standard of incompetence, neglect of duty, or malfeasance, and how the new process compares with prior law. Finally, the chamber took up Senate Bill 50, which would give the Law Enforcement Training Standards Council more flexibility to set training curricula for officers, especially in rural departments; sponsors said the bill preserves minimum training while allowing updates for current issues, but several senators raised concerns that the measure could weaken explicit statutory requirements for domestic violence and sexual assault training and asked how those topics would remain protected in the future curriculum.
AL
Transcript Highlights:
- </c> have broader business activities have broader business activities uh<00:47:18.400><c> and</c><00
- They can't insurance related activities.
- This bill activity on the property.
- ,</c><02:25:45.359><c> especially</c> active highway or interstate, especially active highway or interstate
- No tickets active and when it is not.
WA
Transcript Highlights:
- Employees' Retirement System, and this includes DNR employees that engage in wildland firefighter activities
- The changes in this bill include clarifying the types of activities that are taxable as a retail service
- We are actively in discussions with DOR, and they've assured us that their only goal is to prevent double
- system is what ensures rapid identification of emerging health threats, support for prevention activities
- I didn't lobby outside.
Committee:
Senate Ways & Means
Keywords:
SB 6073, LEOFF, Law Enforcement Officers' and Fire Fighters' Retirement System, retirement system, pension, public safety retirement, wildland firefighter, aviation firefighter, wildland fire, forest firefighter, Department of Natural Resources, DNR, firefighter benefits, retirement benefits, service credit, disability retirement, survivor benefits, employer contributions, Washington RCW, public employees
WA
Washington 2025-2026 Regular Session
Senate Agriculture & Natural Resources Jan 22nd, 2026 at 01:30 pm
Agriculture & Natural Resources
Transcript Highlights:
- And if you could please bring in Kirk Camer into the lobby remotely, we'll hear from him after.
- , supporting thousands of jobs and generating hundreds of millions of dollars in annual economic activity
- The proviso specifically called for an examination of program costs, fee-setting methods, activities
- I am taking a more active role in this fee process now, and I’ll be working to provide full details of
- ... ...farming and then came back because it's in my blood, so I'm actively working on the beach with
Committee:
Senate Agriculture & Natural Resources
NM
New Mexico 2025 Regular Session
IC - Tobacco Settlement Revenue Oversight Jul 7th, 2025
Tobacco Settlement Revenue Oversight Committee
Transcript Highlights:
- But one is that the lobbyists for the tobacco industry were successful in lobbying the Speaker to not
- When that happens, that money goes into active prevention and other activities.
- I, too, have seen the ads on the social media platforms that I'm active on, so I want to confirm that
- So I would just encourage you to try and keep those students busy and active besides just word of mouth
- You know, what activities the Southern Health Educator, what contracts that person may be overseeing,
TX
Transcript Highlights:
- companies to make excessive amounts of capital investment. investment and to engage in related activities
- But in 2006, I made a trip down here to Austin, and I worked and lobbied, and we had some meaningful
- develops a Railroad Commission-approved compliance plan, committing to plug or restore the well to active
- is a well that's been inactive for over 12 months, and it's had its organizational form not... ...active
- Both inactive and active injection wells can contaminate groundwater, and we hear cases with. across
Committee:
House Energy Resources
Keywords:
inactive wells, oil and gas regulation, environmental protection, Railroad Commission of Texas, well plugging, Railroad Commission, penalties, violations, pipeline safety, civil penalties, criminal penalties, wildfire prevention, oil and gas, safety inspections, administrative penalties, excavation, notification, utilities, underground facilities, regulatory compliance
TX
Transcript Highlights:
- Partnership, who also... brought in Deirdre Delisi, the former Transportation Commission Chair, to lobby
- I was on active duty for 34 years.
- As you know, the Transportation Infrastructure Fund supports counties impacted by energy sector activity
- Access to different modes of transportation increases economic activity by allowing more people to get
- The "T" stands for transit-oriented, and they continue to have staff actively engaged.
Bills:
HJR58 , HJR63 , HB263 , HB542 , HB905 , HB 1288 , HB1402 , HB2003 , HB2262 , HB2323 , HB2429 , HB2876 , HB3019 , HB263
Committee:
House S/C on Transportation Funding
Keywords:
healthcare, insurance, elderly, retirement, benefits, transit-oriented projects, constitutional amendment, state highway fund, funding allocation, voter approval, highway fund, funding, public transportation, transit projects, transportation, local transit, fund allocation, voting rights, election integrity, ballot access
FL
Transcript Highlights:
- Finally, the committee has oversight over the Florida Public Service Commission and its regulatory activities
- The committee has oversight over the Florida Public Service Commission and its regulatory activities,
- I've been very active in condo legislation for about 20 years and practicing as a CPA for about 35, with
- I've been very active in CERAL legislation for about 20 years and practicing as a CPA for about 35, about
- substantive amendments task force that was created by the committee in 2022, and we continued to be active
Committee:
Senate Regulated Industries
Summary:
The committee on Regulated Industries convened with a quorum and began a panel discussion focused on condominium milestone inspections and structural integrity reserve studies (SIRS), with members framing the topic as part of Florida’s post-Surfside condo safety reforms. The chair and panelists reviewed how the state got here, emphasizing that the problems predated Surfside and were driven by long-term deferred maintenance, underfunded reserves, and aging buildings. Panelists included representatives from Florida Realtors, engineering and reserve-study firms, a CPA, a community association attorney, and Broward County’s building safety official, all of whom described their roles in inspections, reserve planning, and code enforcement.
Testimony centered on what inspectors are finding in the field. Panelists said the most common problems are not subsidence but wear-and-tear and maintenance failures, especially in stairways, balconies, roofs, parapet walls, waterproofing, and corrosion. They described examples of buildings with hidden deterioration, hurricane-exposed damage, and associations that were underfunded despite prior inspection regimes in Miami-Dade and Broward. Dr. Barbosa explained that Miami-Dade’s recertification program began in the 1970s and Broward’s in 2005, with current timelines generally requiring notice, a first milestone review, and then time to begin substantial repairs; she said the program has improved compliance but that SIRS has added confusion.
Members also raised concerns about the cost and implementation of SIRS, including whether reports are being used to generate unnecessary work, whether contractors or firms have conflicts of interest, and whether the law’s use of “fully funded” is being misunderstood. Panelists said the statutory reserve requirement is better understood as baseline funding, not having all money in the bank immediately, and suggested clearer definitions and possibly changing the terminology to “adequately funded.” They also discussed the need to separate required structural items from optional or cosmetic items in reserve reports, improve transparency for buyers and lenders, and ensure associations provide documents through websites and other portals.
No votes were taken. The committee used the meeting as an information-gathering session and signaled that more panels and discussion would follow, with members and witnesses agreeing that the state may need further clarification, education, and possible statutory adjustments to reduce confusion while preserving building safety.
OK
Oklahoma 2026 Regular Session
Civil Judiciary REVISION 2: Links added Apr 2nd, 2026
Transcript Highlights:
- This is the Foreign Principal Lobbying Oversight Act.
Summary:
The Civil Judiciary Committee met with a quorum and took up a long series of Senate bills, adopting a committee substitute for SB 1716 as a working draft before hearing the bill. SB 1716 clarified data privacy language as it applies to utility companies, and it passed on a recorded vote with one nay. The committee then heard and advanced SB 1303, transferring property and records from the Advisory Council on Workers’ Compensation to the Workers’ Compensation Commission, and SB 2180, the Foreign Principal Lobbying Oversight Act, which requires agents of foreign principals to register with the Secretary of State subject to stated exceptions. Both measures passed without opposition.
Members also approved SB 504 setting the minimum marriage age at 18, SB 1209 changing eviction timing to exempt only Sundays and holidays, SB 1448 as a Consumer Protection Act cleanup bill, and SB 1597, a mirror CASA bill clarifying that it does not affect receipt of national funds. SB 1679, described as preserving Oklahoma values and protecting against foreign law overriding Oklahoma contracts, also passed after questions about constitutional and interstate issues. SB 2182, creating a Uniform Civil Remedies Act for unauthorized disclosure of intimate images, was adopted after a committee substitute was filed.
Later, the committee adopted an amendment to SB 2112 and advanced it as an open-pastures bill for certain county roads in western Oklahoma, then passed SB 2170 requiring supervised visitation for individuals with substantiated DHS findings of sexual abuse. Additional measures approved included SB 2084 limiting settlements in wrongful termination suits involving higher education faculty to two years’ salary, SB 1496 updating OSBI authority and information-sharing rules, SB 1595 restricting state agencies and contractors from steering commercial driver training school choices, SB 1655 expanding post-adoption services through the Children’s Specialty Plan Program, SB 1876 modernizing service of process for foreign insurance companies, SB 1621 allowing county district attorneys to defend county law libraries, SB 1944 clarifying agricultural payroll and independent contractor thresholds, SB 1266 on notary accountability, SB 2072 expanding title-theft investigations and fee waivers, SB 2104 cleaning up the Uniform Trust Code, SB 1769 allowing short-term rental owners to require photo ID from renters and guests age 18 or older, and SB 1827 removing certain University Hospital Trust physician faculty and staff from the Government Tort Claims Act. Most bills passed unanimously or near-unanimously, and the committee adjourned after completing its agenda.
ID
Transcript Highlights:
- office, in conjunction with the legislature, we passed House Bill 398, codifying a bunch of different lobbying
Committee:
Senate State Affairs
FL
Florida 2025 Regular Session
December 4, 2025 - 01:30 PM
Transcript Highlights:
- standards for lobbyist disclosures, the goal of transparency is, Similar to the House's high standards for lobby
Summary:
The Select Committee on Congressional Redistricting held its first meeting, established a quorum, and opened with remarks from the chair outlining the committee’s purpose and scope. The chair said the committee will focus only on congressional redistricting, will not take public comment at this introductory meeting, and may consider whether to propose a new congressional map ahead of the 2026 session. He emphasized that the work would rely on the 2020 census data, the current congressional map, and the House’s map-drawing software, and he stressed transparency, record retention, and compliance with constitutional prohibitions on drawing districts to favor or disfavor a party or incumbent.
House outside counsel Andy Bartos then gave an educational presentation on redistricting basics and legal standards. He distinguished reapportionment from redistricting, explained that Florida was apportioned 28 congressional seats after the 2020 census, and reviewed the one-person, one-vote rule, noting that congressional districts must be drawn with near-exact population equality. He also described census geography and how counties, tracts, block groups, and blocks are used to build districts, and explained that congressional redistricting follows the ordinary legislative process rather than the special process used for state legislative districts.
Bartos also covered contiguity, explaining that districts must be one connected piece and that mere point-touching is not enough, while bodies of water within a district do not necessarily break contiguity. No questions were asked after the presentation, no votes were taken, and no public testimony was heard. The meeting ended after the chair thanked attendees and said the committee would meet again the following week.
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation General Fund Committee Mar 5th, 2025
Finance and Taxation General Fund
Transcript Highlights:
- Chairman, I think most of you all have probably heard from the lobbies about Senate Bill 11.
Committee:
Senate Finance and Taxation General Fund
Keywords:
income tax, CHOOSE Act, education funding, ABLE account, tax credits, poverty threshold, legislative funding, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination
LA
Transcript Highlights:
- She is also an active member of Louisiana Leadership Institute.
- Through her platform, she provides practical tools that support nutrition, physical activity, confidence
Bills:
SCR12 , HB221 , HB509 , HCR58 , SB78 , SB25 , SB80 , SB132 , SB155 , SB157 , SB202 , SB228 , SB250 , SB414 , SB433 , SB479 , SB513 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB17 , HB41 , HB73 , HB223 , HB244 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB217 , SB283 , SB469 , HB36 , HB42 , HB74 , HB119 , HB159 , HB259 , HB302 , HB414 , HB459 , HB776 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB208 , SB312 , SB382 , SB389 , HB210 , HB258 , HB359 , HB368 , HB468 , HB552 , HB732 , HB784 , HB870 , HB953 , HB1117 , HB1236
Keywords:
logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 16th, 2026 at 08:00 am
Health Care & Wellness
Transcript Highlights:
- The company lobbies state legislatures to maintain fee structures based on paper-era economics to justify
- The company lobbies state legislatures to maintain fee structures based on paper-era economics to justify
Committee:
House Health Care & Wellness
Keywords:
patients' rights, healthcare information, medical confidentiality, health data security, healthcare access, abortion, medications, reproductive health, access, healthcare, PANDA, PANS, treatment access, mental health, legislation, preventive services, state authority, definitions clarification, public health