Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Bills: HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32

Keywords: vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC

Transcript Highlights:

• It reimburses the contingency reserves to make sure that programs remain stable and reliable.
• Rent, home insurance, and electric bills are soaring.
• RENT, HOME INSURANCE AND ELECTRIC BILLS ARE SOARING, THE COST OF BEEF AND VEGETABLES KEEPS CLIMBING.
• Electricity bills are out of control. Health care costs are skyrocketing... And out of control.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 12, 2025, 1012, house, all

Transcript Highlights:

• For the record, Miranda Hoover with 3C House, representing the National Electrical Contractors Association
• set of circumstances, the consequences of copper wire theft can cause more than a disturbance to electricity
• the five large cities that does not currently allow for accessory dwelling units, so I could not reliably
• It establishes penalties for willfully removing, damaging, or destroying certain critical electrical

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• Caltrain will pull into San Francisco 52 times, and Metra's Electric District will send 64 trains from
• Itself as a reliable transit option 99% of the time.
• Reliability, you know, just like with a car, people don't want to have to think.
• Reliability, you know, just like with a car, people don't want to have to think.
• Reliability, you know, just like with a car, people don't want to have to think.

Keywords: 1183, house

Transcript Highlights:

• It restores stable, reliable funding to rural counties that host federal forest by reauthorizing the
• It restores stable, reliable funding to rural counties that host federal forest by reauthorizing the
• It restores stable, reliable funding to rural counties that host federal forest by reauthorizing the
• It restores stable, reliable funding to rural counties that host federal forest by reauthorizing the
• It restores stable, reliable funding to rural counties that host federal forest by reauthorizing the

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 10, 2025, 1012, house, all

Transcript Highlights:

• replacement of the electrical replacement of the electrical services<00:34:20.560> for<00
• We've done several repairs to the roof, firewalls, and electricals have been upgraded.
• We've done several repairs to the roof, firewalls, and electricals have been upgraded.
• And then how reliable is that, because they often go to another contract.
• And then how reliable is that, because they often go to another contract.

Keywords: 928, house, all

Summary: The committee heard a Department of Corrections capital budget presentation on HB 25, focused largely on urgent maintenance and security needs at the New Hampshire State Prison for Men and other DOC facilities. DOC officials described the governor’s proposed priorities: boiler surge and radiator tank replacements, electronic controls and camera upgrades, and replacement of HVAC units using R22 refrigerant. They also outlined additional requested projects totaling $15.4 million, including a body alarm/man-down system at Northern New Hampshire Correctional Facility, steam line and trap repairs, fire alarm replacements, and removal of an underground diesel tank in favor of above-ground storage. DOC testified that many systems are well beyond their expected service life, including 40-year-old boilers, outdated analog cameras, and HVAC equipment using discontinued R22 refrigerant. They said the men’s prison is relying on a leased temporary boiler, has significant steam leaks causing major water loss and reduced boiler efficiency, and is dealing with frequent fire alarm faults and deteriorating wiring. On the body alarm system, they said the vendor no longer supports the equipment and replacement parts are no longer available. On the diesel tank, members questioned whether it could be abandoned in place or whether fuel could be reused; DOC said it had not explored all alternatives and would follow up, while noting the tank is underground and tied into the warehouse system. Members also asked whether some current investments could be reused in the planned new men’s prison. DOC said some items, such as air handlers, might potentially be moved, but most projects are needed to keep the current facility operational and would not be practical to transfer. Questions were also raised about the leased boiler arrangement, the use of the man-down system by staff and visitors, and whether the kitchen project could be converted to a modular unit. DOC said the modular kitchen approach is necessary because the existing kitchen cannot remain fully operational during repairs. The committee then moved to lapse extensions, and DOC identified several projects no longer needing extensions, including items numbered 64, 65, and 66 in HB 25, with the chair noting those balances would be deleted and that the lapse amount was $550,500.

Transcript Highlights:

• important this issue is to the Legislature because we do need more stability, predictability, and reliability
• how important this issue is to the legislature because we do need more stability, predictability, reliability
• believe that statewide bargaining is the way to go to ensure that we have more consistency and reliability
• Ombudsman worked with evacuation center staff to ensure an electrical outlet was made accessible for

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• Countless crew members, artisans, and technicians working tirelessly behind the scenes, grip an electric
• proposed, that's a personal investment that they are making in community because of the hope and the reliability
• lot employees, social effects supplies, hair and makeup supplies, equipment for camera grip and electric

Keywords: 988, house, all

Transcript Highlights:

• Uh we manufacturers for electric OVs.
• It it seems like that electric battery.
• , the electric vehicles likely weigh more than 2,000 pounds.
• , the electric vehicles likely weigh more than 2,000 pounds.
• > it's<03:51:58.080> and<03:51:58.319> it's electric vehicle and it's and it's electric

Keywords: 928, house, all

Summary: The committee first took up HB 163FN, dealing with requiring current, verifiable evidence of a species’ presence before land-use restrictions are imposed for habitat protection. Members discussed an amendment that had been worked on with agencies and stakeholder groups. Fish and Game testified that, while the amendment improved the bill, the agency still opposed it because of concerns about citizen science, how the proposal would apply to public versus private property, and how the transition to DES would work. Representative Darby argued the amendment was ambiguous, lacked a full hearing, and did not clearly address record verification or private-property access issues. The amendment passed 8-7, and the committee then voted OTPA 8-7, with a minority report noted. The committee then moved to HB 1752FN, which would create a chain of custody for timber and carbon credits. Representative Davis presented an amendment saying it would help law enforcement investigate timber theft and add transparency to New Hampshire’s carbon registry by identifying buyers of carbon credits. Supporters said the change would impose little burden and align with practices in other states. Opponents, including Representative Darby, Representative Vale, and the state forester from DNCR, said the carbon market is complex, the amendment was not fully vetted, and a hearing with all stakeholders was needed; they also raised fiscal-note concerns. The amendment passed 8-7, and the committee then voted OTPA 8-7, again with a minority report. Finally, the committee opened a hearing on HB 1019, which would add an active water treatment professional to the state water well board. Representative Peter Petrino and Representative Wendy Thomas said the board should include expertise on contamination risks and treatment technologies, citing concerns about arsenic, radon, and PFAS in private wells. The chairman of the Water Well Board testified in opposition to the bill as drafted, saying the board supports the general idea of licensing water filtration work but does not currently have authority or rules to oversee that field and believes the proposal would put “the cart before the horse.” Members questioned whether the board’s current mandate even covers filtration systems, and the discussion ended with those concerns unresolved.

Transcript Highlights:

• Reliable funding will also enable employers to provide career growth opportunities to CHWs, moving from
• friendly alternative to traditional cremation, producing fewer emissions, and can be fueled through electricity

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• Louisiana needs reliable and affordable energy to power our farms, our homes, our businesses, and our
• Coates is an action in title 40 relative to outdoor burning to authorized ...on Highway 165 on an electric

Bills: SR146, SCR12, HB221, HCR115, HCR116, HCR58, HB1, HB312, HB313, HB314, HB383, HB983, HB1126, HCR3, HB2, HB3, SCR3, SB56, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR27, HCR28, HCR66, HCR67, HCR72, HCR5, HCR32, HCR49, HCR50, HCR53, HCR60, HCR62, HCR64, HCR68, HCR78, HCR81, HCR86, HCR97, HCR102, HCR31, HCR47, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB42, HB45, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB971, HB1017, HB1234, HB1235, HB9, HB177, HB181, HB202, HB223, HB225, HB387, HB398, HB457, HB459, HB540, HB591, HB616, HB766, HB775, HB783, HB895, HB906, HB950, HB975, HB1052, HB1057, HB1076, HB1100, HB1139, HB1155, HB1160, HB1182, HB1186, HB1220, HB1223, HB1224, HB1228, HB1231, HB1245, HB1256, HB17, HB27, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB205, HB211, HB226, HB259, HB271, HB308, HB310, HB324, HB337, HB351, HB399, HB403, HB571, HB712, HB723, HB726, HB740, HB750, HB759, HB812, HB844, HB966, HB1006, HB1009, HB1018, HB1036, HB1038, HB1107, SB29, SB42, SB78, SB208, SB217, SB274, SB300, SB341, SB379, SB382, SB387, SB401, SB441, SB449, SB487, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB43, SB149

Keywords: SR146, Senate Resolution 146, Louis Thomas Nelson, Thomas Nelson, condolences, memorial resolution, tribute, obituary, public service, St. Martinville, Cade, St. Martin Parish, police juror, mayor, community center, water system, school bus driver, school board, Louisiana Senate, sympathy

Transcript Highlights:

• That leaves parents, advocates, and policymakers without reliable data and without a clear understanding
• I'm Richard Markison, and I'm representing the Western Electrical Contractors Association.

Summary: The Assembly Education Committee met without a quorum at first and began as a subcommittee, with the chair outlining hearing procedures and several bills on consent. The committee heard and advanced AB 1581, which would improve collection of tribal affiliation data for California students so Native students are more accurately counted and better served; supporters said current systems undercount Native students and erase their needs. AB 1586 also passed, requiring school resource officers who volunteer to carry naloxone to receive opioid overdose response training every two years; supporters emphasized student safety and the need for rapid response to overdoses on campus, while one school employees’ group raised concerns about retaliation protections for non-volunteers. Both bills were moved do pass as amended to Appropriations, with roll calls held open for absent votes. The committee then approved AB 1943, which updates school notices about secure firearm storage by making the information clearer, more visible, and more likely to reach families at key moments such as counseling or discipline interventions. Supporters from gun violence prevention groups, educators, and parents argued that many school shooters obtain guns from home and that plain-language, digital, and timely notices could help prevent child deaths and suicides; the author shared a personal story about a child accessing a gun at home. AB 1792 also advanced, directing the Instructional Quality Commission to consider updating health education to address digital safety issues such as deepfakes, extortion, grooming, and AI-generated exploitation; supporters said students need instruction that reflects modern online risks, while an opponent objected to language referencing LGBTQIA+ and gender-diverse students. AB 1653 passed as well, adding heat-illness guidance to the health framework after a young Girl Scout described students suffering during extreme heat and not recognizing symptoms. Later, the committee approved AB 1861, which would require the California Department of Education to create a public database of special education investigation reports with personal information redacted; supporters said families need better access to complaint outcomes and accountability, while an opposition witness warned of unintended consequences, misuse of incomplete information, and added burdens on districts. AB 1721 also moved forward, creating a stakeholder work group to review and streamline school safety plan requirements so plans remain practical and focused on emergency preparedness. AB 1631, which would make kindergarten mandatory, received mixed testimony: supporters argued it would help close achievement gaps and improve readiness, while opponents framed it as an intrusion on parental choice; the bill was held on call after a split vote. Finally, AB 1809, extending job order contracting authority for school and community college districts, was also held on call after opposition from contractors who argued project labor agreement requirements raise costs and reduce competition. The committee then began hearing AB 1659, aimed at improving transitions for court school students back to their home districts, with testimony describing re-enrollment barriers and the need for a designated district contact.

Transcript Highlights:

• It requires Medicaid to cover double electric breast pumps.
• New Mexicans deserve consistent, reliable health care access and coverage, and for that reason, we support

Bills: SB20, SB21, SB166, SB177, SB181, SB189, SM6

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder