Video & Transcript : 'state health program' :
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TX
Texas 89th Regular
Homeland Security, Public Safety & Veterans' Affairs Mar 26th, 2025
Homeland Security, Public Safety & Veterans' Affairs
Transcript Highlights:
- As was stated, my name is...
- Current Texas law states that once a law enforcement agency receives notification from a health care
- Virgin Islands, and was nominated by the President of the United States. ...United States to serve as
- Not all agencies have specialized mental health units that are designed to take care of our mental health
- State government. You can go to jail for the federal penalty. Why can't we do that as a state?
Bills:
HB1583 , HB1775 , HB1832 , HB1836 , HB1837 , HB1866 , HB1983 , HB2029 , HB2217 , HB2318 , HB2363 , HB2486
Keywords:
mental health, emergency detention, peace officer, mental illness, prevention of harm, border security, private landowners, study and report, General Land Office, participation, controlled substances, opioid antagonists, law enforcement training, substance abuse prevention, Texas-Mexico border, criminal justice, public safety, law enforcement, National Park Service, arrest powers
HI
Transcript Highlights:
- </c> 2074 relating to state facilities. 2074 relating to state facilities.
- Then the state sent it a safety program.
- </c> in the state. in the state.
- </c> and for all of us here in the state. and for all of us here in the state.
- </c> states, and she is a Latina. states, and she is a Latina.
Bills:
HB20 , HB276 , HB644 , HB812 , HB816 , HB916 , HB1131 , HB1247 , HB1518 , HB1525 , HB1537 , HB1541 , HB1546 , HB1553 , HB1562 , HB1565 , HB1566 , HB1576 , HB1577 , HB1591 , HB1605 , HB1612 , HB1613 , HB1614 , HB1618 , HB1620 , HB1650 , HB1656 , HB1658 , HB1661 , HB1664 , HB1668 , HB1676 , HB1707 , HB1711 , HB1713 , HB1715 , HB1718 , HB1727 , HB1749 , HB1756 , HB1774 , HB1776 , HB1801 , HB1802 , HB1805 , HB1813 , HB1815 , HB1831 , HB1838 , HB1853 , HB1854 , HB1859 , HB1863 , HB1871 , HB1872 , HB1918 , HB1920 , HB1952 , HB1965 , HB1966 , HB1967 , HB1969 , HB1972 , HB1973 , HB1974 , HB1975 , HB1980 , HB1985 , HB2005 , HB2023 , HB2031 , HB2033 , HB2062 , HB2113 , HB2114 , HB2116 , HB2138 , HB2139 , HB2156 , HB2158 , HB2159 , HB2171 , HB2208 , HB2268 , HB2270 , HB2272 , HB2273 , HB2276 , HB2289 , HB2310 , HB2315 , HB2335 , HB2338 , HB2339 , HB2340 , HB2343 , HB2361 , HB2384 , HB2387 , SB2338 , SB2431 , SB2438 , SB2593 , SB2907 , SB2671 , SB2321 , SB3084 , SB2401 , SB3033 , SB2972 , SB3032 , SB2806 , SB3014 , SB2108 , SB2981 , SB2973 , SB2423 , SB2078 , SB2322 , SB2397 , SB2896 , SB2088 , SB2347 , SB2408 , SB2970 , SB2851 , SB2713 , SB2697 , SB2312 , SB2192 , SB2363 , SB2530 , SB3028 , SB2024 , SB3007 , SB2599 , SB2596 , SB2662 , SB2930 , SB3334 , SB2378 , SB3019 , SB3231 , SB2240 , SB2372 , SB2175 , SB2046 , SB2298 , SB2922 , SB2835 , SB3263 , SB2174 , SB2128 , SB2006 , SB2489 , SB3134 , SB2982 , SB2425 , SB2849 , SB2797 , SB2795 , SB2575 , SB2521 , SB2765 , SB2386 , SB2852 , SB2022 , SB2117 , SB2277 , SB2387 , SB2688 , SB2885 , SB3132 , SB3219 , SB2169 , SB2591 , SB2090 , SB2983 , SB888 , SB3249 , SB2611 , SB2429 , SB2463 , SB3154 , SB3131 , SB3152 , SB3315 , SB2448 , SB2054 , SB2140 , SB2520 , SB2377 , SB2986 , SB2010 , SB2189 , SB2026 , SB3010 , SB2818 , SB2002
TX
Transcript Highlights:
- in 2022 and is now operated by five local mental health authorities across the state.
- We represent the 39 Local Mental Health Authorities (LMHAs) across the state.
- Let's turn this earlier version of the program into a model for other states to follow.
- Efforts from last session were from the National Academy of State Health Policy.
- Health plans in the state Medicare program.
Bills:
HB46 , HB35 , HB4490 , HB4454 , HB2188 , HB3078 , HB4743 , HB2556 , HB46 , HB5342 , HB4783 , HB3785 , HB5278 , HB1639 , HB2581 , HB4224 , HB4070 , HB4099 , HB4882 , HB3794
Committee:
House Public Health
Keywords:
local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits
TX
Transcript Highlights:
- The bill further instructs DSHS to include health literacy issues in their state health plan.
- Amanda Hall, Department of State Health Services, and Nicholas. with Texas State Association of Firefighters
- Amanda Hall with the Department of State Health Services.
- the best health care quality in the United States.
- If it did, 27 states wouldn't have a rural access to health care problem.
Bills:
HB35 , HB4490 , HB4454 , HB2188 , HB3078 , HB4743 , HB2556 , HB46 , HB5342 , HB4783 , HB3785 , HB5278 , HB1639 , HB2581 , HB4224 , HB4070 , HB4099 , HB4882 , HB3794 , HB46
Committee:
House Public Health
Keywords:
peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards
AZ
Arizona 2026 Regular Session
01/21/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- If you're a member, please state your name.
- General Fund to the Department of Health Services to establish a grant program to assist rural hospitals
- Since the state had started to do studies related to the system, the state has shown that this system
- Every other state requires zero.
- Every other state requires zero.
Bills:
SB1001 , SB1011 , SB1016 , SB1052 , SB1072 , SB1100 , SB1112 , SB1113 , SB1116 , SB1118 , SB1120 , SB1121 , SB1122 , SB1123 , SB1124 , SB1125
Keywords:
appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, reimbursement rates, intellectual disabilities, community services, funding appropriations, foreign adversary
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 51 May 4th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- health-related agencies.
- HCR1093 approves all state health-related agencies except those referenced there that are major rules
- health-related agencies.
- This is a request bill from the state superintendent and the state department of education.
- making sure these are ones that work within the state of Oklahoma and not other states too.
Bills:
SB1543 , HB1933 , HJR1088 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , SB1859 , HB2988 , HB3016 , SB237 , SB2065 , HB3418 , HCR1027 , SB1641 , SB1589 , SB44 , SB563 , SB1403 , HB1979 , HB3075 , SB2045 , SB1653 , SB1655 , SB2030 , HB2951 , SB2028 , SB2071 , SB206 , SB1849 , HB3755 , SB1509 , SB1314 , SB1561 , SB1217 , SB1618 , HJR1096 , HJR1099 , HJR1100
Keywords:
driving under the influence, felony offense, ignition interlock device, community service, criminal assessment, nitrous oxide, Maddix Bias Act, intoxication, underage sale, misdemeanor, drug paraphernalia, enforcement, education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools
AZ
Transcript Highlights:
- The bill appropriates $324,700,000 from the general fund for the state health insurance plan and programs
- It impacts our health systems. And it's a very costly disease to the state.
- our program come off of state assistance programs.
- providing to the state by getting people onto employer health care programs and off of SNAP benefits
- So if the state is not providing funding to these programs, there's a very good chance that these programs
Bills:
HB4154 , HB4155 , HB4156 , HB4157 , HB4158 , HB4159 , HB4160 , HB4161 , HB4162 , HB4163 , HB4164 , HB4165 , HB4166 , HB4167 , HB4168 , HB4169 , SB1847 , SB1848 , SB1849 , SB1850 , SB1851 , SB1852 , SB1853 , SB1854 , SB1855 , SB1856 , SB1857 , SB1858 , SB1859 , SB1860 , SB1861 , SB1862
Committee:
Joint Appropriations
TX
Bills:
HB 109 , HB136 , HB694 , HB 1201 , HB1716 , HB2071 , HB2216 , HB2358 , HB2807 , HB2886 , HCR78 , HB109 , HB136
Committee:
House Human Services
Keywords:
mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion, facility operations, Waco Center for Youth, education services, school district, Texas Health and Safety Code, youth residential care, behavioral health, state appropriations, Medicaid, lactation
AL
Alabama 2025 Regular Session
Alabama House Ways and Means General Fund Committee Feb 19th, 2025
Ways and Means General Fund
Transcript Highlights:
- This is a general bill, but it deals with the different Sheriff's offices throughout the state.
- So usually, the parent in that household cannot afford their own health insurance.
- I don't know about other parts of the state, but...
- The state gets the...
- Consideration that we are going to say we’re a color blind state, let's show it.
Committee:
House Ways and Means General Fund
Keywords:
judicial compensation, salary increase, court system, Alabama legislation, judges, HB187, court fees, docket fee, sheriff's fund, sheriff's office, jail operations, law enforcement, county sheriff, court filing fees, Alabama Code 12-19-312, solicitor's fund, clerk's fund, forensic services trust fund, budget flexibility, public safety
LA
Transcript Highlights:
- And they're also not licensed and regulated by the State Department of Health.
- Not licensed and regulated by the State Department of Health.
- It simply directs the Louisiana Department of Health to develop a trauma-informed training program.
- , Louisiana Department of Health—they also have a training program.
- Ten schools nationwide training programs have adopted the change, and four states have currently passed
Bills:
HB611 , HB897 , HB902 , HB931 , HB1030 , HB1092 , HB1100 , HB1118 , HB1138 , HB1143 , HB1160 , HB1185 , HB1216
Committee:
House Health and Welfare
Keywords:
pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 16th, 2025
Health & Human Services
Transcript Highlights:
- Okay, TXPP, that stands for the Texas Physician Health Program.
- Last session, we changed TXPP, so it's the Physician Health Program funding mechanism from a participation
- I'm Dean McDaniel, and I'm the chair of the board for the Texas Physician Health Program.
- Board, the Texas Physician Health Program opened the program to the same services for all of those licensees
- In our own state, at the University of North Texas Health Science Center, over 2,350 unclaimed bodies
Committee:
Senate Health & Human Services
Keywords:
body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC
Summary:
The committee first heard Senate Bill 2480, which would clarify that the Texas Medical Board may collect license renewal surcharge fees from all licensees to fund the Texas Physician Health Program and related administrative costs. The bill author explained the funding fix was needed after prior language was found to allow surcharges only for physicians and physician assistants. Witnesses from the Texas Physician Health Program supported the measure and described the program’s confidential monitoring and treatment services; members asked about the fee amount, which was described as capped at $15 per two-year registration cycle. The bill was left pending.
The committee then took up Senate Bills 1406 and 2721, both authored by Senator Parker, addressing the handling of human remains by non-transplant anatomical donation organizations, willed body programs, and related facilities. Senator Parker and several witnesses described alleged abuses involving unclaimed bodies, consent problems, body leasing, hotel-based dissections, and mishandling of cremains, and argued for strict licensing, inspections, transparency, and criminal penalties. Supporters included families of deceased veterans and other relatives, a biomedical ethicist, the Texas Catholic Conference of Bishops, and some public safety and hotel industry representatives who said legitimate training should continue but bad actors should be shut down. Opponents or cautious witnesses from accredited donation organizations and bioskills labs said they support stronger oversight but warned the bills could unintentionally disrupt legitimate medical education and urged clearer language and implementation of existing law. Both bills were left pending.
Senate Bill 1681, by Senator Menendez, would require counties and municipalities that regulate boarding homes to report facility standards and related information to the Health and Human Services Commission. The author said the bill is intended to improve state oversight of boarding homes that serve elderly and disabled residents and to address abuse, neglect, and exploitation. The bill was left pending after brief discussion.
After the testimony portion, the committee returned to voting on pending business and unanimously reported Senate Bills 527, 912, 1580, 1952, and 2032 to the Senate with recommendations that they do pass and be printed, and each was also recommended for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Bill 407 and reported the substitute favorably, with six ayes and three nays. The committee then moved on to Senate Bill 500 as pending business.
AZ
Arizona 2026 Regular Session
02/10/2026 - Senate Appropriations, Transportation and Technology
Appropriations, Transportation and Technology
Transcript Highlights:
- to behavioral health patient brokering.
- , by the way our founders stated it.
- All from BIA or Indian Health Services, or is this just what you're getting from the state of Arizona
- That's a state tax, as a state tax per gallon tax. It's a state tax.
- and the program.
Bills:
SB1072 , SB1111 , SB1114 , SB1116 , SB1122 , SB1179 , SB1250 , SB1308 , SB1455 , SB1456 , SB1457 , SB1487 , SB1547 , SB1549 , SB1551 , SB1552
Keywords:
reimbursement rates, intellectual disabilities, community services, economic security, funding appropriations, automated license plate readers, law enforcement, privacy, data access, public records, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare
TX
Transcript Highlights:
- As a state rep, who's... adjacent to your state rep. I've competed there, so.
- Representative Tapper, I have a great concern about the Nile Program and maybe Texas can be the state
- The NIL program. I'm not advised.
- State of Texas should be the forerunner in doing an NIL program appropriate.
- There is value to amateurism, not only in the state of Texas, but throughout the United States. that
Keywords:
education funding, Texas State Technical College System, constitutional amendment, capital projects, workforce education, military education, early registration, ROTC, corps of cadets, higher education, military academy, student athletes, name image likeness, compensation, intercollegiate athletics, representation, tuition assistance, military, Texas State Guard, education
WA
Transcript Highlights:
- We're doing things like welding programs, GED programs, higher education, so that when they return to
- We're doing things like welding programs, GED programs, higher education, so that when they return to
- As a state, we are responsible for the health and well-being of our residents, and especially when those
- Again, we'd like to have our Department of Health be able to go in and check health and safety, especially
- We have a state attorney general.
Bills:
SB6062 , SB6080 , SB6184 , SB6224 , SB6255 , SB6286 , SB6308 , SB6319 , SB5977 , SB5979 , SB6249 , SGA9299
Committee:
Senate Human Services
Keywords:
juvenile justice, criminal offense, minors, rehabilitation, legal provisions, contracts, jails, federal custody, municipal agreements, incarceration, law enforcement, homeless youth, youth services, mental health, support programs, state law, behavioral health, children, support services, poverty reduction
OK
Oklahoma 2026 Regular Session
Health and Human Services REVISED Feb 23rd, 2026 at 02:00 pm
Health and Human Services
Transcript Highlights:
- The chair sees a qual the senate Health and Human Services will come to order.
- Because the state match matters. So if it's a 910 or a 6040, I don't know if there's a state match.
- Department of Health.
- It preserves state regulatory authority. It is supported by the Council of State Governments.
- And now it's time to move the state forward to protecting our children.
Bills:
SB1806 , SB1430 , SB206 , SB1547 , SB1849 , SB1428 , SB1653 , SB1984 , SB1644 , SB1561 , SB1813 , SB1570 , SB1796
Committee:
Senate Health and Human Services
Keywords:
foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 42 Apr 16th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- The first time I met them, I had no clue about anything in the state legislature. anything in the state
- of Health.
- Members, Senate Bill 1162 is the limits bill for the Oklahoma State Department of Health.
- Department of Health.
- That program allows for the state to contribute to the success of several public-private partnerships
Bills:
SB1365 , SB2139 , SB1595 , SB1303 , SB2180 , SB2072 , SB1772 , SB1209 , SB137 , SB1944 , SB372 , SB1636 , SB1256 , SB1827 , SB2104 , SB1226 , SB1876 , SB1966 , SB80 , SB1148 , SB1147 , SB1149 , SB1161 , SB1162 , SB1164 , SB1159 , SB1165 , SB1174 , SB1156 , SB1158 , SB1163 , SB1175 , SB1176 , SB1166 , SB1167 , SB1157 , SB1146 , SB1481 , SB1144 , SB1145 , SCR20
Keywords:
SB1365, Oklahoma Central Purchasing Act, procurement exemption, competitive bidding, state purchasing, Oklahoma Tourism and Recreation Department, tourism department, merchandise for resale, gift shops, lodges, golf pro shops, state parks, restaurant contracting, retail outlets, public procurement, purchasing flexibility, Title 74, emergency clause, restrictive covenants, discriminatory covenants
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 23 Afternoon Session Mar 11th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- If you don't know about SoonerArt, it really is a great program.
- State Capitol, Senator Aubrey McCarthy of Ireland.
- This is a CASA request bill that will put us in compliance with state guidelines.
- ...ask them about the population of bears in the state of Oklahoma.
- other state in our nation.
Bills:
HB4319 , HB4317 , HB1225 , HB3076 , HB3081 , HB4226 , SCR17 , HB4432 , HB3304 , HB3411 , HB3435 , HB4339 , HB4331 , HB4341 , HB4342 , HB1770 , HB1016 , HB4113 , HB2950 , HB4141 , HB3277 , HB2988 , HB3029 , HB3338 , HB1889 , HB3834 , HB3831 , HB2939 , HB3045 , HB3657 , HB1739 , HB3759 , HB3755 , HB4484 , HB4486 , HB4108 , HB1250 , HB2961 , HB1219 , HB3025 , HB1782 , HB1907 , HB3718 , HB4459 , HB2976 , HB3548 , HB3545 , HB2952 , HB2929 , HB2956 , HB2973 , HB3055 , HB3086 , HB3040 , HB3794 , HB4336 , HB3151 , HB1590 , HB3581 , HB3313 , HB3429 , HB3448 , HB1752 , HB2650 , HB3584 , HB4202 , HB3586 , HB4321 , HB4280 , HB3650 , HCR1020 , HB2116 , HB2206 , HB4301 , HB3625 , HB3147 , HB3403 , HB3498 , HB3970 , HB3975 , HB3976 , HB3980 , HB4265 , HB4266 , HB3638 , HB3880 , HB3930 , HB3942 , HB3944 , HB4191 , HB3242 , HB3678
Keywords:
administrative procedures, rulemaking authority, specific authority, legislative review, agency rules, accounting, CPA, licensure, educational requirements, reciprocity, professional conduct, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 23 Morning Session Mar 11th, 2026 at 10:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- The health department already has rules to address that.
- I argue that it is a state interest. The state is the one that is maintaining these records.
- I'm looking at information of these programs that exist in other states where this program does not exist
- in this state.
- And we're made to believe, based on advice provided to us by out-of-state providers, that these programs
Bills:
HB4319 , HB4317 , HB1225 , HB3076 , HB3081 , HB4226 , SCR17 , HB4432 , HB3304 , HB3411 , HB3435 , HB4339 , HB4331 , HB4341 , HB4342 , HB1770 , HB1016 , HB4113 , HB2950 , HB4141 , HB3277 , HB2988 , HB3029 , HB3338 , HB1889 , HB3834 , HB3831 , HB2939 , HB3045 , HB3657 , HB1739 , HB3759 , HB3755 , HB4484 , HB4486 , HB4108 , HB1250 , HB2961 , HB1219 , HB3025 , HB1782 , HB1907 , HB3718 , HB4459 , HB2976 , HB3548 , HB3545 , HB2952 , HB2929 , HB2956 , HB2973 , HB3055 , HB3086 , HB3040 , HB3794 , HB4336 , HB3151 , HB1590 , HB3581 , HB3313 , HB3429 , HB3448 , HB1752 , HB2650 , HB3584 , HB4202 , HB3586 , HB4321 , HB4280 , HB3650 , HCR1020 , HB2116 , HB2206 , HB4301 , HB3625 , HB3147 , HB3403 , HB3498 , HB3970 , HB3975 , HB3976 , HB3980 , HB4265 , HB4266 , HB3638 , HB3880 , HB3930 , HB3942 , HB3944 , HB4191 , HB3242 , HB3678
Keywords:
administrative procedures, rulemaking authority, specific authority, legislative review, agency rules, accounting, CPA, licensure, educational requirements, reciprocity, professional conduct, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity
TX
Transcript Highlights:
- in the state of Texas.
- In the state of Texas, and that's Science Care. Accredited in the state, correct?
- I think it varies from state to state of where it goes before it.
- So the Willed Body Program—a university has a Willed Body Program; if they had a Willed Body Program,
- From the willed body program. I mean, from unclaimed bodies and being sent out of state. Okay.
Bills:
SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721
Committee:
House Public Health
Keywords:
e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid
TX
Transcript Highlights:
- As stated, I am speaking in opposition to Senate Bill 268.
- Unfortunately, our state has suffered from numerous mental health care crises, and allowing us to prescribe
- states.
- state does it, doesn't mean we...
- Currently, the Department of State Health Services has a delayed birth registration process.
Bills:
SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721
Committee:
House Public Health
Keywords:
e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid