Transcript Highlights:

• unless you're forced to by the federal government.
• as the largest and most diverse subregional Council of Governments in Los Angeles County.
• First, at Reese, San Gabriel Valley Council of Government President.
• First, at Reese, San Garrow Valley Council of Government President. Community.
• He is the San Gabriel Valley Council of Governments Director of Government and Community Relations.

Keywords: 987, senate, all

Transcript Highlights:

• And among other current volunteer roles, she now chairs the governing council.
• I move that we commit Senate Bill 64 to the Committee on Government Operations and Military Affairs.
• And the bill is committed to the Committee on Government Operations and Military Affairs.
• Operations and Military on Government Operations and Military Affairs.
• on government operations and military<00:44:47.280> affairs.

Keywords: 926, house, all

Summary: The House began with devotional remarks and then handled several procedural referrals. Senate bills 198 and 323 were referred to the Committee on Ways and Means under House Rule 35A because they affect state revenue, and Senate Bill 326 was also referred to Ways and Means after the Transportation Committee reported it favorably with amendment. House Resolution 18, supporting preservation of the Julian Scott birthplace in Johnson, was read by title and referred to the Committee on Corrections and Institutions under House Rule 52. The chamber then read a series of adopted House concurrent resolutions honoring Vermont schools and individuals, including the Fair Haven Union High School Slater bowling team, the Hartford High School Hurricanes girls ice hockey team, the Hartford girls basketball team, Theres Black as Vermont Mother of the Year, and the Mount Mansfield Union High School girls tennis team. Members made brief announcements welcoming some of the honorees and guests to the chamber, including the Mount Mansfield tennis team, Theres Black, the Fair Haven bowling team, and others. The main floor action was on House Resolution 17, affirming that all Vermonters are presumed competent to communicate and must be provided communication resources of their choice. The Human Services Committee chair explained the resolution grew out of testimony on alternative communication methods, including facilitated communication and rapid prompting method, and said the committee heard from people with lived experience, professionals, and written testimony from medical and speech-language organizations. The committee reported the resolution out 9-0-2, and the House adopted it. The House then took up Senate Bill 209, relating to prohibiting civil arrest in sensitive locations, and proceeded to its third reading and concurrence-with-amendment question.

Transcript Highlights:

• organizations that receive government organizations that receive government benefits<00:30:06.960
• which motans need from their government which are<00:51:40.880> significant<00:51:41.640>
• There's actually no cost to the state and no cost to local governments, as Trent Dils outlined.
• Good government all the time.
• all the time we floor good government all the time we are<01:34:59.840> adjourned [Music]

Bills: HF169, HF195, HF194, HF1756, HF2133

Keywords: HF169, Minnesota insurance, health plan, summary of benefits and coverage, SBC, patient assistance program, deductible, health insurer, consumer disclosure, out-of-pocket costs, medical assistance funds, copay assistance, health coverage transparency, chapter 62Q, enrollee, HF195, Fairmont, street reconstruction, bonding bill, capital investment

Transcript Highlights:

• We're just trying to give Oklahomans a break if the federal government repeals the gas tax.
• And so what we're saying right now, if the federal government, state.
• The federal government didn't take off last week.
• governments that have not been vetted within our critical infrastructure areas.
• governments that have not been vetted within our critical infrastructure areas.

Bills: HJR1088, HJR1090, HJR1091, HB1370, SB2154, HJR1092, HJR1093, HJR1095, HJR1099, HJR1100, HB3021, SB893, SB206, SB248, SB259, SB423, SB563, SB604, SB633, HJR1077, SB667, SB1224, SB1257, SB1264, SB1319, SB1360, SB1437, SB1531, SB1543, SB1806, HB3004, SB1572, HB4342, SB1618, SB2, SB237, SB1632, SB1687, SB1726, SB1859, SB1894, SB1461, HB4432, SB1948, SB1589, SJR52, SR46, HCR1030, SB2071, SB2182, SB1451

Keywords: education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools, Statewide Charter School Board, career and technology education, CTE, OEQA, rule approval, legislative oversight, permanent rules, school governance, teacher retirement, education agencies, Oklahoma Register, Department of Agriculture, Food, and Forestry

Summary: The Senate met with a quorum, prayer, pledges, and recognition of two student pages before taking up a long agenda of House joint resolutions and bills, mostly related to administrative rules and agency approvals. The chamber advanced and passed H.J.R. 1088, 1090, 1091, 1092, 1093, 1095, 1099, and 1100, which approved permanent rules for education, energy and agriculture, business and commerce, building code, health-related agencies, general government agencies, the Oklahoma Health Care Authority, and OMES. Several senators criticized the process for moving rule resolutions quickly and without committee vetting, while supporters said the calendar delays required direct consideration. The Senate also adopted conference committee reports and passed SB 206, SB 248, and HB 3021, with HB 3021 making small changes to graduation requirements, including science/math course language, Oklahoma history flexibility for some military families, and personal financial literacy counting toward math in some cases. A major portion of the meeting focused on House Bill 1370, which was described by its author as repealing an automatic state trigger that would replace any federal gasoline tax if the federal government suspended it. Supporters argued the bill would prevent Oklahoma drivers from paying more if the federal gas tax were repealed and framed it as tax relief; opponents argued it could reduce highway and bridge funding and create a budget hole. The Senate suspended several rules to bring the bill up, but rejected a motion to suspend the fiscal-impact rule for a proposed amendment. After debate, the chamber passed the measure 41-7 and then approved it as an emergency measure. The Senate also took up Senate Bill 893, a conference report dealing with foreign ownership near critical infrastructure and agricultural land. The bill would restrict certain foreign adversary ownership or leasing within 10 miles of critical infrastructure, add training zones and other protected areas, delay implementation until July 1, 2027, and create an enforcement process involving Attorney General review and whistleblower-style reporting. Senators raised concerns about enforcement, possible misuse, and profiling, while the author said the bill was aimed at national security and infrastructure protection. The conference report was adopted and the bill passed. Later, the Senate received notice that the House was ready to convene in joint session, and the chamber briefly stood at ease before returning to continue its work.

Transcript Highlights:

• President, is is Is it your opinion that this department is a proper role of government?
• Effectively, landlord payments to state government. We've requested for reforms.
• Government will continue to grow unless we.
• For funding that we had for local government that were also paired with state government.
• We had a really good discussion about what is the essential function of government.

Bills: HB3418, HB3985, HB3463, HB3002, HB4303, HB3919, HB3416, HB3417, HB3415, HB2206, HB3414, HB3265, HB3310, HB3413, HB4486, HB1219, SR39, SB1177, HB3298, HB2696, HB3941, HB3970, HB3264, HB3321, HB2650, HB3497, HB3980, HB3981, HB4421, HB3177, HB3322, HB3499, HB3500, HB3845, HB3742, HB3622, HB1250, HB2710, HB3831, HB4408, HB1002, HB3008, HB3086, HB3595, HB3678, HB4107, HB3695, HB3315, HB3590, HB3006, HB3151, HB2959, HB2398, HB3026, HB3467, HB4268, HB3372, HB2210, HB4359, HB4427

Keywords: public works, bidding procedures, construction contracts, transparency, public trust, electronic bidding, school districts, property rights, public nuisance, compensation claims, government enforcement, Oklahoma Safe Neighborhoods Act, municipal audit, state auditor, local government, financial transparency, gasoline tax allocations, counties, county officers, education

Transcript Highlights:

• The Government, Elections and Indian Affairs Committee, to whom has been referred House Bill 166, has
• So PED and, on page 5, the local school board or governing body are the ones responsible for this.
• And on page 5, the local school board or governing body are the ones responsible for this. Mr.
• A local body, a school board or governing body, establishes policies and procedures for training, and
• Every school has different—every district, every government body will have a different safety plan.

Bills: HB111, HB103, HB60, HB108, HB120, HB145, HB154, HB164, HB291, HJR6, HR1, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM11, HM14, HM21, HM34, HM50, HB38, HB47, HB63, HB64, HB127, HB165, HB184, HB200, HM20, HM51

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Bills: HB3281, HB3320, HB3081, HB3127, HB3128, HB3498, HB2035, HB3765, HB4324, HB3678, HB4170, HB3495, HB3040, HB3062, HB4140, HB4106, HB4109, HB4104, HB3581, HB3620, HB3942, HB3279, HB3378, HB3383, HB3413, HB3414, HB3415, HB3420, HB3130, HB3700, HB3379, HB3129, HB3132, HB3315, HB2950, HB3242, HB3041, HB4428, HB4429, HB1064, HB3265, HB3721, HB3028, HB3313, HB3588, HB3020, HB3724, HB3392, HB3466, HB4060, HJR1074, HB3501, HJR1070, HB3794, HB3796, HB3928, HB2955, HB4453, HB4460, HB4128, HB3659, HB3270, HB3145

Keywords: administrative procedures, guidance documents, transparency, public inspection, rulemaking, sunset laws, statutory entities, regulatory compliance, emergency provisions, board re-creation, fire extinguisher, licensing, public safety, age qualification, State Fire Marshal, medical marijuana, employment rights, safety-sensitive positions, workplace policies, public assistance

Transcript Highlights:

• treatment facilities to meet the needs of Louisianians with opioid use disorder without excessive government
• And there's a reason that the federal government through three presidencies has pushed this, that they
• can set their own level of definition of compliance that might be different than what the federal government
• still a failure to comply, you would follow the standard compliance protocols that the federal government
• The federal government did a lot of research before doing this bill and found that there were no issues

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Bills: HJR1090, HJR1091, HJR1092, HJR1093, HJR1094, HJR1095, SJR49

Keywords: administrative rules, rule approval, joint resolution, Oklahoma Register, Department of Agriculture, Food, and Forestry, Corporation Commission, Department of Environmental Quality, Liquified Petroleum Gas Board, water resources, wildlife conservation, tourism, zoning commission, energy regulation, agricultural regulation, agency rules, permanent rules, state agencies, Oklahoma Legislature, business and commerce, professional licensing

Summary: The committee took up several joint resolutions dealing with agency rules. H.J.R. 1090, approving energy- and agriculture-related agency rules, was adopted and passed 10-0. H.J.R. 1091, covering business and commerce rules, was also adopted and passed 10-0. H.J.R. 1092, which had been split out from the business and commerce packet because of a reported $10 million cost impact on one business, was adopted after discussions with regulators about delaying remodeling requirements and addressing safety concerns; it passed unanimously. H.J.R. 1093, approving health-related agency rules, passed 11-0, with some Oklahoma Health Care Authority major rules noted as being handled separately in the Senate. The committee then discussed H.C.R. 1094, a major rule from the Long-Range Capital Planning Commission. Members raised concerns that the agency’s rule impact statement contained errors, incorrect notice and hearing information, and an incomplete economic analysis. After debate over whether the resolution could be amended or had to be accepted or rejected as a whole, the committee voted 11-0 that it did not pass. The committee then considered H.J.R. 1095 with an amendment to specifically disapprove a proposed permanent rule change by the Long-Range Capital Planning Commission that would have allowed the commission to ignore its own rules in the “best interest of the state.” The amendment was adopted 11-1, and the resolution as amended passed. At the end of the meeting, the chair thanked members and staff for their work and said the committee would try to move the resolutions to the floor on Thursday, with another meeting likely needed to address additional major rules coming from the Senate. A committee member also suggested a brief educational review of a prior procedural issue at a future meeting, and the chair agreed to discuss broader concerns about the administrative rules process in a later wrap-up.

Transcript Highlights:

• <00:45:07.920> Per<00:45:08.400> last of government of road miles.
• Per last of government of road miles.
• Our local governments, large and small, all across the state, metro and rural and greater Minnesota,
• Often 90% of the cost of these facilities was covered by the federal government.
• And uh this critical government.

Bills: HF4710, HF4055, HF3848, HF3989, HF4599, HF3767, HF3592, HF3575, HF3574, HF3543, HF4606, HF4489, HF3891, HF3438, HF3811, HF3400

Keywords: capital investment, water infrastructure, sewer systems, public funding, municipal development, Eveleth, wastewater treatment, state bonds, environmental compliance, infrastructure, bonds, economic development, local government, transportation, intersection improvements, Lake Elmo, HF4599, St. Joseph, Minnesota bonding bill, bond proceeds fund

Transcript Highlights:

• The Committee on Regulatory Affairs and Government Efficiency is called to order.
• Do you work with the federal government in these discussions? Yes.
• This bill just, to me, is a common-sense governance thing.
• So I just think it's a common-sense governance thing.
• I think Representative Fink is in government right now.

Bills: HB2072, HB2251, HB2279, HB2308, HB2323, HB2342, HB2400, HB2408, HB2456, HB2660, HB2697, HB2868, HB2873, HB2877, HB2910, HB2946, HB2955, HB2991, HB4001, HB4010

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, midwifery, medication administration, healthcare, patient safety, advisory committee, licensed midwives, river trips, liability, outfitter, Grand Canyon, negligence, risk management, contractual waiver, dental practice, business registration

Summary: The committee first heard House Bill 2308, which would prohibit dental insurers and their holding companies from owning dental practices or other businesses regulated by the Arizona Board of Dental Examiners. The sponsor and Arizona Dental Association argued the bill is meant to prevent vertical integration and payer control over provider care, while Delta Dental of Arizona opposed it, saying the measure would block nonprofit insurers from investing in clinics for indigent care and create regulatory burdens. After discussion about private equity ownership in dentistry and whether nonprofit insurers should be exempted, the committee voted 7-0 to give HB 2308 a do pass recommendation. The committee then took up House Bill 4001, as amended, which creates a licensing and enforcement framework for alternative nicotine products beginning in 2028, restricts youth-targeted marketing, and increases penalties for selling to minors or manufacturing/distributing without a license. Supporters, including the sponsor, Border Security Alliance, and industry representatives, said the bill would improve supply-chain transparency, curb illegal products, and strengthen youth access enforcement. Opponents, including the American Cancer Society Cancer Action Network, argued the bill should instead create a full tobacco retail licensing system and include broader nicotine definitions, while also warning that enforcement resources would be insufficient. The committee adopted the amendment and then approved the bill 6-1. House Bill 2873, as amended, was also approved unanimously. The bill allows a person or organization that files a city or town referendum petition to withdraw it before it qualifies for the ballot, with retroactive application to withdrawals filed beginning January 1, 2026. The committee then heard House Bill 2408, which revises Arizona Board of Nursing complaint procedures, confidentiality rules, investigation timelines, expungement authority, and board oversight of nursing education programs. The sponsor said the bill responds to long-standing audit findings and aims to improve fairness and timeliness, while nursing board officials opposed provisions affecting education oversight and warned about patient safety, costs, and liability. Nurses and other supporters described delayed investigations and the need for expungement relief. The committee adopted the amendment and passed HB 2408 on a 5-2 vote. Additional bills heard included House Bill 2342, which limits HOA restrictions on backyard shade structures and related installations; it passed 7-0 after supporters described a family hardship case and committee members criticized HOA overreach. House Bill 2323, which extends Arizona’s motor vehicle lemon law protections to lessees, also passed unanimously after testimony from the sponsor, attorneys, and a consumer describing repeated repair failures on a leased vehicle. The committee also began hearing House Bill 4010, which would establish a Board of Genetic Counselors under the Arizona Board of Osteopathic Examiners and set licensure and disciplinary rules, but the transcript ends before any final action on that bill.

Bills: HB586, SB107, HB619, HB586, SB107, HB619

Keywords: HB586, Cullman, Cullman County, City of Cullman, annexation, municipal boundaries, corporate limits, local legislation, boundary adjustment, city limits, municipal expansion, zoning, municipal services, property tax, land use, metes and bounds, Alabama Highway 157, Judge of Probate, SSUT, simplified sellers use tax

Transcript Highlights:

• and assure that we have an accurate count helps us whenever we receive funding from the federal government
• So I want to commend you for adding to that transparency because I think it's an area of government where

Bills: SB1189, SB1295, SB1297, SB1330, SB1333, SB1338, SB1341, SB1344, SB1355, SB1377, SB1378, SB1546, SB1859, SB1946, SB1990, SB1998

Keywords: school security, funding, public schools, security enhancements, resource officers, domestic violence, fatality review, revolving fund, database, public safety, Oklahoma, census accuracy, Oklahoma Department of Commerce, federal census, grassroots outreach, marketing campaign, water infrastructure, Oklahoma Water Resources Board, grants, environmental compliance

Transcript Highlights:

• does a great job with an eight-year plan, but we don't cooperate within various agencies and state government
• is just a document to help us look forward to the future and work together among all branches of government
• Challenges around housing shortage, but also how that connects to our cities, our cities and local governments

Bills: SB1332, SB1378, SB1525, SB1771, SB1919, SB1998, SB2018, SB260, SB264

Keywords: housing, infrastructure, water projects, Oklahoma Water Resources Board, economic development, zero-interest loans, clawback provision, local contractors, Olympics, funding, Oklahoma Department of Commerce, local businesses, revolving fund, event hosting, SB1525, tourism, recreation, conference, Oklahoma Tourism and Recreation Department, Oklahoma Tourism and Recreation Commission

Bills: HB247, HB317, HB318, HB253, HB271, HB135, HB247, HB317, HB318, HB253, HB271, HB135

Keywords: Gulf of America, name change, state compliance, educational materials, local resources, historical reference, age verification, parental consent, consumer protection, app store regulations, data privacy, Internet filters, digital safety, minors protection, civil liability, device manufacturers, obscenity, aircraft tax, aviation tax, sales tax exemption

Transcript Highlights:

• But people got an attitude, and they don't trust the government because of what's taking place right
• they don't and they have they have uh they don't trust<00:14:02.240> the<00:14:02.399> government
• /c><00:14:03.120> because<00:14:03.680> because<00:14:04.000> of trust the government
• because because of trust the government because because of of<00:14:04.480> what<00:14:05.040

Bills: HB88, HB314, SB46, HB332, HB86, HB363, HB88, HB314, SB46, HB332, HB86, HB363

Keywords: driver license, English examinations, language requirement, immigration, testing standards, motor vehicles, window tint, law enforcement, prosecutors, vehicle regulations, medical condition, communication, first responder, invisible disabilities, anaphylaxis, day care centers, training, child safety, healthcare, parole

Bills: HB66, HB110, HB114, SB210, SB228, SB231, HB66, HB110, HB114, SB210, SB228, SB231

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, HB110, sunset bill, Alabama Sunset Law, State Board of Medical Examiners, Medical Licensure Commission, medical licensing, physician regulation, healthcare regulation, professional licensing, ethics law, state ethics code, public servants, board members, agency continuation, sunset review

Transcript Highlights:

• I know that we talk about the FHSAA, but there are other governing bodies.
• Are we willing to expand that to maybe say all governing bodies as opposed to the FHSAA?
• FHSAA, but there are other governing bodies.
• Are we willing to expand that to maybe say all governing bodies as opposed to the FHSAA? Yep.
• Under the Open Government Sunset Review Act, the public records exemption for specific examination and

Bills: S7022, S0178, S0430, S0464, S0538, S0920, S1036, S1136, S1216

Keywords: public records, open government, sunshine law, education assessments, testing materials, exam security, assessment instruments, test items, answer keys, scoring rubrics, item banks, developmental materials, workpapers, student testing, academic dishonesty, cheating, Florida Department of Education, State Board of Education, Board of Governors, Florida College System

Summary: The Education Pre-K through 12 Committee considered and reported favorably several bills. SB 1036 on school counselors was amended to clarify certification exemptions and passed, with support focused on addressing counselor shortages and student mental health needs. SB 1136 on dental screenings for K-12 students was converted by delete-all amendment to place the screening definition in the School Health Services Act and to require written parent notice and exemption procedures; it passed with support from PTA and other advocates. SB 920 on mathematics education passed after discussion of applied algebra courses tied to career pathways, while preserving Algebra I standards, end-of-course testing, graduation requirements, and university admission eligibility. SB 178 on athletics and public K-12 schools also passed after amendment adding a $15,000 annual cap on coach-provided personal support per team and discussion of guardrails to prevent recruiting abuses; members emphasized the role coaches play in supporting students. SB 1216 on public school personnel compensation passed with broad support for giving districts more flexibility on pay, cost-of-living adjustments, and advanced degree compensation. The committee also approved SPB 7022, a public records exemption bill extending protections for examination and assessment instruments to 2031 and clarifying coverage for district and school materials. SB 464 on observance of Veterans Day in K-12 schools passed after debate over whether schools should be closed or use the day for programs, with supporters arguing for statewide consistency and honoring veterans. Finally, SB 538 on physical education passed after a delete-all amendment establishing standardized extracurricular participation rules for public, private, virtual, and home education students, addressing coach compensation at the district level, and clarifying participation limits across schools. The committee recessed briefly for Senator Avila’s arrival, postponed SB 430, and adjourned after recording one additional favorable vote on SB 1036.

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health