Transcript Highlights:

• Members, this is a pilot program with the Attorney General's Office concerning victims of human trafficking
• and sex trafficking.

Bills: SB1379

Keywords: human trafficking, victims, prevention, support services, Attorney General, pilot program, grant funding, 914, all

Transcript Highlights:

• Thanks to your hard work, Texas has really led the way on anti-human trafficking policy, and this bill
• would build on that by preventing human trafficking before our most vulnerable children are victimized
• In a US Health and Human Services report, researchers estimated that up to 50% of child sex trafficking
• And uh it builds on Texas's leadership in human trafficking.
• I'm so happy to see that Texas leads the way with these anti um human trafficking laws.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• It requires the Department of the Attorney General to develop a human trafficking awareness training
• human trafficking because we believe that there is no room for human trafficking in our hotels.
• <00:02:38.319> human identifying and preventing human identifying and preventing human trafficking
• > trafficking there is no room for human trafficking there is no room for human trafficking in
• <00:15:32.160> trafficking<00:15:32.560> awareness develop a human trafficking awareness

Bills: SB2841, SB2533

Keywords: SB2841, human trafficking, trafficking awareness, transient accommodations, hotel industry, lodging, hospitality, hotel workers, housekeeping, front desk staff, contract workers, third-party contractors, employee training, signage, reporting requirements, National Human Trafficking Hotline, labor trafficking, sex trafficking, commercial sexual exploitation of children, anti-trafficking

Summary: The joint Judiciary, Labor, and Technology Committee heard two bills in the morning session and later took up two Judiciary decision-making items. SB 2841 would require human trafficking awareness training for transient accommodation workers. Testimony was generally supportive from the Department of Labor and Industrial Relations, the Department of Law Enforcement, and the Hawaii Hotel Alliance/American Hotel and Lodging Association, which also proposed amendments to preserve existing industry training programs and broaden coverage. Members clarified that the administration wanted DLE to be the lead agency instead of DLIR, while the Attorney General would still handle approval of training programs. The committee recommended passage with amendments, including coverage for third-party contractors and implementation dates, and the measure was adopted with no recorded opposition. SB 2533 would adjust the salaries of the Campaign Spending Commission’s executive director and associate director to better align with comparable enforcement/compliance positions. The commission supported the bill, saying its salaries lag behind similar offices by about $30,000 and that recruitment and workload have become more difficult, while one testifier opposed the proposal. Members questioned why the bill used the Department of Health as the salary comparator and whether Ethics would be a better benchmark; the committee agreed to revise the bill to peg the salaries to the Ethics Commission instead, blank out the dollar amounts for further review, and note the requested appropriation in the report. The committee recommended passage with amendments, and the measure was adopted. In the Judiciary decision-making agenda, SB 2203, concerning the use of masks or personal disguises by law enforcement officers, was amended to allow exceptions for officers who are unmasked nearby or who are supporting undercover operations, to change the term to “facial covering,” and to add definitions covering federal, state, and county law enforcement. The committee also set a far-future effective date and passed the bill with amendments. SB 2442, relating to judiciary purchase-of-service contracts with community-based organizations, was also passed with amendments; the committee added a far-future effective date, clarified the consumer price index reference, and noted a recommended appropriation amount of $4.26 million in the committee report. All measures were adopted without recorded no votes or reservations.

Transcript Highlights:

• Texas has long been at the forefront of anti-human trafficking laws.
• My name is Tori Tipton, as I mentioned, and I have over 12 years of experience in human trafficking prevention
• My name is Tori Tipton, as I mentioned, and I have over 12 years of experience in human trafficking prevention
• My name is Tori Tipton, as I mentioned, and I have over 12 years of experience in human trafficking prevention
• My name is Tori Tipton, as I mentioned, and I have over 12 years of experience in human trafficking prevention

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• Agencies must better identify children who are at risk or are victims of human trafficking.
• Texas has long been at the forefront of anti-human trafficking laws.
• That builds on our existing leadership around human trafficking, and this is the next step.
• As I mentioned, I have over 12 years of experience in human trafficking prevention.
• That will allow us to effectively meet the complex needs of human trafficking victims.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• And that's all this bill seeks to do, is to prevent caregivers, unless they're relatives, from taking
• Human Services. In 2005, there was 3.8 million.
• We are human beings just like everyone else.
• Lee Spiller and you are with Citizens Commission on human rights and you're for the bill? Yes, sir.
• My name is Lee Spiller and with the citizens Commission on Human Rights and yes, we support this bill

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• The amendment limits the SNAP eligibility carve-out only to individuals who were victims of human trafficking

Bills: S0996, S1022, S1462, S1690

Keywords: dependent children, child welfare, cash allowance, caregivers, community organizations, empowerment, foster care, out-of-home care, temporary cash assistance, eligibility, drug trafficking, human trafficking, Florida statutes

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced four bills. CS/SB 1690, on early childhood education, was amended with a delete-all amendment that required public posting of child care inspection reports and data on child deaths, injuries, and substantiated abuse; changed certain notice and insurance provisions for family and large family child care homes; created the Florida Endowment for Early Learning; and made related definitional changes. The amendment was adopted and the committee reported the bill favorably. SB 1022, on children’s initiatives, would add two new Florida Children’s Initiatives in Bay County and Pompano in Broward County; the sponsor described the program as a community-based service network model, and the bill was reported favorably without opposition. SB 996, on dependent children, would require DCF and community-based care lead agencies to coordinate and regularly meet with organizations focused on people with lived experience in the child welfare system, and to publish how suggestions are implemented. Several young adults with foster care experience testified in support, emphasizing the importance of youth voice, normalcy, and teaching financial responsibility through allowance. The bill was reported favorably after supportive debate. The committee also considered CS/SB 1462, on temporary cash assistance eligibility, after adopting an amendment that narrowed a SNAP eligibility carve-out to people who were victims of human trafficking at the time of a drug conviction. The sponsor said the bill was intended to remove barriers to reunification and redemption. After supportive testimony and no opposition, the committee reported the bill favorably. The meeting then adjourned.

Transcript Highlights:

• It provides for training to prevent human trafficking at public elementary and secondary schools, and
• Human trafficking victims are often identified in schools, making educators critical to prevention and
• My name is Mary Kate Andropan, the director of the Office of Human Trafficking Prevention within the
• In effect, when our office was created in 2021, our statute that governs human trafficking prevention
• Nobody asked any questions on that. ...to prevent human trafficking at public elementary schools.

Bills: HR249, HR251, HB395, HB902, SB83, SB132, SB157, SB338, SB450, SB484, SB501, SB507

Keywords: artificial intelligence, AI, BESE, State Board of Elementary and Secondary Education, content standards, K-12 education, public schools, curriculum, digital literacy, computer science, STEM, technology education, student privacy, ethical AI, workforce development, future-ready workforce, instructional resources, education policy, school standards, Louisiana education

Transcript Highlights:

• Every overdose is preventable.
• Prevention remains a... critical tool in the process.
• In conclusion, we must adapt a holistic strategy that includes prevention, treatment, and prevention.
• There's a human being. Thank you. Thank you, Commissioner. Thank you, Senator Justice.
• It's so important that we talk human about the difficulties that are faced.

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• For example, we have the North Dakota Human Trafficking Task Force.
• Human trafficking crimes are incredibly...
• These challenges include a lack of clarity in defining human trafficking, insufficient data on trafficking
• treatment facilities, and a pressing need for clear standards for identifying and preventing human trafficking
• Home on the Range does help human-trafficked youth.

Bills: HCR3028

Keywords: human trafficking, victim services, re-entry programs, legislative study, public safety, mental health, law enforcement, 908, all

Summary: The Judiciary Committee heard and acted on several measures related to human trafficking, criminal procedure, and child protection. It first took up House Concurrent Resolution 3028, which would direct a legislative study of human trafficking victim services and re-entry programs. The sponsor and supporters emphasized helping victims rebuild basic life and workforce skills and better understanding existing services; YouthWorks and the North Dakota Catholic Conference described current programs and the trauma victims face. The committee discussed overlap with other interim studies, then voted unanimously to give the resolution a due pass, with Senator Braunberger designated to carry it. The committee then considered House Bill 1263, concerning sealing criminal records, and moved it forward without changing the House version after members noted the House had removed presumption language and reduced the waiting period. That bill also received a due pass recommendation. Next, House Bill 1226, which revises the state’s mask law for public places, drew testimony from the sponsor and an expert witness who argued that masking to conceal identity during group criminal conduct undermines public safety and law enforcement. Members debated the House-added requirement that law enforcement request unmasking; the committee adopted an amendment to remove that language, then passed the bill as amended, with Senator Luick to carry it. Finally, the committee heard House Bill 1410, a study resolution on criminal conduct against children, including child sexual abuse, physical abuse, neglect, and the use of artificial intelligence in exploitation crimes. Supporters from the Child Sexual Assault Prevention Task Force, YouthWorks, and the Children’s Advocacy Centers of North Dakota said the study would help update outdated terminology, review AI-related issues, and improve investigation and prosecution tools. The committee approved the resolution with a due pass recommendation, and Senator Cory was assigned to carry it. The committee also received a brief report that, in a quick review, there were 82 active studies introduced, including 10 shall studies and 35 shall-consider studies, with limited overlap identified beyond the trafficking-related measures.

Transcript Highlights:

• He hosted Operation We Will Find You, which was combating human trafficking schemes. and crimes, and
• As far as the resources, the human resources, that is something I'd have to study.
• And so many times violent crime is tied to drug trafficking.
• for example, and overdose prevention?
• She wrote, Marshall Sciaratta has impacted countless lives and prevented and.

Keywords: fentanyl crisis, DEA, drug trafficking, public safety, Judea Serrata, Terrence Cole, judicial security, social media, drug prevention

Summary: The committee meeting centered on the urgent crisis of fentanyl abuse and the government’s response to the drug trafficking epidemic. Key discussions revolved around the nomination of Terrence Cole as the Administrator of the DEA and Judea Serrata as Director of the U.S. Marshals Service. Cole emphasized his commitment to combating the fentanyl crisis, highlighting the rising number of overdose deaths and the necessity of bipartisan efforts to dismantle drug cartels. Members engaged in dialogue on the effectiveness of various strategies and the importance of education aimed at preventing drug-related deaths among youth. Additionally, the challenges of social media in drug trafficking were highlighted, indicating a need for greater accountability in how platforms handle such issues. Senators voiced concerns about the impact of administration policies on judicial security and the resources available for marshals to perform their critical roles.

Transcript Highlights:

• special education for foster youth, children in treatment. facilities, Senator Campbell, victims of human
• trafficking, and they have found virtually education has literally made life-changing differences for
• Do you envision that any school employees be to be trained or how do we how do we prevent potentially
• It says hey, there's 32 million human laws and they all rest on the Ten Commandments.
• choices about religious expression, no student will be compelled to pray, and no student will be prevented

Bills: SB 10, SB 11

Keywords: human trafficking, trafficking victim, compelling prostitution, affirmative defense, criminal defense, coercion, force fraud or coercion, sexual exploitation, victim protection, Penal Code, Texas criminal law, prosecution, party liability, affirmative defense statute, survivor rights, 1185, senate, all

Transcript Highlights:

• There are a number of other state agencies that are part of the AG's Human Trafficking Prevention Task
• Our mission is to harness data to illuminate and ultimately eradicate human trafficking.
• Trafficking costs Texas enormously, not just in human suffering, but in tangible economic terms.
• We have to protect these children and prevent them from falling victim to human traffickers who prey
• It's the law to hand your child to a human trafficker.

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

Transcript Highlights:

• It also, and I want to be clear, does not prevent anything. The system.
• It also, and I want to be clear, does not prevent anyone from continuing with the manual process.

Bills: HR245, SCR30, SCR40, SB259

Keywords: transparency, justice, Epstein, Maxwell, investigation, human trafficking, government accountability, domestic violence, protective orders, online application, judicial administration, Louisiana, 965, house, all

Transcript Highlights:

• Members, Senate Bill 83 is a human trafficking bill.
• trafficking victims up to 18 years of age.
• The bill is still important because it basically moves the governor’s office of human trafficking and
• We've talked about the value of human lives.
• We've talked about the value of human lives.

Bills: SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB450, SB465, SB506, HB1070

Keywords: human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training

Transcript Highlights:

• As you know, Florida ranks third in cases of human trafficking in the entire country.
• This is a major, major problem, and Miami-Dade leads the nation in human trafficking incidences.
• Oftentimes, it’s difficult to identify victims of human trafficking.
• And Florida has done a lot to fight human trafficking, and this is the next step in order to make sure
• And Florida has done a lot to fight human trafficking, and this is the next step in order to make sure

Bills: S0068, S0096, S0340, S0428, S0606, S1480, S7018

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• And there are 27.6 million people who are victims of human trafficking globally.
• But we have no... ...every two years in human trafficking.
• As you had mentioned, Florida has such a horrid problem with human trafficking.
• As you had mentioned, Florida has such a horrid problem with human trafficking.
• Human trafficking is a tragedy that is happening right underneath our noses.

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Transcript Highlights:

• The time being 8:15, the House Human Services Finance and Policy Committee will come to order.
• First on the agenda today is an update from the Department of Human Services on their CMS and revalidation
• From the Department of Human Services on their CMS and revalidation update with Director Grom.
• For the record, my name is Christy Gro with the Minnesota Department of Human Services.
• <00:19:30.799> fraud on the front end to try to prevent fraud on the front end to try to prevent

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Transcript Highlights:

• advises the patient that if they are a victim of domestic abuse, sexual abuse, physical abuse, or human
• trafficking, they can notify the technician that's doing whatever test is being done, and the hospitals
• trafficking.
• This can improve suicide prevention strategies by offering deeper insight.
• But we talk a lot about prevention. But what if it happens?

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

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