Transcript Highlights:

• It's about 17 privates, non-publics, that don't operate the National School Lunch Program.
• in the of the non-public and tribal schools are already in the USDA program?
• It's about 17 privates, non-publics, that don't operate the National School Lunch Program.
• They'll perform better and improve our public health. Thank you. Questions?
• The Rural Health Transformation Program.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• health care provider, school, Would like every health care, rural health care provider, school, public
• health That we've done with the legislature and with some of the local community public health groups
• Can we help projects and programs in rural areas to do that with the public health units and the schools
• But from a public health perspective, are these programs, Themselves.
• But from a public health perspective, are these programs, North Dakota moves together, and I just gave

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• The public can participate, House Health Committee is called to order.
• DHA is the association for Delaware’s hospitals, health systems, and related health care organizations
• the most important public health programs: tobacco prevention, cancer care, workforce development, and
• That is the end of in-person public comment.
• health records world.

Bills: SB313, SB296

Keywords: Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• We extended audio only tellahalth and public programs.
• We extended audio only tellahalth and public programs.
• We extended audio only tellahalth and public programs.
• We extended audio only tellahalth and<00:10:28.640> public<00:10:28.880> programs.
• We helped our and public programs.

Bills: HF2436, HF2435

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• an estimated $3.9 million for the five-year rural health transformation program.
• The program sunsets on June 30, 2027.
• So once it's paid back, this program here is done.
• Anyway, the 340B program.
• Anyway, the 340B program. Anyway, the 340B program is an important aspect of this.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• The special session of the Legislative Assembly is convened to act on funding related to the Rural Health
• Transformation Program.
• Act on funding related to the Rural Health Transformation Program.
• ensure North Dakota can swiftly accept and appropriate the federal funding to implement this vital program

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.

Transcript Highlights:

• health and political science to focus on health policy.
• One for Intermountain Health: these types of bills really make us take a second look at some of the programs
• Senate Bill 434 creates a program to award grants to address shortages of providers of health care.
• What it does is create a program to award grants to address shortages of providers of health care, or
• grant program to provide financial incentives for health care access and health care workforce expansion

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Bills: HCR14, HB201, HB218, HB352, HB626, HB636, HB738, HB749

Keywords: Department of Education, federal overreach, education policy, Tenth Amendment, local control, fine arts, high school diploma, arts education, capstone project, academic achievement, student recognition, Louisiana education, food insecurity, hunger, student hunger, school meals, free lunch, community eligibility provision, McKinney-Vento, homeless students

Transcript Highlights:

• of persons with epilepsy to align with the training done in public schools. ...program for the care
• This extends to physicians, hospitals, county health departments, and the public in general.
• The Family Home Health Aid Program is a Medicaid-funded initiative that allows eligible family members
• Home health aid program, which was created by the Florida Legislature in 2023.
• The Family Home Health Aid Program is a Medicaid-funded initiative that allows eligible family members

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• transition language directing the transfer of contracts, property and records, and personnel from Health

Bills: HB 39, HB 114, HB 1875, HB 1894, HB 1965, HB 2513

Keywords: veterans, mental health, Texas Veterans Commission, peer support, suicide prevention, community mental health, grant program, cemetery, General Land Office, burial plot, remembrance, monthly designation, honoring military, Texas legislation, rural services, paid leave, fire protection personnel, military service, public employees, employment benefits

Transcript Highlights:

• Generally, the bill would transfer administration of the state's veterans' mental health programs from
• It would establish a TVC grant program for community-based mental health services, and it would direct
• programs for veterans.
• programs for veterans.
• crash course program in peer support.

Bills: HB39, HB114, HB1875, HB1894, HB1965, HB2513

Keywords: veterans, mental health, Texas Veterans Commission, peer support, suicide prevention, community mental health, grant program, cemetery, General Land Office, burial plot, remembrance, monthly designation, honoring military, Texas legislation, rural services, paid leave, fire protection personnel, military service, public employees, employment benefits

Summary: The Senate Committee on Veteran Affairs heard several House bills related to veterans’ services, mental health, military leave, burial access, suicide data, and Veterans Month. House Bill 114 would transfer administration of certain veterans’ mental health initiatives from HHSC to the Texas Veterans Commission, create a TVC grant program for community-based mental health services, require a statewide veteran suicide prevention action plan, and mandate annual reporting. A committee substitute was mentioned, but members said they were not prepared to adopt it yet. No one testified for or against the bill, and it was left pending. House Bill 1965 would direct TVC to study ways to expand access to mental health services through the military veteran peer network, including increasing peer support coordinators, with emphasis on rural communities and broader use in veterans treatment courts. Support testimony came from the Texas VFW, which emphasized the value of peer-to-peer support and the network’s role in suicide prevention. The bill was left pending after testimony. House Bill 2513 would clarify military leave rules for state-employed firefighters by counting their 24-hour or 48-hour shifts appropriately so they do not have to use vacation time to fulfill military duty; a firefighters’ representative testified in support, and the bill was left pending. The committee also heard House Bill 1875, which would require the General Land Office and TVC to study veterans’ burial needs, access to cemeteries, and cemetery operational needs, and House Bill 39, which would require DSHS to provide TVC de-identified death certificate data when a veteran dies by suicide or homicide to improve understanding of veteran deaths. The Texas VFW supported HB 39. House Bill 1894 would designate November as Veterans Month in Texas. All of these bills were left pending, and members indicated they were waiting on committee substitutes before voting, with possible action later on the floor or in committee.

Transcript Highlights:

• This program was started by the **88th Legislature**.
• This program, per statute, expires two years after all the money appropriated for this program has been
• That whole program has gotten so much better.
• a really important program.
• But we know it's the right thing to do on behalf of the public, and sometimes a public hearing is the

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, Attorney General, budget recommendations, funding swaps, salary increases, Landowner's Compensation Program, public testimony, law enforcement

Summary: The meeting focused on the budget recommendations for the Office of the Attorney General (OAG), where key issues included the proposed decrease of $163.9 million for the 2024-25 biennium and various methodology swaps for funding. Attorney General Paxton discussed ongoing litigation expenditures and emphasized the need for continued investments in agency staffing to address rising demands within law enforcement. Notably, he requested a 6% salary increase for 2026 and 2027 to retain talented personnel amidst competitive job markets. Public testimony highlighted community awareness challenges regarding the Landowner's Compensation Program, indicating a need for enhanced outreach efforts.

Transcript Highlights:

• Generally, the bill would transfer administration of the state's veterans mental health programs from
• It would establish a Texas Veterans Commission grant program for community-based mental health services
• programs.
• Fuller can speak to the importance of this program.
• crash course program in... ...and in peer support.

Bills: HB39, HB114, HB1875, HB1894, HB1965, HB2513, HB39, HB114

Keywords: veterans, mental health, Texas Veterans Commission, peer support, suicide prevention, community mental health, grant program, cemetery, General Land Office, burial plot, remembrance, monthly designation, honoring military, Texas legislation, rural services, paid leave, fire protection personnel, military service, public employees, employment benefits

Transcript Highlights:

• include transition language directing the transfer of contracts, property, records, and personnel from Health

Bills: HB39, HB114, HB39, HB114, HB1875, HB1894, HB1965, HB2513

Keywords: public school finance, property values, homestead exemptions, funding allocation, education policy, public school bonds, school funding, guarantee prohibition, education finance, state law change, veterans, mental health, Texas Veterans Commission, peer support, suicide prevention, community mental health, grant program, cemetery, General Land Office, burial plot

Transcript Highlights:

• program.
• By fostering these positive influences... programs, out of school programs, empower students to make
• There's a scholarship program program that we associate with that.
• of our public school students.
• And my mental health affected my physical health as well.

Bills: HB 1178, HB1411, HB1441, HB1773, HB1813, HB2107, HB2598, HB2911, HB2967, HB3672, HB5263, HB3797

Keywords: education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance

Transcript Highlights:

• Public Education will come to order. The clerk will call the roll. Chairman Buckley? I'm here.
• chair lays out House Bill 2967 by Chairman Dutton, relating to vision screenings for students in public
• And we've changed that now to a grant program—simply a grant program.
• It is not under the Foundation School Program.
• But all of the students on free and reduced lunch would be eligible for this program.

Bills: HB 1178, HB1411, HB1441, HB1773, HB1813, HB2107, HB2598, HB2911, HB2967, HB3672, HB5263, HB3797

Keywords: education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance

Transcript Highlights:

• Public transit is essential for our communities to connect residents to jobs, education, health care,
• My name is Grace Michelson with Ferrari Reeder Public Affairs, today on behalf of Dignity Health St.
• With this bill, we would love to have done a bunch of money for public health campaigns to talk about
• safety and public health by giving the ability to enforce removing illegal vaping products in Nevada
• So if this was actual public health and, you know, an epidemic for child use, I have two teenage kids

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495, AB62, SB104, SB119, SB132, SB193, SB262, SB422, SB431, SB435, SB468, SB503

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• State Public Health Entomologist, right?
• I'm the State Public Health Entomologist with the New Mexico Department of Health.
• I'm the State Public Health Entomologist with the New Mexico Department of Health, and we're here to
• I am the State Public Health Veterinarian with the New Mexico Department of Health.
• and our health promotion programs.

Bills: SB66, SB79, SB108

Keywords: environment, cleanup, contamination, uranium mining, abandoned sites, state funding, mosquito control, public health, surveillance, prevention funds, local government grants, food security, agriculture, food bank, regional program, appropriation, 996, all

Bills: HB241, HB381, HB241

Keywords: healthcare, insurance, vaccine, public health, emergency response, vaccine distribution, healthcare legislation, state coordination, veterans, disability, employment preference, state agency hiring, supplemental security income, PTSD, mental health, grants, treatment protocols, pilot program, personalized treatment, neuroinflammation

Transcript Highlights:

• These are being promoted on the ADHS website and in all local public health programs, something that
• These are being promoted on the ADHD website and in all local public health programs, something that
• and new programs in addition to updating the plan.
• helps now: the Health Start program that has home visits to individuals who are pregnant or parenting
• It also does teen pregnancy prevention programs.

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging