Transcript Highlights:

• so apart from that, this really sets a standard every uh actually every health care provider in the state
• has this mandate of this is the state has this mandate of this is what<00:03:10.480> you<00:03
• Holiday, state your name and just talk about that striking on that oral memo.
• Please state your name and we would ask to keep this to two minutes. >> Um, is Slain Mr.
• I'm the executive director for the State of Minnesota Health Information Management Association.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• We don't pay for that at the state.
• We don't pay for that at the state.
• in the United States?
• Um please state your >> state your name.
• states—21 states—that have open access with no barriers in place.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• We've passed it in some other states.
• This is a collaboration across the United States with Catholic Charities USA and the United States Catholic
• A lot of peer states are doing this; some states are just totally doing away with this altogether.
• This is the state legislature.
• This is the state legislature.

Bills: HB24, HB2015, HB2149, HB2559, HB2701, HB2797, HB3172, HB24

Keywords: zoning, public notice, local government, residential development, protests, water conservation, municipal utility districts, Texas Commission on Environmental Quality, environmental regulation, groundwater management, nonconforming uses, zoning regulations, land use, property rights, municipal authority, municipal moratorium, development moratorium, property development, subdivision, site plan

Transcript Highlights:

• Our state is the Texas miracle. We're a business-friendly state. What makes us business-friendly?
• This is one of those issues that I thank Dallas for stating.
• There are about 1,800 water districts throughout the state.
• I don't know how that data gets used by the state.
• Most importantly, these moratoriums are devastating.

Bills: HB24, HB2015, HB2149, HB2559, HB2701, HB2797, HB3172, HB24

Keywords: zoning, public notice, local government, residential development, protests, water conservation, municipal utility districts, Texas Commission on Environmental Quality, environmental regulation, groundwater management, nonconforming uses, zoning regulations, land use, property rights, municipal authority, municipal moratorium, development moratorium, property development, subdivision, site plan

Transcript Highlights:

• This is not state money. This is freedom of choice.
• and many states have already driven.
• This legislation changes state statute so that the State of Florida will provide concurrent, both federal
• and state legislative So that the State of Florida will provide concurrent, both federal and state legislative
• States Attorney or United States District Court for the applicable district in this state has waived

Bills: S0052, S0502, S0624, S0758, S0834, S0840

Keywords: places of worship, house of worship, church, mosque, synagogue, religious security, armed security, volunteer security, private security, security guard licensing, licensure exemption, Florida Statutes chapter 493, Class G license, Class C license, security services, faith-based institutions, public safety, military jurisdiction, delinquency, concurrent jurisdiction

Summary: The committee considered several bills and reported each favorably. SB 624, by Senator Yarborough, would allow batterers intervention programs to offer optional supplemental faith-based activities, with no participant required to take part. Supporters said it would expand provider options and help address a shortage of certified programs; opponents raised concerns about mixing government-ordered programming with religion and about the state’s prior rule change. The bill passed 7-2. The committee also approved CS/SB 834, which repeals a 2022 restriction barring licensed insurance agents from partnering with health care sharing ministries to market or sell their programs. The sponsor and supporters argued the bill restores free speech, consumer choice, and access to faith-based alternatives, while opponents warned about consumer confusion, higher commissions, and weak protections because these ministries are not insurance. After extended debate, the measure passed 8-2. Other measures advanced unanimously or near-unanimously. CS/SB 502, as amended, would give Florida concurrent jurisdiction over certain juvenile offenses on military installations so juveniles can be handled in the state system; it passed 9-0. CS/SB 52 would exempt volunteer armed security for houses of worship from Class D or G licensing requirements, and supporters cited rising threats to churches and the need for organized volunteer security; it passed 9-0. SB 840, a cleanup bill to narrow and clarify last year’s emergency-related land-use restrictions after hurricanes, also passed 9-0, and CS/SB 758, which updates the membership of the Justice Administration Commission, passed 9-0 after an amendment restoring two public defenders to the commission.

Transcript Highlights:

• be referred to the Committee of State be referred to the Committee of State Government<00:17:42.080
• current state and that is not changing. current state and that is not changing.
• >> and for the record, state your name. >> and for the record, state your name.
• >> State your name and go for it. >> State your name and go for it.
• the majority of APRNs across the state. the majority of APRNs across the state.

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• the state statute.
• It's a moratorium on increases in taxes and fees.
• I think you said something about the state-shared revenue, and the state-shared revenue increased—is
• revenue, which is collections from TPT, the state TPT.
• I mean, the state budget is $17 billion.

Bills: HB2780, HB4029, HB4030, HCR2052

Keywords: judicial foreclosure, tax lien, redemption rights, excess proceeds, property auction, income tax, federal tax conformity, revenue analysis, legislative session, tax reporting, municipal fees, county fees, utility rates, moratorium, tax classification, local government, inflation, economic stability, tax increases, cost-of-living protection

Summary: The committee first heard House Bill 2780, a technical cleanup measure related to Arizona’s judicial tax lien foreclosure and excess proceeds process. The sponsor and a witness said the bill clarifies when a court should order a public sale, standardizes distribution of sale proceeds, and corrects inconsistencies left from prior reforms. No opposition was raised, and the committee approved HB 2780 unanimously on a 9-0 do pass vote. The committee then took up House Bill 4029, which would require the Governor’s Office of Strategic Planning and Budgeting and the Joint Legislative Budget Committee to evaluate the revenue impact of federal tax conformity changes earlier in the process, and would require the Department of Revenue to issue tax forms consistent with statute. An amendment was adopted to have OSPB and JLBC each make the evaluation and to require a governor’s report if the impact is $100 million or more, along with new reporting deadlines for DOR. Supporters argued the bill would force earlier action on conformity and prevent tax forms from diverging from statute; opponents said it added bureaucracy and could delay filing. The committee approved HB 4029 as amended by a 5-4 vote. The committee also heard House Bill 4030 and the related HCR 2052, both aimed at limiting local tax and fee increases. HB 4030 would bar municipalities and counties from adopting, imposing, or collecting increased fees, transaction privilege taxes, and utility rates from July 1, 2026, through June 30, 2030. The sponsor said the measure was intended to protect taxpayers from inflation and rising local costs. Cities, counties, and utility representatives opposed the bills, warning they would hinder infrastructure financing, water and wastewater projects, road improvements, and public safety services, and could force general fund subsidies or delayed maintenance. Supporters argued local governments have seen substantial revenue growth and should be restrained from further increases. The committee did not reach a final vote on HB 4030 or HCR 2052 in the portion provided.

Bills: HB3011, HB3143, HB3144, HB3881, HB3519, HB3522, HB3530

Keywords: alcoholic beverages, personal use permit, manufacturing, excise tax, Oklahoma Alcoholic Beverage Control Act, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, alternative nicotine products, vaping, regulations, manufacturing standards, packaging requirements, penalties, Attorney General

Transcript Highlights:

• State troopers are out there a lot of times.
• are so supportive throughout the state are so supportive of<00:14:00.959> this.
• We do not want to see an industrywide moratorium. Thank you.
• We do not want to see an industrywide moratorium. Thank you.
• We do not want to see an industrywide moratorium. Thank you.

Bills: SB341, SB340

Keywords: SB341, Alabama, veteran license plate, veteran tag, distinctive license tag, specialty plate, radiation exposure, atomic bomb testing, ionizing radiation, World War II veterans, Vietnam veterans, Korean War veterans, Cold War veterans, Desert Storm, Desert Shield, Operation Iraqi Freedom, Operation Enduring Freedom, Operation Inherent Resolve, Department of Veterans Affairs, probate judge

Transcript Highlights:

• So that is a policy of the state of Texas.
• But emergency on behalf of the state, on behalf of a growing state, I will continue to say is not an
• But emergency on behalf of the state, on behalf of a growing state, I will continue to say is not an
• But if society, if the state really needs it, then the state will be able to pay for it.
• But if society, if the state really needs it, then the state will be able to pay for it.

Bills: HB5489, HB5695, HB5699, SB291, SB292

Keywords: impact fee, moratorium, local government, Texas legislation, infrastructure funding, municipal utility district, eminent domain, bonds, assessments, infrastructure, Texas Commission on Environmental Quality, Harris County, Municipal Utility District, territory exclusion, debt service taxes, property taxation, condemnation, property acquisition, real property, appraisal reports

Transcript Highlights:

• The residential moratorium terms expire after 120 days unless extended, and the commercial moratorium
• moratoriums.
• We often do not receive answers before a temporary moratorium or even the moratorium goes into effect
• that particular moratorium.
• . moratorium, and therefore the moratorium would have to be lifted.

Bills: SB32, SB464, SB996, SB1163, SB1173, SB1277, SB1452, SB1453, SB1548, SB1882, SB1883, SB2016, SB 32

Keywords: ad valorem taxation, tax exemption, franchise tax credit, income production, personal property, SB 464, school buffer zone, tobacco retailer, vape shop, e-cigarette, vaping, nicotine, tobacco products, retail permit, comptroller, Class A misdemeanor, school proximity, youth access, public school, private school

Transcript Highlights:

• What's the state doing now to ensure that services aren't going out?
• Can you—so there was a moratorium.
• Are you aware of the current population in the state of Oklahoma?
• And are you aware that the state of Arizona has one grow, the state of Florida has one grow, the state
• All states—not all states with larger populations than ours, but most of those states have a larger population

Bills: HB2947, HB2964, HB3143, HB3144, HB3342, HB3344, HB3519, HB3522, HB3530, HB3645, HB3647, HB3834, HB4300, HB4422, HB4423

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, medical records, patient rights, privacy, fees, healthcare access, legal claims, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, Medicaid

Transcript Highlights:

• sense adjustment we can make in State sense adjustment we can make in State Statute<00:02:07.880
• <00:04:20.040> and veteran eligibility for state and veteran eligibility for state and federal
• Several other states have implemented a state-level CCAP anti-kickback law, and so we modeled this on
• what other states have done.
• It allows, and even encourages, a state agency to disregard state law regarding processing licensing

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• Second, ... ...for all taxing units across the state.
• If there is a motion that states the minimum interest and sinking tax rate, states the proposed rate,
• sending that much money to cities around the state, as senators of the state of Texas, would you not
• And within the United States, there are 37 states that currently have impact fee ordinances on their
• In terms of the audit that is in other states, that audit goes to the city or, it's in other states.

Bills: SB32, SB464, SB996, SB1163, SB1173, SB1277, SB1452, SB1453, SB1548, SB1882, SB1883, SB2016

Keywords: ad valorem taxation, tax exemption, franchise tax credit, income production, personal property, SB 464, school buffer zone, tobacco retailer, vape shop, e-cigarette, vaping, nicotine, tobacco products, retail permit, comptroller, Class A misdemeanor, school proximity, youth access, public school, private school

Summary: The Senate Local Government Committee heard several bills by Senator Bettencourt focused on property tax and local government accountability. SB 32 would provide about $700 million in business tax relief by raising the business personal property exemption from $2,500 to $25,000 and continuing a 20% franchise tax credit for inventory taxes paid. Witnesses from NFIB, the Texas Retailers Association, and Texas Realtors supported the bill, saying business personal property and inventory taxes are burdensome and especially hard on small businesses. After no opposition testimony, SB 32 was left pending. The committee also heard SB 1453, which would change how interest and sinking tax rates are calculated by using only the minimum debt service required under bond schedules, while still allowing a higher rate with a 60% governing body vote and a public explanation. A witness from the Texas Taxpayers and Research Association supported the bill as a way to keep debt rates from rising as property values increase and to preserve tax relief. The bill was left pending after testimony. SB 1883 would tighten rules on local impact fees by requiring 60 days of public availability for capital improvement plans and land use assumptions, raising the approval threshold for adopting impact fees from a simple majority to two-thirds, limiting how often fees can be increased, and expanding notice requirements. Builders and developers testified in support, arguing that impact fees are often poorly reviewed, lack accountability, and are passed on to homebuyers, worsening housing affordability. Committee members discussed adding audit provisions and questioned the lack of city testimony. The bill was left pending with subcommittee action. SB 1452 would require a voter election to decide whether a municipal management district continues to exist, with dissolution if voters reject it; supporters said it would add accountability, while others noted some districts provide essential services and infrastructure. The committee heard testimony from district representatives and builders, then left SB 1452 pending before recessing.

Transcript Highlights:

• This will provide for a state Class A misdemeanor.
• The residential moratorium expires after 120 days unless extended, and the commercial moratoriums expire
• of commercial moratoriums.
• We need, we need a moratorium on large. What's that? We need a moratorium on a long layout, right?
• Senate Bill 2016 requires that the state audit conduct a one-time audit of each county in the state with

Bills: SB 32, SB 464, SB 996, SB 1163, SB 1173, SB 1277, SB 1452, SB 1453, SB 1548, SB 1882, SB 1883, SB 2016

Keywords: ad valorem taxation, tax exemption, franchise tax credit, income production, personal property, SB 464, school buffer zone, tobacco retailer, vape shop, e-cigarette, vaping, nicotine, tobacco products, retail permit, comptroller, Class A misdemeanor, school proximity, youth access, public school, private school

Transcript Highlights:

• Thank you, sir, very much for your service to the great state of Oklahoma. Thank you.
• This is a model that's going from the Uniform Accountancy Act and 25 other states have adopted.
• This bill will extend the current moratorium on new marijuana business licenses to 2028.
• The moratorium, put in place by legislation starting in August 2022, is set to expire in 2026.
• This regulation is outdated, unnecessary, and provides no meaningful benefit to the state or the public

Bills: HB4248, HB4429, HB2588, HB3472, HB4317, HB3462, HB2035, HB3501, HB3127, HB3143, HB3144, HB3260, HB4321, HB3011, HB3522, HB3530

Keywords: HB4248, hemp beverage, hemp drinks, THC beverage, cannabis beverage, intoxicating hemp, age restriction, under 21, minor possession, youth access, public health and safety, Title 63, Oklahoma Statutes, retail sales, alcohol-style regulation, controlled substances, beverage regulation, proxy advisory services, shareholder rights, financial transparency

Transcript Highlights:

• All right, state your name, sir. And... Yeah, Jeff Burdett, NFIB. State director.
• It also has the additional benefit of having businesses invest more in our state and making our state
• economy more competitive when businesses decide whether to relocate to our state or expand to our state
• Of that having business invest more in our state and make our taxes state economy more competitive when
• business decides whether to relocate to our state or expand to our state.

Bills: SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723

Keywords: civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals

Summary: The Senate Committee on Local Government heard several bills, most of them left pending after brief public testimony. House Bill 331, by Rep. Patterson and sponsored by Sen. Hinojosa, would create a presumption that firefighters, police officers, and EMTs who suffer a heart attack or stroke within eight hours after a strenuous shift were injured in the line of duty for workers’ compensation purposes; testimony from a firefighters’ association supported the bill, and it was left pending. Senate Bill 2655, by Sen. Flores, would authorize Burnet County to establish a local provider participation fund to help support local hospital services; a hospital administrator testified in support, and the committee substitute was left pending. Senate Bill 1443, by Sen. Hughes, would extend the Northeast Healthcare Provider Participation District in three counties, and House Bill 3307, by Rep. Noble, would allow property tax arbitrators to complete required continuing education online; both were left pending without opposition. Senate Bill 3048, by Sen. Birdwell, would create the Bluebonnet Hills Municipal Management District in Midlothian and was also left pending. The committee then took up House Bill 9 and HJR 1, sponsored by Sen. Bettencourt, which would raise the business personal property tax exemption from $2,500 to $125,000 and place the constitutional amendment on the November 4, 2025 ballot. Business groups, realtors, and taxpayers’ advocates testified in strong support, saying the change would provide meaningful relief to small businesses and help balance earlier homeowner tax relief. The City of Fort Worth testified in opposition, warning of a revenue shift to homeowners and budget impacts, but the committee adopted the committee substitutes and reported both measures to the full Senate on 6-0 votes. The committee also heard House Bill 1399 and HJR 99, by Sen. Nichols, to exempt animal feed from property tax when it is already sales-tax exempt; no one testified against them, and both were left pending. Senate Bill 2553, by Sen. West, would let owners of historic archaeological sites protest land and structure appraisals separately, and it was left pending after supportive testimony. Senate Bill 2907 and SJR 78, also by Sen. West, would exempt certain perishable inventory, including food and some prescription drugs, from property tax if approved by voters; pharmacists, business groups, a researcher, and a coalition of retailers and food/medicine advocates supported the bill, and it was left pending. Finally, Senate Bill 1331, by Sen. Hancock and explained by Sen. Middleton, would lower the population threshold for certain municipal civil-service-related petition restrictions from 950,000 to 70,000; law enforcement representatives and a San Marcos police association supported it, and it was left pending. The committee then recessed until 15 to 30 minutes after adjournment.

Transcript Highlights:

• Okay, so DJ, state your name and what are we going to do about it? I was right.
• I will say that we're a growing state, growing metro regions.
• Please state your name for the record. Yes, sir. Travis Krogman. Go ahead.
• Medicaid funding is a shared responsibility between state and federal governments.
• State and local funds are collected and then matched with federal funds.

Bills: SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB 1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723

Keywords: civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals

Summary: The Committee on Local Government heard a series of local bills and public testimony focused on hospital districts, municipal management districts, local provider participation funds, manufactured housing, transit financing, development moratoriums, and property tax procedures. Early items included House Bill 467, which would help dissolve the defunct Maybank Kemp Hospital District and establish an Andrew Gibbs Memorial Nursing Endowment, and Senate Bill 3063, creating the Bio Bell Municipal Management District in Liberty County; both drew no public opposition and were left pending subject to call. The committee also heard House Bill 1327, extending the Harris County local provider participation fund through 2027, and Senate Bill 1375, extending Collin County’s LPPF authority, both presented as mechanisms to draw federal Medicaid matching funds for hospitals. A major portion of the meeting centered on Senate Bill 2764, which would require earlier notice to buyers of manufactured homes about how to convert a home from personal property to real property. Senator Cook described the bill as a consumer-information measure tied to displacement concerns at a mobile home park in her district, and a resident testified in support, saying the notice would help families make informed decisions. The committee also discussed Senate Bill 2519, a bill by Senator Bettencourt aimed at preventing local governments from shifting maintenance-and-operations tax revenue into debt-like uses and from changing the purpose of tax rate elections after voters approve them. Supporters argued it would protect taxpayers and preserve the separation between M&O and debt service, while opponents tied the bill to Austin’s Project Connect transit financing and warned it would disrupt an approved project and invite litigation. The committee heard and left pending several other bills, including House Bill 1244 on agricultural land ownership changes without reapplying for an ag exemption, House Bill 2559 on development moratoriums, and Senate Bill 2063 on unequal appraisal protests. Testimony on House Bill 2559 came from developers and builders who said moratoriums in Conroe had delayed projects and harmed buyers, while supporters of the bill said it would impose clearer limits and notice requirements. On Senate Bill 2063, the sponsor explained a committee substitute narrowing how market value evidence may be used in unequal appraisal appeals. The committee also considered multiple local district bills, including new MUDs and management districts in Montgomery, Denton, Fannin, Travis, Hays, and Williamson counties. At the end of the meeting, the committee took up pending business and voted out several measures, including House Bill 1244, House Bill 2559, House Bill 467, House Bill 1327, House Bill 1399, House Bill 2723, House Bill 2730, House Bill 3307, House Joint Resolution 99, and multiple district bills such as Senate Bills 3037, 3043, 3047, 3048, 3050, 3052, 3053, 3056, 3057, 3063, and others. Most were reported favorably, often with committee substitutes, and many were recommended for the local and uncontested calendar. Several bills, including the transit-related SB 2519 and the manufactured housing bill SB 2764, remained pending subject to call after testimony closed.

Transcript Highlights:

• , this state, or a political subdivision of this state, or by appropriate funds of the United States,
• this state, or a political subdivision of the state.
• Or state dollars. Or state dollars, right? Now, they get the dollars.
• State police. Yes. Yes, the colonel of state police. Okay.
• State police. Yes, the colonel of state police. Okay.

Bills: HCR41, HB11, HB227, HB243, HB278, HB335, HB424, HB454, HB455, HB492, HB623, HB641, HB660, HB708, HB719, HB940, HB1029, HB1053, HB1069, HB1077

Keywords: coupons, rebates, alcohol regulation, malt beverages, Louisiana Department of Revenue, remembrance, Charlie Kirk, state recognition, October 14, memorial day, court filings, electronic filing, letter size paper, privacy, legal procedure, recusal, district attorney, substitute attorney, appointment process, legal proceedings

Transcript Highlights:

• Guys, okay, state your name and who you represent, whoever's ready.
• Matthew, state your name and who you represent. Thank you.
• All right, Karen, state your name and who you represent.
• Please state your name and who you represent.
• Tiffany, state your name and who you represent. Yes, sir.

Bills: SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723, HB9, HJR1

Keywords: civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals