Transcript Highlights:

• Maybe you can work something out between the two of you that would be...
• We appreciate the work that you all are doing for us.
• , and they're doing incredible work.
• Work for our young students down there and getting them career ready.
• Good work. Thank you. Strong work, especially reminding me I had to lay out a bill.

Bills: HB1022, HB2856, HB3114, HJR5, HB6, HB120, HB210, HB1458, HB1188, HB3126

Keywords: HB 1022, Sul Ross State University, Rio Grande College, Texas State University System, Education Code, higher education, course levels, upper-level college, lower-division courses, community college-style courses, Del Rio, Eagle Pass, Uvalde, Board of Regents, academic programs, university expansion, HB 2856, Texas Higher Education Coordinating Board, clinical training placements, clinical rotations

Transcript Highlights:

• I've seen this ebb and flow, where it works out good or doesn't work out good. Senator Perry.
• I've worked with federally qualified health care centers for years, and I’m now working for a company
• You're the largest group in Texas. I'm sorry? You're the largest group in Texas. I don't know that.
• or billed or touted to work.
• We've done a lot of work.

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:

• We're happy to work on that issue.
• But again, we're happy to work on it.
• Spiller, I certainly would love to work with you on this.
• It's working for them, but it's not working for us, and it's not working for your constituents.
• How that works, that's been the case forever in insurance.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• Under a process that has proven to work well for other provider types, we have a great witness here,
• credentialing process for physicians, podiatrists, and therapeutic optometrists that has been proven to work
• Texans can obtain prompt chiropractic treatment during the credentialing process that has proven to work

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• Madam Chair and members, Senate Bill 2069 relates to establishing a work group to conduct a study on
• We worked with the industry and consumer groups to ensure this bill holds all referral agencies to the
• The bill works towards that goal.
• Account, and so we'll work on this.
• The rural group. ...And the House Ways and Means Committee has been working with this steadfastly because

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Senator Schwertner worked on this issue through some of the work on sunset.
• I look forward to working with you. y'all in the future and working to make sure that your profession
• I appreciate the work by Senator Parker.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Uh, Senator Schwertner worked on this issue through, uh, some of the work on sunset.
• I look forward to working with y'all in the future and, uh, working to make sure that the, uh, that your
• I appreciate the work by Senator Parker, and we'll, we'll continue to, uh, try to move this bill forward

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Madam Chair and members, Senate Bill 2069 relates to establishing a work group to conduct a study on
• It also changes the date by which the work group will submit its legislative report from September 1,
• 2026, to November 1, 2027, and changes the date the work group is abolished from September 2027 to November
• The work group is abolished from September 2027 to November 1, 2028. Thank you.
• The rural group in the House and Ways and Means has been working with this steadfastly, because, like

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• That's an appropriation issue, and I'll be working on that.
• There's a lot of work to be done to effect this change.
• I am president of the Keating Auto Group, the largest car dealer group in the state of Texas.
• , also social work—social workers need their...
• MSW to practice social work.

Bills: SB530, SB757, SB769, SB1085, SB1241, SB1242, SB1409, SB1878, SB2138, SB2314, SB2231, SB2361, SB2431, SJR59

Keywords: accreditation, postsecondary education, Texas Higher Education Coordinating Board, baccalaureate degrees, junior colleges, program delivery, faculty recruitment, higher education, performance standards, student loan debt, degree programs, funding, students with disabilities, accessibility, enrollment, report, SB 1085, Sul Ross State University, Rio Grande College, Del Rio

Summary: The Senate Committee on Education K-16 met with a large agenda and repeatedly recessed for floor activity and other committee conflicts. The committee heard and left pending several higher education bills, including SB 2361 to transfer University of Houston-Victoria from the University of Houston System to the Texas A&M System and rename it Texas A&M University Victoria; testimony from university officials, local leaders, and industry representatives strongly supported the move as a way to better align degree programs with regional workforce needs in engineering, agriculture, and STEM. SB 530, which would align Texas accreditation statutes with federal rules allowing institutions to choose among nationally recognized accreditors, also received supportive testimony and was left pending. SB 1085, allowing Sul Ross satellite campuses to offer lower-division coursework toward bachelor’s degrees, was laid out and left pending as well. The committee also took up a series of education policy bills. SB 1241 would expand the standardized tests Texas public universities may accept for admission beyond the SAT and ACT, with supporters from the Classic Learning Test, homeschool advocates, and student-choice groups arguing it would increase access and competition; it was left pending. SB 769 would require a TEA/Higher Education Coordinating Board report on barriers faced by students with disabilities in higher education, and testimony from The Arc of Texas and others emphasized the need for better data and accessibility; the bill was left pending. SB 2231 would designate the second week of October as Free College Application Week, and SB 1878 would modernize terminology and support workforce-oriented programs at the Josie School; both were laid out and left pending. The committee reported several bills favorably after adopting committee substitutes. SB 605, concerning charter school expansion applications while under conservatorship or a management team, passed on a 9-0 vote. SB 1871, SB 1873, and SB 1874, all related to school discipline and teacher immunity/placement review provisions, were adopted and reported favorably, with members noting the need for further discussion on some language. SB 762, dealing with flag displays in public schools, passed on a 7-1 vote. SB 1962, relating to public school accountability and challenges to school system operations, passed 7-1 after a corrected vote. SB 1750, replacing a $60 million statewide charter facilities cap with an attendance-growth-based allotment, passed 7-1 with one member voting present not voting. SB 2252, supporting kindergarten readiness and early literacy/numeracy, SB 2253, concerning educator preparation and certification, SB 2365, on student use of wireless devices during instructional time, and SB 1924, restoring local peace officer citation authority for school offenses and adding reporting and parent-notification requirements, were also reported favorably. The committee additionally heard SB 37 on higher education governance and compliance oversight, which passed 7-1 after a substitute that refined curriculum review, governing board authority, faculty senate rules, and a new compliance office within the Higher Education Coordinating Board.

Transcript Highlights:

• So, it's worked out well, and so this bill just extends it into the private market.
• How does it work in the HMO?
• So we work very closely with the...
• Why aren't there other groups or people that are putting in the seed money for this?
• He works closely with a working group of stakeholders, including, of course, our state agency.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• So this bill needs some work.
• So the small group market is in freefall.
• I look forward to working with you.
• Being a smaller group, we can do that.
• And if we don't start working that way...

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• And these are the amazing staff that help us do the amazing work for District 44.
• <00:18:10.480> for that help us do the amazing work for that help us do the amazing work for
• healthcare workers, kuna working healthcare workers, kuna working families<00:42:04.720> who<
• <01:07:05.280> Thank<01:07:05.520> you, land management group.
• Thank you, land management group. Thank you, >> Representative<01:07:07.440> Shimezu.

Bills: HB1952, HB1951, HB1929, HB2497, HB2208, HB2572, HB1953, HB2551, HB2549, HB1737, HB1628, HB1769, HB2493, HB2264, HB1997, HB2168, HB2427, HB1805, HB2180, HB2184, HB2219, HB2469, HB2233, HB2519, HB2141, HB1904, HB2201, HB2410, HB2007, HB2385, HB2444, HB2349, HB2235, HB1872, HB2416, HB2291, HB2292, HB2263, HB2359, HB2455, HB1509, HB1514, HB1515, HB1648, HB2164, HB2323, HB1825, HB2172, HB1888, HB2005, HB2387, HB2358, HB2119, HB2276, HB2472, HB1714, HB2325, HB1541, HB1960, HB2140, HB2315, HB2367, HB2388, HB1696, HB2333, HB2138, HB2332, HB2283, HB2059, HB2057, HB2589, HB2417, HB2337, HB1588, HB2217, HB2020, HB1915, HB1742, HB2026, HB1965, HB1546, HB2360, HB1563, HB1749, HB2614, HB1511, HB1753, HB1849, HB1641, HB2161, HB2194, HB1721, HB2284, HB2188, HB1897, HB1880, HB1573, HB1876, HB20, HB2137

Keywords: HB1952, Hawaii agriculture, University of Hawaii, CTAHR, College of Tropical Agriculture and Human Resilience, Kauai, agricultural research station, extension station, capital improvements, general obligation bonds, GO bonds, appropriation, ADA compliance, Americans with Disabilities Act, certified kitchen, greenhouse, laboratory, field research, cesspool decommissioning, invasive species

Transcript Highlights:

• Welcome everybody to the Tourism and Gaming Working Group.
• I'm professor, University of Hawaii. >> Stephen, are you a member of the working group?
• <00:38:21.760> um<00:38:21.839> working<00:38:22.240> group?
• work um working group? work um working group? >> Yes. >> Yes. >> Yes.
• treatment works. treatment works.

Bills: HB1952, HB1951, HB1929, HB2497, HB2208, HB2572, HB1953, HB2551, HB2549, HB1737, HB1628, HB1769, HB2493, HB2264, HB1997, HB2168, HB2427, HB1805, HB2180, HB2184, HB2219, HB2469, HB2233, HB2519, HB2141, HB1904, HB2201, HB2410, HB2007, HB2385, HB2444, HB2349, HB2235, HB1872, HB2416, HB2291, HB2292, HB2263, HB2359, HB2455, HB1509, HB1514, HB1515, HB1648, HB2164, HB2323, HB1825, HB2172, HB1888, HB2005, HB2387, HB2358, HB2119, HB2276, HB2472, HB1714, HB2325, HB1541, HB1960, HB2140, HB2315, HB2367, HB2388, HB1696, HB2333, HB2138, HB2332, HB2283, HB2059, HB2057, HB2589, HB2417, HB2337, HB1588, HB2217, HB2020, HB1915, HB1742, HB2026, HB1965, HB1546, HB2360, HB1563, HB1749, HB2614, HB1511, HB1753, HB1849, HB1641, HB2161, HB2194, HB1721, HB2284, HB2188, HB1897, HB1880, HB1573, HB1876, HB20, HB2137

Keywords: HB1952, Hawaii agriculture, University of Hawaii, CTAHR, College of Tropical Agriculture and Human Resilience, Kauai, agricultural research station, extension station, capital improvements, general obligation bonds, GO bonds, appropriation, ADA compliance, Americans with Disabilities Act, certified kitchen, greenhouse, laboratory, field research, cesspool decommissioning, invasive species

Transcript Highlights:

• Uh, she is in charge of Beyond the Call, and thank you so much for the great work you do for our World
• Call and thank you so much for<00:15:06.560> the<00:15:06.720> great<00:15:06.880> work
• do<00:15:07.440> for<00:15:07.680> our<00:15:07.839> World for the great work
• you do for our World for the great work you do for our World War<00:15:08.240> II<00:15:08.560
• occupancy by our working families. occupancy by our working families.

Bills: HB1952, HB1951, HB1929, HB2497, HB2208, HB2572, HB1953, HB2551, HB2549, HB1737, HB1628, HB1769, HB2493, HB2264, HB1997, HB2168, HB2427, HB1805, HB2180, HB2184, HB2219, HB2469, HB2233, HB2519, HB2141, HB1904, HB2201, HB2410, HB2007, HB2385, HB2444, HB2349, HB2235, HB1872, HB2416, HB2291, HB2292, HB2263, HB2359, HB2455, HB1509, HB1514, HB1515, HB1648, HB2164, HB2323, HB1825, HB2172, HB1888, HB2005, HB2387, HB2358, HB2119, HB2276, HB2472, HB1714, HB2325, HB1541, HB1960, HB2140, HB2315, HB2367, HB2388, HB1696, HB2333, HB2138, HB2332, HB2283, HB2059, HB2057, HB2589, HB2417, HB2337, HB1588, HB2217, HB2020, HB1915, HB1742, HB2026, HB1965, HB1546, HB2360, HB1563, HB1749, HB2614, HB1511, HB1753, HB1849, HB1641, HB2161, HB2194, HB1721, HB2284, HB2188, HB1897, HB1880, HB1573, HB1876, HB20, HB2137

Keywords: HB1952, Hawaii agriculture, University of Hawaii, CTAHR, College of Tropical Agriculture and Human Resilience, Kauai, agricultural research station, extension station, capital improvements, general obligation bonds, GO bonds, appropriation, ADA compliance, Americans with Disabilities Act, certified kitchen, greenhouse, laboratory, field research, cesspool decommissioning, invasive species

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• Team, working group, and all the stakeholders, there was a whole bunch of work done regarding the various
• In fact, we believe that a lot of work has gone into this.
• We are very grateful to have worked with the House on this.
• Again, I think the dealers feel best about working with people that they have a working relationship
• So it would be going to their work address. Yes, and so when they go...

Bills: HB12, HB149, HB12, HB149, SB229, SB1361, SB1749, SB1897, SB2113, SB2566, SB2677, SB1652, SB2327, SB2344, SB2696

Keywords: election law, attorney general, prosecution, criminal offenses, law enforcement, jurisdiction, voter fraud, local prosecuting attorney, public safety, communication, governor approval, interoperability, political subdivision, radio systems, artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance

Transcript Highlights:

• I currently have seven kennel techs that work under me.
• She once worked at Petland Frisco under the management of Jake Patel.
• Thank you, members, for working with us on this bill.
• Hard-working folks who often cannot get access to traditional loans.
• We are good people doing good work.

Bills: HB12, HB149, SB229, SB1361, SB1749, SB1897, SB2113, SB2566, SB2677, SB1652, SB2327, SB2344, SB2696, HB12, HB149

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, automobile sales, finance, retail seller, motor vehicle purchase, motor vehicle sales, pricing restrictions, third-party financing, education, funding, student assessment, accountability, standards, motor vehicle, financing

Bills: HB145, HB279, HB292, SB35, HJM1, HM7, HM4, HM22, HM23, HM24, HM26, HM32, HM51, HM1, HM39, HM29, HM43, HM30, HM52, HM64, HM65, HM66, HM11, HM14, HM21, HM34, HM50, HM17, HM46, HM13, HM20, HM54, HM31, HM35, HM36, HM59, HM2, HM16, HM47, HM53

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, sexual abuse, prison safety, correctional facilities, inmate rights, investigation procedures, judgeship, judiciary, court system

Transcript Highlights:

• And I do back that, seeing the work that this group has done. So with that, do we have speakers?
• And I do back that, seeing the work that this group has done. So with that, do we have speakers?
• I don't know if you want to add it to that, Representative Contreras, the work that this group has been
• I am involved in every single work group on this plan.
• the work that Tori and her group does, and I vote aye.

Bills: SB1095, SB1114, SB1116, SB1162, SB1164, SB1178, SB1179, SB1249, SB1253, SB1346, SB1347, SB1446, SB1561, SB1813

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing

Summary: The committee first heard Senate Bill 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide. Sponsor Sen. Karen Werner described the bill as a response to fraud involving vulnerable Native Americans and said the county attorney would investigate the whole state. Some members questioned why the Attorney General was not handling the work and whether the funding should go to a county office, while others supported the effort. The committee voted 10-1 with one present to give SB 1114 a due pass recommendation. The committee then considered Senate Bill 1116, which would require that denials or adverse appeal decisions on behavioral health claims for the American Indian Health Program be reviewed by someone with at least two years of relevant clinical experience. Access testified neutral but said the bill’s language was too broad and could increase appeals and staffing needs, estimating about $490,000 for eight FTEs. Sen. Werner said the bill was meant to prevent inappropriate denials by reviewers without relevant expertise. Members raised concerns about definitions and staffing, and the committee approved the bill 7-4 with one present. Senate Bill 1346 would require Access to notify providers of claim deficiencies within 72 hours and decide corrected claims within 10 business days. Supporters said the measure would reduce long delays and help providers stay afloat; Access said it was working on process improvements but warned the bill would require more staff and system changes, estimating about $580,000. The committee passed SB 1346 7-5. Senate Bill 1347, requiring insurance coverage for fertility preservation services for cancer patients at risk of infertility, drew strong support from cancer survivors and advocates, with insurers neutral; the committee passed it unanimously 12-0. The committee also heard Senate Bill 1813, which would require Arizona State Hospital admissions to be based on clinical need rather than county of residence. Supporters argued the Maricopa County cap unfairly delays treatment and is not required by the underlying court ruling, while ADHS warned the bill could conflict with the Arnold v. Sarn settlement and could shift access away from rural counties. After extensive discussion, the committee passed SB 1813 9-2 with one present. Finally, the committee began hearing Senate Bill 1178, which would allow naturopathic physicians to administer IV antibiotics, antivirals, and antifungals; the initial testimony was largely opposed by medical associations on patient-safety and training grounds, with supporters yet to testify in the excerpt provided.

Transcript Highlights:

• Group.
• I also want to thank the geothermal working group, who have worked over the years to improve how we produce
• I also want to thank the geothermal working group, who have worked over the years to improve how we produce
• I've been facilitating the New Mexico Geothermal Working Group since 2020.
• I've been facilitating the New Mexico Geothermal Working Group since 2022, with Senator Ortiz y Pino's

Bills: SB190, SB152, SB77, SB150, SB151, SB156, SB172, SB182, SB185, SB212, SB170, SB133, SB174, SB163

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion