Transcript Highlights:

• , the initial TORCH program.
• She also works in our jail program, so we have a jail case management program specifically.
• They identified about 83 different programs. We reviewed the financials of those programs.
• Our recovery support programs, we had to work to restore. grow STF Our recovery support programs, we
• It saves us in other social services programs. It saves us money in other programs.

Summary: The task force heard extensive testimony on recovery support, harm reduction, and community-based care. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he said recovery housing, peer support, employment, accountability, and stable housing are what help people stay sober and avoid relapse. Members asked about funding, housing shortages, transportation, treatment courts, and support for medication-assisted treatment (MAT). Haniken said Into Action relies on a braided mix of federal, state, county, city, foundation, and private funding, and that recovery housing needs longer-term support than many current funding streams provide. He also said Missouri should expand recovery housing, peer recovery support, and recovery community centers, and improve awareness and access to MAT in recovery settings and after incarceration. Matt Cushman, a community paramedic with Raytown Fire Protection District, urged Missouri to expand harm reduction, including syringe service programs and broader access to clean needles and drug-checking tools. He argued that stigma and abstinence-only approaches keep many people from seeking help, and said harm reduction reduces disease transmission, overdose deaths, hospitalizations, and other harms while creating pathways to recovery. He cited naloxone distribution as a successful example and said similar strategies should be decriminalized and expanded. Members asked about naloxone access, community paramedicine funding, and whether safe consumption sites should be considered; Cushman said syringe exchange should be a near-term priority, while safe consumption sites are a longer-term policy question. Representatives from Ozarks Medical Center/COMC and Four Rivers Community Health Center focused on the need to reimburse peer support specialists and community health workers, especially in rural and underserved areas. COMC’s Monet Lehman shared her trauma and recovery story and described her jail reentry work, helping incarcerated people with housing, benefits, IDs, employment, MAT, and community supports before release. Four Rivers said its care coordinators and CHWs provide wraparound services such as transportation, housing help, Medicaid enrollment, clothing, and same-day MAT access. Members and staff discussed confusion over reimbursement rules, noting that CCBHCs can bill for peer services through Medicaid while FQHCs generally cannot, and that CHWs are often funded through grants rather than reimbursement. No votes were taken; the meeting consisted of testimony and member questions, with several requests for follow-up information on funding, transportation, and reimbursement rules.

Transcript Highlights:

• All program income received by the VR program is to report it as federal program income earned.
• We have a pre-EDS program.
• It's a very successful program.
• However, the program is in a hiatus until Congressional renewal of the program has passed.
• It is a structured program.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• </c> severe problems in this program. severe problems in this program.
• </c> seeing in this program. seeing in this program.
• </c> NEMT program. NEMT program.
• I mean, you're this this this program<00:48:01.160><c> integrity</c> program integrity program integrity
• </c> vulnerabilities in the programs. vulnerabilities in the programs.

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• . program. program.
• There are some programs around the state that are part programs.
• There are some programs around the state that are part programs.
• </c> a program? a program?
• </c> workforce program. workforce program.

Committee: Senate Education

Keywords: 1191, senate, all

Transcript Highlights:

• Actually, it's not unusual to end a program or start a new program based on need.
• </c> to end a program or start a new program to end a program or start a new program based<00:39:22.040
• </c> associate degree through this program associate degree through this program that's<01:04:59.319>
• A lot of these programs, even though it's a short-term program and it's foundational, it becomes the
• We've been able to build some new programs, expand some new programs.

Keywords: 928, house, all

Summary: The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program. A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up. Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.

Transcript Highlights:

• meet demand. program.
• Uh this program is our grants program.
• The program demand has been program.
• reduction to the program.
• program.

Bills: HF2430 , HF2433

Committee: House Education Finance

Keywords: education finance, teacher training, Read Act, state aid, school funding, education funding, children with disabilities, transition aid, special education, school district consolidation, 1183, house

Transcript Highlights:

• Program income is not usually a big one because most programs don't collect a lot of income.
• Program income is not usually a big one because most programs don't collect a lot of income.
• And many other programs.
• I think they maybe only have one more federal program at their office. one program.
• of the program is there.

Keywords: 989, all

Summary: The meeting focused first on a legislative working group report created under House Bill 368 from the prior session on medical education in Idaho. The presenter described Idaho’s physician shortage, noting the state ranks 50th per capita in physicians and would need roughly 1,400 additional physicians to reach the national average. The group’s unanimous recommendations included maintaining current state-supported medical school seats, adding 10 new non-WAMI seats this year, expanding graduate medical education by 15 seats, prioritizing in-state training, and creating a dedicated health education coordination role to manage undergraduate and graduate placements, clinical sites, and data. Members discussed whether WAMI should also expand, the quality of WAMI graduates, the need for more clinical preceptors and residency sites, rural recruitment incentives, and whether the plan should include other health professions such as nurse practitioners and physician assistants. The presenter said the plan includes benchmarks and timelines, and estimated costs of about $350,000 for coordination, $350,000 to $485,000 for 10 new UME seats depending on placement, and $900,000 for the GME request. The committee then heard from Legislative Audit Division Manager April Renfro on the state’s 2024 single audit and related accountability work. She reported $5.4 billion in federal assistance audited, 21 major federal programs across 15 agencies, 45 findings, seven repeat findings, $2.4 million in known questioned costs, and $2 million in projected questioned costs. Major issues were concentrated at the Department of Health and Welfare, including Medicaid findings involving delayed health and safety surveys, managed care provider eligibility and roster controls, and capitation payments tied to ineligible members; Child Care and Development Fund reporting and cost-allocation errors; and repeat issues in vocational rehabilitation and low-income home energy programs. She also noted Department of Environmental Quality problems with indirect cost proposals and a duplicate grant draw, while Transportation had no findings. Members asked about accountability for repeat findings, the role of Luma in reporting errors, fraud detection, and how to prioritize corrective action; Renfro said agencies, federal management decisions, and legislative oversight all play a role, and she planned to send a prioritized list of key findings to the co-chairs. A later presentation by budget analyst Brooke Dupree introduced front-end reports in the legislative budget book, explaining state government structure, the constitutional limit of 20 executive departments, and how the Legislature uses decision units to build appropriations. She walked through the original appropriation, reappropriations, supplemental appropriations, and how those pieces roll into the current-year total appropriation, with members asking brief questions about departmental divisions and the budget model.

Transcript Highlights:

• It varies from program to program.
• Office of Homeless Youth programs.
• because the unified program will ensure that every youth begins robust, The unified program will ensure
• We also... ...independence program because young people can't be in those programs at the same time.
• And we're going to start with 50 youth who will be eligible for this extended program, a pilot program

Bills: SB5911 , SB5940 , SB5942 , SB5957

Committee: Senate Human Services

Keywords: children, youth, financial stability, care services, department of children and families, housing assistance, foster care, pilot program, social services, accountability, family services, state department, child welfare, homeless youth, youth homelessness, runaway youth, young adult homelessness, housing instability, family reunification, family stability

Transcript Highlights:

• So, I think anywhere we can create authorities, if it's small programs, if it's programs that we know
• that can literally take a company from a $50,000 program in... one year to a $50 million program the
• It didn't come from the program offices. It actually came despite the program offices.
• programs to help homeless veterans.
• For very specific programs, programs I'll get back to that help homeless vets, nutrition programs for

Committee: Senate Senate Armed Services Subcommittee on Personnel

Transcript Highlights:

• </c> assistance programs on a regular basis. assistance programs on a regular basis.
• It's all wrapped up in those programs that provide assistance for those programs.
• </c> order to qualify for these programs. order to qualify for these programs.
• programs we have.
• </c> program, we should focus on the programs program, we should focus on the programs we<00:52:58.640

Committee: Senate Finance

Keywords: 1187, senate, all

Transcript Highlights:

• It's um program.
• It's early childhood child care program.
• under the Agri program for MLEC.
• So you'll the green fertilizer program.
• Paragraph A is for county... school and early care program writer school and early care program writer

Bills: HF2446

Committee: House Agriculture Finance and Policy

Keywords: agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant

Transcript Highlights:

• So we've paired this program with our program, what we call a maternal heart-wise program, which is a
• program in Orlando.
• So we created this program.
• For us, it's been starting our nursing program and advancing our nursing programs.
• In the new program, the SMMC 3.0 program, the In the new program, the SMMC 3.0 program that started two

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• So, um, are the programs—how are they distinguished in one CTE program from another program?
• Those are supplemental funds that are used to support... program by program because there are program
• . program. program.
• </c> any CTE program. any CTE program.
• </c> cosmetology program. cosmetology program.

Committee: House Education Funding

Keywords: 1189, house, all

Transcript Highlights:

• </c><01:17:45.040><c> A</c> the FA program is in that program. A the FA program is in that program.
• This program.
• already in the program.
• a program program expanding a program significantly significantly significantly um<01:49:42.000><c>
• Um that's a flaw in the program. program. program.

Keywords: 928, house, all

Summary: The Education Funding Committee met in executive session on a bill concerning school meal access and reimbursement. The bill would address local school districts’ responsibility to provide meals during school hours, reimburse schools for meals served at no cost, and make an appropriation. The committee first moved to retain the bill, with supporters saying it was complex, had uncertain fiscal impacts, and should be considered alongside other related meals bills. Opponents argued the committee already had enough information, that the bill served a small number of students at relatively low cost, and that delaying action would harm children who need food to learn. The committee also heard from Tim Roar, a Keene school business administrator and co-designer of the bill, who explained that the proposal was intended to be an opt-in program for districts, with rulemaking to set participation requirements. He said the bill was meant to target aid to students between 175% and 200% of poverty, reduce bad meal debt, and avoid spending taxpayer money on families who could afford to pay. He estimated the state cost at about $250,000 in year one, with local taxpayer costs around $8,500 for Keene, and said some districts already have systems for online applications while others do not. Committee members questioned him about meal debt, online application software costs, and how districts handle students who reach debt limits. Roar said districts still feed students who are hungry, but use other resources and family outreach when meal debt is capped, and he argued that parents should be responsible for providing lunch when they can afford it. Other members pushed back, saying they had seen students go hungry and that teachers sometimes pay for lunches themselves. One member noted the bill would increase eligibility, make it easier to apply, strengthen personal responsibility, and was not a mandate. The discussion ended without a recorded final vote in the excerpt, though the retain motion remained the central action under debate.

Transcript Highlights:

• Executive, because we know how important the opportunity programs are in public education.
• &gt;&gt; THANK YOU, AND I NEGLECTED TI OMITTED ACCIDENTALLY, ALL OF THESE PROGRAMS ARE SIGNIFICANT.
• The high-need nursing program is a program that I think deserves support and meeting a critical need
• The high-need nursing program is a program that I think deserves support and meeting a critical need
• THE HIGH-NEED NURSING PROGRAM IS A PROGRAM THAT I THINK DESERVES SUPPORT AND MEETING A CRITICAL NEED

Keywords: 993, senate, all

Summary: The Higher Education Conference Committee met to discuss budget priorities for SUNY, CUNY, community colleges, TAP, student aid, and capital funding. Chair Toby Ann Stavisky emphasized the need for increased operating and capital support, protection against enrollment-based funding losses, no tuition increases, a review of TAP because it has not kept pace with living costs, and action on student loan access and research funding cuts. Assembly Chair Alicia Hyndman outlined the Assembly’s higher education proposal, including $475.7 million to expand TAP eligibility, raising income thresholds for TAP and the Excelsior Scholarship, creating a graduate tuition assistance program, adding community college operating aid, expanding the Opportunity Promise Scholarship, forgiving SUNY hospital debt service, increasing CUNY operating support, restoring opportunity program funding, creating a $110 million student loan support program called New York Rises, and funding five-year capital plans for SUNY and CUNY plus additional ECAP grants. Members broadly supported making higher education more affordable and accessible, while highlighting district-specific needs. Senator May praised SUNY Reconnect, community college workforce programs, hospital debt service relief, and a five-year SUNY capital plan. Senator Gonzalez framed the budget as an investment in economic mobility. Senator Griffo supported affordability, operating and capital aid, and additional support for medical schools and hospitals. Assembly Members Walker, Colton, and Fall backed TAP expansion, opportunity programs, disability supports, SUNY Downstate’s transformation, and capital needs at CUNY and SUNY campuses. Assembly Member Smullen, speaking for the minority conference, urged a five-way budget process, said TAP has not kept pace with inflation, and called for a more stable long-term funding model for community colleges. He also stressed aligning higher education with workforce needs. Assembly Member Pirozzolo pointed to the College of Staten Island as an example of the benefits of investment and warned that employers recruiting students directly from high school could weaken higher education unless colleges continue strengthening trade and career training. The meeting ended with no vote on the budget items, and the chairs adjourned the conference committee after concluding remarks.

Transcript Highlights:

• But because we've had to reduce programs, we've cut programs by 45% over the last few years.
• The YE program in particular is close to my heart because it's actually the one that funds the program
• There's other programs such as a local partnership program and the State Transportation Improvement Program
• Or we can program a project within the State Highway Operation and Protection Program, which is a major
• its maintenance program funds.

Keywords: 987, senate, all

Transcript Highlights:

• So that was the focus of our, quote unquote, welfare programming in Utah and why the TANF program, and
• I'll always maintain this, is a critical program to be part of your workforce... ...is a critical program
• Again, what Utah did was we didn't philosophically see TANF and SNAP and these programs as welfare programs
• They're not seen as workforce programs. ...being seen as welfare programs.
• They're not seen as workforce programs.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• programs.
• Our program was featured in the California Model Report as a Cornerstone Rehabilitative Program.
• programs, the reentry programs. programs, and all these rehabilitative programs, that agreement to not
• So those programs I would.
• programs from.

Keywords: 988, house, all

Transcript Highlights:

• So we have multiple pathways for certification, including traditional programs, undergraduate programs
• , and our SESTA programs.
• Last year in this committee, we talked about and voted on a literacy program, an additional program to
• We also have alternative programs.
• ., which I would argue are like fast-paced programs, fast-track programs to get teachers in the field

Committee: House Education

Summary: The House Education Committee heard testimony on House Bill 515, sponsored by Representative Chris Matthias, which would require school districts to adopt procedures for reporting suspensions related to bullying, harassment, intimidation, and related conduct to families, while removing a prior state-level reporting requirement. Matthias said the bill is intended to help families respond quickly and to keep the focus on local school-level accountability; he noted earlier versions had included language about limiting access to means of harm and notifying law enforcement, but those provisions were removed after prior defeats. Quinn Perry of the Idaho School Boards Association testified in support, saying the bill improves communication and trust with families and eliminates redundant reporting to the Department of Education. The committee then voted to send HB 515 to the floor with a due pass recommendation. The committee also received a presentation from Brooke Blevins of the Idaho Association of Colleges for Teacher Education and the University of Idaho on educator preparation programs. She described collaboration among Idaho’s colleges and universities and said programs have expanded coursework and field experiences in classroom management, educator ethics, career and technical education, rural school preparation, literacy and the science of reading, and the ethical use of AI. Members asked about literacy instruction and the earlier state literacy funding, with several expressing concern that phonics and the science of reading had not been emphasized enough in the past. Blevins said higher education institutions are aligning with state literacy efforts and that the $50 million literacy initiative primarily funds Department of Education programs rather than universities. Committee members also asked about teacher preparation pathways and workforce readiness. Blevins said Idaho has multiple routes to certification, including traditional undergraduate programs, alternative authorizations, alternative programs, apprenticeships, graduate programs, and CTE pathways, and estimated that about 63% of current Idaho teachers were educated through institutions like those represented. She emphasized early field experiences to help candidates determine whether teaching is the right fit and said institutions are studying student success across different educational settings. No further action was taken on the presentation, and the chair adjourned the meeting after reminding members to review the rules in their folders for the following week.

Transcript Highlights:

• They're both Medicaid programs.
• What you're seeing here on this page is the adult dental program from the standard program.
• ><c> going</c> CARE program the dish program is going CARE program the dish program is going to<02:16
• This 7948 is standard Medicaid program, and 7051 is the Children's Program.
• features of those programs.

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.