Transcript Highlights:

• Bisognano has more than 30 years of executive leadership experience at leading financial institutions
• Sir, I've spent my career protecting PII in the largest institutions.
• 89-year institution so far it will continue. Yes or no do you think it's a Ponzi scheme?
• If you run a financial institution, it's job one.
• You know, I've spent my career overseeing financial institutions and today I serve 3,500 financial institutions

Committee: Senate Finance Committee

Keywords: Social Security, Medicaid, Frank Bisignano, Elon Musk, benefit processing, office closures, public testimony, administration policies, health care, vulnerable populations

Summary: The committee meeting focused heavily on the nomination of Frank Bisignano as the Commissioner of the Social Security Administration, with intense discussions around the current state of Social Security and its management under the current administration. Members voiced significant concerns regarding potential changes to Social Security and Medicaid, specifically addressing issues such as office closures, delays in benefit processing, and the perceived policies from Elon Musk's association with the administration. Public testimonies highlighted fears that these changes would severely impact the accessibility of benefits for seniors and vulnerable individuals, resulting in a chaotic environment at the SSA. Members expressed a unified opposition to the notion of dismantling these critical programs, emphasizing the long-term implications on their constituents' well-being.

Transcript Highlights:

• . $25 million in profits in 2018 after the merger with Exelon.
• 45.440><c> the</c> $25 million in profits in 2018 after the $25 million in profits in 2018 after the merger
• </c> merger with Exelon. merger with Exelon.
• Our institutions don't represent us.

Transcript Highlights:

• A slight history lesson: the LEOFF 1 was formulated by the merger of several large city pension plans

Bills: HB2720 , HB2073 , SB5816 , SB5919 , SB5831 , SB6244 , SB6044 , SB5109 , SB5877 , SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification

Transcript Highlights:

• It's the National Institute of Standards and Technology (NIST) Baseline.
• Every institution, from national labs to rural community colleges, has to play a role.
• A total of 24 institutions, all of these are MSIs, four tribal colleges, programs...
• We have to talk to these institutes and find out what their needs are.
• It's important to include that institute and that community.

Committee: House Science, Technology & Telecommunications Committee

Transcript Highlights:

• And whereas the Senate has a constitutional and institutional interest in affirming the importance of
• She is taking action against grocery store mergers because that causes high prices.

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, approval of the prior journal, and several guest introductions, including Arizona agricultural producers and suppliers and sixth graders from James W. Rice Elementary School. The chamber then moved through a lengthy calendar of first- and second-reading bill references and committee reports, with no substantive debate on those items recorded in the transcript. The main floor action centered on Senate Resolution 1036, which was converted from a concurrent resolution to a Senate resolution and brought forward under a suspension of rules. The resolution condemned Attorney General Chris Mays for public comments about the use of force and law enforcement, and called on her to retract, clarify, and resign. Senators debated whether the resolution was a necessary public safety response or a politically motivated stunt, with supporters arguing Mays’ remarks endangered officers and opponents saying the resolution misquoted her and was being rushed without committee review or public input. A floor amendment was adopted, and after extended debate the Senate passed SR 1036 on a 17-13 vote. After the resolution vote, the Senate briefly returned to personal privileges, including an introduction of visitors connected to civics education, and then recessed and adjourned until Monday, February 2, 2026. The transcript does not show any other bill final actions beyond the SR 1036 vote and the routine referral and reporting of other measures.

Transcript Highlights:

• And whereas the Senate has a constitutional and institutional interest in affirming the importance of
• She is taking action against grocery store mergers because that causes high prices.

Transcript Highlights:

• It improves procedures for document filings with the Secretary of State and updates merger, exchange,
• validity of notarized documents, resulting in costly litigation for individuals, businesses, and institutions

Bills: HB5621 , HB4904 , HB5067 , HB5076 , HB5081 , HB5354 , HB4862 , HB3847 , HB4088 , HB4157 , HB2966 , HB2287 , HB4203 , HB4803 , HB4737 , HB5093 , HB783 , HB5411 , HB4281

Committee: House Judiciary & Civil Jurisprudence

Transcript Highlights:

• The Texas A&M Transportation Institute released a report not too long ago that that noted that annually
• After a merger, the RGV MPO... became the fifth largest NPO in the state and Cameron County is a member

Committee: House S/C on Transportation Funding

Transcript Highlights:

• members, the legislature passed two major health care reform laws to improve oversight and expansion of mergers
• When the doctors of America's most prestigious health care institution chose to organize, they sent a
• physicians, clinicians, nurses, social workers, and custodial service workers in our health care institutions
• We are in a crisis because our increasingly corporatized health care institutions funnel resources to
• The CEOs in these same institutions, they are all millionaires.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• Historically, Norwood Hospital was a profitable institution serving a regional population of over 250,000
• Historically, the Norwood Hospital was a profitable institution serving a regional population of over
• Verrady, an attorney and former hospital administrator at Newton-Wellesley Hospital, and a health care mergers
• And the ideals of the institution changed over time.
• because you're going to take over eight or nine not-for-profit but community-based, low-cost serving institutions

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Summary: The committee heard testimony on H. 3599, a bill concerning access to landlocked Indian lands in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, described long-standing family land access problems, tax assessments they said treated inaccessible parcels as buildable, and a 2016 Supreme Judicial Court ruling that denied easements by necessity on the basis of tribal custom. They said the bill would restore equal treatment under the law and noted support from the Mashpee Wampanoag Tribe and conditional support from the Aquinnah Wampanoag Tribe, with possible language changes still under discussion. Members asked about the tax impacts and the status of tribal support, and the chair said the committee would review the conditions and written letters before proceeding. The committee then took up H. 5047, authorizing the Commonwealth to take the Norwood Hospital property by eminent domain so the site can be restored as a hospital. Sponsors Rep. Rogers, Sen. Rush, and Rep. Lynch argued that the closure of Norwood Hospital after the 2020 flood and Steward bankruptcy left a regional medical gap affecting more than a dozen towns, major venues, and emergency responders. They said the site should be returned to a not-for-profit operator, that the state would not be asked to fund the hospital itself, and that eminent domain would allow an independent valuation and move the project forward. Several committee members voiced support, while Rep. Davis asked about timing, cost, and whether negotiations with the current owner could still resolve the issue; sponsors said the private owner had delayed too long and that the state needed a contingency path. Testimony from local officials, chamber representatives, nurses, firefighters, EMS leaders, and residents emphasized the hospital’s regional role, the strain on ambulance and emergency room capacity, longer transport times, boarding at other hospitals, and added costs to towns for ambulances and staffing. Speakers also described personal experiences with delayed care and said the hospital had been profitable before the flood. The Massachusetts Nurses Association and the Professional Fire Fighters of Massachusetts supported the bill, stressing the need for inpatient beds, emergency preparedness, and a stable regional health care system. The committee also briefly heard and accepted testimony on S. 2922, an Eversource-backed bill authorizing an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project, before returning to the Norwood Hospital bill; no votes were taken during the hearing.

Transcript Highlights:

• Tabitha has built an extraordinary career defined by professionalism, institutional knowledge, and a
• And what truly sets Tabitha apart is her love for this institution.
• It gives permission for hate to move from the margins of society and to our inboxes, our institutions
• It corrodes public trust and undermines the values this institution is meant to uphold.
• helped broker one of the most challenging moments in Park Village Elementary School history: the merger

Transcript Highlights:

• that employer contributions are now covered under 59 1322 Idaho Code 59 1381 and 1385 dealt with the merger
• The legislation also repeals 59-1381 and 59-1385, which dealt with the merger of city retirement systems

Transcript Highlights:

• Tabitha has built an extraordinary career defined by professionalism, institutional knowledge, and a
• And what truly sets Tabitha apart is her love for this institution.
• It gives permission for hate to move from the margins of society and to our inboxes, our institutions
• It corrodes public trust and undermines the values this institution is meant to uphold.
• helped broker one of the most challenging moments in Park Village Elementary School history: the merger

Summary: The Assembly convened after a quorum call, completed the roll, and opened with prayer, the Pledge of Allegiance, and several guest introductions recognizing visitors, students, and a long-serving committee secretary, Tabitha Volga-Sang, who was honored for 32 years of service. Members also took up a procedural motion by Assembly Member DeMaio to immediately consider ACA 14, the Taxpayer Protection Act, without reference to file; that motion failed on a 14-44 vote. The main policy debate centered on SB 106 by Senator Laird, a budget appropriation to provide $90 million in one-time funding for Planned Parenthood and related women’s health and family planning services after federal cuts. Assembly Member Tangipa offered amendments arguing the money should be directed more broadly to women’s health and hospitals, but the Assembly voted 41-13 to lay the amendments on the table. Supporters, including Gabriel, Sharp-Collins, Gibson, Krell, Bonta, and others, said the bill was needed to preserve access to cancer screenings, contraception, STI testing, and reproductive care, especially in rural and underserved communities, and to offset the effects of federal defunding. Opponents, including Johnson, DeMaio, Patterson, and Tangipa, criticized the bill as lacking transparency, favoring a politically connected organization, and diverting attention from hospital funding and other health needs. After extended floor debate, SB 106 passed the Assembly 55-10 and was transmitted immediately to the Senate. The chamber then took up H.R. 84, a resolution condemning racism after President Trump circulated racist imagery depicting former President Obama and Michelle Obama. Members from the Black, LGBTQ, Latino, AAPI, Jewish, Native American, and other caucuses spoke in support, saying the post normalized dehumanization and had real-world consequences; Assembly Member Tangipa also stated the post was wrong and apologized on the record. The transcript ends during continued debate on H.R. 84, before a final vote is shown.

Transcript Highlights:

• </c><00:21:30.159><c> have</c> and most of our peer institutions have and most of our peer institutions
• The reason we need these institutions is because agriculture is driven off of data, not emotion or feeling
• The reason we need these institutions is because agriculture is driven off of data, not emotion or feeling
• This is a fairly sizable merger, 16,000 patients.
• This is a fairly sizable merger, 16,000 patients.

Committee: House Capital Investment

Transcript Highlights:

• Our broadband institutions and... You good?
• through a GRC or through a memorandum account, or if this is, for example, if there's a potential merger
• Creos district, not only to provide an important project for the institution of hydrogen in the state

Summary: The Assembly Committee on Utilities and Energy heard several bills focused on utility affordability, transparency, clean energy, and consumer access. SB 327 would bar investor-owned utilities from using ratepayer funds to oppose municipal utility formation and would clarify the Public Advocates Office’s authority to inspect utility books; supporters framed it as a ratepayer protection and accountability measure, while utilities and industry groups raised concerns about municipalization language and data-request procedures. After discussion about the scope of the bill and existing guardrails from prior legislation, the committee voted SB 327 out on a due pass as amended basis to Appropriations, with the roll left open and later updated to 12-2. SB 1350, a hydrogen bill, would allow renewable portfolio standard credit for power plants using green hydrogen in turbines. The author and supporters said it would help California meet clean energy goals, support the Lancaster hydrogen project, and create jobs, while opponents, especially environmental groups, warned about NOx emissions, the risk of paper transactions, and the need for stronger safeguards on feedstocks and delivery. Members discussed amendments already taken and the need for continued work on environmental protections; the committee passed the bill 14-0 to Natural Resources. SB 868 would create a framework for plug-in or balcony solar devices for renters and others without rooftop solar, with safety standards and a cap on system size. Supporters said it would lower bills and expand access to solar, while utilities and some others raised safety and backfeed concerns and asked for more review through existing interconnection processes. The author and witnesses said the devices are small, non-exporting, and covered by safety certifications; the committee approved the bill 17-0, later updated to 18-0, and sent it to Appropriations. SB 1233 would require additional disclosure about utility cash on hand, capital structure, and related information in existing reports to help inform rates and affordability. Utilities opposed the measure as duplicative of existing proceedings and potentially delay-inducing, while supporters said it would improve transparency for ratepayers. The committee passed SB 1233 10-3 to Appropriations. The committee also dispensed with the consent calendar, passing the remaining consent items, including SB 925, SB 667, SB 952, SB 742, SB 929, SB 943, and SB 1138, and noted that SB 905 had been pulled from the agenda.

Transcript Highlights:

• rating could change within 6 to 12 months, often based on a specific event such as completion of a merger
• ><00:12:03.560><c> completion</c><00:12:03.959><c> of</c><00:12:04.079><c> a</c><00:12:04.200><c> merger
• </c> event occur like completion of a merger event occur like completion of a merger for<00:12:04.839

Committee: Senate Capital Investment

Transcript Highlights:

• And the top 10 producers have mergers and acquisitions.
• We then leverage that through 91 financial institutions in the state.
• The only reason we do this is because none of our financial institutions in the state want to do this
• Because if you can't, in the future, move money fast, quick, and cheap as a financial institution, the
• It's not just us, it's us and 91 financial institutions. Were you done? All right. Mr.

Summary: The committee received a compliance and budget update on Industrial Commission agencies and programs, including the Industrial Commission administrative office, the Oil and Gas Research Program, the Clean Sustainable Energy Authority, the State Energy Research Center, the Research Technology Park grant program, and related funds. Staff reviewed spending and balances for items such as electric grid resiliency grants, lignite research, enhanced oil recovery, the salt cavern business case study, and the new NDSU research and technology park grant. Members also discussed timing, carryover balances, matching requirements, and how some programs are structured to reimburse projects over several years rather than spend funds immediately. Karen Tyler of the Industrial Commission described the agency’s administrative budget, the grant management system nearing completion, and the transition to standalone audits and staffing after separating from other agencies. She also outlined the status of active grant rounds across lignite, oil and gas, renewable energy, outdoor heritage, and clean sustainable energy programs. Members asked about the length of active grants, demand for clean energy funding, and the possibility of future grant rounds. Tyler and members also discussed the salt cavern study, the need to better define its commercial value, and the research technology park grant’s cash-match requirement. Ron Ness then testified on enhanced oil recovery and broader oil and gas market conditions. He said North Dakota production remained steady, but future growth depends on infrastructure, longer laterals, and better use of natural gas and carbon dioxide for EOR. He described the state’s EOR grant round, the use of federal DOE funding to replace part of a state-funded project, and the expectation of additional grant rounds. Members asked about CO2 supply, storage, and the economics of using legacy fields and pipelines to extend oil production and support agriculture and industrial uses. The committee also heard from Bank of North Dakota President Don Morgan, who reviewed the bank’s mission, governance, lending verticals, disaster programs, and new initiatives. He said the bank is seeing deposit growth flatten and is responding to fintech competition by focusing on liquidity, risk management, and a new payment infrastructure initiative called Rough Rider Coin, which he emphasized is not crypto and not a public coin, but a banking payment rail for North Dakota institutions. Members asked about student loan rates, disaster lending, and how the bank’s lines of credit and balance sheet capacity are affected by deposit trends. Morgan said the bank remains profitable and continues to support agriculture, commerce, and industry through participation loans, student lending, and state-directed programs.

Transcript Highlights:

• And the top 10 producers have mergers, acquisitions.
• We then leverage that through 91 financial institutions in the state.
• We stay behind the scenes and behind the financial institutions as that, quote-unquote, bankers' bank
• The only reason we do this is because none of our financial institutions in the state want to do this
• It's not just us, it's us and 91 financial institutions. Were you done? All right. Mr.

Summary: The committee took roll, approved the March 18 minutes, and then received a compliance-report update on the Industrial Commission and related funds and programs. Staff reviewed the status of one-time appropriations and grant programs, including electric grid resiliency, lignite research, enhanced oil recovery, the Clean Sustainable Energy Authority, the salt cavern business-case study, and the new NDSU research and technology park grant. Members asked about funding balances, reimbursement timing, matching requirements, and how some commitments would affect the State Investment Fund and future biennia. Industrial Commission staff then gave a broader update on the agency’s administrative office, grant management system, leadership transitions at several commission agencies, and active grant rounds. They reported that the grant management system is nearing completion, that several agency leadership searches have concluded, and that the commission’s grant programs currently have 108 active grants totaling more than $165 million. They also described the Clean Sustainable Energy Authority round, the oil and gas research program’s enhanced oil recovery awards, the grid resiliency grants, the salt cavern study, and the research technology park program, noting that some projects are awaiting federal funds or additional matching cash. Ron Ness, speaking for the Oil and Gas Research Council, focused on the state of the oil industry and the enhanced oil recovery “Bakken 2.0” effort. He said production remains steady, but future growth depends on better infrastructure, longer laterals, and new EOR methods such as CO2, natural gas, and surfactants. He emphasized the importance of the Bakkeneast pipeline and related gas-utilization projects, the recent DOE funding that will return some money to the research council, and the need to modernize tax and incentive rules for CO2-based recovery. Members discussed the potential economic benefits for oil, agriculture, and manufacturing. The Bank of North Dakota then presented its compliance report and a broader strategic update. Bank leadership reviewed the bank’s mission, governance, participation lending, student lending, disaster programs, and legislatively directed programs, and said the bank is managing for a flatter deposit base and stronger liquidity because of fintech competition and changing market conditions. They reported improved earnings, with net income rising to about $231 million, and described Rough Rider Coin as a new internal payment rail for North Dakota banks and credit unions, not a public cryptocurrency. Members asked about student loan eligibility, disaster lending, and the bank’s capacity to support state programs while maintaining its balance-sheet and liquidity requirements.

Transcript Highlights:

• Historically, the Norwood Hospital was a profitable institution serving a regional population of over
• Historically, the Norwood Hospital was a profitable institution serving a regional population of over
• and I'm an attorney and a former hospital administrator at Newton-Wellesley Hospital, a health care mergers
• And the ideals of the institution changed over time.

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• And third, it's just been such a privilege to join the size and caliber of an institution and an agency
• workforce investments, we are thinking here about how do we leverage some of our major four-year institutions
• workforce investments, we are thinking here about how do we leverage some of our major four-year institutions
• The merger centralized Washington's donation efforts under LifeCenter Northwest, thus strengthening coordination

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.