Transcript Highlights:

• But the Human Services judges at DHS were not included, so this just adds those Human Services judges
• Madam Chair, I believe it's 35 Human Services judges that we have at the Department of Human Services
• who are in positions of Public Service who are in positions of Public Service coming<00:32:14.679
• , Metropolitan Transportation Services.
• 00:44.119> the transportation services these are the transportation services these are the directors

Bills: HF1379, HF1596, HF2260, HF1429

Keywords: nonopioid directive, opioid refusal, opioid-free care, pain management, health care directive, advance directive, patient autonomy, informed consent, substance use disorder, opioid epidemic, prescriber immunity, provider liability, emergency medical services, EMS, health record, Minnesota Department of Health, health care agent, medical power of attorney, Metropolitan Council, Minnesota government data practices

Bills: HR159, HR160, HR161, HR162, HR163, HR164, HCR60, HCR61, HCR62, HCR63, HCR64, HR153, HR154, HR155, HR156, HR157, HR158, HCR57, HCR58, HCR59, SB124, SB399, SB441, SB447, SB460, HCR4, HCR47, HB59, HB74, HB159, HB175, HB330, HB364, HB414, HB458, HB525, HB568, HB628, HB786, HB909, HB1008, HB1033, HB1034, HB1041, HB1052, HB1062, HB1070, HB1079, HB1112, HB1118, HB1139, HB1151, HB1154, HB1176, HB1182, HB1196, HB1214, HB1231, HB1241, SB244, HB1, HB2, HB3, HB312, HB313, HB383, HB314, HCR3, HB983, HB1126, HR1, HR17, HCR5, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB345, HB366, HB446, HB511, HB514, HB655, HB730, HB743, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, SB162, SB349, SB350, SB382, SB383, SB127, HB51, HB58, HB140, HB750, HB911, HB982, HB1010, HB151, HB180, HB192, HB193, HB310, HB635, HB690, HB961, HB1003, HB1146, HB864, HB977, HB181, HB31, HB664, HB615, HB901, HR20, HR74, HB9, HB284, HB393, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB996, HB1113, HB1234, HB1236

Keywords: occupational therapy, healthcare, medical professionals, recognition, professional day, property transfer, public records doctrine, bad faith, Louisiana State Law Institute, real estate law, Black Maternal Health Week, maternal health, racial disparities, healthcare access, culturally competent care, Louisiana, community health, motorcycle safety, awareness month, motorcyclists education

Transcript Highlights:

• what services fall behind it. Okay. what services fall behind it. Okay.
• service we call the NGKI. service we call the NGKI.
• my contract staff. my contract staff.
• Family Services. Family Services. It's<00:56:16.160> Harp.
• Services and Adult Protective Services. Services and Adult Protective Services.

Keywords: Meeting Start 00:00:00 Commonwealth Office of Technology 00:01:00 Department of Education 00:21:00 Transportation Cabinet 00:35:30 Secretary of State 00:45:15 Cabinet for Health and Family Services 00:56:11 Discussion of the Kentucky Communications Network Authority and Related legislation 01:09:11, 958, all

Summary: The meeting began with approval of the prior minutes and then focused first on the Commonwealth Office of Technology’s legacy systems and two specific projects. COT officials said many agencies have made progress moving off legacy applications, with remaining mainframe systems slated to be retired through RFPs or other work orders. They also described a legacy funding pool of $10 million per biennium used to help agencies transition. The two projects discussed were the Kentucky aerial photography and elevation data program, which provides statewide aerial imagery and lidar data for GIS, E911, environmental, transportation, and other uses, and a citizen identity and access management system intended to give residents a single login for state services. Officials said the GIS program costs about $1.2 million annually to host and maintain, with data acquisition costing several million more per year, and that the citizen identity system would cost about $2.5 million per year after an initial three-year COT investment. Members asked about duplication of funding, licensing, local government use, and whether multi-factor authentication would be required; COT said the GIS data is being acquired as statewide unlicensed data and that MFA would be available but not yet mandated statewide. Committee members pressed COT on costs, overlap with cabinet-level IT spending, and the practical benefits of the GIS and identity projects. COT explained that GIS hosting is generally covered through enterprise assessments billed quarterly to agencies, while the new aerial data is intended to benefit the whole state and local partners. On the identity project, officials said it would centralize authentication for citizens who use state systems, improve compliance with zero-trust and NIST-related security expectations, and reduce help desk and maintenance burdens through self-service account tools. Members also discussed whether the system would extend to local governments; COT said it would be a Kentucky.gov-style state login for users inside the state identity infrastructure, not a local-government system. The Department of Education then testified that it does not operate mainframes or major legacy systems, having moved long ago to cloud-based, off-the-shelf products and vendor-supported services. KDE officials described a strong emphasis on staff cybersecurity awareness, standardized statewide systems, vendor risk-sharing, and reducing sensitive data exposure, including efforts to move away from student Social Security numbers. They also highlighted a transition from Microsoft Active Directory to Identity Automation, which they said will improve identity management and make multi-factor authentication universal across K-12. In response to questions about Kentucky Wired and internet service, KDE said all 171 school districts and KDE agencies have been moved to a new next-generation internet service through ENA by Zayo, with strong satisfaction, e-rate savings, and better reliability. Officials warned that any internet disruption would immediately affect attendance, grades, student records, payroll, security systems, and communications across the K-12 system.

Transcript Highlights:

• They range from instructional time to teacher contract days to transportation costs to balancing the
• <00:13:06.079> to<00:13:06.240> our thank you for your service to our thank you for
• Okay, we have Michelle Kuka, Director of Student Support Services, Prior Lake Savage Area Schools.
• director of student Support Services director of student Support Services Prior<00:56:55.920>
• <01:20:25.639> uh students to rest uh he had contracted uh students to rest uh he had contracted

Bills: HF1124, HF1457, HF1803

Keywords: school calendar, education, school year, Labor Day, state law, school construction, landfill, dump site, closed landfill, contaminated site, pollution control agency, school siting, public school, charter school, environmental health, student safety, brownfield, solid waste, waste disposal site, site contamination

Bills: HB1800, HB2095

Keywords: supplemental appropriations, state budget, Hawaii budget, biennial budget, capital improvement projects, CIP, general fund, special fund, green fee, special land and development fund, clean energy revolving loan fund, agricultural development revolving fund, community grants, nonprofit grants, Office of Community Services, housing, affordable housing, homelessness, health care, mental health

Transcript Highlights:

• Seventy-seven percent are unqualified for military service.
• within 30 days after the school district enters into the contract or approves a contract extension or
• amendment, or an affidavit stating that the employee contract is the same... ...approves a contract
• extension or amendment, or an affidavit stating that the employee contract is the same contract that
• and prohibits a contract from being removed from the website for at least five years after the contract

Bills: HB2008, HB2075, HB2203, HB2395, HB2409

Keywords: school libraries, public school libraries, library funding, professional associations, library associations, librarians, information services, dues, membership fees, public monies, school governing body, county free library district, municipal library, library contracts, library services, books and programs, Arizona education, Title 15, Library Freedom Act, school district transparency

Summary: The committee took up several education bills. HB 2395 would create a voluntary Arizona School Fitness Program in ADE to recognize schools that participate in nationally recognized fitness testing or events and allow the designation on school report cards. Supporters, including the sponsor and outside witnesses, argued it would encourage student activity and support the whole child; the bill passed with a 6-0 do pass recommendation. HB 2409, the Getting Arizona Ready for AI Act, would create a voluntary summer AI course program through ADE with curriculum on digital hygiene, civic integrity, and AI for small business/entrepreneurship, with optional facility use and academic credit. The sponsor said it was meant to prepare students for AI-driven job disruption without requiring new appropriations; it passed 4-2. HB 2203 would direct ADE to review public school and agency reporting requirements for duplicative, expired, or obsolete reports and recommend consolidation or repeal, and an amendment making a technical correction was adopted before the bill passed 6-0. HB 2008 would bar school libraries from using public money to pay dues to certain professional library associations; opponents from Secular AZ and the ACLU argued it was viewpoint discrimination and a threat to professional association rights, but the bill still received a do pass recommendation on a 6-0 vote, with one member explaining a no vote because the problem did not exist. The committee also heard HB 2075, which would require school districts to submit superintendent and CFO employment contracts to ADE, post them online, keep them available for five years after termination, and create a searchable database with compensation details. The Goldwater Institute supported the bill, citing difficulty obtaining contracts through public records requests and examples of very high superintendent compensation and opaque contract terms; the Arizona School Administrators opposed the bill as singling out districts while not applying to charters or other public-dollar schools, though they said they could support it if expanded to all schools receiving public funds. Members debated whether charters are political subdivisions and whether the bill should extend to charters and ESAs, and some discussion also focused on transparency and public records access. The bill ultimately received a 4-2 do pass recommendation.

Transcript Highlights:

• The Lieutenant Governor for his fine work and service to this state.
• We do have services supported by the state.
• , and telehealth services, and health care for the uninsured.
• prevention type service and leave it on the treatment type service.
• She was a bill drafter with the Legislative Council Service.

Bills: SB273, SB37, SB100

Keywords: SB273, appropriations, general fund, hold harmless, local government finance, municipal revenue, county revenue, correctional facility, jail contract, private prison, detention facility, immigration detention, revenue bonds, clawback, child welfare, juvenile justice, protective services, school improvement, New MexiCare, aging services

Transcript Highlights:

• So if somebody charges me $50,000 for an engineering project and for providing engineering services,
• Under the bill, Florida Digital Service is authorized to contract for information technology commodities
• and cybersecurity services and provide those services. ...commodities and cybersecurity services, and
• And it requires rulemaking by Florida Digital Service. And as I said, one more thing.
• The state would be required through Florida Digital Service to actually do the purchasing.

Bills: S0314, S0530, S0576, S0800, S0990, S1078, S1440, S1568, S1588, S1614

Keywords: payment stablecoin, financial regulation, anti-money laundering, state oversight, digital currency, financial services, Florida lottery, state lottery, lottery tickets, lottery retailer, Department of the Lottery, Division of Security, ball machine, lottery vending machine, instant tickets, online lottery tickets, major procurement, vendor disclosure, performance bond, retailer bond

Summary: The committee heard and advanced several bills related to engineering regulation, cybersecurity, financial services, and state administration. CS/SB 800 would increase penalties for repeated unlicensed engineering practice and create an engineering student loan assistance program funded by licensure fees and fines; it was reported favorably after questions about whether it would reimburse victims of unlicensed practitioners, with the sponsor noting it would not and that affected individuals would need to pursue complaints and private legal action. CS/SB 576 created a local government cybersecurity protection program administered by Florida Digital Service, with state purchasing of cybersecurity services and priority for fiscally constrained counties; it received support from local government and industry groups and was reported favorably. CS/SB 1078 set transition requirements for gubernatorial administrations, including liaisons, briefing books, office space, IT access, and controlled access to agency records under a memorandum of understanding, and it also passed favorably. The committee also approved CS/SB 314, which creates a regulatory framework for payment stablecoin issuers in Florida, and CS/SB 530, which updates lottery operations, security, retailer rules, and bonding requirements. CS/SB 1614, after adoption of a technical substitute amendment, would limit local governments’ eligibility for certain state funding if they have excess funds, have recently been audited by the legislative audit committee, or fail to affirm expenditure of prior funds; the sponsor said it would give the Joint Legislative Auditing Committee more enforcement leverage, and the bill was reported favorably. CS/SB 990 authorizes protective cell captive insurance companies to expand insurance market capacity and potentially lower premiums, while CS/SB 1588 is a step toward implementing last session’s gold and silver legal tender law; both were reported favorably. Additional bills passed included CS/SB 1440, which adds cybersecurity-related exemptions and reporting provisions for financial institutions, loan originators, and money service businesses, and CS/SB 1568, which creates a Florida Stable Coin Pilot Program allowing DFS fees to be paid with approved stablecoins. The stablecoin bill was amended to add guardrails, including fee limits, website notice requirements, and restrictions if no approved issuers are available. The committee also received a brief budget overview highlighting major funding items such as Florida Forever, Everglades restoration, water quality, Farmers Feeding Florida, citrus recovery, school lunches, state parks, and law enforcement and staffing items, and members later recorded additional votes before the committee adjourned.

Transcript Highlights:

• services provider." services provider." >> favorable. >> favorable.
• we see through contract review.
• ,<00:29:57.760> either administrative services, either administrative services, either contracts
• But my fear would be if this grew, grew, grew, you know, would the services provided suffer?
• <00:32:01.120> provided you know, would the services provided you know, would the services

Bills: HB163, HB344, SB11, SB92, SB164, HB22, HB89, SB227, SB6

Keywords: income tax, research expenditures, economic development, tax deductions, Tax Cuts and Jobs Act, Alabama tax law, educational intervention, State Superintendent, local boards of education, subpoena, accountability, state control, electric vehicles, registrations, license tax, public transportation, funding infrastructure, K-12 education, wireless communication devices, digital safety

Bills: HB 4, HB 1, HB 2, HB 18, HB 19, HB 20

Keywords: appropriations, funding, budget, state finance, public services, public education, teacher compensation, certification, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, rural health, hospital funding, healthcare access, mental health services, financial stability

Bills: HB 4, HB 1, HB 2, HB 18, HB 19, HB 20

Keywords: appropriations, funding, budget, state finance, public services, public education, teacher compensation, certification, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, rural health, hospital funding, healthcare access, mental health services, financial stability

Bills: HB 1, HB 2, HB 18, HB 19, HB 20, HB 4

Keywords: appropriations, funding, budget, state finance, public services, public education, teacher compensation, certification, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, rural health, hospital funding, healthcare access, mental health services, financial stability

Transcript Highlights:

• But the way he explained it to me, this just allows them to transport the service dogs.
• So we've got contracts with utilities that have put pipes under the Big Creek waterway, and that's again

Bills: HB352, HB366, SB272, SB296

Keywords: HB352, cotton, cotton bale assessment, cotton levy, cotton producers, agriculture, forestry, Agriculture, Conservation, and Forestry Committee, per bale fee, commodity assessment, producer referendum, cotton sales tax, Alabama Code 2-8-199, cotton commission, agricultural funding, HB366, Lakyn Canine Act, police dog, K9, K-9

Transcript Highlights:

• Employment services.
• Could be employment, could be child care, and recognize their service as well.
• Transitioning service members here.
• The service database would act as a casework.
• In 2023, military service members were added to that provision.

Bills: SB651, SB897, SB1814, SB1818

Keywords: SB 651, Texas Government Code, Section 434.032, veterans county service office, county veterans services, commissioners court, county executive official, county administration, local government, veterans affairs, veterans benefits, county oversight, reporting structure, public administration, large counties, population 200,000 or more, mental health, veterans, community support, grant program

Transcript Highlights:

• your volunteer services your volunteer services folks<00:21:17.679> representative<00:21:
• helping people get access to Services helping people get access to Services wound<00:33:33.919><
• substance use disorder services are part substance use disorder services are part of<00:43:14.079
• who's continuing to show up to Services who's continuing to show up with<01:00:02.480> Services
• <01:37:53.880> regulatory emergency medical Services regulatory emergency medical Services

Bills: HF696, HF1429, HF1379

Keywords: HF696, rural EMS, ambulance, emergency medical services, uncompensated care, payment pool, rural health, Office of Emergency Medical Services, public safety answering point, PSAP, nontransport, unpaid ambulance calls, EMS reimbursement, rural ambulance provider, general fund appropriation, Minnesota health finance, specialized life support, metropolitan counties, emergency response funding, HF1429

Bills: HB85, HB94, HB276, HB323, HB374, HB586, HB656, HB998, HB1204, SB42, SB46, SB51, SB87, SB110, SB154

Keywords: animal abuse, registry, law enforcement, felony offenses, public notification, firearms, due process, confiscation, law-abiding citizen, government funding, self-defense, bail, contradictory bail hearing, Gwen's Law, pretrial detention, criminal procedure, child sexual abuse, child rape, sexual battery, oral sexual battery

Transcript Highlights:

• They end up rendering services and not getting paid. So we're just removing this antiquated policy.
• expect that we might see some reductions in ER visits and other use of higher-level, higher-cost services
• rr ect we contract with an ALJ with the Ag's office for an ALJ they are not on OMA's staff Senator Jett
• For the Department of Human Services, they collude with the state children's hospitals to kidnap children
• The diversity and the scope of those examiners are you know that are being contracted.

Bills: SJR50, SJR51, SJR52, SJR53, SJR54, HJR1090, HJR1091, HJR1092, HJR1093, HJR1094, HJR1095, SJR49

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Transcript Highlights:

• Is the Department of Human Services anywhere in between that, or is that... ...in a setting where they're
• its role as the state's lead entity, clarifying it applies to 211 call centers to provide hotline services
• To provide hotline services such as help with food, housing, clothing, transportation, and medical needs
• the things that you need to be sure and ask and have plans for, and one of those being emergency services
• me because I live in an area where the population densities, and we would struggle with a lot of services

Bills: HB3131, HB3380, HB3502, HB3552, HB3849, HB3886, HB3907, HB4201, HB4302, HB3448, HB3409, HB4095, HB3637

Keywords: homelessness, shelter standards, safety, accountability, state funding, local governance, regulation, Oklahoma Homeless Shelter Safety and Accountability Act, foster care, child welfare, Department of Human Services, educational opportunities, employment support, technology in child welfare, faith-based organizations, self-sufficiency, financial literacy, HB3502, Oklahoma, children's code

Transcript Highlights:

• > non-contracted I mean contracted prov non-contracted I mean contracted prov non-contracted providers
• . contracted. contracted.
• <01:21:17.199> to<01:21:17.440> community<01:21:18.000> service um contracts
• to community service um contracts to community service providers. providers. providers.
• human services vote? human services vote?

Bills: SB2175, SB2410, SB2080, SB2276, SB2277, SB2282, SB2413, SB2425, SB2491, HB2315, HB2562, HB1532, HB1857, HB2209, HB1961, HB2343, HB2160, HB2505, HB1537, HB1562, HB1731, HB1853, HB1973, HB1974

Keywords: environmental protection, waste management, disposable electronic smoking devices, plastic pollution, lithium-ion batteries, public health, electronic smoking devices, e-liquids, certification, FDA compliance, penalties, directory, mental health, telepsychology, interjurisdictional compact, psychology regulation, LGBTQ+ youth, access to care, professional licensing, surgical assistant

Summary: The committee opened a hearing on multiple health-related bills and first took up HB 2315, which would create a Department of Health pilot program allowing eligible employees to defer unused vacation leave in exchange for a payout to help with home purchase assistance. The Department of Health testified in support, saying the proposal could aid recruitment and retention, and United Public Workers also supported it as a creative, cost-effective benefit that could help employees become first-time homebuyers. The chair likewise praised the department’s effort, and there were no questions or opposition before the committee moved on. The committee then heard HB 2562 on workplace violence in health care settings. The Department of Health said it preferred requiring licensed hospitals to adopt workplace-violence prevention policies and public reporting rather than creating a new state program. The Department of Labor and Industrial Relations said it appreciated the intent and explained that, absent a specific standard, enforcement would rely on OSHA’s general duty clause, guidance, and inspections. Nurses and the Hawaii Nurses Association gave emotional testimony describing harassment, threats, doxxing, and fears for patient and worker safety, arguing that existing processes were too slow and that hospitals needed immediate, enforceable requirements. The committee discussed current hospital alarm systems and OSHA enforcement, and Labor said it does inspect hospitals and can receive complaints from employees. HB 1532, concerning importation of large cigars and pipe tobacco, was announced as deferred at the request of the bill’s author so it could be refined with proponents and the Attorney General. The committee also discussed HB 1857, a very large measure redefining qualified health care provider and making extensive changes to health care law; the chair said the House would likely pass it without substantive changes and instead defer the effective date while using the Senate companion bill as the vehicle. Testimony on HB 1857 was generally supportive, including from the Hawaii Association of Nurse Anesthesiology and a certified genetic counselor, though both referenced proposed amendments. Finally, the committee heard HB 2209, which would require insurers to honor a patient’s written assignment of benefits to a substance use disorder treatment provider. The Insurance Division and HMSA opposed the bill as drafted, arguing it would create a special class of providers, raise fraud and litigation concerns, and potentially increase premiums. Treatment providers and advocates strongly supported the measure, saying insurers often refuse direct payment even when patients assign benefits, forcing families to front large sums and delaying access to residential treatment; they argued the bill would improve access and help keep care in Hawaii. A psychiatrist testified that he had not seen fraud in Hawaii and that the bill could help address long wait times for life-saving treatment. The committee also received written support from multiple individuals and organizations, and members began asking questions about HMSA’s network size and wait times, with follow-up information requested."}】【。final json to=commentary 天天中彩票出票 to=commentary code 彩神争霸邀请码 to=commentary 彩票平台招商 to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary

Transcript Highlights:

• That included extending some services and broadening some services. That part has been struck.
• So abortion services are not covered. They're specifically not covered? Yes.
• So the state plan amendment has to happen first around services. And so that is the first part.
• So, like, if they want to cover doula services, that is through the MCOs that provide it.
• Doula services, the statistics bear it out, that in the long run they do save us money.

Bills: LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes