Video & Transcript : 'wage increases' :

Page 290 of 500
KY
Transcript Highlights:
  • Uh and that's why we say increases.
  • Uh and we have kept tuition increases increases increases uh<00:15:14.560><c> to</c><00:15:14.959><c>
  • </c><00:22:59.520><c> Uh</c> uh increase on Morehead's base. Uh uh increase on Morehead's base.
  • </c> the number of categories has increased the number of categories has increased over<00:42:43.280>
  • </c> big increase under the word inflation? big increase under the word inflation?
Summary: The committee met for its fifth and final Interim Joint Budget Review Subcommittee on Education meeting, but did not initially have a quorum and approved the minutes later when enough members were present. The Council on Postsecondary Education, represented by President Aaron Thompson and Vice President Bill Payne, opened with condolences for the UPS crash victims and then presented higher education budget recommendations for the 2026-2028 biennium. Thompson emphasized the return on investment from state support for higher education, citing gains in retention, enrollment, persistence, graduation, reduced time to degree, lower student debt, and expanded dual credit participation, while noting that affordability and access remain priorities. Payne outlined CPE’s operating funds request, including $43.3 million in the first year and $86.6 million in the second year for inflation adjustments, plus $30 million and $45 million for performance funding. He said the inflation request would apply across the board to institutions to offset rising costs, and that the KSU land grant match would not need additional funding because the state has already met the matching requirement. He also explained that state support for educating students has not kept pace with inflation over time, creating pressure on institutional budgets and tuition, though tuition increases have been held to historic lows in recent years. A major portion of the discussion focused on the performance funding model and how it affects smaller institutions. CPE proposed two approaches to address institutions that have received little or no performance funding, especially Kentucky State University and Morehead State University. The first approach would create a $20 million minimum distribution pool, providing $1.95 million to each university and $4.4 million to KCTCS, with the goal of giving smaller and rural institutions a base level of support. The second approach would provide direct appropriations totaling a little over $5.6 million to Kentucky State, Morehead State, and five community colleges that have not been receiving performance funding. Members, especially Representative Tipton and Senator West, questioned how the model had treated small schools over time, and CPE officials explained that the original small school adjustment was not large enough to prevent KSU and Morehead from effectively being left out of the distribution. No votes were taken.
MN

Minnesota 2025-2026 Regular Session

Committee on Energy, Utilities, Environment and Climate - 02/26/25

Energy, Utilities, Environment, and Climate

Transcript Highlights:
  • </c><00:07:52.840><c> in</c> time we expect historic increases in time we expect historic increases in
  • I also, well, I don't like the idea of just increasing assistance programs.
  • I also don't like the idea of just increasing assistance programs.
  • I also don't like the idea of just increasing assistance programs.
  • I also don't like the idea of just increasing assistance programs.
FL

Florida 2025 Regular Session

November 5, 2025 - 10:00 AM

Transcript Highlights:
  • Maybe increasing the limits, but not the numbers as proposed.
  • This bill will increase the cost of government. I will... ...will increase the cost of government.
  • This will increase... We don't know what revenues will be available.
  • This will increase cost to the taxpayer.
  • in expenditures, “a severe increase in expenditures at that.”
Summary: The Civil Justice and Claims Subcommittee considered HB 145, by Rep. McFarland, which would raise Florida’s sovereign immunity caps from $200,000 per person and $300,000 per incident to $500,000 and $1 million, with a future inflation-based increase, extend the time to bring claims, and allow local governments to settle claims above the cap without a claims bill. McFarland argued the bill modernizes an outdated system and helps injured people obtain compensation more fairly and efficiently, while preserving sovereign immunity. Several members spoke in support during debate, saying the bill better balances government accountability and victims’ rights and that current caps have not kept pace with inflation and damages. Public testimony was largely in opposition. Local governments, counties, cities, insurance groups, and school-related organizations warned the bill would significantly increase liability exposure, insurance premiums, and taxpayer costs, especially for small and rural governments and school districts. Opponents also objected to the provision allowing settlements above the cap without legislative action, saying it would weaken the cap and increase litigation and costs. Supporters countered that injured people often wait years for claims bills and that governments should be able to resolve meritorious claims directly. After debate, the committee voted 16-1 to report HB 145 favorably, with Rep. Lopez voting no. The meeting then adjourned.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 3/25/25

Taxes

Transcript Highlights:
  • </c><01:29:51.760><c> costs</c> in the economy um The increased costs in the economy um The increased
  • What that is, is a tax increase.
  • housing costs, increased health care costs, increased child care costs.
  • housing costs, increased health care costs, and increased child care costs.
  • housing costs, increased health care costs, and increased child care costs.
Bills: HF1698 , HF632 , HF1352 , HF2197 , HF618 , HF1248 , HF1697
Committee: House Taxes
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 03/17/26

Commerce and Consumer Protection

Transcript Highlights:
  • Rent increases are limited 3.23.
  • </c> well actually wasn't a bad rent increase well actually wasn't a bad rent increase letter
  • So, it is an increasing practice.
  • So, it is an increasing practice.
  • </c><01:58:24.360><c> and</c> concerned about premium increases and concerned about premium increases
NH

New Hampshire 2026 Regular Session

Senate Education Finance (01/22/2026)

Education Finance

Transcript Highlights:
  • </c> that gap with a 25% increase in funding. that gap with a 25% increase in funding.
  • </c> to say let's just increase the EFA caps. to say let's just increase the EFA caps.
  • </c> in an increase in expenditures. in an increase in expenditures.
  • Bow increased from 33 to 73 students, and Windham increased from 13 to 70.
  • Bow increased from 33 to 73 students, and Windham increased from 13 to 70.
CA

California 2025-2026 Regular Session

Senate Floor Session Jun 18th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • not just statutes, Expenditures that are increasing, not just static, but increasing, along with revenues
  • that continue to increase, but not as much as expenditures.
  • And go ahead and continue to ignore a crucial look at those increasing expenditures and why they're increasing
  • increasing expenditures and why they're increasing more than increasing revenues.
  • increasing cost.
Summary: The Senate opened with a quorum call, prayer, and Pledge of Allegiance, then honored astronaut Captain Victor J. Glover Jr. for his achievements as a Navy officer, NASA astronaut, and California native. Senators Weber Pearson and Rubio highlighted his historic space missions and his role as an inspiration for students, especially in STEM, before the chamber took a photo with Glover and his family. The body then took up SCR 183 on Juneteenth. Senator Weber Pearson presented the resolution as a commemoration of emancipation and a reminder of the ongoing struggle for racial justice. Senators Padilla, Smallwood-Cuevas, Valladares, and Becker spoke in support from the perspectives of the Latino, LGBTQ, Women’s, Hispanic, and Jewish caucuses, emphasizing historical memory, faith, and the need to continue fighting discrimination. The resolution passed unanimously, 39-0. The Senate next considered budget trailer bills SB 110, SB 122, and SB 125. SB 110 made technical budget amendments and passed 29-10. SB 122 expanded sales tax to electronically delivered prewritten software, extended and limited business tax credits, adjusted LLC minimum taxes, and included other revenue changes; supporters said it helped balance the budget and protect services, while opponents argued it would raise costs for businesses, hospitals, and families. It passed 27-9. SB 125 created a federally compliant managed care organization tax to support Medi-Cal and avoid deeper cuts; supporters said it was necessary after federal changes eliminated the prior tax, while opponents warned premiums could rise. It also passed 27-9. The chamber also adopted SR 114 designating June 15-21, 2026 as AVID Week, and SJR 14 urging a Congressional Gold Medal for World War II Army and Navy nurses, both by unanimous roll call. SCR 187 recognizing Father’s Day in California also passed unanimously. The Senate then approved a large consent calendar and closed with remarks about Juneteenth and the next session scheduled for June 22, 2026.
US
Transcript Highlights:
  • are increased to reflect modern-day farming.
  • loan limits to $1,000, and increase microloan limits to $1,000.
  • So increasing those limits would again give us flexibility.
  • The direct operating we increased from 400,000 to 750,000.
  • The direct ownership we increased from 600,000 to 850,000.
Summary: The meeting of the agricultural committee focused on significant concerns regarding the current state of America's rural economy, highlighting the need for a strong five-year farm bill to address the challenges faced by farmers, particularly young and beginning farmers. Key testimony was given by multiple stakeholders including agricultural leaders and young farmers, emphasizing issues related to crop insurance, access to credit, and the adverse impact of recent USDA funding freezes. Various members discussed the necessity of risk management tools that farmers rely on to secure financing, which is crucial for sustaining agricultural operations and supporting rural communities. The importance of timely legislative action was underscored, as many farmers reported struggles in the current economic climate, raising urgency for reforms within the Farm Bill framework.
MN

Minnesota 2025-2026 Regular Session

Veterans and military affairs panel approves HF194 2/12/25

Minnesota House Floor Meeting

Transcript Highlights:
  • </c><00:02:11.480><c> dramatically</c> homesteads have increased dramatically homesteads have increased
  • And as far as the increase, we're fully supportive of getting an increase.
  • </c><00:10:45.360><c> of</c> heard about the the increases of heard about the the increases of property
  • It hasn't been increased in 17 years.
  • It hasn't been increased in 17 years.
KY
Transcript Highlights:
  • Why is there such a large increase? Why is there such a large increase?
  • </c> the increase. the increase.
  • Well, I know, but again that's a substantial increase, 150% increase over the original amount.
  • the</c> increase, 150% increase over the increase, 150% increase over the original<00:13:26.960><c> amount
  • </c> increase the legal fees. increase the legal fees.
Summary: The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent. The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review. The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.
CA

California 2025-2026 Regular Session

Senate Floor Session Jun 18th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • not just static, but increasing, along with revenues that continue to increase, but not as much as expenditures
  • increasing more than increasing revenues, and with a critical look, perhaps see where we can bring that
  • increasing cost.
  • And then this is going to increase it and double it even more.
  • increasing cost.
CA
Transcript Highlights:
  • rents were affected and saw big increases.
  • and saw big increases.
  • So that can increase the complexity of combining funds.
  • it hasn't experienced the same increase that California has.
  • “Our results include a 49% increase in emergency shelter beds over a four-year period, a 63% increase
Summary: The Senate Budget and Fiscal Review Subcommittee 4 met to hear an oversight discussion focused on homelessness, including the state of homelessness in California, state data systems, and the Homeless Housing, Assistance, and Prevention (HAP) program. In opening remarks, the chair emphasized accountability and the need to focus on families and people at the bottom rung, while the vice chair argued that homelessness and affordability problems stem from policy choices and the state should give counties more flexibility rather than top-down mandates. The committee also announced that the one scheduled vote would be postponed and public comment would be taken later. Dr. Ryan Finnegan of UC Berkeley’s Turner Center presented recent homelessness data, saying California’s homelessness remains high at about 187,000 people in the 2024 point-in-time count, with most still unsheltered, though the unsheltered share has declined somewhat. He explained differences between point-in-time counts and the state’s Homeless Data Integration System (HDIS), noted progress in shelter, permanent supportive housing, rapid rehousing, and interim housing capacity, and highlighted declines in youth and veteran homelessness. He also described persistent racial disparities, the large number of chronically homeless people, and risks from federal changes and possible reductions to programs such as Emergency Housing Vouchers and Continuum of Care funding. Members questioned the causes of recent trends, the role of Housing First, Proposition 47, Martin v. Boise, and how funding streams such as HAP and CalAIM are layered together. The California Interagency Council on Homelessness then outlined its data systems and AB 799 implementation. Staff explained that HDIS aggregates HMIS data from all 44 continuums of care and is used to measure outcomes, disparities, and program effectiveness statewide. They said HAP 4 was cost-effective under the State Auditor’s methodology, and that new AB 799 dashboards will provide more public-facing fiscal and outcome reporting by June 2027. Members asked whether the system can better distinguish which interventions work, how self-sufficiency will be measured, how fraud is detected, and whether the council can meet the auditor’s concerns on time. Cal ICH said it has met prior statutory deadlines, that program outcome data already exist, and that fiscal reporting will be built through a web-based tool and aligned with existing departmental reporting systems.
MN

Minnesota 2025-2026 Regular Session

Committee on Finance - Part 2 - 05/17/25

Finance

Transcript Highlights:
  • </c><00:04:34.479><c> cost</c> those agencies for the increased cost those agencies for the increased
  • </c> would have gone to increase would have gone to increase um<00:17:44.880><c> the</c><00:17:45.120
  • </c><00:40:36.640><c> the</c> proposed change to increase the proposed change to increase the postretirement
  • c> in</c> postretirement increases for retirees in postretirement increases for retirees in that<00:40
  • /c><00:45:51.839><c> the</c> postretirement increase uh for the postretirement increase uh for the general
Committee: Senate Finance
AZ
Transcript Highlights:
  • I think that's the lowest spending increase we've had, I want to say, in 10 years.
  • We're increasing the building renewal fund.
  • And we're increasing the maximum eligible grant amount.
  • In the federal government, H.R. 1 increased it from $10,000 to $40,000.
  • We're going to see an increase of veterans in this state.
Summary: The meeting covered a series of fiscal year 2027 budget and budget-related bills, beginning with the general appropriations and tax package. Staff and the chair highlighted a budget built around about $1.4 billion in tax cuts, a one-time 2.5% agency reduction, major funding for state employee health insurance, corrections, flood and wildfire relief, and other supplemental appropriations. The chair repeatedly urged support for the package, emphasizing the size of the tax cut and noting that the committee’s joint vote had only three no votes out of 28 members. Members then reviewed several smaller budget implementation bills affecting racing and gambling, capital outlay, commerce and defense innovation, corrections, environment and water policy, higher education, human services, K-12 education, county finance, tax administration, state data governance, and state office rent rates. Key provisions included extending or modifying funds and fee structures, transferring surplus or unneeded monies, creating or revising oversight boards and pilot programs, increasing K-12 funding by 2% for inflation, adjusting university retention limits, expanding SNAP and housing-related requirements, and changing tax conformity and credits. Several members asked clarifying questions about specific items such as electric vehicle charging funds, mobile home relocation payments, university funding, and the new health insurance oversight board. The chair also explained the tax bill’s major changes, including conformity to federal tax law, a larger dependent tax credit, changes to deductions, repeal of certain tax credits, veteran property tax relief, limits on data center tax incentives, and provisions affecting manufacturing infrastructure and unemployment insurance administration. The committee discussed the Budget Stabilization Fund, debt repayment, and education rollover balances, with the chair arguing for using surpluses to pay down debt. The final item discussed was a behavioral health bill creating a home and community-based services program for adults determined to be seriously mentally ill, with a stated FY 2027 total fund appropriation of $7.8 million contingent on federal approval and matching funds. The meeting ended with a reminder that floor action would begin the next day at 10 a.m.
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Jan 14th, 2026

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • The FEFP includes an increase of $761.1 million.
  • The Floridian First budget also includes increased funding in key areas of our FEFP budget.
  • The Floridian First budget also includes increases in key areas of our FEFP budget: an increase of $100
  • We are asking again every year that we increase the funding for the salaries.
  • And as the appropriators, we are happy... ...to increase the funding for the salaries.
Summary: The Senate Appropriations Committee on Pre-K-12 Education met to hear the governor’s fiscal year 2026-27 budget recommendations for education from the Office of Policy and Budget and the Department of Education. Shelby Salmons and Commissioner Stasi Kamoutsis outlined the governor’s proposed $117.4 billion state budget, including about $32.5 billion for education, with major emphasis on public schools and early learning. The presentation highlighted a $30.6 billion K-12 budget, a $486 million VPK program, continued funding for VPK Summer Bridge, TEACH, HIPPY, and Help Me Grow, as well as increases for teacher pay, base student allocation, mental health, school safety, civics education, and school hardening initiatives. The commissioner also cited a 92.2% statewide graduation rate and Florida’s national rankings in education and education freedom. Senators used the question period to raise concerns about counselor staffing, mental health services, school closures, school choice oversight, the Guardian Program, data reporting, and school capacity. Senator Jones asked about counselor ratios, school closures in historically Black communities, and whether school choice schools are properly monitored for safety and instructional quality. Senator Osgood argued that mental health funding should support more clinical services on campuses, not just academic counselors, and Senator Bradley asked whether the centralized data repository includes scholarship students. Senator Gates praised the civics and debate funding and asked for more detail on the Guardian Program’s performance; the commissioner said 53 of 67 districts participate and described it as a successful safety option with sheriffs approving training. Senators Simon and Osgood also pressed for better use of the FISH report and more accurate space data to understand school capacity and right-sizing. During public testimony, Pinellas County School Board member Laura Hine said her district is an A-rated district with no D or F schools, but spends far more on safety and mental health than it receives in state categorical funding. She said Florida’s mental health staffing ratio is about one counselor per 2,203 students, compared with a recommended one per 1,106, and urged the committee to consider funding full-day VPK statewide, estimating it would cost about $375 million. Committee members followed up on her comments about local flexibility and whether districts can shift funds to meet needs. The meeting ended after members thanked DOE and executive branch staff for the presentation, and the committee adjourned without taking any substantive vote on legislation.
CA

California 2025-2026 Regular Session

Senate Housing Committee Mar 17th, 2026

Housing

Transcript Highlights:
  • That also increases costs.
  • But if something were to increase in the middle of the year and they need to increase it, do a special
  • We are capped as to the cost of increase in living expenses.
  • You know, our security labor costs have increased. Our insurance costs have increased.
  • And don't increase it all the way up to 20%.
Committee: Senate Housing
Summary: The committee first heard SB 1091, which would create the Community Anti-Displacement and Preservation Program within HCD to help nonprofit developers, community organizations, and local governments acquire unsubsidized rental housing and preserve it as affordable housing or homeownership opportunities. The author and supporters from Enterprise Community Partners, the Unity Council, and several housing and tenant groups argued that acquisition-preservation is a proven, cost-effective way to prevent displacement and homelessness. There was no opposition testimony. Members discussed funding, with the author and chair noting the bill is intended to be supported through the housing bond or other appropriations. The committee voted the bill do pass to Judiciary, with broad support and no recorded opposition. The committee then took up SB 904, which would codify and expand the wildfire rebuilding coordination and permitting streamlining used after the Los Angeles-area fires, including HCD-led review of permitting and code barriers and reporting on recovery lessons. The author said the bill is meant to speed rebuilding after future wildfire disasters and avoid repeated delays seen in places like the Camp Fire. Members raised concerns about the cost and repetition of requiring multiple agencies to produce reports after each disaster, and about e-permitting mandates for smaller jurisdictions. The author responded that the bill is meant to capture lessons from different fire contexts and that some concerns could be addressed with amendments. The bill was moved do pass to Emergency Management and was reported out with sufficient votes, though kept on call. Finally, the committee heard SB 1007, which would change HOA assessment rules by tying annual increases to inflation rather than allowing up to 20% increases, and would require clearer annual budget disclosures and evidence for fines. The author and supporters said the bill would improve transparency and protect homeowners from steep fee hikes, while opponents from community manager and HOA industry groups warned it could underfund reserves, force larger special assessments, and add duplicative paperwork. Several senators expressed support for the bill’s goals but raised concerns about the inflation cap, the need for flexibility for insurance and maintenance costs, and the visual-aid disclosure requirement. The author said amendments are forthcoming and that the bill will look different in the next committee; no final vote is reflected in the excerpt provided.
CA
Transcript Highlights:
  • Our enrollment increased by 9.6%, and some of our strongest enrollment increases have been from formerly
  • Number one, while our... system has seen tremendous enrollment increases.
  • The current 0.5% growth is woefully inadequate, and we ask for this to be increased.
  • We are at about 94,000, and our goal is to increase them to 200,000.
  • Look at things like potentially increasing revenue.
MO

Missouri 2026 Regular Session

Budget Jan 21st, 2026 at 08:15 am

Budget

Transcript Highlights:
  • Page 280, utility rate increases.
  • Page 280 utility rate increases. These are increases Page 280, utility rate increases.
  • Page 290, security cost increases. Page 290, security cost increases.
  • They did just get an increase not long ago, and it was a nice increase for them.
  • What is that increase? Why that large an increase, 85% increase in advertising?
Committee: House Budget
LA

Louisiana 2026 Regular Session

Judiciary Apr 28th, 2026

Judiciary

Transcript Highlights:
  • Well, obviously, this increases the jurisdiction.
  • In 2005, it was, by Act 43, increased to $3,500. In 2008, it was increased to $5,000.
  • So that was the fourth increase in 20 years.
  • And that's another potential increase in cost.
  • And I think the one thing that does increase the...
Bills: HR2 , HR37 , HR61 , HCR11 , HCR64 , HB89 , HB183 , HB341 , HB371 , HB451 , HB480 , HB520 , HB541 , HB579 , HB597 , HB816 , HB1004 , HB1064 , HB1165 , SB44
Committee: House Judiciary
CA
Transcript Highlights:
  • Those are going to increase.
  • The increase of the 2027, 28, and ongoing to continue operation of the database, the increase in fiscal
  • And then you're looking at an 8% to 10% increase in revenue that has to do with premium increases, but
  • 10% increase in premiums themselves."
  • , I'm seeing an 8% to 10% increase?
Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.