Transcript Highlights:

• Jacob Wiek, in support, and Dr. Keon Dudley, in support, on Zoom. Can you hear me?
• Pinle in support.
• Pinle in support.
• Animal Rights Hawaii is in support. Aloha Animal Advocates is in support.
• in support.

Keywords: 912, senate, all

Summary: The joint hearing first took up SB 696, which would create an emergency management office and fund tax credits, grants for low-income taxpayers to fortify homes, shelter development, and staffing. Supporters argued Hawaii needs a dedicated preparedness office and funding before the next hurricane season, while the Tax Foundation said the bill was too vague, especially on who would qualify for the tax credits and under what conditions. The Department of the Attorney General and the insurance division offered comments, and both committees recommended deferral of SB 696. The Commerce and Consumer Protection committee then heard SB 179 on construction defect remedies and the contractor repair act. Builders, Realtors, carpenters, and a mortgage industry witness supported the bill, saying it would reduce abusive litigation, speed repairs, and help housing production and affordability. Homeowner advocates and plaintiff attorneys opposed it, arguing it would weaken consumer protections, shift repair costs to homeowners, and delay or limit legitimate claims. One testifier suggested the Senate focus instead on stronger alternative dispute resolution, and the committee noted 105 written supporters, four opponents, and one comment submission. The committee next heard SB 416 on allowing pets in rental housing, with the Attorney General recommending a non-impairment safeguard because of possible effects on existing contracts. SB 593 on commercial dog breeders drew support from the Hawaii Humane Society and others, with concerns raised that counties would be expected to enforce the new regime without funding. SB 641, creating a tax on low-alcohol-by-volume spirits beverages, drew opposition from the Wine Institute, which said it would create a tax break for one segment and likely reduce state revenue. SB 1048 on online crowdfunding received support from GoFundMe and comments from the Attorney General, with GoFundMe urging changes to reduce burdens on charitable fundraising. SB 1213, allowing businesses to accept service of process by email instead of maintaining a registered agent, drew DCCA comments and opposition from LegalZoom, which warned email service could be unreliable and vulnerable to phishing.

Transcript Highlights:

• </c> decision comes as part of my family decision comes as part of my family transition<00:15:46.560>
• </c> those close to me, family comes first. those close to me, family comes first.
• ,</c> current staffing levels or services, current staffing levels or services, would<01:31:39.920><c
• ><c> veto</c><01:36:52.320><c> in</c> We support Governor Aayot's veto in We support Governor Aayot's
• </c> him through my public service. him through my public service.

Keywords: 1189, house, all

Transcript Highlights:

• We support it. There's some amendments that we also support.
• We have family in Ireland, and he is staying with family in Ireland.
• We have family in Ireland, and he is staying with family in Ireland.
• Parents do not have to guess, and this bill draws a bright line to protect kids and support families.
• bright line to protect kids and support families thank you questions mr. chair yes mr. way have you

Summary: The committee first heard HB 2415, which would regulate kratom by treating certain synthetically derived compounds as narcotic drugs, raising the minimum sale age to 21, and penalizing sales of products exceeding a 400 parts per million cap. The sponsor and supporters argued the bill targets dangerous synthetic or highly concentrated kratom while preserving natural leaf products; testimony included a woman describing kratom addiction and treatment, family members describing harm from 7-OH products, and law enforcement and Attorney General’s Office support. Opponents, including criminal justice advocates, warned the bill could sweep in users and create harsh felony penalties, while some speakers urged a full ban and others defended natural kratom as distinct from synthetic products. The committee adopted the Wynn amendment and then gave HB 2415, as amended, a do-pass recommendation by a 6-3 vote. The committee then considered HB 2870, which would prohibit more than one Level 2 or Level 3 registered sex offender from residing in the same home unless they are related by blood, marriage, or adoption. The sponsor said the bill was prompted by a neighborhood case involving multiple sex offenders in one residence and argued it was aimed at residential homes, not supervised group homes. Supporters described fear and disruption in their neighborhoods, while opponents argued the bill would reduce already limited housing, make supervision harder, and potentially force people onto the streets; some also raised due process and recidivism concerns. After discussion about possible amendments and the distinction between group homes and unsupervised residences, the committee approved HB 2870 with a do-pass recommendation by a 6-3 vote. Next, the committee heard HB 2413, which requires GPS or electronic monitoring for registered sex offenders who are homeless or lack a permanent address until they obtain one. Supporters said the bill would close a gap because transient registrants are only required to check in every 90 days, leaving law enforcement without regular location information; a policy analyst said monitoring could be implemented through existing systems, though costs and administration would vary. Opponents argued the bill raises due process and equal protection concerns, duplicates existing reporting requirements, and could impose costs on people trying to stabilize their lives. The committee passed HB 2413 on a 5-4 vote. Finally, the committee took up HB 2720, which increases the penalty for purchasing prostitution to a class 6 felony and directs a $200 assessment to the anti-human trafficking fund, with an amendment clarifying the affirmative defense for trafficking victims and restricting use of the assessment to trafficking services. Supporters, including the sponsor, prosecutors, Phoenix police, and a city council member, said the bill targets buyers who drive demand and exploitation. Opponents from criminal justice and anti-violence groups argued the bill could still ensnare trafficking victims and sex workers, especially because the affirmative defense may be hard to assert in practice. After adopting the amendment, the committee gave HB 2720, as amended, a do-pass recommendation by an 8-0-1 vote.

Transcript Highlights:

• We support this policy because it does exactly that.
• I'm also a proud member of SPIA here in support of House Bill 2730.
• career here, I urge your support for this bill.
• that will support families who are suffering today.
• more legal services, to support our courts in ensuring that the rights of these individuals who live

Summary: The House Finance Committee held public hearings on two bills. HB 2730 would clarify how JLARC evaluates the effectiveness of existing aerospace tax preferences by requiring a rolling five-year comparison of Washington aerospace employment with other states and asking JLARC to consider broader aerospace-sector changes and economic conditions. The prime sponsor and labor testifiers said the bill would add needed clarity and accountability for major tax investments supporting aerospace jobs. A committee question raised whether JLARC would be directed to make recommendations for improving the incentive, and staff and the sponsor said the bill does not specifically require that. HB 2713 would impose a 1% B&O tax surcharge, beginning July 1, 2026, on operators of private detention facilities with more than $1 million in annual Washington gross receipts. The sponsor said the bill is intended to respond to harms associated with private detention and to help fund services and legal support for affected families and communities. A remote testifier urged a much higher surtax on GEO Group, which operates the Northwest Detention Center, while county representatives testified that the bill as written could unintentionally apply to Martin Hall, a juvenile facility in Spokane County that is publicly governed and operated day-to-day by a nonprofit contractor. They asked for an exemption for Martin Hall, and the sponsor said that inclusion of nonprofits was not intended and that she would work with them on amendments. No votes were taken on either bill. The committee closed testimony on HB 2730 and HB 2713 and then adjourned.

Transcript Highlights:

• </c> And in the Children and Families And in the Children and Families Committee,<00:04:02.960><c> we
• Members, this is a bill, HF 3819, that didn't have the support in that committee, didn't have the support
• I'm looking at you, the Human Services I'm looking at you, the Human Services Committee,<00:43:48.200
• </c><00:44:00.520><c> in</c> 3819 that didn't have the support in 3819 that didn't have the support in
• </c> that committee, didn't have the support that committee, didn't have the support in<00:44:02.280>

Keywords: 1183, house

Transcript Highlights:

• contributed services and accommodations this<00:21:14.480><c> includes</c><00:21:14.960><c> services
• </c><00:21:15.360><c> and</c> this includes services and this includes services and accommodations<00
• </c><00:42:50.319><c> that</c> exist correct only each family that exist correct only each family that
• That's where it can bite. all of a sudden that family gets all up all of a sudden that family gets all
• There's 5,000-plus families here.

Keywords: 928, house, all

Summary: The committee held a public hearing on HB 402, a bill to repeal a provision in RSA 194-F:2 stating that Education Freedom Account (EFA) funds “shall not constitute taxable income” to the parent or student. The bill sponsor argued the current language is misleading because the state cannot determine federal tax liability, and said the bill would simply remove inaccurate tax advice from state law. He cited IRS guidance and prior federal legislation, including a Ted Cruz proposal, to suggest some EFA uses may be taxable under federal law, while others may not, and said the bill could be amended if needed to avoid confusion. Testimony was sharply divided. Py Campbell opposed the bill, arguing it would unfairly single out EFA students and could amount to a tax on education funds, including for self-employed families, and recommended it be voted inexpedient to legislate. Stephen Matthew French, a tax preparer, also opposed the bill, saying IRS Publication 970 already makes clear that scholarship-type payments used for tuition and related expenses are not taxable, and that the bill addresses a problem that does not exist. He warned that adding tax reporting requirements could create administrative costs for families and the program administrator. Bill Ardinger, a tax attorney, supported the repeal of the statutory language, saying the state should not place potentially incorrect tax advice into law. He explained that under federal tax law, only certain scholarship-like uses are exempt, while many EFA-eligible expenses may not be, especially for families using the program for homeschooling or other nontraditional expenses. He said the current statute could mislead families into thinking all EFA payments are tax-free and could expose the state to future legal problems. The hearing ended after questions from committee members; no vote or final action was taken in the transcript.

Transcript Highlights:

• </c><00:05:01.840><c> If</c> support. Chair Anderson is correct. If support.
• I urge your support of HF 2446. Thank you, Madam Speaker.
• Grants to support county agricultural inspectors.
• And I really think it's a bill we can support.
• The clerk will take the role. we support over 10% of all jobs in we support over 10% of all jobs in Minnesota

Keywords: 1183, house

Transcript Highlights:

• I'm in support of this legislation, uh, specifically because it, it, um, also has the support of the
• So, we provide a service. I, I'm sorry. So we provide a service. So you need your hernia fixed.
• So I'm here to testify and support. Thank you again for the opportunity to support this bill.
• Uh, we support this bill.
• I support Senate Bill 2024.

Transcript Highlights:

• and support the overall IDR process that the state has.
• and support the overall IDR process that the state has.
• I'm in support of this bill. Additional debate. [00:15:25] I'm in support of this bill.
• I'm a family physician in Jacksonville and the current president of the Florida Academy of Family Physicians
• John Labriola, Christian Family Coalition of Florida, waving in support. Joseph Harmon, Florida...

Bills: S1082, S1168, S1756, S1156, S1480

Keywords: provider disputes, health plan, dispute resolution, Medicare, Medicaid, healthcare regulation, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions, ambulatory surgical centers, patient safety, licensure

Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.

Transcript Highlights:

• National Research Support Fund.
• support.
• Jealous of Texas in terms of the amount of the amazing support and, uh, financial support, infrastructure
• Uh, the Cougar Promise program guarantees tuition and fees support for families making less than $65,000
• Transnational research to create a regional hub to serve as a support for infrastructure, services, community

Transcript Highlights:

• engage in and Human Services to engage in drugchecking<00:32:05.279><c> services.
• I'd ask you to support the committee. Thank you.” “Families are dying.
• </c> in support of the committee report. in support of the committee report.
• I stand in support<05:03:44.400><c> of</c> support of support of HB138.<05:03:46.480><c> This</c><05:
• These are real workers supporting their families and our domestic economy.

Keywords: 1189, house, all

Transcript Highlights:

• Carrie Stevenson waiving in support of Eric Stevenson waiving in support. waiving in support of Eric
• Next we have Rob Johnson waiving in support from the Florida Network of Youth and Family Services.
• Erin DP at the role waiving in support from Florida family voice.
• We have waiving in support John Miller from Protect Florida. Families also waiving in support.
• in support.

Keywords: 999, senate, all

Transcript Highlights:

• It would require drastic service cuts that would hurt families and ironically result in future property
• other services?
• other services?
• other services?
• </c> disabilities, or other services? disabilities, or other services?

Keywords: 1183, house

Summary: The committee took up House File 4906, adopted the H4906A1 amendment, and heard a staff explanation that the bill would create a one-time property tax refund in calendar year 2026 for residential homesteads and the house/garage/1-acre portion of agricultural homesteads. As amended, the bill would appropriate $4 billion in fiscal year 2027, distribute payments based on 2026 property tax due, include a clawback for delinquent taxpayers, and coordinate with existing property tax refund programs so recipients would not receive more than they paid in taxes. House Research also discussed a disagreement with the Department of Revenue over whether the refund would be taxable federally, with House Research suggesting it would likely be treated as a non-taxable recovery of prior taxes. Public testimony was largely opposed. Eric Bernstein of We Make Minnesota argued the proposal was too large, would create a deficit and force future service cuts, and would disproportionately benefit higher-income homeowners. Nan Madden of the Minnesota Budget Project said the bill would create a major budget hole, threaten funding for health care, food support, schools, and other services, and exclude renters and lower-income Minnesotans. Members echoed those concerns, citing impacts on public safety, rural EMS, hospitals, education funding, and equity, while noting that renters and many seniors would receive nothing. Representative Howard questioned whether the bill was a cautious use of state resources, and Representative Norris said it missed the mark for struggling renters. Chair Davids defended the concept as a way to put money back in people’s pockets and said the proposal was scalable and intended to start a discussion. Representative Wiener strongly supported the bill, saying many homeowners and farmers in his district are not wealthy and need relief from property taxes; he said the bill should be even bigger. No vote on final passage was taken in the portion of the meeting provided, and the committee moved on after testimony and member discussion.

Transcript Highlights:

• that they support sense of the services that they support here<00:06:40.680><c> in</c><00:06:40.800>
• So pivoting then to some of the big federal funding streams that support children and families in the
• One program that TANF supports is the Minnesota Family Investment Program, which provides employment
• support and financial assistance to families living in poverty and serves about 23,000 families a month
• every month it also provides families every month it also provides additional<00:10:08.640><c> support

Keywords: 1187, senate, all

Transcript Highlights:

• Family Service in my previous work is a very needed service early on.
• Having services that are available when the family is ready for the service and in need of the service
• We try to refer families to other things out there, like social services, and especially in families'
• He had family support in the community. And what does that sound like?
• He had family support in the community. And what does that sound like?

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• While Monica's family, friends, and all who knew her are still While Monica's family, friends, and all
• Edwin and his family settled in Visalia, where he worked at Costa Dairy to help support his family.
• Edwin and his family settled in Visalia, where he worked at Costa Dairy to help support his family.
• John's in Hanford, and consistently supported his community.
• We honor those we lost by strengthening our response, our support systems, and the safety net families

Keywords: 988, house, all

Transcript Highlights:

• We're on the front edge, the leading edge, of supporting fathers, supporting family, establishing strong
• family bond.
• It creates a family services forum that we have put youth court judges...
• The family services forum replaces the council that was there, except at the request of the House and
• He was a family man.

Keywords: MS Senate Floor - 1 April, 2026; 10:00 AM, 925, all

Transcript Highlights:

• Delaware schools rely on a wide range of specialists who provide critical services and supports to our
• Services for children, youth, and families, unless Family Court determines payments will not interfere
• If they're reunited with the family, say for example this passes right now, child support would stop.
• If they're reunited with the family, there are no child support payments.
• Because I think that when you inflate child support to that degree, it disrupts family lives.

Summary: The House received a series of Senate communications and committee reports, then took up a long consent calendar and several individual measures. Early actions included passing consent calendar items, recognizing Freedom of Speech Week and Juneteenth, and hearing numerous introductions and tributes, including remarks honoring House fellows, Father’s Day, and Representative Mara Gorman. The chamber also adopted several procedural motions and recesses, with roll calls recorded throughout. Among the bills considered, the House passed House Bill 134 on animal cruelty, increasing penalties for repeat offenses; House Bill 131 with Senate Amendment 1 on pet stores and animal welfare; House Substitute 1 for House Bill 320 on technical corrections to the Delaware Constitution; House Substitute 1 for House Bill 407 on technical updates to the Hazardous Substance Control Act; House Substitute 1 for House Bill 425 on salary supplements for certain school employees; House Substitute 1 for House Bill 450, the Road Delaware Act, on land use and permitting reform; House Bill 459 on restricting energy drink sales in schools; House Substitute 1 for House Bill 439 on electric moped and motorcycle disclosures; and House Bill 444, the Delaware John Lewis Voting Rights Act, after amendment delaying its effective date to July 1, 2027. House Amendment 1 to House Bill 459 was adopted, and House Amendment 1 to House Bill 444 was adopted before final passage. The House also rejected House Amendment 1 to House Substitute 1 for House Bill 425 after debate over salary supplement policy for school-related certifications, then passed the substitute bill itself. House Bill 407 prompted questions about the increase in civil penalties, which DENREC said was intended to update outdated fines and align the penalty structure with other laws. House Bill 444 drew floor speeches emphasizing voting rights protections and concerns about voter suppression and dilution. The session ended with the House moving to recess after continuing consideration of House Bill 355, the Speaker Truth Act, which had just adopted an amendment changing damages language to attorney’s fees and costs.

Transcript Highlights:

• offender classes, child witness services, and family visitation centers.
• We are in strong support of SB 933. to support the judiciaries testimony in to support the judiciaries
• access, mental health services, housing services.
• </c> education domestic violence support education domestic violence support subsidized<00:09:54.680>
• Mental Health Services food access Mental Health Services Housing<00:11:34.880><c> Services</c><00:11

Keywords: 912, senate, all

Summary: The committees considered a large number of Senate bills, with many measures advanced either unamended or with technical or substantive amendments. Early action included SB 88 and SB 11 SD1, both passed unamended, and SB 562 SD1 and SB 642 SD1, which were passed with amendments reflecting agency testimony. SB 1133 SD1 was amended to remove duplicative county requirements and clarify tax credit carry-forward eligibility, while SB 1569 SD1 on sports wagering was deferred. Later, SB 933 on nonprofit/federal funding support drew strong testimony from nonprofit and health advocates emphasizing the risk of federal funding freezes and the importance of protecting services such as early learning, domestic violence support, housing, and workforce supports; the committee recommended amendments to define eligible organizations, require reporting, and include the Judiciary. SB 934 and SB 935 were also amended, with SB 934 tying mass transit funding to Honolulu project milestones and SB 935 revising retirement-system language to change “fewer than five years” to “five or more years.” The committees then took up additional measures with targeted amendments. SB 1033 was amended to clarify that the bill applies to legal entities, not individuals, though members noted concerns about closely held family corporations and asked that the issue be reflected in the committee report. SB 1166, SB 1249, and SB 1256 were advanced with amendments or committee-report notes reflecting concerns from the Attorney General, Hawaii Cattlemen’s Council, and Hawaii Farmers Union United, respectively. SB 1432 and SB 137, both relating to electric utilities, were amended to require retention of covered employees after mergers or acquisitions and to direct the PUC to consider whether proposed transactions further state policy goals. SB 157 on antitrust was narrowed to focus on coordinator conduct in rental housing markets, SB 252 on invasive species received a defective effective date, and SB 336 on defense of state employers and employees passed unamended. SB 536 on the Hawaii Community Development Authority was deferred to a later hearing, and SB 1064 on medical cannabis was heavily amended to authorize cultivator licenses with limits on canopy size, license counts, physician fees, and a special-fund appropriation for enforcement. In the Ways and Means portion, the committee passed several bills unamended, including SB 19, SB 124, SB 264, SB 345, SB 422, and SB 741 and SB 747 later in the agenda. SB 361 was amended to remove references to the attorney general and delete an appropriation section, SB 438 was amended to redefine buffer zones and landfill-unit language, and SB 441 and SB 494 were amended to blank appropriations and, in SB 494, assign charter-school audit responsibility to the state auditor. SB 659 was substantially amended to promote local procurement, including county-level geographic preferences and higher thresholds for locally sourced purchases, and SB 732 was amended to adjust film tax credit provisions, including the streaming-platform definition and sunset-related language. SB 819 was amended to replace references to “educators” with “teachers.” Throughout, most measures were adopted without recorded opposition, though several members noted reservations on particular bills.

Transcript Highlights:

• When military families are transferred to a new base, we as the public want their families to be nearby
• who wants more doctors caring for our communities, caring for my family, caring for your families, and
• support.
• efforts. funding to support those efforts.
• I agree we need more Services.

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce