Transcript Highlights:

• I'm also an assistant manager in health information management at a large academic medical institution
• I am also an assistant manager in health information management at a large academic medical institution
• is one person who is usually a dual-role employee who is also a CNA required to go to the floor to perform
• When my father was raising me, he sexually molested me and forced my brothers to perform oral sex on
• the original term length, requires the Board of Governors to review both admission criteria and academic

Summary: The committee first took up CS/SB 1606 on patient access to records. The sponsor explained that the bill, as amended, would align Florida law more closely with HIPAA by defining “designated record set,” requiring providers to furnish requested records within set timeframes, allowing a limited extension with notice, and requiring records to be produced in the requested form if readily producible. Several members asked about patient portals, legal representatives, and whether the bill affected meaningful-use rules or post-mortem access. Multiple witnesses opposed the bill, arguing it could create cybersecurity risks, conflict with existing privacy rules, and burden providers; supporters said it would improve patient access and consistency. The committee adopted the amendment and then reported the bill favorably. The committee then considered CS/SB 712 on construction regulations. The bill would direct DEP to establish rules for synthetic turf and limit local governments from banning it if state rules are followed, while also addressing change orders, public works bidding, elevator rails, alarm contractor work, building code updates, spaceport exemptions, permit document limits, and single-trade inspections. Amendments removed the pool and spa contractor provisions and the tall mass timber language. Testimony on the bill centered heavily on the pool industry, with contractors and the Florida Swimming Pool Association opposing expansion of scope to general and building contractors, while some speakers supported other parts of the bill. After adopting the amendments, the committee reported the bill favorably. Finally, the committee heard CS/SB 1288 on parental rights. The bill would allow minors to be tested for STDs without parental consent but require parental consent for treatment, expand parents’ rights to access records and control certain health decisions, and restrict health care services, medical procedures, and biofeedback devices for minors absent consent or an exception. An amendment moved survey and questionnaire provisions into the education code, added an explicit court-order exception, clarified DNA and biofeedback provisions, and added emergency behavioral health exceptions. The committee heard extensive public testimony both for and against the bill, with supporters emphasizing parental authority and opponents warning it could delay STI treatment, mental health care, and other services for vulnerable minors. The transcript ends during public testimony on the bill, before any final committee action is shown.

Transcript Highlights:

• service in any public school and by aligning employment offers with staffing needs and resident performances
• This is not a partisan issue; this has been just kind of a poorly performed.
• This has been a poorly performing issue for a long time.
• They want to improve the academics; they want to move that institution forward.
• Or is that limited strictly to academic programs? So I really appreciate that, Mr.

Bills: HB30, HB120, HJR1, SB210, SB306

Keywords: teacher residency, Teacher Residency Act, public schools, teacher preparation, educator pipeline, teacher recruitment, teacher retention, student teachers, apprenticeship, co-teaching, mentor teachers, residency stipend, teacher salary, level one teacher, charter schools, school districts, New Mexico education, teacher workforce, principal stipend, cohort model

Transcript Highlights:

• So glad to be here and kicking things off, talking about the performance of Oklahoma Career Tech.
• I'm gonna talk through what the performance of that looks like.
• great investment that really helped increase our touch on students and showing them Careers and how academics
• high students now have something they’re very interested in and are showing how they can put their academics
• support hundreds of schools, giving them small grants to help them buy art supplies. for both their performing

Keywords: 914, all

Transcript Highlights:

• We do have LBB performance measures that we submit.
• High school equivalency and high school diplomas earned is another performance measure that we submit
• Training, the academic, it's about how to change your thinking, how to identify some of the errors that
• classroom management training. and the requirements through the Texas Education Agency, but all the academics
• Our staff monitors the performance of those vendors very strictly.

Keywords: 1184, house, all

Transcript Highlights:

• conversations, academic conversations, conversations, academic conversations, counseling<01:20:35.600
• decision still remains in the academic decision still remains in the academic institution.<01:44
• the legislature required a performance the legislature required a performance audit<03:43:36.880
• financial audit is not a performance financial audit is not a performance audit,<03:44:48.399>
• <05:54:14.558> and direction with this performative and direction with this performative and

Keywords: 1191, senate, all

Transcript Highlights:

• It is appropriate for teachers to answer questions about students’ academic performance, their school
• It is appropriate for teachers to answer questions about students’ academic performance, their school
• It is appropriate for teachers to answer questions about students’ academic performance, their school
• It is appropriate for teachers to answer questions about students’ academic performance, their school
• It is appropriate for teachers to answer questions about students’ academic performance, their school

Keywords: 928, house, all

Summary: The House opened with prayer, the Pledge of Allegiance, the national anthem, leaves of absence, guest introductions, and memorial remarks honoring former Representative Carolyn Gargas of Hollis, who was remembered for her long House service, work on child and family issues, and community involvement. The House then adopted a consent calendar and approved a motion to withdraw House Bill 431, which would have created a commission to review draft rules on minimum standards for public school approval and state academic standards; the motion failed after a roll call vote, so the bill remained in play. The House next took up House Bill 109-FN, relative to false reports to law enforcement. The majority supported the bill as a way to add penalties for knowingly false reports about law enforcement officers, arguing officers deserve protection from false accusations and that the knowingly standard is a high bar. The minority opposed it as duplicative of existing law and warned it could chill legitimate complaints against police. After debate and a division vote, the majority committee report of ought to pass was adopted, 198-173. The House also considered House Bill 218-FN, which would provide victims of crime a free police report. The committee amendment changed the bill so victims would receive a written confirmation that a crime occurred rather than the initial police report, to avoid conflicts with right-to-know law and active-investigation confidentiality. Supporters said the change was a small but important clarification agreed to by law enforcement and domestic violence advocates, while opponents argued the original language was already workable and that the floor amendment was unnecessary. A division vote was requested on the amendment, and the transcript ends during that debate before the final outcome on HB 218 is shown.

Transcript Highlights:

• So it's called substitute performance.
• So it's called substitute performance.
• Can we keep drilling down on substitute performance?
• Can we look, can we keep drilling down on substitute performance?
• I should have guessed who was asking for academic literature to be passed out.

Keywords: 988, house, all

Transcript Highlights:

• We especially want to remember their families left behind as they perform their duties here in the Capitol
• I'm not saying they're not academically qualified.
• from other countries who want to come here legally that are also academically qualified who could take
• I think your question is, do they admit all comers if they are academically qualified, a.k.a. do they
• I try not to be performative in nature.

Summary: The Senate opened with a prayer, the Pledge of Allegiance, and the reading of an amended joint proclamation expanding the Legislature’s immigration agenda. The proclamation added items calling for financial penalties for government officials, enhanced criminal penalties for offenses committed by illegal aliens, and programs and appropriations to support law enforcement in enforcing federal immigration law. The chamber then took up the special order calendar, beginning with Committee Substitute for Senate Bill 2B, the immigration bill. Most of the meeting was devoted to debate and questions on the strike-all amendment to SB 2B. Sponsor Senator Gruters described the bill as a broad immigration enforcement package aligned with President Trump’s agenda. He said it would require greater cooperation with federal immigration authorities, strengthen participation in the 287(g) program, create a chief immigration officer and council, authorize financial penalties for noncompliance, provide bonuses for officers assisting ICE, and direct information-sharing with federal agencies. He also said the bill would bar DHSMV from issuing licenses or ID cards to unauthorized aliens and would end in-state tuition waivers for undocumented students. Senators Polsky, Pizzo, Smith, Jones, Berman, Osgood, and others questioned the scope of the bill, whether it would affect schools, churches, cities, nonprofits, and green-card holders, and how the 287(g) provisions would work in practice. Gruters repeatedly said the operational focus was on jails and detention facilities, not street-level enforcement. A major point of controversy was the bill’s proposed mandatory death penalty for unauthorized aliens convicted of certain capital offenses. Senator Fine said the covered crimes were the most serious capital felonies, including murder, child sexual battery, destructive-device offenses causing death, and certain trafficking offenses, and argued the provision was intended to withstand constitutional challenge. Senator Pizzo raised Eighth Amendment concerns and questioned whether the bill could mandate death sentences. The tuition waiver provisions also drew extended debate: Fine said the state would save about $41 million by ending discounted tuition for undocumented students, while Democrats argued the savings would not return to general revenue and that the policy would harm students who are already enrolled. Fine and Gruters said green-card holders would not be affected and that the bill targeted only students in the country illegally. The discussion also covered appropriations and implementation. Senator Smith asked about the bill’s large funding levels, and Fine broke down the spending as including $375 million for the chief immigration officer, $100 million in grants to local law enforcement, $29 million for the new Office of State Immigration Enforcement, and $10 million for an unauthorized-alien transport program. Gruters said the funds would reimburse local governments and help address staffing shortages, while critics questioned the lack of benchmarks and the fiscal impact. No final vote or disposition on the bill appears in the transcript excerpt.

Transcript Highlights:

• Deborah Halbert, Vice President for Academic Strategy.
• <00:39:50.079> strategy<00:39:50.520> we vice president for academic strategy we vice
• president for academic strategy we stand<00:39:50.800> on<00:39:50.920> our<00:39:51.040
• The reason why is because our members are going to be performing the work.
• the work also we want to take performing the work also we want to take a<01:12:10.480> look<01

Keywords: 910, house, all

Summary: The committee on Economic Development and Technology heard testimony on several measures, with most witnesses either supporting the bills or offering technical concerns and suggested amendments. On SB 338, testimony came from the Department of Taxation, Tax Foundation of Hawaii, and Surpac, and the bill later moved forward with amendments. On SB 558, testimony was largely in support from the Department of Agriculture, Ulupono Initiative, Local Food Coalition, Hawaii Food Industry Association, Hawaii Farm Bureau, and the Agribusiness Development Corporation, which described the measure as supporting rural jobs, food-system development, and use of off-grade agricultural products. ADC requested flexibility for neighbor-island siting and funding allocations, while the committee also discussed whether the bill’s language should be made more general and whether it could raise constitutional concerns about overly specific site designations. The bill was advanced with amendments and a noted appropriation allocation of $350,000. The committee also heard SB 186, which drew support from the Office of Planning and Sustainable Development, Department of Agriculture, Ulupono Initiative, Hawaii Food Industry Association, Hawaii Farm Bureau, Hawaii Public Health Institute, DED, ADC, AAHU RC&D, and the Hawaii Youth Food Council. Supporters said the measure would improve coordination among agencies on food systems, help address food security and the state’s 30% by 2030 farm-to-school goal, and create a more organized statewide food systems effort. SB 328 received support from the Department of Taxation and Hawaii Farm Bureau, with Farm Bureau describing it as a way to repurpose existing dairy infrastructure to revive hog production and support livestock and farm-to-school goals; the Tax Foundation of Hawaii opposed the measure as a potentially narrow industry incentive that could unfairly benefit a specific taxpayer and said a direct appropriation would be more transparent. SB 89 was described by Hawaii Farm Bureau as a labeling measure intended to protect the integrity of a culturally relevant local product, though the group raised concerns about wording and implementation timing. Later, SB 742 received support from the Department of Labor and Industrial Relations, the Office of Wellness and Resilience, the Executive Office on Early Learning, the University of Hawaii System, Hawaii KidsCAN, the Hawaii Workforce Funders Collaborative, and the State Commission on the Status of Women. Testifiers said the bill would improve cross-agency data sharing, support workforce and education planning, and create public-facing dashboards; the Commission on the Status of Women asked to be included in the working group or as an advisory member. In decision-making, the committee adopted amendments and advanced SB 338, SB 558, and SB 1186. For SB 1186, the chair’s recommendation added three positions, specified committee-note funding amounts for those positions and operating funds, and revised working-group membership to have co-chairs appoint five members with relevant experience and expertise.

Transcript Highlights:

• into your profession a few years, your salary is going to follow or jump to whatever level you're performing
• into your profession a few years, your salary is going to follow or jump to whatever level you're performing
• into your profession a few years, your salary is going to follow or jump to whatever level you're performing
• You know, she's unlike her dad, very academically minded and doing great.
• very uh academically very uh academically minded<00:48:43.440> and<00:48:44.440> um

Keywords: 1187, senate, all

Transcript Highlights:

• We can perform. Thank you.
• We knew it was a place where our son could thrive both academically and emotionally.
• Academically, his growth has been extraordinary.
• When students are fed, they are more likely to perform well and graduate.
• Not all academic buildings are pristine cathedrals of learning.

Keywords: 995, all

Summary: The Joint Ways and Means Committee held its final public hearing on the FY26 state budget, with chairs and members emphasizing that public testimony would help shape the budget and asking speakers to keep remarks brief. Committee leaders introduced members, explained the hearing process, and repeatedly thanked residents, students, and advocates for participating. No votes were taken during the hearing. Testimony focused heavily on education funding and the Chapter 70 formula. Students from Amherst, Northampton, Gateway Regional, Chester Elementary, and other districts described budget-driven cuts to electives, special education supports, paraprofessionals, counselors, transportation, and building maintenance. They urged higher Chapter 70 aid, increased minimum aid, rural school aid, and a reopening or restructuring of the funding formula, arguing that current formulas leave many districts unable to meet student needs and force local layoffs and overrides. Other speakers urged funding or protection for a range of programs and facilities, including the Louis D. Brown Peace Institute for homicide survivor services, the Museum of African American History, the Massachusetts Commission for the Deaf and Hard of Hearing and CART/interpreter services, the Access to Counsel housing legal aid program, the Department of Mental Health and Pocasset Mental Health Center, and Pappas Rehabilitation Hospital for Children. One speaker opposed offshore wind-related spending and urged a reset of the state’s energy approach, while another advocated ending the aircraft sales tax exemption. Committee members responded sympathetically to many speakers, asked a few follow-up questions, and several expressed support for maintaining or expanding the programs discussed.

Transcript Highlights:

• Down under funding sources, under performance fund, we have zero amount, but we have budgeted $625,000
• So we ask for performance funding in the current budget. Okay. Follow up.
• From the performance fund held by and dispersed by DFA. Okay. All right. Thank you. Thank you.
• , particularly the state's most academically distressed public schools.
• If we know what the number one impact on it for investment for getting students to perform better and

Keywords: 1204, all

Transcript Highlights:

• Better performance on tests translates to more scholarships and admissions to more prestigious programs
• This initiative has significantly enhanced workplace interactions, performance, and self-awareness among
• This initiative has significantly enhanced workplace interactions, performance, and self-awareness among
• The academic piece, which is sort of taken care of in school, but the skills piece and the relationships
• <01:21:25.520> piece programs like this the academic piece programs like this the academic

Keywords: 1187, senate, all

Transcript Highlights:

• Their perseverance stands out amongst anything that they do, but not only that, their academic stands
• 11:28.800> their that they do but not only that their that they do but not only that their academic
• stands out and that's what's academic stands out and that's what's important<00:11:31.920> to
• been performing? been performing? >> Oh,<01:09:50.719> yes. >> Oh, yes.
• uh and spend the abilities uh to perform uh and spend the monies<01:19:04.560> through<01:19:

Keywords: 1136, house, all

Transcript Highlights:

• Maybe they could have some more academic counselors on campuses.
• jazz ensembles with a professional, fully produced concert performance.
• jazz ensembles with a professional, fully produced concert performance.
• jazz ensembles with a professional, fully produced concert performance.
• jazz ensembles with a professional, fully produced concert performance.

Keywords: 958, all

Summary: The House convened with an invocation and the Pledge of Allegiance, then established a quorum with 96 members present. The chamber excused absent members, suspended rules to allow bill and resolution co-sponsorship and vote modifications, approved the previous day’s journal, and received Senate messages announcing passage of Senate Bills 101, 129, 162, and 170. The clerk then reported second-reading bills and favorable committee reports, which were ordered to first reading and placed on the calendar. The House then took up several bills on third reading. House Bill 521, relating to stalking, was presented as a modernization of Kentucky’s stalking laws and passed 95-0 after debate; a motion to reconsider was tabled. House Bill 220, relating to pension spiking in the Kentucky Public Pensions Authority systems, was amended by House floor amendment 1 to move the effective date back to July 1, 2021 to capture additional employees, then passed 95-0 and the clincher was applied. House Bill 510, relating to organ donation safety, passed 97-0 after explanation that it would require a pause and restart if anyone in the process believed there were indications of life. House Bill 467, relating to real property, passed 96-0 after adoption of a committee substitute; it creates a process for local governments to identify abandoned or underutilized state-owned property and sets procedures for review, notice, and disposal. House Bill 190, relating to licensed child care centers, passed 96-0 after a committee substitute that adjusts square-footage calculations for certain school-aged child care areas and excludes infants and toddlers. House Bill 141, relating to type 1 diabetes, passed 96-0 after a committee substitute removed an annual distribution requirement and instead made informational materials available in school offices; members spoke in support, including one describing a family experience with the disease. House Bill 518, relating to collection of local business taxes and fees, passed 91-3 after a committee substitute that allows electronic filing while preserving local control, creates an advisory committee, and phases in implementation through July 2029. House Bill 497, relating to post-secondary tuition waivers, was explained as addressing waiver costs to universities and was amended with House floor amendment 3 to expand and clarify eligibility, including up to 128 hours for eligible students and additional provisions for certain groups; discussion was underway when the transcript ended. The meeting also included committee reports on bills covering wildlife depredation, light pollution, limited commercial driver’s licenses, prison educational programs, civil rights, respiratory care, dietitians, temporary structures, controlled substances prescribing authority, the Athletic Trainer Compact, children of military families, local boards of education, youth health services, and class sizes for exceptional children and youth.

Transcript Highlights:

• Members, this is the bill we heard yesterday about proper academic achievement recognition for bilingual
• How the students in their district were performing on third grade reading and in third grade math.
• They have to be in good standing academically and with the district code of conduct.
• Number four, they must be in good standing academically and adhere to the District Code of Conduct.
• performance.

Bills: HB1535, HB 123, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB24, HJR138, HB3800, HB42, HB 129, HB677, HB668, HB2128, HB2038, HB2316, HB3686, HB2563, HB 1160, HB3883, HB2788, HB2663, HB3305, HB3474, HB 1105, HB3490, HB3597, HB 1295, HB3512, HB3783, HB2017, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4081, HB4783, HB4063, HB2783, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB4700, HB3560, HB3860, HB3146, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB632, HB2582, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB5032, HB2240, HB5180, HB3348, HB4668, HB4665, HB3395, HB3157, HB4395, HB4325, HB4386, HB4273, HB2760, HB2820, HB1828, HB1579, SB2349, SB1268, SB610, SB1577, SB1369, SB2032, SB2034, SB1057, SB1044, SB922, SB1759, SB1143, SB1506, SB1403, SB2361, SB870, SB372, SB72, SB1583, SB2314, SB1267, SB1273, SB765, SB552, HB2145, HJR112, HB1804, HJR110, HB 1194, HB1531, HB5008, HB3421, SCR27, HB5398, HB1407, HB426, HB1535, HB 123, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HCR98, HCR92, HCR126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• If you guys know the performer Sday, when we did our first performance, she was on there just chatting
• If you guys know the performer Sday, when we did our first performance, she was on there just chatting
• If you guys know the performer Sday, when we did our first performance, she was on there just chatting
• If you guys know the performer Sday, when we did our first performance, she was on there just chatting
• If you guys know the performer Sday, when we did our first performance, she was on there just chatting

Keywords: 1187, senate, all

Transcript Highlights:

• HB 1571 requires the Department of Education to review the statewide academic standards every 10 years
• The speaker said they brought their concern to the Department of Education about updating the academic
• <01:18:46.320> standards of getting the academic standards of getting the academic standards
• They do approximately 3,000 checks annually using one and a half staff positions to perform the work.
• two excused absences per academic year. two excused absences per academic year.

Keywords: 1191, senate, all

Transcript Highlights:

• He's a third-year letterman and an academic All-American. We have Barron Trumper from St.
• He's a third-year letterman and an academic All-American.
• Any person who knowingly performs or attempts to perform an overt act that kills a child born alive shall
• No, it says performs an overt act that kills a child born alive. Or attempts.
• Any person who knowingly performs or attempts to perform an overt act. Or attempts. Right.

Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the House Journal by a 123-0 roll call vote. Members then used points of personal privilege to recognize National Police Week, honor Rep. Prouty, and share personal remarks, followed by numerous introductions of special guests, including school groups, interns, a militia reenactment group, and student teams from the University of Missouri and Hallsville FFA. The chamber then handled Senate messages and committee reports before taking up House Bills 1839, 2921, and 3015. Rep. from Cass explained a Senate amendment as a technical correction to House Bill 1839, which would add age-verification requirements for online pornography; the House concurred 104-30 and then finally passed the package 112-25. The House also adopted and then passed the conference committee report on House Bill 2596, which was described as modernizing pooled health plan language for small businesses and adding a provision expanding contraception insurance coverage from a six-month to a 12-month supply, while removing a Senate-added blood pressure cuff provision. The conference report was adopted 120-26 and the bill was third read and passed 119-27. The final major item was Senate Bill 905, creating the Missouri Ranger training program and allowing school districts to optionally place highly trained rangers on campus with narrow law enforcement powers. Supporters argued it would give districts another local-control option to improve school safety, especially where school resource officers are unavailable, and emphasized that it could be volunteer-based and not require state funding. Opponents argued the bill would add guns to schools, increase trauma and liability, and fail to address underlying mental health and school safety needs. After extended debate and a successful previous-question motion, the House adopted the amendment and continued consideration of the bill.

Transcript Highlights:

• assault, aggravated sexual assault, prohibited sexual conduct, compelling prostitution, sexual performance
• There's a whole lot of difference between academics and clinicals.
• As written, this bill would prohibit paramedics from performing elective IV therapy, care we've been
• They perform rapid sequence intubation using sedatives and paralytics to secure airways.
• This fragmentation makes it challenging to identify service gaps and evaluate... performance, or ensure

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health