Transcript Highlights:

• We also call that our classic Medicaid population, with those of our MAGI population, our ACA group.
• The 10% FMAP reduction for states that covered non-citizen populations was removed.
• So today we are doing eligibility every 12 months for our adult population.
• We don't have that in place the same way we do for our expansion population, our MAGI population through
• doulas—that is over-representation at the population level in King County.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• difficult to invest in the North Country, and I can understand that we are a tiny percentage of the population
• difficult to invest in the North Country, and I can understand that we are a tiny percentage of the population
• percentage understand that we are a tiny percentage of<05:08:47.440> the<05:08:47.718> population
• spanning<05:08:49.120> a<05:08:49.360> lot<05:08:49.440> of of the population
• spanning a lot of of the population spanning a lot of geography,<05:08:50.480> but<05:08:50.718

Keywords: 1189, house, all

Transcript Highlights:

• We need to have that youth to manage our businesses and our industries and bring the population back
• We have the lowest birth rate in the country and the second-oldest population in the country.
• We have the lowest birth rate in the country and the second-oldest population in the country.
• All right, the problem is that they have the population.
• It seems to me is how—where are the population you’re drawing from?

Keywords: 928, house, all

Summary: The subcommittee first dealt with a brew pub license bill and corrected some sponsor/subcommittee roster confusion before voting to pass it without discussion. The main item of debate was a bill allowing patrons to take purchased alcoholic beverages into restrooms. The bill sponsor argued the current ban is outdated, rarely enforced, and can leave patrons vulnerable if they set drinks down and leave them unattended; he said establishments could still post their own rules if they wished. Liquor enforcement officials said they were neutral overall, noting both the risk of drinks being left unattended and the practical concerns of underage drinking, over-service, and restroom monitoring. Testimony split between those who saw the law as a non-issue and those who viewed it as a safety measure. One member said he had never seen anyone take alcohol into a restroom and opposed changing the law, while others cited drink-spiking concerns and suggested alternatives such as safe zones behind bars, drink covers, and alert apps. Industry representatives said many operators would prefer to keep the law as-is because it helps with policing drinking in their establishments, though they acknowledged the motivation behind the bill. Several members also raised drafting concerns, saying the wording was confusing about whether the rule applied to patrons or establishments. The committee ultimately voted 5-2 to recommend the bill ought to pass. Afterward, members discussed amending the language to clarify that establishments could still prohibit the practice, but one member suggested a simpler fix would be to strike the word “restroom” from the prohibition entirely. The committee then unanimously voted to reconsider its action so the language could be revised later, and the amendment discussion was left for a future meeting.

Transcript Highlights:

• <03:37:00.520> that<03:37:00.640> we dollars which is the threshold that we dollars
• which is the threshold that we use<03:37:00.960> for<03:37:01.120> the<03:37:01.279>
• certain different from populations certain different from populations within<03:41:46.399> the
• and the need to from an aging population and the need to do do do more<03:57:11.560> no<03:57
• that is customer-facing and understand they're doing the right thing, utilizing AI to be able to populate

Keywords: 1189, house, all

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.

Transcript Highlights:

• point, if a part-time teacher that has significant professional experience reaches that 20-hour threshold
• point, if a part-time teacher that has significant professional experience reaches that 20-hour threshold
• point, if a part-time teacher that has significant professional experience reaches that 20-hour threshold
• does that render them 20-hour threshold does that render them ineligible<01:38:49.239> then<01
• talking about in order of population talking about in order of population Hillsboro<04:42:47.400

Keywords: 928, house, all

Summary: The committee first took up House Bill 695, relating to school districts and medically related grants. The sponsor argued the bill was vague and could undermine existing law, and another member said it would add an unnecessary mandate for school districts. The committee voted to recommend inexpedient to legislate, and the motion passed 18-0. Next, House Bill 765, which would consolidate school administrative units and make superintendent jobs elected positions, was also recommended inexpedient to legislate. Members said the bill raised too many questions, could duplicate other legislation, and would move away from local control. That motion likewise passed 18-0. House Bill 768, allowing public school districts to contract with approved private schools, drew more debate. Supporters described it as a language cleanup and an expansion of educational opportunity, while opponents raised concerns about the placement of the language and pending Supreme Court cases. The committee voted 10-8 to recommend ought to pass, and then 10-8 to recommend ought to pass as amended, with a minority report noted. The committee then considered House Bill 446, dealing with parental notice for non-academic surveys. An amendment was offered to make the Youth Risk Behavior Survey opt-in rather than opt-out. Supporters said parents should be informed and should choose whether their children participate, while opponents argued the survey is an important tool for mental health data, grants, and school programming, and that opt-in would reduce participation and data quality. The amendment passed 10-8, and the bill as amended also passed 10-8, with a minority report noted. Finally, the committee began House Bill 741, which would allow parents to send children to any school district they choose and expand open enrollment. The sponsor described it as broadening choice and keeping public funds in public schools, and an amendment was proposed to restore provisions for children of military personnel. Discussion on the amendment began, but the transcript cuts off before any vote on House Bill 741 or the amendment.

Transcript Highlights:

• accurate, and then added that this will only occur if there is a large surplus and that there is a 5% threshold
• accurate, and then added that this will only occur if there is a large surplus and that there is a 5% threshold
• Minnesota is one of the lowest per capita rates of incarcerated populations.
• 51.199> rates<01:29:51.440> of<01:29:51.639> incarcerated<01:29:52.360> populations
• capita rates of incarcerated populations capita rates of incarcerated populations we<01:29:53.280

Bills: HF25, HF4

Keywords: pregnancy support, women's health, maternity homes, nonprofit organizations, grant funding, abortion, family services, tax relief fund, budget surplus, surplus revenue, tax rebate, tax refund, one-time refund, income tax, property tax, constitutional amendment, Minnesota Constitution, general fund, budget reserve, taxpayer relief

Transcript Highlights:

• Good news is you state's population.
• Obviously, Kauaʻi is probably like one-tenth the population of Oʻahu.
• Um I don't think it's a populated areas.
• Um, so we have a different population that we serve.
• it we might be able to prison population it we might be able to arrest<00:28:35.760> someone

Keywords: 912, senate, all

Summary: The Senate Committee on Public Safety and Military Affairs held an informational briefing on violent crime clearance rates and what resources law enforcement and prosecutors need to improve them. Chair and members noted there would be no public testimony. The briefing was led by Marshall Clement of the Council of State Governments’ Justice Center, with later participation expected from state and county law enforcement and prosecutorial agencies. Clement argued that solving violent crime is a systemwide issue, not just a local police function, and said clearance rates have declined nationally over decades for homicide, rape, aggravated assault, and robbery. He said Hawaii’s reported data, limited to Oʻahu and Kauaʻi, shows overall violent crime rates are lower than the national average and have been relatively flat with a pandemic-era spike followed by declines in 2023 and 2024. He reported that Hawaii’s overall violent crime solve rate fell from about 52% in 2014 to about 40% in 2024, with 2024 rates of 50% for homicides, 48% for aggravated assaults, and 26% each for rapes and robberies. He also estimated unsolved cases over the past three years at about 17 homicides, 3,300 aggravated assaults, 1,200 rapes, and 1,700 robberies. Members asked about victim and witness support, staffing shortages, the Denver example, whether clearance rates include cases not prosecuted, and whether HPD’s size or structure might affect solve rates. Clement said support can include victim-witness programs and coordinators that help maintain cooperation and trust, especially where clearance rates are low. He said resources, training, technology, and detective caseloads matter, citing Boston, Denver, and Omaha as cities that improved solve rates through relatively low-cost operational changes; he highlighted Denver’s increase in non-fatal shooting clearance from 39% to 65% in seven months after dedicating more resources. He said he had no research showing that breaking up a large department would improve solve rates, and noted that clearance data can include exceptional clearances such as victim noncooperation, prosecutorial declination, or a suspect’s death. No votes or formal actions were taken during the informational briefing.

Transcript Highlights:

• with well, we don't really populated with well, we don't really know<00:30:47.360> how<00:30:
• Raising the business enterprise tax filing threshold from $331,000 to $400,000 is sound policy.
• It lacks the 2/3 threshold. Motion fails. The chair recognizes the clerk for a message. "Mr.
• <04:43:16.400> So<04:43:16.638> in threshold of psychological injury.
• So in threshold of psychological injury.

Keywords: 1189, house, all

Transcript Highlights:

• an independent financial statement audit, and this was due to it exceeding the federal spending threshold
• one of two Arizona ESEA distinguished schools for closing the achievement gap among our at-risk populations
• We had never hit the threshold to trigger an audit prior to that, and our governing board...
• hammer that no, no, we, the trigger for this particular audit was the result of exceeding the federal threshold

Summary: The committee first heard an update on Topok Elementary School District’s long-running noncompliance with Arizona’s Uniform System of Financial Records. The Auditor General’s office explained the USFR noncompliance process and reported that Topok had made substantial progress, correcting many deficiencies in areas such as open meeting law, procurement, payroll, attendance reporting, property control, and information technology. The district’s superintendent and staff described the corrective actions they had taken, the use of outside consultants, and their plan to maintain compliance through stronger leadership, training, and consistent procedures. Members praised the district’s progress and asked about the remaining deficiencies and the status of the 3% state-aid withholding, which the Auditor General said would be addressed by the State Board of Education. The committee then considered a request for a fourth school safety special audit, tied to concerns raised by Representative Martinez about Phoenix Union High School District and school violence response practices. The Auditor General said the proposed audit would be a new topic focused on policies and procedures for responding to credible threats of violence and allegations of staff misconduct affecting student safety, and could include Phoenix Union in the sample. Representative Martinez described a fatal 2024 shooting, weapons incidents, and concerns about district oversight. The committee approved the motion 10-0. Next, staff presented the fiscal years 2027-2028 school district performance audit schedule, describing 26 randomly selected school districts and career and technical education districts, plus 84 planned follow-ups. The Auditor General said the schedule is intended to shorten the average time between audits and that the school audits division is now fully staffed. Members asked about county coverage and the inclusion of ESA accountability, but the schedule was ultimately presented for review rather than approval. The committee also heard a detailed federal compliance audit presentation on the Child Care and Development Fund (CCDF) administered by DES. The Auditor General reported repeated findings involving missing provider documentation, questioned costs, and FFATA reporting errors, including a 2024 sample that led to questioning $2.88 million in costs. The office recommended stronger documentation, record retention, reporting procedures, and staff training; DES concurred and said it would correct the findings in 2026. Members discussed the limits of the single-audit scope, the possibility of a broader special audit, and the federal government’s recent actions on CCDF oversight in other states. Finally, the committee considered and discussed a special audit request for CCDF that would broaden review to provider oversight, licensing, site visits, and billing accuracy across multiple state agencies, with estimated costs of $547,000 to $625,000 and a projected report date of July 31, 2027.

Transcript Highlights:

• I think that a 10% threshold is enough that where you can chase more alpha.
• And then you're getting adders based on population and ad valoum evaluations.
• I have no intentions of making healthcare decisions for our Medicaid population in this state.
• Representative Heffner, so that populous state we have.
• And not in general population as it were with other juvenile offenders who are being detained.

Keywords: 914, all

Transcript Highlights:

• The university decided that we could not continue like that, as our population here was too large to
• The average GPA for veterans... for the general student population is 3.1.
• So, Alamogordo's population is 31,000, so obviously we're a big portion of the region there as the base
• So we're just below that threshold. For officers, it's just a pain in the butt.
• I also used GROW money for that, too, for our general population, because a lot of our grants, people

Transcript Highlights:

• PROVIDING EDUCATION AND LINKING AT DISCHARGE ACCESSIBLE FORMATS AND LANGUAGE APPROPRIATE TO THE PATIENT POPULATION
• SO SUPPORTING THESE FACILITIES THAT TREAT THESE UNDERSERVED POPULATIONS AND UNINSURED I THINK IT'S ESSENTIAL
• SO, IS THIS WHAT WE HAVE NOT IMPLEMENTED THE 300 PERCENT THRESHOLD.
• WE ARE A LEGAL NONPROFIT IN THE STATE OF FLORIDA THAT ADVOCATES FOR THE MEDICAID POPULATION AS WELL AS

Keywords: 999, senate, all

Transcript Highlights:

• provides an exemption for certain municipal permanent inspection requirements for counties with populations
• This policy is already in effect for Harris County, and we believe that by expanding this threshold,
• is that the approach here erodes those newly established protections for certain segments of the population
• So this bill, 1449, takes a pilot and expands it to all Texas counties with a population over one million

Bills: HB103

Summary: The Senate Committee on Local Government heard a series of local and special-purpose bills, mostly with brief sponsor explanations and little or no public opposition. Topics included fireworks sales near the Texas-Mexico border for Cinco de Mayo (HB 1629), allowing larger counties to use their own inspectors for county buildings (HB 3234), updating governance and financial rules for the Wood County Central Hospital District (HB 5664), clarifying firefighter collective bargaining and impasse procedures (HB 3171), and exempting certain Fort Worth ETJ properties from release rules to protect infrastructure investments (HB 2512). The committee also heard bills on border subdivision rules in Cameron County (HB 3680), extending a property tax exemption to surviving spouses of certain veterans affected by the PACT Act (HB 2508/HJR 133), drainage district election timing and procedures (HB 5693, HB 2694), utility transparency for municipally owned systems (HB 1991), and management district and hospital district election or appointment changes (HB 5698, HB 2293). Another major bill, HB 1449, would expand a food truck permitting pilot program to counties over one million population; witnesses supported the concept but asked the committee to coordinate it with related fee and standards bills, and the bill was left pending for further work. The committee also heard HB 3732, which would let fire departments obtain extensions to comply with new NFPA protective equipment standards, and HB 5431, which would clarify that mayors and at-large council members do not need new elections after reapportionment; both were left pending after questions about their scope. Several transparency and tax-related bills were also discussed, including HB 103, creating a statewide database of local bond and tax election information, and HB 851, requiring reporting on homestead tax ceiling properties; both drew support and were later voted out. After testimony, the committee reported multiple bills favorably, often unanimously, and recommended many for the local and uncontested calendar. The committee also used procedural swaps to substitute House companions for Senate bills on several measures, then recessed with plans to return later to process additional bills.

Transcript Highlights:

• that does not measure their abilities, generally encompasses about one percent of the statewide population
• PM, the PM ONE PM to results are a very good predictor of student performance on BN 3 for this population
• and in there investigation, they did find that the most vast majority of cases we did meet that threshold
• reason for, but I mean that there definitely could be a place where additional tools for targeted populations

Keywords: 999, senate, all

Transcript Highlights:

• I and 80% of the male population on the planet who are unaltered and intact can attest to this.
• the state just don't have the population the state just don't have the population to<03:31:54.080
• threshold threshold reductions<04:13:56.640> uh<04:13:56.760> I'm<04:13:56.880> sorry
• <04:13:57.199> thresholds<04:13:57.920> from reductions uh I'm sorry thresholds from
• populations populations finally<06:32:35.478> the<06:32:35.680> committee<06:32:36.160

Keywords: 1189, house, all

Transcript Highlights:

• The state's homeless population overall is decreasing, but Sacramento continues to rise.
• City leaders do not want to become the health and human services providers for this population.
• We're talking about a vulnerable population, and I'm trying to figure out a path here that will maximize
• Why would we put a threshold... Based on their own specific needs. Yes, absolutely.
• Why would we put a threshold on a private entity-driven decision?

Keywords: 988, house, all

Transcript Highlights:

• Well below the 95% threshold needed for community immunity.
• people I want reviewing the literature, making decisions on what vaccines we need to protect our population
• There's an age threshold. I see how it is.
• <02:05:57.560> for<02:05:58.360> a<02:05:58.440> certain mandatory thresholds
• for a certain mandatory thresholds for a certain amount<02:05:59.040> of<02:05:59.400> funds

Keywords: 1187, senate, all

Transcript Highlights:

• Additionally, there are other provisions in federal law that protect vulnerable populations.
• for example 42 CFR part two populations for example 42 CFR part two is<01:23:13.639> a<01:23:
• Additionally, there are other provisions in federal law that protect vulnerable populations.
• So I think the way it's set up is that if a teacher believes that they have hit a threshold where they
• meeting your burden to do the threshold meeting your burden to do it<01:28:23.159> but<01:28:

Keywords: 1191, senate, all

Transcript Highlights:

• And so, as a threshold matter, the bill is premised on the notion that other mutually agreed-upon consideration
• This legislation is long overdue and seeks to raise the threshold of the small business exemption on
• This would update that long overdue threshold to $2 million in income and 10 employees.
• This would update that long-overdue threshold to $2 million in income and 10 employees.
• Nantucket, Martha's Vineyard, and the Outer Cape experienced significant fluctuations in employment and population

Keywords: 995, all

Summary: The committee held a hearing on Governor Healey’s economic development proposal, H. 5386, also referred to as the Mass Winds Act, focused on global investment, talent, innovation, housing, and business competitiveness. Governor Healey, Secretary of Economic Development Eric Paley, and Secretary of Administration and Finance Matt Gorzkowicz described the bill as a response to federal uncertainty and global competition, building on the 2024 Mass Leads Act. They highlighted proposed investments in a Global Mass initiative, including a $50 million innovation access fund and $20 million for sites to help international companies locate or expand in Massachusetts, along with support for AI, quantum, robotics, defense innovation, climate tech, downtown revitalization, and creative/cultural economy projects. They also emphasized measures to lower business costs, including reducing the LLC filing fee, expanding the small business energy tax exemption, and streamlining housing and development rules. Committee members questioned the administration about non-compete reform, AI and data-center infrastructure, housing affordability, and whether the bill would help retain workers and companies in Massachusetts. The governor and secretaries argued that the non-compete changes would restore the original compromise by requiring any alternative to garden leave to be negotiated at separation, and they said the bill’s housing and workforce provisions are intended to help young workers stay in the state. They also said Massachusetts is already investing in AI training, an AI hub, and energy-related planning, while acknowledging that data-center growth will require careful attention to water, electricity, and ratepayer impacts. Several witnesses testified on specific sections. Northeastern University supported the internship tax credit, saying experiential learning helps students gain jobs and remain in Massachusetts. The Latino Empowerment Advisory Council supported the waiver of redundant English testing for internationally trained nurses, saying it would speed entry into the workforce without lowering clinical standards. Russell Beck opposed the non-compete changes, arguing they would undermine the 2018 compromise and could reduce other forms of employee compensation. The Secretary of the Commonwealth’s office opposed the LLC fee reduction, citing revenue loss and fraud concerns. Municipal and regional groups, including the MMA and the Metro Mayors Coalition, supported site plan review codification and downtown/arts investments, while urging continued municipal input. The AFL-CIO asked for trigger language to preserve labor protections if federal law changes, and business and industry witnesses generally supported the bill’s competitiveness and global investment provisions. No votes were taken; the hearing was informational, with written testimony invited after the meeting.

Transcript Highlights:

• 00:29:34.320> direct<00:29:34.720> assistance And while there may be a much larger population
• One of the reasons we think it has not been used is that the threshold is set at about $6,000. 36,000
• <00:31:09.679> is<00:31:10.000> that<00:31:10.159> the<00:31:10.399> threshold
• has not been used is that the threshold has not been used is that the threshold is<00:31:11.120>

Keywords: Public Health and Welfare - Room 216, 21 January, 2026; 3:30 PM, 925, all

Summary: The committee first took up House Bill 3, a certificate-of-need measure that had passed last year but was vetoed by the governor because of one objectionable provision. The chair explained that the House had just passed the bill unanimously and urged quick Senate action so it could be sent to the governor again. He said the bill is intended to restore the prior law, with the main policy focus on rural hospitals and other future certificate-of-need changes. A question was raised about language affecting the University of Mississippi Medical Center’s academic exemption; the chair said the intent was to preserve the teaching hospital’s core exemption around its main campus while requiring certificate-of-need review for facilities it operates elsewhere, and the committee then voted title sufficient, due pass. The committee then considered Senate Bill 2476, requested by the Board of Pharmacy. Senator Hill explained that it would let licensed pharmacists self-report substance abuse or mental health issues and enter treatment before disciplinary action, similar to programs already available for nurses and with comparable provisions for physicians and dentists. Board representatives said participants would have to stop practicing until cleared, and that failure to comply would trigger discipline; the bill was described as an alternative to professional discipline, not immunity from criminal law. After questions about definitions and how many times a person could use the program, the committee voted title sufficient, due pass. The meeting concluded with an informational presentation from Mr. Anderson on child care funding and program operations. He said the state used ARPA funds during the pandemic to support child care certificates and providers, but those funds were exhausted, leading to a pause and a waiting list of about 20,000 families; the program currently serves about 18,000 children. He said the department is continuing $15 million in state support, is converting 30% of the TANF state assistance grant to child care, and is exploring additional TANF direct-assistance options, though cautiously because the state has not done that before. He also discussed child care tax credits, employer-based child care, and efforts to expand capacity through provider support and technical assistance.