Thus it begins

Hoosier Health Matters
Season 1, Episode 1
Date: 1/31/2025
Title: Thus it Begins

In this inaugural episode of Hoosier Health Matters, host Gabriel Bosslet and guest Tracey Wilkinson from the Good Trouble Coalition discuss the current Indiana legislative session, focusing on key health policy issues. They provide an overview of the legislative process, highlight significant bills such as Senate Bill 475 regarding non-compete clauses for physicians, and address the implications of recent executive orders related to terminated pregnancy reports. The conversation also touches on the challenges faced at the federal level, particularly concerning NIH communication and funding.

00:00 Introduction
01:52 How a bill becomes a law in Indiana (here is a good visual)
03:33 Details of the 2025 legislative session
06:53 The Good Trouble Bill Tracker and SB 475
12:53 Governor Braun's executive order regarding Terminated Pregnancy Reports
19:38 Federal NIH communications pause

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Transcript

Good Trouble Indiana (00:01.72)
Hello, and welcome to Who's Your Health Matters, brought to you by the Good Trouble Coalition, where we dive into the pressing health policy issues in Indiana. I'm Gabriel Bosslett, president and one of the founding members of the Good Trouble Coalition. During the legislative session, this podcast will drop into your podcast feeds every Friday and we'll discuss bills of interest to the Good Trouble Coalition. You can find the bill tracker on the Good Trouble Coalition's website, and we will focus each week on bills that are heard in committee that week and others that we think are relevant.

Just to remind you, the Good Trouble Coalition was founded in 2022 and is a grassroots group of Hoosier Healthcare and public health stakeholders, there are over 1,500 of us, who collaborate to educate, empower, and facilitate political advocacy in the areas of patient-centered care, public health, and health equity. While we focus mainly on state-level health policy, we'll also highlight any other relevant health policy issues we feel are worthy of discussion. Today, I am joined by Good Trouble member Tracy Wilkins. Tracy, welcome.

Tracey Wilkinson (01:00.965)
So excited to be here.

Good Trouble Indiana (01:02.926)
Tracy, can you talk a little bit about how you got involved with Good Trouble and who you are?

Tracey Wilkinson (01:07.761)
Yes, so I'm a pediatrician and I moved to Indiana in 2015. So I'm not a native Hoosier, but love living here. And I got involved with the Good Trouble Coalition right when it was founded. So I am also on the board and really find a passion in my work connecting evidence and policy together to improve public health. So it's a natural thing.

Good Trouble Indiana (01:29.624)
Tracy, that's awesome. It's great to have you here. It's been wonderful to work with you during this time. You know, I thought we'd start the podcast with just an overview of what the Indiana legislative session looks like, sort of from a 30,000 foot view. And I wonder if you can talk just a little bit, we're in week what, three or almost four, three of the session, talk a little bit about kind of what the session looks like, how it works and what you know about it.

Tracey Wilkinson (01:58.403)
Yeah, so I'm going to give everybody just a real quick brief overview of some civics. So taking you back to maybe elementary school. But it's a good reminder of how government works when we're in the legislative session. And so it's important to kind of know all the different pieces before we can really dive into the details. So in most governments in the United States, there are three branches, the executive branch, the legislative branch, and the judicial branch.

During the judicial session, we are primarily focused on the legislative branches of which we have two. We have a House of Representatives and a Senate. In the Indiana House of Representatives, that means that each district in Indiana is represented by a representative and then the Indiana Senate has 50 members. So a bill needs to pass both the House and the Senate.

Good Trouble Indiana (02:51.042)
Yes.

Tracey Wilkinson (02:56.561)
And then be signed by the governor, which is the executive branch to become law. And the way that works is that we have different committees in each side of the House and the Senate that first, you know, review bills, vote on bills. And after they get out of committee, they go to the full House and the full Senate. And once they pass votes there, they flip sides and go to the other side and the process starts all over.

Good Trouble Indiana (03:25.26)
Okay, so that part is called, so, so bills start on one side, they cross over, crossover day this year is February 20th. And we're in the middle of what's called the long session, Tracy. Can you, can you talk a little bit about what a long session means?

Tracey Wilkinson (03:39.375)
Yes, so Indiana flip-flops between long sessions and short sessions. So every other year, we change the type of session that we're in. It's a long session because it's tied to the budget. And it's actually written in law that we have to have a balanced budget. And so every other year, we propose legislation as well as a budget for the state. And that takes longer, which is why this is a longer legislative session.

Good Trouble Indiana (04:04.942)
So then the session this year will have a budget bill and that budget bill will cover the next two years, right? So it's a biennial budget bill. The session began January 8th. It can end no later this year in the long year than April 29th. And it's to think about how many bills the legislature hears. So this is a long session. There were 1,232 bills filed this.

this session. So Tracy, you talked a little bit about how, you know, some bills will start on the Senate side, some will start on the House side, and they'll start in committee. Talk a little bit about what happens in committee. then, in other words, are all 1,232 of those bills going to be heard in committee?

Tracey Wilkinson (04:51.729)
Great question. No, because then we would be in session for the entire year. Basically, committee chairs get to decide what bills are heard every week in their committee, which means committee chairs hold a lot of power. And the chairmen of every committee are picked and chosen by the party that has the most seats in that House or Senate.

Indiana currently both the House of Representatives and the Senate is by Republicans and so every committee chair is an elected Republican.

Good Trouble Indiana (05:28.718)
And so that committee chair gets to decide what they hear. I assume that those committee chairs take sort of marching orders from the caucus leadership, so from the Republican leadership. And so do you have any idea? I'm going to ask you a trivia question, Tracy. So, and you may not know, but what percent of bills do you think will pass?

Tracey Wilkinson (05:52.069)
I'm going to say probably 10.

Good Trouble Indiana (05:55.086)
a little more, about 20. So in 2023, which was the last long session, there were 1,154 bills filed and 252 of those were ultimately signed by the governor. So, you know, that's a lot of bills, but it's a ton of bills that aren't going to be heard. And so I know that a lot of the work you and I have done over the last several weeks, you know, really since the beginning of January, when bills began to be filed.

was sort of slog through all of these bills. So the Good Trouble Coalition, I talked about our mission statement before, but one of the things that we have done over the last few weeks is go through literally every bill and decide, okay, which bills are interesting to us? And those are mostly bills in the areas of public health, health equity, and patient centered care, and which ones aren't? And so of those 1,232 bills, we're tracking just under 10 % of those. We're tracking 115 bills.

and surprisingly three weeks in, it's been somewhat quiet for the bills that we're tracking. And so it's, it's a little bit nice. We're getting a late start with this podcast because we think it's important to sort of share information, but also, it's, it's, it's been quieter than I had expected. Do you feel that way, Tracy?

Tracey Wilkinson (07:15.663)
I do. I think that we have been on defense for a lot of years in a row. one of the things that I think is the reason why it's been quiet has been the focus is not been specifically on health care as much as it has been in the past and is on other issues such as education, economics, and honestly, diversity, equity, and inclusion initiatives.

tone has been set both federally and at state levels as to what the focus is at the moment.

Good Trouble Indiana (07:51.744)
Agreed. So, so this podcast will focus really on the bills that are on our big bill tracker. I mentioned before, you can get to our bill tracker on our website, www.goodtroubleindiana.org. It's right at the top of the page. and if you look at the 115 bills that we're following, we're actually supporting about two thirds of them. now again, like, like we talked about before, most of those won't go anywhere. but there are bills that have already passed out of

Committees in the last three weeks that we've supported Do you want to talk about one or two of those Tracy?

Tracey Wilkinson (08:24.753)
Yeah, so an interesting bill is Senate Bill 475. I think that's the number. so Senate Bill, yeah, Senate Bill 475 is legislation that would prevent non-compete clauses from going into contracts with physicians. This is a huge deal for anybody who's in the medical field, but in particular to help our, you know, health

Good Trouble Indiana (08:31.554)
Yep, it is the knock. Yep.

Tracey Wilkinson (08:51.825)
care clinician shortage that's happening all over the state that sometimes is the result of non-compete clauses and people having to make the decision to move far or out of the state to be able to continue practicing their field.

Good Trouble Indiana (09:04.822)
Okay, Tracy. So most people don't know what this means. So let's, let's take an example of Tracy Wilkinson. So Tracy, do you have a non-compete clause?

Tracey Wilkinson (09:10.827)
Okay.

I should know the answer to this. I do. I do. I do. Because I signed my contract years ago. And so I definitely don't. I don't. OK, no, please. I clearly don't read the fine print.

Good Trouble Indiana (09:17.463)
Okay.

And do know what it says? I know what mine says.

So my non-complete clause says that I live in Indianapolis. I work as a physician in Indianapolis at University Hospital. And my non-complete clause says that if I decide to leave my job, that I cannot work anywhere within a, I think it's a 20-mile radius for two years. So for me,

That non-compete clause is difficult, but not impossible, right? I could probably find a place, stay where I'm living and work, find a place within 20 miles. For people in smaller areas around the state, it's a huge deal, right? So say that you have a physician who works in a small town, let's say, I don't know, Newcastle, and they work for one of the large corporate healthcare institutions, Ascension, IU Health, any of those.

and they have a falling out with their employer. These are large carpet employers. This happens not infrequently. You know, what that non-compete for those people means is as a general rule, those people have to move in order to continue working. That's a big deal. you know, two, was it last year or two years ago that they passed the non-compete for primary care? Do you remember?

Tracey Wilkinson (10:42.605)
It was last year. I think it was last year. But what was interesting about the non-compete for primary care providers is who they left out. So they did not include OB-GYNs into that categorization of primary care providers. And I think a lot of people use their OB-GYNs during a certain phase of their life as their primary care provider. I also think that they left out a lot of our advanced practice partners that provide primary care.

And so this legislation is a step, but it's certainly not the final part of this conversation. And I want to add, Gabe, I think that the mile radius can vary in these non-compete clauses. And so when you're in a very specialized field, it can be 50, 100 miles radius that you're not allowed to practice.

Good Trouble Indiana (11:29.678)
That's true. That's true. That's very true. And so Senate Bill 475 that you brought up earlier, Tracy, that passed out a committee, that one extends to all physicians in the state. Okay. And so that, so then just to take that as an example for what you were talking about before. So that's, that bill is passed out of the committee, out of the Health and Provider Services Committee in the Senate. It will go to the floor of the Senate, right? And has it, I don't believe that's happened yet, has it?

Tracey Wilkinson (11:40.512)
Yes, yes.

Tracey Wilkinson (11:51.441)
Hmm?

Yep. No, I just passed out of committee this week. at earliest, it probably will be in the Senate next week.

Good Trouble Indiana (12:01.952)
Okay. So it will go to the floor of the Senate and be voted on by the entire Senate. It passed pretty, pretty hardly. I think there were only two no votes, in the Senate committee. And so the likelihood is that will probably pass out of the Senate. Now the Senate, the floor of the Senate can offer amendments, so they could change the bill that they pass out. And so assuming that that bill passes out of the full Senate, then on February 20th, it will go over to the house side and will be assigned to a committee there. So again,

Tracey Wilkinson (12:05.659)
Yes.

Tracey Wilkinson (12:28.164)
Yep.

Good Trouble Indiana (12:31.394)
the committee chair on the House side has to elect to take up this bill. And even though a bill passes out of the Senate, doesn't necessarily mean it would be taken up in the House and vice versa. So there are multiple times in the process where things could go awry.

Tracey Wilkinson (12:44.369)
Yeah, and a lot of the work that people do on the back end is, you know, that quiet work behind the scenes trying to get things on agendas and to get things to move forward. I will say that bills that have bipartisan support have a much higher likelihood of getting heard on the other side because it signals to everybody that if there's bipartisan support, something like this non-compete bill that

there's probably going to be less of a battle to have and it will be smoother sailing with bipartisan support. So that definitely increases the appetite of a committee chair to take it up on their side too.

Good Trouble Indiana (13:21.454)
So that's a Senate bill 475. Honestly, in the first few weeks of session, probably is the one that's been of most interest to us. want to talk a little bit, if I can, just about the bills that we won't talk about. I personally refer to these as Bruno bills. We don't talk about Bruno. And I think it's important to talk about this because some people sometimes reach out to us and say, why aren't you talking about this bill? This is a terrible bill. And the bottom line is that there are a lot of bills that are filed that are

clearly never going to go anywhere. you know, I think our tack has been to kind of like not give those bills oxygen because it's just not that helpful. And go ahead.

Tracey Wilkinson (13:51.791)
Mm-hmm.

Tracey Wilkinson (14:01.859)
Yeah, I agree. I think there's a lot of political grandstanding that happens in the legislative session. And sometimes those trickle up to news stories and cause a lot of alarm. But I think it's important to also understand the tactic that's being used. And sometimes those bills are getting a lot of attention, and we're not paying attention to the smaller bills that are actually going to get passed, that are going to be those cuts.

that maybe we don't see as dramatic, but in the longer run will add up to being something really significant.

Good Trouble Indiana (14:32.812)
And so one of the things that Good Trouble Coalition does is we employ a legislative consultant, a lobbyist, and our lobbyist, Amy Lavander, helps us sort of sort through what bills actually need our attention and what bills are just sort of grandstanding kind of bills. So that's helpful. So, know, thus far things have been relatively quiet. We'll have, I'm sure, some more bills to discuss next week. But there have been some other things around

the state that is probably worth talking about. And one, Tracy, in the first few weeks of Governor Braun's tenure, he signed multiple executive orders. And I want to talk specifically about an executive order around TPR reports. And I want you to talk and let people know kind of what is this.

Tracey Wilkinson (15:24.015)
Yeah, so this has been a battle that's been ongoing in Indiana for a few years. But a TPR stands for a terminated pregnancy report. These are forms that are required by law to be filed every time a pregnancy is terminated. And it is sent to the Indiana Department of Health.

Good Trouble Indiana (15:45.228)
And so wait, so anytime a pregnancy turned, what if a woman has a miscarriage?

Tracey Wilkinson (15:50.365)
it is not filed under a TPR if it was a miscarriage that was, you know,

Good Trouble Indiana (15:54.925)
Okay.

Good Trouble Indiana (16:00.014)
spontaneous. Okay. Yep.

Tracey Wilkinson (16:00.625)
Spontaneous things Yeah So not not spontaneous miscarriages but you know it really depends on the way like a termination of pregnancy is also described in the like the law as to what is required to be reported and so the language that we We read in great detail and all this legislation is to make sure that those definitions are not changing

Good Trouble Indiana (16:29.846)
And so, so a TPR report you just said is a form that's filled out by, I would assume an OBGYN. Is that correct?

Tracey Wilkinson (16:36.409)
Yeah, I would say a physician.

Good Trouble Indiana (16:37.984)
Okay, a physician who provides reproductive health services to a woman, and that goes to the state, right? The State Department of Health, I would imagine. And talk a little bit about what happens with that report. What is the State Department of Health doing with that report?

Tracey Wilkinson (16:42.961)
Hmm?

Tracey Wilkinson (16:46.769)
Mm-hmm.

Tracey Wilkinson (16:54.105)
Yeah, so terminated pregnancy reports are not new. They've been mandated in our state for many, many years. The Department of Health then compiles a quarterly report to issue to the public. Anybody can go to their website. Anybody can read it and get details about kind of the types, the gestation, the locations of where abortions or pregnancy terminations are happening around the state.

And pretty routinely, various organizations or individuals have requested access to these terminated pregnancy reports under the umbrella term that these are public records and that the Freedom of Information Act gives them the right to request access to these documents that sit at the Indiana Department.

Good Trouble Indiana (17:46.478)
Okay, so if I'm right, so the Indiana Department of Health gets these records, they compile them into a report that's basically de-identified, like it's just aggregate data. Here's the number, here's the reason why these terminations were happening, here are maybe complications that were happening around them. But what you're talking about is people wanting the individual-level reports, right? Okay. And that gets us to the executive order that...

Tracey Wilkinson (17:54.149)
Mm-hmm.

Tracey Wilkinson (18:08.081)
Correct, correct.

Good Trouble Indiana (18:13.666)
Governor Braun signed. So talk a little bit about what that executive order did.

Tracey Wilkinson (18:16.945)
Yeah, so can I go back in time a little bit to talk about the battle that started really when the Indiana abortion ban went into effect? you know, as expected, once the Indiana abortion ban was passed in 2022, then, you know, after court battles went into effect in 2023, the number of abortions that were happening in our state dropped dramatically. So just to give you an idea, 2022.

The number of abortions in the state was 1,922 for the third quarter. And when you compare that to two years later, the exact same quarter, we're down to 41. The reason why this number has dropped so much is because, you know, we have an abortion ban with very limited exceptions. The exceptions include rape and incest and the life of the mother.

And so the number of people receiving abortions in our state has dropped dramatically, which means that when people request access to these reports, we're not talking about thousands of reports, we're talking about 10. We're talking about really small numbers and with like a lot of identifying information within these reports. So, you know.

Good Trouble Indiana (19:30.56)
And so, yeah, go ahead.

Tracey Wilkinson (19:33.403)
Pretty soon, as these requests continued to come in, because they'd always been coming in, the Department of Health made this decision that they did not feel that it was necessary nor appropriate to be releasing these reports to people that requested them to be released once the numbers dropped as low as they did, which has set up a battle between the Department of Health and various branches of our government.

that was then kind of settled with an executive order that Braun signed on his first few days in office.

Good Trouble Indiana (20:08.238)
So then are these individual reports being released at this point?

Tracey Wilkinson (20:10.971)
So the executive order basically told the Department of Health that they need to comply with whatever the attorney general would like in terms of making sure, quote, that our pro-life laws were being abided by. the other side says that they're using these reports just to make sure that the law is being taken into account. But in the court proceedings have admitted that part of their desire is to monitor

the clinicians and the hospital systems that are doing these procedures to make sure that they're following the law. And so there's, you know, sincere concerns about harassment that can start happening even more so now that, now that this information is going to be out there and released to anybody who wants it.

Good Trouble Indiana (20:58.136)
So Tracy, said in the third quarter, you gave some numbers. what in the last quarter, how many TPRs were in the report?

Tracey Wilkinson (21:05.041)
For the last quarter of 2024, because we're still in quarter one of 2025, there was 41.

Good Trouble Indiana (21:11.054)
So 41, okay. of those, what are the, does that report give reasons why those terminations took place?

Tracey Wilkinson (21:18.479)
does.

Good Trouble Indiana (21:20.462)
Do you have that data?

Tracey Wilkinson (21:22.051)
Hi.

Good Trouble Indiana (21:29.294)
Okay, we can edit this.

Tracey Wilkinson (21:32.707)
Yes, yeah, I have it. Okay, ask me that question again.

Good Trouble Indiana (21:34.968)
So, okay, so Tracy, you said in the last quarter there were 41 terminations in the state, whereas there were previously like what, almost 2,000. And that the Department of Health releases a quarterly report about this. Does that report include reasons why those terminations took place?

Tracey Wilkinson (21:41.765)
Mm-hmm.

Tracey Wilkinson (21:47.077)
Mm-hmm.

Tracey Wilkinson (21:58.993)
It does. so out of the 41 majority of them, so 63 % were due to a lethal fetal anomaly, which means that the fetus was diagnosed with something that was not compatible with life. Nine of them, or 22%, were due to the life of the pregnant woman being at risk. And six of them were due to rape and incest. So we're talking about really, really small numbers.

So, you know, you're.

Good Trouble Indiana (22:29.146)
Well, not I want to put a finer part of that, not only really small numbers, but like, these are people just walking in off the street, like, like these are, these are probably some of the worst experiences these people's lives. What would you say? mean,

Tracey Wilkinson (22:44.237)
Yeah, it's certainly not an experience that you would like to know that your Department of Health is releasing to anybody in the public that would like to know the details about it. know, these are private medical records. This is private medical information, and it should be treated as such. There is, you know, there has been a legal attempt to push back on this idea that these are just public records that anybody should have access to, given the amount of identifying information that is in these records.

that is required by law to be reported. So, you know, we would love for this not to be passing out of the hands of a medical institution and into the hands of a state health department, but we're required by law to provide that information. And it is incredibly unsettling and it is, you know, it is a tactic used to scare patients. It's a tactic used to scare clinicians into providing this care. Why, if you were a victim of rape or incest, would you get an abortion in our state?

when you could be identified by somebody finding your terminated pregnancy report and harassed.

Good Trouble Indiana (23:50.06)
Yeah, wow. So I assume more to come on this. Do you foresee legal battles or what do you think is gonna happen here?

Tracey Wilkinson (23:59.677)
I mean, I'm not a lawyer. I hope that there are legal battles. I hope that we don't accept this decision. This executive order is the final call on this. I think it's really, really important to hold the line here, because these are records that could be other medical records that suddenly start getting reported to the Department of Health and released as well. And so.

I think it's really important for all of us to remember that the attacks on abortion provision are always a canary in the coal mine as to what's coming down the road for everything else.

Good Trouble Indiana (24:35.468)
Wow. Yeah. Tracy, I want to talk about one more thing before we wrap up, if that's cool. So on the, you know, this podcast will focus mostly on the state level, but at the federal level this past week, there was a lot of hubbub around pauses in NIH meetings, communication funding, possibly. You're an NIH funded researcher, is that right? And yeah. And so we would talk about the NIH. It's a national institutes of health. you...

Tracey Wilkinson (24:57.039)
I am. I feel very lucky.

Good Trouble Indiana (25:03.224)
Talk a little bit about what the NIH does and kind of how that functions for someone like you.

Tracey Wilkinson (25:09.133)
Yeah, so you know the NIH is the largest granting institution in the country. It is not easy to get funding from the NIH, but it definitely is like a signal to your peers, a signal to your institution that when you have NIH funding that you are considered, you know, a good researcher, an excellent researcher that you have reached that level of expertise that the federal government is going to give you money to proceed with your research.

It also is an indication that your research is important to a broader audience than just you, right? And in the review process, the funding process is not easy. It takes almost over a year from the beginning of submitting a grant to actually getting the money. It is not for the weary. It is really hard work, but incredibly rewarding and an incredibly important institution.

You know, a lot of research that ends up changing healthcare for the world starts with NIH funding. Whether you're talking about vaccines, whether you're talking about drug development. And so it's a really important institution for public health. But also not only public health, every type of health, every type of science that you can think of. And so it was very disconcerting when the executive order came out.

pausing it, pausing all communication. So researchers like myself can't really even get communication back from our program officers or information back about what's gonna happen next because they're not allowed to talk. And that's really scary and uncomfortable when a lot of this funding is for many years worth of work. And so, you know, a pause can feel small to people in the public, but it's huge for

for institutions and for individuals and staff that do this work every day.

Good Trouble Indiana (27:10.606)
I have colleague who actually was putting in her K award, which is like the one of the first grants you put in as a junior faculty member to the NIH to say, Hey, here's the work that I'm doing. Can you, do you mind, you know, are you interested in funding this work? Um, and she was going to put it in February, but from what she's been told, from what I understand, they're not, those review committees aren't even meeting. So, so for somebody who's in there, you know, the, the sunrise of their career, uh, a pause of several months is

Tracey Wilkinson (27:31.152)
Yeah.

Good Trouble Indiana (27:39.5)
like massive.

Tracey Wilkinson (27:40.729)
Yeah, mean the pause of a few days, the funding committees were all canceled. And so people who put in grants, you know, six months ago were waiting on the final step of the funding decision, are just suddenly like in a pause situation. And so it has ramifications much broader. You know, at the time of this recording of this podcast, we got word that that pause had been removed. It's terrifying to think that like the...

Good Trouble Indiana (27:42.85)
Yeah.

Tracey Wilkinson (28:09.903)
the welfare of an institution like the NIH or the CDC or the National Science Foundation could be so casually turned on and off like a light switch.

Good Trouble Indiana (28:24.462)
Tracy, this is super helpful. So to wrap up today, we've talked about sort of the way that bills become law. We had a little schoolhouse rock, Indiana style. We talked about sort of the, an overview of the 2025 session, the long session, 1200 bills that have been filed and the 115 that the Good Trouble Coalition is following. We talked about Senate Bill 475, which passed out a committee, the physician non-compete bill, which would eliminate non-competes for all physicians in that.

the good trouble coalition supported. We talked about the executive order around TPR reports, terminated pregnancy reports, and how that has a real chilling effect for the very small number of women who have abortions now in the state of Indiana. And then we talked about the difficulties with the National Institutes of Health and the pause in their funding and communications. Tracy, it's been so helpful to have your voice. I'm so appreciative. Do you want to pitch anything?

Tracey Wilkinson (29:24.081)
Keep following us, listen to us next week. Sign up, yes, sign up to get our emails, follow us on socials, and the best way to support our work is to become a recurring donor.

Good Trouble Indiana (29:27.605)
I like it.

Good Trouble Indiana (29:36.152)
Per, I love it. Thank you. Yes. So if you enjoyed this episode, please subscribe, rate, and review this on Spotify, Apple podcasts, or wherever you get your podcasts. If you aren't already a Good Trouble Coalition member, please become one by visiting our website. It's free and it gets you access to our occasional communications and calls to action. There you can always find what the Good Trouble Coalition is doing at the State House to kind of help push public health, health equity, and patient centered care. And if you're able, donations are always greatly appreciated.

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