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From YouTube: 3/26/2021 - Assembly Committee on Commerce and Labor
Description
For agenda and addtitional information: https://www.leg.state.nv.us/App/Calendar/A/
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A
C
B
A
A
Please
remember
all
exhibits,
written
testimony
and
amendments
must
be
submitted
by
noon
on
the
business
day
prior
to
the
committee
meeting,
people
who
wish
to
provide
testimony
or
attend
the
meeting
virtually
must
pre-register
on
the
legislature's
website.
The
public
is
strongly
encouraged
to
submit
written
testimony
in
advance
by
emailing.
The
assembly
committee
on
commerce
and
labor
zoom
chat
is
reserved
for
committee
business.
Only
members,
please
remember
to
keep
your
cameras
on
at
all
times.
This
will
help
ensure
that
we
have
a
quorum
unless
you
are
stepping
away
from
non-committee-related
business
members
and
presenters.
A
Please
remember
to
be
muted
at
all
times
and
yourself
to
speak
and
then
promptly
mute
yourself
when
you
are
done.
Thank
you.
Everyone,
let's
begin
with
our
agenda.
For
today
we
have
four
bills
for
hearing
and
four
bills
on
work
session.
I
would
like
to
give
everyone
listening
a
lay
of
the
land,
I'm
going
to
start
with
the
work
session
first
and
then,
when
we
go
into
the
bill
hearing
of
the
portion,
I'm
going
to
take
the
bills
out
of
order.
A
I
will
start
with
assembly
bill
207,
then,
with
assembly
bill,
327
assembly,
bill
366,
and
we
will
end
with
assembly
bill
45.
with
that
we
can
go
to
the
work
session
portion
of
our
agenda
on
the
first
bill.
We
have
on
a
work
session
for
today
is
assembly,
bill
177,
and
we
have
a
miss
pastel
of
thomas
here
to
walk
us
through.
D
D
The
third
proposed
amendment
is
to
delete
subsection
5
of
section
1,
which
provides
immunity
from
civil
liability
to
a
pharmacy
or
employee
for
injuries
resulting
from
the
translation
of
information
by
a
third
party
which
is
not
the
result
of
negligence,
recklessness
or
deliberate
misconduct
of
the
pharmacy
or
employee,
and
the
fourth
proposed
amendment
is
to
amend
subsection
2b
of
section
2
to
change
the
effective
date
to
january
1st
2022
for
all
other
purposes.
Thank.
A
You
thank
you,
miss
pastel,
thomas
committee
members.
Any
discussion.
B
Yes,
thank
you
chair,
and
I
wanted
to
thank
the
sponsor,
for
they
perfect
bless
you.
B
I
wanted
to
thank
the
sponsor
for
conversations
that
we've
had
about
concerns
that
were
raised,
and
I
appreciate
some
of
the
amendments
and
particularly
extending
the
timeline,
and
I
also
definitely
appreciate
the
value
of
what
is
trying
to
be
accomplished
with
this
bill,
but
I
still
have
some
concerns,
particularly
with
the
immunity
being
removed,
and
so
I
will
be
a
no,
but
I
just
wanted
to
get
it
on
the
record
that
I
do
appreciate
my
conversations
with
the
sponsor
in
regards
to
this
legislation
and
its
intent.
A
A
Okay,
I
have
a
amendment
to
pass
by
vice
chair
carlton
in
a
second
by.
A
Thank
you
so
much,
madam
secretary,
if
you
would
please
call
a
roll
call
vote.
A
Okay,
seeing
nana
madam
secretary,
if
you
would
please
call
a
roll
call
vote.
E
A
A
D
Thank
you,
ma'am
chair
assembly,
bill
190
was
sponsored
on
behalf
of
the
legislative
committee
on
senior
citizens,
veterans
and
adults
with
special
needs.
It
was
heard
on
march
17th
and
it
provides
certain
employees
with
the
right
to
use
sick
leave
to
assist
certain
family
members
with
medical
needs.
There
is
one
proposed
amendment
by
barry
gold
with
aarp
nevada
and
that
is
to
amend
the
bill
to
explicitly
exclude
parties
to
collective
bargaining
agreements
from
the
provisions
of
the
bill.
F
G
C
To
have
them
included,
but
it
was.
A
C
C
D
G
A
A
Hey
members,
the
third
item
on
work
session
today
is
assembly
bill
227..
Ms
pascal
thomas,
will
you
present
assembly
bill
227
to
us.
D
H
You,
and
I
know,
there's
been
a
lot
of
conversation
about
the
amendments.
The
proposed
amendment
at
the
committee
was
not
a
friendly
amendment.
It
was
basically
got
the
bill
type
of
an
amendment,
but
I
am
working
with
some
parties
on
trying
to
address
some
of
the
issues
that
were
brought
up.
H
Unfortunately,
with
the
time
that's
been
involved,
they're
they're
currently
working
on
it,
I
told
them
to
keep
working
on
it,
so
we
are
taking
some
of
those
considerations
in
in
into
you
know,
trying
to
address
them,
but
with
the
limited
amount
of
time
I
did
not
want
to
ask
you
to
pull
the
bill,
but
I
will
continue
working
on
it
because
I
believe
it's
important
that
we
address
the
issues
but
not
allow
someone
to
amend
the
bill
to
the
point
where
they
could
drive
a
mack
truck
through
it.
So
thank
you
very
much.
B
Yes,
thank
you
so
much
chair
and
I
would
like
to
thank
vice
chair,
carlton
for
being
so
accessible
and
so
amenable
to
talking
through
some
some
questions
and
in
regards
to
that
process.
I'm
enthusiastic
that
those
conversations
are
still
going
on
and
I'm
hopeful
to
support
on
the
floor,
but
it's
my
understanding
that
it's
cleaner
for
the
record
to
vote
on
what
we
have
before
us.
A
C
C
D
A
A
The
last
item
for
work
session
today
is
a
senate
concurrent
resolution
number
one.
Ms
pascal
thomas,
would
you
please
present
a
cr-12
at
the
committee.
D
A
C
B
D
A
A
I
I
I
am
joined
by
david
brody
of
the
lawyers
committee
for
civil
rights
under
law,
and
it's
all
right
with
the
chair
I'll,
speak
briefly
on
that.
What
motivated
me
to
bring
this
measure
forward
and
what
the
intent
of
the
bill
is,
and
then
I'll
turn
it
over
to
mr
brody
to
provide
some
additional
background
and
context
and
then
we'll
be
glad
to
take
any
questions
that
the
committee
may
have
in
2011.
I
Before
I
was
a
member
of
this
body,
I
assisted
members
of
our
lgbtq
plus
community
in
the
effort
to
update
our
state's
non-discrimination
laws
to
be
fully
inclusive
and
at
the
in
that
effort
there
were
three
real
components
to
that:
updating
our
laws
regarding
employment,
housing
and
public
accommodations.
I
I
It's
clear
to
me
that
the
importance
of
online
venues
in
our
daily
lives
is
growing,
while
in
many
ways
the
removal
of
the
human
element
in
some
of
these
transactions
can
actually
reduce
the
opportunities
for
discrimination
when
those
interactions
and
decisions
occur.
I
believe
that
it's
critical
nevadans
enjoy
the
same
protections.
They
would
when
they
walk
into
a
brick
and
mortar
business,
to
use
a
well-known
example
from
recent
current
events
here
in
nevada,
you
cannot
be
denied
service
at
a
bakery
for
who
you
are.
I
However,
if
somebody
was
operating
an
online
only
cake
shop
and
they
chose
to
do
so
under
our
current
laws,
it's
unclear
what
protection
or
recourse
nevadans
would
have
ab207
aims
to
cross
that
digital
divide
and
level
the
playing
field.
So
all
businesses
operating
in
this
state
are
open
fairly
to
all
nevadans.
J
Good
afternoon,
and
thank
you
for
inviting
me-
my
name
is
david
brody
and
I
lead
the
digital
justice
initiative
at
the
lawyers
committee
for
civil
rights
under
law.
The
lawyers
committee
is
a
non-profit
nonpartisan
racial
justice
organization
founded
in
1963,
at
the
request
of
president
kennedy
to
combat
discrimination
and
inequality
of
opportunity.
J
Our
digital
justice
initiative
works
on
issues
at
the
intersection
of
civil
rights,
privacy
and
technology,
such
as
discrimination
and
online
commerce,
internet-enabled
hate
crimes
and
discriminatory
uses
of
personal
information.
Public
accommodations
laws
are
a
cornerstone
of
civil
rights
protection
in
the
united
states.
These
laws
are
one
of
the
key
mechanisms
used
to
end
jim
crow
segregation
and
discrimination
in
everyday
commerce.
Many
of
these
laws
were
enacted
during
the
civil
rights
era
in
response
to
marches,
sit-ins
and
boycotts
by
black
americans
and
others
seeking
equal
rights.
J
Today,
if
a
business
posts,
a
sign
that
says
whites
only,
it
should
not
matter
whether
it
is
written
in
ink
or
pixels.
The
discrimination
is
the
same.
The
harm
is
the
same
and
under
nevada
law.
The
legal
consequences
should
be
the
same.
Public
accommodations
laws
are
general
purpose:
anti-discrimination
statutes.
J
They
state
that
if
a
business
offers
goods
or
services
to
the
general
public,
they
must
serve
everyone
regardless
of
race,
gender,
religion,
national
origin,
sexual
orientation,
disability
or
other
protected
characteristics.
Classic
examples
of
places
of
public
accommodations
include
hotels
stores,
restaurants,
theaters
buses
and
stadiums.
J
These
laws,
including
nevadas,
typically
prohibit
two
forms
of
discrimination.
First,
they
prohibit
covered
businesses
from
denying
service
or
charging
higher
prices
on
the
basis
of
protected
characteristics.
Second,
they
prohibit
violence,
threats
or
harassment
by
third
parties.
When
someone
seeks
to
patronize
the
business
to
give
a
historic
example,
these
laws
both
prohibit
a
lunch
counter
from
refusing
service
on
the
basis
of
race,
as
well
as
prohibit
a
racist
mom
from
blocking
access
to
the
lunch
count.
J
J
These
types
of
incidents
interfere
with
equal
enjoyment
of
places
of
public
accommodation
by
intimidating
our
neighbors,
especially
senior
citizens,
from
feeling
safe
when
they
go
out
in
public.
These
harms
occur
online
as
well
online
threats,
harassment
and
intimidation,
frequently
target
people
of
color
women,
lgbtq
individuals,
religious
minorities,
immigrants
and
people
with
disabilities.
J
The
pew
research
center
recently
reported
that
40
percent
of
americans
have
experienced
online
harassment
and
that
25
percent
have
experienced
physical
threats,
stalking
sexual
harassment
or
sustained
harassment
online.
These
hateful
acts
interfere
with
the
right
to
equally
enjoy
online
commerce,
they
discourage
speech
and
civic
engagement
and
they
cause
serious
harm.
Businesses
suffer
when
customers
are
not
safe
when
a
user
self
censors
or
stops
using
a
website,
because
they
are
being
threatened.
That
user
is
deprived
of
their
right
to
enjoy
the
services
offered
by
that
business.
J
Discrimination
also
continues
to
infect
the
marketplace
where
consumers
of
color
continue
to
receive
worse
treatment
and
experience
unequal
access
to
goods
and
services.
This
discrimination
increasingly
occurs
through
online
business
practices.
For
example,
facebook,
google
and
other
major
tech
companies
have
been
sued
or
investigated
repeatedly
for
discriminating
in
their
advertisements
for
housing.
Employment
and
credit
retail
websites
have
been
found
to
charge
different
prices
based
on
the
demographics
of
the
user.
J
Communities
of
color
are
targeted
by
predatory
and
low
low
quality,
for-profit
online
colleges
and
algorithms
that
set
car
insurance
rates
charged
minority
neighborhoods
higher
premiums
than
white
neighborhoods
with
the
same
risk
levels
absent
anti-discrimination
protections.
Online
businesses
can
refuse
service
on
the
basis
of
race
charge.
Higher
prices
based
on
religion,
provide
subpar
products
based
on
gender
or
sexual
orientation,
or
ignore
the
accessibility
needs
of
people
with
disabilities.
J
Public
accommodations
laws
are
meant
to
close
these
gaps,
however,
because
most
public
accommodations
laws
were
written
decades
before
the
invention
of
the
internet.
They
do
not
always
apply
equally
online
and
offline
ab-207
seeks
to
amend
the
state's
public
accommodation
statute
to
ensure
that
nevadans
receive
the
same
protections
from
against
discrimination
from
billion-dollar
websites
that
they
do
in
a
mom-and-pop
corner
store.
J
J
This
legislation
clarifies
that
passing
this
bill
would
level
the
playing
field
between
online
and
offline
commerce
requiring
online
businesses
to
meet
the
same
non-discrimination
requirements
as
physical
businesses
and
protect
the
rights
of
all
residents.
Thank
you
and
I'm
happy
to
answer
your
questions.
I
And
madam
chair,
I
think
that
concludes
our
presentation.
One
thing
I'd
like
to
note
very
briefly,
is
we
are
going
to
have
some
folks
calling
in
in
opposition
and
many
of
them,
especially
the
chamber.
I
The
resource
association
have
reached
out,
and
we've
had
some
conversations,
and
I
am
open
to
suggestions
to
try
and
address
some
of
the
concerns
that
they've
brought
up
and
ensure
that
the
language
and
the
intent
match
up.
So
I
just
wanted
to
recognize
and
recognize
that
and
look
forward
to
continuing
those
conversations
moving
forward.
A
A
H
Please
thank
you,
and
this
probably
comes
from
me
being
such
a
luddite,
because
I
don't
do
things
on
the
internet
and
along
that
line.
So
I'm
just
trying
to
wrap
my
brain
around.
I
understand
I
think,
where
you're
trying
to
go,
but
if
you
could
give
me
an
example
of
one
of
the
problems
that
have
arisen
that
we're
trying
to
solve.
I
Thank
you
so
much
for
the
question
by
share
carlton
howard
watts,
to
the
record
one
hypothetical
example
that
I
gave
in
my
testimony
that
I
give
is
we're
seeing
more
and
more
businesses
that
are
based
primarily
online.
You
know
I
I
know,
for
example,
there's
a
place
in
las
vegas.
I
I
go
that
does
pizza
and
basically
does
it
out
of
their
their
house
and
has
an
online
website
where
you
can
go
and
order
and
then
pick
it
up,
and
so
there's
not
really
a
brick
and
mortar
location,
and
so
the
example
that
I
gave
in
my
testimony
is:
if
you
have
somebody
who
operates
an
online
website
and
and
bakes
cakes
and
they
get
an
order
for
a
wedding
cake
for
a
lgbt
couple
and
get
the
order,
get
the
payment
and
then
decide.
Well,
I
don't
want
that's
that.
I
I
We
would
want
that
to
be
held
to
the
same
standard
if
somebody
was
treated
that
way
when
they
go
into
a
brick
and
mortar
business,
and
then
I'd
like
to
turn
it
over
to
mr
brody
briefly,
to
give
any
examples
that
he's
seen
in
in
other
areas.
J
J
Could
you
could
have
a
online
service
that
is
like
on
facebook
or
or
or
twitter,
for
example,
where
they're
running
advertisements
for
different
types
of
products,
different
types
of
protected
economic
opportunities
like
like
housing
or
employment
and
on
in
their
system?
You
know
they
might
allow
you
to
target
based
on
the
location
of
the
user,
and
you
might
say,
okay,
I
want
to
send
my
ad
to
everyone
in
las
vegas,
but
not
this
zip
code
or
that
zip
code
and
at
least
in
facebook
system.
J
It
will
literally
draw
a
red
line
around
the
excluded,
zip
code
that
you
are
not
serving
the
advertisement
to
and
and,
as
we
know
from
from
many
years
of
research,
that
form
of
redlining
has
a
high
correlation
with
with
race
and
and
results
in
racial
discrimination
and
and
in
the
other
vein,
for
the
sort
of
other
side
of
what
public
accommodations
protects.
J
There's
a
large
amount
of
research
about
the
prevalence
of
online
threats
specif,
especially
against
women
and
people
of
color,
and
it
causes
them
to
withdraw
from
engaging
with
in
the
public
sphere
at
greater
rates.
And
so
you
know
if
someone
went
into
a
department,
store
and
started
screaming
in
someone's
face,
you
know
they
would
get
thrown
out
in
five
minutes
and
that
kind
of
behavior
would
not
be
tolerated,
but
when
it
happens
online,
for
whatever
reason
people
have
sort
of
decided.
J
You
know
this
is
just
the
way
it
is
and
as
a
result,
there
are
people
who
are
scared
away
from
using
services,
because
they're
afraid
of
being
harassed
and
targeted
and
stopped
receiving
death
threats,
receiving
rape
threats
and,
and
that
is
interference
with
their
right
to
patronize
those
businesses.
Those
websites.
H
And
thank
you,
madam
chair.
I
guess
I'm
just
having
a
hard
time,
especially
with
the
last
comments
trying
to
figure
out
how
all
the
pieces
of
this
come
together.
I've
worked
in
with
this
discrimination
issue
within
public
accommodations.
Ever
since
I
partnered
with
senator
parks
back
in
99
when
we
first
started
changing
some
of
the
things
in
statute,
so
I
do
understand
the
issue,
I'm
just
having
a
hard
time
figuring
out
how
it
all
fits
in
the
internet
world
so
I'll
keep
working
on
it.
But
thank
you
for
the
latitude
to
ask
the
question.
A
Thank
you
for
your
question
advisor
carlton
and
I
do
want
to
clarify
something
because
mr
brody,
you
gave
the
the
example
of
employment
and
facebook,
but
there
there
has
been
internet
organizations
or
online
organizations
who
have
already
taken
steps,
because
that's
one
of
the
things
that
facebook
doesn't
allow
when
it
comes
to
housing,
mortgages,
credit
or
employment.
A
They
do
not
allow
you
to
run
advertisements
based
on
gender,
age
or
zip
code
any
longer
or
interest
just
to
avoid
that
type
of
our
line.
So
that's
not
something
you
can
do
on
their
platform
any
longer,
but
I
do
have
another
question
from
assemblymember.
F
Kasama,
thank
you.
Thank
you,
chair
and
I'm
certainly
you
know
very.
You
know
in
favor
of
the
bill
the
way
it's
written
all
that,
but
I
was
concerned
with
david
brody's
comment
where
you
talked
about
the
online
advertising,
because
I
never
thought
until
you
said
that
so,
for
example,
if
I
have
a
restaurant-
and
I
only
want
to
advertise
three
miles
in
a
radius
from
my
restaurant-
you
made
it
sound
like
now.
That
would
be
discriminatory.
F
So
now,
I'm
concerned
with
unintended
consequences
based
on
your
comment
that
this
would
affect
forcing
businesses.
How
are
they
going
to
advertise?
You
know
when
their
dollar
limits
are.
J
Apologize
david
brody
for
the
record.
Let
me
clarify
because
it's
a
really
important
point:
the
the
statue
prohibits
intentional
discrimination,
so
when
you're
you're
targeting
your
ad,
you
know
you
have
to
have
the
intent
to
exclude
one
of
the
protected
groups.
If
what
you're
doing
is
saying,
I
want
to
target
the
you
know
the
the
five
miles
around
my
business,
that's
a
perfectly
legitimate
way
to
do
a
targeting
and
that
that's
not
based
on
on
you
know
some
sort
of
personal
animus
against
race
or
sex.
Or
what
have
you
that's
just.
J
I
Thank
you
thank
you,
and
this
is
assemblyman
watts
for
the
record.
I
I
appreciate
that,
and
just
want
to
reinforce
that
that's
one
of
the
key
pieces
of
intent
is
that
of
the
bill
is
that
there
has
to
be
discriminatory,
a
discriminatory
act
so,
and
we
may
hear
some
other
people
ask
or
folks
providing
in
opposition
certain
scenarios
and
and
wonder
how
this
might
capture
things
where
there
is
no
human
interaction
right
and
that's.
I
One
of
the
things
I
mentioned
in
my
remarks
is
that
oftentimes
a
transaction
either
goes
through
or
it
doesn't
and
it's
essentially
automatic
and
if
it
gets
turned
down
it's
because
the
payment
method
wasn't
correct
or
something
else
just
didn't
work,
and
you
know
that
would
have
absolutely
no
basis
for
a
discrimination
claim.
There
has
to
actually
be
a
information
that
allows
somebody
to
know
or
make
an
assumption
about
the
the
characteristics
of
the
person
that
they're
interacting
with.
I
So
you
have
to
have
some
idea
of
the
race,
gender
etc,
either
when
you're
advertising
and
creating
two
different
types
of
advertisements
or
when
you're
having
a
transaction
occur
and
then
you'd
have
to
use
that
information
to
make
a
discriminatory
action,
denying
something
offering
differential
pricing
or
or
subpar
services
as
a
result.
So
that's
one
of
the
things
I
want
to
make
sure
that
we
get
on
the
record
early.
Is
that
this?
The
intent
of
this
bill
is.
It
requires
a
discriminatory
action
and
intent
from
from
one
human
being
to
another.
I
F
Okay,
thank
you
and
I
I
would
agree
with
that.
We're
in
the
bill
I'm
looking,
I
might
not
see
it
does
it
say
discriminatory
intent,
and
maybe
you
don't
have
to
answer
that
right
now,
but
I
can't
seem
to
find
that
in
there,
because
that
that
makes
sense
then,
but
that
would
just
be
a
concern
that
we
don't
harm
businesses
that
are
equally,
you
know
providing
to
all
people,
and
they
just
have
to
you
know
their
their
service
is
just
for
this
area
or
whatever
it
might
be.
J
A
C
So
much
chair,
haruhi,
just
kind
of
a.
H
Quick
question:
I
appreciate
your
presentation
and
the
fact
that
you're
wanting
to
deal
with
technological
advances
and
our
evolving
economy,
but.
I
Thank
you
for
the
question,
howard
watts,
for
the
record.
You
know
I'll
say
that
this
there
was
not
a
specific
instance
here
in
the
state
of
nevada
that
led
me
to
bring
this
forward.
I
just
wanted
to
make
sure
that
the
again
that
the
law
is
equal
and
and
protects
people,
whether
whether
they're
online
or
in
a
brick
and
mortar
establishment
for
the
same
type
of
transaction
I'll
turn
it
over
to
mr
brody.
I
If
there's
any
specific
examples
that
have
been
noted,
although
one
last
thing
I'll
note
is
that
and-
and
mr
brody
can
probably
speak
to
this
as
well-
there
are
not
many
times
when
public
accommodations
law
is
actually
invoked,
leads
to
complaints
and
litigation,
and
I
would
say
that
not
having
this
protection
in
place
in
our
state
law,
so
that
people
know
about
it
probably
has
a
further
chilling
effect.
I
J
And
thank
you
david
brody,
for
the
record.
I
can
give
you
a
very
recent
example
that
was
just
in
the
news
about
a
week
or
so
ago.
The
the
news
outlet,
the
markup,
which
does
tech
investigative
journalism,
reported
that
public
service
announcements
from
public
health
agencies
about
covet
19
were
disproportionately
under-delivered
to
black
facebook
users.
J
So
black
users
of
facebook
were
getting
about
one-third
to
one
half
as
many
psas,
with
really
important
covid19
public
health
information
from
from
the
department
of
health
and
human
services
and
other
public
health
agencies
as
a
as
a
result
of
most
likely
of
the
way
that
the
platform's
advertising
system
is
structured.
J
J
There
is
a
great
deal
of
research
surrounding
algorithmic
discrimination
in
insurance
rates,
so
so
car
insurance
rates,
people
that
live
in
minority
neighborhoods
get
charged
higher
premiums
than
people
that
live
in
white
neighborhoods
and,
to
the
extent
that
those
those
sort
of
insurance
companies
are
often
not
operating
from
brick
and
mortar
establishments.
That
are
often
these
days
operating
online
and
and
there's
a
there's.
A
number
of
other
examples
I'd
be
happy
to
follow
up
with
some
more
concrete
sources.
If
that
would
be
helpful.
I
And
this
is
some
women
watts
for
the
record.
I
would
just
like
to
add
one
more
thing
very
briefly,
which
is
that,
as
mr
brody
noted,
laws
with
this
level
of
protection
exist
in
in
a
few
states,
among
them
california
and
new
york,
so
a
lot
of
large
technological
platforms
are
already
adapting
their
policies
and
procedures
shareholding.
You
mentioned
some
of
the
adjustments
that
have
been
made
at
facebook,
so
we're
you
know
we're
seeing
less
of
this
as
the
digital
realm
evolved
and
as
some
of
these
laws
take
effect.
I
651.070,
which
is
the
provision
that
says
all
persons
are
entitled
to
the
full
and
equal
enjoyment
of
the
goods,
services,
facilities,
privileges,
advantages
and
accommodations
of
any
place
of
public
accommodation
without
discrimination
or
segregation
on
the
ground
of,
and
then
it
lists
the
protected
categories.
And
so
that's
where
it
includes
those
terms,
discrimination
or
segregation,
which
would
require
intent.
I
Thank
you
for
the
question
howard
watts
to
the
record.
So
if
a
transaction
happened
outside
of
the
between
somebody
inside
the
state
based
outside
of
the
state,
if
there
was
discrimination
against
somebody
inside
of
the
state,
then
they
would
have
access
to
the
recourse
under
our
under
our
current
statutes.
J
Sure,
david
for
the
for
the
record,
the
the
bill
is
probably
not
breaking
new
ground
here.
You
know
to
the
extent
that
in
the
past
you
know
mail
order,
businesses
had
served,
people
in
the
state
but
been
based
out
of
state
or
banks
or
or
insurance
companies
were
serving
people
in
the
state
but
based
out
of
state
there's,
there's
various
other
scenarios
in
which
you
know
these
issues
have
likely.
You
know
been
addressed
and
and
and
already
applied.
J
So
you
know
to,
as
as
as
the
assembly
member
watt
said,
you
know.
If
so,
if
a
business
is,
is
based,
headquartered
outside
of
the
state
and
is
providing
services
to
your
residents,
you
know,
anytime,
anyone
is
doing
business
in
the
state.
They
are
availing
themselves
of
the
state's
laws
they're
there
and
and
the
the
you
know,
privileges
and
immunities
and
accommodations
of
the
state,
and
you
know
one
of
the
the
requirements
of
doing
business
in
the
state.
Is
you
have
to
subject
yourself
to
the
state's
laws?
A
B
Yes,
thank
you
chair,
and
I
have
three
questions,
so
I
could
ask
them
really
quickly
or
I
could
ask
them
one
at
a
time.
What
would
you
prefer.
B
Sure
so
one-
and
forgive
me
if
I
missed
this,
but
as
this
law
been
enacted
in
other
states,
that
might
help
with
some
of
the
clarity
around
what
this
actually
looks
like
and
then
the
next
two
questions,
because
I'm
having
I'm
not
as
as
familiar
with
the
public
accommodations,
would
be.
How
would
this
be
monitored
and
enforced?
I
Thank
you
for
the
questions.
Assemblywoman's
tools,
howard
watson's
record
I'll,
have
mr
brody
provide
the
exact
list
of
states
that
this
similar
policies
are
enacted
in,
but
there
are,
I
believe,
five
were
mentioned
during
his
presentation
in
terms
of
how
this
would
be
monitored
and
enforced.
It
really
is
something
that
would
arise
on
a
complaint
basis,
so
somebody
would
have
to
be
the
subject
of
discrimination
and
compile
evidence
of
that
discriminatory
act
under,
and
this
also
ties
into
the
second
part
of
your
question.
I
Under
our
public
accommodations
law,
there
is
a
private
right
of
action,
so
if
somebody
has
been
discriminated
they
can
file
suit.
If,
for
anyone
who
is
actively
tr
working
to
restrict
somebody's
equal
enjoyment
and
access
to
goods
and
services,
the
it
is
considered
a
misdemeanor,
and
so
the
state
could
bring
something
forward,
and
I
believe
there
is
also
a
provision
for
a
complaint
to
be
filed
with
the
equal
rights
commission
or
nerc.
So
those
are
the
remedies
that
exist
in
current
law
for
public
accommodations,
but
essentially
there
would
not
be
outside
enforcement.
J
Thank
you,
david
for
the
record.
With
regard
to
your
first
question
about
other
states.
Currently,
california,
colorado,
new
mexico,
new
york
and
oregon
apply
their
public
comment:
public
accommodations
laws
to
the
internet,
the
district
of
columbia
recently
passed
legislation
in
december,
but
it
has
not
come
into
effect
yet,
and
there
are
another
17
states
whose
statutes
are
highly
similar
to
this.
The
to
one
of
the
states
that
does
apply
their
law
online
and
the
issue
just
hasn't
come
up
in
their
courts.
J
Yet
so
the
of
these
17
other
states
we
we
believe
that
their
laws
likely
would
apply
to
the
internet.
If
the
question
arose
and
then
there's
about
I'm.
Looking
at
my
my
report
here,
I
think
there's
about
12
to
15
states
or
jurisdictions
where
the
the
law
is
unclear.
Maybe
it
applies.
Maybe
it
doesn't.
Nevada
is
in
that
list
and
then
there
are
six
states
where
the
law
is
unlikely
to
apply
to
the
internet.
J
Only
two
states
that
I'm
aware
of
where
the
law
explicitly
does
not
apply
and
then
there's
six
states
that
do
not
have
a
public
accommodations
law
at
all,
or
at
least
not
a
general
purpose.
One.
C
Thank
you,
madam
chair,
mr
brody,
miss
dickman
sort
of
took
my
question,
but
I
need
clarification
on
it.
If
I
may,
on
misdemeanors,
I
have
a
business
where
somebody
has
a
business
out
of
state.
C
J
David
brody
for
the
record,
so
I
am
I'm
not
expert
in
nevada
criminal
law,
so
I
don't
want
to
speculate
too
much
on
on
how
you
would
prosecute
such
a
case,
but
I
imagine
that
your
prosecutors
have
procedures
in
place
for
bringing
criminal
charges
against
people
who
are
out
of
state
when
such
circumstances
arise
in
in
terms
of
of
civil,
a
civil
complaint.
J
You
know
it
would
be
similar
to
any
any
other
instance
in
which
someone
who
is
out
of
state
committed
a
tort
or
other
sort
of
of
civil
infraction
against
an
in-state
resident.
You
would
you
know
you
would
either
file
a
complaint
with
your
civil
rights
commission
or
go
to
court,
and
jurisdiction
is
one
of
the
things
that
the
court
would
adjudicate.
I
C
A
Mr
I'll
make
sure
our
legal
gets
an
answer
to
the
committee
for
us
when
he
is
not
with
us
today,
but
us
he
has
been
answering
questions
because
he
watches
the
committees
as
he's
drafting
and
so
I'll
make
sure
he
gets
an
answer
to
us.
C
I
appreciate
that.
Could
we
also
include
what
the
product,
in
short
terms,
not
long
legal
terms,
the
process
on
the
civil,
where
the
tort
would
be
filed,
whether
it
be
here
in
nevada,
have
to
be
a
federal
case
or
go
to
where
the
business
is
those
two
clarifications?
Please?
Yes,
thank
you
for.
A
F
F
Yes
sure
to
testify
in
opposition
on
ab207,
please
press
star
nine
now
to
take
your
place
in
the
queue
again.
If
you
would
like
to
testify
in
opposition
on
av207
press
star
nine
now
to
join
the
queue
color
with
the
last
three
digits
of
five
to
eight,
please
slowly
state
and
spell
your
name
for
the
record.
You
will
have
two
minutes
and
may.
F
F
F
C
Good
afternoon,
chair
and
members
of
the
committee
for
the
record
paul
moratkin
m-o-r
a-d-k-h-a-n
with
the
vegas
chamber,
I
appreciate
the
conversations
that
we
have
had
with
the
sponsor
and
the
proponents
of
the
bill.
The
chamber
does
not
support
discrimination
and
supports
equal
access,
treatment
and
protections
for
all
nevadans,
as
we
have
shared
with
the
bill
sponsor,
we
are
trying
to
understand
how
the
bill
would
affect
those
online
establishments
that
are
fully
automated,
with
no
human
interaction
or
involvement.
C
Our
concern
is
how
would
be
determined
that
online
establishment
would
be
in
violation
of
existing
state
laws,
as
it
applies
to
equal
access
and
protections.
We
are
working
on
proposing
amendments
that
we
hope
will
provide
greater
clarity
for
businesses
that
would
preserve
the
intent
of
the
bill.
Thank
you,
chair
and
members
of
the
committee.
F
F
F
F
F
For
those
who
recently
joined
the
call,
if
you
would
like
to
testify
and
support,
excuse
me
in
opposition
on
ab207,
please
press
star
9
now
to
take
your
place
in
the
queue
caller
with
the
last
3
digits
of
1
1
4,
please
slowly
state
and
spell
your
name
for
the
record.
You
will
have
2
minutes
and
may
begin.
D
Greetings,
chair
hatagi
members
of
the
committee
amber
stidham,
that's
amber
sti
on
behalf
of
the
henderson
chamber.
We
do
also
want
to
say
thank
you
to
assemblyman
watts
for
bringing
this
bill
forward
and
being
open
to
working
with
stakeholders
respectfully.
We
are
also
opposed.
I
also
want
to
be
clear
that
the
chamber
certainly
does
not
advocate
for
discriminatory
viewpoints
on
it
for
itself
or
on
behalf
of
its
members,
but
we
do
feel
compelled
to
protect
our
members,
rights
and
the
rights
of
all
of
our
business
owners.
A
few
notes
I
wanted
to
share
today.
D
Our
chamber
is
also
concerned
about
the
bill
definition
of
private
online
discussion
forum
as
it's
written
limitations
in
section
two,
referring
to
a
limit
of
not
more
than
one
thousand
members
and
excluding
excluding
operators
who
regularly
receive
payments
from
non-members
as
part
of
their
business,
we
believe
is
potentially
unconstitutional.
D
These
limitations
could
create
a
severe
intrusion
on
certain
businesses,
rights
to
expressive
association,
which
we
believe
is
protected
by
the
first
amendment,
and
while
it's
possible
that
this
language
might
violate
a
businesses,
constitutional
rights,
the
fact
that
it
could
violate
those
rights,
we
believe,
could
be
an
issue
at
some
point
in
this
bill.
If
it's
passed
as
written
we'd
be
open
to
having
some
discussions.
Thank
you
so
much
for
hearing
our
concern.
F
F
Good
afternoon,
gentlemen,
harigi
and
the
members
I
totally
apologize,
I
was
trying
to
find
my
star
9
to
support
ab207.
Can
I
still
go
ahead
or
do
you
want
me
to
call
back.
F
Oh,
thank
you
so
much
so
I
we,
this
is
dara
mcginnis
d-o-r-a-m-a-r-t-I-n-e-z,
I'm
representing
the
nevada
disability
peer
action
coalition
where
people
with
various
disabilities-
and
we
support
this
bill.
It
may
not
cover
what
the
position
we're
talking
about
fully,
but
I
believe
it
is
a
start
and
she
was
referring
to
the
federal
ada.
But
this
is
more
to
nevada.
Statewide,
and
you
know
I
mean
people
don't
discriminate
against
the
the
franklin
and
the
lincoln.
F
So
I
think
that
you
know
money,
so
I
think
that
people
with
who
who,
if
anybody,
who
is
willing
to
recognize
in
their
business,
should
be
able
to
have
that
opportunity.
Thank
you
very
much
have
a
good
afternoon.
A
Thank
you,
miss
martinez,
and
it's
okay.
We
are
all
still
getting
used
to
this
virtual
world,
madam
secretary,
if
we
please
just
make
sure
to
add
her
testimony
in
the
support
category
broadcasting,
if
we
could
take
the
next
caller
in
opposition.
F
F
F
A
Thank
you
broadcasting.
Can
we
check
to
see
if
there's
anyone
wishing
to
testify
in
neutral
on
the
telephone
line.
F
I
I
I
I
look
forward
to
working
with
some
of
the
folks
who
called
in
on
an
amendment
to
clarify
and
align
the
intent
for
those
who
have
worked
on
public
accommodations
law
before
you
know
that
we
we've
done
some
other
things
to
make
sure
that
ladies
nights
and
other
things
are
are
protected
and
we'll
make
sure
that
we
get
this
worked
out
in
a
way
that
provides
clarity
and
is
the
nevada
way.
I
The
other
thing
I
just
know
big
very
quickly
on
some
of
the
remarks
about
federal
law
and
federal
case
law.
My
personal
opinion
is
that
case
law
can
change.
Of
course,
we
are
working
to
everyone.
I
think
is
working
to
to
update
things
to
accommodate
our
new
reality
with
the
the
presence
of
e-commerce.
I
I
just
want
to
make
sure
that
our
state
statutes
are
are
solid
so
that
people
can
enjoy
it
again.
The
same
access
to
goods
and
services
free
from
discrimination
and
have
the
same
legal
protection,
whether
they're
in
a
brick
and
mortar
or
online,
and
that
there
is
no
intent
for
this
to
have
put
any
additional
restrictions
or
requirements
on
existing
brick
and
mortar
businesses
in
the
state.
So
we
hope
to
be
back
before
you
soon
for
a
work
session
with
the
proposed
amendment.
I
A
I
will
now
open
the
hearing
on
assembly
bill
327,
which
requires
certain
mental
health
professionals
to
complete
continuing
education
relating
to
cultural
competency.
We
have
assembly
member
taurus
here
with
us
to
present
the
bill.
Welcome
to
the
assembly
committee
on
commerce
and
labor
miss
stories
when
you're
ready.
You
can
begin.
G
Future
howdy
vice
chair
carlton
and
members
of
the
committee
for
the
record.
I
am
assemblywoman
selena
torres
representing
assembly
district
3..
Thank
you
for
allowing
me
to
present
ab327
for
your
consideration.
This
measure
requires
mental
health
professionals
to
complete
continuing
education
relating
to
cultural,
competency
and
diversity,
equity
and
inclusion.
G
Based
off
of
my
conversation
with
stakeholders,
I
am
presenting
a
conceptual
amendment.
It
has
been
emailed
to
all
members
of
this
committee
and
has
already
been
posted
on
that
list
today.
I
will
also
be
co-presenting
with
dr
sandra
gray,
a
licensed
psychologist
and
ms
denisha
mingo,
ceo
of
mingo
health
solutions
and
a
licensed
behavior
analyst.
Last
session
we
passed
two
bills
senate
bill,
364
and
senate
bill
470,
which
requires
medical
facilities
licensed
in
nevada
to
follow
various
procedures
surrounding
cultural
competency
in
the
workplace.
G
These
procedures
include
anti-discrimination
policies
and
the
annual
completion
of
a
certified
cultural
competency
training.
As
many
of
you
know,
cultural
competency
training
focuses
on
skills
and
knowledge
that
value
diversity
understand
and
respond
to
cultural
differences
and
increase
awareness
of
providers
and
care
organizations
cultural
norm.
Last
summer,
dr
sandra
gray,
who
is
a
licensed
nevada
psychologist,
reached
out
to
me
expressing
her
interest
in
ensuring
that
all
licensed
mental
health
professionals
in
nevada
also
receive
training
on
cultural
competency,
not
just
those
persons
employed
by
a
medical
facility.
G
We
know
that
effective
health
communication
is
as
important
to
health
care
as
clinical
skill.
There's
strong
evidence
that
cultural
competency,
training
for
health
care
and
mental
health
professionals
improves
providers,
knowledge,
understanding
and
skills
for
treating
patients
from
culturally,
linguistically
and
socioeconomically
diverse
backgrounds
to
effectively
serve
these
diverse
communities.
We
need
healthcare
practitioners
who
understand,
respect
and
value
all
of
the
cultural
differences
and
perspectives
towards
mental
health.
G
I'm
going
to
begin
with
the
bill
summary
and
then
I'm
going
to
go
ahead
and
introduce
my
co-presenters
ab327,
as
amended
requires
a
psychiatrist,
physician
assistant
practicing
under
the
supervision
of
a
psychiatrist,
nurse
marriage
and
family
therapist,
clinical,
professional
counselor,
social
worker,
clinical,
alcohol
and
drug
counselor,
alcohol,
drug
counselor
or
problem
gambling
counselor
to
complete
at
least
two
hours
of
instruction
concerning
cultural
competency
and
diversity,
equity,
inclusion
as
part
of
his
or
her
continuing
education
as
you'll
notice.
In
the
conceptual
amendment,
the
change
to
section
2,
subsection
3c
makes
it
so.
G
G
This
amendment
will
allow
for
the
employees
and
medical
facilities
that
are
required
to
complete
the
training
in
accordance
with
sb
364
from
the
2019
legislative
session
to
use
the
training
already
mandated.
Madam
chair,
with
your
approval,
I
will
go
ahead
and
allow
for
miss
denisha
mingo
to
provide
some
additional
remarks.
Yes,.
E
Sorry,
hello.
Everyone
thanks
for
having
me
today.
Thank
you
for
carrying
this
build
that
nisha
mingo
for
the
record.
I
am
the
owner
of
mingo
health
solutions.
I've
been
in
business
five
years
and
been
a
rehab
practitioner
in
nevada
since
2011,
I'm
also
a
nevada
native
las
vegas
native,
and
I
am
in
support
of
this
bill.
It
is
critically
important
in
my
history
working
in
the
in
the
field
with
people
who
have
mental
behavioral
health
issues.
E
Secondly,
many
who
have
tried
to
access
mental
health
support,
felt
judged
or
misunderstood
by
their
provider
and
that
deterred
them
from
continuing
with
treatment.
Likewise,
being
a
professional
and
having
many
friends
who
are
also
professionals
and
used
to
working
in
environments
that
are
largely
white
or
just
non-minority,
so
definitely
having
no
issue
with
you
know
being
the
one
or
two
few
minority
in
such
environments.
E
So
I'm
in
support
of
this
bill
specifically
because
since
the
workforce
is
not
reflective
of
and
because
I
do
a
lot
of
advocacy
and
awareness
in
the
community,
I
get
so
many
people
reaching
out
to
me.
Looking
for
providers
who
meet
whatever
their
cultural
needs
are,
and
it's
important
that
when
any
person
walks
into
a
therapeutic
room
that
they
feel
safe,
that
they
feel
understood
and
they
feel
that
they're
not
going
to
be
judged
and
that
their
culture
and
background
is
going
to
be
taken
into
account
and
so
for
our
current
professionals.
E
Many
who
are
well
intentioned.
Sometimes
it's
just
lack
of
knowledge
and
with
requiring
these
ceus
for
continuing
education,
especially
as
we
continue
to
diversify
here
in
nevada
and
other
relevant
cultural
things
come
up.
We
want
to
make
sure
our
practitioners
are
just
knowledgeable
and
aware.
One
last
thing
I'll
say
is
that
being
a
business
owner?
E
I
have
seen
therapists
who
have
worked
for
me
very
passionate
about
working
with
all
communities
and
even
those
underserved,
just
literally
not
have
the
skills
to
properly
assess
for
some
of
those
needs
that
many
of
our
minority
populations
experience
and
therefore
the
treatment
is
not
properly
targeted
just
because
they
haven't
assessed
and
we're
not
upset
with
them.
One-On-One,
and
I
said
oh
well,
did
you
look
at
this?
Did
you
look
at
this
and
they
said?
E
Well,
oh,
I
didn't
notice,
or
I
I
didn't
know
I
didn't
see
that
needed,
so
this
bill
is
just
specifically
making
sure
that
we
continue
to
be
proactive
and
reactive
actually
to
it
to
an
extent
in
nevada
to
support
every
person
who
wants
to
access
any
type
of
mental
health
care
needs.
So
thank
you.
G
L
All
right,
yeah,
sorry,
I
was
trying
to
unmute
myself
here.
Thank
you
so
much
assembly,
member
torres,
and
so
as
she
mentioned,
I'm
a
licensed
psychologist
here
in
las
vegas
nevada.
I've
been
in
the
mental
health
field
for
over
12
years
and
with
all
my
professional
experience
being
here
in
clark
county,
I
own
and
operate
a
group
practice
innovation,
behavioral
health
solutions.
L
I
specialize
in
trauma
working
with
communities
of
color
immigrants
and
a
neuropsychological
assessment
of
conditions,
including
autism,
adhd
learning
disorders,
traumatic,
brain
injury,
among
other
other
conditions.
One
of
the
things
that
I've
learned
in
the
last
12
months
is
that
the
coven
19
pandemic
has
highlighted
the
importance
of
mental
health.
Not
only
has
this
been
a
global
health
crisis,
but
a
mental
health
crisis
as
well.
L
Most
recently,
we
have
seen
violence
against
the
asian
american
community
and,
historically
and
currently
against
black
and
brown
communities.
However,
this
isn't
something
new.
The
ipoc
communities
have
consistently
experienced
health
disparities
throughout
our
history,
including
barriers
to
access
to
treatment
paired
with
systemic
oppression
that
further
aggravates
the
problems
we
face
with
regard
to
our
mental
health.
L
Gender
and
sexual
orientation
close
to
nine
percent
of
nevadans
under
the
age
of
65,
identify
as
experiencing
a
disability
over
12
percent,
live
in
poverty
and
over
five
percent
of
nevada's
adult
population
identify
as
lgbtq
licensed.
Mental
health
providers
are
often
not
equipped
to
provide
culturally
competent
treatment
to
diverse
populations,
given
that
providers
are
not
informed
of
culturally
relevant
factors
and
therefore
they
can't
be
culturally
responsive
without
training
and
education.
L
This
presents
many
implications
for
diagnosis,
treatment
and
outcomes
of
these
populations,
given
health
disparities,
barriers
to
treatment
and
cultural
factors
that
further
stigmatize
mental
health,
for
instance,
individuals
growing
up
in
low
ses
are
more
likely
to
experience,
trauma
higher
rates
of
stress
and
are
more
likely
to
experience
adverse
childhood
experiences,
all
of
which
negatively
impact
mental
health.
The
rates
are
even
higher
for
bipoc
and
often
result
in
the
criminalization
and
or
misdiagnoses
of
these
populations.
L
Non-Hispanic
blacks
are
about
twice
as
likely
to
experience
psychological
distress
yet
half
as
likely
to
access
treatment.
If
there's
worse,
for
our
native
populations,
who
are
two
and
a
half
times
more
likely
to
experience
serious
psychological
distress,
researchers
have
found
that
latinx
and
african-american
adults
are
more
likely
to
experience
ptsd
and
have
more
severe
and
chronic
symptoms
compared
to
their
white
counterparts.
L
It
can
further
assist
us
with
identifying
and
raising
awareness
regarding
social
justice
issues
and
how
bipoc
may
be
affected
by
those
issues.
Licensed
mental
health
professionals
provide
services
to
vulnerable
marginalized,
stigmatized
and
underserved
communities.
Therefore,
it
is
of
the
utmost
importance
that
providers
are
promoting
and
advocating
for
quality
equity
and
inclusion
through
culturally
responsive
service
delivery.
L
Due
to
their
lack
of
training
and
culturally
responsive
assessment
and
diagnosis,
continuing
education
requirements
are
intended
to
ensure
that
licensed
mental
health
professionals
stay
current
informed
and
provide
the
best
possible
care
for
the
individuals
whom
we
serve.
We
must
practice
cultural
humility,
which
is
a
lifelong
journey.
We
must
understand
not
only
the
unique
challenges
faced
by
diverse
communities,
but
also
comprehend
cultural
background
value
systems
and
appropriate,
evidence-based
treatments
that
address
mental
health
challenges
and
from
a
culturally
responsive
and
intersectional
perspective
diversity.
L
G
H
Thank
you
very
much,
madam
chair,
so
I
want
to
understand
I
I
totally
support
continuing
education
for
folks.
We've
done
this
a
number
of
times
over
the
years,
depending
upon
what
the
board
was
this.
This
is
very
overarching,
so
I
just
want
to
try
to
get
some
details.
So
when
we're
talking
about
this
two
hours
of
continuing
education,
some
boards,
renew
by
the
year
some
boards
renew
by
two
years.
H
I
know
I
was
very
lucky
when,
when
I
wanted
to
do
this
training
with
with
with
my
staff,
I
was
able
to
find
someone
who
was
willing,
since
we
were
a
non-profit
willing
to
do
it
for
free,
but
I'm
not
sure
that's
available
to
professionals
as
far
as
their
licensure
goes,
because
it
has
to
be
an
accredited
training
program.
So
I'm
just
wondering
if
it's
available
in
the
state
and
online
and
and
what
the
cost
might
be.
If
you
could
answer
those
questions.
G
So
the
first
part
of
the
question
the
way
the
legislation
is
right
now
because
we're
changing
it
used
to
say
six
hours
and
then
it
said
if
you
looked,
there
were
certain
sections
where
it
said
three
hours,
because
it
was
annual
so
with
the
the
intention
of
the
amendment
is
then
to
split
that
if
they
have
annual
licensing
and
I'm
sure
that
legal
will
help
us
with
that
when
we
get
closer
to
when
we
get
closer
to
a
work
session.
G
The
next
question
was
whether
or
not
this
training
was
available,
and
the
answer
is,
you
know,
with
every
board
that
I've
spoken
to.
There
are
considering
education
units
that
are
available
in
dei
and
culturally
responsive
education
for
that
profession,
so
the
training
is
very
much
available.
Nonetheless,
it
would
require
that
the
boards
kind
of
determine
what
you
know.
What
is
eligible,
what
training
counts
as
eligible
for
that?
G
So,
for
example,
in
my
conversations
with
one
of
the
associations
there's
ceus
on
gender
dysphoria,
that
would
be
a
com
that
would
be
a
training
that
the
board
could
then
determine
would
be
eligible
and
then
there's
also
training
on.
You
know
cultural
competency
and
diagnostics,
and
that
might
be
a
type
of
training
that
would
be
available.
G
So
that
would
be
at
the
leisure
of
the
boards
to
kind
of
determine
which
courses
exactly
but
there's
a
variety
of
different
topics
that
would
be
applicable
to
any
of
the
professions
included
here
and
as
far
as
the
cost.
I
think
that
that
would
be
the
same
class
as
there
are
ceus
right
now,
but
I
I
imagine
dr
gray
might
be
able
to
speak
more
to
that.
L
Yeah,
dr
sandra
gray,
for
the
record
yeah,
but
it
would
be
comparable
to
everything
else
that
we're
currently
paying
for
in
terms
of
continuing
education.
I
don't
see
why
this
would
be
more
or
less
than
any
current
training
that
we
are
attending.
G
And
to
be
clear,
this
is
out
of
the
requirements
that
they're
currently
doing
so,
for
example,
if
they're
required
20
ceus
they're
not
going
to
be
required,
22
they're
going
to
be
required
to
complete
20
ceus
and
two
of
those
will
have
to
be
in
cultural
competency.
H
That
adds
a
lot
of
clarification,
because
when
I
read
the
bill,
I
really
didn't
see
that
it
almost
and
thank
you
very
much
manager.
I'm
really
glad
the
assemblywoman
said
that,
because
every
time
we
do
this,
we
add
a
little
bit
more
on
a
little
bit
more
on
a
little
bit
more
on
and
it
gets
to
the
point
where
people
are
doing
their
job
and
then
they're
getting
their
ceus
and
they
may
get
to
see
their
family
once
or
twice
a
month.
H
So
I
just
wanted
to
make
sure,
and
that
would
be
up
to
the
board
then
as
to
how
they
would
want
to
substitute
it
for
other
ceus.
G
I
think
for
the
question
vice
chair
through
the
chair
to
the
vice
chair
for
the
record,
saloons
horace,
so
yeah,
the
board
would
be
able
to
just
like
how
they
have
done
with
suicide.
So
I
made
this
legislation
very
similar
to
ab93,
which
passed
in
the
2015
legislative
session,
and
that
was
the
current
majority
leader,
benitez
thompson's
piece
of
legislation
and
what
that
did
was
require
suicide
training
and
then
the
the
boards
determined.
What
what
that
looked
like,
and
so
that
would
be.
A
F
F
F
F
I
apologize
ab2
ab327.
I
apologize
as
amended.
I
want
to
thank
assemblywoman
torres
for
her
work
on
the
bill
and
willingness
to
collaborate.
The
nevada
nurses
association
believes
this
bill
is
very
timely.
Our
nurses
have
experienced
a
benefit
to
the
lgbtqi
training
promoted
in
a
hospital
setting
which
was
implemented
at
the
result
of
2019
legislation.
F
We
believe
that
ab327
is
the
next
logical
step.
As
assemblywoman
torrez
mentioned,
we
requested
the
expansion
of
the
ceus
to
apply
to
all
nurses.
We
believe
that
all
of
our
nurses
and
all
of
our
patients
will
benefit
from
the
education
on
cultural
competency.
Nevada
has
a
vast
array
of
cultures
in
the
state.
Diversity
is
part
of
what
makes
nevada
home
to
so
many
communities.
It
is
so
important
that
our
nurses
have
the
education
to
treat
each
patient
patient
as
an
individual
with
respect
to
their
cultures.
F
A
F
F
F
Thank
you,
madam
chair.
My
name
is
lauren
zita
santos,
l-o-r-e-n-d-I-t-a,
santos
s-a-n-t-o-s,
I'm
the
outreach
coordinator
for
one
api
nevada.
When
I
was
15,
I
had
a
mental
health
crisis
and
I
had
to
undergo
intensive
psychiatric
care
at
seven
hills,
behavioral
health
hospital.
Since
then,
I've
had
to
meet
with
several
mental
health
professionals
to
talk
about
my
struggles
as
a
second
generation
filipino
american
and
as
a
member
of
the
lgbtq
plus
community
many
mental
health
professionals
I
spoke
with
lacked
fundamental
knowledge
about
aapi
issues.
F
I
would
have
to
dedicate
time
during
these
sessions
to
explain
the
basics
each
session
each
session.
That
was
not
successful,
not
only
cost
time
but
cost
money.
The
lack
of
cultural
competency
is
a
barrier
for
me
and
members
of
the
aapi
community.
In
fact,
of
all
groups.
Aapi
adults
are
the
least
likely
to
seek
mental
health
services
by
having
a
cultural
competency
training.
It
ensures
that
members
of
the
aapi
community
are
heard
understood
and
properly
cared
for.
I
urge
you
to
support
ab327.
F
C
Thank
you,
chairwoman,
haudegee,
and
for
thank
you,
assemblywoman
taurus,
for
bringing
up
this
bill.
My
name
is
eric.
Chang
representing
asian
community
development
council,
as
director
of
outreach
e-r-I-c
last
name
is
j-e-n-g.
C
First
of
all,
I
want
to
little
the
last
testimony
from
mosantos
that
was
raw,
powerful
and
we're
here
to
support
our
community
members
nevada
right
now.
Three
million
people
state
asian
and
pacific
islander
are
growing
with
the
fastest
growing
minority
group
with
about
three
hundred
thousand,
and
we
want
to
be
here
to
dispel
the
minor
model
minority
myth.
We
are
not
a
monolith.
There
is
approximately
30
ethnic
groups
speaking
over
50
languages
here
in
nevada.
C
For
us,
this
is
the
right
step
towards
more
health
equity
understanding
of
cultural
sensitivity,
and
this
is
a
good
bill
right
now,
like
the
last
caller
said,
we
are
asian
americans,
asian
and
pacific
islander.
Americans
are
the
least
likely
to
seek
help
for
mental
health.
I
think
a
lot
of
it
come
from
culture.
Stigma
come
from
under
reporting
come
from
different
issues
that
needs
to
be
addressed,
and
this
bill
is
the
right
step
for
it.
So
again,
thank
you
again
for
this
opportunity
and
we
fully
support
this
bill.
F
F
You
are
unmuted
color
with
the
last
three
digits
zero.
Eight
five
hello.
Thank
you.
My
name
is
alyssa
cortez,
first
name
a-l-y-s-s-a,
last
name
c-o-r-t-e-s.
Thank
you
so
much.
My
name
is
alyssa
and
I'm
the
program
associate
for
university
of
quality,
a
statewide
lgbtq
plus
civil
rights
organization,
and
we
are
in
full
support
of
ab327
this
week
is
lgbtq
plus
health
awareness
week
and
mental
health
plays
an
important
role
in
the
health
of
our
communities.
F
Color
with
the
last
three
digits
of
six
five
three,
please
sell
the
state
and
spell
your
name
for
the
record.
You
will
have
two
minutes
and
they
begin
good
afternoon
chairwoman
and
the
committee
and
thank
you
so
much
for
celina
torres.
My
name
is
dora
martinez
I
feel
like
I
live
there,
I'm
calling
in
support
of
ab3.
F
I'm
sorry.
I
forgot
the
number
of
eight.
We
have
just
an
example.
Thank
you.
So
much
bless
you
so
an
example.
You
may
have
heard
I
am
blind
and
we
went
to
a
an
er
with
my
daughter
who
is
13
and
the
nurse
talked
to
her,
but
not
to
me
and
my
daughter
was
telling
her.
F
You
know
why,
don't
you
talk
to
my
mom
nothing's
wrong
with
her
she's
just
blind,
so
this
competency
will
include
people
with
disability,
awareness
and
and
all
the
other
awesome
stuff
that
you
guys
are
talking.
Thank
you.
So
much
have
a
good
afternoon.
A
A
F
Yes,
sir,
to
testify
in
opposition
on
ab327,
please
press
star
9
now
to
take
your
place
in
the
queue
again.
If
you
would
like
to
testify
in
opposition
on
ab327
press
star
nine,
now
color
with
the
last
three
digits
of
zero
nine
nine,
please
delete
state
and
spell
your
name
for
the
record.
You
will
have
two
minutes
and
may
begin.
M
Hello
and
good
afternoon
committee
people
and
thank
you,
chair
cargie,
for
allowing
me
to
speak.
My
name
is
jake
with
skirschen
standard
spelling
on
wisconsin,
just
getting
its
w-I-s-k-e-r-c-h-e-n
representing
myself,
and
that
I
do
have
a
background
in
sharing
my
licensing
board
and
actually
presented
in
front
of
this
committee
just
one
session
ago.
M
So
I
happen
to
agree
with
everything
that
the
bill's
presenters
outlined,
all
of
it
actually,
as
well
as
all
the
testimony
in
advance.
I
will
add
that
I
work
specifically
with
firearms
owners
who
are
some
of
the
most
stigmatized
individuals
when
it
comes
to
mental
health
treatment
because
of
continued
perceived
encroachment
upon
gun
rights,
nearly
all
firearms
owners,
including
police,
in
the
military,
without
being
retired
or
suspicious
of
therapy,
because
they
report
receiving
the
same
exact
judgment
as
listed
by
the
bills
presented.
What
was
that.
M
Yeah
327.
yep.
So
with
regard
to
cultural
confidence,
I
actually
teach
cultural
confidence
to
clinicians
about
the
stigma
of
firearms
owners
to
try
to
get
us
more
welcoming,
and
I'm
embarrassed
by
all
the
testimony
having
been
a
clinician
for
12
years
and
logged
about
20
000
hours.
My
concern
on
this
echoes
out
of
vice
chair
carlton,
wherein
the
legislature
seems
to
be
encroaching
upon
the
autonomy
granted
to
the
boards
to
create
the
content
by
which
they
would
govern
these
continuing
education
units.
M
So
our
collective
behavioral
health
professions
have
been
in
existence
for
nearly
six
decades
now
dating
back
to
1963,
when
the
psychological
board
of
examiners
was
created
and
until
about
2017
or
2015.
M
All
of
the
content
was
deferred
to
the
licensing
boards
to
be
created.
In
the
last
couple
of
sessions,
though,
two
of
the
last
three
at
least
the
legislature
has
added
continuing
ed
credit
for
suicide
intervention,
and
now
this
cultural
competence
and
I'm
considerably
concerned
about.
M
I
I'm
a
little
concerned
also
that
we're
we're
entering
a
slippery
slope,
this
being
the
second
step
of
which,
wherein
if
we
continue
down
this
road,
we'll
be
squeezed
out
of
studying
things
that
we
like
to
do
with
regard
to
treatment
intervention.
So
I
stand
in
opposition
based
on
the
idea
that
this
could
open
up
the
door
for
multiple
vendors,
if
I,
if
I
may
say
so,
to
come
in
and
lobby
that
their
horses
that
they
sell
are
necessary
for
citizens.
Yes,
ma'am.
M
I
will
yup
absolutely
and
I
would
like
to
say
that.
A
F
F
F
N
F
N
F
Those
core
principles
within
the
system
of
care
include
family
driven,
individualized,
strength-based
and
evidence-informed,
youth-guided,
culturally
and
linguistically
competent,
provided
in
the
least
restrictive
environment,
possible,
community-based,
accessible
and
collaborative
and
coordinated
across
an
interagency
network.
Again
just
wanted
to
appreciate
the
efforts
of
ab372
or
327
and
testifying
in
neutral.
Thank
you
so
much.
A
F
F
Begin
good
afternoon,
chair
and
members
of
the
committee,
my
name
is
leah
case
l-e-a-c-a-s-e
here
today,
on
behalf
of
the
nevada
psychiatric
association
in
neutral.
We
just
wanted
to
extend
our
gratitude
to
assemblymember
torres
for
meeting
with
us
extensively
yesterday
and
working
on
the
amendments.
F
F
C
Good
afternoon
here
had
to
be
members
of
the
committee
on
commerce
and
labor
for
the
record,
this
is
daniel
gore
with
our
argentine
partners
on
behalf
of
our
client,
the
nevada
academy
of
physician
assistants.
Today
we
are
testifying
as
neutral
to
assembly
bill
327,
founded
in
1977
napa
goals,
not
only
improved
the
quality
of
healthcare
by
increasing
accessibility
throughout
the
state,
but
also
to
give
a
voice
to
physician
assistant
professional
through
education
and
advocacy,
with
over
1200
pas
working
in
every
facet
of
the
healthcare
industry.
C
C
A
Mr
perot,
would
you
please
spell
your
last
name
for
our
committee
secretary,
please
I
don't
see
you
signed
in
on
our
registration
form.
C
Sorry
about
that
chair,
let's
tell
my
name
is
d-a-n-I-e-l.
My
last
name
is
p-I-e-r-r-o-t-t.
G
A
Thank
you,
assemblymember
taurus.
I
will
now
close
the
hearing
on
assembly
bill,
320,
7.,
hey
members,
moving
on
to
our
next
agenda
item,
which
is
a
bill
hearing
on
ab366,
I
will
now
open
the
hearing
on
assembly
bill
366,
which
revises
provisions
governing
mental
health
records.
We
have
our
own
committee
member
assembly
member
tools
here
to
present
the
bill
when
you're
ready,
assemblymember
tools,
you
can
begin.
B
Thank
you
so
much.
Madam
chair
and
good
afternoon,
members
of
this
esteemed
committee
for
the
record,
I'm
assemblywoman
jill
tolls.
I
represent
assembly
district
25
and
today,
I'm
here
to
rep
to
present
assembly
bill
366,
which
exempts
recruit
recordings
of
certain
training
activities
from
the
retention,
maintenance
and
disclosure
of
health
care
records
by
mental
health
professionals
provide
background
information,
and
then
I
will
invite
dr
whitney
coke
owens
and
who's
the
president
of
the
psychology
board
and
lisa
scurry,
who
is
the
executive
director
of
the
board
to
present
the
details
of
ab366
with
your
permission
chair.
B
Thank
you.
So
the
use
of
recordings
to
advise
mentor,
supervise
and
train
new
mental
health
practitioners
is
a
widely
accepted
practice.
Trainees
may
record
audio
or
video
sessions
with
clients
for
their
clinical
supervisors
to
review
both
prior
to
the
meeting
for
supervision
and
jointly
in
supervised
sessions.
B
B
Specifically,
nrs
629.016
requires
all
practitioners
of
healing
arts,
including
the
professionals
covered
by
this
bill,
to
retain
health
care
records,
as
defined
in
nrs
629.021
assembly
bill
366
excludes
recordings
used
for
training
purposes
from
the
definition
of
medical
records
in
order
to
allow
for
their
destruction
as
soon
as
appropriate,
and
thank
you
chair
members
of
this
committee
with
that.
I
would
like
to
turn
it
over
to
my
guest
presenters
to
walk
through
the
specifics
of
the
bill.
C
N
N
Made
for
the
purpose
of
clinical
training
be
exempted
from
this
requirement,
which
would
allow
for
destruction
of
certain
mental
health
training
videos.
A
standard
practice
in
the
training
of
future
psychologists
is
that
video
recordings
of
psychotherapy
sessions
are
often
made
reviewed
by
training
supervisors
and
immediately
destroyed
training
clinics.
C
N
Highly
stigmatizing
content
goes
beyond
what
is
legally
mandated
for
recording
of
treatment.
It
increases
the
potential
impact
to
individuals
in
the
unlikely
circumstance
of
a
data
breach
of
a
hipaa
secured
server
server,
and
is
it
is
prohibitively
expensive
to
maintain
these
records
for
ucity
training
university.
Excuse
me
training
clinics,
which
are
often
cash-strapped
as
the
records
are
created
for
the
purpose
of
training.
These
recordings
are
exempted
from
need
for
entry
into
health
care
records
in
the
vast.
C
G
So
it's
important
to
note
that
the
standard
of
practice
in
the
field
of
psychology
for
training
and
supervision
of
students
that
this
has
been
the
practice
for
years,
psychologists
have
been
using
audio
and
video
recordings
for
training
purposes
only
and
have
not
included
them
in
the
patient
record.
For
reasons
already
discussed,
when
people
seek
mental
health
services,
they're.
Coming
with
the
understanding
and
belief
that
what
they
talk
about
in
therapy
will
be
kept
confidential.
G
Additionally,
psychologists
wouldn't
be
able
to
provide
the
training
necessary
for
students
in
order
to
make
sure
that
they're
the
best
psychologist
that
they
can
be.
So
the
purpose
of
this
bill
is
to
ensure
that
nrs
269021
healthcare
records
defined
matches
with
our
standards
and
practices
and
ensures
the
confidentiality
of
people
who
seek
psychotherapy
or
psychological
assessment
services.
G
A
B
G
Whitney
owens
for
the
record,
so
that's
a
great
question
so
because
it's
been
standard
of
practice
for
years,
psychologists
have
been
having
their
students
record
their
sessions
either
by
video
or
audio,
and
then
the
sessions
are
destroyed
in
2019,
we
were
approached
by
a
psychologist
at
the
university
of
nevada
reno,
who
you
know
the
some
of
the
attorneys
at
unr,
came
to
them
and
said:
hey
according
to
nrs
you
we
have
to
start
keeping
all
of
your
training
sessions
and
we
have
to
you
know
you.
G
You
have
to
upload
them
to
a
server
and
we
have
to
keep
them
and,
of
course,
a
psychologist
came
to
our
board
and
said:
how
do
we
manage
this?
Because
this
isn't
this
isn't
standard
of
practice?
And
this
isn't
what
we
do.
So
we
obtained
a
our
attorney
general's
opinion
on
this
and
decided
that
there
was
a
bit
of
conflict
in
our
standard
of
practice
in
nrs
and
so
we're
working
on
just
cleaning
this
up.
A
Okay,
perfect,
so
you
guys
weren't,
the
nr's
required
the
videos
to
be
kept,
but
it
had
been
the
practice
of
the
industry
to
destroy
them.
The
reasons
that
you
stated
and
now
you
to
be
in
alignment
you're,
changing
nrs
to
what
the
current
practice
of
the
industry
is.
Okay,
do
you
know?
When
do
you
know
when
that
was
put
into
statute?
The
requirement
just
keeps
the
recordings.
Was
it
put
in
there
for
a
reason
or.
G
Whitney
owns
for
the
record,
my
best
guess
I
don't
know
when
it
was
put
in
my
best
guess-
is
that
it's
just
a
language
that
nobody's
ever
caught
and
didn't
realize
that
you
know
that
it
was
in
conflict
with
our
standards
of
practices.
G
To
my
understanding,
nobody
does
keep
audio
or
video
recordings
for
the
exact
reason
that
we've
talked
about.
You
know
anybody
going
to
to
therapy
if
they
thought
that
somebody
would
hear
their
exact
words
or
that
those
words
could
come
back
later
in
either
litigation
or
after
their
death.
Nobody
would
ever
go
to
therapy.
A
F
A
F
A
B
Thank
you,
madam
chair,
and
I
appreciate
this
the
time
given
for
this
hearing,
and
I
know
it
seems
like
just
a
small
technical
cleanup,
but
I
think
it
could
have
some
big
implications
for
those
involved
and
I
would
urge
and
appreciate
your
support.
A
I
will
now
close
the
hearing
on
assembly
bill
366.
our
last
bill
hearing
today,
committee
members
is
assembly
bill
405.
I
will
now
open
the
hearing
on
assembly
bill
405,
which
revises
provisions
relating
to
insurance.
I
believe
we
do
have
the
division
of
insurance
commissioner
richardson
here
with
us
to
present.
So
when
you're
ready.
Ms
richardson
the
floor
is
yours
committee
members.
I
do
want
to
make
a
quick
statement.
There
had
been
various
amendments
to
assembly
bill
45.
A
At
my
request.
I
did
request
that
commissioner
richardson
not
present
every
amendment.
If
the
amendments
were
deleting
sections
and
only
speak
to
us
about
what
was
left
in
the
bill,
that
we
would
be
passing
so,
commissioner
richardson,
when
you're
ready.
N
Thank
you
very
much
on
and
good
afternoon,
tara,
hardy
and
vice
chair,
compton
members
of
the
committee.
My
name
is
barbara
richardson
and
I'm
the
insurance
commissioner
for
the
state-
and
I
do
realize
it's
friday
afternoon,
so
I
will
try
to
be
as
succinct
as
possible,
but
I
am
here
to
present
assembly
bill
45
and
it's
a
bill
that
addresses
a
variety
of
topics
related
to
insurance
regulation
in
the
state.
So
we
do
have
some
pretty
technical
bits
of
information.
N
So
if
you
have
any
questions,
stand
ready
at
the
end
to
take
care
of
those.
So
title,
57
of
the
nevada
eyes
statutes
contains
59
chapters
governing
insurance
and
it
did
provide
the
committee
with
a
table
that
that
gives
the
title
57
chapter
numbers
along
with
our
applicable
titles,
and
you
should
have
also
received
an
explanation
table
for
ab45
and
that
contains
section
by
section
summary
of
the
changes
in
current
language
being
proposed.
N
It
also
includes
a
reason
for
each
of
the
changes
being
proposed.
We
thought
that
might
be
helpful.
We
do
have
13
amendments
being
proposed
for
ab45
and
the
language
for
each
of
these
amendments
has
been
submitted
to
the
committee
as
well.
So
I'm
going
to
address
each
of
the
first
proposed
11
amendments
as
I
discussed
the
applicable
sections
of
the
bill
to
which
they
apply.
So
the
first
11
we're
proposing
have
come
through
numerous
discussions
with
the
industry.
N
N
This
is
barbara
richardson
for
the
record,
so
section
one
real
quick
is
just
the
introductory
language
and
noting
that
statutes
being
amendment
are
amended
so
section
two
we
actually
put
in
some
language
here,
but
we're
proposing
to
remove
this
section
with
amendment
number
one,
and
so
that
should
take
care
of
the
entire
section
too,
as
originally
submitted
section
3
is
intended
to
consolidate
licensing
bond
requirements
under
nrs
679b,
so
that
all
title
57
licenses
are
required
by
statute
to
carry
a
surety
bond
in
favor
of
statute
of
nevada,
as
the
condition
of
holding
the
license
will
have
uniform
surety
bond
requirements,
so
bond
documentation
requirements
currently
vary
by
license
type.
N
This
creates
challenges
and
inefficiencies
in
regulating
those
licenses.
In
addition,
the
surety
carriers
have
to
develop
several
different
types
of
bond
forms
to
meet
the
various
language
requirements
in
title
57,
so
these
proposed
changes
are,
will
allow
for
simplified
licensing,
license
applications
for
the
identities
required
to
hold
a
surety
bond.
We'll
also
help
the
vision
to
be
able
to
more
efficiently
and
maintain
and
enforce
the
requirements
moving
forward
across
the
licensees
and
in
this
particular
section,
the
vision
submitting
amendment
number
two,
and
this
is
going
to
provide
clarification.
N
That
section
three
only
applies
to
licensees,
where
existing
statutes
already
require
a
surety
bond
as
a
condition
for
holding
that
license.
There
are
no
new
requirements
put
in
place
for
that
section.
4
eliminates
the
requirement
that
for
service
of
process,
the
serving
party
leave
two
hard
copies
of
the
service
notice
with
the
division.
N
It
also
clarifies
that
the
service
may
be
made
by
leaving
the
underlying
documents
with
the
division,
as
well
as
clarifying
the
process
that
the
division
must
take
once
such
service
has
been
made
further
changes
to
create
a
uniformity
for
the
service
of
process
to
other
chapters
in
title
57
are
requested
by
our
proposed
amendment
number
three.
This
proposed
amendment
also
allows
division
to
forward
the
documents,
the
appropriate
broker
or
insurer
by
email,
therefore,
thereby
creating
a
faster
and
less
costly
process.
N
This
change
is
being
proposed
to
support
electronic
service
or
process
changes
that
have
already
been
embraced
by
the
state
of
nevada
and
the
insurance
industry,
sections
5,
14,
51,
56,
72
and
73
remove
the
fee
language
from
various
individual
licensing
chapters
and
they
add
those
references
to
nrs
680b
to
consolidate
all
licensing
fees
under
this
fees
and
taxes
chapter
in
the
the
statute
for
insurance
or
the
the
title
on
57
statutes
for
insurance.
N
This
allows
for
greater
ease
of
reference
for
regulators
and
for
our
licensees.
This
change
is
not
adding
any
new
fees
but
is
rather
just
moving
them
from
miscellaneous
individual
title.
57
chapters,
section
6
and
sections
46
through
53,
had
originally
been
posed
to
focus
on
licensing
profits
processes
for
service
contractors.
N
However,
there
was
a
supreme
court
case
that
came
out
of
nevada
on
march
4th
2020,
which
gave
us
the
information
that
we
needed
to
deal
with
the
service
contract
provider
statutes
so
to
address
this
and
to
deal
and
to
make
sure
that
we're
following
the
supreme
court
program
or
our
processes
and
their
decision
we're
proposing
amendments
for
a
number
six
which
delete
6
and
section
46-53
of
the
bill
dealing
with
service
contract
providers.
N
So
this
is
going
to
be
a
long
group,
so
section
7,
10,
17,
21,
36,
37,
39,
45,
49,
52,
55,
60,
64,
71,
74,
78
and
79
are
updating
the
bond
requirements
within
the
specific
licensing
chapters
to
follow
the
surety
bond
requirements
that
I
discussed
in
section
three.
There
are
two
amendments
to
the
original
proposed
language.
N
N
N
Currently,
renewal
provisions
vary
across
license
type,
and
this
change
will
simplify
requirements
on
our
licensees,
especially
those
who
hold
multiple
license
or
a
license
across
several
jurisdiction.
It
also
allows
the
vision
to
streamline
internal
renewal
process,
including
issuing
notices
and
handling
expiring
license.
N
It
also
provides
clarity
and
consistencies
for
our
licensees,
and
at
this
point
we
are
looking
at
at
the
division
holding
over
200
000
licenses
that
would
fall
under
these
different
section
and
updated
license
renewal
types
section
11
removes
the
requirement
to
list
all
members
of
a
managing
general
agent
to
be
provided
on
the
license
and
instead
adds
a
requirement
to
designate
one
individual
responsible
for
an
agency's
compliance
with
relevant
laws.
N
This
change
is
consistent
with
similar
license
types.
We're
proposing
amendment
number
five
to
further
clarify
the
division's
intentions
for
those
languages
or
language
changes
in
nrs,
683,
a
dot
140
and
to
make
them
clearer
and
more
concise,
listing
all
members
of
an
entity
lice
license
or
of
an
entity.
That's
light
already
licensed
is
hard
for
a
licensee
to
maintain,
as
these
employees
may
change
over
time
or
at
any
time.
So
this
is
a
burden
on
the
industry
that
provides
no
regulatory
benefit.
N
Section
12
establishes
clear
renewal
requirements
for
managing
general
agents.
The
current
licensing
provisions
for
managing
general
agents
does
not
address
license
renewals,
so
a
licensee
does
not
have
the
same
additional
protections
to
reinstate
their
license.
If
the
renewal
payment
is
late,
as
as
they
do
would,
if
they
were
another
type
of
licensee
section,
12
adds
the
language
that
applies
to
most
other
licensees
under
title
57
sections,
15
and
54
established
late
renewal
provisions
for
insurance
consultant
and
escrow
officers
licensees
respectively.
N
These
changes
are
consistent
with
similar
title
57
license
types,
but
we
did
add
under
amendment
55
arxman
amendment
5.,
removing
the
language
from
nrs692a.103
that
had
originally
conflicted
with
our
proposed
changes.
In
section
54.,
section
18
removes
language
regarding
the
automatic
refund
of
license
fees
upon
denial
of
a
license
for
motor
vehicle
damage
appraiser.
N
N
N
Currently
nevada
statutes
do
not
explicitly
allow
for
stop-loss
insurance
coverage
and
the
related
rules
are
instead
contained
within
the
nevada
administrative
code.
Sections
42-44
clarify
that
maternity
benefits
are
not
just
for
the
mother,
but
for
the
pregnant
person.
This
language
is
needed
to
make
nevada
statutes
consistent
with
gestational
carrier
laws
and
the
affordable
care
act
to
address
surrogacy
coverage.
N
Section
57
requires
an
insurer
or
insurance
group
to
annually
file
any
amendments
to
previous
year's
corporate
governance,
annual
disclosure
or
to
expressly
state
that
no
changes
were
made.
This
language
was
inadvertently
admitted
when
nrs
692c.3504
was
adopted
in
2017.,
so
the
division
is
proposing.
Amendment
number
eight
that
deletes
the
word
also
in
the
third
line
of
the
language.
That's
in
the
bill
right
now
to
clarify
that
there
are
not
two
filings
required
to
be
submitted,
but
rather
just
an
admitted
version
of
the
original
annual
disclosure.
N
It
also
clarifies
that
different
tax
and
filing
requirements
apply
once
the
certificate
of
dormancy
is
issued
and
that
dormancy
lasts
until
a
certificate
expires
or
is
revoked.
The
language
also
clarifies
that
upon
the
expiration
of
the
certificate
of
dormancy,
the
carry
must
be
in
compliance
with
all
the
provisions
of
nrs
694c.
N
That
are
applicable
to
holders
of
an
active
certificate
of
authority.
Section
59
allows
captives
to
use
federally
chartered
credit
unions
in
the
same
manner
as
federally
chartered
banks.
It
also
provides
that
the
division
may
perform
periodic
reviews
of
the
qualifications
of
captive
manners
and
be
able
to
disqualify
those
that
would
be
considered
unsuitable
under
nac
679b.039,
and
this
usually
applies
to
people
who
have
been
convicted
of
felonies
after
they've
already
gotten
their
initial
license.
N
61-63
clarify
requirements
related
to
confidentiality
of
information
submitted
in
connection
with
a
health
rate
filing
this
will
help
create
uniformity
across
all
health
plans
and
carriers
regarding
the
provisions
of
the
nrs
they
are
subject
to.
The
division
is
proposing
amendment
number
nine
that
corrects
the
quoted
subsections
to
only
include
the
relevant
statutes
of
the
nrs
one
section
and
got
added
by
in
error.
So
section
65
and
63
clarify
that
risk
retention
groups
are
subject
to
registration,
renewal
in
nevada
and
to
determination
of
hazardous
financial
condition
pursuant
to
nrs
688.205..
N
This
is
in
keeping
with
the
national
association
of
insurance
commission's
accreditation
requirements
and
it's
due
to
the
fact
that
rrg's
policies
which
had
not
been
thought
to
happen
originally,
but
we
have
now
discovered
across
the
the
nation
that
these
policies
are
being
sold
to
policy
holders
across
state
lines.
So
you
want
to
make
sure
you're
protecting
not
only
the
policyholders
in
your
own
state,
but
the
policyholders
in
other
states
as
well.
N
Sections
67-69
make
changes
to
the
financial
regulation
of
prepaid,
limited
health
service
organizations.
The
provisions
make
these
organizations
subject
to
the
defined
limit
of
investment
and
financial
examination
provisions
otherwise
applicable
to
nevada,
domiciled
life
and
health
insurers.
It
also
clarifies
requirements
related
to
the
confidentiality
of
information
of
information
submitted
in
connection
with
the
health
rate
filing
and
the
applicability
of
the
requirements
related
to
the
review
of
the
health
rate
filings
and
to
make
sure
that
they
apply
as
intended
and
in
conformance
the
division's
current
procedures.
N
Amendment
number
nine
also
corrects
the
subsections
in
section
67,
as
the
first
one
did
section.
676
provides
certain
employees
of
the
fraud
unit
within
the
division,
the
powers
of
peace
officer
for
their
duties.
This
change
allows
the
vision
to
fully
effectuate
its
charge
of
investigating
criminal
fraud,
complaints
sharing
and
accessing
criminal
information
or
referring
actions
for
criminal
prosecution.
N
Section
77
and
80
through
85,
have
been
put
into
the
proposed
bill
to
move
the
certification
and
financial
review
of
employee
leasing,
companies
from
the
division
of
industrial
relations
to
the
division
of
insurance.
This
language
was
mirrored
in
senate
bill
55,
which
has
been
amended
so
we're
proposing
removing
sections
77,
80
and
85
through
amendment
11.,
section
86
provides
for
the
repeal
of
nrs,
692a,
1.1043
and
nrs695f.180.
N
These
sections
are
no
longer
needed,
since
the
requirements
for
bonding
and
investment
respectively
are
being
updated
as
part
of
this
legislation,
and
then
section
87
provides
the
effective
date
of
the
sections
within
the
bill.
As
I
mentioned
earlier,
the
final
part
of
my
presentation
on
av
45
is
to
address
amendments
12
and
13..
N
Both
amendments
provide
new
rules
regarding
the
financial
regulation
of
insurers
and
they're,
based
on
recent
updates
to
the
national
association
of
commissioners
model
laws.
The
first
is
the
credit
for
reinsurance.
The
second
is
the
holding
company
act,
so
these
changes
are
necessitated
necessitated
by
federal,
preemption
dates,
which
were
included
in
the
bilateral
agreement
between
the
united
states
and
the
european
union
on
prudential
measures
regarding
insurance
and
reinsurance,
commonly
known
as
the
covered
agreement,
and
this
was
signed
by
the
united
states,
the
european
union
and
great
britain.
N
N
The
credit
for
reinsurance
act
itself
and
our
amendment
number
12
primarily
concerns
the
elimination
of
additional
collateral
requirements
for
reinsurers
domiciled
in
the
european
union
and
the
united
kingdom,
provided
certain
regulatory
criteria
are
met.
It
also
allows
for
reinsurers
domiciled
in
qualified
jurisdictions
to
obtain
similar
treatment
to
those
jurisdictions
that
are
subject
to
the
covered
agreements.
N
These
changes
provide
those
jurisdictions
to
give
u.s
based
reinsurers
the
same
treatment
and
recognition
afforded
by
eu
countries
pursuant
to
the
covered
agreement.
Therefore,
our
revisions
include
the
requirement
that
the
qualified
jurisdiction
must
agree
to
recognize
the
state's
approach
to
group
supervision,
including
group
capital,
that
the
eu
has
already
agreed
upon.
N
Amendment
number
13
contains
the
language
from
the
insurance
holding
company
system
regulatory
act
and
regulation.
It
is
intended
to
provide
u.s
solvency
regulators
with
an
additional
analytical
tool
for
conducting
group-wide
supervision,
and
this
is
in
light
of
the
new
requirements
under
the
government
under
the
covered
agreement.
A
Thank
you,
commissioner.
Richardson
members.
I
know
this
was
this.
Bill
was
a
lot
to
dissect
and
in
its
original
format
and
then
with
the
added
amendments.
So
we
are
available.
Thank
you
for
being
available
for
questions,
commissioner
richardson,
and
I
know
that
we
have
a
few,
I'm
gonna,
let
the
committee
members
go
first
and
then
I'll
answer
ask
my
questions.
But
let's
start
with
our
vice
chair,
carlton.
H
H
You're
now
asking
we
gave
you
two
positions
for
that
you're
now
asking
for
limited
powers
of
a
police
officer.
If
you
could
expand
upon
that,
because
I'm
always
very
cautious
about
putting
peace
officers
and
post-certified
folks
in
different
areas,
there's
a
lot
of
other
things
that
go
along
with
that,
like
heart
and
lung,
and
a
lot
of
other
components
that
that
go
with
that.
So
typically,
I
believe
you
would
turn
your
issues
over
to
the
attorney
general
or
just
to
someone
else.
So
I
just
have
some
concerns
about
limited
powers
of
a
peace
officer.
N
Vice
chair
carlton,
through
chairwoman
audi,
I
I
can
understand
what
you're
concerned
about
the
issue
comes
into
play,
though,
is
that
these
particular
folks
need
to
actually
get
access
to
criminal
justice
information.
N
The
plan
is,
as
you
noted,
to
turn
the
actual
litigation
or
enforcement
over
to
the
attorney
general,
but
the
the
group
needs
to
have
the
power
to
actually
pull
criminal
backgrounds
and
pull
criminal
information
in
order
to
perform
their
investigation
strategies
in
order
to
perform
to
send
that
information
over
to
the
attorney
general
to
actually
enforce.
H
H
So
I
I
was
my
impression
that
when
they
got
to
a
certain
point
it
was
going
to
be
turned
over
to
the
attorney
general
to
do
those
background
investigations
and
find
out
what
was
going
on
so
that
when
we
had
these
conversations
at
the
beginning,
it
was
never
the
intent
for
those
positions
to
turn
into
de
facto
cops.
So
I
have.
I
have
some
concerns
about
that.
A
Okay,
we
will
then
move
on
to
assemblymember
flores.
C
N
Move
so
yeah,
so
someone
flores-
I
just
wanted
to
verify
before
I
answered
you.
That
is
exactly
how
we
have
no
amendments
to
that
section.
C
C
Thank
you,
and
so
looking
at
the
original
language
and
I'm
looking
at
page
59
and
I'm
looking
specifically
at
lines
12,
I
see
so
specifically
nine
lines,
eight
through
12
or
14
13.
Excuse
me
lines
eight
through
thirteen.
They
talk
about
a
captive
insurer
and
I
see
there
that
you,
you
split
competence
and
experience
satisfactory
and
now
you're
you're,
referencing
back
to
nrs694c.210
and
then-
and
I
see
nrs694c.210
just
goes
back
to
the
requirements
of
a
catheter
mature,
and
so
I
just
wanted
to
understand
what
was
happening.
C
Sorry
about
that,
a
captive
mature
has
a
set
of
criteria
that
they
have
to
abide
by
pursuant
to
nrs
694c.210
and
now
you're,
saying
that
they,
when
they
are
employed
or
entered
into
a
contract
with
anybody
else
that
other
party
has
to
then
meet
the
same
exact
requirements.
And
so
I
just
wanted
to
understand
what
was
happening.
Why
we're
doing
that
and
then,
based
on
your
answer
I
would
have,
I
would
like
to
have
a
follow-up.
N
Certainly,
this
is
barbara
richardson
for
the
record
some
influence.
Basically,
it
comes
down
to
what
we
found
was.
Sometimes
there
are
folks
who
are
in
the
business
of
insurance,
who
have
been
unfortunately,
convicted
of
felony
and
they
come
in
through
the
side
or
through
the
edges,
but
there
is
a
federal
law,
18
usc
1033,
which
does
not
allow
anyone
who
has
committed
a
felony
of
financial.
N
Nature
to
be
in
the
business
of
insurance,
but
there
was
really
no
way
other
than
going
to
the
captive
company
themselves
to
make
sure
that
we
weren't
having
affiliates
get
into
the
the
business
of
being
supportive
insurance
or
insurance
people.
That
would
still
be
considered
in
the
business
of
insurance.
C
Thank
you,
madam
chair,
so
just
for
for
the
clarity
of
the
record
we're
only
trying
to
capture
those
folk,
because
when
I
look
at
nrs
694c.210
I
saw
that
there's
a
you
know
the
whole
host
of
items
in
there
that
we
talk
about
when
you
go
into
that
when
they
go
for
that
application
and
understandably
when
I'm,
when
somebody's
entering
into
a
contract
or
an
obligation
with
somebody
else,
you
know
I'm
just
thinking
it
through
the
lens
of
it,
maybe
something
very,
relatively
small
and
or
not
not
as
big
to
where
we
would
have
the
same
exact
criteria
set
in
place.
C
But
if
you're
saying
that
the
only
intent
is
to
capture
those
individuals
who
had
a
felony
and
they
were
coming
in
through
through
this
mechanism,
then
that
makes
sense.
So
I
just
wanted
to
make
that
point
clear
and
then,
madam
chair,
in
that
same
section,
I
wanted
to
follow
up
another
another
question.
N
And
assembly,
when
flores
is
spar
bridges
for
the
record,
that
that
is
what
we're
the
intention
is.
Is
we
don't
want
people
to
contract
with
folks
to
try
to
get
around
the
statutes.
I
C
C
When,
when
I
was
reviewing
that
it
talks
about
that,
you
have,
the
commissioner
may
observe
the
conduct
of
each
authorized
insurer
and
other
persons
who
have
direct
material
involvement
and
then
it
talks
about
if
they're,
unqualified,
disqualified
and
suitable
person
etc.
C
So
I'm
I'm
trying
to
understand
what
we're
doing
here,
because
you're
saying
the
commissioner
927,
the
commissioner
may
periodically
review
the
qualification
of
a
natural
person
or
business
organization,
but
isn't
that
something
you
already
can
do.
So
I'm
just
trying
to
understand
what
you
couldn't
do
before,
because
my
understanding
is,
you
could
do
that
already
and
why
we
needed
to
clarify
that
there
I
just
tried
and
again
I'm
just
trying
to
understand
what
was
happening,
that
we're
clarifying.
N
So
many
floors
the
spa
bridges
for
the
record.
Basically,
what
was
going
on
is
so
we
were
getting
information
and
we
have
been
getting
information
about
accountants.
We've
been
getting
information
about
actuators
who
are
supporting
the
captive
managers
or
the
captive
companies,
and
we've
also
been
getting
some
information
on
the
captive
managers.
The
real
issue
came
down
to
one
us
being
able
to
ask
that
question
at
some
point.
Is
you
know
with
without
having
to?
N
Actually
it
sounds
bad,
but
we
do
we
don't
want
to
spend
our
time
actually
doing
doing
background
checks
on
these
folks.
N
We
would
like
some
kind
of
an
attestation
that
the
captives
themselves
are
making
sure
that
they
are
not
they're
not
contracting
with
somebody
who
can't
be
in
the
business
of
insurance
and
sometimes
that
that
happens
by
you
know
finding
out
through
other
states
which
we
have
a
tendency
to
and
then
asking
the
captive
manager
or
captive
companies
to
ask
their
captain
managers
their
actuaries,
their
accountants,
just
to
to
verify
that
they
they
still
qualify.
A
B
Much
madam
chair
and
thanks
for
thank
you
for
working
with
stakeholders,
really
appreciated
the
amendments
and
and
the
complexity
of
everything
that
you
have
to
do.
This
is,
I
think,
my
third
time
through
the
insurance
omnibus
bills.
So
I
know
that
there's
a
lot
here
and
I
I
appreciate
all
the
work.
B
I
I
believe
we
have
a
letter
on
the
record
that
I'm
just
reviewing
and
I
wondered
if
you
could
just
it
has
to
do
with
self-insured
groups
and
and
maybe
just
give
a
little
background
on
the
the
sags
and
or
sic
codes
rather
and
and
that
have
were
put
in
place
when
they
first
were
authorized
and
then,
where
we
stand
with
that
today,
if
you
could
just
give
me
a
little
background,
I'd
appreciate
it.
N
Certainly
amount
amanda
tolls,
so
this
is
barbara
richardson
for
the
record,
so
the
s
ids
are
not
covered
in
any
part
of
our
bill,
so
we
haven't
actually
made
any
requests
to
make
any
changes
to
those
statutes.
N
A
B
Okay,
fantastic,
thank
you
so
much
and
one
one
last
question
and
I
I
know
anytime,
we
make
changes
to
any
sort
of
fees,
even
if
they're,
lowering
or
raising.
I
think
I
saw
sections
in
here.
I
just
wondered
if
that
made
this
a
two-thirds
bill
or
if
it's
just
a
simple
majority
bill.
I
didn't
see
that
on
the
amendment
or
the
original.
N
Assembly
women
told
us
this
is
barbaric
for
the
record.
The
intention
was
not
to
alter
them,
but
to
actually
put
them
in
a
place
where
all
the
the
different
types
of
licensees
could
find
them,
because
if
you
held
one
or
more
licenses,
you
sometimes
had
to
search
through
statutory
language
to
find
the
fees
for
one
and
then
the
other
ones
were
in
the
regular
fees
and
taxes
chapter.
We
were
just
trying
to
make
it
easier
for
everybody
to
find
the
information.
B
A
A
great
question
assemblymember
told
them.
I
will
ask
our
legal,
mr
sam
quast,
when
he
is
available,
maybe
to
get
that
information
to
us.
If
in
moving
fees
from
one
chapter
to
another
chapter,
it
does
make
it
a
two-thirds
bill.
A
Thank
you,
chair,
okay,
members,
any
other
questions.
Okay,
I
do
have
a
couple
of
questions.
Commissioner
richardson
and
I
know
we've
worked
long
and
hard
on
this
bill
for
many
many
months
and
it's
been
a
work
in
progress,
and
I
do
want
to
thank
you
for
working
with
stakeholders
and
I
think,
alleviating
a
lot
of
the
concerns
that
they
had
in
that
I
had
as
well.
A
I
know
one
of
my
biggest
areas
of
concerns
was
section
two,
because
I
just
felt
that
it
was
eliminating
any
due
process
by
revoking
a
license
without
a
hearing,
and
I
some
of
those
concerns
carry
throughout
the
bill
and
I
just
want
to
make
sure
I
I
think
they're
still
in
there,
and
so
I
just
I
want
to
ask
again
because
I
didn't
see
them
in
the
amendments,
but
this
language.
A
I
saw
throughout
the
bill
again,
and
it's
been
so
long
since
our
initial
meeting
that
I
just
I
just
need
to
ask
to
clarify
for
me
and
then
for
the
record
as
well,
but
in
many
of
the
sections
there's
language
in
here
that
addresses
that,
if
a
licensed
c,
the
licensee
is
required
to
inform
the
commissioner
of
each
change
of
address
or
electronic
email
address
within
30
days,
and
if
a
licensee
changes
his
or
her
business,
residence
or
electronic
address,
which
would
be
an
email
without
giving
written
notice.
A
A
I
don't
know,
if
maybe
I
missed
it
in
an
amendment,
but
I
still
have
like
really
heartburn
about
taking
someone's
license
away
without
due
process
without
a
hearing
and
that's
kind
of
what
section
2
did
and
we
deleted
that,
and
so
I
kind
of
want
you
to
address
this,
which
is,
I
found
it
in
multiple
sections
and
whether
it
was
in
the
amendment
and
I
just
missed
it.
N
So
this
is
barbara
richardson
for
the
record
chairman
hoggy.
How
did
he
oh?
Thank
you
for
that
question.
It's
it's
it.
One
section
two
was
very
confusing
because
some
of
the
concerns
about
how
title
57
also
worked
with
nrs
233,
which
is
the
general
administrative
code
for
how
you
handle
certain
types
of
issues
and
under
the
statutes
and
the
administrative
code
we
currently.
If
we
can't
find
you
and
we've
been
trying
to
look
for
you
and
give
you
information
as
a
licensee,
and
it
usually
happens
at
renewal
time.
N
There
is
a
requirement
to
work
through
a
diligent
search
which
we
do
do
with
using
certified
mail
and
any
other
process
that
we
can
possibly
think
of
to
try
to
find
somebody
who
seems
to
have
disappeared
off
the
face
of
the
earth,
and
then
there
is
a
a
hearing
that
actually
occurs
under
233,
and
then
we
send
a
notice
or
we
send
a
notice
or
we
perform
a
a
hearing,
and
then
we
take
the
license
down
based
on
trying
to
go
through
all
that
it.
N
It
takes
months
between
the
time
that
we
determine.
We
can't
find
somebody
in
the
initial
search
for
them
and
the
time
that
they
would
actually
have
a
license
going
down
and
all
that
time
we
are
required
to
try
to
find
them
using
any
means
possible.
So
and
that's
still
in
the
statutes.
So.
N
This
is
chairman
holly.
This
is
bob
richardson
for
the
record.
We
attempt
to
send
three
different
notices
before
we
take
any
action.
N
No,
the
final
notice
is
the
one
that
sent
certified
mail
to
all
the
addresses
the
known
addresses
prior
to
that
we'll
use
online
services
and
and
if
they're,
potentially
part
of
a
producer
group,
sometimes
we'll
try
to
find
them
through
that.
A
Okay
and
then
so,
I
think,
I'm
probably
going
to
need
to
have
more
conversations
with
you
about
this
area,
because
I
know
that
those
were
like
some
of
the
areas
that
I
had
the
biggest
concern
with
section
two
and
such
and
and
this
this
language
would
be
found
in
multiple
sections
depending
on
what
license
it
was
just
because
I
just
that
not
having
that
due
process
in
there
just
gives
me
really
big
heartburn
again
having
someone
having
just
sending
one
piece
of
certified
mail.
A
If
we
add
this
language
in,
it
would
just
be
one
piece
of
certified
mail
and
then
we'd
remove
the
hearing,
and
if
someone
doesn't
respond,
then
they
have
a
potential
to
lose
their
license,
and
that
was,
as
I
was
going
through
the
license
fee
structure.
Some
of
the
licenses
are
60
dollars,
but
some
of
them
are
250
and
some
of
them
are
1
300.
So
to
have
someone
you
know,
lose
their
license
and
then
have
to
reapply
and
pay
those
fees
again.
I
think
it's
just
it
just
I.
A
I
need
to
have
more
conversations
about
that,
because
I
don't
feel
comfortable
with
that
language
and-
and
I
wish
we
could
have
had
these
conversations
before,
but
we
were
limited
with
time
and
so
I'm
glad
we're
able
to
have
them
now.
I
do
just
have
concerns
on
another
section
as
well,
and
I
feel
like
this
might
have
been
amended.
A
So
you
might
answer
my
question
just
point
me
to
the
right
amendment,
but
again
one
of
the
conversations
we
had
before
regarding,
if
a
licensee
and
again
this
is
in
multiple
sections
as
well,
depending
for
which
licensee
we're
talking
about.
But
all
the
language
says,
all
fees
paid
by
the
applicant
within
the
application
for
a
licensed
c
are
non-refundable.
A
Now,
that's
non-refundable.
If
you
they
do
not
qualify
for
a
license
correct.
Why
is
it
that
we're
no
longer
refunding
licenses
to
licensees
who
may
not
qualify
now
someone
getting
their
insurance
producer
license?
You
know
paying
maybe
250
for
a
license,
then
getting
them
getting
denied
for
one
reason
or
another.
Now
they.
C
A
There
250
and
they're
also
out
the
potential
career
that
they
thought
they
were
going
to
have
to
make
money
so
not
when
we
were
previously
refunding
those
fees
and
now
we're
not
refunding
those
fees
again
in
another
area,
because
I'm
thinking
about
who
those
people
are
who
are
trying
to
get
it
right.
This
might
be
just
a
young
person
working
out
money
to
take
classes
to
then
take
pay
to
take
the
exam.
A
You
know
and
pass
the
exam
to
get
their
p
and
c
license
and
then
pay
the
250
dollars
to
get
their
property
and
casualty
license,
but
then
be
denied,
but
then
they're
not
just
out
the
licensee
money
they're,
also
out
all
of
the
money
they
invested
in.
Getting
to
that
point.
So
can
you
explain
to
me
why
we're
no
longer
refunding
them
their
license
fee
if
they
are
not
going
to
be
granted
a
license.
N
Certainly
so
this
is
barbara
richardson
for
record
the
funds
the
license
fees
are
already
non-refundable,
except
for
the
motor
vehicle
damage
appraisers,
that's
the
only
one
that
that
doesn't
specifically
allow
for
refunding
of,
or
I
mean
it
allows
for
the
refund
license,
but
to
help
you
understand
our
general
process
for
for
before
we
even
take
a
fee
from
a
an
applicant,
for
example,
for
a
producer
applicant.
N
You
can't
actually
finish
your
application
unless
you
qualify
in
the
first
instance,
so
the
only
way
that
you
would
get
through
the
door
and
end
up
having
to
pay
a
fee
is
if
you
actually
lied
on
your
application
and
and
somehow
said
you
qualified
when
in
fact
you
didn't
so
that's
usually
the
issue
that
we've
run
into,
and
that
doesn't
mean
that
we've
already
done
the
processing
on
the
application.
N
We've
already
reviewed
the
application,
but
in
order
to
actually
get
in
the
door
online
in
order
to
to
pursue
the
application,
you
would
have
had
to
take
a
test,
and
that
would
have
given
you
the
initial
qualification.
Then
you
would
have
to
fill
out
the
form
which
itself
filters
to
make
sure
that
you've
filled
out
everything
correctly
and
that
you've
provided
all
the
information
and
that
you
actually
there's
no
incorrect
or
answer
that's
going
to
disqualify
you
again
as
long
as
you've
been
honest
in
your
application.
A
But
you're
telling
me
every
other
licensee
under
this
chapter
has
that
same
provision
where
their
fees,
if
they
are
not
qualified
or
approved
for
their
license,
don't
get
their
their
license
refunded
every
single.
N
So
sharon,
how
do
you
this
is
about
richards
for
the
record
again,
I
will
point
out,
though,
that
when
you
say
qualification,
you
can't
get
past
the
front
door,
and
so
you
never
end
up
paying
if
you're
not
qualified.
N
Okay,
thank
you
and-
and
I
would
say
I
mean
I
I
I
want
to
make
sure
that
you
guys
do
know,
though,
that
there
is
an
allowance
for
return
of
erroneously
collected
fees
like
if
there
was
an
error
or
some
error
came
in
into
place.
We
would
look
for
at
a
request
for
returning
rosie
collective
fees.
Us
we
have
seen
this
sometimes
where
somebody
submits
twice
for
an
application.
But
that's
you
know,
that's
their
money
and
it
goes
back
to
them.
A
All
my
other
questions
that
I
had,
but
okay,
I'm
gonna,
do
one
last
check
for.
A
Okay
and
my
last
thing
that
I'll
say,
commissioner
richardson
I
I
agree
with
advice,
sure
carlton-
I
do
have
some
concerns
when,
when
we
look
at
peace
officers
and
extending
that
that
I
mean
I,
I
need
to
check
with
legal,
but
I
mean
meister
carlton
brought
up
a
good
point
by
giving
them
limited
powers
and
peace
officers.
Is
that
then
moving
them
into
categories
where
they
qualify
for
like
benefits
like
heart
and
lung
and
what
that
will
do
to
the
cost
for
our
local
governments.
A
So
I'll
check
with
our
we'll
check
with
our
legal
to
see
if
you
can
help
answer
that
question,
because
those
are
some
of
the,
I
think
the
duties
and
that's
what
the
attorney
general's
office
is
for
and
that's
why
departments
and
boards
are
all
issued
dax
to
help
work
with
these
certain
scenarios?
A
F
Yes,
chair
so
testify
and
support
on
ab45,
please
press
star
9
now
to
take
your
place
in
the
queue
again.
If
you
would
like
to
testify
in
support
on
aav45,
please
press
star
9
now
caller
with
the
last
three
digits
of
five
to
three:
please
slowly
state
and
spell
your
name
for
the
record.
You
will
have
two
minutes
and
they
begin.
C
Thank
you,
chair
hatagai,
and
members
of
the
committee.
My
name
is
tom
clark,
that's
t-o-m-c-l-a-r-k,
and
I'm
here
on
behalf
of
the
nevada
association
of
health
plans
to
present
a
friendly
amendment
to
ab45
in
2019,
we
worked
with
senator
ratty
on
senate
bill
234
and
that
bill
created
the
process
in
nrs679b.124,
whereby
insurance
carriers
would
notify
the
insurance
commissioner's
office
when
a
provider
was
denied
credentialing
into
a
network.
C
The
form
letter
devised
by
the
doi
is
sent
to
the
division.
At
the
time
of
the
denial
the
process
created
some
confusion.
So
we've
worked
with
the
commissioner's
office
on
the
amendment
before
you
and
you'll
see
that
the
change
the
nrx679b.124
allows
the
insurance
commissioner
to
determine
the
frequency
at
which
the
health
carrier
shall
submit
a
copy
of
the
form
letters.
C
And
finally,
madam
chair,
I
signed
in
to
speak
during
a
support
portion
of
the
hearing,
but
I
need
to
state
for
the
record
that
my
members
are
reviewing
the
numerous
amendments
that
were
put
forward
today
and
I'd
like
to
reserve
the
ability
to
switch
to
opposition
or
neutral
in
the
future.
If
that
occurs.
Of
course,
I
will
definitely
reach
out
to
commissioner
richardson
and
staff
to
address
those
concerns.
F
K
K
The
consortium
has
been
in
communication
with
the
division
of
insurance
for
several
months
regarding
regulatory
requirements,
one
of
which
is
the
requirement
that
self-insured
groups
maintain
rating
and
reporting
data
using
standard
industrial
classifications
or
sic
codes.
In
short,
sic
codes
are
a
holdover
from
the
old
state,
industrial
insurance
system
or
assist.
K
K
A
B
Sometimes
I
think
my
papers
on
my
lap
mess
up
the
microphone.
Is
that
better?
Yes,
okay,
thank
you!
So
thank
you,
miss
chambers,
for
that
testimony
and
and
for
submitting
it
on
nellis,
so
we
could
review
it.
So
I
I
understand
that
the
self
insurance
came
into
came
into
being
in
1993.
B
If
I'm
reading
this
correctly,
there
are,
the
sic
codes
were
enacted
in
1993
when
self-insured
groups
were
first
permitted,
as
you
just
said
in
your
testimony,
but
then
they
became
obsolete
in
1999
and
so
you're
asking
for
this
change
now-
and
I'm
just
wondering
has
this
been
something
that
you
have
been
working
on,
trying
to
get
changed
since
1999
or
is
there
some
reason
why
you're
in
in
this
session
you'd
like
to
see
this
changed?
K
Yeah,
this
is
terry
chambers
for
the
record.
This
is
not
this.
There's
no
question
that
this
is
the
statute
should
have
been
addressed
a
long
time
ago.
I
can
only
say
that
you
know
there
the
reasons
for
not
doing
that,
having
been
at
the
division
at
that
time-
probably
vary
by
commissioner
and
by
session,
and
what
the
needs
were
of
the
insurance
division
at
that
time.
K
The
only
reason
that's
an
issue
now
is
because
a
commissioner's
staff
has
been
very
adamant
about
groups
using
sic
codes
and
adhering
to
those
statutes.
Quite
literally
f616b407
actually
has
a
provision
that
allows
the
commissioner
to
prove
an
alternative
way
to
calculate
rates.
Those
that
alternative
has
been
rescinded
and
staff
has
advised
each
of
the
self-insured
groups
that
they
would
need
to
follow
those
statutes
and
they
would
have
a
year
to
comply,
but
even
with
a
year
to
comply.
K
That
means
that
we
would
have
to
convert
all
of
our
processes
to
sic
codes,
which
are
meaningless
to
both
the
division
and
to
the
groups
until
the
next
session,
when
one
would
have
another
opportunity
to
to
change
the
statute.
So
in
answer
to
answer
your
question,
there's
a
multiple
reasons
why
it
was
not
addressed
before
the
reason
it
has
become
critical.
Now
is
because
commissioner
staff
has
been
very
adamant
about
adherence
to
the
statutes
as
they
are
written.
B
Thank
you
for
that
answer,
and
I
guess
my
my
next
question
would
be
for
legal,
possibly,
but
I
know
that
could
be
offline
or
perhaps
the
commissioner
wants
to
answer,
but
the
commissioner
stated
that
this
bill
does
not
address
those
chapters,
so
I
guess
my
question
from
legal
is:
would
this
open
up
that
necessary
chapter
to
address
that
the
nrs616b
0.407?
B
If
it's
not
in
this
existing
bill?
I
just
would
love
some
clarification
and
maybe
we
take
that
offline.
K
I
believe
that
unless
they
were
amended
out
of
the
bill,
I
think
that
there
were
statutes
within
the
bill
that
did
address
chapter
616b,
and
so
I
don't
think
it
would
be
a
problem
to
to
adopt
the
amendments
that
we're
proposing.
K
But
if
they
have
been
removed
by
these
recent
amendments,
then
that
would
be
another
story,
but
that-
and
that
is
probably
another
reason
why,
for
many
years
it
didn't
get
taken
care
of,
because
all
of
the
other
statues
for
insurance
and
that
are
governed
by
the
department
of
division
of
insurance
are
in
title
57,
and
this
is,
you
know,
a
completely
separate
chapter
of
statute.
So
it
creates
problems.
A
Yes,
assemblymen.
I've
already
sent
a
message
to
confirm
the
information
with
mr
cross,
our
legal.
A
Okay,
broadcasting,
if
we
could
go
to
the
next
caller,
please.
F
C
The
chamber
was
originally
opposed
to
the
bill
as
drafted
because
of
the
concerns
associated
with
section
two.
However,
with
the
proposed
amendment
presented
today
by
the
division
of
insurance,
which
deletes
section
two,
we
would
be
neutral
with
adoption
of
the
amendment.
Thank
you,
chair
and
members
of
the
committee.
A
Thank
you,
mr
moroccan,
for
your
testimony
today.
Broadcasting
next
caller,
please.
N
So
this
is
barbara
richardson
for
the
record,
and
I
appreciate
that
terror
women
held
again
I
I
know
this
is
complicated.
So
if
anybody
has
any
questions-
and
you
want
to
reach
me
offline-
please
do
so
and
just
for
your
legal
research,
section,
77
and
80
through
85
were
where
we're
talking
about
industrial
relations,
data
that
was
all
removed
under
amendment
number
11.
If
that
helps
your
legal,
do
their
review.
A
Okay
removed
under
amendment
number
11..
Thank
you,
okay.
I
will
now
close
the
hearing
on
assembly
bill,
45
members.
That
brings
us
to
our
last
item
on
the
agenda,
which
is
public
comment
and
we'll,
while
we
are
giving
those
listening
over
the
internet
time
to
call
in
I'm
just
gonna
go
through
our
normal
public
comment
housekeeping.
A
I
just
want
to
remind
everyone
that
public
comment.
Excuse
me
is
an
opportunity
to
discuss
general
matters
that
follow
within
the
purview
of
this
committee.
We
have
already
given
the
public
ample
time
to
support
or
oppose
legislation
we
open
and
close
hearing,
so
that
we
can
establish
a
record
of
public
testimony
on
a
bill.
Therefore,
public
comment
is
not
intended
to
be
a
continuation
of
a
bill
hearing.
A
I
will
remind
of
people
that
we
do
those
listening,
that
we
do
limit
public
comment
to
two
minutes
and
again,
please
address
your
remarks
to
issues
that
fall
within
the
commerce
and
labor
committee.
If
you
direct
your
remarks
to
issues
that
are
outside
of
the
scope
of
our
committee,
I
will
ask
you
to
redirect
your
comments
or
terminate
them
and
remind
you
to
please
be
respectful
of
committee
members
and
other
witnesses.
Do
not
comment
on
testimony
provided
by
other
speakers
and
do
not
make
personal
attacks.
A
F
C
A
A
Okay
members:
this
concludes
our
meeting.
For
today.
Our
next
meeting
will
be
on
monday.
We
will
have
meetings
monday,
wednesday
and
friday
of
this
week.
I
do
want
to
note
that
you
should
have
received
two
agendas
for
monte.
We
will
be
meeting
at
1
pm
on
monday,
with
a
second
meeting
taking
place
at
6
00
p.m
at
night.
So
thank
you.
Committee
members
enjoy
your
weekend.
Our
meeting
is
adjourned.