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From YouTube: 5/5/2021 - Assembly Committee on Commerce and Labor
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A
A
Here,
madam
secretary,
please
mark
the
members
who
are
not
present
absent
excuse.
They
have
already
advised
me
that
they
would
be
showing
up
late
because
they
are
presenting
in
other
committees.
Welcome
to
those
who
are
here
present
in
carson
city
and
those
joining
us
online.
Welcome
to
the
committee
on
commerce
and
labor,
I
will
do
just
some
quick
housekeeping.
A
Please
remember
members
and
those
here
to
silence
your
electronics.
Also,
please
note
that
members
of
this
committee
will
be
using
their
laptops
to
view
exhibits
view
bills.
It's
not
a
sign
of
inattention
or
disrespect.
A
I
would
remind
everyone
that
all
exhibits
or
amendments
are
due
by
noon
the
day
before
the
committee
meeting
and
we
do
require
all
those
who
would
like
to
participate
on
zoom
or
give
testimony
or
be
here
in
person
to
register
online
at
the
legislature's
website
and
the
last
reminder
those
who
are
joining
us
on
zoom.
Please
remember
to
keep
your
cameras
on.
That's
the
only
way
we
can
see
you
and
know
that
you
are
with
us
with
that.
We
do
have
an
agenda
of
four
bills
that
we
will
be
hearing
today.
A
I
will
be
taking
them
in
order
with
the
exception
of
senate
bill
303.
I
know
that
senator
brooks
has
somewhere
else
to
be
so
we
will
be
taking
senate
bill
303.
First,
then
we
will
move
and
take
the
rest
of
them
in
numerical
order,
senate
bill,
44,
senate
bill
181
and
then
senate
bill
217..
So
with
that,
I
will
invite
senator
brooks
to
join
us,
and
I
will
open
the
hearing
on
senate
bill
303,
which
revises
provisions
relating
to
professions.
A
C
You
so
good
afternoon
to
chair
and
members
of
the
assembly
committee
on
commerce
and
labor,
I'm
chris
brooks
from
senate
district
3
down
in
clark
county,
and
today
I
will
be
presenting
senate
bill
303.
C
C
C
Since
since
the
we
fully
restored
the
residential
rooftop
solar
in
2017
legislative
session,
the
demand
has
skyrocketed.
With
that
increased
demand
has
come.
The
increase
in
bad
actors
in
that
industry
in
2017.
C
I'm
sure
most
of
this
committee
has
been
approached
by
salespeople,
been
called
or
received
text
messages
have
been
barted
with
online
ads
and
have
had
their
mailbox
full
of
advertising
for
solar.
Many
of
these
people
and
companies
are
unlicensed
and
are
misrepresenting
themselves
to
nevada's
consumers.
Some
have
posed
as
government
agencies
or
even
the
electric
utility.
Some
have
even
referenced
the
law
that
we
passed
in
this
committee
to
say
that
nevada
law
requires
you
to
get
their
product.
Many
even
claim
free
energy
and
non-existent
state
rebates.
C
I
had
two
young
men
come
to
my
door
right
after
a
2017
legislative
session,
to
tell
me
all
about
this
law
that
required
me
to
get
solar
now,
and
so
I
invited
him
in
for
a
cup
of
coffee
to
hear
all
about
it
and
and
quickly
got
on
the
phone
with
the
bureau
of
consumer
protection.
C
In
addition
to
deceptive
advertising,
some
of
these
companies
are
taking
nevadans
monies
in
the
form
of
huge
deposits
and
never
performing
the
work
senate.
Bill
303
aims
to
stop
these
practices
and
protect
consumers.
The
majority
of
residential
rooftop,
solar
companies,
nevada,
are
ethical
companies
that
provide
a
high
quality
product.
I
appreciate
all
the
help
that
they
have
provided
in
crafting
this
language.
I
have
worked
very
closely
with
the
nevada
state
contractors
board,
the
public
utilities,
commission
and
the
bureau
of
consumer
protection
while
drafting
this
bill.
C
If
it
pleases
the
chair,
I
would
like
to
turn
it
over
to
mr
tim
guestwine,
the
general
counsel
for
the
nevada
state
contractors
board
to
walk
through
some
of
the
provisions
of
the
bill
and
also
on
the
line
we
have
the
executive
director
of
the
nevada
state,
contractor's
board,
margie
green
and
so
mr
guestwine
chair.
Would
it
be
okay
if
mr
gaswine
goes
into
some
of
the
provisions
of
the
bill.
D
Good
afternoon,
as
mentioned,
my
name
is
tim
guestwine.
Perhaps
I
think
it
might
be
wiser
if
executive
officer
green
spoke
first.
She
has
some
overall
comments
that
might
help
illuminate
these
matters.
If
I
might
yield
to
her.
E
Yours,
thank
you
senator
brooks
and
good
afternoon,
chair
hodegri
and
members
of
the
committee.
My
name
is
margie
green
and
I'm
the
executive
officer
for
the
nevada
state
contractors
board.
I'm
here
today
to
testify
in
support
of
senate
bill
303,
which
aims
to
enhance
protection
for
consumers
engaged
and
engaged
in
the
installation
of
residential
solar
systems.
E
The
contractor's
board
has
worked
with
senator,
brooks
on
the
language
of
this
bill
and
agrees.
This
is
an
industry
where
additional
safeguards
are
necessary.
Legislation
passed
in
2017
and
2019
have
helped
encourage
the
residential
solar
market
with
the
highest
number
of
solar
installations
being
realized
in
2019.
E
According
to
the
solar
energy
industry
association,
there
are
currently
over
84
solar
companies
employing
over
7
000
workers
across
nevada.
The
increase
in
solar
activity
has
led
to
consumer
protection
concerns
regarding
misleading
sales
practices,
unrealized
energy
savings
financing
and
down
payment
practices
and
related
workmanship
issues.
Since
2016,
approximately
four
percent
or
331
of
the
licensed
complaints
received
were
against
solar
contractors
and
of
the
226
licenses
revoked
during
this
period,
21
or
9.2
or
solar
contractors.
E
The
damages
validated
through
the
recovery
fund
process
best
illustrate
the
board's
concern
for
the
public's
welfare
and
safety.
Since
2016
275
residential
recovery
fund
claims
have
been
awarded
to
homeowners
totaling
over
3.1
million
dollars.
Of
this
amount,
174
of
the
claims
were
against
solar
contractors
totaling
over
767
thousand
000.
E
It
is
important
to
note
that
the
total
amount
of
awards
would
have
been
greater,
if
not
for
the
monetary
limitations
in
place
for
the
recovery
fund
at
issue.
In
several
cases
is,
is
acceptance
of
large
down
payments,
some
even
requesting
full
payment
upfront
as
high
as
fifty
thousand
dollars,
followed
by
project
abandonment
or
substandard
workmanship.
E
It
is
our
belief
that,
by
enhancing
the
requirements
and
expectations
of
contractors
engaging
in
residential
photovoltaic
projects,
we
will
begin
to
see
a
noticeable
decrease
in
the
number
of
complaints
being
filed.
With
our
board,
consumers
will
be
afforded
greater
access
to
information
before
making
their
decisions.
E
E
Additionally,
it
will
help
to
provide
a
more
standardized
contracting
practice
within
the
solar
industry,
allowing
to
hold
the
board
more
accountable
and
ensuring
consumers
are
treated
fairly
throughout
the
residential
solar
process
and
at
this
time,
unless
there
are
any
questions,
I
would
like
to
turn
it
over
to
the
board's
general
counsel.
Tim
guess
when
to
walk
you
through
the
bill.
D
Thank
you,
chair
and
good
afternoon.
My
name
is
tim
guestwine
and
I'm
an
in-house
attorney
for
the
nevada
state
contractors
board.
I
want
to
address
six
areas
to
highlight
regarding
sb
303
section.
Five
of
the
bill
as
shorthand
is
defines
what
type
of
work
is
being
addressed
by
the
bill.
Essentially,
anyone
that
builds
a
residential,
solar,
photovoltaic
system
or
supervises
such
construction
will
be
subject
to
the
statute.
D
Now
importantly,
the
definition
was
developed
to
allow
nevada
homeowners
to
continue
to
seek
information
regarding
solar,
solar,
photovoltaics
without
mandating
that
their
educational
source
be
a
nevada
contractor
section.
Seven
of
the
bill
requires
anyone
that
builds
a
residential
solar
photovoltaic
system
to
obtain
the
required
building
permits
to
comply
with
the
board
statutes
and
regulations
and
to
meet
the
requirements
imposed
by
the
public
utilities
commission
or
by
any
electrical
distribution
system
to
which
the
residential
solar
photovoltaic
system
will
interconnect.
D
D
D
A
C
Excuse
me,
I
also
have
just
to
make
some
brief
statements
from
the
the
solar
industry.
I
have
sarah
birmingham
from
the
solar
electric
industries
association,
I
believe,
is
on,
and
then
I
also
have
mr
stephen
lasseter
from
sunrun,
which
is
the
largest
solar
company
here
in
the
state
of
nevada.
F
F
However,
misleading
claims
and
bad
actors
are
only
going
to
poison
those
consumers,
experiences
the
solar
and
then
they're,
going
to
tell
their
families
and
friends
and
neighbors,
and
we
really
want
to
ensure
that
these
bad
actors
do
not
put
do
not
dampen
our
our
industry,
and
so
we
really
appreciate
senator
brooks
bringing
this
issue
to
the
legislature,
and
I
think
that
other
states
will
be
looking
at
this
legislation
as
we
move
forward.
F
We
at
sia
are
strongly
committed
to
consumer
protection
and
we're
continually
developing
resources
designed
to
safeguard
customer
rights
and
providing
stakeholders
access
to
a
lot
of
relevant
materials
such
as
aca
solar
business
code.
We've
also
developed
residential
guides
for
consumers
to
look
at
so
that
when
they
receive
a
bid
that
they
will
understand
what
they're
looking
at
and
can
look
at
issues
from
an
apples
to
apples
comparison.
F
So
we
really
appreciate
the
partnership
that
we
had
on
with
the
nevada
state
contracting
board
and
the
bureau
of
consumer
protection
on
this
bill.
They've
been
very,
very
helpful
in
smoothing
out
any
issues
that
we
did
have
and
we
really
feel
that
the
bill
is
in
a
very
good
place,
and
so
I'm
here
today
testifying
in
full
support
of
the
bill.
D
Thanks
so
much
madam
share
members
of
the
committee
and
to
senator
brooks
thanks
for
the
opportunity
to
comment
today
on
this
important
legislation
which
sunrun
supports.
D
D
Our
office,
warehouse
and
national
training
center
is
in
henderson,
where
we
employ
several
hundred
nevadans.
We
have
15
000
customers
across
the
state
and
more
than
a
half
a
million
nationwide,
because
we
have
long-term
relationships
with
our
customers,
their
satisfaction
and
having
a
positive
customer
experience
is
critical
to
our
success
as
a
business.
D
We
definitely
want
the
industry
to
have
a
positive
reputation
in
the
state
and
in
every
state
and
to
be
free
of
bad
actors.
Consumer
protection
is
a
key
priority
for
our
company
and,
for
that
reason
we're
pleased
to
support
sb
303
and
greatly
appreciate
the
opportunity
to
have
partnered
with
different
state
policy
makers
and
its
creation.
D
B
Thank
you,
madam
chair.
Thank
you,
senator
and,
and
everyone
else
who
brought
this
bill.
I
think
it's
a
great
bill.
I
just
want
to
make
sure
that.
B
Wise
on
the
customer
side
of
electric
meter
means
it
has
to
be
attached
to
the
meter.
So
if
I
buy
solar
lights
that
I
put
in
next
to
my
driveway
that
are
not
attached
to
the
meter
or
something
solar
on
like
my
doghouse
for
a
fan-
that's
not
in
any
that's
doesn't
fall
under
this.
These
are
just
for
anything.
That's
hooked
up
to
the
electric
meter
to
the
house.
C
That
is
correct
this
this
through
you
chair
to
assemblywoman
consonant
this
is
applies
to
and
if
you
look
at
section
4.7,
the
work
applies
to
a
residential
photovoltaic
system,
which
is
a
distributed
generation
system,
as
that
term
is
defined
in
nrs
598.9804,
which
references
back
to
the
earlier
piece
of
legislation
that
we
were
talking
about,
that
it's
a
solar
electric
system
that
creates
electricity.
H
Thank
you
so
much
chair.
This
is
kind
of
a
I
hate
to
even
have
to
ask
the
question
because
section
8
2,
I
mean,
is
this
something
that's
happening.
A
lot
of
contractor
has
to
be
told
to
complete
the
work
diligently
and
not
refuse
to
perform.
It
seems
like
common
sense
right,
but
we
have
to
say
this
in
statute.
C
C
We
have
to
say,
because
there's
there's
not
just
this
industry
in
in
a
lot
of
different
industries,
but
it
has
come
to
this
industry
where
there
are
a
lot
of
folks
who
come
and
and
take
consumers
money
and
generally
it's
the
consumers
who
are
the
most
vulnerable,
whether
there's
a
language
barrier
or
some
sort
of
inability
to
read
or
discern
the
contracts,
and
they
they
take
their
money
and
don't
do
the
work,
and
so
we
we
unfortunately
do
have
to
make
it
very
explicit
that
that
they
have
to
complete
the
work
and
and-
and
this
is
the
manner
by
which
they
they
can
contract.
C
H
Thank
you.
I
just
agree.
It's
sad.
We
have
to
do
this,
but
so
this
with
this
bill,
will
it
be
easier
to
prosecute
those
people.
C
Assemblywoman
dickman
absolutely
and
what
this
kind
of
does
is
it
ties
together
the
deceptive
trade
practices,
issues
around
the
trade
and
and
the
contracting
license
issues,
and
it
ties
really
those
together
in
in
statute,
so
that,
if
a
contractor
is
working
with
a
third
party
who
is
is
using
deceptive
trade
practices
to
get
a
customer
that
that
contractor
then
is
is
is
responsible
as
well
as
that
third
party,
before
they
were
kind
of
seen
in
in
silos,
and
so
you
couldn't
go
after
one.
C
If
this
one
did
the
the
bad
thing
to
the
consumer
or
vice
versa.
So
it's
this.
This
really
kind
of
ties
it
together,
so
that
if
somebody
is
representing
themselves
to
you
that
they
can
provide
you
with
a
solar
product
at
the
end
of
the
day,
all
those
involved
in
that
party
need
to
be
part
of
that
contract.
A
Thank
you
for
the
questions
and
mr
stickman
section
14
actually
covers
the
violations
of
the,
if
someone's,
in
violation
of
the
provisions
of
this
bill,
but
I'm
going
to
jump
in
really
quick.
Just
because
I
had
the
question
on
the
same
section.
I
just
want
to
make
sure
I'm
reading
it
correctly.
A
Senator
it
was
that
same
sub
2
from
section
8
that
they
must
complete
the
work
diligently
and
shall
not
refuse
to
perform
any
work
agreed
to
in
the
contract
for
any
30-day
period,
and
it's
just
with
that
last
part
where
it
says
shall
not
refuse
to
perform
perform
any
work
agreed
to
in
the
contract
for
any
30-day
period.
That
basically
means
that
they
can't
go
more
than
30
days
without
performing
any
work
right,
so
they
have
to
perform
work
and
within
30-day
periods.
C
Yeah,
yes,
madam
chair,
that
that's
exactly
what
it
means,
and
so
what
we
we
saw
are
people
taking
signing
contracts
taking
deposits
and
then
being
gone
for
unlimited
amounts
of
time,
and
so
this
this
makes
it
so
that
once
they've
you've
agreed
to
a
contract
now
work
doesn't
mean
it
has
to
be
completed.
Work
can
be
for
the
purposes
of
this
delivery
of
materials.
It
can
be
some.
C
I
Thank
you
so
much
madam
chair,
and
thank
you
senator
for
bringing
forward
this
legislation.
I
I
really
appreciate
it
and
I
appreciate
the
need
for
it
absolutely,
as
we've
seen
these
kind
of
practices
abused
by
bad
actors
in
the
past,
and-
and
so
this
is
a
little
bit
out
of
the
scope,
but
I
know
in
the
past
you've
sponsored
and
a
oh
gosh.
I
just
had
it
in
my
head,
but
a
solar
bill
of
rights.
Thank
you,
and
I
was
just
I
was
just
trying
to
remind
remind
myself.
I
think
it
was
ab405.
C
Thank
you
for
the
question
assemblywomantools,
and
and
thank
you
for
helping
me
pass
that
bill
in
2017.
and
the
that
bill
created
a
a
just.
It
created
it
tied
the
deceptive
trade
practices
and
of
the
company,
and
it
created
a
a
private
right
of
action.
If
they,
those
those
companies
were
were
having
deceptive
trade
practices.
C
This
bill,
actually
references
back
what
exists
in
624.
I
think
it's
an
rs624
that
governs
contractors,
and
then
it
ties
it
together,
598
I'm
making.
I
want
to
make
sure
yes,
nrs
598,
that
that
governs
deceptive
trade
practices
and
it
marries
those
two
together
so
that
you
can't
have
one
party
coming
to
your
door
and
saying
hey.
I
can
get
you
a
solar
system
and
then
and
then
the
contractor
shows
up
and
the
contractor
can
say.
C
Well,
I
I
didn't
know
anything
about
this
like
if,
if
they're,
if
they're,
if
they're
representing
to
you
that
they
represent
a
contractor,
then
the
contractor
under
624
and
under
598
should
be
held
liable
for
any
any
dishonest
or
or
un
workmanlike,
or
not
ethical
behavior,
and
so
this.
This
absolutely
marries
the
contracting
statutes
basically
to
the
deceptive
trade
practices
when
it
comes
to
residential
photovoltaic
solar
systems.
I
Thank
you
and
I
believe
I
saw
that
in
section
14,
where
it
references
that
598
section
14
subsection
b
under
the
deceptive
trade
practices-
and
I
have
a
note
here
that
it's
also
in
subsection
five
of
of
section
eight
as
well.
So
I
figured
this
looked
familiar
and
I
appreciated
how
it
completed
the
puzzle
and
thanks
for
explaining
that,
for
the
benefit
of
the
committee.
A
J
C
Thank
you
for
the
question
assemblywoman
kasama
and
I
think
I
might
have
to
refer
to
mr
guesswine
on
that
one
and
that's
this
is
section
9
sub
2
k
is
that
is
that
what
we're
looking.
D
D
Good
afternoon
tim
guestwine
for
the
contractors
board
yeah.
So
in
section
9
sub
2
sub
k,
there
is
a
provision
regarding
reference
back
the
the
contracts
executed
before
october
1st
2021
and
that's
regarding
the
schedule
of
payments
so
that
if
there
was
a
payment
established
in
a
contract
before
this
october
first
date,
there
is
a
way
to
morph
those
around,
and
it
gives
us
the
board
instruction
on
how
to
do
that
and
participants
to
the
contract
on
how
to
do
that
as
well.
D
Yes
is,
as
I
read,
it
is
regards
the
schedule
of
payments,
which
is
in
many
of
these
situations.
One
of
the
most
difficult
aspects
of
the
misunderstandings
between
the
participants
to
the
solar
photovoltaic
system
contract
is
what's
due
when
and
when
are
the
benefits
going
to
be
achieved
and
those
types
of
things.
A
A
Yes,
four
am
I
we
heard
a
bill
like
this
and
brought
by
one
of
our
assembly,
members
considine
about
contracts
and
languages,
and
so
I
just
wanted
to
say
thank
you
so
much
for
adding
that
in
that,
if
the
contract
is
is
presented
in
the
language
other
than
what
it's
written
in
it,
they
can
request
it
for
it
to
be
written
in
the
language
that
it's
presented,
and
so
thank
you
for
that
and
then
my
other
question
was
just
on
section
7
sub
two.
A
I
just
need
to
make
sure
I'm
understanding
this
correctly,
where
it
says
if
a
contractor
performs
a
work
concerning
a
residential
residential
solar
system
under
the
direction
of
a
builder
who
is
also
the
owner
of
a
single
family
residence.
Is
this
referring
to
a
builder
like
a
development
builder
who's
building
a
subdivision
because
they
own
the
homes
or
is
this
referring
to
an
individual
homeowner?
A
Who
also
happens
to
be
a
builder
and
because
I
know
at
the
end
of
that
kind
of
transfers,
all
of
the
burden
to
the
owner
of
the
resident,
saying
that
they
must
report
the
names
and
license
and
information
concerning
the
required
bonds
and
issuance
with
respect
to
the
contractor
doing
the
work.
So
I
just
wanted
to
see
if
you
could
help
me
clarify
whether
it's
a
owner
of
a
subdivision,
a
developer
or
an
individual
owner.
C
D
Thank
you
senator
brooks,
and
thank
you,
chair,
tim
gusman
from
the
contractor's
board.
Senator
brooks
is
absolutely
correct.
Section
7,
subsection
2
refers
to
what
is
colloquially
known
as
the
owner
builder
exception,
which
is
an
exception
to
nrx624.
It's
624-031-5
that
allows
the
owner
of
a
single-family
residence
to
perform
some
work
on
the
owner's
own
property,
while
a
residential
solar
photovoltaic
system
would
be
on
the
grass
of
most
ordinary
homeowners
as
compared
to
say
a
landscaping
project,
or
something
like
that,
where
a
permit
would
be
required.
A
J
J
J
The
commission
up
front
for
putting
the
contract
together,
and
so
here
this
seems
to
be
adding
a
lot
of
paperwork
and
accounting
to
now
the
salesperson's
commission
for
bringing
the
contract
together
is
paid
based
on
the
payments
from
the
owner,
and
I
don't
think
any
other
industry
is
doing
that.
So
that
seems
a
little
concerning
to
me.
C
Thank
you
assemblywomankusama,
and
what
we're
seeing
happening-
and
this
is
similar
to
what
what
happened
in
the
pool
industry
in
the
90s
and
and
that's
why
you'll
see
a
lot
of
this
mirrors
statutes
that
are
currently
in
place
for
the
pool
industries.
But
you
would
see
a
sales
person
say
you
know
I'll
use
just
some
round
numbers
for
fifty
thousand
dollars.
We
can
do
a
solar
system
for
your
house
or
they
would
say
for
200
a
month.
You
can
have
a
solar
system
for
your
house.
C
They
would
then
require
deposits
from
you
that
the
consumer,
and
in
the
case
of
the
50
000,
they
could
require
a
a
a
contract
from
you
or
and
a
deposit,
and
so
we
want
to
make
sure
that
work
was
being
delivered
and
work
was
being
done.
But
in
the
case
of
the
200
a
month
they
aren't
getting
any
cash
from
you.
They
are
getting
you
to
sign
on
the
dotted
line
for
a
sometimes
a
high
interest,
long-term
financing
deal,
or
sometimes
a
a
power
purchase
agreement
or
a
lease
or
any
of
these
things.
C
They
then
are
going
to
take
that
and
sell
it
to
a
a
financing
company
and
a
contractor
they're
going
to
negotiate
with
this
financing
company
and
the
contractor
they're
going
to
then
get
their
money
up
front
and
be
gone,
and
what
this
does
is
this
ties
the
sales
person
to
the
performance
of
the
contract.
So,
if
a
salesperson,
even
if
there's
no
the
money
that
changes
hands
immediately
because
it's
going
to
be
a
zero
money
down,
you
know
4.99
forever
deal
they
they.
C
I
don't
know
if
this
provision
exactly
mirrors
the
pool
industry
and
mr
guest
wine
or
miss
green-
could
answer
that.
But
it
is.
This
is
where
that
came
from,
and
it's
very
similar
to
what
what
had
to
be
put
in
place
in
the
90s,
because
the
same
exact
behavior
was
taking
place.
A
Miss
screen,
mr
gaswan,
if
you
don't
have
that
handy,
if
you
could
just
provide
it
to
the
committee
or
the
committee
manager
at
a
later
time
too,
and
we
can
distribute
it
to
the
committee
if
it's
not
something
oh
and
mrs
kasama,
it
looks
like
our
legal
actually
was
able
to
find
that,
and
so
you
can
find
that
in
624.290..
A
A
F
A
F
A
F
A
Okay,
thank
you
and
members.
I
just
do
want
to
clarify
something.
My
eyes
just
I
quickly
spoke
without
reading
correctly
and
the
chapter
is
actually
624.940..
I
I
omitted
that
four,
so
it's
624.940.,
so
I
apologize
for
that
with
that.
Seeing
no
closing
remarks
are
necessary.
I'm
going
to
go
ahead
and
close
the
hearing
on
senate
bill
303.
Thank
you.
A
A
K
Thank
you,
madam
chair.
Thank
you,
madam
chair
members
of
the
committee,
I'm
actually
going
to
just
introduce
44
this
this
bill.
On
the
on
the
senate
side,
we
adopted,
we
were
up
against
the
deadline,
attempted
to
adopt
an
amendment
to
it.
K
It
didn't
get
us
where
we
needed
to
be
so
working
with
chairwoman,
spearman
from
commerce
and
labor.
On
the
senate
side,
we
agreed
we'd
pass
the
bill
out,
send
it
over
here
and
so
I'm
here
today
this
afternoon,
I
believe
you
should
have
a
mock-up
amendment
3325
to
senate
bill
44.
It
should
be
analysis,
I
will
say
one
thing:
senate
bill.
44
is
a
phone
book
and
I'm
not
going
to
even
attempt
to
walk
through
it.
K
I
do
sit
on
the
northern
nevada,
regional
behavioral
health
board,
and
that's
why
I
am
actually
involved
in
this.
The
bill
will
be
presented
by
valerie
chape
haskins,
who
is
the
executive
director
of
the
northern
nevada,
regional
behavioral
health,
and
so
really
all
I
can
say
to
the
bill:
it's
really
necessary.
It
facilitates
licensure
for
a
broad
gamut
of
drug
counselors
therapists
and
trying
to
clean
this
up
to
actually
how
we
can
shorten
it.
K
What
is
required
in
the
transcripts,
how
you
can
actually
get
a
provisional
license,
and
definitely
we
all
know
across
nevada
there
is
a
need
for,
especially
as
we
deal
with
behavioral
health.
So
with
that,
I
would
prefer
in
the
in
the
interest
of
time
and
hope
that
brevity
that
miss
chapel
haskins
will
go
ahead
and
present
sb44.
L
A
Yes,
and
if
we
could
just
stick
the
the
powerpoint
miss
strap
a
hasken.
If
you
could
just
stick
to
the
highlights,
we
do
have
a
heavy
agenda
today
and
I
lose
members
to
another
committee.
So
if
we
could
just
do
a
high-level
level
overview
and
then
maybe
just
walk
us
through
the
amendment,
please
thank
you.
A
L
Do
I'll
try
my
best
so
again
good
afternoon
for
the
record,
this
is
valerie
haskin.
I
am
the
rural
regional
behavioral
health
coordinator.
I
am
sorry
presenting
today
on
behalf
of
the
rural
regional
behavioral
health
policy
board,
which
represents
six
rural
counties,
including
elko
eureka,
humboldt
lander,
pershing
and
white
pine.
L
My
board
chair
was
unable
to
truly
connect
today,
but
he
is
on
the
line
listening
in
and
thank
you
senator
guicachia
for
that
introduction,
so
our
goals
for
today
I
just
would
like
to
really
freely
run
through
some
of
the
behavioral
health
provider
shortage
issues
that
we
experience
here
in
nevada
talk
about
the
purpose
of
this
bill
and
what
the
board
would
like
to
accomplish
with
sb
44..
L
L
So,
as
you
are
aware,
and
you've
probably
heard
in
previous
committee
meetings,
there
are
way
too
few
be
licensed:
behavioral
health
professionals
in
nevada
and
when
we
say
behavioral
health.
What
we
want
to
clarify
here
is
that
we
for
the
purpose
of
this
bill
are
talking
about
mental
health
separately
substance
use
separately
and
those
two
co-occurring
in
the
past
or
throughout.
L
So
it's
come
to
the
attention
of
the
world
regional
behavior
health
policy
board,
as
well
as
being
voiced
by
local
stakeholders
that,
when
experienced
behavioral
health
providers
move
to
nevada
this
process
of
them
achieving
licensure
here
in
nevada,
which
is
called
licensure
by
endorsement
based
on
their
previous
education.
L
Experience
can
sometimes
take
months
and
in
some
cases,
even
years
throughout
2020,
we
maintained
contact
with
local
stakeholders
who
indicated
that
the
need
for
behavioral
health
providers
really
escalated
during
the
pandemic
and
while
telehealth
and
other
means
of
connecting
consumers
to
providers
had
improved
access
to
those
existing
providers.
There
are
still
simply
not
enough
providers
in
nevada
to
meet
the
current
need.
L
This
first
show
this
first
map
shows
areas
within
the
state
which
have
been
designated
by
the
u.s
health
resources
and
service
administration
or
hersa
as
shortage
areas
for
mental
health
providers.
Specifically,
there
are
several
different
factors
that
go
into
this
score,
but,
as
you
can
see
from
this
map,
almost
the
entire
state
falls
as
a
high
need
shortage
area.
So,
while
this
bill
is
being
put
forward
by
the
rural
regional
behavioral
health
policy
board,
it
really
does
benefit
the
entire
state.
L
The
data
in
this
graph
represents
four
different
types
of
providers
together
as
a
whole,
alcohol
and
drug
counselors
licensed
clinical
alcohol
and
drug
counselors,
certified
problem
gambling,
counselors
and
licensed
alcohol
and
drug
counselors.
The
data
here
and
on
the
following
slides
is
presented
as
the
number
of
providers
per
100
000
persons
in
the
population.
L
Since
that's
really
the
easiest
way
to
compare
the
adequacy
of
the
pool
providers
across
counties
of
different
sizes,
as
you
can
see,
while
most
of
our
rural
and
frontier
counties
have
low
numbers
of
providers,
so
does
clark
county
a
word
of
caution.
However,
with
this
type
of
data
in
the
counties
with
the
smallest
populations,
you're
going
to
see
the
greatest
variety
in
the
number
of
providers
when
using
this
per
100
000
population.
L
So
esmerelda
is
a
really
great
example
here
that
100
providers
per
100
000
population
is
literally
one
person.
So
if
that
person
decided
to
move
retire
or
otherwise
no
longer
serve
that
county,
then
that
number
would
go
to
zero.
So
you'll
want
to
keep
this
in
mind
as
we
move
forward
to
these
next
slides
as
well.
L
In
this
graph,
the
number
of
marriage,
family,
therapists
or
mfts
is
represented
in
blue,
while
the
number
of
clinical,
professional,
counselors
or
cpcs
is
represented
in
orange.
Again,
we
see
many
counties
without
adequate
coverage
and
some
with
no
providers
at
all
these
deficits
are
further
exacerbated.
When
we
look
at
the
number
of
psychologists
available,
please
note
that
the
scale
on
the
y-axis
here
is
much
different
than
the
two
previous
graphs,
while
carson
city
and
washoe
county
appear
to
have
a
comparatively
good
access
to
psychologists.
L
Those
higher
numbers
are
actually
the
same
as
the
lower
numbers
in
previous
graphs.
We
just
have
a
much
greater
deficit
of
psychologists
available
in
the
state,
while
the
numbers
of
licensed
social,
clinical,
social
workers
or
lcsws
available
is
somewhat
better
than
other
types
of
providers
in
nevada.
The
disparities
in
nevada
really
continue
throughout.
L
L
L
Just
as
we've
defined
what
we
mean
by
behavioral
health
in
this
presentation,
we
also
want
to
define
what
licensing
boards
would
be
affected
by
the
bill.
So
the
boards
affected
by
sb
44
include
the
board
of
psychological
examiners,
the
board
of
examiners
for
marriage
and
family
therapists
and
clinical
professional
counselors,
the
board
of
examiners
for
social
workers
and
the
board
of
examiners
for
alcohol,
drug
and
gambling
counselors,
and
this
is
a
big
part
of
the
reason
why
the
bill
is
so
large
is
because
it
changes
language
in
similar
places
for
all
four
pieces
of
nrs.
L
We
did
this
by
utilizing
feedback
from
a
large
group
of
stakeholders
to
identify
what
parts
of
the
original
build
language
needed
to
be
amended
to
have
the
greatest
benefit
and
impact,
which
is
essentially
the
amendment
that
you're
going
to
be
seeing
today,
when
all
was
said
and
done,
we
had
a
list
of
approximately
45
stakeholders,
25
to
35,
of
which
consistently
showed
up
to
meetings.
These
stakeholders
were
from
a
broad
variety
of
aspects
of
our
behavioral
health
system
in
kind
of
a
larger
means,
and
each
meeting
was
recorded
and
posted
to
youtube.
L
L
Nevada
is
currently
one
of
only
five
or
so
states
that
do
not
offer
this
type
of
licensure,
and
that
makes
it
very
difficult
for
the
board
of
social
work
to
enter
into
interstate
compacts
for
licensure
reciprocity
without
having
this
licensure
type,
while
licensure
by
endorsement
is
great.
Licensure
reciprocity
through
interstate
compacts,
really
expedites
this
process
and
helps
improve
communication
as
to
the
quality
of
providers.
L
Furthermore,
without
offering
an
lmsw
licensure,
there
are
no
professional
designation
differences
for
licensure
between
social
workers
who
hold
a
bachelor's
degree
and
those
who
hold
a
master's
degree.
Thus,
the
addition
of
the
lmsw
provides
the
opportunity
for
social
workers
who
have
taken
that
extra
step
to
complete
an
improved
advanced
degree
in
social
work
to
have
that
professional
distinction.
L
This
also
serves
as
an
intermediate
step
between
a
bachelor's
level.
I'm
sorry,
his
language
was
developed
by
the
board
of
social
work
itself
and
also
allows
for
current
lsws
licensed
in
nevada,
who
hold
a
master's
degree
to
very
quickly
just
streamline
over
to
the
lmsw
licensure
type,
without
submitting
any
further
documentation
if
this
bill
is
passed.
L
Second,
the
current
language
allows
for
a
provisional
license
to
be
granted
to
new
licensees
and
those
who
would
seek
licensure
by
endorsement
upon
submission
of
their
unofficial
transcripts,
instead
of
just
their
official
transcripts,
while
waiting
institutions
to
take
care
of
this
paperwork.
Initial
conversations
led
us
to
believe
that
this
was
one
of
the
big
hold
ups
and
licensure
processes.
L
However,
as
you'll
see
shortly,
we're
going
to
be
amending
this
piece
to
have
greater
impact.
Lastly,
because
specific
mechanisms
that
were
causing
delays
and
licensure
by
endorsement
couldn't
be
pinpointed
in
larger
work
group
meetings.
The
current
bill
language
includes
an
interim
study
by
the
interim
committee
on
healthcare
to
evaluate
the
processes
of
the
licensing
boards
to
identify
unnecessary
barriers
to
licensure.
L
So
issues
with
the
current
language,
we
brought
those
back
to
our
community
group
and
what
we
found
was
the
results
of
the
interim
study
wouldn't
have
any
effect
on
licensure
processes
until
the
next
legislative
session
in
2023.
L
L
L
Additionally,
the
opportunity
for
new
graduates
who
are
wanting
to
complete
their
practice
hours
for
licensure
is
something
that
affects
all
rural
and
frontier
communities,
essentially
by
the
number
of
supervisors
who
are
available
to
take
them
on.
I've
tried
personally
to
help
connect
some
interns
with
supervisors,
as
I
can,
but
this
is
a
reoccurring
issue
that
is
experienced
by
my
board
members,
other
partner
organizations
and
many
local
residents.
L
Unfortunately,
the
amendment
itself
hadn't
been
released
on
nellis
previous
the
vote
on
the
senate
floor,
and
so
there
had
been
some
concerns
previously.
The
amendment
was
retracted
as
senator
guay
guccia
and
the
bill
was
voted
off
the
senate
floor.
So
you
should
have
the
mock
up
in
front
of
you
and
we'll
be
going
over.
That.
L
So,
let's
run
through
these
amendment
concepts
so
first,
my
board
would
like
to
remove
the
interim
study
on
the
licensing
boards
processes
and
their
efficiency,
because
this
is
no
immediate
changes
are
made
from
there.
Instead,
the
board
wishes
to
revise
the
language
and
nrs
for
all.
Four
of
the
licensing
boards
regarding
licensure
by
endorsement
specifically
affecting
licensure
by
endorsement
with
this
bill,
also
achieves
the
goal
of
creating
more
immediate
change,
rather
than
waiting
until
next
session,
to
affect
licensure
processes.
L
L
At
the
beginning
of
each
section
of
nrs,
regarding
licensure
by
endorsement
for
each
board,
the
current
language
states
that
each
licensing
board
may
grant
licensure
by
endorsement
to
applicants
given
their
qualifications,
rather
than
shall
so.
The
rural
regional,
behavior
health
policy
board
would
like
to
strengthen
that
language
by
amending
may
to
shout.
This
creates
licensure
as
the
default
choice.
If
there
are
any
questions.
L
All
right
currently
at
least
three
of
the
four
licensing
boards
have
explored
remote
supervision
possibilities
for
interns.
It
is
our
understanding
that
the
board
of
social
workers
has
implemented
the
strategy
on
a
part-time
basis.
L
L
The
board
would
also
like
to
amend
the
current
bill
language
to
provide
a
lower
application
fee
for
members
of
the
armed
forces
veterans,
their
spouses
and
surviving
spouses
as
a
means
to
honor
who
have
served
those
who
have
served
our
country.
We
believe
it
is
unlikely
that
the
licensing
board's
income
through
collection
of
fees
would
be
severely
affected
by
the
volume
of
applicants
submitting
applications
submitted
by
qualified
persons
under
this
provision.
L
With
the
proposed
changes
to
licensure
by
endorsement
lcb
staff
noted
that
nrs
could
be
streamlined
by
combining
language
regarding
licensure
by
endorsement
for
both
general
population
applicants,
as
well
as
those
who
are
members
of
the
armed
forces,
veterans,
spouses
and
surviving
spouses.
So
this
change
does
not
remove
any
benefits
to
licensure
processes
for
applicants
of
the
latter
groups,
but
removes
redundancy
in
the
language
as
it
would
stand
under
this
amendment.
L
It
was
also
asked
in
senate
commerce
and
labor
that
the
affected
licensing
boards
would
be
required
to
list
crimes
which
would
disqualify
our
provincial
a
potential
applicant
for
licensure.
It
was
decided
that
requiring
licensing
boards
to
list
these
crimes
and
regulation
would
allow
the
list
to
be
updated
as
criminal
laws
updated
and
reformed.
L
So,
looking
at
this
kind
of
40
000
foot
view
of
the
original
language
versus
what
we
would
like
to
see
in
the
amendment,
the
bill
will
go
from
having
streaming
components.
The
interim
study,
provisional
licensure,
pending
official
transcripts
and
the
addition
of
the
lmsw
licensure
type
to
including
seven
components.
L
The
revised
licensure
by
endorsement
processes,
provisional
licensure,
pending
fingerprinting,
results,
alternative
means
of
official
transcript
submission
under
certain
circumstances,
remote
supervision
options,
reduce
licensure
by
endorsement
fees
for
service
members
veterans,
spouses
and
surviving
spouses.
Improving
communication
regarding
disqualifying
crimes,
as
well
as
the
previous
edition
of
the
lmsw
licensure
type.
L
A
K
A
Okay,
thank
you,
members,
questions
for
senator
for
mr
or
for
miss
hasken.
M
Thank
you
and
there
I
have
a
number
of
questions,
but
I
think
the
the
most
pressing
question
that
I
have
is
the
boards
are
there
for
public
safety
and
to
make
sure
that
appropriate
people
are
licensed
and
we
know
who's
practicing
in
this
state.
M
So
when
you
change
the
term
from
may
to
shall
you're
actually
cutting
the
knees
off
at
the
on
the
board,
because
then
they
don't
have
discretion
to
figure
out.
If
that's
the
right
person
that
should
be
coming
in
the
state.
Yes,
we
all
do
want
to
get
more
people
into
the
state,
but
we
don't
want
to
make
them
have
to
license
someone
if
there
are
background
concerns
or
other
concerns.
M
M
But
if
they've
committed
medicaid
fraud-
and
this
says
you
shall
give
them
a
license,
then
we
might
possibly
have
someone
here
in
the
state
doing
something
that
we
really
don't
condone.
So
I
I
have
serious
concerns
whenever
we
put.
The
word
shall
because
we're
we're
limiting
the
board's
discretion
in
making
sure
that
the
appropriate
people
are
licensed
in
the
state.
M
K
No,
I
don't
believe
that
I
know
there
was
some
dialogue
between
the
may
and
michelle
senator
greg
cheer
for
the
record.
I
don't
think
that's
a
deal
breaker
either
way.
If,
if
this
committee
feels
very
strongly
about
changing
that,
but
I
believe
the
the
subsequent
the
applicant
has
to
meet
the
requirements
set
forth
in
this
section,
which
is
you
know
that
you
don't
have
any
violations.
K
You
know
it's
an
alternative
way
of
providing
the
transcript.
I
realize
that,
but
again
it
should
be.
It
should
be
acceptable.
We
thought
we
wrote
enough
protections
in
there
to
to
make
sure
that
they
were
comfortable
at
that
point,
with
issuing
a
license
and
again
clearly,
that's
the
intent
of
the
bill
is
to
expedient
expedient
the
licensure.
But
but
again,
if
that's
a
deal
breaker,
I
don't
think
it's
critical
for
our
side.
M
And
thank
you,
madam
chair.
Not
everything
that
can
impact
public
safety
is
actually
within
the
scope
of
practice,
so
there
are
other
outlying
things
that
that
could
could
send
up
a
red
flag
on
a
professional
wanting
to
come
into
the
state.
So
I
just
wanted
to
make
sure
that
we
had
that
on
the
record
and
that
the
boards
had
an
opportunity
to
take
a
look
at
that
because
you
know
over
the
years.
M
Yes,
we
do
want
to
get
more
professionals
into
the
state,
but
the
last
thing
we
want
to
do
is
have
the
state
put
its
faith
and
trust
behind
a
professional
that
comes
in
and
does
harm
to
a
senior
someone
who's
disabled
someone
in
one
of
our
more
vulnerable
populations.
The
whole
idea
behind
licensing
boards
is
to
protect
the
public
not
to
help
the
profession
become
more
profitable
or
have
have
more
more
clients,
that's
what
an
association
is
for.
K
Thank
you
and
thank
you
through
the
chair
to
senator
one
carlton
more
than
willing
to
work
with
you
on
whatever
is
required
there.
Thank
you.
I
I
The
reason
that
we
went
that
route
versus
putting
a
list
of
crimes
on
a
website
was
because
there
are
certain
crimes
that
would
be
obvious
to
all,
but
then
it
might
open
a
door
where
you
know
how
long
do
you
make
that
list
you
make
that
list
arbitrarily
longer
than
it
needs
to
be?
I
Does
it
is
it
something
that
prohibits
somebody
on
a
case-by-case
basis,
for
example,
and
this
specifically
came
up
in
the
process
of
that
legislation
last
session,
if
you
have
somebody
who
is
an
alcohol
or
gambling
counselor,
who
is
20
years,
sober
30
years,
sober
something
was
in
their
past
20
30
years
ago,
actually
helps
to
inform
their
practice
and
make
them
an
even
more
effective
counselor
in
that
in
that
space.
I
If
you
put
that
on
a
list
on
a
website
and
that
applicant
just
pulls
up
that
list
and
says
oh
well,
I'm
out
we
might
arbitrarily
lose
somebody
who
could
be
a
very
effective
professional
in
that
space.
So
could
you
just
talk
a
little
bit
more
about
the
reasoning
behind
adding
that
in
this
amendment,
thanks.
K
Thank
you
senator
gregorchia,
for
the
record
through
the
chair
again,
I'm
I'm
not
the
promo.
The
sponsor
of
this
bill,
I'm
just
trying
to
help
it
across
the
finish
line,
so
I'll
defer.
A
L
Thank
you
for
the
record
again
valerie
haskin.
So
the
reason
why
we
put
this
in
was
really
to
piggyback
on
ab319
from
last
session
and
again.
This
was
at
the
request
of
senate
commerce
and
labor,
and
that
specific
question
did
come
up.
L
The
reason
why
they
requested
to
see
this
piece
in
the
amendment
was
because
to
ensure
that
someone
had
an
idea
as
to
before
they
went
to
all
the
effort
of
completing
the
application
process
and
submitting
licensure
fees
having
an
idea
as
to
whether
or
not
they
would
even
qualify
or
if
there
were
disqualifying
crimes.
That's
why
we
also
decided
to
go
with
the
listing
in
nac
rather
than
nrs,
so
that
there
would
be
more
flexibility
there.
But
again,
we
are
definitely
open
to
working
on
this
piece
as
well.
I
A
A
Okay,
I
do
have.
I
do
have
a
couple
senator
and
these
might
be
better
for
miss
happy
hasken
as
well.
So
whoever
would
like
to
answer
them,
but
I
noticed
in
here
we
we
added-
and
I
didn't
see
it
in
here-
so
it's
new
language
to
every
single
one
of
the
sections
about
granting
a
provisional
license
45
days.
If
the
background
checks
don't
come
back
within
45
days.
L
For
the
record
again,
valerie
pay
haskin
real
rachel
behavioral
health
coordinator.
Thank
you
chair
for
that
question.
So
the
45-day
piece
was
already
something
that
was
in
the
statute
regarding
when
the
boards
would
need
to
make
a
decision
or
along
the
timelines
of
board
dates
there.
So
we
just
kept
the
45
days.
L
What
is
currently
happening
with
fingerprints?
Is
it
sometimes
taking
a
couple
of
months
so
not
much
further
past
that
45
days?
But
if
it's
two
to
three
months,
then
we're
looking
at
90
days,
120
days
again
with
that
language,
it's
also
important
to
remember
that
that
provisional
licensure
expires
after
the
boards
receive
the
background,
check
results
and
are
then
able
to
make
a
decision
as
to
whether
or
not
to
grant
full
licensure
to
the
part
to
the
applicant
or
to
revoke
the
licensure
application.
A
Okay,
thank
you
for
that
question
and
then
just
another
question.
I
have,
I
see
that
you
guys
deleted
the
section
where
it's
requiring
the
board
to
submit
a
report
to
the
legislative
committee
on
health
care,
the
number
of
applicants
you
guys
received
by
endorsements
and
then
the
number
of
people
who
are
denied.
Why
are
you
guys
choosing
to
no
longer
submit
those
reports.
L
Thank
you
again
for
the
record
valerie
kwape
hasken
world
regional
behavioral
health
coordinator.
Thank
you
chair
the
purpose
there
was
not
to
remove
the
reports
that
are
already
being
submitted,
but
to
remove
the
interim
study
that
was
going
to
be
done
between
the
end
of
this
session
and
2023
and
to
close
that
out.
So
if
we
need
to
refine
that
language
further
again
we're
open
to
that.
A
Thank
you,
and
I
just
have
one
more
question
and
I'm
going
to
go
and
back
to
my
vice
chair,
but
it
was
just
again
more
clarifying
question.
I
know
you
guys
created
language
for
applicants
to
submit
alternative
alternatives
to
transcripts
if
the
school
they
have
gone
to
is
no
longer
there
and
they're
unable
to
obtain
them.
But
how
often
does
that
actually
happen?
I
mean,
have
you
guys
ever
had
an
applicant
who
was
unable
to
secure
their
transcripts
because
the
school
they
went
to
no
longer
exists.
L
For
the
record
valerie
quaffe,
haskins
royal,
regional
behavioral
health
coordinator,
thank
you
chair,
that's
an
excellent
question.
That
was
something
that
was
brought
up
in
senate
commerce
and
labor
as
something
that
had
occurred.
It
sounded
like
more
in
like
the
broad
medical
community
and
was
a
concern
of
some
of
the
members
in
that
committee.
So,
at
this
time
it's
unknown.
If
that's
really
something
that
is
a
major
issue
again.
I
think
that
my
board
is
willing
to
work
with
the
committee
on
that.
A
Thank
you.
I
appreciate
that
miss
kowhaskin,
I'm
like
how
happy
haskin
I
apologize
just
merged
your
two
names
together.
Okay
with
that
that
answers
all
of
my
questions,
I
would
like
to
go
back
to
reister
carlton
and
now
for.
M
And
thank
you,
madam
chair,
so
I
I
think
I'd
like
to
get
into
the
fingerprints
a
little
bit
more,
because
this
has
been
an
issue
for
a
very,
very
long
time
and
it's
something
we've
tried
to
fix
and
I
think
we've
really
made
strides
in
the
state
with
the
central
repository
moving
forward
and
giving
them
the
resources
and
being
able
to
get
that
turnaround
address.
I
believe
the
biggest
stumbling
block
and
and
correct
me
is:
is
the
fbi
background
check?
That's
the
one
that
that
takes
the
longest.
M
So
do
you
know-
and
maybe
one
of
the
the
boards
can
answer
this
about?
Where
are
we
with
the
central
repository
turnaround
time
versus
the
turnaround
time
on
the
fbi,
background
check.
L
For
the
record
valerie
kwape
haskin
a
real
regional,
behavior
health
coordinator-
thank
you
vice
chair
carlton.
I
appreciate
that
question
at
this
time.
I
do
not
have
that
specific
information.
However,
I
can
look
for
that
and
get
back
to
you.
M
And
thank
you
because
I
I
believe
the
central
repository
does
does
a
quicker
turnaround,
the
only
with
the
drop
dead
date
of
45
days.
M
That
fbi
background
check
may
be
really
where
you
you
need
to
be,
and
I
guess
I'm
curious
about
the
armed
forces
provision
that,
if
they're
an
active
member
of
the
armed
forces,
they
would
not
need
to
submit
their
their
fingerprints
for
verification
of
who
they
are
so
the
thought
process
behind.
Is
it
because
they've
already
been
fingerprinted
that
we
wouldn't
need
to?
But
if
there
had
been
something
that
had
happened
from
the
time
they
were
fingerprinted?
M
Unless
say
there
was
a
dui
charge.
There
was
a
drug
charge.
There
was
a
sexual
assault
charge
in
that
time
frame.
Then
we
wouldn't
know
that
because
we
would
be
taking
a
set
of
fingerprints
that
may
be
out
of
date
and
we
may
not
have
been
able
to
run
a
true
record
on
that
person.
So
what
was
the
thought
process
behind
that.
L
For
the
record,
valerie
quagpay
haskin
real
regional
behavioral
health
coordinator,
so
as
we
worked
with
senator
spearman
on
this
piece
as
she
is
a
veteran
herself,
she
was
able
to
provide
some
clarity
as
to
some
of
the
processes
related
to
fingerprinting
of
active
duty.
Military
and
active
duty.
Military
are
actually
not
fingerprinted
from
what
she
mentioned
just
once,
but
it
happens
on
a
fairly
regular
basis
and
this
is
associated
with
their
security
clearance.
L
So
if
someone
was
to
commit
a
crime
that
would
show
up
on
their
record
it
it's
something
that
would
also
be
related
to
their
essentially
their
discharge
paperwork
or
beyond
their
military
record
as
well,
and
I
believe
that
that
information
that
documentation
is
also
a
requirement
for
them
to
be
licensed
with
that
lower
rate,
if
they're
going
to
apply
as
a
service
member
or
veteran
or
is
to
include
their
record.
M
M
So
I
I
look
forward
to
to
getting
clarification
on
that.
I
just
want
the
board
to
be
able
to
make
sure
that
they
know
who
this
person
is
and
what
their
actual
history
is.
So
thank
you
very
much.
Madam
chair
appreciate
it
and
if
I
could
ask
a
queer
clarifying
question
so
in
the
presentation,
so
senator
gokuchi
of
these
these
this
mock-up
that
we're
working
on
this
was
not
part
of
what
passed
in
the
senate.
This
is
being
proposed
as
an
amendment
here
in
this
committee.
K
Yes
to
assemblywoman
carlton
senator
gregory,
yes,
we
were
up
against
the
deadline.
We
went
ahead
and
moved
the
bill
out
44
out
without
in
with
without
any
amendment
to
it,
and
it
was
agreed.
We'd
be
try
and
bring
an
amendment
on
this
side,
and
this
is
the
conception.
M
A
Thank
you
vice
chair
for
your
questions.
I
know
I
had
some
of
the
similar
questions
as
well
members,
any
other
questions.
A
A
A
F
A
G
G
However,
the
most
important
thing
is
that
background
check,
and
so
in
listening
to
assemblywoman
carlton,
raise
the
concern
about
individuals
who
have
not
been
adequately
screened
for
that.
We
do
not
believe
that
they
should
receive
provisional
licensure.
Until
that
is
done,
I
mean
we
want
them
to
go
to
an
accredited
university.
G
A
F
A
K
Just
very
brief,
thank
you,
mr
chair
members
of
the
committee.
It's
been
a
heavy
lift
getting
here.
I
don't
know
why
it's
as
thick
as
it
is
trying
to
accomplish
something.
It
seems
somewhat
simple,
but
it's
got
to
be
right.
I
appreciate
it
look
forward
to
working
with
you
and
the
committee
and
see
if
we
can
maybe
get
it
right
before
another
deadline
day.
Thank
you.
A
Thank
you
senator
and
don't
go
too
far.
We
have
you
up
next.
So
with
that,
I
will
close
the
hearing
on
senate
bill
44.
members.
The
next
item
on
our
agenda
is
senate
bill
181
presented
by
senator
gokuchiya.
So
I'm
going
to
go
ahead
and
open
the
hearing
on
senate
bill
181,
which
revises
provisions
relating
to
alcohol
and
drug
counselors.
K
Thank
you,
madam
chair
and
members
of
the
committee
senator
greg
representing
senate
district
19,
which
does
encompass
a
lot
of
rural
nevada.
This
is
a
bill
I
actually
brought
forward
on
behalf
of
a
number
of
constituents
and
providers,
and
also
the
one
that'll
actually
really
present.
The
bill
will
be.
Ms,
sarah
adler
she's
done
the
yeoman's
work
on
getting
this
this
point
and
it's
a
very
simple
bill
compared
to
what
we,
what
we
just
dealt
with
again
pretty
much
the
same
arena,
we're
looking
for
providers.
K
N
You
very
much
madam
chair
and
members
of
the
committee.
I
am
sarah
adler
with
silver
state
government
relations
today
very
appreciative
to
senator
gokacheya
for
his
continued
work
and
support
with
my
clients,
vitality,
unlimited
based
in
elko
and
new
frontier
based
in
fallon.
These
are
two
long-serving,
as
you
will
learn:
rural
behavioral,
health
and
substance,
use,
disorder,
treatment,
organizations,
vitality,
unlimited
based
in
elko
and
new
frontier
based
in
fallon.
N
We
very
much
appreciate
so
here's
the
front
page
of
our
presentation,
which
I
will
move
quickly
through
since
you
have
a
strong
background
in
this
work,
but
we
present
to
you
in
sb
181
a
very
important
and
large
step
toward
a
very
necessary
solution
which
is
increasing
the
treatment
workforce.
That's
licensed
to
treat
nevadans
suffering
from
substance,
use,
disorder
and
co-occurring
disorders
as
you'll
learn.
N
N
This,
these
two
charts
show
us
a
2.9
percent
increase
in
all
drug
related
emergency
department
visits
in
from
2019
to
2020
and
a
26
increase
in
opioid
related
emergency
visits
and
opioids,
as
you
know,
are
not
the
only
substances
that
nevadans
are
struggling
with.
On
this
chart,
which
I
appreciate
the
office
of
analytics
providing
to
me,
we
see
opioids
heroin,
marijuana
and
hallucinogens
cocaine,
methamphetamine
and
methamphetamines.
N
I
myself
have
a
long
history
working
in
rural
nevada
and
tribal
nevada,
and
when
you
talk
with
our
tribal
communities,
they
say
absolutely
opioids
are
a
very
significant
problem,
but
have
you
forgotten
about
meth?
Meth
is
a
very
significant
problem.
Still
in
nevada
and
drugs
are
not
the
only
addiction
that
we
must
be
able
to
treat
in
nevada,
alcohol
addiction
is
also
a
very
significant
problem
to
a
debilitating
extent.
This
chart
shows
you
inpatient
admissions
and
the
blue
line.
N
There
is
alcohol
admission,
so
a
very
large
number
that
we
need
to
be
able
to
treat
here
in
nevada
mental
health
disorders.
You
are
well
aware
of
you.
The
three
classifications
of
mental
health
disorders
are
presented
to
you
here.
Fortunately
in
nevada,
we
have
done
a
lot
of
work
in
mental
health
in
the
last
many
years
and
then
you're
familiar
with
the
term
co-occurring
disorders.
That
means
that
an
individual
has
both
a
mental
illness
and
a
substance
use
addiction.
For
some,
the
mental
illness
is
primary
for
others.
The
substance
use
disorder
is
primary.
N
So
as
you've
just
heard
from
my
friend
valerie,
we
have
four
behavioral
health
licensed
professions
that
I'm
going
to
touch
on
today.
Here's
our
four
chapters-
and
I
wanted
to
introduce
you
specifically
to
those
that
are
licensed
by
the
board
of
alcohol,
drug
and
gambling
counselors
ladcs-
is
the
shorthand
for
licensed
alcohol
and
drug
counselor.
This
is
someone
who
is
required
in
statute
to
have
a
master's
level
of
education
and
right
now,
4
000
hours
of
supervised
internship.
N
This
ladc
treats
individuals
with
substance,
use
disorder
or
the
sud
component
of
an
individual
with
co-occurring
disorder.
Their
partner
is
a
licensed
clinical
alcohol
and
drug
counselor.
This
to
me,
is
the
gold
standard
that
we
need
a
gazillion
more
of
throughout
nevada
and
very
much
so
in
rural
nevada.
This
too
is
a
person
with
a
master's
level
of
education
and
that
masters
must
have
required
coursework
in
clinical
mental
health,
so
clinical
mental
illness
piece.
N
This
person
is
qualified
to
treat
individuals
with
substance,
use,
disorder
and
individuals
with
co-occurring
disorders,
so
with
one
licensed
professional,
we're
able
to
support
an
individual
who
has
both
of
those
disorders,
which
is
a
large
percentage
of
our
nevadans
in
need.
So
here's
the
good
news,
thanks
in
large
part
to
many
of
you
who
have
served
a
long
time,
the
stigma
around
mental
illness
is
listening.
This
is
fantastic.
N
N
The
bad
news
is
we're
losing
ground
in
alcohol
and
drug
counselors
and
lcadcs
relative
to
the
other
three
behavioral
health
professionals.
So
we
have
a
shortage
of
professionals
to
deal
with
the
very
large
amount
of
substance
use
disorder
that
we're
experiencing
co-occurring
disorder,
we're
experiencing
nevada.
So
here's
my
chart
that
you
look
across
the
licenses-
and
this
is
shows
2014
on
the
bottom
of
the
chart.
2020
on
the
top
of
the
chart.
2014
ledc's
were
19
of
our
behavioral
health
workforce
now
they're
10
percent.
N
N
N
That's
at
least
nine
thousand
dollars.
So
it's
a
thousand
more
hours.
It's
foregone
pay
good
news
again.
The
greater
recognition
of
mental
illness
and
a
thousand
hours
faster
to
licensure
has
brought
more
attention
to
our
behavioral
health
licenses,
attracting
more
folks
who
are
growing
up
in
nevada
or
other
states.
Who
are
this
kind
of
caring
individual
willing
to
do
this
work
they're
being
attracted
to
behavioral
health
licenses?
N
When
we
attract
fewer
interns?
We
have
fewer
supervisors
available
to
support
this
work.
It
results
in
more
folks
who
have
sud
and
co-occurring
disorders,
who
are
untreated
or
waiting
for
treatment,
and
this,
of
course,
results
in
very
large,
individual
family,
governmental
and
societal
costs
to
not
be
able
to
treat
our
nevadans,
who
need
this
specific
kind
of
trained
professional,
so
very
quickly.
Sb
181
makes
just
a
few
changes.
N
It
takes
the
looking
first
at
licensed
clinical
alcohol
and
drug
counselors
takes
the
4
000
hours
to
3
000
hours.
It
requires
that
1500
of
those
hours
be
with
individuals
with
mental
illness
and
substance
use
disorder.
So
the
primacy
of
the
mental
illness,
nevada
psychiatric
association,
for
example,
stepped
forward
and
said
they
really
wanted
the
majority
of
these
hours
to
be
working
with
individuals
with
mental
illness,
because
that
is
very
complex,
so
1500
hours
with
mental
illness
and
substance
use
disorder,
at
least
a
thousand
hours
within
individuals
with
alcohol
and
other
substance
use
disorders.
N
And
then
the
remaining
500
hours
could
be
either
with
either
type
of
individuals
depending
upon
where
you're
doing
your
internship
and
what
what
kind
of
clients
they
are
primarily
treating.
That's
our
changes
in
section
one
of
the
bill
in
section
two,
we
take
the
four
thousand
hours
for
a
licensed
alcohol
and
drug
counselor
intern
and
take
that
to
3
000
hours
with
individuals
with
diagnosis
of
substance
use
disorder,
because
so
many
folks
do
have
co-occurring
disorder.
N
We
also
increase
the
flexibility
of
who
the
supervisor
of
the
lcadc
intern
is
because
they're
working
with
individuals
on
all
pieces
of
the
spectrum.
We
allow
a
behavioral
health
professional
one
of
these
other
behavioral
health
licenses
to
supervise
the
mental
illness
portion
of
the
lcadc's
internship
and
then
there's
one
other
fix.
Fortunately,
in
statute
talking
about
licensure
by
endorsement,
and
how
do
we
move
people
forward
expeditiously?
N
There
is
an
alternative
track
to
licensure
for
ladc
and
lcadc.
If
you
are
already
a
licensed
clinical
social
worker,
marriage
and
family
therapist,
a
clinical
professional
counselor,
you
may
have
with
just
six
months
of
appropriate
supervision.
You
may
add
the
lcadc,
the
lcadc
or
the
ladc
to
your
license.
N
N
N
I
am
joined
today
in
the
zoom
room
by
esther
quillissy
of
vitali,
unlimited
lana,
robards
of
new
frontier
and
agata
garonsky,
the
executive
director
of
the
board
to
assist
me
in
answering
your
questions.
A
M
Thank
you
very
much,
so
I'm
a
little
confused
when
I'm
looking
at
the
mock-up,
because
it's
showing
under
section
one.
M
1C
2000
hours
to
3000
hours,
and
you
were
talking
about
4
000
hours
and
coming
back
to
three,
so
I'm
I'm
not
quite
sure
exactly
how
that
all
fits
together.
So
we'll
just
need
to
clarify
that,
since
that
2000
is
out,
I
guess
one
of
the
the
concerns
that
I
have
is
mandating
the
hours
in
mental
health,
because
not
all
substance
abuse
is
tied
to
mental
health
and
not
all
mental
health
has
substance
abuse.
M
But
yet
we
are
going
to
mandate
that
someone
do
1500
hours
in
something
that
they
may
not
really
be,
focusing
on
they're,
focusing
strictly
on
on
substance
abuse.
But
yet,
in
order
to
have
that
title,
we're
mandating
the
mental
health
side.
So
I
mean
all
good
mental
health
training
is
great.
That's
wonderful,
but
not
necessarily
crossover
every
single
time,
and
I
was
just
curious
how
you
came
to
that
amount
of
hours,
because
I
think
it's
good
to
be
familiar
with
it
in
case
you
encounter
it
with
a
patient,
but
not
necessarily
have
it
be
dominant.
N
Through
you,
madam
chair
to
you
vice
chair
carlton,
and
I
very
much
appreciate
the
question
when
we
drafted
the
bill.
Originally,
we
originally
had
1
000
mental
illness
and
substance,
use,
disorder,
1,
000
substance
use
disorder
and
then
1
000.
N
You
know
in
either
category
so
that
it
could
be
responsive
to
the
clients
where
you're
doing
your
internship,
the
nevada
psychiatrist
association,
came
to
us
and
requested
the
change
to
1500
hours
of
those
individuals
who
are
co-occurring,
because
so
many
individuals
do
have
co-occurring
disorders,
and
I
know
this-
you
know
from
my
own
personal
family
history.
What
people
will
acknowledge
is
addiction.
N
Alcohol,
you
know
is
common
in
our
society.
They
will
acknowledge
addiction,
but
that
really
there
really
is
an
underlying
mental
illness.
So
very
many
of
the
people
that
we're
treating
really
do
have
co-occurring
disorders,
but
anyway,
that
is
where
the
shift
from
1000
to
1500
came
from
was
from
a
request
by
the
nevada
psychiatrists
association.
It's
not
quite
the
right
name,
but.
N
M
B
M
I
helped
write
some
of
these
statutes,
so
I
believe
they
were
left.
You
said
it
might
have
been
an
oversight.
I
don't
believe
it
was
an
oversight.
I
believe
there
was
an
evaluation
of
educational
levels
and
the
line
was
drawn
and
that
particular
profession
ended
up
at
a
different
level
as
far
as
education
went
now,
if
that
educational
level
has
changed,
that
would
be
something
that
we
would
want
to
discuss,
so
I
just
it
and
which
one
did
you
say.
M
I
just
want
to
make
sure
because
we
went
through
it
and
there
are
so
many
letters
in
that.
I
tell
you
this
is
this
committee
is
getting
really
good
at
acronyms
I'll.
Tell
you
that
so.
N
Through
you,
madam
chair
to
someone
carlton,
I
appreciate
you
raising
this
point.
Sb
37
from
last
session
did
quite
a
bit
of
work.
It
because,
as
you
know,
cpcs
and
mfts
are
licensed
by
the
same
board,
and
it
did
quite
a
bit
of
work
on
various
qualifications
of
those
two
licenses.
If
you
will
and
bringing
them
somewhat
more
in
tandem.
M
N
M
A
G
Thank
you,
madam
chair
members
of
the
committee.
My
name
is
helen
foley
and
I
am
representing
first
med,
health
and
wellness.
I
have
to
say
that
when
assemblywoman
carlton
was
in
the
senate,
I
mean
yes
in
the
senate.
I
represented
marriage
and
family
therapists
for
about
25
years
and
as
each
new
profession
came
on
that
dealt
with
any
kind
of
mental
health
issue.
G
I
I
hate
to
say
this,
but
senator
carlton
was
the
queen
of
boards
and
she
helped
create
the
boards
and
then
combine
the
boards
so
that,
like
when
problem
gambling
counselors
came
in
line,
they
ended
up
going
over
with
the
alcohol
and
drug
abuse
counselors.
There
was
a
woman
by
the
name
of
dorothy
north
and
I'm
sure
that
that
senator
goguccia
knew
her
well.
She
was
quite
a
powerhouse
around
here.
She
ran
some
clinics
in
elko
and
they
were
drug
and
alcohol
abuse
clinics.
She
needed
to
legitimize
that
profession.
G
So
we
did
our
best
in
those
days
to
try
to
create
these
laws.
Some
have
changed
now.
Many
of
them
are
deeply
involved
in
mental
health,
and
we
need
that.
We
have
about
30
professionals,
mental
health
professionals
at
first
med,
and
we
see
1200
patients
every
month
and
it
has
only
gotten
stronger
during
well.
It
started
with
with
one
october
and
then
after
this
pandemic
started.
G
The
the
need
is
tremendous
to
have
a
skewed
system
where,
where
the
alcohol
and
drug
abuse
counselors,
the
clinical
alcohol
and
drug
abuse
counselors
are
required,
4
000
hours,
when
everyone
else
in
the
mental
health
field
only
needs
three
thousand.
This
needs
to
be
corrected
so
that
we
can
incentivize
people
to
have
that
dual
type
of
licensure
that
the
clinical,
alcohol
and
drug
abuse
counselors
receive
because
they
can
deal
with
mental
health
issues,
co-occurring
disorders,
as
well
as
the
substance
and
alcohol
abuse.
A
Thank
you
for
your
testimony.
Is
there
anyone
else
in
carson
city
wishing
to
testify
in
support
of
senate
bill
181?
Okay?
Is
there
anyone
on
zoom
wishing
to
testify
in
support
of
senate
bill
181,
okay,
miss,
I
believe,
we'll
start
with
miss.
I
can't
see.
Is
it
robards
or
is
it
rollards?
Is
that
a
robarts
okay,
miss
robots
when
you're
ready.
O
For
the
record,
my
name
is
lana.
Robarts
executive
director,
representing
new
frontier
from
fallon
new
frontier,
has
been
providing
services
to
nevada,
particularly
rural
nevada,
for
50
years
this
july
there
are
more
nevadans
needing
treatment.
There
are
numbers,
far
greater
than
we
have
seen
before.
O
O
O
A
P
P
P
So
it
was
really
interesting
that
mitzvoli
brought
dorothy
up
again
dorothy
passed
away
about
six
years
ago,
so
I've
been
with
vitality
and
limited
since
1984
been
a
licensed
ladc
for
over
30
years.
I
also
serve
as
a
clinical
supervisor
for
interns.
P
Vitality's
treatment
centers
are
no
longer
just
in
elko.
We
are
located
in
various
rural
areas
of
nevada
and
also
in
las
vegas
vitality.
Unlimited
is
a
non-profit,
federally
recognized
501c3
corporation
with
a
long,
successful
history
of
providing
community
services,
affordable
housing,
high
quality
substance
use
disorder,
treatment
and
access
to
behavioral
health
services.
We
too
were
founded
in
1971
and
are
celebrating
our
50th
year
of
operation,
and
I'd
like
to
pause
very
briefly
to
say
that
that
the
non-profits
in
the
state
of
nevada,
I
think,
had
a
birth
from
the
public-private
partnership.
P
Would
still
exist
today.
You
know
the
fed
reached
out
and
said
we'd
like
to
to
establish
local
bases
to
support
alcohol
and
drug
treatment,
and
the
I
remember
seeing
the
original
committee
that
signed
the
proclamation
that
they
were
part
of
the
original
group
that
did
so
and
dorothy
came
in,
but
without
state
financing
and
assistance
we
wouldn't
be
where
we
are
today,
and
that
public-private
partnership
still
can
still
exist.
Thank
goodness,
I
heard
passage
of
sb
181,
because
the
state
needs
this
bill.
We
are
finding
it
difficult
to
add
to
our
workforce.
P
We
need
to
support
our
this
mental
health
specialty
in
conjunction
with
behavior,
in
conjunction
with
the
mental
health
specialists.
This
specialty
is
received
has
receded
nationally
because
we're
moving
toward
more
mental
health
specialists,
who
sometimes
and
many
times
don't
want
to
treat
people
with
addictions.
They
say
refer
to
the
specialists:
the
ladc's,
the
cadcs
vitality.
Unlimited,
has
tried
to
attract
more
clinicians
by
paying
higher
wages
and
improving
the
work
environment.
We
have
locations
in
carson
city,
elko
date
in
reno,
sun
valley
and
an
outreach
office
in
las
vegas.
P
We
think
the
provisions
of
this
bill
will
be
good
for
business,
for
the
state
of
nevada.
If
we
can
help
nevada
improve
our
state's
record
in
behavioral
health,
we
will
raise
the
state's
national
profile,
vitality
and
limited
new
frontier,
provide
integrated
services,
complete
behavioral
health.
This
is
important
because
we
address
the
whole
person.
P
We
are
both
unity,
behavioral
health
clinic
model
providers
and
vitality
center
has
three
elko
carson
city
and
dayton.
We
want
to
remove
barriers
for
mental
health
professionals
coming
into
the
state.
We
also
want
equity
across
the
professions,
and
this
bill
moves
us
towards
this
goal.
I'm
also
concerned
about
pay
equity
for
substance
abuse
counselors
in
relation
to
colleagues
in
the
mental
health
treatment.
Thank
you
for
the
opportunity
to
participate
in
the
hearing
today
and
welcome
any
questions.
A
A
F
A
F
A
A
F
B
Director
for
the
of
examiners,
alcohol,
drug
and
gambling
counselors,
I'd
like
to
justify
mutual
only.
I
can't
support
the
bill
officially
because
it
wasn't
discussed
with
my
board.
However,
I
think
it's
very
important
that
we
are
going
to
limited
the
hours
for
alcohol,
drug
and
gambling
counselors
and
licensed
clinical
alcohol
camp
gaming
counselors
to
level
the
standards
with
other
mental
health
providers.
I
definitely
think
that
four
thousand
hours
is
an
overkill
at
this
point,
especially
if
we
have
master's
level
professionals
providing
those
services.
Thank
you.
A
K
Thank
you,
madam
chair
members
of
the
committee
I'll
get
out
of
your
hair.
I
do
really
appreciate
your
consideration
of
the
bill.
I
want
to
thank
esther
and
atlanta
for
the
work
they
do
in
rural
nevada
with
these
with
their
services.
Thank
you
all
and
we'll
work
with
you.
Hopefully
we
can
get
it
passed.
Thank
you.
A
Thank
you
senator,
and
with
that
I
will
close
the
hearing
on
senate
bill.
181.
members.
We
have
our
last
bill
on
the
agenda.
I
see
that
senator
sivers
cancer
has
joined
us,
so
I
will
open
the
hearing
on
senate
bill
217,
which
revises
provisions
related
to
applied
behavior
analysis.
Welcome,
senator
welcome.
Q
Q
The
board
of
psychological
examiners
already
had
a
heavy
workload,
and
so
the
processing
of
licensure
for
behavior
analysts
were
was
slow
at
that
time.
In
2017,
we
only
had
40
registered
behavior
technicians,
rbts
licensed
in
the
state
and
rbts
are
the
individuals
who
work
you
know
hand
in
hand
with
the
with
the
children
who
are
affected
by
autism.
Q
With
this
new
board,
we
were
hoping
to
significantly
increase
the
numbers
of
rpts
and
also
other
providers
who
provide
behavior
analysis
and
when
it
was
created,
this
new
board
needed
some
time
to
get
up
and
running,
so
it
was
initially
staffed
by
aging
and
disability
services
under
the
department
of
health
and
human
services.
So
aging
and
disability
services
has
provided
the
staffing
to
this
new
board
since
2017..
Q
Q
The
bill
before
you
today,
sb
217
transfers
the
responsibilities
concerning
the
licensure
and
regulation
of
the
practice
of
behavior
analysis
from
aging
and
disabilities
to
the
board
of
applied
behavior
analysis.
As
mentioned
earlier,
adsd
has
been
providing
support
and
staffing
since
it
was
formed,
and
now
the
board
is
ready
to
operate
independently.
Q
Because
of
the
length
of
the
bill.
I
asked
lcb
to
create
a
summary
table
that
has
it
tells
you
what
the
different
components
are.
So
you
have
this
in
your
exhibits
if
you're
able
to
to
look
at
those
so
what
I
thought
I
would
do
instead
of
going
through
page
page
by
page
the
bill,
I
know,
you've
had
quite
a
few
bills
today
is
just
to
highlight
some
of
the
major
components
and
then
open
it
up
for
questions.
Q
So
if
you
were
to
look
at
sections
12
through
18,
what
that
does
is
it
adds
behavior
analysis.
Analysts
excuse
me
assistant,
behavior,
analysts
and
rbts
to
the
definition
of
provider
of
health
care
and
nrs
and
subjects
them
to
the
same
requirements
as
those
professionals
regulated
by
the
boards.
So
that's
a
big
piece
when
we
move
them
over
to
providers
of
health
care.
Section
53
modifies
the
board's
membership
to
allow
a
behavior
analyst
to
join
the
board,
so
there's
different
levels
of
analysts,
and
so
it
opens
up
a
slot
for
that.
Professional
section.
Q
We
of
course
required
background
checks
for
the
the
various
providers,
but
in
2019
we
tried
to
streamline
it
because
what
was
happening
is
there's
a
national
board
that
licensed
them
and
then
also
the
state
licenses
them.
And
so
we
tried
to
allow
them
to
have
one
background
check.
But
when
that
information
went
to
the
fbi
they
rejected
it.
They
like
a
background
check
for
each
entity
and
for
each
licensure.
Q
So
this
language
reverts
back
to
the
original
language
that
we
had
so
that
they're
required
to
get
the
background
checks
and
again
they
always
got
the
background
checks,
but
it
was
sort
of
how
they
were
getting
them
and
whether
they
were
going
to
need
to
get
to
one
for
the
professional
board.
That's
a
national
board
and
one
for
the
state
board.
So
that's
what
that
does
sections
97
101
includes
the
day
include
the
dates
of
transfer
of
funds
and
the
substantive
provisions,
and
we
also
early
today
submitted
a
conceptual
amendment.
Q
A
A
Okay,
I'm
going
to
go
ahead
and
ask
now,
as
I
was
reading,
senator
gansster
through
the
bill
and
again
just
a
lot
of
times.
I
have
questions
just
to
help
me
understand
the
bill
and
I
know
we're
deleting
the
well.
Let
me
give
you
a
section:
well,
it's
in
a
few
sections,
but
we're
deleting
the
definition.
That's
in
this
bill
of
a
license
assistant,
behavior
analysis
and
then
referencing,
nrs
437.005,
and
I
noticed
that
the
definitions
slight
are
slightly
different.
A
Q
So
for
the
record
senator
heidi
sievers
cancer-
I
don't
know
if
I
said
that
at
the
beginning,
so
you
know
there
I'd
have
to
look
up
those
specific
examples.
At
the
very
beginning,
when
we
created
the
new
board,
we
also
were
creating
a
separate
licensure
and
like
a
nevada
licensure.
But
in
the
end
we
didn't
need
that,
because
the
national
organization
was
able
to
register.
Folks
and
again
we
were
trying
to
increase
the
number,
and
so
I'm
not
sure
if
molly
or
bridget
could
answer
that
particular
question.
Q
B
For
the
record
molly
halligan
good
afternoon,
chair
madam
chair
in
the
committee,
thank
you
for
letting
us
present
today.
So
437.050
actually
refers
to
the
registered
behavior
technician.
I
believe.
B
0.005
there
there
shouldn't
be
any
change
to
the
license.
The
assistant
behavior
analyst.
We
had
wanted
to
include
the
language
licensed
at
one
point,
but
for
various
reasons
we
chose
to
leave
that
that
word
out
licensed.
A
Okay,
thank
you
and
just
another
question.
I
know
that
now
we're
requiring
the
board
to
create
an
orientation
program
for
any
board
members
who
are
going
to
be
joining
the
board
and
they
have
to
be
completed
within
60
days.
So
is
it
going
to
be,
I
don't
see
it
in
here
so
and
I'm
assuming
it
is,
but
I
just
want
to
make
the
record
clear:
it's
going
to
be
the
responsibility
of
the
board
to
create
that
orientation.
A
It's
in
section
47,
page
48.
It's
going
to
be
the
responsibility
of
the
board
to
create
that
training.
What
the
training
looks
like.
Q
Thank
you
I'll,
let
molly
or
dr
fronofel
answer
that
question
so.
B
Yes,
for
the
record
marlon
halligan
again
and
yes,
the
intention
is
that
the
board
will
create
that
training
just
to
ensure
that
all
valid
manuals
and
laws
and
regulations
have
been.
You
know
adhered
to
by
the
new
incoming
members.
A
Thank
you
miss
elegant,
and
I
think
that
just
answered
my
second
question
to
that
metallica.
So
you
guys
won't
require
any
existing
members.
It'll
just
be
new
members
who
would
be
required
to
go
through
the
orientation
that
would
be
intense,
okay,.
M
Thank
you
so
as
we
as
you
trans
looking
to
transfer
this
out
of
aging
and
disabilities
and
because
they
were
providing
the
support
staff
that
would
probably
have
made
it
a
little
more
affordable
for
them
to
get
going,
and
I
do
remember
the
conversation
in
17
because
there
were
very
few
of
them.
We
didn't
think
that
they
could
substantiate
their
own
board
and
they
might
end
up,
have
biting
off
more
than
they
could
actually
handle
so
having
it
in
aging
and
disabilities
worked
very
well
just
to
get
them
up
and
get
them
running.
Q
The
behavior
analysts
have
been
very
thoughtful
about
this,
so
I'm
going
to
let
them
answer,
but
they
have
waited
four
years
to
to
look
towards
this
transfer
and
when
I,
what
I
mentioned
earlier
is
you
know
some
of
the
numbers
we've
gone
from
40
rbts
to
over
1200
and
we've
got
230
something
analysts
and
so
forth.
So
I'll
go
ahead
and
let
them
answer
the
fiscal
questions,
but
the
numbers
have
increased
significantly
and
that's
such
a
valid
question,
because
sometimes
there
aren't
enough
folks
in
an
industry
to
support
a
board.
B
Dr
fernando
for
the
record,
thank
you
for
the
question
assemblywoman
carlton.
In
an
answer.
We
have
spent
four
years
analyzing
the
data
and
the
numbers
in
relation
to
our
fees
and
the
budget
and
comparing
ourselves
not
only
statewide
but
also
nationally
to
other
boards
of
similar
makeup
with
similar
numbers
with
some
similar
fee
schedules,
and
the
data
indicates
that
we
will
be
able
to
sustain
independently.
From
this
point
on.
B
Thank
you
for
the
question
for
the
record.
Again,
it
is
in
our
corresponding
nac,
not
an
nrf.
M
Okay,
and
and
thank
you,
madam
chair
and
typically
and
when
I
was
reading
the
the
opening
statements
on
this
to
have
this
board
operate
as
other
boards.
Do
we
typically
put
the
fees
in
statute
that
way?
We
know
what
the
guidance
is
and
we
typically
list
the
top
end,
so
that,
if
you
need
to
work
up,
you
can
work
up
to
it.
Q
Madam,
thank
you,
madam
chair,
through
you,
too
assemblyman
carlton
for
the
record
senator
heidi
sievers
cancer.
The
original
bill,
I
believe,
had
the
license
fees
in
it
and
we
may
have
had
a
cap
up
too,
and
we
can
actually
do
a
little
bit
of
research
in
there
because
I
know
it
wasn't
an
open
door.
We,
as
you
know
we
rarely
if
and
probably
never
just
leave
it
totally
uncapped.
I
I
think
we
probably
had
a
structure.
Q
M
I
I
guess
my
my
I
what
I
need-
and
I
don't
remember
and
I
apologize
but
were
are
the
fees
in
statute
somewhere,
because
if
they
are
and
they're
not
changing,
that's
one
thing,
but
if
they're
not
in
statute
and
you're,
going
to
a
fully
fledged
board.
If
we're
going
to
operate
like
all
the
other
boards
in
the
state,
then
those
fees
should
be
in
statute
and
it
wouldn't
be
changing
the
fees.
It
would
just
be
making
sure
that
they're
noticed
inside
of
the
statute,
and
we
can
research
that
that
further.
Thank.
Q
You
for
the
record,
senator.
How
do
you
see
his
cancer?
I
think
we
just
need
to
research
it
because
I
don't
think
it's
completely
open
and
I
think
they
set
them
through
code,
but
I'm
pretty
sure
that
we
have
maximums
and
right
now
the
intent
is
not
to
raise
the
fees,
but
I
understand
because
they're
going
on
their
own
we've
had
such
a
vast,
multiple
of
how
they
started
or
where
they
started.
Q
A
Okay
and
senator
stevers
cancer.
I
have
just
one
more
question
before
we
go
to
testimony
on
page
49,
section
48,
where
it
gives
the
definition
of
practice
of
applied,
behavior
analysis
and
what
it
means
under
sub
2.
It
says
this
term
does
not
include
diagnosis,
psychological
testing,
psychotherapy,
cognitive
therapy,
psychoanalysis
or
counseling.
A
Q
B
Molly
halligan
again
for
the
record
we
are,
we
did
not
fall
under
the
category
of
counselors.
We
fought
exclusively
under
the
category
of
behavior
analyst,
as
senator
sievers
ganstert
has
said
that
we
primarily
work
with
children
with
autism.
We
do
work
with
other
populations,
but
we
do
not
provide
counseling
services.
A
A
A
Okay,
seeing
no
one
here
in
carson
city
and
we've
already
had
our
presenters
on
zoom,
we
can
go
ahead
and
ask
broadcasting
to
check
the
telephone
lines
for
anyone
wishing
to
testify
in
support
of
senate
bill
217.
F
F
B
K-E-R-R-I-M-I-L-Y-K-O,
I'm
a
board-certified
behavior
analyst
at
the
doctoral
level
and
I'm
a
licensed
behavior
analyst
and
the
former
chair
of
the
nevada
state
board
of
applied
behavior
analysis
and
I'm
the
co-owner
of
the
learning
consultants
of
the
hebrew
health
agency
in
reno
nevada,
and
I
would
just
like
to
testify
on
support
of
this
as
it
brings
protection
to
our
consumers
and
allows
provisions
for
the
advancement
of
our
of
the
board.
Thank
you.
So
much.
A
A
F
A
B
B
Q
Thank
you
for
the
record
senator.
How
do
you
see
first
cancer,
I'm
gonna,
let
one
of
our
representatives
answer
that
question,
because
there
may
be
individuals
who
are
set
up
as
an
llc,
I'm
not
quite
sure.
A
And
we
can
always
ask
our
legal
to
chime
in
too.
Thank
you
if
he
knows
with
respects
to
other
boards.
B
Molly
halligan
again
for
the
record,
I
believe
that
is
related
to
the
definition
of
healthcare
provider,
so
that
was
part
of
that
language.
So
I
think
we
would
have
to
defer
to
lcb
on
that.
C
Quest,
thank
you,
madam
chair
sam
klost
committee
council.
So
since
the
since
section
25
excuse
me,
since
this
bill
is
moving
chapter
437,
the
board
created
under
chapter
3437
to
the
sort
of
independent
board.
A
Q
Thank
you,
madam
chair,
for
the
record
senator
heidi
sivers
gansur.
So
I
took
a
moment
to
look
up
the
fees
and
the
fees
are
prescribed
by
regulation.
The
board
shall
prescribe
by
regulation
fees
for
the
issuance
renewal
and
reinstatement
of
a
license
or
registration,
and
any
other
services
provided
by
the
division
was
the
division,
the
board
challenger,
to
the
extent
practical,
that
the
amount
of
the
fees
is
sufficient
to
pay
the
costs
incurred
by
the
board
in
the
division.
Q
Under
the
provisions
of
this
chapter
without
limitation
compensation
of
the
board
and
does
not
exceed
the
amount
necessary
to
pay
those
costs
so
they're
supposed
to
align
with
the
costs
of
the
board
and
because
the
membership
or
the
licensure
has
increased
greatly
they're,
confident
that
they
can
cover
the
cost,
and
so
we've
not
proposed
to
increase
those
fees
but
you're
you're
right
there.
They
are
in
code
and
they're
not
in
statute
and
I'd
appreciate
your
support
on
this
bill.
Again.
Q
This
board
has
been
in
place
for
four
years
now
and
we're
extremely
grateful
to
aging
and
disability
services
for
helping
them
start
out,
but
they're
they're
extremely
well
organized
and
brought
this
to
me
this
time
and
did
wait
for
not
two
years
but
four
years
to
be
able
to
go
out
on
their
own.
So
I
appreciate
your
consideration.
A
A
While
we
give
those
listening
over
the
internet
time
to
call
in
because
we
do
have
a
one-minute
delay,
I
will
go
ahead
and
read
through
our
public
comment
housekeeping
and
remind
everyone
that
public
comment
is
a
time
to
talk
about
matters
that
fall
within
the
jurisdiction
of
the
commerce
and
labor
committee.
If
you
direct
your
remarks
to
issues
over
which
this
committee
has
no
oversight,
I
will
ask
you
to
redirect
your
remarks
or
terminate
them.
A
A
We
do
limit
public
test
public
comment
to
30
minutes
and
two
minutes
per
caller.
I
would
remind
everyone
to
be
respectful
to
committee
members
and
other
witnesses
and
do
not
comment
on
testimony
provided
by
other
speakers
or
make
personal
attacks.
You
may
always
submit
your
remarks
in
writing
to
the
committee
secretary
for
inclusion
in
the
record
with
that
broadcasting.
Is
there
anyone
in
carson
city
who
wishes
to
testify,
who
wishes
to
make
a
public.
A
F
A
Thank
you
broadcasting
and
members
before
we
adjourn
any
comments
from
the
committee
members.
Okay,
seeing
none.
Thank
you
all
for
your
attention
to
all
of
the
bills.
We
will
be
meeting
this
friday.
You
should
have
received
the
agenda.
Just
remember
to
please
note
the
start
time
and
we
are
adjourned.
Thank
you.