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From YouTube: 3/22/2021 - Assembly Committee on Government Affairs
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A
C
D
D
E
A
Present,
madam
secretary,
please
let
the
record
reflect
all
members
are
present.
We
have
a
quorum
good
morning,
members.
I
hope
you
had
a
great
weekend.
You
gave
yourself
an
opportunity
to
get
some
rest,
relax
and
hang
out
with
friends
and
family.
That's
always
important.
Don't
forget
to
do
that
and
thank
you
for
joining
us
a
little
bit
earlier
this
monday
morning
and
for
those
of
you
who
are
on
that
really
late
flight.
I
hope
you
got
some
good
rest.
A
As
you
all
know,
we
have
one
item
on
the
agenda
today,
but,
as
always,
I
want
to
remind
everybody
to
please
keep
your
microphone
on
mute
unless
you
are
speaking
and
your
camera
is
on
at
all
times,
unless
you
have
to
take
care
of
some
matter.
Just
make
sure
you
give
me
a
quick
heads
up
for
those
of
you
journey
joining
us
virtually
members
of
the
public
adams.
Thank
you
for
joining
us.
As
always,
we
look
forward
to
your
conversation
and
engaging
with
us.
A
As
always,
I
want
to
remind
you
that
we'll
be
doing
public
comment
at
the
very
end
of
today's
meeting
and
if
you
wish
to
speak
in
support,
opposition
or
neutral
we'll
do
that
after
the
presentation
of
today's
bill
bill
hearing.
So
with
that
on
today
on
the
agenda,
we
have
assembly
bill,
187,
that's
going
to
be
presented
by
our
very
own
speaker
for
ryerson,
which
designates
the
month
of
september
each
year
as
ovarian
and
prostate
cancer
prevention
awareness
month.
I'll.
A
Take
this
quick
point
of
privilege
just
to
say:
welcome
back
to
our
speaker,
it's
great
to
see
you
again
speaker
here
in
the
back
of
the
building,
and
I
appreciate
you
taking
this
opportunity
to
you
utilize,
your
own
story,
your
own
healing
your
own
strength
as
an
opportunity
for
all
nevadans
to
to
realize
how
important
it
is
for
us
to
do
this
and
check
up
on
ourselves.
So
speaker,
thank
you.
Welcome
back
to
your
committee
and
at
this
time
we'll
open
up
the
hearing
on
assembly
bill
187
whenever
you're
ready.
F
Thank
you,
mr
chair
and
members
of
the
committee
for
the
record.
My
name
is
jason
fryerson
assemblyman
for
district
8
and
speaker,
the
nevada
state
assembly.
I
am
here
proud
to
present
assembly
bill
187
for
your
consideration.
F
Ab177
would
designate
the
month
of
september
as
ovarian
and
prostate
cancer
prevention
and
awareness
month
now.
This
is
nationally
already
ovarian
and
prostate
cancer
winners
month
in
september
nationally,
and
this
bill
would
align
our
state
efforts,
of
course,
with
our
national
efforts,
based
on
an
analysis
from
our
own
state,
biostatistician
kiera.
Morgan.
Excuse
me:
prostate
cancer
is
the
most
common
cancer
among
men
here
in
nevada
and
across
the
country,
and
the
second
leading
cause
of
cancer-related
deaths
for
men.
F
Black
men
in
particular,
are
disproportionately
affected
by
prostate
cancer,
with
diagnose
diagnosis
and
mortality
rates
significantly
higher
than
any
other
race
or
ethnicity.
Additionally,
ovarian
cancer
is
the
fifth
most
common
cause
of
female
cancer
mortality
in
nevada
and
in
the
united
states
in
nevada.
Ovarian
cancer
diagnosis
is
the
highest
amongst
asian
women,
though
mortality
rates
are
still
highest
for
black
and
white
women
this
year.
F
Additionally,
the
american
cancer
society
estimates
that
in
2021
over
21
400
women
will
be
diagnosed
with
ovarian
cancer
and
over
thirteen
thousand
seven
hundred
women
will
lose
their
lives
from
ovarian
cancer.
This
year,
based
on
data
from
our
own,
our
our
state
biostatistician,
twenty
six
percent
of
prostate
cancer
and
seventy
three
percent
of
ovarian
cancer
is
diagnosed
late.
Unfortunately,
early
detection
and
screening
for
ovarian
cancers
is
rather
difficult
and
has
led
to
increased
late
diagnosis.
F
The
prostate
cancer
testing
has
fortunately
become
less
invasive
and
has
led
to
much
earlier
diagnosis.
It's
critical
that
we
continue
to
bring
awareness
and
advocacy
to
the
cancers
that
impact
our
lives
and
the
lives
of
our
loved
ones.
It's
critical
that
we
normalize
seeking
metal
attention
and
promote
early
detection.
F
I
chose
to
bring
ab187
for
this
session
because
of
a
personal
story
that
I'm
sure
most
of
you
are
aware
of
by
now.
I
just
returned
myself
from
an
outpatient
procedure
last
week
to
remove
cancer
arterial
cancer
tumors
from
my
own
prostate.
So
my
story
in
2018
I
was
diagnosed
late,
2018
with
trace
amounts
of
prostate
cancer,
and
I
want
to
tell
the
full
story
to
emphasize
the
importance
of
of
catching
it
early
and
how
easy
it
is.
F
I
I
have
a
wonderful
general
family
physician
who
suspected
there
were
trace
levels
of
blood
in
my
urine
and
asked
me
to
to
follow
up
and
get
further
tests.
So
then
there
was
a
psa
test,
a
blood
test
that
tests
a
protein
in
your
blood,
that's
associated
with
cancer,
and
that
came
back
high
for
my
age.
I
was
48
at
the
time
and
it
came
back
high
for
my
age.
So
we
we
had
subsequent
testing
and
monitoring
and
it
was
decided
that
we
would
actively
watch
it
you.
F
You
know
many
people
may
be
surprised
to
learn
that
many
men
who
have
prostate
cancer
live
their
full
lives
and
never
know
it,
and
so
because
it's
typically
not
an
aggressive
form.
If
you
catch
it
early
and
you
can
monitor,
then
you
can
watch
it.
So
the
plan
was
to
monitor
my
my
psa
and
watch
it
and
over
the
next
couple
years
it
grew
from
a
psa
of
2.5
to
a
psa
of
5
and
then
just
last
year,
within
a
two-month
period,
a
two-month
window.
F
It
went
from
a
psa
of
five
to
a
piss
save
over
seven,
which
prompted
the
need
to
take
more
aggressive
action,
and
so
I
was
fortunate
that
my
doctor
referred
me
to
ucla
after
having
confirmed
it
in
las
vegas.
As
I
said
in
an
interview
last
week,
there
was
a
urologist.
F
My
neurologist
in
las
vegas
was
wonderful,
helped
me
detect
it,
and
I
believe
firmly
that,
as
with
many
men
and
prostate
issues,
my
doctor
needed
to
get
my
attention,
and
so
my
doctor
referred
me
to
ucla
and-
and
I
just
happened
to
qualify
for
a
treatment
that
they
had
pioneered
there
for
early
detection
of
prostate
cancer
and
treatment.
F
That
was
that
you
know
I
was
able
to
qualify
for,
and
so
you
know
I
was
able
to
have
just
the
the
cancerous
tissue
removed
through
a
a
freezing
process
cryoablation.
F
But
I
I
think
my
situation
was
was
unique
in
finding
it
early
and
being
able
to
qualify
for
this
pretty
unique
procedure.
But
you
know
more
than
anything.
I've
been
overwhelmed
with
the
the
outpouring
of
well
wishes
and
support.
F
It's
truly
been
wonderful
to
see,
and-
and
there
are
folks
that
say
you
know,
I'm
so
sorry
that
that
you're
going
through
this-
and
I
say
you
know
nobody-
wants
to
go
through
this,
but
rather
than
be
sorry
I'm
going
through
and
I'm
grateful
that
I
caught
it
and
I
caught
it
early
because
I
I
followed
you
know
the
advice
of
my
doctors
and
and
followed
up
so
as
an
african-american
man.
F
I
know
that
I'm
at
a
higher
risk
in
and
of
itself,
so
you
know
and-
and
I
believe
that
there
are
folks
from
the
american
cancer
society
here
today-
folks
from
canada,
centers
cancer
centers
in
nevada
and
a
couple
of
folks
that
have
some
personal
experiences
to
talk
to
you
about
the
importance
of
screening,
of
getting
your
psa
done
of
having
your
you
know,
your
prostate
exam
done
following
your
doctor's
advice,
but
this
prostate
cancer
in
particular,
is
so
incredibly
treatable
that
no
one
should
die
from
prostate
cancer.
F
It's
it's
treatable!
If
you,
if
you
catch
it
early,
you
can
prevent
it
from
spreading.
You
can
prevent
it
from
growing
and
you
know
through
you
know
some
side
effects
depending
on
how
advanced
your
prostate
cancer.
F
Is
you
work
through
that,
and
this
is
a
sensitive
area
for
men,
but
but
again,
as
I
said
last
week,
if
there
was
ever
a
time
to
man
up,
it's
it's
with
respect
to
prostate
cancer,
so
I'm
proud
to
use
my
own
position
and
my
own
platform
to
raise
awareness
that
it's
been
amazing
in
just
the
past
week.
F
The
number
of
friends
who
called
and
said
they're,
going
through
the
same
thing
or
quite
frankly,
friends,
who
called
and
said
they're,
going
to
get
the
psa
test
right
now
and
that's
what
this
is
all
about.
If
we
can
save
one
life,
let
alone
more,
it's
well
worth
it
for
something
that
is
so
incredibly
treatable.
F
I
I
was
honored
to
speak
with
governor
bob
miller,
who,
years
ago,
some
years
ago
talked
about
his
own
diagnosis
and
it's
encouraging
to
have
people
in
leadership,
positions
that
take
this
serious
and
take
on
the
position
of
wanting
to
educate
the
public
and
so
governor
miller.
Did
that,
and
I
I
think
it's
it's
time
for
us
to
put
an
annual
effort
and
a
regular
effort
towards
educating
the
public
about
screening
and
testing
and
being
mindful
of
your
own
of
your
own
health
circumstances.
F
I
want
to
give
a
a
special
thank
you
to
to
my
you
and
our
family
and
my
wolfpack
family
for
their
support
and
and
coach.
All,
of
course,
it's
always
great
to
hear
from,
and
governor
sandoval
and
the
entire
wolfpack
family
for
their
support.
It's
been
tremendous,
but
I
feel
like
it's
certainly
my
duty
to
take
this
opportunity
to
educate
other
people
and
make
sure
that
folks
understand
that
you
know
moments
of
inconvenience
are
well
worth
longevity
for
your
life.
F
For
the
you
know
the
support
involvement
of
your
loved
ones,
your
spouses,
your
children,
your
parents,
you
know
this
can
be
handled,
it
can
be
managed,
and
it's
certainly
well
worth
the
effort
to
do
it
yourself
and
to
educate
your
friends
and
family
about
their
health
as
well,
and
so
that
mr
chair,
is
really
the
emphasis
behind
the
bill.
I'm
grateful
for
the
doctors
and
patients
and
survivors
that
are
going
to
be
joining
me
today
to
tell
their
stories.
I
mean
you'll
hear
that
shortly
it
it.
F
You
know
if
the
the
the
c
word
cancer
is
scary
and
it
doesn't
have
to
be
as
scary
if
you
take
it
on
and
so
again,
as
coach
all
said
in
a
a
little
video
last
week,
all
gas
no
breaks
and
that's
what
this
is
about.
So
I
would
be
happy
to
answer
questions.
If
there
are
any
I'm
not
a
doctor,
I
did
get
wait-listed
to
medical
school
and
we
are
all
better
off
that
that
did
not
work
out.
F
But
I
I
just
wanted
to
use
my
story
to
help
encourage
other
folks
to
be
responsible
and
screen
just
as
well.
So
again,
I
would
be
happy
if
there
are
questions.
Otherwise.
I
know
there's
a
a
group
of
folks
that
are
prepared
to
testify
and
support
as
well.
A
Thank
you
again,
speaker
fryerson
for
joining
us
this
morning
and
again
for
walking
us
through
your
story.
I
think
a
lot
of
us
have
the
privilege
and
honor
to
say
that
we
serve
in
your
leadership
so
with
that
we're
going
to
go
ahead
and
open
it
up
for
questions
and
we'll
start
off.
First
with
assemblyman
ellison.
Please.
D
Oh,
thank
you,
mr
chairman.
I
was
kind
of
hoping
that
they'd
get
through
the
presentation,
but
I
do
have
one
and
mr
speaker,
I
thank
you
for
bringing
this
forward
because
awareness
is,
is
such
a
major
deal
with
cancer?
D
So
I'm
glad
you
brought
this
forward
and
what
I'm
hoping
is
that
the
mr
speaker,
that
the
chairman
will
move
this
forward
and
spend
the
rules
to
get
this
out
and
get
it
on
the
floor
for
the
the
proclamation
and
then
from
there,
get
it
over
to
the
senate
and
get
it
out.
I
I
think
this
is
something
you
don't
want
to
set
on.
I
I
think
you
want
to
get
it
out
and
mostly
now,
because
there's
a
lot
of
people
out
there,
that's
just
letting
this
stuff
right
and
they
don't
need
to.
D
C
A
And
thank
you
assemblywoman
members,
any
additional
questions.
A
E
Good
morning,
chairman
flores
spice
chairman
advice,
chairwoman
torres
and
members
of
the
committee,
my
name
is
alex
garza
and
this
is
perhaps
the
most
important
testimony
I've
ever
given
in
my
life,
I
am
a
two-time,
prostate
cancer
survivor
and
I'm
here
to
speak
in
support
of
assembly
bill
187
designating
the
month
of
september
is
ovarian
and
prostate
cancer
prevent
prevention
and
awareness
month
in
nevada.
I
want
to
thank
you
for
allowing
me
to
speak.
E
I
was
first
diagnosed
in
2017
when
I
was
46
47
years
old
and
only
a
few
months
before
losing
my
mother
to
ovarian
cancer.
So
I
feel
that
I'm
very
qualified
to
speak
on
this
particular
issue.
I've
had
a
complete,
prostate,
prostate
removal,
but
my
cancer
returned
in
2018
and
then
I
had
to
go
through
hormone
therapy
and
radiation
therapy.
I
want
to
just
share
a
little
bit
about
my
story
because
in
hindsight
I
probably
started
exhibiting
symptoms
when
I
was
40
or
41
years
old
and
in
the
exuberance
of
youth.
E
I
didn't
make
the
best
decisions
in
the
absence
of
education.
I
didn't
make
the
best
decisions
to
focus
on
my
own
personal
health.
This
is
indicative
of
what's
happening
out
there
in
the
community,
in
that
a
lot
of
people,
especially
in
minority
groups,
black
america,
latino
american
hispanics-
don't
have
access
to
the
proper
education
and
awareness
materials
to
make
proper
and
informed
decisions
on
how
to
receive
the
best
possible
health
care
for
themselves.
E
I'm
hoping
that
through
this
awareness
month,
that
we
are
able
to
reach
more
people
and
provide
them
the
awareness
and
education
so
that
that
doesn't
happen
to
other
people
as
well
too.
My
own
personal
journey
has
been
a
a
you
know,
a
difficult
struggle
in
that
at
the
age
of
49
or
50.
My
body
will
never
be
the
same
as
it
was
before
the
prostate
removal
and
those
of
you
guys
that
are
aware,
with
prostate
removal
and
what
it
does
to
a
man's
body.
E
You
can
understand
that
there
are
mental
issues,
physical
issues
that
are
associated
with
that
that
will
never
change.
I'm
a
hundred
percent
ready
and
willing
to
to
deal
with
those
issues,
and
I
feel
that
I'm
qualified
and
capable
to
deal
with
those
issues,
but
it
doesn't
mean
that
I
don't
still
struggle
with
the
issues
and
the
changes
that
have
occurred
because
of
prostate
cancer.
Had
I
caught
it
early
had
I
been
aware
and
been
educated
myself.
E
The
severity
of
what
I
am
experiencing
probably
would
not
would
not
have
occurred
in
it
would
have
been
easily
treatable.
Statistics
say
that
prostate
cancer
occurs
in
much
older
men,
but
that
was
not
true.
In
my
case,
I
consider
the
age
of
46
47
to
be
young
for
prostate
cancer.
E
I
utilize
my
small
platform,
however
small
it
may
be
to
advocate
and
raise
awareness
of
prostate
cancer
and
ovarian
cancer
in
memory
of
my
mother
and
as
speaker,
apologize
for
not
being
able
to
see
your
name
fearsome,
fearsome
mentioned.
Even
my
small
voice
has
been
able
to
impact
friends
and
family
and
people
from
across
the
globe
to
go,
get
psa
checks
to
go,
get
breast
cancer
checks
to
go,
get
women
to
go,
get
checked,
and
it's
it's
reassuring
that
my
small
voice
has
such
a
large
impact
on
the
global
community.
E
I
want
to
thank
speaker
fearson
for
being
an
advocate
for
all
cancer
patients,
for
leveraging
his
much
larger
platform
to
raise
awareness
and
to
bring
enlightenment
to
cancer
patients
or
men
and
women
out
there
and
just
for
being
a
voice
on
this
important
important
issue.
I
want
to
thank
you
for
your
time
today
and
I
you
know,
hope
you
all
vote
in
support
of
this
of
ap
187..
Thank
you.
A
And
thank
you,
mr
garza,
for
sharing
your
story
and
again
utilizing
your
own
voice
and
story
and
healing
for
the
benefit
of
others
and
just
for
the
sake
of
clarifying
it
to
speaker.
Fryerson.
A
Thank
you,
mr
garza,
for
joining
us
this
morning.
Next,
I'd
like
to
go
to
former
governor
mr
miller
please
good
morning
and
welcome.
A
G
G
Fortunately,
my
doctor,
the
lady
elias
donovan,
suggested
that
I
have
more
testing.
The
first
was
a
digital
rectal
exam,
which
also
proved
negative
and,
and
so
dr
ghanam
indicated,
that
we
should
have
a
biopsy
exam
which
proved
to
locate
some
cancer.
G
I
decided
the
result
was
shocking
to
me,
but
the
doctor
and
I
then
began
researching
options
like
radiology
seed
implants
and
surgery.
Ultimately,
I
decided
on
surgery
because
I
thought
it
was
the
most
appropriate,
considering
my
circumstances.
G
G
G
For
some
time
after
the
surgery,
I
became
a
sounding
board
for
other
men
who
had
been
diagnosed,
most
of
whom
who
had
gotten
tested
in
part,
at
least
because
of
my
announcement,
just
as
the
speaker
was
suggesting
in
his
case,
their
early
detection
had
been
successful
as
well
assembly
bill
187
addresses
heightened
awareness
for
men
and
women
by
drawing
attention
to
prostate
and
ovarian
cancer
testing.
Early
knowledge
can
and
does
save
lives.
G
A
And
thank
you
governor
miller,
appreciate
you
joining
us
this
morning
and
for
the
record,
I
wanted
to
ensure
that
the
record
captured
that
that
was
bob
miller
b-o-b-m-I-l-l-e-r
and
thank
you
again
for
letting
your
story
be
heard
and
again
utilizing
it
as
a
tool
of
empowerment
for
other
nevadans.
A
We'll
continue
with
those
wishing
to
testify
and
support
and
as
we
have
several
other
folk
who
have
joined
us
virtually
this
morning,
if
we
could
go
to
to
anthony
mr
anthony
gwen.
A
H
Good
morning,
good
morning,
hi
good
morning,
chair
flores
vice
chair
taurus
members
of
the
committee.
My
name
is
anthony
nguyen
I'm
a
medical
oncologist
here
at
comprehensive
cancer
centers
in
nevada.
H
Isn't
that
going?
Sorry,
oh
okay,
for
you
now
perfect,
sorry,
sorry
designing
the
month
of
september
as
ovarian
and
prostate
cancer
prevention
and
awareness
in
nevada.
H
Before
I
begin
I'd
like
to
thank
speaker
fryerson
for
speaking
publicly
about
your
own
fight
against
cancer,
by
sharing
your
story,
are
you
doing
such
so
much
to
raise
awareness
about
prostate
cancer
and
all
the
cancers
in
general,
which
we
we
fight
every
single
day
here
with
our
patients?
Obviously,
detecting
cancer
earlier
improves
survival
lowers
disease
progression
reduces
costs
of
care.
If
patients
can
be
promptly
diagnosed
and
effective,
they
could
be
effectively
treated.
H
H
It
does
occur
in
men
with
family
history,
of
prostate
cancer
in
men
of
african-american
descent
and
some
of
the
risk
factors
are
smoking.
Obesity
not
getting
a
lot
of
exercise
in
the
united
states,
but
eleven
percent
of
men
will
be
diagnosed
with
prostate
cancer
at
some
point
in
their
lifetime.
H
I
you
know,
I
wanted
to
recall
a
patient
that
we
saw
here
who
didn't
get
screened
and
it
was
very.
It
was
a
very
poignant
case.
He
was
a
pilot
very
a
very
close.
I
guess
now
he's
friend
he's
he
he
had
not
gotten
screened
and
when
it
happened
is
that
he
had
actually
allowed
the
prostate
cancer
to
grow
and
grow
and
grow,
and
it
was
at
first
quiet
but
had
actually
metastasized
to
his
spine.
H
We
call
it
spinal
cord
compression,
so
unfortunately
he
didn't
get
screened
early
and
then
the
the
cancer
actually
had
had
invaded
into
his
spine
and
caused
him
the
inability
to
walk.
He
was
nearly
paralyzed.
So
luckily,
luckily
he
was
able
to
be
salvaged.
We
we
were
able
to
get
men,
he
was
treated
and
he
he
had.
He
was
able
to
walk
again.
H
He
was
able
to
regain
all
of
his
function,
but
it's
a
huge
deal
because
if
he
had
been
detected
early,
none
of
this
is
what
happened
and
it
was
very
traumatic
and
luckily
he's
doing
fine
right
now
he's
doing
great
he's
on
treatment,
but
again
the
importance
of
screening
if
he
would,
if
he
were
to
be,
if
he
would
have
seen
some
ads
or
some
type
of
of
of
cases
that
he
would
have
followed
up
with
his
doctor,
he
would
have
gotten
the
blood
test.
H
He
had
gotten
the
examination
as
we
had
talked
about
earlier,
and
he
would
he
would
avoided
so
much
difficult
treatment.
It
was
very,
very
difficult,
but
thankfully
he's
doing
great
right
now,
and
I
think
this
that
this
procedure
here
and
this
awareness
could
help
promote
men
getting
detected
early.
So
if
this
critical
piece
of
legislation
passes
determining
september
as
prostate
and
ovarian
cancer
awareness
month
in
nevada,
we'll
see
a
wealth
of
information
about
these
cancers.
It'd
be
a
wonderful
acid
and
us
fighting
these
cancers
with
the
patients.
H
A
Thank
you,
dr
gwen.
We
do
have
a
question
for
you
from
assemblyman
ellison.
D
Thank
you
and
thank
you
for
your
testimony.
I
do
have
one
you
mentioned
like
a
blood
test.
Is
that
usually
what
they
do
to
go
to
be
tested?
Is
that
what
you
recommend
is
go
in
and
have
a
blood
test?
Is
that
the
first
stage
what
you
should
do.
H
Thank
you
for
the
question,
so
the
screening
is
is
it
depends
on
the
person,
so
if
you're,
if
you're
of
higher
risk,
meaning
that
someone
in
your
family
had
prostate
cancer
at
an
early
age.
Typically,
what
we
do
is
we
start
screening
about
40.
H
and
yes,
it
is
a
blood
test,
but
there's
also
your
family
doctor
or
your
urologist
will
perform
a
we
call
just
digital
rectal
exam
so
or
dre.
They
call
it,
but
that
depends
on
each
person,
so
one
size
does
not
fit
all.
So
we
don't
tell
oh
50
years
old,
we
screen
everyone.
It
actually
depends
on
on
each
person.
So
if
the
person
has
family
history
early
on,
we
would
we
would
actually
recommend
going
earlier
this
american
cancer
society
recommendations.
H
If
you
have
people
who
are
higher
risk,
so
men
of
african-american
descent,
first
degree,
relatives
like
a
father
or
a
brother
who
had
prostate
cancer
at
an
earlier
age
like
below
the
age
of
65.
We
start
looking
at
about
45..
H
So
so
we
change
that
guideline,
but
if
you're
an
average
risk
and
you're
not
of
see
it's
tricky,
we
don't.
We
don't
tell
people
how
old
they
should
be
or
they
shouldn't
be.
We
say
that
if
you
have
a
life
expectancy
of
greater
than
10
years,
I
know
that
sounds
really
strange.
We
start
we
are
recommending
at
the
age
of
50..
H
So
so
we
would
test
those
those
folks
at
the
age
of
50.,
but
it
one
size
does
not
fit
all.
And
yes,
typically,
it
is
a
blood
test,
but
there
are.
There
are
more
innovative
tests
that
some
of
the
urologists
are
using
the
urine.
Besides
the
the
blood
test,
but
generally
the
the
psa
in
the
blood
test
is
the
typical
test.
That's
done.
A
Thank
you,
assemblyman
and
thank
you
doctor
for
joining
us
this
morning
appreciate
your
input.
Insight
to
this
conversation
we'll
continue
with
those
wishing
to
testify
in
support
of
assembly
bill,
187
and
next
we'll
go
to
mr
mike
patterson.
If
you
can
state
your
name
for
the
record
and
spell.
A
A
Good
morning,
mike
patterson,
do
you
wish
to
testify
in
support
of
assembly
bill
187.
I
I'm
sorry
I
just
I
didn't
hear
my.
I
didn't
recognize
my
name
when
you
said
it
remember
good
morning,
good
morning,
I'm
rev
michael
patterson,
I'm
a
retired
priest
in
the
diocese
of
nevada,
with
the
episcopal
church
and
my
story,
mimics
many
that
you'll
hear
today
with
kind
of
a
little
twist
to
it.
As
mr
fryerson
knows,
I
was
diagnosed
in
late
1999
as
having
cancer
and
they
had
been
following
it
for
a
number
of
years.
I
I
did
do
the
psa
tests
and
everything
you're
supposed
to
do,
especially.
I
After
you
hit
60.,
when
I
was
first
diagnosed,
I
had
wasn't
sure
I
was
going
to
do
anything
I'm
72
years
old.
Now
I
was
70
at
the
time.
I
went
and
got
a
second
opinion
and
that
doctor
said,
if
you're
not
going
to
treat
it,
you
need
to
get
your
affairs
in
order
because
you
have
about
18
months
to
live
in
20
2020.
I
After
going
through
this
quarantining
and
everything,
in
fact,
my
wife
and
I
were
actually
in
hawaii
when
the
it
was
officially
declared
a
pandemic
and
came
home,
did
some
more
soul
searching
because
my
bucket
list
had
had
a
hole
torn
in
it
by
covid,
because
we
were
supposed
to
do
some
traveling
and
kind
of
put
some
things
at
ease.
I
I
Now
it's
not
an
automatic
death
sentence
anymore,
which
I
kind
of
I
think
I
assumed
it
was-
and
I
congratulate
speaker
fryerson
for
bringing
this
to
the
attention
of
people.
He
and
I
have
been
speaking
about
this
for
a
while
now
and
it's
scary
and
I
think
the
more
education
we
get.
A
And
my
apologies
to
you,
reverend
patterson,
my
sign-in
sheet
did
not
contain
a
title,
so
my
apologies
and
not
adequately
referring
to
you
and
thank
you
for
joining
us
this
morning
and
I'll
echo
my
sentiment
that
I've
mentioned
now
to
the
previous
speakers.
Thank
you
for
utilizing
your
story
as
a
tool
of
empowerment
with
that.
We'll
continue
with
those
wishing
to
testify
in
support
of
assembly
bill
187
and
I
will
go.
A
To
I
see
from
we,
I
see
someone
signed
in
and
you
are
presently
a
patient.
If
I'm
not.
If
I'm
correct
helen,
I
I
need
help
with
your
the
pronunciation
of
your
lesson.
I
do
not
want
to
help
that.
A
J
Good
morning,
chair
florence,
vice
chair,
taurus
and
members
of
the
committee,
my
name
is
helen,
no
hanlon
and
I
have
ovarian
cancer,
a
form
called
granulosa
cell
tumor.
I
am
here
to
speak
in
support
of
ab187
designating
the
month
of
september
as
ovarian
and
prostate
cancer
prevention
and
awareness
month
in
nevada.
J
J
Many
women
experience
in
their
mid-30s
and
probably
just
stress
from
work
and
planning
a
wedding.
Six
months
later,
I
had
an
emergency
operation
because
the
cysts
ovary
turned
out
to
be
ovarian
cancer
and
had
ruptured.
In
the
last
13
years.
I've
had
to
battle
my
cancer
and
had
it
has
returned
over
eight
times
and
I'm
currently
living
with
tumors
12
surgeries
to
remove
ovarian
cancer.
J
J
J
J
I
also
want
to
thank
speaker
ferguson
for
his
bravery
and
sharing
his
personal
journey
with
cancer.
The
more
we
talk
about
cancer,
the
more
awareness
and
prevention
and
early
detection
can
save
lives.
I
thank
you
all
for
your
time
and
for
allowing
me
to
speak
on
behalf
of
this
important
bill.
Thank
you
very
much.
A
And
thank
you
for
joining
us
and
again
thank
you
for
utilizing
your
story
as
a
form
of
empowerment.
We'll
continue
on
with
those
wishing
to
testify
in
support
of
assembly
bill
187.
A
And
I
am
just
doing
one
last
look
through
our
folk
who
have
joined
us
virtually
and
next
I
see
john,
is
it
bilstein
or
bilstein.
K
Good
morning,
it's
john
dulstein.
Thank
you.
Thank
you
good
morning,
good
morning
already.
Thank
you
good
morning,
chair
flores
vice
chair
torres
and
members
of
the
committee.
My
name
is
john
bilstein
and
I
am
the
chief
executive
officer
for
comprehensive
cancer
centers
in
nevada,
and
I'm
here
today
to
speak
in
support
of
ab187
designating
the
month
of
september
as
ovarian
and
prostate
cancer
prevention
and
awareness
month
in
nevada.
K
K
That's
why
prostate
and
ovarian
cancer
awareness
month
is
so
important
because
it
rallies
nevadans
together
to
spread
awareness
and
show
support
for
each
other.
A
bill
like
ab-187
is
critical
in
the
fight
against
cancer,
and
it
helps
facilitate
conversations
and
exchange
information
with
the
common
goal
of
empowering
each
other.
With
the
knowledge
that
comes
from
education
and
experience,
there
are
ways
for
nevadans
to
get
involved
in
the
fight
and
raise
awareness
for
prostate
and
ovarian
cancer
awareness
month
by
getting
involved
with
the
american
cancer
society.
K
A
A
C
It's
quite
all
right.
It's
assembly,
member
anderson.
I
just
had
a
quick
question
for
mr
bilstein
or
bill
stein.
Excuse
me
or
dr
bilstein,
based
upon
some
of
the
information
that
was
shared
earlier,
as
well
as
the
information
from
mr
garza
are
the
is
the
education
also
being
done
in
other
languages
and
is
the
outreach
also
being
done
in
multiple
and
multiple
communities?
C
K
Thank
you,
I'm
john
bilstein,
I'm
the
chief
executive
officer,
not
a
physician,
but
yes,
the
answer
to
your
question
is
we
do
absolutely
have
information
in
other
languages.
We
have
physicians
that
speak
multiple
languages.
We
have
a
1-800
number.
We
even
employ
full-time
social
workers
to
help
get
the
word
out
into
the
community
to
the
african-american
hispanic
communities,
so
we
work
exclusively
with
the
culinary
union
on
a
contract.
So,
yes,
we're
have
many
avenues
for
people
to
get
support.
L
L
C
Thank
you,
mr
chairman,
susan
fisher
s-u-s-a-n,
space
f-I-s-h-e-r
with
mcdonald,
carano
speaking
on
behalf
of
the
american
cancer
society
cancer
action
network.
I'm
pleased
to
speak
in
support
of
speaker,
fryerson's,
baby
187,
proclaiming
my
birth
month
september
as
ovarian
and
prostate
cancer
prevention
and
awareness
month
in
nevada,
mr
speaker
and
others
who
spoke
before
me
covered
nearly
all
the
stats
I
had
in
my
notes.
C
So
I
won't
talk
about
all
of
those,
but
I
will
just
say
that
prostate
cancer
is
the
second
most
type,
most
common
type
of
cancer
found
in
american
men
and
is
the
second
leading
cause
of
cancer
death
in
men
after
skin
cancer.
But
it
often
can
be
discovered
early
with
a
simple
non-invasive
blood
test.
Nearly
70
percent
of
women
diagnosed
with
ovarian
cancer
will
die
of
the
disease.
C
Ovarian
cancer
often
has
no
symptoms
in
the
early
stages
and
then
tends
to
go
undetected
until
it
is
spread
within
the
pelvis
and
belly.
As
you
heard
earlier
in
testimony,
the
glimmer
of
good
news
is
that
ovarian
cancer
incident
rate
in
has
declined
in
the
us
by
one
to
two
percent
per
year
from
the
mid
1980s
through
2017..
C
A
And
thank
you
for
joining
us
this
morning.
We'll
continue
with
those
wish
you
to
testify
in
support
of
assembly
bill
187.
L
M
S-H-E-R-Y-C-H,
I
am
the
administrator
for
the
division
of
public
and
behavioral
health
and
on
behalf
of
the
department
of
health
and
human
services,
I
would
like
to
first
start
by
thanking
speaker
fryerson
for
sponsoring
this
incred
incredibly
important
bill.
Ovarian
cancer
is
the
fifth
most
common
cause
of
female
female
cancer
mortality
in
nevada
and
the
united
states.
M
It
is
also
the
10th
and
11th
most
common
cancer
amongst
women
in
nevada
and
the
u.s
respectively
in
2017
the
latest
year,
for
which
incidence
data
are
available
through
the
centers
for
disease
control
and
prevention
in
the
u.s
20
452
new
cases
of
ovarian
cancer
were
reported
in
14,
193
or
69.
Percent
of
these
women
died
for
every
hundred
thousand
women.
Ten
new
ovarian
cancer
cases
were
reported
and
seven
or
70
percent
died
of
this
cancer.
M
Over
the
past
40
years,
the
death
rate
for
ovarian
cancer
has
changed
very
little
and
by
the
time
ovarian
cancer
is
detected.
It
is
already
in
stage
3
in
nearly
51
of
the
patients.
Unfortunately,
there
is
no
current
reliable
screening
test
for
ovarian
cancer
among
men.
Prostate
cancer
is
both
more
common
and
more
fatal
in
both
nevada
and
the
us.
M
A
And
thank
you
for
joining
us
this
morning.
We'll
continue
with
the
phone
lines.
Those
wishing
to
testify
in
support
of
assembly
bill
187.
L
A
L
L
L
N
Thank
you
to
speaker,
ferguson
for
sharing
his
story
and
bringing
forth
ab187
and
to
all
of
these
survivors.
Who've
also
shared
their
stories.
Today.
You've
already
heard
much
of
the
data.
What
this
means
to
our
state
as
estimated
by
the
neva
the
american
cancer
society,
is
that
in
2021
alone,
we
will
lose
430
of
our
family,
friends.
N
Colleagues
and
neighbors
to
these
two
cancers
combined
partners
across
nevada,
which
you
heard
about
earlier,
are
working
to
provide
education
and
awareness,
encouraging
men
to
have
the
conversation
about
screening,
with
their
health
care
providers
and
loved
ones,
and
to
raise
awareness
of
the
signs
and
symptoms
for
both
ovarian
and
prostate
cancer.
We're
looking
forward
to
expanded
efforts
in
september
and
beyond
and
again
we
wholeheartedly
support
ab187.
A
And
thank
you
we'll
make
sure
that
the
record
reflects
that
that
was
testimony
in
support
of
assembly
bill
187.
A
L
D
Hi
good
morning,
chair
flores,
my
name
is,
and
members
of
the
committee,
my
name
is
jaren
hildebrand
and
I'm
the
executive
director
of
the
nevada
state
medical
association.
Like
my
the
caller
before
me,
I
I'm
wholeheartedly
in
support
of
this
bill.
I
tried
to
press
star
nine
on
the
support,
but
again
my
apologies.
I
am
the
executive
director
of
the
nevada
state,
medical
association
and
personally,
on
behalf
of
myself
having
a
father,
that's
also
a
cancer
survivor.
D
I
would
like
to
thank
speaker,
fryerson
and
and
and
all
the
the
people
that
share
their
stories,
the
more
that
we
can
get
awareness
out
to
to
our
state
and
to
these
folks,
the
better
and
again
I
am
in
strong
support
of
the
bill.
Thank
you.
A
L
A
Thank
you
we'll
go
back
to
speaker,
fryerson
any
closing
remarks.
You
may
have
yeah.
F
Thank
you
again,
mr
chair
and
members
of
the
committee
for
this
engagement.
I
I
I
just
really
wanted
to
highlight
just
a
couple
of
more
things.
I
I
would
be
remiss
if
I
didn't
acknowledge
the
toughest
person
I
know
is
all
four
foot
a
little
bit
of
mama
ryerson,
who
is
a
tough
cancer
survivor,
and
you
know
having
cancer
running
your
family,
you
know
makes
it
that
much
more
important,
but
but
but
she's
she's
she's,
a
tough
one.
F
My
dad
lost
his
battle
to
cancer,
and
so
what
this
allows
is
for
us
to
have
a
conversation
about
an
incredibly
uncomfortable
topic,
but
the
number
of
people
that
have
come
out
of
the
woodwork,
even
in
the
past
week,
to
talk
to
me
about
their
experiences
and
to
get
rid
of
the
stigma
of
talking
about
it,
as
you
heard
earlier,
if
with
ovarian
cancer,
if
it's
dismissed
as
just
some
other
thing
and
not
addressed
when
symptoms
arise,
you
know.
F
This
is
why
it's
so
important
for
us
to
talk
about
it
and
to
be
comfortable
talking
about
it,
and
so,
as
governor
miller
indicated,
there's
a
you
know.
There
may
be
some
questions
that
are
more
appropriate
for
offline,
but
it's
just
incredibly
important
to
talk
about
it
to
be
comfortable
with
it
and
be
willing
to
to
be
vulnerable.
F
I
also
appreciated
the
testimony
regarding
the
fact
that
this
is
you
know,
psychological
as
well
and
emotional,
and
you
know
there
there
can
be
depression
and
there
can
be
other
things
associated
with
with
being
diagnosed
and
with
having
to
face
some
of
the
potential
side
effects.
But
you
know,
as
as
as
you
all
can
see,
I
got
a
couple
of
little
people
that
you
know
we
got
to
stick
around
for
so
I
thank
you
all
for
your
attention
and
for
your
support
of
such
an
important
thing.
F
I
I
really
look
forward
to
the
effort
to
to
keep
this
a
topic
that
people
are
willing
to
continue
to
talk
about
every
year
and
throughout
the
year,
so
that
we
can,
you
know,
help
provide
folks
with
the
tools
they
need
to
make
the
decisions
they
need
to
make
from
an
informed
perspective.
And
again
I
thank
you
all
for
your
time
and
attention.
A
C
Thank
you
so
much,
mr
chair,
and
thank
you
so
much.
Mr
speaker.
This
was
really
hard
for
me
to
listen
to
today.
C
Because
my
dad,
when
he
received
his
diagnosis,
he
chose
to
ignore
it
because
he
didn't
like
the
treatment
options,
and
so
things
did
not
go
well
from
there
anyway.
My
question
for
you
is:
would
you
consider
accepting
others
of
us
to
sign
on
to
support
your
bill
to
be
sponsors.
F
Absolutely
again
before
the
record
jason
fryerson.
Thank
you
for
sharing
a
story
about
your
father.
You
know
mike
patterson,
who
testified
earlier
and,
of
course,
I've
known
reverend
patterson
for
a
long
time
from
from
reno,
but
his
son
is
a
neighbor
of
mine,
and
this
came
up
casually
and,
and
we've
got
to
talk
about
it
as
as
reverend
patterson
indicated,
he
initially
decided
not
to
do
anything.
It
was
given
18
months,
and
here
he
is
today
cancer-free,
and
so
it
was
not
easy.
F
I
my
experience
having
caught
it,
you
know
so
much
earlier
was
not
that
of
his
but
he's
cancer-free,
and
I
think
it's
just
so
important
that
you
know
we
break
down
these
barriers
and
are
willing
to
talk
about
it
and
and
to
be
supportive.
There
are
men
that
struggle
with
some
of
these
decisions
and
some
of
the
potential
side
effects,
and
there
are
women
that
struggle
with
you
know,
dealing
with
it
and
not
discounting
it
or
having
it
discounted.
F
As
just
you
know,
something
that
women
go
through
and
so
again
having
the
conversation
and
being
willing
to
talk
about
it
is,
is
a
huge
step
forward
and
I'm
looking
forward
to
nevada
being
a
leader
and
making
sure
that
we
make.
You
know
as
many
people
aware
of
their
options
as
possible
and
break
down
any
fear
and
anxiety
folks
might
have
about
having
an
address.
C
L
C
A
Thank
you.
Thank
you,
assemblywoman
and
again,
thank
you,
speaker,
fryerson.
We
appreciate
having
had
the
opportunity
to
engage
in
this
conversation
that
will
hopefully
empower
some
of
that
and
go
get
screened
and
hopefully
save
some
lives
here.
So
thank
you
at
this
time,
I'd
like
to
go
ahead
and
close
out
the
hearing
on
assembly
bill
187,
and
it
is
my
understanding
that
it
is
a
wish
of
the
committee
to
suspend
or
better
said,
wave
rule
57.4,
which
a
lot
of
us
refer
to
the
24
hour
rule.
A
As
you
know,
it
must
be
unanimous
unanimously
done
so
in
order
for
us
to
ensure
that
this
works,
we
all
have
to
be
on
board,
but
with
that
at
this
time,
I'd
like
to
entertain
a
motion
to
wave
rule
57.4.
A
Assemblywoman
lack
has
made
the
motion
to
wave
rule
57.4,
and
vice
territories
has
second
that
members.
Any
discussion.
J
D
D
D
O
C
A
Yes,
please
let
the
record
reflect
that
assembly.
One
martinez
is
absent,
excuse
from
this
flow
and
the
motion
carries
unanimously.
A
Thank
you,
members
and
then,
at
this
time,
I'd
like
to
entertain
a
motion
to
amend
and
do
pass
assembly
bill.
187
and
the
amendment
would
be
to
add:
assemblyman
ellison,
assemblywoman,
dickman,
assemblyman,
matthews
and
assemblywoman
black
as
co-sponsors
so
moved.
A
Thank
you
at
this
time,
assemblywoman
black
has
made
the
motion
to
amend
and
do
pass
assembly
bill
187
with
the
amendment
being
to
include
assemblyman,
elastane,
assemblywoman,
dickman,
assemblyman,
matthews
and
assemblywoman
black,
and
we
had
a
second
from
assemblywoman
dickman.
Is
that
correct?
Yes,
thank
you.
Thank
you.
Members.
Any
discussion.
D
Ellison
please,
mr
mr
chair,
I
really
think
that
everybody
in
this
facility
should
sign
on
as
co-sponsors
to
something
like
this.
That
is
so
important,
and
this
is
not
a
partisan
issue.
This
is
about
those
that
we
love
to
save
so
we'll
bring
this
up
at
the
caucus
today.
If
you
don't
mind
because
to
me
this,
this
is
something
that
everybody
should
stand
behind.
Thank
you.
C
Thank
you
chair,
and
I
really
want
to
thank
the
speaker
for
bringing
this
piece
of
legislation.
The
this
hearing
has
been
emotionally
tolling
on
me.
I
grew
up
and
my
mom
is
a
two-time
cancer
survivor
with
ovarian
cancer,
and
so
I
appreciate
this
conversation
because
we
don't
talk
about
ovarian
or
prostate
cancer
enough,
and
it's
very
important
that
we
continue
to
have
this
dialogue
in
our
communities
and
that
we
advocate
for
individuals
to
get.
J
D
M
D
C
A
Thank
you
again,
speaker
fryerson
members.
Before
we
go
to
public
comment,
I
wanted
to
very
quickly
note
that
this
morning
I
received
a
committee
bdr
that
we
have
to
introduce
and
the
measure
is
bdr20-7.
A
Please
recall
that
when
we
make
a
vote
to
introduce
a
bdr,
we're
simply
saying
that
we
allow,
for
the
measure
to
later
be
heard,
you're
not
saying
that
you
support
the
bill
or
anything
like
that.
A
This
will
have
to
go
through
the
formal
motions
of
being
referred
to
a
committee
heard
and
then
voted
on.
So
I
just
wanted
to
make
sure
that
you
understood
what
that
meant.
So,
at
this
time,
I'd
like
to
entertain
a
motion
to
introduce
bdr20
hello,
I
heard
assemblyman
ellison
assemblyman
alison
has
made
the
motion
to
introduce
bdr
number
20-784,
and
I
believe
I
had
a
second
attempted
woman
dickman.
Is
that
correct.
C
E
A
No,
who
was
the
second,
it
was
thomas.
Thank
you,
assemblywoman
thomas
has.
Second,
that
motion
remembers
any
discussion.
D
D
D
C
A
Yes,
unanimously
and
next
on
the
agenda,
we
have
public
comment
broadcast.
We
could
please
go
to
the
phone
lines
to
those
wishing
to
testify
and
join
us
this
morning
for
public
comment
for
those
of
you
who
intend
to
speak
during
public
comment.
Please
note
that
this
is
not
a
time
to
reopen
a
hearing
or
debate
a
hearing.
This
is
an
opportunity
for
you
to
bring
forth
any
information
you'd
like
or
share
any
testimony
that
falls
within
the
general
purview
of
our
committee.
I
want
you
to
speak
and
we
encourage
you
to
do
so.
A
L
L
O
O
O
d.a,
christopher
hicks
did
not
release
the
body
cam
footage
or
his
justification
of
the
murder
until
november
4th
2020
over
two
years
later.
He
waits
for
a
reason.
He
hopes
the
communities
will
forget.
I
can
assure
you
phillips,
daughter,
desiree
and
sister.
Michelle
will
never
be
able
to
forget
their
loved
one
killed
in
crisis.
Philip
was
shot
multiple
times.
51
shots
were
fired
in
total
by
brandon,
nagle,
sean
manning,
vincent
roble,
steven
smith
and
officer
sean
schwartz.
The
report
states
multiple
witnesses
indicated
phillip,
said
philip
indicated.
O
Through
his
vehicle
window,
he
was
going
to
park
his
vehicle
on
the
curb
to
speak
with
police
as
his
vehicle
slowly
moved
towards
the
curb
officers
unloaded
on
philip
these
people.
I
talk
about
life
mattered,
phillip's
sister
had
called
police
for
help.
She
believed
philip
had
ingested
drugs
when
sparks
police
approached
philip.
He
stated
he
didn't
want
their
help,
but
they
can't
take
that
for
an
answer.
These
people
I
talk
about
life
mattered.
They
are
someone's
brother,
sister
friend,
son
daughter
spouse.
O
A
A
Thank
you
at
this
time
close
out
public
comment
and
members,
I'd
like
to
remind
you
that
tomorrow
will
be
starting
at
9
00
a.m.
We
have
assembly
bill
28
and
assembly
bill
276.
A
Please
give
yourself
an
opportunity
to
review
those
ahead
of
time
and
prepare
questions
and
or
reach
out
to
the
sponsorship
you
need
to.
For
any
reason.
We
look
forward
to
that
dialogue
tomorrow,
and
I
wanted
to
thank
all
of
you
today
for
your
participation,
indoor,
better
set
your
willingness
to
slightly
empower
our
speaker
even
a
little
bit
more
by
working
collateral
collaboratively
to
ensure
that
this
moves
as
fast
as
possible.
A
So
with
that
members
I'll
see
you
tomorrow
morning.
Thank
you
all
for
your
work
today.
This
meeting's
adjourned.