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A
C
C
A
Here
and
if
we
can
please
mark
assemblywoman
peters
present
when
she
arrives,
I
know
she's
currently
presenting
in
another
hearing
in
another
committee
right
now.
Today
we
have
a
work
session
and
two
bill
hearings,
I'm
going
to
start
off
with
the
work
session.
First,
let's
begin
with
assembly
bill
205.,
mr
ashton,
can
you
please
present
the
bill
with
the
amendments
and
we'll
start
there.
D
D
The
bill
also
establishes
certain
other
requirements,
as
outlined
in
the
bullet
points
on
the
work
session
document.
And
finally,
this
door
provides
that
a
healthcare
professional
is
not
subject
to
disciplinary
action,
for
issuing
an
order
for
opioid
antagonists
to
a
school
and
exempt
certain
entities
from
liability
or
certain
damages.
D
Assemblywoman
cohen
proposes
to
amend
the
bill
to
limit
the
exemption
prescribed
in
sections
5
and
8
of
the
bill
to
only
exempt
from
liability,
a
school
school
district,
employee
of
a
school
and
certain
other
persons
affiliated
with
a
school
or
any
error
or
omission
concerning
the
acquisition
procession,
provision
or
administration
of
epinephrine
or
an
opioid
antagonist.
If
first,
the
administration
occurs
during
an
emergency
and
second,
the
air
or
omission
is
not
a
result
of
cross
negligence
or
reckless
vote
for
a
wonton
contact
conduct.
D
Sorry,
she
also
attached
the
ab-205
mock-up
and
chair
when
this
is
my
summary.
A
E
A
C
A
Yeah
seeing
the
motion
passes.
F
A
Well,
the
motion
passes
with
all
members
present
and
I
will
assign
this
floor
statement
to
assemblyman
matthews.
A
Yeah
detail,
sorry
about
that.
Next
we
will
go
to
assembly
bill
343.
I
will
note
that
there
were
some
substantial
amendments.
Mr
ashton,
can
you
please
go
over
those
amendments
as
well
as
the
bill.
D
D
The
proposed
lands
shall
consider
the
items
a
to
j,
as
outlined
on
the
bill
page
amendment
2
required
the
nevada
department
of
transportation
to
participate
in
the
development
of
these
proposed
plans
to
the
extent
feasible
and
appropriate,
based
on
endorsed
jurisdiction.
Amendment
3
required
a
southern
nevada
health
district
for
clark
county
and
the
washoe
county
health
district
for
warsaw
county
to
assist
in
the
development
of
their
respective
proposals
and
to
publish
the
results
of
any
walking
audit
conducted
on
their
respective
internet
websites.
D
Amendment
4
require
both
clark
and
washer
county
to
report,
their
respective
plans
outlining
their
proposals
for
implementation
of
walking
audits
to
the
legislative
committee
on
healthcare.
No
later
than
june,
1st
2022
other
amendments,
amendment
5,
revised
subsection
2
of
section
1
to
retain
the
parameters
related
to
walking
audits
as
optional
parameters
in
their
respective
proposed
plans
to
the
extent
possible
amendment
6
delete
section
2,
thereby
removing
the
unfunded
mandate.
Provision
in
the
bill.
D
Amendment
7
make
this
bill
effective
up
on
passage
and
approval.
And
finally,
I
wanted
to
state
on
the
record.
The
stakeholders
of
this
bill
will
work
with
the
legal
division
to
clarify
the
requirements
regarding
the
reporting
and
publication
of
any
walking
audits,
as
outlined
under
conceptual
amendment.
Madam
chair.
A
Thank
you
for
that
clarification,
mr
ashton.
I
know
I
believe
assemblywoman
thomas
is
here
to
answer
any
questions.
I
know
that
she
did
reach
out
to
many
of
the
stakeholders
that
had
concerns
during
the
hearing,
and
I
believe
that
her
conceptual
amendment
takes
those
into
consideration,
but
are
there
any
members
of
the
committee
that
have
any
questions
based
on
that
amendment?.
H
Madam
chairman,
I
apologize
if
this
is
the
wrong
time.
It's
just
a
statement.
C
For
the
record,
would
this
be
the
appropriate
time.
C
Okay,
I
just
wanted
to
thank
the
assemblywoman
for
working
with
the
stakeholders.
J
On
this,
but
would
like
to
reserve
my
right
after
seeing
the
actual
amended
language.
C
Because
I
do
know,
a
lot
of
a
lot
of
work
has
gone
into
this
and
after
seeing
the
language
I
may
want
to
change
my
vote.
I
just
want
to
get
that
on
the
record.
Thank
you,
madam
chad.
A
Thank
you
and
with
that
seeing
no
other
questions
for
regarding
this
bill.
Do
I
have
a
motion
to
amend
and
do
pass
assembly
bill,
343.
A
A
H
D
D
Assemblywoman
thomas
proposes
the
polling
amendments
and
see
also
attached
to
the
works
session
document.
A
conceptual
amendment
to
this
bill.
Amendment
1
change,
vulnerable
person
to
person
with
a
disability
throughout
the
bill,
thereby
authorizing
the
division
to
establish
a
program
to
facilitate
the
transition
of
older
persons
and
persons
with
disabilities,
rather
than
older
persons
and
vulnerable
persons.
D
Amendment
2
for
purposes
of
the
provisions
of
this
bill
defined
person
with
a
disability.
We
have
the
meaning
ascribed
to
it.
In
section
1
of
ab35
amendment
3,
clarifying
subsection,
2
c
of
section
1
that
the
division
may
fund
the
program
by
billing
third
parties
for
the
services
provided
by
the
program
for
current
plan
members
only
and
amendment
4
or
for
item
4
of
the
conceptual
amendment.
Assemblywoman
thomas
wants
to
correct
this
amendment
and
have
assemblywoman
lisa
rasner
instead
of
assemblywoman,
heidi
kazama,
to
be
added
as
a
co-sponsor
to
the
bill.
Madam.
A
E
I
have
a
well,
we
can
wait
to
the
vote.
I
can
do
it
before
we
vote
on
it.
A
H
Perfect,
thank
you
so
much,
and
I
appreciate
the
amendment
and
the
work
from
the
bill
sponsor.
I
just
wanted
to
see
from
my
reading.
I
don't
think
I
read
anything
in
here
that
would
absolve
the
the
hospital
from
its
its
normal
due
diligence
for
providing
for
a
safe
discharge.
I
just
want
to
make
sure
that
we're
not
shifting
burden
that
an
ancillary
program
by
the
county
would
be
wonderful,
absolutely
need
it,
but
that
until
that
point
or
even
if
that
becomes
effective,
that
there's
there's
no
there's
nothing.
Where
we're.
H
I
don't
see
touching
the
hospital's
obligation
for
safe
discharge
that.
A
Thank
you.
Do
we
have
any
other
questions
regarding
this
at
this
time,
I
will
seek
a
motion
to
amend
and
do
pass
so
move.
Do
I
have
a
second,
I
see
a
motion
from
assembly
woman
beneath
thompson,
a
second
from
assemblywoman
summers,
armstrong,
and
I
will
take
any
comments
on
the
motion
at
this
time.
Assemblywoman
titus.
E
E
This
bill
may
actually
create
some
problems
when
enacted
and
delay
some
of
those
discharge,
because
we're
not
able
to
do
some
of
the
things
that
bill
is
asking
us
to
do.
I
I
think
that
the
hospital
is
already
obligated
to
do
this.
There
already
have
programs
involved
in
certain
places
that
can
handle
such
a
program,
there's
nothing
that
limits
them
from
starting,
and
so,
unfortunately,
I
have
to
be
a
no
on
this
bill.
Thank
you.
D
C
H
A
Chairwind,
yes,
having
a
majority
the
motion
passes
and
I
will
assign
that
floor
statement
to
assemblywoman
thomas
at
this
time.
We
are
moving
to
our
next
bill
on
work
session
assembly,
bill
426
and
mr
ashton,
can
you
go
ahead
and
present
that
bill
as
well.
D
D
If
there's
reasonable
cause
to
believe
that
the
child
needs
protection
from
injury,
abuse
or
neglect,
but
their
threat
is
not
imminent
in
the
time
it
would
take
to
attain
to
obtain
a
warrant.
The
bill
also
sets
forth
certain
requirements
for
such
a
warrant
and
provides
for
certain
other
provisions.
There
were
no
amendments.
Children.
A
Thank
you
at
this
time
I'll
see
if
there
are
any
questions
for
members
of
the
committee
regarding
this,
and
I
will
note
that
there
was
a
pretty
substantial
like
exploit
explanation
document
that
was
on
nellis
and
provided
as
a
part
of
the
work
session
documents
that
this
working
group
of
45
attorneys
judges,
court,
administrators,
public
defenders
and
da's
all
managed
to
agree
on
which
I
still
just
am
mind.
Boggled
by
that.
But
do
we
have
any
other
questions
regarding
the
bill
at
this
time?.
H
Madam
chairwoman,
I
just
have
a
comment:
if
you'd
be
willing-
or
do
you
want
me
to
wait
till
the
motion
you,
you
can
go
ahead
and
do
it
now.
It's
fine!
Oh
thank
you.
I
just
want
to
say
I
appreciate
so
much
the
uploading,
the
the
walk
through
and
kind
of
the
more
intent
and
explanation
on
these
bills.
It
was
a
large
working
group
and
so
many
people
working
on
it.
H
I
just
wanted
to
make
sure
that
thought
and
intent
was
captured
and
living
somewhere
in
a
public
space,
because
we
know
that
when
we
refer
back
to
legislative
record,
you
know
the
groups
of
people
that
change,
they
don't
remain
static
and
so
there's
something
for
future
legislators
future.
H
A
A
D
C
C
A
Yes,
having
passed
unanimously
with
the
all
members
present
the
motion
passes
and
at
this
time
I
will
assign
that
floor
statement
to
assemblywoman
krasner.
Next
up
we
can
go
to
assembly
bill
430.
Also
on
the
work
session
document.
Mr
ashton,
go
ahead.
D
Thank
you
chairwin
for
the
record,
patrick
ashton,
committee
policy.
Analyst
we
heard
assembly
bill
430
on
april
2nd
and
it
revises
or
removes
certain
obsolete
terms
used
to
describe
the
provision
of
certain
services
to
persons
with
intellectual
disabilities
and
persons
with
deliver
developmental
disabilities
in
chapter
435
of
nevada,
revised
statutes.
There
were
no
amendments,
madam
chair.
A
A
So
with
that,
I
will
take
the
motion
from
assemblywoman
titus.
The
second
from
assemblywoman
summers,
armstrong
any
comments
on
the
deal
seeing
none!
Madam
secretary,
can
we
please
do.
H
A
C
D
A
B
B
A
Okay,
sorry
with
the
head,
it
is
a
unanimous
path.
We
have
all
members
present
and
the
motion
passes
and
I
will
assign
that
floor
statement
to
assemblywoman
brownmay
and
if
she
is
unable
to,
I
will
assign
a
backup
to
assemblywoman
black
and
with
that.
That
concludes
our
work
session
document
for
today,
and
we
will
move
into
our
bill
hearings
at
this
time.
I
am
going
to
take
these
slightly
out
of
order
and
hold
on
a
second
I'm
going
to
start.
Actually
they
are
in
order
as
they
are
on
the
agenda.
A
We
are
going
to
start
with
the
hearing
on
assembly
bill
348.
I
will
now
open
the
hearing
on
assembly
bill
348
that
still
revises
provisions
related
to
the
patient
protection
commission,
and
I
would
welcome
assemblywoman
carlton
to
begin
when
you
are
ready.
J
Thank
you
very
much,
madam
chair.
I
hope
you
can
hear
me
so
with
that.
Thank
you
very
much
for
your
record.
I
am
maggie
carlton
representing
assembly
district
14..
Thank
you
for
the
opportunity
to
present
assembly
bill
348
before
you
today.
First
I'd
like
to
thank
your
wonderful
staff
that
helped
me
with
this
bill.
This
was
one
of
those
bills
where
you
give
all
the
descriptions
and
walk
people
through
it
and
you
receive
the
bill.
J
J
As
we
move
forward,
I'd
like
to
draw
your
attention
to
the
conceptual
amendment
that
is
on
nellis.
As
I
said,
this
didn't
quite
come
out
the
way
we
planned
it
so
I'll
be
working
from
the
conceptual
amendment
and
if
it's
all
right
with
you,
madam
chair,
I'm
just
going
to
give
a
little
background
and
then
walk
through
section
by
section
and
then
try
to
answer
any
questions
that
the
committee
may
have.
J
However,
as
we
all
know,
and
I've
learned
over
the
years
in
my
in
this
body
that
legislative
legislation
can
be
iterative,
it's
it's
going
to
be
constantly
evolving
and
after
the
commission
got
up
and
running,
we
recognize
the
need
to
make
some
adjustments
to
it.
I'd
like
to
thank
dr
khan.
He
did
an
excellent
job
leading
the
commission
and
the
executive
director
sarah
cooligan,
especially
through
a
pandemic
year.
They
were
just
getting
up
and
going
and
then
the
pandemic
happened.
J
J
If
you
turn
to
the
bill
and
the
proposed
amendment,
I'd
like
you
to
walk
you
through
them,
so
first
issue
is
the
removal
of
the
advisory
committee.
First,
it
was
never
my
intent
to
create
a
patient
protection
advisory
committee.
So
the
first
item
in
the
conceptual
amendment
proposes
to
delete
section
one
item:
three
of
the
amendment
also
restores
the
commission's
existing
duties,
which
were
deleted
as
introduced
the
move
to
dhhs
and
the
membership.
J
J
I
practiced
that
and
I
still
stumbled
over
it,
a
representative
of
a
private
nonprofit
health
insurer
with
the
highest
percentage
of
insured
people
who
are
adversely
affected
by
social
determinants
of
health,
a
person
who
has
expertise
and
experience
advocating
for
the
uninsured,
a
person
who
has
expertise
and
experience
advocating
for
people
with
special
health
care
needs
and
a
dhhs
employee,
with
expertise
in
health,
information
technology
and
patient
access
to
medical
records.
There's
one
small
change
that
I
would
like
to
propose
in
this
particular
section.
J
It
was
brought
to
my
attention
that
there
may
not
always
be
an
employee
available
that
it
might
be
best
to
get
a
consultant
depending
upon
how
hit
actually
works.
So
I
would
like
to
add
in
the
option
of
having
that
be
an
employee
or
a
consultant
depending
upon
who
the
would
be
the
best
best
fit
for
health
information
technology.
We
know.
J
Sometimes
we
don't
have
the
employees
that
are
available
to
do
this
so
being
able
to
get
a
consultant,
I
think,
would
be
a
good
option
just
in
case
the
section
also
adds
the
executive
officer
of
the
public
employees
benefits
program
as
an
ex-official
member
section,
23
staggers
the
terms
of
the
new
members
to
ensure
that
not
all
term
out.
At
the
same
time,
we
understand
how
important
the
historical
perspective
and
continuity
in
the
commission
needs
to
be
so
that
it
can
move
forward.
J
So
this
is
our
standard
way
when
we
do
change
membership
of
commissions
to
be
able
to
allow
people
through
attrition
to
move
out
and
the
new
positions
to
move
in
in
dealing
with
conflicts
of
interest.
Section
2
provides
that
members
of
the
commission
must
comply
with
the
requirements
of
nrs
281a
420
regarding
disclosure
of
conflicts
of
interest
and
abstention
on
voting
because
of
conflicts.
J
Item
five
is
the
accountability
issue,
and
the
conceptual
amendment
requires
that
the
commission
to
adopt
bylaws
to
provide
an
operational
framework
of
duties.
In
addition,
the
amendment
provides
that
the
members
serve
at
the
pleasure
of
the
governor
and
this
change
will
allow
the
governor
to
remove
any
member
that
would
need
to
be
at
will.
The
all
payer
claims
database
was
never
intended
to
be
in
this
bill
by
removing
the
all
payer
claims
database.
J
It
does
remove
the
two-thirds
notation
on
the
bill,
so
it
will
no
longer
have
that
notation
on
the
front
sections,
3b
sections
5-21
in
sections,
25
and
26
all
deal
with
the
establishment
of
the
all
payer
claims
database.
It
was
never
our
intent
to
have
this
in
the
bill
so
actually
senate.
Bill
40
is
the
commission's
own
bill
and
it
is
dealing
with
this
issue.
So
I
believe
that
might
have
been
the
confusion
there.
J
Item
number
four
of
the
conceptual
amendment
authorizes
the
commission
to
establish
any
committees
or
working
groups
as
necessary
with
the
intent
of
providing
a
tool
to
take
a
deeper
dive
into
certain
policy
areas.
There
have
been
some
questions
whether
this
is
necessary.
Does
the
commission
already
have
this
authority,
or
do
we
need
to
give
this
to
the
commission?
I
would
leave
that
to
your
excellent
staff
to
make
sure
that
this
is
addressed.
If
it's
not
clear
in
the
original
language
that
established
the
commission
we'd
like
to
make
sure
that
it
is
clear.
J
So
if
they
do
to
establish
these
working
groups
that
they
have
the
authority
to
do
the
work
that
they
need
to
do
and
finally,
section
24
of
348
designates
the
commission
as
the
state
entity
for
the
peterson
milbank
program
for
sustainable
health
care
costs.
This
program
advances
state-based
efforts
to
make
health
care
more
affordable
for
residents,
employers
and
the
state.
J
In
closing,
madam
chair,
I've
been
working
on
health
care
issues
for
a
very,
very
long
time.
I
came
to
it
and,
from
the
perspective
of
being
having
really
good
health
care
and
having
to
explain
to
my
help
to
my
co-workers,
how
af,
how
health
care
actually
works
and
how
they
should
access
their
health
care
and
that
it
is
a
really
great
benefit
to
be
able
to
have
in
this
building.
For
a
lot
a
lot
of
years,
we've
debated
a
lot
of
bills
on
health
care
and
we've
done
them
with
a
lot
of
anecdote.
J
We
need
to
have
the
data,
the
patient
protection
commission
and
the
data
components
that
are
involved
in
this
bill.
I
believe
will
give
this
legislature
and
future
legislators
the
opportunity
to
be
able
to
analyze
the
real
data
and
what's
really
happening
in
health
care
in
our
state,
and
how
do
we
address
the
issues
that
we
need
to
to
make
sure
that
we
have
good
quality,
affordable,
safe
health,
health
care
for
the
citizens
in
this
state?
J
Again,
I'd
like
to
thank
dr
khan
and
and
miss
cooligan
for
all
the
work
that
they've
done,
the
governor's
staff
I
have
met
with
them,
and
we've
gone
over
a
number
of
components
in
this
bill.
This
is
not
to
say
that
the
commission
did
not
do
a
good
job.
I
believe
they
did
an
excellent
job
for
what
was
in
front
of
them,
but
I
also
believe
there
were
some
missing
pieces
in
the
original
bill
and
we
all
know
that
these
commissions
are
constantly
evolving.
A
Thank
you,
assemblywoman
carlton.
I
have
a
question
and
I
think
we
have
a
couple
others
I'm
going
to
give
people
a
little
bit
of
an
opportunity
to
send
me
a
message.
If
you
have
some
questions
in
looking
at
this,
do
you
think
this
bill
will
get
in
this
amen
with
the
amendments?
Will
give
this
commission
some
more
flexibility,
as
you
have
talked
about
how
it's
a
dynamic
process
like?
Are
we
going
to
be
here
in
two
more
years
kind
of
expanding
the
ability
and
the
responsibilities
of
this
commission?
J
I
believe,
thank
you,
madam
chair,
very
much
for
the
question
I
believe,
with
the
changes
in
the
membership
of
this
commission
and
a
lot
of
the
other
things
that
are
going
on
in
the
state
as
far
as
being
able
to
collect
more
data
about
health
care.
E
E
But
I'm
looking
at
your
amendment,
so
I
absolutely
appreciate
that
you
removed
that
section
and
and
having
that
pulled
up
so,
but
I
want
to
go
back
to
a
section,
not
one,
because
you've
removed
that
one,
but
under
section
two,
when
you
list
and
you're
redefining
some
of
the
membership
on
that,
none
under
section
won't
be
section
two
anymore,
be
section
one,
but
the
bill
that
I'm
looking
at
section
two
down
to
number.
E
It's
a
in
the
number
two
which
says:
you're,
changing
it
from
two
representative
providers
to
one
member
who
is
a
provider
of
health
care
and
so
on.
What's
the
definition
of
that
that
you're
using
provider
of
health
care
just
so,
I
can
have
some
clarity,
whether
you're
going
to
speak
about
a
and
what?
What's
that
definition.
So
could
it
be
a
a
podiatrist,
a
a
masseuse,
a
social
worker?
H
H
So
if
you
look
under
section
two,
it
has
a
listing
of
the
different
different
folks
that
we
would
like
to
see
as
the
categories
as
members
on
the
commission
and
then
that
in
within
that
category,
that
person
would
fit
in
there.
So,
let's
say
if
it's
the
non-profit
public
hospital
located
in
the
county
that
spends
the
largest
amount
of
money
on
hospital
care
for
injured
persons.
I
believe
that's
very
clearly
umc.
H
So
there
is
a
representative
from
umc
now
on
the
commission.
His
that
person's
term,
I
believe,
is
up
on
july
1st
of
this
year.
If
they
wanted
to
be
reappointed
and
resubmit,
their
name
again
or
their
designee,
then
I
believe
they
would
fit
into
this
category
moving
forward.
So
we
would
have
attrition
from
one
set
of
members
to
the
next
and
that
way,
that
person
would
still
have
an
opportunity
to
participate
on
this
commission
and
provide
their
expertise
when
it
comes
to
hospital
care
for
indigent
individuals.
E
Yeah
certainly,
I
appreciate
that
explanation,
but
it
still
doesn't
appear
clear
under
section
two
one
and
two,
because
then
that
picks
up
on
the
next
page,
one
member
who
is
a
registered
nurse
who
practiced
primarily
at
a
hospital.
You
still
haven't
defined
the
first
one
because
you've
defined
the
nurse.
But
one
member
who
is
a
provider
of
healthcare
and.
H
E
H
E
A
Chair
yeah
one
second,
if
we
could
just
talk
one
at
a
time
I
know
my
secretary
is
trying
to
keep
up
with
who's
speaking
so
go
ahead.
Assemblywoman
carlton
thank.
H
H
So
if
dr
titus
would
like
to
point
out
between
four
between
lines,
four
and
twenty
seven,
what
the
question
is.
E
Again
and
I'm
and
I
apologize,
this
is
something
when
titus,
I'm
looking
at
the
actual
bill
and
and
I've
just
was
had
needed
some
clarity
on
the
true
membership
of
this
and
it
and
it.
I
just
want
to
make
sure
that
my
point
of
the
question
so
we
can
get
to
that
is.
I
want
to
make
sure
that
there
was
mem
where
members
that
on
this
commission
that
were
perhaps
private
you
know
had
their
own
small
business
in
health
care
were
not
associated
with
it.
E
Maybe
they
are
profit,
maybe
they
are
out
there
not
in
the
world,
this
big
huge
world,
but
they
do
administer
health
care
and
we
still
have
some
folks
in
health
care
that
do
this
privately,
that
are
maybe
a
small
physical
therapist,
who
is
a
provider
of
health
care
and
they
have
their
own
practice
as
a
physical
therapist,
and
so
that's
what
I'm
getting
at
or
I'm
looking
at
the
small
provider
of
healthcare
not
associated
with
a
huge
nonprofit,
a
huge
hospital,
etc
that
are
still
have
a
lot
to
do
and
offering
health
care
making
sure
they're
represented
from
a
different
viewpoint,
and
I'm
just
wondering
would
they
fill
in
that
slot
there.
J
I
believe
I
can
answer
that
by
saying
that
we
did
not
actually
change
that
and
the
way
the
appointments
happen.
Anyone
could
put
their
name
in
for
that.
I
believe
the
ppc
already
has
a
definition
for
that,
and
I
believe
we,
the
the
nurse,
is
already
dealt
with.
We
have
a
registered
nurse.
A
Assemblywoman
carlos
carlton,
I
also
see
sarah,
oh
I'm
gonna
butcher,
her
last
name,
cole
culligan
on
the
line.
I
don't
know
if
she
is
here
to
present
testimony
or
to
answer
any
questions,
but
we
might
be
able
to
go
to
her
or
ms
o'krent
with
lcd
legal
to
clarify
the
existing
membership
of
the
ppc.
If
that
would
be
helpful.
J
And
if,
if
miss
cooligan
would
would
like
to
I'll,
be
I'll
be
more
than
happy
to
phone
a
friend
madam
chair,
I
appreciate
the
offer
I'm
just
my
original
confusion
was
just
trying
to
figure
out
exactly
what
the
question
is.
I
don't
believe,
there's
any
significant
change
to
the
definition
of
provider
of
health
care.
I
believe
we're
just
trying
to
aim
at
folks
with
different
experience
levels,
but
if
miss
cooligan
has
anything
to
add,
I
would
be
more
than
happy
for
her
to
step
up
and
answer
the
question.
Thank
you.
Thank.
C
Thank
you.
Thank
you.
So
much
carowind
members
of
the
committee,
my
name,
is
sarah
scholhagen.
For
the
record.
I
serve
as
the
executive
director
for
nevada's
patient
protection
commission.
I
was
trying
to
follow
along
with
the
question
myself,
but
if
I
could
offer
some
insight
into
the
current
makeup
of
the
ppc,
I'm
happy
to
add
that
into
the
conversation
so.
E
All
right,
thank
madam
chair
follow-up.
Go
ahead
with
your
follow-up!
Thank
you,
and
so
thank
you.
I'm
still
have
concerns
and
I'll
just
go
on
record
recognizing
that
perhaps
that
small
business
person
in
healthcare
isn't
represented
that
maybe
is
for-profit.
I
also
want
to
clarification.
Assemblyman
carlton,
when
you
presented
the
bill,
you
said
that
taking
out
the
the
the
sections
five
through
21,
I
believe,
has
now
the
all
payer
claims
database
has
removed
the
two
thirds.
E
H
E
Thank
you
very
much.
I
just
wanted
that
for
for
clarification.
Thank
you,
madam
chair,
for
the
questions.
A
Thank
you.
Do
we
have
any
other
questions
from
committee
members,
I'm
looking
around
I'm
looking
around.
A
Seeing
none
I
will
begin
testimony
in
support
assemblywoman
carlton.
Do
you
have
anyone
on
the
zoom
that
will
be
testifying
in
support.
H
No,
madam
chair,
I
did
not
line
up
anyone.
In
particular,
I
tried
to
be
very
cognizant
of
the
fact
that
I
didn't
want
to
put
the
current
commissioners
in
an
awkward
position
because
of
some
of
the
changes
that
we
were
making
in
working
with
the
administration,
since
this
was
originally
the
governor's
bill.
H
I
didn't
want
to
put
anyone
in
a
as
I
said,
in
an
awkward
position,
so
I
have
had
numerous
conversations
with
folks
about
the
bill
and
definitely
explaining
that
there
was
a
big
conceptual
amendment
coming
to
address,
especially
the
all
payer
claims
database.
So
I
not
sure
if
there
is
anyone
out
there
in
support,
I
did
get
a
number
of
calls
of
folks
that
were
in
neutral,
so
thank
you
very
much
manager.
A
No,
I
just
wanted
to
make
sure
there
wasn't
anyone
specifically
on
this
zoom
call,
but
with
that
broadcast
services,
if
we
begin
testimony
in
support
of
assembly
bill,
348
again
I'd
remind
callers
to
please
clearly
state
and
spell
your
name
and
limit
your
testimony
to
two
minutes
again
time.
Staff
will
be
timing,
each
speaker
to
ensure
we
are
given
a
fair
opportunity
to
speak
on
the
topic,
and
at
this
time
we
will
begin
testimony
and
support
of
assembly
bill
348.
F
C
Good
afternoon
assemblywoman,
carlton
and
chairwoman
and
committee
members,
I
want
to
thank
you
for
considering
this
bill
and
for
assemblywoman
carlton,
bringing
it
forward
for
the
record.
My
name
is
maya
holmes
on
behalf
of
the
culinary
health
fund.
That's
m-a-y-a-h-o-l-m-e-s,
governor
siselek's
2019
decision
and
the
legislature's
support
to
create
the
patient
protection
commission
was
truly
an
essential
step
to
improve
our
health
care
system
for
all
nevadans
health
care
costs
are
just
rising
at
a
staggering
rate
and
are
increasingly
unsustainable
for
already
strained
patient
employer
and
public
and
private
payer
budgets.
C
The
ppc's
primary
goal
is
examining
and
proposing
solutions
to
address
access,
quality
and
affordability
in
our
health
care
system.
All
of
these
issues
are
shaped
by
health
care
costs.
We
support
ab-348
and
assemblywoman
carlton's
amended
proposal
to
ensure
a
diversity
of
critical
stakeholders
in
our
health
care
system
are
represented
on
the
commission.
They
will
bring
specific
and
much
needed
expertise
that
is
so
crucial
to
this
commission's
work.
C
We
also
support
the
effort
to
address
any
conflicts
of
interest,
adopt
needed,
bylaws
and
place
the
ppc
within
dhhs,
which
will
provide
it
with
additional
tools
and
structure
to
achieve
its
goals.
We
also
support
governor
siselek's
decision
for
nevada
to
join
the
multi-state
peterson
millbank
program
for
sustainable
health
care
costs
to
advance
state
efforts
to
address
health
care,
cost
growth.
C
The
governor
wants
public
policy
solutions
to
increase
access
to
affordable
quality
health
care
in
nevada,
he's
also
deeply
concerned
and
committed
to
addressing
the
issue
that
over
50
percent
of
nevada's
by
population
is
at
risk
of
poor
health
outcomes.
Governor
siselek
asked
the
ppc
to
assist
its
executive
director
in
this
work
and
for
recommendations
to
develop
a
statewide
healthcare
cost
growth
benchmark,
which
other
states
are
doing
analyze,
cost
growth
and
evaluate
cost
drivers.
C
A
F
C
Hi,
my
name
is
stacy
sasso
executive
director
for
the
health
services
coalition
representing
25
employer
and
union
sponsored
health
plans
in
southern
nevada.
While
costs
was
a
key
pillar
of
the
ppc,
the
coalition
is
disappointed
that
one
of
its
two
bills
is
focused
on
increasing
telehealth
reimbursement
to
doctors
with
no
indication
this
would
increase
access.
We
are
in
support
of
ab348
today
when
the
governor
formed
the
ppc.
It
was
with
the
intention
of
protecting
the
patient,
with
price
focus
being
one
of
those
topics.
C
A
Thank
you
at
this
time.
If
we
can
go
to
any
callers
in
opposition
of
the
bill
assembly
bill
348.
F
C
Good
afternoon
chairwinn
and
members
of
the
assembly,
health
and
human
services
committee,
my
name
is
jessie
wadhams,
that's
j-e-s-s-e
w-a-d-h-a-m-s,
representing
the
nevada
hospital
association.
We
spoken
with
assembly
member
carlton.
She
walked
us
through
both
her
rationale
for
the
the
bill
itself
and
then,
more
importantly,
the
conceptual
amendment.
The
nha
you
know,
was
very
supportive
of
the
the
creation
of
the
patient
protection
commission
in
2019,
and
we
agree
with
with
somebody
remember
carlton's
conceptual
amendment.
Our
opposition
today
is
really
focused
on
the
change
of
representation.
C
In
section
two
of
the
bill
itself,
we
believe
these
changes
could
actually
be
additive
to
the
to
the
current
makeup
and
and
the
breadth
end
of
the
commission
members
and
continuing
to
add
important
voices
to
the
conversation.
So
we
appreciate
the
opportunity
to
work
with
assemblymember
carlton,
going
forward
on
this
language
and
look
forward
to
the
future
processing
of
the
bill.
Thanks.
F
C
Thank
you,
madam
chair
members
of
the
committee.
My
name
is
tom
clark.
That's
t-o-m-c-l-a-r-k,
I'm
here
today
on
behalf
of
the
nevada
association
of
health
plans
and
really
want
to
thank
chair
carlton
for
bringing
forward
this
bill
and
just
recognizing
the
important
hard
work
that
the
ppc
did
in
the
interim
and
from
what
we
can
tell
on
the
legislation,
that's
being
proposed
across
the
board
the
work
that
they
have
in
the
future.
Our
concern
is
with
under
section
two.
C
A
And
I
I'm
sorry
I'm
sorry
to
interrupt
you.
Mr
clark,
is
we're
in
testimony
in
neutral.
This
sounds
like
it's
opposition
testimony,
so
I'm
gonna.
Let
you
continue
your
testimony
regarding
the
bill
as
amended,
but
I'm
going
to
reclassify
it
but
go
ahead.
C
Thank
you,
madam
chair.
It's
under
section
2
6
of
the
legislation
that
defines
the
representative
from
a
private
non-profit
health
insurer
with
the
highest
percentage
of
insured
in
the
state
who
are
adversely
impacted
by
social
determinants
of
health.
We
respectfully
request
that
we
retain
the
two
health
insurance
representatives
and
at
least
one
of
those
private
insurers
be
regulated
by
the
nevada
division
of
insurance
under
title
57.
I
apologize
for
any
confusion,
madam
chair.
Thank
you.
A
That's
okay.
I
will
again
remind
callers
in
neutral
that
you
are
neutral
on
the
bill
and
you
are
not
making
suggestions
about
changes
or
problems
that
you
have
with
the
bill
and
the
conceptual
amendment
as
proposed
today
by
assemblywoman
carlton.
This
time
can
we
go
to
our
next
caller
in
neutral.
F
C
C
F
C
C
C
Currently
that's
on
the
patient
protection
commission
and
see
if
we
could
add
the
member
that
works
for
the
fqhc's
member
to
the
commission,
so
I'd
just
like
to
say,
ditto
and
look
forward
to
reaching
out
to
chair
carlton
to
discuss.
Thank
you.
A
Again,
I
will
remind
all
of
our
seasoned
lobbyists
of
what
neutral
testimony
is,
and
I'm
going
to
reclassify
that
again,
as
opposition
testimony,
do
we
have
any
other
colors
in
neutral.
A
J
You,
madam
chairman,
you
know,
I
guess
neutral-
is
in
the
eye
of
the
beholder,
so
we'll
just
give
him
that.
I
understand
that
the
conceptual
amendment
just
came
out
today,
so
I
can
understand
some
of
the
confusion.
I
did,
however,
make
numerous
phone
calls
to
folks
to
give
them
a
heads
up.
So
I
was
a
bit
surprised
with
some
of
the
opposition
that
I
didn't
get
a
return,
call
saying
that
they
were
going
to
be
opposed,
but
we'll
we'll
address
that
as
we
move
forward.
J
As
far
as
the
gentleman
from
the
medical
association
there,
these
are
still
doctors,
they
just
happen
to
be
doctors
in
an
area
with
an
fqhc
that
has
patients
that
are
impacted
more
by
the
some
of
the
health
care
issues
that
I
believe
the
commission
is
trying
to
get
to.
So
I
understand
everybody
wants
to
have
their
seat
at
the
table
and
I'm
very
grateful
that
they
all
want
to
participate.
J
It's
sometimes
very
hard
to
you
know,
get
folks
to
show
up,
but
I
truly
believe
that
in
going
through
the
membership
of
this
and
the
evolution
of
this,
that
we
are
addressing
the
voices
that
the
commission
needs
to
be
able
to
get
good
quality
data
and
be
able
to
really
look
at
the
social
determinants
in
our
health
care
system
that
affect
nevadans
as
they
try
to
stay
healthy
and
move
forward.
J
So
I'm
more
than
happy
to
have
a
conversation
with
them
as
we
move
forward,
I
apologize
that
some
of
them
got
a
little
twisted
around
the
axles,
but
we'll
keep
working
on
it
and
we'll
go
from
there.
Thank
you
very
much,
madam
chair,
for
having
this
hearing
today
and
appreciate
all
the
work
that
your
hard-working
committee
does.
Thank
you.
A
Thank
you,
assemblywoman
carlton,
and
with
that
we
will
close
the
bill
hearing
on
assembly
bill
348..
This
time
I
will
open
the
hearing
on
assembly
bill
374
assembly
bill
374.
Where
establishes
requirements
governing
the
expenditure
of
proceeds
of
litigation
relating
to
opioids.
I
know
that
there
were
some
pretty
substantial
amendments.
I
believe
you
all
received
that
document
and
it
is
uploaded
on
nells
at
this
time
and
welcome
assemblywoman
tools
and
begin
when
you
are
ready.
G
Thank
you
so
much
madam
chair,
and
thank
you,
members
of
the
health
and
human
services
committee.
This
is
a
privilege.
It's
actually
the
first
time
that
I've
presented
a
bill
before
this
committee,
but
I
do
appreciate
how
much
hard
work
you
accomplish
on
so
many
important
issues
for
the
record.
My
name
is
jill
tolls.
I
represent
assembly
district
25
and
I'm
here
to
present
assembly
bill
374
before
this
committee,
like
to
start
by
giving
a
little
bit
of
background
behind
this
bill
and
then
run
through
the
proposed
amendment.
G
As
the
chair
just
mentioned,
there
is
a
proposed
conceptual
amendment
that
is
on
nellis.
I
also
emailed
you
a
copy
last
evening,
and
hopefully
you
can
have
that
as
a
reference,
because
that
conceptual
amendment
actually
replaces
the
original
text
of
the
bill
as
introduced
and
then
I'll
open
it
up
for
questions.
G
G
According
to
the
department
of
health
and
human
services,
nevada
has
seen
a
50
percent
increase
in
opioid
and
fentanyl
related
deaths,
overdose
deaths
since
the
onset
of
the
pandemic.
The
national
safety
council
reports
that
overdoses
kill
more
of
us
than
breast
cancer
guns
and
car
crashes,
combined,
like
so
many
in
nevada
and
likely
in
this
committee.
G
G
in
2017,
626
nevadans
lost
their
lives,
impacting
countless
brothers
and
sisters,
mothers
and
fathers,
children,
spouses
and
friends,
but
addiction
is
treatable
and
it
is
a
preventable
disease.
There
are
23
million
people
in
recovery
in
the
united
states.
Today,
recovery
is
not
only
possible,
it
is
probable
if
one
receives
the
right
type
of
treatment
and
access
to
support
services.
G
Ab374
seeks
to
establish
a
statewide
substance,
use
response
working
group
under
the
office
of
the
attorney
general
I'd
like
to
direct
your
attention
back
to
that
conceptual
amendment
and
explain
the
reason
why
we
replaced
the
original
language
with
this
conceptual
amendment
and,
as
you
know,
the
attorney
general
announced
just
nearly
a
week
and
a
half
ago,
or
so
that
the
state
of
nevada
received
a
45
million
dollar
settlement
from
an
opioid
related
case,
and
there
are
many
other
settlements
currently
pending
at
both
the
state
and
the
county
level.
G
Originally,
this
bill
set
up
a
advisory
committee
to
help
with
the
oversight
and
distribution
after
this
bill
was
introduced.
I
was
made
aware
of
a
another
bill
that
is
being
presented
by
the
committee
on
health
and
human
services
in
the
senate
and,
after
speaking
with
the
chair
of
the
senate
and
realizing
that
that
bill
had
already
been
a
collaborative
effort
with
the
department
of
health
and
human
services
to
administer
those
settlement
funds
and
for
specific
programs.
G
So
this
document
that
you
see
before
you
is
based
on
direct
input
from
the
attorney
general's
office,
the
department
of
health
and
human
services,
naco
shatter
proof
and
representatives
of
the
mental
health
and
recovery
prevention
and
treatment
community,
and
I
would
be
remiss
not
to
say
thank
you
a
resounding
thank
you
to
all
the
stakeholders
for
the
input
that
went
into
the
document
that
you
have
before
you
today.
So
I'd
like
to
go
over
just
a
brief
overview
of
the
conceptual
amendment
and
then
answer
any
questions.
G
So,
starting
with
section
one
of
this
amendment,
the
first
section.
That's
that
or
the
first
bullet
point
establishes
the
nevada,
statewide
substance
use
response
working
group.
The
second
section
outlines
the
membership
of
the
group
under
the
attorney
general's
office.
The
sections
three
through
six
pertain
to
the
service
requirements
and
other
functions
of
the
working
group.
G
Section
7
also
stipulates
that
the
working
group
will
support,
submit
a
report
to
the
governor,
the
attorney
general
advisory
commission
on
the
administration
of
justice
and
the
director
of
the
legislative
council
bureau,
and
then
this
final
point
in
section
8
makes
this
bill
effective
upon
passage
and
approval.
I
do
want
to
acknowledge
that
it
is
a
conceptual
amendment
and
I
do
predict
that
our
wonderful
council
legislative
council
bureau
will
help
to
refine
the
language,
as
we
put
it
into
the
sections
in
the
appropriate
statute
available
for
technical
assistance
on
this
call.
G
I
do
know
that
the
attorney
general
iran
ford
had
hoped
to
join
us,
I'm
not
sure
if
his
schedule
permitted
to
and
extend
his
support,
but
I
do
see
that
we
have
on
the
call
jessica
adair
and
the
attorney
general's
chief
of
staff,
christine
brady,
the
second
assistant
deputy
attorney
general
courtney
hunter
from
shatterproof,
which
is
a
national
nonprofit
dedicated
to
addiction,
recovery
based
on
evidence-based
best
practices
around
the
nation
and
stephanie
woodard
from
the
department
of
health
and
human
services.
A
Thank
you
for
your
presentation
and
those
amendments,
assemblywoman
tools.
I
have
a
couple
of
questions
and
I'll
give
our
other
members
an
opportunity
to
send
me
a
message
if
they
have
any
other
messages
or
wave
their
hand
or
do
that
little
hand
emoji
on
the
zoom.
Whatever
is
more
convenient
for
people?
You
know
I'm
looking
at
this,
and
I
know
that
you
had
kind
of
based
this
on
a
former
advisory
commission
or
committee
under
former
governor
sandoval,
and
there
are
16.
It
looks
like
16
members,
a
part
of
your
proposed
thing.
How
many?
G
Thank
you,
madam
chair,
for
the
question,
and
I
do
appreciate
you
referencing
back
to
a
committee
that
was
very
similar
in
the
past,
that
I
know
that
stakeholders
were
very
very
appreciative
of
the
work
that
was
done,
and
that
was
part
of
the
motivation.
For
wanting
to
create
this
sustaining
ongoing
going
working
group.
G
I
will
say
that
you
will
see
some
similarities
between
some
of
the
members
of
that
committee,
but
it
is
not
a
direct
replication
and
that's
based
on
input
in
regards
to
really
making
sure
that
we
had
stakeholders
that
were
not
only
at
the
agency
level,
but
also
really
at
the
community
level,
with
a
personal
stake
in
these
issues,
including
members
of
the
recovery
community
and
and
who
provide
services
related
to
treatment
of
substance,
use
disorders.
G
Members
of
the
safta
team,
as
well
as
somebody
who
is
in
recovery
and
victims
of
substance
use
or
family
members
who
were
victims.
We
felt
that
it
was
incredibly
important
to
make
sure
that
we
had
that
diverse
community
input
into
this
into
this
work.
To
really
give
us
a
hands-on
view,
I
will
let
if
we
do
have
stephanie
woodard
available
to
answer
questions.
She
can
give
you
a
little
bit
more
of
the
comparison
between
the
two.
G
I
Thank
you,
chair,
stephanie
woodard,
for
the
record.
What
I
would
say
is
that
there
are
some
pretty
big
lessons
learned
from
both
having
the
governor's
opioid
accountability
task
force
meeting,
as
you
had
mentioned
before,
and
the
makeup
of
that
meeting
and
the
tasks
that
were
undertaken
with
that
group,
along
with
the
previous
substance
abuse
working
group
under
the
attorney
general's
office,
of
which
I
was
able
to
participate,
for,
I
believe,
the
the
last
two
years
prior
to
that
committee.
I
Sun
setting
and
so
what
you
see
represented
in
this
proposed
legislation
is
representation.
I
That
we
have
identified
is
really
key
in
supporting
the
activities
that
this
group
would
be
tasked
with,
knowing
what
we,
what
we
need
for
our
state
as
it
comes
to
collaboration
and
coordination,
not
just
across
grants,
but
across
programs
really
understanding
the
data
and
what
the
data
is
telling
us
around.
What
some
of
the
greatest
areas
of
needs
and
gaps
are
in
the
state
and
then
using
this
group
really
to
make
informed
proposals
and
recommendations
for
an
overall
comprehensive
state
plan
to
address
prevention,
substance,
abuse
treatment
and
recovery
support
services
and
how
that
impacts.
A
Thank
you,
dr
woodard.
Do
we
have
any
other
questions
from
committee
members
at
this
time?
I'm
taking
a
look.
I
have
everyone
on
the
zoom
here,
seeing
none.
I
will
begin
testimony
and
support.
Do
we
have
any
members
on
the
zoom
that
want
to
testify
in
support
of
assembly
bill
374?
A
Seeing
oh,
I
do
miss
hunter
go
ahead.
Please
get
your
name
for
the
record
and
again
limit
your
testimony
to
two
minutes.
Please.
H
Thank
you
so
much
madam
chair,
my
name
is
courtney.
Hunter
c-o-u-r-t,
ey
hunter
h-u-n-t-e-r
and
I
am
from
the
national
nonprofit
group
shatter
proof
which
is
dedicated
to
reversing
the
addiction
crisis,
and
we
want
to
thank
assemblywoman
tolls,
the
ag's
office
and
and
dr
stephanie
woodard,
for
putting
this
thoughtful
task
force
together.
H
Assemblywoman
toll
stated
some
of
the
research
and
statistics
around
fentanyl
overdose
deaths
and
what's
happening
in
the
state
of
nevada,
and
we
really
want
to
be
responsive
to
that.
As
we
know,
we
know
what
works
and
we
need
just
a
statewide
response
to
help
implement
that,
and
I
just
want
to
introduce
for
testimony
one
of
our
shatterproof
ambassadors
from
the
state
whose
name
is
kelsey
matthews
and
she
is
the
reigning.
H
Miss
las
vegas,
volunteer,
2021
and
also
the
former
miss
battleborn
of
2019,
and
she
is
going
to
speak
about
her
personal
experience
and
and
and
why
there's
such
a
need
for
this
for
this
bill.
So
if
I
could
pass
it
over
to
her,
that
would
be
greatly
appreciated.
Thank
you.
So
much.
A
K
Hi
there
I
just
want
to
thank
the
chair,
the
members
of
committee
and
the
bill
sponsor
assemblywoman
tolls.
My
name
is
kelsey
elizabeth
matthews
and,
as
courtney
stated,
I
am
your
reigning.
Miss
las
vegas
volunteer
2021
and
the
former
miss
battleborn
2019.,
I'm
22
years
old
and
I'm
an
ambassador
for
shatterer
proof,
a
national
non-profit,
dedicated
to
reversing
the
addiction
crisis,
I'm
also
the
founder
of
treasuring
tracy,
an
addiction
and
overdose
awareness
platform
created
in
my
memory
of
my
mother,
tracy
matthews,
who
passed
away
of
an
accidental
drug
overdose
in
2016..
K
Currently
I
serve
on
the
board
of
directors
for
hope,
compassionate
health
care,
a
501
c
3
nonprofit
organization
founded
to
provide
comprehensive,
integrated
health
care
and
fill
in
the
gaps
found
in
our
health
care
system.
It
is
my
life
experience
that
has
not
only
moved
me
to
join
the
fight
against
the
addiction
and
opioid
crisis,
but
also
inspired
me
to
pursue
both
social
work
and
law
degrees,
so
that
I
can
go
on
to
make
an
even
greater
impact
in
the
lives
of
others.
K
Addiction
is
a
family
disease,
it
is
not
just
the
person
who
is
directly
affected
is
impacted,
but
the
entire
family
unit
suffers
and
I
can
attest
to
that
firsthand.
I
was
horrentified
over
my
mother
and
her
struggle
with
addiction
as
a
child,
and
I
functioned
as
one
of
her
primary
caretakers
alongside
my
grandparents,
this
continued
under
kill
her
death.
When
I
was
17.,
I
have
seen
things
that
no
child
should
see.
K
K
There
was
so
much
I
didn't
know
and
understand,
but
now,
looking
back,
I
can
see
that
there
were
clear
issues
and
gaps
in
the
system
and
those
things
still
exist
today
in
the
times
that
my
mother
did
look
for
help.
There
was
a
severe
lack
of
resources,
whether
it
was
receiving
inadequate
treatment
from
medical
and
mental
health
professionals
being
stigmatized
being
denied
care
due
to
insurance
and
financial
reasons
or
treatment
facilities
and
or
providers
being
understaffed
or
unprepared.
K
This
is
the
reality
right
here
in
our
own
communities.
The
passing
of
this
legislation
is
crucial.
The
creation
of
the
statewide
task
force
being
proposed
is
a
necessary
action
in
the
fight
against
the
crisis.
In
order
to
be
successful,
it's
going
to
be
a
team
effort.
Government
officials
cannot
do
this
alone.
We
need
a
diverse
team
of
people
from
different
backgrounds,
walks
of
life
and
parts
of
the
state
who
possess
real,
lived
experiences
with
substance
abuse.
This
is
not
a
black
or
white
issue
with
one
easy
fixer
solution.
A
Ms
matthews,
can
I
go
ahead
and
have
you
wrap
up
your
well
past
two
minutes
at
this
time,
and
I
would
encourage
you
to
please.
I
see
that
you
have
a
written
statement
if
you
can
provide
that
to
our
committee.
We
can
also
get
that
up
on
nellis
as
a
part
of
your
testimony
sure.
K
Yeah
this
is
this:
is
it
thanks
by
creating
a
statewide
task
force
on
this
issue?
We
are
giving
people
a
chance
to
be
a
part
of
the
solution
before
they
closed
the
casket.
On
my
mom
for
the
last
time
I
told
her
this,
we
are
not
done
here.
I
made
it
her.
I
promise
that
I
would
not
allow
her
death
to
be
in
vain
and
that
one
day
I
would
use
her
story,
our
story
to
make
a
difference.
Thank
you
for
having
me
here
today
and
allowing
me
to
do
so.
A
Thank
you,
miss
matthews
and
I'm
sorry
about
the
loss
of
your
mother,
seeing
no
other
sport
testimony
on
the
zoom.
If
we
can
go
broadcast
services
to
the
phone
line
in
support
of
assembly
bill
374.
F
C
C
I'm
a
person
in
recovery
from
substance
use
disorder
who
has
lost
close
loved
ones
to
opioid
overdoses.
We
are
in
support
of
ab374,
and
I
want
to
thank
assemblywoman
tolls
for
this
piece
of
legislation.
It
is
crucial
that
allocation
of
these
funds
be
determined
by
a
nonpartisan
group
of
experts,
victims
and
legislators.
C
I
would,
however,
like
to
encourage
the
committee
to
consider
ensuring
a
fair
and
balanced
representation
on
the
working
group.
This
should
include
additional
seats
for
the
victims
themselves.
Who've
been
impacted
by
the
opioid
crisis.
This
may
be
people
in
recovery,
bereaved,
parents
and
family
members,
those
who've
been
directly
impacted,
lost
loved
ones
or
their
quality
of
life
from
these
drugs
should
compose
more
than
two
seats.
Their
lived
experience
provides
a
wealth
of
knowledge
on
the
solutions
to
help
those
in
our
communities
who
we
are
who
are
currently
struggling.
Thank
you.
F
C
Good
afternoon
sharon
nguyen
and
members
of
the
committee,
this
is
joanna
jacob
j-o-a-n-n-a-j-a-c-o-b,
I'm
government
affairs
manager
for
clark
county.
I
want
to
go
on
record
in
support
of
this
bill
with
assemblywoman
tolle's
conceptual
amendment.
I
want
to
thank
assemblyman
toll
and
the
bill
proponents
and
those
everybody
who
came
together
to
recreate
this
substance,
abuse
response
working
group
and
the
conceptual
amendment
does
allow
counties
to
be
at
the
table
as
part
of
the
critical
work
that
is
going
to
be
done
by
this
group,
and
we
believe
that
that
is
going
to
benefit
clark
county.
C
F
C
Hello,
madam
chair
members
of
the
assembly
committee
on
health
and
human
services,
my
name
is
vincent
guthro.
That's
spelled
v
like
victor
I-n-s-o-n,
last
name,
guthro
g-u-t-h-r-e-a-u,
I
served
as
the
deputy
director
of
the
nevada
association
of
counties
or
neco
naco
supports
ab
374
with
the
presented
amendment,
and
we
wanted
to
thank
the
sponsor
for
including
counties
in
this
conversation
and
as
members
of
the
response
group,
all
counties
in
nevada
have
felt
the
impacts
from
the
opioid
epidemic
in
their
communities
and
also
on
the
services
they
provide
to
support
the
most
vulnerable.
C
A
A
F
Jones
brady
for
the
record
second
assistant
attorney
general
for
nevada.
F
I
just
want
to
thank
assemblywoman
tolls
for
how
she
was
reaching
out
to
us
and
all
the
stakeholders
just
to
let
you
know
one
of
the
areas
I
work
with
over
at
the
attorney
general's
office
is
the
bureau
of
consumer
protection,
as
well
as
our
investigative
staff,
our
medicaid
fraud
control
unit
and
our
criminal
prosecution
unit,
and
in
that
work
in
the
community.
F
I
have
had
many
requests
over
the
last
two
years
that
I've
been
here
to
re,
to
have
such
a
committee
as
this
and
it's
very
important,
and
just
to
say
that
this
committee
is
sort
of
they're
like
railroad
builders,
they're,
building
a
railroad
track
across
our
entire
state
and
they're
going
to
be
well
positioned
with
the
people
that
they
have
on
it,
as
well
as
the
people
that
they
will
be
consulting
in
order
to
put
together
a
plan
and
analyze
the
plan
and
give
recommendations
on
a
plan
to
combat
substance
use
in
our
state.
F
They
will
be
able
to
bring
together
areas
across
the
state,
the
rural
areas,
that
current
don't
have
access
urban
areas
and
other
underserved
communities,
african-american
populations
that
have
been
hard
hit
by
this,
as
well
as
hispanic
and
lgbtq
and
other
communities.
So
this
this
is
an
important
committee
that
will
be
working
hand-in-hand
with
health
and
human
services
to
combat
a
very
aggressive
problem
that
we
have
in
our
state
and
the
attorney
general's
office
is
proud
to
support
it.
Thank
you.
A
F
A
Thank
you.
Do
we
have
any
callers
in
neutral
on
assembly,
bill
374.
A
Thank
you,
and
at
this
time
I
will
turn
it
back
over
to
assemblywoman
told
for
any
closing
remarks.
G
Thank
you
so
much,
madam
chair
and
members
of
this
committee.
I
I
I'm
just
having
a
moment.
This
means
a
lot
to
so
many
of
us
personally
who've
been
impacted
by
this,
and
I'm
truly
grateful
and
thank
you
for
having
this
hearing
today.
Thank
you
for
your
interest
in
these
issues
and
trying
to
find
statewide
collaborative
solutions
that
truly
do
impact
people's
lives
and
families.
G
The
last
comment
that
I
would
just
like
to
make
is
that
a
few
members
have
reached
out
to
ask
to
join
on
as
co-sponsors,
including
the
chair
of
this
committee.
I
appreciate
that,
as
well
as
the
chair
of
the
senate,
health
and
human
services,
senator
julia
ratty,
and
I
apologize
that
I
wasn't
able
to
get
more
signatures
before
submitting.
It
was
up
against
the
deadline,
but
I
would
be
honored
to
have
any
of
you
join
on
as
co-sponsors
for
this
legislation.
A
Thank
you
for
that
assemblywoman
tools,
and
with
that
I
will
close
the
bill
hearing
on
assembly
bill
374.
At
this
time
we
will
begin
public
comment
broadcast
services.
Can
we
go
to
the
line
and
see
if
there
are
any
people
on
waiting
in
the
queue
for
public
comment?
Again,
I'd
remind
public
commenters
to
please
clearly
state
and
spell
your
name
for
the
record
and
limit
your
comments
to
two
minutes.
F
F
A
Thank
you
and
thank
you
to
everyone
and
we're
getting
out
of
here
a
little
bit
early,
so
hopefully
with
this
crazy
hectic
last
two
weeks.
This
will
give
you
a
little
bit
of
breathing
time
before
we
go
back
to
floor
with
that,
I
will
see
if
there
are
any
comments
are
from
committee
members
seeing
none
at
this
time.
I
will
adjourn
the
meeting
until
wednesday
april
7th
have
a
nice
afternoon.
Everyone.