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A
Thank
you.
It
is
1
34
on
wednesday
afternoon
and
I'm
calling
to
order
the
assembly
committee
on
health
and
human
services
members
before
we
begin
make
sure
you
mute
your
microphone
when
you
are
not
speaking
to
minimize
background
noise
and
also
please
turn
on
your
camera,
so
we
can
ensure
that
we
have
a
quorum.
Madam
secretary,
please
call
the
roll.
C
D
A
A
No
he's
he's
definitely
not
not
working.
If
we
can
have
someone
come
over
and
try
to
help
him
why
we
do
it,
but
I
will
note
that
he
is
obviously
present
here.
Hopefully
he
can
hear
us
engaging
by
his
reaction.
He
can
clearly
hear
us,
so
if
we
can
get
someone
to
fix
that,
that
would
be
great.
A
A
So
with
that
we
have
a
quorum,
everyone
is
present,
so
welcome
to
our
audience
joining
us
on
this
virtual
hearing
today
we
have
a
very
ambitious
agenda
today,
so
we
have
a
work
session
and
three
bill
hearings
and
before
we
begin
I
just
wanted
to
make
several
housekeeping
announcements
agenda
items
may
be
taken
in
a
different
order
than
listed.
A
In
fact
they
are
going
to
be
so
be
prepared
to
follow
along
with
the
agenda
as
we
skip
around
also
you
may,
if
you
want
to
submit
public
comment
either
in
writing
or
in
addition
to
testifying
or
in
lieu
of
that.
Please
note
that,
on
all
these
bills,
written
public
comment
may
be
submitted
before
during
or
up
to
48
hours
after
the
meeting
adjournment
today.
So
if
you
are
not
able
to
get
online,
you
don't
want
to
get
online.
You
don't
want
to
wait
on
the
phone,
but
you
want
to
have
your
voice
heard.
A
Please
feel
free
to
do
so
in
writing
and
we
can
get
that
out
to
all
of
our
committee
members.
And
finally,
if
you
can
put
your
elect,
everyone
is
kind
of
working
like
we're
all
teenage
gamers,
and
so,
if
you
see
people
looking
at
other
devices,
they
are
just
trying
to
utilize
this
new
virtual
world
and
all
of
their
devices
to
be
able
to
inform
themselves
best
on
the
bills
that
are
being
presented
before
us,
and
with
that
we
will
start
with
our
work
session.
A
D
Thank
you
so
much
chairwin
for
the
record,
patrick
ashton,
legislative
council
borough,
just
my
usual
disclaimer
as
nonpartisan
staff
I
can
neither
advocate,
advocate
nor
oppose
any
measures
that
you
will
consider
today.
We
will
start,
as
the
chair
said,
with
assembly
bill
189,
which
we
heard
on
march
10th.
D
This
ball
requires
the
director
of
the
department
of
health
and
human
services
dhhs
to
include
in
the
state
plan
for
medicaid
a
provision
that
pregnant
women
who
are
determined
by
certain
entities
to
qualify
for
medicaid
are
presented,
resumptively
eligible
for
medicaid
for
prescribed
period
without
applying
for
enrollment
and
medicaid.
D
As
one
amendment
assemblywoman,
michelle
golow
proposes
to
revise
ab189
to
first
expand
coverage
for
pregnant
women
in
the
manner
prescribed
by
ab193
and
second
require
dhhs
to
apply
for
a
waiver
of
certain
federal
requirements
so
that
the
department
may
expand
coverage
under
medicaid
from
60
days
to
12
months
following
childbirth.
She
also
attached
a
proposed
concept.
Conceptual
amendment
to
ab189,
madame
chair.
A
E
A
Though,
seeing
none
do
I
have
a
motion.
H
It's
I'm
sorry
real,
quick
clarification.
I
was
that
emotion,
amended
do
pass.
My
hearing
might
be
off.
A
Thank
you.
I
see
in
a
second
from
assemblywoman
krasner
and
at
this
time
any
comments
on
the
motion.
I
E
J
A
D
Thank
you
chairwin
for
the
record,
patrick
ashton,
comedy
policy
analyst
ap
119.
We
heard
this
bill
on
february
22nd.
It
revises
provisions
relating
to
the
maternal
mortality
review
committee.
I
will
go
straight
to
the
proposed
conceptual
amendment
from
assemblywoman
thomas.
You
can
find
a
copy
of
this
conceptual
amendment
attached
to
the
work
session
document.
D
First
amendment
revise
the
duties
prescribed
in
paragraph
c
and
d
of
subsection,
one
of
section
one
of
the
bill
two
first
remove
the
requirement
that
the
community
collect
data
and
second
remove
any
requirements
relating
to
preventable
infant
death
instead
required
a
committee
within
the
limits
of
available
resources
to
identify
and
review
the
disparities
in
the
incidence
of
maternal
mortality
by
analyzing,
the
race,
ethnicity
and
age
of
each
mother
who
died
from
maternal
causes.
D
A
Thank
you.
Are
there
any
questions
or
comments
on
the
bill?
It
looks
like
we
have
one
from
assemblywoman
titus.
K
Yes,
thank
you
for
some
clarification,
I'm
just
looking
at
this.
The
amendment
and
under
the
the
first
amendment,
you're
not
going
to
collect
any
data
on
preventable
infant
deaths,
so
that
would
be
a
interesting
concern
that
I
have
and
now
I
have
some
concerns
over
this
bill,
because
one
of
the
things
that
we
wanted
to
do
was
make
sure
we
had
adequate
data
and
accurate
data
on
all
infant
deaths.
K
There
are
many
deaths
that
can
happen
that
would
be
determined
preventable,
such
as
clamps
when
a
mother
has
preeclampsia
if
she
had
adequate
intervention
and
she
seized
because
she
wasn't
treated
and
the
baby
dies.
That's
a
preventable
death,
that's
from
diabetes,
because
the
mother
had
untreated
prenatal
diabetes.
The
baby
is
large
at
birth,
a
term
the
baby
dies
at
birth
because
it
is
too
large
and
goes
post-date
without
any
intervention.
K
That
is
a
preventable
death.
So
I'm
concerned
that
there's
going
to
be
any
stipulation
on
who's
going
to
determine
what
of
death
was
preventable
or
not
and
adding
that
amendment.
I
am
now
not
sure
that
I
can
support
this.
A
Do
we
have
any
other
comments,
or
I
know
I
think
our
bill
sponsor
is
on
here,
assemblywoman
thomas,
do
you
have
any
response
to
why
that
amendment
is.
J
Yes,
ma'am.
Thank
you,
madam
chair.
I
appreciate
it.
I
appreciate
a
similar
one
assembly
woman
titus's
concern
the
reason
why
I
felt
and
dhhs
felt
that
we
could
best.
J
J
This
right
now
cleans
up
maternal
mortality,
which
would
identify
those
mothers
that
experience.
A
L
Well,
thank
you.
Thank
you,
chair
for
the
record,
vicki
ives,
division
of
public
and
behavioral
health,
maternal
child
and
adolescent
health,
section
manager
and
and
just
to
expand
on
the
the
points
made
by
the
sponsor
determination
of
preventability
is
part
of
the
maternal
mortality
review
committee
process.
It's
really
the
the
heart
of
of
their
work,
so
the
cases
are
abstracted
and
the
the
committee
determines
preventability
to
to
to
address
that,
and
and
generally
no
other
maternal
mortality
review
committee
in
the
nation
also
is
looking
at
infant
mortality.
L
K
And
up,
if
I
might
madam
chair
so
yeah,
the
whole
purpose
of
the
bill
and
again
I
signed
on
to
this
bill-
was
we
need
to
do.
We
indeed
do
need
to
gather
the
data
so
that
we
could
prevent
bad
outcomes
so
that
we
can
prevent
maternal
and
infant
deaths
and,
and
that
I'm
in
favor
of
that
and
supportive
of
that,
but
one,
but
just
wanted
a
clear
understanding
why
that
paragraph
was
removed.
So
thank
you
for
those
answers.
Thank
you,
madam
chair.
H
A
K
E
A
Yes,
the
motion
passes
and
I
will
assign
the
floor
statement
to
assemblywoman
thomas
and
if
we
could
actually
go
back
to
assembly
bill
189,
I
forgot
to
assign
the
floor
statement
if
I
can
assign
that
floor
statement
on
assembly
bill
189
to
assemblywoman
gorlo
with
that.
If
we
can
move
on
to
our
next
assembly
bill,
which
would
be
assembly
bill,
191
and
mr
ashton,
can
you
go
ahead
and
summarize
that
bill
in
any
amendment.
D
Thank
you,
madam
chair
assembly,
bill
191.
We
heard
this
bill
on
march
8th.
It
requires
the
director
of
the
department
of
health
and
human
services
to
include
an
estate
plan
for
medicaid
coverage
for
the
services
of
a
community
health
worker
who
provides
services
under
the
supervision
of
a
physician,
physician
assistant
or
advanced
practice
registered
nurse.
There
were
no
amendments.
A
A
I
have
a
second
from
woman,
thomas
madame
secretary.
Can
we
please
do
a
roll
call
vote.
L
D
A
D
It
revises
provisions
governing
eligibility
for
assistance
through
the
temporary
assistance
for
needy
families,
program
tanf
or
the
supply,
supplemental
nutrition
assistance
program,
snap
or
persons
who
have
been
convicted
of
certain
drug
related,
offenses
and
assembly.
Woman
martinez
proposes
the
following
amendments
to
the
bill.
Amendment
1
revise
the
bill
to
allow
a
person
who
has
been
convicted
of
a
felony
drug
offenses
to
be
eligible
for
tenf
and
snap
benefits
in
the
state,
regardless
of
whether
the
person
demonstrate
he
or
she
is
participating
in
or
has
successfully
completed.
D
A
Thank
you.
Do
I
have
any
comments
or
do
I
have
any
questions?
I'm
sorry
from
the
committee
on
this
bill.
K
Unfortunately,
I
think,
although
I
support
at
the
intention
of
this
bill
and
access
to
food
and
not
having
folks
go
hungry,
the
amendment
is
the
part
that
I
am
not
supportive
of
this.
Therefore,
I
will
be
a
no
on
this
bill.
A
A
Seeing
none,
I
didn't
retain
emotion
at
this
time,
so
moved
amended
do
pass.
I
have
a
motion
to
amend
a
do
pass
by
vice
chair
peter,
so
I
have
a
second
I'll
send.
I
have
a
second
from
assemblywoman
benitez
thompson
and
with
that,
madam
secretary,
can
we
go
to
a
roll
call
vote.
M
E
J
A
Yes
and
that
motion
passes
and
I
will
assign
that
for
statement
to
assemblywoman
martinez.
A
And
with
that
one
second,
I
know
that
one
of
our
assembly
members
on
the
previous
bill-
I
think
it
was
assembly
bill-
191.-
had
miscast
his
vote
on
that
one,
and
I
don't
know
if
he
just
feels
comfortable
like
changing
his
vote
when
it
ultimately
hits
the
floor.
Otherwise
we
would
have
to
redo
the
vote.
So
I'm
gonna
kind
of
look
at
him
and
see
if
he
wants
me
to
redo
the
vote.
A
Okay,
no
problem,
thank
you
about
that.
I
know
that
sometimes
that
happens
it
did
pass.
So
you
will
have
the
opportunity
to
correct
your.
You
know
incorrect
vote
here
in
committee
so
with
that,
unless
mr
ashton
tells
me
otherwise
it
looks
like
that
concludes
the
work
session.
So
I'm
going
to
move
on
to
our
three
bill
bill
hearings
that
we
have
this
afternoon.
I
have
allocated
equal
time
for
testimony
and
support
opposition
and
neutral
after
the
bill
introduction,
and
with
that
I
will
open
the
hearing
on
assembly
bill.
228.
A
M
Thank
you
so
much
chairwin
and
members
of
the
committee
for
the
record.
I
am
brittany,
miller
representing
assembly
district
five,
I'm
here
today
to
present
for
you
for
your
consideration
assembly,
bill
228.,
which
proposes
a
new,
child-friendly
approach
to
addressing
an
unfortunate
and
pervasive
issue
in
our
society.
M
Child
maltreatment
between
july
2019
and
june
2020,
child
protective
services
investigated
nearly
14
300
cases
of
potential
harm
or
risk
of
harm
inflicted
on
children
in
nevada,
about
3
100
investigations
were
substantiated,
meaning
evidence
of
abuse
or
neglect
were
found
for
a
child
experiencing
abuse
and
neglect
is
traumatic.
It
can
cause
lifelong
harm
to
children,
their
families
and
communities.
M
Children
deserve
to
grow
up
safe
and
healthy.
As
a
teacher
on
a
daily
basis,
I
see
how
the
policies
systems
supports
and
individuals
that
surround
them
influence
their
lives.
As
legislators,
we
have
the
ability
to
create
policies
and
systems
to
protect
and
support
vulnerable
youth
who
cannot
protect
or
speak
up
for
themselves.
M
M
According
to
the
national
children's
alliance,
children's
advocacy
centers
provide
safety
security
and
a
wide
range
of
services
for
children
and
families,
who
are
the
victims
of
abuse
or
neglect
generally
centers
are
community
based
and
staff
provides
direct
services
to
children
in
need.
Children's
advocacy,
centers
uses
multi-disciplinary
teams
that
include
professionals
with
backgrounds
in
criminal
justice,
law
enforcement,
child
protective
services,
mental
health
and
medical
and
victim
advocacy
to
investigate
maltreatment,
hold
hold
offenders
accountable
and,
most
importantly,
help
children
heal
from
the
trauma
of
abuse
or
neglect.
M
I
was
delighted
to
sponsor
this
legislation
and-
and
it's
so
honored
to
be
asked
to
do
so.
Madam
chair,
I
will
now
turn
it
over
to
the
experts
led
by
mr
jesse
haw,
who
will
discuss
the
specifics
of
the
bill,
introduce
the
rest
of
his
co-presenters
and
provide
a
different
additional
background
information
and,
of
course,
at
the
conclusion
of
their
remarks.
We
are
available
to
answer
any
questions
you
may
have.
A
N
Thank
you
hi,
I'm
so
excited
to
be
here.
My
name
is
jessie
haw.
Last
name
is
haw
for
the
record,
I'm
chair
of
the
legislative
task
force
for
the
cacs
of
nevada.
Thank
you
chairwin
for
for
hearing
us
today
and
also
assemblywoman
miller
for
sponsoring
this
bill
and
everybody
serving
on
the
committee.
I
realize
the
time
and
effort
you
you
put
into
what
you
do
and
the
service
for
our
state.
N
So
I
sincerely
appreciate
that
we'd
like
to
start
the
meeting
or
our
presentation,
I
should
say
with
cheryl
cooney
down
from
las
vegas
cheryl.
Can
you
jump
on.
G
I
can
for
the
record,
this
is
cheryl
cooley
and
I
am
serving
as
the
chair
for
the
children's
advocacy
centers
of
nevada.
I
hail
from
assembly
district
17,
so
it's
great
to
see
representation
on
this
committee
from
for
my
district,
and
I
wanted
to
explain
the
difference
between
having
a
multi-disciplinary
approach
versus
how
things
used
to
be
so.
G
Let's
say
a
child
was
at
school
and
shared
with
their
best
friend
the
big
family
secret,
especially
when
it
comes
to
sex
abuse
and
say
the
best
friend
will
go
to
the
teacher
and
the
teacher
will
come
back
and
ask
little
johnny
what
it
was
that
he
told
and
then
the
teacher
gets
the
principal
to
come.
G
But
each
time
you
relive
that
the
trauma
just
can
build
up,
and
so
what
happens
is
what
has
happened
with
the
children's
advocacy
movement
nationwide?
Is
we
provide
a
one-stop
shop
so
that,
when
johnny
comes
to
the
cac,
we
have
a
team
of
forensic
interviewers,
and
that
is
a
research
based
non-leading
way
to
interview
children
that
way
children
are
telling
the
story
in
their
own
words
and
from
their
own
perspective
and
based
on
what
that
child
says.
In
the
forensic
interview
law
enforcement
is
able
to
go
off
and
seek
justice.
G
Cps
is
able
to
go
off
and
make
sure
that
children
are
safe.
The
medical
staff
is
able
to
make
sure
that
the
child
is
all
right
that
they're,
okay,
we
have
family
advocates
that
are
able
to
help
with
the
victims
of
crime
money
so
that
we
can
get
the
counseling.
G
That
needs
to
happen
and
and
cps
did,
I
say
already
for
safety,
but
it
is
really
the
best
way
and
the
best
approach
so
that
a
child
is
not
traumatized
again
and
again
and
again
that
they
can
tell
their
story,
and
we
from
that
one
story
are
able
to
go
off
and
see
justice
for
children.
One
of
the
things
that
has
been
amazing
is
to
see
how
that
plays
out
long
term
and
even
if
you
are
able
to
affect
one
life,
that
is
an
amazing
thing.
G
G
A
I
I
I
I
was
forced
to
go
to
therapy
after
every
person
is
after
they
tried
killing
themselves
for
the
first
time,
and
it
was
on
the
second
session
and
my
therapist
kept
stressing
whatever
you
say,
is
confidential.
Don't
worry
it's
confidential.
I
So
that's
when
the
abuse
came
out,
I
was
waiting
for
cps
and
for
someone
to
get
involved.
I
knew
that
that
was
the
next
thing.
That's
going
to
happen,
and
so
I
got
led
to
the
office
and
my
social
worker
who
at
the
time
was
yet
my
social
worker
was
there
and
she
asked
me
did.
I
know
why
she
was
there,
so
I
found
my
way
to
the
sncac
physically
going
there.
I
It
was
very
terrifying
and
very
traumatizing,
because
at
that
time
I
I
believe
that
the
beast
was
my
fault
and
I
felt
extremely
embarrassed
that
I
was
being
sexually
abused
like
it
had
something
to
do
with
my
morals
or
my
demeanor,
and
that's
why
I
was
being
abused
so
actually
going.
There
was
terrifying
I
felt
like.
I
did
something
wrong,
but
the
staff
members
there
were
so
sweet
and
so
caring
and
they
just
wanted
to
make
sure
that
I
was
comfortable
and
that
I
knew
that
I
was
safe.
I
They
were
fantastic.
I
remember
after
you
did
the
interview
with
the
detectives
about
what
was
happening.
Why
I
was
there
and
like
went
into
the
details
of
the
abuse,
I
was
bawling
my
eyes
out
and
the
detective
leaned
down
and
went
on
eye
level
with
me.
She
was
like
this.
Isn't
your
fault?
No
matter
what
happens
what
anybody
says?
I
This
is
not
your
fault
and
I
believe
you
and
those
were
the
most
reassuring
words
that
I've
ever
heard
when
a
kid's
family
doesn't
believe
them
when
they
tell
them
that
they're
being
abused,
it's
the
most
devastating
thing
ever
because
family
is
supposed
to
be
there
for
you,
they're
supposed
to
love
you
unconditionally
and
they're
supposed
to
want
the
best
for
you
to
keep
you
safe.
So
when
they
don't
believe
you
when
you
say
you're
being
abused,
it's
the
worst
feeling
you
feel
so
depleted
like
this.
I
It
took
so
much
courage
to
tell
them
what
was
happening
and
then
they
just
throw
it
back
in
your
face,
saying
that
it
didn't
happen
or
wasn't
as
bad
as
you
thought
or
taking
the
other
person's
side.
So
my
advice
is:
keep
finding
someone
who's
going
to
listen,
because
there's
someone
out
there
that's
going
to
listen
and
he's
going
to
care
and
he's
going
to
take
the
right
actions
to
make
sure
that
you're
safe
that
you
get
the
help
you
need
getting
better,
isn't
just
an
automatic
thing.
It's
not
something!
I
That's
just
going
to
happen
because
you
exist,
you
need
to
work
towards
getting
better
and
if
that
means
going
to
therapy,
sometimes
going
to
therapy
three
times
a
week
along
with
group
sessions.
Until
you
know
you
can
do
it.
Sometimes
that
means
going
on
medication.
If
you
need
it,
it's
self-love,
it's
self-care!
It's
allowing
yourself
to
make
mistakes
and
to
be
able
to
forgive
yourself
for
things
that
you
don't
have
to
forgive
yourself
for
because
it
wasn't
your
fault.
G
B
B
We
have
seen
a
tremendous
benefit
to
our
victims
by
offering
them
free
therapy
advocacy,
even
things
like
community
housing,
and
things
like
that.
So
we
aim
to
stop
the
cycle
of
abuse
that
many
of
these
victims
find
themselves
in
I'm
very
happy
to
be
presenting
ab2
228
today
and
I'm
happy
to
answer
any
questions
or
address
any
concerns
that
you
may
have.
O
B
Lander
county
whitehead,
county
and
humboldt
county
bedtimes,
we
also
serve
anybody
else
who
wouldn't
need
commercial
disease.
Our
mission
is
to
support,
nurture
and
protect
children
and
families
who
are
involved
in
child
abuse,
investigation
and
treatment.
We
do
this
by
providing
a
child-friendly
environment,
that
minimizes
stoma
and
fosters
we
are
in
support
of
assemblybuilder228.
N
You
thank
you
so
much
and
now
dr
joyner
is
going
to
join
us.
I
I
The
last
time
I
was
here
I
was
the
vice
chair
of
the
committee
where
assemblymember
peters
is
now,
and
because
of
that
I
know
the
important
work
that
you
all
do
and
I'm
extremely
grateful
to
chairwin
and
for
scheduling
the
spell
for
hearing
today
and
to
assembly
member
miller
for
sponsoring
it.
I'm
here
today,
just
representing
myself
as
a
strong
supporter
of
the
cacs
in
nevada.
I
I
So
after
that
tour,
I
believe
so
strongly
in
the
cacs
and
the
benefits
that
they
provide
to
our
kids
that
I
wanted
to
help
in
any
way.
I
could
so.
I
became
a
consultant
with
them
and
I
have
attended
two
national
conferences
with
the
national
children's
alliance,
which
is
the
national
organization
that
accredits
these
centers.
At
those
meetings,
I
saw
how
much
further
along
other
states
were
in
making
sure
that
their
kids
all
have
access
to
the
best
practices
used
in
the
cacs.
I
I
So
I
hope
you
will
all
support
the
cacs
and
the
important
work
that
they
do
by
passing
this
legislation
and
next
I'll
pass
it
off
to
jesse.
He'll
specifically
talk
about
the
parts
of
the
bill
and
some
proposed
amendments.
N
Thank
you,
dr
joyner.
Okay,
again
for
the
record
jesse
haw
h-a-w
with
the
chair
of
the
legislative
task
force
for
the
cacs
in
nevada.
First
off,
I
I
want
to
apologize.
We
we
have
a
late
amendment
that
just
came
in
after
working
closely
with
clark
and
washoe
county,
as
well
as
the
division
of
child
family
services
and
dhhs.
We
have
agreed
to
have
three
amendments
or
proposed
three
amendments
which
didn't
get
uploaded
in
time
on
nellis,
and
so
I
apologize,
I
have
sent
it
out
to
all
the
members
of
the
committee
chairwinn.
N
I'm
happy
to
screen
share
that.
If
you
would
like
to
see
that
or
I
could
just
walk
through
quickly
those
those
amendments
before
explaining
the
rest
of
our
bill,
do
you
have
a
preference.
A
You
know
what
you
can
go
ahead
and
just
explain
it.
I
know
that
it
was
sent
out
if
the
members
can
check
their
email.
I
know
it
was
sent
out
there
and
it
was
also
just
posted
on
nils
as
well.
N
Thank
you
chairwin
for
the
record
jesse
hall
h.a.w.
Thank
you,
okay,
so,
first
off
house
keeping
on
the
amendments,
there
were
three
amendments
that
we
would
like
to
propose.
One
is
6.1
b,
which
just
adds
a
sentence
at
the
end.
That
says
to
the
extent
the
standards
are
allowed
by
law.
So
that's
pretty
clear.
We
don't
want
anybody
to
do
anything.
Illegal
6.4
clarifies
that
not
every
case
of
abuse
or
neglect
may
be
appropriate
for
the
cac
and
that
each
jurisdiction
can
make
that
decision
on
their
own
and
independently.
N
N
There
are
certainly
some
circumstances
where
it's
not
necessary
and
finally,
there's
going
to
be
a
new
section
to
disclose
or
be
clear
on
how
information
is
shared
and
clarifies
what
information
is
shared
with
all
mdt
members
to
support
the
child's
case.
So
I'm
going
to
jump
in
and-
and
I
know
time
is
critical
for
for
all
of
you,
so
I'm
going
to
try
to
go
as
quickly
as
I
can
and
explain
what
the
original
bill
language
was
sections.
N
Two
through
five
defined
terms
of
the
children's
advocacy
center,
multidisciplinary
team
and
the
provider
of
health
care,
and
for
brevity,
you
might
hear
me
say
cac,
which
is
children's
advocacy
center.
Multi-Disciplinary
team,
mdt
and
those
acronyms
are
just
to
speed
up
the
presentation.
N
So
cacs
need
legitimate
legal
status
in
statute
in
order
to
ensure
quality
services
in
nevada
and
improve
the
competitiveness
and
eligibility
for
funding
from
state,
federal
and
private
sources,
as
as
dr
joyner
mentioned,
at
least
34
states
have
adopted
defining
legislation
for
cacs
in
their
statutes.
N
N
Section
6.1
discusses
how
a
cac
is
accredited
to
ensure
it
follows
national
best
practices.
Nevada
needs
to
ensure
quality
services
are
provided
to
child
abuse
victims.
Currently
in
nevada,
there
is
no
requirement
for
centers
claiming
to
help
abuse
children
meet
any
standards.
Requiring
standards
will
improve
the
health
of
the
child
and
provide
justice
by
ensuring
that
the
best
possible
interview,
mdt
response
and
evidence
collection
procedures
are
followed.
N
This
would
not
exclude
any
cacs
that
we
know
of
currently
operating
in
the
state,
because
the
the
four
cacs
too
are
already
accredited
and
two
are
working
on
their
accreditations
section.
6.2
I'd
like
to
preface
this
by
saying
we,
we
have
been
working
yesterday
and
today,
with
the
nevada
justice
association
trying
to
work
out
some
language
and
an
amendment
that
they
are
comfortable
with
and
we're
comfortable
with
we're,
not
quite
there
yet.
N
So
we
don't
have
any
amendments
to
offer,
but
I
wanted
to
disclose
that
we
have
been
talking
with
them
so
going
on
to
section
6.2.
This
discusses
how
multi-disciplinary
members
are
immune
from
civil
liability
if
they
act
in
good
faith.
Members
of
the
mtt
are
still
obligated
to
follow
rules
of
their
professions.
So,
for
example,
a
police
officer
couldn't
destroy
evidence
and
claim
immunity
under
this
provision.
N
Further
6.2
does
nothing
to
alter
the
constitutional
obligations
of
a
police
officer
or
prosecutor
in
a
criminal
criminal
case,
including
disclosure
obligations
and
finding
of
good
faith
that
is
required
to
trigger
the
statutory
immunity.
So
actions
that
are
intentional
or
grossly
negligent
would
not
be
included.
N
They
deserve
the
same
personal
protections
that
teachers
and
other
mandatory
reporters
have
6.3
is
about
confidentiality,
a
forensic
interview,
an
electronic
recording
of
that
interview
or
any
transcription
of
that
forensic
interview
conducted
by
cac
should
be
confidential
and
exempt
from
public
inspection
and
copying
to
protect
families.
Such
recordings
or
transcriptions
should
only
be
viewed
by
court,
attorneys
and
investigators
or
experts
for
the
purpose
of
judicial
and
administrative
hearings.
They
should
not
otherwise
be
published,
displayed
or
disseminated
up
to
by
a
person
who
is
not
party
to
the
proceedings
except
pursuant
to
a
protective
court
order.
N
6.4
encourages
cac's
access
to
cacs
for
all
kids
who
need
them
within
availability
of
funds.
It's
it's
really
important
to
to
to
say
that
this
is
not
a
mandate
on
on
counties
that
you
have
to
do
at
caac
that
and
it's
included,
because
in
an
ideal
world,
every
child
who
experiences,
abuse
or
neglect
would
have
access
to
a
cac.
N
The
capacity
of
nevada's
current
cacs
are
likely
to
be
overrun
soon
because,
as
as
we're,
a
growing
state
you're
going
to
have
more
needs
both
rural
and
in
the
urban
areas.
N
Covid
could
have
exacerbated
this
issue
and
that's
still
unclear
we're
still
wrestling
with
what
the
effects
of
covet
have,
but
the
most
important
number
today
is
12
and
that's
how
many
members
are
on
your
committee.
You
have
the
power
to
help
these
children.
Please
vote
yes
on
av
av-228.
N
That
concludes
our
presentation
today,
we're
obviously
here
and
open
for
questions
and
at
the
committee's
disposal.
Thank
you.
J
Thank
you,
madam
chair,
and
thank
you
so
much
assemblywoman
miller
for
bringing
this
bill
forward.
This
means
so
much
to
so
many
people,
and
I
thank
you
all
of
the
stakeholders
that
have
I've
gathered
to
support
ab28
my
question
actually
because
I'm
so
concerned
I'm
actually
floored.
J
That
nevada
was
not
one
of
34
states
that
had
accreditation,
I'm
I'm,
and
this
is
the
year
2021,
and
you
know
my
daytime
job
is
working
in
the
district
attorney's
office
in
clark
county
and
we
see
so
many
victims
and
it
it
hurts
my
heart
when
I
see
little
ones
that
are
that
are
in
the
da's
office
prepping,
for
to
testify
about
this
horrendous
thing
that
has
happened
to
them
in
their
little
lives,
and
I
guess
my
question
is
more
of
the
fact
that
what
are
the
surrounding
states
that
are
accredited
that
we
know
about
in
our
hemisphere.
J
Is
it
california,
utah
arizona?
You
know
and
did
you
confer
with
these
other
states
to
see
how
they
were
credited?
And
I
guess
that's
just
that's
my
question.
I
Sure,
I'm
sorry,
I
believe
my
testimony
may
not
have
been
clear
enough,
since
I'm
the
one
who
mentioned
the
34
states,
we
actually,
the
cac's
in
nevada,
the
two
largest
ones
in
washoe,
county
and
clark
county
are
accredited
in
fact
nationally
accredited
and
our
other
two
in
knight,
county
and
great
basin
and
elko
are
both
striving
towards
accreditation,
so
they
are
also
acknowledged
by
the
national
organization.
I
H
Thank
you
so
much
for
that
jen.
I
think
because
so
many
of
the
questions
I
had
it
sounds
like
our
discussions
that
are
happening
in
the
amendment,
and
so
I
guess
are
you?
H
Are
you
comfortable
with
kind
of
cut
some
of
the
those
conversations
on
the
amendment
or
otherwise
they
I
can
just
whenever
you
want
to
have
a
conversation
about
the
amendment.
I
guess
that's
where
I
have
those
where
my
my
questions
are
kind
of.
A
H
So
I
guess,
starting
with
the
section
six
sub
one,
so
it
sounds
like
on
the
six
section,
six
sub
b,
that
the
goal
is
to
make
sure
that
it's
it
says
as
allowable
by
law,
but
we
mean
nevada
law.
So
we
just
want
to
make
sure
that
if
the
the
national
children's
alliance
have
standards
that
far
supersede
nevada
law,
that
we
understand
that
the
base
would
be
nevada,
nevada
law
is
that
right.
N
Yes,
some
of
the
women
but
for
the
record,
jesse
hogg.
But
yes
for
the
for
the
record
that
that
is
my
understanding.
That
came
specifically
from
clark
county
and
I
didn't
ask
that.
But
I
assume
the
same
thing
you
just
did.
A
H
And
then,
in
the
still
in
subsection,
six
down
to
four
on
the
changing
the
the
child
welfare
services
shall
ensure
that
children
who
are
victims
go
into
this.
So
I
imagine,
then,
will
it
be
more
like
a
referral
process,
then
coming
from
the
child
welfare
agencies
to
the
advocacy
centers.
N
Assemblywoman
benitez
thompson
is
through
the
chair.
This
is
jesse
hogg
and
it
it
had
more
to
do
with
it.
They
didn't,
they
didn't
feel
like
it
should
say,
shall
and
because
not
every
case.
For
example,
not
every
case
of
abuse.
Neglect
may
be
appropriate
for
referral
to
a
cc.
For
example,
they
might
not
need
a
forensic
interview
or
involve
law
enforcement
or
involve
a
significant
trauma.
So
it
was
just
more
of
a
clarification
of
these
agencies.
N
Didn't
have
to
all
of
a
sudden,
send
every
single
case
over
there
when
they
clearly
knew
from
the
beginning
that
it
wasn't
something
that
needed
to
go
to
a
cac.
H
Okay
thanks,
so
what
so
right
now
the
process
with
the
cacs?
Is
it?
Is
it
a
referral
process
or
is
everything
kind?
I
guess
I
don't
unders,
I'm
not
savvy
as
to
kind
of
what
happens
right
now,
the
flow
and
that
that
transition
or
that
warm
handoff.
N
Assembly,
woman,
benitez
thompson,
jesse
hoff
for
the
record
again
through
the
chair,
I'd
like
to
have
peg
samples
answer
that
question
peg.
If
you're
still
on
I'm,
not
an
expert
either
so
peg,
can
you
help
us.
B
Yes,
of
course
thank
you
for
the
question
assembly
and
vanitas
thompson.
This
is
peg
samples
for
the
record.
We
do
work
off
of
a
referral
system
now,
so
whoever
takes
the
child's
initial
disclosure
can
report
that
to
law
enforcement
or
to
cps,
and
then
they
have
channels
to
arrange
for
the
case
to
be
handled
by
the
children's
advocacy
centers.
H
You
guys
are,
I
had
some
questions
kind
of
specifically
about
in
sub
section,
six
sub,
three,
the
references
to
the
other
432
b
chapters,
so
it
it
sounds
like
you're
talking
about
confidentiality,
that
your
goal
is
to
get
language
that
restricts
confidentiality
to
a
child's
multi-disciplined
team.
So
they
can
talk
within
each
other,
but
it
sounds
like
you
kind
of
do
want
an
official
firewall
from
the
work
you
do
and
the
information
you
have
from
the
child
welfare
agency
or
that
kind
of
formal
court
and
all
those
other
systems
is
that
right.
M
Obviously,
as
stated
by
the-
and
this
is
brittany
miller
for
the
record,
as
stated
in
the
video
that
we
saw
and
addressed
prior,
the
whole
goal
of
the
program
is
to
not
require
the
child
or
youth
to
have
to
repeat
the
same
story
multiple
multiple
times,
but
in
this
confidentiality
we're
referring
to
this
was
something
that
was
brought
up
by
the
public
defender's
office
and
so
sometimes
in
a
case
they
may
need
to,
and
the
same,
both
sides
on
the
legal
spectrum
may
need
to
have
access
to
that
so
with
a
court
order
within
the
law
that
they
could
get
access
to
it.
M
So
it's
not
so
much.
We
definitely
want
that
confidentiality
to
stay
in
there
to
protect
the
victim,
but
still
having
that
availability.
For
if
you
know
what
is
said,
what
what
is
revealed
needs
to
become
part
of
that
court
case.
H
A
little
bit
about
that
too,
I
think
I
wasn't
so
much
thinking
about
the
inclusion
of
subsection
six
in
out
of
nrs
239.
H
I
think
I
was,
I
think
I
was
but
the
way
I
was
interpreting
this
is
looking.
It
seemed
like
that
there
seemed
to
want
to
be-
and
I
didn't
know
some
maintenance
of
information
by
the
aca
and
then
what
was
maintained
information
that
was
maintained
and
held
by
the
child
welfare
agencies
or,
but
if
it
is
just
the
exact
same
protections
from
public
records,
then
they
can
set
me
straight
there
too,
mr
hall.
N
And
I
have
we
have
joanna
jacob
on
that's
going
to
testify.
If
you
wouldn't
mind
assemblywoman
vanilla,
excuse
me
assemblywoman
benitez
thompson.
Can
I
can
we
ask
her
to
answer
that
when
she
comes
on.
K
Thank
you,
madam
chair,
and
thank
you
all
to
the
presenters
and
folks
bringing
it
through
assembly
woman
miller.
I
think
this
is
an
important
piece
of
legislation.
I
do
have
a
question,
however,
and
it
is
a
little
bit
addressed
under
the
amendment
and
it
relates
to
the
bill
itself
under
section
six
number.
K
Four
that
reads
to
the
extent
that
money
is
available,
the
governing
body
of
each
county
and
agency,
which
provides
child
welfare
services,
shall
ensure
that
persons
and
then
you've
eliminated
the
language
to
ensure
that
children
in
general
you've
eliminated
who
are
victims
of
abuse
neglect
so
that
all
children
have
access
to
a
service
available
through
the
local
advocacy
center
in
accordance
with
any
criteria
by
each
county.
K
So
I'm
wondering
if,
if
number
one,
the
children
advocacy
centers
have
resources
for
anything
that
a
child
would
need
number.
My
first
question
and
number
two,
but
the
word
shell
in
there
make
available,
depending
on
money,
who's
going
to
determine
how
much
money
that
would
be
made
available
and
then
they
would
have
to
do
something.
I'm
always
concerned.
You
don't
have
a
fiscal
note
on
here.
I
want
to
make
sure
it's
not
an
unfunded
mandate.
I
understand
that
you're
trying
to
be
you
know
if
they
can
afford
to
do
it,
etc.
K
But
when
a
word,
shell
is
in
there
to
the
extent
that
money
is
available.
Does
that
mean
if
they
have
a
surplus
of
a
hundred
thousand
dollars
if
they
have
a
surplus
of
two
hundred
thousand
dollars?
I
just
need
some
clarification
on
the
effect
to
the
county
governments
especially
say
they
rule
counties
who
may
not
have
this
available
and
what
services
then
would
have
to
be
covered
since
you're,
taking
out
the
the
victims
of
abuse.
That
means.
Does
a
pediatrician
have
to
be
available?
N
Try
to
answer
that
with
the
the
intent
is
not
to
say
every
county
shall
do
something
it
is
up
to
the
county
and
it's
it's
it's
too
hard
frankly
to
to
dictate
that
when,
when
some
counties
are
smaller
and
some
are
bigger
and
some
have
more
money
and
some
have
less
and
I'll
give
you
an
example
of
washoe
county,
so
washable
county
cac
right
now
we
see
children
from
a
multiple
of
counties,
adjacent
counties
who
simply
don't
have
the
the
nexus
to
put
something
like
that
together
and
then,
and
including
even
children
over
state
lines.
N
We
will
see
anybody
that
we
we
can,
or
that
shows
up
so
the
the
intent
and
hopefully
the
clarification
of
subsection
six
section.
Six
sub
section
four
is
not
to
to
make
a
county
do
something
because
it
raises
all
those
questions
that
you
just
asked
right,
and
so
the
intent
is
is
when
it's
time
and
that
county
has
decided
or
that
municipality
has
decided
that
they're
going
to
do
a
cac.
Here's
the
protocol
to
follow
here's
the
accreditation
to
follow,
and
this
is
the
best
practices.
N
So
it's
really
nuanced,
because
there's
so
many
gray
areas
when
covering
things
just
like
you
mentioned.
K
Thank
you
for
that
follow-up.
Madam
chair
go
ahead.
I
just
want
to
make
sure
what
the
legislative
intent
is
again.
I
I
think
it's
necessary.
I
think
it's
important.
I
think
it's
critical,
but
again
unintended
consequences
of
bills.
It's
important
to
know
what
the
legislative
intent
is,
what
you're
trying
to
solve
and
and
who's
going
to
be
held
accountable
for
that,
but
when
monies
are
available,
so
thank
you
for
that
clarification.
Thank
you,
madam
chair.
N
Peg
sorry
jesse
haw
for
the
record
peg.
Do
you
have
a
handle
on
how
that's
handled.
B
Yes,
peg
samples
for
the
record.
Thank
you
for
the
question.
The
accreditation
standards
are
actually
published
by
the
national
children's
alliance,
it's
fairly
exhaustive,
just
because
it
covers
every
individual
portion
of
the
mdt.
So
there
are
different
standards,
for
example,
for
prosecutors,
in
our
training
versus
social
workers
in
their
training,
they're,
continuing
training
things
like
that,
and
so,
if
you
just
go
on
to
the
national
children's
alliance
website,
it
does
list
them.
I
believe
they're,
like
40
pages,
though
so
we
didn't
provide
them
today.
A
You
being
in
mind
and
miss
samples,
if
you,
if
you
do
have
that
40
page
document,
if
you
could
provide
it
to
the
committee
staff
and
then
we
will
be
able
to
distribute
that
to
the
committee
members
to
review
sure.
Okay,
and
with
that
I
will.
M
A
This
point
we
will
hear
testimony
and
support
opposition
and
neutral
of
assembly
bill
228
at
this
time
broadcast
services.
Can
we
go
to
our
first
caller
in
support
of
assembly
bill
228
again,
I
would
remind
our
speakers
to
clearly
state
and
spell
your
name
and
limit
your
testimony
to
two
minutes
again.
You
do
have
the
opportunity
to
supplement
any
testimony
in
writing
and
we
have
no
problem
with
saying
me
too.
Yes,
I
agree
ditto
I
support
and
to
get
that
as
a
part
of
the
record
so
with
that
broadcast
services.
F
F
O
Good
afternoon
chairwind
vice
chair
peters
and
members
of
the
committee,
my
name
is
jennifer,
noble,
f
e
j-e-n-n-I-f-e-r
n,
o
b
l
e,
and
I
am
testifying
today
on
behalf
of
the
17
elected
district
attorneys
that
make
up
the
nevada
district
attorney's
association.
We
are
in
full
support
of
assembly
bill
228..
O
Cac
teams
are
there
for
our
smallest,
most
vulnerable
victims
at
one
of
the
most
stressful
times
in
their
young
lives
they
ensure
children
can
speak
out
about
what
happened
to
them
in
a
child-centered.
Setting
with
investigators
specifically
trained
to
interview,
children
and
professionals
available
to
provide
resources
for
medical
and
psychological
support.
O
F
E
Good
afternoon
chairwin
and
members
of
the
committee,
I'm
eric
spratley
e-r-I-c-s-p-r-a-t-l-e,
I'm
the
executive
director
of
the
nevada,
sheriffs
and
chiefs
association
and
we're
here
in
support
of
assembly,
bill
228
and
appreciate
assemblywoman
miller,
bringing
this
important
bill
today.
We
do
believe
that
the
children's
advocacy
advocacy
centers
are
essential
to
the
health,
safety
and
well-being
of
children
in
nevada,
who
are
victims
of
child
abuse
and
neglect.
We
support
good
legislation
that
helps
children,
and
this
bill
does
that
we
thank
this
committee
for
considering
ab228.
Thank
you.
Chairwin.
F
O
J-A-M-I-E-R-O-D-R-I-G-U-E-Z,
I'm
the
government
affairs
manager
for
washoe
county
and
want
to
state
my
support
for
the
bill.
Along
with
the
amendments
from
clark,
county,
washoe,
county
cac
was
established
in
2014
and
immediately
began
working
on
accreditation.
We
were
the
first
accredited
cac
in
nevada
and
we're
very
proud
of
the
program
that
allows
children
who
have
had
traumatic
experiences
to
have
to
tell
that
story
and
relive
that
trauma
as
few
times
as
possible.
O
We
have,
as
mentioned
previously,
we
have
opened
our
facility
to
allow
other
entities,
including
counties
or
tribes
in
our
area,
to
use
our
facility
because
we
think
it's
really
what's
best
for
the
children
again
appreciate
the
sponsor
working
with
us
on
the
two
amendments
submitted
by
clark
county
that
we
are
supportive
of.
We
do
support
the
bill
in
any
effort
to
strengthen
this
program
and
just
want
to
quickly
mention
that,
as
mentioned
by
former
assembly
woman
joyner,
when
it's
appropriate
given
covet.
O
If
there's
any
members
of
this
committee
who
would
like
to
tour
rcac,
I'm
happy
to
arrange
that
and
show
you
the
facility.
The
work
that's
been
done
in
our
facility
and
efforts
to
help
children
feel
more
comfortable
as
they
have
to
go
through
this
process
of
explaining
their
their
abuses.
Thank
you
very
much.
F
E
I'm
currently
the
program
manager
at
the
washoe
county
child
advocacy
center,
I'm
also
the
chair
of
the
state
chapter
project,
which
is
pushing
to
have
all
cacs
in
nevada
using
the
same
national
case
management
database.
So
we
can
more
effectively
analyze
our
trends
on
a
statewide
level
and
determine
where
we
can
improve
services.
E
P
E
F
Q
Good
afternoon,
chair
nguyen
members
of
the
committee
joanna
jacob
j-o-a-n-n-a-j-a-c-o-b
government
affairs
manager
for
clark
county
chair
nguyen,
I'm
going
to
try
and
use
my
two
minutes
to
respond
to
some
of
the
questions
that
were
raised,
but
first
I
would
like
to
thank
assemblywoman
miller,
mr
dr
joyner,
for
end
the
state
actually
and
washoe
county.
Q
We
worked
diligently
on
the
amendments,
as
mr
hall
stated
through
the
night
and
this
morning,
to
try
and
get
something
together
for
you
all
of
the
child,
welfare
agencies
and
counties
work
together
on
that
we
thank
them
for
for
working
with
us.
Under
these
short
time
frames,
clark's
clark,
county's
children's
advocacy
center,
has
been
in
place
for
over
20
years
to
assemblywoman
thomas
we
are
accredited
and
recently
we
went
through
a
year-long
reaccreditation
process
and
got
the
highest
rating
possible.
So
that
is
a
point
of
pride
for
clark
county.
Q
It's
akin
to
the
good
housekeeping
sale
of
approval.
You
know
for
best
practices
for
children
suffering
from
sexual
abuse.
If
that
kind
of
lets,
you
know
what
we're
looking
at,
and
I
know
that
they're
going
to
send
those
standards
to
you,
nevada
law.
There
was
a
question
about
that
amendment.
Yes,
that
was
our
amendment
from
clark
county
and
to
assembly
majority
leader
benitez
thompson.
Q
That
was
our
intent
to
try
and
just
clarify
that,
to
the
extent
that
standards
conflict
with
nevada
law
or
to
extend
things
that
are
coming
down
from
child
welfare
from
the
national
level,
it's
a
rapidly
evolving
field,
which
I
think
you'll
hear
me,
testify
to
several
times
this
session.
So
we
want
to
just
make
sure
that
there
are
no
conflicts
and
I
believe
the
question
about
the
confidentiality
I
apologize.
I
missed
that
one.
Q
I
think
the
intent
behind
that
from
what
I
know
of
those
discussions,
which
will
is
that
we
want
to
make
sure
that
there
is
permission
to
share
without
criminal
liability
and
protective
or
proactive
permission
for
a
child
welfare
agency.
The
key
is,
we
have
a
multi-disciplinary
team
working
on
this.
I
apologize
I'm
going
over
two
minutes.
I
know
I'm
trying
to
address
the
questions.
Q
Yes,
I
appreciate
that
chair.
Thank
you
very
much.
Our
partnerships,
our
team,
just
to
put
this
in
context
in
clark
county,
includes
clark,
county
family
services,
the
da's
office,
our
metro,
police,
henderson,
police,
north
las
vegas,
police,
boulder
city,
police,
mesquite,
police.
At
times
the
fbi
and
even
the
air
force
office
of
special
investigations.
Q
We
have
a
lot
of
people
coming
together
to
partner
on
this
process,
so
it
was
really
and
when
we
set
down
to
the
amendment
when
we
said
to,
we
tried
to
address
assemblywoman
titus
that
concern
that
you
raised
on
maybe
some
over
broad
section.
When
it
came
out
of
drafting
the
bill
sponsor
assemblyman
miller,
we
were
all
on
the
kind
of
the
same
page.
We
want
to
just
make
sure
that
we
align
with
the
standards.
Q
The
standards
require
us
to
set
protocols
for
referral
to
the
children's
advocacy
center,
and
they
have
to
be
reviewed
by
this
multi-disciplinary
team
and
kind
of
updated
from
time
to
time
and
that's
what
we
were
trying
to
incorporate
there,
the
the
language
to
extent
funding
available.
We
did
try
to
address
that
because
we
did
we
were
concerned
about.
We
echoed
your
concern.
Maybe
it
was
too
broad,
and
I
think
that
the
amendment
addresses
our
concern
and
that's
why
we
are
in
support.
Q
Q
It's
always
a
pleasure
for
me
to
support
legislation
like
this,
which
is
going
to
help
us
to
continue
to
do
the
good
work
that
they
do
so
we
are
in
support
with
the
amendment
and
again
I
will
also
work
with
any
committee
member
who
needs
who
would
like
more
information
or
follow
up
with
questions.
Please
use
us
as
a
resource.
Thank
you.
A
And
thank
you,
ms
jacobs,
and
I
appreciate
you
answering
the
members
questions
and
again
I
would
encourage
any
members
if
you
have
any
follow-up
questions
regarding
this
to
contact
the
bill
sponsor
or
follow
up
with
ms
jacobs,
and
it's
always
good
to
have
her
back
in
hhs.
I
know
in
her
previous
role.
She
was
in
here
a
lot
so
with
that.
If
we
can
go
to
the
next
caller
and
support.
F
E
Regarding
section
six,
subsection
three
and
the
confidentiality
issue,
we
are
not
seeking
information
cart
launch
from
the
cacs.
What
we
are
seeking,
though,
is
that,
should
this
information
be
involved
in
a
pending
case
that
it
be
made
available
by
a
court
order
only
if
a
court
orders
it
generally
when
cps
records
or
something
similar
are
done.
They
are
only
provided
by
a
court
order
and
generally
a
court
reviews
them
in
camera
before
they
turn
them
over
to
the
parties,
and
that's
all
we're
seeking.
E
A
Thank
you,
mr
pero.
It
sounds
like
something
woman
miller
had
alluded
to
some
of
the
provisions
that
you
were
talking
about
so
with
that
we
could
go
to
the
next
caller
in
support.
F
E
Thank
you,
madam
chair
and
members
of
the
committee
for
the
record
dan
morgan,
ceo
of
the
builders
association
of
northern
nevada.
The
builders
association
is
proud
to
voice
our
support
of
ab228
by
adding
the
definition
of
child
advocacy
center
into
the
nevada
revised
statute.
You
are
providing
the
community
the
necessary
resources
to
provide
a
child-friendly
facility
in
which
law
enforcement,
child
protection,
mental
health,
medical
and
victim
advocacy
professionals
work
together
to
investigate
and
prosecute
the
abuse
and
help
children
heal
from
the
abuse
and
hold
offenders
and
abusers
accountable.
E
It
is
critical
that
our
community
provide
the
protection,
protective
advocacy,
medical
and
social
services
of
a
cac
to
provide
our
children
with
the
opportunity
to
heal
and
live
a
life
without
additional
trauma
or
fear.
The
builders
association
and
its
members
goal
is
not
only
to
develop
and
build
lasting
communities,
but
to
support
the
safety
and
security
of
our
population's
most
vulnerable.
Our
children.
E
Thank
you
to
assembly
woman,
brittany
miller
for
bringing
ab228
forward
and
a
very
special
thanks
to
former
nevada
state
center
and
builders
association
past
president
jesse
haw
for
his
passion
and
continued
effort
in
support
of
the
children's
advocacy
center
and
his
commitment
to
our
children's
our
state's
children.
Thank
you
for
your
time
today
and
thank
you
very
much
for
your
service
to
our
great
state.
A
Thank
you
for
your
testimony
and
at
this
time
it
is
2
51
of
a
lot
of
15
minutes
of
testimony
and
support
of
assembly
bill
228,
and
at
this
time
I
would
like
to
turn
and
give
equal
amount
of
time
to
anyone
in
opposition
to
assembly
bill
228,
so
broadcast
services.
If
we
can
go,
I
know
that
there
are
potentially
other
people
that
are
on
the
line
to
testify
and
support.
And
again
I
would
encourage
you
to
please
reach
out.
There
are
other
avenues
to
express
your
support,
whether
that
be
in
writing.
A
A
And
if
we
can
see
if
there
are
any
anyone
to
testify
in
neutral.
P
I
am
go
ahead.
L
Thank
you
chair
ross,
armstrong,
r-o-s-s,
a-r-m-s-t-r
ong
and
the
administrator
for
the
division
of
child
and
family
services,
and
my
first
job
in
state
service
was
actually
as
a
special
prosecutor
for
the
attorney
general's
office
in
rural
nevada,
from
parump
to
hawthorne
dealing
with
violent
crimes,
including
sexual
crimes
against
children
and
assisted
in
standing
up
night
county's
children's
advocacy
center.
So
I'm
glad
to
see
the
conversation
today
to
answer
a
few
questions.
I
think
specifically
about
the
confidentiality
provisions,
the
structure
of
china.
L
These
advocacy
centers
is
different
in
each
of
our
regions
and
so
in
clark
county.
It's
operated
by
the
child
welfare
agency
in
washoe
county,
it's
primarily
operated
by
the
district
attorney's
office
and
in
the
rurals
we
have
non-profits
and
there's
been
some
interpretation
in
the
past.
A
child
welfare
agency
in
the
world
could
not
share
with
the
child
advocacy
center.
L
In
the
event,
the
alleged
perpetrator
was
not
the
parent,
and
so
the
confidentiality
provision
says
we
can
share
that
information
with
the
mdt
in
those
particular
situations,
and
so
that
is
why
you
see
the
confidentiality
provisions
to
make
sure
that
there's
as
much
information
sharing
among
that
team
as
possible
in
a
state
fiscal
year,
2022
2020.
L
I
would
note
that
we
substantiated
as
a
state
267
sexual
abuse
cases
that
means
267
children,
sexually
abused
by
the
person
legally
responsible
for
them,
so
that
does
not
include
strangers
or
neighbors
or
some
other
acquaintances,
the
person
legally
responsible
for
them.
I
just
want
to
applaud
the
work
of
the
child
advocacy
centers.
L
We
operate
other
accounts
like
the
account
envisioned
in
this
bill,
and
so
we
are
happy
to
do
so.
It
is
not
a
huge
administrative
burden
for
us,
and
so
I
just
want
to
make
sure
I
answer
those
questions
and
let
you
know
that
you
know
this
is
not
a
that.
The
account
is
easy
for
us
to
manage
and
I'm
happy
to
answer
any
other
questions.
A
A
Okay
at
this
time,
I
will
turn
it
back
over
to
assemblywoman
miller
to
make
any
closing
remarks
on
assemblybill228.
M
M
We
understand
that
there's
a
few
you
know
we're
still
working
on
the
language
to
get
it
to
truly
represent
the
intent
and
happy
to
that.
The
stakeholders
are
coming
coming
to
us
with
such
great
suggestions
to
strengthen
it.
I
also
would
be
remiss
at
the
beginning.
I
didn't
announce
that
dr
joyner,
our
former
assemblywoman,
would
be
joining
us
because
from
the
last
email
it
was
still,
I
was
still
a
little
uncertain,
but
I
know
that
we
always
appreciate
to
see
friendly
faces
in
in
this
building
in
this
space.
M
So
again,
thank
you
so
much.
I
know
that
it
definitely
sounds
like
their
support,
especially
from
both
sides
of
the
district,
attorneys
and
public
defenders
and
from
everyone.
That's
in
the
space
with
helping
and
protecting
children.
So
thank
you
so
much.
A
P
Thank
you
so
much.
Madam
chair
and
members
of
the
committee
for
the
record.
I
am
howard
watts,
representing
assembly
district
15
in
central
east,
las
vegas
and
clark
county
with
me
today
to
present
assembly
bill.
197
are
arashka
foreign
with
the
nevada
partnership
for
homeless,
youth
and
tavon
jenkins.
Briefly
I'll
just
give
a
quick
overview.
P
Youth
homelessness
is
a
crisis
in
nevada.
On
any
given
night,
it's
estimated
that
312
youth
aged
18
or
under
in
our
state
are
living
on
their
own
in
shelters
or
on
the
streets
over
the
2018-2019
school
year.
School
districts
across
our
state
identified
1050
school
age,
unaccompanied
homeless,
youth
and
the
problem
is
as
prevalent
in
our
rural
areas
as
it
is
in
our
urban
communities.
R
Thank
you,
assemblyman
watts,
and
also
thank
you,
chairman
chairwoman
and
members
of
the
assembly
committee
on
health
and
human
services,
for
allowing
me
to
be
here
today.
For
the
record.
My
name
is
arashka
fury
and
I'm
the
executive
director
of
nevada
partnership
for
homeless
youth,
as
assemblyman
watts
mentioned.
Youth
homelessness,
is
a
very
serious
and
significant
problem
here
in
nevada,
while
every
young
person's
story
is
unique,
youth
often
experience
homelessness
on
their
own
as
a
result
of
family
instability,
structural
issues
and
economic
instability.
R
R
Additionally,
young
people
experiencing
homelessness
are
also
more
likely
to
experience
domestic
violence
and
or
human
trafficking
due
to
the
difficulties
and
complications
of
living
on
the
streets
or
in
shelters
histories
of
trauma
and
limited
access
to
resources,
homeless,
young
people
experience
higher
rates
of
illness
and
injury,
including
malnutrition,
dental
disease,
respiratory,
infectious
diseases,
stis
pregnancy,
substance
abuse
and
increased
future
risk
of
diabetes
and
heart
disease.
Additionally,
homeless,
youth
experience
significantly
higher
rates
of
mental
illness
homeless.
Teenagers
are
7.2
times
more
likely
to
attempt
suicide
than
housed
teenagers.
R
Consequently,
increasing
access
to
health
care
for
minors
experiencing
homelessness
is
paramount
to
the
health
of
vulnerable
young
people
and
the
wellness
of
our
entire
state.
In
my
10
years,
at
nevada,
partnership,
homeless,
youth
or
mphy
southern
nevada's,
most
comprehensive
service
provider
for
young
people
experiencing
homelessness.
I've
seen
countless
young
people
present
with
health
issues
ranging
from
mild
to
severe
in
order
to
ensure
that
young
people
can
access
the
care
they
need.
R
Mphy
has
partnered
with
many
fantastic
healthcare
organizations,
including
nevada
health,
centers,
the
unlv
school
of
nursing,
the
unlv
dental
clinic,
southern
nevada,
adult
mental
health
alliance,
kids,
usa
foundation
and
others.
However,
many
of
our
healthcare
partners
have
faced
barriers
in
providing
services
to
unaccompanied
homeless
minors
due
to
limiting
and
unclear
language
in
nevada
law.
R
Accordingly,
mphy
has
worked
with
many
healthcare
providers
who
truly
want
to
serve
you
in
need,
but
if
you're
unsure
about
how
to
implement
the
current
law
correctly,
ab197
addresses
this
by
establishing
a
simple
and
proven
process
to
verify
that
a
minor
is
covered
by
this
law.
The
verification
process
proposed
in
this
bill
is
modeled
on
federal
financial
aid
process,
which
nevada
public
schools,
universities
and
service
writers
have
been
utilizing
since
2008..
R
This
same
verification
process
is
also
utilized
in
a
similar
healthcare
access
law
for
minors
in
maine
and
in
a
california
law
helping
at
helping
minors
access
vital
documents.
Ab197
will
also
also
allows
unaccompanied
homeless
miners
to
access
care
right
away
when
it's
needed.
This
timing
is
extremely
important,
as
a
lack
of
immediate
care
can
lead
to
routine
problems
becoming
dangerous
and
even
lead
to
death
by
suicide
overdose
or
untreated
illness
in
a
population
already
prone
to
heightened
health
risks.
Additionally,
current
law
allows
unaccompanied
minors
to
access
treatment
from
the
physician
or
hospital.
R
However,
many
of
the
providers
who
are
available
to
provide
care
for
our
young
people
include
nurses
and
nurse
practitioners,
physicians,
assistants,
dental
hygienists
and
other
licensed
professionals
who
aren't
clearly
covered
under
the
existing
law.
Furthermore,
many
of
the
people
we
serve
with
urgent
important
health
care
needs
that
are
not
that
aren't
appropriately
met
by
physicians
or
hospitals,
but
rather
they
are
appropriately
met
by
behavioral
mental
health
and
dental
health
professionals.
R
Ab197
also
takes
care
of
this,
clarifying
that
unaccompanied
minors
can
access
not
only
healthcare
services
provided
by
a
physician
or
hospital,
but
also
mental
and
behavioral
health,
dental
and
other
critical
services
provided
by
all
providers
of
health
care,
a
category
already
defined
in
nevada
law.
This
will
ensure
that
homeless,
youth
can
receive
healthcare
services
that
meet
their
very
needs.
R
This
bill
will
improve
existing
law
and
help
youth
access
essential
care,
while
strengthening
the
ability
of
organizations
like
nphy
and
healthcare
providers
to
meet
young
people's
fundamental
needs.
Currently,
30
states
allow
unaccompanied
youth
to
access
basic
health
and
behavioral
health
services
without
a
parent.
The
american
academy
of
pediatrics
also
supports
these
measures.
This
bill
will
simplify.
Oh
well.
I'm
sorry.
This
bill
will
simply
clarify
and
fortify
nevada's
existing
law,
ensuring
that
unaccompanied
youth
have
access
to
basic
health
services.
I
know
I'm
not
alone
in
this.
R
According
to
the
institute
of
children,
poverty
and
homelessness,
high
school
students
who
were
homeless
in
the
past
30
days
had
the
highest
rate
of
uncle
joel
as
well
over
two
times
higher
than
their
peers,
due
to
not
always
having
the
ability
to
obtain
my
mom's
consent.
There
have
been
times
when
I
haven't
been
able
to
see
a
doctor
or
get
my
table,
which
is
a
scary
and
dangerous
situation.
R
R
R
Just
recently,
there
have
been
youth
who
haven't
been
able
to
seek
medical
care
for
chest,
pains
who
couldn't
see
physical
therapy
after
a
gunshot
wound.
Can
make
their
mobility
and
who
couldn't
get
treatment
for
a
serious
mental
health
crisis
due
to
them
being
unable
to
obtain
parents
of
consent
and
other
company
minors.
C
R
Cleanings
physical
health,
checkups
and
screens
and
vision
tests,
because
they
couldn't
consent
to
these
services
themselves
as
unaccompanied
minors.
This
especially,
is
important
right
now,
with
phobics
as
homeless.
Minors
have
been
turned
away
from
focal
testing
because
they
have
been
unable
to
obtain
body
consent,
putting
not
only
themselves
but
other
youth
and
staff
and
others
at
risk.
A
b
woman
that
he
said
it
will
make
a
huge
difference
for
youth,
like
me,
allowing
unaccompanied
homeless
minors
to
access
the
physical,
mental
and
behavioral
health
care
that
they
need.
R
I
graduated
from
april's
housing
program,
and
now
I
have
a
job
in
my
own
place
and
I
can
tell
you
it's
difficult
enough
to
try
to
navigate
homelessness
as
a
youth
and
to
do
everything
you
need
to
do
to
succeed
in
school,
get
a
job
and
eventually
move
into
permanent
housing.
Having
to
do
all
of
that
with
untreated
health
issues
is
almost
impossible.
E
A
Thank
you,
mr
jenkins.
You
did
a
wonderful
job.
I
think
this
was
your
first
time
testifying
or
presenting
here.
So
we
really
do
appreciate
you
sharing
your
story.
I
know
it's
very
personal
and
it's
not
always
easy
to
relive
that,
but
we
do
appreciate
that
assemblyman
watts.
Do
you
have
anyone
else
presenting.
P
No,
we
don't
have
anyone
else
presenting,
but
I
will
walk
you
through
the
bill
very
quickly.
If
that's
okay
and
then
we
can
open
it
up
for
questions.
P
Great,
so
going
briefly
through
the
bill
section,
one
subsection
one
removes
the
requirement
that
a
young
person
be
homeless
for
four
months
before
they
can
access
health
care
without
the
consent
of
a
parent
or
guardian,
allowing
unaccompanied
homeless
minors
to
access
care
as
soon
as
those
needs
are
identified.
P
As
noted,
this
is
tried
and
true
from
financial
aid
procedures
and
other
processes,
and
it
allows
options
such
as
written
statements
from
service
providers
from
school,
homeless,
liaisons
under
mckinney
bento
acts
or
attorneys
that
represent
the
youth
section.
One
subsection
three
clarifies
that
unaccompanied
minors
can
access
not
only
physical
health
care
services
provided
by
a
physician
or
hospital,
but
also
mental
behavioral
health,
dental
and
other
critical
services
currently
defined
in
statute
under
the
inclusive
term
providers
of
health
care.
P
Finally,
section
two
of
the
bill
improves
upon
assembly
bill
363
of
the
2019
from
the
late
assemblyman
tyrone
thompson,
and
clarifies
that
people
experiencing
homelessness
can
get
a
fee
waiver
for
birth
certificates
without
the
unnecessary
barrier
of
having
to
access
a
notary
public
with
that.
That
concludes
the
walkthrough
of
the
bill
and
we'd
be
glad
to
answer
any
questions
that
the
committee
may
have.
K
Thank
you.
Thank
you.
So
much
and
the
presenters
for
being
here,
especially
the
personal
stories
of
those
as
the
chair
said,
are
always
difficult
to
share,
and
we
appreciate
that
you
have
shared
that
with
us
and
given
us
your
trust.
So
thank
you
for
that.
K
I
have
been
in
this
building
for
my
fourth
session
now
and
many
of
my
bills
have
worked
to
clarify
what
a
provider
is
and
add
languages
to
include
nurse
practitioners
and
physician
assistants,
and
I
have
personally
been
in
the
emergency
room
when
a
minor
came
in,
and
I
was
the
er
doc
and
I
couldn't
take
care
of
them
because
unless
it
was
a
life-threatening
condition,
I
could
not
take
care
of
that
person
until
we
contacted
a
parent,
so
they
literally
sat
there
for
hours.
So
this
bill
is
important.
K
My
question
on
the
bill,
however,
is
on
section
one:
when
you
go
down
section
one
line
section,
one
number
d
in
there
it
says,
is
in
a
physician's
judgment
and
danger
from
suffering
a
serious
health
hazard
if
health
care
is
not
provided-
and
I'm
just
wondering
if
that
was
an
oversight,
if
you
didn't
want
to
take
the
opportunity
to
update
the
language
there,
also
because
we've
been
trying
to
go
through
all
of
our
nrs
and
we're
missing.
P
Thank
you
for
the
question.
Assemblywoman
howard
watched
the
record.
The
intent
with
the
initial
drafting
of
the
bill
was
to
specifically
focus
on
the
provisions
related
to
accessing
health
care
for
homeless
youth.
So,
as
you
can
see,
there
are
some
other
provisions
in
section
one
subsection,
one
b,
c
and
d.
If,
if
it's
the
committee's
interest
in
expanding
the
the
terminology
from
physician
to
cover
other
practitioners
who
could
make
those
decisions,
I
think
we
would
certainly
be
open
to
entertaining
that.
So
it
was
not
a
deliberate
omission.
K
Well,
if
I
might
follow
up
on
that,
madam
chair,
thank
you
for
that
assemblyman
watts,
but
I'd
hate
to
miss
an
opportunity
to
update
the
statute
to
what
we
see
as
providers
in
this
day
and
age,
and
I
think
it's
now
an
emergency
room.
We
have
many
folks,
besides
physicians
such
as
myself,
we
have
now
physician
assistants
and
nurse
practitioners
in
emergency
rooms,
and
I
think
this
is
a
good
opportunity
to
kind
of
catch
that
when
we
see
it
and
update
the
language.
So
thank
you
for
that
consideration.
P
Thank
you.
This
is
assemblyman
watts
again,
and
I
appreciate
that
and
again,
if,
if
it's
the
committee's
will
to
make
that
adjustment,
I
think
we're
completely
open
to
it.
Also,
I
I
did
forget
to
mention
that
clark
county
is
presenting
an
amendment
I'll.
Let
them
speak
to
that
during
their
supportive
testimony,
but
we
do
consider
that
friendly.
I
just
wanted
to
get
that
on
the
record.
A
B
As
with
assemblywoman
titus,
I'd
like
to
suggest
an
update
in
the
part
of
the
statute,
that
is
on
page
two
of
the
of
the
bill.
We
have
the
first
page
of
the
actual
bill
language
section,
one
line
eleven
where
it
refers
to
one
of
the
categories
of
eligibility,
is
a
mother
or
has
borne
a
child
that
was
written
in
1975
before
the
supreme
court,
fully
developed
its
equal
protection
on
mothers
and
fathers,
and
today
the
court
would
say
that's.
B
P
You
for
the
the
comment
assignment
orienter
howard
watts,
for
the
record.
Again,
if
it's
the
committee's
will,
we
would
gladly
consider
that
amendment
as.
A
Well,
you
assemblyman
one.
I
haven't
received
any
messages,
but
I'm
going
to
do
a
quick
scan
of
the
zoom
here.
Do
we
have
any
other
questions.
A
Okay,
I
am
seeing
none
so
at
this
time
I'm
going
to
go
to
broadcast
services
to
begin
testimony
and
support
opposition
and
neutral
of
assembly
bill
197
again,
I
would
remind
everyone
to
clearly
state
your
name
spell
your
name
and
limit
your
testimony
to
two
minutes.
We
will
be
timing
to
ensure
everyone
is
given
a
fair
opportunity
to
speak
and
with
that
it
is
3
14.
We
will
begin
testimony
in
support
of
assembly
bill
197,
broadcast
services.
If
we
can
have
our
first
caller
in
the
queue.
F
F
O
Good
afternoon
members
of
the
committee,
my
name
is
minnie
wood
m-I-n-n-I-e-w-o-o-d,
and
I
thank
you
for
the
opportunity
to
speak
in
support
of
ab197
today,
I'm
a
nurse
practitioner
and
I
practice
at
a
federally
qualified
health
center
called
first
person
care
clinic
in
downtown
las
vegas,
and
I
also
teach
at
unlv
in
the
school
of
nursing.
I'm
speaking
for
myself
today.
I
support
ab197
because
it
reduces
barriers
for
unaccompanied
homeless
minors
to
access
the
health
care
they
need
at
the
time
they
need
it.
O
I
have
seen
too
many
healthcare
providers
refuse
care
to
unaccompanied
homeless
youth
for
fear
they
would
be
violating
the
law.
Ab197
makes
the
verification
process
more
simple
and
aligned
with
other
similar
processes.
As
for
federal
financial
aid,
as
a
nurse
practitioner
works
with
vulnerable
communities,
I
regularly
see
the
results
of
patients
having
poor
access
to
quality
health
care
throughout
their
lives.
As
a
nurse
educator,
I
teach
my
students
about
population
level
interventions
that
can
improve
health,
not
just
for
individuals
but
for
large
groups
of
people
and
places.
O
F
S
Thank
you,
I'm
gwen
magitta
m-I-g-I-t-a
vice
president
at
caesars,
entertainment
over
social
and
community
impact.
Excuse
me,
as
a
gay
asian
pacific
islander,
I
deeply
feel
the
trauma
and
fear
of
home
insecure
youth.
It's
it
tends
to
be
a
living
hell
for
some
who
are
lured
into
labor
and
sex
trafficking
and
at
best
daily
survival
for
basic
needs.
Caesar's
entertainment
is
supportive
of
ab197.
S
Credit
goes
to
nphy
for
working
on
this
bill
and
army
me
with
your
expertise
to
articulate
the
policy
gap.
Several
years
ago
I
settled
shout
out
to
nphy
impact
nv
armand.
This
is
dr
haley.
Saint
cheese
runs
for
children
and
the
asian
community
development
council
to
help
caesars
develop
a
social
impact
blueprint
for
southern
nevada.
S
Today,
caesars
co-chairs
the
first
nevada
resorts
corporate
social
responsibility
coalition,
which
represents
members
and
suppliers
to
hospitality.
We
also
invested
deeply
in
need
gap,
strategies
and
social
equity
work
for
impact
nv.
Both
groups
prioritize
homelessness
as
a
key
issue
for
collaboration.
S
Caesar
remains
committed
to
playing
a
leadership
role
in
supporting
vulnerable
populations
last
year,
even
through
business
closures
and
a
merger
caesars
foundation
gifted
over
a
million
dollars
to
communities
in
which
we
serve
this
week,
we're
holding
our
first
national
hero,
employee,
voluntary
event
in
person
in
over
a
year
we're
building
thousands
of
wellness
and
homeless
hygiene
kits
with
lulac.
The
league
of
latin
united
american
citizens
clean
the
world
and
the
national
black
law
enforcement
executives,
our
reno
tahoe
and
las
vegas
and
lafallen
team
members
are
participating
in
this
effort.
S
F
O
O
O
At
clark
county
is
to
balance
different
departments
and
when
we're
taking
positions
on
bills-
and
we
actually
do
support
this
bill
because
we
see
a
role
here.
E
O
B
L
O
Of
our
amendment
is
really
just
to
kind
of
from
a
technical
perspective,
recognize
the
circumstances
under
which
a
child
welfare
agency
may
be
responsible
for
the
legal
custody
and
decision
making
for
medical
care
for
a
child
who
interacts
with
our
system.
They
are
not
considered
a
guardian,
they
are
not
considered
a
parent,
but
rather
a
custodian
at.
O
In
their
interaction-
and
our
purpose
of
our
amendment
was
just
for
valid
policy
reasons-
we
understand
why
there
should
be
a
reduction
in
barriers
to
care,
so
just
wanted
to
be
treated
on
par
with
parents
and
legal
guardians.
In
this
bill.
We
support
the
reduction
in
barriers.
We
support
this
bill
and
the
process
that
is
put
in
place
that
it's
very.
O
J
O
F
O
J-U-L-I-A-N-E-L-L-E
good
afternoon,
madam
chair
and
members
of
the
committee,
I'm
from
school
house
connection
a
national
nonprofit
organization.
I've
worked
on
state
laws
similar
to
av-197
for
a
decade
in
a
dozen
states.
Based
on
that
experience,
I
feel
very
comfortable,
stating
quite
simply
that
ab197
will
save
lives.
That
is
not
hyperbole.
O
Other
speakers
this
afternoon
have
explained
this
far
more
eloquently
than
I
can
so
in
the
interest
of
brevity
I'll,
just
state
that,
from
my
national
perspective,
I
simply
would
like
to
offer
that
nevada's.
Existing
law
took
an
important
step
forward
to
protect
the
health
and
safety
of
young
people
and
ab197
improves
it.
It
makes
it
clearer,
easier
for
health
care
providers
to
implement
and
easier
for
youth
to
be
able
to
benefit
from
should
this
law
pass.
It
will
be
a
law
that
I
will
use
as
a
model
in
my
work
in
other
states.
F
L
Good
afternoon,
chair
members
and
assemblyman
watts,
thank
you
for
taking
the
time
to
hear
my
testimony.
My
name
is
pamela
gergis
p-a-m-e-l-a-g-I-r-g-I-s,
I'm
a
pediatric
nurse
practitioner
and
the
medical
provider
for
children's
health
funds
and
nevada
health,
centers
mobile
medical
van
that
serves
homeless,
sex
trafficking,
refugee
children
and
youth.
Since
2018,
our
team
has
been
providing
free
health
care
to
homeless,
youth
and
partnership
with
nevada
partnership
for
homeless
youth.
L
Many
of
the
homeless
youth
we
see
on
a
weekly
basis
are
unable
to
access
health
care
services
due
to
the
restrictions
and
wait
times
on
consent,
laws
for
homeless
youth,
I've
seen
many
youth
unable
to
access
behavioral
and
mental
health.
In
particular
many
homeless,
youth
have
depression
and
multiple
previous
traumas.
Restricting
care
increases
the
risk
of
suicide
and
potential
harm
to
these
youth.
With
current
restrictions,
youth
are
often
not
able
to
access
specialty
health
care
services
either.
L
Our
team
is
seeing
time
and
time
again
where
this
has
negatively
impacted
many
youth
in
need
of
medical
services.
An
example
of
this
is
we
recently
had
a
recent
homeless
youth
with
uncontrolled
diabetes.
He
was
in
desperate
need
of
referral
and
care
of
endocrinology
for
an
insulin,
pump
and
better
hydration
of
his
insulin
because
of
the
four-month
rule
care
was
delayed
and
resulted
in
multiple
hospitalizations
for
this
youth,
risking
his
life
and
resulting
in
missing
work
and
losing
his
job
setting
him
further
back.
L
On
the
contrary,
by
being
able
to
provide
essential
health
care
services
weekly
to
homeless,
youth,
I've
seen
countless
stories
of
success
for
basic
health
care
services
to
treat
asthma,
depression,
diabetes
and
other
health
conditions
has
given
our
youth
hope
and
a
new
lease
on
life.
So
I
urge
you
to
consider
eliminating
the
four-month
wait
period
and
broadening
the
language
of
who
can
provide
care
for
homeless
youth
and
not
under
just
emergency
care
basis.
Your
consideration
action
could
be
blind
for
death
for
the
many
homeless,
youth
of
las
vegas.
Thank
you
again
for
your
time.
F
O
Good
afternoon
sharon
nguyen
members
of
the
committee
for
the
record,
my
name
is
katie
ryan
k,
a
p
I
k-a-t-I-e-r-y-a-n
and
I'm
assistant
director
of
nevada
government
relations
for
dignity,
health,
saint
rose,
dominican
and
also
a
member
of
the
policy
council
on
homelessness
through
the
nevada
homeless
alliance.
O
I
just
wanted
to
briefly
go
on
the
record
in
support
of
8197
as
an
usq,
and
I
also
wanted
to
add
that
we're
glad
this
oversight
will
hopefully
be
remedied
by
the
passage
of
this
bill
and
wanted
to
thank
the
nevada
partnership
for
homeless,
youth
and
assemblyman
watts
for
advocating
on
this
important
issue.
Thank
you
and
I'm
available
for
any
questions.
F
O
Good
afternoon
chairwen
and
members
of
the
assembly,
health
and
human
services,
my
name
is
tess
opferman,
that's
o-p-f-e-r-m-a-n.
Speaking
on
behalf
of
the
nevada
women's
lobby.
We
want
to
thank
assemblyman
watts
for
bringing
forward
this
legislation
homeless.
Minors
face
high
levels
of
injury,
sexual
exploitation
and
more.
It
is
critical
that
unaccompanied
homeless
youth
have
access
to
health
care
and
services
that
will
keep
them
safe
and
ultimately
help
keep
them
off
the
street
and
get
stable
housing
and
support.
We
urge
your
support
and
thank
you
for
your
time.
F
L
Thanks,
thank
you
chairwin
and
members
of
the
committee
for
considering
this
important
bill.
My
name
is
emily
paulson
and
I
am
the
executive
director
of
the
nevada
homeless
alliance
and
the
chair
of
the
policy
council
on
homelessness,
which
is
a
cross-sector
coalition
that
brings
advocacy
nonprofits
business
and
academic
sectors
together
to
advance
policy
solutions
to
end
homelessness.
L
We
are
in
support
of
ab197.
One
of
our
top
policy
focuses
is
to
improve
access
and
equity
and
services
for
people
experiencing
homelessness.
Nevada
has
one
of
the
highest
rates
of
youth
homelessness
in
the
nation
and,
as
you
heard
from
mr
kasori
and
mr
jenkins
today,
these
youth
are
particularly
vulnerable
and
in
need
of
access
to
health
care
services,
including
behavioral
health
care
under
current
nevada
law.
The
delays
in
care
and
access
to
services
hurt
youth
during
a
critical
window
of
time
for
young
people
in
crisis.
L
F
O
J-A-M-I-E-R-O-D-R-I-G-U-E-Z
again,
government
affairs
manager
for
washoe
county
appreciate
that
you've
got
a
whole
nother
bill
to
get
to
so
just
want
to
reiterate
that
we
are
supportive
of
the
bill,
especially
with
the
friendly
amendments
from
clark
county
and
appreciate
the
bill
sponsor
working
on
those
concerns
and
accepting
those
as
friendly
amendments.
Thank
you.
So
much.
A
Thank
you,
and
at
the
time
I'm
going
to
close
testimony
in
support
of
assembly
bill
197
and
we'll
note
that
I
went
for
15
minutes
if
there
are
any
additional
callers
that
are
on
the
line
to
testify
and
support.
I
would
encourage
you
to
submit
your
written
documentation
regarding
that
and
with
that
we
will
go
to
testimony
and
opposition
of
assembly
bill,
17
or
197.
F
F
O
Appreciate
the
bill
and
the
shared
efforts
to
help
transitional
age,
youth
and
the
homeless
population
or
the
homeless,
youth
population,
they're
thankful
for
the
amendments
that
clark
county
has
submitted.
We
definitely
appreciate
that
there
are
sometimes
issues
with
the
statutes
and
that
it
can
be
really
unclear
and
it's
a
little
unique
with
our
status
as
custodians,
but
again
just
wanted
to
testify
a
neutral
and
express
our
appreciation
to
clark
county
and
florida
bill
itself.
Thank
you.
So
much.
P
Thank
you
so
much,
madam
chair
members
of
the
committee,
again
howard
watts,
for
the
record.
Thank
you
for
your
consideration
of
this.
As
the
others
said
in
testifying
and
providing
support,
this
bill
really
has
the
ability
to
save
lives.
It
has
the
ability
to
build
on
what
I
believe
has
already
been
a
strong
record
and
commitment
from
our
state
and
our
legislature
to
remove
barriers
and
and
assist
homeless
people,
particularly
homeless
youth
and
in
getting
back
on
their
feet.
A
Thank
you,
and
with
that
I
will
close
the
hearing
on
assembly
bill
197
and
thank
you
guys
for
being
so
patient
this
afternoon.
I
know
it's
always
hard
to
come
back
after
an
afternoon
a
long
afternoon
like
this
to
pay
attention,
and
so
I
appreciate
that,
and
at
this
time
I
will
open
the
hearing
on
assembly
bill
96
and
welcome
back
again
assemblywoman
cullen.
She
is
living
in
our
committee
and
I
love
it.
A
So
this
bill
creates
an
emergency
response:
employees,
mental
health
commission-
and
with
this
I
will
turn
it
over
to
assemblywoman
common
cohen,
to
begin
when
she
is
ready.
T
Thank
you
chair
and
thank
you
committee.
I
I
think
we
can
do
this
pretty
briefly
for
the
record.
I'm
leslie
cohen,
representing
assembly
district
29,
I'm
here
today
to
present
assembly
bill
96
for
your
consideration.
T
This
bill
came
from
my
interest
in
peer
support
for
first
responders.
I
I
first
became
interested
in
the
issue
because
I
I
heard
a
radio
news
story
about
a
program
for
peer
support
for
first
responders
out
of
another
state.
That
just
was
having
great
success
and
one
of
the
people-
and
I
remember
this
from
years
ago,
one
of
the
people
being
interviewed
spoke
about
how
most
of
us
run
away
from
fire
or
bullets
so,
but
but
first
responders
run
to
them.
T
T
So
and
to
be
clear,
they
do
need
to
open
up
and
and
get
support.
T
So,
according
to
a
supplemental
research
bulletin
from
the
substance
abuse
a
mental
health
services,
administration
of
the
u.s
department
of
health
and
human
services,
which
was
based
on
literature
and
scientific
publications,
found
through
the
national
center
for
biotechnology
information
and
the
united
states
national
library
of
medicine,
it's
estimated
that
30
of
first
responders
develop
behavioral
health
conditions,
including,
but
not
limited
to
depression
and
post-traumatic
stress,
disorder
or
ptsd,
which
compares
to
20
percent
of
this
in
the
general
population.
T
And
the
bulletin
referred
to
a
study
about
a
suicidality,
noting
that
firefighters
were
reported
to
have
a
higher
attempt
and
ideation
rates
than
the
general
population
and
then,
according
to
a
different
to
several
studies.
Nationally.
More
than
twice
as
many
firefighters
die
from
suicide
than
in
the
line
of
duty.
T
According
to
a
study
by
the
ruderman
foundation,
both
police
and
firefighters
are
more
likely
to
die
by
suicide
than
in
the
line
of
judy.
And,
moreover,
that
study
noted
that
the
firefighter
behavioral
health
alliance
estimates
that
firefighter
suicides
are
substantially
underreported.
T
T
So
a
technological
disaster
is
a
catastroph
catastrophic
event
that
is
caused
by
either
human
error
and
controlling
technology
or
a
malfunction
of
a
technology
system
and
technology
technology-based
disasters
are
as
serious
as
natural
disasters
and
examples
include
like
bridge,
collapses,
dam
failures,
industrial
maritime
and
aviation
accidents
and
then
more
drawn
out
events
resulting
from
breakdowns
in
technology
in
which
highly
toxic
substances
are
used
or
stored.
So
on
top
of
that,
emergency,
medical
service,
personnel
or
ems
are
not
immune
to
mental
health
issues.
T
According
to
the
bulletin
that
I
was
referencing,
one
of
the
core
risk
factors
for
first
responders
is
the
pace
of
their
work.
One
study
noted
in
the
bulletin
found
that
69
percent
of
ems
professionals
have
never
had
enough
time
to
recover
between
traumatic
events
and
this
results
in
depression,
stress
and
ptsd
suicide,
suicidal
ideation
and
other
functional,
relational
conditions
being
reported,
and
if
anyone
is
interested
in
seeing
any
of
those
reports
or
studies,
I'm
happy
to
provide
them.
T
So
now.
The
good
news
is
that,
since
I
started
to
think
about
gee,
we
should
do
something
for
first
responders.
First
responders.
Their
supporters
and
mental
health
professionals
have
started
doing
something
right
here
in
nevada,
so
I
substantially
substantial
sorry
substantially
amended
ab96
so
that
we
can
help
first
responders,
while
frankly,
not
spending
funds
that
we
don't
have.
And,
moreover,
this
legislation
will
not
counteract
any
of
the
good
work
done
by
first
responder
peer
support
groups,
but
hopefully
we'll
just
be
helping
with
that.
T
So
please
refer
to
the
conceptual
amendment
and
before
we
go
through
it,
I
just
like
to
thank
our
policy
and
legal
staff
and
margot
chapel,
the
deputy
administrator
for
regulatory
and
planning
services,
the
division
of
public
and
behavioral
health
for
working
so
hard
to
try
to
get
this
conceptual
amendment
done
and
come
up
with
something
that
is
going
to
be
beneficial
and
I'm
sorry
about
the
delay
in
getting
the
final
conceptual
amendment
to
you
and
to
the
to
the
stakeholders.
T
The
delay
is,
is
my
fault,
but
anyway,
so
moving
forward
with
that
conceptual
amendment,
what
we're
doing
is
taking
out
sections
one
through
twelve
and
we're
adding
a
section.
That's
authorizing
a
governmental
entity
which
licenses
and
regulates
first
responders
to
enter
into
contracts
with
nonprofit
organizations
to
carry
out
programs
to
provide
peer
support,
counseling
for
first
responders.
T
T
What
they'll
do
in
those
in
those
agreements
is,
is
basically
promote
peer
support
for
first
responders,
and
so
what
we're
looking
at
is
making
sure
that
the
nonprofit
organization
that
is
being
contracted
with
is
establishing
and
operating
a
toll-free
hotline
for
first
responders
to
call
if
such
persons
are
experiencing
mental
health
issues
as
a
result
of
the
nature
of
their
work
and
then
also
that
they
establish
and
maintain
a
network
of
peer
support
counselors
to
provide
the
peer
support
counseling
to
the
people
who
called
the
toll-free
hotline
established
and
operated
by
the
non-profit,
also
that
they
establish
and
maintain
a
website
that
provides
information
on
mental
health
issues
associated
with
emergency
response
work,
and
that
is
going
to
include
without
limitation,
stress,
ptsd,
addictive
disorders,
self-medication
and
then
also
on
the
website.
T
They're
going
to
provide
information
concerning
local
and
national
support
groups
for
mental
health
services.
So
to
be
clear,
that
would
be
the
the
division
will
be
doing
that
on
their
website.
Then,
to
the
extent
that
it
is
financially
feasible.
The
division
is
going
to
collect
and
report
information
relating
to
suicide
or
suicide
times
for
first
responders
to
the
chief
medical
officer.
T
So
that's
you
know
a
data
issue
so
that
we'll
have
data
about
how
first
responders
are
doing
in
nevada
and
so
we'll
see
if
we're
making
improvements
and
and
where
we
need
to
be
looking
and
where
we
need
to
go
so
once
again
with
us
is
margot
chapel
she's,
the
deputy
administrator
for
regulatory
and
planning
services,
the
division
of
public
and
behavioral
health.
T
Again,
her
office
was
extremely
helpful
in
getting
to
this
bill
to
a
place
where
we
wouldn't
have
a
fiscal,
but
we
could
still
do
some
help,
some
good
for
first
responders
and
so
she's
here
to
answer
any
questions
and
provide
information
as
needed
before
we
take
questions,
certainly,
though,
deputy
administrator,
if
you'd
like
to
say
anything,
I'd
welcome
that
thank.
T
L
T
Division
of
public
and
behavioral
health,
as
the
assemblywoman
said,
and
am
definitely
supportive
of
this
language
that
we
have
now.
G
Changed
so
that
we
can
provide
support.
L
Without
the
funding
that
is
desperately
needed,
but
at
least
there
are
agencies
already
doing
this
work,
and
this
would
lend
them
the
support
and
then
it
will
also
empower
them
to
be
able
to
seek
granting
contracts
to
support
their
existing
work
and
future
work.
Thank
you.
A
I
haven't
received
any
in
my
messages,
but
I'm
just
going
to
do
a
quick
scan
here
of
gallery
view.
If
you
have
a
question,
can
you
please
kind
of
wave
your
hand
on
assemblyville
96.
A
I
don't
see
any
see
you
answered
all
of
your
questions
and
I
know
that
you
have
done
so
much
work
on
amendment.
It
was
very
substantial,
oh
wait,
it
looks
like
we
have
one
question
assembly,
woman,
vanitas
thompson,
go
ahead.
H
Thank
you
so
much
sorry,
madam
chairwoman,
I
was
just
trying
to
re-pull
open
the
amendment
on
my
screen
and
I
did,
and
I
just
think
I
lost
it
nope
I
got
it
back.
Okay,
thank
you
so
much
the
the
question
is
just
on
the
on
the
amendment
then.
So
I'm
just
looking
at
the
amendment
right,
we're
doing
just
a
gut
and
replace
so
yes,
okay!
So
then
I
guess
I
just
want
to
make
sure.
T
Division
only
licenses.
T
H
Okay,
great
so
then,
if
those
local
governments
have
established
relationships,
this
won't
interfere
with
that.
This
is
definitely
meant
to
kind
of
be
complementary
to
to
anything
that
might
be
happening
within
a
local
entity
already
margot.
L
Chapel,
absolutely
supportive
of
that's
exactly
the
intent
is
to
support
anything.
That's
being
done
right
now.
We
know,
I
think
the
assemblywoman
knows
of
a
program
in
southern
nevada
and
I'm
aware
of
the
one.
That's
called
the
nevada
peer
support
network,
and
so
I
believe
there
are
a
few
agencies
doing
that,
and
this
will
definitely
allow
them
not
just
to
to
exist
but
to
grow.
H
I
appreciate
this.
I
I
see
one
piece
and
I
know
that
we
are
so
lacking
for
money
in
this
state.
I
know
it.
I
know
what
I
know
it,
but
one
of
the
biggest
piece
of
this
is,
I
think,
to
assemblywoman
cohen's
point:
is
we
have
a
lot
of
national
data
out
there?
That
tells
us
that
our
first
responders
are
in
crisis.
H
We
know
that,
for
I
think
at
least
two
years
now
running
the
number
one
cause
of
death
among
peace
officers
is
suicide,
and
now
we
see
a
higher
rate
of
suicide
among
among
our
firefighters
and
and
we
just
we
see
this
alarming
trend-
that's
growing
and
we
can't
turn
a
blind
eye
to
it.
But
I
think
one
of
the
things
that
we
might
be
missing
is
more
nevada-specific
data
and
I
think
it
could
be
helpful
across
a
large
spectrum
of
conversations.
H
You
know
we
had
a
conversation
last
session
about
workman's,
comp
and
ptsd,
we're
probably
gonna
be
having.
I
imagine
I
I
don't
have
a
bill,
no
one
freak
out,
but
I
imagine
that
more
conversations
like
that
are
gonna
kind
of
be
out
there
as
there's
more
public
awareness
about
the
the
impact,
this
the
social
impact
that
these
professions
have,
and
so
I
I
don't
know
if
there's
the
willingness
or
the
ability,
but
if
we're
kind
of
missing
a
lot
of
nevada,
specific
data
in
a
way
I'll
just
put
that
out
there.
H
But
I
think
it
would
be
helpful
because
I
think
more
legislators
down
the
road
are
going
to
be
looking
for
nevada-specific
data
and
data
to
help
form
policy,
and
I
think
we're
going
to
be
missing
that
and
we
don't
really
have
a
collection
pop
that
I
know
of
for
things
like
that.
So
maybe
that's
something
we
could
talk
more
with
the
locals
about
too,
because
it's
it's
kind
of
that
missing
piece
that
we
we
need
to
figure
out.
What's
going
on
in
our
own
backyard,.
T
Leslie
cohen
assembly
district
29,
it's
it.
It
is
something
that
I
really
wanted
to
be
able
to
capture
to
start
to
get
that
data,
because
I
had
trouble
finding.
I
had
looked
for
data
and
couldn't
find
it,
and
I
think
what
we're
doing
here
is,
even
though
we,
you
know
we're
being
mindful
of
money
issues
we're
at
least
kind
of
starting
the
conversation
opening
the
door
to.
Hopefully,
when
we're
on
better
financial
footing,
we
can
come
back
in
and
and
continue
the
conversation
and
get
more
done.
A
F
C
Madam
chair
and
committee
members,
my
name
for
the
record,
is
andrew
lee
pilbert
last
name.
L
e
p
is
in
paul
e,
I
l
b
as
in
boy
e.
He
is
in
tom
and
I
represent
the
combat
wounded
veterans
of
the
purple
heart
in
the
state
of
nevada
and
the
70
000
disabled
american
veterans
in
the
state
of
nevada,
and
I
am
the
current
chair
of
the
united
veterans
legislative
council,
where
we
represent
250
000
vets
in
our
state
and
when
you
count
their
families,
a
total
of
500
000
nevadans.
C
We
are
in
support
of
ab-96,
although
we
did
have
a
single
question.
In
addition
to
that,
considering
that
veterans
in
military
guard
and
families
in
our
state
represent
around
one-sixth
of
our
population,
we
thought
the
commission
that's
being
created,
should
have
a
veteran
mental
health
expert
on
the
team
as
far
as
that
board
is
concerned,
other
than
that
we
are
in
support
of
ab96,
and
thank
you
for
your
time
today.
F
E
Hello,
my
name
is
derek
reed
d-e-r-e-k,
reed
reid,
I'm
the
president
of
the
nevada,
peer
support
network
that
was
mentioned
earlier.
We
represent
law
enforcement,
fire
emergency
medical
service,
dispatch,
hospital
professionals,
ski
patrol
and
any
service
branch
actually
has
a
repetitive
trauma
exposure.
We
we
do
have
a
current
website
and
the
list
of
numbers.
F
A
Thank
you
at
this
time.
If
we
can
go
to
our
bill's
sponsor
assemblywoman
cohen,
for
any
closing
remarks.
T
Thank
you
chair
you,
you
know,
I'm
glad
mr
reid
called
in
and
appreciate
the
support.
I
would
recommend
that
all
members
go
to
the
mpsn
website.
It's
certainly
it's
very
comprehensive
he's
gonna.
He
and
his
organization
have
done
just
phenomenal
work
in
a
very
short
period
of
time
and
everything
it
even
breaks
down
to
different
groups.
T
You
know
not,
it
doesn't
just
group
all
first
responders
together,
but
breaks
them
apart
for
their
special
concerns
and
and
needs
for
mental
health
care
and
for
peer
support
with
that
the
bills.
You
know
it's
not
a
big
bill.
T
It
does
accomplish,
however,
important
things
such
as
the
data
collection
and
and
getting
information
about
peer
support
for
first
responders
out
there,
more
and
and
just
kind
of
sets
the
scene
for
making
sure
that
we're
moving
towards
doing
as
much
as
possible,
with
peer
support
for
first
responders
as
it
grows,
as
I
think,
a
movement
and
as
we
financially
recover
as
a
state.
So
thank
you.
I
appreciate
everyone's
attention
and
feel
free
to
reach
out
to
me.
T
A
Thank
you,
assemblywoman
cohen,
with
that
I
will
close
testimony
and
clones.
It
close
the
hearing
on
assembly,
bill
96
and
thank
you
for
your
presentation
at
this
time.
I'm
just
gonna,
we'll
begin
public
comments
just
to
remind
callers
to
please
clearly
state
and
spell
your
name
and
limit
your
comments
to
two
minutes.
I
will
be
timing
to
make
sure
that
we
ensure
enough
time
is
given
for
people
to
testify
and
with
that
broadcast
services,
do
we
have
anyone
on
the
line
in
public
comment?
Excuse
me.
F
F
E
C-Y-R-U-S-H-O-J-J-A-T-Y,
I
think
we
need
to
really
discuss
the
root
problem
of
our
health
care
system,
because
you
talk
about
homelessness
and
mental
health.
I
think
mental
health
is
very
important,
especially
among
homeless
people.
I
think
that
is
why
they're
in
the
mess
that
they
are
today,
but
we
really
need
to
be
talking
about
serious
health
care
reform,
because
I
can
tell
you
that
a
lot
of
progressive
media
outlets
are
being
betrayed
by
this
current
administration.
There
is
not
going
to
be
medicare
for
all
now.
We
have
to
understand.
E
Why
didn't
the
u.s
health
care
actually
gotten
worse?
It's
because
of
the
passage
of
the
1973
hmo
act
when
that
law
was
passed,
health
care
costs,
skyrocketed
and
the
issue
is
that
wall
street
has
been
the
largest
beneficiary
americans
are
suffering
wall
street
is
benefiting,
and
it's
pretty
disgusting
to
see
that
none
of
our
elected
officials,
both
parties
at
the
federal
level,
are
even
talking
about
this.
Now
I
think
we
should
have
a
discussion
on
medicare
for
all.
We
need
to
talk
about
whether
this
actually
works.
Now
I
would
be
in
favor
of
it.
E
Perhaps
if
other
taxes
would
be
lowered,
because
I
don't
want
to
have
a
big
tax
burden-
and
I
also
would
be
discussed
in
just
ways
just
to
get
wall
street
out
of
our
health
care
system
now,
as
you
know,
they're
not
talking
about
this,
because
I
think
wall
street
has
an
incredible
amount
of
power
of
our
health
care
system,
and
I
just
want
to
know
your
take.
What
do
you
think
should
be
happening
to
that
particular
system
and
prescription
drugs
because
it's
been
skyrocketing?
E
A
Thank
you,
and
with
that,
do
we
have
any
comments
from
members
before
I
adjourn
today's
meeting
being
none
again.
Thank
you
all
for
your
patience
today.
This
concludes
our
meeting.
Our
next
meeting
will
be
on
march
19th,
so
we
will
have
a
friday
meeting,
I'm
looking
at
what
our
agenda
will
look
like
for
next
week,
so
kind
of
pay
attention
to
your
email
and
we'll
be
ready
to
go,
but
thank
you
guys.
All
and
meeting
has
adjourned.