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A
I
will
call
this
meeting
of
the
assembly
committee
on
health
and
human
services
to
order
it
is
about
1
35
p.m.
On
this
monday,
the
22nd.
We
have
two
bills
that
we're
hearing
today.
So
let's
get
started.
Madam
secretary,
can
you
call
the
role.
C
A
Good
morning
it
appears
we
have
a
quorum
if
we
can
mark
for
the
record.
Assemblywoman
summers,
armstrong
absent
but
excused
as
well
as
assemblywoman,
black
absent
but
excused,
and
I
believe,
assemblywoman
benitez,
thompson
and
assemblyman
haven
are
presenting
bills
in
another
committee
right
now.
So,
if
they
pop
back
on,
if
we
could
just
mark
them
present.
A
And
let's
get
started
with
this,
I
want
to
thank
our
audience
for
joining
us
for
this
virtual
meeting
of
health
and
human
services.
Here
in
the
assembly,
we
will
be
hearing
two
bills
today:
assembly,
bill
35
as
well
as
assembly
bill
119.,
and
with
that
we
will
start
well.
First
of
all,
before
we
get
started,
we
will
hear
hearing
testimony
and
then
the
committee
will
have
an
opportunity
to
ask
questions
of
the
bill
presenters.
A
I
believe
that
they
may
have
additional
members
or
additional
people
on
to
help
answer
questions
from
various
agencies,
and
then,
after
that
we
will
allow
testimony
from
the
public.
We
will
max
a
maximum
of
two
minutes
each
and
we
will
be
timing
to
make
sure
everyone's
given
a
fair
opportunity
to
speak,
and
we
will
go
between
support
opposition
and
neutral
testimony
and
we'll
conclude
our
meeting
with
public
testimony
and
public
comment
at
the
end.
So,
let's
start
with
assembly
bill
assembly
bill
35.
I
will
open
the
hearing
on
that.
A
A
Oh,
it's
one
of
those
days
sorry
revises
provisions
governing
certain
programs
to
assist
senior
citizens
and
persons
with
disabilities
with
costs
relating
to
health
care,
and
with
that
I
will
turn
it
over
to
our
bill.
Sponsor
to
begin
your
presentation
when
you
are
ready.
D
As
chairwen
said,
ab35
revises
provisions
governing
certain
programs
to
assist
senior
citizens
and
persons
with
disabilities
with
costs
related
to
health
care
to
open.
The
intent
of
this
bill
is
one
to
provide
some
cleanup
language
throughout
the
chapter
two
to
consolidate
the
senior
and
disability
prescription
drug
program,
to
remove
lengthy
income
and
eligibility
requirements,
as
well
as
align
the
definitions
of
senior
and
persons
with
disabilities
with
nrs
427.
D
E
Thank
you,
miss
rob
for
the
record.
My
name
is
jeff
duncan
unit
chief
with
nevada,
aging
and
disability
services.
Division
I'll,
be
happy
now
to
walk
the
committee
through
each
section
of
the
bill
and
briefly
highlight
the
changes
and,
as
ricky
mentioned,
we
will
be
able
to
answer
any
questions
along
the
way.
E
So,
starting
with
section
one
language
has
been
added
to
define
a
person
with
disability
which
aligns
with
this
step
our
definition
under
chapter
427,
a
in
many
of
our
other
agent
and
disability
services,
division
programs,
section
two
of
this
bill
is
cleanup
language
to
add
senior
citizens
and
section
one,
the
newly
defined
persons
with
a
disability.
E
I
like
to
note
that
sections
two
through
five
seven
through
eleven
and
fourteen
all
include
language
to
consolidate
the
senior
disability,
senior
rx
program
and
disability
rx
program.
Sorry,
I'm
so
used
to
calling
them
one.
In
short,
both
programs
receive
allocations
from
the
fund
for
healthy
nevada
and
make
up
a
single
budget
account
and
are
currently
operated
as
a
single
program,
then
sections
3,
4,
5,
7,
8
and
9
through
11
of
this
bill
proposed
minor
cleanup
language
to
ensure
services.
May
be
provided
to
senior
citizens
and
persons
with
a
disability.
E
In
section
six,
this
bill
proposes
to
amend
the
language
of
a
senior
citizen
to
a
person
who
is
60
years
and
older.
This
definitional
change
of
the
senior
citizen
will
align
with
chapter
427a,
our
independent
living
grant
programs
and
the
older
americans
act.
Programs
which
are
all
administered
by
the
nevada,
agent
and
disability
services
division,
section
8
proposes
to
remove
the
specific
income
and
eligibility
requirements
that
currently
govern
the
senior
prescription
program
and
disability
prescription
program.
E
Lastly,
section
12
of
this
bill
authorizes
information
contained
in
an
application
for
the
program
to
be
shared
only
for
purposes
relating
to
the
administration
of
programs
of
the
department,
and
that
concludes
my
quick
walkthrough
of
the
proposed
changes
and
we'd
be
happy
to
answer
any
questions.
A
F
Thank
you,
madam
chair.
I
appreciate
the
opportunity
to
ask
a
question
and
thank
you
for
bringing
this
forward.
Definitions
are
always
changing
and
we
certainly
need
to
stay
updated
and
make
sure
folks
get
their
appropriate
services.
F
I
just
want
to
make
sure
that
these
changes
are
consistent
with
what
the
cms
federal
guidelines
are.
I
always
have
concerns
I
want
to
make
sure,
since
most
of
medicare
is
controlled
by
our
the
federal
government,
and
I
want
to
make
sure
that
it's
all,
especially
when
we're
talking
about
our
senior
citizens.
F
That
is
consistent
with
what
the
federal
government
says,
and
I
know
that
there'll
be
some
dual
enrollees.
There's
folks
that
we
have
the
senior
citizens
that
are
medicare,
we
have
folks
that
are
on
medicaid
that
qualify
for
both.
I
just
want
to
make
sure
that
the
federal
guidelines
are
consistent
with
what
you're
moving
forward.
D
Question
ricky
rock
for
the
record,
and
I
will
have
actually
chief
duncan
confirmed
that,
but
we
have
been
working
through
cms
guidelines
with
the
closure
of
the
gap,
the
gap
coverage,
and
so
I
would
have
chief
duncan
clarify
for
that.
E
So
this
is
jeff
duncan
for
the
record.
The
definition
depends
on
which
part
of
the
bill,
if
you
go
back
to
the
section
I
spoke
to
the
60
plus
medicare-
is
still
65,
plus
and
individuals
with
a
disability
who
qualify.
So
there
is
some
different
language
there.
As
far
as
the
current
senior
disability,
prescription
or
persistence
program,
we
will
still
align
with
the
medicare
definitions
for
qualifications.
F
Great
thank
you
for
that
clarification.
Could
we
also
then
look
at
when
you're
changing
assistance?
Usually
I'm
looking
at
the
bill
and
on
section
eight
then
number
two
you're
changing
those
requirements.
Is
there
any
federal
guideline,
and
what
does
the
federal
government
look
at
when
it
comes
to?
Some
of
these
benefits
is
that
on
the
alignment.
F
Yes,
so
we're
looking
at
section
eight
and
then
we
go
down
from
section
eight
there's
a
one
and
a
two
and
then
underneath
two.
You
have
a
and
you're
striking
the
consumer
price
index
and
you're
striking
some
of
these
qualifications
and
your
striking
requirement
to
co-pay
I
want
to.
I
want
to
make
sure
that
you
know
there's
some.
I
have
some
concerns
over
striking
all
of
that
language.
F
Early
on
in
the
presentation
you
said,
some
of
the
language
was
duplication
and
picked
up
in
other
areas,
but
this
doesn't
seem
like
it's
picked
up
in
other
areas.
So
I
guess
that's
where
I'm
addressing,
but
also
you
know,
there's
not
going
to
be
any
copay
for
prescriptions
any
longer,
and
I
need
some
clarification
on
the
decision
behind
that
particular
striking
of
that
language.
E
Okay,
so
this
is
jeff
duncan
from
the
record.
We
will
still
have
eligibility
and
information
in
the
regulation.
E
The
reason
for
the
striking
it
out
of
the
law
is
that
medicare
and
like
any
other
program,
there
are
changes
over
time,
so
those
are
just
to
help
us
clean
it
up
and
we'll
really
allow
the
agency
to
adapt
the
program
to
to
meet
the
needs
through
regulation,
though
so
we'll
still
have
some
language
that'll
be
spelled
out
in
regulation
is
not
in
the
statute.
F
I
just
want
to
make
sure
really
what
this
does
is
help
the
state
stay
current
with
what
the
federal
mandates
are,
because
they
supplement
us,
especially
with
some
of
this
stuff,
and
that
it
allows
you
to
be
more
fluid
and
current
with
what
the
federal
guidelines
are
and
that
your
intent
is
to
pick
this
up
with
a
regulation.
A
No
problem,
I
appreciate
you
having
patience
with
us,
so
we
get
that
legislative
intent
on
here.
I
think
it's
always
important.
I
think
I
was
excited
about
any
bill
that
comes
through
and
consolidates
and
makes
things
more
efficient
for
people
practicing
in
the
field.
So
I
don't
have
to
come
back
every
two
years
to
update
things,
especially
with
our
federal
government
and
some
of
that
interplay.
Do
we
have
any
other
questions
from
members?
G
Yeah,
thank
you,
madam
chair.
I'm
just
looking
at
this
and
and
wanted
little
clarification
on
a
something
I
saw
which
was
trying
to
find
the
section
okay.
Here
we
go
so
in
section
six:
we're
redefining
senior
citizens
as
60
years
of
age
and
then
in
section.
G
E
This
is
knight
for
the
record
great
question.
Section
13
actually
does
not
apply
to
us
directly,
so
the
language,
the
62,
is
really
just
spelling
out
what's
already
in
nrs
439
and
then,
if
you
go
back
up
to
the
section
6,
that's
just
to
align
it
with
our
chapter
the
age.
That's
in
the
older
americans
act
for
the
funds
that
we
administer
for
similar
similar
programs,
so
section
13
does
not
impact
the
other
sections
of
the
bill.
D
A
A
A
Yeah
that
sounds
about
right.
It's
monday,
I
guess
at
this
time
I
will
go.
We
will
hear
testimony
and
support
opposition
and
neutral
of
assembly
bill
35.
Please
remember
to
clearly
state
and
spell
your
name
for
the
record.
We
will
limit
your
testimony
to
two
minutes.
Staff
will
be
timing,
each
speaker
to
ensure
everyone
is
given
the
fair
opportunity
to
speak,
and
we
will
begin
with
support
testimony
of
assembly
bill
35
broadcast
services.
Can
we
go
to
the
line.
H
C
C
Now,
because
older
adults
and
persons
with
disabilities
want
to
remain
living
at
home,
where
they
want
to
be
the
fund
for
the
for
a
healthy
nevada,
provides
a
variety
of
services
that
help
them
maintain
their
independence
and
stay
healthy
assembly.
Bill
35,
removes
current
restrictions
and
will
allow
the
programs
to
meet
needs
in
the
community
aerp
nevada,
on
behalf
of
our
345
000
members
across
the
silver
state,
support
ab35,
and
urge
the
committee
to
pass
it
to
increase
the
number
of
people
who
can
receive
the
services
they
need
to
stay
healthy
and
independent.
H
I
All
right,
yes,
thank
you
very
much.
My
name
is
brandi
novica
I've
been
a
resident
of
nevada
since
2006.
I
I
have
been
through
quite
a
nightmare.
I
In
my
situation
of
being
disabled,
I
have
spina
bifida,
which
is
a
birth
defect
that
I
was
born
with
my
nightmare,
with
the
encounters
of
trying
to
get
assistance
which
included
medicaid,
medicare
being
a
single
mother
of
one
child.
I
I
I
I
I
I
feel
that
when
these
programs
are
implemented,
they
all
sound
good
on
paper.
But
when
you
have
these
people
that
work
for
your
government
agencies,
they
do
not
follow
the
rules
and
they
really
make
every
effort
to
push
us
out,
and
I
think
better
training
needs
to
be
involved,
but
also
the
fact
that
I
was
discriminated
against
because
of
my
age.
There
was
also
many
other
yes.
A
We're
limited
to
two
minutes,
and
it
seems,
like
your
comments,
have
more
to
do-
would
be
better
suited
for
public
comments.
At
the
end,
I
I
see
you're
trying
to
tie
it
into
this
bill,
and
I
appreciate
that.
But
if
you'd
like
to
wait
online
on
the
call
and
or
call
back
at
the
end
of
the
meeting,
there
is
a
time
for
public
comment
as
well.
A
Okay
and
I'm
gonna
kind
of
go
back
to
this.
I
think
one
of
the
comments
from
the
representative
from
aarp
led
to
some
additional
follow-up
questions,
so
I'm
going
to
turn
this
over
back
to
a
question
from
assemblywoman
titus.
F
Thank
you,
madam
chair,
for
the
adult
indulgence
here.
I,
the
gentleman
who
testified
in
favor
of
this
bill
from
aarp
perked
a
question
and
I,
as
far
as
expanding
the
eligibility
for
these
programs
and
I'm
wondering
if
the
department
has
any
idea
how
many
more
folks
will
be
able
to
now
qualify
for
this
and
any
potential
costs
and
if
you're
not
prepared
to
answer
that,
I'm
sure
the
committee
and
if
the
chairs
indulgence
will
have
you
come
bring
that
back
to
us.
F
But
I
think
that's
relevant
to
the
conversation
on
on
the
impact
of
this
bill.
It's
not
just
cleanup
language
and
it's
not
just
there.
There
is
potential
impact
and
it
may
expand
the
number
of
folks
who
now
qualify
for
these
services
and
I'm
just
curious
as
to
how
many
that
might
be.
And
mr
duncan,
if
you
already
have
that
information
great.
D
F
Great
thank
you
for
that.
It
just
wait
a
minute,
we're
expanding
this,
not
just
changing
language,
not
just
going
to
fix
it
up
that
there
may
be
some
important
cost
to
this,
not
that
they're
not
justified.
I
just
think
we
need
to
look
at
the
whole
picture
when
we
when
we
address
this-
and
I
know
that
there's
the
money
committees,
but
you
know
that's
important,
but
that
would
be
part
of
this
policy.
What
does
this
policy
do
to
the
state?
So
thank
you
for
that
and
thank
you,
madam
chair,
for
the
follow
up
question.
J
J
I
I
appreciate
that
so
I
I
really
I
just
want
to
make
sure
I
understand
the
intent
of
this
and
like
most
of
the
stricken
language
that
that
I
see
here,
I
guess
because
the
fund
for
healthy
nevada
is,
is
a
finite
fund
and
because
there's
the
grant
approval
committee
who
will
look
at
applications
and
look
at
the
the
the
community-based
need
assessment
plan
and
then
match
the
grants
up
to
that.
J
So
I'm
just
wondering,
then,
does
this
language
change
allow
for
new
grantees
to
apply
for
dollars
that
we
haven't
seen
before
I.
I
was
thinking
that
that's
probably
the
opening
that
we're
looking
for
is
there's
something
cool
or
new.
That's
happening
out
there
that
we
haven't
been
able
to
to
get
to,
and
we
want
to
make
sure
that
they
can
be
defined
into
just
applying,
not
that
they
would
necessarily
get
the
grant,
but
they
they
could
apply.
Is
that
right?
J
D
You
for
the
question:
ricky
rob
for
the
record.
Actually,
no.
This
is
a
program
that
is
already
receiving
funding
within
aging
and
disability
services,
and
this
is
not
asking
for
additional
or
new
fund
for
healthy
nevada
funds
to
grant
out.
This
is
a
current
program.
We
really
just
want
to
have
the
language
available
and
have
it
more
fluid
to
where
we
can
actually
provide
services
to
the
groups
that
we
are.
The
change
that
assemblywoman
titus
was
referencing.
Is
the
change
in
the
age
from
62
to
60.?
So
that's
where
we
would
be
researching.
D
If
there
were
additional
persons
who
qualified
due
to
the
fluidity
of
the
program,
then
we
would
be
able
to
monitor
that
closely.
A
Thank
you
for
that,
and
with
that
I
know
we
have
some
technical
difficulties,
potentially
with
one
of
our
callers
and
off
bar
in
support
so
broadcast
services.
Is
it
possible
to
see
if
we
have
anyone
else
in
support
of
this
bill
on
the
line
of
course,.
H
K
A
Perfect
and
then
do
we
have
any
callers
in
opposition
to
assembly
bill
35.
H
C
Re-Introduced
during
public
comment,
I
will
soon
be
33
and
subject
to
medicare
and
it
has
been
not
quite
as
bad
a
nightmare,
but
nonetheless,
as
some
of
the
committee
members
know,
dealing
with
insurance
companies
is
never
fun
so
I'll.
Let
the
the
full
remarks
be
heard
during
public
comment,
but
I
will
otherwise
echo
them
with
that
said
I'll,
be
happy
to
work
with
the
agency
and
or
committee
to
meet
in
the
middle
of
that
manager.
Thank
you.
When
I
yield.
A
A
D
A
And
I
would
encourage
anyone
if
you
have
any
other
follow-up
questions
that
come
up
after
the
close
of
this
hearing
here
today
that
you
reach
out
to
dhhs
and
our
presenters.
I'm
sure
they
would
be
more
than
happy
to
explain
further
their
intent
or
answer
any
detailed
questions
that
you
might
have,
and
with
that
I
will
close
the
hearing
on
assembly
bill
35,
and
at
this
time
I
will
open
the
hearing
on
assembly
bill
119.
A
This
revises
provisions
relating
to
maternal
mortality
review
committee.
I
believe
that
committee
staff
sent
out
documentation
from
the
2019
session
that
created
the
maternal
mortality
review
committee.
So
hopefully
everyone
has
had
an
opportunity
to
review
that,
and
with
that
I
will
turn
this
over
to
assemblywoman
thomas.
L
L
L
Rates
of
severe
maternal
morbidity
among
black
asian
pacific
islanders
and
native
american
women
are
similarly
stark
at
twice
the
rate
of
white
women.
Similar
disparities
exist
for
infants
of
color
black
infants
and
native
hawaiian
pacific
islanders.
Infants
are
more
than
twice
as
likely
to
die
as
white
and
hispanic
infants.
L
Infant
mortality
rates
for
american,
indian
and
alaska
native
infants
are
not
far
behind
assembly.
Bill.
119
aims
to
address
these
unacceptable
realities
by
requiring
the
mmrc
to
collect
data
to
quantify
and
measure
disparities
in
the
incident
of
maternal
mortality
and
preventable
infant
deaths
affecting
people
of
color
in
nevada,
and
it
requires
a
summary
of
data
to
be
included
in
the
ml
mmrcs
biennial
report.
L
L
M
M
M
M
It
wasn't
until
about
two
weeks
before
my
due
date
that
someone
finally
noticed
something
was
wrong.
I
was
under
the
care
of
another
nurse
practitioner
of
mine
because
sorry
another
nurse
practitioner
because
mine
had
left
on
vacation
and
while
seeing
someone
new
worried
me,
she
became
one
of
my
biggest
blessings.
M
We
asked
if
the
swelling
was
normal
and
she
automatically
said
no
and
ordered
blood
work
and
a
24-hour
urine
test.
The
next
day,
I
received
a
call
that
I
had
pre-eclampsia
and
I
needed
to
proceed
to
the
hospital
and
start
the
process
right
away
for
delivery.
M
If
it
had
not
been
for
the
care
and
quick
thinking
of
my
new
nurse
practitioner,
I
would
have
been
in
grave
danger,
and
I
was
told
that
on
many
occasions
I
went
on
to
have
another
healthy
baby,
with
no
complications
in
2010
and
what
I
thought
was
a
perfect
delivery.
Until
I
had
gotten
pregnant
with
my
third
child
down
the
road
in
2013.,
we
had
found
out
this.
One
was
a
boy
and
we
were,
of
course,
very
excited.
M
I
had
been
extremely
sick
once
again,
but
other
than
that
all
seemed
well.
Until
an
ultrasound
revealed,
I
had
placenta
previa
and,
as
a
precaution,
I
was
to
be
monitored
every
two
weeks
at
27
weeks,
while
preparing
to
go
shopping
with
my
husband,
I
suddenly
heard
a
pop,
which
was
followed
by
a
whole
lot
of
pain.
M
I
started
early
labor,
but
they
were
able
to
control
that
with
medication
early
in
the
morning,
my
high
risk
doctor
had
called
to
check
on
me
and
she
told
the
nurses
that
she
was
actually
going
to
come
in
because
she
was
concerned
that
I
had
been
bleeding
internally
everything
after
that
is
a
bit
of
a
blur,
but
I
was
told
that
my
uterus
had
ruptured
due
to
a
poor
surgical
procedure.
Prior
with
my
second
child,
my
or
doctor
was
very
angry
and
said
it
was
a
miracle
that
I
actually
lived.
M
M
I
should
also
mention
that,
due
to
the
work
of
my
or
doctors,
I
was
able
to
get
pregnant
one
last
time
which,
if
I'm
being
honest,
was
a
total
surprise
and
I
delivered
another
healthy
baby
girls
now
approaching
her
nine
month
mark.
I
am
thankful
for
the
doctors
that
didn't
push
my
concerns
aside
and
provided
proper
care.
A
Thank
you
for
sharing
your
story.
I
think
it's
personal
stories
like
this
that
really
like
touch
home
and
know
remind
us
why
we're
doing
what
we
are
doing
here
today,
so
I
will
turn
this
back
over
to
assemblywoman
thomas.
Do
you
have
any
further
remarks,
or
would
you
like
to
open
it
up
for
questions.
L
B
Gorlo,
thank
you
very
much
chair
and
thank
you
so
much
for
being
here.
This
is
such
an
important
issue.
I've
worked
for
march
of
dimes
for
15
years
and
hearing
these
stories
again
and
again
just
you
know
it
gets
my
heart.
It
really
truly
does
and
with
that
I
would
first
like
to
ask
if
you'd
be
willing
to
do
an
amendment
to
add
me
onto
this
bill.
B
Thank
you
so
much,
and
then
I
had
a
quick
question
about
in
section
1.2
about
collecting
information
on
preventable
infant
deaths
as
well.
Will
this
then
kind
of
morph
into
the
fetal
infant
mortality
review
as
well
and
kind
of
combine
the
two
programs.
L
B
You
thank
you
so
much
air
and
assemblywoman
thomas.
Currently,
we
have
one
fetal
infant
mortality
in
the
state
and
review
committee.
Excuse
me,
and
that
is
in
washoe
county.
B
B
So
I,
in
terms
of
a
statewide
fetal
infant
mortality
review.
There
is
not
one
currently
just
washoe
county
health
district
for
washington
county.
Specifically.
B
However,
there
is
a
network
of
child
death
reviews
within
the
different
counties
and
they
do
consider
all
child
fatalities
in
including
infant
which
is
birth
to
to
one
year
within
their
scope.
If
that's
helpful
context,
but
thank
you,
mortality
review
doesn't
review
infant
deaths.
L
And
assembly
assembly
woman
gorilla,
if
I
may
cheer
madam
chairwoman.
L
Okay,
I
think
what,
when
I
said
that
we
have
amendments
that
we're
working
on
with
stakeholders
that
would
include
that
information
in
there
also
so
we're
looking
to
because
it's
necessary
to
get
both
data,
especially
when
we
are
losing
black
and
brown
and
indigenous
children,
along
with
their
mothers.
So
it
is
important
for
us
to
get
that
data.
B
Thank
you
very
much
for
that
clarification.
I
was
just
curious
if
this
was
going
to
actually
encompass
both
of
those
programs
into
one.
I
was
aware
that
there
was
a
femur
in
washoe
and
because
this
language
had
said
adding
in
the
preventable
infant
deaths
as
well.
I
wasn't
sure
if
you
were
looking
at
establishing
a
femur
statewide
as
well
or
if
it
would
be
encompassed
in
the
maternal
in
a
review,
so
we
can
look
into
that
great.
Thank
you.
So
much.
B
Thank
you,
madam
chair.
Thank
you.
So
I'm
going
thomas
for
your
presentation.
I've
had
a
question
regarding
section
one,
subsection
c
and
two,
I'm
just
wondering
if
you
could
tell
the
committee
members
how
the
term
persons
of
color
would
be
defined
specifically
for
purposes
of
this
bill.
Thank
you.
L
Well,
you
know,
I
think,
that
it
is
incumbent
to
us
to
clarify
that
we're,
looking
specifically
for
the
terminology
of
black
women
and
brown
women
and
indigenous
women.
So
if
that
answers
your
question,
you
know
for
so
long.
I
believe
that
we've
encompassed
the
term
women
of
color
and
we
want
to
specify
those
women
of
color.
N
Carly
oakland
for
the
record.
There
is
not
a
definition
of
persons
of
color
with
regards
to
chapter
442
that
I'm
aware
of
often
times
we
prefer
to
black
indigenous
and
people
of
color
throughout
nrs.
So
I
am
happy
to
add
a
definition.
If
that's
something
that
the
committee
would
be
interested
in
doing
when
we
craft
an
amendment
for
this,
though,.
G
I
do
thank
you
and
in
that
same
section,
I'm
wondering
if
we
have
an
available
definition
for
preventable
infant
deaths.
N
Harley
o'crun
for
the
record,
there
isn't
an
available
definition
for
preventable
infant
deaths.
If
it
was
the
pleasure
of
the
committee
that
could
be
fleshed
out
further
so
that
whoever
is
examining
preventable
infant
deaths
is
able
to
identify
what
might
be
what
might
fall
under
that
category.
So,
for
example,
you
know:
is
it
an
infant
death,
that's
somehow
associated
with
the
maternal
mortality
itself,
or
is
it
an
infant
death?
That's
unrelated
to
the
death
of
the
mother
of
the
child.
A
F
Chair
and
thank
you
for
your
personal
story
as
a
proud
grandma,
I'm
glad
that
you
have
those
four
little
ones
healthy
and
thank
you
for
being
willing
to
share
that.
I
too,
have
I.
I
am
a
proud
supporter
of
this.
F
My
question
really
is
on
clarifying
on
section
one
number
two
and
as
assemblywoman
peters
asked
you
know,
I
too
would
like
to
see
somewhere
in
writing
the
preventable
infant
deaths,
because
it's
somewhere
defined,
because
whether
it's
a
therapeutic
abortion
that
somebody
has
that
might
be
preventable
that
that
certain
wouldn't
fall
in
it.
I
would
like
to
see
it
whether
it's
something
that
was
born
at
27
weeks.
It's
certainly
a
viable
child
born
alive
and
we
were
able
to
save
that
child.
F
Can
we-
maybe
we
don't
want
to
get
in
the
weeds
of
this,
but
I
think
at
least
some
clarification
on
what's
a
preventable
death,
because
for
me
they
these
women,
that
if
that
baby
dies
into
union
because
you
had
pre-eclampsia
and
then
went
into
eclampsia
that
that
is
a
preventable
death.
Some
of
the
health
issues
that
an
infant
may
have.
We
know
that
one
third
of
all
pregnancies
just
about
end
up
in
a
miscarriage
because
those
infants
weren't
viable.
F
So
I
think
if
we
could
kind
of
tease
some
of
that
out-
and
maybe
it's
just
impossible
and
we
have
to
leave
it
the
way
it
is,
but
I'd
appreciate
at
least
the
thought
to
that.
So
thank
you.
It's
more
of
a
statement
than
it
is
a
question,
but
I
it's
really
about
where
somebody
when
peter's
is
going
with
it
and
kind
of
a
definition
on
what's
a
preventable
infant
death
or
some
clarity,
because
there
could
be
arguments
on
both.
You
know
we
and
we
want
this
bill
to
go
forward.
G
And-
and
I
too
don't
mean
to
belabor
the
point
but
really
appreciate
this
bill
and
think
this
is
one
of
the
most
important
things
that
we
could
be
doing
for
women
of
color
and
equity
issues.
But
I
I
and
I
want
to
ensure
that
as
we
look
towards
definitions
and
how
we
establish
the
data
collection,
that
we
are
engaging
physicians
who
focus
on
communities
of
color
and
ensure
that
we're
we
are
defining
these
particular
issues
as
they
relate
to
the
communities
that
they're
that
we
are
specifically
addressing
in
this
bill.
A
Do
we
have
any
further
questions
from
the
committee?
You
could
just
rave
your
way,
raise
your
hand
or
wave
it
here.
If
you
haven't
already
sent
me
a
message,
I
see
assemblywoman
benitez
thompson
go
ahead.
J
Thanks
so
much
and
thank
you
for
the
bill,
I
was
wondering
if
you
could
just
put
on
the
legislative
record
the
data
specifically
that
you
would
hope
to
collect
the
committee
as
it
is.
Has
you
know
the
power
to
subpoena
its
it's
able
to
designed
to
look
at
this
in
a
clinical
way?
J
So
it's
you
know,
subject
you
know
out
of
the
purview
of
open
meeting
law
and
there's
some
confidentialities
around
that
so
knowing
that
we've
got
lots
of
protections
around
making
sure
that
this
data
does
stay
in
a
clinical
purview,
but
I
guess
for
the
legislative
record
as
the
committee
moves
forward.
What
would
be
your
hope
for
the
additional
types
of
data
that
you
would
like
to
either
collect
or
kind
of
see
teased.
L
Out-
and
I
wish
I
could
answer
that
assemblywoman
right
now-
we
are
set
to
have
a
meeting
this
week
with
the
stakeholders
to
go
over
information.
That
would
be
pertinent
to
this
bill
and
any
amendments
to
it.
So,
unfortunately,
I'm
not
able
to
answer
your
question
directly.
J
Oh,
and
through
through
chair,
win
to
you,
I
think
that's
great,
because
we
know
that
often
times
what
we
have
as
our
legislative
intent.
If
we're
not
talking
with
stakeholders,
can
kind
of
be
a
a
match
up,
what
we
think
is
really
easy
in
our
head
to
get.
You
know,
stakeholders
look
at
us
and
cross
out
and
go
what
the
what
the
heck.
So
I
think
it's
wonderful
and
I
guess
we'll
see
that
language
come
down
the
road
thanks.
A
Seeing
none,
I
know,
assemblywoman
thomas,
is
continuing
to
work
on
this.
I
know
that
we
all
probably
agree.
We
want
to
get
it
right.
H
H
D
H
C
C
We
applaud
the
committee
for
taking
steps
to
research
and
address
these
issues
in
nevada,
so
we
can
make
childbirth
a
safer
process
for
everyone,
no
matter
your
race
or
socioeconomic
status,
planned
parenthood.
Votes
nevada,
welcomes
these
changes
to
the
maternal
mortality
review
committee
and
looks
forward
to
working
together
to
address
the
disparities
in
our
health
healthcare
system.
Thank
you.
H
O
The
maternal
mortality
review
committee
is
a
progressive
step
in
promoting
preventative
care
and
healthy
outcome
for
all
birthing
persons
and
babies
in
nevada.
Unfortunately,
their
most
recent
report
indicated
vast
room
for
improvement.
The
recommendations
were
narrow
and
did
not
provide
resources
for
action
and
programming.
O
Ab-119
could
improve
reporting
by
tracking
morbidity
and
disparities
by
race,
which
would
enable
more
robust
recommendations
to
guide
preventative
services.
As
advocates
and
data
scientists,
we
also
encourage
reporting
economic
and
geographic
disparities.
This
would
allow
our
state
to
allocate
preventative
programs
and
interventions
to
areas
of
greatest
need.
We
hope
the
committee
supports
all
efforts
by
pertinent
organizations
to
secure
funding,
including
hersa
grant
for
innovations
in
maternal
health.
H
A
This
is
assemble
testimony
in
support
of
assembly
bill
119..
If
you
want
to
provide
a
public
comment,
you'll
have
to
wait
a
little
bit
longer.
Okay,.
H
K
Good
afternoon
my
name
is
marlene
lockhart
l-o-c-k-a-r-d,
representing
the
nevada
women's
lobby,
and
we
are
in
support
of
ab119
and
feel
that
collection
of
data
is
the
key
to
discovery
of
many
possibilities
and
responses
and
solutions
that
may
impact
or
affect
the
mortality
rate
of
women
in
this
country
and
in
this
state.
Specifically.
H
A
A
A
N
N
The
city
knows
that
the
maternal
mortality
rate
showcases
significant
in
widening
disparities
in
maternal
mortality
and
morbidity,
especially
in
black
indigenous
communities
of
color.
Therefore,
we
believe
that
this
committee
is
essential
and
an
important
effort
in
ensuring
that
the
maternal
mortality
rate
trends
downward
in
the
state
of
nevada.
Thank
you
for
your
time
and
consideration.
A
Thank
you,
and
just
because
I
know
not,
everyone
is
as
wonderful
as
our
broadcast
services
and
staff.
Can
we
see
if
there's
anyone
on
either
support,
neutral
or
opposition
to
assembly
bill
119
before
we
move
on.
H
First
sure,
if
you
would
like
to
testify
in
support
opposition
or
neutral
on
assembly
bill
119,
please
press
star
9
now
to
take
your
place
in
the
queue.
A
Thank
you
that
and
thank
you
for
your
patience
and
the
public.
I
appreciate
your
patience
as
we
are
all
trying
to
struggle
to
remember
to
unmute
and
turn
on
our
cameras.
So
I
appreciate
you
guys
having
patience
and
with
that.
I
will
ask
our
sponsor
assemblywoman
thomas,
if
you
have
any
closing
remarks
you'd
like
to
make
before
we
close
this
hearing.
L
A
Thank
you
and
thank
you
for
your
presentation.
I
believe
it
was
your
first
bill
presentation
and
you
did
a
great
job
so,
and
I
have
no
doubt
that
you
will
continue
to
work
on
this
bill
to
make
it
the
best
one
that
we
can
do
for
a
possible
work
session
in
the
future.
So
with
that,
I
will
close
the
hearing
on
assembly
bill
119
and
at
this
time
I
will
move
to
public
comment
as
a
reminder
to
those
providing
public
comments.
A
Please
make
sure
that
you
clearly
state
and
spell
your
name.
Please
limit
your
comments
to
two
minutes.
We
will
have
staff
timing,
each
speaker
during
public
comment
to
ensure
that
everyone
is
given
a
fair
opportunity
to
speak
and
so
staff
and
our
broadcast
and
production
services.
Would
you
please
add
the
first
caller
with
public
comment
to
the
meeting.
H
C
A
H
C
Hello,
my
name
is
robin
franklin:
r-o-b-I-n
k,
l
and
I
wanted
to
say
thank
you
so
much
for
letting
me
talk
to
you
today.
I
wanted
to
express
my
full
support
for
this
bill.
My
mother
has
no
saying
that
death
circles
a
woman's
head
99
times
well
in
this
day
and
age,
double
it
for
a
woman
of
color.
I
know
that
in
a
cdc
study
that
took
place
in
2007
between
2007
and
2016
found
that
a
dispersion
amount
of
women
of
color
had
higher
mortality
rates
compared
to
that
of
white
women.
C
Now
I
can
tell
you
countless
stories
because
we
went
and
talked,
but
my
own
story
is
frightening.
I'm
I'm
an
african-american
woman.
I
was
28
years
old
being
induced
and
because
I
was
giving
birth
to
a
pretty
big
baby,
I
was
high
risk.
The
medication
that
was
administered
to
me.
That
induced
me
repeatedly
put
my
child
in
distress
and
it
was
administered
to
me
three
different
times
and
with
the
same
result,
the
hospital
staff
then
broke
my
water,
which
ultimately
gave
me
an
infection.
C
Imagine
the
doctor
coming
to
me
and
my
mother
basically
telling
me
that
if
I
didn't
agree
to
an
emergency
c-section
that
my
mother
would
have
to
choose
between
me
and
my
choose
to
who
to
stay,
no
grandparents
should
have
to
be
faced
with
that
decision.
This
story
is
not
uncommon,
even
if
the
situation
is
different
slightly.
This
could
have
ended
differently,
but
I
was
blessed
to
have
a
mother
who
advocated
for
me,
and
I
left
the
hospital
alive.
C
Sadly,
this
didn't
happen
for
my
sister-in-law,
who
lost
her
son
due
to
her
uterus,
rupturing
oversight
is
needed.
Oversight
is
needed
to
address
this
issue.
What
we
know
that,
with
oversight
data
is
collected
and
recommendations
are
put
forth.
True
change
can
happen
and
save
lives.
Women
of
color
should
not
be
should
not
have
to
give
their
lives
in
order
to
bring
forth
life
in
this
age
of
technology
and
education.
Thank
you
for
taking
the
time.
A
And
if
madam
secretary,
if
we
could
reclassify,
I
think
it
was
miss
ross's
testimony
just
now,
it
wasn't
public
comment,
but
I
believe
it
was
in
support
of
assembly
bill
119.,
yes,
and
if
that
without,
if
we
could
thank
you
if
we
can
move
to
the
next
caller
in
public
comment,.
H
H
H
I
I
I
think
it's
important
that
we
address
the
the
issues
that
disabled
people
under
the
age
of
40
are
being
forgotten
about,
in
being
told
just
simply
just
leave
the
state.
Thank
you.
H
H
Chair
we
seem
to
be
having
a
problem
with
this
caller
not
being
able
to
unmute.
We
have
no
other
callers
at
this
time.