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Description
Work session
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A
A
Here-
and
I
know
other
members
are
making
their
way
in
here,
so
if
we
can
just
mark
them
present
when
they
arrive
and
I
believe
assemblywoman
black
is
appearing
with
us
via
zoom,
so
I
would
just
ask
her
to
briefly
turn
on
her
camera
when
she
does
appear
so
we
can
mark
her
present
as
well,
and
with
that
we
will
get
started.
I
do
have
several
things
on
the
agenda
for
those
of
you
that
are
waiting
because
of
the
length
of
our
agenda
because
of
the
length
of
floor
today
and
some
other
scheduling
factors.
A
If
you
are
waiting
for
the
work
session
for
any
of
the
bills
that
we
have
heard,
we
will
not
be
doing
the
work
session
today.
It
is
going
to
be
look
forward
to
the
agendas.
I'm
sure
that
at
some
point
either
today,
tomorrow
or
saturday
or
sunday,
we
will
be
doing
those
so
just
kind
of
keep
an
eye
members
on
the
for
your
emails
and
for
the
members
of
the
public.
It
will
be
posted
as
soon
as
possible
on
our
agenda
on
nellis,
and
with
that
we
will
begin.
We
have
two.
A
We
have
bill
hearings
today,
so
I'm
going
to
skip
to
that
and
I
see
senator
ratty,
so
I'm
actually
going
to
call
her
first
on
senate
bill
69.
So
at
this
time
I
will
open
the
bill
hearing
on
senate
bill
69.
This
does
revise
provisions
governing
mental
health
and
welcome
senator
ratty.
Please
begin
when
you
are.
A
We
lift
ours
the
way
up
and
then
yeah
shorten
yours.
C
C
C
Some
of
those
bills
that
didn't
get
selected
myself
and
assemblywoman
peters
have
carried
as
individuals,
but
what
the
board
coalesced
around
was
perhaps
a
little
bit
of
disappointment,
or
maybe
frustration
that
when
we
talk
about
behavioral
health,
broadly
often
substance
use,
disorder
gets
left
out
of
the
conversation
and
substance
use.
Disorder
is
clearly
a
part
of
behavioral
health.
So
we
made
the
decision
as
the
washoe
county
behavioral
health
board,
to
focus
explicitly
on
substance
use
disorder
for
our
bdr.
C
C
C
When
you
do
get
peers
into
the
mix,
you
get
a
much
better
diversity
of
providers
who
are
working
with
folks,
if
you
think
about
the
mobile
outreach
teams,
for
example,
that
are
going
to
be
meeting
people
in
their
living
rooms
at
the
street
corner.
Having
that
peer
just
makes
all
the
difference
in
the
world
or
even
the
crisis
stabilization
center,
where
there
are
folks
with
lived
experience
in
that
living
room
model,
helping
people
to
recover.
So
that's
the
first
part
of
the
bill.
C
The
second
part
of
the
bill
is
focused
on
substance
use
prevention,
and
so
it
has
three
components.
First,
it
is
seeking
to
do
a
better
job
of
having
evidence-based
substance,
use
prevention
in
our
school
settings.
So
many
of
we
already
have
substance
use
prevention
requirements
in
our
school
curriculum
standards,
but
what's
happening
in
the
field,
is
that
not
all
of
the
substance
use
prevention,
curriculum,
that's
being
delivered
is
actually
evidence-based,
and
so
all
this
does
is
it
asks
for
the
department
of
education
to
publish
a
list
of
substance,
use
curriculum
that
is
evidence-based.
C
So
if
you
are
from
a
superintendent
on
down
to
a
classroom
teacher
interested
in
making
sure
that
the
substance
use
prevention,
curriculum
that
you're
doing
in
your
classroom
is
going
to
be
effective,
you
can
go
and
look
at
this
list
and
look
for
the
evidence-based
curriculum.
So
it
does
that
it
does
some
technical
changes
to
the
youth
risk.
Behavioral
survey
surveillance
system,
the
yrbs,
so
what
the
yrbs
is
is
a
survey
that
we
do
regularly
in
schools.
C
That
gives
us
the
data
that
we
need
to
know
that
we
are
targeting
our
prevention
and
intervention
programs
to
the
right
areas
and
it
provides
for
some
updated
language
on
the
certification
of
our
substance.
Use
coalitions,
so
there
are
10
coalitions
across
the
state
and
the
language
in
nrs
was
not
did
not
provide
clarity
for
what
their
critical
role
was
in
the
community.
So
it
clarifies
that
language.
C
A
D
Thank
you,
chair
and,
and
I'm
excited
for
this
bill.
I
know
the
work
that
went
into
this
and
and
the
ideas
around
it
are
familiar
to
me
from
our
board
experience.
I
had
a
quick
question,
though,
about
the
five-year
look
back
for
professionals
working
with
children,
and
I
wish
I
had
written
down
this
section
because
now
I
can't
remember
which
section
it
is,
but
I
just
wanted
to
talk
about
a
little
bit
about
the
rationale
of
the
five
year.
D
C
Thank
you,
senator
raddy
for
the
record,
I'm
going
to
phone
a
friend
and
ask
joanna
jacob
from
clark
county
to
come
up
and
speak
to
that
through
you
chair
when
to.
C
Thank
you,
assemblywoman
peters.
You
may
not
recognize
that,
because
this
evolved
during
the
session
and
came
as
a
request
so
very
important
that
we
have
peers
with
lived
experience
working
with
individuals,
also
very
important,
that
we
are
protecting
children,
and
so
this
was
a
request
from
the
county
and
I'll.
Let
the
county
speak
to
it.
E
Thank
you,
senator
roddy,
chair
new
and
members
of
the
committee
joanna
jacob
government
affairs
manager
for
clark
county.
It's
true.
We
did
work
on
this
bill
with
the
washoe
county,
behavioral
health
policy
board
and
senator
roddy
assemblyman
peters.
That
is
actually
pulled
from
similar
provisions
in
law
right
now
around
the
child
care
and
abuse
registry.
The
state
registry
that
we
have
in
place-
and
we
modeled
these
provisions
after
the
similar
regulations
that
we
have
for
people
who
work
in
child
care
facilities
working
with
small
children
so
licensed
child
care
facilities.
E
I
will
also
point
out,
since
I
have
the
microphone
another.
Why,
and
why
did
clark
county
get
involved
in
this
is
because
we
actually
believe
in
this
model
for
and
it
has
an
application
in
child
welfare,
which
is
something
we've
worked
on
with
senator
rowdy
as
well,
especially
with
some
of
the
federal
laws
coming
in.
E
So
we
also
wrote
in
a
waiver
process
because
of
the
shared
experience
that
we
have
here,
that
a
and
you'll
see
that
also
in
section
15.6,
where
there
is
a
waiver
process
that
we'll
work
on
with
the
state
and
with
the
child
welfare
agencies,
because
the
model
is
shared
and
lived
experienced
when
you're
working
in
child
welfare
setting,
they
might
have
child
abuse
or
neglect
complaint.
But
that's
what
makes
the
shared
experience
so
valuable.
So
we
would
be
able
to
set
a
regulatory
process
to
provide
that
waiver.
E
F
Thank
you,
madam
cheer,
and
thank
you
senator
for
bringing
this
sb69
forward.
It
sounds
like
a
really
good
program,
but
my
question
actually
has
to
do
with
the
peer
recovery
support
specialist
with
that
said,
and
I
know
that
that's
lived
experienced,
I
just
want
to
know
what
type
of
training
would
they
go
through
if
any.
C
Thank
you
for
the
question.
Assemblywoman
thomas
I'm
going
to
do
another
phone,
a
friend
and
I
believe
that
sean
o'donnell
is
on
the
zoom
there.
He
is
and
sean
is
representing
foundation
for
recovery.
That
is
specifically
the
organization
that
does
training
for
peers
to
help
them
achieve
certification.
So,
mr
o'donnell,
if
you
could
elaborate
on
that.
G
Yes,
absolutely
sean
o'donnell
for
the
record,
so
the
training
that
is
currently
required-
and
this
is
pretty
standard
across
the
nation.
It's
a
46-hour
training
typically
delivered
in
person,
and
it
covers
topics
such
as
ethics,
confidentiality
such
as
hipaa
and
42
cfr,
part
2..
G
It
also
covers
how
to
provide
different
types
of
training
on
tools
to
use
when
providing
peer
recovery
support
services
such
as
motivational
interviewing
active
listening
those
types
of
things,
and
so
it
is
a
46
hour
curriculum
and
if
one
seeks
certification
there
is
a
state
examination
that
you
would
sit
for
as
well
and
prior
to
sitting.
For
that
examination.
G
In
addition
to
completing
the
46
hour
classroom
component,
there
is
500
hours
of
practical
experience
which
you
can
get
by
volunteering
or
working
for
an
agency
to
get
that
experience,
providing
peer
support
and
then
an
additional
25
hours
of
supervision
so
where
you're,
actually
being
supervised
by
a
peer
recovery
support
specialist
supervisor
while
you're
providing
these
services.
F
C
So,
thank
you
assemblywoman.
It's
it's
a
great
question
and
I
do
think
that
this
is
a
a
place
for
some
clarity.
C
Because
of,
as
you
can
imagine,
liability
and
any
other
number
of
reasons,
we
would
not
be
certifying
people
who
are
under
the
age
of
18
to
be
a
health
care.
Professional
working
in
a
peer
recovery
support
specialist
role.
They
are
specifically
excluded.
Really,
a
youth
to
youth
program
is
a
very
different
thing.
C
However,
you
could
have
adult
peer
recovery
support
specialists
working
in
a
setting
where
there
are
some
youth
involved
and
I'll.
Give
you
a
pretty
good
example
in
our
community.
Is
we
have
the
family,
shelter
for
our
homeless
services
and
so
you're
going
to
have
a
mix
of
adults
and
children
there
and
a
peer
support
peer
recovery
support
specialist
could
be
working
in
that
environment
and
be
working
both
with
the
adults
in
that
setting
and
the
young
people
in
that
setting.
C
A
H
G
Hi
shawn
o'donnell
for
the
record.
Thank
you,
500
hours
of
practical
in-person
experience
and
then
25
hours
of
supervision
and
46
hours
of
classroom
learning.
H
So
500
not
15.
big
difference,
500..
Thank
you
for
the
clarification
and
also
is
this
based
on
like
a
national
guidelines,
or
is
this
nevada's
specific.
G
H
G
Thank
you,
sean
o'donnell
for
the
record.
It
is
based
off
of
national
standards
from
the
international
certification
and
reciprocity
consortium
which
handles
certification
for
peer
recovery
support
specialists
in
almost
every
state.
A
E
E
The
reason,
as
I
stated
before,
that
we
got
involved
in
this
is
the
another
day.
Another
day
I
can
talk
to
you
about
child
welfare.
In
this
committee.
With
the
advent
of
new
federal
changes,
the
family
first
prevention
services
act,
we
are
doing
a
fundamental
shift
in
foster
care,
as
that
comes
online.
Peer
support.
Recovery
specialists
are
an
evidence-based
pro
practice
that
we
can
build
into
the
implementation
of
that
act
and
we'll
really
focus
on
moving
child
welfare
into
prevention
activities.
E
So
the
shared
living
model
is
going
to
be
one
that
we
do
plan
to
pursue
in
clark
county.
We
want
to
thank
senator
roddy
and
the
whole
village
of
people
who
worked
on
this
bill
if
they're
on
zoom.
I
want
to
say
thank
you
to
mr
o'donnell
and
ms
edwards
as
well
for
working
with
clark
county
on
this
and
we
are
in
support.
Thank
you.
I
Thank
you,
madam
chair
members
of
the
community
committee.
This
is
joan
hall,
I'm
representing
nevada
hospital
partners,
supportive
of
all
the
components
of
this
bill,
but
specifically
the
peer
recovery
support
services,
as
they
are
a
vital
component
in
providing
care
to
patients
and
their
families
with
substance
use
disorders,
behavioral,
health
issues
and
co-occurring
disorders.
I
Certification
provides
public
protection
in
demonstrating
training,
education
and
standardization
as
we
move
through
the
crisis
now
standard
in
nevada
and
we've
just
passed.
The
crisis
stabilization
units,
these
peer
recovery
support
people
will
be
very
important
in
those
units
as
they
are
in
our
most
teams.
We
urge
your
support.
Thank
you.
A
A
A
A
A
At
this
time
I
will
ask
senator
rowdy,
if
she'd
like,
to
make
any
closing
remarks.
C
Thank
you
chairwin
again,
julia
ready
for
the
record.
I
would.
I
would
just
like
to
point
out
one
piece:
this
is
a
two-thirds
bill
and
the
sections
that
make
it
a
two-thirds
bill
are
primarily
sexual
section.
Nine,
which
establishes
the
fee
for
certification,
allows
the
board
to
establish
the
fee
for
certification,
and
I
did
want
to
make
it
very
clear
that
this
was
not
the
washoe
regional
behavioral
health
board,
thought
hey,
you
guys
need
to
be
certified.
C
This
was
the
peers
themselves
and
the
organizations
that
work
with
peers
and
represent
peers
came
to
us
and
asked
they
have
actually
been
working
now.
This
will
be,
I
believe,
the
third
legislative
session,
where
they
have
tried
to
get
peer
certification
across
the
finish
line,
and
so,
if
mr
o'donnell
just
wants
to
comment
one
last
time
that
I
just
want
to
make
it
very
clear
that
it
is
the
peer
organizations
themselves
that
are
asking
for
this
certification
process.
G
Yes,
thank
you.
Senator
roddy,
sean
o'donnell
again
for
the
record,
senator
ratty
is
absolutely
correct.
We
did
bring
this
after
listening
to
the
community
and
holding
many
different
platforms
for
peer
recovery
support
specialists
in
the
state
of
nevada
to
voice
their
opinion
on
this.
We've
been
working
on
this
for
the
past
three
legislative
sessions,
and
this
is
going
to
do
great
things
for
peers
and
the
peer
recovery
support
specialist
workforce
in
our
state.
So
thank
you.
A
Thank
you
before
you
leave
senator
rowdy.
If
I
could
just
ask
you
a
question,
I
know
that
we
have
several
new
legislative
members.
Can
you
kind
of
just
kind
of
briefly
describe
how
that
regulatory
process
would
work
and
how
the
ledge
commission
would
like
kind
of
approve
those
regulations
as
they
work
their
way
through
the
process?
If
this
bill
was
to
pass.
C
Sure,
again,
julia
ready
for
the
record
just
just
generally,
when
we
call
for
regular
regulations
in
statute,
then
the
appropriate
regulatory
body
promulgates
those
regulations
and
once
those
regulations
are
promulgated,
they
have
to
come
back
to
the
legislative
commission
which
in
my
first
session
I
didn't
even
know
there
was
such
a
thing.
But
it
is
a
kind
of
like
the
executive
committee
of
the
legislature
for
lack
of
a
better
description
they
meet
during
the
interim
and
they
have
to
sign
off
on
all
regulations.
It's
sort
of
a
check
and
balance.
C
A
A
I
know
senator
rowdy
has
her
own
meeting
to
chair
of
senate
hhs,
so
I
will
let
her
get
on
her
way.
I
also
see
another
senator
sitting
here
and
I've
spent
a
lot
of
time
with
her
this
morning.
So
I'm
glad
to
see
her
this
afternoon.
If
we
can
welcome
senator
harris
up
to
the
table-
and
I
will
now
oh-
and
I
just
wanted
to
put
on
the
record
that
assemblywoman
black
is
present
on
the
zoom,
as
is
assemblywoman
summers,
armstrong,
assemblywoman,
benitez,
thompson
and
assemblyman
haven
who
have
all
arrived.
A
K
Good
afternoon
chairwin
and
members
of
the
committee,
my
name
is
dallas
harris.
I
represent
senate
district
11..
Thank
you
all
so
much
for
the
opportunity
to
present
senate
bill
211
to
you
all
today.
I
will
endeavor
to
keep
it
short,
but
I
said
that
this
morning
and
failed
miserably
so
just
know
I'll
make
my
my
very
best
effort.
K
We
go
great
so
in
the
in
the
simplest
of
terms
senate
bill
211
just
requires
primary
care
providers
to
ask
their
patients
15
or
older.
If
they'd
like
a
test
for
a
sexually
transmitted
disease
or
hiv,
that
recommendation
of
which
ones
you
should
be
tested
for
should
be
based
upon
your
medical
history.
K
K
L
Okay,
sorry
about
that,
and
if
it's
okay,
I
will
just
go
a
high
level
overview
again,
cheryl
redlock
for
the
overview.
Some
points
to
consider.
Thank
you.
Senator
harris
for
the
outstanding
overview
of
the
bill,
as
mentioned
nevada,
does
consistently
has
had
some
of
the
highest
rates
of
hiv
and
stds
for
stis
in
the
united
states.
As
of
2019,
we
were
number
one
in
the
nation
for
rates
of
primary
and
secondary
syphilis,
and
we
had
800
and
over
800
cases.
L
A
L
Okay,
this
is
your
rattle
off
for
the
right.
You
like
me
to
go
over
this
a
little
bit
then.
A
A
L
Okay,
thank
you.
So,
just
as
senator
harris
mentioned,
nevada
has
consistently
had
some
of
the
highest
rates
of
hiv
and
stis
in
the
united
states
teen,
we
were
number
one
in
the
united
states
number
one.
L
L
We
increased
1300
and
cases
of
congenital
syphilis.
We
went
from
number
from
three
cases
in
2014
to
43
and
2020..
So
that's
something.
I
think
that
is
quite
alarming.
The
majority
of
hiv
cases
in
nevada
are
diagnosed
in
inpatient
and
application,
hospitals
and
private
physician
offices.
L
Patients
do
want
routine
routine
sexual
histories,
access
to
pain,
free
and
low
cost
confidential,
and
convenient
testing
for
850
and
s5
providers,
and
that
many
providers
offer
testing
based
on
subjective
not
only
to
retain
a
vote,
and
so
it's
dependent
on
patients
to
report
presenting
symptoms,
there's
a
lack
of
policies,
often
between
850
and
sti
testing.
The
lack
of
awareness
of
the
sti
risk
on
the
physicians.
A
You
know
I
I'm
gonna
go
ahead
and
have
you
stop
it's
just
so
it's
unfortunately,
we
have
a
really
poor
like
quality
of
audio.
I
think
we're
hearing
like
every
third
word
and
it's
very
loud
senator
harris.
Would
you
mind
if
we
went
to
you?
I
know
that
the
bill
is
not
very
long,
but
if
there
I
know
that
a
lot
of
the
information
that
was
just
spoke
to
is
actually
in
the
exhibits
that
are
already
included
as
a
part
of
the
nellis.
K
Chair
when
I
I
think
the
summation
of
of
her
numbers
are,
they
aren't
good,
and
so
this
is
a
tool
to
help
us
get
that
down.
One
thing:
that's
important
that
that
she
said
that
was
a
a
little
difficult
to
hear.
Is
that
often
right
now?
This
is
not
a
routine
part
of
the
primary
care
we
rely
on
patients
to
present
symptoms
as
opposed
to
getting
them
tested
as
part
of
their
regular
primary
care.
K
An
important
piece
to
that
is
reducing
the
stigma
behind
hiv
and
stds.
If
we
can
just
normalize
the
idea
that
you
should
get
tested
as
part
of
your
regular
medical
care,
and
so
that's
what
the
bill
does
in
the
hopes
of
trying
to
address.
What's
a
very
serious
issue,
and
I
I'm
more
than
happy
to
answer
any
questions,
miss
radelof.
Thank
you
so
much
by
the
way
she
put
together
that
presentation,
along
with
jen
howell.
That
is
your
exhibit
and
has
done
a
lot
of
great
work
on
this
bill.
A
Thank
you,
and
I
know
that
sometimes
we
have
some
technical
difficulties.
I'm
glad
that
we
have
the
senator
here
in
person
to
be
able
to
clarify
any
of
those
kind
of
concerns.
And
again
I
encourage
all
the
members
to
look
at
all
the
documents
which
I'm
sure
they
already
have
that
were
on
nellis.
Do
we
have
any
questions?
I
see
one
from
assemblywoman
titus
and
if
you
have
others
you
can
message
me
or
I
can
look
around.
M
Thank
you,
madam
chair.
Thank
you
senator
for
bringing
this
forward.
I
think
this
is
a
good
bill
and
I
am
as
equally
appalled
as
you
are
other
members
when
we
find
out
that
we're
number
one
and
congenital
syphilis
and
some
of
these
other
issues.
So
I
think
it's
important.
I
think
the
changes
in
healthcare
when
I
would
do
the
recommended
pelvic
pap
on
a
young
young
woman
for
the
first
time
prior
to
prescribing
birth
control.
M
We
would
do
some
of
these
tests,
not
necessarily
hiv
per
se,
but
that
was
just
part
of
the
process.
Now
we've
learned
that
we
don't
do
routine
pelvic
exams,
so
we're
not
doing
these
tests.
You
know
routinely
anymore
when
and
when
you
can
have
an
opportunity
to
capture
a
person.
You
have
them
in
your
not
necessarily
captured
in
the
sense
that
you're
strangling
them,
but
capture
them
that
you
have
them
there
in
front
of
you.
You
would
hate
to
miss
them
opportunity.
M
My
question
is
this:
is
mandating
certain
things,
as
the
providers
should
be
doing
where's
the
the
piece
of
payment
who
who
pays
for
these
tests-
and
it
may
be
in
here-
and
I'm
just
missing
it,
but
I'm
just
concerned
that
we're
mandating
a
provider
orders
a
test
or
we
ask
if
they
want
to
have
the
test
done.
There's
always
concerns
about
the
costs
of
these
tests,
and
some
of
these
are
blood
tests.
Others
are
not
blood
tests
and
just
wondering
about
that
process.
K
Thank
you
for
the
question
assemblywoman
titus
to
you
through
chair
when
the
bill
does
not,
as
you
mentioned
mandate,
that
the
testing
actually
occur,
it
only
mandates
that
you
ask
what
you
will
see,
and
this
is
why
the
bill
is
coming
to
you
also
late
is
that
we
did
get
a
an
appropriation
for
those
folks
whose
tests
we
that
are
covered
by
our
medicaid,
that
is
the
state
cost.
K
A
K
Thank
you
for
the
question
chairwind.
I
would
not
I
don't.
This
is
not
here,
I'm
not
here
to
disparage
any
providers.
There
are
some
who
do
it
as
a
regular
course
of
practice.
K
B
K
Thank
you
for
the
question
simon
orrin
liquor
to
you
through
chairwin.
Please
note
that
the
15-year
cut
off
is
just
when
the
provider
shall
ask.
I
encourage
them
to
ask
any
of
their
clients
who
they
feel
may
especially
be
at
risk
for
hiv.
If
you're
sexually
active
at
any
age,
the
bill
does
not
prevent
providers
from
asking
anyone
younger
than
15,
but
that
is
the
age
that
we
came
to
when
trying
to
put
this
bill
together
about
when
it
should
be
a
regular.
H
Legislator,
thank
you
very
much
chair
and
thank
you
for
bringing
this.
I
think
it's
really
important,
because
so
many
people
have
a
sexually
transmitted
disease
and
don't
even
realize
it
because
they
don't
have
symptoms.
So
I
think
it's
very
important.
So
thank
you
very
much,
but
now
that
it's
going
to
be
mandated.
K
Thank
you
for
the
question.
Assemblywoman
gorlo
dallas
harris
for
the
record,
so
I
thought
a
lot
about.
I
thought
a
lot
about
that.
Originally
in
this
chapter
there
is
a
a
misdemeanor
for
anyone
who
does
not
comply
with
the
chapter.
I
was
not
looking
to
create
a
new
misdemeanor,
and
so
this
bill
will
be
enforced
by
the
licensing
boards
of
the
providers,
and
so
you
know,
there's
no
criminal
penalty
attached
at
all.
That
will
have
to
be
dealt
with
with
the
proper
licensing
board,
as
as
I
think
it
should.
H
N
Thank
you
so
much.
I
appreciate
it.
It's
a
good
bill
and
we
absolutely
need
to
make
sure
that
we're
getting
people
tested.
So
I
guess
then
practically
as
you
would
want
this
to
look.
You
would
want
the
the
primary
care
physician
to
be
asking,
and
then
I
guess
what
you
would
want
is:
let's
say,
if
someone's
in,
to
see
their
primary
care
physician
three
times
within
the
year.
N
I
guess
what
would
you
want
the
physician
if
they
see
in
the
chart
that
there's
a
recent
test,
then
they
can
acknowledge
the
test
or
talk
with
them
about
the
test
and
see
if
they
want
to
be
retested
or
if
they
would
look
at
the
chart
and
see
no
recent
testing,
then
they
would
they
would
ask
for
testing.
I
guess
I'm
wondering
like
on
those
on
multiple
visits
at
what
point
would
what
would
be
reasonable
for
for
your,
for
you
know
what
what
do
you
see
as
reasonable
for
for
that
kind
of
expectation.
K
Thank
you
for
the
question,
madam
majority
leader.
I
I
believe
that
would
likely
vary
upon.
Possibly
how
sexually
active
a
client
is.
My
own
estimation
is
once
a
year
is
more
more
than
sufficient
to
kind
of
make
this
a
regular
practice.
Really.
What
I
want
to
make
sure
doesn't
happen
is
that
someone
goes
for
a
substantial
amount
of
time
without
being
asked
for
a
test
if
they're
asked
three
times
in
a
year.
N
And
I
appreciate
that.
I
think
that
once
a
year
is
good,
especially
when,
when
people,
if
they
have
chronic
health
conditions
or
such,
we
just
want
to
make
sure
that
physicians
aren't
like
if
we
there's
lots
of
chart
audits.
I
know
dr
titus
and
I
have
lived
through
lots
of
chart
audits
when
jayco
walks
through
the
door
and
you
do
everything
from
like
they're
gonna
stand
there
and
watch
you
to
make
sure
that
you
have
your
correct
hand
washing
right
and
if
you
don't
wash
your
hands,
exactly
correct,
which
I
promise
no
one.
N
But
dr
titus
and
I
are
doing
by
jayco
standards
right
like
you
get
docked
so
like
in
a
chart.
Audit.
The
intent
would
be
that
the
question
is
asked
once
a
year.
Hopefully
there's
testing
once
a
year
but
it,
but
that
there's
somewhere
a
notation
and
in
a
patient
chart
that
there
that
the
question
has
been
asked.
D
K
O
A
And
I'm
looking
around:
do
we
have
any
other
questions
from
committee
members
at
this
time
sing
none.
I
will
begin
testimony
in
support
of
senate
bill
211.
If
there's
anyone
in
the
room
to
provide
testimony,
it
asks
you
to
come
to
the
table
right
now
again
reminder
to
press
that
mic
button
and
say
your
name
for
the
record
and
please
limit
your
testimony
to
two
minutes.
P
Thank
you,
madam
chair
bradley
mayer,
for
the
record
partner
with
our
gentile
partners,
b-r-a-d-l-e-y
m-a-y-e-r,
representing
both
the
southern
nevada
and
washoe
county
health
districts.
Today
you
know,
as
cheryl
was
mentioning
some
of
those
points
that
I
can
reiterate
that
we
didn't
hear.
P
You
know
this
is
an
important
bill,
because
nevada
does
have
some
of
the
highest
sti
rates
in
the
country
and
especially
as
it
relates
to
hiv,
the
highest
infection
rate
in
the
west,
and
so
you
know,
we
know
that
in
order
to
stop
the
spread
of
hiv,
people
need
another
status,
and
so
in
a
lot
of
cases
you
know
in,
and
let
me
get
this
right
here
in
40
40.
P
That
deals
with
syphilis
testing
are
are
really
important
to
make
sure
that
we're
staying
apart
ahead
of
this
and
making
this
part
of
the
standard
of
care
is,
I
think,
what's
most
important.
So
we
really
thank
senator
harris
for
her.
She
did
awesome
work
on
hiv
policy
this
session
and
this
bill
included,
and
so
we
really
appreciate
her
for
engaging
with
us
and
urge
your
support
and
thank
you
for
your
time.
I
A
J
B
Hello,
my
name
is
alex
cambaros,
that's
a-l-e-x-c-a-m-b-e-r-o-s,
speaking
on
behalf
of
battleborn
progress
in
support
of
sb
211,
creating
a
standard
of
care
for
for
routine
confidential
and
convenient
sti
testing
would
destigmatize
sexual
health
and
reduce
the
spread
of
stis
and
hiv
by
promoting
access
to
testing
and
treatment.
I
want
to
echo
the
comments
of
the
other
members
and
support,
and
I
want
to
thank
senator
harris
for
sending
this
critical
legislation.
B
J
B
Hello,
my
name
is
melissa.
Cortez
spells
a
l
y
s
f,
a
last
name,
cortez
c-o-r-t-e-s,
and
I
would
like
to
thank
senator
dallas
harris
for
bringing
this
really
important
legislation
up
for
a
hearing.
I
am
prison.
I
am
here
to
sorry.
Excuse
me:
we
are
very
supportive
of
senate
bill.
2
1-1
and
I
represent
silver
state
equality
as
a
program
associate.
So
thank
you
so
much
and
I
just
want
to
say
ditto
to
what
alex
kemberos
had
said
before.
Thank
you.
A
Do
we
have
any
other
callers
and
support
I'm
not
going
to
lie,
I
kind
of
like
it
when
people
are
able
to
participate,
no
matter
where
they
are.
I
think
it's
an
incredibly
inclusive
part
of
this
new
postcovid
legislative
process,
but
on
broadcast
services.
Is
there
anyone
else
on
the
line.
A
J
A
Thank
you.
Is
there
anyone
in
the
room
that
would
like
to
testify
in
neutral
on
senate
bill
211,
seeing
no
one
coming
to
the
table.
Is
there
anyone
on
the
zoom
that
would
like
to
testify,
and
I
see
a
hand
raised,
so
please
go
ahead
and
unmute
yourself
and
I
wish
I
could
read
names
on
that
screen,
but
I
cannot
see
that
part
lynch
miss
lynch
go
ahead
when
you're
ready.
A
A
There
we
go.
Is
there
anyone
else
on
the
zoom
that
is
in
here
to
testify
in
neutral,
seeing
no
one
else
lighting
up
their
screen
broadcast
services?
If
we
could
go
to
the
phone
line
in
neutral.
A
K
Thank
you
so
much
chairwin
dallas
harris
for
the
record.
I
just
want
to
thank
the
committee
for
their
time
and
and
for
their
thoughtful
questions
today,
as
well
as
again
thank
miss,
rateloff
and
and
miss
howell,
who
have
been
absolutely
instrumental
in
helping
me
draft
this
legislation.
So
thank
you
all
for
your
time.
A
Thank
you,
and
with
that
I
will
close
the
hearing
on
senate
bill
211,
and
at
this
time
I
will
open
the
hearing
on
senate
bill
456
and,
I
believe
miss.
Is
it
miss
biermann,
that's
going
to
be
presenting
this
bill
here
today.
I
believe
it
is.
I
see
her
on
the
zoom
again
senate
bill
456
I'll
open
that
hearing.
It
does
revise
provisions
related
to
the
state,
dental
health
officer,
and
I
will
turn
it
over
to
you
to
begin
when
you
are
ready.
A
I
see
there
are
a
couple
other
people
that
lit
up,
so
I
believe
you
have
some
co-presenters,
or
at
least
people
there
to
answer
questions.
I
believe
I
just
remind
presenters
to
please
clearly
state
your
name
each
time
before
you
speak,
so
we
can
keep
a
good
record
and
I
will
let
you
begin
when
you're
ready.
B
Thank
you
good
afternoon
committee
members
for
the
record.
My
name
is
suzanne
biermann
and
I'm
the
administrator
for
the
division
of
healthcare
financing
and
policy,
and
I'm
here
today
to
present
sb
456,
the
division's
budget
included
a
transfer
of
appointing
authority
for
the
state,
dental
health
officer
from
the
division
of
public
and
behavioral
health
to
medicaid.
This
bill
implements
the
division's
budget.
Transferring
this
position
results
in
state
general
general
fund
savings,
because
the
division
can
receive
a
greater
federal
share
of
75
percent
for
funding
of
this
position
with
the
transfer,
as
approved
in
our
budget.
B
So
with
that,
I
am
joined
today
by
deputy
administrator
cody
fenner
cody
fenney
and
the
state's
dental
officer,
dr
antonina
capiro,
and
we
would
be
happy
to
answer
any
questions.
The
committee
may
have.
A
D
Thank
you
chair,
while
I'm
on
a
roll,
I'm
going
to
ask
one
about
this.
One
too,
I'm
just
curious
about
the
move
of
the
state,
dental
officer,
and
I
can't
remember
so.
You
have
to
have
to
remind
me
the
state,
dental
hygienist,
where
she
that
position
is
located
and
if
they're
not
in
the
same
under
the
same
division
umbrella
can.
Can
you
just
express
why
that
that
difference
is
okay.
Q
Good
afternoon,
cody
finney
for
the
record,
I'm
gonna
take
a
swipe
at
that.
If
ms
biermann
doesn't
mind,
the
oral
health
program
was
started
in
the
division
of
public
and
behavioral
health
several
years
ago,
and
I
happen
to
have
been
part
of
implementing
that
so
the
state,
dental
hygienist
and
the
oral
health
program
remain
at
will
remain
at
dpvh.
Q
While
dr
capuro
is
the
current
incumbent,
she
will
come
over
and
continue
working
on
medicaid
policy
with
us,
but
officially
and
in
the
budget,
but
the
collaboration
with
the
oral
health
program
and
the
state
dental
hygienist
will
continue
within
the
overarching
umbrella
of
health
and
human
services.
So
from
from
our
perspective,
it's
not
an
enormous
difference,
but
it
does
allow
us
to
collect
that
additional
federal
participation.
O
Q
I'm
sorry
go
ahead.
Cody
finney
for
the
record,
dr
capuro,
is
the
state
dental
officer.
She
is
a
dentist.
There
is
a
different
incumbent
that
is
currently
the
interim
dental
hygiene
state.
Dental
hygienist
and
her
position
does
not
move.
O
A
Do
not
apologize,
assemblywoman
summers,
armstrong.
I
think
we
are
all
at
that
point
where
they're
all
blending
together,
but
they
are
interrelated
and
they
are
all
on
the
same
committee,
so
it
makes
sense.
Do
we
have
any
other
questions
from
committee
members
at
this
time,
seeing
none?
I
will
begin
testimony
in
support
of
senate
bill
456
in
the
room.
I
don't
see
anyone
coming
to
the
table.
Is
there
anyone
on
the
zoom
to
testify
in
support
of
senate
bill
456.,
and
if
you
are,
I
would
ask
you
to
unmute
and
begin
your
testimony.
A
I
don't
see
anyone
so
at
this
time,
broadcast
services
is
there
anyone
on
the
line
to
testify
in
support.
J
A
A
Thank
you,
and
I
will
next
go
to
our
lastly,
go
to
testimony
in
neutral,
seeing
no
one
in
the
room
coming
to
the
table.
Is
there
anyone
on
the
zoom
in
our
on
the
zoom
actually
and
to
testify
in
neutral
of
this
bill,
and
I
don't
see
anyone
I
just
saw
someone
registered,
but
I
don't
see
them
turning
on
so
broadcast
services.
Is
there
anyone
on
the
line.
A
Thank
you,
and
with
that,
do
you
have
any
closing
remarks
to
make
miss
biermann,
or
would
you
like
me
to
close
this
hearing
at
this
time.
A
A
A
Thank
you
and
that
I
will
close
public
comment.
I'm
looking
around
the
room.
Are
there
any
comments
from
members
before
we
adjourn
for
the
day,
seeing
none?
This
does
conclude
our
meeting
for
the
day.
Just
to
give
you
a
lay
of
the
land
for
the
next
couple
of
days,
you
will
probably
see
an
agenda
for
call
of
the
chair,
scheduled
for
the
next
couple
of
days,
just
kind
of
keeping
it
open
and
flexible
as
we
move
through
this
process
to
close
out
the
session.
So
with
that
a
meeting
is.