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A
C
D
D
A
A
A
Here
we
have
everyone
present,
except
assemblywoman,
benitez
thompson.
Please
mark
her
absent
excused
if
she
does
able
to
get
on.
If
we
could
just
mark
her
present
when
she
arrives,
she
said
she
was
running
a
little
late,
so
I
just
want
to
welcome
our
audience
to
joining
us
on
this
virtual
meeting
here
today.
Today
we
have
a
presentation
on
the
patient
protection
commission
and
one
bill
hearing
on
assembly
bill
16.,
I'm
just
going
to
jump
into
it.
Agenda
items
may
be
taken
in
a
different
order.
A
Today
they
are
going
to
be
listed
in
the
order,
as
listed
on
the
agenda.
First,
we'll
have
the
presentation
and
then
we
will
have
the
assembly
bill
hearing.
This
is
a
virtual
meeting
format.
Members
of
the
public
may
provide
testimony
in
various
ways
they
are
listed
on
the
agenda.
You
can
either
participate
online
via
telephone
and
you
can
obtain
all
that
information
on
our
website.
The
nevada
legislative
information
website
nellis
or
you
can
watch
us
on
youtube.
A
The
chair
of
the
member
of
the
kid
community
may
request,
testify
or
submit
documentation
supporting
their
testimony,
and
we
will
get
that
up
on
up
online
if
it
isn't
already
or
as
soon
as
we
can.
If
you
do
submit
public
comment,
you
must
do
so
within
48
hours
of
the
meeting
adjournment
for
it
to
be
included
as
part
of
today's
record.
A
And
finally,
if
you
are
on
the
zoom
call,
if
you
are
not
speaking,
if
you
can
remember
to
mute
and
unmute
when
you
speak
and
identify
yourself
when
you
do
speak
as
well,
and
with
that
we'll
move
on
to
our
first
agenda
item
today,
we're
going
to
start
off
with
an
overview
of
the
patient
protection
commission,
we
will
be
likely
having
some
bills
most
of
the
bills
that
came
out
of
this
patient
protection.
A
Commission
have
originated
on
the
senate
side,
and
you
know,
if
all
goes
well
over
there,
we
will
see
them
at
some
point
on
this
side.
But
I
know
a
lot
of
people
have
been.
You
know
inquiring
about
the
patient
protection
commission,
so
I
would
welcome
our
first
presenter
here
today,
the
executive
director
of
that
commission.
So
please
introduce
yourself
for
the
record
and
begin
when
you're
ready.
E
A
E
Okay,
wonderful!
Thank
you.
So
much
chairwind
members
of
the
committee,
my
name
is
sarah
scholhagen.
I
serve
as
the
executive
director
for
nevada's
patient
protection
commission.
I
first
want
to
thank
tara
wynn
for
giving
me
the
opportunity
to
come
in
front
of
you
all
to
give
you
a
overview
of
the
commission
to
kind
of
highlight
some
of
our
responsibilities
share.
Some
of
the
work
future
work
that
the
commission
has
done
and
then
really
touch
upon
some
of
the
proposed
legislation
that
she
just
briefly
mentioned
with
that.
E
I
think
what
I'd
like
to
do
is
just
start
with
a
little
bit
of
an
overview
of
the
commission,
so
this
commission
was
created
through
the
passage
of
senate
bill
544
from
last
legislative
session.
It
was
a
measure
that
was
sponsored
by
governor
sisilak
and
received
bipartisan
support,
ultimately
passing
unanimously
by
both
houses.
E
We
are
located
within
the
governor's
office
and
we're
dedicated
to
improve.
I'm
sorry
excuse
me
we're
dedicated
to
improving
health
care
in
nevada
through
a
systematic,
comprehensive
review
of
the
state's
healthcare
system
and
challenges
and
initiatives
surrounding
the
quality,
accessibility,
affordability
and
health
care
in
our
state.
The
commission
is
also
charged
with
making
informed
recommendations
both
to
the
legislature
and
to
the
governor
to
improve
health
care
for
all
patients.
E
Taking
for
a
moment
to
just
share
kind
of
the
mission,
vision
and
values
of
this
commission
through
the
lens
of
our
governor,
he
saw
this
as
a
way
to
provide
a
forum
for
all
stakeholders
to
come
to
the
table.
Work
together
on
the
critical
task
of
improving
health
care,
access
and
affordability
in
nevada
for
every
patient.
E
Our
commission
is
comprised
our
team
is
myself
as
the
executive
director
and
we
have
a
miss
leslie
mayville,
who
serves
as
the
administrative
assistant
and
policy
coordinator,
and
I
currently
have
a
vacant
position
staff
position
that
I
hope
to
fulfill
later
this
year,
but
chair.
I
would
be
remiss
if
I
didn't
just
pause
for
a
moment
to
thank
the
other
state
agencies
that
were
monumental
in
helping
me
get
this
commission
up
and
running
relatively
quickly
last
year.
E
I
would
not
have
been
able
to
do
this
in
in
the
timing
that
we
were
able
to
host
our
first
meeting,
had
it
not
been
for
the
assistance
of
commissioner,
barbara
richardson,
executive
director,
core
buick
and
director
richard
whitley,
who
provided
dedicated
staff
and
additional
resources
to
help
facilitate
me
kind
of
putting
it
all
together
and
that's
and
getting
this
up
and
running.
So
I
just
wanted
to
take
a
moment
to
really
thank
them
because
they
were
monumental
and
getting
us
established.
E
E
What
I'd
like
to
do
now
is
just
kind
of
highlight
some
of
the
commission
activities
that
we
have
from
last
year
and
I'll
start
off
by
stating
that
the
commission
held
its
first
meeting
on
february
3rd
and
met
one
more
time
on
march,
2nd
before
governor
sislek
made
a
declaration
of
emergency
in
the
state
of
nevada
to
address,
contain
and
mitigate
the
effects
of
copa
19..
E
So
several
meetings
were
postponed,
as
the
commission
followed
his
directives
and
guidelines
for
hosting
public
meetings
on
may
19th.
He
requested
for
the
commission
to
prioritize
its
work
to
best
serve
nevada
in
this
time
of
state
and
national
emergency,
specifically
asking
for
assistance
with
recommendations
around
the
long-term
recovery
for
our
state.
On
june
9th,
the
commission
held
its
first
virtual
meeting
and
agreed
to
refocus
the
commission
priorities.
E
E
On
june
22,
the
commission
met
with
the
intent
to
start
identifying
any
issues
as
negatively
impacting
the
quality,
accessibility
or
affordability
of
health
care.
Under
the
commission's
new
focus
and
they
held
four
more
meetings
before
they
took
action
on
their
recommendations
for
bill
draft
during
those
meetings,
I
just
want
to
briefly
highlight
some
of
the
topics
in
which
were
discussed
amongst
the
commission,
including
discussing
transparency
measures
to
sustaining
available
health
care
options,
addressing
vulnerability.
E
I'm
sorry
addressing
affordability
for
vulnerable
populations,
improving
public
health
and
coordination
efforts,
data,
improving
data
collection,
analysis
for
evidence-based
policy
making
and
planning,
and
also
discussed
health
workforce
development
as
well
as
telehealth,
which
is
a
part
of
one
of
the
commissions
bill
draft
requests.
E
On
august
31st,
the
commission
voted
to
request
two
pieces
of
legislation
to
address
access
and
affordability
of
health
care,
and
I
will
briefly
touch
upon
that
in
our
next
slide.
But
what
I'd
like
to
highlight
is
following
all
of
the
commission's
work
and
on
that
led
up
to
august
31st
what
we
decided
to
do
after
that
meeting.
I
sat
down
with
our
chair
and
we
decided
to
kind
of
take
a
moment
to
pause,
reflect
and
solicit
the
commission
for
feedback
for
their
remaining
work
for
the
for
the
rest
of
the
year.
E
So
if
I
can,
I
just
want
to
highlight
their
current
priorities,
which
are
no
particular
order,
but
the
first
one
being
a
continued
review
and
examination
of
the
cost
of
health
care
and
the
primary
factors
impacting
those
costs.
Two
reviewing
health
care,
workforce
issues
in
nevada
and
considering
recommendations
to
improve
access
and
delivery
of
health
care.
E
E
So
if
I
can,
I'm
just
going
to
touch
briefly
upon
our
proposed
legislation,
as
chairwin
indicated,
they
are
going
both
of
the
patient
protection
bills
will
be
heard
in
senate
first,
and
I
hope
to
be
speaking
to
this
committee
relatively
soon
to
have
a
deeper
discussion
on
their
proposed
legislation.
Legislation
senate
bill
5
is
a
measure
that
relates
to
increasing
access
for
telehealth
services
and
really
also
focuses
on
the
equitable
access
senate
bill.
E
F
Thank
you,
chair
yeah.
My
question
just
has
to
do
with
the
scope
of
efforts
related
to
the
variety
of
insurance,
that's
offered
in
the
state
of
nevada's.
We
have
a
couple
of
different
models,
including
medicaid
and
pub
at
the
state
level,
and
then
a
single.
We
have
our
group
policies
and
other
policies,
and
I
I
can
you
just
give
us
a
brief
description
of
how
the
patient
protection
commission
reviews
those,
whether
it's
comparing
them
together
or,
if
there's
a
process
yet
to
do
that
and
yeah.
E
Okay,
great,
thank
you.
So
much
for
your
question.
Assemblywoman
peterson
threw
you
a
chairwin
through
you
to
assemblywoman
peterson,
sarah
scholhagen
for
the
record.
What
I
can
tell
you
is
that
there
isn't
any
established
procedure
in
having
that
discussion
take
place
in
front
of
the
commission.
I
know
that
there
has
been
some
limited
discussions
around
the
topic
of
various
insurance
options.
E
What
has
been
established
right
now
with
a
ongoing
work
plan,
is
building
our
agendas
around
presentations
or
a
deliberation
from
commissioner
members
focused
in
those
four
top
priority
areas.
And
I
am,
I
believe
that
topic
fits
under
the
second
one
in
which
I
mentioned,
which
is
the
commission's
desire
to
review
the
effect
of
any
changes
to
medicaid,
including
the
cost
and
availability
of
health
care
and
health
insurance
in
this
state.
E
And
so
I
consistently
solicit
feedback
from
the
commissioners
to
recommend
presentations
or
provide
information
that
I
can
share
with
the
commission
for
their
deliberation.
Discussion
at
the
meetings,
as
well
as
requests
for
presentations,
and
so
I
foresee
that
being
discussed
at
the
commission
specifically,
but
only
at
the
request
of
commission
members
who
want
to
take
that
up
for
discussion
at
any
of
our
agenda
items.
F
No,
I
appreciate
that
context.
I
know
that
we
have,
we
have
quite
the
kind
of
scene
of
insurance
to
to
grapple
with,
and
the
variety
of
all
of
alternatives
people
have
access
to,
and
I
you
know
long
term
would
love
to
see
the
commission
really
kind
of
drive
into
what.
F
What
does
equity
look
like
in
the
context
of
the
variety
we
have,
and
how
much
of
what
the
state's
responsible
for
helps
to
as
to
to
balance
that
equity
or
or
increase
that
equity,
so
that
we're
ensuring
all
people
have
access
to
the
coverage
that
they
need,
and
we
have,
I
mean
in
my
situation
alone,
I've
got
a
family
of
five
on
a
single
income
with
a
veteran
husband
who
has
va.
F
So
we
we
have
an
a
really
kind
of
unique
position,
although
it's
not,
I
don't
think
it's
not
as
unique
as
as
it
feels
in
in
my
world,
but
it's
not
the
same
as
a
single
person
who
works
for
the
state
or
for
one
of
our
school
districts,
for
instance,
or
for
a
retiree
who
doesn't
to
meet
the
medicare,
the
medicare
threshold.
F
So
I
just
I
think
that
that's
something
I
would
really
love
to
see
the
p
the
ppc
look
into
and
and
look
forward
to
to
the
future
work
in
that
area.
Yeah.
E
Thank
you,
assemblywoman
peterson.
I
I
wholeheartedly
agree
with
you.
I
I
don't
think
that
your
experience
is
unique
to
the
patients
in
nevada
and
I
think
that
the
commission
would
be
enthusiastic
to
hear
recommendations
from
you
as
to
how
you
think
we
could
look
into
that
and
be
useful
and
to
provide
recommendations
to
you.
E
So
if
you
are
agreeable,
I'd
be
happy
to
set
up
a
meeting
with
you
following
you
know
this
meeting
and
see
if
we
can
take
a
deeper
dive
into
putting
that
a
part
of
our
future
agenda.
A
I
I
have
a
question.
I
know
that
one
of
the
bills
I
think
of
senate
bill
5
focuses
on
the
tele
health.
Can
you
talk
a
little
bit
about
some
of
the
discussions
that
went
into
that?
I
know
our
role.
Members
are
familiar
with
that,
as
we've
had
some
provisions
in
place
that
allow
for
better
access
than
that,
but
how
what
kind
of
discussions
went
around
that.
E
So,
yes,
thank
you,
sarah
hagian,
for
the
record.
I
can
tell
you
that
the
commission's
intent
around
that
proposal
was
really
aimed
at
increasing
access
to
telehealth
for
all
the
patients.
I
think
one
of
the
things
when
you
look
at
the
long-term
recovery
of
covet
19.
E
That
would
also
help
facilitate
greater
access
for
some
of
the
vulnerable
populations
in
the
rural
areas,
particularly,
but
knowing
that
we
needed
to
look
at
some
policies
around
that
didn't
have
a
huge
fiscal
impact,
and
so
when
we
talk
about
an
equitable
access,
one
of
the
provisions
in
the
commission's
measure
relates
to
creating
a
data
dashboard
that
highlights
you
know
different
telehealth
access
and
wanting
to
really
make
sure
that
we
posted
that
somewhere.
E
So
the
consumer
is
aware-
and
so
we
have
some
data
to
start
the
discussions
about
informed
policy
decisions
for
the
future.
E
So
recognizing
we
need
to
start
somewhere
but
absent
data
and
knowing
we
wanted
to
just
be,
or
the
commission
wanted,
to
really
utilize
what
we
have
now
or
what
the
state
has
now,
and
so
there's
a
couple
provisions
in
there
that
that
tie
that
data
dashboard
into
not
only
the
review
of
the
commission,
but
also
the
review
requiring
that
data
dashboard
be
reviewed
amongst
all
the
regional
behavioral
health
boards
in
the
state
and
the
intent
behind
that
was
to
foster
collaboration,
but
also
recognizing
that
the
discussion
about
vulnerable
populations
and
health
health
equity
needs
to
be
at
the
forefront
of
the
discussion.
A
Thank
you.
Do
we
have
any
other
questions,
I'm
kind
of
looking
at
the
gallery
view
here
if
you
can
wave,
if
you
have
anything,
no
well,
thank
you
for
your
presentation
this
afternoon.
You
know,
I
know
we
will
see
much
more
of
you
in
the
future,
as
some
of
these
bills
come
forward
and
come
over
to
our
house.
So
thank
you
so
much
and
I
would
encourage
all
of
our
members.
A
Most
of
those
ptc
meetings
are
online,
so
you
can
go
back
and
review
some
of
their
meetings.
They
were
very
prolific,
especially
during
a
time
of
a
health
pandemic.
I
think
it
was
greatly
needed
for
those
conversations
to
take
place,
so
I
appreciate
the
fact
that
they
were
able
to
have
11
meetings
during
that
time,
yeah,
so
that
that
is
a
feat
in
and
of
itself.
A
So
thank
you
so
much
so
without
it.
We'll
move
on
to
our
next
agenda
item,
which
is
the
hearing
on
assembly
bill
16,
and
I
will
open
that
hearing.
This
is
a
bill
that
relates
to
provisions
on
the
issuance
of
copies
of
certificates
and
records
of
birth,
and
at
this
time
I
would
welcome.
I
think
I
see
him
on
here
director,
charles
daniels,
the
director
of
the
department
of
corrections
director.
Will
you
please
introduce
yourself
and
your
staff
and
begin
when
you
are
ready.
C
C
C
The
implementation
does
not
increase
or
reduce
the
overall
amount
of
requests,
and,
although
the
processing
timeline
is
extended
prior
to
the
immediate
90
days
post
release,
the
extension
will
not
have
any
impact
on
our
stakeholder
to
discuss
this
further.
I
will
turn
this
over
to
deputy
director,
harold
wickham,
who
is
in
our
northern
office
deputy
director
wickham.
G
All
right
for
the
record
good
afternoon,
chairwind
distinguished
committee,
harold
weckham
department
of
corrections
and
we've
collaborated.
This
concern
with
the
state,
vital
records
folks
and
then
in
accordance
with
the
nrs
440.175,
a
personal
governmental
organization
which
issues
certificates
or
official
copies.
G
Pursuant
to
the
paragraph
of
sub-section,
two
shall
not
charge
a
fee
for
issuing
the
certified
copy
of
a
certificate
of
birth
and
then
two
a
person
who
submits
documentation
from
the
department
of
corrections,
verifying
their
person
was
released
from
prison
within
the
immediate
90
days
and
frankly,
this
just
limits
our
ability
to
provide
the
offenders
upon
release
with
necessary
documents
to
to
be
productive
citizens
in
our
communities
and
then
due
to
the
fact
that
oftentimes
offenders
receive
merit
credits
for
courses
they're,
taking
school
vocational
skills
or
whatever,
maybe
or
an
early
release.
G
Our
time
is
shortened
even
shorter,
so
we
have
to
find
a
way
to
provide
these
documents
sooner
so
we'd
like
to
do
it
upon
intake
when
they
came
in,
we
do
the
assessments
find
out
their
needs
assessment,
and
then
we
can
get
get
the
event
get
the
documents
started,
because,
even
even
within
our
facilities,
the
offenders
have
to
have
these
documents
just
to
get
a
job
within
the
facility.
If
they're
working
for
our
prison
industries
or
anything
like
that.
So
again,
why
do
we
need
to
change?
A
G
H
A
G
It's
quite
all
right.
I'm
I'm
getting
used
to
virtual
technologies
as
well
is
that
is
that
better.
G
G
G
G
They
need
these
vital
documents
and,
unfortunately,
if
they
don't
have
these
documents
within
that
very
first
days
of
being
released,
that's
when
we
see
problems
when
the
offenders
can't
get
the
services
the
support
they
need,
that's
when
they
tend
to
revert
back
to
old
models
and
mentalities
and
ultimately
return
to
our
facilities
and
our
our
job
is
to
help
to
reduce
the
recidivism,
reduce
victimization
in
the
community
and
provide
a
better
commute
continuum
of
care
for
nevadans.
G
So
I
just
want
to
say
thank
you
again
also.
I
get
communication
from
the
washoe
county,
public
defender's
office
and
they
are
in
support
of
this
and
they
asked
me
to
tell
you
that,
but
they
weren't
able
to
testify
today
due
to
conflicting
schedules.
But
I
thank
you
and
I'm
open
for
any
questions.
You
may
have
ma'am.
A
I
It's
been
a
day
good
afternoon,
everyone
and
thank
you
so
much
for
the
explanation
for
this
bill.
When
you
said
you
were
going
to
process
this
vital
statistic,
you
are
going
to
go
through
the
process
of
acquiring
the
information
and
reaching
out
to
their
the
vital
statistics.
Places
like
I'm
from
california.
So
I'd
have
to
go
to
martinez
county
to
get
that
document
for
them.
Are
you
recreating
something?
G
For
the
record,
harold
wickham
department
of
corrections-
again,
I
hope
I'm
speaking
loud
enough.
We
don't
anticipate
changing
the
process.
We
just
want
to
move
it
further
forward
so
that
we
can
get
the
documents
from
vital
records
sooner
rather
than
later.
That
way,
we
have
them
in
our
hands
or
in
the
offender's
hands
upon
release.
J
Elizabeth
dixon
coleman,
statewide
reentry
administrator
for
nevada
department
of
corrections
to
answer
your
question
assemblywoman
the
process
in
which
we
obtain
the
birth
certificates
for
each
of
the
inmates
who
are
incarcerated.
We
utilize
the
state
systems
for
records
of
birth,
so
we
print
out
the
applications
for
each
state,
county,
etc.
J
Whichever
is
applicable
to
what
they're
applying
for
including
the
state
of
nevada
and
then
send
them
out
to
the
state
vital
records
department
of
each
of
those
individual
states
and
so
the
process,
then,
if
we
begin
at
an
intake
which
we
have
been
doing
over
the
past
year,
then
is
to
get
those
birth
certificates
back
in
a
timely
fashion.
J
What
we
found
is
most
of
the
states,
return
those
birth
certificates
quicker
and
and
and
sooner
to
us,
rather
than
having
a
delay
as
our
nevada,
vital
records
department
has
had
waiting
for
the
post
release
because,
though,
we've
been
working
and
collaborating
very
closely
with
our
other
state
agencies,
we
do
have
to
do
a
lot
of
calling
back
and
forth,
depending
on
whether
release
dates,
change
if
they're
involved
in
programming
etc.
A
Can
I
follow
up
with
that?
We've
had
several
people
that
ask
what
is
post
release.
J
The
department
corrections
for
the
record
again
post
release
is
once
they
have
left
the
department
of
corrections
facility.
So
what
we're
saying
is
the
way
that
nrs
bill
was
was
actually
put.
Is
that
up
to
90
days
after
they
are
released
to
home,
to
the
streets
to
parole,
probation
or,
however,
they
are
back
into
our
community.
There's
an
option
to
get
the
birth
certificate
to
them.
What
we
have
found
in
the
nevada
department.
D
J
Corrections
is
this
needs
to
be
done.
Pre-Released
as
deputy
director
wickham
has
pre-pre-stated
they
obtain.
They
have
the
opportunity
to
obtain
jobs
inside
they
do
need
to
do
an
I-9
and
and
all
those
things
in
accordance
to
to
being
hired
for
that,
and
they
need
the
birth
certificate
component.
K
K
The
only
thing
this
bill
does
is
under
section
1
number
three,
a
two
as
the
words
is
imprisoned,
because
currently
the
statute
says
we
don't
charge
a
fee
for
somebody
who
was
just
released
on
parole
or
someone
who
is
homeless.
Is
that
not
how
I'm
reading
this?
That's?
Basically
we're
adding
those
imprisoned,
because
everything
else
in
the
statute
remains
the
same.
Is
that
correct.
J
Thank
you,
assemblywoman
titus.
This
is
elizabeth,
dixon-coleman,
again
nevada,
department
corrections
for
the
record.
You
are
correct
in
in
reviewing
nrs
441.75
under
subsection
three
and
the
change
in
the
wording
is
taking
away
the
word
post
release
and
it
incurs
no
extra
fee.
Now
you
are
correct.
K
So,
along
that
same
line,
though,
as
the
assemblywoman
summers
armstrong
asked,
this
is
not
this
only
stops
nevada
from
charging
a
fee,
it
doesn't
stop.
If
you
were
born
as
many
of
our
people
in
nevada
are
in
another
state,
it
doesn't
stop
the
state
of
california,
do
they
charge
a
fee
and
if
they
do,
who
pays
that
fee?
J
Elizabeth
dixon
coleman
to
answer
your
question:
assemblywoman
nevada
department
corrections.
Yes,
this
is
only
actually
updating
to
say
that
that
the
timeline
has
changed.
Nevada
currently
does
not
charge
that
fee
for
our
incarcerated
people
should
they
would
should
they
want
their
birth
certificate,
as
the
law
stands
today.
J
Prior
to
that
90
days,
post
release,
our
inmates
do
have
the
option
of
personally
and
having
their
family
members
or
their
themselves
if
they
have
money
to
pay
for
that
ahead
of
time,
if
they
want
to
do
that,
and
some
of
our
our
actual
residents
have
have
chosen
to
do
that,
but
the
other
it
doesn't
prevent
the
other
states
from
charging.
The
other
states
still
do
charge
and
charge
those
fees
accordingly.
K
Correct
and
so
the
if
I
might
follow
up
on
that,
madam
chair,
so
just
along
that
same
line,
nothing
currently
stops
an
inmate
from
applying
at
any
time
or
family
member.
As
you
mentioned,
what
this
does
is
just
as
we
would
suspect
they
may
not
be
able
to
afford
it.
I
think
having
the
id
is
critical.
I'm
not
like,
I
said,
I'm
absolutely
supportive
of
this,
so
this
doesn't
really
prevent
anybody.
The
right
person,
obviously
family
member
with
permission
or
them,
and
made
themselves
from
applying
for
the
for
that
document.
J
Correct
assembly
woman:
this
is
elizabeth,
dixon
coleman
for
the
record,
again
nevada
department
corrections.
They
can
apply
at
any
time
to
pay
for
that
birth
certificate
does
not
prevent
them
from
that
action.
K
J
Elizabeth
dixon
coleman
to
answer
your
question
assemblywoman
again.
Yes,
it
does
the
more
id
that
they
have,
whether
it
be
a
birth
certificate,
social
security
card
to
apply
for
medicaid,
for
health
services,
for
housing.
J
That
continuum
of
care
for
those
wraparound
services
is
ndoc's
mission
and
has
been
over
the
past
three
years
to
hopefully
connect
returning
citizens
with
those
documents.
So
there
is
no
delay
or
there
is
no
breaking
care
for
that
and,
as
we
are
with
sb
236,
going
forward
to
apply
for
medicaid
services,
etc.
We
do
utilize
those
documents
to
make
sure
that
those
those
services
can
be
connected
for
each
of
the
residents
who
are
reentering
as
well
as
making
sure
that
working
for
medicaid,
specifically
since
you
did,
ask
assemblywoman
that
they
are
actually.
K
Great
and
thank
you
and
I
appreciate
the
department
of
corrections
being
advocates
for
the
those
are
incarcerated
from
day
one
of
their
incarceration,
because
it's
critical
that
we
understand
you
have
to
anticipate
the
release
from
the
moment.
They're
incarcerated.
How
are
you
going
to
help
these
folks
moving
forward?
So
thank
you
for
all
you're
doing
and
thank
you
for
the
questions.
Madam
chair.
A
I
Thank
you
so
much
wonderful
information,
miss
dixon
coleman,
but
just
to
to
get
a
cl,
some
fine
clarification.
J
So
the
applications
are
processed
and
then
should
they
incur
any
funds
that
are
put
on
to
their
incarceration
funding
sources
of
their
bank.
Their
books
actually
excuse
me
for
using
the
slang,
but
with
that
then,
then
they
would
be
charged
back
for
that
documentation
upon
release
or
what
they
need,
but
each
each
person
that
is
incarcerated
is
provided
with
that.
I
Documentation,
madam
chair,
if
I
may
follow
up
go
ahead.
Thank
you.
So
so
is
there
a
sum
of
money
that
is
given
at
release
that
this
can
be
charged
back
to
so
that
the
person
can
leave
with
the
documents
that
they
need,
and
if
that
is
so,
does
that
leave
them
in
a
vulnerable
position
when
they're
leaving,
if
the
documents
cost
a
certain
amount
of
money
and
is
deducted
from
that
fund
that
they
are
receiving
as
they're
walking
out
the
door.
J
Assembly,
woman,
elizabeth
dickson
coleman
to
answer
your
questions
specifically.
Yes,
it
would
be
deducted
from
the
funds
in
which
they
are
getting.
They
are
receiving
upon
release
and
depending
on
what
the
state
the
individual
states
charge,
they
range
in
average,
from
anywhere
from
fifteen
dollars
to
about
forty
three
dollars
per
birth
certificate
depending
on
the
state
and
what
you're
asking
for
it
could
encore.
I
Madam
sheriff,
I
may
go
ahead.
Thank
you
so
much
so
the
reason
I'm
asking
this
is
because
I'm
in
assembly
district,
six
and
I
have
worked
and
had
numerous
conversations
with
those
who
are
helping
the
homeless.
In
my
district,
the
las
vegas
rescue
mission,
many
of
the
services
for
the
homeless,
are
in
assembly
district
six
and
what
ends
up
happening
is
that
the
municipalities
then
end
up
incurring
the
cost
of
helping
people
who
cannot
afford
to
have
this
deducted
from
their
bank.
I
When
you
all
release
them,
and
has
there
been
any
type
of
discussion
with
the
municipalities
about
this
issue
so
that
there's
a
way
to
set
up
a
reserve
so
that
we're
not
letting
people
out
who
ask
for
this
information
one
without
those
documents
and
two
having
the
amount
deducted
from
their
bank
to
the
point
where
they
are
leaving
incarceration,
desperate,
because
they've
had
almost
100
deducted
from
the
small
amount
that
they're
leaving
out
with
this
is
a
real
concern.
I
We
don't
want
to
see
recidivism
in
our
community.
We
don't
want
people
not
asking
for
these
documents
because
they
know
when
they
come
out.
They're
only
going
to
have
150
bucks
and
they've
got
to
you
know,
have
a
room
for
a
night
or
they've
got
to
get
some
food,
but
we
also
don't
want
to
to
leave
our
local
municipalities,
who
are
also
strained,
holding
the
complete
bag
to
make
sure
that
people
are
not.
You
know,
homeless,
on
our
streets,
we
have
rules
in
las
vegas
or
people
can't
sleep
on
the
street.
I
L
Solution,
chris
franklin
management
is
for
nevada
department
of
corrections.
Thank
you
for
the
question
right
now
we
have
not
reached
out
to
the
municipalities
individually.
L
As
you
you
may
know,
the
nevada
department
of
corrections
participates
with
many
of
our
stakeholders
in
our
reentry
task
force
out
in
the
community,
and
they
are
the
first
ones
to
admit
that
identification
is
their
biggest
problem
to
be
able
to
provide
the
services
to
those
that
are
in
need.
L
Now,
as
as
we
previously
stated,
this
process
for
us
starts
at
intake.
Okay,
most
of
the
offenders
coming
in
don't
have
any
money
in
their
inmate
accounts
when
they
come
in
from
county,
so
the
inmate
welfare
fund
or
the
inmate
welfare
account.
Excuse
me
here
fronts
that
money
to
them,
so
that
they
can
get
their
birth
certificate
and
we
can
get
it
into
their
files
for
later
use
and
upon
release.
L
If
upon
release,
they
don't
have
any
funds,
then
that
dollar
amount
that
we've
been
holding
gets
written
off,
so
we're
doing
everything
within
our
power
to
try
and
provide
them
with
the
identification
they
need
their
birth
certificate
that
they
need,
but
just
as
out
in
the
community,
maybe
their
family
member
wants
to
get
into
them
sooner
or
there's
a
cost
involved
with
getting
a
birth
certificate,
sometimes
that
that
cost
gets
transferred
over
to
the
person
who
who
needs
that
piece
of
documentation.
J
Elizabeth
dickson
coleman
for
the
record
nevada
department
of
corrections,
assembly
woman
to
piggyback
off
of
that.
We
also
have
a
continuum
of
care
with
many
of
our
mcos,
with
our
managed
care
organizations
and
community
partners
that
should
extra
subsidies
need
to
be
utilized
for
obtaining
either
documentation,
wrap-around
services,
housing,
etc.
J
We
try
to
make
them
connected
to
some
of
those
mcos
and
other
state
and
other
state
supported
agencies
that
are
community
partners
to
assist
with
any
deficit
that
they
should
have.
So
if
they
come
out
with
less
money
for
housing,
we
try
and
connect
them
with
with
those
components
if
there's
a
fee
for
or
they
need
kind
of,
a
connectivity
for
medical
resources.
We
work
with
our
managed
care
organizations
to
help
ensure
that
they're
not
left
without
those
resources.
I
I
Even
we
have
15
unemployment
and
assembly
in
parts
of
a
large
swath
of
assembly
district
six
we
have
the
most
homeless
population
in
this
clark.
County
is
centered
in
assembly
district
six,
and
I
want
there
to
be
solutions
to
help
people
succeed,
not
to
set
them
up
for
failure,
and
I
it's
hard
for
me
to
believe
that
it
is
a
burden,
a
huge
financial
burden
for
us
to
make
sure,
at
the
very
least
that
we
give
people
id.
I
So
they
can
get
these
services
as
they're
leaving
and
for
those
who
don't
have
families
who
can
just
put
money
on
their
books.
If
people
have
a
hard
time
paying
for
bail,
where
are
they
going
to
get
money
to
put
on
people's
books?
I
I
just
think
it's
connected
financially
and
I
think
we
have
to
be
cognizant
of
it.
We're
not
setting
people
up
for
failure.
I
don't
want
to
see
recidivism,
because
people
are
desperate.
Desperation
is
what
makes
people
do
desperate
things.
So
thank
you
for
listening.
A
Thank
you
for
that.
I
I
have
a
couple
of
questions.
I
I
appreciate
that
you
guys
are
bringing
this
bill
and
I
appreciate
your
clarification
that
when
people
don't
have
the
funds
that
there
are
ones
that
you
are
just
writing
off,
if
they
don't
have
the
funds
to
be
able
to
cover
it,
because
I
think
I
think
that's
a
smart
thing
to
do
so.
I
I'm
glad
to
hear
that
you
guys
have
said
that.
A
I
know
that
we
have
had
a
huge
problem
with
people
that
have
been
granted
parole
and
they
are
unable
to
obtain
like
services,
housing
or
other
wraparound
services,
and
so
they
have
been
granted
parole,
but
they're
still
incarcerated.
Do
you
anticipate
getting
this
identification
earlier
on?
Will
help
alleviate
some
of
those
problems.
J
Elizabeth
dixon
coleman
for
the
record,
madam
chair,
it
it
is
sorry,
I
lost
my
train
of
thought.
I
apologize
so
so,
as
as
they
are
as
they
are
exiting.
J
We
are
working
collaboratively
with
parola,
probation
and
and
other
state
agencies,
so
that
this
is
not
a
preventative
measure
and
that
having
these
pieces
of
documentation
in
ahead
of
time
and
obtaining
them
sooner
than
later
will
enable
them
that,
should
they
need
those
wraparound
services
that
are
not
extended,
as
assemblywoman
armstrong
had
said
by
family
members,
etc
that
it
gives
them
time.
J
Should
they
be
going
forward
with
parole
of
probation
or
should
they
be
exiting
prison
without
those
family
supports
that
they
have
those
documents
ahead
of
time
so
that
they
can
get
the
services
that
they
need
and
it
not
being
necessarily
a
preventative
action
to
not
release
them
because
they
don't
have
a
birth
certificate.
Specifically.
G
Thank
you,
madam
chair,
for
the
record,
harold
wickham.
No,
I
think
elizabeth
covered
it
very
well.
I
just
want
to
say
also
that
we
do
have
the
inmate
welfare
fund
that
also
provides
for
birth
certificates
as
as
needed,
but
the
reality
is
as
a
department
of
corrections.
A
A
E
A
I
think
that
is
all
so
at
this
time
I
will
hear
testimony
and
support
opposition
in
neutral
on
av-16.
I
know
that
there
were
several
people.
I
think
mr
wickham
had
indicated
that
the
public
defender's
office
had
indicated
their
support.
I
believe
some
people
have
submitted
written
testimony
on
this
as
well,
so
I'd
encourage
our
members
to
go
and
take
a
look
at
that
as
well
on
nellis
and
at
this
time
broadcast
services.
A
Can
you
see
if
we
have
any
testimony
in
support
of
8016.
M
M
H
Hello,
my
name
is
jody
hawking.
I
am
both
part
of
an
impacted
family.
My
loved
one
is
incarcerated
at
southern
desert
and
I
also
am
the
founder
of
return,
strong
families,
united
for
justice.
I
appreciate
your
time
today.
I
really
want
to
come
and
share
on
a
personal
level,
my
support
for
ab16
and
providing
birth
certificates
for
incarcerated
people
prior
to
their
release
from
prison.
H
My
partner
was
released
in
october
of
2018
after
19
years
of
incarceration.
He
did
get
a
voucher
to
waive
the
fees
for
his
birth
certificate,
which
was
a
help,
but
it
really
disregarded
many
of
the
barriers
to
transitioning
into
society
prior
to
incarceration.
He
didn't
live
a
life
that
necessarily
followed
the
rules
that
many
of
us
follow.
So
he
never
had
a
copy
of
his
birth
certificate
or
social
security
card.
H
It
took
us
four
months
to
actually
get
his
birth
certificate,
because
the
id
that
was
given
to
him
by
the
prison
was
under
an
alias
which
he
had
used
when
he
was
arrested.
It
wasn't
his
true
name.
So
getting
a
birth
certificate
became
a
barrier
to
identification
which
created
a
dilemma
in
finding
work
and
getting
health
insurance
to
deal
with
the
ptsd
that
he
has
attending
school.
He.
C
H
H
Honestly,
the
frustration
and
anger
created
a
cycle
of
depression
and
hopelessness
that
is
hard
to
really
describe
how
deeply
it
impacted
him
so
deeply
that
we
started
to
see
him
slip
away.
He
would
always
say
that
he
was
lost,
but
it
was
devastating
to
him
to
want
so
desperately
to
do
the
right
thing
by
all
of
us
and
not
be
able
to
do
it
from
no
fault
of
his
own.
H
Now,
as
mr
wickham
and
director
daniels
has
said,
and
so
many
times
that
this
happens
he's
back
in
prison
now
on
a
violation,
can
I
completely
blame
the
difficulty
in
getting
a
birth
certificate
as
the
only
reason
that
that
happened?
No,
it's
not
that
simple,
but
I
do
frequently
wonder
if
the
system
had
set
him
up
for
success.
Would
the
result
be
different
and
I
definitely
think
that
it
could
have
been
if
we
want
to
provide
people
a
chance
at
getting
it
right.
We
have
to
set
them
up
for
success
outside
of
prison.
H
A
birth
certificate
and
an
identification
in
their
true
name
would
be
the
bare
minimum
that
they
could
expect.
I'm
here
today
in
support
of
ab
16,
and
I
did
just
want
to
make
an
additional
comment.
While
you
guys
were
talking
and
asking
questions,
I
did
some
research
and
there
are
a
ton
of
states
that
actually
have
waivers.
Even
if
you
live
out
of
state,
you
can
provide
a
waiver
for
your
birth
certificate
if
you're
incarcerated.
H
A
Time,
thank
you
broadcast
services.
Do
we
have
any
other
people
in
support.
M
D
Hello
and
thank
you
chairwind.
This
is
nick
chipak,
n-I-c-k-s-h-e
p-a-c-k.
The
policy
and
program
associate
with
the
aclu
of
nevada,
I'm
very
happy
to
both
be
in
the
assembly,
judiciary
and
support
of
a
ndoc
bill.
Two
things
I
don't
get
to
do
every
day,
leaving
prison
and
starting
life
is
hard
for
even
the
most
well-supported,
formerly
incarcerated,
individual.
Obtaining
important
documents,
such
as
license
for
a
certificate
social
security
card
cards,
can
be
confusing
and
a
daunting
task
for
the
average
person.
Imagine
imagine
how
hard
it
is
for
someone
who
has
spent
20
years
more
incarcerated.
D
The
world
is
different
than
they
remember
and
simple.
Daily
tasks
such
as
shopping
for
food
can
be
overwhelming.
While
we
are
very
happy
that
ndoc
has
decided
to
try
to
make
this
simple
and
meaningful
change.
If
we
truly
want
a
system
that
works
to
ensure
successful
re-entry,
we
must
provide
incarcerated
people
with
the
tools
to
succeed.
This
includes
important
personal
documents.
These
documents
need
to
be
in
the
possession
of
their
rightful
owner
upon
release.
D
We
urge
the
nevada
department
of
corrections
to
work
with
us
and
families
on
their
legislation
assessment
session,
so
that
we
may
continue
to
show
up
in
support.
While
this
bill
needs
no
amendment,
we
believe
that
we
can
find
common
ground
on
most
of
their
proposed
legislation.
We
urge
this
committee
to
pass
this
simple
and
meaningful
legislation
and
continue
to
work
on
any
effort
that
will
make
re-entry
into
society
easier
for
our
soon-to-be
neighbors.
Thank
you
all
very
much.
M
D
Hi,
jim
hoffman
j-I-m-h-o-f-f-m-a-n
for
nevada
attorneys
for
criminal
justice.
We
think
this
is
a
good
bill.
We
support
this
for
the
reasons
that
everyone
has
already
said
and
specifically
in
response
to
assembly,
woman's
summer's
armstrong's
concerns.
We
would
note
there's
another
step
here
that
could
be
taken.
This
bill
just
applies
to
endoc.
It
applies
to
people
who
are
in
prison,
but
we
know
that
a
lot
of
people
who
are
incarcerated
for
misdemeanors
in
the
county
jails
also
have
this
kind
of
problem
and
there's
nothing
in
the
bill
that
helps
them.
D
A
I
believe
I
know
the
answer
to
this,
but
do
we
have
any
callers
in
neutral.
A
C
Remarks
chairman
nguyen,
and
vice
chair,
peters
and
the
rest
of
the
assembly
committee
on
health
and
human
services.
C
I
would
just
like
to
thank
each
of
you
for
allowing
us
to
present
this
bill
and
we
think
this
is
a
win-win
for
everyone
and
we
look
forward
to
providing
legislation
of
this
nature
to
be
presented
before
you,
because
we
do
genuinely
believe
this
will.
This
is
impactful
and
it's
meaningful
and
there's
there's
no
downside
to
this.
So
once
again
thank
each
and
every
one
of
you
for
your
time,
as
well
as
your
questions
and
concerns,
and
that
also
includes
the
public
comment.
Thank
you.
A
Let's
see
at
this
time.
I
will
begin
public
comment
as
a
reminder
to
provide
common
public
comments.
Please
register
online
at
the
legislative
res
website.
Please
clearly
state
your
name
and
spell
your
name
for
the
record
and
please
limit
your
comment
to
two
minutes
broadcast
services.
Do
we
have
anyone
in
the
queue
for
public
comments.
M
M
B
Good
afternoon
my
name
is
giarleni
roha
y,
a
r
l,
e
n
y
r,
o
a
hyphen
d.
U
g
a
n!
Thank
you,
chair
wen
and
committee
members
for
your
time
and
for
the
opportunity
to
speak.
B
B
Also,
there
is
a
lack
of
patient
participation
during
meetings
and
the
commission
hears
mostly
from
health
care
organizations.
If
given
the
opportunity,
I
would
encourage
this
body
to
consider
my
testimony
and
increase
patient
advocates
in
the
commission.
Thank
you
for
hearing
my
testimony.
I
welcome
the
opportunity
to
further
discuss
this
with
you
anytime
or
answer
any
questions
that
you
may
have.