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Description
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A
I
will
call
this
meeting
to
order
good
afternoon
everyone
and
welcome
to
our
first
meeting
of
the
assembly
committee
on
health
and
human
services
for
the
81st
legislative
session.
Madam
secretary,
can
you
please
call
the
role.
B
A
C
D
A
And
it
looks
like
everyone
is
present,
madam
secretary,
thank
you
and
I
saw
assemblywoman
black
saying
hell
saying
yes,
our
present,
so
just
if
that
wasn't
already
marked
for
the
record,
if
we
could
just
indicate
that
as
much
but
thank
you
everyone
for
joining
us
and
thank
you
to
our
virtual
audience,
watching
this
online
on
their
phones
or
any
other
device
that
they
have
available
to
them.
I'm
just
going
to
kind
of
jump
into
this.
A
A
I
just
want
to
kind
of
kick
it
off
and
before
I
begin,
I
just
like
to
make
a
several
housekeeping
kind
of
announcements.
For
those
of
you
that
don't
know
the
assembly
committee
on
health
and
human
services
is
scheduled
to
meet
monday
wednesdays
and
fridays
at
1.
30
pm
for
those
of
you
that
are
returning,
know
that
sometimes
floor
can
go
a
little
bit
longer.
So
that's
a
moving
130,
but
I
will
plan
on
trying
to
start
on
time
all
the
time.
A
So
I've
asked
people
to
kind
of
get
on
early,
especially
in
this
virtual
setting,
because
we
always
have
some
difficulties,
including
myself
and
unfortunately,
my
10
year
old
son
who's.
Usually
my
house
I.t
person
is
not
here
up
in
carson
city,
so
he
won't
be
able
to
run
around.
Although
I
know
we
have
great
staff
here
with
lcb.
A
In
addition
to
all
of
this
any
written
documentation,
committee
exhibits
can
be
viewed
electronically
and
you
can
also
email
abigail
lee
our
committee
manager
by
noon
the
day
before
the
meeting.
If
you
would
like
to
submit
anything
in
writing-
and
I
would
ask
all
committee
members
to
please
keep
your
cameras
on
unless
you
need
to
step
away
from
this
meeting
and
if
you
do
so,
if
you
could
just
let
either
myself
or
vice
chair
peters
know,
that
would
be
greatly
apprecia
appreciated.
A
So
without
further
ado,
I'm
going
to
kind
of
move
to
the
next.
Oh
last
thing
just
so
we
have
an
orderly
flow
of
discussion.
If
you
have
comments
or
questions
or
responses,
if
you
can
have
it
come
through
myself,
I
know
we've
been
utilizing,
there's
multiple
different
ways
that
we
can
communicate.
I
think
probably
the
easiest
that
I've
found
in
other
committees
is,
if
you
want
to
send
a
message
to
me
via
skype,
and
I
will
recognize
you
before
you
can
speak.
A
If
you
can
raise
your
hand
if
you
are
having
difficulty
in
skype,
I
know
we
will
try
to
be
as
flexible
as
possible,
and
I
know
vice
chair
peters
will
also
be
kind
of
looking
out
to
see
if
people
are
motioning
that
they
have
a
comment
or
they'd
like
to
say
something.
So
we
will
move
on
to
the
next
thing.
I'm
gonna
just
start
with
some
committee
members
and
staff
introductions
and
I'm
gonna
start
with
members
of
the
committee
and
the
committee
staff.
If
you
guys
can
introduce
yourself.
A
I
know
you've
done
this
a
lot
lately
so,
and
some
of
you
already
know
each
other.
But
there's
always
that
committee,
where
you've
never
been
on
a
committee
with
someone,
and
so
if
you
could
briefly
introduce
yourself
that
would
be
great
and
I'm
going
to
start
with
my
friend
and
vice
chair,
assemblywoman
peters,.
E
Thank
you
chair,
I'm
really
looking
forward
to
serving
on
this
committee,
particularly
with
assemblywoman
when
as
chair,
I
think
this
is
going
to
be
some
a
really
great
session
to
talk
about
issues
that
come
in
through
hhs.
So
thank
you
so
much.
E
Benitez-Thompson,
I'm
assuming
woman
benitez
thompson,
I'm
very
excited
to
be
returning
to
the
health
and
human
service
committee.
I
served
on
it
for
all
of
my
sessions
except
for
last
session
and
am
happy
to
be
back
here.
One
of
my
favorite
subject
matters.
F
Thank
you,
madam
chair,
excited
to
see
that
you
are
the
chair
of
this
committee
and
your
passion
for
all
nevadans.
That's
exciting,
I'm
dr
robin
titus,
I'm
a
family,
physician,
35,
plus
years
of
family
practice
in
the
office
seen
anything
that
went
through
my
door.
Lots
of
er
experience,
also
long-term
care
medical
director.
I
gave
up
those
hats,
however,
so
that
I
could
be
here.
The
only
thing
that
I'm
doing
medically
currently
is
I'm
still
the
lawn
county
health
officer.
So
I
do
have
lots
of
experience
in
healthcare.
Realm
have
been.
F
I
represent
rural
nevada,
also
district
38.
So
a
lot
of
the
rural
healthcare
issues
have
been
a
passion
for
mine
and
I
look
forward
to
solving
problems
between
care
access
throughout
this
state,
not
just
in
rules
but
in
urban
settings,
and
I
think
health
care
has
always
been
something
that
has
a
wide
range
of
bipartisan
support
for
it,
because
I
think
there's
not
a
person
on
this
community
that
doesn't
recognize
that
health
care
is
critical
to
this
day.
All
nevadans,
regardless
of
where
you
are
so
I'm
excited
about
the
makeup
of
this
committee.
F
E
Committee
and
agree
with
what
everybody
else
just
said
excited
to
be
here.
A
lot
of
hard
work
ahead
of
us.
E
Hi,
thank
you
chairwin,
some
of
them
michelle
gorlow.
I
represent
assembly
district
35,
which
is
in
the
southwest
of
las
vegas.
In
my
day
job.
I
work
for
a
local
non-profit
organization
that
provides
health
care
to
children
and
we
emphasize
children
with
special
health
care
needs.
Prior
to
that,
I
work
with
maternal
child
health
care
issues,
and
so
healthcare
has
been
very
near
and
dear
to
my
heart.
E
E
Thank
you
chairwin.
It
is
a
pleasure
to
be
here
with
all
of
you.
I
am
assemblywoman
lisa
krasner.
I
represent
nevada
state
assembly
district
26,
which
is
south
reno
and
incline
village.
I
did
serve
on
hhs
in
the
2019
legislative
session
and
I'm
very
happy
to
be
back
again
looking
forward
to
creating
legislation
that
helps
the
people
in
the
state
of
nevada
and
improves
their
lives.
Thank
you
and
if.
A
We
can
go,
we
can
go
to
assemblyman
david
or
in
liquor.
E
Thank
you,
madam
chair
david
orient
liquor
assembly
district
20,
which
is
on
the
east
side
of
las
vegas
and
paradise,
and
into
northwest
henderson
my
background's
in
medicine
and
law.
I
teach
at
unlv
school
of
law,
also
medicine,
health
law,
constitutional
law.
So
I
spent
a
good
part
of
the
past
several
years,
thinking
about
how
we
can
improve
our
health
care
system.
A
D
Good
afternoon,
everyone
I
have
folks
in
the
office
so
excuse
the
mask.
My
name
is
chandra
summers:
armstrong.
I
am
the
assemblywoman
for
assembly
district
six.
We
just
had
a
little
technical
problems,
but
the
crack
it
team
has
come
through
so
happy
to
be
here.
I'm
excited
to
help
in
any
way
I
can
to
advance
good
policy
that
will
assist
the
folks
in
my
community
and
all
across
the
state
of
nevada.
Thank
you.
So
much.
A
Thank
you
and
next
assemblywoman
claire
thomas.
Can
you
introduce
yourself.
D
Thank
you,
madam
chair.
I'm
clara
thomas
assembly,
woman
for
assembly,
district
17
in
beautiful
north
las
vegas,
which
is
about
five
miles
west
of
nellis
air
force
base.
I
am
a
retired
air
force
veteran
and
I
am
extremely
happy
to
be
on
this
committee.
D
Look
forward
to
good
bills
coming
out
addressing
some
of
the
issues
for
our
vets,
our
elders
and
our
community
in
general,
the
state
of
nevada.
So,
thank
you
so
much
for
being
on
this
committee.
A
A
E
E
Oh,
is
that
better
yeah?
Yes,
that
is
great.
Thank
you.
So
much
you're
doing
great.
Okay,
annie
black
assembly
district
19..
I
am
a
realtor,
but
I'm
married
to
a
medical,
professional.
A
neurophysiologist
we've
just
started
a
little
medical
business.
Hopefully
it'll
be
a
big
medical
business
someday.
But
I'm
curious
and
interested
to
see
about
some
of
the
stuff
we're
going
to
talk
about
in
this
committee
and
hope
that
I
can
bring
some
good
feedback
to
the
group.
A
E
A
Thank
you-
and
this
is
my
second
session
on
hhs,
my
second
and
legislative
session
as
well,
and
is
my
first
as
chair
of
this
committee,
a
role
that
I'm
truly
humbled
and
honored
to
serve
in
as
in
during
this
session.
A
However,
the
role
I'm
probably
most
proud
of
is
mother
to
my
two
beautiful
children,
my
sweet
way
too
smart
for
his
own
good,
ten-year-old
son
henry,
as
well
as
my
wild
and
crazy
and
sarcastic
eight-year-old,
daughter,
hannah
and
anyone
that's
met.
Her
knows
that
this
is
very
much
true.
A
I
should
probably
list
my
other
children,
my
husband
he's
wonderfully
supportive,
my
father
tongue
and
my
father-in-law
dale
and,
of
course,
our
coveted
puppy
neil
after
neil
young.
I
know
that
assemblywoman
titus
had
indicated
that
she
had
seen
neil
young,
so
she
will
probably
appreciate
the
name,
but
it
is
this
multi-generational
living
that
I
grew
up
with
in
my
house
and
that
I
now
have
in
my
house.
E
A
I
have
I'm
dealing
with
it.
You
know
personally
with
my
children
with
my
elderly
parents,
and
so
I
know
that
there
are
a
lot
of
policies
that
we
all
care
about
that.
Hopefully
we
can
pass
here
that
will
affect
families
like
our
own,
so
and
with
all
the
unique
challenges
that
the
last
year
has
brought.
I'm
still
just
always
inspired
by
the
fighting
spirit
that
nevadans
have
it's.
A
She
goes
by
gail
gail
lee
and
she
is
our
committee
manager
for
hhs.
She
was
born
and
raised
and
educated
in
the
philippines
and
has
a
bachelor's
degree
in
business
administration.
Before
working
in
the
assembly.
She
lived
in
the
washington
dc
area
and
worked
in
the
private
sector
most
recently
as
a
business
operations
manager
at
a
fortune.
500
company
for
over
10
years,
she's
also
held
leadership
roles
in
aviation
and
the
hospitality
industry
and
moved
to
carson
city
in
2019.
A
She
is
the
mother
of
two
boys,
david,
eight,
daniel
sixth
and
outside
of
work.
She
spends
a
lot
of
time.
Volunteering
volunteer
duties,
loves
hiking,
snorkeling
running
and
has
a
passion
for
performing
arts,
and
today
we
wore
the
same
shoes.
So
if
she
is
on
here,
if
you
could
just
unmute
yourself
and
maybe
say
hi,
that
would
be
great,
I
know
sometimes
if
we
can
put
a
face
to
the
name-
that's
great,
but
I
don't
see
her
on
here,
but.
A
You
and
if
we
could
also
welcome
terry
horgan,
our
committee
secretary,
she
has
lived
in
carson
city
since
1975
is
a
retired
bookkeeper
and
has
worked
as
a
committee
secretary
for
many
legislative
sessions,
primarily
in
health
and
human
services,
and
she
tells
me
that
she
loves
her
job
and
there's
multiple
exclamation
points.
So
if
she
is
on
here,
if
we
can
have
her
unmute
and
kind
of
say
hi,
that
would
be
great
as
well.
A
And
then
just
I
want
to
introduce
everyone,
because
if
you
are
trying
to
get
a
hold
of
me
or
you
want
to
have
a
meeting
with
me
or
you
just
want
to
come,
see
my
record
collection
with
your
mask
on
my
attache.
My
personal
associate
is
ciel
talata.
She
is
a
proud
nevada
native,
a
unlv
graduate
during
the
2019
legislative
session.
A
She
worked
as
a
legislative
intern
in
the
assembly
leadership
office
and
she
most
recently
graduated
from
unlv
with
her
bachelor
of
arts
in
political
science,
and
she
is
currently
working
on
her
master's
of
public
administration
degree
also
at
unlv
school
of
public
policy
and
leadership.
So
she
will
sometimes
be
here
late
at
night
doing
her
classes
online.
A
A
She
is
also
helping
with
our
nonpartisan
aapi
legislative
caucus
this
year
with
some
of
the
cultural
events
that
we
have
planned,
probably
in
a
virtual
setting.
So
if
I
can
have
her,
I
don't
know
if
she's
on
here,
but
if
I
can
have
her
pop
on,
I
don't
think
she
is,
but
you
will
see
her
and
we
are
twinning
today,
which
is
very
strange.
Trinity
tom
is
the
committee
assistant
for
health
and
human
services,
growth
and
infrastructure
and
legislative
operations
and
elections
and
natural
resources.
A
This
is
her
fourth
legislative
session
and
second
time
on
hhs
and
she
is
an
enrolled
member
of
the
walker
river
paiute
tribe
and
she
enjoys
traveling
and
playing
softball
in
her
free
time,
and
I
don't
know
if
I
saw
her
on
here
as
well,
but
if
she
is-
and
you
want
to
unmute
yourself
great,
no,
I
don't
see,
and
next
I
will
go
to
some
of
our
nonpartisan
committee
council
and
I
will
start
with
miss
carly
and
I
will
let
her
introduce
herself.
E
B
E
Committee,
this
is
my
fifth
legislative
session
on
my
second
session
staffing
hhs
in
years
prior
to
that
I
staff
the
education
committee,
and
most
of
you
are
familiar
with
the
services
that
committee
council
offers,
but
in
the
event
that
you're
not
I'll,
be
helping
with
answering
questions
regarding
bills.
The
committee
is
hearing
I'm
happy
to
answer
questions
offline
as
well,
and
I
can
also
help
with
preparing
any
kind
of
conceptual
amendments
or
mock-ups
as
those
arise.
C
Thank
you
so
much
chairwin
and
good
afternoon,
I'm
patrick
ashton
and
I
work
as
a
senior
policy
analyst
with
the
research
division
of
the
legislative
council
bureau.
So
this
is
my
second
session.
With
the
legislature
last
session,
I
staffed
the
assembly,
commerce
and
labor,
and
during
the
past
interim,
I
staffed
the
legislative
committee
on
health
care
for
some
meetings
and
the
committee
to
study
the
cost
of
prescription
drugs.
C
I
hold
two
master's
degrees
from
unr,
one
in
political
science,
the
other
one
in
social
work,
I'm
also
a
licensed
social
worker
and
worked
for
the
aging
and
disability
services
division
at
dhhs
and
the
university
center
for
autism
and
neurodevelopment
at
unr
before
joining
lcb,
and
by
now
you
may
have
noticed
my
accent,
I'm
originally
from
munich
bavaria
in
germany
and
about
since
2009
I
have
enjoyed
living
in
nevada
for
most
of
the
time,
I'm
really
honored
to
serve
as
your
comedy
policy
analyst
and
I'm
looking
forward
to
working
with
all
of
you.
Thank
you.
A
Thank
you,
patrick,
and
this
goes
for
all
the
committee
members.
I
think
it
was
one
of
those
things
I
didn't
realize
how
valuable
and
what
a
resource
those
two
individuals
in
particular
are
for
all
members
on
this
committee.
So
please
reach
out
to
them.
You
know
as
you're
looking
through
bills.
If
you
have
questions
about
them,
they
are
there
to
help
all
of
us
on
this
committee
kind
of
understand
and
unpackage
and
get
through,
sometimes
the
very
complex
nature
of
looking
through
these
bdrs
as
we're
going
through
the
session.
A
So
please
take
advantage
of
their
resources
and
their
knowledge
and
they're
fantastic
people
as
well.
Our
first
order
of
business
today
is
the
adoption
of
the
committee
policies.
They
were
posted
on
the
legislature's
website
and
I
believe
we
have
the
opportunity
to
also
email
them.
They
are
policies
that
I'm
sure
you
have
all
already
voted
on,
they're
very
similar
to
those
approved
in
other
committees.
A
I
don't
see
anyone,
so
I
will
entertain
a
motion
at
this
time
to
adopt
the
committee
policies
for
the
assembly
committee
on
health
and
human
services
I'll.
Second,
it
okay
did
someone
who
moved
sarah
a
motion
by
vice
chair,
peters
and
a
second
by
assemblywoman
titus,
and
for
this
motion
I
will
take
a
roll
call
vote
just
for
precision
and
simplicity.
So
if
you
can
vote
either
yes
or
no
for
when
your
name
is
called.
So,
if
I
can
ask
madam
secretary
to
please
commence
our
roll
call
vote.
E
A
Yes,
and
so
that
motion
carries
unanimously.
Thank
you
guys,
all
I'm
very
excited
about
this.
I
this
was
also
on
nellis
and
probably
provided
in
an
email,
but
next
I'm
going
to
have
our
committee
policy
analyst.
Patrick
ashton
present
the
committee
policy
brief,
and
if
you
want
further
details
about
what
is
contained
in
that
like
I
said
it
is
a
larger
document
that
was
already
previously
provided,
if
you
haven't
had
the
opportunity
to
review
it
yet.
So
I
will
turn
this
over
to
patrick.
C
Thank
you
so
much
chairwin
for
the
record,
patrick
ashton
committee
policy,
analyst
with
the
legislative
council
bureau
before
I
start,
I
a
little
reminder
as
legislative
staff.
I
cannot
advocate
or
oppose
any
of
the
proposals
that
come
before
you
I'm
here
to
assist
the
chair
and
the
members
with
any
questions
concerning
policies
that
may
arise.
C
My
only
agenda
is
to
be
objective
and
provide
you
with
unbiased
information
and
I'm
available
to
assist
the
committee
and
its
members
on
any
issues
related
to
health
and
human
services.
In
addition,
the
research
division
is
available
to
provide
information
assistance
on
a
confidential
basis
to
individual
members
of
the
legislature
on
any
topic.
So
please
feel
free
to
reach
out
to
me
or
any
of
my
colleagues
at
any
time.
C
So
you
have
all
been
provided
an
electronic
copy
of
the
comedy
brief
and
you
can
also
find
a
copy
on
nellis.
This
brief
provides
a
background,
provides
background
information
on
the
work
of
the
committee
and
policy
issues
that
you
may
consider
this
session.
I
just
like
to
take
a
couple
of
minutes
to
cover
some
highlights.
C
So,
let's
go
first
to
page
one
of
the
committee
brief
and
during
the
2019
legislative
session,
this
committee
considered
a
total
of
46
assembly
and
41
senate
bills
in
resolutions,
which
is
a
total
of
87
measures.
C
C
C
C
C
Next.
On
pages
6
and
7,
you
will
find
an
overview
of
relevant
audits
reports
and
studies
such
as
interim
committee
bulletins,
that
summarize
the
work
of
committees
and
studies
during
the
past
interim
reports
on
certain
issues
that
the
legislative
committee
on
healthcare
studied
and
legislative
audits
from
the
lcb
audit
division.
C
The
comedy
brief
contains
hyperlinks
to
the
audits,
reports
and
bulletins.
If
you
like
to
dig
deeper
in
certain
issues.
Finally,
you
will
find
a
separate
document
in
your
meeting
materials
that
lists
relevant
state
or
log
local
agency
contacts.
The
agencies
included
are
those
that
are
likely
to
come
before
the
company
at
some
point
during
session.
A
Let's
see
anything
there
like,
I
said
he
is
an
invaluable
resource
to
the
committee.
He
is
there
to
answer
all
of
your
questions
in
a
just
straightforward
way
and
it's
been
fantastic.
So
I
appreciate
all
his
help
and
getting
ready
for
today
and
I
look
forward
to
working
with
him
the
rest
of
the
session.
A
For
those
of
you
that
are
aware,
a
tremendous
amount
of
our
state
budget
is
health
care
related,
and
I
can't
even
begin
to
describe
the
scope
of
what
this
department
and
our
state
does,
and
they
we
have
a
wonderful
director
whitley
that
like
manages
all
this,
I
don't
know
how
he
does
it
he's
incredible,
but
I
am
going
to
let
him
introduce
himself
for
the
record
for
those
of
you
that
have
never
met
him.
A
He
is
fantastic
and
then
he
will
kind
of
give
a
broad
overview
and
then
we'll
allow
some
time
for
some
questions,
keeping
in
mind
that
we
do
have
some
other
presentations
coming
up,
where
there
will
be
more
specific,
detailed
discussions
about
some
of
the
agencies
within
the
department
of
health
and
human
services.
So
with
that,
I
will
turn
this
over
to
director
whitley.
G
Thank
you.
Thank
you,
chairperson,
win
and
committee.
My
name
is
richard
whitley
and
I
do
serve
as
the
director
for
the
department
of
health
and
human
services
and
I'm
actually
grateful
that
that
the
chair
has
allowed
us
to
sort
of
break
out
in
the
future
meeting
some
more
some
deeper
dives
into
aspects
of
of
health
and
human
services
like
nevada,
medicaid
and
behavioral
health,
and
and
also
a
focus
on
the
state's
response
to
to
the
covet
pandemic.
G
I
have
a
few
slides
and
they're
really
just
to
keep
me
on
track,
and
I
think
if
we
start
with
slide
two,
this
references,
our
department's
authority
and
mission.
We
really
have
a
a
population
based
approach
to
health
care
and
a
public
health
approach
to
prevention
and
intervention
slide.
Three
summarizes
how
the
department
is
organized
into
five
divisions,
as
shown
in
the
gray
boxes.
G
They're
framed
around
population
served
such
as
aging
and
disability,
services,
child
and
family
services,
and
functions
such
as
public
and
behavioral,
health,
welfare
and
supportive
services
and
nevada
medicaid.
Each
of
the
divisions,
each
of
the
divisions
really
comes
equipped
with,
with
all
the
standard,
bureaucratic
components,
personnel,
information,
technology
and
financing
slide.
Four
represents
the
total
number
of
full-time
staff
in
the
department.
G
G
This
session
there
will
be
a
there
is
a
request
for
288
additional
staff,
and
this
is
primarily
due
to
caseload
growth
in
various
programs,
which
really
takes
me
to
the
to
the
next
slide
on
page
five,
the
budget,
so
the
cost,
as
as
the
chairperson
mentioned
for
fiscal
year,
20
22,
23
dhhs-
represents
48
of
the
state's
total
budget,
and
that
represents
all
the
funding
sources,
both
the
state
general
fund
and
and
federal
match.
But
then
within
the
dhhs
budget,
medicaid
represents
78
of
the
of
the
total
amount
spent.
G
So
you
can
see
that
dhhs
has
the
largest
spend
of
any
single
state
agency
and
that
spend
is
primarily
in
nevada
medicaid,
just
in
order
to
sort
of
frame
the
high-level
overview.
If
going
back
to
slide
three
I'd
like
to
spend
a
little
bit
of
time
talking
about
our
structure,
when
you
look
at
our
programs,
I
think
you
have
to
look
at
them
in
the
context
of
of
how
we
operationalize
them
in
the
community
and
what
our
role
is.
G
Our
role
includes
like
the
direct
delivery
of
service,
the
funding
of
service
and
then
the
the
regulating
or
enforcement
of
service
delivery.
So
we
have
all
three
of
these
components,
and
sometimes
that
exists
in
a
single
program.
G
For
example,
in
public
health,
we
only
have
two
local
health
districts
in
our
state,
washoe
county
district
health
department
and
southern
nevada
district
health
department.
The
re,
the
remainder
of
the
state
falls
under
dhhs
for
public
health.
We
do
have
a
quad
county
collaborative
led
by
carson
city,
but
that
is
not
a
health
district,
we're
one
of
the
few
states
in
the
nation
that
actually
has
this
model
where
the
estate,
the
state
assumes
some
responsibility.
Direct
responsibilities
for
public
health.
G
Social
services
is
really
another
area
where
there
are.
There
are
county
social
services
in
every
county,
but
they
play
very
different
roles.
For
example,
in
clark
and
washoe
county,
the
child
welfare
is
delivered
by
at
a
county
level,
but
for
the
remainder
of
the
state,
the
state
has
oversight
for
child
welfare.
G
G
Until
the
expansion
of
medicaid,
the
state
was
the
single
largest
provider
of
behavioral
health
services
and
the
transition
to
more
to
a
more
community-based
strategy
has
really
developed,
with
the
expansion
of
medicaid
and
consumers
having
a
choice
on
where
they
go
to
get
services
and
with
the
legislation
that
created
the
regional
behavioral
health
boards,
when
we
would
be
for
the
expansion
of
medicaid,
we
were
really
only
one
of
three
states
who
operated
behavioral
health
in
in
in
this
manner,
with
the
state
being
the
the
primary
care
provider.
G
Finally,
I
would
mention
that
in
medicaid,
this
model
is
primarily
a
managed
care
model
in
clark
and
washoe
county
and
a
fee
for
service
model
in
rural
nevada.
Additionally,
there
are
populations
such
as
the
blind
aged
and
disabled,
which
are
in
a
fee
for
service
environment,
and
so
these,
this
service
delivery
approach
is
really
it's
really
complex,
both
in
terms
and
and
costly,
both
in
terms
of
the
vulnerable
populations
that
that
are
served
as
well
as
the
actual
financial
cost
for
for
that
delivery.
G
For
the
past
four
or
five
years,
we've
really
struggled
while
trying
to
reduce
the
number
of
people
who
are
uninsured
to
to
really
implement
healthcare
in
an
environment
that
that
really
has
been
made
difficult
by
the
notion
of
repealing
the
affordable
care
act
and
and
even
impacting
the
expansion
of
medicaid.
G
It
seems
like,
as
we
moved
forward,
to
really
mature
our
health
care
system.
We
we
had
a
lot
of
challenges
along
the
way,
further
complicated
during
this
past
year
with
the
with
the
covid
pandemic,
but
I
I
I
think
that
I
think
it's
important
to
note
that
this
was
already
a
very
fragile
environment.
G
The
the
healthcare
system
in
our
state
doomed
primarily
to
the
fact
that
much
of
our
state
is
a
healthcare
workforce,
shortage
area
and
access
to
primary
care,
specialty
services,
and
even
our
health
facilities,
such
as
long-term
care
in
hospitals,
remain
in
in
some
communities
very
vulnerable.
During
the
pandemic.
G
We
have
had
challenges,
but
we've
also
had,
I
think,
opportunities
identified
and
maybe
moved
moved
more
quickly
or
took
bigger
or
bolder
steps
to
to
be
responsive
than
maybe
we
would
have
otherwise,
for
example,
and
some
of
these
things
are
too
good
to
not
build
off
of
as
we
go
forward.
For
example,
telehealth
has
really
increased
access,
especially
in
the
area
of
behavioral
health,
and
that's
largely
due
to
the
groundwork
that
legislators
did
on
on
on
framing
telehealth.
G
We
were
pretty
much
ready
to
go
with
with
the
implementation,
including
with
with
medicaid,
and
so
I'm
really
pleased
that
that
that
that
has
allowed
us
to
continue
with
service
provision
during
the
pandemic.
The
other
is
the
expansion
of
scope
of
practice
and
a
good
example
of
that
is
pharmacists
and
pharmacy
techs
as
immunizers.
G
I
think
that
I
think
that
a
lot
of
focus
in
this
workforce
shortage
area
and
you
know
happy
to
share
with
you
or,
if
you
just
if
you
browse
around
on
our
website,
you
can
see
we
have
the
office
of
primary
care
and
it
does
the
assessment
that,
for
for
the
us
department
of
health
and
human
services
of
those
shortage
areas,
those
shortage
areas
then
become
vehicles
for
application,
for
funding
to
become
a
federally
qualified
health
center
or
for
health
care
workers
for
loan
repayment.
G
G
But
the
challenge
of
producing
more
doctors
and
nurses
you
know
is
is
is
just
that
a
challenge,
but
one
area
where
I
think,
we've
seen
some
improvement
in
terms
of
of
just
broadening
the
the
scope
of
practice
of
some
of
the
existing
disciplines,
and
so
I'm
hopeful
that
that
we
sort
of
hold
to
the
the
tension
of
those
discussions
which
are
always
tense
when
it
comes
to
licensing
boards
and
and
and
the
the
scopes
of
practice.
G
But
I
think
that
we
have
seen
some
benefit,
especially
in
the
area
of
vaccinators,
the
third
area,
that
I
think
that
we've
really
seen
an
opportunity
of
growth
in
is
with
data
analytics,
and
those
of
you
that
sit
on
the
budget
committee
will
note
that
one
of
the
one
of
the
few
moves
that
we're
doing
in
our
department.
This
legislative
session
is
the
request
to
move
data
analytics
under
my
office.
G
Data
analytics
much
like
financing
is
usually
categorical
and
we
have
programs
that
have
maybe
come
with
a
federal
grant
and
have
all
the
bells
and
whistles
for
data
analytics.
And
then
we
have
other
programs
that
are
largely
reliant
on
state
general
fund
that
have
very
little
in
terms
of
of
capability
for
data
analytics,
I'm
most
proud
of
the
work
of
kyrah
morgan,
our
state
biostatistician.
G
If
you
look
on
the
the
website
for
the
coveted
tracker
and
nevada
early
on
scored
an
a
plus
compared
to
other
states,
with
our
transparency
and
data,
largely
due
to
the
work
of
our
of
our
state
biostatistician
and
her
team
of
of
of
staff.
This
really
is
it's
not
just
data.
For
the
sake
of
data,
but
it's
really
the
the
analytics
of
the
data
that
serves
to
really
inform
us.
G
G
So
I
I
I
didn't
want
this
to
like
just
be
a
an
event
that
occurred
with
with
kovid,
but
that
this
benefit
of
bringing
the
analytics
together
to
be
able
to
share
some
of
those
best
practices
as
well
as
the
dashboarding,
I
think,
is
really
rich.
I
would
just
refer
you
all
as
legislators.
G
One
thing
that
kyra
did
do
is,
if
you
go
on
the
dhh
website
on
the
main
page
and
you
look
on
the
right
hand,
side
under
nevada
health
profiles,
cairo
created
a
data
dashboard
by
districts,
so
each
of
your
legislative
districts
you
can
pull
up
and
and
look
at
the
health
indicators
for
the
people
that
you
represent,
as
well
as
the
health
care
coverage,
the
uninsured
rate
or
insured
rate
by
what
payer,
source
and
demographics.
G
I
think
it's
a
really
rich
tool.
So
that's
one
thing
that
has
come
out
of
the
pandemic
that
I
intend
to
to
keep
pushing
it's
really
hard
and
you've
not
seen
those
of
you
that
have
have
served
during
previous
sessions.
We
rarely
ask
for
general
fund
related
to
data
analytics
because,
frankly,
because
the
service
line
is
so
long
generally
that
our
needs,
we
know
where
the
need
is
we
in
behavioral
health
and
substance
abuse.
G
We
know
where
the
need
is
so
the
idea
that
we
would
pull
resources
for
for
analytics,
you
know
has
been
one
that
has
just
been
too
tough
to
really
put
forward,
but
I
do
think
in
this
organizational
structure,
without
costing
any
more
money,
we
do
have
the
ability
to
share
the
knowledge
and
the
capabilities
for
data
analytics.
G
I
I
I
would
also.
I
also
would
mention
that
if
you
look,
I
had
a
great
conversation
earlier
in
the
week
with
joan
hall,
who
is
the
executive
director
for
nevada
rural
health
partners?
That's
the
association
of
of
of
all
the
rural
hospitals,
most
of
which
are
our
critical
access
hospitals
and
on
her
main
on
her
web
page.
You
need
only
look
at
the
data.
The
toolbox
she
created
for
for
data
reporting
of
rural
hospitals
to
to
just
look
at
I
mean
I
thought
honestly.
G
I
thought
she
deliberately
created
it
to
show
the
bureaucracy
of
it,
but
it
really
is
a
tool
if
you
click
on
them,
to
look
just
so
that
new
staff
and
hospitals
know
what
they
need
to
report.
But
what
you
don't
see
is
what
do
we
do
with
all
that
data?
How
do
we
translate
that
to
information?
That's
actionable,
and
you
know
sometimes
I'm
really
hopeful
with
this
look
at
data
analytics
that
I
could
come
before
you
next
session,
with
some
recommendations,
perhaps
on
even
changing
some
of
the
reporting
requirements.
G
There's
a
tendency
that
we
do
in
government,
sometimes
to
sort
of
dog
pile
requirements
on
without
pausing
to
to
take
a
look
to
see
like
does
that
still
save
the
same,
serve
the
same
purpose
or
are
there
really
other
ways
of
of
of
getting
at
the
goal
that
was
intended,
and
I
think
this
is
is
is
is
illustrated
very
clearly
when
it
comes
to
data
collection
and
then
what
to
do
with
it?
G
If
we
collected
I,
I
do
believe
that
we
should
do
something
with
it
that
would
inform
on
strategies
on
how
to
either
make
improvements
or
go
upstream
and
and
prevent
a
a
costly
health
outcome.
So
those
are
those
are
just
a
few
of
the
things
that
I
wanted
to
highlight
that
that
really
are
our
silver
lining
and
are
needing
to
do
work
differently,
like
the
chairperson
said
that
you'll
have
a
deeper
dive
into
medicaid.
G
Our
financing
of
medicaid
is
historical.
You
know
dependent
on
the
counties
dependent
upon
the
the
the
taxing
when
we
expanded
it.
We
really
didn't
change
the
the
way
we
funded
it.
It's
fragile.
G
Those
of
you
that
were
serving
during
the
special
session
know
that
we
initially
came
before
the
the
body,
the
legislative
body,
with
some
some
dramatic
reductions,
because
as
the
economy
could
not
continue
to
support
the
level
of
service,
our
limitations
in
medicaid
on
what's
essential
and
required
versus,
what's
optional,
which,
which
you
know
if
you
have
a
need
for
that
service,
is
not
from
a
practical
sense
optional.
So
our
our
financing
of
health
care
is
fragile.
G
We
we
have
opportunities
with
provider
fees
that
are
optional,
but
we
haven't
had
any
providers
take
advantage
of
that
other
than
what's
required
in
statute
for
managed
care,
paying
a
fee
and
also
skilled
nursing
facilities
paying
a
fee.
So
there
are
opportunities
in
there.
We,
I
feel
as
though
our
agency
has
had
good
momentum
coming
out
of
the
the
last
session,
but
have
really
had
to
focus.
It's
been
all
hands
on
deck,
really
related
to
the
covid
pandemic.
G
One
other
highlight,
I
think
I
I
would
be
remissed
if
I
didn't
mention,
is
our
oversight
of
health
care.
If
you've
been
around
a
really
long
time
like
the
last
decade,
you
know
that
nevada
had
the
largest
exposure
to
hepatitis
c
in
a
in
a
health
facility
in
an
ambulatory
surgery
center
in
las
vegas,
and
it's
been
10
years.
But
one
of
the
things
that
happened
out
of
that
horrible
event
was
that
we
embedded
facility,
epidemiologists
disease
investigators
into
our
regulatory
agency,
healthcare
quality
and
compliance.
G
I'm
very
proud
of
the
work
that
that
margot
chapel
and
lisa
sherick
have
done
for
ensuring
that
our
health
facilities
are
safe.
We
have
had
tragedies,
we've
had
deaths,
but
certainly
when
you
look
at
the
at
nevada
compared
to
other
states,
we
rank
amongst
the
lowest
we're
responsive
when
there
is
an
outbreak,
whether
that's,
whether
that's
employee
training,
lack
of
equipment
policy.
We
are
quick
to
get
in,
identify
the
problem
and
find
solutions,
I'm
very
proud
of
our
regulatory
environment
and
that
it
isn't
it
isn't.
G
Regulatory
in
isolation,
it's
regulatory
that
enters
from
the
belief
that
we
share
the
same
goal
to
be
compliant,
and
I
really
have
not
seen
other
states
who
operate
in
this
way
and,
frankly,
not
even
the
feds,
with
cms
breaks
out
the
the
regulatory
arm
and
operates
really
in
a
silo,
and
I
I
I'm
quite
proud-
and
it
was
demonstrated
once
again
on
on
the
effectiveness
of
the
work
with
our
regulators,
with
with
really
keeping
our
most
vulnerable
protected
in
in
health
facilities.
G
My
my
final
slide
is
on
page
six
and
that
really
that
really
just
lists
out
the
bill
drafts
from
our
department
that
will,
for
the
most
part,
be
appearing
before
you
in
in
this
committee,
and
that
that
concludes
my
formal
presentation
I
was.
I
was
trying
not
to
read
my
presentation
but
to
speak
to
it
and
as
as
asked
and
I'm
really
happy
to
answer
any
questions,
and
I
will
tell
you
if
I
think
that
I
need
to
have
someone
else.
Provide
additional
information.
G
I'd
be
happy
to
get
back
to
you
also
happy
to
talk
with
any
of
you
that
have
bills
as
I,
as
you
see
in
our
our
organizational
chart,
we
have
touch
points
to
to
a
vast
variety
of
of
financing
health
care,
regulating
it
and
delivering
it
to
all
populations,
and
if
you
have
an
intention,
what
usually
happens
with
the
legislature.
G
My
experience
is
that
a
great
idea
until
it
gets
a
fiscal
note
and
then
the
fiscal
note
becomes
the
the
stall
really
and
and
sometimes
what
I
find
when
we
reach
out
to
legislators
and
try
to
talk
to
them
about
what
they're
trying
to
do
the
program
or
what
their
intention
is.
It's
not
in
the
context
of
maybe
something
we
already
have.
So
I
am.
G
I
can't
keep
myself
from
doing
that.
If,
if
you,
if
you
have
an
interest
in
a
in
a
in
an
area
that
would
help
people
and
we
have
a
piece
of
the
program
or
the
components
of
it
and
could
and
could
work
together.
So
with
that
I'll
end,
my
my
presentation
and
I'd
be
happy
to
to
answer
any
questions.
A
Thank
you,
director
whitley.
It
was
a
wonderful
presentation,
as
you
always
do.
I
you
know.
I
assemblywoman
titus
had
mentioned
that
you're
so
great
at
these
presentations,
and
she
also
mentioned
that
you
have
amazing
historical
data.
You've
been
in
this
position
for
a
while
and.
A
Out
to
you,
I
know
that
we
put
a
lot
of
on
your
plate,
but
I
appreciate
your
willingness
to
be
able
to
make
health
care
affordable.
I
know
one
of
the
philosophies
that
I
have
in
life
and
also
up
here
at
the
legislature
is
that
if
there's
a
problem,
does
the
bill
actually
solve
that
problem,
and
I
think
it
is
very
important
what
you
said
is.
Sometimes
there
are
already
solutions
out
there.
Sometimes
there
are
already
laws
out
there.
A
Sometimes
there
are
already
programs
out
there,
and
so
that
kind
of
follows
me
up
with
the
first
question
that
I
kind
of
have
for
you
and
on
that
chart
on
that
organizational
chart,
you
show
those
five
main
divisions
of
dhhs,
and
I
know
that
we
always
focus
on
like
specific
to
health
care
services.
But
can
you
touch
a
little
bit
more
on
the
other
social
services
that
are
managed
through
dhhs
and
how
many
different
programs
there
are
within
those
like
five
main
divisions.
G
Yeah
sure
again
for
the
record,
richard
whitley,
I
think,
starting
with
one
that
that
I
think
doesn't
get
a
lot
of
focus,
is
welfare
and
and
supportive
services.
G
That
really
is
the
eligibility
engine
for
multiple
services,
and
I
would
have
to
say
that
well,
first
of
all,
a
shout
out
to
the
to
the
staff
that
work
in
that
program,
mostly
frontline
eligibility
workers,
some
of
who
were
consumers
of
services
and
have
and
administrator
fisher,
has
created
a
pipeline
for
opportunity
for
people
who
may
be
recipients
of
some
of
the
services
to
actually
become
employees.
G
But
I
I
I
I'm
very
proud
of
the
work
that
they
do
in
eligibility.
We,
you
know,
there's
a
there's.
A
there's.
A
poet
named
may
sarton,
who
had
a
a
statement
that
to
be
rich,
is,
is
to
have
a
margin
to
give,
so
anybody
can
be
rich
if
they
have
a
margin
to
give
and
what
the
welfare
division
provided.
G
Staffing
to
dieter,
with
some
of
their
struggles
with
with
with
the
application
process,
and
the
reason
for
this
is
that
welfare
and
and
supportive
services
have
an
integrated
model
for
their
eligibility.
So
it's
really
an
engine
that
populates,
whether
it's
medicaid,
which
I
think
people
think
automatically
about
about
a
service
but
supplemental
nutrition
assistance
program
snap
or
what
used
to
be
called
food
stamps
and
temporary
assistance
for
needy
families.
G
Those
are
all
programs
they
have
different
financial
eligibilities
tanf
has
the
lowest
eligibility
about
a
hundred
percent
of
poverty.
You
have
to
really
be
living
in
in
in
an
impoverished
way
in
order
to
qualify
for
that
direct
assistance.
It's
interesting
that
during
the
pandemic,
we've
actually
seen
the
the
caseload
in
that
program
go
down.
It's
actually
lower
than
what
was
projected
during
the
last
legislative
session,
but
in
programs
like
medicaid
and
snap,
we
have
an
increase
in
in
the
eligibility,
but
I
think,
what's
what's
most
from
a
from
a
government
standpoint.
G
I
think
what's
most
important
about
about
this
work
is
how
they
do
it.
They
do
they.
They
do
it
with
a
single
electronic
application
so
that
if
people
are
eligible
for
other
programs,
there
are
prompts
to
actually.
G
Complete
the
application,
so
they
don't
have
to
get
in
multiple
lines,
and
I
would
say
the
other
thing
that,
with
with
welfare
and
supportive
services
is
they
went
through
a
lean
process
for
and
have
a
it's
much
more
than
a
motto.
But
it's
called
one
and
done
so
when
a
consumer
approaches
them
with
a
need,
their
eligibility
staff
are
able
to
to
help
them
meet
their
need
with
their
application
and
complete
the
service.
Prior
to
this,
you
know,
if
you
wanted
to
apply
for
a
categorical
program,
you
had
to
get
in
a
categorical
line.
G
If
there
were
errors,
you
had
to
start
over
again-
and
I
really
would
hold
this
up
as
as
a
an
efficiency
in
government
that
that
that
that
many
of
my
other
programs
and
other
departments
could
benefit
from
from
looking
at
anyway,
the
the
the
food
security
food
as
a
nutrition
as
a
determinant
of
health.
I
think
that
the
welfare
and
supportive
services
has
our
has
a
a
touch
in
in
that
area
through
the
snap
program,
as
well
as
our
wic
program,
women,
infant
and
children.
G
Food
security
during
the
pandemic
has
become,
I
think,
a
real
focus
area
for
people
that
have
never
had
to
access
these
sorts
of
supports
in
the
past
and
so
a
lot
of
assistance
with
navigating
how
to
get
access
and
then
also
to
remove
some
of
the
stigma
that,
with
with
all
older
nevadans,
who
maybe
don't
like
you
know.
Probably
if
I
had
a
do-over,
I
would
change
the
title
of
of
of
welfare
and
supportive
services.
G
The
title
of
welfare
puts
put
some
elderly
or
senior
folks
off
in
terms
of
accessing
services
like
food
senior
meals,
which
is
operated
in
aging
and
disability,
so
meals
on
wheels.
We
certainly
has
become
even
more
important
with
senior
centers
closing
because
of
of
risk
and
more
meals
being
delivered.
I
would
say
that
our
major
partners
in
in
that
program,
catholic
charities
of
southern
nevada,
really
expanded
their
their
provision
of
of
an
in-home
food
delivery.
We
also,
I
think,
during
the
pandemic,
with
other
food
delivery.
G
I
mean,
if
you
can
imagine
a
single
mom
on
wic
and
if
we
on
the
public
health
side,
we
ask
the
mom
to
stay
at
home
because
of
of
of
covid,
but
yet
her
children
need
access
to
food,
so
we
have
had
waivers
approved
by
the
feds
to
be
able
to
to
have
delivery
as
well
as
pick
up
for
for
for
some
of
our
food
programs,
which
I
would
also
add,
helps
our
economy
in
terms
of
of
the
retail
and
the
ability
to
to
make
sales,
and
so
I
think
those
programs,
I
think,
in
terms
of
food
security,
run
across
our
divisions,
but
definitely
work
together.
G
You
might
have
one
family,
they
get,
the
the
grandmother
may
be
living
with
them
and
they
may
have
young
kids
and
they
may
qualify
for
multiple
programs.
We
work
across
our
divisions
to
really
organize
that
and
make
sure
that
there
are
prompts
for
eligibility
to
to
to
any
of
the
programs,
but
food
security
has
become
more
more
of
a
focus.
Food
and
housing
probably
are
the
two
areas
where
people
reach
out
with
with
the
greatest
vulnerability.
G
Just
on
on
that
note
about
the
the
application
and
enrollment,
I
would
say
that-
and
I
guess
this
makes
sense
when
you
when
you,
when
you
think
about
it,
although
I
I
I
kept
waiting
to
see
when
our
enrollment
in
medicaid
would
spike
really,
but
it's
really
been
more
of
a
gradual
increase
of
enrollment,
and
you
know
just
in
in
talking
with
people
that
do
en
enroll
their
health
care
is
not
their
primary
need,
because
if
you
think
about
it,
they're
they're
not
they're
likely
not
disabled
they've
been
working,
they
get
laid
off,
and
so
it's
only
when
healthcare
becomes
a
need
that
they've
been
in
enrolling
some
of
the
folks
that
have
been
laid
off.
G
So
that's
been
a
gradual
increase,
but
snap
we've
seen
more
more
of
a
of
a
spike
in
in
application.
So
I
illustrate
across
division.
Some
programs
beyond
healthcare,
but
I
would
call
these
all
determinants
of
health.
I
mean
poverty,
certainly
is
a
determinant
of
health,
housing,
food
security
and
then
behavioral
health
we've
seen.
G
I
think,
we've
also
been
enriched
by
our
working
relationship
with
the
schools
so
proud
of
the
relationship
with
the
the
superintendent
of
of
of
education
and
the
reach
out
to
the
school
districts
on
how
to
meet
some
of
the
behavioral
health
challenges
with
with
kids
that
are,
are,
are
homeschooling
and
perhaps
need
additional
help
same
goes
for
victims
of
crime
and
some
of
the
services
that
people
are
needing
in
in
that
area.
G
So
I
I,
I
would
venture
to
say
that
if
there,
if
it's
a
social
service
program,
we
have
a
touch
point
to
it.
Certainly
in
all
these
areas,
we
look
for
parity
of
service,
so
if
we're
underserving
a
population
or
there's
over
representation
to
be
able
to
look
to
see,
what's
going
on
to
see
if
we
could
go
upstream
and
address
the
problem,
we
do
have
in
our
state
a
lot
of
food
deserts.
We
have
areas
in
the
urban
areas,
even
where
it's
one
of
the
flaw.
G
I
don't
maybe
flaws
too
strong
of
a
word,
but
it
I
think
it's
one
of
the
weaknesses
in
the
usda
programs
like
snap.
In
that
the
you
know,
a
a
liquor
store
could
put
some
groceries
in
and
qualify
to
be
a
snap
provider,
but
that
might
be
the
only
source
for
retail
purchase
of
food
in
a
neighborhood,
and
so
I
I
have
identified
that
as
an
area
that
we
could
improve
on
on.
You
know
the
food
desert.
There
are
some
models
in
wic
that
I've
found
like
in
chicago.
G
They
actually
have
mobile
wic
stores
that
go
to
neighborhoods,
and
so
we've
had
some
meetings
with
catholic
charities
about
opportunities
in
that
area,
but
just
want
to
come
full
circle
and
say:
food
security.
Probably
is
a
pressing
topic
right
now
from
the
food
pantries
to
these
categorical
programs
that
school
school
lunch
programs
wic
snap,
that
really
in
combinations
serve
serve
families.
A
Well,
thank
you
director,
whitley.
I
appreciate
that
you
know.
I
know
I
think
what
I
appreciate
most
about.
You
is
your
ability
to
kind
of
see
some
of
the
challenges
that
we've
had
with
this
pandemic
and
using
it
as
an
opportunity
to
streamline
and
cut
through
some
of
the
bureaucratic
red
tape
that
we
have
for
getting
these
services
out
to
the
individuals
that
need
them.
So
I
appreciate
your
willingness
to
be
flexible,
streamline.
You
know
the
access
to
services
and
your
willingness
to
come
and
share
this.
A
I
don't
know
if
anyone
has
any
other
questions,
I
didn't
get
any
in
the
chat.
Does
anyone
have
any
other
questions
for
director
whetley?
Why
we're
here
like?
I
said
he
has
a
resource.
I
think
we
put
the
information
to
contact
dhhs
and
the
different
various
divisions
and
agencies.
A
We
will
get
that
to
you
if
it's
not
in
the
chat,
and
we
can
probably
I
think
it's
available
on
nellis
as
well,
and
we
will
see
you
probably
again
throughout
the
session
director
whitley.
In
fact,
you'll
probably
get
sick
of
seeing
all
of
us
in
these
little
boxes
and
hopefully
in
the
future,
we'll
see
you
in
person
as
well,
but
does
anyone
ever
have
any
other
questions?
I
don't
see
anything
here,
so
I'm
going
to
take
just
a
short
like
one
minute
break.
A
Actually
I
don't
know
if
we
need
to
it
looks
like
and
move
on
to
public
comment.
A
As
a
reminder,
you
can
always
provide
public
comment
in
writing
and
provide
that
to
the
committee
secretary,
and
I
think
we
have
one
person
in
the
public
comment
queue
if
you
could
clearly
state
your
name
and
spell
your
name
for
the
record,
and
I
would
like
to
limit
our
comments
to
two
minutes.
Typically,
I
would
limit
the
public
comment
in
the
at
the
end
of
the
meeting
to
30
minutes,
but
it
doesn't
obviously
look
like
that's
going
to
be
a
problem,
so
I
will
turn
this
over
to
bps.
E
There
are
actually
no
callers
in
the
queue
and
the
public
line
is
open
and
working.
A
Okay,
well
with
that,
then
that
will
are
there
any
other
comments
from
the
members
before
we
adjourn.
F
I
will
tell
you
it
for
our
conversation,
the
the
really
the
institutional
knowledge
that
he
has
to
offer
and
how
did
we
get
here
and
what
brought
us
here
is
quite
a
value
to
all
of
us
and
would
encourage
you,
as
you
have
already
mentioned,
to
to
reach
out
to
him
and
and
if
he
doesn't
know
somebody
in
his
department
will
know
and
because
sometimes
just
getting
the
history,
so
we
don't
have
to
repeat
that
and
some
of
these
programs
that
may
or
may
not
have
worked-
and
I
think
it's
a
big
lift
for
the
state
of
nevada.
F
As
you
already
mentioned,
you
know
over
a
significant
portion
of
our
it's.
The
biggest
budget
item
is
healthcare,
and
so
I
think
that
that
we
need
to
really
understand
where
we
send
that
monies
and-
and
so
I
think,
director
whitney
whitley
is
a
great
resource.
A
I
don't
see
anything
here
so
that
concludes
our
meeting.
For
today
we
will
not
be
having
a
meeting
on
friday
afternoon,
so
our
next
meeting
is
scheduled
for
monday
february,
8th
at
1
30
p.m.
We
have
some
several
more
detailed
presentations.
Still
no
bill
draft
requests,
our
bills
that
we
will
be
hearing
at
that
time
and
that's
kind
of
it,
but
meeting
adjourned.