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A
I
would
like
to
call
this
meeting
to
order,
welcome
everyone
to
assembly
legislative
operations
and
elections,
and
I'm
welcoming
everyone
that
is
watching
online
or
participating
through
zoom.
With
that
I
would
like
please,
madam
secretary,
please
take
the
role.
B
C
D
E
F
A
And
with
that,
will
you
please
mark
speaker,
fryerson
absent,
excused,
just
a
few
reminders.
We
will
have
public
comment
up
to
30
minutes
of
public
comment
at
the
end
of
the
agenda,
and
anyone
interested
in
making
public
comment
on
anything
that
falls
under
the
purview
of
this
committee
is
welcome
to
do
so
by
registering
on
the
agenda
once
the
agenda's
posted
there's
a
link
to
provided
to
you
so
that
you
can
register
to
do
so.
A
We
have
today
we
have
two
items
on
our
agenda.
We
will
begin
with
a
work
session
and
then
we
will
move
into
a
bill
hearing.
So
I'm
actually
first
thing
I'd
like
to
do
is
to
open
the
work
session
on
assembly
bill.
A
One
also,
ms
lyons
is
not
here
with
us
today,
so
mr
sturm
is
actually
filling
in
and
covering
for
her
and
one
more
thing
we
weren't
able
the
work
session
documents
were
not
delivered,
but
they
are
available
on
nellis
if
you'd
like
to
sign
in
and
pull
them,
and
with
that
mr
sturm.
B
Thank
you,
madam
chair,
for
the
record.
I'm
pepper,
sturm,
I'm
a
principal
policy
analyst
with
the
research
division
and
the
work
session
document
for
the
bill
is
uploaded
to
nellis
for
those
listening
in
and
the
bill
before.
You
today
is
assembly
bill
1.
It
was
first
heard
by
the
committee
on
february,
18th,
basically
assembly
bill.
One
revises
the
training
required
for
newly
elected
legislators
to
also
include
a
discussion
of
local
governments
in
nevada.
B
A
G
A
A
Moreno,
I
will
second
the
motion
perfect.
Thank
you.
I
have
a
motion
by
vice
chair
heidegge
in
a
second
by
assemblywoman
dunya
monroe,
danielle,
monroe
moreno.
I
might
as
well
finish
it
if
I
started
it
with
that.
Are
there
any
comments
or
questions
on
the
motions,
not
cnn
a
committee
secretary?
Will
you
please
take
the
roll
call
vote.
C
H
C
B
A
So
now
I
will
move
on
to
our
next
agenda
item
and
open
the
hearing
on
a
acr
5
acr
5
is
sponsored
by
assemblywoman
anderson
and
she
has
some
co-presenters
with
her
dr
hunt,
dr
pacman
and
former
assemblywoman
connie
monk,
the
measure
that
they
will
be
presenting
directs
the
legislative
commission
to
appoint
an
interim
study
and
interim
committee
to
study
the
behavioral
health
workforce
in
the
state
of
nevada.
I
Miller
vice
chair
haragi
and
members
of
the
legislative
operations
committee
good
afternoon,
my
name
is
nafa
anderson
and
it
is
my
honor
to
represent
assembly
district
30..
I
also
have
today
the
pleasure
of
presenting
acr
5
to
all
of
you.
I
wanted
to
just
just
to
share
a
few
very
quick
items
before
actually
handing
it
over
to
my
co-presenters
today,
the
first.
I
I
When
I
started
to
to
prepare
for
this
bill,
I
was
just
the
number
of
different
studies
that
are
out
there.
It
becomes
overwhelming
and
it's
very
clear
that
the
importance
of
mental
health
is
something
that
we
all
can
see,
but
the
number
of
people
entering
the
profession
is
not
what
it
needs
to
be,
and
that's
why
this
bill
is
only
about
the
number
of
people
entering
this
profession.
I
I
looked
at
the
2014
gwen
center
to
report,
which
I
believe
has
been
uploaded
as
an
exhibit
as
kind
of
a
baseline
for
our
state,
because
it
does
allow
for
some
different
recommendations
that
we
are
working
on,
but
the
hardest
thing
is
finding
the
data
that
is
consistent
when
I
spoke
with
dr
brune
and
mr
van
living
excuse
me
of
the
gwen
center
to
prepare
for
today.
I
They
again
also
recognized
that
the
data
points
are
all
over
the
place
and
so
having
a
group
of
people
sit
down
and
look
through
the
extensive
amount
of
studies
to
figure
items
out
just
about
what's
getting
in
the
way
of
us
keeping
the
professionals
seem
to
be
a
priority
for
all
of
us.
I
I
Some
of
my
friends
were
literally
waiting
months
weeks,
and
this
is
for
their
children
and
other
family
members.
We
have
to
figure
out
a
way
to
help
each
other
when
it
comes
to
helping
get
this
mental
health
diagnosis
in
a
way
at
the
actually
there's
a
mental
health.
America
does
a
15-point
study
as
to
where
exactly
access
to
mental
health,
professionals,
affordability
and
numerous
other
elements
on
this
15
point
scale.
For
the
last
few
years,
nevada
has
consistently
ranked
51..
I
I
As
I
stated
before,
the
study
is
just
to
concentrate
on
the
workforce
development.
How
do
we
attract
and
also
retain
the
professionals
we
need
to
be
able
to
to
start
to
truly
help
each
other?
It's
a
workforce
issue.
It
is
not
about
looking
at
the
the
pharmaceutical
elements,
which
is
another
part
of
many
other
studies
that
has
to
do
with
mental
health.
It
is
not
about
the
process,
it
is
only
about
the
career
itself.
F
F
F
The
committee
can
establish
partnerships
not
only
in
the
community,
but
the
state
in
higher
education
to
increase
the
lack
of
treatment
office
options,
of
course,
that
we
have
here
in
nevada.
F
We
need
to
identify
the
gaps
in
services
and,
most
importantly,
we
need
to
identify
the
different
types
of
behavioral
health
professionals
and
gaps
we
have
which
are
demand
for
the
services.
We
maybe
have
a
lot
of
mental
health
professionals,
maybe
a
lot
of
social
workers,
but
we
don't
have
enough
licensed
alcohol
and
drug.
F
It
would
also
consider
methods
to
attract
behavioral
health
students
and
professionals,
train
them
and
retain
them.
I
think
which
is
really
important
here
in
the
state.
We
do
have
five
regional
behavioral
health
policy
boards.
However,
this
committee
would
be
unique
in
that
the
sole
purpose
would
be
to
study
the
development
of
the
workforce
in
nevada,
make
recommendations,
strategies
and
policy
options,
as
stated
above,
I
don't
think
we
can
continue
to
sweep
mental
health
under
the
rug
any
longer.
F
I
May
I
hand
it
over
now
to
dr
hunt
of
the
university
of
nevada,
las
vegas,
who
actually,
I
believe,
is
an
individual
who
brought
this
forward
and
I've
had
the
opportunity
to
meet
with
her
extensively
on
numerous
issues
and,
unfortunately,
or
fortunately,
whichever
way
you
feel
it
has
made
me
rethink
a
little
bit
about
the
unlv
and
I
have
grown
in
respect
for
the
school
in
the
south
because
of
our
conversation.
So
if
I.
C
J
Yes,
thank
you
good
afternoon,
chair
miller
and
members
of
the
committee.
My
name
is
sarah
hunt
and
I
am
the
director
of
the
unlv
mental
and
behavioral
health
training
coalition.
I
will
note
that
I
am
not
representing
unlv
as
an
institution
in
my
remarks.
I
thank
you
for
the
opportunity
to
come
before
you
today.
I
have
studied
nevada's
behavioral
health
workforce
since
2015.
J
J
J
Finally,
it
is
important
to
understand
the
impact
of
the
current
pandemic
on
the
behavioral
health
workforce.
The
national
council
for
behavioral
health
released
the
results
of
a
national
study
of
behavioral
health
providers
in
september.
That
indicates,
while
a
majority
of
providers
saw
an
increased
demand
for
behavioral
health
services
during
the
pandemic.
K
All
right
good
afternoon,
chair
miller
and
members
of
the
committee,
my
name
is
john
packham.
I'm
associate
dean
in
the
office
of
statewide
initiatives
at
the
university
of
nevada,
reno
school
of
medicine,
I'm
also
co-director
of
the
nevada
health
workforce
research
center,
also
based
at
the
school
of
medicine.
I'm
I'm
going
to
give
you
the
shortest
powerpoint
presentation
I've
ever
made
in
my
professional
life.
K
I've
only
got
three
slides
because
I,
I
think
a
greater
analysis
awaits
if
this
resolution
is
passed
and
really
am
thrilled,
that
the
attention
is
being
drawn
to
workforce
issues,
because,
just
to
echo
what
has
been
said
before
we,
you
can
have
an
insurance
card
in
your
back
pocket.
We
can
have
reimbursement
parity.
We
can
have
see
a
reduction
in
the
stigma
of
mental
illness
and
getting
that
mental
illness
treated.
K
But
if
we
don't
have
a
workforce
ready
and
able
to
provide
those
services,
all
of
those
efforts
are
moved.
So
the
attention
to
health
workforce
is
important.
So
a
little
bit
of
data.
The
map
here
is
from
a
recently
published
report
from
my
office,
which
is
also
one
of
the
I
believe
meeting
attachments.
K
That's
been
added
to
analysis,
the
nevada,
rural
and
frontier
health
data
book,
which
we
just
released
this
month,
and
this
map
highlights
middle
health,
workforce
shortages,
my
my
maps
are
tend
to
be
color
coded
so
that
the
shaded
areas
or
the
ones
in
shortage
and
this
map
just
reveals.
K
What
that
translates
to
is
that
close
to
95
percent
of
our
state's
population
reside
in
an
area
in
which
psychiatrists
and
other
mental
health
professionals
are
in
a
short
supply.
K
I
also
wanted
to
share
a
little
bit
of
data
kind
of
a
good
news,
bad
news
story
on
changes
in
the
number
of
licensees
in
the
state
and
I've
just
arbitrarily
picked
five
there's
there's
many
other
types
of
behavioral
health
workers
in
the
state,
but
kind
of
a
good
news
story
is
that
we've
seen
growth
in
the
number
of
licensees
across
most
categories
of
health
workers.
K
The
final
slide
and
the
the
one
that
I
use
more
and
more
in
presentations
to
discuss
health
workforce
shortages
are
what
it
takes
to
be
average.
Now
I
I
want
just
state
at
the
outset.
I
want
us
to
be
more
aspirational
than
just
being
average,
but
this
data
is
important
in
kind
of
highlighting
what
being
ranked
49th
or
50th
in
a
given
healthcare
occupation
means
for
the
state
and
for
nevada.
K
Likewise,
for
psychologists
clinical
psychologists,
that
is,
we
have
about
15
psychologists
for
every
100
000
population,
whereas
the
national
rate
or
average
is
about
twice
that
amount,
and
what
that
means
is
we're
to
neva
nevada,
to
rise
to
that
national
rate
or
national
average.
We
would
need
close
to
500
additional
psychologists
we
need
close
to
or
in
the
ballpark
of
200
additional
psychiatrists
and
so
on
clinical
professional
counselors.
K
I
I
checked
and
double
checked
and
triple
checked
that
number
we'd
need
another
thousand
counselors
and
again
to
underscore
what
shortages
mean
is
fewer
providers
per
population
and
in
a
state
where
I
think
we
not
only
need
to
aspire
to
be
average,
given
mental
health
needs
that
have
been
mentioned
in
testimony
so
far
today,
I
I,
I
think
we
need
to
move
above
that
national
average
and
so
forth,
so
that
data
again
was
a
bit
just
to
provide
a
real,
quick
highlight
of
shortages
in
the
state.
K
If
you
would,
like
additional
information,
feel
free
to
reach
out
to
me
as
this
bill
proceeds
during
the
session
also
feel
free
to
take
a
look
at
some
of
the
workforce
information
again.
That
is
contained
in
that
data
book.
I
So,
thank
you,
dr
packing,
for
that,
before
I
kind
of
going
over
being
prepared
for
questions
and
everything,
I'm
not
going
to
read
to
all
of
you,
the
exact
information
and
where
the
information
should
come
from,
but
I
did
want
to
kind
of
explain
why
the
people
that
are
the
non-voting
individuals
were
were
being
asked
to
be
part
of
this
task
force,
including
the
amended
or
the
conceptual
amendment.
I
I
think
you
all
can
figure
out
why
it
would
be
the
public
and
behavioral
health
department
being
involved,
and
actually
I
do
want
to
clarify.
I
have
not
reached
out
to
dr
whitley
or
a
member
of
his
department
regarding
this,
and
so
I
want
to
make
sure
you
all
know
that
and
if
they
do
call
in,
I
had
plans
to
contact
them.
I
It
was
my
fault
I
did
not
do
so
and
I
will
be
doing
so,
but
I
think
that
one,
you
totally
understand,
as
well
as
the
behavioral
health
professional,
with
the
addition
of
the
nevada
school
counseling
association,
and
that
was
in
the
conceptual
amendment
to
clarify
that
it
was
the
nevada,
school
counseling
association.
I
I
The
second
that
is
part
of
our
conceptual
amendment
is
a
member
of
the
insurance
industry
that
has
nothing
to
do
with
workforce,
I'm
just
gonna
the
development
of
it,
but
more
than
anything
else,
it
has
to
do
with
the
questions.
Sometimes
that
arise
when
it
comes
to
actually
licensing
people
in
this
area.
The
insurance
industry
is
an
incredibly
important
part
of
our
medical
profession,
whether
it's
mental
health
or
physical
health
and
many
times
there
are
questions
that,
unless
you
are
in
the
middle
of
the
insurance
industry,
you're
not
always
going
to
be
able
to
understand.
I
This
would
allow
somebody
who
is
from
the
insurance
industry
to
be
able
to
discuss
why
there
should
be
some
other
classes
being
taken
or
why
there
are
some
other
elements
that
need
to
be
discussed
in
a
further
stronger
fashion.
So
that
way,
if
we
are
successful
in
getting
this
to
be
an
interim
study,
there's
legislation
that
comes
out
of
it,
the
insurance
committee's.
What
are
excuse
me,
the
insurance
industry,
will
already
be
aware
of
it
and
be
a
part
of
the
solution.
I
I
That
line
for
whatever
reason,
really
stood
out
for
me,
it
is
about
hope
it
is
about
helping
people
find
that
hope,
but
we
have
to
have
individuals
that
are
in
the
profession
that
believe
in
getting
the
hope
to
others,
and
we
need
to
figure
out
how
to
get
this
out
there
again,
we've
got
to
help
our
mental
health,
illness
patients
and
the
best
way
to
do
so
is
to
have
a
strong
workforce.
I
A
You
assemblywoman
with
that.
We
do.
I
know
you're
open
to
questions
and
we
have
a
few
members
who
have
already
requested
some
questions,
so
we
will
start
with
assemblywoman
taurus.
M
Thank
you
chair
and
thank
you
silly
woman,
and
to
to
all
the
presenters
it's
good
to
see
familiar
faces
through
the
zoom.
I
really
do
appreciate
this
piece
of
legislation
and
the
effort
that
it
has
to
study
the
workforce
for
behavioral
health
professionals
in
our
state.
You
know
something
I
don't
talk
a
lot
about
is
the
fact
that
you
know
my
father
growing
up.
M
M
Professional
behavior
health
professionals
has
been
difficult
to
come
by
in
our
community
and
one
of
the
gaps
that
we
see
on
our
access
to
professionals
that
can
help
diverse,
speak
languages,
so
if
they
prefer
to
communicate
in
spanish
or
a
different
language
that
has
been
one
gap
in
access
to
care
in
our
communities
and
we,
additionally,
we
see
it
harder
to
come
by
access
to
these
professionals
and
low-income
communities
and
communities
of
color
and
what
I
don't
see
in
this
legislation
right
now
I
do
see
or
I'm
looking
at
page
three
of
the
legislation.
M
I
I
do
see
that
we
have
are
collecting
information
related
to
demographics
and
geographic
distribution,
but
I
I
don't
see
that
we're
looking
at
identifying
those
issues
and
then
we're
not
considering
methods
of
attracting
professionals
from
diverse
communities
in
the
legislation
as
it
stands,
and
I
just
think
that
that
would
be
a
really
great
addition
to
this
legislation.
M
I've
been
working
with
a
lot
of
our
local
mental
health
professionals
throughout
the
state
of
nevada,
and
I
know
that
this
has
been
a
greater
conversation
of
how
we
increase
access
to
these
professionals
in
diverse
communities,
and
I
think
that
this,
the
the
study
really
should
help
focus
on
some
of
those
barriers
that
we
have
as
well.
I
Directly
and
think
about
that,
if
I
make
sorry
sorry,
chair
miller,
I
just
kept
on
going.
That's
fine,
please
just
go
direct,
agree,
100
and
did
not
even
think
about
having
that
class
a
separate
section
of
how
exactly
are
we
because
mental
health
does
not
know
it
does
not
know
what
community
you're
from,
but
the
access
and
the
ability
to
do
the
proper
language
that
is
part
of
it.
I
I
feel
like
a
little
bit
of
it
has
to
do
with,
and
I
keep
on
referring
back
to
the
gwen
center
report
from
2014,
because
that's
kind
of
what
I
use
is
my
baseline
for
some
things,
and
although
it
is
a
little
bit
mentioned
in
there,
maybe
we
need
to
consider
I'm
just
thinking
off
top
of
my
head
of
adding
a
little
bit
more
to
that
of
making
that
a
little
bit
clearer.
I
J
I
you
raise
excellent
points
and
absolutely
I
think
that
would
be
a
great
addition
to
this
study
and
is
a
necessary
part
of
the
study
of
of
our
state
and
how
we
can
best
meet
the
needs
of
our
communities,
which
are
very
diverse,
and
I
would
just
note
that
in
some
other
states
there
are
some
unique
opportunities
to
go
out
and
do
some
recruitment
into
the
behavioral
health
professions
by
going
into
those
different,
diverse
communities
and
what
I've
seen
before
is
they'll
go
into,
especially
like
a
high
school
setting
and
do
some
presentations
on
just
some
general
mental
health
topics.
J
So
here's
what
depression
is
and
then
go
into.
If
you
like,
learning
about
that,
did
you
know
you
could
go
into
this
this
or
this
profession
and
stay
within
the
state
and
do
that
and
then
what
I've
seen
after
that
is
once
those
I,
those
high
school
students,
kind
of
identify
that
they
want
to
go
into
a
mental
health
career
and
they
get
into
the
state
higher
education
system.
J
Then
there's
a
great
mentoring
piece
that
could
also
happen.
So
then
you
go
into
that
community
and
find
the
mental
health
professionals
and
say:
hey.
Would
you
mind
being
a
mentor
to
students
that
are
coming
from
your
communities
and
want
to
study
this
and
act
as
kind
of
a
support
system
and
anchor
system,
while
that
student
then
is
going
in
through
the
higher
education?
J
M
A
C
Thank
you
to
my
unmuted.
Thank
you
chairman.
I
am
I
thank
you
so
much
for
giving
me
a
chance
to
speak
and
because
I
really
just
wanted
to
say
how
important
this
study
is.
It's
so
needed,
and
I
love
the
fact
that
it
focuses
on
behavioral,
workforce
development,
and
so
my
question
is
actually
for
assemblyman
assemblywoman
anderson
wondering
if
she
would
consider
an
amendment
to.
Let
me
be
a
sponsor
of
this
bill
through
chair
miller,
to
assembly
member
dickman.
I
would
be
honored.
I
A
Thank
you
assemblywoman.
Our
next
question
is
from
assemblyman
levitt.
L
Thank
you,
madam
chair.
My
question
is
just
kind
of
logistic
about
the
bill.
So
is
this:
is
this?
Is
this
commission,
or
is
this
commission
seeking
to
find
out
where
the
gaps
are
find
out
where
we
can
find
the
where
we
need
to
where
we
need
to
include
professionals,
because
it
in
your
presentation
it
sounds
like
you
already
have
that
information,
because
you
just
presented
it
to
us.
L
Is
there
something
deeper
that
we
need
to
know
as
far
as
that,
as
that
goes
or,
and
is
this
commission
going
to
do
something
beyond
that?
If
you
could
just
kind
of
go
into
maybe
a
little
more
detail.
I
Thank
you
for
the
question
through
chair
miller,
to
assembly
member
levitt.
Absolutely
we
do
have
data,
but
we
have
so
many
different
elements
of
data.
What
exactly
is
the
issue
here
in
nevada,
I
think,
is
the
largest
thing,
and
so
that's
what
this
commission
or
group
is
trying
to
do
is
the
goal.
The
goal
excuse
me
would
be
to
actually
have
some
legislation
proposed
that
if
there
are
elements
that
are
getting
in
the
way
of
licensing,
then
we
can
clean
that
up.
I
But
the
other
element
as
well
is
to
figure
out
ways
that
we
can
attract
people
to
this
profession.
Is
it
the
pay?
Is
it
the?
Is
it
some
of
the
torts?
Is
it
other
elements,
and
I
think
that
dr
hunt
touched
upon
it,
as
did
dr
I'm
so
sorry,
I
almost
called
him
by
his
first
name,
dr
pack,
with
the
medicare
reimbursement.
Is
that
a
process
that
we
need
to
as
a
state
look
at
the
systems
that
we're
using
to
try
to
get
that
those
elements
in
there?
I
What
do
we
do
with
the
items,
and
so
that's
what
this
group
would
be
doing
actually
is
looking
through
some
different
data
points
that
again
are
all
over
the
place.
But,
more
importantly,
what
do
we
do
with
it?
Next,
because
I
think
that's
probably
one
of
the
biggest
problems
is
that
we
all
see
that
there's
this
huge
elephant
in
the
room
that
we
all
need
to
eat,
and
none
of
us
know
how
to
take
that
first
bite,
and
so
this
is
a
way
to
start.
I
K
I
could
add
john
packham
for
the
the
record.
I
would
add
that
one
of
the
things
that
this
report
could
do
is
also
trace
the
impact
of
some
of
the
policy
recommendations
that
were
contained
in
that
gwen
center
report
to
see
if,
over
the
last
eight
to
ten
years,
they've
had
any
difference
on
affecting
the
supply
of
health
professionals,
particularly
in
behavioral
health.
K
I
think
that
the
study
could
also
take
a
look
at
recent
measures
undertaken
by
governor
sisselak
and
others
under
the
public
health
emergency
we've
relaxed,
licensure,
the
the
ease
in
which
an
individual
from
another
state
can
get
licensed
in
nevada
over
the
past
year,
and
what
we've
seen
is
a
steady
growth
in
the
number
of
licensees
in
medicine,
nursing
and
so
forth,
and
I
think
that
this
would
be
an
opportunity
for
that
study
to
assess
whether
those
could
address
issues
in
the
long
term.
K
Do
we
make
some
of
those
relaxation
of
licensure
requirements
permanent
if
quality
of
care
is
not
harmed
and
patient
safety
is
maintained?
Maybe
we
need
to
take
a
look
at
some
of
those
proposals
again
that
are
temporary
until
the
that
emergency
expires.
L
Thank
you
so
much
for
that
clarification.
I
just
I
just
wanted
you
to
tout
a
little
bit
of
what
the
committee
would
do
and
and
and
it's
you
need.
You
gave
me
a
very,
very
good
answer.
Thank
you
so
much.
I
N
Thank
you
so
much
madam
chair,
assemblywoman,
gonzalez
assembly
district
16
for
the
record.
Thank
you
so
much
for
bringing
this
very
important
piece
of
legislation.
I
think
I
agree
with
a
lot
of
what
you
and
your
presenters
said
about
how
important
mental
health
is.
I
just
had
a
question
because
it
didn't
really
distinguish-
or
maybe
I
missed
it
or
didn't-
read
it.
Is
this
classified
or
will
the
study
look
at
like
private
and
public
mental
health
as
what
like
professions
like?
N
I
Thank
you
for
the
question
assembly
member,
and
this
is
assembly.
Member
anderson.
You
know,
I
don't
think
we
ever
did
sit
down
and
discuss
whether
it
was
public
or
private
and
where
that
information
is
coming
from,
because
there
is
the
use
of
the
insurance
agencies
or
the
insurance
individual,
I'm
sure
would
be
bringing
in
some
of
that
in
the
pr
the
private
companies,
because
I
do
think
that
that
is
a
very
large
information.
I
N
Yeah
yeah,
I
guess
both
like
does
the
data
that
was
sorry
assemblywoman
gonzales
summit
district
16.
does
the
data
that
we
have
include
both
like
public
and
private
and
then
in
this
study?
Will
it
distinguish
between
public
and
private
mental
health
professionals?
Is
that
like
missing?
Do
we
not
know
that
information.
I
Thank
you
for
the
question
assembly
member
gonzales,
I'm
going
to
hand
that
over
to
dr
packham
and
dr
hunt,
but
I
think
that
I
I
from
what
I,
by
the
way,
assemblymember
anderson
from
what
I
understand.
I
do
believe
it
is
both,
but
I'm
gonna
let
the
two
doctors
be
the
ones
to
answer
that
question.
K
Sure,
john
packham,
for
the
record,
it
would
be
inclusive
of
mental
health
professionals
employed
in
all
types
of
settings.
Mental
health
is
somewhat
unique
in
that
states
and
local
states
in
particular.
I
think
state
mental
hospitals,
for
example,
are
key
providers
of
behavioral
health
services
so
to
be
comprehensive,
you
would
want
to
look
at
the
range
of
professions
that
practice
in
a
range
of
settings.
Both
inpatient
and
outpatient.
A
Thank
you,
committee
members.
Do
we
have
any
additional.
A
Questions:
okay,
not
seen
any.
I
will
ask
a
quick
one,
just
a
clarifying
one
assemblywoman
with
the
as
the
members
are
listed
on,
you
know
who
the
committee
members
would
be
whom
they
would
be
appointed
by
at
the
beginning
of
the
bill.
I
see
that
I
mean.
A
I
really
appreciate
that
at
least
one
of
the
committee
members
from
the
majority
in
each
house
will
be
someone
on
health
and
human
services
because
I
think
that's
important
because
they
already
have
that
background
and
experience
and
knowledge
and
will
also,
of
course,
in
the
regular
session,
be
there
to
kind
of
carry
over
the
work
done
during
the
interim.
A
I
noticed
it's
not
the
same
with
our
minority
caucuses
and
is
that
just
because
of
the
reduced
numbers
we
want
to
give
the
caucuses
more
flexibility
to
a
point
or
it,
because,
if
not
wouldn't
the
same
thing
be
that
we
want
a
member
with
that
same
experience
from
hhs.
So
if
you
could
just
clarify
that
form
or
if
you
have
the
answer
for
that.
I
Thank
you,
chair
miller
assembly,
member
anderson.
I
believe
it
is
because
that
there's
only
one
from
the
two
minority
from
the
one
member
from
the
minority
leader
of
the
senate
and
one
leader
from
the
minority
leader
of
the
assembly.
However,
I
am
more
than
happy
to
clarify
that
and
say
recommended
that
they
be
an
individual
from
hhs,
because
I
do.
I
believe
that
there
are
many
elements
that
sometimes
getting
dropped
into
this
or
jumping
into
this
into
the
deep
end.
I
A
Right
and-
and
for
me
it's
not
it's
just
again,
like
you
say
knowing
that
that's
such
a
robust,
you
know
topic
and
then
again
being
able
to
be
part
of
it
to
carry
it
through
during
the
session.
Okay,
great
members,
any
additional
questions.
A
I
would
like
to
open
it
up
to
for
testimonies
of
support
broadcasting
if
you
could
open
the
lines
for
those
that
wish
to
call
in
on
acr
5
in
support,
while
broadcasting
has
opened
that
opening
the
lines,
I
just
want
to
remind
everyone
that
everyone
will
have
up
to
two
minutes
for
their
testimony
and,
of
course,
please
remember
to
state
and
spell
your
full
name
before
you
speak
broadcasting
whenever
you're
ready.
H
H
D
Hi
good
afternoon,
chair
and
members
of
the
committee
will
credman
representing
battleborn
progress.
Today
we
rise
in
sport
of
atr
5
with
the
extremely
challenging
year
that
all
of
us
experience
access
to
mental
health
services
is
more
vital
than
ever.
This
resolution
to
study
the
gaps
in
behavioral,
behavioral
and
mental
health
professionals
available
in
nevada
is
important
to
ensuring
our
state
has
adequate
access
to
these
services.
D
We
need
to
get
to
the
bottom
of
why
we
are
failing
or
where
we
are
falling
short
in
our
state
and
make
policy
that
improves
nevada's
mental
health
workforce
and
system.
I
myself,
as
we
have
recently
begun,
going
to
therapy
to
start
to
help
work
through
depression
that
I've
struggled
with
for
a
long
time
and
that
intensified
over
this
last
tumultuous
year.
I'm
lucky
that
I
have
health
insurance
and
could
find
a
great
provider
available
in
my
network,
but
I
know
that
that
is
not
the
case
for
everyone.
D
I
am
already
seeing
the
benefit
of
seeing
a
professional,
and
I
want
these
services
to
be
available
to
every
nevada
who
needs
them.
Please
support
acr
5
to
study
the
disparities
and
services
available
and
come
up
with
solutions
to
our
state's
lack
of
available
professionals.
Thank
you
for
your
time.
H
O
This
is
robin
reedy
r-e-e-d-o-y,
I'm
the
executive
director
of
miami
nevada,
that's
the
national
alliance
on
mental
illness
and
on
behalf
of
nami,
I
would
like
to
offer
our
support
for
acr
5..
The
statistics
that
were
mentioned
earlier
from
dr
peckham
is
no
surprise
to
anyone
here.
I'm
sure
I've
spent
three
years
zooming
around
the
state,
whether
in
a
car
or
on
a
teleconference
services,
and
I've
heard
about
the
workforce
shortage
from
every
side
of
the
equation.
O
O
Lastly,
I
have
even
heard
of
therapists
being
hired
as
social
workers
within
the
education
system,
and
now
providers
can't
find
staff
because
we
are
so
low
on
staff.
In
those
categories,
the
people
of
nevada
deserve
the
opportunity
to
experience
health
and
productivity
in
support
of
this
goal.
Nami
nevada
urges
public
policies
based
on
data
that
ensure
that
all
people
have
access
to
the
right
treatment
at
the
right
time.
Thank
you
for
bringing
forth
this
bill.
O
C
H
G
G
H
P
P
I
ran
as
the
director
of
operations
at
serenity
mental
health
for
eight
years.
I
no
longer
work
for
them,
so
I'm
not
representing
them
at
this
time.
However,
during
my
time
within
that
role,
I
definitely
wanted
to
voice
my
support
of
the
acr
5,
because
I
have
so
much
experience
in
the
field
and
representing
at
least
30
students
assisting
them
through
the
process
of
student,
practicum,
internship
and
licensure
being
in
the
mental
health
field
for
12
years.
P
I
feel
that
the
topics
that
were
discussed
and
the
statistics
that
were
discussed
in
today's
meeting
were
absolutely
accurate.
In
my
experience
and
my
main
goal,
I
guess
for
this
committee
would
not
only
be,
of
course,
to
identify
the
deficits
but
to
hopefully
put
together
plans
moving
forward
to
increase
the
providership
in
the
state
of
nevada,
and
I
also
had
just
one
question:
is
how
can
myself
as
just
a
regular
nevadan
who
works
in
the
mental
health
field?
P
H
Q
T-O-M-D-U-R-A-M-T-E,
I
am
the
president
of
the
nevada
chapter
of
the
national
association
of
social
workers
and
I
chair
the
committee
on
rural
social
work
and
I'm
a
licensed
clinical
social
worker
with
over
30
years
of
experience
working
in
behavioral
health
services
in
the
state
of
nevada.
Q
My
experience
has
provided
me
with
the
opportunity
to
witness
firsthand
and
in
a
number
of
settings
the
critical
shortage
of
behavioral
health
care
providers.
In
our
state
noted
earlier,
the
entire
state
of
nevada
is
considered
to
be
experiencing
shortages
of
behavioral
health
professionals
also,
as
we
heard
earlier,
nevada
ranks
at
the
bottom
of
the
states
for
access
to
mental
health
care
and
one
of
the
highest
rates
of
suicide.
Q
Although
there
are,
of
course,
many
factors
contributing
to
these
statistics,
the
workforce
issue
is
critical
factor.
These
figures
are
bound
to
only
worsen.
In
the
wake
of
the
covet
and
economic
crisis,
we
find
ourselves
in
a
comprehensive
behavioral
health.
Workforce
study
is
crucial
as
you
plan
for
our
future.
The
contributing
factors
to
our
behavioral
health
care.
Professional
shortage
are
many,
including
salary
issues,
deprofessionalization
student
debt
issues,
accessibility
to
higher
education
and
the
lack
of
a
pipeline
from
high
school
to
college
to
the
workforce.
Q
H
E
J-E-S-S-E-W-A-D-H-A-M-S
with
the
law
firm
of
black
and
waters
today,
on
behalf
of
the
nevada
hospital
association,
we
are
pleased
to
support
acr
5
in
examining
the
behavioral
health
workforce
in
nevada.
Obviously,
the
understanding,
behavioral
health
and
the
workforce
itself
is
a
key
component
to
all
of
nevada's
healthcare
delivery
system,
and
we
thank
assemblymember
anderson
for
this
bill
and.
B
H
E
Hello,
this
is
steve.
Shell
s-h-e-l-l
am
vice
president
of
behavioral
health
at
renowned
health
and
renown,
and
I
am
also
the
president
of
the
board
of
directors
for
nami
nevada,
that
is
the
statewide
organization
for
the
national
alliance
on
mental
illness.
Thank
you
for
giving
me
the
opportunity
to
speak
to
you
today
in
support
of
acr
5.
in
the
last
10
years
that
I
have
lived
in
nevada.
E
I
have
seen
firsthand
how
nevada
is
severely
lacking
in
the
number
of
mental
health
providers
to
sufficiently
meet
the
mental
health
and
addiction
needs
in
our
state.
We
simply
do
not
have
enough
psychiatrists
psychologists,
social
workers,
therapists
and
particularly
psychiatric
nurses
in
the
entire
state
to
adequately
care
for
our
growing
population.
E
Many
individuals
who
need
medication,
management
and
or
talk
therapy
have
to
wait
several
weeks
to
be
seen
by
a
provider.
There
are
also
often
patients
in
emergency
rooms
across
the
state
waiting
for
extended
periods
to
be
transferred
to
behavioral
health
hospitals,
as
there
may
not
be
available
beds
due
to
staffing
shortages.
E
Telehealth
has
certainly
improved
access
to
treatment
for
some
people,
but
we
are
still
in
dire
need
of
more
providers
in
order
to
expand
both
telehealth
and
in-person
services.
Recruitment
and
retention
of
mental
health
professionals
is
more
critical
for
nevada
than
ever.
We
need
to
help
our
colleges
and
universities
expand
to
accept
more
students
for
these
professions
and
we
need
to
increase
the
promotion
of
these
career
options
to
attract
individuals
that
are
interested
and
passionate
about
working
in
the
field.
E
H
H
H
R
Hello
and
thank
you,
committee,
chairwoman,
miller
and
committee
members,
my
name
is
hava
alma
h-a-w-a-h-a-h-m-a-d
and
I'm
here
representing
the
clark
county
education
association,
the
clark
county
education
association,
engages
in
bipartisan
advocacy
for
the
advancement
of
public
education
in
the
state
of
nevada
ccea
is
testifying
in
neutral
on
acr.
5..
Ccea
would
like
to
thank
the
sponsors
of
this
bill
for
their
efforts
in
addressing
the
shortage
of
behavioral
health
professionals
in
the
state
of
nevada.
R
If
the
kobit
19
pandemic
has
shown
us
anything,
is
that
our
lack
of
attention
in
the
development
of
the
workforce
related
to
behavioral
health
has
been
alarmingly
exacerbated
and
negatively,
impacting
our
students
and
has
negatively
impacted
our
students
with
the
formation
of
the
legislative
commission.
Issues
relating
to
the
development
of
the
workforce
for
behavioral
health
professionals
to
improve
access
to
behavioral
health
care
in
the
state
can
finally
be
examined
on
the
closed
line.
R
In
addition
to
a
social
worker
from
k-12,
we
ask
that
this
committee
ensure
that
programs
currently
being
implemented
in
school
districts
are
included
in
the
approach.
This
commission
takes
to
strengthening
behavioral
health
professional
development.
Overall,
we
are
very
excited
about
this
bill
and
look
forward
to
supporting
this
legislative
commission
in
any
way
possible
to
ensure
that
the
behavioral
health
workforce
is
developed
to
help
every
nevadan
who
needs
it.
Thank
you
to
assemblywoman
anderson
and
the
sponsors
of
this
bill.
A
Hey
thank
you
well
with
that.
I
would
like
to
thank
assemblywoman
anderson
for
bringing
forth
this
legislation
and,
of
course,
dr
hun
and
dr
pakman
and
former
assemblywoman
connie
monk
for
joining
in
to
present
this
legislation
as
well
with
that
I'd
like
to
close
the
hearing
on
acr
5
and
move
to
our
next
agenda
item,
which
is
public
comment.
A
So
we
will
give
colors
a
moment
to
to
call
in
and
again
while
we're
doing
that,
just
to
want
to
remind
everyone
that
you
will
have
two
minutes
to
make
public
comment
in
on
something
that
is
under
the
purview
of
this
committee,
and
we
will
have
up
to
30
minutes
of
public
comment
so
broadcast
whenever
you
have
the
first
caller.
Please
proceed.
H
H
A
Okay,
let's
just
wait
another
moment
to
ensure
we
capture
everyone
who
may
be
attempting
to
call
in
at
this
moment.
H
H
A
Okay,
thank
you.
Well
with
that,
we
will
close
the
item
on
public
comment.
Our
next
meeting
will
be
posted
in
agendas
when
scheduled
with
that
I
will
close
adjourn
today's
meeting.
Thank
you.