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From YouTube: 3/17/2021 - Senate Committee on Commerce and Labor
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A
A
President
and
please
senator
pick
president
once
he
gets
here
and
I'm
not
sure
we
have
a
lot
of
feedback,
is
somebody's
mic,
gets
open
or
looks
like
it's,
so
my
senator
pickard
president
when
he
arrives,
and
I
hope
that
he
does
otherwise.
We
won't
have
a
lot
of
questions
today,
so
senator
picker,
if
you
can
hear
me,
come
on
in
the
room,
welcome
to
our
audience
joining
us
remotely
and
anyone
listening
over
the
internet.
Today
we
have
a
hearing
on
senate
bill,
181
and
145..
A
However,
there
are
various
ways
members
of
the
public
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engage
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us
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A
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A
A
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A
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nellis.
A
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will
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entertain
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amendments
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the
bill
sponsor
is
not
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of
the
amendment.
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A
A
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A
Also,
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have
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question,
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hand
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and
finally,
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exhibits
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meeting
will
be
available
on
nellis
online,
and
with
that,
let's
please
begin.
We
will
open
the
hearing
on
senate
bill.
181
senator
gorkachia,
sarah
adler
silver
state
government-
and
I
think
you
have
a
couple
more
people
here,
so
senator
gokujia.
Please
begin
when
you're
ready,
sir.
F
Good
morning,
chair
spearman
and
it's
my
pleasure
to
be
in
front
of
commerce
and
labor
this
morning,
I'm
clearly
not
the
expert
on
this
bill.
I
and
that's
why
I
do
have
the
experts
miss
advert,
miss
quillocian
and
some
of
her
people
that
are
really
responsible
for
delivering
these
services
in
rural
nevada
and
we
are
truly
struggling
so
anyway,
I
am
senator
pete,
garcia,
representing
senate
district
19
and
I
am
bringing
you
senate
bill
181..
F
The
version
you
see
is
the
amended
version
and
we've
been
really
struggling
with
the
bill,
and
I
I
know
there
was
the
last
amendment
that
it
was
offered,
will
we'll
show
some
changes
again
in
the
hours
we're
really
struggling
with
trying
to
facilitate
licensure
and
have
the
ability
to
get
these
people
in
place
in
rural
nevada,
while
not
compromising
any
of
the
the
competency
of
the
bill
so
and
the
training
that
is
required.
We
really
struggle
in
across
northern
nevada,
getting
drug
and
alcohol
counselors
in
place
and
maintaining
him.
F
It's
truly
a
struggle
and
although
maybe
we
don't
have
the
numbers,
we
definitely
have
the
miles
and
miles
equate
to
time
lost
and
as
we,
these
people
do
travel
between
it's.
If
they're
on
the
road
they're
not
seeing
patients
and
truly
is
what
impacts
us.
So,
the
more
of
these
we
can
have
available
and
housed
in
our
communities
the
more
these
drug
and
alcohol
counselors.
F
We
can
have
available
in
housing,
our
communities,
the
better
the
services
we
can
supply,
and
given
these
these
very
trying
times
we're
in
today,
it's
only
exacerbating
the
situation.
So
with
that
I'll.
That's
just
a
very
brief.
I
won't
walk
through
the
bill
because
again
we
have
been
tweaking
and
changing
trying
to
get
the
best
version
we
can.
I
know
you've
got
a
full
schedule
today
and
I'm
also
supposed
to
be
in
senate
finance.
F
I
so
we'll
we'll
do
the
best
we
can
and
we'd
love
to
fix
some
of
the
issues
in
dmv
on
the
other
side.
So
with
that
I'll
stand
for
any
questions
right
now,
but
clearly
I
am
going
to
turn
it
over
to
the
experts,
miss
adam
as
well,
see
and
caesar,
and
some
of
those
people
that
truly
understand
exactly
what
the
ins
and
outs
the
questions
you'll
have
those
technical
questions.
So
with
that.
Thank
you,
madam
chair.
A
F
I
I'll
listen
a
little
bit,
but
if
you
see
me
gone
amen,
I
skip
back
to
finance
and
I
do
appreciate
that,
and
I
thank
you
for
your
indulgence.
It's
that
time
of
year,
where
we're
all
bouncing
around
and
very
nice
to
see
your
pickup
downstairs
in
the
garage
this
morning.
A
A
Questions,
I
don't
see
any
hands
so
with
that
senator
corkey.
If
you
need
to
leave,
you
may
do
so
now
and
what
we
will
do
is
we
will
we
will
get
those
who
are
presenting
with
you
with
them
on
the
hot
seat.
If
we
have
any
questions
and
if
they
can't
answer
it,
certainly
we
will
send
in
a
written
question
and
you
can
respond
at
another.
So
thank
you,
sir.
F
G
I
am
next
good
morning,
madam
chair
and
members
of
the
committee.
My
name
is
sarah
adler
with
silver
state
government
relations,
and
I
so
appreciate
senator
gokachen,
whom
I've
had
the
honor
of
working
with
supporting
rural
nevada.
For
a
very
long
time.
We
started
with
a
disagreement
over
how
we
should
invest
cdbg
dollars
in
rural
nevada,
but
we
have
overcome
that.
So.
Thank
you.
So
much
senator
gokaccia
for
your
sponsorship
of
senate
bill
181.
G
G
Thank
you
very
much
so
again,
good
morning,
members
of
the
committee
on
behalf
of
two
rural
addiction,
treatment,
centers
and
certified
community
behavioral
health
centers,
what
we
call
ccbhc's,
vitality,
unlimited
based
in
elko
and
new
frontier
based
in
fallon.
G
I
am
pleased
to
bring
to
you
senate
bill
181
this
morning.
It
is
an
honor
to
work
with
these
organizations
and
to
assist
in
this
work.
So
what's
the
problem?
Well,
the
first
problem
we're
just
going
to
look
at
very
briefly-
is
that
nevada
sadly
has
a
long
and
current
history
with
nevadans
having
substance
use
disorders.
That's
our
modern
word
for
alcohol
and
drug
abuse
or
for
addiction.
G
The
definition
of
it
is
there.
I
just
want
to
point
out
that
sud
substance
use
disorder
describes
both
the
use
of
illicit
or
illegal
substances
and
the
misuse
of
legal
substances
like
alcohol,
nicotine
or
prescription
drugs.
We
all
have
lived
through
the
we
are
still
in
the
opioid
crisis
in
nevada.
Fortunately,.
G
G
G
G
In
fact,
southern
nevada
health
district
said
there
had
been
63
deaths
in
the
first
six
months
of
2020
versus
28
deaths
in
the
first
six
months
of
2019.,
so
another
drug
that
we
need
to
fight
here
in
nevada
and
again
they're,
not
opioids,
aren't
our
only
substance
that
we
struggle
with
heroin.
Er
visits
were
up.
G
Sadly,
in
2018
the
cdc
reported
that
nevada
had
the
highest
amphetamine
death
rate
in
the
nation
and
then,
of
course,
there
is
alcohol,
long,
the
drug
of
choice
and,
unfortunately
long
a
drug
that
is
abused
so
2018
2019
estimates
tell
us
that
25
of
nevadans
over
the
age
of
12
said
they'd
engaged
in
bin
drinking
in
the
past
month
and
six
percent
said
they'd
suffered
from
alcohol
use
disorder
in
the
past
year.
So
just
to
give
you
two
quick
examples
of
the
depth
of
this
problem
and
the
cost
of
this
problem
in
rural
nevada.
G
I,
through
my
working
life.
I've
had
a
lot
of
opportunity
to
work
with
tribal
communities
in
nevada
and
in
talking
with
them
about
the
opioid
crisis.
They
said
absolutely
that's
a
problem,
but
have
people
forgotten
about
meth
meth
is
a
very
significant
problem
in
all
of
our
communities,
including
our
tribal
communities
and
then
to
the
cost
to
local
governments.
G
Now
we
have
to
have
a
women's
side
of
the
jail
because
of
the
number
of
women
who
are
arrested
and
incarcerated
due
to
drug
abuse
and
drug
crimes,
so
very
significant
alcohol
and
drug
problem.
Now
here
is
something
that
I
credit
you
chair,
spearman
and
your
committee
in
doing
a
lot
of
work
and
helping
us
recognize
in
nevada
the
breadth
of
mental
health
disorders
that
nevadans
are
facing,
and
we
see
the
three
major
categories
listed
here.
G
Another
term
likely
you
are
familiar
with
is
co-occurring
disorders
or
dual
diagnosis.
This
means
an
individual
that
has
both
a
mental
health
or
mental
illness
diagnosis,
as
well
as
an
addiction
or
substance
use
disorder.
Diagnosis
I
put
up
on
the
screen
there
samsha,
which
is
really
the
federal
leader
in
helping
us,
do
all
of
this
work.
Fortunately,
we
get
a
lot
of
money
from
samsha,
but
really
you,
the
legislature,
are
our
our
similar
body
who
helps
us.
G
Take
steps
to
reduce
the
impact
of
mental
illness
and
substance
use
disorders,
so,
let's
turn
to
nevada
and
to
what
we
call.
As
you
know.
Well,
our
behavioral
health
professions
and
we've
got
four
chapters:
641,
a
governed
psychologist
or
sorry,
641,
psychologist,
641a,
marriage
and
family
therapists
and
clinical
professional
counselors
are
together
641b
social
workers
and
then
631c
alcohol,
drug
and
gambling
counselors
psychologists
have
a
different
level
of
education,
so
I'll
be
speaking
about
the
other
four
professions
as
our
behavioral
health
professions.
G
G
When
licensed
having
taken
the
exam
and
passed
it
paid,
your
fees,
an
ladc
can
treat
individuals
with
substance
use
disorder
or
they
can
treat
the
sud
component
as
part
of
a
treatment
team
of
an
individual
with
co-occurring
disorder.
The
neighbor
to
ledc
is
what
I
really
consider
to
be.
The
gold
standard
necessity
throughout
nevada
and
in
rural
nevada
is
the
licensed
clinical
alcohol
and
drug
counselor.
Now
this
individual's
masters
must
have
included
comprehensive,
coursework
and
clinical
mental
health,
including
the
diagnosis
of
mental
health
disorders.
G
G
Here's,
some
good
news
thanks
again
to
a
lot
of
work
at
the
legislature,
the
stigma
around
mental
illness
is
lessening
as
a
long-time
leader
of
nami
in
nevada
and
a
40-year
family
member
of
a
sister,
I'm
very
proud
of
who's
who
lives
with
mental
illness.
This
is
great
news.
The
bad
news
is
that
ladcs
and
lc
adcs
are
losing
some
ground
relative
to
the
other
three
behavioral
health
professionals
and,
unfortunately,
that
ground
is
lost
in
the
pay
that
they
can
command
out
there
in
the
field
and
in
the
profession.
G
F
G
F
G
G
G
So
what
are
some
of
the
factors
that
are
driving
this
well
working
with
my
clients?
We
feel
that
really
it
comes
to
a
matter
of
historical
origins.
Well,
you
see
the
big
reason
there.
After
your
education
to
enter
these
professions,
you
need
thousands
of
hours
supervised
hours
where
you
are
working
and
being
paid
at
an
intern
level,
and
you
have
a
supervisor
who
is
supporting
you.
So
we
think-
and
you
see
the
difference
three
thousand
hours
in
the
other
behavioral
health
professions,
four
thousand
hours
for
the
alcohol
and
drug
professions.
G
How
did
this
happen?
Perhaps
it's
historical
or
origins
in
nevada.
We
started
to
license
problem
gaming
gambling
counselors
many
many
years
ago,
and
these
folks
could
enter
that
field
with
a
high
school
education
and
then
some
training.
Similarly,
we
certified
alcohol
and
drug
counselors
many
years
ago
with
an
associate's
level
of
education
and
then
training
in
1999.
G
G
So
if,
if
you
are
an
intern
seeking
an
individual,
wonderful
individual
seeking
to
go
into
this
behavioral
health
and
addiction
work,
if
you
want
to
become
an
adc
or
an
lcadc,
you
have
the
burden
of
finding
a
thousand
more
hours
of
supervised
internship
of
finding
the
supervisors,
and
you
may
even
have
to
pay
for
that
supervision
yourself.
Fortunately,
my
clients,
when
they
hire
an
intern,
they
pay
for
the
cost
of
the
supervisor,
but
that's
a
lot
of
work
to
find
a
thousand
more
hours,
a
supervised
internship.
G
A
thousand
more
hours
is
six
months
of
pay
for
gone
at
a
licensed
professional
rate,
so
an
ladc.
What
vitality
starts?
An
intern,
a
cadc
intern
at
15
an
hour
pays
a
license
to
ledc
twenty
four
dollars
an
hour:
that's
their
starting
rates,
that's
nine
thousand
dollars
that
you
have
foregone
over
six
months.
So
that's
a
big
deterrent
to
entering
this
field
as
opposed
to
the
other
behavioral
health
fields.
Good
news
again
done
a
great
job,
reducing
stigma
and
mental
illness
training
more
folks
to
treat
the.
I
G
Illness
side,
the
result
of
this
is
we're
attracting
fewer
interns,
the
alcohol
and
drug
field.
We
have
fewer
supervisors
available
for
ladcs
and
lcadcs.
What
is
the
result
while
we're
facing
it
across
nevada?
We
have
so
much
untreated
substance,
use
disorder
and
so
many
events
with
co-occurring
disorders
that
are
not
yet
receiving
the
treatment
that
will
allow
them
to
be
healthy
individuals
to
help
their
families
feel
successful
to
reduce
government
costs,
as
I
described
in
churchill
county
and
then
the
societal
costs
of
not
having
a
healthy
workforce.
G
G
We
required
that-
and
this
is
in
today's
amendment-
that's
posted
on
nellis.
We
require
at
least
1500
of
those
supervised
hours
for
an
lc
adc
are
with
individuals
with
mental
illness,
who
also
have
alcohol
and
other
substance
use
disorders.
So
that's
our
co-occurring
individuals
at
least
a
thousand.
G
With
alcohol
and
substance
use
disorders,
because,
of
course,
addiction
is
a
big
issue
in
nevada
and
then
for
some
flexibility,
especially
thinking
about
our
rural
workforce.
We're
finding
supervisors
is
challenging
for
some
flexibility
that
remaining
500
hours
could
be
either
with
co-occurring
individuals
or
folks
with
addiction
over
here
in
section
2
for
alcohol
and
drug
counselors.
We
simply
change
that
four
thousand
hours
to
three
thousand
hours
to
gain
equity
with
the
other
behavioral
health
professions
that
also
have
master's
degrees
and
their
supervised.
Internship
is
with
individuals
with
a
diagnosis
of
substance,
use
disorder.
G
There
are
two
other
changes
in
the
bill,
as
we
saw
there
are
very
few
lca
dc's
relative
to
the
entirety
of
our
health
workforce,
which
is
much
smaller
in
nevada
than
it
needs
to
be
right
now
in
statute
to
get
those
supervised
hours
as
an
lcadc
intern,
your
supervisor
has
to
be
an
lc
adc,
and
that
is
way
too
narrow.
G
For
some
reason-
and
I
think
it's
just
an
oversight
in
this
alternative
track,
clinical
professional
counselors
are
not
included
in
that
list
to
fast
track
to
become
an
lc
adc.
Yet
their
counterparts,
lcsws
and
mfts
are
so.
We
were
putting
clinical
professional
counselors
in
again
increasing
the
opportunity
to
get
to
our
gold
standard,
in
my
opinion
of
lc
adcs.
G
So
there's
there's
the
bill
presentation
there's
my
summary
on
the
top
of
the
screen.
I
thank
you
so
much
for
this
opportunity.
G
Next
you're
going
to
hear
testimony
from
my
two
bosses
who
are
in
the
zoom
room
or
on
the
phone,
esther
quillissy
and
lana
robarts,
and
then
finally,
we
will
all
be
able
to
take
your
questions
assisted
into
in
responding
to
your
questions
by
the
fact
that
agata
goronski,
the
direct
executive
director
of
the
board
of
examiners
for
alcohol
and
drug
and
gambling
counselors
is
also
with
us
on
the
phone.
G
So,
with
your
permission,
madam
chair,
I
will
direct
us
next
to
lana
robard,
ceo
of
new.
A
Frontier
just
before
we
get
started,
we
may
have
to
pause
this
hearing
and
go
to
the
next
hearing,
because
one
of
the
testifiers
has
got
to
leave
at
9..
So
if
I
say,
let's
put
a
pin
in
it,
it
will
do
that
and
then
we'll
come
back.
Okay,
okay,
so
who's
next.
D
D
D
So
did
the
educational
requirements
for
each
level
of
certification
or
licensure
behavioral
health
licensing
such
as
licensed
clinical
social
workers,
are
more
recent,
so
clinical
supervision
hours
required
were
developed,
commensurate
with
their
education
and
require
3
000
hours
of
clinical
supervision,
licensed
alcohol
or
licensed
drug
and
alcohol.
Counselors
ladcs
and
licensed
clinical
alcohol
and
drug
counselors
lcadcs
also
require
a
master's
level
education
and
we
request
that
that
be
taken
into
consideration
when
the
committee
considers
this
bill.
D
New
frontier
joins
vitality,
unlimited
as
one
of
the
first
three
providers
in
nevada
to
become
certified
community
behavioral
health
clinics
ccbhc.
As
such,
we
provide
a
complete
compendium
of
wraparound
services
to
our
co-occurring
clients
and
their
families.
We
need
latex
and
lcadcs
to
carry
out
our
mission
of
providing
behavioral
health
services
to
all
rural
nevadans.
H
Morning
morning,
mayor
spearman
committee
people
a
special
greeting
to
our
senator
goygicia,
if
you're
still
here.
Thank
you
so
much
for
the
support
we
get
from
you
and
all
things.
My
name
is
esther
quillicy.
I
have
been
with
vitality
unlimited
since
1984.
I
am
the
chief
executive
officer
and
serve
also
the
chief
operations
officer.
H
I
am
an
ladc
and
have
been
set
for
over
30
years,
and
I
am
a
clinical
supervisor
for
interns,
vitality
and
limited.
If
I
may
give
you
just
a
brief
overview
of
who
we
are
serves,
the
state
of
nevada,
our
treatment,
centers
and
clinics
are
located
in
rural
and
rural
frontier,
nevada,
vitality.
Unlimited
is
a
non-profit,
federally
recognized
501c3
corporation
with
a
long,
successful
history
of
providing
community
services,
affordable
housing,
high
quality
substance
use
disorder,
treatment
and
access
to
behavioral
health
services.
H
I
am
here
today
to
urge
passage
of
the
modifications
for
sb
181.
Why?
Because
nevada
needs
it,
we
are
finding
it
very
difficult
to
add
to
our
workforce
of
professionals,
we're
all
aging
and
we've
hung
in
there
for
a
lot
of
years
and
nights,
and
I
have
seen
a
lot
of
changes
and
what
we
need
is
an
impetus
to
support
this
very
valuable
specialty,
and
you
know
you
may
be
asking
yourself
over
time.
What's
happened,
why
has
the
specialty
receded?
H
H
Well,
what
you're
going
to
find
is
some
of
these
mental
health
specialties
cells,
the
swmft,
don't
want
to
treat
addictions.
They
they
want
to
treat
the
component
if
it's
a
co-occurring,
healthy
component
of
mental
health.
If
it's
strictly
mental
health,
then
certainly
they'll
focus
on
that.
But
we
found
in
our
practice
is
that
they'll
say:
oh
turn
it
over
to
the
specialist.
H
We've
got
to
again
promote
that
and
we
and
we
vitality
have
promoted
it
by
by
trying
to
attract
clinicians,
paying
higher
wages,
making
the
work
environment
conducive
to
good
treatment,
both
in
our
treatment
centers
and
in
our
clinics.
I
mean
we're
located
in
alco,
carson
city
dayton
and
sun
valley,
nevada
and
reno
nevada.
H
We
also
think
it's
good
for
business
if
we
can
help
nevada
get
off
the
floor,
I
mean
we're
51st
in
behavioral
healthcare
and
we
are
working
diligently
to
raise
our
profile
nationally
and
I
think
the
cc's
bhcs,
which
are
not
your
typical
outpatient
clinics.
I
mean
we
provide
nine
port
services,
we
do
wrap
arounds
and
we're
an
integrated
system.
H
We
also
also
provide
to
the
people
that
come
to
our
clinics,
primary
care
and-
and
that
is
an
important
thing,
because
we
can
address
the
whole
person
in
in
the
clinics
that
we
run
or
the
treatment
centers
that
we
run
and
the
same
with
with
miss
robards
at
new
frontier,
because
that's
what
the
ccbhc
model,
which
you've
all
supported
over
time,
has
brought
to
the
state
of
nevada.
H
We
want
to
remove
the
barriers
that
we
can
determine
for
any
professional
coming
into
nevada.
Why?
Because
it's
good
for
business,
it's
good
for
us,
it's
a
healthier
nevada.
If
we
can,
we
can
address
the
the
mental
health
and
addiction
concerns
of
our
residents
and
we
want
equity,
and
I
think
this
bill
moves
towards
that
aim.
H
There's,
no
reason
why
a
master's
level
substance,
abuse
counselor
should
not
make
as
much
or
it
should
cost
them
more
to
get
it,
and
I
think
that
we
are
working
and
we'll
continue
to
work
with
sarah
adler
who's
been
a
great
partner
for
us
in
working
through
issues
in
nevada,
and
I
know
it
sounds
a
little
bit
far-reaching,
but
my
concern
too,
is
how
substance
abuse,
counselors
therapists
are
treated
even
through
federal
payment
systems
and
that's
going
to
be
a
big
fight.
So
thank
you.
H
I
know
I
think
I
get
a
I'm
going
on
too
long.
Thank
you
so
much
if
I
can
answer
the
questions
I'll
be
here.
A
A
Okay
committee,
if
you
all
can
do
me
a
favor,
if
you
all
can
hold
the
questions
we
have.
One
of
the
dr
tyler's
got
to
leave
at
nine
o'clock
and
I
want
to
make
sure
that
we
get
her
testimony
on
the
record
as
well.
Here's
what
I'm
going
to
do,
I'm
just
going
to
pause
for
about
five
minutes
and
let
dr
tyler
enter
her
testimony
on
the
record
so
that
we
don't
hold
it
up
from
the
next
meeting.
A
I
don't
know
I
don't
know
how
long
or
how
many
times
this
has
been
done.
But
if
this
is
the
first
one
we'll
work
this
so
that
we
can
make
sure
that
we
hear
our
our
testifiers.
So
I'm
gonna
pause
the
hearing
on
senate
bill
181
and
open
now
the
hearing
on
senate
bill
145
dealing
with
reinvestment
act,
and
this
is
an
act
that
where
banks
submit
what
they've
done
to
the
ftic
and
they're
graded
on
how
well
they
have
worked
with
the
community
interact
with
the
community.
A
So,
dr
tyler,
can
you
begin
now
and
just
get
your
your
comments
on
the
record.
J
J
I
have
the
privilege
of
serving
as
the
executive
director
for
the
children's
advocacy
alliance,
a
statewide
nonpartisan,
independent
child
policy,
advocacy
organization,
where
a
core
part
of
our
work
is
ensuring
or
supporting
data-driven
policy-making,
resource
allocation
and
human
services,
and
it's
from
that
place
that
I'd
like
to
speak
about
the
importance
of
this
proposed
legislation.
J
Ever
happened
so
you're
hearing
one
today
about
the
need
to
invest
in
our
mental
health
system
and
the
practitioners
to
do
that.
Work
having
a
way
of
capturing
or
individuals
formally
reporting
out
on
the
investments
they
are
making
in
nevada's
communities
become
a
critical
part
of
not
only
the
asset
mapping
that
we
support.
That
allows
us
to
make
informed
decisions
about
how
to
allocate
resources.
J
And
I
speak
not
only
from
the
vantage
point
of
the
value
of
capturing
data
or
data
collection
or
mapping,
but
also
as
a
non-profit
administrator,
who
has
over
the
course
of
my
journey
here,
recognized
that
this
notion
of
investment
around
social
issues
truly
is
an
ecosystem.
J
From
that
vantage
point,
there's
also
the
value
of
being
able
to
articulate
and
have
a
report
on
these
issues
in
terms
of
attracting
national
and
other
investments
as
a
part
of
that
work.
So
our
ability
to
say
is
a
part
of
our
our
philanthropic
ecosystem
here
in
nevada
that
we
routinely
have
a
number
of
financial
institutions
that
are
investing
in
low
to
moderate
income.
J
Communities
or
neighborhoods
that
are
even
ranked
or
scored
or
valued
or
their
investment
is
articulated,
also
gives
us
the
ability,
as
a
state
or
entities
that
contribute
to
these
social
issues,
to
articulate
the
ways
in
which
others
should
invest,
because
because
of
the
ways
in
which
these
institutions
are
investing
and
then
beyond
that
the
importance
of
recognizing
those
investments.
J
So
if
we
periodically
received
a
report-
or
there
was
some
indication
of
where
folks
are
investing
in
the
quality
of
that-
even
the
ability
to
affirm
that
that's
the
right
thing
to
do,
because
we
are
one
state,
a
large
community
with
many
needs
would
be
helpful.
And
so
with
that
said,
I
want
to
formally
note
for
the
record.
J
Our
affirmation
or
support
of
this
important
legislation
hope
that
you
will
consider
the
power
impact
it
will
have
for
asset
mapping,
facilitating
public
and
private
partnerships
attracting
national
and
other
investments,
as
well
as
the
recognition
of
doing
great
work
towards
helping
us
mitigate
a
number
of
pressing
social
issues
that
have
been
long-standing
and
those
that
are
even
emergent.
A
Thank
you,
dr
tyler,
before
she
leaves
committee
members
any
questions
for
dr
tyler
garner.
I'm
sorry
I
knew
her
before
she
got
married
and
it
was
a
long
time,
but
but
anyway,
tyler
gardner.
I
want
to
respect,
want
to
respect
your
status
now
and
respect
your
husband,
so
committee
members,
yes,
senator
pickard,
first
and
british
settlement.
K
J
Well,
that
no
no
worries,
thank
you
until
by
way
of
the
chair,
so
asset
mapping
is
typically
a
a
reference
to
a
research
or
methodological
approach
where
you
look
at
the
landscape
or
context
and
see
and
note
where
there
are
specific
assets
or
investments,
some
examples
of
asset
mapping.
If
I
was
entitled
to
an
issue
like
addressing
food
insecurity,
if
I
was
asset
mapping
there,
I
might
ask
myself,
where
are
all
of
the
pantries
across
our
state?
J
J
You
might
have
gotten
a
snapshot
like
you
received
about
the
number
and
nature
of
practitioners
in
terms
of
the
assets
or
resources
we
have
around
our
mental
health
issues.
So
it's
really
a
research
reference
to
being
able
to
map
out
like
what
resources
we
have
in
particular
areas.
J
So,
in
the
case
of
this
discussion,
what
I'm
suggesting
is
having
that
formal
reporting,
where
someone
is
indicating,
like
the
nature
and
amount
that
they
have
invested
in
communities
as
a
financial
institution,
particularly
around
the
discussion
of
low
to
moderate
income,
as
it
relates
to
the
work
that
we
do
at
the
children's
advocacy
alliance
would
be
incredibly
helpful
because
it
can
help
us
frame
or
even
refine
how
we
talk
about
the
need
in
response
in
our
community
so
leveraging
this
data.
J
I
might
say
something
like
over
the
course
of
a
three-year
period.
Approximately
42
financial
institutions
in
seven
counties
across
nevada
on
average,
invested
blank
amount
of
dollars
towards
the
following
areas
and
as
a
result,
we
see
this
impact.
So
if
we
think
about
what
our
assets
are
treating
it
as
an
ecosystem,
it
may
be
a
certain
number
of
banks
who
consistently
invest
in
low
to
moderate
incomes.
K
A
K
Madam
chair,
I
appreciate
the
ability
to
ask
a
question.
I'm
not
sure
thomas
tyler
is
the
best
person
to
ask
question
of,
or
are
you
the
sponsor
or
someone
else,
but
as
I'm
reading,
what
the
bill
is
trying
to
do?
It
seems
that
these
reports
are
already
made
publicly
available
on
the
ffeic
website.
So
how
will
this
necessarily
help
nevadans
by
doing.
A
A
Okay,
single
further
questions,
dr
tyler
gardner
certainly
want
to
appreciate
your
indulgence
and
thank
you
for
stopping
by,
and
I
think
we
we
have
done
this
in
enough
time
to
allow
you
to
get
to
your
other
meeting.
Yes
9
o'clock,
so
thank
you
so
much.
Thank.
A
I
Hardy.
Thank
you,
madam
chair.
When
we're
looking
at
these
requirements
for
licensing
in
nevada,
are
we
moving
towards
a
more
inviting
state
so
that
other
states
may
have
more
onerous
requirements,
or
are
we
doing
it
in
such
a
way
that
we're
opening
up
the
borders,
so
we
can
get
more
people
in
nevada?
I
Is
there
a
common
organization
nationally
that
requires
so
many
hours
of
supervision?
Are
we
going
to
be
able
to
allow
these
people
to
have
their
national
certification
requirements
done
as
well
as
the
state?
So
those
are
the
kinds
of
things
I
not
sure
you
know
where
we're
going
it.
I
obviously
want
to
make
nevada
more
inviting
I
I
don't
necessarily
want
to
make
it
at
the
expense
of
somebody.
G
Thank
you
senator
hardy
for
the
question
through
you,
madam
chair,
to
senator
hardy.
I
will
begin
and
then
I'll
ask
agatha
to
contribute
senator
hardy.
The
first
issue
we're
facing
is
the
economic
inequity
of
within
our
own
state,
the
nevadans
that
we're
trying
to
grow
up
to
join
in
providing
these
critical
services
to
nevadans
right
now,
there's
a
real
economic
barrier
to
choosing
the
alcohol
and
drug
lane.
If
you
will
versus
the
other
mental
illness
lane.
So
that's
the
first
problem
we're
trying
to
solve.
G
C
Good
morning,
can
you
hear
me
yes,
good
morning,
agatha
garanski
executive
director
for
the
board
of
examiners
for
alcohol,
drug
and
gambling
counselors
senator
hardy?
To
answer
your
question,
I
think
we're
kind
of
overlapping
the
reciprocity
issue
here
and
I'm
I'm
not
exactly
sure
that
this
bill
in
particular
would
address
that
issue.
It's
been
a
and
just
your
other
question.
There
is
no
national
requirement
for
the
supervised
hours.
We
do,
however,
have
international
credentialing
and
reciprocity
corresponds,
which
we
are
using
for
testing
and
credentialing.
C
So
if
people
are
coming
from
other
states-
and
they
have
that
credential-
that
we
will
accept
the
the
original
scores
and
we
will
we
will
license
or
certify
them
in
nevada
grant
that
they
are
meeting
still
our
requirements.
C
It
is
not
that
easy
nevada
does
have
a
higher
educational
requirements
when
it
comes
to
credentialing
alcohol
counselors
than
most
of
the
states,
so
that
would
require
legislative
changes
within
nrs641c.
C
To
do,
however,
at
least
this
bill,
I
think,
will
is
the
first
step
in
right
direction
to
do
open
it
up
a
little
bit
and
make
it
easier
and
also
more
equitable
with
other
mental
health
professions.
C
I
I
Let's
open
it
up,
let's
do
what
we
can
do
legally
and
get
them
licensed
in
nevada
without
making
more
steps
that
are
going
to
get
in
the
way
I
want
to
make
nevada,
inviting
and-
and
I
think
this
bill
will
do
something,
but
I
don't
know
what
it
is.
I
don't
know
how
it
conforms
with
other
places.
I
Obviously
we
want
to
have
people
who
are
trained
at
the
same
time
we
want
people,
and
I
think
that
that's
nature
of
our
situation
requires
us
not
to
stop
at
a
first
step
that
my
opinion,
I
I
love
what
we're
trying
to
do,
but
we
want
to
make
sure
we
do
it.
Thank
you,
madam
chair.
A
Thank
you,
senator
sotomayor.
K
Thank
you,
man,
I'm
sure
I
had
a
quick
question
to
start
off
with,
because
you
know
it's
pretty
telling
the
amount
of
increase
we've
seen
due
to
opiates.
K
What's
the
increase
that
you've
seen
potentially
with
alcohol
around
the
state
of
nevada,
I
only
have
my
anecdotal
stuff
talking
to
my
counties
that
have
seen
significant
increases
in
alcoholism
due
to
the
pandemic.
You
know
people
being
locked
up
at
home.
The
result
has
been
rather
sad
would
have
been
done.
I
was
wondering
if
you
had
any
actual
information,
because
I
only
know
the
data
from
my
surrounding
counties.
G
Okay,
so
senator
I
do
not
today
have
good
statistical
data
on
alcohol
abuse,
dui,
arrests,
other
data
that
would
indicate
that,
but
I
will
work
to
gather
that
and
bring
that
to
you.
I
appreciate
your
recognition
of
this
in
my
own
family
history
and
tree
my
uncle
chuck.
You
know
he
left
us
way
too
many
years
early
because
of
an
alcohol
addiction
that
was
not
able
to
be
treated
so
we'll
get
you
that
information.
K
I
appreciate
that
miss
adler,
the
anecdotal
stuff
from
the
police
departments
that
I've
talked
to
in
my
areas
is.
It
has
gone
up.
It's
interesting
that
you
would
have
thought
that
with
the
bars
closed
it
may
have
gone
down,
but
sadly,
certain
individuals,
rather
than
going
to
the
bar
becoming
inebriated
and
driving
home,
were
at
home.
Inebriated
then
went
to
the
local
store
to
acquire
more.
K
That
being
said
discussing
what
mr
hardy
said,
I
was
curious
if
you
might
have
any
information,
I
support
the
bill,
whatever
we
can
do
to
get
more
counselors
in
the
area,
and
so
my
question
is
what
do
the
surrounding
states
require
as
far
as
ours?
Are
we
putting
ourselves
as
far
as
the
our
requirement
making
other
people
not
want
to
come
here
potentially
to
this
state,
or
what
could
we
do
while
maintaining
the
same
level
of
quality?
G
My
clients
have
a
deep
commitment
to
improving
this
situation,
so
I
again
commit
to
you
that
we
will
gather
some
of
that
comparative
information.
I
don't
know
if
this
session
is
going
to
allow
us
to
amend
in
some
in
some
additional
improvement
measures,
but
we
will
be
back.
We
appreciate
your
encouragement
and
doctor
senator
hardy's
encouragement
in
this
direction.
K
G
A
A
And
what
I'd
excuse
me,
what
I'd
like
to
do
is
take
20
minutes
for
each
and
three
minutes
per
person,
and
if
someone
has
already
said
what
you
want
to
say,
you
can
say
state
your
name
spell
your
name
and
then
say
ditto.
We
want
to
get
as
many
people
in
to
have
the
opportunity
to
testify
as
possible.
Okay,
so
broadcast.
E
B
Good
morning
this
is
helen,
foley
h-e-l-e-n-f-o-l-e-y.
Thank
you,
madam
chair
spearman,
for
having
this
bill
come
before
you
today.
Many
of
you
know
that,
for
about
20
years
I
represented
the
marriage
and
family
therapist.
Today
I
am
representing
first
med
health
and
wellness,
which
is
an
fqhc
in
southern
nevada.
B
Many
of
the
fqhcs
use
dental
as
their
secondary
service,
but
firstmed
has
taken
on
mental
health
as
its
secondary
service
and
it
has
thrived
between
one
october
and
certainly
with
this
pandemic.
It
is
a
crisis
level.
In
southern
nevada.
We
have
23
mental
health
professionals
that
work
with
us.
We
are
an
fqhc
and
a
ccdhc,
so
we
also
serve
an
awful
lot
of
children
in
southern
nevada.
With
mental
health
issues.
B
Out
of
the
23
individuals
we
have
working
with
us,
seven
are
alcohol
and
drug
abuse
counselors.
We
could
certainly
use
a
lot
more
now.
It's
interesting
that
with
the
mfts,
a
lot
of
them
have
a
secondary
specialty
in
alcohol
and
drug
abuse,
but
we
need
a
lot
more
and
I
started
working
with
maggie
carlton
when
she
was
over
in
the
senate
when
we
had
problem
gambling
counselors
and
then
the
next
session,
alcohol
and
drug
abuse
counselors
be
elevated
to
the
level
of
mental
health
professionals.
B
B
These
should
not
be
off-kilter.
There
should
not
be
more
hours
required
of
alcohol
and
drug
abuse
counselors,
especially
the
clinical
than
there
are
for
the
other
mental
health
professionals
as
far
as
the
the
direct
language
in
the
bill
and
how
to
allow
greater
reciprocity
that
might
come
a
little
bit
later,
but
we
wholeheartedly
support.
First.
Med
wholeheartedly
supports
the
efforts
of
sarah
adler
and
her
team
and
agata,
who
I
have
worked
with
for
many
years
in
a
cooperative
fashion,
to
bring
more
mental
health
professionals
into
nevada.
E
E
E
A
Okay,
so
those
who
wish
to
testify
neutral.
E
C
Good
morning,
madam
chair
and
members
of
this
committee,
my
name
is
leah
case
l-e-a-e-a-s-e
here
today,
in
neutral,
on
behalf
of
the
nevada
psychiatric
association,
we
just
wanted
to
express
our
sincere
gratitude
to
ms
adler
for
reaching
out
to
us
to
the
psychiatrist
for
their
input
on
the
training
standards
in
the
mental
illness
and
substance
use
faith.
We
support
the
complete
spectrum
of
mental
and
behavioral
health
care
and
appreciate
her
effort
to
get
everybody
on
board
here
today.
Thank
you,
miss
adler,
and
we
will
talk
soon.
A
Hey
thank
you
committee
members,
additional
questions,
senator
pickard.
K
Thank
you,
madam
chair.
Not
a
question
just
a
quick
comment
as
a
co-sponsor
of
the
bill
and
having
been
involved
in
this
community
in
the
recovery
community
for
about
well
a
little
better
than
a
dozen
years.
I
feel
pretty
strongly
about
this.
I
agree
that
we
should
be
lowering
the
the
standard
requirements
for
hours
to
match,
or
maybe
even
compete
better
with
our
neighboring
states.
K
These
people
have
a
lot
of
great
experience,
they've
already
received
their
master's
degree,
and
it
would
certainly
be
a
boon
to
nevada
if
we
were
to
adopt
these
measures
and
get
these
people
in.
We
desperately
need
them,
particularly
after
the
experiences
of
the
last
12
months,
so
just
want
to
lend
my
support
and
and
offer
any
help
that
may
be
needed.
Thank
you,
madam
chair.
A
Pam
just
one
question:
you
may
have
already
answered
that.
Ms
adler,
I
think
you
said
you
don't
have
the
exact
data
on
the
number
of
cases
of
alcoholism,
whether
increased
or
decreased.
So
you
do.
You
have
anything
any
indication
about,
because
opioids
been
around
for
a
minute.
G
Thank
you,
madam
chair.
So
the
data
that
I
was
able
to
collect
recently
was
was
in
our
charts,
and
is
it
good
news
or
is
it
bad
news?
Our
rate
of
opioid
abuse
is
extremely
high.
It
is
across
the
nation,
but
in
nevada,
it's
extremely
high.
So,
since
the
since
2016
it's
come
down
a
little
bit,
we
still
have
an
enormous
problem,
and
this
is
something
I
personally
as
the
godmother
of
a
young
man
with
very
severe
co-occurring
disorder.
G
I
am
personally
very
concerned
that
we
are
not
being
able
to
provide
enough
effective
intervention
on
the
alcohol
and
drug
abuse
side.
That's
part
of
why
I'm
passionate
about
this.
So
worse,
it's
a
little
better
in
a
terrible
situation.
A
Thank
you.
That
was
a
great
presentation
and
very
expansive.
The
one
thing,
though,
that
I
didn't
hear.
A
I
think
we
also
acknowledge
the
fact
that
many
of
the
addictive
behaviors
are
not
just
physical,
but
there
is
a
level
of
spiritual
deficit
there
and
people
are
struggling,
trying
to
figure
out
how
to
be
who
they
are
or
where
they,
where
they
place
in
the
in
the
universe
whatsoever.
So
have
you
all
done
anything
with
working
with
some
faith-based
communities
and
I'm
not
talking
about
for
proselytizing
but
but
working
with
them
as
another
aspect
of
helping
to
treat
the
addictive
behaviors,
especially
those
co-occurring
ones,.
G
H
I'd
like
to
comment
as
as
you
well
know,
one
of
the
recognized
evidence-based
practice
is
a
12-step
program,
albeit
view
it
as
you
wish.
We
are
highly
supportive
of
it
and
at
this
point
we
are
working
here
in
elko
with
local
ministers
to
not
only
provide
benefits
in
food
and
clothing
and
shelter
and
some
small
stipends.
H
But
it's
it's
also.
You
know
it's
collaborative.
So
I'm
glad
you
asked
that,
and
I
would
like
to
add
one
comment
anecdotally.
What
we've
seen
here
in
elko
in
since
the
covid
began
a
year
ago.
Alcohol
is
always
part
of
the
addiction
process.
I
mean
you
know
it
if,
if
some
addicts
can't
get,
for
instance
the
opioids-
and
you
know
they
turn
to
alcohol
because
it's
a
depressant
but
methamphetamine
addicts,
I
mean
when
they
come
down,
they
want
they
drink
because
it
helps
ease
the
crash.
H
We've
noticed
here
in
elko
that
we've
gotten
more
overdoses
of
alcohol.
I
mean
highly
intoxicated
physical
problems,
and
so
I
can
tell
you
that
personally,
that
we've
seen
that
we've
had
to
refer
alcohol
overdoses
to
the
hospital.
More
often,
even
though
we
we
can
handle
most
detoxes,
we've
seen
severe
alcohol
problems
and-
and
we
we've-
you
know,
determined
that
it
has
come
as
a
result
of
the
added
pressures,
and
it
was
interesting
that
the
senator
said
you
know
it's
kind
of
reverse.
They
go
to
the
bars
to
drink.
H
When
the
bar
is
closed,
hey
you're,
an
addict,
you
go
drink
at
home
and
then
you
just
go
find
your
supply
at
the
grocery
store,
and
that
has
been
one
thing
that
we've
heard
anecdotally
that
you
know
more
sales
occur
in
the
grocery
stores
now,
but
our
bars
are
opening
up
here
in
elko
county
and
they
have
been
so.
I
I'm
sure
we'll
see
that
again.
D
Okay,
like
vitality,
new
frontier,
supports
12-step
recovery.
D
We
find
a
lot
of
strength
in
peers,
helping
peers,
we
also
at
new
frontier,
because
when
our
clients
are
out
and
running
wild,
they
lose
touch
with
some
of
the
things
that
they
were
raised
with,
including
their
faith
or
their
spirituality,
and
we
work
with
all
of
our
churches
to
work
with
individual
clients
if
they're
interested
to
get
them
back
into
what
they
grew
up
with.
D
So
I
thank
you
all
for
the
question
and
I'm
here
for
any
more.
A
I
don't
see
any
questions,
so
I
just
have.
I
guess
I
should
say
probably
more
of
a
comment,
although
it
wasn't
stated
explicitly.
I
know
that
when
you
treat
an
addict,
you
treat
the
family,
because
addiction
is
not
in
isolation.
It
is
a
part
of
a
larger
family
unit
and
looking
at
looking
at
the
family
using
genograms,
you
can
usually
try
to
identify
where
the
breakdown
happened
or
what
the
what's
causing
the
presenting
illness.
So
I
won't.
A
I
won't
ask
that
question,
but
senator
meyer
mentioned
something
about
being
shut
down
and
going
to
the
bars,
and
I
think
we
answered
that
question
here.
A
couple
of
things,
though,
I'd
like
to
acknowledge
number
one.
A
We
don't
talk
a
lot
about
that
and
the
effect
that
it
has
on
the
entire
family-
and
I
said
this
in
a
previous
meeting,
but
I
keep
hearing
people
say
you
know:
get
the
kids
back
in
school,
get
kids
back
in
school,
open
up
open
up.
Well
we're
doing
that.
But
we
have
not
mentioned
the
people
that
you
all
are
treating
are
coming
from
a
family
and
if
there
are
children
involved
in
that
family,
even
if
they're,
not
in
the
home,
one
of
the
things
that
we
should
be
concerned
about.
A
If
we're
going
to
open
schools,
we
need
to
make
sure
that
we
have
social
workers
and
some
type
of
mental
health
and
behavioral
health
support
in
the
schools
and
so
open
them
up.
But
you're
going
to
send
the
kids
back
and
and
they're
dealing
with
they're
dealing
with
the
the
the
the
behaviors
of
the
clients
that
you
all
are
dealing
with,
and
they
they
don't
know
they
don't
have
the
same
type
of
equipment.
So
that
always
that
always
disturbs
me.
A
Every
time
we
talk
about
mental
health,
you
can
talk
about
the
person
who's,
the
client,
but
they
you
cannot
extricate
them
from
the
family
and
not
just
the
immediate
family.
But
you
have
to
look
at
the
family
from
a
genogram
point
of
view,
so
the
my
question
would
would
really
be,
and
it
may
not
be
so
may
not
be
so
much
needed
in
the
rural
and
frontier
areas
as
it
is
in
our
more
urban
areas.
A
But
what
about
ethnic
and
cultural
diversity,
because
that
too
is
important
when
you're
treating
someone
with
with
addiction.
Someone
who
someone
who
the
client
can
go
to,
that
that
has
similar
lived
experiences,
or
that
has
some
type
of
credibility
with
the
client
and
usually
that
comes
you
know
by
looking
at
someone
who
or
or
working
with
someone
who
has
the
same
is
the
same
ethnic
background,
not
always
but
many
times
and
who
understands
the
the
cultural
aspect
of
trying
to
fight
the
addiction.
G
Thank
you,
madam
chair.
If
I
might,
this
gives
me
an
opportunity
to
bring
up
that,
we
are
currently
working
with
the
board
on
a
remote
supervision
changed
to
the
nac
in
641c
partially,
particularly
because
of
this
issue
in
rural
nevada.
We
we
do
have
ethnic,
gender
identity,
all
kinds
of
diversity,
but
it's
hard
to
find
the
supervisor
to
help
you
learn
how
to
do
that
kind
of
treatment.
G
G
Alcoholism
probably
presents
differently
in
our
a
large
hispanic
rural
community
than
it
does
in
our
you
know
typical
rural
caucasian
community.
So
this
is
something
that
this
this
discipline
is
on
and
seeking
ways
to
become
more
competent.
A
Thank
you,
thank
you,
and
so
with
that,
do
you
all
have
any
closing
statements?
Have
we
have
we
covered?
Everything?
Is
the
whiffering?
Have
we.
G
You
you
all
have
been
terrific
in
your
endorsement
of
the
work
that
we
are
doing
and
I
just
want
to
give
a
final
thanks
to
senator
cocotia
esther
lana
and
I
were
talking
on
november
25th
about
the
challenges
we're
facing
and
they
said
you
know,
there's
this
inequity
in
the
hours.
What
can
we
do
about
that
and
I
did
senator
gokashia
and
within
an
hour
he
said
sarah
send
me
something
and
let's
see
what
we
can
do,
so
we
have
great
appreciation
for
all
of
you
and
senator
gokushi.
L
L
A
It
was
intended
to
address
certain
discriminatory
practices
such
as
red
line
redlining.
Since
the
1930s
there
has
been
overwhelming
evidence
that
banking
institutions
some
have
refused
to
lend
to
some
members
of
their
communities,
mostly
people
of
color
in
urban
areas.
They
are
seeking
home
or
business
loans.
They
are
trying
to
get
loans
to
do
something
else,
but
but
in
many
cases,
in
many
cases
before
cra,
the
people
in
the
communities
where
the
financial
institutions
were
were
not
helping
that
community.
A
A
The
cra
extends
and
clarifies
the
long-standing
expectation
that
banks
should
and
will
serve
the
convenience
and
needs
of
their
local
communities
and
not
discriminate
in
their
lending
practices.
The
goal
of
the
cra
is
to
ensure
that
every
insured
depository
institution-
that's
banks,
savings
and
loans,
etc,
is
meeting
the
credit
needs
of
the
entire
service
area.
A
Even
with
the
cra,
though,
we
still
see
that
there
is
a
need,
not
just
in
our
community
but
across
the
globe,
and
what
we
have
seen
as
a
result
of
the
pandemic
is
the
need
that
was
there
before
now.
It
has.
It
has
been
exacerbated,
and
you
might
say
that
the
need
is
on
steroids
to
the
25th
degree,
because
some
of
the
places
that
people
in
the
community
would
go
to
for
help
those
organizations
have
been
decimated
or
negatively
affected
by
the
pandemic.
A
So
our
neighborhoods
continue
to
be
highly
segregated,
based
on
race
and
income.
Residential
segregation
has
a
substantial
negative
effect,
especially
for
disadvantaged
families,
who
are
disproportionately
subjected
to
large
interest
rates,
high
interest
rates
and
subjected
to
other
things
connected
with
the
ability
to
get
a
mortgage
that
makes
at
least
makes
them
the
least
likely
to
be
approved
for
a
mortgage.
A
I'm
sure
some
there
may
be
some
who
are
listening
here
today
that
trying
to
understand
rep
heads
around.
Why
do
we
need
this,
and
why
is
it
important
to
make
sure
that
we
are
highlighting
our
bipod
communities?
Well,
I'm
glad
you
asked
that
there
is
a
book
that
I
would
commend
to
you,
the
black
tax
and
that's
by
sean
rochester.
A
This
is
some
of
the
things
that
he
says
in
there.
While
black
americans
have
long
felt
the
devastating
effects
of
anti-black
discrimination,
they
have
often
had
great
difficulty
articulating
and
substantiating
both
the
existence
and
the
impact
of
the
discrimination
to
an
american
public.
Who
is
usually
convinced
that
it
no
longer
exists.
A
That's
why
you
hear
things
like
the
welfare
queens?
That's
why
you
hear
things
like
they're
only
going
to
use
this
to
to
gamble
they're
only
going
to
use
this
for
drugs
whatever,
because
many
people
in
the
dominant
cultures
do
not
understand
the
lingering
effects
of
discrimination
of
jim
crow
and
even
beyond
that,
where
we
are
today.
A
In
his
new
book
john
talks
about
the
black
tax
that
invisible
tax
that
everyone
who
is
not
just
black
but
everyone
who
is
in
a
bipap
community
experiences,
the
cost
of
being
black
in
america
causes
great
financial
distress
and
it
is
unconscious
for
some.
But
it
is
a
daily
reminder
for
many
others,
that
being
different
being
a
non-white.
A
The
cra
requires
federal
regulators
to
rate
banks,
performance
and
engaging
engagement
in
qualifying
activities
such
as
businesses,
consumers,
mortgage
lending
and
I've
talked
about
some
faith-based
organizations,
civic
organizations
etc,
and
to
make
sure
that
the
focus
is
not
not
solely,
but
mainly
on.
Lmi
communities,
banks
with
assets
of
250
million
or
less
are
usually
the
ones
that
are
rated,
like,
maybe
every
four
to
five
years,
depending
upon
the
grade
that
they,
the
last
grade
that
they
got.
A
There
are
four
federal
banks
supervising
supervisory
agencies
and
the
that's
the
office
of
comptroller
of
currency,
the
board
of
governors
of
the
federal
reserve
system,
the
office
of
thrift
supervision
and
the
federal
depositors
insurance
corporation.
That
periodically
and
evaluates
financial
institutions
and
their
record
to
identify
whether
the
institution
is
meeting
the
credit
needs
of
its
entire
community,
and
I
will
note
that
most
of
the
financial
institutions
and
I'll
speak
for
nevada.
A
I
use
this
example
when,
when
I
pastored
a
church
there
were
some
people
who
sang
in
the
choir
in
the
alto
section
that
really
should
have
auditioned
for
the
ushers,
because
that
wasn't
their
forte,
and
so,
even
though
you
have
most
of
the
banks
who
are
participating,
you
still
have
some
who
are
not.
A
Ultimately,
the
cra
is
important
tool
to
hold
banks
publicly
accountable
and
expand
financial
opportunity
and
equity
to
black
indigenous
and
people
of
color
communities,
also
known
as
bipoc.
Therefore
s
beef
145
will
be
a
vehicle
to
educate
nevadans
of
the
activities
and
investments
of
their
local
banks.
A
I
believe
that
making
banking
banks
cra
ratings
public
publicly
available
will
provide
social
pressures,
that
they
must
avoid
discrimination
in
their
lending
programs,
and
they
will
take
steps
to
reduce
historic
patterns
of
discrimination
and
increase
access
to
opportunities
to
those
who
have
previously
been
denied,
and
if
I
can
just
take
this
a
moment
to
add
just
before
I
ask
for
pastor
west
to
come
on,
senator
settlemyre
asked
if
it's
available
on
the
website.
Why
do
we
need
this?
A
Well,
I'm
glad
you
asked
that
sir,
because
if
you
were
to
walk
out
of
this
building
right
now
and
ask
five
people
if
they
knew
what
cra
was
or
what
community
reinvestment
act
is,
you
would
probably
find
maybe
one,
maybe
one
who
could
tell
you
what
that
is,
and
so
what
this
bill
does
is
it.
It
is
designed
to
talk
about
it,
but
also
elevate
the
awareness
that
it
exists
for
the
community
and
for
community
organizations.
A
It
is
also
a
way
of
saying
here
is
another
opportunity
for
those
financial
institutions
who
are
already
participating
but
want
to
make
sure
that
they
are
doing
even
more
as
we
try
to
pull
up
out
of
this
financial
abyss
that
has
been
caused
by
the
pandemic.
So
it
has
a
website,
but
everybody
still
doesn't
know
about
it.
What
this
is
really
designed
to
do
is
to
raise
the
awareness
very
similar
to
everybody
knows
that
there's
a
mcdonald's
someplace
on
the
corner
in
every
city,
but
they
still
advertise
on
tv.
A
So
it's
really
designed
to
to
raise
awareness,
and
with
that
I'm
going
to
ask
if
pastor
kelsey
west
would
come
and
speak
to
you
on
behalf
of
senate
bill
145.
pastor
west
is
the
pastor
of
nehemiah
ministries
in
las
vegas.
M
Good
morning
to
vice
chair
to
chair
and
to
those
who
are
here,
thank
you
for
allowing
me
to
share
this
morning.
I
would
like
to
be
as
transparent
as
possible
with
the
time
that
has
been
permitted
to
me
prior
to
learning
about
this
bill.
I
was
truly
uninformed
about
cra.
I
really
was
I
I
I'm
involved
in
our
community.
M
I
work
with
a
lot
of
our
different
organizations,
and
I
hear
on
the
the
talk,
the
concern
about
how
we're
going
to
maneuver
and
rebuild
coming
out
of
this
pandemic,
which
has
definitely
affected
all
of
us
economically,
but
for
some
in
some
communities
a
little
bit
more
than
others.
This
bill,
in
my
humble
opinion,
is
very
important
because,
as
I
as
I
stand
as
a
pastor
and
as
a
community
leader,
there
is
unfortunately
a
misconception
for
many
of
us.
M
As
that
that
would
inform
us
it
would
keep
us
engaged
to
to
to
more
so
help
hold
our
financial
institutions
responsible
to
make
sure
that
fair
lending
practices
are
being
met
across
the
board,
because,
as
we
prepare
to
come
out
of
this
pandemic,
I
do
represent
a
community
of
people
that
are
not
looking
for
a
handout,
but
that,
but
who
are
really
looking
to
move
forward
economically
and
to
build,
as
as
as
we
move
forward.
So
I
do
thank
you
for
your
time.
M
A
Thank
you.
Thank
you
pastor.
I
might
also
say,
even
though
it
was
taken
out
of
order.
You
heard
dr
tiffany
tyler
garner
talk
about
the
importance
of
mapping
our
assets
and
mapping
all
the
resources.
A
There
are
some
larger
cities
in
the
east
and
in
the
midwest
philadelphia
and
even
come
to
mind
right
now,
where
they
are
actively
engaging
the
financial
institutions
in
in
a
resource
identification
and
the
necessary
things
that
need
to
happen
and
together,
community
partners,
along
with
the
financial
institutions,
are
deciding
or
or
making
plans
as
to
how
they
might
help
those
communities
that
have
been
more
adversely
affected
by
covet
19
than
others,
and
so
with
that,
I
will
stand
for
questions
try
to
illuminate
further
if
there
are
still
some
people
who
don't
understand
why
sp1
is
necessary.
K
Thank
you
madame
vice
chair.
I
have
always
been
intrigued
with
transparency
issues
and,
and
this
fits
right
in
there-
I
I
thought,
although
I
I
didn't
look-
that
this
sort
of
information
would
have
been
available.
But
if
I
understand
correctly,
there's
no.
K
A
So
let
me
answer
the
question
this
way.
Senator
spearman
for
the
record,
I
think
we
heard
pastor
west
say
that
he
did
not
know
before
this
bill
about
cra
and
that
it
existed,
and
that
is
probably
true
for
about
90
percent
of
our
community
organizations,
especially
those
that
are
helping
members
of
bipop
communities.
A
There
is
a
place
you
can
go
to
the
fdic
and
you
can
dig
through
there
and
you
can
see
what
the
rating
is,
but,
as
I
said
before,
this
is
another
way
for
us
to
elevate
the
awareness
so
that
people
know
that
this
exists,
and
it
is
also
a
way
to
serve
notice
to
those
who
are
not
doing
what
they
should
be
doing
in
their
communities
that
somebody's
watching.
You
know
if
we're
the
first
in
the
nation
to
do
it.
Nevada
has
been
first
in
so
many
different
ways.
A
First,
in
resurrecting
the
era
first
female
majority,
two
sessions-
we
got
a
lot
of
first
under
our
belt.
If
it
is
that's
just
that's
another
first
that
we
have
and
people
will
soon
realize
that
nevada
is
a
leader
in
so
many
ways.
So
the
cra,
the
145
number
one
elevates
the
awareness
for
people
who
do
not
know
number
two.
It
helps
those
banks
that
are
already
doing
their
part
with
the
community
reinvestment
act
and
three
for
those
who
are
not
doing
their
best.
A
It
also
serves
notice
to
them
that
someone
is
watching,
and
so
this
this
is
not
just
a
bill
to
to
waste
paper.
This
is
a
bill
to
say
we
need
this
to
happen
in
our
community.
One
of
the
things
that
I
know
that
has
happened
since
the
bill
has
been
that
I'm
getting
a
lot
more
calls
from
people
in
community
organizations
as
well
as
pastors
saying.
So
how
do
we?
How
do
we
find
out
this
information?
I
didn't
know
you
know
what
what
is
it
useful?
A
What
can
I
use
it
for,
and
so
the
conversation
has
begun
and
I
think
that
it
has
begun
in
a
very
strategic
time,
because
as
more
people
are
vaccinated
and
we
continue
to
wear
a
mask,
there
will
come
a
time
when
we
won't
have
to
do
those
things
that
we've
done
for
the
last
18
months
and
when
we
come
out
of
that
there
will
still
be
communities
that
have
been
decimated.
A
It
was
in
a
low
to
moderate
income
community
and
there
were
vacant
houses.
There
were
lots
with
weeds
that
were
overgrown,
et
cetera,
et
cetera,
and
one
of
the
things
that
we
did
was
we
partnered
using
the
cra
with
the
bank.
That
was
three
blocks
away
from
the
church.
We
partnered
with
them
to
do
a
couple
of
things
to
help
small
businesses
get
the
money
that
they
needed
to
go
and
clear
out.
Those
weedy
lots
to
help
small
businesses
get
the
money
that
they
needed
for
those
homes.
A
That
were
abandoned
to
to
bring
them
down
and
to
clear
that
off.
We
also
because
there
were
so
many
people
who
wished
to
have
a
home
but
didn't
have
access
to
that.
We
also
conducted
a
four-month.
It
was
every
weekend
and
we
rotated
people
in
every
weekend.
A
It
was
thursday,
friday
and
saturday,
and
it
was
a
home
buyers
workshop
that
taught
people
how
to
get
your
credit
ready,
how
to
make
sure
that
you
know
how
to
fill
out
the
forms,
etc,
etc,
and
for
everyone
who
went
through
that
program
and
was
presented
a
certificate.
A
L
Okay,
senator.
K
All
saddlemeier,
thank
you,
madam
vice
chair,
you're,
so
efficient.
You
always
turn
the
mic
on
and
off,
and
it
confuses
me
because
I'm
not
sure
what
I'm
supposed
to
be
doing
myself.
That
being
said,
thank
you
for
asking
me
allowing
me
to
ask
that
question.
I'm
curious.
The
cra
only
affects
banks,
so
there's
other
lending
institutions
that
are
out
there,
such
as
credit
unions,
payday
loans
and
things
that
nature.
Do
you
know
what
the
percentage
is
that
you'd
be
able
to
capture
with
this
bill?
K
A
So,
thank
you
senator
sotomayor.
If
you're
asking
for
specific
statistics
on
the
percentage,
I
don't
have
that.
I'm
sure
that
we
could
probably
ask
research
to
to
get
that
for
us.
But
again
I
say
those
banks,
banks
who
are
governed
by
fdic
those
and
they
know
who
they
are
and
are
required
to
submit
a
report.
Some
some
are
required
48
every
48
months,
those
that
they
consistently
get
an
outstanding.
Then
they
only
have
to
report
every
60
months
in
terms
of
banks
versus
credit
unions.
A
I
don't
know
what
that
means,
but
here's
the
other
thing
that
I
do.
I
know
that
in
talking
with
the
credit
unions
here
in
nevada,
I
do
know
that
they
have
been
very
involved
in
their
communities
in
the
communities
of,
and
it's
not
it's
not
customers,
but
in
credit
unions.
These
are.
These
are
people
who
are
also
shareholders,
and
so
many
of
them
are
already
involved.
A
A
This
bill
elevates
the
awareness,
those
who
are
already
doing
what
they
need
to
do
in
the
cra,
and
I
don't
know
if
phyllis
is
on,
but
she
will
tell
you
that
several
banks
here
in
nevada
are
already
doing
it
and
credit
unions
who
are
not
a
part
of
what
the
cra
was
designed
to
do.
Many
of
them
do
it
anyway,
because
they're
it's
not
customers
but
they're
shareholders.
So
so
again,
this
is
designed
to
elevate
the
conversation
and
elevate
the
awareness,
the
percentages
I
don't
have.
A
But
if
that
is
important
to
you,
I
can
get
that
probably
by
tomorrow.
K
L
Okay,
so
senator
spearman,
I
I
know
I
just
have
one
question:
oh.
A
A
L
Was
so
cute,
I
appreciate
that
this
is
being
elevated,
but
I'm
just
I'm
also
wondering
within
business
and
industry.
Is
there
also
a
future
goal
or
an
idea
to
maybe
have
the
agency
start
to
educate
on
like
the
rule-making
and
break
down
the
recent
changes
that
have
happened
with
the
cra
there?
There
were.
L
You
know,
a
series
of
states
that
challenge
the
rules
in
2021,
because
the
the
shift
from
the
cra
actually
giving
basically,
instead
of
giving
the
dollar
amount
we'll
be
doing
the
number
of
loans
and
the
amount
that
they
actually
invest
in
communities
matters,
because
you
know
exactly
what's
going
where
based
on
the
geographic
nature
of
the
cra
and
you
you
would
know
by
census
track.
L
So
I'm
just
wondering
if
that
is
like
one
of
your
future
goals
to
maybe
start
having
a
little
bit
more
webinar
of
the
cra,
so
the
community
can
access
it
participate
in
the
rule,
making
make
comments
and
then
really
deal
with.
What's
going
on
in
the
space.
A
Madame
vice
chair,
I
had
not
thought
about
that,
but
that
is
a
very
good
suggestion
and
I
think
it
could
probably
be
phrased
as
a
friendly
amendment
to
ask
community
organizations
those
who
have
the
capacity-
and
I
talked
with
with
the
president
of
the
urban
chamber
about
this
and
he's
he's
aware
of
it
and
looking
for
ways
to
expand
that
and
looking
for
ways
to
make
sure
that
community
organizations
who
may
not
know
about
this
but
also
need
help,
are
put
in
contact
with
those
persons
who
are
doing
it.
A
So
that's
a
wonderful
idea,
wonderful
idea,
I'd
like
to
I'd
like
to
accept
that
as
a
friendly
amendment,
so
that
we
can
get
the
word
out,
and
so
this
information
can
be
readily
available
to
people,
and
I
think
it
was
the
bank
of
philadelphia.
I
was
just
looking
in
my
notes.
I
was
looking
at
the
bank
of
philadelphia
that
started
the
process
of
so
the
cra
has
been
working,
but
it
needs
to
be
modernized,
and
so
they
are
actually
doing
some
things.
A
A
That's
a
good
idea,
and
I
want
to
make
sure
that
we
get
it
in
there
and-
and
let
me
just
say,
though,
to
those
who
are
worrying.
If
I
just
put
something
else
on
to
the
banks,
I
did
not
doing.
The
workshops
will
be
something
that
community
organizations
now
that
you
know
can
ask
banks
to
partner
with
you
to
do
some
of
those
those
workshops.
E
E
C
This
bill
promotes
accountability
by
ensuring
that
the
sid,
the
legislature
and
the
public
are
aware
of
the
progress
that
each
financial
financial
institution
subject
to
the
reporting
requirement
has
made
in
expanding
access
to
low
income.
Nevada.
Historic
inequities
have
limited
these
nevadans
access
to
lending
and
baking
services
and
legal
service
providers
see
the
consequences
of
these
inequities.
As
our
clients
fall
victim
to
predatory
lenders
who
have
filled
the
gaps
left
by
the
absence
of
mainstream
financial
institution.
C
Many
institutions
have
made
progress,
expanding
access
to
less
represented
groups,
and
this
bill
will
help
give
them
the
credit
that
they
deserve.
Other
institutions
will
get
some
much
needed
encouragement
to
think
more
inclusively
and
increase
their
efforts
to
reach
out
to
historically
excluded
nevadans.
C
E
E
C
Good
morning,
chair
and
members
of
the
senate
committee
on
commerce
and
later
labor,
my
name
is
tess
opterman,
that's
o-p-s-e-r-m-a-n
speaking
on
behalf
of
the
nevada
women's
lobby.
It
is
a
top
priority
of
the
nevada
women's
lobby
to
support
legislation
that
helps
minority
and
low-income
women
and
families
which
this
does
so.
We
thank
the
sponsor
for
bringing
this
bill
forward
and
ask
for
your
support.
E
E
E
C
P-H-Y-L-L-I-S-G-U-R-G-E-V-I-C-H,
I'm
president
and
ceo
of
nevada
bankers
association.
Thank
you,
chair
spearman
and
committee
members
for
the
opportunity
to
comment
and
thank
you
to
senator
spearman
for
reaching
out
to
us
on
this
bill.
As
you
heard,
banks
in
nevada
are
the
only
financial
institution
types,
the
the
only
lenders
that
are
subject
to
community
reinvestment
act,
requirements
and
examinations
and,
as
such
banks
are
very
proud
of
the
contributions
they
make
to
their
communities
and
they
always
appreciate
an
opportunity
to
share
more
information
about
their
contributions.
C
L
Okay,
thank
you
for
that.
Dps
is
anyone
on
the
line
for
neutral.
L
Okay,
thank
you
for
that
senator
spearman.
Do
you
have
any
closing
comments.
A
A
There's,
there's
no
fiscal
note,
because
the
only
thing
you're
doing
is
transmitting
electronically,
and
that
is
so
that
here
in
the
state,
we
know
who's
doing
what,
and
it
also
again
allows
us
an
opportunity
to
map
our
assets.
There
may
be
some
who
are
really
interested
in
making
more
home
loans,
and
maybe
some
who
are
more
interested
in
doing
after-school
programs
whatever
it
is
that
they're
interested
in
you
may
have
heard
when
we
did
the
divine
nine
license
plate.
I
believe
it
was
last
week
one
of
the
things
the
excuse
me.
A
The
proceeds
from
those
from
the
license
plates
are
going
to
go
to
the
united
negro
college
fund.
Pastor
west
is
on
the
phone
and
what
he
did
not
say
about
his
organization.
Is
that,
and
I
think
it's
for
about
the
last
10
or
11
years,
the
church
has
been
sponsoring
on
spring
break
a
bus
tour
to
hbcus
they've
gotten
some
some
help,
but
have
not
gotten
a
lot.
A
Here's
an
opportunity
for
a
bank
who
says
I
want
to
do
something
in
terms
of
investing
in
education,
here's
a
way
for
them
to
partner
with
this
organization,
and
they
can
do
so.
I
appreciate
your
time.
I
appreciate
the
questions
and
even
appreciate
the
amendment.
Thank
you
all,
madam
vice
chair
and
committee,
for
your
indulgence.
Thank
you.
So
much.
A
Thank
you
but
you're
doing
such
a
wonderful
job,
so
we
will
go
now
to
public
comment.
Public
comment.
E
A
Time
well,
thank
you
so
much
and
thank
I
want
to
thank
those
who
were
able
to
participate
and
those
who
asked
questions
and
those
who
answered.
Thank
you
so
much
for
everything
that
you've
done.
I
want
to
thank
senator
gorkachia
and
ms
adler
and
their
team
for
the
presentation
on
mental
health.