►
From YouTube: 4/14/2021 - Senate Committee on Commerce and Labor
Description
For agenda and additional meeting information: https://www.leg.state.nv.us/App/Calendar/A/
Videos of archived meetings are made available as a courtesy of the Nevada Legislature.
The videos are part of an ongoing effort to keep the public informed of and involved in the legislative process.
All videos are intended for personal use and are not intended for use in commercial ventures or political campaigns.
Closed Captioning is Auto-Generated and is not an official representation of what is being spoken.
A
Good
morning,
everyone
and
welcome
to
this
edition
of
the
senate
committee
on
commerce
and
labor
for
the
81st
legislative
session.
Before
we
begin,
please
be
sure
to
mute
your
microphones
when
you're,
not
speaking
to
minimize
background
noise
and
if
you
are
watching
us
over
the
internet
or
on
youtube.
If
you
ask
a
question
or
if
you
open
up
your
mic
and
you
have
us
playing
in
the
background,
it
will
present
some
feedback.
So
please
make
sure
that
you
mute
your
microphone.
Madam
secretary,
please
call
the
roll.
C
A
D
G
A
Thank
you,
madam
secretary,
and
please
mark
senator
lang
president.
Once
she
arrives.
A
Welcome
to
our
audience:
that's
joining
us
remotely
and
anyone
who
is
the
internet.
Today
we
will,
we
will
be
hearing
assembly
bills,
91
and
173
few
housekeeping
items.
The
legislative
building
is
preparing
to
safely
open
to
the
public.
However,
today's
committee
meeting
will
be
held
virtually
meaning
committee
members
staff
and
everyone
else
will
be
participating
through
either
zoom
video
conference
or
by
telephone.
A
As
you
know,
there
are
various
ways
that
you
can
excuse
you
as
members
of
the
public
and
engage
with
us
and
participate
throughout
this
process.
One
you
can
register
to
participate
through
nellis.
You
have
an
opportunity
to
testify
on
a
bill
or
provide
public
comment.
You
may
submit
written
comment
to
the
committee.
You
can
share
your
opinion.
A
You
can
view
our
committee
meetings
online
through
nellis
or
on
the
legislature's
youtube
channel.
You
want
to
register
on
nellis
just
click
the
participate
button
near
the
committee
meeting
date
and
time
fill
out
the
information
that
is
asked
of
you,
and
once
you
do,
that,
you
will
see
a
confirmation
screen
and
receive
an
email
with
the
phone
number
and
the
meeting
id
on
it.
A
A
Detailed
instructions
for
participating
in
committee
meet
committee
meetings
are
also
available
on
the
help
page
and
that's
linked
to
a
banner
at
the
top
of
every
nellis
page.
If
you
need
assistance
with
any
of
these
processes
or
if
you
would
like
to
receive
electronic
notification,
the
committee's
agendas
and
minutes,
please
contact
our
committee
staff
at
the
email
listed
below
any
exhibits
for
the
committee
must
be
submitted
in
electronic
format.
A
A
I
repeat:
unless
you
talk
to
the
bill
sponsor
first
and
let
them
know
that
you
intend
to
submit
an
amendment,
I
will
not
entertain
that
amendment
when
testifying.
Please
remember
to
unmute
your
microphone
and
clearly
state
your
name
and
the
entity
you
represent
and
speak
clearly
and
please
project
your
voice.
A
I'm
I've
been
told
that
there
are
no
byte
buttons
on
anyone's
microphone,
so
feel
free
to
get
close
to
the
microphone.
This
will
allow
people
who
are
listening
to
us
over
the
internet
to
hear.
I
just
want
to
be
mindful
that
everyone
does
not
have
a
three
thousand
dollar
computer
and
some
people
are
doing
the
best
they
can
with
what
they
have.
A
And
so,
if
you
do
not
project
your
voice,
then
they
cannot
hear
you
a
reminder
to
all
those
who
testify,
pursuant
to
nevada,
revive
statutes,
218e.085,
it's
unlawful
for
anyone
to
knowingly
misrepresent
facts
when
testifying
before
a
legislative
committee
and
anyone
who
knowingly
does
so
is
guilty
of
a
misdemeanor.
The
chair
or
any
member
of
this
committee
may
request
a
testifier
to
submit
documentation
supporting
their
testimony.
A
Many
members,
while
some
members
are
still
virtual,
when
an
agenda
item
is
called
for
a
vote,
our
committee
will
be
using
a
roll
call
to
do
so.
When
the
committee
secretary
calls
your
name,
please
answer
with
a
yes
or
a
no
and
remember
if
you
have
a
question,
please
use
the
zoom
up
the
zoom
button
to
raise
your
hand
and
if
your
zoom
button
isn't
working,
if
you
just
raise
your
hand-
and
I
will
try
to
see
it
on
the
screen.
A
H
Thank
you
and
good
morning,
chair
and
members
of
the
committee
for
the
record,
I'm
sandra
haughey
assemblywoman
for
district
41.,
so
presenting
with
me
today
is
patty
mamola,
professional
engineer
and
executive
director
of
the
nevada
state
board
of
professional
engineers
and
land
surveyors
and
susan
fisher,
the
government
liaison
for
them.
After
my
introduction,
chair
with
your
permission,
I
would
like
to
hand
it
over
to
ms
mamola
and
mrs
fisher
for
a
brief
presentation
and
to
answer
any
questions
that
the
committee
might
have.
H
While
I
excuse
myself
in
order
to
best
serve
my
constituents
and
the
state
of
nevada,
I
use
the
interim
to
reach
out
to
stakeholders,
cultivate
dialogue
and
understand
the
challenges
of
the
institutions
and
industries
we
oversee,
especially
those
in
the
area
that
come
through
commerce
and
labor.
Having
been
a
committee,
I
continuously
sit
on
during
the
interim
ms
mumola
and
miss
fisher
flagged
a
change
that
would
improve
the
industry
and
I
was
happy
to
give
them
a
vehicle
to
make
the
change
and
allow
me
the
opportunity
to
learn
more
about
this
board.
H
Ms
mamola
and
miss
fisher,
along
with
the
rest
of
the
nevada
state
board
of
professional
engineers
and
land
surveyors,
have
been
excellent
partners
and
worked
diligently
on
this
piece
of
legislation
before
you
today,
I'd
like
to
present
assembly
bill
173,
which
revises
provisions
relating
to
the
licensure
of
professional
engineers,
who
are
employees
of
certain
public
utility
companies
and
examinations
relating
to
the
licensure
of
professional
land.
Surveyors.
H
I
First
and
foremost,
our
state
regulatory
boards
do
not
have
bill
allocation,
so
we
really
appreciate
and
thank
assembly
women
hatagi
for
sponsoring
this
educate
this
legislation,
as
a
committee
introduction
through
assembly,
commerce
and
labor,
and
this
will
make
changes
to
nrs,
625.095
and
625
695.270,
which
we
operate
under.
You
should
all
have
received
document
for
me
via
email,
which
is
also
shown
in
the
exhibits
and
outlining
the
two
incomes,
the
two
outcomes
that
we
hope
to
achieve
with
the
bill.
There
are
also
several
other
exhibits.
I
There
are
some
letters
of
support
from
southwest
gas,
a
position
paper
and
also
a
letter
of
support
from
mv
energy
to
go
along
with
with
this
bill.
The
two
separate
issues
addressed
in
assembly
bill
173
are
number
one:
a
change
recommend
recommended
by
the
national
transportation
safety
board,
ntsb
to
better
protect
the
public
and
number
two,
a
change
to
remove
what
could
be
a
barrier
to
licensure
for
some
seeking
a
license
to
work
as
a
land
surveyor
in
nevada,
so
number
one
in
october
of
2019
as
a
result
of
a
tragic
accident.
I
I
The
recommendation
went
out
to
all
states
that
have
an
exemption
from
licensure
as
a
professional
engineer
for
employees
of
a
public
utility
that
supplies
natural
gas
and
suggested
removal
of
the
exemption.
In
other
words,
the
removal
of
the
exemption
means
that
all
future
natural
gas
infrastructure
projects
will
require
licensed
professional
engineer,
approval
and
stamping.
I
So
if
you
have
a
private
engineering
company,
that's
doing
work
on
a
natural
gas
line.
You
have
to
have
a
professional
engineer,
a
licensed
professional
engineer,
review
and
stamp
the
plans
if
it
is
a
public
utility
that
is
also
a
natural
gas
provider
like
sierra
pacific
power
and
or
mv
energy
in
northern
nevada
and
southwest
gas.
I
I
So
a
letter
was
sent
by
ntsb
to
governor
sislak
and
came
to
us,
and
we
worked
very
closely
with
southwest
gas
and
with
mv
energy
and
also
with
our
with
our
licensees.
We
met
with
the
state
association
of
professional
engineers
to
make
sure
that
they
understood
the
changes
as
well
proposed
changes.
This
provision,
removing
the
exemptions,
are
found
in
sections
one
and
three
of
assembly
bill
173
and
with
the
guts
of
it
being
in.
I
In
section
three
of
the
bill,
the
pucn
is
tasked
with
adopting
regulations
identifying
the
type
of
projects
that
will
require
the
use
of
licensed
professional
engineer
to
approve
and
stamp
plans.
There
is
also
a
letter
in
the
exhibits
from
the
public
utilities.
Commission.
We
work
very
closely
with
the
executive
director
of
the
pucn
stephanie
mullen
and
they
have
they
approved
this
legislation
as
well.
I
We
worked
with
the
pucn,
which
was
instrumental
in
drafting
the
language
along
with
southwest
gas
and
mve,
and
held
public
meetings
on
the
issue
with
our
licensees
you'll
find
in
the
we've
already
talked
about
that.
Madam
chair,
would
you
like
me
to
stop
here
and
allow
questions
on
the
review
and
stamping
or
go
ahead
and
continue
and
briefly
describe
the
second
function
of
the
bill?.
A
Yeah,
let's
just
power
through
and
at
the
end
of
the
complete
presentation,
we'll
open
it
up
for
committee
questions.
I
Roger
that
so
number
two
of
the
bill.
This
is
a
really
easy
one
which
you'll
find
in
section
two
of
the
bill.
Currently,
our
statute
says
that
an
applicant
for
a
land
surveyor's
license
must
do
certain
things
in
a
certain
order
before
they
can
be
licensed.
They
must
have
four
years
or
more
of
active
land
surveying
experience
under
a
licensed
land
surveyor
before
they
can
sit
for
the
two
required
exams,
which
are
the
fundamentals
of
land
surveying
and
principles
and
practices
of
land.
I
Surveying
ab173
will
still
require
the
same
components,
but
the
applicant
will
be
able
to
sit
for
the
exams
whenever
they
feel
comfortable
doing
so.
They
still
have
to
have
the
required
time,
but
we
just
aren't
saying
that
they
have
to
do
them
in
a
certain
order.
They
can
do
them
in
whatever
order
works
best
for
them,
but
then
they
still
won't
get
the
license
until
after
they
have
the
testing
as
well
the
exam,
as
well
as
the
required
time,
and
now
we
would
be
happy
to
answer
any
questions
that
your
hard-working
committee
may
have.
G
You
man,
I'm
sure
and
miss
fisher.
It's
great
to
see
you
again
this
morning.
Just
a
couple
of
questions.
It
looks
like
as
to
the
requirements
for
sitting
for
the
exam.
The
four
years
is
required
where
it
wasn't
in
the
past.
Maybe
you
could
tell
us
why
that
was
the
case,
and
you
know
is
this
common
around
the
country
or
is
this
you
know
tell
me
why
we're
doing
this.
B
The
current
law,
without
our
proposed
change,
requires
the
exam
to
be
taken.
The
national
professional
land
surveying
exam
to
be
taken.
Four
years
after
you
have
four
years
experience
we're
proposing
to
change
that
language.
We
call
it
decoupling
to
allow
that
person
to
take
the
national
pls
exam
anytime,
that
they
feel
ready
to
take
that
exam.
G
Okay
and
and
that's
down
in
sub
three
we're
moving
it
up
to
sub
d,
two
or
two
d.
I
see
that.
But
what
I'm
saying
is
that
is
this:
why
are
we
decoupling
it
from
the
timing
of
the
exam?
Typically,
you
would
expect,
for
example,
a
an
apprentice
to
have
two
to
four
years
of
experience
before
they
can
become
a
a
journeyman.
G
The
experience
is
typically
part
of
that
educational
expectation.
Why
are
we
moving
that
up
in
time
and
and
yet
still
requiring
four
years
of
of
experience
before
they
can
get
their
license?.
I
Susan
fisher
for
the
record,
that's
very
good
question
a
lot
of
times
people's
some
of
our
our
potential
licensees
careers
get
interrupted,
whether
it's
through
family
obligations
or
whatever
else,
and
when
you've
gotten
out
of
school
and
a
lot
of
the
information
is
fresher.
In
your
mind,
you
still
need
to
have
the
the
the
hands-on
experience,
but
there's
a
lot
of
the
book
information
that
may
sort
of
get
lost
along
the
way,
and
so
this
would.
B
And
if
I
can
just
add,
this
is
patty
mamolo
for
the
record,
as
susan
said,
if
their
career
gets
interrupted,
and
it
takes
some
six
years
or
eight
years
to
get
that
four
years
of
required
experience
because
they
took
up
time
off
for
whatever
reason
that
makes
it
much
more
difficult
to
become
licensed.
So
why
have
that
restriction
requirement
in
statute?
Why
not
leave
it
up
to
that
person
determine
when
it's
best
for
them
to
take
that
exam
so
that
we
can
support
them
in
whatever
their
life
choices
are
in
pursuing
licensure.
G
I
guess
I
was
just
looking
at
this
from
the
perspective
of
you
know
what
happens
if
that
interruption
comes
at
three
years
and
11
months
and
now
you're
out
of
it
for
several
years,
and
then
you
come
back
and
a
couple
months
later,
you
hit
that
four
month
mark
anyway,
we
can
come
up
with
all
sorts
of
scenarios
that
would
test
the
theory,
I'm
just
trying
to
work
through
it
in
my
head,
and
that
leads
to
my
next
question,
which
is
when
we're
talking
about
a
public
safety
element
and
we're
requiring
the
license
for
the
public
utility.
G
B
This
this
is
patty
mola,
for
the
record.
Nevada
does
not
have
an
exemption
for
doing
engineering
work
in
nevada,
with
the
exception
of
public
utilities,
and
so,
if
you,
if
that
import
person
worked
for
a
public
utility,
they
did
not
have
to
be
licensed
to
do
engineering
work
and
now
we're
removing
that
that
exemption
and
to
answer
your
question
about
licensure
by
endorsement
absolutely
we
have
licensure.
By
endorsement,
we
license
people
in
less
than
five
days.
B
I
You
very
much
if
I
may,
madam
chair
susan
fisher,
for
the
record
as
a
former
employee
of
of
sierra
pacific
power,
mv
energy,
I
can
assure
you
that
they
do
have
license
engineers
on
staff.
They
always
have
southwest
gas
has
licensed
engineers
on
professional
engineers
on
staff.
We
worked
with
them
on
this
legislation.
It's
just
that
they
weren't
required
to
review
and
stamp
the
plans.
G
All
right,
thank
you
for
that.
I
I
just
you
know
I
I
don't
know
the
status
of
licensing
of
any
employee
at
a
utility.
I
just
wanted
to
make
sure
that
we're
covering
our
bases
so
with
the
licensure
by
endorsement
yeah
that
should
remove
any
obstacle.
Thank
you,
madam
chair.
F
Thank
you,
madam
chair,
so
I
I
it's
a
simple
question.
I
read
all
the
exhibits
and
I
had
more
so
of
a
question
and
I
guess
it
would
be
on
the
envy
energy
letter
and
the
second
page
of
their
letter,
the
way
it
was
written.
F
They
stated
that
this
would
be
an
additional
complimentary.
F
I
guess
action
to
add
the
stamp,
but
the
the
question
that
I
have
is
that
they
mentioned
that
the
criteria
for
elevated
risk
should
include
changes
to
the
system
that
result
in
an
increase
of
the
maximum
allowable
operating
pressure
of
a
system
or
any
design
work
on
transmission
pipelines,
as
defined
in
49
cfr,
part
192.3,
and
so
the
way
that
the
letter
was
written.
It
sounded
like.
F
I
don't
know
if
that
was
what
they
meant
in
that
second,
that
last
paragraph,
but
it
seemed
like
they
were
alluding
to
a
little
bit
more
of
a
change
that
could
make
sense
as
well
as
the
stamp,
and
so
I
wanted
to
have
a
conversation
about
that.
I
Susan
fisher
for
the
record,
that's
a
good
catch
and
that's
where
the
public
utilities
commission
comes
in.
The
public
utilities.
Commission
will
identify
when
a
project
needs
to
be
stamped
by
the
professional
engineer,
a
licensed
professional
engineer.
So
they,
the
public
utilities,
commission,
will
promulgate
the
regulations
on
that
piece.
A
You
senator
hardy.
J
Thank
you,
madam
chair.
I
I'm
hoping
that
the
medical
boards
are
listening
to
this
five
days
and
two
days
by
endorsement
thing,
but
that's
aside,
I
think,
but
it
made
me
think
of
the
book
learning.
J
Gap,
or
is
there
a
requirement
for
continuing
education
in
the
engineers
world,
where
they
have
to
do
so
many
units
of
education
after
they
get
their
license
or
before
they
get
their
license?
If
they're
a
certified
professional
engineer,
do
they
have
to
have
ongoing
things
that
they
have
to
keep
up
on
what
you
call
their
book
learning.
B
J
A
Thank
you
additional
questions.
A
Don't
see
any
so
I
have
I
have
a
couple
and
I
don't
think
mine
are
as
technical
as
the
ones
that
you
just
asked
me.
I
think
you
answered
the
one
on
reciprocity,
but
let
me
go
a
little
bit
further.
A
B
Yes,
we
do
track
veterans
and
veteran
spouses
and
when,
when
we
we
know
that
they're
veterans
in
our
system,
they
have
to
check
a
box
to
say
that
they're,
a
veteran
or
a
veteran
spouse,
we
we
license
them
by
endorsement
the
very
same
day
as
soon
as
we
get
their
application
and
we
do
track
it.
And
to
my
knowledge,
since
I've
been
here
in
the
last
five
years,
we
haven't
denied
any
military
any
license.
I
And
if
I
may,
madam
chair
susan
fisher
for
the
record
on
the
one
of
the
exhibits
that
we
had
submitted,
where
we
have
detail
on
the
bill
on
one
page,
it's
detail
on
the
bill
on
the
second
page.
It's
just
detail
on
some
of
our
licensing
procedures
and
there
is
information
about
how
we
do
the
the
veterans,
the
active
military
and
the
the
spouses
licensing
as
well.
A
Thank
you
next
question
is,
I
think,
it's
miss
fisher.
I
think
you
mentioned
interruption
and
I
know
that's
part
of
the
reason
for
the
change
interruption
in
their
career.
Do
you
have
any
information
as
to
what
the
most
prevalent
reason
might
be
for
interruption
in
their
career
other
than
changing
jobs.
B
Patty
mamola
for
the
record.
Thank
you
for
the
question.
Madam
chair.
I
think
the
biggest
one
is
women.
I
mean
we
struggle
to
have
enough
licensed
adequate
number
of
women.
B
B
Well,
if
they
stop
working
within
that
four
years
after
graduation,
it's
very
difficult
for
them
to
come
back
and
take
that
national
exam
to
be
licensed
if
they
have
to
wait
the
four
years.
So
it
really
benefits
that
group
or
there
could
be
groups
that
you
know,
have
aging
parents
that
have
to
leave
the
workforce
and
go
take
care
of
you
know
aging
or
ill
family
members.
A
Thank
you.
So
I
asked
that
question
for
a
couple
reasons.
In
light
of
the
recent
announcement
that
the
troops
are
troops
that
are
currently
rotating
in
and
out
of
afghanistan
will
that
rotation
will
cease.
I
think
before
9
11.-
and
I
know
there
were
probably
several
people
who
are
now
on
active
duty
and
especially
as
an
engineer,
because
the
corps
usually
has
a
shortage.
A
The
core
of
engineers
usually
has
a
shortage,
and
so
in
cases
like
that,
then
they
call
people
to
active
duty
and
either
have
a
choice
to
respond
or
resign.
So
just
concerned
about
that,
and
with
that
in
mind,
I
would
just
say
this
that
number
one.
If
you're
asking
if
you're
a
veteran
you
may
want
to
look
at,
have
you
ever
served
in
the
military,
because
everybody
who
is
a
veteran
doesn't
think
that
they
are
unless
they
have
retired.
A
The
second
thing
is,
as
as
we
end
the
war
in
afghanistan,
then
there
will
be
some
downsizing,
as
there
was
after
korea
as
it
was
after
vietnam,
as
it
was
after
the
gulf
war,
and
it's
what
we
call
a
rif
reduction
in
forces,
and
so
you
may
want
to
look
around
and
see
how
you
may
recruit
some
of
those
civil
engineers
who
have
extensive
extensive
service
in
using
their
skill
set
in
other
countries.
A
B
Patty
mama
for
the
record,
madam
chair,
that's
always
a
difficult
question
to
answer.
You
know
currently
with
impacts
related
to
covet
and
concerns
with
public
works
infrastructures
money.
B
I
would
probably
say
you
know,
I'm
just
speculating
I'd,
probably
say
we're,
probably
in
reasonable
shape,
but
when
things
start
to
ramp
up
again,
we
probably
will
be
short
of
engineers.
We
still
haven't
recovered
from
what
happened
in
the
great
recession
2008
to
2014,
where
we
lost
60
percent
of
our
engineering
workforce.
We
have
not
recovered
from
that,
and-
and
if
I
may,
madam
chair
I'd
just
like
to
respond
to
you
to
your
other
two
comments,
you
know.
Active
military
is
a
great
example
of
career
interruption.
B
If
you
were
to
graduate
engineering
school
and
then
get
called
up,
you
may
not
be
able
to
finish
your
four
years
experience.
So
what
a
great
opportunity
to
help
that
group
as
well,
that
they
could
take
their
professional,
their
national
professional
engineering
exam
before
they
they
had
to
serve
their
country
and
also
because
of
your
passion
and
your
comments,
you've
made
on
licensure
and
your
concerns.
We've
heard
what
you've
had
to
say
and
we
are
going
to
look
at
our
systems
and
make
sure
we're
capturing
all
those
areas
that
you're
passionate
about.
B
A
Thank
you,
and-
and
I
asked
that
question
because
of
senator
hardy's
remarks
about
licensing
the
the
timeline
for
for
licensing
I've
been
really
concerned
and
in
the
sunset
committee
we
looked
at
this
extensively
about
the
length
of
time
it
takes
for
many
of
our
boards
to
license
people
and
and
asking
questions
of
several
of
them.
I
did
not
get
an
answer
that
I
believe,
substantiated
the
delay
in
licensing,
I'm
always
mindful
of
what
happened
in
north
carolina
in
the
dental
case.
A
I
want
to
ask
mr
keen
if
he
will
comment
on
that
and,
and
just
say
this
there's
a
new
day
in
nevada,
and
so
boards
such
as
yours,
that
have
figured
out
how
to
verify
the
the
experience
level
and
have
figured
out
a
way
to
verify
the
veracity
of
an
applicant's
information,
there's
something
that
I
think
some
of
these
boards
that
take
two
three
four
months
to
do.
F
Certainly,
thank
you,
chair
spearman,
for
the
record
will
keen
committee
council,
so
the
north
carolina
case
was
decided
in
2015
by
the
united
states
supreme
court
and
it
involved
persons
who
were
not
licensed
dentists,
who
wanted
to
engage
in
teeth,
whitening
and
the
board
of
dental
examiners
there
in
north
carolina
sought
to
prevent
them
from
doing
that,
so
that
the
licensed
dentist
could
essentially
own
that
market,
so
that
other
people
could
not
engage
in
that
activity
and
the
case
ultimately
went
up
to
the
supreme
court
and
the
board
lost,
as
as
stated
by
the
ftc
in
their
one
of
their
initial
rulings
that
led
to
the
supreme
court
decision.
F
The
board
in
north
carolina
was
engaging
in
any
competitive
and
unfair
method
of
competition
and
ultimately
the
the
board
lost.
Thank
you,
chair
spirit,.
A
Thank
you,
so
I
commend
you
on
being
able
to
figure
that
out
how
to
make
sure
that
you
are
advancing
people's
wishes
to
practice
in
that
field
and
figure
out
how
to
do
it
without
waiting
for
the
dinosaurs
to
bring
in
the
mail.
I
think
I
saw
mr
senator
settlemeyer.
You
had
a
question.
G
A
Okay,
thank
you
additional
questions,
assembly
members.
I'm
sorry
committee
members.
A
Seeing
none
broadcast,
let's
go
to
the
phones
and
we
will
start
with
those
who
are
in
support
and
we
will
begin
with
20
minutes
two
minutes
per
individual
15
minutes
and
two
minutes
per
individual
and
for
those
who
are
waiting
and
can
hear
my
comments.
Please
remember
that
ditto
is
a
good
response.
If
someone
has
already
said
what
you'd
like
to
say,
you
can
submit
your
testimony
in
writing
and
that
way
we
can
get
more
people
in
the
comment
with
that
broadcast.
E
E
A
Thank
you
we'll
go
now
to
those
who
are,
in
opposition
same
time,
limit
20.
A
Okay,
you
all
have
any
additional
comments.
Any
wrap
up
comments
on
sb
173.
A
You
thank
you.
Thank
you
for
a
great
presentation
and
again
I
thank
you
all
for
figuring
out
how
to
verify
the
veracity
of
people's
information
on
their
application
in
the
time
that
is
feasible,
since
we
are
no
longer
using
dinosaurs
to
pick
up
and
deliver
the
mail.
So
thank
you
all.
I
appreciate
that
and
now
we
will
go
to
assembly
bill
91
and
I
believe
that
is
assemblywoman
teresa
benitez
thomas.
D
I
I
am
yes
ma'am,
yes,
chairwoman,
okay,
please
begin
when
you're
ready.
Thank
you
so
much.
I
want
to
start
by
thanking
chairwoman
spearman
vice
chair,
neil
and
members
of
the
senate
committee
on
commerce
and
labor,
for
scheduling
and
for
hearing
assembly
bill
91,
I'm
theresa
benitez-thompson,
representing
assembly
district
27,
and
I
have
the
pleasure
of
sponsoring
this
bill,
which
seeks
to
add
an
advanced
practicing
registered
nurse
or
aprn
to
the
state
board
of
nursing.
But
first
I
want
to
give
a
little
brief
history
about
how
got
to
today's
request.
D
The
aprn
licensing
designation
was
first
authorized
in
1987
and
allowed
an
aprn
to
provide
some
diagnostic
and
treatment
work
with
patients,
while
under
the
supervision
of
a
physician
by
1991,
there
were
91
licensed
active
ar
apr
ends
in
nevada,
conversation
and
interest
about
increased
responsibility
for
the
profession
began
to
grow.
Many
have
been
successful,
but
it's
taken
some
time
in
1991
there
was
a
failed
attempt
to
allow
aprns
to
prescribe
controlled
substances.
D
Then,
in
2013
the
legislature
allowed
aprns
to
practice
independently
brief
requirement
to
work
with
a
collaborating
position.
This
was
a
significant
policy
shift,
allowing
the
profession
to
flourish
from
760
licensees
to
over
3
000
licensees
in
2015
assembly
bill
292
allowed
aprns
to
offer
certain
services
via
telehealth
and
in
the
last
two
legislative
sessions,
their
scope
of
work
has
increased
as
well.
They
can
now
sign
death
certificates,
write
provider,
orders
for
life-sustaining
treatment,
called
the
pulsed
and
can
write
orders
for
home
health
care.
D
The
next
evolution
is
for
them
to
have
a
formal
seat
at
their
professions
governing
board.
The
state
board
of
nursing
consists
of
seven
members.
An
assembly
bill.
91
will
make
one
of
those
members
an
advanced
practicing
registered
nurse.
I
will
now
defer
to
kathy
denauer
the
executive
director
of
the
state
board
of
nursing
for
comments
and
chair
before
I
do
that.
D
Just
so
you
know
for
you
and
your
committee,
I
did
upload
two
exhibits
from
the
research
division,
more
of
a
complete
history
and
timeline
about
the
profession
and
it's
at
the
licensing
legislation
that
we've
passed
here.
I
thought
it
was
wonderfully
written
and
comprehensive,
so
I
uploaded
it
for
the
documents.
So
all
members
would
have
it.
K
Yes,
sir
michael
hillerby,
kemper
cole,
representing
the
state
board
of
nursing,
kathy
denauer,
is
on
as
well,
but
I'll
do
a
quick
overview
of
the
bill
and
we'll
be
happy
to
stand
for
any
questions
of
the
committee.
We
know
you
have
plenty
on
your
agenda
these
days.
I
want
to
first
want
to
thank
assemblywoman
benitez
thompson
for
bringing
forward
the
bill
and
an
excellent
summary
of
why
we're
here
and
the
importance
of
aprns,
both
in
the
healthcare
workforce
and
as
representatives
on
the
board,
the
board
did
decide.
K
As
the
assembly
woman
mentioned,
we
have
an
increasing
role
in
the
healthcare
delivery
world
for
aprns
and
she
did
a
nice
history
and
that
it's
included
in
your
packet,
as
she
mentioned,
on
the
role
that
aprns
play
in
the
expansion
of
their
practice.
Because
of
that
the
number
of
licensees
have
grown.
The
board
currently
licensed
just
over
30.
K
Excuse
me:
63
000
nurses,
the
bulk
of
those
are
registered
nurses
rns
just
over
46
000
and
about
3
300
aprns
at
the
moment,
I'll
just
quickly
go
straight
to
the
bill,
and
so
we
can
tell
you
what
the
changes
are.
First,
in
section
one
subsection
one,
a
we're
changing
the
reference
from
three
rns
to
two
adding
a
new
subsection
that
requires
one
advanced
practice:
nurse
who
was
licensed
by
the
board
and
making
changes
to
what
was
subsection
d
now
sub
e
on
line
11.
K
That
makes
the
member
who
represents
the
interests
of
persons
or
agencies
that
regularly
provide
health
care
to
patients
who
are
indigent,
uninsured
or
unable
to
afford
health
care
and
make
that
person
a
registered
nurse.
As
long
as
any
of
us
involved
with
the
board
can
remember
that
position
has
been
a
nurse.
We
have
one
public
member
that
has
always
been
filled
by
a
nurse
at
various
designations.
K
We
thought
this
was
an
appropriate
way
and
should
say
we
also
did
outreach
to
the
nevada,
nurses,
association,
the
nevada,
advanced
practice,
nurses,
association
and
members
of
the
profession
to
let
them
know
about
this.
This
is
one
of
those
unique
cases
where
we
can
change
the
qualifications
of
one
of
the
board.
Members
rearrange
the
chairs
and
everybody
still
has
the
same
seat.
They
were
in
just
with
a
different
title.
K
We
currently
have
an
rn
in
that
position
and
we've
been
fortunate
over
a
number
of
years
that
governors
have
made
sure
we've
had
at
least
one
aprn
on
the
board.
Aprns
are
a
type
of
registered
nurse,
and
we've
been
fortunate
to
have
that
representation.
But
again
is
the
same
movement.
Benitez
thompson
mentioned
thought
it
was
appropriate
to
make
that
official
toward
the
bottom
of
page
2
line
41
of
the
bill
you'll
see
we're
striking
the
reference
to
an
advanced
practice
nurse.
K
That
was
a
language
that
said
some
of
the
qualifications
of
the
rns
and
members
of
the
board.
The
governor
should
consider
that's
no
longer
necessary
with
the
change
to
require
an
aprn
at
the
top
of
page,
two
and
finally
unrelated
to
that
issue,
but
on
page
three
line:
five
we're
proposing
to
delete
subsection
six
of
section
one,
and
that
was
a
different
term
limit
for
the
board
of
nursing,
a
maximum
of
two
terms.
Two
four-year
terms
or
eight
years
then
applies
to
other
boards
in
2017
the
legislature
added
language
to
nrs,
622
.207.
K
A
Thank
you.
Thank
you,
mr
hilleby,
quick
question.
Some
woman,
benitez
thomas
does
this
in
the
formal
presentation.
D
Thank
you,
madam
chairwoman,
for
the
question,
so
I
do
have
I
I'm
the
director
of
the
board
here,
but
I
I
know
the
time
and
consideration
for
how
you're
managing
the
committee
is
completely
up
to
you.
So
I'm
happy
to
have
her
speak
as
part
of
the
presentation.
I'm
also
happy
to
have
her
just
available
to
answer
questions.
If
you
feel
that
you've
got
enough
information
and
you
want
to
move
along
to
questions.
A
Well,
why
don't
we
have
her
to
speak
that
way,
if
someone
may
have
a
question
that
she
may
answer
in
her
presentation.
Thank
you,
madam
chair.
A
Thank
you
so
much.
I
think
I
saw
senator
settlemyre.
G
D
Thank
you,
yes,
and
we
did
want
to
make
sure
we
mentioned
that,
because
we
did
realize
that
on
our
side
of
the
house,
some
some
folks
did
get
confused
and
they
thought
that
we
might
be
creating
a
standard
that
was
separate
and
different
from
other
boards,
and
so
did
want
to
just
make
sure
that
we
highlighted
and
am
thankful
to
mr
hillerby
for
highlighting
the
fact
that
this
is
conforming
language,
just
to
bring
the
support
into
alignment
that
we
weren't
looking
for
unique
and
separate
term
limit
standards.
D
So
I
appreciate
the
fact
that
you
were
you
caught
that
knew
that
you
probably
would
and
that
we
were
able
to
address
it
on
the
record.
A
Thank
you.
I
see
senator
hardy.
J
Thank
you,
madam
chair.
I
would
I
have
nothing
that
we
can,
that
I
can
find
fault
with
with
the
nursing
board
and
would
love
to
have
them
explain
how
they
are
so
good
at
endorsement
and
reciprocities
and
getting
people
licensed
in
the
state
of
nevada.
Maybe
they
could
give
some
hints
that
are
public
for
other
boards.
That
may
not
be
so
quick
and
easy
to
do
and
still
make
sure
they
have
their
appropriate
certificates,
etc.
D
Thank
you,
kathy
danau,
for
the
record
senator
hardy.
I
will
just
say
that
we
we
do
pride
ourselves
in
trying
to
issue
licenses
within
a
very
short
amount
of
time.
That
may
be
because
we
issue
temporary
licenses
within
about
a
three
or
four
day
period
of
time,
while
we're
waiting
for
fingerprint
results,
we
don't
wait
for
that.
We
continue
and
issue
that
license
fairly
quickly.
K
Madam
chair,
mike
michael
hillerby,
if
I
may,
I
just
add
a
couple
of
pieces:
the
state
board
of
nursing
is
part
of
the
national
council
of
state
boards
of
nursing.
They
maintain
an
excellent
data
bank.
So
if
there
are
reports
of
discipline,
adverse
actions
on
licenses,
that's
easy
to
find
out.
We
also
have
a
standard
licensure
exam
nationwide,
the
nclex
exam,
that's
also
administered
by
the
national
council
of
state
boards
of
nursing.
I
A
See
that
I
have
a
have
a
couple,
I
was
pleased
to
see
the
expansion
of
the
board
or
the
the
requirements
for
the
board
to
include
some
diversity.
Are
you
looking
at
demographic
diversity
as
well?
Maybe
I
missed
it.
K
Madam
chair,
thank
you
michael
hillerby,
you
you,
you
all
set
the
policy
in
in
statute
about
the
qualifications
of
the
board
and
then
it's
up
to
governors
to
do
that,
and
I
I
know
from
experience.
Having
worked
in
the
governor's
office,
it's
challenging
to
find
qualified
applicants
that
meet
the
criteria
on
a
large
number
of
boards
and
commissions,
and
I
think
this
governor
has
shown
from
his
cabinet
appointments
office
staff
board
appointments
a
real
commitment
to
trying
to
find
diversity.
K
Ultimately
again,
the
qualifications
are
established
in
statute.
We
think
we
have
a
broad
range
of
those
qualifications
to
make
sure
that
different
kinds
of
nurses
and
the
different
settings
in
which
they
practice
are
represented.
But
ultimately
the
specifics
are
in
the
hands
of
the
legislature
and
then
the
decisions
that
a
governor
makes
about
appointees.
A
Thank
you
for
that,
and
I
guess
what
I
was
going
for
is
just
a
little
bit
deep
deeper,
and
that
is
one
of
the
things
that
I
found
out
as
I've
asked
people
who
who
may
be
qualified
to
serve
on
a
board.
There
are
so
many
people
who
have
no
idea
how
to
apply.
They
have
no
idea
that
that
might
even
be
an
option.
A
They
have
no
idea
that
there
may
be
the
opportunity,
so
the
question
probably
should
have
been
better
stated
in
a
statement,
and
that
is
to
make
sure
that
there's
outreach
to
people
of
different
demographic
communities.
A
We
heard
very
eloquently
yesterday
in
health
and
human
services,
testimony
from
different
people
who
who
have
worked
with
health
care
in
bipolar
communities,
one
of
the
people,
mr
rochester,
who
wrote
the
book
black
tax,
the
cost
of
being
black
in
america,
and
talking
about
how,
when
those
different
voices
don't
come
to
the
table,
there
are
certain
systemic
structures
that
are
in
place
that
automatically
will
disqualify
some
people
who
otherwise
would
have
been
qualified.
So
that's
a
hint
just
to
make
sure
that
you're
reaching
out
the
other
thing
is.
A
I
know
you
all
do
some
things
with
outreach
to
spouses.
When
you
ask
the
question
of
of
applicants,
you
ask
the
question:
are
you
a
veteran
or
have
you
ever
served
in
the
military.
D
Kathy
dinauer
for
the
record,
and
yes,
that
is
part
of
our
application
questions.
As
far
as
whether
or
not
someone
has
served
in
the
military.
A
Thank
you
and
that's
a
that's,
a
very
important
distinction
because,
as
I
said
earlier,
there
are
a
lot
of
people
who
have
served
and
they're
a
veteran,
but
they
don't
think
you're
a
veteran
unless
you
retire.
So
that
question
is
very
important.
Just
want
to
say
this
and
then
broadcast.
Let's
get
ready
to
open
up
the
phones,
I
don't
see
any
other
hands
race.
A
A
I
was
pleasantly
surprised
to
wake
up
this
morning
and
the
sky
is
still
there.
So
thank
you
broadcast.
Let's
go
to
the
phones.
Now
we'll
go
first
to
those
in
support.
20
minutes
two
minutes
per
individual.
E
E
E
F
F
E
C
Also,
I
think
it's
important
to
point
out
that
the
nevada
board
of
nursing
is
a
member
of
the
national
council
of
state
boards
of
nursing.
This
organization
implements
policies
and
standards
that
each
member,
in
this
case
the
nevada
board
of
nursing,
must
comply
with
nevada
was
one
of
the
frontier
states
in
implementing
full
practice
authority
and
other
improvements
to
the
healthcare
delivery
in
the
state
and
without
an
api
member
on
the
board,
we're
not
going.
C
We
won't
be
able
to
fully
showcase
the
accomplishments
and
lessons
learned
here
in
nevada
that
might
benefit
both
the
policies
created
by
the
national
council,
but
also
to
disseminate
our
experience
and
benefit
other
states
initiative
in
health
care,
so
in
some
nafta
strongly
in
support
of
this
bill
and
also
willing
to
answer
any
questions
or
provide
any
feedback
and
comments
regarding
health
care
related
bills
in
the
future.
Thank
you
for
your
time.
I
A
Thank
you.
Let's
move
into
those
to
those
who
are
calling
in
opposition.
A
So
I
just
want
to
say
thank
you
just
a
big
shout
out
shortly
after
the
the
bill
passed
in
2013,
my
niece,
who
at
the
time
was
just
under
a
year
old,
staying
with
me
and
I
went
to
get
some
lotion.
A
I
mean
just
reached
over
to
get
some
lotion
and
just
like
that
she
scooted
herself
to
the
edge
of
the
bed
and
fell
off
on
her
head
after
my
shrill
of
jesus
jesus
jesus,
I
was
able
to
pick
her
up
and
take
her
to
one
of
our
emergency
centers
and
there
was
an
aprn
who
treated
her
and
I
asked
that
person.
A
So
how
do
you
like
the
changes
in
the
bill
and
they
were
overjoyed
because
they
could
do
the
job?
It's
just
that
we
had
not
given
them
the
additional
scope
of
practice
so
kudos
to
the
aprns,
who
are
working
very,
very
hard
and
helping
us
to
get
our
medical
system
up.
I
also
wanted
to
say
some
woman,
benitez,
thomas
and
and
all
of
those
who
worked
on
this.
A
I'm
really
really
glad
to
see
the
addition
of
someone
a
member
of
the
general
public,
because
sometimes
we
don't
recognize
that
what
it
is
we
have
put
in
place
is
not
working
until
we
talk
to
those
for
whom
it
should
be
working.
So
thank
you
for
for
that
looking
to
see
if
there
are
any
additional
questions,
I
don't
see
any
additional
questions.
D
A
You
thank
you
for
this
bill
with
that
we
will
close
the
hearing
on
assembly
bill
19
and
we
will
open
it
up
for
public
comment.
E
E
A
You
committee
members,
anyone
have
any
additional
comments
or
questions
or
anything
for
the
good
of
the.
A
Cause
they
don't
see
any
and
with
that,
let
me
say
we
will,
because
we
are
approaching
another
deadline.
This
will
be
the
last
meeting
that
we
will
until
wednesday,
the
21st
wednesday,
the
21st.
A
Some
of
you
know
that
the
building
will
be
open,
opening
up
on
a
limited
basis,
and
some
of
our
meetings
will
be
held
some
in
person
and
some
virtually
and
basically
want
to
leave
that
up
to
the
comfort
level
of
the
many
members
and
to
those
who
are
either
presenting
or
testifying
covert.
19
is
nothing
to
play
with,
and
there
are
still
a
number
of
things
that
we're
finding
out
about
it.
A
So
if
your
comfort
level
is
not
that
you
would
want
to
do
it
in
person,
please
let
our
our
staff
know
and
we
will
make
the
we'll
make
the
appropriate
accommodations.
So
next
wednesday
the
21st
is
when
we
will
have
our
next
meeting.
We
will
still
be
working.
It's
just
that.
We
will
be
working
on
trying
to
get
bills
passed
if
you
have
a
a
bill
that
is
coming
before
this
committee
and
you
are
waiting
for
an
amendment.
A
Will
you
please
let
our
staff
know
that
and
just
as
soon
as
you
get
the
amendment
we'll
try
to
make
sure
that
we
get
you
scheduled,
if
not
make
sure
that
you
get
a
conceptual
in
because,
as
you
know,
on
the
20th
any
bill,
that's
not
out
of
first
house
will
live,
no
more
so
with
that,
and
I
don't
see
any
additional
questions
or
comments.