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A
B
Good
afternoon,
chair
committee,
for
the
record,
my
name
is
harold
wickham
and
I
will
be
presenting
ab16
on
behalf
of
the
department
of
corrections.
B
This
is
enact
relating
to
vital
statistics
prohibiting
the
charging
of
fees
for
issues
of
copies
of
certificates
and
records
of
birth
to
persons
who
are
imprisoned
and
providing
other
matters
properly
relating
theratu.
So
I
I
really
think
this
is
an
excellent
opportunity
for
our
agency
to
move
forward
with
presenting
and
publishing
certificates
as
needed,
and
I
think
it's
an
awesome
bill.
So,
pending
your
questions,
I'm
available.
A
C
C
D
D
It
should
be
the
policy
of
the
state
to
ensure
that
incarcerated
populations
have
the
tools
they
need
to
succeed
upon
release
over
90
of
those
in
the
state
that
are
currently
incarcerated
will
get
out
of
prison.
It
is
one
of
the
privileges
of
my
life
to
work
with,
formerly
incarcerated
individuals.
I
work
closely
with
people
who
have
spent
20,
30
or
even
40
years
incarcerated
to
be
released
without
necessary.
Documents
such
as
a
birth
certificate.
Lead
can
lead
to
an
untold
number
of
issues.
D
Obtaining
a
new
birth
certificate
can
be
difficult
even
for
those
of
us
who
willingly
subject
ourselves
to
government
bureaucracy
regularly.
Imagine
if
you
have
never
used
a
computer
with
the
internet,
and
you
now
have
to
navigate
this
system.
When
someone
is
released
in
prison,
they
are
forced
to
find
housing,
food
and
employment.
This
is
the
focus
and
a
birth
certificate
is
often
needed
to
obtain
these
things.
Every
time
we
release
someone
unprepared
to
succeed,
we
put
them
their
families
and
our
communities
in
danger.
D
A
C
C
E
Hi
will
pregnant
with
paddleboard
progress.
W-I-L-L
p
is
in
peter
r-e-g-m-a-n
speak
in
support
of
ab16.
I
will
keep
it
short
and
ditto
the
previous
speaker.
Thank
you.
C
E
Good
afternoon,
chair
ratty
and
members
of
the
senate
health
and
human
services
committee,
this
is
kendra
burchie
v-e-r-t-s-c-h-y
with
the
washoe
county
public
defender's
office.
We
would
just
echo
the
statements
before
us.
E
C
E
Hi,
jim
hoffman
h-o-f-f-m-a-n,
representing
nevada
attorneys
for
criminal
justice,
nacj
supports
ab16
for
the
reasons
that
have
already
been
discussed
and
that
I
guess
I
would
just
mention
the
famous
proverb
here
for
one
of
a
nail:
the
horseshoe
didn't
stay
on
the
horse,
one
of
a
horse.
They
lost
the
battle
for
one
of
the
battle
they
lost
the
entire
kingdom.
E
C
C
F
F
G
F
He
came
home
from
prison
with
no
identification,
no
birth
certificate,
no
identity
and
could
not
be
found
in
via
vital
statistics.
We
still
don't
really
understand
why
or
what
that
happened,
because
he
went
through
the
school
system
in
nevada,
he'd
been
incarcerated
in
nevada,
but
when
we
went
to
get
a
birth
certificate
he
was
non-existent.
F
We
have
been
asking
for
two
years
at
ndoc
for
help
in
finding
his
birth
certificate
and
could
not
get
any.
The
reality
is
not
having
a
birth
certificate,
made
it
impossible
for
him
to
get
health
insurance
made
it
impossible
for
him
to
start
getting
a
job.
He
was
accepted
into
a
training
program
in
the
trade
union
and
couldn't
get
in
could
ended
up
not
being
able
to
attend
because
of
not
having
a
birth
certificate.
F
That
voucher
for
a
free
certificate
did
absolutely
nothing
in
terms
of
helping
him
resolve.
The
issue
that
he
could
have
gotten
resolved
before
he
came
home,
we're
in
full
support
of
this
people
need
to
be
able
to
prove
their
identity,
the
minute
they
walk
out.
We
expect
them
to
find
jobs
and
be
ready
to
reintegrate
into
society,
and
you
cannot
do
that
if
you
do
not
have
documentation
of
who
you
are
so
I
just
want
to
say
this.
F
We
have
been
very,
very
personally
impacted
by
this,
and
the
voucher
was
great,
but
that
voucher
didn't
do
anything
and
it
would
have
been
identified
sooner
had
we
been
providing
birth
search
tickets
before
they
left
the
facility,
so
we
are
as
an
organization
and
personally
in
support
of
ab16,
and
thank
you
for
your
time
have.
H
C
C
Thank
you
chair.
Will
the
next
caller
with
the
last
three
digits
of
611,
please
state
and
spell
your
name
for
the
record.
You
may
begin.
E
Good
afternoon,
madam
chair
members
of
the
senate
committee
on
health
and
human
services,
this
is
john
pirro
j-o-h-n-p-I-r-o
from
the
clark
county
public
defender's
office,
and
we
wanted
to
testify
and
register
our
support
for
this
measure.
It
always
baffles
me
a
little
bit
that
we
can
verify
somebody's
identity
enough
to
lock
them
away
for
years
of
their
life,
but
then
not
provide
them
with
a
document
when
they
get
out
so
that
they
can
identify
themselves
and
start
to
rehabilitate
their
lives.
So
this
is
a
great
measure
and
we
strongly
urge
the
passage.
Thank
you.
C
C
C
C
C
F
I
F
I
C
A
All
right,
thank
you
midi,
so
we
made
we
had
a
little
bit
of
fun
with
it
being
a
very
short
bill
presentation,
but
it's
three
words
and
those
three
words
allow
for
these
folks
to
get
their
birth
certificate
while
they
are
still
imprisoned.
It's
a
very
straightforward
bill,
and
so
what
I'd
like
to
do
is
suggest
that
we
just
go
ahead
and
work
session
it
today.
A
So
I
would
be
looking
for
a
motion
to
do
pass
so
moved
here.
Ready,
got
a
motion
from
senator
harris.
Second,
from
senator
keith
keffer.
Any
discussion.
A
I
will
just
say
that,
while
it
is
a
very
simple
bill
and
while
there's
a
bill
with
only
three
words,
I
do
think
that
it'll
make
a
significant
impact
in
terms
of
folks
getting
being
able
to
get
a
head
start
into
being
successful
as
they
leave.
So.
Thank
you,
mr
wickham,
for
bringing
the
bill
and
with
that
secretary,
would
you
please
follow
the
vote.
E
A
With
that
that
completes
your
business
on
ab16
and
we
are
going
to
go
ahead
and
move
on
to
senate
concurrent
resolution
five,
and
I
would
like
to
invite
vice
chair
spearman
to
the
virtual
dies.
J
J
Prejudice
is
a
burden
that
confuses
the
past,
threatens
the
future
and
renders
the
present
inaccessible.
These
are
the
words
of
the
great
maya.
Angelou
prejudice
has
contributed
to
the
creation
of
systemic
racism
and
structures
of
racial
discrimination
that
result
in
generational
poverty
and
perpetuate
debilitating
economic,
educational,
health
and
health
challenges
which
disproportionately
affect
people
of
color
senate
concurrent
resolution.
Five
takes
a
step
toward
addressing
the
systemic
racism
and
structures
of
racial
discrimination
and
their
disproportionate
impact
on
people
of
color
in
the
covet
19
era.
J
For
these
reasons
and
others
during
the
30-second
special
session,
the
nevada
legislature
adopted
senate
concurrent
resolution,
one
which
declares
that
systemic
racism
and
structures
of
racial
discrimination
can
constitute
a
public
health
crisis.
Indeed,
last
week
the
director
of
the
cdc
stated
very
clearly.
Racism
is
a
public
health
crisis.
J
J
Federal
law.
Federal
funding
should
be
federal.
Funding
should
be,
I
didn't,
make
a
mistake:
federal
funding
should
be
distributed
equitably,
based
on
the
portion
of
members
of
bipop
communities
to
address
issues
that
disproportionately
affect
those
communities
in
direct
proportion
to
their
disadvantage
by
individual
racial
category.
J
I've
asked
some
professionals
to
come
along
with
me
today
who
have
worked
in
various
community
projects.
I
have
mr
sean
rochester,
who
has
experience
working
in
corporate
america,
and
he
is
also
the
author
of
the
black
tax
cost
of
being
black
in
america,
and
I'm
sure
you
all
have
heard
me
mention
him
several
times.
J
Carl
freeman
professional
dietitian,
alisa
howard,
doing
community
health
care
for
the
last
nine
years,
tina
dortch
office
of
minority
health
and
equity,
reverend
dr
karen
anderson,
pastor
of
senior
pastor
of
first
ame
church
in
las
vegas
and
community
leader
we've
got
also
miss
yindra
dixon,
who
is
a
community
and
organizing
activist
in
our
community.
She
is
the
principal
for
black
box,
consulting
I'm,
going
to
turn
now
to
mr
rochester
and
ask
if
he
will
start
us
off
if
that's
okay
with
you,
madam
chair.
J
G
Proceed,
thank
you
very
much
senator
spearman
and
madam
chair.
I
appreciate
the
opportunity
to
discuss
the
economic
costs
of
discrimination
against
black
people.
G
Normally,
when
people
talk
about
discrimination,
they
tend
to
focus
on
the
injustice
or
the
immorality
associated
with
that
I
look
at
what
is
the
economic
cost
of
discrimination
and,
more
importantly,
what
does
research
from
the
finest
institutions
in
the
country
say
that
that
cost
is
it
examines
the
cost?
Excuse
me
in
the
modern
day
present
context.
It
doesn't
look
back
from
the
time
of
slavery.
G
Up
until
now,
it
lays
out
where
we
are
as
a
nation,
with
black
people
owning
about
two
percent
of
u.s
wealth
and
lays
out
an
economic
case
called
phd
for
how
we
can
create
the
millions
of
jobs
and
businesses
and
provide
capital,
that's
missing
in
the
black
community
and
organize
that
in
ways
that
leads
to
better
health
and
educational
outcome
and
one
of
the
areas
I
just
want
to.
G
You
know
talk
with
talk
about
a
little
bit
is,
is
housing
right,
because
it's
64
of
the
wealth
profile
associated
with
the
typical
black
family
and
obviously
wealth
affects
educational
outcomes.
It
affects
health
outcomes,
it
affects
you
know,
you
know,
trauma
a
whole
host
of
other
issues
that
exacerbates
what
is
behind
this
cost
of
discrimination.
This
notion
of
the
black
tax.
It
emanates
from
conscious
and
unconscious
bias
from
institutions
from
individuals
from
organizations
and
from
from
corporations.
G
If
we
look
at
work,
that's
been
done
by
stanford
university
in
michigan
and
the
university
of
chicago,
along
with
the
associated
press.
They
examined
the
level
of
anti-black
bias
across
the
american
electorate.
Back
in
you
know,
2012
they
found
bias
levels
conscious,
explicit
people
know
exactly
what
they're
doing
levels
about
51,
which
is
surprisingly
high
in
terms
of
unconscious
levels
or
implicit
bias.
They
found
that
the
levels
were
about
fifty
six
percent,
almost
six
and
ten.
G
If
you
look
at
some
of
the
work
that
harvard
has
done
with
their
on
implicit
association
test,
it's
called
iat
test
it's
online
at
their
site.
Millions
and
millions
of
americans
have
taken
this
test.
It's
an
extraordinarily
clever
way
of
teasing
out
unconscious
bias.
G
You
know
citigroup
reports
that
the
millions
of
americans
have
taken
that
test
have
what
they
75
percent
of
what
they
call
automatic
white
preference,
which
is
a
fancy
way
of
saying
anti-black
bias.
If
you
look
at
the
the
subgroup
within
that
larger
group,
that's
just
white
americans,
it's
85
percent
of
the
levels
of
automatic
white
preference
or
anti-black
bias.
Researchers
from
harvard
say
that
the
presence
of
automatic
white
preference
is
predictive
of
excuse
me
of
discriminatory
behavior,
and
that
is
an
empirical
truth,
which
means
that
it
is
demonstrable.
G
You
know
in
the
data
the
issue
becomes.
How
does
that
manifest
itself
in
the
marketplace
and
to
what
extent
does
it
have?
You
know
a
cash
flow
or
wealth
impact?
If
we
take
a
look
at
the
housing
space,
which
is
the
massive
generator
of
wealth
for
for
americans
in
general,
black
people
in
particular,
it
starts
off.
G
Rather
innocuous,
you
will
be
told
about
20,
less
homes,
you
will
be
shown
about
20
less
homes,
and
then
it
starts
to
get
more
material
when
you
apply
for
mortgages,
you'll
be
treated
as
if
your
credit
is
71
points
lower,
which
is
quite
substantial
when
you
are
applying
you're,
60,
more
likely
to
be
denied
with
the
same
credit
profile
as
your
white
peer
you're
three
times
more
likely
to
receive
an
interest
rate.
That's
a
higher
interest
rate
versus
your
credit.
G
Worthiness
is
150
basis,
point
higher,
you're,
typically
more
likely
to
receive
higher
closing
costs,
and
if
you
live
in
a
predominantly
black
community
which
most
black
people
do,
the
appreciation
of
your
equity
is
substantially
lower,
leading
into
18
less
in
terms
of
homeowner
appreciation.
G
So
your
appreciation
on
the
home
is
higher.
Your
cost
to
carry
it
through
interest
rates
is
also
much
higher.
If
you
look
at
that
over
a
30-year
period
for
a
homeowner
that
bought
a
house
that
was
about
450
000,
the
incremental
cost
associated
with
this
idea
of
you
being
black
would
be
about
three
hundred
and
forty
five
thousand
dollars.
That's
wealth!
G
That's
not
available
for
you
to
cover
costs
today
or
for
you
to
leave
for
intergenerational
transfers
and
then,
when
you're
selling
it
you
have
an
appraisal
gap
which
is,
if
typically
on
average,
because
of
conscious
and
unconscious
bias.
If
appraisers
are
aware
that
the
home
is
owned
by
a
black
person,
whether
it's
art
photos,
pictures
or
your
mere
presence,
you're
likely
to
receive
a
much
lower,
apprecia
appraisal
on
on
your
home.
These
are
massive,
significant
material,
economic
costs.
It
even
shows
up
in
the
labor
market.
G
If
you
look
at
the
the
same,
you
know
resumes
that
are
sent
out
to
individuals
if
you
have
a
white
sounding
name,
which
is
an
indication
that
you're
likely
to
be
a
white
candidate,
you're
going
to
get
50
higher
callbacks
versus
the
same
resume
with
a
black
sounding
name,
as
you
increase
the
quality
of
the
resume.
If
it
has
a
white
sounding
name,
the
interest
goes
up
substantially
by
30,
which
is
obviously
makes
sense.
If
it's
a
black
sounding
name,
it
doesn't
change
at
all,
statistically
in
indifferent.
G
You
actually
need
about
eight
years
of
incremental
work.
Experience
to
overcome.
Just
the
impact
you
know,
of
of
a
name
turns
out
that
if
you're
a
white
felon
with
that
resume,
you'll
have
a
higher
call
by
ratio
than
a
black
college
grad.
So
this
shows
up
in
significant
ways
and
even
shows
up
at
ultra
high-end
careers,
like
lawyers
yeah
and
the
like.
The
work
product
of
legal
memos
from
black
lawyers
is
evaluated
substantially
different,
100
percent.
G
More
errors
are
found
that
the
quality
of
the
work
is
deemed
as
significantly
lower
and
their
projections
to
be
a
good
partner
within
the
firm
is
compromised
because
of
that
all
things
being
equal,
just
the
perception
of
who
they
believe
you
know,
wrote
the
work
even
when
it
comes
to
capital
raising
for
businesses.
G
You
know
black
business
owners
pay
a
hundred
percent
more
100
basis,
point
higher
for
their
business
loans,
and
this
is
at
all
levels,
if
you're
a
black
business
owner
with
superior
credit,
you
pay
higher
interest
rate
than
your
white
peer
with
the
same
superior
credit.
If
you
have
moderate
credit,
you
paid
us
more
than
your
white
peer
with
moderate
credit.
If
you
have
poor
credit,
you
pay
more
than
your
white
peer
with,
with
you
know
the
same
kind
of
poor
credit
profile.
G
The
the
problem
here
is
that
this
bias
shows
up
both
in
a
conscious
and
unconscious
way,
and
it
has
an
economic
and
discriminatory.
You
know
impact
these
are
things
that
are
just
happening
today.
The
impact
of
the
difference
in
the
value
of
real
estate
across
black,
the
black
you
know
population
is
about
150
billion
dollars
lower
than
it
otherwise
should
be
associated
with
these.
G
You
know
perceptions
that
we're
talking
about
here,
if
you
juxtapose
that
with
some
of
the
historical
aspects
and
they're
far
more
too
many
things
to
to
mention,
but
I'll
just
touch
on
on
on
a
few
of
them.
If
you
look
at
the
you
know,
resources
distributed
through
the
new
deal
and
the
gi
bill
less
than
two
percent
of
that
you
know
went
to
two
black
people.
You
go
as
far
back
as
the
homestead
act,
which
distributed
246
million
acres.
G
To
give
you
know,
americans
a
great
start
in
life
about
99.7
percent
of
that
went
to
white
americans.
Almost
none
of
it
went
to
any
you
know:
black
americans,
you
have
the
extraordinary
draconian
costs
of
the
jim
crow
period,
where
almost
100
tax
was
placed
on
the
labor
of
people.
You
know
engaged
in
in
those
processes.
G
If
you
look
at
the
fha
red
lighting,
I
won't
go
into
that.
I
know
you
guys
are
very
familiar
with
that,
but
what
we
can
say
in
a
concrete
way
is
that
between
1930
and
1960,
less
than
one
percent
of
all
mortgages
in
the
country
went
to
black
americans,
almost
a
complete
and
total
shutout
of
one
of
the
greatest
wealth
building.
G
G
Federal
trade
commission
did
a
study
on
that
in
1968
and
then,
if
you
look
at
the
the
impact
of
the
mount
distribution
and
human
capital
development
in
the
separate,
but
equal
system
that
lasted
for
you
know
almost
about
90
years
in
the
country,
you're
talking
about
trillions
of
dollars
of
impact
for
the
underdevelopment
of
millions
of
black
children
within
the
educational
system,
the
impact
of
all
of
that
from
a
historical
perspective
and
what
is
still
happening
now,
has
led
to
black
americans
owning
about
two
percent
of
the
u.s
wealth
right.
This
is
a
massive.
G
Despite
being
you
know,
about
13
of
of
the
population,
the
difference
in
wealth
between
the
mean
average
white
family
and
mean
average
black
family
is
is
for
is
841
000.
If
you
apply
that
across
17
million
black
families,
it's
about
a
14
trillion
dollar
gap
in
terms
of
wealth
right,
that's
the
literal
quantification
of
the
wealth
gap
right
between
blackett
and
white
families
and
wealth,
as
as
you
know,
it
has
a
massive
determinative
impact
on
health
outcomes,
on
educational
outcomes,
on
mental
health
outcomes
and
exacerbates
a
whole
host
of
other
issues.
G
So
it's
really
critical
that
that
people
understand
not
only
how
things
came
to
be,
but
where
things
are
now
and
that
you
really
need
to
find
focus,
specific
and
targeted
programs
to
be
able
to
maximize
the
impact
on
this
dramatically
affected.
You
know
population,
so
anti-black
bias
is
far
higher
than
we
all
you
know
would
certainly
want,
and
many
people
realize
the
impact
both
present
and
past
has
been
draconian
and
then
the
other
thing
is
to
understand.
Is
that
there's
also
been
a
massive
impact
on
the
country
itself?
Mckinsey
has
done.
G
You
know,
independent
studies
that
says
if
we
close
the
wealth
gap,
you
know
after
a
decade
it
would
generate
about
1.5
trillion
dollars
of
incremental
resources
in
terms
of
gdp
to
the
nation,
and
if
black
people
had
been
included
in
the
innovation
process
that
occurred
between
1870
and
1950,
it
would
have
added
about
two
trillion
dollars
worth
of
gdp
too.
J
Thank
you,
mr
rochester.
Oh
I
was
there
yeah
yeah,
mr
russia,
so,
madam
chair,
what
I
had
asked
him
to
do
was
just
lay
the
foundation
as
to
why
some
of
these
disparities
exist
and
what
I'd
like
to
do
now
is
go
to
carl
freeman.
J
She
is
the
a
dietitian
and
asked
her
to
speak
to
nutrition
as
it
relates
to
health.
K
Good
afternoon,
chair
rowdy
and
committee
members
for
the
record,
my
name
is
dr
cara
freeman,
and
I
am
speaking
as
a
state
policy
representative
and
president-elect
elect
for
the
nevada
academy
of
nutrition
and
biotechs.
As
senator
spearman
has
said,
I
am
a
registered
dietitian
nutritionist
I'd
like
to
address
the
health
disparities
found
in
the
african-american
population.
K
K
A
person
who's
overweight
has
a
body
mass
index,
which
is
a
ratio
between
height
and
weight
over
25
and
obesity
is
measured
at
30
or
higher,
depending
on
which
source
you
look
at
between
13
and
14.6
percent
of
the
u.s
population
are
classified
as
african-american
or
ball
of
that
group.
39
percent
of
men
and
56
percent
of
women,
age,
20
or
older
are
considered
obese.
K
K
A
I
apologize
for
introducing
you,
but
I've
heard
from
our
secretaries
that
they're
having
a
hard
time
hearing
you
loud
enough
to
be
able
to
get
the
record,
and
so
I
don't
know
if
you
can
get
a
little
closer
to
the
mic
or
try
to
speak
up
just
a
little
bit
louder.
K
Okay,
thank
you.
Thank
you.
Now,
okay,
struggling
with
heart
disease,
one
of
the
leading
causes
of
death,
followed
by
cancer
in
this
community
high
blood
pressure,
is
a
contributing
factor
to
heart
disease
and
40
percent
of
non-hispanic
african-american
men
and
women
of
high
blood
pressure.
While
genetics
may
be
a
factor,
poor
nutrition
habits
are
key
to
the
increased
risk
of
high
blood
pressure,
obesity
and
heart
disease.
K
In
addition,
80
of
african
americans
are
more
likely
to
be
diagnosed
with
diabetes
and
are
two
and
a
half
times
more
likely
to
begin
treatment
of
end-stage
renal
disease.
There's
a
lot
more
data,
but
I
think
these
figures
give
you
an
idea
of
the
need
for
improvement
of
health
and
nutrition
in
this
community.
K
Access
to
healthy
foods
is
of
utmost
importance
to
everyone,
but
healthy
foods
are
not
always
available
to
the
african-american
black
community.
Poverty.
Lack
of
education
and
housing
could
be
contributing
factors.
We
see
food
deserts
where
healthy
food
is
not
available,
especially
fresh
fruit
and
vegetables.
However,
convenient
stores
selling
junk
food
are
abundant
in
these
areas.
K
Without
nutrition
and
public
health
education,
bad
nutrition
habits
will
continue.
Making
the
public
health
crisis
in
a
bed
even
more
of
an
issue
than
it
already
is
sb
297,
which
has
passed.
The
senate
government
affairs
committee,
will
address
part
of
the
problem
by
requiring
that
a
master
plan
include
an
urban
agriculture
element
that
provides
vacant
and
blighted
lands
for
community
gardens
and
urban
farms.
This
is
exciting
and
that
we
know
that
people,
and
especially
children,
will
leave
the
foods
that
they
grow.
K
So
hopefully
these
gardens
will
provide
much
needed
produce
to
a
community
that
desperately
needs
it.
Nutrition
education
will
certainly
be
a
factor
in
mitigating
public
health
issues
in
nevada.
Thank
you
for
your
attention
today.
I'm
sorry
I
was.
I
should
use
my
classroom
voice
when
I
started,
and
I
didn't.
A
J
Thank
you,
madam
chair.
I
just
have
a
couple
more
mr
alyssa
alisa
howard,
who
is
a
community
health
worker
and
tina
dortch,
and
every
everybody
knows
we're
trying
to
keep
our
comments
under
five
so
that
we
can
get
into
the
questions
and
not
prolong
the
time.
So
you
don't
have
time
for
the
other
bill,
so
miss
howard,
good.
L
Day
all
my
name
is
alisa
howard
for
the
record.
I
am
the
owner
of
minority
health
consultants,
a
woman-owned
public
health,
consulting
firm
and
I'm
also
a
college
instructor
who
teaches
community
health
work
in
both
of
my
professions.
I
work
towards
dismantling
racism
in
public
health
through
education,
equity
initiatives
and
advocacy.
L
It
greatly
saddens
me
that
we
still
have
to
have
these
conversations
about
racism
in
2021..
Racism
is
a
social
construct,
an
idea
that
has
been
created
and
accepted
by
the
people
in
a
society.
This
idea
has
been
woven
into
the
fabric
of
this
country
and
systematically
and
systematically
affects
every
area
of
society,
from
education
to
our
criminal
systems,
economics
and,
of
course,
our
health
care
system.
We've
seen
racism
and
public
health
at
play
in
many
instances.
L
Historically,
such
as
the
united
states,
syphilis
experiment,
the
stealing
of
henrietta
lacks
dna,
but
our
most
recent
account
is
how
marginalized
by
poc
and
minority
communities
and
businesses
have
not
been
treated
equitably
during
this
cold
pandemic.
These
communities
have
been
impacted
disproportionately,
not
just
now,
but
for
the
last
400
years.
In
my
observation,
throughout
my
decade-long
public
health
profession,
working
at
the
state
level,
local
government
and
community
level,
this
is
due.
L
I
have
seen
that
this
is
due
to
marginalized
communities,
often
being
thought
about
last
and
not
being
cared
for
as
a
whole
of
the
community,
but
a
separate
section
when
it
comes
to
funding
for
businesses,
health,
education,
treatment
and
access
to
health
care.
Structural
inequities
have
been
found
to
have
a
direct
correlation
to
structural
racism
across
the
country.
Bipod
communities
are
suffering
from
insufficient
access
to
jobs,
adequate
transit,
safe
and
affordable
housing.
You
name
it
and
we
are
on
there
as
as
business
owners.
L
We
are
also
on
there
opportunities
doing
this
pandemic
and
and
before
to
build
our
businesses
have
not
as
iraq.
I
just
wanted.
A
little
tie
back
to
back
to
our
topic,
which
is
racism,
is
a
public
health
crisis
that
we
are
asking
you
to
recognize
today
would
be
a
great
day
to
dust
off
all
of
the
racial
injustice,
anti-racistism
and
equity
statements
that
are
being
pinned
and
begin,
the
work
that
our
state
has
pledged
to
do
in
the
name
of
racial
allyship.
M
Good
afternoon
my
name
is
tina
dortch
dortch.
Since
2018
I
have
managed
the
office
of
minority
health
and
equity
to
be
referred
to
interchangeably
as
nomi
or
the
office
going
forward.
Thank
you
to
members
of
the
senate
health
and
human
services
committee.
I
will
use
my
time
to
address
how
the
concept
of
proportional
allocation
framed
within
senate
resolution
concurrent
resolution
5
reflects
in
senate
bills,
302
senate
bill
341
and
the
role
of
the
office
before
illustrating
these
points.
Please
allow
me
to
outline
the
circumstances
that
have
brought
us
to
this
opportunity.
M
When
the
late
assemblyman
tyrone
thompson
envisioned
the
office
being
being
re-established,
he
sponsored
the
2017
assembly
bill
number
141.
His
vision
was
reflected
in
the
office's
new
name,
the
office
of
minority
health
and
equity.
Today,
the
approach
to
achieve
its
mission
has
been
redirected
predicated
on
its
new
name.
The
office's
charge
prioritizes
activities
that
result
in
the
institutionalization
of
equitable
health.
Determining
efforts,
be
they
outreach,
slash
awareness,
oriented
regulatory
policy
or
programmatic
in
nature,
should
senate
bills,
302
341
and
today's
concurrent
resolution
pass.
M
The
embedding
of
equity
enhancing
protocols
would
make
take
place
from
state
legislative
processes
to
state
funding,
decisions
to
agency
level
administration
and
the
office's
internal
capacity
would
be
enhanced
and
its
ability
to
support
its
target
populations.
Increased
senate
bill
302
addresses
implicit
bias,
fosters
allyship
and
serves
to
embed
health-related
equity.
For
example,
it
describes
requiring
public
employers
to
provide
racial
equity
training
to
each
of
its
officers
and
employees
beyond
those
specifically
identified
as
health
providers.
M
Nomi's
advisory
committee
will
also
analyze
completed
equity
worksheets
to
then
shape
policy
recommendations,
identify
discriminatory
structural
barriers
and
establish
a
system
of
measurement
to
track
improvements.
It
is
at
this
point
that
nominee
through
its
advisory
committee
would
also
make
recommendations
that
reflect
proportional
allocations.
M
However,
the
provision
of
senate
bill
341
that
allows
for
proportional
allocation
is
the
creation
and
use
of
a
new
minority.
Health
equity
account
specifically
per
its
section
8.
The
money
in
the
account
must
be
expended
to
develop
and
carry
out
programs
and
activities
of
the
office
and
also
would
allow
the
manager,
within
limits
of
available
funds
to
award
and
grant
with
reviews
by
its
advisory
committee.
M
Concur
resolution
will
circumvent
the
effects
of
the
pandemic,
creating
additional
chronic
conditions
across
not
only
health
indicators,
but
also
other
determining
factors
related
to
health
and,
furthermore,
the
resolution's
commitment
to
incorporate
subjects
of
systemic
racism
and
structures
of
racial
discrimination
into
the
regular
business
of
the
nevada
legislature
will
serve
to
complement
and
amplify
actions
of
the
department
of
health
and
human
services
in
response
to
the
governor's
proclamation
naming
racism.
A
public
health
crisis
put
quite
put
quite
plainly.
M
J
Thank
you,
madam
chair.
I
have
one
more
and
that's
pastor
karen
anderson.
She
worked
diligently
with
the
community
in
ferguson
missouri
after
the
murder
of
michael
brown,
and
I'd
like
for
her
to
address
why
this
is
important
from
a
pastoral
standpoint,
pastor,
anderson.
I
Thank
you
senator
spearman
and
madam
chair,
I
am
the
reverend
dr
karen
anderson,
the
senior
pastor
of
first
ame
church
in
north
las
vegas,
also
known
as
fame
community
church.
We
have
listened
attentively
to
the
way
that
poverty
and
racism
have
had
a
disparate
effect
on
communities
of
color.
I
This
issue
of
structural
racism
has
been
shown
to
be
exacerbated
during
covet
19
as
the
pastor
of
a
historically
black
church,
the
only
independent
denomination
in
our
nation
started
by
people
of
african
descent
as
a
protest
against
discriminatory
worship
and
social
justice
practices.
It
has
been
imperative
for
us
to
work
towards
equity
in
our
society.
I
We
are
denomination
whose
focus
has
always
been
on
meeting
the
spiritual,
emotional
and
physical
needs
of
all
people.
Faith
has
played
a
critical
and
central
role
in
the
life
of
the
bipart
community.
We
are
often
the
place
where
people
come
when
they
have
a
need,
a
need
that
is
not
being
addressed
by
our
government.
We
are
the
stop
gap.
Pastors
are
the
ones
who
are
often
the
first
point
of
contact
in
a
community.
We
are
often
the
ones
who
have
to
make
up
the
difference
when
there
is
a
financial
need.
I
We
are
there
for
emotional
and
physical
needs.
We
are
there
when
there's
a
housing
need,
so
we
have
seen
what
has
happened
in
culvert
19
and
the
disparate
distribution
of
wealth.
I'm
reminded
of
the
book
of
acts
in
which
the
fourth
chapter,
where
they
talked
about
how
the
community
came
together
and
there
was
no
needy
among
them.
I
I
believe
that
this
is
the
call
of
a
faith
community
and
a
nation
built
on
faith
that
we
are
charged
to
ensure
that
there
are
no
needy
among
us
that
we
do
whatever
we
can
to
meet
the
needs
of
the
marginalized
to
bring
them
back
into
the
center.
I'm
also
reminded
of
the
words
of
jeremiah,
where
he
parodied
religious
and
political
leaders
when
he
talked
about
the
fact
that
people
are
always
calling
for
peace,
we
think
of
peace.
As
the
absence
of
conflict
peace
in
the
hebrew
bible
means
the
absence
of
justice.
I
We
will
never
have
peace
in
our
nation
until
we
have
justice.
We
must
remember
that
justice
should
not
be
based
on
race
class,
ethnicity,
gender,
loving
preference
or
religious
affiliation.
We
are
all
created
equal
in
the
eyes
of
god,
and
we
must
be
those
who
seek
to
ensure
that
every
member
of
our
community
has
access
to
what
they
need.
As
a
pastor.
In
this
covet,
I
have
sat
with
families
who
have
struggled
because
of
unemployment.
I
We
have
noticed
the
lack
of
child
care,
food
insecurity,
inability
to
access
need
needed
services,
we've
council
families
who
are
struggling
with
emotional
trauma
from
the
loss
of
loved
ones
for
whom
they
could
not
even
afford
the
burial
cost
we
are
watching,
as
students
are
being
adversely
affected.
Just
last
week
I
had
a
parent
call
who
was
extremely
distressed,
because
her
15
year
old
is
talking
about
suicide,
because
she's
not
been
able
to
be
in
school,
and
she
has
watched
her
grades
drop
in
this
pandemic.
I
It
is
imperative
upon
us
to
begin
to
build
a
community
in
which
every
human
being's
life
has
value
where
there
is
respect
and
dignity
for
each
one
of
us,
and
that
does
mean
that
we
must
begin
to
ensure
that
there
is
equitable
distribution
of
wealth
and
opportunities
for
us
to
move
forward.
That
is
all
I
need
to
say,
and
thank
you
for
this
opportunity.
I
J
You
pastor
and
georetti
that
ends.
That
is
the
presenters
that
I
have.
I
have
on
the
phone,
I'm
sorry
on
the
zoom,
also
mr
dennis
creery,
who
is
the
president
of
blacks
and
wall
street,
and
so
he
can
address
any
substantive
questions
or
subsequent
questions
that
may
come
up
about
this.
So
thank
you
all.
Thank
you
all
for
listening
to
this
and
I
know
it's
kind
of
long,
but
I
thank
you
for
listening
to
this.
J
A
Thank
you
vice
chair
spearman.
First
of
all
this
let
me
express
my
gratitude
to
mr
rochester:
miss
freeman,
miss
howard,
pastor,
anderson,
miss
storch
and
yourself
for
pulling
together
the
compelling
presentation.
I
actually
didn't
think
that
it
was
extraordinarily
long
at
all.
I
felt
like
it.
He
did
an
amazing
job
of
condensing.
A
I
think
what
one
of
you
said
was
400
years
of
history
into
a
relatively
brief
and
to
the
point
presentation.
So
thank
you
for
that.
I
will
open
it
up
to
the
committee
for
specific
questions
or
comments.
A
See
none,
I
guess
my
question
would
be
acknowledging
that
there
is
this
range
of
400
years
of
history,
200
years
of
history,
100
years
of
history,
and
that
in
each
phase
of
that
history,
the
inequity
sort
of
baked
in
to
our
institutions
and
into
our
society
and
then
unfortunately,
was
exponential,
had
an
exponential
impact
as
time
passed
and
recognizing
that
in
many
ways
we've
made
progress.
But
in
other
ways
I
think
that
the
covet
19
pandemic
has
shown
a
light
on
many
of
the
ways
we
have
not
made
progress.
A
It
looks
like
you've
hung
your
hat
in
terms
of
a
policy
recommendation
from
moving
forward
on
dispropor
proportion,
proportionate
allocation
of
resources
and
that's
one
policy
strategy.
I
guess
with
having
the
opportunity
to
have
this
expert
panel
with
us
today.
Are
there
other
policy
recommendations
that
you
would
want
to
make
sure
that
this
committee,
or
the
legislature
as
a
whole,
are
aware
of
that
can
specifically
address
the
wealth
inequities
that
lead
to
the
health
inequities?
G
Madam
chair,
thank
you
for
the
question.
That's
a
enormous
question,
so
what
I
want
to
do
is
just
talk
first,
about
frameworks
by
which
we
could
judge
the
or
measure
the
efficacy
and
impact
of
policies,
plans
and
that
may
ultimately
be
put
in
place.
So
what
one
of
the
things
that
that
I
talked
about
and
that
the
book
is
really
meant
to
do
is
to
be
the
strongest
possible
case
for
like
commercializing
black
enterprise,
so
we
can
have.
You
know,
impacts
that
address
three
major
gaps
right.
G
So,
as
you
are
aware,
of,
this
is
a
massive
gap.
When
it
comes
to
jobs
right
in
and
across
the
black
community,
it
was
you
know,
over
6
million
previously
prior
to
to
kovit
the
coped
pandemic.
That's
obviously
been
exacerbated,
there's
a
massive
gap
in
businesses.
G
You
know
there's
2.56
million
black
businesses.
Only
four
percent
of
those
are
large
enough
to
have
any
employees,
and
only
two
percent
of
that
four
percent
do
over.
You
know
kind
of
ten
million
a
year,
but
that
four
percent
generates
about
seventy
percent
of
the
revenue
about
a
hundred
billion
dollars
a
year
employs
about
a
million
people.
G
So
having
that
as
a
framework
now
I
call
that
framework
phd
right,
which
is
purchase
higher
and
deposit
in
ways
that
create
jobs,
create
and
expand
business
and
provide
capital
right
in
the
black
community.
It
needs
to
have
that
direct
stimulative.
You
know,
you
know
impact
the
second
thing
that
I
would
say,
and
I'm
just
talking
about
frameworks
and
and
overarching
things
right
now.
G
We
can
go
into
specificity
at
any
point
that
you
guys
would
like
if
we
have
some
some
more
time,
but
we
we
need
to
to
kind
of
have
an
ecosystem
approach.
As
we
look
at
creating
you
know
affecting
communities
right
that
are
dealing
with.
You
know
economic
deprivation.
You
know
you
have
you
know.
G
Terrific
things
in
place
like
opportunity
zones
would
have
an
incentive
to
bring
in
capital,
but
it's
not
designed
to
follow
this
phd
format
right,
so
it
imports
talent,
it
doesn't
upskill,
talent
within
the
the
community
right
and
as
companies
are
formed
as
real
estate
is
developed.
It's
not
utilizing
the
products
and
services
of
the
businesses
within
that
community.
G
It's
not
using
the
local,
the
local
content
right,
that's
associated
with
it,
so
you
can
have
a
billion
dollar
project
that
happens
in
an
economically
deprived
community
and
have
really
little
marginal
impact
on
the
people
that
are
living
there
right.
So
what
are
the
the
investments
that
are
made
in
upskilling
the
talent?
G
What
are
how
are
we
working
with
private
enterprise
for
them
to
clearly
articulate
the
skill
sets
that
they
need
within
these
areas?
How
do
we
bring
in
you
know,
non-profits
to
help
with
that
up
skilling?
You
know,
process
bring
in
you
know
the
banks,
who
can
help,
provide
some
capital
and
then
have
resources
allocated
right
from
the
public
sector
to
be
able
to
tur.
G
Excuse
me
kind
of
turbocharged
the
the
whole
thing
right,
so
you
can
have
an
ecosystem
approach
and
a
coordination
amongst
very
different
parties
that
have
a
similar.
You
know
intention.
We
tend
to
see
point
solutions
that
aren't
leveraging
the
the
combined
impact
of
the
various
solutions
that
that
are
out
there.
So
it
needs
to
be
directly
stimulative
to
jobs,
business
and
capital
within
the
black
community,
and
in
particular
you
know
a
lot
of
these
communities
are
you
know
they
define
them
as
kind
of
low-income
communities.
G
The
fundamental
issue
behind
why
they're
low-income
is
because
there's
there's
low
skill
and
there's
low
resources
there,
and
we
need
to
make
sure
that
we
work
on
on
providing
the
resources
to
upskill
and
to
bring
in
the
jobs
that
are
family,
sustaining
right,
not
these
kind
of
minimal
type
jobs.
So
we
have
the
ecosystem
approach
and
then
there's
many
other
things
that
we
can
talk
about.
G
I
don't
want
to
hog
the
time,
but
you
know
we
have
to
deal
with
the
you
know
the
unbanked
we
have
to
deal
with
with
our
our
folks
having
to
deal
with
check,
cashing
places
which
can
cost
over
forty
thousand
dollars
of
incremental
fees
over
over
a
lifetime.
That's
massive
levels
of
economic
leakage.
You
know
upskilling
education
and,
of
course,
the
healthcare
infrastructure
that
is
there
is
vitally
critical.
We
have
the
worst
health,
but
the
worst
access
to
health
care
and
we
have
the
worst
treatment.
G
A
I
think
we
are
unable
to
hear
you,
sir.
Is
there
a
microphone
issue.
A
N
On
great,
thank
you
very
much,
madam
chair
vice
chair,
spearman
and
committee
members.
Thank
you
so
much.
My
name
is
andrew
dixon,
I'm
the
managing
partner
for
black
box
consulting
group.
I
also
run
a
political
organization
called
empower
360
that
helps
to
turn
out
black
voters
in
nevada.
The
question
was
what
types
of
economic
policies
can
we
put
in
place
today?
That
will
help
us
lead
to
the
dismantling
of
systemic
racism?
N
So
I
think
that
in
tina's
profession
presentation
she
gave
a
lot
of
very
specific
things
that
are
necessary
for
policy
making
looking
at
the
racial
equity,
worksheet
centering
racial
equity
and
how
we
design
policy
measuring
the
outcomes
and
evaluating
our
policy
based
on
those
things,
that's
absolutely
imperative
across
all
aspects
of
our
government
specifically
related
to
economics.
There
are
things
in
the
short
term
right
that
we
could
affect
and
make
significant
change.
N
Those
things
would
be
in
the
areas
of
workforce
equity
so
having
our
state
government
located
in
carson
city,
which
doesn't
have
a
diverse
population
of
people
limits.
The
number
of
applicants
who
want
to
or
can
live
in,
carson
city
in
order
to
work
with
the
government,
and
so
when
we
start
to
look
at
the
state
as
a
whole.
It's
important
that
we
as
the
government
of
the
state,
not
we
you,
as
the
government
of
the
state,
are
looking
at
issues
like
workforce
equity,
so
that
we
can
bring.
N
We
can
bring
people
of
color
into
the
middle
class.
I'm
sure
mr
rochester
has
some
very
direct
data
and
I
can
provide
some
as
well
that
talks
about
how
significantly
good
government
paying
jobs
with
benefits
can
help
to
elevate
people
into
the
middle
class
immediately
and
that's
something
that
we
can
work
on.
We
can
measure
and
we
can
look
at
it
from
a
debt,
a
depth
and
breadth
perspective,
so
not
just
across
all
of
the
agencies
at
low
levels,
but
also
up
into
decision-making
and
policy-making
goals
as
well
significant
change.
N
Another
very
important
piece
would
be
contracting
equity.
How
many
people
do
we
do
business
with
in
the
government
and
which
of
those
businesses
are
run
by
people
of
color
oftentimes?
We
have
the
pushback
that,
oh,
I
was
looking
for
this.
You
know
concrete
provider
or
some
kind
of
construction
company
in
order
to
provide
the
services,
but
because
of
barriers
to
entry
and
structural
racism,
systemic
racism.
N
Those
businesses
have
not
been
able
to
prosper,
and
so
30
years
ago
or
40
years
ago,
when
some
of
the
original
construction
companies
we
are
using
were
able
to
be
formed,
people
of
color
were
lost
were
left
out
of
that
process
of
creating
those
those
companies.
They
took
a
lot
of
investment,
they
needed
bank
loans,
and
so
when
you're,
comparing
a
40
year
old
construction
company
to
a
two-year-old
construction
company
and
the
two-year-old
construction
company
may
be
owned
by
a
person
of
color.
N
You
will
look
at
the
history
of
the
40
year
old
company
and
weigh
that
in
a
different
way
and
therefore
typically
choose
a
more
experienced
contractor,
and
so
that
is
what
puts
us
at
odds
right.
That
is
where
the
equity
comes
in.
It's
that,
because
the
opportunities
have
not
been
fair
across
the
board
for
a
length
of
time,
there's
always
going
to
be
a
disadvantage,
and
that's
why
we
need
to
look
at
it
from
an
equitable
perspective.
N
We
can
also
look
at
in
contracting
equity
the
types
of
businesses
that
are
run
by
people
of
color
and
to
focus
our
efforts
specifically
on
choosing
choosing
companies
that
come
out
of
those
types
of
industries
and
those
industries
have
lower
barriers
of
entry.
They're,
not
construction,
companies
that
require
a
million
dollars
to
buy
equipment
and
hundreds
of
people
to
hire
those
are
smaller
businesses,
they
might
be
more
service
oriented,
and
so
we
need
to
look
at
those
types
of
things.
N
I
think
the
final
piece
is
really
to
look
at
it
from
the
standpoint
of
who
the
people
in
our
government
are
interacting
with,
and
so,
when
you
look
at
every
system,
the
largest
consumers
of
government
services
are
people
of
color
and
therefore
people
of
color
and
the
businesses
that
they
own
and
the
folks
that
they're
interacting
with,
should
also
be
people
of
color.
And
so
we
can
make
an
intentional
deliberate
action
to
ensure
that
we
are
providing
that
type
of
equity,
very
simply
specifically
in
policy,
and
those
would
be
huge
economic
drivers
today.
A
Thank
you
checking
in
with
mr
creary.
Have
we
connected.
A
J
Well,
I'm
sure,
if,
if
we
can
I'd
like
to
go
too
because
I
think
if
what
what
miss
dixon
said,
really
parallels
what
pastor
anderson
said
and
in
some
communities
the
the
faith.
A
Sorry,
yes,
so
vice
chair
spearman,
why
don't
we
let
mr
creary,
when
we
got
him
and
then
I'll
come
back
again?
Yes,
ma'am.
O
So
terribly
sorry
about
that-
and
I
should
know
better,
I'm
in
it,
but
that
that
didn't
work
out
well,
definitely
an
honor,
madam
chairman,
to
to
have
the
the
ability
to
to
address
this.
Esteemed
group,
as
my
learned
friend,
sean
rochester,
pointed
out
from
a
very
historic
nature,
the
systemic
pressures
that
our
communities
have
been
under
globally
for
well
400
years
and
and
beyond.
There
has
to
be
something
that
that
various
communities
could
and
should
do
to
address
these
disparities.
O
Yeah
in
1948
there
was
a
bill
and
an
act
passed
in
the
uk
where
I'm
from
that
stated,
regardless
of
an
individual's
station
in
life,
their
most
precious
gift
was
their
health
and
that
spawned
the
national
health
system.
O
The
nhs
system
that
does
not
a
system
as
such
does
not
exist
here
in
the
states
where,
if
an
individual
is
poor
or
destitute,
they
become
even
that
much
more
if
they
are
ill
and
that
affects
everyone
of
every
ilk,
you
could
be
the
wealthiest
individual
in
the
u.s
or
the
poorest
individual
in
the
u.s.
If
you
don't
have
your
health,
you
can't
function
in
your
particular
station
in
life
in
1919.
O
At
the
onset
of
the
spanish
flu,
frontline
workers
were
disproportionately
affected
and
unrecorded,
as
many
were
black
and
brown
individuals
fast
forward.
A
hundred
years
later
to
this
particular
pandemic.
We
haven't
learned
anything
from
that
history
and
our
frontline
workers
are
still
black
and
brown
and
disproportionately
affected.
O
So
I
want
to
address
your
question
that
you'd
asked
you
know
if
there
are
any
other
measures
that
could
be
made
to
address
this
disproportionate
wealth,
which
has
been
systemic
in
in
in
black
and
brown
communities,
and
I
would
say,
as
was
done
by
winston
churchill,
in
1948
in
the
uk,
that
health
is
the
first
and
foremost
manner
and
if
you
are
disproportionately
affected,
you
should
be
compensated
at
a
disproportionate
level
as
well.
O
So
I
you
know,
I
just
wanted
to
to
lend
my
support
to
what
I
learned
friends,
senator
spearman
and
team,
we're
trying
to
accomplish
by
making
sure
that
these
frontline
workers
and
individuals
who
will
be
who
have
been
and
will
be
affected
as
covert
19
continues.
O
Its
scourge
on
in
in
the
us
that
that
that
level
of
disproportionate
access
to
health
care
be
compensated
by
a
disproportionate
measure
of
funds
going
to
that
particular
community,
and
I
would
also
census
being
also
reminded
me.
There
was
one
other
individual
that
we
were
trying
to
get
to
attend
and
that's
dr
randall
maxie,
the
world
renowned
nephrologist,
who
is
the
chairman
and
ceo
of
black
health
in
the
us.
O
He
has
been
running
a
every
sunday
global
program
talking
about
covert
effects
in
black
communities
across
the
globe.
He
was
supposed
to
be
on
this
call
today,
but
he
was,
as
his
duty
called
him,
was
called
into
surgery
about
half
an
hour
before
the
call.
So
he
just
wanted
me
to
state
on
his
behalf.
His
support
for
this
measure
as
well.
J
Well,
I'm
sure
I'd
I'd
like
to
pastor
anderson,
said
something
that
I
know
you've
heard
me
say
we
worked
a
couple
years
ago
trying
to
make
sure
that
there
were
more
minority
providers
credentialed
and
paneled,
especially
in
places
where
you're
talking
about
mental
and
emotional
health,
and
I
think
that
I
think
that's
one
of
the
things
that
we've
not
done
well.
J
But
I'd
like
I'd
like
for
pastor
anderson,
to
speak
to
the
many
hats
that
pastors
wear
when
it
comes
to
to
health
and
and
people
coming
and
asking
us
all
kinds
of
things,
whether
we,
whether
we
have
training
in
that
or
not
pastor
anderson.
I
Thank
you
senator.
I
think
one
of
the
keys
is
that
it
would
be
very
important
to
understand
that
partnering
with
the
faith
community
can
help
a
lot
as
we
begin
to
move
into
neighborhoods.
We
have
quite
a
bit
of
access
to
those
in
the
community.
We
are
the
first
line
where
we
hear
often
what
they're
going
through.
We
do
know
that
there
is
a
huge
need
for
mental
health
services
and
and
for
emotional
health
services
during
this
time.
I
So
I
think
that
it
is
important
to
really
access
and
tap
into
the
faith
community,
who
has
a
desire
to
see
our
community
move
forward,
and
I
and
I
had
a
thought
which
is:
I
am
not
a
financial
or
business
expert.
I
am
a
faith
person,
but
I
I
do
pay
attention
to
what
happens
around
the
country
and
another
way
to
help.
Even
this
gap
is
we
talk
about
policies
there
in
st
louis
one
of
the
programs
that
they
instituted
was
in
communities
of
color
and
particularly
in
the
educational
system?
I
As
children
came
into
kindergarten,
they
were
started.
A
bank
account
simply
fifty
dollars,
because
one
of
the
things
we
understand
is
we
have
not
been
taught
how
to
manage
money
or
been
given
money.
The
money
grows
over
time
so
that,
as
they
prepare
to
go
into
whether
it's
college
or
into
junior
college,
they
begin
to
have
something
to
fall
back
on.
I
There
are
programs
that,
where
you
can
partner
with
banks
to
do
financial
literacy
with
children
as
young
as
kindergarten
and
first
grade,
sometimes
we
wait
to
high
school,
and
we
have
to
remember
that
by
the
time
we
get
to
high
school,
we've
lost
so
many
of
our
children,
but
there
are
ways
that,
as
these
funds
come
in,
that
we
can
funnel
them
to
directly
to
those
who
need
them.
But
I
do
believe
that
the
faith
community
can
be
a
strong
help.
I
We
are
seeing
a
rise
in
mental
health
and
depression,
and
and
for
them
to
come
to
us,
I
don't
have
all
of
the
information
for
what's
available,
but
we
know
that
we
need
more
mental
health
services
in
school.
As
these
children
go
back
to
school,
they
are
going
to
need
more
counseling
services,
not
just
for
the
students,
but
also
for
teachers,
teachers
who
have
been
directly
impacted
by
trying
to
learn
to
do
distance
learning
spending
on
a
dime
to
create
educational
programs
that
keep
kids
interested.
I
So
I
think,
there's
a
lot
of
work
to
be
done,
but
one
can
be
that
we
invest
in
our
education,
making
sure
we
have
the
resources
available
on
the
ground,
but
also
that
you
can
partner
with
church
communities.
We
offer
space
to
build
to
build
up
whether
it's
a
counseling
center
or
something
like
that
that
can
be
directly
in
the
neighborhood,
because
I
think
you
heard
earlier
that
transit
is
also
an
issue
for
many
people
living
in
our
communities.
A
Thank
you
pastor.
I
think
sometimes
it's
also
good
to
pause
and
celebrate
a
few
successes,
and
so
there's
a
few
things
that
I've
heard
on
the
presentation
today
that
I'd
like
to
do
a
shout
out
and
one
would
be
a
shout
out
to
senator
neil
who
has
developed
a
wonderful
program
called
nevada
grow.
That
really
speaks
to.
I
think
some
of
the
things
that
mr
rochester
was
talking
about
in
terms
of
investing
in
communities
and
building
that
ecosystem
that
support
system.
So
I
want
to
give
a
shout
out
there.
A
The
good
news
is
pastor
anderson.
We
do
have
that
program
where
we
put
the
50
in
the
kindergartener's
account.
Perhaps
the
bad
news
is,
I
don't
know
that
everybody
really
understands
it
or
we're
connecting
it
or
we're
building
off
at
the
next
step,
and
so
maybe
there's
a
learning
there
that,
rather
than
building
50
new
programs,
we
need
to
do
a
better
inventory
of
the
programs
that
we
have
already
on
the
books
and
make
sure
that
we're
connecting
those
programs
to
communities
of
color
and
using
wonderful
spokes
folks,
spokes
folks.
A
I
think
I
just
might
have
made
up
a
word
folks,
who
are
spokespeople
to
connect
communities
to
programs
that
already
exist
infrastructure-
that's
already
there,
but
may
not
be,
may
not
be
maximized
and
then
just
a
shout
out
to
a
northern
nevada
friend
who
put
a
lot
of
work
into
creating
programs
where
there
was
financial
coaching
that
happened
at
the
church
after
the
sermon
where
folks
worked
on
financial
literacy
with
people
they
trusted
and
built
built
the
tools
to
build
assets
and
wealth
right
there
in
the
right
there
in
the
pews
of
the
church.
A
D
Thank
you,
madam
chair.
I
I'm
thrilled
to
hear
where
this
is
going
and
where
some
people
have
been.
D
A
Okay,
so
we'll
go
ahead
and
open
the
lines
for
public
testimony.
So
if
bps,
if
you
could
give
me
a
hand
with
opening
the
lines
for
support
of
scr5.
C
C
C
E
E
I'm
here
testifying
and
support
today
for
scr5
health
inequities
and
systematic
racism
have
indeed
caused
a
public
health
crisis.
St
rose
is
acting
to
address
systematic
inequities
experienced
by
bypoc
and
other
underserved
communities
and
reversing
the
effects
of
systematic
racism
requires
a
long-term
commitment.
E
One
example
of
that
is
our
10-year
partnership,
with
morehouse
college
of
medicine
to
develop
and
train
more
black
physicians.
Saint
rose
also
pays
particularly
close
attention
to
the
social
determinants
of
health.
As
often
times
the
social
causes
of
poor
health
need
to
be
dealt
with
the
same
velocity
as
an
acute
medical
condition.
Some
of
these
issues
include
housing,
food
insecurity,
violence
prevention
and
access
to
culturally
competent
care,
all
of
which
you've
heard
a
lot
about
today.
E
C
E
Hello,
chair
rowdy
vice
chair
experiment
and
committee
members.
My
name
is
andre
wade,
a-n-d-r-e-w-a-d-e
and
I
am
the
state
director
for
service
data
quality
and
lgbtq
civil
rights
organization
and
a
member
of
the
advisory
committee
for
the
nevada
office
of
minority
health
and
equity,
and
we
are
in
full
support
of
scr5
service
data.
E
C
Thank
you
caller,
please
slowly,
state
and
spell
your
name
for
the
record,
and
you
may
begin.
E
E
A
C
C
C
A
J
Yes,
ma'am
one
of
the
things
that
I
know
we
need
quick
fast
in
a
hurry,
and
that
is
additional
help
in
mental
and
emotional
health
arena.
Pastor
anderson.
Are
you
still
on.
A
J
A
J
Okay,
can
you
can
you
just
speak
to
some
of
the
things
that
you
all
did
in
the
community
after
in
ferguson,
after
michael
brown's
murder,.
I
Yes,
I
can
you're
correct.
We
do
need
a
lot
of
mental
and
emotional
health.
I
We
have
to
remember
that
many
people
who
live
in
black
pop
communities
live
in
what
we
would
consider
to
be
toxic
stress
environments,
whether
it's
due
to
the
lack
of
food,
the
safety,
whether
it
is
health
related
and
even
just
waking
up
as
a
person
of
color,
not
knowing
when
you
will
see
on
the
news,
the
next
person
whose
life
has
been
taken-
and
it
takes
you
back
not
just
through
that
one
loss,
but
through
every
loss
that
you've
experienced
and
for
many
all
the
way
back
to
before
trayvon
martin
in
in
ferguson.
I
What
we
did
was
faith
communities
also
worked,
but
we
worked
along
with
the
mental
health
minority,
mental
health
professionals
to
bring
mental
health
into
the
communities.
There
were
days.
We
just
set
up
tents
and
we
allowed
people
to
come
in
the
community.
We
would
have
health
professionals
there.
People
could
just
stop
by
and
talk
about
what
they
were
going
through.
I
We
also
provided
some
opportunities
for
luncheons,
where
we
paid
for
parents,
particularly
mothers,
who
had
lost
children
to
violence
or
to
state
sanctioned
violence
to
come
together,
where
we
brought
professionals
from
counseling
spiritual
care
together,
so
that
they
would
have
a
community
to
build
relationships.
I
I
do
believe
that
the
faith
community
can
help
get
information
out.
You
mentioned
programs
that
I
was
not
aware
of,
and
I
believe
that
many
of
our
constituents
are
not
aware.
It
is
a
wonderful
opportunity
to
partner,
but
understanding
that
many
people
live
in
toxic
stress
some
of
those
children
in
ferguson,
particularly
because
of
what
happened
with
the
militarized
policing,
have
been
traumatized
to
the
point
where
they
cannot
tolerate
loud
sounds
anymore
because
of
the
the
the
tear
gas
bombs
that
would
be
set
off
because
of
the
loud
noises.
I
So
we
don't
know
what
causes
trauma
for
young
people
and
children.
What
we
do
know
is
that
it
is
often
expressed
in
ways
that
we
do
not
understand.
Sometimes,
children
that
we
think
are
hyperactive
are
really
suffering
from
depression.
I
We
also
worked
very
hard
in
st
louis
to
move
police
officers
out
of
schools,
resource
officers
and
to
move
in
more
counselors
who
could
begin
to
work
with
students
and
to
teach
them
de-escalation
to
move
from
retributive
justice
practices
to
restorative
justice
practices,
and
I
think,
that's
also
very
essential,
as
we
look
at
things
that
we
can
do.
J
J
Without
worrying,
I
won't
know
what
it
feels
like
to
know
that
my
brothers
and
nephews
are
not
home,
whether
they're
here
or
whether
they're
some
other
part
of
the
country
would
like
to
know
that.
But
that's
one
of
those
things
that
pastor
anderson
was
talking
about
the
mental
and
emotional
stress
and
it
has
a
direct
effect
on
the
physical
body.
J
J
Please
listen
to
our
heart.
It's
hurting,
and
I
would
hope
that,
although
this
is
a
resolution,
I
would
hope
that
it
would
serve
as
a
blueprint
in
terms
of
moving
forward,
especially
when
it
comes
to
caring
for
those
who
have
lost
loved
ones
during
covet
19.
J
Nobody
would
see
me,
but
I
was
going
to
be
watching
his
service
online,
so
covert
has
taught
us
a
different
way
of
living,
and
it's
also
taught
us
a
different
way
of
dying
that,
on
top
of
what
we've
already
experienced
and
disparities
with
health
care
has
been
compounded
and
we
may
not
know
the
total
wreckage.
If
you
will,
that
has
taken
place
in
our
communities,
but
I'm
just
asking
if
everyone
just
please
hear
our
heart
and
help
us
please.
A
Thank
you,
senator
spearman,
and
again
thank
you
for
bringing
the
resolution.
Thank
you
to
the
entire
team
of
presenters
for
making
time
in
their
busy
days.
A
I
know
they
get
pulled
in
a
lot
of
directions
and
probably
asked
to
do
a
lot
of
work,
and
you
know,
I
think
part
of
the
point
of
this
is
all
of
us,
leaning
in
to
take
the
load,
and
so
I
appreciate
I
just
want
to
say
that
I
appreciate
each
and
every
one
of
you
for
being
the
messengers
and
hopefully
that
then
we
can
build
the
community
around
you
to
lift
this
up
and
be
successful.
A
G
A
A
We
kicked
sv341
out
of
here
without
having
a
whole
lot
of
time
to
really
dig
into
the
financial
implications.
Both
of
those
bills
are
going
to
go
over
to
the
finance
committee.
The
pace
in
the
finance
committee
is
significantly
different
than
the
pace
in
this
committee
and
we'll
need
put
all
hands
on
deck
to
make
sure
that
the
language
in
the
bills
does
what
we
actually
want
to
do
so
that
it
actually
makes
a
difference
down
the
road.
So
that's
my
call
to
action.
A
I
think
what
this
committee
can
do
today
is
to
stand
by
the
statement
and
pass
it
out
say
that
we've
identified
the
right
problem
and
we
think
that
globally,
what's
in
this
resolution
is
correct
and
then
I
think
we
all
need
to
work
together
to
make
sure
that
that
very
technical
process
of
getting
bill
language
to
actually
accomplish
what
we
want
to
accomplish
is
the
next
step.
So
that's
what
I
would
say
with
that.
I
think
I
have
a
motion
from
senator
hardy.
A
D
A
Motion
motion
passes
all
right
again
with
with
gratitude
to
everybody
who
joined
us
on
that
bill.
We're
going
to
get
go
ahead
and
move
on
to
assembly
bill
35,
and
we
are
going
to
invite
ms
schmidt
to
the
virtual
diocese
to
take
us
through
the
bill.
H
Thank
you
good
afternoon
randy
and
members
of
the
senate
committee
on
health
and
human
services.
My
name
is
dina
schmidt
and
I
serve
as
the
administrator
for
aging
and
disability
services
division
and
I
will
be
co-presenting
today
with
jeff
duncan
heart
unit
chief
we'd,
like
to
thank
you
for
the
opportunity
to
present
ab35.
H
This
bill
revises
provisions
governing
certain
programs
that
assist
senior
citizens
and
persons
with
disabilities
with
costs
relating
to
health
care
in
opening.
The
intent
of
the
bill
really
is
to
remove
the
restricted
language,
that's
currently
in
the
statute
and
allow
us
to
adopt
policies
and
regulations
to
meet
the
community
needs
and
so
support
the
agency
and
utilizing
the
fundings
to
meet
the
needs
of
the
community
without
any
additional
fiscal
impact.
H
They
are
also
looking
to
align
the
definitions
of
seniors
and
persons
with
disabilities
as
you'll
see
throughout
ab35.
We
are
proposing
to
update
the
statute
with
the
goal
of
having
the
ability
to
serve
a
little
broader
scope
of
individuals
beyond
those
who
are
just
medicare
eligible
and
I'll.
Now
turn
the
presentation
over
to
jeff
duncan
who
will
walk
you
through
the
details
and
the
specific
highlights
of
the
bill.
P
P
I
like
to
note
that
sections,
2-5,
7-11
and
14
include
language
to
consolidate
the
senior
rx
program
and
disability
rx
program.
In
short,
both
programs
receive
allocations
from
the
fund
for
healthy
nevada,
make
up
a
single
budget
account
and
are
currently
operated
as
a
city,
then
moving
on
to
sections
three
four,
five,
seven,
eight
nine
through
11
of
this
bill
proposed
minor
cleanup
language
to
ensure
services
may
be
provided
to
senior
citizens
and
persons
with
a
disability.
P
P
Section
6
the
bill
proposes
to
amend
the
definition
of
a
senior
citizen
who
is
60
years
and
older.
This
definitional
change
of
the
secret
citizen
will
align
with
chapter
427a
the
independent
living
grant
program
under
chapter
429
and
the
others
to
the
end.
The
older
american
act
programs,
which
are
all
administered
by
the
nevada
agency.
P
D
Thank
you,
madam
chair.
Is
there
a
cap
then
on
the
age
or
the
income,
because
it
looks
like
we
cut
that
out
on
eligibility
for
the
program
as
we
merge
the
two.
H
Tina
schmidt
for
the
record,
so
we
will
still
have
an
age
cap,
we're
aligning
that
with
all
of
our
other
programs
in
our
definition
of
senior
citizens.
The
income
cap
will
come
out
of
statute
and
we
will
use
the
regulatory
process
to
adopt
a
new
income
standard
based
on
community
input
and
community
need.
As
mr
duncan
mentioned,
the
medicare
part
d
program
has
completely
changed
the
intent
of
this
program.
H
This
program
was
developed
in
statute
way
before
medicare
part
d
existed,
and
so
a
lot
of
our
medicare
recipients
have
a
completely
different
need
now,
and
so
what
we
would
like
to
do
is
have
the
ability
to
build
a
program
that
actually
wraps
around
current
medicare
benefits
and
provides
a
better
benefit
than
what
we're
able
to
do
with
these
limitations.
H
Finishment
for
the
record
exactly
right
now
the
donut
hole
has
been
removed,
and
so
their
co-payments
are
the
same
throughout
the
process,
but
oftentimes
one
of
the
barriers
is
that
co-payment
and
our
program
today
doesn't
cover
the
co-payment
necessarily
throughout
the
process.
So
we
would
like
to
have
the
ability
to
adopt
regulations
and
have
some
to
wrap
around
the
medicare
plans
that
exist
today.
D
So
your
section
13
that
in
one
place
it's
62
and
then
60
now
and
another
place
it's
going
to
be
62
still.
P
C
C
E
E
E
A
C
C
A
Great
thank
you
bps
once
again
for
your
support,
we'll
bring
it
back
to
the
committee,
and
I
think
senator
spearman
has
a
question.
J
Yes,
ma'am.
Thank
you,
madam
chair,
so
my
question
would
be
in
line
with
what
pastor
anderson
said
in
the
bill
just
before
this
partnering
with
faith-based
organizations
to
make
sure
you
get
the
word
out.
Is
there
a
strategy
to
make
sure
that
this
is
broad
and
wide
so
that
people
know
about
know
about
the
changes
and
actually
participate
in
them?.
H
So
dean
schmidt
for
the
record.
Thank
you
for
the
question.
So
a
couple
things
historically,
this
program
has
been
limited
in
its
funding,
and
so
we
haven't
done
a
lot
of
outreach.
That's
been
one
of
our
challenges,
however.
Internally
we
are
working
really
hard
to
figure
out
ways
to
partner
and
coordinate
across
all
of
our
programs,
as
we
do
outreach
and
additionally,
these
things
the
new
regulations
as
we
adopt
them.
H
We
will
do
through
work,
the
regulatory
process,
which
is
a
public
process,
but
we
will
absolutely
ensure
that
we're
reaching
out
to
faith-based
organizations
to
ensure
participation
in
that
process
and
making
sure
that
folks
are
aware.
One
of
the
concerns,
as
you
know,
with
seniors
and
people
with
disabilities,
still
have
a
prescription
drug
need
and
they
still
have
high
costs
related
to
those
prescription,
drugs,
and
so
it's
our
goal
is
to
have
to
be
able
to
adopt
regulations
to
meet
those
needs.
H
Those
new
needs
they're
different
than
what
they
used
to
be
it
used
to
be
prior
to
medicare
part
d.
You
know
the
cost
of
prescription
drugs
was
just
astronomical,
but
then
part
d
came
and
then
it
was
co-pays
and
then
it
was
the
donut
hole,
and
so
it's
changed
over
time.
So
yes,
we
are.
We
intend
to
do
a
lot
of
community
outreach.
J
And
I
have
the
contact
information
for
pastor
anderson
to
do
a
direct
outreach
to
faith
faith
communities
if
you'd
like
to
have
it.
H
A
Thank
you,
mr
schmidt,
for
bringing
the
bill.
We
have
lost
senator
key
keffer,
so
we're
we're
gonna,
have
to
slow
down
the
work
session,
train
and
we'll
we'll
put
this
on
for
a
future
date
to
see
how
the
committee
feels
about
it.
A
But
we
appreciate
your
being
here
today,
so
we'll
close
the
hearing
on
ab35
and
bring
it
back
to
the
committee,
so
committee
members,
in
terms
of
planning
ahead
a
little
bit,
we
are
going
to
take
a
little
bit
of
a
break
to
create
some
more
space
for
other
committees,
as
well
as
anticipating
that
we
will
have
some
longer
floor
sessions
in
our
near
future.
A
So
this
committee
will
not
convene
again
until
april
22nd,
so
you
can
open
up
that
space
on
your
calendars
and
plan
on
for
you,
as
well
as
the
public
who
may
be
watching
that
the
senate
health
and
human
services
committee
won't
meet
again
until
april
22nd.