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A
The
second
season,
I
don't
know
we
thought
maybe
we
were
wrapping
up,
but
we're
getting
a
little
extended
run
here
and
I'm
sure
everybody
is
excited
to
see
some
additional
episodes.
So
we're
going
to
jump
right
in
we've
got
some
very
excited
developments
in
senate
hhs.
A
C
C
Since
the
inception
of
the
medical
and
recreational
use,
regulations,
the
respective
regulatory
and
compliance
agencies
have
set
standards
for
cannabis,
products
which
are
verified
through
licensed
independent
laboratories.
The
results
of
these
laboratory
tests
are
available
upon
request
by
the
consumer.
However,
there
is
no
way
to
receive
a
complete
data
set
of
laboratory
analysis
of
products
from
producers
that
is
readily
available
or
accessible
by
the
public.
C
C
I'm
sorry
that
was
from
my
initial
testimony,
in
which
case
we
were
anticipating
that
we
would
have
a
database
that
we
could
extract
data
from
and
do
some
trend
analysis
from,
but
because
of
fiscal
obligations.
We
had
to
pull
that
back
and
are
looking
at
a
data,
a
data
process
that
just
publishes
metric
data,
so
the
public
has
access
to
all
of
that
data.
In
one
place.
C
We
are
just
starting
to
scratch
the
surface
on
the
value
of
data
in
this
body
and
story,
and
the
stories
that
that
data
can
tell
us
in
this
industry
accessing
the
data
can
safeguard
consumers
from
inadvertently
consuming
products
that
they
may
not
want
to
consume.
It
may
also
tell
stories
about
producer
practices
such
as
shopping
for
results
and
inconsistency
in
laboratory
results
can
expose
dangerous
practices
of
analytical
manipulation
and
put
the
that
can
put
the
public
potentially
in
harm
in
the
bill
section.
A
Of
them
and
I'm
going
to
interrupt
you
for
just
a
second,
because
I
think
just
wanna
make
sure
the
record
is
clear,
so
sections
one
and
sections
two
were
deleted
by
amendment.
Oh
thank.
C
Thank
you,
let's
see,
so
we
just
want
this
in
an
accessible
format
that
the
public
can
go
on
to
time
and
pull
their
data,
put
pull
data
down
from
the
different
producers
and
licensed
entities
in
the
state.
C
A
A
A
D
Thank
you
will
adler
representing
scientists
for
consumer
safety
scientists
for
consumer
safety,
wants
to
thank
assemblywoman
peters
for
bringing
forward
ab149
and
hopefully
bring
forward
the
transparency
with
the
data
we
already
collect
in
the
state
of
nevada.
Thank
you
and
thank
you
for
hearing
her
today.
E
A
E
B
A
E
A
Assemblywoman
peters,
all
right,
senator
hardy
got
a
due
pass
from
senator
hardy
second
from
senator
spearman
any
discussion
scene,
none
all
those
in
favor
signify
by
saying
aye.
Any
opposed
motion
passes
unanimously,
just
hoping
that
chairwin
and
vice
chair
peters,
are
noticing
how
we
do
things
over
here
in
senate
hhs.
F
The
intent
of
assembly
bill
358
is
to
improve
care
transitions
to
the
community
for
incarcerated
individuals
who
are
eligible
for
medicaid.
So,
to
give
you
a
little
background,
individuals
that
are
incarcerated
in
our
prisons
often
have
significant
physical
and
mental
health
care
needs.
I'm
sure
that
is
not
anything
that
is
new
to
members
of
this
committee,
for
example,
they
may
experience
chronic
and
infectious
disease
such
as
hepatitis
c.
It
may
suffer
from
severe
mental
health
and
substance
abuse
disorders
at
a
much
higher
rate
than
our
general
population.
F
The
covet
19
pandemic
showed
us
how
vulnerable
many
of
these
individuals
are
and
that
many
have
suffered
this
horrible
disease
while
incarcerated.
When
we
had
severe
outbreaks
in
our
prison,
we
want
to
improve
health
care
for
all
individuals
who
are
recently
released
from
prison.
We
believe
that
this
action
will
help
improve
the
overall
health
in
our
communities,
lower
the
spending
on
state
health
care
and
potentially
advance
public
safety
goals
such
as
successful
reentry
and
reduced
recidivism.
F
F
In
2019,
43
states
had
a
policy
to
suspend
medicaid
eligibility
for
an
individual
while
they
were
in
prison
and
42
states
had
a
policy
to
suspend
eligibility
for
an
eligible
person
while
they
were
in
jail.
Six
additional
states
are
now
looking
to
consider
the
same
policy
that
is
in
this
bill
in
2020,
and
this
bill
provides
that
same
policy
to
suspend
rather
than
terminate
medicaid
for
a
person
who
is
sent
to
prison.
F
Getting
people
signed
up
for
medicaid
upon
release
from
our
jails,
but
we
haven't
had
that
same
kind
of
success
in
prison.
Currently,
when
an
individual
who
is
on
medication,
for
example,
in
a
prison,
is
released,
we
are
using
state
funds
and
state
dollars
to
cover
their
medicare.
Their
medical,
like
med,
prescription,
costs
upon
their
release.
F
I
believe
director
whitley
had
provided
me
with
some
information,
and
I
think
it
is
in
the
exhibits
that
are
attached
in
nellis
that
it,
I
think
in
one
year
it
was
56
000
alone,
just
for
cash
payments
of
prescriptions
upon
release
for
those
last
30
days.
This
bill
will
help
keep
our
communities
safe.
F
We
have
people
that
are
being
released
from
our
are
have
been
incarcerated,
they're
being
released
from
our
prisons,
having
access
and
having
that
continuity
of
mental
health
and
physical,
like
health
care
upon
their
release,
will
only
make
them
more
successful
in
society
as
they
re-entry
back,
and
with
that
I
will
turn
this
over
to
director
whitley.
If
he
has
any
other
remarks
to
say-
and
I
know
he
would
be
able
to
answer
any
questions,
this
committee
would
also
have
about
the
details
of
the
bill.
G
For
the
record,
richard
whitley,
I
serve
as
the
director
for
the
department
of
health
and
human
services.
I
would
just
refer
you
to
the
data
dashboard,
that
is
in
the
materials
that
were
provided,
but
it's
dhhs.nv.gov,
backslash
analytics
and
it's
a
corrections,
outreach
dashboard,
and
I
think
it
really
is
the
problem
statement.
It
shows
how
many
people
by
prison
are
discharged
each
month
and
then
how
many
are
enrolled
in
medicaid.
For
the
it's
current
to
march
of
this
year,
zero
people
were
enrolled.
G
We've
we've
tried
as
a
department,
I
think,
to
come
up
with
strategies.
You
know
that
maybe
maybe
work
better
outside
department
of
corrections
than
inside
like
offering
computers
that
could
be
accessed
and
applications
submitted,
but
we
haven't
been
successful
at
it.
We've
offered
to
send
staff
in
like
we
do
in
the
jails
as
assemblywoman
wynn
mentioned,
we
do
go
into
clark,
county
detention,
center,
washoe,
county
detention
center
and
actually
do
the
enrollment.
G
I
think
there's
also
something
too,
where
the
jails
see,
I
mean
they
see,
people
leaving
in
real
time,
and
so
the
the
police
on
the
street
interact
with
folks,
and
so
I
think
that
it's
it's
real
time
impact
that
is,
that
is
experienced
with
with
the
jails.
I
think
this
is
important
work.
Our
department
supports
this
bill.
G
You
know
people
are
are
really
people
in
corrections
are
assessed
for
medical
and
mental
health
conditions
treated
while
they're
there
given
30
days
of
medication
upon
discharge,
but
you
know
how
hard
it
is
for
all
of
us
to
get
an
appointment
within
30
days.
Medications
run
out.
G
I
think
this
dashboard
is
a
nice
framework
for
us
to
continue
to
monitor
this
as
we
get
enrollment,
we
can
actually,
if
the
bill
for
all
the
all
payers
claim
database
goes
through,
we
can
actually
show
what
healthcare
people
accessed
and
what
their
outcomes
were.
I
would
also
mention
that
we're
currently
in
an
rfp
process
for
managed
care,
as
assemblywoman
wynn
mentioned,
we
with
the
expansion
of
medicaid
clark
and
washoe
county,
are
primarily
managed
care
for
the
newly
eligible
most
of
these.
G
The
the
inmates
getting
out
will
be
newly
eligible
and
we
have
put
in
the
rfp
an
incentive
actually
to
score
more
points
on
how
people
would
deal
with
the
criminal
justice
involved
population.
So
I
think
that
we
we
were
set
up
to
really
make
this
work,
the
the
key
to
it
all
right.
A
I'm
just
going
to
interrupt
it
just
for
a
second
only
because
we're
going
to
lose
senator
spearman
because
she
has
to
present
in
another
committee,
and
she
has
a
question.
So
I
want
to
make
sure
she
has
the
opportunity
to
ask
that
question
before
she
goes.
H
Thank
you,
madam
chair.
So
here's
the
question
and
a
few
years
back
when
we,
when
we
did
the
different
departments
and
dlc
was
there
and
the
the
statement
was
made
by
the
then
director
director
zerenda
that
when
he
arrived
there
were
severely
mentally
ill
inmates
who
had
been
in
solitary
confinement
for
five
years
and
so
here's
my
question.
H
So
I
guess
I'm
trying
to
figure
out
how
do
we?
How
do
we?
How
do
we
get
to
some
kind
of
accountability?
I
think
it's
a
great
deal,
but
is
there
a
way
for
us
to
get
some
type
of
accountability
because
the
people
who
are
getting
out
if
they're
getting
out
a
week
after
they
spend
60
days
in
solitary
confinement?
We
got
a
problem.
G
I'm
not
we
we're
not
responsible
for
that,
and
medicaid
doesn't
cover
people
who
are
incarcerated,
but
I
would
say
that
I
think
this
bill
has
the
potential
to
be
incremental
policy
making,
in
that
there
are
several
states,
utah
being
the
most
recent
that
have
applied
for
a
waiver
from
cms
to
allow
for
medicaid
to
be
implemented
30
days
prior
to
discharge,
so
that
there's
an
overlap
while,
while
the
inmate
is
incarcerated,
what
that
would
do
is
drive
really
the
standards
of
care,
so
they
crosswalk
to
to
the
community.
G
So
I
that's
the
most
that
I
could
say
on
it.
I
definitely
could
follow
up
and
and
and
look
into
that.
I
think
that
again,
the
dashboard
is
has
potential
for
us
to
catch
on
both
ends.
People
who
maybe
were
were
treated
in
the
community
and
end
up
incarcerated
and
then
discharged
there'll
be
a
through
line
with
that,
and
so
I
think
that
the
data
will
be
very
helpful
to
us
as
we
go
forward.
Yeah
and.
A
I
Good
afternoon,
chair
ready
through
you
to
the
honorable
senator
this
is
deputy
director,
harold
wickham,
for
the
department
of
corrections.
I'm
now
the
deputy
director
of
programs
and
I'm
happy
to
say
that
our
serious
mental
smi,
serious
mental
ill
offenders
are
no
longer
held
out
at
ely
state
prison
we've.
I
Since
the
surrender
days,
we've
moved
them
to
nncc
the
northern
nevada
correctional
center,
where
they're
actually
housed
in
a
mental
health
facility,
so
they
are
receiving
care
and
treatment
and
as
to
ab358,
the
ndoc
is
very
encouraged
by
this
bill,
because
it
will,
it
will
meet
and
assist
the
offenders
in
successfully
returning
to
the
communities
while
creating
a
a
much
better
continuity
of
care.
So
we
we
certainly
look
forward
to
working
and
collaborating
with
our
agency
partners,
dhhs
and
dwss
on
on
this
meaningful
bill.
I
We're
very
pleased
we
don't
have
what
I
would.
I
guess,
solitary
confinement.
We
use
what's
called
disciplinary
segregation,
which
basically
simply
removes
offenders
from
the
general
population
for
disciplinary
issues
or
administrative
issues,
I.e.
They
have
a
problem
with
other
offenders
or
their
lack
of
better
words
going
to
be
attacked
by
other
offenders.
We
have
to
protect
them
from
the
offenders,
so
we
put
them
in
administrative
segregation,
but
our
severely
mentally
ill
patients
are
all
transported
to
a
facility
in
northern
nevada
at
the
northern
nevada
correctional
center.
So
I
hope
that
answered
your
question
now.
H
H
And
the
third
thing
would
be
what
kind
of
mental
health
is
available
to
them,
because
we
had
a
bill
earlier
sb-187
that
would
have
required
those
sorts
of
things
and
and
the
the
fiscal
note
on
it
was,
was
so
voluminous
it
never
got
through
and
what
I
was
told
by
one
of
the
officials
there
is
that
they
couldn't
do
all
of
the
mental
health
things
that
were
in
that
bill.
A
So
if
we
we
could
mr
wickham
focus
because
we're
we're
here
for
ab358
focused
specifically
on
the
mental
health
services,
because
I
think
that
that's
the
health
and
human
services
question.
I
Okay,
thank
you
for
the
question
chair
ready.
This
is
deputy
director
wickham
for
the
department
of
corrections,
the
first
of
all
the
segregation
right
now,
the
maximum
for
segregation
is
limited
to
60
days
as
far
as
mental
health
treatment.
We
do
have
dr
greene,
who
does
our
mental
health
treatment.
He
is
over
our
mental
health
facilities
and
I
can't
specifically
address
all
the
things
that
mental
health
does.
I
A
That's
just
out
of
my
baby
all
right!
Thank
you,
mr
wickham.
All
right
so
we'll
bring
it
back.
I
think
we
were
still
in
the
middle
of
the
presentation,
but
it
looks
like
there's
some
enthusiasm
for
questions,
so
I
think
we'll
just
go
ahead
and
jump
into
questions.
Senator
harris.
B
Thank
you,
madam
chair.
I
was
wondering
who
provides
the
mental
health
services.
A
Onto
medicaid
thank
you
before
they
leave
the
prison
system,
but
because
there's
some
interest
by
the
committee
we'll
take
this
one
question
and
then
we're
going
to
get
back
to
the
focus
of
this
bill.
So,
mr
wickham,
can
you
just
talk
about
who
the
service
provider
is
for
behavioral
health
services
in
the
nevada
department
of
corrections?
I
think
most
of
your
bills
go
through
judiciary,
so
we're
a
little
we're
all
interested
here.
I
Good
afternoon
for
the
record
deputy
director,
harold
wickham
crew,
chair
ready,
the
honorable
senator
harris,
our
mental
health
services
are
provided
by
in-house
providers
as
well
as
contract
providers.
We
have
mental
health
professionals,
psychologists,
psychiatrists
and
and
several
others
that
are
actually
ndoc
employees,
and
I
hope
that
answers
your
question.
J
All
right,
so,
thank
you,
miss
really.
I
know
that
our
your
division
of
welfare
and
supported
services
has
previously
had
staff.
I
think
located
in
some
of
the
correctional
facilities
sounds
like
that.
Didn't
work
out
really
well,
so
this
will
be
actually
transferring
sort
of
eligibility
services
to
doc
staff
or
how
is
how
is
the
actual
workflow
gonna
gonna
happen?.
G
A
I
believe
so
senator
hardy
any
questions
all
right.
I
just
do
have
one
question:
I'm
struggling
coming
up
with
the
bill
number,
but
mr
whitley,
I
think
you'll
be
familiar
with
it.
We
have
a
senate
bill
that
came
out.
That
includes
very
similar
components
to
this
bill
sponsored
by
senators,
hardy
and
settlemyre,
and
I
just
want
to
make
sure
there's
no
conflict
between
this
bill
and
that
bill.
We
were
enthusiastic
about
that
bill
as
well,
and
it
includes
some
additional
provisions
on
personal
care
assistance
that
we're
enthusiastic
about.
A
G
For
the
record,
richard
william,
I'm
not
aware
of
any
conflict
in
in.
In
that
the
suspending
I
mean,
I
think
the
two
actions
here
are
suspending
medicaid
eligibility,
but
frankly
the
majority
of
inmates
have
not
been
enrolled
in
medicaid,
so
I
think
the
focus
on
suspension
is,
you
know,
is
consistent
with
this
bill.
J
A
A
F
93.
and
rochelle
went
for
the
record.
I
was
familiar
with
sb
93.
Is
it
93,
and
so
I
made
sure
that
they
were
compatible
and
there
was
no
conflict
and
I
think
that
they
complement
each
other.
A
K
K
We
have
actually
possibly
not
active
at
this
time,
but
under
the
previous
warden
had
multiple
connections,
support
groups,
which
is
peer
support
groups,
and
the
point
of
that
in
related
to
this
bill
is,
we
have
been
able
to
work
with
inmates,
remove
stigma
and
help
them
understand
that
they
have
a
mental
illness
and
that
perhaps
medication
is
necessary
for
them
to
achieve
stability
and
recovery
in
their
lives.
K
So
this
bill
is
extremely
important
in
that,
if
we
can
get
all
of
those
folks
enrolled
in
medicaid
before
they
leave
the
prison
system,
where
they've
been
able
to
access
a
diagnosis
and
medication,
we
have
the
opportunity
to
retain
stability,
support
recovery
and
hopefully
not
return
to
an
institution,
so
we're
in
very
strong
support
of
this
bill,
and
we
appreciate
your
consideration.
Thank
you.
L
Hello,
thank
you
chair
and
committee.
My
name
is
nick
schipec.
I'm
policy
and
program
associate
with
the
aclu
of
nevada.
Ensuring
that
we
can
have
continuity
of
care
from
prison
to
back
in
the
community
is
imperative.
One
of
the
pleasures
of
my
job
is:
I
get
to
work
with
directly
impacted
individuals,
especially
individuals
who
have
spent
long
periods
of
time
in
isolation,
segregation.
We
call
it
solitary
confinement.
I
have
worked
with
multiple
individuals
who
have
spent
over
two
decades
in
solitary
confinement
released
pretty
rapidly
into
society.
L
Some
of
them
have
spent
over
40
years
in
prison.
They
come
out
and
they
are
expected
to
be
able
to
navigate
a
medicaid
system
in
a
world
that
they
didn't
even
know
existed.
They're
using
computers
for
the
first
time
I
mean
literally,
nothing
is
the
same
as
when
they
went
in.
They
went
in
almost
as
children,
and
now
they
are
adults.
L
What
I've
seen
in
my
personal
experience
is
individuals
have
major
health
issues,
either
a
sickness
or
an
accident,
or
some
sort
of
mental
health
breakdown
that
leads
to
emergency
room
care
before
they're
able
to
get
on
medicaid.
This,
of
course,
is
expensive.
It's
confusing
for
them
and
they
don't
get
the
necessary
follow-up
care
so
by
ensuring
that
we
have
people
signed
up
for
medicaid.
L
We
can
avoid
many
of
these
issues
being
released
in
prison,
especially
after
decades
is
one
of
the
most
difficult
things
that
a
person
can
go
through
and
any
barrier
that
we
can
lift
in
that
process
will
benefit
not
only
those
who
were
incarcerated
in
our
system,
but
our
communities
that
we
are
released
that
they
are
released
into.
So
we
urge
you
to
support
this
bill.
It's
a
good
piece
of
legislation
and
thank
you
for
having
me.
M
Good
afternoon,
chair
members
of
the
committee
for
the
record,
my
name
is
maria
teresa
lieberman
parraga,
and
I
am
here
with
battleborn
progress.
We
are
in
full
support
of
ab358,
because
for
many
medicaid
is
the
only
way
they
can
get
health
care
and
especially
for
those
who
find
themselves
imprisoned.
M
Many
are
likely
to
be
from
low
income
or
underserved
communities
in
the
first
place
that
desperately
depend
on
medicaid
for
health
care.
This
program
is
essential
to
ensure
they
can
access
any
health
care
coverage
and
once
a
person
has
served
their
time,
they
should
be
given
the
opportunity
to
turn
their
life
around,
and
that
includes
access
to
health
care.
M
Terminating
their
eligibility
to
receive
medicaid
is
a
needlessly
cruel
punishment
that
extends
beyond
the
person's
sentence
and
only
sets
them
up
for
failure
when
they
return
as
a
state
and
as
a
country,
we
should
be
working
to
expand
access
to
health
care
for
everyone
to
create
a
healthier
and
better
off
society.
So
please
support
ab358.
Thank
you.
G
Office
we
echo
the
comments
of
mr
sheepak.
Continuity
cares
the
most
important
thing.
We
are
enthusiastic
supporters.
C
Good
afternoon,
chair
and
members
of
the
committee,
this
is
kendra
burchie
with
the
washoe
county
public
defender's
office.
I
also
testified,
on
behalf
of
senate
bill
93,
urging
your
support,
because
this
is
good
policy
that
will
hopefully
ensure
that
people
when
they
are
released,
they're
able
to
have
access
to
inpatient
treatment
centers
sooner
they
have
access
to
treatment
centers,
they
have
access
to
their
health
care
providers
and
hopefully,
don't
return
to
committing
any
additional
offenses,
which
we
do
unfortunately
see
because
of
the
lack
of
continuity
of
care.
So
we
urge
your
support.
Thank
you.
C
A
E
E
B
E
A
E
E
Thank
you,
chair
caller.
If
you
would
callers,
if
you
would
like
to
provide
testimony
in
opposition
to
assembly
bill
358,
please
press
star
9
now
to
enter
the
queue.
E
E
A
A
Yeah,
congratulations.
Thank
you.
So
much
all
right
with
that.
We'll
move
on
from
this
we've
just
got
one
last
item
of
business,
and
that
would
be
public
comment.
Is
there
anybody
who
would
like
to
make
public
comment
in
the
room,
seeing
none
anybody
on
the
phone
line?
Who
would
like
to
make
public
comment.