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A
All
right,
we
had
a
busy
day
here
today
in
senate
health
and
human
services,
we're
going
to
do
a
work
session
and
then
we've
got
two
bills
to
here,
but
we're
going
to
start
with
our
work
session.
While
we
have
all
of
our
members.
So
ms
come
lassie,
I'm
just
going
to
ask
you
to
jump
right.
A
C
C
It
authorizes
a
governmental
entity
that
licenses
and
regulates
emergency
response
employees
to
contract
with
the
nonprofit
organization,
to
establish
a
program
to
provide
peer
support
counseling
for
these
employees
who
are
experiencing
mental
health
issues
as
a
result
of
the
nature
of
their
work.
The
bill
also
requires
dpbh
to
post
on
its
internet
website
information
concerning
peer
support
services
available
to
emergency
response
employees.
A
See
none
looking
for
a
motion.
I've
got
a
do
pass
from
senator
spearman.
Second
from
senator
harris
any
discussion
scene,
none
all
those
in
favor
signify
by
saying
aye
aye.
Any
opposed
motion
passes
unanimously
senator
hardy.
Would
you
take
this
one
on
emergency
response?
Employees
great!
Thank
you
all
right,
we're
going
to
move
on
to
the
next
one.
Thank
you.
Miss
kamasi.
C
C
A
C
C
This
bill
requires
a
pharmacy
except
an
institutional
pharmacy,
to
provide
the
information
required
to
be
included
on
the
label
of
a
prescription
drug
in
english
and
upon
the
request
of
a
prescribing,
prescriber,
patient
or
authorized
representative
of
a
patient.
Any
language
prescribed
by
the
state
board
of
pharmacy.
A
pharmacy
must
post
in
a
conspicuous
place,
a
notice,
informing
patients
that
they
may
request
this
information
in
a
language
other
than
english
and
a
list
of
the
languages
in
which
the
information
is
available.
C
A
Any
clarifying
questions
on
this
one,
all
right,
I'm
not
seeing
any
it
would
be
in
a
men,
do
pass
looking
for
a
motion.
A
A
men
do
pass
from
senator
harris,
second
from
senator
spearman
any
discussion
on
this
one,
not
seeing
any
all
those
in
favor
signify
by
saying
I,
I
any
opposed
got
one
name
from
senator
hardy.
Otherwise
most
motion
passes
four
to
one
and
he's
reserving
his
right
all
right.
Anybody
in
particular
want
this
one
all
right
I'll
take
it.
C
It
requires
certain
health
insurers
that
provide
health
coverage
for
their
employees
to
comply
with
the
federal
paul,
wellstone
and
pete
menici
mental
health,
parity
and
addiction
equity
act
of
201
2008,
which
prohibits
group
health
plans
and
health
insurance
issuers
that
provide
benefits
for
mental
health
or
substance
use
disorders
from
imposing
less
favorable
benefit
limitations
on
those
benefits
than
on
medical
and
surgical
benefits.
C
The
bill
also
requires
each
insurer
other
organization,
subject
to
those
requirements
to
submit
to
the
commissioner
of
insurance
certain
information
that
demonstrates
compliance
with
the
act.
The
commissioner
may
adopt
regulations
to
carry
out
the
provisions
of
the
bill
shall
keep
information
certain
information
confidential
and
must
submit
annually
a
report
to
the
various
entities.
C
The
bill
also
requires
certain
providers
of
health
care
to
provide
information
relating
to
suicide
to
the
chief
medical
officer,
pursuant
to
regulations
adopted
by
the
state
board
of
health.
Specifically,
it
provides
for
the
confidentiality
of
personal
information
concerning
a
suicide
or
an
attempted
suicide
reported
to
the
chief
medical
officer.
A
D
Thank
you,
madam
chair.
I
had
concerns
when
it
started
talking
about
any
health
care
provider
when
it
gets
into
a
situation
where
it
may
be
discoverable,
even
though
it
quote
is
confidential.
So
my
question
would
be:
how
do
we
save
protect
the
person's
identity
when
it
comes
from
a
individual
practice,
for
instance,
as
opposed
to
a
hospital
or
some
other
conglomeration
of
practices.
A
Okay,
assemblywoman
peters,
did
you
hear
the
question
and
it
looks
like
we
have
dr
woodard
available
as
well,
but
we'll
start
with
assemblywoman
peters,
it's
about
the
confidentiality
and
the
smaller
practices.
E
Thank
you
chair
and
thank
you
senator
for
the
question
I
actually
requested.
We
passed
that
question
on
to
dr
woodard,
who
is
better
versed
on
how
their
office
would.
A
There's
a
little
bit
of
breakup
there.
So
for
the
record,
I
believe
that
assemblywoman
peters
said
that
she
appreciated
the
question
and
would
like
to
pass
it
on
to
dr
woodard,
who
may
be
more
versed
in
the
specifics
of
this
assemblyman
peter's.
If
you
just
nod,
if
that's
generally,
what
you
were
saying
all
right,
so
we've
got
that
for
the
record.
E
Sure
so
stephanie
woodard
for
the
record,
I
believe
kyrah
morgan
may
also
be
on.
So,
if
I
don't
address
all
of
the
issues
related
to
the
confidentiality
of
data,
I
may
need
her
to
also
participate
in
the
answer,
but
again
just
to
clarify
the
intent
of
the
legislation
in
regulations.
We
will
stipulate
the
providers
that
we
would
be
expecting
to
make
these
reports
and
we
are
looking
for
these
reports
primarily
to
come
from
providers
within
hospital
settings,
not
independent
practices.
E
That
being
said,
you
know
this
legislation
would
fall
under
nrs
441a,
where
communicable
diseases
and
very
highly
sensitive
information
which
needs
the
ultimate
in
confidentiality
and
data
protection,
are
typically
transmitted
to
the
division
of
public
and
behavioral
health
and
held
by
the
office
of
analytics.
So
I
do
see
that
kyra
morgan
is
here
sure
if
it
would
be
okay
with
you,
I
would
like
to
offer
the
opportunity
for
kyra
to
also
provide
a
little
bit
more
information
around
the
data
security
that
the
office
of
analytics
uses
related
to
confidentiality.
F
Hi,
this
is
kyrah
morgan
for
the
record,
with
the
department
of
health
and
human
services.
Dr
whittard
is
correct,
so
our
plan
would
be
to
actually
utilize
existing
data
collection
mechanisms
that
we
have
in
place
under
441a
for
overdose
reporting,
and
just
extend
that
to
include
these
data
on
suicide
and
suicide
attempts.
So
the
the
mechanism
for
confidentiality
is
completely
in
place
and
then
we
would
hold
the
data
as
confidential
and
obviously
would
not
release
anything
in
any
kind
of
public
setting
that
would
allow
for
re-identification
of
an
individual.
D
E
E
A
Thank
you
because
I,
oh
if
mr
robbins
is,
is
chiming
in
that
that
usually
means
that
I've
said
something
that's
inaccurate,
so
we'll
turn
it
over
to
mr
robbins.
Please.
G
G
A
person
who,
I
guess
what
the
amendment
has
attempted
suicide
would
be
required
to
report
in
the
manner
prescribed
by
the
regulations
of
the
board.
But
the
bill
doesn't
expressly
provide
for
the
regulation,
the
board
to
adopt
regulations
that
designate
the
providers,
which
seems
to
be
what
dr
woodward
woodard
was
saying
would
happen.
So
I
am
just
wondering
if
that
should
be
explicitly
added
to
the
amendment.
A
E
Dr
woodard
does
that
work
for
your
office
in
the
regulatory
event.
Then,
yes,
would.
I
would
appreciate
that,
and
I
I'm
sorry
I
I
apologize
for
the
record.
I
did
think
that
in
our
amendment
there
was
a
piece
that
clarified
both
facilities
and
providers
or
providers
which
would
then
have
to
be
defined
in
the
regulatory
process.
So
I'm
I'm
sorry
if
that
didn't
make
it
into
the
proposed
amendment.
A
C
There
making
come
lossy
for
the
record.
I
think
at
this
point
based
on.
What's
in
the
bill
page
of
the
work
session
document,
you
see
items
one
and
two
item
two
requires
either
a
provider
of
health
care
or
the
medical
facility
in
which
a
health
care
provider
works
to
report
required
information
related
to
attempted
suicide,
and
it
doesn't
actually
relate
to
the
regulatory
piece.
E
I
think
that
that
works
for
everyone
again,
sarah
peters,
for
the
record.
Thank
you,
chair
for
the
discretion
on
that
and
for
getting
to
the
intent.
A
I
appreciate
it
it's
a
little
unusual
for
us
to
work
through
it
in
a
work
session,
but
if
it
makes
the
bill
better,
I'm
all
for
it,
and
so
it
looks
like
we're
in
good
shape.
Dr
woodard
miss
morgan.
You
believe
you
can
implement
it
based
on
this
conversation.
A
A
All
right,
I
got
an
amendo
pass
from
harris,
second
from
spearman,
any
further
discussion
scene,
none
all
those
in
favor
signify
by
saying
I
I
any
opposed
all
right.
So
we've
got
mr
hart
senator
hardy
as
a
nay
holding
his
right
to
reserve,
and
so
it's
4-1
bill
passes
and
with
that
one
senator
harris,
you
want
to
take
that
one
great
okay.
C
Thank
you,
madam
chair
megan.
Come
lossy
for
the
record.
Ab217
was
hurting
committee
on
may
4th.
It
requires
the
administrator
or
other
person
in
charge
of
designated
medical
facilities,
facilities
for
the
dependent
and
other
licensed
facilities
to
ensure
that
each
unlicensed
caregiver
at
the
facility
completes
certain
training,
including
training,
on
the
topic
of
the
control
of
infectious
diseases.
C
The
measure
requires
the
state
board
of
health
to
adopt
regulations
prescribing
training
for
unlicensed
caregivers,
who
provide
care
at
such
facilities.
The
administrator
or
other
person
in
charge
of
such
a
facility
shall
ensure
the
implementation
of
best
practices
taught
in
the
required
training
and
shall
develop
annually,
update
and
provide
to
certain
persons
a
written
plan
for
the
control
of
infectious
diseases
at
the
facility.
A
Second,
from
senator
hardy,
any
discussion
see
none
all
those
in
favor
signify
by
saying
I
I
annie
opposed
motion
passes
unanimously
senator
kikefer.
Would
you
take
that
floor
statement?
Thank
you
so
much
all
right.
Moving
on
to
ab399,
I
will
say
that
the
senator,
who
makes
the
most
puns
using
the
word
eggs
in
this
discussion,
will
get.
The
floor
statement
sounds
like
an
excellent
plan.
There's
one
for
harris
mississippi.
C
Thank
you,
madam
chair
megan.
Kamlosi
for
the
record.
This
bill
was
heard
on
april
27th
ab
399
prohibits
an
egg
or
egg
product
from
being
sold
offered
for
sale
or
transported
for
the
purpose
of
sale
in
nevada.
C
The
bill
also
declares
that
the
legislature
finds
the
regulation
of
egg
production
on
farms
and
the
sale
of
eggs
and
egg
products
in
the
state
is
necessary
to
protect
the
health
and
welfare
of
its
citizens,
promote
food
safety
and
advance
animal
welfare,
and
the
attached
amendment
was
proposed
by
jeff
dixon
nevada,
state,
director,
humane
society
of
the
united
states.
During
the
bill
hearing.
A
H
Thank
you
manager.
I
unfortunately
missed
the
hearing
on
this
bill,
but
my
understanding
is
that
so
is
the
amendment
that
is
before
us
the
same
as
the
one
that
was
proposed
during
the
committee
hearing.
D
H
A
D
G
A
C
C
The
public
option
must
meet
requirements
established
by
federal
and
state
law,
for
individual
health,
insurance
or
health
insurance
for
small
employers
and
must
meet
certain
coverage
and
premium
requirements.
The
director
of
dhhs
executive
director
of
the
exchange
and
the
commissioner
of
insurance
must
apply
for
certain
waivers
to
obtain
federal
financial
support
of
the
public
option.
C
The
director
of
dhhs
must
also
use
a
statewide
competitive
bidding
process
to
solicit
and
enter
into
contracts
with
health
carriers
and
other
qualified
entities
to
administer
the
public
option,
though
the
director
may
administer
it
if
necessary,
health
carriers
that
provide
health
care
services
to
medicaid
recipients
through
managed
care
must
participate
in
the
competitive
bidding
process,
health
care
providers
and
facilities
who
participate
in
medicaid,
the
public
employees
benefits
program
or
the
state's
workers.
Compensation
program
must
enroll
as
participating
providers
in
the
public
option.
C
Further
the
bill
establishes
the
public
option,
trust
fund
to
hold
certain
funds
for
the
purpose
of
implementing
it.
In
addition,
sb
420
makes
various
changes
to
expand
medicaid
coverage.
Specifically,
it
requires
the
director
of
dhhs
to
expand
coverage
under
the
state
plan
for
medicaid
for
pregnant
women
in
three
ways.
C
It
requires
fee
for
service
medicaid
to
reimburse
services
provided
by
an
advanced
practice
registered
nurse
to
the
same
extent
as
if
provided
by
a
physician,
and
it
requires
the
department
to
establish
medicaid,
managed
care
programs
in
all
geographic
areas
of
the
state
and
the
attached.
Mock-Up
was
proposed
by
senator
cannizzaro.
Following
the
bill
hearing.
A
I
think
where
we
are
today
is
that
I
would
like
to
give
senator
canozzaro
the
opportunity
to
highlight,
what's
in
the
amendment
the
mock-up.
If
senators
are
okay
with
that
is
that
helpful
looks
like
it
is,
go
for
it.
J
What
you
have
before
you
in
the
mock-up
that
has
been
provided
to
the
committee
is
a
a
mocked
up
version
of
the
conceptual
amendment
that
the
committee
did
have
before
it
at
the
time
of
the
hearing
and
includes
the
the
different
changes
that
we
that
we
had
made
to
clarify
not
only
some
of
the
aspects
of
the
public
option,
with
respect
to
medicaid
or
better
reimbursements,
with
respect
to
who
would
need
to
bid
on
on
the
public
option,
but
also
includes
the
amendment
for
the
allowance
for
multi-employer
plans
to
apply
to
get
federal
acceptance
in
order
to
offer
some
of
their
plans
for
employees
who
might
otherwise
be
without
health
insurance,
so
you're,
seeing
that
in
the
mock-up
and
then
additionally,
thanks
to
a
question
that
was
raised
by
who,
I
believe
is
chair
key
kever
in
this
committee.
J
With
respect
to
the
15
for
the
premium
reductions,
we
did
add
language
to
clarify
that
that
does
apply
to
the
public
option.
It
was
not
intended
to
apply
to
all
health
care
plans.
It's
intended
to
apply
to
the
public
options.
So
that
is
included
in
the
mock-up
as
well.
A
Okay,
thank
you
senator
for
walking
us
through
that.
Any
members
of
the
committee
have
any
clarifying
questions
on
the
mock-up.
H
H
I
still
believe
that
the
we
have
incredible
tools
at
our
disposal
to
try
to
tackle
the
uninsured
population
in
nevada
through
through
continue
outreach
through
medicaid,
as
well
as
the
the
eligible
but
unenrolled
population,
for
the
exchange,
knowing
that
they
have
significant
increase
in
subsidy
through
the
american
recovery
plan
and
without
really
understanding
how
we're
going
to
capture
some
of
the
other
populations
of
uninsured.
H
I
can't
support
it
at
this
time,
based
on
the
disruption
that
I
think
will
happen
in
the
insurance
market
and
I'd
point
out
as
well,
that
you
know
the
the
bill
directs.
H
The
director
of
dhhs,
the
director
of
the
exchange
and
the
director
of
medicaid
to
implement
this,
and
we,
just
frankly,
we
haven't
heard
from
them
as
to
either
the
policy
or
the
applicability
of
it,
and
I
just
feel
uncomfortable
with
it
at
this
time.
But
I
appreciate
the
majority
leader
and
the
committee.
Thank
you.
A
I
will
just
say
that
I
think
where
senator
kikofer-
and
I
agree
is,
let's
all
lean
in
and
use
the
tools
that
are
available
to
get
as
many
folks
covered
with
you
know.
We
do
have
people
out
there
on
medicaid,
who
aren't
signing
up
for
who
are
eligible
for
medicaid
that
aren't
signing
up
for
it.
We
do
have
folks
out
there
who
are
eligible
for
the
subsidies
on
the
marketplace
who
aren't
signing
up
for
them.
A
I
will
take
this
moment
to
promote
that
the
marketplace
unusually
is
open
at
this
time
of
year,
and
so,
if
you
need
health
insurance
go
on
to
the
marketplace
and
see
if
you
can
qualify
for
a
subsidy,
that
said,
I
think
there
have
been
yeoman's
efforts
to
do
that
and
we
need
to
do
more,
but
I
think
that
we're
still
missing
a
whole
subset
of
nevadans
who
need
another
option,
and
I
think
that
this
is
a
good
option.
A
So
because
of
those
reasons,
I
support
this,
I
think
there's
a
long
lead
time
to
get
the
actuarial
information
that
we
need
to
really
push
the
go
ahead
button
and
I
think
that
that
that
information
is
going
to
be
invaluable
to
the
state
in
terms
of
how
we
move
forward.
So
I
appreciate
the
majority
leader
for
bringing
it
forward
and
will
be
supporting
it.
Senator.
I
We've
got
two
switches
up
here,
yeah
so,
and
I
just
want
to
say-
and
I've
heard
from
folks
on
both
sides
of
it
and
understand
how
how
some
may
feel
that
it's
a
little
bit
more
complicated
than
we
should
get
into
right
now,
but
but
based
upon
what
has
happened
to
nevadans,
especially
during
covet
and
to
the
bipart
communities
specifically
and
the
gwen
center.
I
A
Okay,
senator
hardy.
D
Thank
you,
madam
chair.
I
I
appreciate
the
comments
that
we've
heard.
D
I
one
of
the
concerns
I
have
is
we're
going
to
talk
about
the
public
option
and
people
are
going
to
be
somewhat
discouraged
when
they
look
at
20
or
20
25
20
26,
when
we
have
a
virtual
public
option
now
that
is
not
as
used
as
we
would
like
it.
So
I
will
be
not
supporting
this
measure
as
well
intentioned
as
it
may
be.
Thank
you.
B
I'll,
take
that
sure
I
I
just
want
to
say
I
mean
I.
I
think
this
is
a
a
great
bill
and
it's
unfortunate
that
it's
needed
if
the
private
sector
was
providing
health
care
to
everyone
at
a
reasonable
cost.
This
bill
would
not
be
a
consideration.
It
is
not,
and
so
it
is
entirely
appropriate
for
the
government
to
step
in
and
try
and
offer
something
that
folks
can
afford.
A
Okay,
I
have
a
motion
to
amend
you
pass
and
a
second
with
that
all
those
in
favor
signify
by
saying
I
I
any
opposed
so
I
have
spearman
harris
and
ratty
as
a
yes
ki
keffer
and
hardy
as
a
no
bill
passes
before
the
committee
deadline.
Congratulations,
senator
cannizzaro
and
we're
that
I
believe
wraps
up
our
work
session.
Thank
you,
mr
molossi
and
mr
robbins
for
all
your
work
on
the
work
session,
we'll
be
losing
senator
harris
and
senator
spearman
to
fill
presentations
in
other
committees.
K
Good
afternoon
for
the
record
ashley
jefferson,
with
the
nevada
department
of
agriculture,
I'm
the
plant
industry
administrator
for
the
department.
First
of
all,
thank
you
for
the
opportunity
to
present
this
bill.
I
do
appreciate
that
just
for
a
little
bit
of
context,
really.
The
goal
here
with
this
bill
is
for
the
department
to
adopt
the
produce
safety
rule
portions
of
the
food
safety
modernization
act.
This
is
a
federal
law
that
requires
farms
of
a
designated
size
and
scope
to
comply
with
these
codes
of
federal
regulations.
K
They're
really
aimed
at
having
preventative
measures
in
terms
of
produce
safety
outbreaks,
as
opposed
to
reactionary,
as
things
have
been
in
the
past,
we've
learned
a
lot
from
from
outbreaks
that
have
happened,
whether
they've
stemmed
from
the
farm
or
where
they're
at
in
the
distribution
system
and
it's
having
farms
apply
a
lot
of
the
things
that
have
been
learned.
So
the
goal
here
is
for
the
department
to
adopt
these
produce
safety
rules
so
that
it
can
be
enforced
on
a
state
level
versus
under
fda
and
also
to
allow
the
department
to
react.
K
Should
there
have
should
there
be
an
immediate
public
safety
risk
pertaining
to
an
adulterated
food,
or
also
an
ongoing
compliance?
That
is
a
non-compliance
issue
pertaining
to
the
code
of
federal
regulations,
just
a
little
bit
more
context.
A
lot
of
these
specific
federal
regulations
are
aimed
at
testing
water
monitoring
for
animal
intrusion
and
health
and
health
and
hygiene
practices
of
staff.
Those
tend
to
be
the
big
culprits
that
contribute
to
food
safety
risks
and
that's
a
big
part
of
where
these
regulations
are
stemming
from.
K
So
with
that,
I
will
conclude
my
presentation
and
I'm
happy
to
answer
any
questions
or
expand
upon
any
of
that
that
the
committee
would
like.
Thank
you.
A
K
This
for
the
record,
ashley
jefferson,
with
the
department
of
agriculture.
Yes,
it
is
to
allow
the
state
to
provide
the
service
specific
to
our
our
producers.
We
actually
did
do
a
survey
to
gauge
whether
our
producers
would
prefer
to
see
this
on
a
state
level
versus
having
fda,
perform
the
inspections,
and
it
was
an
overwhelming
yes
and
yes,
there
are
part
of
the
reason.
That's
justifying
this
request
is
in
order
for
us
to
receive
federal
resources.
In
order
to
do
this
on
a
state
level,
we
do
have
to
adopt
the
producing
rule.
K
We
operate
under
a
cooperative
agreement
and
to
complete
the
cooperative
agreement.
We
would
have
to
have
this
adopted
in
statute.
A
Can't
take
a
motion
because
we
don't
have
our
members,
but
it
was
a
good
idea.
Senator
hardy
all
right
see
no
other
questions
I'll
go
ahead
and
open
it
up
for
testimony.
Is
there
anybody
in
the
room
that
would
like
to
testify
in
support
of
sb438,
see
none
anybody
on
the
zoom
line
that
would
like
to
testify
in
support
of
sb438.
L
L
A
L
A
L
A
A
Miss
jefferson
we're
going
to
go
ahead
and
put
it
on
work
session
for
thursday.
If
you
just
want
to
be
able
to
plan
ahead
all
right.
Okay,
we'll
close
the
hearing
on
sb438
and
that
takes
us
to
ab343
and
I'm
looking
for
assemblywoman
thomas.
Has
anybody
seen
assemblywoman
thomas.
A
M
M
It
is
well
established
that
there
is
a
link
between
urban
planning
and
the
health
of
a
community
when
urban
areas
are
designed
to
include
walking
paths,
bike
lanes
and
sidewalks
people
are
more
likely
to
get
outside
and
move
or
maybe
even
commute
to
work
without
a
car
and
being
able
to
walk
or
bike
to
stores.
Restaurants
or
work
serves
the
dual
purpose
of
improving
our
health,
while
reducing
greenhouse
gas
emissions.
M
Clearly
making
cities
safe
and
accessible
for
everyone,
including
children,
older
adults
and
persons
with
disabilities,
improves
the
quality
of
life
for
all
of
us
nationally.
The
cdc
and
aarp,
along
with
many
land
use
and
transportation
planning
organizations,
endorsed
the
use
of
walking
audits
to
better
understand
the
needs
of
a
community.
M
With
that
background,
let
me
briefly
go
over
the
key
provisions
of
the
bill,
subsection
one
and
two
of
section
three
spell
out
who
will
be
participating
in
the
creation
of
the
plans
for
walking,
audits
and
urbanized
areas
of
our
two
counties.
Clark
and
washoe.
This
bill
does
not
affect
the
other
15
counties.
The
entity
is
developing.
The
walking
audit
plans
will
be
the
rtc's
other
local
governments
and
the
health
districts
and
washa
county.
M
This
deadline
will
allow
time
for
the
interim
committee
to
decide
if
further
legislative
action
is
needed
or
appropriate.
Subsection
3
of
section
three
provides
details
on
the
process
to
to
be
carried
out
in
developing
the
plans.
The
list
of
planning
components
in
the
bill
is
self-explanatory
and
designed
to
provide
guidance
but
not
be
overly
restrictive.
M
The
bill
all
allows
each
of
the
two
counties
to
develop
a
plan
that
meets
its
own
specific
needs
and
that
takes
into
account
the
differences
in
the
jurisdictions.
Finally,
subsection
4
of
section
3
defines
walking
audit
and
speaks
to
the
components
and
goals
of
the
audit.
Again,
the
language
is
not
restrictive,
but
lays
out
desired
perimeters
and
includes
things
like
who
should
be
included
in
the
audit
group.
The
goals
of
assessing
land
use
and
site
design
is
there
lighting,
curb
cuts,
crosswalks
sidewalks
and
whether
there
are
benches
for
people
to
sit
and
rest.
M
N
Thank
you
for
the
record
david
clyde
from
the
regional
transportation
commission
in
southern
nevada.
Thank
you,
chair
ratty
members
of
the
committee,
I'd
first
like
to
thank
assemblywoman
thomas
for
bringing
this
bill
forward
and
being
a
champion
for
walkability
and
advocating
for
safer
and
more
livable
communities
here
in
nevada.
N
N
A
Thank
you
all
right,
any
further
parts
of
the
presentation
assemblywoman
microphone,
please.
M
A
D
So,
thank
you,
madam
chair.
I'm
going
to
ask
you
a
question,
so
how
did
you
come
up
with
such
a
wonderful
bill.
M
The
walking
audit
came
from
my
walking
the
community
last
summer
when
we
had
the
devastating
prospect
of
our
children
not
being
able
to
access
the
internet,
and
we
had
little
place
cards
that
were
putting
on
doors
and
cars
to
have
parents
be
able
to
access
the
internet,
and
with
that
I
noticed
sidewalks
that
were
crumbling.
M
I
noticed
that
street
lamps
that
you
know,
because
it
was
you
know
sometimes
at
night
that
were
dim
it
were.
You
know
I
was
frightened
to
go
down
some
of
the
neighborhoods,
because
we
didn't
know
if
dogs
were
gonna.
You
know
come
out,
it
was
you
know,
and
it
was
suggested
by
senator
deena
neal
that
we
should
do
a
walking
audit
and
that's
how
this
came
about.
A
I
like
it.
Thank
you
good
question,
senator
all
right
with
that
we'll
go
ahead
and
move
to
public
testimony.
Is
there
anybody
in
the
room
who
would
like
to
testify
in
support
of
sb
438.
A
Seeing
none
anybody
on
the
phone
bps,
opening
up
testimony
and
support
of
sb
438.
L
Thank
you,
chair
ratty,
did
you
say
sb
438.
L
L
F
E-M-I-L-Y-W-A-L-S-H-
and
I
am
speaking
today
on
behalf
of
the
nevada
conservation
league
nevada-
is
ranked
the
11th
most
dangerous
state
in
the
nation
for
pedestrians.
We
must
do
a
better
job
to
make
sure
our
streets
are
safe
for
everyone.
This
bill
will
help
our
state
better
understand
and
address
walkable
neighborhoods
and
move
towards
creating
safe
environments
for
pedestrians,
bicyclists
motorists
and
transit
riders,
walkable
neighborhoods,
increase
physical
activity
and
promote
healthier
communities
and
can
help
make
our
communities
more
safe,
accessible
and
enjoyable
for
everyone.
F
L
A
L
L
A
O
Thank
you,
madam
chair
committee,
members
michael
hillerby,
on
behalf
of
the
regional
transportation
commission
of
washoe
county
here,
hopefully
in
the
correct
category,
madam
chair,
with
the
edition
of
the
amendment
officially
neutral,
because
this
is
not
something
that's
been
in
front
of
the
board
with
the
changes
in
the
proposed
amendment.
Much
of
what's
envisioned
in
the
in
the
bill
are
things
that
the
rtc
does.
O
Obviously,
we
invest
a
lot
in
multimodal
transportation,
traffic
safety,
pedestrian
bicycle
safety,
making
sure
that
the
the
streets
and
facilities
over
which
rtc
has
jurisdiction
meet
those
criteria
will,
and
we
work
regularly
with
the
organizations
outlined
in
the
bill,
so
can
do
that
and
appreciate
the
addition
of
the
amendment.
Both
rtcs
are
sizable
agencies
governed
by
elected
officials
in
our
respective
areas.
So
the
idea
of
having
a
bdr
available
certainly
makes
sense
to
us.
Thank.
A
L
F
Cyrus
hojatti
c-y-r-u-s
they
cho
j-j-a-t-y.
I
there's
a
lot
of
things
I
like
about
this
bill.
I
think
that
pedestrian
safety
is
very
important,
and
I
want
to
echo
one
of
the
previous
callers
that
we
have
one
of
the
highest
rates
of
pedestrian
deaths,
but
I
don't
think
it's
just
that
that
can
help.
I
think,
there's
a
lot
of
other
factors.
F
I
just
wish
that
the
bill
could
also
address
crosswalks
that
are
paved
other
than
asphalt,
so
people
can
see
how
to
drive,
because
the
paint
on
the
streets,
particularly
in
las
vegas,
can
go
away.
I
think
raised
crosswalks
that
can
help
and
there
are
better
alternatives
to
stop
signs,
and
I
think
this
bill
should
also
talk
about
roundabouts,
particularly
turbo
roundabouts.
I
think
you
should
look
that
up.
They
do
this
in
europe
and
it
really
moves
car
traffic
and
pedestrian
flow
a
lot
more
effectively.
F
So
there's
a
lot
of
few
things
missing,
but
other
than
that,
I
really
am
delighted
to
talk
about
pedestrian
safety.
It's
a
very
important
issue.
A
lot
of
people
cannot
afford
cars
and
the
roads
that
we
design,
particularly
the
major
arterio
materials,
which
is
the
largest
concern
out
here,
really
needs
serious
reform.
Thank
you.
A
M
A
Thank
you,
assemblywoman
good
luck
with
the
rest
of
your
afternoon,
all
right
with
that
we're
going
to
close
the
hearing
on
ab343.
That's
our
last
significant
item
in
the
business.
For
today,
in
terms
of
planning
ahead
on
thursday
may
13th,
we
will
have
a
meeting
that
will
have
an
extended
work
session,
and
then
we
will
hear
one
bill
sb424
if
you're
not
going
to
be
available
at
all
during
our
traditional
time.
Please
let
me
know,
because
work
session
is
our
primary
duty
for
thursday
and
with
that
we'll
go
ahead
and
see.
A
If
there's
anybody
who
would
like
to
make
public
comment,
anybody
in
the
room
who
wants
to
make
public
comment
today
on
any
topic,
all
right,
we'll
go
ahead
and
open
it
up
on
the
phone
line.
Is
there
anybody
who'd
like
to
make
public
comment
today
for
senate
health
and
human
services.
L
L
No
worries,
thank
you
caller.
If
there
are
any
additional
callers
who
would
like
to
provide
public
comment,
please
press
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