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From YouTube: 4/28/2021 - Assembly Ways and Means and Senate Finance, Subcommittees on Human Services
Description
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A
B
A
A
The
building
is
open.
Unfortunately,
today
we
don't
have
anyone
in
the
room
with
us,
but
the
building
is
open
on
a
limited
basis
you
can
follow
along
with
us
online.
We
still
have
the
the
virtual
option
available.
We
will
have
public
comment
at
the
end
of
today's
meeting.
We
will
be
hearing
a
number
of
budget
closings
from
the
governor's
office
and
the
department
of
health
and
human
services
aging
and
disability
services
division,
and
with
that
we
will
move
to
our
first
budget,
which
will
be
the
patient
protection
commission.
D
Thank
you,
madam
chair
members
of
the
committee,
kimber
ellsworth,
fiscal
analysis,
division
for
the
record.
D
D
The
duties
of
the
patient
protection
commission
include
examining
the
system
for
regulating
health
care,
examining
the
cost
of
health
care,
reviewing
the
availability
of
providers
and
health
benefits,
researching
possible
policy
changes
and
other
duties
to
improve
health
care
for
all
residents
in
the
state.
During
the
march
5th
budget
hearing,
the
patient
protection
commission
indicated
that
having
access
to
more
resources,
including
the
patient
advocacy
services
provided
through
the
aging
and
disability
services,
division,
would
benefit
the
work
of
the
commission.
A
D
The
options
for
the
subcommittee
to
consider
are
a
recommend
approval
of
the
governor's
recommendation
to
transfer
the
patient
protection
commission
from
the
office
of
the
governor
to
the
aging
and
disability
services.
Division
and
a
new
stand-alone
budget
contingent
upon
enabling
legislation
or
option
b
to
recommend
approval
of
transferring
the
patient
protection
commission
from
the
office
of
the
governor
to
the
office
of
the
director
of
the
department
of
health
and
human
services.
In
a
new
standalone
budget
contingent
upon
enabling.
A
A
E
Thank
you.
Thank
you
chair.
I
would
recommend
item
b
approval
of
transferring
the
patient
protection
commission
from
the
office
of
the
governor
to
the
office
of
the
director
of
the
department
of
health
and
human
services
and
a
new
standalone
budget
contingent
upon
enabling
that
legislation.
A
second.
F
Thank
you,
man.
I
appreciate
I'll
support
the
motion.
I
certainly
think
the
director's
office
is
a
much
more
appropriate
place
than
aging
disability
services.
I
never
really
liked
that,
but
just
don't
want
it
to
be
a
commitment
to
vote
for
the
bill.
That's
referenced.
I
might
have
a
couple
other
issues
with
with
that
piece
of
legislation,
but
I
think
it's
a
much
more
natural
home
for
it.
Thank
you.
D
Thank
you,
kimber
ellsworth,
fiscal
analysis,
division
for
the
record.
The
other
closing
item
in
this
budget
is
a
budget
amendment.
The
governor's
finance
office
submitted
budget
amendment
821-5523055
on
march
19
2021,
which
recommends
additional
general
fund
appropriations
of
794
dollars
in
fiscal
year
2022
and
1
160
in
fiscal
year
2023
to
align
operating
costs
of
the
commission
with
current
cost
projections.
D
A
D
This
budget
is
the
primary
administrative
budget
for
the
aging
and
disability
services,
division,
providing
general
administration,
centralized
fiscal,
human
resources
and
information
technology
services
for
the
division.
The
budget
is
funded
with
general
fund
appropriations
and
cost
allocation
charged
for
services
provided
to
other
budgets
within
the
division.
There
are
no
major
closing
issues
in
this
budget.
D
A
A
D
D
D
D
However,
updated
projections
provided
by
the
office
of
analytics
in
march
2021
reflect
an
increase
in
the
caseload.
The
agency
did
indicate
that
it
was
not
requesting
to
adjust
the
budget
based
on
the
increased
caseload
projections.
D
D
This
is
the
most
current
average
provided
by
the
agency,
a
caseload
of
approximately
877
clients
per
month
with
the
funding
that
would
remain
in
the
budget
as
recommended,
alternatively,
to
fund
the
reprojected
monthly
average
caseload
of
approximately
1054
clients
in
fiscal
year,
2022
and
1253
clients
in
fiscal
year.
2023
fiscal
staff
calculates
that
additional
healthy
nevada
funds
of
sixty
two
thousand
three
hundred
and
seventy
four
dollars
would
be
required
in
fiscal
year.
D
2022
and
132
850
130
to
851
dollars
in
fiscal
year
2023
when
compared
to
the
300,
approximately
311
000,
as
recommended
by
the
governor,
the
program
does
serve
as
many
members
as
funding
will
allow.
The
agency
indicated
that
a
wait
list
would
be
generated
if
the
budget
is
insufficient
to
meet
a
higher
than
budgeted
caseload
statute
does
preclude
the
interim
finance
committee
from
augmenting
the
legislatively
approved
allocations
from
the
fund
for
a
healthy
nevada
for
the
purposes
of
this
program.
A
D
As
recommended
by
the
governor,
or
to
recommend
approval
of
funding
based
on
the
updated
caseload
projection
data,
the
options
for
the
subcommittee
are
on
page
12
of
your
packet
option.
A
is
to
recommend
approval
of
the
governor's
recommendation
to
reduce
healthy
nevada
funds
by
six
hundred
and
seventy
thousand
six
hundred
and
fifty
dollars
in
each
year
of
the
upcoming
biennium
to
eliminate
the
pharmacy
subsidy
portion
of
the
programs
and
continue
the
insurance
premium.
D
Subsidy
portion
of
the
programs
with
healthy
nevada
funds
of
311
328
in
each
year
of
the
2021-23
biennium,
which
would
support
a
monthly
average
caseload
of
877
clients
in
fiscal
year.
2022
and
fiscal
year.
2023
at
the
current
average
subsidy
option
b
is
to
recommend
approval
of
reducing
healthy
nevada
funds
by
608
276
in
fiscal
year.
2022
and
537
799
dollars
in
fiscal
year,
2023
to
eliminate
the
pharmacy
subsidy
portion
of
the
senior
rx
and
disability
rx
programs
and
continue
the
insurance
premium.
D
Subsidy
portion
of
the
programs
with
healthy
nevada
funds
of
three
hundred
and
seventy
three
thousand
seven
hundred
and
two
dollars
in
fiscal
year.
2022
and
four
hundred
and
forty
four
thousand
one
hundred
and
seventy
nine
dollars
in
fiscal
year,
2023,
which
would
support
a
monthly
average
caseload
of
1054
clients
in
fiscal
year,
2022
and
1253
clients
in
fiscal
year,
2023
based
on
march
2021
caseload
projections
at
the
current
average
subsidy.
E
Ready
thank
you
chair.
I
appreciate
staff
working
up
both
of
the
options
on
this
one
and
and
for
me
it
makes
sense
that
if
we
have
the
funds
that
we
don't
start
to
create
a
waiting
list
and
then
we
make
sure
people
get
these
services,
so
I
will
be
supporting
b.
E
A
D
A
D
Thank
you,
madam
chair
early
intervention
services
works
to
identify
infants
and
toddlers
who
have
or
at
or
are
at
risk
for
developmental
delays.
The
program
provides
services
and
support
for
families
with
children
under
the
age
of
three
and
helps
facilitate
the
children's
learning
and
individualized
development
in
concert
with
the
family.
D
The
budget
is
funded
through
general
fund
appropriations
primarily
and
receives
reimbursements
from
medicaid
and
private
insurance.
There
are
two
major
closing
issues
in
this
budget.
The
first
is
caseload
adjustments.
The
governor
recommends
additional
funding
to
support
projected
caseload
growth
and
staffing
adjustments
in
the
upcoming
biennium.
D
During
the
march
budget
hearing,
we
discussed
that
the
increase
of
one
position
based
on
the
governor's
recommended
budgets.
D
The
agency
provided
march
caseload
updates
and
based
on
that
the
caseload
is
projected
to
increase
by
approximately
12
over
the
upcoming
biennium.
The
updated
caseload
projections
are
lower
for
each
fiscal
year
compared
to
the
projections
that
were
used
in
the
executive
budget.
The
table
on
page
15
compares
the
caseload
as
projected
in
the
executive
budget
in
november
and
the
updated
march
projections
and
the
difference
at
the
bottom
of
the
table.
D
The
updated
projections
results
in
a
net
reduction
of
four
positions
over
the
biennium,
all
of
which
are
currently
vacant,
and
this
would
align
the
staffing
ratio
to
one
caseworker
position
to
every
19
clients.
D
During
the
budget
hearing
the
state
cost
per
child
served
was
discussed
and
the
impact
of
the
pandemic
and
the
potential
reduced
costs
due
to
reduced
utilization.
During
the
pandemic,
however,
fiscal
staff
asked
the
agency
to
provide
fiscal
year.
2021
year-to-date
costs
for
comparison
with
the
fiscal
year,
2020
cost
per
child
in
the
fiscal
year,
2021
costs
were
actually
lower
than
the
amounts
that
are
used
to
build
the
budget
so
that
the
agency
did
indicate
that
it's
the
recommended
funding,
which
is
based
on
the
fiscal
year.
D
2020
actual
costs
would
be
adequate,
assuming
that
the
case
load
is
not
significantly
higher
than
as
projected
in
march,
the
updated
caseloads
and
staffing
adjustments
result
in
that
cost
of
five
hundred
and
twenty
five
thousand
one
hundred
and
seventy
eight
dollars
over
the
biennium.
This
includes
net
general
fund
appropriations
of
five
hundred
and
fifty
five
thousand
seven
hundred
and
thirty
three
dollars
the
table
on
page
16
compares
the
costs
included
in
these
decision
units
with
the
from
the
governor's
recommended
budget
and
the
march
reprojection.
D
Does
the
subcommittee
wish
to
recommend
approval
of
net
funding
reductions
of
144
959,
including
83
664
general
fund
reductions
in
fiscal
year,
2022
and
net
additional
funding
of
six
hundred
and
seventy
thousand
one
hundred
and
thirty
seven
dollars,
including
an
increase
in
general
funds
of
six
hundred
and
thirty?
Nine
thousand
three
hundred
ninety
seven
dollars
in
fiscal
year,
2023
for
a
net
increase
of
525
178
dollars
over
the
biennium,
including
general
fund
appropriations
of
555
733
dollars
to
align
early
intervention
services,
caseload
and
staffing
with
the
march
2021
projections.
E
Okay
does
so
I
wish
to
recommend
wish
to
make
the
motion
on
the
bottom
of
page
16,
as
described
by
staff.
D
D
During
the
budget
hearing,
the
agency
discussed
that
the
possible
additional
funds
community
providers
have
been
able
to
collect,
based
on
additional
revenue
coming
in
from
medicaid
reimbursements
and
private
insurers.
D
D
However,
the
agency
indicated
that
the
history
of
the
program
does
not
demonstrate
a
loss
of
providers
following
a
rate
reduction
based
on
the
caseload
projection
update
the
costs
savings
included
in
decision
units
e698
and
e699
are
slightly
higher
than
what
was
included
in
the
executive
budget.
This
would
result
in
general
fund
savings
of
2.9
million
over
the
biennium.
F
Thank
you,
madam
chair.
I
can't
support
this
particular
decision
unit
at
this
time.
I
believe
that
we
heard
that
there
was
significant
unallocated
tanf
funding
that
I
believe
could
be
used
for
this
if
we
targeted
towards
low-income
recipients
of
neis
services.
So
I
know
that
some
of
this
stuff
was
still
probably
I'm
looking
to
balance
out
potentially
down
the
road,
but
for
this
subcommittee
meeting
at
this
time
I
can't
support.
Thank
you.
G
G
I
I
I
don't
think
that
this
is
all
a
decision
we're
making
lightly,
though
I
just
don't
right
now,
right
now
see
any
other
great
options
other
than
to
do
this,
but,
like
him,
remain
hopeful
that
maybe,
if
there's
a
chance
to
change
the
conversation,
not
only
in
this
budget
but
a
lot
of
different
budgets,
that's
what
I'm
hoping
for
as
well.
I
know
we've
got
another
budget
coming
up
where
they're
asking
for
20
positions
to
meet
caseload
and
we're
like
how
about
like
three
and
a
half
or
five.
You
know
so.
G
A
Thank
you
so
much
for
that
speaker,
feyerson.
H
Well,
thank
you,
madam
chair.
I
I
I
want
to
echo
the
the
sentiments
of
both
my
colleagues
on
this
committee,
but
I
I
can't
stress
enough.
How
important
is
that
for
decisions
like
this?
H
We
talk
about
the
pain
of
cuts
and
we
are
not
willing
to
talk
about
the
revenue
to
pay
for
them.
This
session
has
about
33
days
left
and
I
believe
we
can
have
a
conversation
about
revenue
to
try
to
mitigate
some
of
the
painful
cuts
that
we
have.
We,
fortunately
also
have
the
prospect
of
possible
federal
assistance
without
guidance.
Currently
we
can't
depend
on
that
and
we
can't
rely
on
the
ability
to
use
it
to
to
fill
our
state's
needs
until
we
know
how
to
use
it.
H
But
I
I
I
can't
talk
about
the
pain
of
cuts
without
talking
about
the
unwillingness
to
talk
about
revenue
to
pay
for
those
cuts.
So
I'm
hopeful
that
in
the
next
33
days,
there's
a
willingness
to
talk
about
it,
because
there
are
a
lot
of
painful
cuts
that
we
have
to
talk
about
and
consider
I
mean
we
all
have
some
personal
experiences
and
struggles
with
making
these
decisions
and
they're
not
easy
decisions,
and
I
don't
I
don't
want
to
act
like
they
are
easy
decisions.
B
Thank
you.
I
think
we
all
have
a
similar
sentiment
here
this
this
one
is
particularly
difficult
because
having
walked
through
this
with
some
families,
it's
it
ends
up
costing
a
lot
more
in
the
long
run,
when
we
don't
take
advantage
of
these
early
intervention
services
and
has
tremendous
impact
on
a
reliance
on
even
greater
services
down
the
road.
If
we
don't
intervene
early,
so
I
I
too
will
be
putting
no
and
hope
that
we
could
prioritize
restoring
these
quickly
if,
if
it
does
pass.
A
Thank
you.
I
think
everyone
on
this
committee
shares
the
sentiments.
That's
been
expressed,
the
decisions
that
we're
going
to
make
today
and
in
the
next
33
days
are
going
to
be
painful,
but
we
have
to
do
what's
in
the
best
interest
is
looking
at
our
limited
budget
as
it
is
until
we're
able
to
expand
that
budget,
and
some
of
these
decisions
we
make
are
are
painful,
and
hopefully,
when
we
do
have
those
regulations
that
come
down,
we
can.
We
can
put
back
some
of
the
funds
of
the
cuts
that
we
are
unfortunately
having
to
make.
E
I
would
make
a
motion
to
recommend
the
approval
of
the
governor's
recommendation
to
reduce
the
early
intervention
intervention
services,
community
provider
rate
from
565
to
500
per
child
per
month
in
the
e-698
and
e-699
decision
units
with
the
march
2021
updated
caseload
projections
to
realize
general
fund
savings
of
2.9
million
over
the
2123
biennium.
B
Assuming
women
carlton,
thank
you
and,
and
just
one
comment
like
my
my
friends
here,
this
I've
been
through
twice
and
I
hope
none
of
you
ever
have
to
do
it
again,
but
sometimes
you
got
to
do
what's
put
in
front
of
you
and,
as
I've
said
in
other
committee
meetings,
you've
got
to
save
the
seeds
of
these
programs
so
that
when
the
money
does
come
back
in,
we
can
grow
them
again.
F
Thank
you,
madam
chair,
and
I
I
certainly
appreciate
all
the
comments
of
my
colleagues
and
I
mean
in
no
way.
I
hope
that
my
my
vote
against
this
will
be
taken
as
casting
an
aspersion
against
the
intent
or
heart
or
goal
of
all
my
colleagues,
because
I
know
that
they're
committed
to
the
children
of
our
state.
So
this
is
just
my
pet
budget
right.
This
is
the
one
that
I
always
pay
attention
to.
So
I
appreciate
you
all.
Thank
you.
A
Thank
you
seen
no
other
comments,
I'll
call
for
the
vote.
All
in
favor
of
the
motion
say
aye
any
opposed
and
those
that
are
opposed.
Would
you
raise
your
hand
for
the
secretary?
I
have
assemblywoman
tolls:
assemblyman
roberts,
assemblywoman
titus,
senator
hammond
and
senator
kiker
with
that
the
motion.
D
Thank
you.
There
are
three
other
closing
items
in
this
budget.
The
third
is
a
technical
adjustment
to
add
a
vehicle
back
to
the
base
budget.
That
was.
C
D
Included
in
the
governor's
recommended
budget,
fiscal
staff
recommends
other
closing
items
one
and
two
be
closed,
as
recommended
by
the
governor
and
other
closing
item
three
be
closed
with
a
noted
technical
adjustment
and
request
authority
for
staff
to
make
other
technical
adjustments
as
necessary.
E
A
D
Thank
you.
The
next
budget
is
the
autism
treatment
assistance
program.
This
program
was
created
to
assist
parents
and
caregivers
with
the
cost
of
providing
autism-specific
treatments
to
their
child
with
with
autism
spectrum
disorder,
the
program
provides
temporary
assistance
to
pay
for
evidence-based
treatment,
provides
comprehensive,
behavior
therapy
and
also
assists
families
with
copays
and
deductibles,
and
provides
case
management
support.
D
Funding
for
this
budget
is
provided
through
general
fund
appropriations,
federal
temporary
assistance
for
needy
families,
funds
and
reimbursements
for
medicaid
and
transfers
from
the
trust
fund
for
a
healthy
nevada.
There
are
two
major
closing
issues
in
this
budget.
The
first
is
case
load
adjustments.
The
governor
recommends
additional
funding
to
support
projected
case
of
growth
and
eliminate
the
wait
list
for
the
autism
treatment
assistance
program
and
adjust
associated
staffing.
D
During
the
agency
provided
updated
caseload
projections
in
march
and
the
based
on
that
data,
the
monthly
average
case
load
is
projected
to
increase
by
approximately
30
over
the
upcoming
biennium.
The
updated
caseload
projections
are
slightly
lower
for
each
fiscal
year
compared
to
the
projections
that
were
used
in
the
executive
budget.
The
table
on
page
23
compares
the
case
with
projections
from
november
and
the
updated
projections
provided
in
march
2021
and
the
difference
from
the
governor's
recommended
budget
included
in
this
recommendation
are
staffing
adjustments.
D
D
This
would
result
in
additional
costs
of
seventy
eight
thousand
six
hundred
and
eighty
six
dollars
of
fiscal
year.
Twenty
two
twenty
two
and
one
hundred
and
sixty
two
dollar.
One
hundred
and
sixty
two
thousand
one
hundred
and
twenty
six
dollars
in
fiscal
year,
2023
funded
with
general
fund
appropriations.
D
During
the
march
5th
budget
hearing,
the
subcommittee
discussed
that
the
waitlist
for
the
atap
program
and
the
agency
indicated
that
this
was
in
part
due
to
a
lack
of
program
staffing,
but
also
that
the
autism
provider
capacity
contributes
to
the
wait
list
and
this
decline
during
the
pandemic.
With
the
moratorium
on
services,
the
updated
caseload
and
staffing
adjustments
would
result
in
that
cost
of
2.8
million
dollars
over
the
biennium,
which
includes
2.7
million
net
general
fund
appropriations,
and
this
is
slightly
lower
compared
to
the
amount
recommended
in
the
executive
budget.
A
Thank
you
so
much
members.
Any
discussion
on
this.
The
case
will
adjustment
in
this
budget,
seeing
that.
E
A
D
D
D
Funds
on
page
26
there's
a
discussion
about
the
healthy
nevada
funds.
As
I
mentioned
these
were
in.
In
previously,
these
were
budgeted
to
support
autism
service
costs.
However,
the
recommendation
for
the
upcoming
biennium
includes
143
500
in
healthy
nevada
funds
in
each
fiscal
year
to
support
administrative
costs.
Only
given
the
intent
of
the
healthy
nevada
fund
is
to
support
programs.
D
D
This
budget
fiscal
staff
asked
the
agency
for
updated
fiscal
year,
2021
year-to-date
costs
which
were
actually
lower
than
the
cost
of
fiscal
year
2020
and
in
follow-up.
The
agency
indicated
that
it
does
expect
the
recommended
funding,
which
is
based
on
the
fiscal
year,
2020
actual
costs
to
be
adequate,
assuming
that
the
actual
caseload
in
the
upcoming
biennium
is
close
to
the
projected
levels,
and
there
are
no
significant
changes
to
the
provider
rates
in
the
upcoming
biennium.
A
B
D
A
D
Budget
next
budget
is
on
page
29.
This
is
the
home
and
community-based
services
budget.
This
includes
community-based
care
services
such
as
the
community
options
program
for
the
elderly
or
cope
personal
assistance,
services
homemaker,
and
how
many
community-based
waiver
programs
for
the
frail,
elderly
and
physically
disabled
for
this
helps
provide
alternatives
for
individuals
at
risk
of
institutionalization.
D
The
budget
also
includes
the
long-term
care
ombudsman
program
and
the
adult
protective
services
program.
The
budget
is
primarily
funded
with
general
fund
appropriations
and
federal
funds.
There
are
four
major
closing
issues
in
this
budget.
The
first
is
caseload
adjustments
for
the
community-based
care
programs.
The
governor
recommends
additional
funding
in
the
upcoming
biennium
to
adjust
the
caseloads
for.
D
D
The
table
on
page
31
summarizes
the
case
of
projections,
as
included
in
the
recommended
budget
and,
as
included
in
the
march
2021
update.
D
D
The
updated
case
loads
result
in
net
costs
of
376
thousand
six
hundred
and
seventy
six
dollars
over
the
2021-23
biennium,
which
is
slightly
lower
than
the
amounts
included
in
the
executive
budget.
The
decision
for
the
subcommittee
is
on
page
32..
E
A
D
D
However,
as
discussed
during
the
budget
hearing,
the
caseload
figures
that
were
used
to
calculate
the
staffing
needs
in
the
executive
budget
did
not
account
for
the
additional
clients
that
were
added
to
the
caseload
from
the
wait
lists.
D
The
agency
provided
the
updated
staffing
projections
with
the
march
caseload
updates
and
the
table
on
page
33
shows
compares
the
staffing
recommendations
and
that
the
march
case
would
update
with
the
amount
that
was
included
in
the
governor's
recommended
budget
and
the
amount
discussed
during
the
budget
hearing
as
calculated
by
staff,
to
include
the
clients
that
are
on
the
waitlist.
So
with
the
updated
caseload
projections.
This
would
result
in
a
net
increase
of
12
positions
over
the
biennium.
D
A
G
I
just
have
a
quick
question:
it's
just
for
my
clear
so
clarification.
So
I
know
that
when
we
we
took
the
vote
to
use
if
we
when,
if
we
couldn't
once
we
had
the
guidelines
to
prioritize
funding
the
positions
in
many
of
these
programs
that
were
scheduled
for
elimination
or
that
we
were
holding
vacant,
especially
in
one
year
of
the
budget
versus
the
other
year
of
the
budget,
so
it
really
kind
of
helped
smooth
that
effect
of
not
having
to
lay
folks
off.
G
And
all
of
that
I
don't
see
it
specifically
mentioned
here,
but
I
I
think
I
think
these
positions
that
we're
talking
about
as
well
that
we're
holding
vacant
we're
in
consideration
for
that.
But
I
also
know
here
that
this
you
know
when,
with
caseload
projections,
this
one
was
revised
up
in
a
net
plus,
but
there's
also
still
some
scheduled
elimination.
So
I
didn't,
I
wasn't
sure,
where
we
came
out
in
the
wash
on
page
33.
I
think
it's
what
I'm
yeah
33
35.
Well,
there's
a
lot
of
positions
all.
D
This
is,
this
is
kimbrell's
work
for
the
record.
So
I'm
not
quite
sure.
If
I
understand
that
the
the
question
I
know
we
have
on
page
33
the
with
the
march
caseload
update,
we
have
the
net
change
in
in
with
a
total
of
12
positions
and
there's
a
reduction
of
three
intake
positions,
and
I
wasn't
sure
if
the
question
was
whether
or
not
those
are
vacant.
If
that's
the
case,
then
yes,
they
they're
they
are
vacant.
There
would
not
be
any
associated
layoffs
with
this.
G
And
I
just
say
I
wanted
to
say
I
appreciate
that
because
the
chairwoman
said
read
ahead
and
that's
wonderful,
because
I'm
appreciating
so
much
more
that
vote
we
took
a
couple
weeks
ago,
because
otherwise
I
would
be
asking
that
on
literally
every
single
budget,
so
now
that
we
kind
of
put
it
in
there,
the
boilerplate
I
have
a.
I
can
make
sure
I
remind
myself
where
to
find
it.
Thank
you
so
much.
F
This
is
brodie
lizer
for
the
record
fiscal
analysis
division.
I
just,
I
think
so,
we're
all
on
the
same
page,
on
page
39
of
the
closing
document
here,
I
believe
what
the
majority
leader
was
asking
about
was
the
e600
or
e680
decision
unit
that
had
held
21
positions
vacant
through
fiscal
year
2022
and
in
which
the
full
money
committees
took
action.
F
On
april
1st
to
restore
those
positions
through
preliminarily
restore
those
positions
through
american
rescue
plan
act,
funding
effective
october
1st,
and
I
believe
that
the
decisions
that
or
the
positions
that
we're
talking
about
currently
are
unrelated
to
that
that
prior
decision,
if
that
helps
clarify.
F
Thank
you
chair,
so,
just
to
summarize,
the
intent
was
to
incorporate
all
of
the
wait
list
into
case
load
and
we
just
didn't
adequately
budget
for
staff.
To
do
so
is
that
right,
correct,
okay,
so
it's
two
million
above
govrek
to
adequately
staff.
The
the
caseload.
A
D
Thank
you.
The
next
major
closing
issue
is
on
page
34..
This
is
staffing
adjustments
for
the
long-term
care
ombudsman
program.
The
governor
recommends
reducing
funding
to
adjust
the
long-term
care
ombudsman
program,
staffing,
based
on
projected
changes
in
case
load
with
the
updated
march
2021
caseload
projections.
The
case
load
is
projected
to
increase
by
41.3
percent,
which,
with
an
average
monthly
clients
of
922
in
fiscal
year,
2023
the
updated
caseload
projections
are
higher
for
each
fiscal
year
and
upcoming
biennium
compared
to
those
recommended
in
the
executive
budget.
D
D
However,
it
is
unclear
if
the
actual
casework
would
exceed
the
monthly
average
of
922
clients,
as
projected
by
data
analytics
in
the
upcoming
biennium.
The
table
on
page
35
compares
a
recommended
staffing
changes,
as
included
in
the
executive
budget
and
those
revised
based
on
the
march
caseload
update.
D
B
Chair
and
just
I
guess
point
of
clarification
projection,
they
just
don't
know
the
amount
of
caseload
at
this
point
in
time.
As
these
long-term
care
units
opened
back
up,
they
were
saying,
perhaps
there's
going
to
be
a
need,
but
there's
nothing
in
this
decision
that
would
prevent
them
from
once.
B
They
see
that
if
they
needed
to
adjust,
they
could
certainly
adjust
it
some
other
time,
I'm
just
anxious
about
eliminating
these
positions
versus
holding
them
vacant,
and
so,
if
we
make
this
decision,
it's
a
little
bit
more
of
a
process
to
come
back
and
fill
them
if
needed.
So
I
was
just
curious
about
their
ability
to
adjust
as
they
see
fit
in
the
future.
B
The
question
is
again:
how
how
how
flexible
will
they
be
in
case
they
do
see
a
huge
surge
once
they
do
open
up,
and
I
know
that
a
lot
of
these
long-term
cares
are
starting
to
open
up
now.
So
I'm
just
curious
to
see
how
would
they
be
able
to
adjust
and
how
quick
would
they
be
able
to
adjust?
If
there's
a
surge
in
need.
D
Well,
adding
positions
does
take
some
some
time,
as
I'm
sure
you
probably
know,
but
if
the
agency
is
able
to
identify
funding
during
the
interim,
they
could
bring
the
request
to
add
positions
to
the
interim
finance
committee.
D
A
D
The
next
closing
item
is
on
page
35.
This
is
adult
protective
services
program,
staffing
adjustments
and
funding
source
changes.
The
governor
recommends
additional
general
fund
appropriations
of
1.7
million
over
the
upcoming
biennium
to
adjust
adult
protective
services
program,
staffing
based
on
caseload
projections
and
changing
the
funding
source
of
nine
existing
program
positions.
D
D
E
C
D
D
The
agency
indicated
in
follow-up
that,
if
the
additional
social
worker
positions
are
not
added,
the
additional
22
with
the
march
case
load
reprojection
and
if
the
caseload
growth
is
actually
realized,
then
the
program
may
have
difficulty
in
meeting
the
statutory
requirement
of
investigating
reports
that
the
division
receives
within
the
time
frames
that
are
required.
However,
during
the
budget
hearing,
the
agency
discussed
the
difficulty
of
recruiting
for
these
positions
and
indicated
a
vacancy
rate
of
approximately
51
percent
for
social
worker
and
adult
rights
specialist
positions.
A
D
During
the
march
5th
budget
hearing,
the
agency
indicated
that
the
federal
boca
funding
had
been
limited
and
that
alternative
federal
funding
may
become
available
in
the
future
to
support
adult
protective
services.
However,
no
immediate
funding
has
been
identified
to
add
to
the
budget.
The
governor's
finance
office
submitted
a
budget
amendment
on
april
22
2021,
which
eliminates
all
remaining
voca
funding
from
the
budget
and
three
vacant
positions
due
to
a
further
reduction
in
the
voca
funding
for
the
program.
D
The
budget
amendment
changes
decision,
unit,
e491
and
decision
unit
e227.
The
net
effect
of
the
adjustments
is
the
elimination
of
five
hundred
and
eighteen
thousand
five
hundred
and
fourteen
dollars.
D
The
table
on
page
38
summarizes
the
adjustments
and
compares
the
caseload
staffing
changes,
as
recommended
by
the
governor
in
decision
unit
m210,
and
the
revised
staffing
changes
based
on
the
march
2020
2021
keystone
projections
and
the
adjustments
included
in
the
budget
amendment.
D
So,
as
you
can
see
with
the
as
recommended
by
the
governor
with
the
budget
amendment,
the
net
change
would
be
an
addition
of
six
new
positions.
D
Considering
the
caseload
increase
is
speculative
and
the
high
vacancy
rates
experienced
by
the
agency.
The
subcommittee
may
wish
to
consider
maintaining
the
caseload
staffing
adjustments,
as
recommended
in
the
executive
budget
and
as
submitted
in
the
budget
amendment
for
a
net
increase
of
six
positions
and
associated
net
costs
of
1.1
million,
which
includes
general
fund
appropriations
of
1.6
million
over
the
upcoming
biennium.
A
E
Ready,
so
thank
you
for
the
opportunity
chair.
I
think
this
is
just
going
to
be
one
of
those
days
where
we
all
have
our
thing,
and
I
just
want
to
flag
this
one.
I'm
going
to
I'm
going
to
support,
making
probably
support
the
motion,
but
I
think
just
this
one
is
just
the
perfect
storm,
obviously
we're
losing
the
vocal
funding,
so
that
puts
more
weight
on
the
general
fund
which
is
challenging,
and
then
it's
a
brand
new
program
and
so
doing
caseload
projections
is
difficult.
E
I
wouldn't
go
so
far
as
describe
them
as
speculative,
but
I
would
say
that
they
are
challenging
to
do
at
this
point,
because
we
just
don't
have
a
lot
of
history,
and
so
then
we
have
those
case
load
projections
and
we
need
29
positions,
and
so
my
concern
is
the
testimony
in
the
hearing
was
that
it
has
been
difficult
to
fill
these
social
worker
positions
and
I
believe
that
that
could
possibly
be
because
the
case
load
is
out
of
proportion
and
I'm
just
a
little
bit
concerned
that
we're
going
to
create
this
sort
of
self-fulfilling
prophecy.
E
If
it's
difficult
to
hire
people,
because
the
caseloads
are
so
high
that
folks,
the
word
gets
out
that
this
is
not
the
agency
that
you
want
to
work
for
because
of
the
challenges.
So
I
don't
think,
as
we've
discussed
earlier
today,
that
there's
much
that
we
can
do
about
it
today
and
I'm
prepared
to
support
the
recommendation.
That's
in
our
packet.
A
D
A
D
D
Developmental
services
include
an
array
of
services
provided
to
people
of
all
ages,
with
intellectual
and
or
developmental
disabilities,
and
their
families
through
the
three
regional
centers
decision
units
that
are
specific
to
an
individual
budget
are
discussed
in
the
closing
document
for
that
respective
budget.
The
three
major
closing
issues
in
this
document
consolidate
the.
B
D
Issues
for
the
three
regional
centers
and
the
the
first
shared
issue
is
federal
medical
assistance,
percentage
or
f
map
rate
adjustments
and
base
revenue.
Adjustments
based
on
discussions
at
the
april
15
2021
work
session
for
the
division
of
health
care
financing
and
policy
on
fmap
rates.
The
subcommittee
may
wish
to
consider
approving
adjusting
the
fmap
rates
in
the
regional
center's
budgets
to
align
with
the
rates
used
in
the
medicaid
budget.
D
D
The
decision
for
the
subcommittee
is
on
page
42..
Does
the
subcommittee
wish
to
recommend
approval
of
adjusting
revenues
in
the
base
budgets
for
the
three
regional
center's
budgets
to
correct
the
inadvertent
miscalculations
included
in
the
the
base
budgets
to
update
fmap
rates,
to
reflect
the
most
recent
projections
and
to
budget
for
the
temporary
6.2
percentage?
Point
increase
in
the
f
map
rates
through
december
31st
2021
for
net
general
fund
savings
of
8
million
over
the
2021-23
biennium.
A
Thank
you
so
much
members
senator
keegan.
F
Thank
you,
madam
chair.
I'm
trying
to
understand
a
little
bit
in
the
closing
document,
so
there
it
indicates
that
there's
a
disagreement
between
gfo
regarding
the
f
map
rates.
You
know
we,
as
you
indicated
we'd
previously
approved
utilizing
the
enhanced
staff
map
based
on
the
public
health
emergency
through
the
end
of
the
calendar
year.
B
Carlton
and
thank
you,
madam
chair,
and
if
the
committee
will
remember,
we
had
a
work
session
on
that
particular
item
where
there
seems
to
be
a
little
bit
of
a
difference
of
opinion,
and
we
had
the
letter
at
the
back
stating
where
we
thought
we
might
be
going
with
this.
There
are
provisions
there.
There
are
safeguards
and
safety
valves
built
into
this
to
make
sure
that
that
we're
we're
in
good
shape,
but
I
believe
the
com.
B
The
committee
was
very
comfortable
with
going
through
the
end
of
this
calendar
year
to
2021,
but
after
that
I
would
have
loved
to
added
more
money
to
it
by
extending
it
even
further,
but
we
kind
of
picked
the
middle
choice
to
go
down
the
road
and
move
forward
from
there,
but
there
are.
There
are
off
ramps
on
this
thing,
just
in
case
we
need
it.
So
thank
you,
madam
chair.
F
Yeah,
thank
you.
I
had
forgotten
that
that
was
a
work
session
and
not
a
not
a,
not
a
closing,
but
I
was
just
so
happy
that
we
were
all
on
the
same
page
that
it
felt
like
a
closing
thanks.
A
A
D
The
next
closing
major
closing
issue
is
on
page
43.
This
is
case
load
adjustments.
The
governor
recommends
additional
funding
to
support
caseload
growth,
reduce
the
waiver
waitlist
and
adjust
associated
staffing
for
the
supported
living
arrangements,
family
support
respite
and
jobs
and
day
training
programs
at
the
desert,
regional
centers,
your
regional
center
and
rural
regional
center.
D
Compared
to
the
projections
that
were
used
to
prepare
the
recommendation
in
the
executive
budget,
the
monthly
average
regional
center's
caseload
projections
are
lower
and
the
waiver,
like
weightless
projections,
are
higher
for
each
fiscal
year
in
the
upcoming
biennium,
the
updated
caseloads
and
waiver
waitlists
result
in
total
funding
of
75.6
million
in
the
upcoming
biennium,
compared
to
70.9
million
in
the
governor's
recommended
budget,
and
this
includes
37.4
million
general
fund
appropriations
over
the
upcoming.
D
Biennium
the
table
on
page
46
compares
the
developmental
services
estimated
monthly
average
service
count
by
type,
as
recommended
in
the
executive
budget
and
based
on
the
march
2021
caseload
projections
included
in
this
recommendation.
D
The
discussion
is
on
on
page
47.
our
staffing
adjustments
based
on
the
updated
caseload
projections.
The
staffing
adjustments
would
include
the
addition
of
18
positions
at
the
desert
regional
center.
A
A
Is
that
with
the
authority
for
technical
adjustments.
A
D
Thank
you.
The
next
major
issue
begins
on
page
47.
This
is
a
budget
reduction
measure
for
the
fiscal
intermediary
program.
The
governor
recommends
reducing
the
monthly
financial
assistance
paid
to
families
from
450
to
300
per
month
in
fiscal
year,
2022
to
realize
general
fund
savings
of
466
thousand
two
hundred
dollars
in
the
first
year
of
the
upcoming
biennium.
A
G
G
If
they
really
existed,
they
would
be
getting
them
now.
So
I
just
this
is
I
I
know.
I
know
that
this
was
the
agency
is,
was
really
thoughtful
in
where
they
were
trying
to
do
cuts.
I
know
that
this
looks
they're
trying
to
do
the
least
amount
of
harm
right,
so
they
identified
this
program
because
it
would
affect
in
a
quantified
way
the
least
amount
of
people,
but
but
that
impact
to
those
people
is
so
big.
So
I
just
I
just
you
know
just
had
to
say
that.
A
B
Yes,
madam
chair-
and
I
just
want
to
echo
what
the
majority
leader
said-
and
I
know
mr
elijah
has
a
whole
bunch
of
little
blue
stickies,
mr
lizer.
We
need
a
blue
sticky
on
this
one
majority
leader
didn't
want,
to
put
it
quite
as
bluntly
as
I
will,
but
since
I'm
a
short
timer
in
this
building,
I'm
just
going
to
say
it
out
loud.
B
A
D
D
D
D
The
tables
on
page
53
compare
the
the
case
load
and
the
funding
in
the
associated
decision
units,
as
recommended
in
the
executive
budget
and
as
with
the
march
2021
caseload
projections,
the
updated
case
loads
result
in
total
additional
general
fund
appropriations
of
127
534
over
the
2021-23
biennium,
which
is
49
approximately
49
000
less
compared
to
the
amount
recommended
in
the
executive
budget.
D
Does
the
subcommittee
wish
to
recommend
approval
of
general
funds
of
37
400
in
fiscal
year
2022
and
90
134
dollars
in
fiscal
year,
2023
to
support
caseload
growth
for
the
family
preservation
program
over
the
2021-23
biennium,
to
provide
financial
assistance
of
374
dollars
per
family
per
month
to
align
funding
in
the
m200
and
m201
decision
units
with
the
march
2021
updated
caseload
projections,
as
there
are
no
other
closing
items
in
this
budget?
I
would
also
like
to
add
to
the
motion
that
fiscal
staff
request
authority
to
make
technical
adjustments
as
necessary.
A
D
Thank
you.
The
next
budget
is
on
page
55.
This
is
the
rural
regional
center.
This
is
the
one
of
the
three
regional
centers
that
provide
services
for
individuals
with
intellectual
or
developmental
disabilities
and
related
conditions.
It
serves
individuals
in
rural
northern
nevada.
The
budget
is
primarily
funded
with
general
fund
appropriations
and
federal
medicaid
funds.
D
The
major
closing
issues
in
this
budget
were
discussed
in
the
regional
center's
overview
closing
document,
the
other
closing
items
are
listed
on
page
56.
Fiscal
staff
recommends
other
closing
items
one
through
three
be
closed,
as
recommended
by
the
governor
and
request
authority
for
staff
to
make
technical
adjustments
as
necessary.
A
Thank
you
so
much
members,
any
questions
or
discussions
all
right
see
none.
I
will
call
for
the
motion,
so
moved
spin
moved
second
and
seconded
any
discussion
on
the
motion,
seeing
none
all
in
favor,
please
say
aye.
Any
opposed
motion
carries
of
the
members
who
are
present
moving
on
to
our
next
budget
right.
D
Thank
you,
madam
chair.
The
next
budget
begins
on
page
57.
This
is
the
desert
regional
center.
This
regional
center
serves
clients
residing
in
southern
nevada,
including
urban
clark
county.
D
The
first
three
major
closing
issues
in
this
budget
were
discussed
previously.
The
fourth
major
closing
issue
is
the
continuation
of
dental
services.
On
page
58
of
your
closing
packet,
the
governor
recommends
additional
general
fund
appropriations
of
200
000
in
each
year
of
the
upcoming
biennium
to
continue
providing
dental
services
to
desert
regional
center
clients
through
the
university
of
nevada,
las
vegas
school
of
dental
medicine.
D
The
agency
indicates
the
recommendation
would
help
reduce
delays
for
dental
care
and,
during
the
march
18th
budget
hearing,
the
agency
explained
that
the
unlv
school
of
dental
medicine
has
a
specialized
clinic
with
a
sensory
specific
room
that
helps
to
serve
individuals
with
intellectual
and
developmental
disabilities.
A
A
D
Thank
you,
madam
chair.
The
other
closing
items
are
on
page
59.
There
are
seven
other
closing
items.
The
seventh
includes
a
pilot
program
and
the
subsequent
elimination
of
the
pilot
program
during
the
march
18th
budget.
Hearing
that
the
agency
confirmed
that
these
decision
units
were
included
as
an
error
in
the
executive
budget
and
that
it
is
appropriate
to
remove
these
from
the
budget
recommendation,
the
governor's
finance
office
agreed
fiscal
staff,
recommends
technical
adjustments
to
zero
out
these
decision
units.
D
A
Cnn.
I
will
call
for
a
motion,
so
I
moved
it's
been
the
motion
by
assembly
senator
ratty
and
seconded
by
assemblywoman
carlton
any
discussion
on
the
motion
scene.
Then
all
in
favor
of
the
motion
please
say
aye.
Any
nays
motion
carries
unanimously
of
the
members
who
are
present
moving
on
to
our
next
budget.
D
A
D
D
I
will
pause
following
my
presentation
of
each
budget
to
allow
for
questions
when
I
have
presented
the
last
budget
in
this
group,
and
questions
have
been
addressed.
The
chair
may
wish
to
ask
for
a
single
motion
for
closing
consideration
on
all
of
the
budgets
for
which
which
fiscal
staff
is
responsible
for
developing
recommendations.
D
On
page
63,
we
have
the
commission
for
persons
who
are
deaf.
Fiscal
staff
is
responsible
for
developing
closing
recommendations
for
this
budget.
The
committee
has
not
previously
reviewed
this
budget.
The
nevada
commission
for
persons
who
are
deaf
hard
of
hearing
or
speech
impaired,
provide
such
persons
with
information
and
referrals
for
services
and
resources
that
promote
equality
in
education,
employment
and
socialization.
D
B
D
Thank
you,
madam
chair.
The
next
budget
is
the
tobacco
settlement
program.
This
is
on
page
65..
Fiscal
staff
is
responsible
for
developing
the
closing
recommendations
for
this
budget.
The
committee
has
not
previously
reviewed
this
budget.
The
aging
and
disability
services
division
supports
grants
for
existing
or
new
programs
that
assist
senior
citizens
and
other
specified
persons
with
independent
living
funds
are
received
through
the
fund
for
a
healthy
nevada.
The
independent
living
grants
enable
older
persons
to
remain
at
home
and
avoid
institutionalization.
D
The
services
provided
include
transportation,
information
assistance
and
advocacy,
adult
daycare,
legal
assistance,
homemaker
companion,
respite
home
repair
and
caregiver
support
services.
There
are
no
major
closing
issues
and
there
are
no
other
closing
items
in
this
budget.
The
closing
recommendations
for
this
budget
are
included
in
the
summary
page
in
the
closing
packet.
D
Thank
you.
The
next
budget
is
on
page
67.
This
is
communication
access
services,
fiscal
staff
is
responsible
for
developing
closing
recommendations
for
this
budget.
The
committee
has
not
previously
reviewed
this
budget
communication
access
services
provide
communication
access
to
nevadans,
who
are
deaf
hard
of
hearing
or
speech
impaired.
The
programs
include
relay
nevada
that
provides
access
to
phone
services,
communication
access
service,
centers
and
communication
access,
real-time
registry
that
provides
information
about
registered
interpreters
and
providers
in
the
state.
The
budget
is
funded
through
a
monthly
surcharge
on
phone
lines
in
the
state.
D
A
D
D
The
2017
legislature
transferred
the
regulation
of
applied
behavior
analysis
to
the
new
board
of
applied
behavior
analysis,
and
the
budget
includes
the
operating
costs
of
the
board,
which
consists
of
five
members
and
is
funded
with
fees
for
the
licensure
of
licensed
behavior
and
analysts
and
licensed
assistant
behavior
analysts,
as
well
as
the
registration
of
registered
behavior
technicians.
D
A
D
A
Thank
you
so
much
members.
I
will
entertain
a
motion
to
close
the
budget
as
recommended
and
indicated
by
staff
and
giving
our
staff
authority
to
make
technical
adjustments
as
necessary.
D
A
Any
discussion
on
the
motion-
cnn,
all
in
favor,
please
say
aye
aye.
Any
opposed
motion
carries
unanimously
of
the
members
who
are
present.
I
thank
you
so
much
remember.
So
it
brings
us
up
to
the
very
last
item
on
our
agenda,
which
will
be
public
comment,
and
I
will
ask
our
broadcast
staff
if
we
have
anyone
in
the
queue
wishing
to
make
public
comment
on
any
of
the
items
that
we
have
discussed
here
today
or
anything
that's
before
weighs
in
means.
B
B
C
Good
morning,
esteem,
chair
and
members,
my
name
is
dr
tiffany
tyler,
garner
t-y-l-e-r
j-r-n-e-r
and
I'm
calling
into
one
thank
you
for
your
thoughtful
consideration
during
such
a
challenging
fiscal
time
and
to
to
underscore
the
importance
and
value
of
early
intervention
services.
These
are
trajectory
changing
services
for
children
and
their
families,
and.
A
C
Recognize
that
we
you
all
face,
many
tough
decisions
just
want
to
underscore
if,
if
some
consideration
can
be
given
to
ensuring
and
vital
support
for
children
and
families
that
you
please
do
so,
particularly
recognizing
the
the
impact
of
being
able
to
intervene
early
and
support
children
to
success,
whether
it's
the
ways
on
which
it
impacts,
school
readiness
or
the
k-12
engagement
or
even
throughout
the
lifespan,
these
services
are
critical
services
for
children
and
families.
Thank
you
for
your
time.
Today.
B
C
Good
morning,
madam
chair
and
committee
members,
I'm
lisa
foster
l-I-s-a-f-o-s-t-e-r
representing
snap,
the
state
of
nevada
association
of
providers
in
partnership
with
the
state
snap
members
provide
direct
services
to
individuals
with
intellectual
and
developmental
disabilities.
These
include
supportive
living
arrangements,
jobs
and
day
training,
services
and
other
supports
to
help
those
they
serve.
Snap
members
represent
approximately
80
percent
of
these
direct
providers
throughout
the
state.
C
We
are
exceptionally
appreciative
of
our
relationship
with
adsc
leaders
and
acknowledge
their
understanding
of
the
great
problems
facing
these
providers
right
now,
I'm
speaking
in
support
of
all
the
regional
center's
efforts
and
their
budgets,
but
are
always
watching
and
concerned
with
any
cut.
However,
we'd
like
to
make
the
committee
aware
of
a
few
things,
maybe
just
for
reference
as
the
state
will
soon
begin
to
allocate
the
rescue
plan
and
infrastructure
dollars.
C
As
you
know,
medicaid
match
dollars
are
100
of
what
funds
most
all
these
direct
service
providers
for
the
state.
So
as
the
state
pays
out,
one
dollar
the
federal
government
pays
out
approximately
two
dollars
to
take
care
of
intellectually
disabled
persons.
It's
our
understanding.
There
may
be
a
10
increase
in
these
match
funds.
The
fmap
dollars
coming
in
the
rescue
plan-
and
there
is
money
specifically
dedicated
in
the
plan
to
serve
those
with
intellectual
disabilities.
C
The
year-long
dollars
with
a
rescue
plan
will
allow
them
to
get
past
this
crisis.
Naf
is
asking:
does
the
state
carry
out
this
plan
to
dedicate
any
federal
dollars
to
those
with
intellectual
disabilities
when
that
time
comes?
Thank
you
for
allowing
me
to
speak
for
this
and
for
your
great
work
and
consideration.
Thank
you.
A
Thank
you
so
much
so
with
that
members.
Before
we
end
I'd,
love
like
to
thank
those
that
were
able
to
call
in
and
share
your
comments
with
this
committee.
A
Please
know
that
you
we
are
listening
and
we
hear
you
to
our
fiscal
staff.
You
are
amazing,
there
are
no
words
of
things
that
I
can
say
to
you
all
for
this
very
depressing
budget
that
we
had
to
go
through
today.
Thank
you
for
the
work
that
you
do
in
the
long
hours
that
you're
putting
in
and
committee
with
that.
Our
meeting
is
adjourned.
Have
a
wonderful.