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From YouTube: 2/4/2021 - Assembly Ways and Means and Senate Finance, Subcommittees on Human Services
Description
For agenda and additional meeting information: https://www.leg.state.nv.us/App/Calendar/A/
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A
Good
morning,
everyone,
the
meeting
with
the
assembly
committee
on
ways
and
means,
and
the
senate
committee
on
finance
subcommittee
on
human
services,
will
now
come
to
order.
Will
the
secretary
please
call
the
roll.
B
E
E
F
C
A
And
chair
monroe
moreno,
I
am
here,
will
you
please
mark
senator
dondero
loop
as
president
as
soon
as
she
arrives?
I.
A
No
need
to
apologize.
We're
happy
that
you're
here
it
seems
I.t
technical
issue
issues
has
been
the
wake-up
call
this
morning,
so
no
need
to
apologize.
I'm
happy
that
you're
all
here
and
I'd
like
to
welcome
you
to
our
first
meeting
for
this
legislative
session,
and
we
will
have
public
comment
at
the
end
of
our
meeting.
A
So
if
there's
anyone
in
the
public,
that's
joining
us,
please
stay
with
us
until
the
end
to
share
your
comments
with
us
and
I'd
like
to
welcome
to
our
committee
today,
director
whitley,
with
the
department
of
health
and
human
services,
and
we
will
get
started
with
the
first
item
on
our
agenda,
which
will
be
the
administration
and
members.
That's
the
first
item
on
your
agenda.
So
dr
willie,
are
you
in
the
waiting
room
to
join
us.
E
Thank
you
for
the
record.
My
name
is
richard
whitley
and
I
serve
as
the
director
for
the
department
of
health
and
human
services
and
in
in
accordance
with
the
agenda.
I
I
did
provide
a
powerpoint
on
our
major
decision
units
and,
if
it's
okay,
I
would
present
each
budget
and
then
pause
for
questions.
E
Great
thanks
so
just
starting
on
our
presentation
on
page
six,
the
first
budget
account
is
the
director's
office
administrative
account
3150.
to
page
seven,
the
director's
office
administration
account
is
cost
allocated
to
the
programs
managed
within
the
office
and
also
through
statewide
cost
allocation
plan
decision
unit
e
900
transfers.
The
office
of
minority
health
from
the
office
of
consumer
health
budget
account
to
the
director's
office.
E
Admin
budget
account
the
the
office
of
consumer
health
account
budget
is
proposed
to
transfer
to
aging
and
disability,
but
the
office
of
minority
health
should
remain
in
the
director's
office
pursuant
to
ab141
in
the
2017
legislative
session.
The
office
of
minority
health
is
currently
managed
in
the
director's
office
and
this
change
will
maintain
the
program
within
the
director's
office.
I'd
be
happy
to
answer.
Questions
on
budget
account,
3150.
E
C
Thank
you,
madam
chair,
and
this
just
sort
of
relates
to
a
lot
of
the
moving
pieces
that
are
that
are
happening,
especially
with
the
movement
of
with
govcha.
Is
there
a
reason
specifically
that
that
this
program
you
want
to
keep
in
the
director's
office,
while
a
lot
of
the
other
ones
are
pushing
over
to
adsd.
E
Sure
for
the
record,
richard
whitley,
I
think
that
I
think
that
the
office
of
minority
health
does
not
have
the
the
level
of
capacity
that
I
would
be
comfortable
with
embedding
it
in
a
division.
E
It
really,
you
know
it
basically
is
a
one
person
operation
with
with
tina
deutsch
as
the
as
the
manager
of
that
program,
unlike
the
other
programs
that
serve
consumers
from
on
a
continuum
from
information
to
advocacy
to
intervention
with
the
ombudsman,
I
think
those
programs
are
are
more
developed
and
and
really
during
the
during
this
past
year.
In
the
pandemic,
we
actually
have
had
we've.
We've
really
had
the
opportunity
to
operationalize
and
see
the
benefits.
That's
really
why
I'm
I'm
bringing
this
forward?
E
Is
you
know
it's
not
a
concept
or
a
theory
that
hasn't
been
exercised,
the
consumer
side,
the
programs
are
developed
and
actually
deliver
direct
services
where
the
office
of
minority
health
is
really
it
doesn't
deliver
as
an
office
a
direct
service.
It
really
is
a
a
facilitator
of
and
an
and
an
insurer
of
services
being
provided
and
addressing
disparities
amongst
populations.
So
I
do
think
that
it
should
stay
in
my
office
and
that
we
should
continue
to
develop
it
and
and
benefit
from
one
of
my
other
initiatives.
The
the
data
analytics.
F
Madam
sure,
if
I
might
am
I
woman
titus
yes,
thank
you
great.
Thank
you
so,
director
again
just
some
clarification.
F
You're
when
we
have
talked
about
the
importance
of
recognizing
the
lack
of
minority
health
accessibility
and
some
of
our
statistics
in
our
state
of
nevada
show
that
we
are,
you
know
again
50th
and
lots
of
things,
and
this
is
one
where
we
have
we've
recognized.
We
even
passed
a
resolution
that
being
a
minority
is,
is
actually
a
a
crisis
in
this
state,
and
I
wonder
how
I'm
just
not
clear
on
why
moving
this
will
actually
help.
F
You
said
that
this
isn't
really
being
properly
developed
and
that
what
do
you
see
as
as
the
you
know,
really
advantage
of
this?
You
just
mentioned
that
it's
a
one
person
office
right
now
pretty
much
and
they're
really
just
kind
of
an
overview.
So
is
the
office
not
actually
helping
with
some
programs
suggesting
stuff?
What
has
the
office
currently
done?
We
have
anything
where
what
what
have
they
accomplished
by
by
be
in
existence.
F
E
Sure
for
the
record,
richard
whitley,
let
me
just
start
by
by
saying
that
actually,
the
the
budget
movement
is
really
not
of
the
office
of
minority
health.
The
action
that's
taken
here
is
to
really
leave
it
in
the
director's
office.
The
action
being
taken
or
the
movement
is
the
office
of
consumer
assistance
currently
they're
in
the
same
budget,
and
so
the
movement
is
really
to
move
the
office
of
consumer
health,
which
then
leaves
the
office
of
minority
health
as
as
a
standalone.
E
So
that's
so
that
mechanics
is
really
maybe
not,
maybe
not
clearly,
as
clearly
stated
as
it
could
be
in
the
budget
review
that
we've
provided,
but
it
really
is
no
change
to
the
office
of
minority
health,
but
retaining
it
in
the
director's
office.
I
would
say
in
in
in
follow
up
to
your
question
on
the
accomplishments.
E
The
accomplishments
have
been
a
a
coalition
of
providers.
I
mean,
as
you
know,
we
have
a
lot
of
categorical
programs
when
we
look
to
see
like
are
we
adequately
serving
populations
that
that
may
be
underserved
without
pulling
those
out
and
actually
addressing
that
with
agencies,
whether
whether
that
be
social
services
or
healthcare
services
or
screening
for
for
health
conditions
that
could
be
intervened
with
early?
E
The
office
of
minority
health
really
has
done
a
remarkable
job
of
highlighting
those
areas
using
data
again.
I
think
that
some
of
the
changes
I'm
proposing
in
this
budget
with
centralizing
data
analytics,
will
further
help
that
so
I'm
not
suggesting
that
there's
inadequacy
in
terms
of
what
the
office
is
doing.
I
think
they
could.
I
think
they
will.
They
need
to
continue
to
work.
I
think
they
will
benefit
from
the
integration
of
data
analytics
so
that
we
can
simply,
I
mean
we're
doing
it
right
now,
with
with
immunizations
with
with
vaccine.
E
Are
there
populations?
We
know
what
the
what
the
race
and
ethnicity
is
of
our
state?
We
know
it
at
a
community
level.
We
we
know
it
frankly
at
a
neighborhood
level,
and
so
when
we
look
at
service
provisions
that
we're
trying
to
in
the
case
of
a
vaccine
are
we
are
we
actually
providing
those
services
in
in
to
to
the
level
that
the
population
represents
and
the
office
of
minority
health.
This
is,
I
think,
it's
a
wonderful
example
of.
E
Sometimes
the
change
is
just
through
the
convening
of
of
of
the
stakeholders,
the
community
providers
and
sharing
the
information
and
tina's
done
a
wonderful
job,
bringing
those
folks
together
in
in
a
coalition
in
partnership
with
community
non-profits.
I
I'm
happy
to
provide
actually
a
a
more
detailed
summary
of
of
those
accomplishments.
We
have
a
an
annual
report
that
she
produces
on
all
of
the
accomplishments,
so
I'd
be
happy
to
share
that
with
you
great
thank.
F
You
director,
because
during
the
it
was
during
the
30-second
special
session
and
scr1,
was
urging
certain
actions
to
address
a
public
health
crisis
caused
by
systemic
racism
and
greatly
magnified
by
the
coven
19
pandemic
in
nevada,
and
I
just
want
to
make
sure
that
we're
making
wise
decisions
to
fulfill
what
we
as
unanimously
passed,
was
an
issue
in
our
state,
and
I-
and
I
appreciate
that
you're
you're,
following
through
with
this-
and
I
just
wanted
to
make
sure,
especially
with
black
history
month
and
some
of
these
things,
that
we're
addressing
on
a
daily
basis
that
we're
we're
actually
making
some
changes
here
to
achieve
those
goals.
A
Thank
you,
and
I
believe
vice
chair
benitez
thompson-
has
a
question
thanks.
I
appreciate
that,
thank
you
for
being
here,
mr
whitley,
and
thank
you
to
the
staff
you
have
in
the
room
as
well.
I
had
one
question.
I
know
this.
This
position
is
just
one
one
fte
one
full-time
employee.
A
I
was
wondering
if
any
federal
dollars
through
any
of
the
the
different
cares
appropriations
that
came
down
federally
ended
up
landing
to
to
help
this
specific
position,
and
I
imagine
that
the
answer
will
be
kind
of
been.
Perhaps
I'm
asking
like
a
direct
allocation
of
grants
for
this
office
and
this
purpose
or
ev
or
indirect.
B
Hi
good
morning
this
is
beth
hamler,
I'm
one
of
the
deputies
in
the
director's
office,
and
it's
my
pleasure
to
be
able
to
speak
to
you
this
morning,
tina
dortch,
my
my
colleague
and
I
have
been
working
with
the
cares.
Funds
and
we've
been
privileged
to
be
able
to
acquire
two
contractors,
one
through
the
cdc
foundation,
that's
working
with
the
office
of
minority
health
and
equity
and
the
other
through
corona
coronavirus
relief
funds.
That
is
also
working
with
that
office.
A
A
B
Morning,
beth
hamler
deputy
director
in
the
director's
office
at
dhhs,
and
at
least
we
know
now
that
you
need
us
to
come
up
and-
and
so
you
can
hear
us-
so
I
presume
you
can
hear
me
now-
it's
okay,
okay,
so
the
office
of
minority
health
has
been
access
able
to
access
some
of
the
care's
funding.
B
We've
got
two
contractors
through
that
opportunity.
One
is
through
the
cdc
foundation
center
for
disease
control
and
prevention
foundation.
It's
an
ngo,
they've
assigned
a
contractor
to
the
office
through
our
application,
and
we
also
have
a
contractor
through
the
coronavirus
relief
funds
that
is
also
working
directly
with
the
office.
D
See,
I'm
sorry
assemblywoman
carlton,
madam
chair.
Yes,
something
woman,
culture
go
ahead.
Thank
you
very
much
and
it
might
be
a
two-part
question.
So
if
I
need
to
follow
up
I'll,
be
sure
and
ask
you
if
I
can
follow
up
so,
mr
whitley,
I
I
I
think
some
of
the
confusions
coming
from
the
way
I
read
the
notes
it
looked
like
the
office
of
minority
health
was
moving.
But
what
I
hear
you
telling
me
is:
there's
a
group
all
together
and
a
section
of
them
are
moving.
D
E
Yes,
for
the
record,
richard
whitley,
correct
they're
in
the
same
budget,
two,
you
know
a
lot
of
times.
We
have.
We
have
multiple
programs
that
are
distinct
in
in
one
budget,
and
that
is
the
case
here,
so
it
it.
It
reads
like,
as
you
said
like
we're,
like
we're
moving
office
of
minority
health,
but
we're
really
moving
out
the
office
of
consumer
health,
which
then
the
office
of
minority
health
remains
so
it
does.
E
D
And
thank
you
very
much,
mr
whitley
man
and
madam
chair.
If
I
may
follow
up
briefly,
I
guess
the
second
part
of
my
question
is
we'll
probably
get
to
this
when
we
get
to
that
budget.
But
when
I
think
of
the
office
of
consumer
health,
I
don't
think
of
it
in
aging
and
disabilities.
I
don't
think
the
folks
who
would
think
about
looking
for
assistance
would
know
to
go
to
aging
and
disability
to
look
for
that
category
underneath
it.
So
if
that's
going
to
be
addressed
a
little
bit
later
on,
that's
fine!
D
I
just
wanted
to
let
you
know
I'm
just
sometimes
it's
hard
and
I've
especially
noticed
it
in
the
last
six
months
for
our
constituents
to
navigate
state
government.
They
just
don't
know
what
rabbit
hole
to
go
down
to
to
find
what
they're
looking
for.
So
I
just
want
to
make
sure
that
we're
not
moving
something
and
folks
won't
be
able
to
find
it
and
access
the
help
that
they
need,
so
that
that
would
be
my
only
concern,
but
thank
you
for
clarifying
that
for
us
and
madam
chair.
Thank
you
for
the
follow-up.
A
Well,
seeing
that
I
do
have
a
comment,
I
would
like
to
applaud
the
work
that
that
one,
employee
and
minority
health
has
been
doing
in
southern
nevada.
She
has
been
an
amazing
asset
to
us
legislators
trying
to
get
information
out
in
the
community.
There
has
not
been
a
health
town
hall
that
I've
tuned
into.
She
has
not
been
there
to
represent
her
department
and
dhhs,
I'm
not
sure
how
she
does
it
being
that
one
person,
but
she
has
been
amazing.
E
Thank
you,
and
I
I
completely
agree
tina-
is
phenomenal
and
will
remain
in
this
office
as
a
report
to
me
and
we'll
have
my
full
support
as
we
move
forward
and
make
more
progress.
If,
if
there
aren't
any
more
questions,
I
can
move
on
to
the
next
budget.
E
Great,
the
next
budget
account
is
family
planning
on
slide,
eight,
which
was
created
by
the
2019
legislature
and
resides
in
nrs
442.725
to
fund
local
government
entities
and
non-profit
organizations
to
provide
family
planning
services
to
all
persons
who
would
otherwise
have
difficulty
obtaining
such
services
because
of
poverty
or
lack
of
insurance
or
transportation
slide.
Nine
shows
that
the
funding
account
is
100
general
funded.
E
The
decision
unit
in
e680
reduces
the
family
planning
program
from
3
million
per
fiscal
year
to
approximately
2.4
million
each
fiscal
year
and
that's
based
on
the
actual
expenditures
during
the
base
year,
so
funding
level
will
with
base
year
expenditures.
Is
the
action
here
and
I'd
be
happy
to
answer
any
questions
on
this
budget
account.
A
Thank
you,
mr
whitley.
I
think
we'll
have
a
few
questions
on
this
budget
account
assemblywoman
benitez
thompson.
A
Thank
you,
madam
chairwoman.
I
appreciate
that
and
so,
mr
whitley,
something
that
we
have
been
able
to
do
in
the
past,
that
the
department
has
helped
us
with
in
kind
of
establishing
the
legislative
record,
to
show
where
these
dollars
go
and
which
communities
are
being
positively
impacted
by
these
dollars.
A
We've
kind
of
been
able
to
get
a
rundown
of
where
dollars
went
and
what
they
were
being
spent
on,
and
I
was
wondering
if
that's
something
that
would
be
able
to
be
provided
for
staff
just
so
we
get
that
nice
healthy
legislative
record
of
how
those
dollars
are
working.
E
For
the
record,
richard
whitley,
absolutely,
I
think
actually
I
because
there
are
different
funding
streams
in
terms
of
health
plans,
cover
or
pretend
to
cover
family
planning.
It's
not
always
easily
accessible.
These
dollars
do
supplement
and
and
and
they
don't
subsidize,
but
they
supplement.
So
I
think
it
would
be
helpful
to
have
that
complete
picture
and
I'd
be
happy
to
provide
it.
A
Any
follow-up
assemblywoman.
Thank
you,
madam
chairwoman.
No
I
I
just
love
that
information,
because
it's
always
been
helpful
to
see
the
communities
and
what
we're
buying
and
I'm
a
concrete
thinker.
That
way.
Thank
you.
Thank
you,
mr
willy.
F
Thank
you,
madam
chair.
I
appreciate
the
opportunity
director
whitley
in
your
budget
you're.
Reducing
it
are
you
reverting
about
680,
000
to
the
general
fund
and
and
and
the
excuse,
or
the
explanation
is
that
these
were
unused
funds
from
a
historical
perspective,
as
the
vice
chair
asked
regarding
you
know,
how
were
these
funds
spent
I'm
concerned
that
that's
not
an
actual
picture
of
what
the
needs
or
what
the
funds
could
have
been
used
for?
F
Had
we
not
had
this
horrendous
pandemic,
where
people
didn't
go
to
the
family
planning
agencies
that
they
would
typically
access,
because
we
know
across
the
state
folks
did
not
access
healthcare,
whether
it
was
through
the
medicaid
or
private
insurers.
F
We
knew
know
that
there
was
a
lowering
of
the
the
people
seeking
care
because
of
the
covet
pandemic,
and
I'm
just
concerned
that
by
not
continuing
to
fund
this
budget
and
previously
determined
needs
that
we're
going
to
leave
a
hole
at
the
end
and
to
the
point
of
this
is
that
we
know
that
again
we
have
some
significant
issues,
especially
regarding
some
prenatal
care,
again
congenital
syphilis.
E
For
the
record,
richard
whitley,
I
mean
this
is
a
an
outcome
of
base
budgeting.
I
mean
this
is
what
we
expended.
I
don't
think
that
we
have
added.
I
mean,
as
as
you'll
hear,
throughout
the
divisions
in
in
in
my
department
that
you
know
the
projections
on
caseload
on
service
utilization
is
really
tough,
because
we've
not
been
here
before
and
in
terms
of
the
factor.
What
factor
does
the
pandemic
play
in
our
service
delivery
and
going
forward?
E
But
this
is
what
we
spent
and
the
budget
was
built
based
on
what
was
expended
during
the
base
year.
So
I
the
I
I
certainly
we
will
monitor
it.
This
is
a
program,
women's
health.
We
have
a
whole
initiative
in
our
department
on
prenatal
to
three
really
focusing
on
that
population
to
have
healthy
birth
outcomes.
Supporting
family
planning
like
this
program
does,
and
so
I
I
will
we'll
be
monitoring
it
and
I'm
happy
to
provide
information
should
should
an
unmet
need
or
unmet
needs,
be
identified
or
arise.
E
But
but
this
is,
this
is
a.
This
is
a
based
on
the
on
the
actual
expenditures
and
and
the
base
budgeting.
F
So,
to
that
end
again,
as
our
vice
chair
had
asked
a
breakdown
of
where
these
funds
do
go,
because
I
think
some
of
these
family
planning,
some
of
these
family
planning
monies
go
throughout
the
state,
whether
it's
a
rural
health
clinics
for
some
family
planning
out
there,
both
urban
centers
across
the
state,
and
so
a
breakdown
would
be
nice
to
see
where
the
expenditures
really
are
for
for
these
and
and
as
this
goes
forward,
if
there's
a
truly
a
need,
I
appreciate
that
you
would
bring
that
back.
So.
Thank
you.
D
Thank
you
very
much,
madam
chair,
and
following
along
dr
titus's
line
of
questioning,
she
did
ask
a
couple
that
that
I
was
interested
in,
but
just
I
know
when
we
first
started
this
last
session.
There
was
a
lot
of
debate
at
where
the
funding
level
needed
to
be,
and
it
was
it
was
pretty
vibrant
debate
on
where
we
wanted
to
go,
and
we
senator
woodhouse
and
I
and
the
governor's
office
in
the
final
resolution
that
we
had
was.
D
We
would
rather
over
fund
a
little
bit
just
to
make
sure
the
resources
were
there,
because
we
didn't
know,
and
we
knew
how
important
this
program
was
and
then
be
able
to
adjust
when
we
came
back.
So
I
want
to
thank
the
director
for
doing
the
work
doing
the
analytics
on
this.
When
you
do
start
something
new
that
base
year
is
key
and
we'll
work
from
that
base
year
forward,
and
if
we
need
to
make
adjustments
in
the
future,
we
can,
but
that's
basically
the
formula
that
we
use
when
we
start
a
new
program.
A
I
believe
I
have
assemblywoman
tools
next,
yes,
thank
you
so
much,
and
thanks
for
that
history
and
an
explanation
of
how
we
got
to
these
reductions.
I
I
too
shared
a
lot
of
the
questions
that
have
already
been
asked,
but
a
new
one
popped
up
for
me
as
I
was
listening
to
this
as
we've
adjusted
through
covid,
often
times
that
it's
brought
about
some
great
opportunities
to
innovate,
the
way
that
we
provide
access
to
services
and
healthcare
and
so
forth
and.
E
A
Comes
to
mind
that
we've
seen
some
real
success
with
mobile
units,
for
example
the
mobile
mammogram
van,
and
you
know
some
other
other
opportunities
to
really
go
into
communities
that
have,
and
particularly
in
light
of
covet,
may
need
services
to
come
to
them.
I'm
just
curious
was
that
ever
anything
that
was
explored
or
pursued
ways
to
instead
of
doing
outreach
to
bring
people
into
the
traditional
clinic
settings
and.
E
E
For
the
record,
richard
whitley,
I
I'm
not
familiar
with
any
direct
parallel
to
the
mama
van,
that
is
operated
by
nevada
health
centers,
doing
outreach
for
mobile
mammography.
E
But
I
do
know
that
as
assemblywoman
titus
mentioned,
rural
health
clinics
federally
qualified
health
centers
certified
behavioral
health
clinics
do
utilize
family
planning,
sometimes
sometimes
for
in
the
area
of
women's
health.
It
may
be
family
planning.
That
is
the
touch
point
to
primary
care,
and
it
is
a
way
of
getting
perhaps
someone
that
that
may
have
high
risk
in
other
health
areas
into
health
care
and
so
outreach
does
occur.
And
I
I
really
want
to
give
credit
to
what
that
actually
is.
E
So
I'm
happy
to
provide
the
the
detailed
report
of
as
assemblywoman
benitez
thompson
asked
for
the
for
the
actual
services
that
were
provided
but
directly
to
your
question.
It
has
not.
It
has
not
purchased
the
similar
sort
of
the
service
model,
like
mammography,
that
nevada
health
centers
operates
in
the
state,
but
it
is
a
good
question
not
to
get
off
track,
but
it,
but
that
mobility
from
telehealth
to
mobile
services
we're
seeing
across
the
board
even
in
food
deserts
with
mobile
grocery
stores.
E
A
Thank
you,
madam
chair
click.
Follow
up
go
ahead.
Thank
you.
If,
if
there
is
data
on
what
the
cost
is
for
the
name,
a
van,
for
example,
just
by
way
of
comparison
that
I'd
be
interested
to
see
that,
thank
you.
E
B
Thank
you,
madam
chair.
My
main
question
was
the
rationale
behind
the
the
20
reduction.
C
B
Think
we've
covered
that
ground,
but
I
did
have
a
follow-up
question.
I'm
going
to
be
super
cautious
about
how
I'm
phrasing
this
question,
because
I
do
not
want
to
leave
the
impression
that
this
would
be
around
diverting
funding
to
another
important
priority
or
anything
along
those
lines.
But
what
I'm
curious
about?
B
I
remember
from
the
legislation
last
session
and
it
was
also
a
robust
debate,
at
least
on
the
senate
side,
that
we
included
vaccination
as
one
of
the
allowable
expenses
within
this
category
and
I
suspect,
as
we
get
to
july
the
july
time
frame
as
we're
moving
through
the
copa
19
vaccination
process
that
hopefully
we'll
be
looking
at
that
18
to
64
or
year
old,
healthy
population
and
we'll
be
doing
pretty
significant
work
to
try
to
bring
in
a
lot
of
folks
who
generally
haven't
had
access
to
health
care.
B
That
this
program
is
particularly
aligned
with
and
really
the
family
planning
might
be,
the
the
carrot
that
brings
people
in,
but
that
that
this
would
then
also
be
those
same
providers
would
be
able
to
be
doing
vaccinations.
So
I'm
just
curious
if
you
believe
that
the
way
that
it's
set
up
allows
for
that
and
that
particularly
in
this
this
moment
in
time
and
the
work
that
needs
to
be
done
this
year,
if
that
would
be
a
consideration.
E
Or
the
record
richard
whitley,
I
mean
an
excellent
point:
we're
utilizing
all
of
our
programs,
as
you
described,
that
may
be
the
touch
pointer
entry
point
to
a
population
or
a
a
demographic
that
that
maybe
only
seeks
a
single
service.
So
we
are
looking
at
that
and
family
planning,
definitely
as
it
relates
to
to
women's
health
and
to
a
population
that,
maybe
only
maybe
maybe
only
seek
family
planning
for
their
health
care.
A
Well,
I'm
not
seeing
any
other
members
with
any
other
questions,
but
I
just
want
to
make
sure
we
get
something
on
the
record.
Do
you
expect
to
expend-
and
if
you
answered
this
earlier,
please
forgive
me
if
I
missed
it,
do
you
expect
to
expend
the
total
3
million
for
fy
2021
that
was
authorized
and
approved
by
the
2019
legislature.
E
For
the
record,
richard
whitley
we've
allocated
the
funding,
but
you
know
it.
It
depends
on
if
our
the
contracted
agencies
actually
are
able
to
deliver
all
the
services,
which
is
the
case
with
all
of
our
contracted
services.
E
You
know
we
allocate
it
and
monitor
it,
but
you
know
at
the
end,
if
the
services
weren't
delivered
they're,
not
they're,
not
reimbursed
for
for
not
delivering
the
service.
E
So
it
is
the
intention
to
expend
the
funds
appropriately
for
the
services
we'll
continue
to
monitor
it,
and
you
know
we
also
make
adjustments
along
the
way
if,
if
the,
if,
if
an
agency-
you
know
in
these
times
right
now,
a
lot
of
the
nonprofits
are
really
struggling,
and
so
we
have
to
hold
to
the
integrity
of
the
funding
and
the
purpose
of
the
funding,
and
so
we
monitor
for
that.
But
if
we
have
an
agency
who
isn't
able
to
provide
it,
we
don't
stop
there.
E
E
Right
moving
on
to
slide
10
in
my
presentation,
budget
account
3195.
This
includes
the
grants
management
unit
and
it
administers
monitors
and
audits.
The
following
programs,
the
the
title
20
services
block,
grant
the
community
services
block,
grant
healthy
nevada
grants
which
comes
from
tobacco
settlement
funds
and
nevada
2-1-1
on
slide
11.
E
E
E
This
shows
the
breakdown
of
the
healthy
nevada
funds.
The
healthy
nevada
revenues
have
remained
steady
over
the
last
10
years.
It's
at
approximately
24
million
dollars
a
year.
We're
obligating
approximately
three
million
dollars
less.
This
biennium
due
to
due
to
the
budget
sweeps
that
of
16.8
million
during
the
special
session.
The
balance
forward
at
the
end
of
the
biennium
is
projected
to
be
approximately
17
million.
E
On
average,
approximately
92
percent
of
the
legislatively
approved
budget
is
actually
spent.
So
if
this
continues,
the
balance
forward
at
the
end
of
the
biennium
will
be
approximately
20
million,
and
we
did
our
chief,
a
financial
officer
did
do
a
cash
flow
analysis
and
it
shows
that
we'll
be
good.
This
biennium,
but
depending
on
year-end
reversions
reductions,
may
be
need
to
be
made
in
the
future.
E
Turning
to
a
slide
13
the
this
is.
This
shows
how
the
the
grants
management
advisory
committee
has
allocated.
The
funding.
The
chart
shows
the
categories
where
the
tobacco
funds
are
proposed
to
be
spent
and
the
differences
from
last
session.
The
main
areas
with
changes
are
in
senior
rx
and
senior
independent
living.
The
reduced
funding
for
senior
rx
reflects
the
changes
really
that
occurred
at
a
federal
level
in
medicare
part
d
program
and
eliminated
the
need
for
a
pharmacy
subsidy
program.
E
The
funds
requested
to
move
to
are
requested
to
be
moved
to
independent
living
programs
to
address
broader
services
for
the
same
population,
and
then
I
would
also
highlight
that
southern
nevada
and
northern
nevada
mobile
outreach
programs.
This
increases
due
to
replacing
general
funds
with
healthy
nevada
funds
which
change
during
the
special
session
and
the
final
one
is
autism.
E
We
replaced
healthy
nevada
funds
with
tanf
funding,
no
change
in
in
in
the
service,
but
a
change
in
funding.
Turning
to
page
14.,
this
slide
shows
the
allocation
of
the
title
20
funding.
We
are
projected
a
slight
to
have
a
slight
increase
in
the
total
funding
available,
and
the
amount
allocated
for
administrative
costs
was
revised.
More
accurately
reflect
the
operating
expenditures,
freeing
up
additional
funds
for
services,
a
notice,
a
grant
award
was
released
in
november,
and
allocations
were
based
on
the
requests
received.
E
A
Thank
you,
director,
whitley.
I
know
there's
a
few
questions
on
this
budget.
We'll
start
with
assemblywoman
carlton.
D
Thank
you
very
much,
madam
chair.
I
appreciate
that
and
this
is
one
of
those
budgets
where
there's
so
many
moving
parts.
So
I
just
want
to
make
sure
I
get
a
couple
if
I
may
a
couple
top
issues
done
and
then
I
do
have
a
couple
specific
questions
so,
and
I
asked
this
in
the
pre-session
hearing.
So
I'm
sorry,
if
I'm
repeating
myself,
but
I
think
it's
important
to
be
on
the
record.
D
D
You,
mr
whitley,
and
with
the
tobacco
settlement
funds.
If
I
could
ask
a
couple
quick
questions,
madam
chair
and
then
I'm
sure,
senator
kate
cover
is
going
to
be
right
behind
me,
so
I'll
just
team
up
for
him.
So
with
the
incubator
project
that
we
started,
that
was
for
the
new
fqhcs.
B
Good
morning
again,
beth
handler
deputy
director
dhhs
and
with
the
incubator
project,
we
actually
just
released
a
new
notice
of
funding
opportunity.
This
notice
of
funding
opportunities
for
the
federally
qualified
health
centers
incubators
to
incubator
project
applications
to
apply
the
primary
topics.
This
time
are
primary
care
and
telehealth,
and
that
no
no
foe
excuse
me
has
currently
been
released.
E
E
E
The
telehealth
that
was
supported
in
previously
focused
on
school-based
health
and
clark,
county
school
district
and
several
rural
school
districts,
including
carson
city,
did
apply
and
were
awarded,
and
we
have
seen
certainly
impacted
by
the
pandemic,
but
we
did
see
enhanced
services
being
offered
with
partnership
with
the
school
health
nurses,
which
has
has
been
really
a
system
change
when
it
relates
to
schools
and
school
health
and
the
role
of
the
school
health
nurse,
so
they've
been
facilitators
on
the
receiving
side
with
the
consumer
and
nevada
health
centers
was
the
large
provider
in
our
state
for
those
services
partnering
with
clark
county
school
district.
E
I
can
get
you
a
list
of
the
the
school
districts
that
that
they
work
with,
but
really
great
outcomes
at
helping
kids
stay
in
school
working
parents
who
maybe
would
have
to
take
off
to
have
a
doctor's
appointment
and
then
again,
just
like
I
mentioned
on
the
family
planning.
Sometimes
a
touch
point
to
primary
care
and
that
relationship
with
the
federally
qualified
health
center
to
to
get
not
only
the
student
but
the
family
access
to
primary
care.
So
it's
been
a
wonderful
venture
in
partnerships
and
bringing
folks
together.
E
Telehealth
is
really,
I
think,
as
we've
even
seen
in
the
pandemic,
improved
service
access,
but
definitely
in
schools,
and
when
school
and
kids
start
going
back
to
school.
We
want
to
pick
that
up
again
and
and
continue
to
to
monitor
the
outcomes
and
really
it's
too
rich,
not
to
expand
or
to
see
encourage
more
schools
to
do.
D
And
thank
you
very
much
director
whitley,
it's
so
nice
to
hear
good
news
that
something
we
worked
on
last
session
to
make
sure
got
on
the
ground
for
for
folks,
is
actually
is
doing
what
we
hoped
it
would
do,
and
hopefully
we'll
start
up
again
and
madame
chair.
If
I
may
ask
just
one
more
question
and
it's
not
that
any
of
these
are
in
any
special
orders
just
I
know
other
members
have
special
interest
in
some
of
these
other
categories,
so
I
won't
touch
those,
but
one
of
my
special
interests
is
hunger
prevention.
D
E
Sure
for
the
record,
richard
woodley,
I
mean-
I
think
you
make
a
great
point
on
on
food.
Food
and
housing
are
probably
the
two
determinants
of
health
that
my
office
gets.
The
the
most
calls
about
the
the
the
categorical
nature
of
the
usda-funded
programs
from
commodities
that
provide
re
resources
to
to
food
banks
and
to
food
pantries
to
snap
to
wic
to
a
school
lunch
programs
it.
That
is
a
fragmented
system
that
maybe
maybe
a
family
could
qualify
in
multiple
areas
and
I
would
also
add
meals
on
meals
for
seniors.
E
You
know
those
contribute
towards
a
family's
access
to
food.
The
fund
for
healthy
nevada
has
more
flexibility
to
to
to
support
the
the
gaps
that
those
that
those.
E
As
you
know,
many
of
those
programs
have
limitations
or
or
even
the
access
point,
and
so
I'd
be
happy
to
provide
a
more
detailed
and
probably
should
have
thought
of
that
with
with
food
security
and
just
the
challenges
that
people
are
having
right
now,
and
it's
also
the
challenge
of
navigating
we're,
seeing
more
and
more
people
who
have
never
had
to
rely
on
food,
pantries
or
really
assistance
and
so
helping
them
without
stigma
to
to
navigate
the
system
has
really
been
an
effort,
but
I
I'd
be
happy
to
provide,
I
think,
actually
it'd
be
nice
for
me
to
provide
in
context
of
the
of
the
food
programs.
E
We
have
that
are
categorical.
What
how
fun
for
healthy
nevada
complements
those
and
I'd
be
happy
to
provide
that.
D
C
Thank
you,
madam
chair.
I
appreciate
it
and
thank
you
director
woodley,
and
you
touched
on
a
couple
things.
I
had
a
question
about
the
timing.
I
know
the
we
received
these
lump
sum
payments
in
april
and
our
staff
indicates
that
usually
we
fund
the
next
year's
programs
with
with
that
allotment,
but
now
we're
going
to
be
funding
current
years.
C
So
the
current
fiscal
year
with
the
april
payment,
you
had
talked
a
little
bit
about
cash
flow,
so
our
ultimately
we
paying
for
a
fiscal
year's
programs
with
our
carry
forward
and
our
ongoing
balance
in
this
account.
Or
is
it
just
going
to
be
sort
of
blended.
E
For
the
record,
richard
whitley
and
unfortunately,
the
way
we're
set
up
here-
I'm
not
sitting
next
to
stacy
the
deputy
over
over
finance.
So
you
have.
E
I,
if
I
get
this
wrong,
but
the
the
you
know
we
rely
on
the
startup
each
year
on
reserves
and
historically
we've
we've
spent
about
90
percent
of
the
funds
for
healthy
nevada,
and
so
the
concern
is,
if
those
reserves
get
too
low.
Our
ability
to
to
continue
services
at
the
same
level
could
be
impacted.
E
The
analysis
that
our
financial
officer
did,
which,
which
does
look
sound
and
and
I'm
confident
in
his
work,
would
would
indicate
that
we're
okay
for
the
biennium,
but
should
but
but
should
things
change
going
forward,
we
may
have
to
reduce
the
award
amounts
you
know
to
to
operate
within
the
budget,
but
we
have
you
know
in
many
of
our
programs.
We
do
rely
on
reserves
for
the
startup.
C
E
I
mean
that
those
are
variables
but,
but
also
you
know,
we
saw
back
in
2008
when
the
economy,
when
we
struggled
with
the
economy,
non-profits
and
organizations
really
struggled,
we
lost
a
lot
of
them.
You
know
we're
we're
looking
at
the
the
reserve
balance
of
like,
I
said
about
90,
but
you
know
if,
if
and
and
that
is
a
variable
that
we've
considered
in
terms
of
of
what
would
be
available
to
start
up
each
year,.
C
That's
fine,
I
don't
think
we
need
to
follow.
I
appreciate
that.
I
see
that
the
decision
was
made
as
well
to
continue
funding.
B
C
E
For
the
record
richard
willey,
yes,
we
had
discussions
about
every
every
funding
source
we
had
that
had
flexibility,
you
know,
faced
with
with
a
challenge
of
having
to
go
through
an
exercise
of
reducing
general
fund
spend
we
did
we,
we
simply
are
trying
to
maximize
available
funding
in
the
appropriate
categories.
E
Of
course
we
should
do
that,
and
I
would
commit
that
that
our
agency
does
that
continually
if
we're
able
to
get
federal
funding
for
for
a
program,
but
we
did
look
at
every
opportunity
and
and
do
hold
to
the
stabilization
of
essential
services
and
and
not
reliant
on
funding
that
that
you
know,
may
may
change
in
the
amount
and
impact
services,
but
I
guess
I
don't
know
how
to
say
this
fiscally,
but
you
know
we
are
getting
through
the
moment
in
some
cases
with
just
with,
with
funding
that
we
have
and
the
flexibility
that
we
have
within
the
the
funding
stream
yeah.
C
That,
finally,
madam
chair
and
on
title
20,
it's
been
a
while,
since
I've
looked
at
it
is
that
a
flat
amount
is
that
formulaic
or
does
sorry
allocation
change?
I
was
some
for
some
reason
under
the
impression.
That's
basically
been
the
same
since
the
80s.
E
It
is
a
it
is
a
formula
from
the
feds
which,
which
you
know
it
would.
It
would
take
a
congressional
act
to
change
the
amount.
Okay,
so.
C
A
C
Thank
you,
madam
chair,
for
the
promotion
and
yes,
I
I
have
a
question
director.
Wait
later
it
kind
of
goes
into
senator
keith
keffer's
question
regarding
most
funding.
He
he
he
asked
the
portion.
I
did
about
sustainability.
C
My
my
question
is,
I
see
the
dollar
amount
has
been
increased
last
budget
cycle.
They
ran
out
of
funds
in
southern
nevada
for
that
program
and
you
increased
it,
which
you
know,
I'm
really
glad
to
see
it's
a
worthwhile
program.
My
question
is:
do
you
think
that
that
is
enough
to
sustain
both
of
those
programs
in
northern
and
southern
nevada
during
this
next
budget
cycle?.
E
For
the
record,
richard
whitley,
I
think
we're
you
know
it
probably
doesn't
get
talked
about
as
much
with
with
the
pandemic
and
the
focus
on
the
the
virus,
but
we
have
seen
an
increase
in
in
crisis
in
the
area
of
behavioral
health,
both
with
substance
abuse
as
as
well
as
behavioral
health
crisis,
and
so
it's
it's
it's
hard
to
tell
what
the
needs
going
to
be.
E
We
try
to
to
be
responsive.
There
are
some
opportunities
within
within
crisis
services
to
to
also
maximize
reimbursement,
and
so
we
have
a
team.
That's
working
on
that
works
on
this
with
our
local
partners
on
how
to
maximize
all
the
all
of
the
resources
that
are
available,
the
federal
funding
reimbursement
as
well
as
as
this
funding.
So
we
continue
to
monitor,
I
think,
on
all
these
survey.
You
probably
make
a
good
point
in
your
question.
I
mean,
I
think,
all
of
these
services
reporting
out
on
on
what
we're
seeing.
E
They
may
not
be
the
highlight
right
now,
but
definitely
the
at
a
community
level,
first
responders
and
and
and
and
folks
who
have
to
respond
to
this
crisis.
They
are
experiencing
it
and
as
people
have
been
asked
to
isolate,
we
really
don't
have
enough
enough
data
to
to
to
predict
what
the
need
will
be.
But
we
are
monitoring
it,
and
I
would
say
that
we
have
good
relationship
with
our
our
local
partners
who
are
responding
and
have
the
benefit
of
this
resource.
C
A
A
Thank
you
so
much
madam
chair,
and
I'm
just
curious
looking
through
just
going
back
to
the
original
purpose
of
the
tobacco
settlement
funds
and
to
you
know,
to
be
utilized
to
help
with
you
know:
education
and
reducing
dependency
on
nicotine
and
and
making
the
public.
Aware
of
you
know
some
of
the
issues
involved
with
cigarette
use,
having
a
memory
seared
into
my
brain
of
losing
my
grandmother
to
emphysema
at
a
young
age.
A
I
just
wonder
now
that
we're
seeing
a
crisis
among
youth
of
using
e-cigarettes
and
vaping
products
and
so
forth,
is
there
any
of
the
contribution
to
these
settlement
funds
drawn
from
e-cigarettes
and
from
vaping
products?
Does
that
help
contribute
to
these
funds?
And
then
I
see
that
we
have
you
know,
depending
on
the
year,
between
one
million
and
two
million
dedicated
to
c
station
programs,
could
you
just
talk
me
through
a
little
bit
more
how
those
are
being
utilized
and
and
if
they
also
do
incorporate
vaping
thanks.
E
Right
for
the
record
richard
whitney,
so
so
so
quite
a
few
questions
packed
in
there
and
I'll
start
with
the
service
side.
You
know
tobacco
cessation
under
the
affordable
care
act
is
an
essential
service
that
is
covered.
But,
as
you
know,
and
we
probably
have
the
most
research
in
the
area
of
tobacco
use
based
on
frankly
based
on
change
theory-
and
you
know
that
brochures
and
information
knowledge
doesn't
change,
behavior
and
so
even
having
a
service
available.
E
If
people
don't
access
it
and
so
helping
to
bridge
and
promote
access
to
tobacco
cessation,
which
is
covered
by
all
commercial
health
plans
as
well
as
state
medicaid,
it
it,
it
is
promoted
and
some
of
the
dollars
that
that
are
used
out
of
the
fund
for
healthy
nevada
do
go
to
promoting
access
and
education.
E
But
you
know
to
be
effective.
The
targeted
strategies
have
to
meet
the
people
where
they're
at
they
may
be
knowledgeable,
but
not
ready.
They
may
be
ready,
but
not
know
where
to
access,
and
so
we
probably
have
the
most
research
in
terms
of
changing
behavior
in
the
area
of
tobacco
addiction,
and
so
these
funds
are
used
to
to
to
support
in
a
in
a
supplemental
way
to
the
funding
sources
that
also
go
to
provide
tobacco
cessation,
as
well
as
to
fill
gaps
when
somebody
maybe
is
uninsured
or
underinsured
in
terms
of
vaping.
E
You
know
it
is
it.
I
think
I
I
think
we
we
probably
could
do
more
in
that
area.
We
still
have
high
rates
of
tobacco
use.
Traditional
tobacco
use
among
youth
we've
seen
improvements
in
our
state,
but
we
still,
we
still
have
high
rates,
and
so
the
work
isn't
complete
and
I
think
the
vaping
funds
that
were
that
that
that
were
supported
last
session
really
was.
It
was
a
starting
point
in
in
that
area.
E
I
think
the
strategies
are
even
different:
the
account
of
marketing
it's
real,
a
relatively
new
area
for
us
to
support
in
terms
of
vaping
and
but
I
think,
there's
lessons
learned
from
the
from
traditional
tobacco
use.
But
these
dollars,
the
out
of
fund
for
healthy
nevada
that
come
from
the
the
settlement,
are
used
in
the
area
of
traditional
tobacco,
use,
prevention
and
intervention.
A
Thank
you,
madam
chair.
Just
a
clarifying
follow-up
question.
Please
go
ahead.
Thank
you.
So
I
think
forgive
me
if
I
missed
the
answer,
but
I
know
that
the
funds
are
a
percentage
of
sales
of
cigarettes
and
to
fund
the
tobacco
settlement.
If
I
understand
it
correctly,
so
if
a
vaping
product
or
an
e-cigarette
is
purchased,
does
that
also
contribute
to
the
fund,
or
is
that
not
a
part
of
these
settlement
funds.
A
Thank
you,
assemblywoman
tools.
I
have
assemblywoman
benitez
thompson
next.
Thank
you
so
much,
madam
chair.
So
my
question
is
on
the
the
shift
from
these
dollars
for
the
autism,
the
atap
program
and
then
instead
using
instead
tanf
dollars.
So
I
know
that
whenever
we
talk
about
shifting
services
or
shifting
money
in
that
that
can
get,
I
can
get
complicated
at
times,
and
so
could
you
just
talk
on
the
record
that
we
don't
anticipate
any
type
of
program
interruption
with
the
shift
of
these
dollars?
A
I
know
that
I
was
one
who
kind
of
automatically
thought:
oh
well,
it's
ten
of
dollars
and
we've
got
to
have
recipients
who
are
kind
of
qualified
and
we
might
have
kind
of
a
new
set
of
paperwork
for
families
to
use,
but
that
that
that's
not
correct.
So
I
was
hoping
you
could
put
that
on
the
talk
about
that
for
the
legislative
record.
Just
so
we
could
start
getting
accurate.
You
know
information
out
to
families
about
what
this
shift
means.
E
Sure
for
the
record,
richard
whitley
tana
for
temporary
assistance
for
needy
families
is
a
funding
stream
that
that
has
broad
use
categories
in
terms
of
the
direct
assistance
to
families.
You
know
it's
probably
our
lowest
poverty
level
program.
It's
a
hundred
percent,
basically
a
hundred
percent
of
poverty
to
be
eligible.
E
If
you
look
at
our
largest
caseloads
medicaid
snap
snap,
the
supplemental
nutrition
assistance
program,
antenna
we've
seen
increases
in
the
utilization
of
medicaid
or
the
enrollment
into
medicaid
and
the
snap
program,
but
we've
actually
seen
a
decrease,
and
I
should
have
given
more
thought
how
to
say
this,
but
people
who
are
truly
and
were
before
the
pandemic
living
in
poverty.
E
We've
not
seen
those
numbers
increase
with
that
at
or
below
100
of
poverty,
in
the
same
way
that
we've
seen
people
who've,
lost
their
jobs
and
now
are
eligible
for
snap,
which
is
around
200
percent
of
poverty
or
or
medicaid
138
of
poverty.
So
we
haven't
seen
the
caseload
growth.
In
fact,
the
caseload
for
tanf
is
below
what
was
projected
during
the
last
legislative
session.
We
also
do
carry
reserves
in
those
programs,
and
so
it's
an
allowable
expense
again.
E
Is
it
stabilized
funding?
Are
there
other
uses
for
it?
The
answer
is
no
it
it.
It
may
not
be
stable
as
stable
as
state
general
fund.
The
state
general
fund
isn't
stable
right
now,
so
again,
we're
getting
through
the
moment
of
trying
to
provide
the
essential
services
with
funding
streams
that
are
appropriate,
but
we
are
not
reducing
any
temporary
assistance
to
needy
families.
A
A
Thank
you
for
those
questions.
I
have
speaker
fryerson
next.
C
E
C
E
E
Well,
she
would
have
to
phone
a
friend
too.
I
I
apologize
for
that.
I
don't
have
it
readily
available
to
me
and
I
don't
want
to
get
it
wrong
in
terms
of
what
the
how
it's
allocated
to
the
counties,
if
that's
based
on
population
or
on
need,
or
or
or
history,
and
then
the
the
additional
dollars,
the
the
allocation
of
where
they're
going
and
how
that
decision
was
made.
I'd
be
happy
by
that.
B
Good
morning
good
morning,
thank
you
so
much.
I
have
a
couple
questions.
One
is.
Could
you
please
confirm
or
reiterate
what
you
said
about
the
autism
funding.
E
Sure
for
the
record,
richard
whitley,
what
we're
doing
we're?
Not
changing
the
service
delivery
level
or
model
where
we're
changing
the
funding
source
from
from
fund
for
healthy
nevada
to
the
tanf.
The
temporary
assistance
for
needy
families,
funding
an
allowable
category
in
that
federal
funding
for
those
services
and
with
the
intention
of
not
to
to
have
impact
on
the
families
receiving
the
services.
B
And
what
why
would
that
benefit
your
division.
E
For
the
record,
richard
woodley,
as
as
you
know,
you
know,
with
autism
services-
I
I
there
are.
There
are
multiple
funding
streams
that
that
are
the
the
the
support
for
those
services
from
from
from
health
care
coverage
to
to
direct
assistance.
And
so
this
really
is
just
allowing
funding
to
continue
the
level
of
support,
but
where
we
have
flexibility
with,
with
the
the
funding
stream,
the
federal
funding
stream
to
support
it
to
utilize
that
so
that
we
still
can
utilize.
E
For
example,
the
the
fund
for
healthy
nevada
in
area
in
other
areas.
That
are,
you
know,
equally
important
hard
to
prioritize.
But
it's
a
it's
really
a
matter
of
where
the
flexibility
exists,
with
limited
general
fund,
how
how
to
maintain
a
service
level
during
these
times
and
and
not
do
harm,
and
so
the
the
intent
here
and
what?
What?
What
guided
us
was
to
not
reduce
services
or
or
limit
them.
But
where
we
had.
The
flexibility
which
was
in
tana
in
the
tanf
reserves,
was
to
utilize
it
and
not
do
redundancy.
B
B
I
and
forgive
me
because
I
have
not
sat
on
finance
before,
but
I
guess
I'm
just
a
little
bit
it.
It
feels
like
it
changed
over
to
tanf,
but
but
that,
but
I'm
not
sure
why.
I
guess
I'm
not
sure
understanding
why
it
needed
to
do
that.
Was
there
some
efficiency
that
made
it
better
was
there
if
the
money
is
not
going
to
change?
What
was
the
sole
purpose
of
moving
that.
E
I
think
that
cat
for
the
record
richard
whitley,
I
mean
it
is
an
important
question.
The
cat,
the
some
funding
streams
like
have
more
flexibility.
I
think
when
you,
when
I
presented
on
like
mobile
outreach
for
example,
and
supporting
the
activities
and
mobile
outreach,
the
fund
for
healthy
nevada
can
support
that.
But
tanf
funds
can't
support
it.
I
mean
that's,
not
an
appropriate
expenditure
for
tanner,
but
it
it.
But
autism,
services
are
inappropriate.
Focusing
on
children
and
and
improving
their
their
outcomes
is
is
an
allowable
expenditure.
E
We
had
reserves
in
tanf
and
available
funding,
so
the
goal
was
to
not
reduce
the
services,
so
it
was
to
change
the
the
funding
support,
but
not
change
the
service
so
so
that
we
wouldn't
have
to
reduce
other
programs.
B
B
Okay,
I
will
chair,
I
will,
I
will
stop
there.
I
have
another
question
that
I'll
get
back
in
the
queue.
If
somebody
else
doesn't
ask
you,
thank
you
very
much.
C
Thank
you,
madam
chair.
I
just
have
a
couple
questions
and
basically
it's
for
general
knowledge,
because
this
is
my
first
time
on
the
committee
and
in
the
first
time
dealing
with
the
tobacco
settlement
now
and
also,
of
course,
talking
about
stability.
I
think
some
of
my
colleagues
have
talked
about
the
stability
of
that
account.
C
Is
there
a
even
though
there
it's
based
on
a
percentage?
Is
there
a
timeline
on
that?
Is
there?
Is
there
a
certain
number
of
years
that
that
settlement
is
in
place?
It
ends
after
10,
15
years?
That's
my
first
question
right
there
and
then.
Secondly,
I'd
like
to
know
has
that
money
declined
steadily
over
the
years
or
is
it
actually
increasing?
C
I
noticed
that
you
said
that,
even
though
there's
a
lot
of
knowledge
out
there
for
smokers
and
knowledge
is
increasing
and
there's
accessibility,
it
seems
to
not
actually
put
a
damper
on
their
their
desire
to
to
succeed
from
from
smoking.
But
I
just
wanted
to
know
if
that
has
decreased
it
at
all,
and
can
we
anticipate
a
decrease
in
the
future,
based
on
the
the
data
that
we
have
from
the
a
few
years
past.
E
For
the
record,
richard
woodley,
so
the
tobacco
master
service
agreement
that
supports
the
fund
for
healthy
nevada
is
is,
is
a
negotiated
agreement
and
I'll
have
to
follow
up.
I
don't
believe
there
is
an
end
date
in
it,
but
I,
but
I
will
confirm
that
in
a
follow-up,
so
it
it.
You
know
it.
It
is
a
master
service
agreement,
so
it
does
have
detail.
I
I'll
provide
that
for
you
in
terms
of
the
dollar
amount,
the
the
funds
have
not
gone
down
over
over
the
years.
E
Again,
it's
not
a
it's,
not
a.
I
mean
you
know,
I'm
like.
I
feel
like
I'm
talking
out
of
both
sides
of
my
mouth
here.
We
want
people
to
quit
smoking
and
we're
supporting
it,
but
we
we
get
the
revenue
from
from
from
the
from
from
the
tobacco
use,
so
it
doesn't
appear
that
that
has
reduced
over
time,
and
so
there's
no
indication
in
projecting
that
it
would,
you
know,
dramatically,
go
down.
C
I
appreciate
that,
madam
chair,
and
just
it
just
maybe
they
can
clarify
or
give
me
some
information
later
on.
If
I
could
just
ask
this
last
thing
and
that
is,
can
we
isolate
perhaps
the
fact
that
our
population
has
increased
and
so
therefore
that
might
be
a
rationale
for
it
not
going
down
or
there's
just
no
way
to
isolate
that
information,
and
so
we
just
we
just
see
that
they
increase
and
that's
it.
C
A
F
Thank
you,
madam
chair,
and
thanks
for
all
the
great
questions
and
director
willie.
Thank
you
for
all
your
great
answers.
I
want
to
kind
of
piggyback
on
what
senator
hammond
question
was
just
from
historical
data
and
where
we're
going
with
this
tobacco
settlement
funds
just
back
in
the
90s,
is
when
this
settlement
was
done,
and
I
actually
served
as
chair
of
a
committee
that
was
formed
a
trust
fund
for
that
some
of
that
settlement
money
and
it
was
peeled
on.
F
There
was
a
strict
statute
on
what
that
money
was
to
be
used
for
and
part
of
that
was
the
millennial
scholarship
part
of
it
was
this
healthy
nevada
fund,
and
then
there
was
this
trust
one
which
was
then
swept
during
the
great
recession
which
no
longer
exists.
But
it
was
my
understanding
at
the
time
that
there
was
a
hard
stop
date
on
one
of
these
settlement
funds
when
the
settlement
ended
and
and
we've
had
this
conversation
worried
about
the
millennial
scholarship.
How
will
we
fund
it
when
these
funds
are
no
longer
here?
F
So
I'm
surprised
to
hear
that
this
is
a
perpetual
fund,
because
that
was
not
the
original
impression
that
I
had
based
on
the
history
of
it
in
the
90s.
So
maybe
it's
been
changed
and
I
think
we
all
need
to
have
some,
maybe
a
review
of
what
that
that's
about
and
just
kind
of
dust
off
some
of
that
settlement
mine
because
I
had
I
have
some
concerns
about
that
and
clearly
you
can't
answer
that
and
you're
gonna
get
back
to
us
with
some
information.
F
All
of
us
on
this
committee
will
probably
be
doing
some
homework
on
that.
A
specific
question
is,
however,
you
mentioned
early
on
in
your
comments
that
you're
spending
90
percent
of
this
revenue.
That
you're
getting.
Is
that
what
I
heard
you
say.
E
Correct
for
the
record
richard
whitley
correct
when
we
allocate
the
funds,
the
actual
expenditures
of
that
allocation
is,
is
around
90,
which
does
then
add
to
the
reserve
that
we
carry
forward.
F
And
that
decision
to
spend
90
percent
is
made
by
whom
is
that
anywhere
written?
Is
that
something
that
you've
just
decided
to
keep
that
10
percent
balance
extra
or
where
did
that?
90
percent
spend
this
money
in
it
and
come
from
and
it
apparently
that
doesn't
revert
back
to
the
rental
fund
based
on
a
conversation
we
had
earlier
about
family
planning.
So
how
does
that
90
percent
figure?
How
did
you
arrive
at
that?
Yeah.
E
We
don't
set
that
that's
based
on
historical
utilization
and
just
like,
I
think
I
explained
in
it
with
family
planning.
You
know
we
we
do
rfps,
we
allocate
the
the
full
dollar
amount,
but
you
know
many
non-profits
have
intention
to
provide
all
the
services
but
as
as
as
they
implement,
they're
not
able
to,
and
so
we
don't,
we
don't
pay
them
for
things
they
didn't
do,
and
so
this
results
in
unexpended
funds.
E
What
I'm
saying
in
the
90-
and
maybe
I
could
have
said
this
better-
is
that
that
really
is
just
the
the
average
amount
that
we
see
have
seen
over
time.
That
was
actually
expended
it's
allocated,
but
it's
just
not
always
spent.
We
monitor
it
throughout
and
you'll
see
in
every
program.
We
have
with
a
federal
grant
that
what
was
awarded
what
was
allocated
and
then
what
was
actually
expended-
and
you
know,
depending
on
the
complication
of
the
service-
it's
it's
not
always
spent
right.
B
Thank
you,
madam
chair.
So
I
great
questions
and
I
just
have
a
couple
clarifications.
I
want
to
get
on
the
record
just
because
there's
some
significant
interest
in.
E
B
Of
the
public
health
advocates
in
these,
so
on
the
most
program,
I
know
folks
have
talked
about
that
a
lot
and
I
know
we
went
from
general
fund
to
what
we
needed
to
do
in
the
special
session
with
karezak
dollars,
and
so
now
it
looks
like
it
is
in
the
this
funding
source.
First
question
is
a
hundred
percent
of
the
most
funding
that
comes
from
the
state
in
this
funding
source,
or
are
there
other
sources
of
funding
as
well?
That
will
come
across
as
we
move
through
the
process.
E
For
the
record,
richard
whitley,
primarily
it
is
from
this
funding
source
there.
There
may
be,
as
I
said
before,
some
reimbursements
that
can
occur
if
the
if
the
the
recipient
of
the
outreach
is
like
on
medicaid
and
the
provider
does
get
reimbursement,
that's
not
reliable!
E
That's
why
it
makes
having
poor
funding
like
this,
supporting
that
intervention
so
important,
but
this
is
the
primary
funding
source
I'll
just
so
that,
I'm
being
you
know
completely
accurate,
I
will
follow
up
to
make
sure
that
there
aren't
any
other
supplemental
grants
that
that
are
touch
points
to
this.
None
come
to
mind.
B
E
B
Wasn't
clear,
is
it
really
more
funding,
or
is
it
really-
and
this
is
probably
just
me
as
a
newbie,
or
is
it
really
just
an
enhancement
to
this
budget
category
because
there's
more
money
in
this
bad
budget
category?
So
for
the
folks
who
get
this
funding,
are
they
getting
more
funding
in
this
upcoming
biennium?
Are
they
just
getting
the
same
amount
of
money.
E
For
the
record,
richard
whitley,
I
mean
we
are
changing
the
funding
source,
so
I
I
don't
I'll
verify
again,
but
we're
not
enhancing
funding,
we're
enhancing
we're-
and
maybe
I
maybe
I
could
have
done
a
better
job
with
this
sort
of
movement
of
funding.
The
service
isn't
changing,
but
the
funding
stream
is
changing
from
gem.
In
this
case,
from
general
I
mean
gosh,
just
looking
at
the
line
of
questioning
across
the
board.
E
You
know
this
is
probably
the
best
a
good
example
where
a
shortage
of
general
funds,
rather
than
cut
the
service,
we
moved
it
to
fund
for
healthy
nevada,
an
allowable
expenditure
within
that
negotiated
settlement
agreement
and
the
uses
of
those
funds
that
then
took
up
dollars
in
fund
for
healthy
nevada
which
what
which
funded,
among
other
things,
autism
services.
We
saw
that
we
had
a
funding
stream
with
temporary
assistance
for
needy
family
that
could
provide
that
service.
E
B
Right
and-
and
I
appreciate
that,
I
appreciate
the
the
creativity
that
your
team
is
putting
in
on
making
sure
that
we're
maximizing
federal
funds
with
anything
that
qualifies
and
then
therefore
there's
a
lot
of
moving
around
to
save
programs
so
100
on
board.
With
that.
I
just
know
that
a
lot
an
awful
lot
of
folks
are
interested
in
this
particular
budget,
and
so
I
just
want
to
make
sure
that
it's
clear
on
the
record
that
different
funding
source
same
amount
of
money
is
going
to
most.
E
B
E
B
Great,
thank
you,
then.
Moving
on
to
vaping,
I
just
also
wanted
to
get
this
piece
on
the
record,
so
this
fund
has,
of
course,
the
tobacco
settlement
dollars
that
are
allocated
to
tobacco
secession,
but
you
would
talked
about
sb
263
and
the
funding
that
was
allocated
in
the
last
session,
specifically
to
target
vaping
prevention.
B
That
was
2.5
million
a
year,
which
is,
of
course
more
than
the
entire
tobacco
cessation
fund.
That
comes
out
of
these
funding
sources.
So
you
know
this
is
no
judgment
in
the
decision
or
anything
along
those
lines,
but
I
do
want
to
get
it
on
the
record
so
that
2.5
million
per
year
that
came
out
of
sb263
in
the
last
biennium
has
been
treated
like
a
one-shot,
is
not
in
the
base
budget
anywhere,
and
so
that
funding
will
go
away.
Unless
we
choose
to
do
something
different.
Is
that.
B
Thank
you,
okay
and
then
I
think
you've
talked
quite
a
bit
about
this,
but
I
just
want
to
make
sure
big
picture
that
we're
getting
this
answer.
Question
for
the
rec.
This
question
answered
for
the
record,
but
this
fund
does
go
on
in
perpetuity.
B
E
For
the
record
richard
william,
I
I
I
would
like
to
get
the
actual
settlement
agreement
to
you
it
I
I
don't
want
to.
I
don't
want
to
misspeak
it's
my
understanding
that
it
does
continue,
but
I
want
to
verify
that
for
you
I
didn't.
I
didn't
actually
use
the
term.
It
goes
on
in
perpetuity.
E
What
I
was
speaking
to
was
the
increase
in
in
revenues
for
this
program
over
time
directly
related
to
the
purchase
of
of
tobacco
products,
but
I
would
feel
more.
We
get
those
funds
from
the
treasurer's
office.
I
would
feel
more
comfortable
to
get
that
document
to
you
with
the
settlement
and
not
to
try
to
speak
off
of
of
of
what.
I
believe
that
it
says.
A
E
Great
thank
you
for
the
for
the
record
richard
whitley.
Turning
then
to
slide
15
the
governor's
recommended
budget
requests,
creating
a
new
budget
account
within
the
director's
office
to
consolidate
the
data
analytics
staff
into
one
budget
account.
Currently
they
the
these
opera.
These
the
data
analytics
operates
in
a
in
really
a
distributed
model,
which
means
that
resources
are
spread
in
a
in
really
a
disparate
way
throughout
the
department,
and
this
causes
sometimes
duplications
of
efforts.
E
E
You
can
see
on
slide
16
that
the
e
900
through
e-915
are
the
transfers
of
existing
funding
for
data
analytics
it
it.
It
remains
the
same.
It's
there's,
no
additional
request
here.
The
funding
sources
are
are,
are
essentially
transferred
to
this
new
budget
account,
and
that
concludes
really
my
presentation
on
this.
But
I'd
be
happy
to
answer
any
questions.
D
D
Couple
questions
please,
you
certainly
can
thank
you.
It's
assemblywoman
carlton
for
the
record,
just
so
that
our
committee
staff
knows
so
I
just
kind
of
want
to
get
a
real
feel
for
for
what
we're
trying
to
do
here
and
how
would
this
centralized
data
work
with
all
the
stakeholders
that
are
going
to
be
involved?
You
know
you're
going
to
get
requests
from
state
federal,
different
agencies,
we're
putting
this
all
together,
which
I
think
is
a
great
idea.
We
have
always
said
in
this
state.
If
you
don't
have
the
data,
you
can't
measure
it.
D
E
For
the
record,
richard
whitley,
I
actually
think
it
will
improve.
I
mean
I
coming
from
this
office
much
like
the
office
of
minority
health.
I
think
the
reach
across
our
divisions,
to
value
data
and
to
utilize
it.
I
think
one
of
the
examples
I
think.
E
Hopefully
you
see
it,
but
maybe
it'll
be
more
revealed
in
each
of
the
divisions,
presentations,
those
that
have
case
load,
kyrah
morgan,
our
state
biostatistician,
really
standardized
and
has
working
over
the
last
biennium
to
really
utilize
the
same
standards
of
calculating
caseload,
and
I
feel
very
confident
in
it
that
engagement,
you
know
with,
because
there's
a
stakeholder
group
attached
to
or
multiple
stakeholder
groups
attached
to
each
caseload.
I
think
it
only
makes
it
stronger.
E
As
you
know,
with
in
government
work,
you
know,
some
people
are
community
oriented
and
others
can
live
in
their
category
and
do
what's
required
and
stop
there.
Fortunately,
for
me,
that's
the
minority
of
people
that
I
have
working
in
health
and
human
services.
The
majority
want
to
help,
I
think,
anchoring
them
all
utilizing
data
in
the
same
way
coming
from
this
office
and
valuing
it
sends
that
message.
I
I'm
nothing
but
probably
to
a
fault
one
engaging
with
community
with
with
trying
to
find
our
common
goals.
E
Data
again
will
help
us
with
that.
You
know
you
can
have
a
well-intended
idea
or
even
a
resource
for
something,
but
if
you're
not
utilizing
the
data
to
identify
where
the
need
is,
you
can
even
have
evidence-based
programs,
but
no
evidence
that
we
have
a
need
for
the
program.
So
the
data
really
does
drive
the
the
the
programming
at
a
community
level.
So
I
only
see
that
improving
and
and
maybe
raising
the
bar
consistently
across
the
department.
D
And
madam
sheriff,
I
may
follow
up
brief,
then
I'll.
Try
to
make
this
brief,
because
I
I
know
we
have
limited
time
today.
How
are
those
requests
going
to
be
prioritized?
We
have
dhhs,
we
have
state,
we
have
federal
stakeholders,
you
have
non-profit
stakeholders.
How
will
those
requests
be
prioritized.
E
I
mean
for
the
record
richard
whitley,
so
certainly
requirements
where
funding
is
contingent
upon
reporting
is
you
know,
that's
a
must,
so
that's
priority
that
has
to
be
achieved
in
order
to
keep
the
funding
part
of
the
benefit.
I
think,
if,
if
the
part
of
the
benefit
of
having
our
biostatistician
sort
of
hub,
all
this
activity
has
been
that
engagement.
E
One
thing
that
she
does
is
if
there
is
a
data
request,
if
it's
a
recurring
one,
she
builds
a
dashboard
so
that
so
that
she
can
populate
that
same
analytics
routinely
as
the
data
becomes
available,
so
that
so
that
and
and
which
has
been
great
because
other
people
may
have
had
that
question,
but
they
never
quite
saw
the
data
depicting
it,
and
so
that
I
think
that
that,
because
that's
a
continuous
process
that
she's
implemented,
the
other
is
where,
where
we
find
disparate
use
of
services
second
to
to
funding,
is
it
may
appear
on
the
surface
that
we're
providing
a
service?
E
But
unless
you
dig
in
the
data
and
identify
you
know
that
I
mean
prostate.
Cancer
is
a
good
example
like
we
get
get.
It
reported,
but
african
american
men
get
diagnosed
with
later
stage
cancer
because
they're
not
screened
earlier,
so
who
are
they?
Where
are
they?
That
certainly
would
rise
to
the
top?
Because
there's
something
we
could
do
about
it?
The
the
screening
is
available.
We
just
need
to
inform
so
there
would
be
there
would
be
multiple
priorities
and
I
I
I
I
think
that
that
should
drive
us.
E
E
We
believe
we
need
to
do
something
about
this
and
it's
in
this
area,
and
it
would
cost
this
amount
that
that
might
be
an
outcome
of
it,
but
we,
it
certainly
would
help
us
leverage
our
existing
resources
to
make
sure
that,
across
the
board,
we're
serving
serving
people
equitably
with,
with
a
with
a
sense
of
urgency
and
priority.
You
mentioned
food,
security
and
and
and
and
what
nonprofits
are
seeing.
I
think
that's
a
good
example
as
well.
E
I
think
we,
I
think
we
report
to
the
feds
to
get
the
funding
categorically,
but
but
in
a
family
where
they
may
be
eligible
for
wic
and
snap
and
school
lunch
programs,
we
don't
we
don't
we
don't
do
a
good
job,
always
of
providing
that
complete
picture
to
say
here's
what
a
nevada
family
needs.
We
can
do
the
categorical
reporting.
So
I
see
a
benefit
in
that
as
well
to
drive
our
programs
and
it
may
not
cost
any
more
money.
It
just
may
be
working
more
wisely,
so
it
may
lead
to
to
some.
E
It
may
lead
to
to
me
putting
forward
some
a
future
integration
of
something,
because
the
data
showed
us
that
these
service
programs
need
to
to
be
working
in
a
in
a
combined
effort.
So
I
think
the
top
priority
definitely
funding
requirements
and
reporting
out,
so
we
don't
put
them
at
risk
and
then
I
do
think
that
the
driving
the
program
implementation
I
I'm
gonna
hold.
I'm
gonna
hold
folks
accountable
to
if
the
data
informs
us.
What
are
we
doing
about
it?.
D
And
thank
you
very
much
director,
whitley
and
man.
I'm
sure.
Just
a
closing
comment,
I
mean,
I
think
it's
very
telling
that
there
was
a
a
pilot
analysis
and
I
was
very
happy
to
see
this
in
our
notes,
conducted
and
we'd
always
known
this
in
snap,
but
now
we
actually
have
some
data
that
you
know
folks
with
snap,
are
disproportionately
overweight
and
obese
and
have
the
have
a
prevalence
to
chronic
disease
and
diabetes,
and
that's
why
a
lot
of
the
food
pantries
focus
on
very,
very
healthy
food,
because
people
try
to
stretch
that
dollar.
D
A
Thank
you,
assemblywoman
carlton,
senator
key
keffer.
You
have
a
question.
C
C
It's
going
to
offer
opportunities
for
them
to
collaborate
and
work
together
and
share
ideas
in
new
ways,
and
I
think
I
think
you're
likely
to
get
a
lot
of
really
interesting
work
products.
Coming
back
to
you.
I
have
a
of
the
27
positions,
though,
and
in
all
of
the
funding.
None.
E
C
Is
coming
out
of
healthcare,
financing
and
policy?
It's
all
coming
from
your
other
agencies.
The
hick
vap
has
obviously
the
largest
contact
with
people
in
the
state
and
they
have
tons
of
data.
What?
Why
is
the
hick
vap
sort
of
carved
out
of
this.
E
For
the
record,
richard
whitley,
I
wouldn't
say
that
they're
carved
out
of
it.
I
think
that
you
know
when
we
do
organizational
changes,
I'm
confident
when
we
I'm
confident
when
we
demonstrated
a
change,
but
you
know
we're
maturing
our
state
medicaid
program.
At
the
same
time,
there
will
be
work
collaboratively
between
the
two
two
programs,
but
it's
not
a
change.
I
mean.
Maybe
this
is
incremental
policy
making
that
I
certainly
don't
want
to
actually
indicate
like
this.
E
This
box
is
now
established
and
not
you
know
we
won't
do
anything
more,
there's,
certainly
things
that
will
come
along,
but
at
the
same
time
I
don't
want
to
scoop
up.
You
know,
go
through
a
budget
and
just
identify.
Well,
you
have
a
touch
point
to
data,
so
we
did
this
very
thoughtfully
in
terms
of
engagement
with
the
program
much
to
assembly
woman
carleton's
point
about
prioritizing.
E
You
know
there
are
some
programs
that
are
just
really
data
focused
and
so
how
do?
How
how
to
work
those
together?
They,
we
certainly
have
been
working
medicaid
with
the
biostatistician
and
again
the
authority
from
my
office.
I
think
that
is
is
helpful.
I
mean
not
to
just
bear
our
underbelly
of
an
agency,
but
you
know
getting
the
state
biostatistician
just
to
get
access
to
databases
in
our
own
department.
E
In
order
to
do
matching
was
originally
a
challenge,
and
so
that's
there
may
be
future
opportunities.
I
think
to
look
even
at
looking
at
federal
match
for
for
enhancement
of
data,
but
in
all
sincerity,
this
is
what
I'm
comfortable
with
with
not
taking
on
more
than
we
could
accomplish
at
this
time.
C
Okay,
I
appreciate
that
that's
fair,
then.
The
other
question
that
I
have
is
related
to
how
you're
going
to
be
able
to
add
some
accurately
fun
map
this
work
to
ensure
that
time
is
built
to
the
correct
funding
sources.
C
It's
only
25
general
funded,
and
I
know
a
lot
of
these.
These
positions
probably
have
a
lot
of
restrictions
on
what
they
can
do,
based
on
their
funding
source
feel
confident
that
bringing
them
all
into
one
place
is
gonna.
Allow
you
to
continue
to
monitor
that
and
ensure
that
we're
compliance
with
those
restrictions.
E
Yes
again
for
the
record,
richard
whitley,
we
are
required
to
do
that,
and
so
it
is
it's
time
it's
tied
to
actually
the
employee's
time
sheet,
and
it
is
we
do
mo.
We
have
you
know:
we've
had
programs
before
in
the
past
that
needed
to
make
improvements
in
that
area.
That
is,
you
know.
That
is
one
area
where
the
the
actual
time
and
effort
is
monitored
and
will
continue
to
be
when
it,
when
it's
in
a
single
budget
that
won't
change.
F
F
What
we
wanted
to
spend
this
money
on
so
hopefully
we'll
be
able
to
use
this
department
now
to
probably
collect
some
of
the
really
important
outcome
data
because
we
know-
and
we've
identified
that
rarely
does
a
person
need
just
one
service
they
need
if
they're
on
medicaid
they
may
need
tanf,
they
may
need
some
other
services,
so
hopefully
we'll
be
able
to
tie
some
of
that
together.
F
My
question
for
you
is:
if
we're
getting
all
this
data,
specifically
maybe
people
who
may
sign
up
for
medicaid
who
might
sign
up
for
hanoff
will
we
be
able
to
identify,
perhaps
are
they
underemployed?
Well,
we
have
some
of
that
information
because
one
of
my
concerns
and
one
of
the
questions
have
been-
we
have
many
companies
here
in
nevada
that
have
gotten
some
tax
rebates.
F
I've
gotten
some
assistance
from
our
state,
but,
but
I
have
people
reaching
out
to
me-
concerns
that
those
your
employees,
our
employers,
have
a
lot
of
employees
that
use
medicaid,
and
so
one
of
will
we
be
able
to
collect
that
kind
of
information,
because
I
think
it's
not
just
about
outcomes
it's
about
who
are
we
as
a
state
providing
medicaid
to
and
are
they
as
we
use
the
term
underemployed
now
and
did
indeed
that
company
get
some
big
tax
rebates
or
cuts
or
assistance
from
the
state
of
nevada?
F
E
For
the
record,
richard
whitley,
absolutely
in
fact
you
can
see
it
now
on
our
website.
Caira
morgan,
the
state
biostatistician,
does
do
a
report
on
medicaid
enrollment
by
employers
and
I'll.
Just
give
you
an
example.
The
the
state
of
nevada
is
in
the
top
10..
My
department
is
ranks
the
highest
among
people.
What
am
I
doing
about
it?
Well,
one
thing
that
we've
taken
on
internally
is
where
like,
where
are
those
they're,
primarily
single
moms,
who
who
qualify
for
medicaid?
But
how
do
we
create
career
paths?
E
E
You
know
because
I
like,
if
I
can't
model
the
behavior,
what
business
do
I
have
of
asking
walmart
or
an
organization
walmart
being
the
number
one
employer
of
people
on
on
medicaid,
but
if,
if
I
can't
show
a
pipeline
of
how
someone
can
get
out
of
poverty
by
advancing
in
state
service,
I
I
really
I've
got
work
to
do
internally,
so
we
are
doing
that
and
we
are
reaching
out
to
our
with
our
welfare
eligibility
workers
to
be
able
to
to
really
change
a
mindset
that
you
know
and
and
working
in
partnership
with
workforce
connections,
particularly
in
las
vegas,
that
helping
people
to
just
secure
a
job.
E
If
I
mean
you
can
do
the
math,
if
they,
if
they're
a
family
of
three
or
four
and
the
income
is,
is
static,
what
their
level
of
poverty
is
and
if
there's
no
opportunity
for
promotion
and
making
you
know
an
increased
salary,
they're
locked,
and
so
how
do
we
help?
Folks?
Maybe
walmart
is
a
launching
pad
to
another
job,
but
to
be
to
work
more
strategically.
E
If,
if
we
see
that
that
people
have
underlying,
as
assembly
woman
carlton
mentioned
the
matching
of
medicaid
and
snap
data
and
identifying
a
high
prevalence
of
diabetes
among
snap
recipients,
who
are
also
on
medicaid,
we
can
also
do
that
matching
with
data
to
be
able
to
identify,
not
identify
at
a
personal
level
but
identify
programmatically.
E
What
sort
of
assistance
people
need
to
actually
move
the
dial?
So
I'm
most
excited
about
this
area
in
terms
of
looking
at
the
underlying
poverty
that
maybe
is
holding
people
back,
I
mean
many
people
say:
poverty
is
a
determinant
of
health
as
well,
and
so
helping
people
to
get
out
of
poverty.
I
think,
is
a
part
of
of
of
what
we
need
to
do
when
you
mentioned
like
dieter.
You
know
I
up
up.
E
Until
I
mean
it
was
nice
having
elise
from
our
department
go
over
as
the
director,
because
we
now
are
sharing
data
and
we
are
able
to
get
more
information
to
be
able
to
to
better
understand.
Like
are
we
serving
these
individuals
and
how
can
we?
How
can
we
work
collaboratively
to
help
them
move
out
of
poverty,
and
so
I'm
most
excited
about
this
area,
because
we
could
change
people's
lives
really
by
maybe
not
new
funding,
but
really
just
working
together.
More
wisely.
F
Thank
you
for
that,
sir,
and
if
I
might
just
a
comment,
madam
chair,
I
think
it
it
brings
us
to
this
next
budget
item
because
and
we'll
get
that,
obviously,
when
we
get
there,
but
but
I
think
recognizing
who
maybe
doesn't
need
medicaid
and
maybe
some
moving
that
over
to
the
silver
state
exchange
and
some
of
those
issues.
F
I
think
we
can
use
this
this
data
to
make
sure
we
can
identify
what
the
solutions
are,
and
so
I
think
that
that's
just
you
know
it's
all
well
and
good
if
we
have
all
this
information,
but
if
we
don't
have
a
solution,
it's
just
it's
just
there
right,
so
it
sits
on
a
piece
of
paper.
So
thank
you
for
what
you're
doing
and
thank
you
for
the
question.
Madam
chair.
A
E
Great
thank
you
again
for
the
record
richard
whitley,
so
the
final
budget
account
3204
is
the
office
of
consumer
health
assistance
and
on
slide
17.
E
You
can
see
that
this
this
budget
account
assists
nevada
consumers
to
understand
and
navigate
really
the
complex
healthcare
system
it
provides,
and
they
do
that
with
not
only
the
payers,
but
with
the
providers
and
also
with
assisting
with
access
to
services.
They
respond
and
investigate
complaints
related
to
health
care
plans
and
policies,
and
they
assist
consumers
with
billing
disputes,
particularly
between
the
patient
and
the
hospital.
E
Turning
to
slide
18,
the
office
of
consumer
assistance
is
primarily
funded
on
on
based
on
time
tracking
to
end
the
appropriate
charges
are
made
to
the
to
the
appropriate
funding
sources
and,
as
discussed
previously
in
the
presentation,
e
900
transfers
the
office
of
minority
health
to
the
director's
office,
allowing
this
account
then
to
be
available
to
to
be
transferred
e903
and
to
an
e904
request.
E
D
Yes,
man,
I'm
sure
if
I
may
go
ahead,
I
simply
won't
call.
Thank
you
so
much
and
I
my
overarching
question
earlier
to
get
that
on
the
record,
so
everybody
was
comfortable
with
it
with
the
other
moving
pieces
of
this.
I'm
not
sure
if
this
is
the
appropriate
spot
to
ask
this
question,
but
under
the
the
details
that
I
have
and
the
conversations
that
we've
had
with
this,
the
and
everyone
knows
how
interested
I
am
in
the
patient
protection
commission.
D
So
it's
not
a
secret,
I'm
just
wondering
about
how
that
will
and
if
it's
not
the
appropriate
spot.
I
understand,
but
I
believe
that's
going
to
be
located
here
also
and
director
whitley,
you
and
I
have
talked
about
this
one
a
a
couple
of
times,
and
I
think
you
know
how
I,
how
important
that
this
is
how
high
level
this
is
going
back
to.
If
we
don't
understand
where
healthcare
really
is
in
this
state,
it
will
be
hard
to
decide
where
we
need
to
go
in
the
future
with
it.
E
For
the
record,
richard
whitley
of
it
is
most
appropriate
for
aging
and
disability
and
I'll
participate
in
the
discussion
with
deana
schmidt
on
that.
That's
where
that
it's
not
actually
in
this
budget,
but
you
know
I
can.
E
I
can
talk
about
whatever
you
want
me
to
talk
about,
but
it
really
would
be
most
appropriate
that
that's
the
action,
but
I
think
what
you're
getting
at
is
the
action
that
I'm
taking
from
this
budget
account
builds
a
framework
on
which
it's
proposed
that
patient
protection
commission
resides,
and
so,
if
I'm
understanding,
then
you
know
your
your
line
of
questions.
D
And
thank
you
director.
If
it's
another
time,
it's
more
appropriate,
that's
perfectly
fine!
I
I
just
wanted
to
make
sure
I
don't
want
it
to
get
lost.
I
think
it's
very
important
that
the
state
keep
having
these
high-level
conversations
about
what
the
status
of
health
care
is
in
this
state
so
and
addressing
issues
that
impact
patients.
Yes,.
E
If,
if
I
may,
I
I
think
what
I'm
trying,
what
we're
trying
to
do-
maybe
maybe
this
is
maybe
it's
helpful
in
that.
I
think
the
changes
in
this
budget
account
in
the
recommendation
to
to
move
these
components
to
aging
and
disability,
provide
really
the
the
framework
which
I
think
the
discussion
about
the
appropriateness
of
the
patient
protection
commission
and
how
it
relates
would
be
a
natural
next
conversation,
but
the
and-
and
you
know
I'm
careful
about-
I
don't
about
making
a
change
in
something
because
there's
always
unintended
consequences.
E
Rarely
do
we
have
opportunity,
even
with
a
grant,
we
get
a
new
program.
Where
should
it
reside?
Well,
we
haven't
had
it
before.
You
know,
I'm
going
to
make
my
best
assessment
and
we're
going
to
work
together
to
to
to
try
to
implement
it
during
the
past
year
during
the
pandemic,
we
have
had
to
work
these
programs,
these
programs,
not
patient
protection,
but
these
categorical
programs
together
to
respond
to
consumers
and
as
as
most
people
know,
the
the
the
health
healthcare
system
is
complex
from
payer
to
provider
to
the
consumer
experience.
E
Sometimes,
sometimes
things
do
go
wrong.
Sometimes
they
don't
and
it's
a
matter
of
helping
people
understand,
doesn't
matter
if
you're,
the
consumer
and
you
have
the
experience,
so
we
have
actually
been
integrating
have
integrated
just
to
be
responsive.
E
You
know
to
to
the
pandemic
primarily
with
the
nevadans
who
are
elderly,
frail
who,
who
we've
asked
to
stay
home?
How
do
we
help
them
navigate
their
healthcare
system,
and
so
one
of
the
things
that
we've
identified
are
some
efficiencies
and
the
other
is
just
responding
to
consumers,
so
they
don't
have
to
get
in
multiple
lines
to
be
helped.
We
do
it
with
information,
that's
2-1-1!
E
We
do
it
with
information.
If
the
information
you
know
sometimes
there's
criticism
from
from
the
counties
that
2-1-1
isn't
as
current
as
it
needs
to
be
well
tying
it
to
the
consumer
experience
in
a
more
direct
way,
I
think
will
only
enhance
it,
because
information
is
the
first.
If
we
can
solve
a
problem
early
with
information
by
informing
people
of
what
their
rights
are,
what
what
the
process
is
for
appeal,
all
of
those
things
with
information
we
can
maybe
prevent
them
from
having
a
bad
outcome
or
an
experience.
E
The
second
thing
that
we
do
on
that
continuum,
though,
is
help
clients
navigate,
and
we
do
that
with
the
office
of
consumer
health.
How
to
move
about
in
the
system
and
understand
like
your,
your
health
policy
what's
covered,
what's
not
covered
if
you're
underinsured,
what
that
means
for
you,
so
helping
consumers
navigate
the
system
again
on
a
continuum
from
information
to
navigation.
E
The
third
thing
that
we
saw
is
that
sometimes
we
do
have
to
intervene
with
adult
protective
services.
The
goal
would
be
to
prevent
the
intervention
whenever
possible.
How
to
do.
That,
though,
is
to
work
across
a
continuum
and
these
programs,
although,
although
they
all
exist,
they
exist
in
a
scattered
way,
and
so
that's
really.
The
intention
here
is
to
to
integrate
across
a
continuum
and
in
more
real
time,
be
able
to
to
upload
information
into
2-1-1.
E
If
we're
seeing
a
particular
misunderstanding
about
a
service
that
it's
tied
directly
to
the
consumer
experience,
you
know
one
of
the
things
that
happened
when
we
expanded
medicaid,
we
didn't
hit
a
reset
organizationally
on
how
we
function
and
what
we're
seeing
is
this
health
literacy
piece,
consumers,
understanding
their
health
status
and
how
to
navigate
the
health
care
system
is
only
becoming
more
central
to
everything,
even
on
the
data
side
in
terms
of
their
own
health,
it's
how
it's,
how
to
to
help
them
navigate
the
system,
inform
them,
navigate
and
then
intervene
when
possible.
E
E
I
think
the
separate
conversation
is
the
one
about
patient
protection
and
what
world
policy
plays.
You
know
related
to
that
overall,
consumer
experience.
D
A
Thank
you
assemblywoman
and
directorately.
We
we
do
love
your
passion
for
this
matter.
We
have
assemblywoman
titus
and
then
senator
keith
kepper.
F
Thank
you,
madam
chair
and
again
director
whitley.
Thank
you
under
the
the
details
under
this
particular
budget
item.
One
and
the
rationale
for
it
is
that
it
will
streamline
kind
of
access
to
appropriate
level
services,
and
we
know
that
the
201
program
is
as
intended
to
have
more
information
and
really
the
term
that's
been
floated
out
there
for
many
years
is
no
wrong
door,
so
that,
when
somebody
picks
up
that
211
and
or
dials
211
folks
will
get
directed
to
the
appropriate
services
so
again
that
no
wrong
door
theory.
F
One
of
the
concerns
I
have
is,
though,
under
the
justification
is
that
it's
going
to
streamline
access
to
appropriate
level
services
access
is
different
than
referral,
and
so
one
of
my
concerns
is
where,
where
is
this
actually
going
as
far
as
access
to
care,
because
we
throw
terms
around
a
lot
and
really
will
and
and
that's
where,
the
this
this
data
is
going
to
come
in,
I'm
going
to
want
to
see
the
data
that
truly
people
didn't
just
dial,
21
and
say
well,
yeah,
that's
this
department
will
we'll
send
you
to
that.
F
We'll
refer
you
to
that.
Did
they
actually
get
the
services
that
that
person
needed
at
that
time?
So,
hopefully,
by
kind
of
consolidating
all
this
we'll
be
able
to
see
that
outcome
data
to
make
sure
that
indeed
it
did
strut
streamline
access?
So
how
do
you
think
it's
going
to
actually
improve
access.
E
For
the
record
richard
willi,
I
mean
I
don't
like,
I
would
encourage
anyone
to
call
2-1-1.
I
I
I've
called
it
before
just
because
I
you
know,
I'm
appropriately
cynical,
when
someone
tells
me
something
works
like
did.
Does
everyone
have
that
same
experience,
and
so
I've
called
it
before
to
ask
like
what?
How
would
you
refer
me
for
for
a
service?
One
feature
that
it
does
have.
It
has
a
callback
to
see
if
you
actually
made
your
appointment,
so
I'd
be
happy
to
share
with
you
the
data
from
from
2-1-1.
E
I
I
think
it
has
a
lot
of
feature.
It
isn't
just
a
a
referral
line
to
say:
okay.
Well,
I
move
you
know
inbox
outbox.
I
move
this
person
along
the
key
nuance
to
it,
though
I
think
where
we
can
do
better
is
the
closer
it
is
to
where
consumers
have
experience
and
and
that
we
are
seeing
because
again,
I
think
I
think
if
you
just
look
at
maybe
I'm
being
again,
hopefully
I'm
not
being
too
shrill
about
this-
I
I
am
passionate,
but
I'm
trying
to
like
mother
and
not
go
overboard.
E
I
I
think
that
I
think
that
you
have
to
look
at
information
on
a
continuum
and
that
this
is
a
service
component.
I
mean
again,
as
I
said,
with
tobacco
knowledge,
doesn't
change
behavior,
so
sometimes
people
have
to
have
that
follow-up
or
like
because
what,
if
the
service
is
available,
but
transportation
isn't
available.
You
know,
I
know,
for
food
security
that
we
provide
snap
ebt
cards
in
las
vegas,
but
there
are
food
deserts
in
las
vegas,
so
that's
great.
E
They
have
a
card,
but
if
there's
no
grocery
store-
or
it's
only
a
high-priced
liquor
store
with
a
few
groceries
in
it
that
takes
ebt.
That's
not
helpful
to
people,
so
the
intention
would
be
to
be
nuanced
in
terms
of
what
was
the
consumer
experience
and
that
is
collected
with
2-1-1
in
terms
of
follow-up
and
and
I'd
be
happy
to.
I
really
would
do
the
program
more
justice
to
provide
the
the
information
to
you.
F
Great
follow-up
manager
go
ahead,
senator
you
know,
there's
different
responses
in
the
211,
depending
on
your
location,
unfortunately,
and
it's
not
updated
as
as
frequently
as
I
think
it
should
be,
and
when
we
dial
211,
if
we're
located
in
rural
nevada
in
the
hinterland
versus
what
happens
if
you're
down
in
medically
deprived
and
urban
center,
what
their
experience
of
211
is
and
so
it'd
be
good
to
see
some
of
those,
I
think
really
focusing
on
updating
what
211
means
where
and-
and
I
think,
because
there's
different
interpretations
of
that,
but
with
that.
F
Thank
you.
Thank
you
for
that.
I'd
love
to
see
some
of
the
outcomes
on
that
and
good
to
hear
that
you
do
have
a
follow-up
on
calling
and
making
sure
that
they
got
that
appropriate
appointment.
Because,
again,
as
you
mentioned,
we
can
do
all
we
want.
It
doesn't
always
change
behavior,
nor
if
they
don't
have
a
car
to
get
there
or
some
way
none
of
this
works
together.
It's
all
just,
as
you
said,
mentioned
the
word
silos
before
I'm
afraid
it
continues
to
be
just
in
some
style
of
somewhere.
A
Thank
you
simply,
woman
titus
and
those
questions
are
that
you
were
referring
to,
may
be
better
addressed
when
we
hear
from
adsd
as
we
move
forward
in
our
subcommittee
hearings.
So
I
will
thank
you
for
that,
and
I
will
move
on
to
our
last
question
for
this
budget
item
and
that
will
be
senator
keith
keffer.
C
Hey
man,
I'm
sure
I
appreciate
the
indulgence.
I
know
another
michael
out
today,
and
you
know
this
might
be
a
question
that
if
the
director
wants
to
punt
to
the
adsd
presentation,
that
would
be
fine,
but
I
think
I
understand
director
what
you're
trying
to
do
and
I
think
it
makes
sense-
I'm
just
not
convinced
that
adsd
is
the
right
house
to
put
this
in.
This
is
an
agency.
C
That's
focused
on
serving
two
specific
populations,
really
that
have
been
long,
underserved
and
ignored,
and
I
worry
about
diluting
their
mission
with
programs
that
expand
outside
of
those
population
bases.
I
think
gentleman
carlton
mentioned
you
know
the
patient
protection
commission.
This
is
a
broad
sort
of
overarching
commission
that
has
broad
duties.
Two
on
one
is
the
same.
Maybe
you
know
the
health
care
navigators
might
fit
into
that
category
as
well,
and
I
just
wonder
if
adsd
is
the
right
place
for
it
is.
C
Is
there
a
reason
that
this
is
the
agency?
You
chose
versus
another
one,
and
why
should
I
not
be
worried
about
diluting
them.
E
For
the
record,
richard
whitley,
I
think
it's
because
they
operate
in
this
space
and,
yes,
they
have
probably
the
most
focus
with
the
populations.
They
serve.
People
living
with
disabilities
and
people
who
are
elderly,
but
they
also
expanded
adult
protective
services.
And
we,
you
know
we
don't
invest
a
lot
of
money
in
general
fund
anyway,
in
in
in
supporting
some
of
the
population
based
or
public
health
approaches
to
service,
and
so
sometimes
you'll
see
in
our
department
we're
doing
the
best
we
can
with
just
coordinating
services.
E
And
so
that's
the
effort
here
really
is
they're
the
best
agency,
because
they
already
have
the
consumer
as
their
centerpiece,
and
you
know
that
that
building
off
that
they
did
expand
adult
protective
services.
E
I
think
we,
I
think
we
have
to
do
better
in
that
area,
and
I
do
believe
that
they're
the
best
agency
for
that
their
title
may
not
reflect
it.
Just
like
I
said
previously
that
you
know
the
term
welfare
is
a
stigma
for
some
particularly
elderly
folks
to
access
food
security,
so
their
title,
but
I
mean
the
service
is
far
much
greater
than
the
title
of
the
agency
and
they
do
serve
more
than
those
two
populations,
like
I
said,
with
the
expansion
of
of
adult
protective
services,
it's
a
hub.
E
You
know
if,
if,
if,
if,
if
it
doesn't
belong
there,
the
the
work
itself,
it's
the
only
place
that
I
have
in
this
department
that
really
is
central
to
to
that
functional
role,
so
that
that's
the
logic
on
it
and
they've
demonstrated
it
taking
that
on
during
during
this
past
year,
with
with
with
efforts
with
consumers
and
their
need
for
information,
navigation
and
and
frankly,
intervention,
I
think
the
the
the
role
they
play
with
with
like
when
somebody
needs
a
a.
E
I
don't
know
like
what
we've
seen
a
lot
of
challenges
in
facilities
like
hospitals
and
people
waiting
for
discharge
and
with
the
capacity
increasing
and
the
need
for
a
swift
discharge.
They've
played
a
key
role
in
assessing
and
knowing
where
the
needs.
You
know
what
what
the
consumer
needs
are
and
getting
them
placed.
I
I
think
their
role
has
expanded
beyond
the
title
of
their
agency,
and
I
I
do
believe
this
is
the
appropriate
placement
for
the
consumer
services
that
we
have.
E
C
A
Thank
you,
senator
keith
kepper,
and
thank
you
to
director
whitley
and
your
staff
for
the
presentation
today
and
the
members
on
the
subcommittee
for
your
very
important
questions
as
we
went
through
each
budget
item
that
will
bring
us
to
the
last
item
on
our
agenda
today,
and
that
is
public
comment.
So
if
there's
anyone
out
there,
that's
been
going
along
with
us
online
for
today's
hearings
and
you
have
questions
I'd
like
to
let
you
know
you
can
register
online
to
speak
to
the
committee
by
phone
or
you
can
submit
your
questions
in
writing.
A
A
C
C
G
My
name
is
nancy
bowen
n-a-n-c-y-c-o-w-e-n
good
morning,
chairman
munro
moreno,
the
members
of
and
members
of
the
subcommittee.
I
am
nancy
bowen,
ceo
of
the
nevada
primary
care
association.
We
represent
the
state's
eight
community
health
centers,
also
known
as
federally
qualified
health,
centers
or
fqhcs.
G
Our
members
provide
integrated
primary
behavioral
and
dental
health
care,
along
with
family
planning
services
to
more
than
107
000
nevadans
and
more
than
40
clinic
sites.
Statewide
sqhcs
were
created
to
serve
underserved
populations
and
geography
in
2019
88
of
nevada's
sqhc
patients
had
incomes
below
200
of
the
federal
poverty
guidelines.
G
70
were
racial
or
ethnic
minorities,
and
24
percent
were
best
served
in
a
language
other
than
english.
In
some
rural
nevada
communities,
sqhcs
provide
the
only
access
to
healthcare
for
many
miles.
A
full
fifth
of
our
patients
come
from
rural
nevada.
County
sqhcs
are
uniquely
precision
provisioned
to
provide
care
to
patients
left
behind
by
the
traditional
healthcare
delivery
system.
G
They
receive
cost-based
medicaid
reimbursement
and
federal
grants
to
serve
uninsured
patients,
patients.
They
also
offer
a
sliding
fee
discount
scale
and
do
not
turn
away
patients
due
to
inability
to
pay.
Our
health
centers
serve
more
than
42
000
medicaid
patients
and
nearly
31
000
uninsured
patients
in
2019.
G
C
G
This
is
the
third
session
that
the
department
of
health
and
human
services
has
proposed
proposed
an
intestine
investment
into
sqc
in
the
grants
management
unit
budget
that
two
governors
from
different
parties
have
included.
These
proposals
in
their
budget
speaks
to
the
bipartisan
support
that
sqhcs
enjoy
in
nevada
and
across
the
country.
G
I'd
like
to
note
that
the
nevada
primary
care
association
has
worked
closely
with
the
gmu
to
ensure
that
this
investment
increases
access
to
health
center
services
in
the
state's
most
underserved
communities.
We
ask
that
you
continue
to
value
community
health
centers
by
approving
and
supporting
the
federally
federally
qualified
health
center
incubator
project
and
budget
31.95.
A
Thank
you
so
much
members
with
that.
That
brings
us
to
the
end
of
our
agenda.
For
today,
I
like
to
again
thank
our
presenters
and
our
staff,
all
the
work
that
they
are
doing
and
with
all
the
I
t,
issues
at
the
onset
of
this
meeting.
Thank
you.
Thank
you.
Thank
you
for
getting
us
all
on.
Our
next
joint
meeting
will
be
on
february
10th
and
it
will
be
chaired
by
senator
ratty,
and
I
look
forward
to
seeing
you
all
then.
This
meeting
today
is
adjourned.