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A
Welcome
to
assembly
Health
and
Human
Services,
and
we
are
meeting
early
and
I
appreciate
everybody
be
accommodating
the
earlier
schedule,
so
we
can
try
and
get
folks
home
before
this
weather
strikes.
We
are
getting
into
crunch
time
with
with
member
bills,
so
we're
trying
to
move
things
quickly
and
efficiently
and
I
appreciate
everybody
who's
willing
to
be
here
today.
Well,
the
secretary:
please
call
the
roll.
A
And
I
am
here
and
please
mark
other
folks
in
attendance
when
they
arrive
a
couple
of
housekeeping
items.
Just
please
remember
to
turn
off
your
the
sound
on
your
computers
and
phones.
So
we're
not
interrupting
speakers.
Members
of
the
public
May
provide
testimony
in
a
variety
of
ways,
all
of
which
are
listed
on
the
agenda.
A
You
may
also
submit
public
comment
in
writing
either
in
addition
to
testimony
or
in
lieu
thereof
and
written
public
testimony
may
be
submitted
before
during
or
up
to
24
hours
after
the
meeting's
adjournment.
If
you
wish
to
test
them
for
and
testify
in
person,
please
sign
in
at
the
table
by
the
door
and
leave
your
business
card,
so
we
get
an
appropriate
record
of
your
name.
If
you
do
not
testify,
you
may
also
want
to
sign
in
so
that
we
have
your
contact
information.
A
If
you
are
interested
in
these
particular
items
to
ensure
an
orderly
flow
of
discussion,
all
comments,
questions
and
responses
must
go
through
me.
I
appreciate
it
committee
members
waiting
to
be
recognized
by
me
before
you
can
speak
additionally,
I
ask
our
presenters
on
Zoom
to
leave
your
cameras
off
and
microphones
muted
until
it's
your
turn
and
or
I
present
sorry
or
I
direct
a
question
to
you
when
testifying
in
person.
Please
turn
the
microphone
on
to
speak
and
off
to
listen.
So
we
avoid
any
Reverb
with
that.
We'll
move
on
to
our
agenda.
A
We
are
taking
the
bills
out
of
order
today,
I'm
going
to
go
ahead
and
open
the
hearing
on
assembly,
Bill
178,
which
revises
Provisions
governing
Emergency
Medical
Services,
or
invite
the
presenters
to
come
up
to
the
table.
Do
you
I?
Don't
believe
you
have
anyone
on
Zoom,
but
just
want
to
check
good
great,
please
remember
to
state
your
name
for
the
record.
You
may
proceed
when
you're
ready.
C
My
introductions
this
morning
say
good
afternoon,
chair
Peters,
the
members
of
the
committee,
so
I'll
fix
it
good
morning
and
thank
you,
chair
Peters
I
like
getting
this
out
of
the
way
that
isn't
exactly
what
I
meant,
but,
but
it
is
Friday
and
anyway
for
the
record.
I'm
assemblyman
Burger
I
represent
the
vast
Open
Spaces
of
Assembly
District
33.,
which,
according
to
Legal
the
other
day,
is
somewhere
north
of
50
000
square
miles.
C
I
want
to
thank
you
for
the
opportunity
to
present
AB
7178
I
introduce
this
bill.
After
hearing
from
my
constituent,
Medix
Air
1
and
the
administrative
burden
of
renewing
excuse
me
annual
license
has
on
the
organization
simply
put
ab-178
changes
the
requirement
that
operators
of
ambulances,
air
ambulances
or
vehicles
of
firefighting
agencies
renew
their
state
license
from
every
year
to
every
five
years.
I
have
not
been
contacted
by
anyone
that
opposes
this
bill.
C
D
Good
morning
my
name
is
Jacob
dahlster
I'm,
the
EMS
director
with
MedEx
air,
one
and
I
wanted
to
thank
chairwoman
Peters
for
allowing
us
to
testify
here
today
and
other
members
of
the
committee.
So
Medics
are
one-
is
a
ground
and
air
ambulance
provider,
primarily
in
Northern
Nevada.
We
have
our
beginnings
started
in
2015
at
in
Winnemucca.
D
At
HGH
we
partnered
with
that
hospital
place
a
helicopter
there
and
then
in
2016
we
placed
a
helicopter
in
Elko
and
then
expanded
in
2019
into
Ely,
and
then
in
2019
we
started
providing
ground
services
in
Elko
and
then
today
we
have
we're
an
Intermountain
company,
so
Intermountain
Healthcare
out
of
Salt
Lake,
purchased
our
company.
We
are
an
Intermountain
Healthcare
company.
We
have
five
air
assets
and
five
ground
ambulances
throughout
Northern
Nevada
our
service
area.
We
cover
Elko
County,
Eureka,
County,
Humboldt,
County,
Lander,
County,
Pershing,
County
and
White
Pine
County.
D
So
our
current
process
is,
we
have
to
get
licensed
by
the
state
EMS
office
every
year,
and
what
that
means
is
the
state
EMS
office
will
send
Representatives
out
to
our
our
organization
and
they
will
go
through
our
ground.
Ambulances
they'll
go
through
our
air
assets
and
then
make
sure
our
program
as
a
whole
is
is
meeting
the
requirements.
D
We've
been
talking
with
some
of
our
neighbors
and
we
have
support.
We
have
not
talked
to
any
fire
department
or
EMS
agency
that
opposes
this
bill.
We've
been
in
contact
with
Linda
bingaman
she's,
the
fire
chief
for
Carlin
fire
they're,
supportive
they're,
a
smaller
volunteer
agency
within
Elko
County
Chris
McCann
he's
the
EMS
director
for
Elko
County,
EMS,
he's
supportive
and
and
Mike
Harris
is
the
EMS
director
out
in
Lander
County
he's
also
supportive.
E
Thank
you,
madam
chair
members
of
the
committee,
for
the
record.
My
name
is
Tom
Clark
here
on
behalf
of
Medicare.
One
I
want
to
thank
assemblyman
ger
for
bringing
forward
this
piece
of
legislation,
and
since
it's
Friday
I
can
tell
a
fun
story.
When
Mr
Griff
first
came
to
my
office
in
Reno
as
a
candidate,
we
were
sitting
across
the
table
from
each
other
and
I
was
telling
him
about
my
Elko
roots,
and
he
looked
at
me
and
said:
you're
lucky,
Clerk's
kid
and
I
said
yes.
E
I
am
and
turns
out
Mr
Gurren
my
dad
went
to
high
school
together.
So
there's
a
you
know,
Nevada
is
a
small
town.
It
just
reiterates
that
all
the
time
and
he's
been
telling
me
great
stories
that
my
dad
would
never
tell
me
so
that's
fantastic.
My
job
today
is
to
walk
you
quickly
through
the
bill
and
the
amendment
that
we
will
present.
The
meat
of
the
bill
is
in
section
one
sub
six.
E
It's
line
28
on
page
two:
all
permits
expire,
we're
removing
the
July
1st
deadline
five
years
following
the
date
of
issue
and
a
renewable
each
fifth
year
thereafter
the
amendment
that
is
up
on
Nellis
and
that
we
propose
today
changes
that
from
five
years
to
two.
That
really
is
an
outcome
of
the
feedback
and
having
conversations
with
other
stakeholders.
Five
years
seem
too
many.
E
We
settled
on
too
because
doing
this
initially
every
other
year
process,
I
think
will
will
put
the
providers
in
a
really
good
space
section:
seven
subset
Sub
sub
seven
of
section.
One
basically
states
that
if
there
is
a
change
of
ownership
or
operator
within
the
system,
they
notify
EMS
stadiums
within
90
days.
E
One
of
the
questions
that
I
did
receive
from
Clark
County
is
that
just
to
clarify
for
the
record
that
that's
intended
mostly
for
the
private
carriers,
if
you're
a
Fire
Department
volunteer
fire
department,
a
state
agency
that
gets
this
license,
you
won't
need
to
send
a
notice
to
State
EMS
every
time.
There's
an
election
every
time,
there's
a
new
Chief.
Every
time.
There's
you
know
some
new
quote-unquote
operator
of
that
system.
E
The
way
that
we
envisioned
this
working
and
I
did
not
provide
in
the
amendment
and
I
will
clarify
it,
because
the
last
line
35
still
says
five
years.
I
didn't
put
that
in
the
amendment.
That
should
be
changed.
It
too.
So
the
intent
here
is
that
Medicare,
one
and
others
they'll
renew
this
July
July
1st.
That
renewal
will
be
for
one
year,
even
if
this
bill
passes
and
then
in
2024,
when
they
renew
it
will
be
for
the
two
years.
So
it's
not
a
you
know
immediately.
E
If
this
bill
passes
or
when
this
bill
passes,
it's
not
a
at
the
time
of
Passage,
it
simply
States
we're
not
going
to
disrupt
the
state
EMS
office
right
out
of
the
gate.
Let's
do
our
renewals
we'll
come
back
in
12
months
renew
again
and
when
that
renewal
occurs,
that
will
be
for
the
period
of
two
years,
so
I
think
that
will
make
some
changes
to
the
fiscal
note
and
the
impact
that
it
has
on
the
state
EMS
office.
E
I
will
tell
you
that
Mr
dalstra
did
have
a
conversation
with
the
chief
investigator,
the
the
person
that
he
works
closely
with
with
stadiums.
You
know
we
didn't
want
them
to
have
any
surprises
with
this
particular
piece
of
legislation
either,
so
that
pretty
much
outlines
the
feedback
that
I've
received
on
the
legislation.
The
amendment
is
there
and
all
of
us
would
be
open
to
answering
any
questions
Madam
chair
if
they
are
Ernie.
A
Thank
you
so
much
for
the
presentation
and
for
that
amendment
I,
believe
everybody
has
a
copy
of
that
in
the
because
we've
been
having
internet
issues,
I've
had
to
walk
back
my
preference
to
not
print
materials
for
everybody.
We
have
these
binders
provided
by
staff
that
have
all
the
documents
exhibits
that
we
would
find
online
for
you
just
in
case.
We
lose
that
internet.
But
the
amendment
is
in
here.
We've
made
a
note
to
update
that
section.
If
you
could
provide
just
a
an
email
to
staff
that
confirms
that
you'd
like
to
amend
section
two.
F
Thank
you,
madam
chair,
and
to
to
my
colleague
and
those
who
are
here.
Thank
you
for
bringing
this
forward
just
Clarity
and
it's
it's
in
the
amendment.
But
I've
just
had
an
opportunity
to
read
it
now
due
to
aforementioned
internet
issues.
So
we're
changing
it
from
five
years
to
two
years
and
that's
pretty
that's
basically
in
the
nutshell,
what
we're
doing
with
that
Amendment
and
it
starts
not
when
they
renew
in
2023,
but
when
they
renew
in
2024.
A
G
Thank
you,
gentlemen,
and
assemblyman
ger
for
bringing
this
forward.
This
has
been
a
regular
issue
in
our
community
and
I've
talked
to
my
fire
chief
on
it
and
the
other
agencies
and
I
I
appreciate
you
guys
rolling
it
back.
I
kind
of
I.
Think
three
years
for
me
would
have
been
The,
Sweet,
Spot
and,
and
it
does
not
only
does
it
reduce
the
burden
on
agencies
and
you
guys
as
well,
but
also
reduces
the
burden
on
the
state,
reduces
cost.
G
In
the
long
run,
I
mean
annually
is
kind
of
I
think
it's
just
an
arbitrary
period.
They
picked
it
at
one
point,
but
I
know:
we've
had
inspectors
show
up
and
for
one
reason
or
another,
I
won't
go
to.
They
couldn't
complete
the
inspection,
and
we
now
have
ambulances
that
are
basically
not
permitted
working
the
streets
because
we
don't
have
any
other
any
other
way
to
do.
It
and
they've
been
trying
to
get
it
rescheduled,
but
the
resources
are
so
limited
that
they
can't
get
back
out
to
inspect
that.
G
So
this
was
a
great
one.
I
was
very
honored
to
co-sponsor
with
Bert
and
I'm,
really
hoping
the
the
committee
and
the
the
entire
assembly
sees
the
value
in
this
bill
for
our
public.
Thank
you.
H
Thank
you,
chair,
I,
just
want
to
clarify
that
the
intent
of
this
is
not
to
double
the
fee
every
two
years
or
in
the
original
version
times
it
by
five
every
five
years
corrected,
and
because
it's
not
addressed
in
the
bill
itself,
it
doesn't
change
the
the
fee
or
would
that
be
addressed
in
the
administrative
code.
E
For
the
record,
Tom
Clark
may
I
go
direct
Madam
chair
to
Mr
Hibbetts.
Thank
you
for
the
question.
That
is
exactly
right,
that
there
is
no
increase
in
the
amount
of
fee
that
will
be
collected
every
two
years
versus
every
single
year.
So
when
you
look
at
the
fiscal
note,
there
will
actually
be
a
decrease
in
Revenue
to
the
department
and
going
back
to
Mr
Gray's
question.
E
That
was
one
of
the
reasons
that
we
fell
on
the
two
years
is
so
that
we
didn't
have
such
a
negative
impact
with
all
of
the
I
believe.
There's
68
providers
that
are
licensed
through
the
state
EMS
office
that
we
didn't
have
as
much
of
a
economic
impact
on
them.
Therefore,
yes,
every
two
years,
they'll
pay
the
same
fee
as
if
it
was
for
one
year.
Thank
you.
I
Gonzalez
so
much
Madam,
chair
good.
What
is
it
afternoon
morning
morning?
We
normally
have
this
Committee
in
the
afternoon.
Thank
you
so
much
for
the
presentation.
My
question
is
about
the
maintenance
of
this
equipment
and
the
lifespan.
If
you
could
maybe
go
into
that
a
little
bit.
Thank
you.
So
much.
D
So,
thank
you
for
your
question
for
the
record.
Jacob
dulcer
with
MedEx
Air
One
Madam
chairman
can
I
go
direct
to
miss
Gonzalez.
D
It's
a
good
question
and
it's
a
difficult
question
to
answer.
I
think
every
agency
probably
has
a
different
maintenance
program
for
their
vehicles.
Our
goal
is
to
maintain
our
vehicles,
so
they're
response
ready
when
somebody
dials
9-1-1,
they're,
ready
to
respond
and
I
would
say
that
every
68
agencies
that
are
licensed
with
the
state
of
Nevada
have
share
that
same
common
goal,
but
how
they
maintain
them
or
there's
a
lot
of
variables
to
that.
D
For
instance,
in
in
our
program,
we
do
a
lot
of
long-range
transports,
we're
transporting
patients
from
the
hospital
in
Elko
to
Salt
Lake,
to
Reno
to
Las
Vegas,
and
so
that
puts
a
lot
of
road
miles
on
our
vehicles,
and
so
our
vehicles
may
need
to
be
replaced
sooner
than
a
fire
department
that
just
transports
within
the
city
and
so
and
then
aircraft
are
completely
different,
they're
regulated
by
the
FAA,
and
they
have
required
maintenance
on
so
many
hours
on
the
aircraft,
every
50
hours,
100
hours,
500
hours.
C
Please
assemblyman
almost
100
years
ago,
but
well
maybe
not
I
was
on
a
fire
crew
in
Elko
on
a
BLM
and
we
maintained
our
equipment
every
day.
I
mean
you
didn't
know
where
you
were
going
to
go
when
you
were
going
to
go
so
you
had
to
have
it
Road
ready
fire,
ready
and
I
can't.
Imagine
these
guys
not
doing
that
just
a
condom!
Thank
you.
G
Thank
you,
madam
chair,
as
a
co-sponsor
I'd,
just
kind
of
like
to
add
also
especially
having
an
EMS
background.
The
focus
of
a
big
part
of
this
inspection
is
also
not
so
much
the
maintenance
of
the
vehicles.
It's
the
you
know,
or
the
narc
are
the
narcotics
you
know:
are
they
ready
to
be
used?
Are
they
properly
secured?
Is
all
the
equipment?
You
know
the
life-saving
equipment?
Is
that
ready,
you
know,
make
sure
nothing's
expired.
G
So
that
is
that's
where
it's
really
important
to
the
public,
because
with
maintenance
with
vehicles,
I
can't
tell
you
how
many
ambulances
I've
been
in
that
have
just
died
in
an
intersection.
So
but
it's
the
other,
the
life-saving
stuff.
That's
the
really
important
stuff
so
and
I
think
the
two
years
captures
that
perfectly.
A
Thank
you
for
that
comp.
This
similar
concerns
about
just
making
sure
that
people
were
keeping
track
of
their
stuff.
You
know
it's
it's
as
a
mom
I
have
to
check
that
my
kids
are
cleaning
their
rooms
and
I.
Think
sometimes
regulation
is
a
little
bit
like
that
that
it
keeps
everybody
thinking
about.
What
is
my?
What
is
the
purpose
and
what
is
my
job
and
it
can
get
a
little
chaotic
for
you
guys.
We
know
it's
not
it's
not
the
easy,
an
easy,
peasy
job
out
there.
A
You
guys
have
a
lot
going
on
so
I
I
have
to
agree.
I.
Think
two
years
is
a
is
a
nice
compromise
was
concerned
about
the
five
years.
I
know
we're
not
a
fiscal
committee,
but
I
do
want
to
just
bring
note
to
the
fiscal
note.
I
assume
that
you're
chatting
with
the
agency
on
that
fiscal
note
and
looking
at
with
the
amendment
to
see
how
much
can
be
absorbed
or
what
that
cost
overall
will
be
to
them.
E
Thank
you,
madam
chair
Tom,
Clark
for
the
record.
Absolutely
we
will
work
with
them
to
recognize
and
I
want
to
make
sure
that
they
clearly
understand
the
language
in
section
two
about
the
effective
date
and
how
it's
not
going
to
affect
them
fiscally
this
year
but
next
year,
and
then
the
two-year
impact
instead
of
the
five-year
impact.
So,
yes,
we
will
be
working
with
our
our
friends
and,
while
I
have
the
the
microphone
I.
Just
I
want
to
thank
you
for
being
flexible
on
this
scheduling.
E
This
has
been
a
rough
week
for
everybody
in
the
EMS
industry,
and
so
for
you
to
have
some
you
know
give
on
the
on
the
date
and
the
time
to
do
it
on
Friday,
so
that
we
could,
you
know,
recognize
the
the
folks
that
we
lost
on
Wednesday.
We
very
much
appreciate
that
it
has
had
an
impact
on
EMS
across
the
state.
A
And
we
appreciate
that
comment.
I
wish
that
more
of
us
could
have
made
it
to
that
event,
but
our
hearts
were
there
with
you
all
and
we
did
offer
a
moment
of
silence
to
reflect
on
the
lives
lost,
and
this
and
I
know
I
just
want
to
express
our
appreciation
for
the
work
that
you
all
do
and
First
Responders
are
really
really
out
there
doing
the
work.
Are
there
other
comments,
questions
from
the
committee
before
we
move
on
to
testimony
seeing
none.
Thank
you
so
much
we'll
go
ahead
and
move
into
support.
A
Testimony
on
assembly
Bill
178..
Are
there
folks
in
Carson
City
we're
doing
this
a
little
bit
differently,
I'm
I'm,
no
longer
maintaining
a
rule
about
how
we
do
public
comment.
I
will
have
my
discretion
on
the
number
of
folks
per
meeting
and
how
we'll
manage
those
on
our
time
schedules
today.
I
have
no
two
minute
limit,
but
we
do
ask
that
you
that
you
maintain
a
sense
of
decorum
and
and
politeness
in
testimony.
A
A
A
Thank
you
so
much
we'll
go
ahead
and
move
into
opposition
testimony
on
assembly,
Bill,
178,
we'll
start
in
our
physical
locations
and
then
go
to
the
phones.
Is
there
one
anybody
in
Carson,
City
who'd
like
to
provide
opposition
testimony
on
assembly
Bill
178?
Seeing
none
is
there
anyone
in
Las
Vegas
who
would
like
to
provide
opposition
testimony
on
assembly,
Bill
178,
seeing
none
BPS?
Is
there
anyone
on
the
public
call
online
who
would
like
to
provide
opposition
testimony
on
assembly
bill
178.
J
A
K
Thank
you,
chair
Peters
members
of
the
committee
Bradley
mayor,
representing
Southern
Nevada,
Health,
District
I,
just
informationally,
the
Southern
Nevada
Health
District,
actually
is
an
agency
that
does
regulate
license
EMS
providers
in
southern
Nevada,
but
this
bill
would
have
a
very
minimal
impact
on
our
operations
and
we
just
wanted
to
make
sure
that
you
knew
that
and
that
we
are
neutral.
You
know,
barring
any
other
amendments.
Thank
you.
A
A
All
right,
thank
you.
So
much.
Thank
you.
Is
there
anyone
else
in
neutral
testimony
in
Carson
City
is
anyone
in
Las
Vegas
who
would
like
to
provide
neutral
testimony
on
assembly
bill
178.,
seeing
none
BPS.
Is
there
anyone
on
the
public
call
online
who
would
like
to
provide
neutral
testimony
on
assembly
bill
178.
J
A
Time,
thank
you
so
much
with
that
I'd
like
to
invite
the
bill
sponsor
for
closing
remarks,
he's
waving
his
closing
remarks
and
we'll
go
ahead
and
close
the
hearing
on
assembly
Bill
178.
Thank
you
again
for
being
here
and
accommodating
the
schedule,
move
I
believe
we
have
everyone
here
for
our
next
bill
assembly,
Bill
167,
which
makes
various
changes
relating
to
dementia.
We
will
go
ahead
and
open
the
hearing
on
assembly,
Bill
167
and
invite
our
our
sponsor
to
the
table.
A
Do
we
have
someone
on
the
zoom
as
well?
Yes,
BPS
if
we
could
pull
up
our
presenter
on
Zoom,
oh
she's,
in
the
grants
building?
Sorry,
but
sorry
about
that
no
worries
I
was
just
going
to
let
you
know.
Thank
you
so
much
I
I
believe
we
have
somebody
in
Las
Vegas
who
is
co-presenting
today.
If
you
are
there,
please
feel
free
to
come
up
to
the
table
and
we
will
let
you
know
when
we
are
ready
for
you
to
offer
your
your
part
or
piece.
That's
not
we're!
A
L
Good
morning
and
good
morning
to
Peters
and
committee
members
for
the
record,
I
am
assembly
woman,
Claire
Thomas,
representing
Assembly
District
17
in
beautiful
North,
Las
Vegas.
It
is
my
pleasure
to
present
to
you
assembly
bill
167.,
which
seeks
to
establish
a
dementia
care
specialist
program
in
our
state.
L
L
L
One
important
way
that
we
can
improve
dementia
care
in
Nevada
is
by
establishing
a
dementia
care
specialist
program.
This
program
will
provide
specialized
training
for
Health
Care
Professionals,
who
work
with
people
with
dementia
and
their
families,
ensuring
that
they
have
the
Knowledge
and
Skills
to
provide
the
best
possible
care.
L
Currently,
there
are
only
a
handful
of
dementia
Care
Specialists
programs
in
the
United
States
and
none
in
Nevada.
This
is
a
significant
Gap
in
our
Health
Care
system.
That
needs
to
be
addressed
by
investing
in
dimension
care
specialist
program
in
Nevada.
We
can
improve
the
quality
of
life
for
people
with
dementia
and
their
families,
reduce
the
burden
on
caregivers
and
ultimately
improve
the
quality
of
lives.
For
nevadans
suffering
from
this
disease,
a
little
personal
history
I
would
like
to
share
my
mom
passed
in
2020,
but
before
her
journey
she
was
diagnosed
with
this
terrible
disease.
L
We
her
children
didn't
realize
that
Mom
was
experiencing
all
the
all
we
knew
was
that
she
was
sometimes
forgetful
or
extremely
withdrawn.
Her
personality
changed
dramatically
at
times
she
was
docile.
Then
there
were
times
she
became
combative,
angry
willful,
just
to
highlight
what
we
noticed
was
her
personality
change.
L
L
M
Thank
you,
assemblywoman
Thomas,
for
the
record.
My
name
is
Charles
dubart
I'm,
the
public
policy
director
for
the
Alzheimer's
Association
in
Nevada
and
chair
Peters
I
want
to
thank
you
for
taking
us
out
of
order.
I
apologize.
It
wasn't
here
at
the
start
of
the
hearing,
but
I
really
do
appreciate
the
opportunity
to
speak
with
you
and
the
members
of
the
committee
today
about
assembly
bill
167.
M
on
behalf
of
the
more
than
50
000
nevadans,
who
are
living
with
dementia
right
now.
Their
families
and
Care
Partners
I'd
like
to
thank
again
assemblywoman
Claire
Thomas
for
sponsoring
this
bill,
which
establishes
a
dementia
care
specialist
program
in
the
state.
As
you
mentioned,
dementia
is
on
the
rise
in
Nevada.
M
According
to
the
2021
Nevada
Elders
count
report,
the
growth
of
the
older
population
in
Nevada
continues
to
outpace
the
United
States
for
2011
to
2018
Nevada
experience
a
40
increase
in
people
aged
65
and
older
as
compared
to
25
percent
nationally
Additionally,
the
Alzheimer's
Association
estimates
by
2025.
There
will
be
64,
000
people,
65
and
older
living
with
Alzheimer's
disease.
That's
the
third
fastest
rate
of
growth
of
Alzheimer's
disease
in
the
nation.
M
Right
behind
Vermont
and
Arizona,
according
to
studies
of
dementia
crises,
delusions
wandering
stealing
and
hallucinations
were
key
behaviors
contributing
to
crises,
especially
when
the
behaviors
present
a
risk
to
the
individual
or
others.
These
crises,
often
the
result
of
unmet
needs
caregiver,
burnout
or
interpersonal
conflict
stemming
from
confusion
and
communication
problems
are
often
avoidable,
given
proper
education
support
and
a
person
in
relationship-centered
approach
to
caregiving.
M
As
the
assemblywoman
mentioned,
dementia
is
a
life-changing
and
expensive
condition.
According
to
the
association
Nevada
Medicaid
spent
203
million
dollars
on
enrollees,
with
a
dementia
diagnosis
in
2020.,
most
of
that
in
long-term
care
services,
that
number
of
Medicaid
expenditures
expected
to
increase
36
percent
by
2025..
M
Few
long-term
care
facilities
are
willing
to
take
people
with
dementia
who
are
in
crisis.
Additionally,
few
stabilization
options
exist
with
emergency
rooms
and
inpatient
psychiatric
hospitals
serving
as
a
default
receiving
facilities
in
both
the
2022
facts
and
figures.
Report
from
the
association
and
the
2021
Nevada
Elders
count.
Report,
Workforce
and
infrastructure
are
significant
barriers
for
older
adults
in
Nevada.
M
They
ended
up
being
handcuffed,
put
in
back
of
a
police
vehicle
transported
to
a
hospital
emergency
room
and
oftentimes
because
of
that
trauma
with
the
addition
of
of
dementia.
They
end
up
in
in
delusional
States
and
oftentimes
end
up
in
psychiatric
facilities
and
and
are
discharged
to
nursing
homes
and
Rel
rarely
back
to
their
own
homes.
So
this
is
a
growing
and
common
feature
that
we
see
in
terms
of
encounters
increasingly
involving
individuals
who
have
dementia.
M
So
we
look
to
other
states
in
the
state
of
Wisconsin
was
highlighted
as
a
state
that
had
an
excellent
program
and
so
Dr
Carson
and
I
contacted
the
Wisconsin
Department
of
Health
Services
and
and
learn
more
about
their
integrated
approach
to
dementia
response
into
their
no
wrong
door.
Disability,
Resource
Centers-
and
this
was
called
the
dementia
care
specialist
program
or
DCS
program.
It
involved
a
three-prong
approach,
an
initial
crisis
response
crisis
stabilization
and
then
providing
long-term
care
and
support
services
for
people
living
in
the
community
who
are
exhibiting
these
challenging
behaviors.
M
In
addition
to
crisis
response,
the
DCS
program
also
works
proactively
to
support
people
living
with
dementia
and
their
caregivers
and
to
build
community
capacity
to
ensure
that
the
highest
quality
of
life
is
possible
while
living
at
home
with
the
disease.
Currently
Wisconsin
and
Georgia
have
a
DCS
program.
Indiana
and
Maryland
have
introduced
bills
to
fund
the
program
and
at
least
four
other
states
are
working
on
it.
This
year,
Wisconsin
started
their
program
with
three
positions.
M
It
proved
so
successful
that
their
legislature
is
currently
providing
funding
support
for
70
dementia
Care
Specialists,
including
a
DCS
in
every
County,
as
well
as
several
tribal
communities.
The
program's
also
been
highlighted
by
the
administration
of
Community
Living,
a
division
of
the
U.S
Department
of
Health
and
Human
Services
ab167
seeks
to
replicate
this
program
in
Nevada.
In
addition
to
crisis
response,
the
DCS
program
will
work
proactively
to
support
people
living
with
dementia
and
their
caregivers
and
to
build
dementia
capability
within
the
community
to
ensure
a
highest
quality
of
care
possible.
M
To
accomplish
this,
the
DCS
will
be
embedded
in
their
communities
and
will
provide
free
information
and
assistance
to
adults
with
memory,
memory
or
cognitive
concerns
or
who
have
been
given
a
dementia
diagnosis.
They'll
provide
information,
education
and
support
to
family
members
and
friends
who
are
caregivers
of
people
living
with
memory,
loss
or
and
or
dementia
and
they'll
help
develop.
M
Dementia
friendly
communities
where
people
living
with
dementia
can
remain
active
and
safe
and
caregivers
can
feel
supported,
and
they
will
train
resource
Navigators
and
here
in
Nevada,
that
would
be
at
the
Nevada
Care
Connection
or
our
aging
and
disability
Resource
Centers.
They
also
be
able
to
train
County
and
Municipal
municipal
office
staff
to
be
more
dementia,
capable
the
bill
seeks
to
fund
three
DCS
programs
through
the
Aging
and
Disability
Services.
Division
adsd
will
use
a
request
for
proposal
process
to
designate
local
government
agencies
or
non-profit
organizations
that
will
hire
the
DCS
and
implement
the
program.
M
M
A
M
N
Thank
you
good
morning,
chair
Peters
and
members
of
the
assembly
Health
and
Human
Services
committee.
For
the
record.
My
name
is
Amy
Peterson
and
I'm,
a
resident
of
Boulder
City
Nevada
I'm
a
volunteer
for
the
Alzheimer's
Association,
where
I
facilitate
three
caregiver
support
groups,
I
present,
Community,
educations
and
I
advocate
at
both
the
state
and
federal
levels.
N
My
my
journey
with
dementia,
specifically
Alzheimer's
disease,
began
when
my
47
year
old,
husband
Drew,
had
to
quit
flying
as
a
commercial
pilot
due
to
his
early
symptoms
of
dementia.
Initially
we
dealt
with
forgetfulness
and
poor
judgment
and
his
immense
frustration
at
not
being
able
to
do
familiar
tasks
as
Drew's
disease
progressed
into
the
moderate
stages.
I
was
faced
with
numerous
situations
for
which
I
was
really
unprepared.
I
tried
to
read
as
much
as
I
could
about
Alzheimer's
disease,
but
day
after
day,
I
would
feel
blindsided
by
the
very
real
dangerous
situations
that
would
arise.
N
I
was
a
wife
with
human
emotions,
caring
for
my
husband
with
unpredictable
behaviors
feeling
very
isolated
from
family
and
friends
who
didn't
understand,
and
my
life
with
my
husband
was
slipping
uncontrollably
through
my
fingers
as
his
disease
progressed.
There
was
that
day
that
a
very
angry
Drew
took
the
car
and
he
drove
over
60
miles
towards
our
former
home
400
miles
away.
N
He
didn't
have
his
wallet
or
his
cell
phone
or
a
coat
in
the
freezing.
Temperatures
and
I
was
about
ready
to
call
the
highway
patrol
when
he
returned
home
three
hours
later,
only
because
he
couldn't
get
the
heater
in
the
car
to
work
about
six
months
later
we
had
another
problem
with
the
car
keys,
I,
wouldn't
let
him
drive,
and
so
he
angrily
took
his
bicycle
for
a
ride
that
resulted
in
an
accident
and
a
call
from
the
hospital
ER.
N
The
unexpected
encounter
almost
resulted
in
a
9-1-1
call,
but
I
was
not
seriously
injured
and
I
knew
that
he
would
not
remember
what
he
had
done
and
he
couldn't
help
what
he
had
done
and
a
trip
to
jail
would
not
accomplish
anything
in
time.
I
would
realize
what
events
triggered
his
outbursts
and
eventually
I,
would
learn
not
to
escalate
the
situation,
but
not
without
a
lot,
a
great
deal
of
angst
and
tears.
N
N
We
discussed
medication
management,
kitchen
safety,
removing
weapons
from
the
home
when
to
take
away
the
car
keys,
how
to
secure
the
doors
to
discourage
wandering.
Unfortunately,
most
of
these
conversations
are
in
response
to
situations
that
have
already
occurred,
adding
immensely
to
the
frustration
of
the
Care
partner
or
the
caregiver.
N
N
N
The
dementia
care
specialist
program
would
have
been
a
huge,
very
valuable
resource
to
me
and
to
help
guide
us
making
the
journey
easier
to
navigate
so
I
urge
you
to
vote
Yes
to
pass
ab167
which
will
offer
support
to
those
diagnosed
with
Alzheimer's
or
other
forms
of
dementia
and
their
family
and
caregivers,
and
it
will
increase
awareness
and
Aid
in
the
formation
of
dementia
friendly
communities
and
result
in
dementia,
capable
organizations
I.
Thank
you
very
much
for
your
time
and
consideration.
A
F
Thank
you
chair
and
thank
you
to
my
colleague
and
to
those
who
presented
such
an
important
issue.
My
family
is
also
dealing
with
this
right
now,
so
it
certainly
couldn't
be
more
timely
for
me,
my
question
in
in
just
because
you
mentioned
Medicaid
and
the
savings
at
the
state,
because
the
quiet
resist
just
for
Medicaid
recipients,
a
position
such
as
this.
M
The
members,
if
you
would
assembly
woman
Taylor
no,
this
would
not
be
specifically
for
individuals
who
have
Medicaid
coverage.
It's
Insurance
agnostic,
it's
just
to
help
families
who
are
dealing
with
a
loved
one
with
dementia.
F
Okay,
thank
you,
chair
follow-up.
If
I
may,
thank
you
very
much,
and
you
mentioned
three
positions
to
start
and
gave
the
example
as
to
why
why
three
any
do
you
have
any
designs
on
where
they
would
be
located?
If
we
begin
this.
M
For
the
record,
Charles
Duarte
assemblywoman
Taylor-
no,
not
at
this
time,
I
think
in
RFP
process
would
appropriately
identify
those
communities
or
County
organizations
that
would
be
best
to
host
these
individuals,
and
so
you
know,
I'm
My,
Hope
Is,
that
that
need
will
be
expressed
through
proposals
that
are
submitted
to
Aging
and
Disability
Services.
As
a
part
of
that
process.
F
Okay,
thank
you
very
much
here.
I'm,
sorry,
one
more
follow
up.
Okay,
thank
you.
You
mentioned
the
RFP
process,
so
there's
funding,
but
but
the
fiscal
note
is
neutral
on
this.
M
Again,
Charles
dubart
for
the
record
assembly,
woman
Taylor.
There
is
a
physical.
There
is
no
fiscal
note
attached
to
it,
but
there
is
an
appropriation
request
that
we'll
be
making
for
532
thousand
dollars,
which
will
cover
three
positions,
plus
some
administrative
costs.
Okay,.
A
You
for
asking
that
question
I
dove
into
the
fiscal
note
here
and
took
me
a
minute
to
find
that
in
the
bill,
I
I
do
assume
you've
had
or
are
having
conversations
with
the
the
chair
of
ways
and
means,
and
our
house
about
that
appropriation
request
as
the
bill
moves
through.
I
Thank
you
so
much
Madam
chair
and
thank
you
so
much
for
the
presentation
on
a
very
important
issue.
I
was
just
wondering
you
talked
about
like
the
need,
and
so
I
was
just
curious,
like
what
is
currently
happening.
If
you
could
just
walk
me
through,
let's
say,
if
I
had
a
family
member
who
needed
these
services
like
where
are
they
going
now?
M
For
the
record
Charles
Duarte
assemblyman,
so
a
variety
of
things
can
happen
and
it
really
depends
on
the
ability
of
the
family
to
identify
resources.
But
one
of
our
hopes
is
that
they'll
first
turn
to
the
Alzheimer's
Association,
because
at
alz.org
there's
a
host
of
free
webinars
information,
trainings
and
access
to
support
groups
like
those
that
are
facilitated
by
Amy
Peterson
down
in
Las
Vegas.
And
so
that's
a
great
start.
The
other
point
of
contact
could
be
through
our
aging
and
disability,
Resource,
Centers
or
Nevada
Care
Connection.
M
But
quite
often
what
people
experience
is?
They
don't
know
where
to
go
and
they
don't
know
who
to
talk
to,
and
they
don't
know
where
those
resources
are
available.
And
so
this,
the
dementia
care
specialist
program,
would
not
only
be
there
to
advise
families
that
are
asking
questions
about
dementia,
but
also
to
provide
those
types
of
trainings
and
resources
to
folks.
So
they'll
serve
as
a
guide
for
individuals
who
need
an
access
to
information
and
education
either
through
our
aging
and
disability,
Resource
Centers
or
through
our
County
organizations.
I
M
Just
for
the
record
Charles
dewart
Assembly
women
there
there
is
no
funding
to
build
bricks
and
mortar
facility.
The
RFP
process
would
identify
a
local
government
entity
or
non-profit
organization
that
would
host
these
positions.
So
the
funding
is
primarily
for
three
positions:
dementia
Care,
Specialists
and,
as
I
said,
the
there
is
some
funding
in
there
for
administrative
costs
associated
with
hosting
those
positions,
but
that
would
be
a
cost
somewhat
borne
by
the
local
government
entity
or
the
non-profit.
O
Thank
you,
madam
chairwoman.
In
section
section
one
sub
point
to
sub
point:
a
it
speaks
of
crisis
intervention,
services
and
I'm,
just
wondering
what
that
would
look
like
on
the
ground
in
terms
of
Crisis
Intervention.
M
For
the
record
Charles
Duarte
Assembly
women,
newbie,
that's
a
really
good
question.
I'm
glad
you
asked
that,
so
these
positions
are
going
to
be
a
40-hour,
a
week
positions,
and
so
they
aren't
going
to
be
24
7
available
for
first
responder
rollouts
to
an
emergency
situation.
The
idea
and
the
way
that
they're
utilized
in
Wisconsin
is
that
they'll
be
first
of
all
training,
First
Responders
in
how
to
deal
with
dementia
behaviors
and
how
to
appropriately
deal
with
those
kinds
of
situations.
M
In
addition,
what
they'll
do
is
they'll
work
with
First
Responders,
including
APS
workers
and
EMS
workers
on
follow-up
crisis,
stabilization
plans,
and
so
the
idea
would
be
to
identify
some
Community,
Resources
or
even
family
resources
that
can
be
brought
to
bear
to
help
stabilize
the
situation
for
that
individual.
So
they
could,
they
could
remain
at
home
and
then
the
third
piece
would
be
family
education
and
providing
that
information
to
the
family
as
well
as
Support
Services,
making
those
available
to
the
family
to
help
maintain
that
person
safely
at
home.
M
In
talking
with
some
of
the
staff
at
Wisconsin
DHS.
What
they
talked
about
was
some
of
the
things
that
Ms
Peterson
mentioned,
and
that's
things
like
kitchen
safety,
making
sure
that
there's
a
medication
list
available
for
EMS
when
they
show
up
things
like
removing
weapons,
taking
Keys
away
when
it's
appropriate
for
them
to
stop
driving.
A
P
Thank
you,
madam
chair
and
I
want
to
Echo
your
sentiment
that
you
said
earlier,
along
with
the
subwoman
Taylor
I
too,
have
both
of
my
grandparents.
My
maternal
grandparents
suffer
from
this
before
their
passing
and
it
this
Bill.
P
Thank
you
is
something
woman
Thomas
for
bringing
this
up,
because
it
I'll
definitely
highlight
the
the
need
that
we
have
in
the
state
and
just
overall
around
this
issue
and
what
Miss
Peterson
recounted
her
story,
just
kind
of
triggers
a
lot
of
painful
memories
that
that
our
family
had
dealing
with
this
particular
incident
is
almost
20
years
ago,
but
it's
still
refreshing
my
mind
of
the
struggle
that
our
family
had
in
terms
of
knowing
how
to
deal
with
all
of
that,
and-
and
that
leads
me
to
to
my
question
in
terms
of
language,
access
and
I-
think
that's
critical,
especially
with
the
diversity
of
our
state.
P
In
in
that
time
frame.
You
know
my
grandmother
lost
her
pretty
much
vocabulary.
She
was
a
proficient
English
speaker
and
then
all
of
a
sudden,
she
can't
speak
a
word
of
English
anymore,
and
so
that
was
difficult
to
find
caregiver.
That
was
able
to
help
as
well
as
educational
materials,
because
there
might
be
support
on
what
and
and
when
and
where,
but
in
terms
of
adding
that
cultural
and
language
layer
onto
it.
That
was
another
difficult
steps,
so
I
didn't
know.
P
If
the
plan
I
know
that
there
was
three
staff
involved,
but
I
don't
know
if
there's
plan
to
address
that
issue
with
language
access,
as
well
as
educating
cultural
communities
on
top
of
of
this
particular
disease
as
well.
So
I
would
love
to
learn
about
that.
Thank
you.
M
Oh
thank
you
for
the
record
Charles
Duart,
assemblyman
Newman.
It
will
be
a
part
of
that
protocol
of
cultural
diversity
and
communication
because
again
we
do
live
in
an
increasingly
diverse
community
and
I'm,
a
native
Hawaiian
by
Blood.
You
know,
and
so
I
I
I'm
a
transplant
from
the
great
Hawaiian
diaspora
to
to
Nevada.
M
But
yes,
the
answer
is
yes
and
the
other
thing
that
we
can
do
and
it's
a
resource
that's
available
right
now,
but
will
also
be
available
to
the
dementia
Care
Specialists
is
our
24
7
helpline
through
the
Alzheimer's
Association,
where
you
can
speak
to
a
licensed
clinical
professional
any
time
of
the
day
and
it's
available
in
almost
every
language.
So
that's
an
available
helpline
that
the
DCS
or
dementia
Care
Specialists
can
help
access.
M
If
they
don't
speak,
someone's
native
native
language,
we
have
been
involved
in
a
significant
amount
of
Outreach,
as
the
Alzheimer's
Association
to
communities
of
color
in
other
diverse
communities,
to
try
to
expand
our
educational
opportunities
or
expand
their
educational
opportunities,
and
we
have
a
very
robust
program
of
Outreach
to
chinese
vietnamese
and
ethnic
Koreans
that
are
part
of
the
Alzheimer's
Association
chapters.
In
Northern
Nevada
and
north
and
Southern
Nevada,
so
we
do
have
resources
available.
Whether
or
not
the
DCS
is
going
to
be
multilingual
or
not.
P
A
quick
follow-up
chair,
so
thank
you.
Thank
you
for
that.
That's
really
good.
To
hear
that
there
is
already
a
language
line
available.
I
would
just
love
to
see
the
perhaps
the
build
language
could
maybe
add
a
component
of
language
access
to
ensuring
that
what
you
said
earlier
on
the
hiring
process,
as
well
as
the
intent
to
ensure
that
we
don't
leave
these
communities
behind
not
just
the
API
communities,
but
other
communities
in
Nevada
that
need
access
to
these
readily
available
resources.
M
For
the
record
Charles
deward
again,
thank
you.
Assemblyman
I'll
work
with
the
build
sponsor
with
assemblywoman
Thomas
on
that
language,
perfect.
A
A
Q
Q
You're
ready
two
minutes
for
me
could
be
a
lifetime
I'm
in
support
of
ab167.
For
obvious
reasons,
I
think
I
testified
last
week
about
my
mother's
own.
Dementia
experience
and
one
thing
I
wanted
to
to
recapitulate.
What
we
just
heard.
Fifty
thousand
diagnosed
people
with
Alzheimer's
or
dementia
in
Nevada
right
now
is
an
under
count.
That's
less
than
two
percent.
That's
like
too
good.
The
real
number
for
Lifetime
prevalence
is
eleven
percent
for
men.
19
for
women
times
are
three
million.
Population
means
we're
somewhere
between
three
and
six
hundred
thousand
nevadans
might
actually
test
positive.
Q
Were
they
to
come
to
comprehensive
screening,
so
the
three
designated
dementia
Care
Specialists
would
be
an
incremental
Good.
Start
I
can
actually
see
a
day
where
we'll
need
500,
because
I
started
thinking
about
case
law
codes,
you're
talking
about
fifty
thousand
identified
people
today,
three
people
would
be
trying
to
each
manage
over
sixteen
and
a
half
thousand
patients
each
impossible.
If
you
think
about
in
mental
health,
our
case
managers
are
overwhelmed
with
80
to
100
of
our
mentally
ill
people
with
dementia.
Q
Dementia
aging
causes
opportunity
for
vascular
dementia,
for
consequences
of
diabetes,
for
infections,
for
a
variety
of
different
factors
to
come
together
and
produce
a
neurocognitively
disordered
individual
and
for
those
of
us
who
have
lived
with
these
people,
you
don't
see
it
coming
until
the
day
some
Milestones
reach
from
my
mother,
the
Milestone
was
a
woman
with
an
MBA
forgot
to
file
her
quarterly
income
tax
report.
She
had
never
done
that
for
77
78
years
now.
She
misses
her
estimated
quarterly
and
realizes
the
next
cycle.
Q
She
never
paid
the
last
one
that
was
the
first
tip
off.
She
no
longer
could
manage
her
financial
affairs,
and
we
had
already
had
a
discussion
at
some
point.
I
would
take
her
car
keys
and
when
that
decision
was
reached
was
when
she
had
described
driving
from
her
home
in
Roseville
to
Sacramento,
to
see
a
doctor
and
she
got
lost
in
Sacramento,
but
had
presence
of
mind
to
find
a
fast
food
place.
Go
in
get
a
milkshake
sit
down,
collect
herself
and
call
for
help.
Q
So
I
mean
you,
don't
quite
see
dementia
creeping
up
because
it's
Insidious
it's
different
from
delirium,
where
it's
Day
and
Night
by
the
hour,
and
you
can
see
that
difference
so
I'm
completely
in
support
of
ab167
with
the
warning.
The
Baby
Boomers,
okay,
Boomer,
we're
gonna
break
the
bank
in
the
next
10
to
20
years.
There's
a
lot
of
us
we're
pushing
we're
in
this
population
you're,
starting
with
three
planned
for
fifty
planned
for
500
over
the
next
decade
or
two
thanks.
A
Thank
you
and
that
was
Barry
Cole
for
the
record.
That's
okay!
We've
got
you!
Thank
you!
So
much
I
don't
see
anybody
else
in
in
Carson
City
coming
up
for
support
testimony
today,
so
we'll
go
ahead
and
go
to
Las
Vegas.
We
have
someone
at
the
table.
Please
remember
to
state
your
name
for
the
record.
You
may
begin
when
you're
ready.
R
Thank
you
so
much
before
I
official
again
to
I
apologize
for
the
confusion
earlier
I'm
far
from
expert
it's
just
you
don't
get
to
talk
about
this
issue
very
much
so
I'm
very
I'm
happy
to
be
able
to
share
my
story
with
y'all
good
morning,
chairman
Peters
and
Scooby
chairwoman,
Peters
and
members
of
the
committee
for
the
record.
My
name
is
Sean.
Navarro
I
live
in
Assembly,
District,
34
and
I'm.
The
son
of
someone
living
with
dementia
I
want
to
thank
assemblywoman
Thomas.
R
So
much
for
bringing
forth
this
bill
and
I
want
to
share
with
you
all
the
story
of
my
family
on
December
15
2017.
Our
lives
are
changed
forever.
That
was
a
day
that
my
father,
Robert
Navarro
at
the
age
of
64,
was
diagnosed
with
Louis
body
dementia.
He
went
into
work
like
he
usually
did
and
he
took
a
fall
outside
his
work
and
since
then
he's
never
been
the
same.
My
dad
was
a
pharmacist
for
over
20
years.
He
worked
the
graveyard
shift
at
Rite.
Aid
often
he
would
man
the
busy
counter
by
himself.
R
He
would
travel
long
distance
for
work.
He'd
work,
12
hour
shifts
sometimes
two
weeks
in
a
row.
Without
a
day
off,
he
was
an
amazing
provider
and
he
was
fiercely
independent
almost
overnight,
all
that
changed
and
now
he
needs
24-hour
care
and
he
remembers
his
old
life
and
he
struggles
with
his
new
reality
and
what's
happening
with
him
one
night,
he
asked
my
mom
if
she
thought
he
was
stupid.
R
In
our
case
we're
very
fortunate.
He
has
insurance.
He
has
a
means
to
pay
for
his
care
due
to
his
good
union
job.
He
has
a
pension
and
he
had
to
support
network
of
our
stereotypical
large,
extended
Mexican
family,
but
most
of
all
he
has
my
mom
Belinda
same
Belinda.
We
call
her
the
term
they
use
in
the
medical
field
or
for
the
caregivers
of
people
with
dementia,
the
invisible
second
patient,
because
these
caregivers
forego
their
own
needs
and
dedicate
everything
they
can
to
the
person
with
dementia.
R
She
prays
that
she
doesn't
die
first,
so
that
she
can
be
there
to
take
care
of
him.
I
asked
her
when
I
told
her
I'd
be
speaking
today.
I
asked
her
what
she
wanted
to
say,
and
she
said
you
missed
the
simple
things
of
Life.
The
thing
that
she
misses
the
most
is
be
able
to
go
to
the
grocery
store
without
worry.
R
For
me
personally,
the
toughest
thing
is
Adam
organizer
I,
organize
Las
Vegas
DSA
among
other
groups.
I
spent
all
my
time
trying
to
help
people,
but
I
can't
help
my
dad
I'd
like
to
think
that
together
we
can
make
a
brighter
future,
but
for
my
dad
the
future
he's
faced
is
very
tough.
The
reality
is
that
he's
going
to
get
worse
and
all
we
can
do
is
be
there
for
him.
The
best
that
we
can
that's
a
very
hard
reality
to
live
with
and
I
carry
that
with
me.
Every
single
day
of
my
life.
R
For
too
long
people,
dementia
have
been
treated
like
they're,
invisible,
like
they
simply
didn't
exist
even
by
their
own
family
members
and
Friends
people
will
come
by
and
they'll
visit
my
dad
and
they
won't
address
him
personally,
like
he's
not
there,
they'll
dress
my
mom
and
the
whispered
hush
tones.
How
is
he
how's?
He
doing
imagine
how
you
feel
experiencing
something
like
that.
You
know
people
are
very
well
meaning
they
try
their
best
to
understand,
but
they
can't
you
have
to
live
with
this
every
day
to
truly
understand
what
it's
like.
R
Many
of
the
family
and
people
impacted
by
dementia.
They
say
they
feel
shame
the
reality
of
dementia.
Today,
it's
very
it's
a
very
brutal
disease
to
live
with,
and
it
can
be
very,
it's
not
pretty
to
live
with,
and
some
people
just
simply
don't
want
to
deal
with
that
reality
and
they
try
to
hide
these
people
away.
Well.
Today,
I'm
here
to
say,
I'm,
not
hiding
and
I'm,
not
ashamed.
R
It's
far
past
the
time
that
we
end
the
stigma
associate
associated
with
dementia
and
bring
this
issue
to
the
light
and
give
these
people
the
help
they
deserve.
I'm
very
proud
of
my
dad.
Despite
the
disease
he's
the
same
person
he's
always
been
smart,
funny
kind
kind
of
an
a-hole
to
be
honest,
but
he's
our
hey
ho.
R
He
just
needs
a
little
bit
of
help
and
so
I
come
forth
to
you
today
to
ask
for
the
help
on
behalf
of
all
the
abandons
impacted
by
his
horrible
disease.
Please
pass
this
Bill.
Thank
you
all
so
much
for
your
time.
God
bless.
Thank
you.
A
Thank
you
so
much
for
your
testimony.
It
reflects
very
similarly
to
the
story
of
my
family
dealing
with
Lew
bodies.
Dementia
are
there
other
folks
in
Las
Vegas
that
would
like
to
provide
support
testimony
on
assembly
Bill
167,
seeing
Nan
I'd
ask
BPS
to
check
the
public
line
for
support
testimony
on
assembly
bill
167.
S
Good
morning
Madam,
chair
and
committee
members,
my
name
is
Russell
Rowe
and
I'm,
testifying
on
behalf
of
UNLV
and
its
president
Dr
Keith
Whitfield,
who
regrets
being
unable
to
participate
in
today's
hearing
with
a
PhD
in
lifespan,
developmental
psychology,
Dr
Whitfield
has
been
studying
cognitive
Aging
for
over
30
years.
He
is
a
member
of
the
national
advisory
Council
on
Aging
for
the
National
Institute
on
aging
and
most
of
his
20
million
in
grant.
Funding
over
his
career
has
been
to
study
health
and
cognitive
Aging
in
African
Americans.
S
There
is
a
great
need
for
services
for
as
well
as
Research
into
the
causes
of
Alzheimer's
disease
in
2020.
It
was
estimated
that
in
Nevada
49
000
people
have
the
disease
and
by
2025
there
will
be
64
000
people
with
Alzheimer's
disease,
a
31
increased
one
of
the
highest
projected
increases
over
that
period.
S
Alzheimer's
disease
is
the
fifth
leading
cause
of
death
among
people
65
and
older
in
2021,
family
members
and
Friends,
provided
over
271
million
in
unpaid
care
for
people
with
Alzheimer's
disease.
At
UNLV
we
have
one
of
the
most
prominent
researchers
of
clinical
studies
on
Alzheimer's
disease
and
other
outstanding
faculty
who
study
aging,
but
at
this
time
we
do
not
yet
have
a
specific
academic
program
that
focuses
on
the
disease.
S
A
A
We'll
move
on
to
opposition
testimony.
Is
there
anyone
in
Carson
City
who
would
like
to
provide
opposition
testimony
on
assembly
but
167.?
Seeing
none
is
there
anyone
in
Las
Vegas
who
would
like
to
provide
opposition
testimony
EPS?
Is
there
anyone
on
the
public
call-in
line
that
would
like
to
provide
opposition
testimony
on
assembly
bill
167.
A
We'll
move
on
to
neutral
testimony
today
is
there
anyone
in
Carson
City
who'd
like
to
provide
neutral
testimony
on
assembly,
Bill
167,
seeing
none.
Is
there
anyone
in
Las
Vegas
for
neutral
testimony
seeing
non-bps?
Is
there
anyone
on
the
public
line
who
would
like
to
provide
neutral
testimony
there.
M
Thank
you,
madam
chair
and
members
of
the
committee
for
the
record.
Again,
my
name
is
Charles.
Dwark
I
would
just
like
to
thank
you
for
the
opportunity
to
discuss
assembly
Bill
167
today
and
a
special
thanks
to
assemblywoman
Claire
Thomas
for
sponsoring
this
important
piece
of
legislation
and
I
look
forward
to
working
with
you
on
a
go
forward
basis.
So
again,
thank
you
very
much.
L
Thank
you,
madam
chair
and
I,
really
do
appreciate
you
listening
to
our
stories,
because
these
are
life
experiences
that
we
share
today
with
you
and
I'm,
hoping
that
you
will
consider
ab167
and
vote
in
the
positive
and
passing
this
out
of
committee.
Thank
you.
A
Thank
you
so
much
for
bringing
the
bill
in
for
the
presentation
and
thank
you,
Miss
Peterson,
if
you're
still
in
Las
Vegas
for
your
story
and
sharing
with
us
today,
we'll
go
ahead
and
close
the
hearing
on
assembly
Bill
167
and
go
to
our
last
item
on
the
agenda,
which
is
public
comment.
I
will
be
moderating
public
comment.
A
We
like
to
stick
to
two
minutes
for
consistency
across
the
board.
I've
obviously
have
some
discretion
in
that,
but
we
will
go
ahead
and
start
today
in
Carson
City
with
public
testimonies
or
sorry
public
comment.
Is
there
anybody
in
Carson
City
for
public
comment
today
doing
none
in
Las
Vegas?
Is
there
anyone
who
would
like
to
provide
public
comment
today,
seeing
non-bps?
Is
there
anyone
on
the
public
comment
line?
Who
would
like
to
provide
public
comment
today.