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From YouTube: 4/25/2023 - Senate Finance and Assembly Ways and Means, 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
I
appreciate
everyone's
patience.
This
morning,
I
know
we'd
like
to
start
on
time
and
I
know
we
have
a
busy
deadline
day
today,
so
we
will
jump
right
into
this
at
this
time.
I
will
call
to
order
the
joint
Senate
and
assembly
committee
subcommittee
on
Human
Services.
If
we
can
call
roll.
B
A
Good
morning,
everyone
again
I
apologize
that
we
are
not
starting
on
time.
I
know
that
is
not
what
we
like
to
see
happen
and
we
have
a
huge
budget
closings
today
for
the
Department
of
Health
and
Human
Services
Division
of
public
and
Behavioral
Health,
as
well
as
the
division
of
child
and
family
services.
So
with
that,
we
will
I
will
turn
this
over
to
staff
to
start
with
a
budget
3162
Northern
Nevada,
adult
Mental,
Health
Services,.
C
Thank
you,
madam
chair
Tiffany,
greenmeyer
for
the
record.
There
are
nine
public
and
public
and
Behavioral
Health
budgets
that
will
be
closing
today
to
our
staff.
Closing
seven
other
budgets
that
will
be
were
heard
on
the
March
9
2023
hearing.
So
starting
on
page
three
of
your
closing
packet
is
Northern.
Nevada,
adult
Mental
Health
Service
budget
budget
count
3162..
C
There
is
two
major
closings
in
this
budget.
The
first
one
is
the
position,
elimination
due
to
outpatient,
caseload
changes
and
so
moving.
The
governor
recommends
the
elimination
of
five
vacant,
full-time
psychiatric
caseworker,
two
positions
and
one
vacant,
full-time
psychiatric
nurse,
two
position
due
to
a
projected
decrease
in
caseloads
for
outpatient,
Service,
Coordination
mental
health
courts
and
outpatient
Assessment
Services.
C
So
moving
on
to
page
five
on
March
24
2023,
the
agency
provided
an
updated
caseload
projection
and
the
with
the
up
case
with
the
updated
caseload
projections,
indicated
elimination
of
only
three
psychiatric
caseworker
positions,
rather
than
the
governor's
recommended
to
eliminate
five
positions.
C
A
C
Moving
on
to
Major
issue
number
two
on
page
six
is
new
appropriation
act;
language
the
governor
recommends
including
new
language
in
the
Appropriations
act,
to
allow
the
agency
to
transfer
general
fund
Appropriations
between
the
budgets
that
fund
the
three
Behavioral
Health
24
7
facilities.
C
The
decision
for
the
subcommittee
does
the
subcommittee
wish
to
recommend
approval
of
the
governor's
recommendation
to
include
new
language
in
the
2023
Appropriations
act
to
allow
the
agency
to
transfer
general
fund
Appropriations
between
the
budgets
that
fund
the
three
Behavioral
Health
24
7
facilities,
with
the
approval
of
the
interim
finance
committee
upon
recommendation
of
the
governor.
A
C
So,
moving
on
other
closing
items,
one
through
12
in
this
budget,
I
want
to
other
closing
item
number
10
and
11
are
transfer
out,
building
8
and
transferred
out
building
8A
physical
staff
recommends
not
approving
decision
unit
e-901
due
to
the
budgeting
error
and
recommends
a
technical
adjustment
to
remove
the
base
of
expenditures
of
thirty
four
thousand
one
hundred
eighty
two
dollars
over
the
biennium
in
the
utilities,
category
associated
with
building
eight
to
ensure
there
is
consideration
of
funding
the
expenditures
of
the
expenditures,
a
separate
decision
unit
I'm.
C
Sorry,
it's
a
separate
decision
point
for
a
direct
general
fund
appropriation
will
be
presented
in
the
adsd
Sierra
Regional,
Center
budget
closing
and
with
other
closing
item.
11
fiscal
staff
recommends
not
approving
expenditures
of
17
612
over
the
biennium
in
the
utilities.
Category
associated
with
building
8A.
C
So
this
was
due
to
e-903
was
due
to
the
same
thing
as
a
budgeting
error,
so
the
recommendation
is
not
to
approve
e-903
and
there
will
be
a
separate
general
fund.
Appropriation
will
be
presented
in
the
DCFS
Northern
child
Northern,
Nevada,
Child
and
Adolescent
service
budget
closing
and
then
on
other
closing
item
12.
C
This
is
a
divisional
cost
allocation
correction,
as
noted
in
the
closing
document
for
the
office
of
Health
Administration
budget,
which
was
closed
by
the
subcommittees
on
April
7
2023,
the
division
of
public
and
Behavioral
Health
discovered
in
errors
in
the
cost
allocation
calculation,
including
the
executive
budget.
According
to
the
agency,
although
it
requested
a
budget
amendment
in
February
of
2023,
the
governor's
finance
office
did
not
submit
a
budget
amendment
to
correct
The.
C
Moving
on
to
page
eight
at
the
top
is
the
physical
staff
recommends
other
closing
items,
one
through
nine
be
closed,
as
recommended
by
the
governor
that
decision,
units
e-901
and
e-903
in
other
closing
items,
10
and
11
not
be
approved
that
the
technical
adjustments
to
the
base
budget
and
other
closing
items,
10
and
11
be
approved
and
other
closing
item
12
be
closed
with
denoted
technical
adjustments
and
requests
authority
to
make
other
technical
adjustments
as
necessary.
A
C
You,
madam
chair
Tiffany,
greenmar
for
the
record.
Moving
on
to
page
11
is
Southern
Nevada,
adult
Mental,
Health,
Services,
3161
and
then
moving
on
to
page
12.
There
are
four
major
closing
issues
in
this
budget.
The
first
major
closing
issue
is
Stein
forensic
facility
position,
changes
and
new
positions.
C
The
governor
recommends
converting
12
intermittent
temporary
forensic
Specialists,
three
positions
to
permanent
full-time
State
positions
and
contract
costs
for
support
of
of
housing,
clients
and
fund
it
with
2.4
million
in
general
fund
Appropriations
over
the
20
23-25
biennium.
The
governor
also
recommends
922
548
dollars
in
general
fund
Appropriations
over
the
2023-25
biennium
for
a
licensed
psychologist
position
and
a
contract
forensic
psychiatrist
position.
C
Moving
on
to
page
13
in
the
middle
is
the
decision
for
the
subcommittee.
Does
the
subcommittee
wish
to
recommend
approval
of
the
governor's
recommendation
of
3.3
million
in
general
fund
Appropriations
over
the
2023-25
biennium
to
fund
the
conversion
of
12
intermittent
positions
to
State
full-time
positions?
One
new
state
licensed
psychologist
position
and
one
new
contract,
forensics
psychiatrist
position
and
Associated
cost
to
support
forensic
bed
capacity
at
the
Stein
forensic
facility.
A
C
Continuing
on
page
13
is
the
second
major
closing
issue
Ross
and
Neil:
a
psychiatric
hospital,
forensic
bed
expansion.
The
governor
recommends
the
addition
of
37
new
full-time
positions
and
Associated
costs,
including
21
forensic
Specialists
positions,
16
psychiatric
nurse
positions,
as
well
as
contract
costs
to
support
housing
clients
in
the
Ross
and
Neo
Psychiatric
Hospital
funded
with
7.6
million
in
general
fund
Appropriations
over
the
23-25
biennium
and
moving
on
to
page
14
is
the
decision
for
the
subcommittee
at
the
bottom.
A
C
Tiffany
greenmar
for
the
record.
Moving
on
to
page
15
is
closing
item
number
three
medication:
Clinic
caseload,
driven
new
new
position.
The
governor
recommends
598
208
in
general
fund
Appropriations
over
the
2020
325
biennium
to
fund
one
new
contract,
psychiatrist,
psychiatrist
position
and
Associated
cost
for
the
medication
Clinic,
and
the
decision
before
the
committee
is
on
page
16..
A
C
Continuing
on
page
16th
is
closing
item
number
four
American
Rescue
plan
Acro
and
Viber
State
fiscal
recovery;
funds
allocation
for
the
city
of
Las,
Vegas,
Detention
Center
for
the
45
forensic
bed;
expansion.
The
governor
recommends
the
budgeting
of
the
arpa
coronavirus,
State
Physical
recovery;
funds
of
40
40
million
40.2
million
over
the
2023-25
biennium
to
continue
the
renovation
and
Staffing
of
the
city
of
Las
Vegas
Detention
Center
for
an
additional
45
forensic
beds
to
expand
capacity.
C
Moving
on
to
page
17
at
the
bottom,
the
governor's
office
testified
at
the
October
20th
2022
IFC
meeting
that
the
Detention
Center
was
anticipated
to
be
partially
renovated
and
ready
to
be
used
by
July
2023..
Therefore,
the
IFC
approved
the
full-time
position
costs
to
begin
in
fiscal
year
2024..
However,
in
the
March
17
2023
follow-up
memo
response
to
the
March
9
2023
budget
hearing
the
agency
indicated
the
renovation
of
the
city
of
Las.
Vegas
Detention
Center
would
be
completed,
December
of
2024.
C
at
the
earliest,
and
this
would
only
occur
if
lease
negotiations
and
the
cities
and
the
city's
necessary
Renovations
prior
to
commencement
of
the
division's
construction
project
are
done.
Timely.
Moving
on
to
page
18.
According
to
the
agency,
the
delay
of
the
renovation
to
December
24
2024,
the
Staffing
plan
of
115
positions
would
remain
the
same,
but
the
agency
would
defer
the
hiring
dates
of
the
positions.
C
If
I
can
direct
your
attention
to
the
top
of
page
19
shows
you
a
table
of
the
breakout
of
the
updated
projections
that
take
into
consideration
of
the
delay
in
the
opening
of
the
Detention
Center.
So
the
decision
before
the
subcommittee
would
be
on
page
19.
D
You,
madam
chair,
so
I'm,
not
sure
who
to
direct
this
question
to,
but
with
this
delay
of
these
45
beds
overall
overview
we
have
been
presented
today.
My
question
is
how
many,
with
with
this
delay,
are
we
housing
these
potential
patients,
slash
inmates
that
need
to
have
these
forensic
beds
in
jails,
or
are
we
housing
anybody
out
of
state?
What's
the
impact
of
these
delays
on
our
our
population.
E
D
G
Thank
you,
madam
chair
and
I,
remember
talking
about
this
and
bringing
it
before
IFC
and
obviously
was
supportive
of
it
then,
and
I
thought
the
impetus
was
the
fact
that
we
were
not
servicing
folks
in
a
timely
manner,
and
we
didn't
have
a
bed
bed
space
disappointed
to
hear.
There's
delays
but
I
understand
that's
the
reality
of
the
world.
We
live
and
I
just
wondered.
If
you
could
speak
to
what
the
wait
time
is
right
now,
because
I
think
the
the
one
of
the
issues
was.
G
We
wanted
to
avoid
getting
involved
in
litigation
on
the
state
side
of
not
being
able
to
provide
these
services.
So
is
this
delay
going
to
impact
that
in
any
way
or
have
we
been
able
to
clear
some
of
the
backlog
that
existed
before
I
guess
when
we
last
talked,
which
I
think
was
six
or
eight
months
ago,.
F
Generally
for
the
record,
thank
you
great
question.
So,
first
of
all
the
link
to
stay
varies.
We
take
them
based
on
the
court
file
date
and
so
that's
kind
of
how
we
determine
who
comes
in
next,
but
we
do
have
a
number
of
programs
that
we're
implementing
we've
had
some
success
with
both
the
court
system
and
with
some
of
our
programmings
as
well,
that
are
trying
to
divert
more
of
these
individuals
before
they
get
into
the
forensic
pathway.
So
we've
had
some
good
conversations
around
that.
A
A
C
Tiffany
greenmeier
for
the
record.
Moving
on
to
page
20
is
additional
coronavirus,
State
fiscal
recovery
projects.
There
are
two
projects:
if
you
move
on
to
page
21,
there's
a
table
at
the
top
that
demonstrates
two
projects
that
would
continue
in
the
fiscal
year:
2024.
C
they're,
a
renovation
of
the
Stein
forensic
facility
and
the
recuperative
care
center,
and
the
decision
is
below
the
table
there
for
the
subcommittee.
Does
the
subcommittee
wish
to
recommend
approval
of
4.8
million
in
fiscal
year,
2024
of
arpa
Corona
virus
State
fiscal
recovery,
funds
for
the
renovation
of
the
sign
forensic
facility
and
10
million
in
the
at
fiscal
year,
2024
of
arpa
coronavirus,
State
fiscal
recovery,
funds
for
the
recruitive
Care
Center.
C
C
Then
closing
item
number
11,
Division,
cost
allocation
correction,
fiscal
staff
recommends
a
technical
adjustment
to
the
base
budget
and
decision
unit
e802
requiring
additional
general
fund
Appropriations
totaling
2.1
million
over
the
2023-25
biennium,
as
shown
in
the
adjustment
section
at
the
bottom
of
this
document,
just
fiscal
staff
recommends
other
closing
items,
one
through
seven
and
other
closing.
Item
number
nine
be
closed,
as
recommended
by
the
governor
and
other
closing
item.
A
C
C
consistent
with
the
direction
provided
by
the
money
committees
during
the
work
session
held
on
April
4th
2023
relating
to
the
budgeting
of
these
funds.
The
decision
for
the
subcommittee
does
the
subcommittee
wish
to
recommend
approval
of
American
Rescue
plan
act,
coronavirus,
State,
fiscal
recovery
funds,
totaling
783
475
in
fiscal
year,
2024
500,
9,
592
616
in
fiscal
year,
2025,
based
on
the
updated
projections
from
the
agency
to
fund
the
replacement
security,
camera
system
and
the
door
access
control
system
project.
A
C
Okay,
moving
on
other
closing
items,
one
through
nine.
The
closing
item
number
eight
is
the
division,
cost
allocation
correction.
Fiscal
staff
recommends
a
technical
adjustments
to
the
base
budget
and
decision
unit
e802
requiring
additional
general
fund,
Appropriations
totaling,
three
hundred
and
twenty
six
thousand
seven
hundred
and
thirty
two
dollars
over
the
2023-25
biennium,
as
shown
in
the
adjustment
section.
At
the
end
of
this
document,
then
closing
item
number.
C
Nine
is
a
budget
amendment
a
two
three
two,
three
six,
three
six,
four
five,
the
governor
recommends
11
392
000
in
general
fund
Appropriations
over
the
23
25
biennium,
to
fund
one
great
increase
for
the
correctional
Lieutenant
position.
This
budget
amendment
will
be
considered
as
part
of
the
Statewide
division
discussion.
Sorry,
so,
on
the
top
at
the
top
of
page
27
fiscal
staff
recommends
other
closing
items.
A
C
Okay,
moving
on
to
page
29,
a
rural
clinics
budget
budget
count
3648.
There
are
no
major
closings
issues
in
this
budget.
There
is
coronavirus,
State
fiscal
recovery
funds.
The
governor
recommends
the
budgeting
of
American
Rescue
plan
acronym
virus,
State
fiscal
recovery,
funds
of
343
429
over
the
2023-25
biennium
to
continue
to
fund
the
rural
mobile
crisis,
response
teams
for
outpatient
and
community-based
support
services
for
youth.
C
Moving
on
to
page
30
at
the
top
is
the
decision
for
the
subcommittees.
Does
the
subcommittee
wish
to
recommend
approval
of
American
Rescue
plan
at
coronavirus,
State,
fiscal
recovery
funds,
totaling
343
429
over
the
2023-25
biennium
to
fund
the
rural
mobile
crisis
response
teams,
as
recommended
by
the
governor.
A
C
Continuing
on
page
30
or
11
other
closing
items
closing
item
10
is
the
divisional
cost
allocation
correction.
Fiscal
fiscal
staff
recommends
technical
adjustment
to
the
base
budget
and
decision
unit
e802
requiring
additional
general
fund,
Appropriations
totaling
584
212
dollars
over
the
2023-25
biennium,
as
shown
in
the
adjustment
section
at
the
end
of
this
document.
C
C
A
C
C
Moving
on
to
page
34,
the
expiring
Federal
grant
is
halfway
down
the
the
page.
The
executive
budget
recommends
eliminating
the
Substance
Abuse
and
Mental
Health
Services
Administration
988
capacity
building
Federal,
grant
that
funded
the
initial
implementation
of
the
988
hotline,
a
total
reduction
of
221
551
over
the
2023-25
biennium.
This
Federal
grant
is
expected
to
expire,
April,
29
2024..
C
So
moving
on
to
page
35,
there
are
two
tables:
one
is
28.2
million
and
the
other
is
three
three
million
over
the
biennium.
So
during
the
agencies
presentation
before
the
legislative
commission's
Budget
subcommittee
on
January
26
2023,
the
agency
mentioned
a
potential
problem
with
collecting
the
full
amount
of
the
Telecom
fees
included
in
the
executive
budget.
C
C
If
this
language
is
not
corrected
through
legislation,
it
will
only
be
able
to
collect
on
landlines
and
not
not
mobile
communication
devices,
which
would
result
in
a
projected
Revenue
amount
of
1.5
million
per
year
versus
the
projected
15
million
per
year,
as
recommended
by
the
governor.
So
moving
on
to
page
36
during
the
March
9
2023
hearing,
the
agency
testified
that
the
crisis
of
response
programs
are
currently
funded
with
one-time
or
startup
federal
funds,
and
the
Telecom
fees
would
be
the
only
source
of
funds
to
continue
the
program
ongoing.
C
C
As
previously
indicated,
the
governor's
office
submitted
a
bill
draft
request
to
make
the
necessary
statutory
changes.
Additionally,
as
a
Senate,
Bill
237
requested
by
The
Joint
interim
standing
committee
on
judiciary,
would
facilitate
the
necessary
statutory
changes
to
allow
certain
types
of
communication
lines
to
be
charged.
Senate
Bill
237
was
referred
to
the
senate
committee
on
Finance
on
April
17
2023.
C
So
if
just
a
note
out
there,
fiscal
staff
would
note
If,
This
Were
to
be
approved
and
the
SB
237
legislation
were
not
to
be
approved
or
other
legislation.
The
agency
would
have
the
ability
to
do
a
work
program
to
align
the
revenues
and
expenditures
to
the
actions
taken
by
the
legislation.
I
Thank
you,
madam
chair
I.
Just
I
wanted
to
clarify
a
few
things
in
this
in
this
particular
budget,
because
I
know,
there's
been
a
lot
of
conversations
about
Senate,
Bill,
237
and
the
way
that
I
am
seeing
this
I
know.
We've
talked
in
previous
budget
hearings
about
what
this,
what
these
Telecom
fees
would
go
to
without
that
legislation
we're
not
able
to
collect
that
fee,
and
so
we
would
not
receive
the
differences
receiving
the
the
15
million
per
year
of
the
biennium
versus
1.5
million
per
year.
D
I
Then
the
the
differences
in
what
that
is,
funding
as
I
also
understand
it-
are
the
continuation
of
the
988
hotline
program,
components
and
that
traffic
control
Hub,
so
the
the
call
center
piece
of
it.
There
are
mobile
crisis
response
units
that
would
be
funded
with
that
28.4
million
that's
built
into
the
governor's
recommended
budget
for
those
crisis,
centers
to
be
able
to
actually
utilize
what
988
is
designed
for
to
you
know
to.
I
Instead
of
calling
in
law
enforcement
for
every
mental
health
issue,
there
would
be
some
Crisis
Intervention
pieces
and
then
also
inpatient
treatment
and
Assessment
Services
at
crisis.
Stabilization
centers,
so
that
again
we're
funding
a
lot
of
those
services
for
what
that
988
piece
was
designed
to
do
so.
Those
are
the
pieces,
that's
a
difference.
Otherwise,
without
that
SB
237,
it
is
just
being
able
to
keep
those
phone
lines
open.
I
Yes,
that
is
correct,
okay
and
I
guess
this
is
maybe
more
of
a
comment.
Madam
chair,
if
I
may,
the
difference
between
15
million
each
year,
the
biennium
and
1.5
million
is
the
difference
between
very
essential
services.
That
I
think
we
have
all
recognized
and
I
know.
Many
of
my
colleagues
here
have
in
the
course
of
I.
Remember
those
discussions
for
I
think
it
was
then
Senator
ratty
had
been
working
on
the
988
pieces
of
legislation
and
we've
worked
on
mobile.
I
I
I
A
And
I
I
have
a
couple
questions
and
I
for
probably
the
agency,
it's
my
understanding.
Without
the
passage
of
that
bill,
it
would
just
be
essentially
phone
lines
and
we
wouldn't
be
able
to
supplement
with
those
other
potential
services
within
the
community.
Is
that
a
correct
understanding,
Cody.
J
Finney
Deputy
Administrator
for
the
division
of
public
and
Behavioral
Health.
Yes,
that
is
a
correct
understanding.
The
without
some
enabling
legislation
to
correct
that
problem.
With
the
language
we
will
be
severely
limited
about
what
additional
infrastructure
we
can
build
and
and
what
services
we
can
fund
and.
A
I'm,
having
flashbacks
to
some
of
the
other
projects
that
were
hoped
to
be
funded
with
this
potential
money,
that's
included
in
here
there's
the
potential
to
expand
a
lot
more
of
this
Crisis
Intervention
I.
Guess:
crisis
response
programming
within
the
local
communities
that
is
still
going
unmet,
even
with
this
extra
30
million.
If
this
Senate
Bill
237
would
pass,
is
that
correct.
J
Cody
Finney
for
the
record.
It
is
our
understanding
at
this
point
that
there
may
be
continuing
need
we're
working
with
all
the
communities
we
can
work
with
at
this
point
to
make
sure
we
meet
their
needs
as
we
try
to
roll
this
out.
K
Thank
you,
madam
chair,
and
you
know,
I
agree
with
the
majority
leader
I
think
this
is
important
legislation
for
important
programs.
We
need
to
have
those
programs
so
I'm,
looking
forward
to
the
hearing
in
finance,
I
believe
it's
in
Senate
Finance,
we'll
get
it
moving.
Thank
you.
A
C
Tiffany
greenmar
for
the
record,
moving
on
to
page
37
in
this
budget
is
the
second
major
closing
item
for
the
governor
recommends:
1.5
million
in
Telecom
fees
over
the
2023-25
biennium
for
10,
new
full-time
positions
and
Associated
costs.
These
fees
are,
in
addition
to
the
28.4
million
in
the
Telecom
fees
recommended
in
major
closing
issue,
one
so
moving
on
to
page
38.
C
These
these
positions
are
funded
with
the
Telecom
fees.
As
noted
in
major
closing
issue,
one
funding
sufficient
to
support
this
decision
unit
would
be
contingent
on
the
passage
and
approval
of
enabling
link
legislation.
A
C
Moving
on,
there
are
four
coronavirus:
State
fiscal
recovery
projects
in
this
budget
that
fiscal
staff
recommends
revisions
to
fiscal
year,
24
for
all
four
of
these
budgets
and
then
moving
on
to,
as
you
can
see
in
the
bottom
of
page
39.
There's
a
table
for
the
four
projects
and
the
decision
for
the
subcommittee
is
on
page
40..
C
Does
the
subcommittee
wish
to
recommend
approval
of
a
in
the
base
budget
at
2.2
million
in
arpa
coronavirus,
State
fiscal
recovery
funds
in
fiscal
year
24
to
fund
the
crisis
counselors
for
the
Nevada
resilience
project
be
in
the
base
budget?
A
D
Oh,
thank
you
just
for
clarification,
so
with
this
proposal
it
will
go
ahead
and
and
give
a
base
funding
for
the
988,
regardless
of
the
passage
of
237,
correct.
C
A
C
Foreign
on
page
40
is,
there
are
two
other
closing
items
and
number
two
is
a
budget
amendment
a
two
three:
zero:
six:
seven:
three
one:
six:
five
for
the
transfer,
Telecom
fees
to
the
direct
Department
of
Health
and
Human
Services
director's
office
data
analytics
for
one
new
biotician
position.
C
The
funding
in
the
amendment
would
require
new
Telecom
fees
to
fund
this
transfer
and
sufficient
and
sufficient
additional
fees
would
be
contingent
upon
passage
and
approval
of
an
enabling
legislation.
As
noted
in
major
closing
item
issue,
one
fiscal
staff
recommends
closing
item
one
be
closed,
as
recommended
by
the
governor
approval
of
budget
amendment
a230673165
in
other
closing
item
two
contingent
upon
passage
and
approval
of
Senate
bill,
237.
A
C
C
This
budget
account
has
one
major
closing
issue
and
it's
the
request
for
new
administrative
Services
officer
position.
The
governor
recommends
317
546
dollars
in
Behavioral,
Health
cost
allocation,
reimbursement
charges
and
516
dollars
in
Medicaid
administrative
Administration
charges
over
the
23-25
biennium
for
the
addition
of
one
new
full-time
classified
administrative
service
officer
for
an
Associated
costs.
C
This
position
is
recommended
to
start
July
2023
and
would
be
located
in
Northern
Nevada.
Moving
on
to
page
44
is
the
this
decision
for
the
subcommittee.
Does
the
subcommittee
wish
to
recommend
approval
of
317
546
in
Behavioral
Health
cost
allocation
reimbursement
charges
and
516
dollars
in
Medicaid
Administration
Administration
charges
to
fund
one
new
full-time
administrative
service
officer
and
Associated
cost,
as
recommended
by
the
governor.
A
C
Okay,
moving
on
with
page
44
is,
there
is
one
arpa
project
in
this
budget.
The
governor
recommends
the
budgeting
of
arpa
coronavirus,
State
fiscal
recovery,
funds
of
156
000
over
the
2023-25
biennium
to
continue
the
upgrade
for
the
electronic
health
record
system
to
the
NX
platform,
and
fiscal
staff
recommends
a
revision
to
the
arpa
coronavirus,
State
fiscal
recovery
funds
to
reflect
628
494
dollars
in
fiscal
year,
2024
for
the
Nexus
flat
platform
project.
A
Have
a
button
that
doesn't
want
to
work
any
discussion
on
the
motion,
seeing
that
and
all
those
in
favor
say
aye
all
right.
Those
opposed,
say,
nay,
motion
carries.
C
L
C
All
right,
moving
on
to
page
47
is
the
behavioral
health
prevention
and
treatment
budget
account
30
budget
31.70.
There
are
no
major
closing
issues
in
this
Budget.
Moving
on
to
page
48,
there
are
three
arpa
programs
that
need
to
be
continued
and
the
decision
for
you
on
the
page
49
at
the
top.
This
isn't
for
the
subcommittee.
A
A
Any
questions
regarding
that
recommendation,
seeing
none
do
I,
have
a
motion
so
moved.
Second,
any
discussion
on
the
motion.
Seeing
none
all
those
in
favor
say:
aye
aye,
anyone
opposed,
say,
nay,
motion
carries,
and
that
brings
us
I
think
to
3200
and
32.55
and
I
will
ask
you
to
highlight
those
both
together
and
then
we'll
have
any
questions.
After.
C
Thank
you,
madam
chair.
If
you
move
on
to
page
55,
the
last
two
budgets
are
staff.
Closings
fiscal
staff
is
responsible
for
developing
recommendations
for
the
following
budgets
to
assist
with
the
closing
staff
has
identified
budgets
that
are
recommended
to
be
closed,
as
recommended
by
the
governor.
So
at
the
fiscal
staff
recommends
that
the
following
budgets
be
closed,
as
recommended
by
the
governor
and
requests
Authority
for
staff
to
make
technical
adjustments
as
necessary.
A
N
Thank
you,
madam
chair.
My
name
is
Chris
English
from
LCB
fiscal.
For
the
record.
Today
we
have
11
Division
of
Child
and
Family
Services
budgets,
seven
of
which
had
a
hearing
on
March,
21st
and
I
will
start
with
the
first
one.
It
is
on
page
57
of
your
packet
and
it
is
the
victim
Services
budget,
4894.
A
N
A
Thank
you,
I
just
have
a
statement
to
make
I
know
that
we
are
going
to
recommend
moving
this.
However,
it
has
come
to
our
attention
that
there
has
been
some
discrepancy
in
the
governor's
recommendation
of
those
2022
levels
which
are
significantly
lower
than
the
2021
levels,
and
so
we
are
going
to
ask
staff
to
kind
of
take
a
look
at
that
to
see
if
we
can
locate
that
about
four
hundred
thousand
dollars.
A
That's
missing
there,
four
hundred
thousand
I'm
sorry
per
year
to
see
where
they,
if
we
can
find
a
way
to
solve
that
problem.
But
this
time
I
would
entertain
a
motion
based
on
that
recommendation
as
read
by
staff,
so
moved.
O
A
N
N
There
are
seven
other
closing
items
and
the
decision
box
can
be
found
on
page
66
of
your
packet.
Fiscal
staff
recommends
other
closing
items.
One
two
and
four
be
recommended
to
be
closed,
as
recommended
by
the
governor
other
closing
item
five
be
recommended
to
be
closed
as
adjusted
by
budget
amendment
a231-173-148.
N
The
language
recommended
by
the
governor
and
other
closing
items
7
be
added
to
the
Appropriations
act
for
the
2023-25
biennium
and
defer
action
taken
on
other
closing
items.
Three
and
six
as
those
will
be
considered
by
The
Joint,
full
committees.
When
Statewide
decision
units,
including
compensation
recommendations,
will
be
considered.
N
N
In
discussions
with
the
agency.
After
the
budget
hearing,
it
became
clear
that
the
reclassification
of
the
two
group
supervisor
of
four
positions
were
added
in
error,
so
fiscal
staff
recommends
a
technical
adjustment
to
remove
those
reclassifications,
and
that
can
be
seen
above
the
decision
box
on
page
71..
N
The
decision
for
the
subcommittee
does
the
subcommittee
wish
to
recommend
approval
of
a
reduction
of
3.2
million
dollars,
3.1
million
general
fund
over
the
23
to
25
biennium,
to
reduce
capacity
at
Caliente
youth
center
from
112
to
80
beds
through
the
elimination
of
19
group
supervisor,
2
positions
and
Associated
expenditures
and
a
technical
adjustment
to
eliminate
the
reclassification
of
two
group
supervisor.
Four
positions
to
assistant
head
group
supervisor,
assistant,
head
group
supervisor
positions.
A
N
Thank
you,
madam
Sharon.
There
are
three
other
closing
items
in
this
budget
and
they
can
be
seen
on
page
71..
Fiscal
staff
recommends
other
closing
item
one
be
closed,
as
recommended
by
the
governor
and
other
closing
items.
Two
and
three
be
closed
with
the
noted
technical
adjustments
and
requests
authority
to
make
other
technical
adjustments
as
necessary.
K
N
N
The
decision
for
the
subcommittee
is
on
page
76.
Does
the
subcommittee
wish
to
recommend
approval
of
1.3
million
dollars
in
general
fund
Appropriations
and
eight
thousand
one
hundred
and
fifty
Seven
dollars
in
federal
Medicaid
reimbursement
to
fund
the
addition
of
seven
permanent
positions
and
Associated
expenditures
for
the
mobile
crisis
response
team
program,
as
recommended
by
the
governor.
A
N
N
1.4
million
general
fund
increase
in
FY
2025
to
change
the
funding
source
from
American
Rescue
plan
act,
coronavirus,
State,
fiscal
recovery,
funds
to
1.4
million
dollars
in
general
fund
Appropriations
and
261
208
dollars
in
Medicaid
reimbursement
funds
to
continue
22
positions
that
were
added
during
the
2021-2023
biennium
funded
with
American
Rescue
plan
act,
coronavirus,
State
fiscal
recovery
funds
and
to
support
one
new
accounting
assistant.
Three
and
Associated
expenditures.
A
Thank
you
I'm
glad
to
see
that
we've
moved
up
to
two
additional
employees.
Hopefully
you
can
get
to
that
22
and
keep
that
momentum
rolling,
but
do
I
I
would
entertain
a
motion
so
moved
any
further
discussion
on
the
motion.
Seeing
none
all
those
in
favor
say:
aye
aye,
all
those
opposed,
say,
nay,
motion
carries.
N
N
The
decision
for
the
other
items
is
found
on
page
80..
Fiscal
staff
recommends
other
closing
items
one
through
nine
be
closed,
as
recommended
by
the
governor.
Other
closing
item
10
be
closed
as
being
funded
by
direct
appropriation
to
this
budget,
instead
of
as
a
transfer
and
the
language
recommended
by
the
governor
and
other
closing
item,
11
be
added
to
the
Appropriations
act
for
the
2023-25
biennium
and
request
authority
to
make
other
technical
adjustments
as
necessary.
A
N
N
Does
a
subcommittee
wish
to
recommend
approval
of
and
I
a
base,
446
313
dollars
in
arpa
coronavirus,
State
fiscal
recovery
funds
in
FY,
2024
to
fund
the
four
mobile
crisis,
response,
team
positions
and
Associated
expenditures
for
Washoe
County
School
District
B
base
funding
of
241
000
20
in
our
coronavirus;
State
fiscal
recovery
funds
in
FY,
2024
to
fund
the
six
part-time
Public,
Service
interns
and
Associated
expenditures
to
support
behavioral
health,
Workforce,
Development
and
C
base
920
923
073
in
arpa
coronavirus,
State,
fiscal
recovery
funds
in
FY,
2024
to
fund
The,
Early
Childhood
day
treatment
program
for
children
with
severe
emotional
disturbance,
including
the
12
new
positions
and
Associated
expenditures,
as
recommended
by
the
governor.
A
N
N
The
decision
for
the
subcommittee
is
on
page
85.
Does
the
subcommittee
wish
to
recommend
approval
of
1.8
million
dollars,
1.7
million
dollars
general
fund
to
fund
nine
permanent
positions
and
Associated
expenditures,
including
eight
positions
for
the
Southern
Nevada
Child
and
Adolescent
Services
mobile
crisis
response
team
program
and
one
new
accounting
assistant,
as
recommended
by
the
governor.
A
N
N
A
N
Thank
you,
madam
chair
major,
closing
issue.
Three
is
the
elimination
of
14
Grant
funded
positions,
the
governor
recommends
reductions,
totaling
2.5
million
dollars
in
federal
funds
over
the
2023-25
biennium
to
eliminate
14
positions
and
Associated
expenditures
due
to
the
expiration
of
federal
system
of
care
Grant
and
the
federal
pediatric
Mental
Health
Care
access
Grant
on
September
29
2023.
N
The
decision
for
the
subcommittee.
Does
the
subcommittee
wish
to
recommend
approval
of
reductions,
totaling
2.5
million
dollars
in
federal
funds
over
the
2023-25
biennium
to
eliminate
14
positions
in
Associated
expenditures
due
to
the
expiration
of
the
federal
system
of
care
Grant
and
the
federal
pediatric
Mental
Health
Care
access
Grant
on
September
September
29th
2023,
as
recommended
by
the
governor.
A
And
if
I
could
just
clarify
it's,
my
understanding
that
they
did
accept,
they
did
apply
for
a
one-time
or
one
year
like
additional
funds.
Is
that
correct.
N
L
Good
morning
for
the
record
Cindy
pitlock
Madam
chair,
yes,
we
will
be
applying
for
that
one-year
grant
extension.
It
is
a
little
too
early.
We
have
to
wait,
I
think
until
July
and
then
we'll
determine
whether
or
not
we're
awarded
that
I
think
the
end
of
August.
So
all
of
those
pieces
of
that
puzzle
are
falling
into
place.
It's
just
a
timing
issue,
but
we
fully
intend
on
applying
for
that
one
year,
no
cost
extension.
A
Perfect,
thank
you.
You're
welcome
any
other
further
questions,
seeing
none
I,
accept
emotion,
so
moved.
Second,
any
further
discussion
on
the
motion,
seeing
none
all
those
in
favor
say:
aye
aye.
Anyone
opposing
a
motion
carries.
N
Thank
you,
madam
chair.
Moving
on
to
Major
closing
Issue
4
in
this
budget,
which
is
the
transfer
in
of
22
positions
and
the
addition
of
56
new
positions
to
staff.
The
Desert
Willow
Treatment
Center,
the
governor
recommends
transferring
in
3.6
million
dollars,
1.5
million
dollars
general
fund,
the
net
of
funding
source
changes
in
decision
unit,
e511
to
transfer
in
22
vacant
positions
and
Associated
expenditures
from
the
Northern
Nevada
Child
and
Adolescent
Services
budget
Additionally.
The
governor
recommends
9.3
million
dollars,
4.4
million
dollars
general
fund
to
support
56
new
positions
and
Associated
expenditures
to
staff.
N
N
It's
estimated
that
full
occupancy
of
54
beds
after
the
hardening
project
would
be
available
for
the
agency
on
April
1st
2025.,
according
to
the
agency,
in
order
to
not
displace
youth
in
Care
at
the
Desert
Willow
Treatment
Center,
once
the
hardening
project
begins,
one
unit
of
10
beds
would
be
kept.
Vacant
and
youth
would
be
rotated
between
units
as
needed
when
other
units
are
under
construction.
N
N
N
If
the
subcommittee
wishes
to
recommend
options
b
or
c,
the
subcommittee
could
could
consider
recommending
placing
the
general
fund
savings
in
the
interim
finance
committee.
Contingency
account
as
a
restricted
allocation
available
to
the
agency
in
the
event
that
it
can
demonstrate
need
Additionally.
The
subcommittee
may
wish
to
recommend
the
issuance
of
a
letter
of
intent
to
have
the
agency
report
on
a
semi-annual
basis
on
its
progress
in
fi
in
filling
positions,
the
average
bed
census
and
progress
on
completing
the
hardening
project.
N
A
Before
we
get
to
well,
actually,
does
anyone
have
any
questions
about
that?
First
recommendation:
seeing
none
I'd,
accept
emotion,
so
moved
second,
any
further
discussion
on
that
motion,
seeing
none
all
those
in
favor
say:
aye
aye,
anyone
opposed,
say,
nay,
motion
carries
and
then
before
we
get
into
turnover
staff
or
some
of
the
other
decisions
on
e375
can
I
I
have
a
couple
of
questions.
If
that's
okay,
when
we
go
back
to
that
chart
on
page
93
and
we're
talking
about
option
b,
it
shows
kind
of.
A
Is
it
my
understanding
that
it's
hiring
those
positions
and
then
not
having
those
positions
for
six
months
and
then
having
those
positions
again?
Is
that
how
I
read
that.
N
So
that
is
how
how
it
appears
in
the
in
the
table
in
in
discussion
discussing
this
option
with
the
agency.
N
It
was
indicated
that
the
intent
is
not
to
hire
positions
and
then
eliminate
those
positions,
but
rather
to
consider
those
positions
as
more
of
a
a
vacancy
savings
option
where
in
that
time
period
they
would
hold
those
23
positions
vacant
which
would
lead
to
budgetary
savings.
But
the
intent
was
not
too
hire
and
then
eliminate
positions.
Q
Just
Madam
chair
for
the
record
broilizer,
just
if
I
can
I
believe
help
clarify
option
b
that,
while
the
intent
would
not
be
to
eliminate
the
incumbents
from
those
positions,
option
b
would
eliminate
the
funding
for
those
positions.
So
if
all
56
positions
were
filled
under
option
b
and
come
February
2024,
there
would
be
no
funding
in
the
budget
for
23
of
those
positions
and
the
agency
would
be
required
to
find
vacant
positions
to
move
the
incumbents
into
is.
Q
Is
my
understanding
of
option
b
that
the
funding
the
funding
represented,
would
not
include
funding
for
all
56
over
the
entire
biennium.
So
just
want
to
make
sure
that
that's
clear
that
that
option
b
would
eliminate
funding
for
23
of
the
56
positions
from
the
time
period
of
February
2024
to
February
2025.
A
Q
Go
ahead,
sorry,
just
again
for
the
record
that
that,
as
Mr
English
indicated,
that
is
correct.
There
will
be
also
I,
believe
some
discussion
and
an
option
to
put
set
some
money
aside
in
the
IFC
contingency
account
so
that
under
option
C
funding
would
be
provided
for
33
positions
from
October
2023
through
February
of
2025..
Q
There
will
be
an
option
for
the
subcommittee
to
consider
to
place
General
funds
in
the
IFC
contingency
account
as
restricted
funds,
so
that
if
the
agency
were
to
demonstrate
a
need
to
bring
on
more
positions,
they
would
have
an
opportunity
to
go
through
the
the
process
to
request
an
allocation
from
the
contingency
account.
If
that's
the
recommendation
of
the
subcommittee.
A
A
Okay,
okay.
I
will
turn
it
back
over
it.
It
would
be
my
recommendation
to
accept
emotion
regarding
option.
C
do
I,
have
a
motion
so
moved
well,
I!
Think.
Actually
we
haven't
read:
option
C,
so
I'm
going
to
turn
it
back.
We
have
just
for
everyone
else.
I
will
have
turned
this
back
over
to
staff
regarding
option.
C.
N
Thank
you,
madam
chair
decision
unit
e375
option
A.
Does
the
subcommittee
wish
to
recommend
approval
of
9.3
million
dollars,
4.4
million
dollars
general
fund
to
support
56
new
positions
and
Associated
expenditures
to
staff
the
Desert
Willow
Treatment
Center
for
a
full
capacity
of
54
beds,
as
recommended
by
the
governor
or
option
b?
N
And,
finally,
does
the
subcommittee
want
to
recommend
approval
to
recommend
the
issuance
of
a
letter
of
intent
to
have
the
agency
report
on
a
semi-annual
basis
on
its
progress
in
filling
positions,
the
average
bed
census
progress,
completing
the
heart,
progress,
completing
the
hardening
project
and
any
information
it
would
require
to
release
funds
from
the
contingency
account?
Should
the
subcommittee
recommend
placing
all
or
some
of
the
identified
general
fund
savings
in
the
contingency
account.
A
D
A
P
I
would
like
to
make
a
motion
for
C
and
then
also
to
recommend
placing
the
identify
general
fund
savings
in
the
interim
finance
committee.
Contingency
account
and
the
insurance
of
a
letter
of
intent.
A
Do
you
have
a
second
second,
any
further
discussion
on
the
motion,
seeing
none
all
those
in
favor
say:
aye
aye,
anyone
opposed,
say
no,
nay,
no,
you
could
say
no
to
seeing
none.
The
motion
carries
and
we
will
move
on
to
the
next
one.
N
N
A
N
N
The
governor
recommends
6.5
million
dollars
in
general
funds
over
the
2023-25
biennium
to
replace
Court
assessment
fees
and
to
provide
additional
General
funds
to
support
this
budget.
Correspondingly,
a
2.1
million
dollar
reduction
in
court
administrative
assessment
fee
Revenue
over
the
2023-25
biennium
is
recommended.
N
On
March
24
2023,
the
agency
received
this
victim's
compensation
formula
grant
allocation
for
federal
fiscal
year.
2023
the
allocation
was
one
million
dollars,
which
is
1.3
million
dollars
less
than
Federal
Federal
fiscal
year
2022
and
significantly
less
than
the
2.3
million
dollars
that
was
budgeted
in
fiscal
year
2024
and
fiscal
year.
2025.
according
to
the
agency.
This
would
create
a
shortfall
of
2.3
million
dollars
over
the
2023-25
biennium,
and
if
this
shortfall
is
not
addressed,
the
agency
would
be
unable
to
fund
all
victims.
Compensation
claims.
N
With
regard
to
the
reduced
Federal
grant,
funding
fiscal
staff
recommends
that
the
subcommittee's
recommendation
be
to
defer
this
issue
to
the
Joint
full
committee
closing,
which
is
currently
planned
for
Saturday
April
29th
does.
Does
the
subcommittee
wish
to
defer
making
a
recommendation
on
the
governor's
recommendation
for
6.5
million
dollars
in
general
fund
Appropriations
over
the
2023-25
biennium
to
replace
Court
assessment
fees
of
2.1
million
dollars
and
to
provide
4.4
million
dollars
of
additional
general
fund
to
support
the
budget
with
the
corresponding
2.1
million
dollar
reduction
in
court?
A
Thank
you
before
we
get
to
that
recommendation
to
defer
this
particular
item.
I
do
have
some
questions
and
it
might
be
for
the
agency,
but
probably
also
the
governor's
office,
so
just
more
of
a
comment,
because
it
appears
to
me
that
in
this
committee
that
the
governor's
recommendation
has
created
a
shortfall
of
2.3
million
dollars
and
I
know
in
this
building.
We
are
always
trying
to
find
ways
to
maximize
these
federal
funds,
and
so
it's
my
understanding
and
maybe
staff
can
clarify
this-
that
we
have
these
victims
of
crime
like
funds.
A
N
Thank
you,
madam
chair
I'm,
not
sure
the
answer
to
that
question.
If,
if
you'd
like,
perhaps
the
agency
would
have
the
answer
to
that
question,
yes,.
S
Good
morning,
Melanie
young
Deputy
Administrator
for
the
Division
of
Child
and
Family
Services.
Thank
you,
Senator
Derwin,
for
the
question
in
regards
to
the
Voca
grant
for
every
dollar.
It's
not
necessarily
a
hundred
or
seventy
five
percent
for
every
dollar,
because
there
are
unallowable
costs
that
would
not
meet
the
qualifications
of
that.
And
so
it's
a
complicated
question
and
answer.
But.
A
Under
the
state
plan,
aren't
there
certain
discretionary
rewards
that
we
can
pay
for
victims,
including
you
know,
the
sexual
assault
kits
the
forensic
medical
examinations,
helping
domestic
violence,
victims
relocate
paying
for
a
crime
scene
cleanup
for
victims
of
crime,
paying
for
transportation
to
medical
appointments
and
other
things
I'm
just
going
down
the
list
of
things
that
I
know
are
part
of
the
state
plan
paying
for
child
care
due
to
a
disability
in
order
to
participate
as
a
victim
in
these
things,
I'm
just
incredibly
concerned
that
we
are
not
I
mean
we
have
the
opportunity
to
fix
this
item
right
now
and
the
idea
that
we
would
defer
this
knowing
we
know
what
the
costs
are
for
these
victims
of
crime,
and
you
know
I
think
we
heard
you
know
previously.
A
You
know
we're
already
one
of
the
worst
states,
where
we
have
three
staff
for
every
4
634
victims
in
our
state,
so
that
is
incredibly
low
and
I
know
we
have
backlogs,
and
people
are
I'm
just
wondering
why
we
wouldn't
clean
this
up
right
now
why
we
have
the
opportunity
to
especially
when,
even
if
it's
at
60
percent
or
it's
at
75
percent,
it
seems
like
we
are
giving
away
free
money.
So
I
was
wondering
you
know
where
that
reduction,
how
that
would
inhibit
our
ability
to
provide
victims
with
this
type
of
compensation.
A
T
Thank
you,
madam
chair,
for
the
record,
my
name
is
Amy
Stevenson,
director
of
the
governor's
finance
office
right
now.
Currently,
this
account
is
funded
with
court
assessments,
so
we
do
have
a
budget
bdr
and
policy
bill.
That
has
not
been
heard,
so
we
didn't
want
to
replace
that
Court
assessment
with
general
fund.
So
right
now
we
don't
have
a
budget
amendment,
because
we
are
waiting
for
that
that
legislation.
U
Thank
you
so
I
guess
just
to
follow
up
and
I
might
have
another
question
for
the
agency.
So
sorry,
so
do
you
for
I
understand
that
bill
is
still
in
in
the
works,
but
is
it
envisioned
that
that
bill
is
not
just
going
to
take
care
of
the
of
this
shift
in
funding
source,
but
also
address
this
shortfall,
to
make
sure
that
we
are
not
cutting
benefits
to
victims
of
crime.
T
Thank
you
for
your
question
through
you,
madam
chair
to
assemblyman,
want
feel
free
to
go
direct.
Oh
thank
you.
Once
we
figure
out
what
that
legislation
and
that
we
can
actually
address
the
shortfall
in
in
the
interim
is
kind
of
where
we
were
figuring
that
out.
U
T
U
The
question
the
question
I
have
that's
probably
best
answered
by
the
agency
is
I
know
that
there
was
some
arpa
funds
that
were
transferred
to
this
program
in
2022,
and
so,
if
you
could
just
provide
a
little
bit
of
background
on
where
the
did,
we
kind
of
know
that
those
funds
were
insufficient
has
has
that
been
impacted
by
kind
of
changes
in
the
federal
funding
that
we
got
kind
of.
How
did
how
does
that
fit
into
the
position
that
we
find
ourselves
in
now?
So
if
you
could
just
provide
a
little
background
on
that.
S
Thank
you,
Melanie
young
Deputy
Administrator
for
the
record.
So
in
fiscal
year,
2022
the
the
program
received
about
1.4
million
dollars
in
arpa
funds
and
those
were
expended.
We
only
balanced
forward
into
fiscal
year,
23
about
a
million
dollars
in
reserves,
kind
of
going
back
to
our
previous
testimony
in
the
close
of
fiscal
year
2017.
S
the
program
had
about
12
million
dollars
in
reserves
and
we've
been
expending
those
down
to
where
we
find
ourselves
in
the
second
year,
the
biennium
being
insolvent,
and
now
that
we've
learned
that
the
federal
dollars
are
that
are
coming
into
this
program
are
being
reduced
reduced
further.
That's
where
we're
at
so
we
are
spent
currently
spending.
We
have
spent
the
arpa
dollars
and
with
what's
being
added
and
the
revision
that
Miss
Stevenson
has
talked
about,
that
removes
the
court
assessments
and
adds
general
fund
into
this
budget.
U
Thank
you,
I
I,
appreciate
that
clarification,
and
you
know
again,
I'm
I'm,
just
I'm,
really
concerned
about
that.
The
one
other
question
I
have
on
the
federal
fund,
so
I
know
that
there
has
been
some
action
at
the
federal
level
related
to
some
of
these
funds.
Do
you
have
any
insight
at
this
point
in
time?
S
Millennium
Deputy
Administrator
for
the
record.
Thank
you
for
the
question.
It's
still
uncertain,
where
the
federal
government
is
going
in
regards
to
their
funding.
Most
of
the
federal
funds
are
supported
by
Court
federal
court
assessments
so,
depending
on
the
outcome
of
that,
would
help
the
fund
and
ultimately
come
into
Nevada.
So
with
the
in
regards
to
the
state
funds,
when
we
do
expend
more
State
dollars,
we
can
tap
into
like
Senator
Wynn
was
getting
to.
We
can
tap
into
additional
federal
dollars
in
this
program
and
I
hope
that
answers
your
question.
U
Let
me
it
does.
Thank
you
very
much
for
that
and
again
I'm,
just
the
current
proposals
that
we
have
around
spending
down.
All
you
know
the
reserves
even
further
I,
think
you
know
it
made
sense
to
spend
them
down
to
a
certain
point
at
this
spending
them
down
further
would
be
fiscally
irresponsible
and
and
potentially
leave
us
insolvent
and
again,
I
think
that
reducing
the
payment
it
sounds
like
the
only
the
only
way
to
cut
costs
is
to
reduce
payments
to
victims
of
crime,
and
that
is
unacceptable
to
me.
So
thank
you,
madam
chair.
A
I
Thank
you,
madam
chair
I
and
honestly.
We've
had
a
lot
of
conversations
about
things
that
are
funded
with
administrative
assessments,
and
if
there
is
that
piece
of
legislation
that
passes
I
want
to
say
it's
448
a
Senate
bill
448.,
it
could
be
wrong,
but
that
bill
is
simply
allowing
for
administrative
assessments
to
go
into
the
general
fund.
I
So
it's
a
little
concerning
to
me
to
now
hear
that,
when
we're
faced
with
a
shortfall
for
victims
of
crime,
that
because
of
this
AAA,
we're
just
not
going
to
address
this
shortfall
or
that
the
alternative
is
that
sometime
in
the
interim,
we
will
figure
it
out
I'm
a
little
uneasy
with
the
fact
that
we
are
just
not
getting
a
budget
amendment
when
we
have
made
that
decision
and
can
make
those
decisions
contingent
upon
passage
and
approval
of
that
particular
bill,
which
would
obviously
change
it
from
the
administrative
assessments
to
general
fund
and
are
making
those
decisions
without
needing
to
address
something
in
the
interim
or
without
needing
to
wait
and
see
what
happens
in
that
bill.
I
But
when
it
comes
to
victims
of
crime,
we're
just
going
to
make
a
completely
different
situation,
a
completely
different
decision
and
we're
not
going
to
see
a
budget
amendment,
especially
when
the
alternative
as
I
understand
it
from
Miss
Finney.
Is
that
or
excuse
me
from
Miss
Young
is
that
we
would
have
to
amend
the
state
plan
to
stop
compensation
to
victims
of
crime.
I
That's
what
I'm
hearing
today
I
have
some
significant
concerns
about
that,
because
figuring
out
how
we're
going
to
address
it
in
the
interim,
we
know,
there's
a
shortfall
and
not
getting
an
amendment
to
address
that
I'm
just
at
a
little
bit
of
a
loss.
Sorry
there's
maybe
more
of
a
comment
than
an
actual
question,
but.
V
Thank
you,
madam
chair
and
I,
do
not
have
a
comment.
It
is
a
question.
You
know
we're
only
here
for
120
days
to
do
the
work
of
the
legislative
body
and,
as
my
colleague
had
said,
we
have
made
some
decisions
in
other
budget
units
that
were
paid
with
court
assessment
fees
where
we
have
changed
it
to
general
fund,
because
we
know
that
the
direction
that
this
legislative
body
is
going
in
nationally,
that's
the
direction
we're
going
in.
We
know
that
there
is
a
shortfall
here.
V
It's
documented
I
think
it's
disengenerates
on
our
part
and
probably
a
slap
in
the
face
to
the
victims
of
crime
to
say
the
only
way
to
take
care
of
this
is
during
the
interim
when
we
know
that,
there's
a
problem
now
and
to
depend
on
a
bill
that
may
or
may
not
live,
none
of
us
can
foretell
the
future.
We
have
an
opportunity
to
fix
this
now
and
do
right
by
our
victims
of
crime
in
the
state
and
I.
Think
we
need
to
do
that
now.
V
We
only
have
a
few
more
days
left
in
this
legislative
session
and
if
we
could
get
that
budget
amendment
to
take
care
of
this
now,
I
believe
that's
what
we
should
do
as
a
body,
especially
for
this
category.
Victims
of
crime,
deserve
the
respect
of
this
legislative
body
of
this
of
the
Nevada
state
government
to
make
sure
that
we're
taking
care
of
them
and
the
option
of
cutting
benefits
to
them.
It's
just
not
that's.
That's
not
an
option,
not
a
question.
Madam
chair,
just
a
very
strong
comment.
K
Thank
you,
madam
chair
and
I,
think
we
all
agree.
Cutting
compensation
to
victims
of
crime
is
unacceptable
and
we've
already
talked
about
the
budget
amendment,
but
I
was
talking
to
fiscal
staff
about
some
other
Alternatives
and
we've
done
this
before,
but
we
we
have
arpa
funds.
We
have
savings
on
page
19
from
I.
Think
it's
11.2
million
dollars.
K
L
K
To
two
million
dollars,
I
think
it
was
Southern
Nevada,
the
the
jail
the
Las
Vegas
county
jail.
So
we
have
some
flexibility
in
these
dollars.
I
don't
know
if
it
has
to
come
through
a
budget
amendment
or
not,
but
it's
clear
that
it's
unacceptable,
that
we
reduce
compensation
to
the
victims
of
crime.
We
also
understand
the
court
assessments
have
been
down
because
of
of
covid
and
they
may
rebound
right
now.
We're
expecting
a
loss
of
federal
dollars,
but
I
think
we
can
solve
this
and
make
sure
that
this
budget
is
not
short.
K
We
have
the
resources
to
be
able
to
do
that
because
of
some
of
the
savings.
So
I
agree
with
my
colleagues.
It's
unacceptable
I
would
have
preferred
that
there
was
a
budget
amendment
and
some
problem
solving
before
we
got
here,
but
we
do
know
that
we
have
some
buckets
of
funds
that
will
help
us
manage
this
and
make
sure
that
we
can
make
this
account
whole.
Thank
you.
A
A
No
I
appreciate
that
I
I
completely
agree
I
think
it's
clear
that
this
is
an
unacceptable
like
solution
to
either
cut
the
state
plan
and
the
funding
to
these
victims
of
crime,
some
of
our
probably
our
most
vulnerable
people,
women,
children,
people
that
have
been
battered
that
just
want
to
have
an
esm
lens
of
normalcy
and
especially
when
we
have
the
opportunity
to
do
that.
So
I
would
redirect
staff
to
Art
accept
a
motion
to
redirect
staff
to
bring
a
recommendation
to
this.
A
When
the
subcommittee
report
is
presented
to
the
full
committee
to
address
this
2.3
million
dollar
short
file
anticipated
over
the
2023
2025
biennium,
with
a
reduced
Federal
victims,
compensation
formula
grant,
including
looking
at
those
arpa
funds
potentially
to
make
up
that
lack
of
this,
and
that
would
be
I'd
accept
emotion.
Regarding
that,
oh
wait,
I
think.
Q
A
Yeah
and
I'll
I'll
go
ahead
and
have
Chris.
Re-Read
the
motion
that
he
previously
made
before
the
discussion
just
to
make
it
clear.
K
Madam
chair,
so
this
motion
is
using
general
fund
and
I
really
do
think.
We
should
be
looking
at
the
arpa
finance
of
my
misunderstanding
that.
N
Q
So,
just
sorry
for
the
record,
broilizer
fiscal
analysis
division
so
we're
we
have
two
issues
that
are
being
discussed
as
as
part
of
the
consideration.
First
is
the
recommendation
in
the
governor's
budget
to
replace
the
court
assessment
fee
revenues
with
general
fund
Appropriations.
Q
In
addition
to
that,
the
agency
has
learned,
since
the
time
of
the
budget
hearing
that
there's
a
shortfall
in
a
Federal
grant
of
approximately
2.3
million
dollars
over
the
biennium,
and
so
that
second
piece
is
what
is
being
discussed
and
considered
to
fund
fill
that
2.3
million
dollar
hole
with
coronavirus,
State
fiscal
recovery
funds.
So,
as
I
understand
the
motion,
the
motion
would
defer
action
on
both
of
those
items.
Q
It
would
defer
action
on
the
replacement
of
the
Court
assessment
fees
with
general
fund
Appropriations
and
also
direct
staff
to
bring
an
option
to
the
full
committees.
When
the
subcommittee
report
is
is
presented
to
fill
the
2.3
million
dollar
hole
as
a
result
of
the
the
loss
of
the
victims,
compensation
formula
grant
funds
and
replace
those
with
coronavirus,
State
fiscal
recovery.
K
Thank
you,
madam
chair
I,
appreciate
the
clarification.
I'll
support
the
motion.
A
A
We
do
not
want
to
cut
those
things
and
since
an
amendment
is
not
forthcoming
and
we
don't
want
to
deal
with
it
during
the
interim
I
think
we
are
looking
to
see
if
we
can
use
those
arpa
dollars
that
you
had
mentioned
before
that
are
being
unused
and
if
not,
then
we
would
fund
this
with
General
funds,
but
deferring
this
to
give
staff
the
opportunity
to
look
into
that
to
see
what
other
Solutions
we
can
come
up
with.
A
N
N
A
N
Thank
you,
madam
chair.
These
final
four
budgets
are
staff
closed
budgets.
They
have
not
been
heard
previously
when
I
presented
the
last
budget
in
the
group
and
questions
have
been
addressed.
The
chair
may
wish
to
ask
for
a
single
motion
for
closing
consideration
on
all
the
budgets
for
which
fiscal
staff
is
responsible
for
developing
recommendations.
N
N
N
N
A
Do
we
have
any
questions
regarding
that
recommendation,
if
not
I'd
entertain
a
motion
so
moved?
Second,
any
further
discussion
on
the
motion,
seeing
none
all
those
in
favor
say:
aye
aye,
anyone
opposed,
say,
nay.
The
motion
carries
and
I
think
staff
again
for
their
hard
work
on
this
I.
Don't
think
I've
seen
so
many
amendments
and
they
work
their
magic,
and
that
is
wonderful
and
that
ends
our
budget
closings
and
moves
us
to
our
last
item
on
the
agenda,
which
is
public
comment
I'd.
A
Ask
anyone
that
wants
to
testify
in
public
comment
to
please
come
up
to
the
front,
remember
to
say
your
name
and
spell
it
for
the
record
and
I
will
you
are
limited
today
to
two
minutes
in
public
comment
and
remind
everyone
that
you
can
also
put
this
in
writing.
If
you'd
like
to
call
in
in
public
comment,
that
number
is
listed
on
the
agenda
on
Nellis
for
your
convenience
and
go
ahead
and
begin
when
you're
ready.
M
Thank
you,
chair
Elise,
Monroy,
marsala,
Bell's
case
government
Affairs
I'm
here
today
for
Nami
Nevada
I'd,
like
to
thank
you
on
behalf
of
Nami
today
for
the
recommended
investments
in
the
988
system,
as
well
as
crisis
services.
Today,
Nevada
is
in
dire
need
of
Behavioral
Health
infrastructure
that
can
support
getting
anyone
in
need
connected
to
high
quality
services
in
a
timely
manner,
but
ensuring
that
people
are
in
crisis
are
able
to
get
connected
to
Services
is
of
the
utmost
priority,
because
people
are
dying
waiting
for
help,
so
the
situation
is
literally
dire.
M
O
Good
morning
my
name
is
Wendy
Garrison
g-a-r-r-I-s-o-n
for
the
record
and
I'm
the
director
of
China
Spring
Youth
Camp,
which
is
operated
under
the
ninth
Judicial
District
Court
in
Douglas
County
Nevada
under
the
honorable
Judge
young.
He
asked
me
to
extend
his
apologies.
He
was
not
able
to
get
out
of
court
today,
so
otherwise
he
would
have
been
here
just
a
quick
introduction.
China
Spring
serves
16
of
Nevada's
17
counties.
We
serve
both
male
and
female
youth
ages,
12
to
18..
We
provide
the
youth
with
stability.
O
Many
of
these
youth
have
seen
no
stability
in
their
lives
and
we
provide
it
for
the
first
time
we
offer
24
7,
Residential,
Care
education,
drug
and
alcohol,
counseling
Mental,
Health,
Services
case
management,
cognitive
behavioral
therapy
and
much
more.
In
my
estimation,
we
do
this
for
the
cheapest
cost
to
the
state
of
Nevada
and
to
the
counties
that
we
serve
China's
spring.
Unlike
other
facilities,
do
not
have
these
resources
available
in
our
local
community.
We
must
provide
them
in-house,
and
that
is
expensive.
O
Now,
for
the
good
news,
China
Spring
is
a
is
a
very
high
adherence
facility
in
the
state
of
Nevada,
as
rated
by
the
Legislative
legislatively
accepted
assessment
called
the
correctional
placement
checklist.
In
fact,
we
are
the
only
facility
in
the
state
who
has
achieved
this
rating.
Additionally,
when
compared
nationally
to
660
programs,
the
camp
is
among
the
highest
in
the
nation,
with
the
national
average
being
40
49,
which
is
low
adherence.
O
O
This
is
despite
flat
budgets,
budget
cuts,
which
were
devastating
over
the
last
session
of
approximately
1.2
million.
Everyone
is
struggling.
We
understand
that
the
camp
is
no
exception,
but
salaries
and
prices
are
rising
around
the
country,
and
yet
the
camp
is
stalled.
We're
stalled
with
a
budget
that
we
are
asked
to
make
do
and
I
appreciate
your
comments
today,
and
that
goes
a
long
way
to
me
being
able
to
go
back
and
support
my
staff
to
let
them
know
that
we
do
have
support
and
we
are
being
heard.
O
O
We
are
able
to
make
that
balanced
budget
by
holding
nine
positions
vacant
and
still
we
cannot
go
to
a
zero
balance
budget.
We
must
balance
that
against
opening
fund
balance,
so
I
have
two
scenarios
to
consider.
The
first
is
the
one
that
you
mentioned
today
earlier
in
your
hearing
is
to
return
the
camp
to
fy21
funding
levels
at
the
state
level.
O
That
would
go
a
long
way
to
assisting
the
camp
in
being
whole.
That's
approximately
696
849
dollars
the
second
to
make
up
the
200
I
gotta.
Remember
my
number
two
hundred
and
forty
nine
thousand
difference
would
assist
us
to
also
restoring
positions
that
I've
had
to
hold
vacant.
For
the
last
six
years,
because
the
camp
has
not
received
an
increase
in
a
variety
of
years,
in
addition
to
the
devastating
cuts
of
last
session
and.
A
Wrap
it
up
and
if
you
do
have
something
in
writing,
if
you
could
provide
it
to
committee
staff
and
we'll
make
sure
that
we
contemplate
your
comments
and
I
know
that
Senator
Titus
had
brought
it
up
earlier.
So
and
hence
the
reason
we
have
moved
this
absolutely.
A
W
My
name
is
Mike
biletti
for
the
record.
This
is
in
reference
for
requests
for
an
increase
in
Medicaid
reimbursements
for
skilled
nursing
facilities,
I'm
the
executive
director
at
Alpine,
skilled
nursing,
which
is
a
part
of
the
umbrella
of
revive
senior
health
care.
We
have
over
500
beds
for
skilled
nursing
in
Reno,
which
is
the
most
in
Northern
Nevada,
and
we
employ
about
400
people
Alpine,
like
many
other
nursing
homes
in
Nevada,
is
facing
severe
financial
crisis.
W
Medicaid
reimbursement
rates
continue
to
fall
short
of
our
total
cost
of
care
and
the
shortfalls
causing
us
to
operate
a
loss
each
month.
Despite
our
operational
costs,
going
up,
we've
only
received
two
rate
increases
in
the
last
20
years.
Given
the
right
excuse
me,
given
the
rising
costs
and
low
reimbursement
in
order
to
stay
solvent,
we
have
entertained
the
idea
of
converting
one
to
two
of
our
facilities
to
Medicare
only
facilities.
W
This
will
result
in
a
loss
of
significant
percentage
of
the
Medicaid
beds
in
Northern
Nevada,
and
because
we
will
have
less
patience,
we
will
need
to
have
less
staff
which
will
result
in
the
loss
of
jobs
for
local
nevadans,
with
the
loss
of
skilled
nursing,
Medicaid
beds.
The
amount
of
patients
who
will
have
to
stay
in
the
hospital
due
to
lack
of
skilled
nursing
placement
will
rise
dramatically,
resulting
in
less
available
beds
in
the
hospital
and
subsequently
greater
costs
to
the
state
due
to
patients
staying
longer
in
the
hierarchy
facilities.
Thank
you.
H
H
We
currently
have
job
openings
for
nearly
every
Frontline
position
within
our
facility
that
we're
struggling
to
fill
our
staffing
shorted
has
been
and
continues
to
affect,
the
access
of
care
for
those
who
need
it
most.
Our
company
has
started
limiting
admissions
because
we
don't
have
enough
caregivers
to
safely
care
for
more
residents
and
with
that
we're
limiting
them
out
of
admissions
that
we
cannot
afford
to
admit.
Therefore,
we
cannot
afford
to
admit
any
more
Medicare
Medicaid
residents.
H
Sadly,
we
have
no
choice
but
to
say
no
to
those
hospitals
increasing
the
Medicaid
reimbursement
rate
will
give
us
the
resources
we
need
to
hire
more
staff
and
ensure
that
we
can
continue
providing
high
quality
care
that
so
many
Nevada
seniors
depend
on.
Well,
we
appreciate
being
included
in
the
governor's
budget.
The
proposed
increase
is
simply
not
enough:
these
are
our
most
vulnerable
citizens
and
they
need
your
help.
I
respectfully
ask
what
you
prioritize
our
seniors
and
improve
the
Medicaid
rate
increase
for
the
Nevada
nursing
homes.
Thank
you.
X
George,
thank
you
for
having
us
here
members
of
the
subcommittees.
My
name
is
Brady
flygar
f-l-y-g-a-r-e
I'm,
the
Chief
Operating
Officer
of
desert
Healthcare
facilities,
not
for
not-for-profit
provider
of
rural
nursing
homes
and
assisted
livings
in
Mesquite,
Fallon
and
Elko.
X
We
currently
provide
care
for
262
residents
and
employ
343
nevadans
today,
I'm
here,
to
request
that
you
approve
a
significant
Nursing
Facility
Medicaid
rate
increase,
so
that
we
can
continue
providing
quality
care
for
our
residents.
Rural
nursing
homes
have
been
especially
impacted
by
Staffing
shortages
and
Nevada's
chronically
low
Medicaid
reimbursement
rates.
As
you
know,
nursing
homes
have
have
experienced
an
acute
Workforce
crisis,
but
for
Rural
facilities
like
mine
licensed
caregivers
are
an
even
shorter
Supply.
X
In
addition
to
relying
on
expensive
traveling
nurses
to
provide
adequate
care,
my
rural
communities
are
competing
with
urban
area
wages
to
keep
licensed
staff
working
local
instead
of
choosing
to
travel
to
urban
areas
for
a
higher
wage,
paying
these
higher
wages
and
traveling
nurse
fees
have
substantially
added
to
our
costs
without
an
adequate
reimbursement
rate.
Other
costs
that
we
have,
such
as
food,
Pharmacy,
therapy,
medical
supply,
medical
supplies,
activity
supplies,
equipment,
insurance,
utilities
and
transportation
have
experienced
an
unprecedented
unprecedented
inflation.
X
There's
no
easy
way
to
put
it.
My
not-for-profit
company
is
spending
a
significant
amount
of
money
each
month
to
provide
care
in
these
rural
areas
and
the
shortfall
between
what
it
costs
to
provide
care
and
the
amount
that
we're
reimburse
continues
to
grow
in
the
past
year.
All
three
of
our
locations
on
several
on
several
occasions
have
limited
the
number
of
residents,
because
we
didn't
have
enough
staff
to
safely
provide
care
I'm
constantly
assessing
if
it
makes
sense
to
continue
to
pay
to
keep
our
doors
open
in
rural
Nevada.
X
A
Do
we
have
anyone
else
here
in
public
comment
in
Carson
City
in
Las,
Vegas
I
see
some
people
in
the
room.
Is
there
anyone
that
would
like
to
testify
in
public
comment
in
Las
Vegas,
seeing
no
one
coming
up
to
the
table
broadcast
Services?
Is
there
anyone
on
the
line
to
provide
public
comment
whoo
having
a
hard
time
talking
today,.
X
Y
Y
Okay,
I
apologize,
my
name
is
Jacob
Atwood
I'm,
the
board,
chair
of
the
Nevada
Health
Care
Association,
and
also
an
administrator
at
Marquis,
Centennial
Hills,
which
is
a
post,
a
hospital
Rehabilitation
and
long-term
care
facility
in
Las
Vegas.
In
my
facility
we
have
120
beds
and
with
our
sister
facility
we
have
combined
308
beds.
Y
Currently
we
have
100
residents
at
our
facility
and
150
caregivers
I'm,
testifying
today
to
ask
that
you
support
our
seniors
and
approve
an
additional
Medicaid
rate
increase
for
our
nursing
homes.
Above,
what's
in
the
governor's
budget,
the
cost
of
care
continues
to
rise,
as
in
our
facility
in
is
facing
a
difficult
financial
situation.
Y
Operational
costs
have
increased
because
of
the
pandemic
and
record
high
inflation
on
everything
from
how
much
it
costs
to
buy
gloves
to
caregiver
wages
have
gone
up.
Current
Medicaid
reimbursement
rates
do
not
fully
cover
these
costs,
and
we've
only
received
two
rate
increases
in
the
previous
20
years,
which
has
already
been
mentioned.
Y
A
Thank
you,
and
at
this
time
we
will
close
public
comment,
and
that
ends
our
meeting
today.
So
at
this
time,
meeting
adjourned.