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From YouTube: 8/17/2022 - Interim Finance Committee, Pt. 1
Description
This is the sixth meeting in calendar year 2022. Please see agenda for details.
For agenda and additional meeting information: https://www.leg.state.nv.us/App/Calendar/A/
Videos of archived meetings are made available as a courtesy of the Nevada Legislature.
The videos are part of an ongoing effort to keep the public informed of and involved in the legislative process.
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Closed Captioning is Auto-Generated and is not an official representation of what is being spoken.
A
Good
morning,
welcome
to
the
interim
finance
committee
interim
finance
committee
meeting
of
january
17th
a
couple
items,
I'm
sorry.
What
did
I
say
january
yeah
yeah,
no
just
see
if
you're
paying
attention
we're
in
august.
This
is
august
17th.
A
Thank
you.
So
there
will
be
just
so
that
you
know
there's
going
to
be
members
attending
in
three
different
places.
So
we
got
the
majority
are
here
in
carson
city.
We
have
some
in
las
vegas
and
we
also
have
some
that
are
virtual
and.
A
Let's
start
first
with
calling
the
meeting
to
order
and
if
we
would
take
the
if
mr
webber
would
please
take
the
call
the
roll
assemblywoman
benitez
thompson,
yeah.
C
E
F
C
C
C
A
I'm
going
to
reserve
my
right
to
determine
whether
I'm
happy
to
be
here
or
not
until
when
we
get
done,
and
then
I'll
tell
you.
So
let
me
just
double
check
one
thing.
A
I
have
so
many
people
in
different
places.
I
want
to
make
sure
I
didn't
miss
anybody.
Let
the
record
reflect
that
those
that
are
here
and
we
senator
hammond
is
absent.
Excuse
senator
sivers
gansard
is
absent,
excused
who
was
oh?
No,
I
don't
have
to
she's
got
an
alternative
yeah.
So
sorry
we
have
an
alternate
there
and
then
assemblyman
levitt.
A
A
I
know
that
we're
all
part-time
legislators
and
have
to
take
care
of
things,
and
sometimes
people
have
changes.
So
I
appreciate
when
you
can
get,
we
can
get
the
alternates
and
all
that
taken
care
of
ahead
of
time
and
those
things
happen
sometimes,
but
do
everything
you
can
so
if
you
know
you're
not
going
to
be
available
to
make
sure
to
tell
us
with
plenty
of
time
all
right.
A
Just
a
reminder,
I
know
we
get
busy
but
make
sure
that
you
turn
off
our
mute.
Your
electronic
devices,
reminding
those
that
are
connected
virtually
if
you
keep
yourself
muted,
when
not
speaking,
and
keep
your
cameras
on
so
accurate
vote
counts
can
be
taken
when
we
vote
then
finally
reminding
those
participating
virtually
that
the
chat,
feature
and
zoom
should
only
be
used
to
communicate
technical
difficulties
with
staff.
A
So
with
that
before
we
go
to
public
comment,
I
just
want
to
take.
I
I
kind
of
did
it
at
our
last
meeting,
but
we
were
virtual
now
that
we're
all
here
together.
I
just
wanted
to
take
an
opportunity
to
welcome
sammy
stevenson,
who
is
the
new
fiscal
person
over
at
the
governor's
office
and
she's,
coming
to
us
from
the
department
of
veterans,
services
and
so
unfortunate
for
them,
but
great
for
for
the
governor's
office
and
the
rest
of
the
state,
and
so
we
welcome
you
with
us
today.
A
A
A
And
also
you
can
call
in
to
provide
public
testimony
during
public
comment
period
and
the
the
information
for
that
is
available
online.
It's
also
listed
on
today's
agenda.
A
A
A
We
have
four
seats
here.
So
if
you
just
want
to
come
up
and
just
continue
to
fill
those
up,
we'll
do
public
comment
here
for
a
bit
and
then
I
don't
know
what
we've
got
in
las
vegas
and
online.
But
let's
let's
get
going
and
then
we'll
I'll
figure
that
out
as
we
go
so
and
since
you
sat
down
first
I'm
going
to
let
you
go
while
other
people
come
up.
K
Thank
you,
chair
dennis,
and
vice
chair
carlton
and
members
of
the
interim
finance
committee.
It's
good
to
be
here
in
person
today,
joanna
jacob
government
affairs
manager
for
clark
county
and
we're
very
happy
to
be
here
today
in
support
of
the
items
interspersed
throughout
agenda
item
f
that
are
going
to
be
devoted
to
children's
behavioral
health.
K
This
is
really
designed
to
work
together
as
a
system
of
care,
and
it
represents
an
opportunity
to
do
some
critical
investments
for
community-based
care
and
also
to
help
the
issues
that
we
are
seeing
in
clark
county
with
respect
to
availability
for
the
beds
at
oasis
and
desert
willow.
Those
are
behavioral
health
safety
net
beds
and
we've
heard
from
the
state
that
it
is.
It
has
been
difficult
for
them
to
address
some
of
the
conditions
in
clark
county
because
of
the
increased
need
for
staffing
to
address
some
of
the
the
needs
that
we
have.
K
So
I
really
want
to
emphasize
that
I
know
the
ifc
is
very
aware
of
the
issues
that
we've
seen
in
clark
county
that
are
impacting
us
specifically
with
respect
to
conditions
at
our
child
haven
facility,
which
is
a
24-hour
shelter
that
is
always
open
without
available
community-based
services,
or
to
have
these
safety
net
resources
there.
The
impacts
are
held
at
clark
county.
Our
staff
is
impacted.
More
importantly,
the
kids
we
serve
are
impacted
because
they
need
often
a
higher
based
clinically
appropriate
setting
since
august
2012.
K
What
year
are
we
in
2021
sorry,
the
we've
had
96
children
surrendered
to
clark
county
care
just
by
their
parents
or
guardians,
because
they
cannot
access
behavioral
health
services
in
the
community.
45
of
those
96
were
just
this
year.
That
is
something
that
we
feel
can
be
addressed
by
investing
in
community-based
services
that
are
meant
to
help
that
those
families
ahead
before
they
get
to
that
point,
and
that
is
why
we
are
in
full
support.
K
K
J
The
unlv
kirk
recording
school
of
medicine
was
established
to
care
for
the
community
and
we
have
a
fragmented
health
care
system
in
las
vegas.
We
want
to
build
a
modern
clinic
that
changes
a
paradigm
for
health
care.
Traditionally,
if
we
can
use
a
woman
with
breast
cancer
as
an
example,
she
might
have
to
go
to
a
surgeon's
office
and
then
later
a
medical
oncologist's
office
and
then
a
radiation
oncologist's
office.
We
want
to
provide
a
facility
that
provides
one-stop
care
and
equitable
care,
equitable
access.
We
won't
turn
anybody
away
for
our
entire
community.
J
We
also
importantly
want
to
integrate
not
only
physical
health
but
mental
health
in
the
same
facility.
Members
of
the
committee.
This
is
really
important.
It's
critical
for
our
mission
to
care
for
our
community,
and
I
thank
you
in
advance
for
your
support.
I'd
also
like
to
express
that
part
of
this
ask
is
also
a
laboratory
facility
which
will
be
discussed
by
one
of
my
colleagues
and
that's
equally
important
to
care
for
our
community.
Thank
you.
A
L
Good
morning,
hello,
interim
finance
committee,
my
name
is
michelle
bodenhorn,
I
am
a
parent
of
a
child
with
tourette's
sensory
issues,
autism
and
other
mental
health
needs.
I
support
the
investment
of
any
funding
that
can
go
to
the
children's
services
and
programs
in
our
state
and
I'd
like
to
thank
you
in
advance
for
your
time
and
for
investing
everybody
here
in
nevada's
children
and
families,
because
that's
what
we
are
here
for.
So
thank
you
all
for
being
here
and
doing
this.
D
Chairman
dennis
vice
chair,
carlton
members
of
the
interim
committee,
jason
mills
vice
president
of
the
nevada
justice
association,
I'm
here
to
support
agenda
item
g12,
which
is
the
expansion
of
adding
additional
hearing
officers
and
legal
secretaries
for
the
nevada
hearings
division.
D
These
folks
hear
the
workers
compensation
claims
here
in
nevada,
and
I
can
report
to
you
that
that,
due
to
the
current
backlog
in
the
wake
of
the
cobit
pandemic,
there's
thousands
of
cases
that
are
not
that
are
have
not
been
heard
that
are
waiting
to
be
heard
and
are
not
being
heard
in
a
timely
fashion.
Within
the
30-day
requirement,
as
set
forth
by
you
all
in
the
legislation
in
the
in
in
the
law.
D
M
M
You
have
kids
with
autism
in
child
haven
because
there's
not
enough
psychiatrist,
therapist
professionals
to
do
the
testing
to
get
the
diagnoses
at
granite
gift.
Autism,
the
ackermann
center
medicaid,
will
pay
for
the
services
we
have
the
services.
We
can't
get
the
diagnoses,
we
have
parents
giving
up
their
children
because
they
can't
get
mental
health
services.
M
We
have
kids
trying
to
commit
suicide
next
to
kids
with
autism,
who
are
untreated
next
to
kids,
who
are
engaging
in
sex
trafficking.
The
situation
is
as
dire
as
I've
ever
seen
it.
Last
year
we
reached
out
to
the
governor's
office,
and
we
said
we
need
a
different
approach.
We're
hemorrhaging
the
governor's
office
pledged
to
support
all
efforts
to
improve
our
safety
net.
He
mobilized
the
state
of
nevada,
richard
whitley,
his
entire
team
clark,
county
engaged
and
through
a
lot
of
work.
You
see
the
items
that
came
before
you.
M
We
took
the
continuum
from
beginning
in-home
services
to
keep
people
out
of
the
expensive
residential
treatment
centers.
We
don't
want
kids
to
get
to
that
level.
Every
step
of
the
continuation
at
the
continuum
there's
a
request.
We
vetted
it.
We
kicked
the
tires.
The
committee
you
know,
met
for
over
a
year
and
preparing
those.
M
So
with
that
overview
I
urge
your
support.
A
D
Good
morning,
chair
dennis
vice
chair
carlton
and
members
of
the
interim
finance
committee,
my
name
is
tyler
shaw
with
ferrari
reader
public
affairs
representing
dignity,
health,
saint
rose,
dominican
on
behalf
of
saint
rose's,
non-profit
acute
care
hospital
system
in
nevada.
We
would
like
to
offer
our
support
for
several
of
today's
arpa
work
programs,
including
items
12
and
15,
as
well
as
their
accompanying
work
programs,
which
represent
a
combined
investment
of
over
171
million
dollars
into
nevada's
public
health
infrastructure.
D
St
rose
is
dedicated
to
making
a
positive
impact
on
social
determinants
of
health,
particularly
on
the
health
of
underserved
populations
in
nevada.
These
investments
for
our
state
will
have
a
lasting
impact
on
nevada's
public
health
infrastructure
for
years
to
come.
Thank
you
for
your
time
and
for
your
consideration
on
these
items.
K
Christine
saunders
and
I'm
the
policy
director
with
the
progressive
leadership
alliance
of
nevada
and
a
member
of
the
nevada
housing
justice
alliance.
Today,
you
have
a
number
of
important
investments
in
front
of
you,
but
I
want
to
touch
on
items
f,
55,
56
and
57
to
continue
funding
rental
assistance
and
eviction
diversion
in
clark
clowning.
N
O
O
Pebb,
the
public
employees
benefits
program
serves
over
seventy
thousand
lives
and,
like
many
state
agencies
is
still
suffering
from
the
covet
19
pandemic
and
budget
cuts
that
resulted
during
the
last
session
that
brought
the
elimination
of
long-term
disability,
as
well
as
other
budget
impacts.
As
many
legislators
serving
on
this
panel
have
read
recently,
pebb
is
not
alone
in
suffering
from
staffing
shortages
and
all
agencies,
as
well
as
the
public.
Many
of
them
serve,
are
also
suffering.
You've.
No
doubt
read
about
dmv
suspending
walk-ins
at
all
of
their
major
facilities.
J
It's
a
mark
of
wisdom
and
foresight
that
the
leadership
in
nevada
is
considered
to
invest
so
significantly
into
an
institution
such
as
a
new
state
public
health
lab.
The
state
lab
is
possibly
the
most
important
institution
that
people
never
hear
over.
Think
of
it's
one
of
those
institutions
in
the
state
that
shows
its
success
when
something
isn't
happening
and
that's,
namely
illness
and
disease
and
death.
J
The
state
public
health
lab
finds
toxins
and
bacteria
in
drinking
and
recreational
waters
and
food.
The
state
lab
finds
metabolic
and
genetic
disorders
in
newborn
babies,
who
we
test
every
day
in
nevada
for
55
such
disorders
within
three
days
of
their
birth
and
that's
every
baby,
born
in
nevada,
the
state
public
health
lab
finds
tuberculosis,
drug
resistant,
food
borne
bacteria
and
dozens
of
other
infectious
diseases
in
individuals
that
may
or
may
not
know
that
they
have
them.
J
We
detect
and
maintain
the
capability
to
detect
chemical
and
biological
agents
of
terror.
The
laboratory
does
all
this
for
the
entire
state
of
nevada.
Our
menu
of
capabilities
is
among
the
largest
of
all
state
labs
in
the
united
states,
and
our
system
of
transportation
and
couriers
gets
any
specimen
from
any
part
of
our
state
to
us
within
one
day
during
covet
19,
your
state
public
health
lab
was
one
of
the
first
nine
labs
in
the
united
states
to
be
able
to
test
for
this
virus,
and
since
then
we
ran
475
000
such
tests.
J
The
threats
of
the
past
are
still
here
and
there's
always
new
threats
to
come,
particularly
in
infectious
disease.
We've
seen
this
continuously
in
history,
even
our
recent
history,
and
even
since
covid,
the
lab
we
have
now
cannot
expand
or
adapt
as
it
should
face.
These
challenges
among
these
challenges
also
is
opioid
and
drug
testing.
Nevada
is
now
the
only
state
in
the
united
states
without
a
state-level
toxicological
lab
for
this
kind
of
testing.
I
need
you
to
wrap
up.
Okay,
nevada's
public
health
laboratory
matters
to
the
health
of
the
people
in
nevada.
J
E
Our
first
project
is
nearly
complete
in
delivering
the
corcoran
medical
education
building
for
the
cocorian
school
of
medicine
at
unlv,
built
with
generous
state
support.
This
building
will
serve
to
train
and
deliver
more
doctors
to
our
state
even
before
the
onset
of
the
pandemic.
Nevada's
tremendous
growth
and
ambition
revealed
a
need
for
increased
health
care
services
and
infrastructure
for
our
citizens
and
economy.
The
pandemic
has
placed
even
greater
stress
on
this
and
in
yet
some
ways
opportunity
on
that
reality.
E
Our
organization,
the
nevada,
health
and
bioscience
corporation,
develops
and
delivers
health
care
assets
to
our
population.
We
will
work
with
anyone
to
advance
increased
quality
and
innovative
health
care
as
a
public
good
for
all
citizens
in
nevada.
We
look
forward
to
speaking
with
you
further
about
the
opportunity
to
be
part
of
these
important
requests
today.
Thank
you.
So
much.
D
Well,
for
the
record,
my
name
is
matthew
hahn,
I'm
the
president
of
the
graduate
student
association
at
the
university
of
nevada
reno.
The
graduate
student
association
represents
about
3
700
graduate
students
at
the
university
of
nevada
reno.
However,
when
I'm
not
acting
as
the
president
of
the
gsa,
I
am
a
student
who
is
working
on
my
phd
in
physiology
and
pharmacology
at
the
school
of
medicine,
where
we
provide
research
not
just
for
the
community,
but
for
a
worldwide
audience.
Today.
D
I'm
here
in
support
of
agenda
item
f,
workforce
development
program
number
12,
which
helps
to
provide
an
investment
into
the
nevada
state
health
laboratory,
as
well
as
the
school
of
public
health.
The
reason
that
these
two
investments
are
important
in
relation
to
graduate
education
and
undergraduate
education
is
that
they're
able
to
provide
a
resource
for
individuals
at
the
university
to
partner
with
individuals
at
the
nevada
state
health
lab.
D
F
Good
morning,
my
name
is
fatima
esme
for
the
record
f-a-t-e-m-a-a-z-m-e-e,
I'm
a
master's
student
and
an
elected
representative
with
the
graduate
student
association
from
the
college
of
liberal
arts
and
reynolds
school
of
journalism,
as
well
as
the
internal
vice
president
of
the
gsa,
which,
as
you've
heard,
represents
over
3
700
graduate
students.
I
came
here
today
to
support
agenda
item
f
program,
12
for
expanding
the
capacity
and
infrastructure
of
nevada's
public
health
system
through
the
support
of
the
unr
school
of
public
health
and
to
expand
the
nevada
state
public
health
laboratory.
F
The
school
of
public
health
works
closely
with
the
unr
student
health
center
on
campus
and
because
of
their
cooperative
relationship
and
their
closeness
and
proximity.
The
student
health
center
and
the
nevada
state
lab
we're
able
to
provide
valuable
resources
to
both
our
graduate
students
and
undergrad
students
populations
during
the
coven
19
pandemic.
The
health
center
is
able
to
provide
treatment
and
diagnosis
to
little
to
no
cost
for
most
common
health
concerns,
or
they
help
students
attain
the
resources
they
need
for
more
serious
concerns.
F
During
the
last
few
years,
the
partnership
between
the
student
health
center
and
the
nevada
state
lab
were
able
to
provide
an
easy,
quick
and
safe
way
for
our
students
to
get
tested
for
cover.
19
viruses,
myself
included.
As
earlier
this
year,
I
had
the
virus
and
without
the
lab
it
would
have
been
very
difficult
for
me
to
get
tested
and
then
keep
my
family
safe,
as
well
as
the
students
that
I
teach
in
my
lectures
by
providing
funds
to
the
nevada
state
lab
and
the
school
of
public
health.
F
P
This
goes
to
say
that
unr
is
more
than
just
the
students
faculty
income
scene
workers,
the
ranking
of
tier
1
is
research
is
a
huge
award
that
proves
unr
helps
more
than
just
the
local
community
and
reason
unr
helps
people
at
levels
of
state
and
nation.
This
is
due
to
the
level
of
projects
and
research
coming
out
that
helps
to
aid
current
known
problems,
especially
from
the
school
of
public
health.
P
As
part
of
the
agenda
justification,
paragraph,
two
three
million
dollars
will
go
towards
renovations,
recovery
and
preparations
and
synopsis.
Furthermore,
this
will
help
to
aid
from
covert
19
effects
and
help
to
mitigate
future
public
health.
Public
health
emergencies,
as
you
know,
made
a
huge
impact
on
the
community
and
preparing
for
future
is
an
absolute
need.
P
P
Good
morning
my
name
is
monica
bharti
for
the
record
m-o-n-I-k-a
b-h-a-r-t-I
and
I'm
a
phd
student
and
an
elected
representative
of
graduate
student
association
from
college
of
education
and
human
development.
I
support
agenda
item
number
f,
work
program,
12
for
the
transfer
of
151
million
to
expand
the
capacity
and
infrastructure
of
nevada's
public
health
system
through
the
support
of
the
unr
school
of
public
health
and
to
expand
the
nevada
state
public
health
laboratory.
P
I
support
the
initiative.
In
my
opinion,
the
public
health
is
very
much
related
to
the
infrastructure,
so,
for
example,
it
can
help
generating
more
public
health
professionals.
Investment
in
public
health
programs
saves
money
by
preventing
injuries
and
illness,
which
is
particularly
important
as
a
as
the
population
ages.
In
the
city
of
reno.
At
the
popular
areas
like
university
and
airport,
there
is
likelihood
of
more
transmission
of
pathogens
and
transmission
of
coronavirus,
so
student
health
center,
in
association
with
a
nevada
state
public
health
lab,
was
able
to
offer
frequent
testing.
P
As
a
result,
students
were
able
to
know
on
time
what
practical
precautions
they
have
to
take
in
order
to
prevent
the
spread,
which
in
turn
helped
us
a
lot
whole
university
a
lot.
So
I
think
this
initiative
is
required
and
will
support
us
a
lot.
So
thank
you
so
much
for
legislatures
for
listing
my
comment
and
thanks
for
having
me.
D
D
As
most
of
the
some
of
the
members
of
the
committee
know,
our
relationship
with
unr,
the
building,
trades
and
unr
has
been
rough
over
over
the
years.
That
has
changed
quite
a
bit
in
recent
years.
D
D
D
D
I
know
in
the
past
in
the
last
recession
I
was
one
that
was
out
of
work
for
a
while
and
going
around
and
looking
at
construction
projects
that
were
were
going
at
the
time
with
out-of-state
contractors
and
out-of-state
workers
hurt
a
little
bit,
but
unr
has
is
ensuring
that
that
won't
happen
at
these
projects.
This
project
will
be
built
with
local
construction
workers.
Thank
you.
B
As
you
consider
the
proposed
investment
in
public
health
infrastructure
today,
I
think
it's
important
to
understand
what
public
health
is
and
why
robust
infrastructure
is
critical
for
the
state's
public
health
system
and
the
health
of
nevadans
prior
to
the
covid19
pandemic.
Many
may
not
have
been
aware
of
ongoing
public
health
efforts
and
that's
generally
because
public
health
activities
happen
in
the
background
they're
invisible
when
they're
working
and
regardless
of
whether
we
realize
it
or
not.
B
They
have
a
daily
imp,
an
impact
on
our
daily
lives,
in
contrast
to
doctors,
who
diagnose
and
treat
individuals
and
their
illnesses
and
injuries,
public
health
experts
diagnose
and
treat
the
health
of
entire
communities.
They
listen
to
community
members,
use
data
and
evidence
to
offer
solutions
and
then
work
with
community
partners
to
implement
them.
B
Governments
have
been
taking
steps
to
keep
people
healthy
for
the
last
150
years
and
these
efforts
have
evolved
with
scientific
advancements
from
developing
basic
sanitation
practices
to
embracing
water
purification,
sewage
treatment
and
immunizations
to
ensuring
food
safety
and
working
to
prevent
and
manage
chronic
diseases
like
cancer
and
heart
disease.
We
often
take
these
achievements
for
granted
because
at
least
until
recently,
devastating
pandemics
had
been
a
thing
of
the
past,
but
for
many
coven
19
provided
the
first
concrete
example
of
what
the
public
health
sector
does
and
underscored
the
importance
of
robust
public
health
systems.
B
This
one-time
investment
that
you're,
considering
today
in
nevada's
public
health
system,
the
largest
in
the
state's
history,
will
help
the
agencies,
labs
and
schools
of
public
health
at
unr
and
unlv,
who
work
closely
together
to
comprise
the
public
health
system
in
nevada,
to
regain
their
footing
and
ensure
they're
better
prepared
to
successfully
respond
to
current
and
future
public
health
needs.
Thank
you.
P
Cheering
is
a
member
of
the
committees.
Thank
you
very
much
for
your
consideration
today
to
provide
funding
for
this
unr
school
of
public
health.
This
morning
my
name
is
miguel:
akbar
narayalchi,
I'm
the
dean
of
the
school
of
public
health
at
unr.
Our
school
is
a
critical
piece
of
the
public
health
system
in
the
state.
It
is
a
key
component
of
the
state
public
health
workforce
pipeline
training,
many
of
dedicated
public
health
servants
who
work
tirelessly
during
the
covet
19
pandemic
and
who
will
continue,
keeping
our
communities
safe
and
healthy.
After
the
pandemic,
this
fall.
P
Our
research
driven
faculty
highly
involved
with
the
nevada,
public
health
practice
and
the
policy
making
during
the
pandemic,
our
school
and
our
centers
played
an
important
role
in
the
state's
pandemic
response,
hiring
training
and
managing
more
than
100
contact
tracers.
We
did
also
to
train
the
testing
sites,
staffers,
epidemiologists
and
biostation
for
local
public
health
authorities.
P
P
This
proposed
3
million
to
renovate
a
building
for
school
of
public
health
will
provide
additional
space
and
also
bring
us
together
in
the
same
physical
environment.
It
will
help
us
increase
the
capacity
to
train
more
public
health
practitioner
and
enhance
community
engagement,
as
we
continue
working
closely
with
state
and
local
public
health
agencies
and
unlv
school
of
public
health
to
keep
nevadans
healthy.
Thank
you
very
much.
D
Share
dennis
members
of
the
ifc
committee
or
ifc
ben
chan
are
policy
and
legislative
director
for
lieutenant
governor
lisa
kanal,
burkhead
I'll,
be
brief
and
we'll
submit
full
written
comments,
but
the
lieutenant
governor
is
in
support
various
items
before
you,
specifically
the
children's
mental
health,
as
well
as
the
community
college
aspect.
D
As
a
former
educator
and
school
administrator,
lieutenant
gover,
lieutenant
governor
keno
burkett
understand
what
these
investments
will
mean
for
our
youth
as
a
high
school
principal,
she
saw
first
hand
the
toll
that
the
pandemic
took
on
her
students.
There
are
many
additional
factors
that
contribute
to
a
child's
mental
health.
These
investments
will
make
sure
that
we're
we
as
a
state
are
meeting
those
needs.
Additionally,
the
lieutenant
governor
is
a
strong
supporter
for
any
and
all
higher
education
that
includes
four-year
degrees,
community
colleges
and
trade
schools.
D
This
inve,
these
community
college
investments,
will
allow
for
students
to
gain
that
education
without
incurring
any
debt.
Thank
you.
A
He
was
my
assistant
when
I
was
in
this
in
the
earlier
in
my
senate
career,
so
I
appreciate
all
the
work
that
he
did
there
and
to
help
make
me
be
better.
So
thank
you
all
right,
I'm
not
seeing
any
is
anyone
else
wanting
to
give
comment
here
in
carson
city,
okay,
we're
going
to
go
to
las
vegas.
A
Anyone
and
I'll
ask
my
folks
down
in
las
vegas.
My
colleagues
is
there
anyone
in
las
vegas
coming
up.
J
A
Okay,
so
what
I
will
I'll
tell
you
what
I
did
before
fill
those
two
seats
in
as
someone
sits
down
just
go
ahead
and
fill
in
and
then
we'll
just
keep
going
as
we
do
that.
Okay,
so
let's
see
why
don't
we
start
since
I'm
starting
my
left,
which
should
be
the
person
on
the
right.
A
K
K
Good
morning,
chair
dennis
vice
chair
and
members
of
the
ifc,
I
am
melissa
saragosa.
K
I
am
the
chief
judge
of
the
las
vegas
justice
court,
which
handles
about
70
percent
of
the
entire
state's
summary
eviction
proceedings-
and
I
am
here
today
to
speak
in
support
of
item
f,
57,
specifically
with
respect
to
eviction
diversion
one
of
the
things
that
we
have
learned
or
or
a
positive
outcome
of
the
covid
pandemic
was
that
we
forged
a
great
partnership
with
the
clark
county,
social
services
and
we
are
working
together
in
eviction
diversion.
K
K
It's
a
very
long
period
of
time,
which,
on
one
end,
gives
us
time
to
provide
resources
through
a
diversion
program
to
individuals
to
prevent
eviction,
but
it
also
will
help
us
bring
those
cases
out
of
the
court
system.
Take
those
cases
off
of
the
court's
calendar.
K
It
is
very,
very
busy
part
of
the
reason
I
want
to
offer
that
we
see
so
many
cases
or
saw
so
many
last
year
is
because
when
someone
has
been
given
rental
assistance
and
then
falls
behind
again,
they
file
again.
So
what
we're
seeing
as
a
result
of
kind
of
the
way
the
system
is
working,
someone
will
file
rental
assistance.
That
case
is
stayed
when
it's
approved.
That
case
is
dismissed
when
they
fall
behind
again
there.
K
There's
a
new
case,
that's
generated
so,
although
the
number
looks
large,
it's
processing
that
same
case
over
and
over
again,
and
we
think
we
need
to
do
something
better.
So
that
is
the
intent
of
the
diversion
program
that
the
court
is
now
working
to
develop
and
working
with
the
county
on.
So
we
are
in
support
of
funding
additional
funding
to
support
eviction,
diversion
and
dollars
that
would
be
used
flex
flexible
dollars,
because
there
are
a
variety
of
reasons
that
someone
may
come
into
the
system
and
need
rental
assistance
that
are
unrelated
to
covid.
K
So
you
know
the
ability
to
be
able
to
use
those
dollars
for
the
county
to
use
those
to
prevent
an
eviction
is
really
critical.
Thank
you
for
your
time,
and
I
appreciate
being
heard
today.
Thank.
J
Thank
you,
mr
chair
members
of
the
committee.
My
name
is
dan
musgrove
and
I
am
a
lobbyist
by
day
who
represents
a
few
clients
that
are
in
the
space
of
children's
mental
health
and
mental
health,
but
today,
I'm
here
first
as
a
nevadan,
as
well
as
a
past
chair
of
the
clark
county,
children's
mental
health
consortium.
J
I'd
like
to
call
your
attention
to
a
letter
that
our
chair,
amanda,
habusch,
deloitte,
provided.
But
I
think
it's
important
that
I
echo
the
comments
of
speaker
buckley
joanna
jacob,
with
clark
county.
What
you're,
seeing
before
you
on
item
f
is
essentially
30
items
roughly
that
are
focused
on
children's
mental
health
that
are
generationally
transformational
for
nevada
in
our
system
of
care
for
children.
J
It's
just
been
tragic
as
to
what
our
children
and
our
families
have
experienced.
The
consortium
has
been
very
involved
in
this
for
a
number
of
years.
J
I
Good
morning,
chair
dennis
and
members
of
the
committee,
my
name
is
dr
michelle
paul.
I
am
the
executive
director
of
unlv
practice,
a
university-based
interdisciplinary
community
mental
health
training
clinic
I'm
joined
today.
My
metoo
is
behind
me
my
colleague,
dr
sarah
hunt,
who
is
the
director
of
the
unlv
mental
and
behavioral
health
training
coalition.
I
Together
we
represent
mental
health
training
at
unlv,
from
the
classrooms
to
the
clinics
and
on
to
the
community.
We
know
that
it
comes
as
no
surprise
that
nevada
faces
the
mental
health
crisis
ranking
last
in
the
nation
for
access
to
care,
despite
the
great
need.
According
to
mental
health,
america.
I
We
thank
you
today
for
your
consideration
of
agenda
item
f-12,
which
expands
the
capacity
and
infrastructure
of
nevada's
public
health
system.
More
specifically,
the
proposed
unlv
academic,
health
and
ambulatory
care
center
is
an
important
and
necessary
initiative
to
increase
much
needed
access
to
quality
mental
health
care,
while
developing
the
next
generation
of
mental
health
workforce
we're
excited
about
the
proposed
ambulatory
care
center,
as
it
will
co-locate
and
integrate
unlv's
two
community
mental
health
training
clinics
that
are
currently
operating
independently
of
each
other.
I
I
Additionally,
this
type
of
innovative
clinical
space
will
promote
and
expand
whole
person
care
by
allowing
our
student
therapists
the
opportunity
to
integrate
and
train
in
medical
clinics,
thereby
expanding
access
to
desperately
needed
mental
health
care
and
we're
most
pleased
to
tell
you
that
there
is
a
committed
team
behind
this
building
working
together
to
ensure
that
mental
health
is
viewed
as
equal
to
physical
health
and
guided
by
the
principle
that
the
community
grows
healthier.
When
we
integrate
the
two,
we
look
forward
to
answering
any
questions
that
you
may
have
about.
I
I
Good
morning,
chair
and
distinguished
committee
members,
my
name
is
kendra
gibson,
the
family
voice
facilitator
at
the
statewide
family
network
program
at
nevada.
Pep
nevada
is
designated
by
the
substance,
abuse
mental
health
services
administration
or
samsa,
as
the
statewide
family
network
for
our
state
and
as
the
parent
partner
organization
for
the
state
system
of
care
grant,
which
are
both
focused
on
improvement
of
systems
that
serve
families
and
of
children
with
behavioral
health
care
needs.
I
Unfortunately,
before
the
pandemic,
nevada
struggled
to
meet
the
behavioral
health
care
needs
of
children,
youth
and
their
families,
ranking
51st
in
the
nation
of
children's
mental
health.
The
pandemic
only
added
to
the
pre-existing
challenges
youth
have
faced,
including
grief,
loss
and
the
fear
of
the
unknown,
which
has
resulted
in
more
children
and
youth
experiencing
depression,
anxiety
and
trauma.
I
I
Our
systems
in
nevada
are
now
struggling
to
be
responsive
to
the
immediate
and
significant
needs
of
our
children
and
families.
Staffing
shortages
in
our
schools,
mental
health
and
other
community
systems
are
further
impeding
nevada's
recovery.
This
investment
in
children's
behavioral
health
care
is
a
critical
need
for
nevada's
children,
youth
and
their
families.
Without
access
to
family
supports
and
effective
equitable
community-based
services,
more
nevada
children
will
have
poor
outcomes
and
be
at
an
increased
risk
for
out-of-home
placements
and
institutional.
I
F
I
come
in
support
for
the
granted
gift
autism
foundation,
ackerman
center,
as
does
assure
blue
united
by
autism,
as
they
are
a
fundamental
stepping
stone
in
our
community
for
many
families.
However,
many
families
contact
us
asking
for
help
because
of
the
unfortunate
long
waiting
list.
The
ackermann
center
has
early
intervention.
As
many
know,
early
intervention
is
key
and
we
are
seeing
the
rates
of
children
being
diagnosed
with
autism
rising
dr
gaspar
and
dr
beasley
are
vital
in
our
community
and
I
come
to
you
all.
F
We
have
parent
guides
where
we
give
these
families
these
these
informations
on,
where
they
can
turn
to
where
they
can
get
help,
but
we
cannot
guide
them
to
the
right
place,
because
I
have
been
on
a
waiting
list
for
over
three
years
now
and
as
much
as
we
are
patients
with
dr
gaspar
with
dr
beasley
she's,
someone
who
we
really
really
need
help
with.
F
I
I
I
I
Our
program
follows
national
best
practice
standards
and
our
providers
complete
a
two-year
training
and
national
certification
process.
We
use
our
own
lived
experience
and
expertise
of
having
a
child
with
similar
needs
to
provide
encouragement,
connection,
mentoring
and
skill
building
to
help
families
obtain
the
support
and
services
they
need
and
their
children
need.
I
A
F
F
L
L
So
I
am
here
because
I
wanted
to
express
how
the
lack
of
treatment
options
creates
issues
for
us
parents
and
the
communities
in
which
we
live
in,
and
yet
we
have
not,
to
this
day
been
able
to
receive
treatment
for
three
of
my
kids,
because
the
shortage
of
the
mental
health
services
and,
more
specifically
in
the
area
of
therapy
we're
still
on
the
waiting
list,
also
another
concern.
As
a
mom,
we
have
seen
an
increase
in
suicide.
It
has
been
an
unfortunate
issue
for
us
families
in
nevada,
especially
for
the
youth,
because
it
affects
everyone.
L
Suicide,
as
we
all
know,
is
a
leading
cause
of
death
for
the
nevadans
between
the
ages
of
12
to
19
according
to
the
nevada
suicide
prevention.
So
last
year
my
children
had
to
witness
their
peers
being
depressed,
angry
ongoing
fights
and
sadly
receiving
the
horrific
news
about
their
peers,
committing
suicide,
and
then
we
have
to
you
know,
go
through
that
process
with
them.
L
So
the
impact
of
loss
has
caused
my
kids,
many
of
a
great
deal
of
emotional
pain
and
then
we're
they're
still
experiencing
and
have
experienced
such
great
loss
with
not
having
to
be
able
to
go
to
the
certain
things
of
the
school
and
stuff
like
that,
so
trying
to
deal
with
that
and
navigate
through
those
things
for
those
milestones.
L
So,
yes,
I
am
here
to
support
for
the
in
the
proposals
for
the
mental
health
services
because,
as
we
know
it,
it's
impacting
our
own
family
and
other
families,
and
so
I'm
here,
because
I,
if
I
wanted
to
be
known
that
if
it
goes
untreated,
there's
an
increase
at
risk
of
school
failure,
also
contact
with
crime
with
the
criminal
justice,
dependence
on
social
services
and
even
higher
rates
of
suicide
and
addictions,
and
so
many
other
things
and
as
a
mom,
I'm
trying
to
be
proactive,
and
I
want
to
not
only
save
my
kids
life
but
other
children
right,
and
so
I
just
hear
because
I
want
my
voice
to
be
heard
and
I
want
to
see
families
having
access
to
mental
health
services
for
all
children
of
all
ages.
L
D
Good
morning,
for
the
record,
my
name
is
sean
gerstenberger.
I
am
the
dean
of
the
unlv
school
of
public
health
and
I'm
here
to
express
my
support
for
item
f12
on
the
agenda.
In
the
essence
of
time.
I'm
not
going
to
reiterate
all
the
support
expressed
by
our
colleagues
in
the
north
for
the
laboratories
and
other
areas,
but
I
I
do
support
them
and
we
need
that
infrastructure
across
the
state.
D
That
coalition
is
really
designed
to
look
at
and
reduce
health
disparities
and
increase
health
equity
across
the
state.
We're
not
going
to
make
our
state
healthier
by
working
with
all
of
the
healthy
people.
Unfortunately,
we
have
to
look
at
those
people
who
are
the
sickest
and
often
they're
marginalized,
for
minority
groups
disenfranchised
under-insured
and
low-income
individuals.
D
That
is
exactly
what
this
group
does.
The
coalition
has
over
350
members,
and
this
would
provide
a
space
for
those
members
to
work
with
unlv
with
our
faculty
and
staff,
with
our
students
provide
culturally
competent
training
to
infuse
the
workforce
with
students
who
can
address
these
issues
and
work
together.
As
we
have
demonstrated,
we
can
already
do
to
bring
additional
federal
funding
into
the
state
to
address
issues
like
covid
mental
health
and
many
other
things
that
were
exacerbated
by
the
covid19
pandemic.
D
K
K
K
I
am
here
to
share
a
personal
story
with
you
that
I
hope
will
allow
you
to
see
the
need
for
mental
health
care
in
our
state.
12
years
ago
I
was
a
senior
in
high
school,
and
I
sat
next
to
a
young
man
named
adam
in
my
math
class.
Adam
was
an
incredibly
smart
kind.
Individual.
K
K
One
day
adam
did
not
show
up
to
class
and
the
next
day
my
class,
along
with
a
few
other
classes,
were
taken
into
the
auditorium,
and
we
were
told
that
adam
had
passed
away
and
that
he
had
committed
suicide.
K
K
L
Good
morning,
chair
dennis
vice
chair
carlson
committee.
My
name
is
michelle
johnson
and
I'm
also
with
the
united
citizens
foundation,
a
non-profit,
501
c
3
agency,
established
in
2010
and
dedicated
to
serving
children,
youth
families
and
individuals
by
providing
mental
and
behavioral
health
and
substance
use
counseling.
L
L
I
Good
morning,
thank
you,
chair
brooks
and
committee
members
for
your
service
to
nevada.
My
name
is
yvette
williams
and
I'm
chair
of
the
clark
county,
black
caucus,
and
I'm
here
today
to
speak
with
you
regarding
an
issue
that
is
a
priority
to
the
clark
county,
black
caucus,
given
the
disparity
and
excess
accessing
health
care
for
african
americans.
I
It
is
no
surprise
to
this
committee
that
access
to
mental
health
professionals
is
critical
and
currently
nevada.
Students
are
in
crisis.
During
last
year's
african-american
student
summit,
an
astonishing
98
percent
of
all
students
in
attendance
expressed
that
either
themselves
or
someone
they
knew
needed.
Mental
health
support
you've
heard
comments
about
the
reality
of
capacity
and
the
inability
to
meet
the
needs
locally.
I
Thirty
thousand
plus
students
at
sought,
help
in
nevada
and
are
insured,
have
a
co-pay
that
often
parents
cannot
afford
to
pay,
especially
when
their
child
needs
more
than
one
session.
This
can
mean
thousands
of
dollars
for
many
families
that
can't
afford
it,
leaving
them
feeling
helpless
and
desperate
to
help
their
child,
and
that
is
only
if
they
are
one
of
the
lucky
few
to
find
a
mental
health
professional.
I
You
you've
heard
some
of
those
stories
today
I
can
tell
you
I
personally
receive
these
desperate
calls
to
my
dismay
from
parents
and
sometimes
students,
we
support
funding,
more
mental
health
support
for
our
students
and
through
school-based
providers.
We
have
advocated
before
the
legislature
for
more
resources
for
the
past
six
years.
I
Let
me
share
one
of
those
impactful
providers
seeing
amazing
results.
We
were
very
pleased
to
collaborate
with
cl
with
clark
county
school
district
in
addressing
this
crisis
head-on
and
gaining
support
from
the
school
board
of
trustees
to
provide
thousands
of
students,
mental
health
services
through
telehealth
at
school
and
home
keeping
students
in
school.
I
After
six
weeks
of
therapy
of
care,
if
necessary,
all
students
have
access,
including
undocumented
students
and
those
whose
parents
make
too
much
money
for
medicaid
and
too
little
to
purchase
private
insurance.
30
percent
of
these
professionals
are
people
of
color
and
speak
over
20
different
languages
aligning
cultural
competency.
I
Let
me
make
it
clear
that
telehealth
does
not
replace
the
need
for
local
services,
it's
just
to
help
with
the
capacity
challenges
that
we
will
never
be
able
to
achieve.
I've
attached
more
information
about
this
program
and
its
benefits
to
this.
In
to
this
letter,
with
copies
for
each
of
you,
I
also
sent
it
via
email
to
your
committee
secretary
for
further
review
what
you
have
before
you
is
just
a
handout.
That
is
the
flyer.
I
That's
given
to
every
student
with
the
qr
code,
where
the
parent
can
give
I'm
available
to
answer
any
questions
you
may
have.
We
are
asking
that
this
program
and
programs.
I
Okay:
okay,
we
can't
imagine
that
students
won't
have
mental
health
access.
They
need
after
the
2024
school
year
and
humbly
request
that
dollars
be
allocated
for
the
24
25
school
year.
This
next
millennium,
a
millennial
session,
a
millennial
budget
at
this
cost,
is
15
per
year
per
child
15
per
year
per
child.
We
are
also
asking
that
this
program
be
expanded
to
include
all
students
in
nevada,
including
northern
nevada
and
the
rurals.
Thank
you
so
much
for
your.
E
O
O
D
I
On
business,
so
again,
thank
you
for
your
time
this
morning
and
we
very
much
appreciate
it's
not
too
presumptive
to
appreciate
your
support
in
advance.
Thank
you.
E
Good
morning,
my
name
is
catherine
jacoby,
president
and
ceo
of
the
nevada
restaurant
association.
Thank
you
for
the
opportunity
to
for
public
comment
today,
we're
here
in
sport
of
the
work
program
list
f,
number
16,
which
will
provide
arborist
funds
for
the
local
public
health
agencies
and
their
immediate
needs.
We
recognize
that
the
health
district
provides
critical
services
for
residents
and
visitors,
because
health
services
are
funded
through
revenue
generated
by
licensed
businesses.
The
southern
vet
health
district
board
voted
to
raise
permit
fees
for
restaurants
by
27
percent.
E
E
Our
businesses
are
impacted
by
food
costs
right
now,
averaging
30
percent
increase
added
transportation
fees,
increased
labor
costs
and
shortages
as
well
as
inflation
residents
are
also
struggling
with
increased
costs
for
housing,
food
and
services.
Increasing
a
fee
that
is
passed
on
is
a
serious
burden.
At
this
time
we
are
asking
for
approval
of
upper
funds
for
the
health
strategics.
Thank
you.
D
We
believe
that
the
extra
staffing
provided
by
this
grant
will
not
only
increase
stability
for
our
small
businesses,
but
also
provide
many
improvements
for
our
community
and
for
the
members
of
the
community
as
well
and
during
this
time
as
many
small
businesses
are
struggling
to
stay
open.
The
consistency
and
additional
resources
that
this
would
provide
would
be
incredibly
beneficial
and
we
urge
your
support.
Thank
you.
So
much.
D
We
want
to
quickly
provide
public
thanks
to
one
of
our
partners.
Who's
offered
comment
today.
Unlv
is
the
practice
who
we
partner
with
to
provide
telemental
health
services
in
elko
and
humboldt
county,
given
the
shortage
of
mental
health
providers
in
the
rural
areas
of
our
state
and
also
to
the
family
and
child
treatment
center
of
southern
nevada
and
quest
counseling
in
washoe
county.
It's
through
these
partnerships
that
our
site
coordinators
can
bring
the
community
into
the
schools
and
alleviate
barriers.
So
we
urge
your
support
of
the
various
investments
in
children's
mental
health.
L
L
As
a
result
of
these
dire
conditions,
the
lake
mead
fish
hatcheries
water
intake
has
been
rendered
inoperable,
causing
the
hatchery
to
suspend
operations
until
a
new
water
delivery
system
can
be
designed
and
constructed.
Over
the
years.
The
snwa
has
engaged
in
successful
partnerships
with
many
local
state
and
federal
agencies.
L
L
This
project
is
needed
to
get
the
lake
mead
fish
hatchery
back
online,
so
that
nevada
can
continue
to
implement
the
goals
of
the
lower
colorado
river,
multi-species
conservation
program
for
the
conservation
of
federally
endangered
fish
and
comply
with
the
requirements
of
the
endangered
species
act.
For
these
reasons,
we
respectfully
request
that
you
approve
the
use
of
these
federal
funds
in
support
of
this
much
needed
project.
D
D
D
On
a
personal
note,
you
know
I
wasn't
diagnosed
until
age
20
with
adhd,
and
I
can't
tell
you
how
relieving
it
was
to
finally
find
out
what
was
kind
of
providing
obstacles
depriving
struggles,
especially
in
the
academic
space,
and
how
much
my
life
changed.
D
Once
I
found
out
what
was
actually
providing
these
struggles
and
coping
mechanisms
and,
in
some
cases,
even
medication
to
help
provide
a
pathway
forward.
I
think
I
can
speak
on
behalf
of
every
teacher
who's
ever
taught
that
early
diagnosis
is
the
most
important
factor
here
getting
to
these
kids
as
quickly
as
possible,
finding
out
exactly
what
is
causing
any
kind
of
struggle
or
any
kind
of
obstacle
in
their
life
and
providing
coping
mechanisms.
D
And
yes,
in
cases,
medication
to
help
balance
any
kind
of
chemical
imbalances
that
are
going
on
to
provide
them
with
the
most
stable
foundation
moving
forward,
and
so
is
with
our
full-throated
support
that
we
hope
that
you
guys
find
some
additional
money
to
allocate
here,
because
I
think
you'll
find
that
it
is
life-changing
for
the
students
who
receive
these
kind
of
services.
Thank
you.
A
Because
anyone
else
in
las
vegas
wishing
to
come
forward-
okay,
I
am
going
chair.
I
don't
think
anyone
else
is
here
in
las
vegas
great.
Thank
you
very
much.
I
am
going
to
come
we're
going
to
switch
to
the
online,
but
first
I've
got
two
more
people
here.
So
while
we're
switching
to
the
online
and
I'm
giving
a
heads
up
to
everybody,
that's
online
I'm
going
to
go
real,
quick
to
the
two
that
are
here
in
in
carson
city.
So
if
you'll
go
ahead,.
B
B
B
With
the
closing
of
west
hills
hospital
in
washoe
county,
we
washoe
county
was
placed
in
the
extreme
range
in
terms
of
access
to
emergency
care,
so
one
of
part
of
my
job
is
to
assess
and
then
provide
supports
for
the
kids
with
the
most
significant
mental
health
and
behavioral
needs
in
the
washoe
county
school
district.
So
I
wanted
to
give
you
some
statistics
that
might
kind
of
put
a
name
or
a
face
to
who
we're
talking
about.
In
the
2021-22
year
of
the
students
I
evaluated,
55
of
those
kids
met
criteria
for
severe
complex
ptsd.
B
This
is
in
comparison
to
7.2
percent
in
a
typical
population,
so
55.
What
these
kids
had
experienced
was
broken
bones
over
time,
watching
their
caregiver
almost
be
killed
into
domestic
violence,
incident,
sexual
assault
and
molestation,
going
back
to
the
age
of
seven
months
or
age
five.
So
these
kids,
55
percent
of
the
kids
in
my
population,
were
coming
and
trying
to
access
school
carrying
this
burden
with
them.
B
B
These
quirky
neurodevelopmental
disabilities
that
we
don't
quite
have
a
label
for,
and
this
is
in
comparison
to
about
one
to
five
percent
in
a
typical
population.
So
that's
20,
22
percent
of
these
kids
had
never
been
diagnosed,
never
received
therapy
and
never
received
appropriate
supports,
and
then
seven
percent
of
the
kids
met
criteria
for
a
psychotic
disorder.
Psychotic
disorders
lead
to
things
like
schizophrenia
that
are
lifelong,
severe
severe
mental
illness
and
that's
compared
to
an
incidence
rate
of
0.7
percent
and
so
7
as
opposed
to
0.7.
B
Again,
none
of
these
kids
ever
received
any
kind
of
mental
health
intervention
care
or
support.
So
we
have
an
extremely
limited
mobile
crisis
team
response
cast
response
team
capacity.
Our
team
is
absolutely
stellar
and
wonderful.
There,
just
absolutely
is
not
enough
resource
in
washoe
county.
So
there's
no.
I.
B
No
capacity
for
crisis
stabilization
so
currently
the
the
process
is,
the
police
are
called
for
these
kids.
B
Then
they
are
transported
to
an
emergency
room
where
they're,
either
discharged
or
some
of
them
are
sent
and
held
in
the
icu
for
up
to
two
weeks,
I
also
have
kids
at
our
juvenile
detention
center
who
are
mentally
ill
and
have
developmental
delays,
and
so
these
children
and
our
students
deserve
a
life
and
they
are
the
future
of
our
state,
and
so
I'm
asking
you
please
to
to
fund
mobile
crisis
response
teams
with
a
focus
on
washoe
county
and
also
support
our
system
of
care.
Thank
you.
Thank.
D
Thank
you
very
much,
esteemed
chair
and
members
of
the
committee,
my
name
is
catherine
lowden
and
I
coordinate
school
counseling
and
social
work
for
the
washoe
county
school
district,
and
I
am
here
to
support
this
transformative
and
transformational
proposal
on
behalf
of
the
children's
system
of
care.
You've
heard
from
so
many
others,
and
I
don't
want
to
duplicate,
but
this
children's
system
of
care,
intensive
in-home
services,
wraparound
and
intensive
care
coordination,
respite,
family
and
peer
supports
are
essential.
D
Specifically,
I
will
draw
attention
like
dr
sexton
did
to
ff
15,
which
is
our
need
up
in
washoe
county
for
the
support
for
the
division
of
child
and
family
services.
Mobile
crisis
teams
we
working
in
the
school
brokering
services
and
support
need
to
have
a
community
and
a
state
that
we
can
pass
the
ball
to
and
that
we
can
get
support
from
in
addition
to
f5,
which
is
integrating
and
co-locating
a
lot
of
our
supports
within
our
community.
A
Okay,
thank
you.
So
now
we're
going
to
go
bps
will
help
us
to
those
that
are
online.
I
will
mention
just
for
those
of
you
that
are
online
there's
over
50
of
you,
so
just
be
patient.
We
will
get
to
all
of
you
and
just
make
sure
that
you
keep
your
comments
under
two
minutes.
Thank
you.
A
A
H
I
would
first
like
to
echo
the
comments
of
miss
terry
laird
of
our
pen
to
solve
the
state's
crisis
in
employee
recruitment
and
retention.
Public
employees
benefits
program.
Benefits
must
be
restored
to
pre-pandemic
levels,
but
that's
not
on
the
agenda.
I
speak
today
in
support
of
item
f1
funding
for
the
workforce
incentive
grants
wig.
This
pilot
program
supports
students
in
certificate
training
programs
at
community
colleges
who
are
not
eligible
for
the
other
state
funded
scholarship
programs,
namely
the
governor
grand
military
scholarships,
silver
state
opportunity,
grants
and
nevada
promise
scholarships.
H
H
P
Hello,
my
name
is
daniel
clark,
I'm
a
parent
of
two
children
and
to
the
members
of
the
interim
finance
committee.
Thank
you
for
hearing
me
today.
I've
never
given
testimony
before
so.
Please
bear
with
me
I'd
like
to
talk
for
a
moment
about
my
experience
as
a
parent.
P
One
of
my
children
has
always
been
a
bit
different
and
we
could
always
tell
that
he
was
gonna
need
some
extra
attention,
but
recently,
when
he
started
expressing
that
he
wanted
to
die,
we
had
no
idea
what
to
do.
P
We
started
reaching
out
anywhere
that
we
could
and
they
they
said
that
they
didn't
know
where
to
send
me.
Nobody
knew
what
to
do
or
or
how
to
help
me
he's
six
years
old
and
and
eventually
we
have
we,
we
tracked
down
a
pro
program
called
mobile
crisis
that
was
able
to
help
us
navigate
all
of
this,
but
we're
still
waiting
for
a
full
assessment
to
kind
of
understand.
P
I
have
an
education
that
has
helped
me
understand
mental
health
and
I
have
connections
with
with
some
organizations
in
nevada
already,
and
I
have
luck,
I
don't
know
how
it's
done,
but
we
need
more
psychologists
and
psychiatrists
that
can
help
children
and
parents
in
crisis.
Just
like
me,
thank
you
very
much.
C
Hold
up
hi,
my
name
is
maya
beaudet.
I
am
the
mother
of
two
autistic
children
and
I
have
a
foster
baby.
That's
drug
disposed
that
I'm
taking
care
of
as
well.
I
want
to
talk
to
you
today
about
a
few
things.
I
want
to
talk
to
you
about
a
program
that
you
guys
are
looking
at
that
you
already
signed
for
a
few
years
ago
that
actually
helped
my
kids
and
I
wanted
to
continue.
C
For
example,
my
kids
were
able
to
go
to
ackermann
autism
center
in
early
intervention,
and
it
made
a
huge
difference
in
their
life.
Now
my
son
is
more
functioning,
he's
easier,
he
understands
and
that
that's
huge
for
him,
but
once
he
aged
out,
we
don't
have
any
more
services.
We
don't
have
resources.
He
can't
go
anywhere.
We've
been
on
a
list
with
another
company
for
about
six
months
now
and
we're
still
not
sure.
When
are
we
gonna
get
resources?
C
C
Give
them
that
full
time
because
they
don't
have
resources
and
I'm
left
to
pick
up
the
pieces.
Imagine
what
three
million
dollar
would
do
for
children
and
children's
life
compared
to
renovating
a
building.
That's
probably
going
to
go
old
in
10,
more
years!
Think
about
the
future.
My
kids!
I
actually
had
to
enroll
them
in
duke
university,
harvard
for
laboratory
services
that
you
know
something
another
thing
on
your
agenda
for
genome
testing.
C
The
genome
testing
came
back
normal,
it
was
just
hours
and
it
was
very
expensive.
It
was
eight
thousand
dollars
towards
it
and
we
paid
it,
but
we
didn't
get
a
result.
It
was
just
hours
and
months
of
waiting
for
the
results.
Think
about
the
the
next
generation,
when
you're,
old
and
retired.
C
Go
ahead
and
wrap
up
sure
when
you're
old
and
retired
think
about
30
of
the
population
needing
mental
health
and
70
is
not
able
to
keep
up
with
it
who's
going
to
take
care
of
you
think
about
the
future
generation.
Mental
health
is
crucial
for
the
future
generation.
That's
what
civilization
so
that
civilization
is
built
on.
Thank
you
for
listening
to
me
today.
H
H
The
only
way
that
the
operation
of
those
dams
and
the
colorado
river
as
a
whole
is
in
compliance
with
federal
law
is
through
the
lower
colorado,
multi-species
conservation
plan,
and
so
that
in
turn
enables
las
vegas
and
the
southern
nevada
water
authority
to
get
water
out
of
the
colorado
river.
H
C
Hello,
my
name
is
julie.
Good
morning
I
preside
in
wausau
valley,
nevada.
I
have
a
15
year
old
daughter.
Her
name
is
ashley.
She
was
misdiagnosed
back
when
she
was
eight
years
old.
I
had
her
tested
for
autism,
then
she
has
been
in
and
out
of
therapy,
it's
been
a
real
struggle
trying
to
find
therapy
in
the
reno
carson
city
area.
C
She
was
recently
in
reno
behavior
health
for
the
last
school
year.
They
couldn't
really
help
her
there,
so
they
had
sent
her
out
to
copper
hills,
youth
center,
and
that
was
in
salt
lake
city,
which
was
crazy
because
that's
eight
hours
away
from
me.
So
I
had
to
commute
back
and
forth
there
a
few
different
times
and
while
she
was
there,
she
was
recently
diagnosed
with
autism
spectrum
disorder
that
requires
support
and
also
mental
health
diseases
that
include
bipolar
ptsd
and
personality
disorder.
C
It
is
really
sad
that
I
have
to
you,
know,
go
and
commute
so
far
away.
It
would
really
be
nice
to
get
more
support
here
in
the
reno,
nevada
and
crescent
city
area.
I
this
has
been
a
struggle
for
many
many
years
since
my
daughter
was
young.
There's
always
been
something
going
on
with
her
and
right
now.
C
I'm
still
waiting
waiting
lists
for
autism
help
for
the
aba
therapy,
which
can
be
what
it
sounds
like
for
a
long
time,
and
I'm
just
wishing
that
it
would
be
way
more
support
in
the
nevada
area,
because,
right
now
it
is
a
real
struggle.
You
know
having
a
15
year
old
with
so
many
disabilities,
and
I
don't
know
how
to
help
her
and
trying
to
find
help
is
hard.
So
it's
not
like
a
cold
way.
I
can
just
give
her
some
medicine
and
fix
it.
C
So
I
would
really
appreciate
you
guys
to
help
me
and
help
our
community
in
finding
more
support,
and
I
would
like
to
shout
out
nevada
pep
in
wraparound
nevada
for
all
of
their
help
in
the
recent
months
with
me
and
my
daughter,
thank
you
so
much
and
thank
you
both
for
allowing
me
to
speak.
H
The
time
for
reckoning
with
our
public
health
resources
is
long
overdue.
Extensive
population
growth,
the
inability
to
hire
much
needed
medical
professionals,
the
lack
of
school
and
hospital
nurses,
the
rising
cost
of
health
care
and
the
negative
consequences
of
illness
on
commerce
such
as
we
experienced
during
the
pandemic
may
clear
the
need
for
an
expanded
site
where
residents
can
be
screened
for
infectious
diseases,
get
vaccines
and
be
seen
by
an
in-person
professional.
H
A
10
million
dollar
request
from
the
washoe
county
health
district
is
not
unreasonable.
Given
the
vast
scope
of
nevada's
arpa
money
and
the
impact
it
can
have
on
critical
health
care
needs
in
our
community.
An
additional
permanent
site
to
address
future
demands
and
the
wellness
of
a
growing
population
seemed
like
a
positive,
yes
vote
for
this
committee.
Thank
you
for
your
time
and
attention.
H
Good
morning,
chair
dennis
and
members
of
the
ifc
committee,
my
name
is
caleb
cage
and
I'm
here
to
provide
support
for
item
k,
which
is
a
request
to
remove
assessment
from
four
counties
to
the
division
of
public
and
behavioral
health
for
public
health
services.
Having
been
a
part
of
the
state
wide
covet
19
response,
I
can
tell
you
that
we
learned
a
lot
of
lessons
and
some
of
those
were
that
we
that
these
were
not
enough
or
that
there
was
not
enough
focus
and
investment
in
public
health
throughout
the
state.
H
Prior
to
the
pandemic,
we
learned
that
we
needed
to
be
more
regional
in
in
our
work
in
our
investment,
and
we
saw
the
importance
of
partnership
between
state
and
local
governments.
This
request.
Excuse
me.
This
request
under
item
k,
for
the
removal
of
the
assessment
for
provisions
of
services
from
the
state
is
a
critical
step
forward.
It's
a
first
step
forward,
but
a
critical
step
forward
for
churchill,
county
eureka,
county
mineral
county
and
persian
county,
as
they
take
affirmative
intentional
steps
towards
supporting
local
investments
in
the
area
of
public
health.
C
Hello,
my
name
is
carlea
murray
and
I
am
the
parent
of
two
teens
with
mental
health
difficulties.
I
support
investing
more
to
children's
mental
health
services
nevada
when
we
moved
to
nevada.
It
took
nearly
five
months
to
get
mental
health
services
set
up
for
my
kids,
this
probably
the
combination
of
not
having
enough
providers
and
providers
who
have
long
wait
lists
due
to
the
number
of
people
needing
these
services.
C
So
during
the
time
that
we
were
waiting,
their
mental
health
continued
to
suffer
and
it
affected
our
entire
family.
Children's
mental
health
is
a
critical
issue
in
nevada
and
our
children
deserve
better.
Thank
you
for
taking
the
time
to
listen
to
my
piece
of
the
story
and
for
investing
in
nevada's
children,
youth
and
families.
C
H
Good
morning,
church
dentist
vice
chair
cult
and
the
members
of
the
committee.
My
name
is
andre
wade,
a-f-d-r-e
w-u-a-d-e
and
I
work
as
the
state
director
for
certified
equality,
we're
a
statewide,
lgbt
plus
civil
rights
organization
here
in
nevada.
I'm
also
a
member
of
the
governor's
task
force
on
hiv
transmission
exposure,
modernization.
H
It's
critically
important
that
the
funding
for
mps
is
approved,
that
we
may
still
have
a
windows,
time
and
opportunity
to
address
the
spread
of
nps
before
it
becomes
endemic
to
gay
bi
and
men
who
have
sex
with
men
populations
and
before
np,
express
to
other
populations
as
the
virus
does
not
and
will
not
discriminate
to
date.
There
are
100
suspected
or
known
cases
in
southern
nevada
and
eight
in
northern
nevada.
H
There
are
only-
and
these
are
the
only
cases
we
know
about
which
have
grown
from
about
five
known
cases
throughout
the
state
at
the
beginning
of
the
month,
to
108
less
than
three
weeks
nationally
and
unfortunately,
npx
disproportionately
impacts
black
and
hispanic
people
in
southern
nevada.
We
are
faced
with
our
pie
celebration,
which
will
bring
thousands
to
the
city
to
celebrate.
H
We
have
to
do
our
best
to
get
information
to
the
community
at
large,
the
lgbtq
plus
community,
specifically
the
visitors
and
tourists,
in
addition
to
health
care
providers,
and
anyone
which
is
everyone
who
can
be
exposed
to
nps
inaction,
only
means
that
the
general
public
at
large
will
soon
have
a
public
health
crisis
to
contend
with.
We
must
treat
mps
as
a
growing
public
health
concern
that
has
the
potential
to
disrupt
our
lives.
H
Now
I
will
say
that,
compared
to
my
colleagues
in
other
states,
nevada's
department
of
public
and
behavioral
health
response
has
been
fairly
quick
and
swift,
which
is
very
appreciated.
I
urge
you
to
approve
the
funding
request
so
that
we
can
get
information
and
resources
to
nevada
and
to
those
who
visit
our
great
state.
Thank
you.
H
C
I'm
a
youth
facilitator
for
youth,
moved
nevada.
Youth
nevada
is
a
youth-inspired
and
youth-led
organization
that
encourages
and
empowers
our
youth
peers
to
unite
together
to
engage
with
youth
serving
systems.
We
recognize
the
power
of
lived
experience
and
are
also
strength-based
bridge
to
improving
support
services
for
youth
by
youth
through
our
shared
experience
and
expertise.
C
I'm
speaking
to
you
today,
on
behalf
of
our
youth
members
during
the
public
health
emergency
youth
across
the
state
were
put
under
enormous
strain
of
having
to
navigate
education
in
a
virtual
environment,
and
some
students
didn't
have
teachers
once
they
went
back
to
school.
Many
also
had
to
access
mental
health
in
a
virtual
environment
and,
while
many
may
be
resilient
enough
to
bounce
back
from
the
traumatic
impacts
of
copa,
19
others
are
not
and
they
need
access
to
timely
quality,
mental
health
care
to
recover.
C
C
The
agenda
items
before
you
today
related
to
children's
mental
health
care,
are
critical
to
ensure
that
the
youth
of
nevada
have
access
to
quality
services
that
will
help
to
ensure
that
their
mental
health
needs
are
addressed
in
a
trauma-informed
and
culturally
responsive
way.
Thank
you
in
advance
for
investing
in
the
future
of
nevada's
youth.
C
Mental
health
america
has
consistently
raided
nevada
children's
mental
health
at
51
for
the
last
five
years
in
2021
youth
ages,
12
through
17.
It
is
estimated
that
17.93
have
experienced
a
major
depressive
episode
in
the
past
year.
Unfortunately,
half
of
those
same
youth
have
not
received
any
treatment.
This
was
significant.
This
was
a
significant
increase
from
2020
numbers
of
15.11.
C
But
even
when
families
try
to
access
care,
they
are
put
on
waiting
lists
or
instead
of
a
waiting
list.
They
are
given
an
appointment
weeks
or
months
later.
If
a
family
is
seeking
a
neurosci
neuropsychological
evaluation,
it
can
be
a
weight
of
a
year
or
more.
In
many
instances,
these
issues
often
disproportionately
impact
low
income
and
bypass
populations.
C
H
H
Today's
opportunity
has
been
a
long
time
coming
and
as
we
face
what
is
a
national
children's
mental
health
crisis,
the
fact
that
we
are
at
this
stage
says
so
much
about
the
possibilities
and
future
for
our
children.
So
I
thank
you
for
any
consideration.
You
may
give
again
implore
you
to
approve
critical
investments
and
trips
with
mental
health
in
any
investment
that
will
move
our
health
forward
together
as
nevadans.
Thank
you
for
your
time
today.
C
C
C
He
has
many
mental
health
issues
which
include
schizophrenia
and
bipolar
adhd
reactive
attachment
disorder,
odd,
80d
and
dmdd,
and
our
daughter
has
autism
and
intellectual
disability,
and
there
really
isn't
anything
available
out
here
in
northern
nevada,
even
medical.
We
are
having
to
tr
transport,
our
son,
to
endocrinology
in
the
state
of
california,
to
uc
davis,
because
there
is
only
three
endocrinologists
in
the
northern
nevada
area
and
they
are
not
accepting
him
as
a
patient
because
they're
not
accepting
new
patients
or
they
do
not
accept
pediatric
and
he
is
15..
C
We
fully
support
it.
We
need
it.
Even
the
mobile
crisis
and
rural
crisis
cannot
help
because
we
are
two
rules
they
can
do
video,
but
because
of
our
son's
mental
health
issues,
he
cannot
sit
and
do
video
to
try
and
calm
down
or
for
us
to
get
emergency
help.
We
have
had
to
resort
to
calling
the
police
he
has
been
arrested.
He
is
on
probation
now
and
he's
actually
actually
a
really
good
kid,
otherwise
and
and
he's
intelligent.
C
C
Good
morning,
mr
chair
vice
chair
members
of
the
committee,
my
name
is
karissa
kishiro,
I'm
an
attorney
with
nevada,
disability,
advocacy
and
law
center
and
I'm
speaking
with
respect
to
agenda
item
f
and
specifically
the
items
related
to
children's
mental
health.
I
just
want
to
echo
the
comments
of
so
many
others.
We
urgently
need
to
develop
a
trauma-informed
community-based,
behavioral
health
care
system
for
children
in
our
state,
nevada
ranks
47th
in
the
nation.
C
There
are
many
states
that
have
treatment,
foster
care
funded
as
a
medicaid
service
in
treatment,
foster
care,
youth
with
emotional
or
behavioral
issues
receive
intensive
services
in
a
home
setting
with
specially
trained
foster
parents,
and
if
we
had
the
service
in
nevada,
it
would
be
radically
transformative
for
so
many
kids
and
families
who
now
are
turned
over
to
state
custody
or
to
facilities.
So
thank
you
so
much
for
your
time
and
for
considering
how
we
might
begin
to
transform
nevada's
children's
behavioral
health
system,
as
you
allocate
arbor
funding
for
the
benefit
of
our
kids.
C
Good
morning
my
name
is
brittany,
young
and
I
am
a
parent.
I
live
in
reno
nevada,
with
a
10
year
old
son
that
has
a
diagnosis
of
autism
adhd,
as
well
as
mental
health
needs.
It
hasn't
been
an
easy
road
for
us
with
getting
services
and
supports
for
my
son.
We
were
on
a
one-year
wait
list
just
for
the
adhd
diagnosis
and
have
struggled
to
get
mental
health
experts
in
our
community.
C
I
was
told
different
things
by
many
different
providers
and
kept
getting
the
runaround
when
it
came
to
my
son's
mental
health.
I
felt
so
isolated
and
frustrated
with
the
lack
of
services
and
providers
in
our
community,
but
with
the
support
of
nevada
pep.
I
no
longer
feel
alone
and
I
have
learned
to
ask
for
my
sons
for
my
son
and
his
name.
Please
help
families
like
mine
get
access
to
support
programs
and
services.
We
need
so
desperately.
Thank
you
for
your
time.
C
H
H
C
C
C
C
So
that
is
obviously
not
the
answer
we
live
here.
We
need
better
access
to
mental
health
care
here
in
nevada
for
our
children,
so
I'm
asking
for
this
funding
as
a
grandmother,
but
also
as
a
leader
of
the
national
organization
for
women
in
nevada.
This
is
such
an
important
issue
for
our
members,
and
we
appreciate
you
considering
this
request.
Thank
you.
H
Hello
there,
my
name
is
debbie
biasodi
and
I
am
a
grandparent
that
is
raising
two
young
children.
Four
and
six
years
old,
born
from
a
heroin
addicted
mom
both
suffer
from
some
learning
delays,
hyperness
and
major
behavior
issues.
My
six-year-old
grandson
has
been
diagnosed
with
severe
adhd
and
mood
dis,
food
dysregulation
disorder.
It
took
us
over
a
year
to
even
get
that
appointment
for
that
to
happen,
he's
barely
being
treated
or
being
medicated
for
adhd
and
there's
no
ability
for
us
to
get
aba
therapy
here
in
fallon.
H
His
sister
is
in
the
beginning
process
of
being
evaluated
now
and
papi
and
myself
we're
in
our
60s
and
have
had
these
kids
since
birth,
with
no
family
or
friends
for
support.
So
it's
been
pretty
much
24
7
365
with
no
kind
of
respite,
and
I
I've
had
to
give
up
a
job
and
because
it's
been
a
full-time
thing
trying
to
work
with
these
two
children
and
get
services
for
them.
H
H
In
addition,
there's
not
a
lot
of
testing
or
support
for
kids
of
drug
addicted
mothers,
it's
all
either
for
alcohol,
fetal
syndrome
or
autism,
and
we
kind
of
fall
in
the
cracks
there
and
no
one
wants
to
or
is
trained
to,
work
with
kids
under
six.
Ideally,
they
want
them
to
be
eight
to
ten
year
olds,
not
addressing
the
problems
for
these
younger
children
puts
them
and
the
caregivers
at
a
higher
risk
for
more
problems
as
they
get
older
and
less
ability
to
function
and
grow
positively,
as
they
should.
H
The
behaviors
are
more
permanently
embedded
by.
Then
we
need
more
programs
to
work
with
the
behavior
problems
and
or
daycare
for
caregiver
for
the
caregivers,
especially
who
have
little
to
no
support,
and
we
definitely
need
prescribed
medications
to
help
these
kids
slow
down
and
focus
in
particular
for
the
ones
under
six.
We
need
these
programs
in
the
rural
areas
like
where
I
live
in
fallon,
so
I
support
your
investment
into
the
children's
mental
health,
especially
in
these
areas.
H
Thank
you
very
much
for
your
time
and
consideration.
I'm
glad
you
guys
are
doing
this.
A
Thank
you.
Let's,
let's
go
to
the
next
caller.
C
C
When
we
moved
to
nevada
the
challenges
became
more
difficult.
There
were
so
many
transitions
that
we
were
made,
sorry
that
were
made,
and
my
son
struggled
with
them
since
we've
moved
here.
My
son
has
attended
more
than
four
different
schools
and
each
transition
will
be
worse
than
the
last
and
his
behaviors
became
more
challenging.
C
Someone
in
the
community
told
me
about
nevada
pep
and
I
called
immediately
anxious
for
any
assistance
that
they
could
offer.
I
was
given
a
wealth
of
information,
training
and
support
to
become
a
more
effective
advocate
for
my
son.
I
was
so
impressed
by
the
support
that
my
family
specialist
gave
me
that
I
wanted
to
do
for
other
families
what
she
had
done
for
mine.
C
C
There
is
no
doubt
in
my
mind
that
his
future
will
be
great,
although
I
continue
to
have
great
challenges
with
my
son.
I
use
my
experiences
as
well
as
what
I
have
learned
from
nevada
pep
to
help
support
other
families
with
their
struggles.
Please
invest
in
children's
mental
health
services
in
nevada.
Thank
you
for
your
time.
L
L
Early
intervention
is
the
best
prevention
and
through
nevada
pep.
I
have
been
taught
and
empowered
to
become
an
advocate,
an
advocate
for
myself,
as
well
as
my
daughter,
but
how?
L
We
also
need
to
let
them
know
that
there
are
resources
in
our
community
that
will
not
make
them
wait
six
months,
one
year
three
years
to
be
heard,
to
be
appreciated
and
to
be
empowered
into
continuing
their
lives.
While
suicide
is
the
leading
cause
of
death
for
nevadans
12
to
18.
It
is
also
the
second
leading
cause
of
death
for
nevadans
8
to
224..
L
H
Good
morning
my
name
is
deshaun
jackson,
good
morning
chair
and
vice
chair
and
committee
members.
I
have
the
privilege
of
serving
as
the
director
of
children's
safety
and
welfare
policy,
with
the
children's
advocacy
alliance,
as
well
as
leading
nevada,
foster
youth
advisory
board.
I'm
also
a
foster
alumni
and
a
former
resident
of
childhaven.
As
someone
who
has
utilized
mental
health
services
in
las
vegas,
I
understand
the
importance
of
equitable
access
to
these
services,
as
mentioned
by
barbara
buffman,
and
so
many
others.
H
There's
a
critical
need
to
invest
in
the
mental
health
needs
of
children
in
nevada,
as
researchers
have
shown,
the
need
to
make
an
impact
is
now
the
need
to
address.
Many
of
these
challenges.
Families
are
facing
is
now
with
rising
costs,
housing,
instability
and
food
insecurities
the
need
to
invest
in
nevada's
children
and
families
is
at
an
all-time
high
and
action
is
imperative.
I
am
the
fifth
nil
postman
stated:
children
are
the
living
messages
we
send
to
time
will
not
see,
so
the
need
to
invest
is
now.
Thank
you.
C
Good
morning,
chair
dennis
and
committee,
this
is
annette
boston
owen,
serving
as
the
school
readiness
policy
director
for
the
children's
advocacy
alliance.
I
too
am
calling
in
to
support
mental
health
investments
for
children
and
families.
I
cannot
say
it
better
than
our
many
parents
have
who
have
called
in
telling
their
stories
who
have
been
sharing
their
lived
experiences
and
her
requesting
our
support.
I,
too
did
all
the
comments
of
barbara
buckley
lisa
cannell,
burkhead,
danielle
musgrove,
yvette
williams,
alex
biden,
kendra,
gibson,
dassan
jackson,
dr
tiffany
tyler,
garner
of
our
organization,
and
many
more.
C
C
Thank
you
so
much.
My
name
is
jamel
nance.
I
am
the
director
of
prenatal
to
3
initiatives
with
the
children's
advocacy
alliance,
I'm
so
excited
to
be
here
today
to
advocate
for
the
revisions
to
the
american
rescue
plan,
act
under
item
s,
and
also
I'm
representing
the
our
health
policy
director
as
well,
who
could
not
be
here,
but
I
wanted
to
just
share
with
you
specifically
those
that
align
with
the
support
of
children's
mental
health.
C
I
think
just
equating
the
thoughts
of
my
colleagues
and
those
who
have
come
before
me
and
testified
today
how
important
these
investments
are
for
our
young
children,
nevada's
children
and
families
need
these
proposed
investments
to
support
them
and
provide
needed
stability
to
their
health
and
well-being.
The
disruption
to
learning
social
development
and
job
security
that
resulted
from
the
pandemic
is
still
ongoing
and
investments
in
school-based
mental
health,
as
well
as
early
childhood
mental
health
providers
and
other
wraparound
family
support
services,
are
crucial,
as
families
continue
to
rebuild
in
the
coming
years.
C
C
H
Hi,
my
name
is
travis
hawks.
I
live
in
douglas
county
nevada.
Thank
you
chairman
and
committee
members.
I
just
wanted
to
voice
my
support
for
f-11
nevada's
wildlife
populations
are
facing
threats
from
all
directions
and
unfortunately
they
don't
receive
the
attention
needed.
Nor
can
they
speak
for
themselves.
H
Those
threats
are
urbanization:
climate
change,
loss
of
habitat,
lack
of
devoted
funds,
resource
utilization,
that's
leading
to
species
level
impacts.
F-11
will
fund
a
small
project.
That
is
an
important
opportunity
to
help
the
nevada
department
of
wildlife
protect,
uniquely
nevadan
species
for
years
to
come
and
prevent
the
loss
of
nevada's
biodiversity
in
the
southern
part
of
the
state.
I
appreciate
the
support
for
item
f11.
Thank
you.
C
Hi,
my
name
is
joanna
gonzalez.
I'm
a
parent
of
two
girls
with
mental
health
needs.
I
support
them.
I
support
the
investment
insurance,
mental
health
care
in
nevada
because
there
is
a
long
waiting
list
for
community
services.
It
took
me
three
years
just
to
get
one
of
my
daughters
evaluated
due
to
a
lot
of
providers,
not
assessing
her
insurance.
Please
provide
more
services
and
mental
health
services.
Thank
you
for
your
time.
C
C
C
Good
morning
to
your
dentist,
vice
chair,
carlton
and
members
of
the
committee,
my
name
is
michelle.
Mayeste,
I'm
the
president
of
seiu
local
1107.
We
represent
19
000
workers
in
nevada,
11,
hospitals,
39,
county
departments,
lbcva
voa,
water
reclamation,
southern
nevada,
housing
authority,
regional
transportation,
commission
and
southern
nevada.
Health
district
fciu
is
in
support
of
line,
item
f
and
all
agenda
items
regarding
our
pro
requests
for
funding
for
children's
mental
health,
and
we
thank
the
committee
for
hearing
us
today.
C
We
echo
the
previous
testimony
for
the
overwhelming
need
to
provide
mental
health
services
for
our
children
in
nevada.
For
15
years,
I
worked
as
a
supervisor
for
child
for
family
services
specialized
unit
for
abused
and
neglected
children,
fatalities
near
fatalities
and
sex
abuse
over
200
fbiu,
essential
employees,
work
on
childhaven
campus
and
provide
direct
care
for
our
abused
and
neglected
children
on
a
daily
basis.
C
In
2014,
fciu
dfs
members
led
a
safety
first
campaign
for
the
safety
of
our
children
and
members.
Additionally,
in
january
of
2021
sdiu
began
leading
conversations
with
dhhs
director,
whitley,
dfs
and
djs
regarding
the
permanency
safety
and
well-being
of
our
children,
increased
mental
health
services
appropriate
placements
and
safe
working
conditions
for
our
members.
Dear
dennis.
C
Sbiu
is
in
support
of
additional
mental
health
services
on
behalf
of
our
children,
as
well
as
a
checks
and
balances
plan
for
the
financial
recipients
to
come
back
in
front
of
this
committee
to
ensure
the
timeliness
and
implementation
of
programs,
staff
hired
and
support
for
those
hired,
and
to
provide
this
committee
with
data
and
progress
made
on
the
monies
allocated,
we
believe
in
all
children.
We
thank
the
families,
community
providers,
leaders,
caregivers
educators,
elected
officials,
attorneys
advocates,
and
ms
barbara
buckley,
who
spoke
up
for
children
today
and
every
day.
C
We
are
grateful
that
this
ifc
committee
has
been
tasked
with
the
approval
of
these
funds,
as
this
allocation
will
be
a
transformative
change,
our
children
need
and
deserve,
as
they
are
our
future.
So,
on
behalf
of
the
19
000
workers,
fbi
represents
our
families
and
our
children
in
nevada.
We
thank
you,
mr
chair
and
the
committee
for
your
time.
H
C
C
C
H
Good
morning
my
name
is
brandon
senger
and
I'm
a
resident
of
southern
nevada.
I'm
calling
this
morning
to
voice
my
support
for
agenda
items
f-10
and
f-11,
which
provide
funding
to
construct
a
new
water
supply
line
for
the
lake
mead
hatchery.
The
unprecedented
declines
in
lake
levels
of
lake
mead
has
made
this
project
necessary.
Without
this
project.
The
hatchery
cannot
receive
water
and
will
not
be
able
to
operate.
The
hatchery
raises
and
stocks
two
endangered
species
of
fish,
the
razorback,
sucker
and
ponytail.
H
Both
of
these
fish
are
native
to
nevada
and
have
historically
been
affected
by
the
colorado
river,
using
colorado
being
converted
into
reservoirs
and
by
the
establishment
of
non-native
fish.
Raising
these
nevada
native
fish
and
hatcheries
and
stocking
them
back
into
the
wild
is
absolutely
necessary
to
prevent
their
extinction
and
to
make
meaningful
progress
in
conservation.
H
This
new
pipeline
will
allow
the
hatchery
to
continue
to
raise
stock
native
fish
for
decades,
ultimately
playing
a
critical
role
in
conserving
nevada's
native
wildlife.
Our
state's
nevada
native
wildlife
is
an
important
part
of
our
state's
heritage.
This
project
will
support
our
state's
heritage.
Thank
you
for
your
consideration.
H
H
Okay,
thank
you.
Yeah,
I'm,
a
parent
of
an
autistic
child
and
I've
been
trying.
I've
been
receiving
services
he's
10
years
old.
He
has
severe
autism
non-verbal
select,
he
speaks
selectively,
but
he
I've
reached
out
to
barbara
bucky.
I
reached
out
to
lloyd
roberts
to
anybody.
H
We've
gone
through
a
hundred
over
150
residential
treatment.
Centers
we've
often
denied
either
because
medicaid
they
won't
take
medicaid.
The
state
doesn't
want
to
pay
the
school
district
doesn't
pay
getting
help
for
him
is
just
unbelievably
just
a
tackle.
I
mean
he
he
didn't
go
to
school
for
the
last
three
weeks
because
of
summer
school
he
knocked
his
adult
tooth
out.
Just
from
one
headbutt
I've
gone
down
critical,
pcm
training.
I've
had
aba
therapy
coming.
C
But
they
don't
come
so
that
everything
is
on
the
phone.
I
I
mean
he's
either
gonna
kill
himself
or
someone
else
and
he's
only
10
years
old
and
he's
getting
bigger
and
bigger
and
he's
a
good
kid
when,
when
he's
okay,
but
he
has
a.
H
Hard
time
speaking,
so,
I
think
just
the
the
services.
H
C
C
L
L
Okay,
hi
hi
interim
finance
committee.
My
name
is
sophia
sanchez
and
I
am
a
temporary
legal
guardian
for
my
nephew
with
autism
fas,
odd
dm
ddmd
ocd,
bipolar
nos
and
adhd.
I
support
your
proposal
to
invest
in
children's
mental
health
in
nevada.
We
only
received
aba
therapy
and
he's
been
in
aba
therapy
since
he
was
like,
I
don't
know
four
and
it
hasn't
worked
at
least
not
for
in
home.
It
only
works
in
clinic
and
the
because
we
were
not
told
about
parent
training.
Until
this
year
there
were
no.
L
There
were
no
other
options
given
to
us.
We
were
told:
oh,
we
were
told
our
only
other
option.
If
we
can't
handle
him
would
be
to
give
him
over
to
cps
or
press
charges
on
him,
and
we
would
be
responsible
for
making
sure
he
follows
what
the
court
says.
However,
that
would
be
impossible
because
of
his
behavior.
We
can
barely
take
him
to
the
bus
stop
for
school,
and
if
we
give
him
over
to
cps,
we
will
have
charges
against
us.
Also.
L
I
have
experienced
barriers
to
finding
rtcs
and
group
homes
in
our
state
and
facilities
that
are
contracted
with
medicaid
out
of
state.
So
again,
I
wholeheartedly
support
investment
and
any
services
and
programs
that
would
provide
families
with
increased
and
much
needed
children's
mental
and
behavioral
health
services.
Thank
thank
you
for
your
time
and
also,
I
wanted
to
say
that
my
nephew
two
people
have
told
me
that,
out
of
the
20
years
that
they've
worked
with
him
or
worked
with
you
know.
L
Children
with
mental
disabilities
and
autism
he's
been
the
worst
case
they've
ever
seen,
and
and-
and
I
just
like-
there's
literally
no
help
at
all
like
whatsoever.
Like
my
sister
spoke
earlier
isabelle
sanchez,
he
has
severe
sibs
self-injurious
behaviors
and
he
property
damage
aggressive.
He
attacks
us
like
he's,
gonna
kill
us.
I
need.
L
Our
neighbor
help
us
I'm
sorry.
We
need
to
help.
We
need
help
from
our
neighbor
to
help
us
control
him
because
he's
out
of
control
and
we
we
just
have
there's
just
no
help.
So,
if
you
could,
please
help
us
with
this,
we
would
I
know
plenty
of
families
that
are
going
through
the
same
thing
and
we
would
greatly
appreciate
the
help.
C
Good
morning,
senator
dennis
vice
chair
carlton
and
members
of
the
interim
finance
committee.
Thank
you
for
the
opportunity
to
comment
on
item
f
numbers
12
and
15,
which
propose
172
million
being
considered
to
improve
nevada's
public
health
system.
I'm
andrea,
gregg,
chief
executive
officer
for
high
sierra
area,
health,
education,
education
center,
also
known
as
ahec.
C
I'm
also
a
proud
alumnus
of
the
university
of
nevada,
reno
school
of
public
health
and
has
spent
the
last
15
years
leading
an
organization
that
serves
as
a
critical
convener
between
academic
employer
and
community-based
partners
to
develop,
diversify
and
distribute
the
health
care
and
public
health
workforce
needs
of
our
state.
A
sound
and
sustainable
public
health
infrastructure
is
an
urgent
matter.
The
proposed
academic
health
departments
are
an
innovative
solution
for
the
public
health
ecosystem,
bringing
together
interdisciplinary
professionals
in
cross-sector
collaboration.
C
These
investments
will
provide
a
historic
opportunity
to
invest
in
the
public
health
workforce
and
build
for
the
future,
while
ensuring
that
health
outcomes
improve
over
the
long
term.
In
addition,
this
investment
will
yield
a
substantial
rate
of
return
and
provide
an
invaluable
opportunity
to
restore
our
state's
public
health
as
well
as
behavioral
health.
Primary
care
and
social
service
systems
ultimately
protecting
and
improving
our
population's
health,
improving
our
health
care,
workforce
capacities,
eliminating
disparities
and
advancing
health
equity.
Thank
you.
C
Good
morning,
chair
and
member
to
the
committee
for
the
record,
my
name
is
tess
opferman
and
I'm
here
on
behalf
of
two
organizations
this
morning
at
the
nevada,
women's
lobby
and
afternoon
retirees.
I
know,
you've
heard
a
significant
amount
of
testimony
this
morning.
So
I'll
keep
this
quite
brief.
On
behalf
of
the
nevada
women's
lobby,
we
strongly
support
the
allocation
of
25
million
dollars
to
rental
assistance
and
eviction,
diversion
which
will
help
women
and
families
stay
in
their
homes.
C
Economic
issues
do
not
operate
in
a
silo
and
housing
is
a
foundation
that
helps
protect
women
and
minorities
from
violence
and
supports
job
economic
and
education
stability.
Secondly,
we
wholly
support
the
allocation
of
nearly
50
million
dollars
to
children's
mental
health.
Mental
health
is
chronically
underfunded
in
nevada
and
clark.
County
is
in
a
state
of
crisis.
Limited
funding
has
led
to
dangerous
conditions
for
both
children
and
staff
at
child
haven,
and
these
funds
will
help
bolster
state
mental
health
programs
as
well
as
school
resources
shifting
heads.
C
I
would
also
like
to
speak
on
behalf
of
asm
retirees.
We
strongly
support
the
allocation
of
nearly
two
million
dollars
to
the
public
benefit
public
employee
benefit
program
to
help
coveid
testing
further.
I
echo
the
statements
of
terry
laird
and
ken
irvin
and
we
look
forward
to
continuing
to
work
with
the
legislature
to
return
to
pebb
funding
to
pre-pandemic
levels.
Thank
you
so
much
for
your
time.
This
morning
we
appreciate
the
opportunity
to
speak
in
public
comment.
H
Good
morning,
chris
daley
nevada
state
education
association,
the
voice
of
nevada
educators
for
over
120
years
over
the
last
several
months,
nfc
has
testified
to
this
committee
and
others
about
the
dire
educator
shortage
facing
nevada
school
districts
heading
into
the
school
year.
Now,
with
most
nevada,
students
back
at
school
nevada
still
has
an
unprecedented
shortage
of
educators
to
teach
our
kids
and
make
our
schools
run
even
fatter.
Very
little
has
been
done
to
substantively
address
the
problem.
H
This
past
year
we
witnessed
record
educator,
departures
from
the
state
or
the
profession
with
low
worker
morale.
Meanwhile,
hiring
into
these
vacant
positions
has
proven
slow
and
difficult.
Nsca
has
been
tracking
vacant
positions
across
nevada,
school
districts.
Most
alarming
ccsc
still
lists
over
1900
vacant
positions,
nearly
as
many
as
were
listed
a
month
ago.
The
issue
is
not
limited
to
clark.
County
washoe
still
lists
over
350
vacancies
and
there
are
still
many
vacancies
across
nevada's
rural
counties.
H
H
The
nsa
has
been
calling
for
bold
action
to
address
this
crisis,
to
adequately
fund
public
education
in
nevada
and
to
respect
and
retain
our
experienced
educators.
We've
been
saying
it's
time
for
20..
That
means
a
20
increase
in
educator
pay
and
at
least
20
an
hour
for
the
workers
who
make
our
schools
run.
It
also
means
reaching
an
average
class
size
of
20
students.
H
This
is
the
right
sized
response
to
our
educator
shortage
and
will
get
educators
to
pay
they
need
to
make
ends
meet
while
you've
heard
about
many
important
items
on
today's
agenda
worthy
of
your
support,
including
much
needed
investment
in
child
mental
health.
The
complete
lack
of
leadership
on
the
educator
shortage
crisis
is
goaling
in
addition
to
unspent
artha
dollars.
This
committee
heard
from
the
economic
forum
at
your
june
meeting
that
state
revenue
is
outperforming
projections
by
25
or
close
to
800
million
dollars.
H
H
H
My
daughter
has
had
to
wait
for
services
to
become
available
multiple
times,
while
in
crisis,
I'm
going
to
say
that
again,
multiple
times,
while
in
crisis
nevada
needs
to
needs
the
funds
to
do
better
for
our
children
and
youth.
I
thank
you
for
your
time
and
I
support
your
investment
in
nevada's
children.
Thank
you.
K
K
C
Thank
you
good
afternoon,
chair,
okay,
hold
on.
Thank
you
good
afternoon,
chair,
I'm
dennis
vice
chair
carlton
and
interim
finance
committee.
My
name
is
camila
bywater,
I'm
the
president
of
the
las
vegas
alliance
of
black
school
educators
and
the
co-chair
for
education
for
the
national
action
network's
las
vegas
chapter.
I
am
calling
in
support
of
line
item
s
regarding
the
arpa
set
request
for
funding
for
children's
mental
health
in
clark
county
as
an
educator.
C
I
know
the
importance
of
supporting
our
children
and
ensuring
that
they
have
the
appropriate
mental
health
and
services
over
the
past
couple
of
months
and
during
the
pandemic
we
we
saw
the
rise
of
violence
that
occurred
in
many
of
our
schools
across
the
clark
county,
and
this
right
here
would
be
a
perfect
example
to
support
our
children
and
provide
them
the
funding
that
they
need
to
get
the
appropriate
resources.
Thank
you
so
much
for
taking
the
time
to
listen
to
our
public
testimony.
H
Good
morning
my
name
is
jeff
maron
setz.
We
moved
to
henderson
nevada
about
three
years
ago
after
retiring
from
the
military.
H
Have
a
11
year
old
son
with
we
have
a
11
year
old
son
with
autism,
I
lost
my
spot.
H
H
We've
gone
outside
the
state
and
we've
been
rejected
over
11
times
already
for
residential
treatment,
as
a
lot
of
other
callers
have
noticed
that
are
noted
that
it's
been
a
real
difficult
transition,
we're
doing
the
best
we
can,
but
also
like
the
law
center
said
without
local
resources
we
got
to
seek
elsewhere
during
the
same
period,
we've
also
been
reaching
out
for
aba
services
and
still
on
wait
lists
for
them
we're
also
associated
with
nevada,
wynn
pep.
H
We
have
a
tricare
case
manager,
his
primary
care
development,
pediatrician
therapist.
Unfortunately,
we
can't
get
to
local
therapy,
so
we're
zooming
with
somebody
in
utah
and
then
I'm
doing
my
best
with
online
searches
and
facebook
groups
to
find
other
resources.
H
H
Hello,
my
name
is
ariel
lauria.
I
am
calling
on
behalf
of
a
very
good
friendly
family,
a
family
friend
of
mine.
She
has
a
12
year
old,
disabled
nephew,
who
they
have
exhausted
all
their
leads,
or
what
little
leads
that
you
can
find
in
las
vegas
she's,
even
reaching
out
for
like
long-term
treatment
across
the
country.
H
She
is
definitely
her
and
her
whole
family
are
definitely
in
need
of
some
type
of
financial
support
on
to
be
able
to
get
him
the
medical
care
and
the
treatment
that
he
needs,
so
that
not
only
he's
not
harming
himself
but
harming
his
family
as
well,
and
just
looking
overall
for
the
best
interest
for
him
and
his
family,
and
I
wanted
to
just
say
that
I
have
been
around
and
I've
witnessed
it
firsthand
and
I've
tried
to
help
as
well,
but
he
definitely
needs
more
than
that
and
I'm
sure
there's
a
lot
of
other
kids
here.
K
A
H
A
K
A
Great.
Thank
you
very
much.
There's
been
a
lot
of
public
comment
today
and
we
appreciate
that
a
lot
of
passion
and
I
know
that
there
are
a
lot
of
needs,
and
so
thank
you
for
taking
the
time
to
come
and
speak
with
us
about
those
those
needs.
So
I
will
go
ahead
and
close
this
public
comment
and
we
will
move
to
item
c.
Actually
we're
going
to
do
item
c
and
item
d,
I'm
we
can
do
those
together.
A
The
minutes
is
there
anyone
that
wishes
to
make
any
changes
or
additions
to
or
edits
to
the
the.
A
Okay,
let
me
yes,
so
we
have
a
motion
by
senator
or
sorry
by
vice
chair
carlton
and
second
by
senator
cannizzaro,
to
approve
the
movement.
The
minutes,
as
is,
is
there
any
discussion
here
in
los
in
carson
city,
anyone
down
in
las
vegas
any
questions
or
online?
A
Okay,
I'm
not
hearing
any
all.
Those
in
favor
raise
your
hand,
say
aye,
all
right.
A
Any
opposed,
say,
nay,
I
want
to
raise
your
hand
okay,
so
the
motion
carries
we've
approved
the
minutes
for
item
c
on
item
c
and
the
the
the
april
7th
minutes
and
then
may
7
may
5th
meeting
minutes.
Okay.
So
what
what
I
plan
to
do
now
is
we're
going
to
go
through
any
of
the
ones
that
we
would
like
to
pull
out
on
items
e.
A
I'm
sorry,
I
know
we're
going
to
have
that
statement.
First,
let's
look
let's!
Thank
you
very
much.
That's
why
I
appreciate
staff
so
much.
Let's
do
the
item
number
e
statement
of
american
rescue
plan
act
corner
via
state
fiscal
recovery,
fund
obligations
and
remaining
reserve
balances.
So
I
believe
that
we
have
mr
li
lizer.
Is
that
correct
yeah?
So,
mr
visor,
if
you
would
take
that
item,
thank
you.
D
Thank
you,
chair,
dennis
vice
chair
carlton
members
of
the
interim
finance
committee
for
the
record,
brodie
lieser
with
the
fiscal
analysis,
division,
legislative
council
bureau.
I
will
walk
through
agenda
item
e.
The
statement
of
american
rescue
plan
act,
coronavirus,
state
fiscal
recovery
fund
obligations
and
remaining
reserve
balances.
D
If
all
items
submitted
for
consideration
today
are
approved,
which
total
approximately
249
million
dollars,
the
remaining
unobligated
balance
of
coronavirus
state
fiscal
recovery
funds
would
be
approximately
847
million
dollars,
as
displayed
toward
the
bottom
of
the
summary
sheet
of
that
amount.
When
accounting
for
the
250
million
dollars
reserved
for
the
home
means
nevada
initiative,
the
remaining
unobligated
balance
is
approximately
597
million
dollars
pages
180
through
184
of
the
meaning
packet
detail,
the
obligations
approved
to
date.
D
I
was
going
to
walk
through
some
of
the
larger
requests
before
the
committee
today,
however,
they
were
generally
covered
during
the
public
comment
period,
so
I'll
skip
through
those
and
move
on
to
pages
187
through
191
of
the
meeting
packet.
This
represents
the
breakdown
statement
for
select
obligations
of
coronavirus,
state
fiscal
recovery
funds.
D
There
are
four
items
on
page
190
under
the
section
for
allocations
of
the
100
million
dollars
in
authority
for
state
agencies
that
were
approved
by
the
governor's
office
and
did
not
require
approval
of
the
ifc.
As
indicated
on
the
statement,
these
four
items
are
on
the
list
with
the
dates
of
july
21st
and
july
22nd
2022.
D
D
Agenda
item
f30
was
revised
by
the
governor's
finance
office
to
reduce
the
requests
from
one
million
five
hundred
eighty
one
thousand
one
hundred
and
fifteen
dollars
to
one
million
four
hundred,
sixty
two
thousand
six
hundred
and
forty
four
dollars
with
no
change
in
purpose,
if
approved
today.
The
statement
that
is
presented
to
the
next
meeting
of
the
ifc
will
reflect
the
reduced
amount
and
chair
dennis.
That
concludes
my
remarks
on
the
statement.
A
A
So
with
that
we
will
move
then
to
item
before
we
do
we're
going
to
do
items
f,
g
and,
I
believe,
p,
to
see
if
there's
any
items
that
you
wish
to
pull
out,
I'm
going
to
have
staff
go
through
the
ones
that
we've
identified
and
then
I
have
some
additional
ones
that
have
been
that
have
been
shared
with
me
from
the
members
and
then
I
will
ask
to
see
if
there's
any
additional
ones
after
that.
A
So
let's,
let's
do
that
first,
so,
mr
thornley,
would
you
go
over
those
items
that
we've
identified.
J
Thank
you,
mr
chair.
So
I'll
begin
with
list
f
starting
with
f1,
then
f2
and
3
will
be
heard
together.
J
J
There
is
a
revision
for
f30
that
mr
leiser
just
noted.
This
is
the
department
of
health
and
human
services,
public
and
behavioral
health
facility
for
the
mental
offender
again
the
revision
there.
This
revision
was
received
after
the
agenda
was
posted,
but
the
change
is-
and
there
was
already
a
on
a
previous
revision
received.
So
you'll
see
that
revision
reflected
on
the
list,
but
there's
an
additional
revision.
So
it's
no
longer
a
request
for
1.58
million.
J
J
J
J
J
Another
withdrawal
request
received
after
the
agenda
was
posted
for
g109
department
of
wildlife,
habitat
division.
So
that's
109
that
has
been
withdrawn.
J
J
And
then,
lastly,
on
list
g,
122
and
123
from
healthcare,
financing
and
policy,
both
those
will
be
pulled
for
discussion
and
heard
jointly,
and
the
agency
has
a
revision
that
they
would
like
to
request
for
both
those
work
programs.
But
those
will
be
pulled
and
and
the
agency
can
present
their
revision
at
the
table
and
that's
it
for
list
g.
J
And
then
on
list
p,
which
is
the
informational
items
list,
there's
one
item
that
has
been
identified
to
be
pulled
for
discussion,
that
is
p
1
b
office
of
project
management,
smart
21.
A
Okay,
let
me
see,
let
me
get
my
notes
here,
because
I've
got.
A
To
pull
f9,
if
we
didn't
already,
let
me
make
sure:
okay
f9.
A
A
A
Look
at
f-32
f-54.
A
I'm
sorry
go
ahead
and
any
other
additional
ones
on
while
we're
at
it
any
additional
ones.
On
f.
A
O
Thank
you.
I
had
asked
for
the
f11,
but
f10
is
tied
to
that,
so
they
both
really
need
to
be
pulled
if
we're
going
to
pull
f11.
Thank
you.
A
H
F
A
F
A
A
Okay,
let's
go
to
on
g
items
g,
I
have
been
asked
to
pull
g37.
A
A
A
Okay,
those
are
the
ones
that
have
requested
any
additional
ones
that
I
have
missed.
I
don't
see
anybody
here,
also
in
las
vegas.
Anyone
wishing
to
pull
any.
A
Or
online,
I
believe,
senator
o'neil
had
20
and
21.
yep,
okay
any,
and
how
about
on
p
anybody
wishing
to
pull
any
additional
items
off
of
p.
A
Okay,
I
think
we
got
it
now,
so
I'm
gonna
have.
A
J
You,
mr
chair,
so
these
are
the
items
that
have
been
identified
to
be
pulled
for
discussion
and
I
will
begin
with
list
f:
1
2
3,
4,
5,
6
7,
8,
9,
10,
11,
12,
15,
16,
17,
18,
19,
23,
31,
32,
36,
37,
38,
39,
40,
41,
42,
43,
44,
45,
46,
47,
48,
49,
50,
51,
52,
53,
54,
55,
56
and
57.
A
A
One
beyond
p
all
right,
so
I'm
going
to
take
a
motion
from
my
vice
chair
vice
chair
carlton,.
E
Thank
you,
mr
chairman,
for
the
honor.
I
would
like
to
move
that
all
items
not
pulled
by
staff
and
items
with
noted.
A
Okay,
so-
and
we
have
a
second
by
senator
canazzaro,
so
the
motion
included
any
of
the
revisions
and
that
were
made
on
the
ones
that
we
aren't
going
to
pull
all
right.
Did
we
get
that
right?
Okay,
any
questions
on
the
motion.
Yes,.
O
Thank
you
titus,
and
I
appreciate
that
everybody
wants
to
make
this
go
as
quickly
as
possible,
because
we've
pulled
so
many,
but
I
think
for
the
record,
we
really
do
need
to
put
the
numbers
on
the
record
of
what
ones
we're
voting
for
which
ones
we
are
consenting
to
vote
for.
O
A
Okay,
hold
on
once.
A
A
A
So
if
I'll
have
mr
thorley
just
do
the
ones
in
f
that
we
actually
are
approving
at
this
time
right,
thank
you
and
then,
and
then
on
g,
the
ones
that
we've
already
pulled
it'll,
we're
assuming
that
all
the
other
ones
are
being
improved.
A
Yes
right,
you're
correct,
we
do
have
a
motion,
but
we
are
clarifying
what
the
motion
is,
and
so
I'm
gonna
on
the
items
for
f
and
we're
just
going
to
clarify,
which
ones
we
actually
are
doing,
which
I
think
is
is
appropriate
at
this
part
in
the
motion.
J
Thank
you,
mr
chair,
so
for
the
motion
for
clarification
on
list
f.
The
motion
includes
13
14.
A
Okay,
just
so
so
you're
clear,
those
are
the
ones
that
we
are
actually
voting
to
approve
right
now,
along
with
the
the
other
ones,
all
right,
any
other
questions
or
clarifications
all
right,
all
those
in
fa,
all
those
in
favor
say:
aye,
raise
your
hand
aye
any
oppose,
say,
nay,.
A
Okay,
so
those
are
approved
all
right,
let's
see
and
I'm
going
to
make
a
a
change
here.
I
first
of
all
I
bel
I've
had
a
request.
I
believe.
Let
me
just
double
check.
A
Before
we
move
before,
we
move
on,
I've
been
asked
by
senator
settlemyre.
If
he
would
like
to
make
a
statement
before
we
move
on
with
the
rest
of
these
and
then
I'm
going
to,
and
just
so
that
you
know
I'll,
have
him
make
his
statement.
It
is
my
intent
if
I
can
find
my
notes.
A
Okay,
all
right
so
after
that
statement-
and
I
guess
any
other
statements
that
the
members
would
like
to
make
at
that
point-
it
is
my
intent
to
take
lunch
in
a
few
minutes.
Let's
see.
A
A
I
know
that
there
was
a
lot
of
there's
a
lot
of
people
for
here
for
a
lot
of
different
ones,
but
I
want
to
take
that
one
and
then,
after
that
we
will
take
lunch
just
to
give
you
a
heads
up
for
those
of
you
that
that
are
in
the
audience
here
or
online
or
whatever
or
in
las
vegas
and
so
centers
settlement.
J
Thank
you,
mr
chairman.
My
concept
was:
is
a
lot
of
items
here,
dealing
with
the
arafans
that
I
figured
that
if
I
just
made
one
general
statement
that
applied
to
everything
here
today,
I
would
not
have
to
make
it
on
each
item
and
just
in
order
to
try
to
speed
up
this
process.
In
that
respect,
I
am
very
supportive
of
trying
to
do
everything
we
can
within
mental
health
and
all
these
other
subjects.
J
A
Okay,
anyone
else
wishing
to
make
comments.
I
do
appreciate
anything
we
can
do
to
save
time
today.
The
other
thing
that
I
am
going
to
ask
also-
I
know
in
some
of
these-
we
probably
need
a
presentation
on
some
of
these.
Just
so
we
understand
the
issue,
but
for
the
most
part
I
want
to
try
to
just
go
straight
to
the
questions
that
we
have
and
I
believe
on
this
first
one
that
that
we're
going
to
go
that
we
can
actually
probably
just
go
straight
to
our
questions.
A
Well,
actually,
if
someone
wants
to
come
up
and
give
a
real,
quick,
quick
30-second,
you
know
we'll
create
kind
of
set
it
up
and
then
we'll
go
straight
to
the
questions.
B
B
Good
morning,
members
of
the
committee
chair
dennis
and
vice
chair
carlton
joining
me
also
today,
is
dr
jackie
wade,
deputy
administrator
of
over
community
services,
dr
stephanie
woodard,
dhhs
senior
advisor
on
behavioral
health
and
several
other
subject
matter.
Experts
from
other
entities
and
counties,
children
and
youth
have
experienced
unique
negative
effects
of
the
coveted
19
pandemic
due
to
isolation,
loneliness
school
closure
and
disrupted
relationships
with
caregiving
adults.
B
Since
the
onset
of
the
pandemic,
many
children
have
developed
symptoms
of
depression,
anxiety
or
behavior
health
disorders
and
those
already
suffering
have
experienced
severe
exacerbation
of
symptoms.
I
won't
go
into
any
statistics
because
I
think
we
are
all
quite
aware
of
those.
This
combined
package
represents
a
huge
effort
of
a
team
of
stakeholders,
of
which
many
are
here
today.
A
collaborative
group
has
been
meeting
planning
and
researching
to
determine
the
most
impactful
way
to
respond
to
nevada's
children
during
the
time
of
crisis.
B
I
am
forever
grateful
for
their
support,
passion,
commitment
and
mentorship
relative
to
the
saying
it
takes
a
village.
We
brought
you
a
village.
This
request
seeks
to
further
build
out
and
strengthen
a
currently
very
insufficient
children's
system
of
care.
In
doing
so,
new
services
will
be
brought
to
nevada.
That
would
allow
more
youth
and
families
to
fully
participate
in
services
in
their
home
and
communities
and,
conversely,
provide
greater
access
to
inpatient
and
residential
services
when
home
and
community
services
are
not
medically
appropriate.
B
It
will
also
serve
to
improve
opportunities
for
smooth
transition
back
to
home
and
community
services
after
an
inpatient
or
residential
admission,
and
will
reduce
the
risk
of
recidivism
in
absence
of
these
services.
Additionally,
in
other
states
that
have
implemented
a
comprehensive
system
of
care
approach,
significant
cost
avoidance
and
return
on
investment
has
been
realized.
B
These
components
represent
the
essential
services
supports
and
infrastructure
within
a
robust
and
complete
system
of
care.
Each
of
these
components
work
as
part
of
the
whole
system
and
work
together
to
create
an
interwoven
system
of
services
and
supports,
rather
than
a
menu
of
choices
and
options.
The
entire
system
must
work
in
concert.
B
Excuse
me
so
that
youth
may
move
up
and
down
the
continuum
as
needed.
Also,
infrastructure
must
be
present
to
monitor
and
manage
the
system
as
a
whole,
provide
training
and
technical
assistance,
ensure
quality
and
fidelity
and
for
ongoing
data
gathering
and
evaluation
sustainability
sustainability
plans
for
these
programs
will
include
exploration
of
braided
and
blending,
blended
funding
sources,
working
with
nevada's
medicaid
program
for
possible
plan
amendments
or
waivers
engaging
the
impact
of
these
programs
on
youth
and
families
through
data
collection
and
quality
review.
B
Also,
through
the
transparent
budget
process,
future
legislative
cohorts
may
decide
collectively
on
feasibility
and
necessity
necessity
of
continuation.
I
also
have
both
clark
and
washoe
county
here
with
me
for
any
opening
statements.
If
you
would
like
from
them-
and
I
have
my
team
here-
also
to
answer
any
questions
you
may
have.
F
K
Difficult
work
to
do
during
the
pandemic,
we
have
had
an
incredible
team
that
can
answer
all
of
your
questions
on
sustainability
and
the
governor
is
committed
to
making
a
significant
investment
in
children's
mental
health
in
the
gov
wreck
budget,
because
we
have
a
moral
imperative
to
continue
this
work
and
we
would
not
create
fiscal
cliffs
from
these
items.
So
I
wanted
to
put
that
on
the
record.
Thank
you.
G
Good
morning,
mr
chair
members
of
the
committee,
tim
burch,
human
services,
administrator
for
clark,
county
nevada,
we'll
keep
it
brief
and
just
echo
the
themes
you
heard
in
public
comment.
It
was
we've
all
sat
through
long
public
session
comments
for
the
last
few
years,
usually
railing
against
things
we're
doing.
It
was
nice
to
hear
this
level
of
support
for
the
things
that
we
wanted
to
do
to
help
families.
G
You
also
heard
about
the
gap
and
the
system
of
care
that
is
present
in
nevada
and
how
that
gap
feels
like
a
canyon
when
these
families
are
standing
on
the
ledge
of
not
being
able
to
receive
services
that
ledge
in
that
canyon
becomes
an
endless
hole.
Once
children
fall
into
a
child
welfare
system
that
is
not
engineered
or
designed
specifically
to
receive
them
solely
because
they
cannot
receive
mental
health
services
in
our
community.
G
Over
almost
100
families
in
the
last
12
months
have
fallen
off
that
cliff
they've
come
to
a
point
where
they've
said
we
can
no
longer
deal
with
these
challenges.
I
will
take
abandonment
charges
just
to
try
out
of
desperation,
to
get
my
children
help.
That
is
not
the
system
that
we
want
for
our
children.
That's
the
s,
and
these
changes
that
we're
proposing
today
and
we're
asking
for
your
support
on
rectifying
build
a
bridge
over
that
canyon
for
our
family.
So
we
look
forward
to
your
support
and
we're
president
for
any
questions
you
may
have.
Q
For
the
record
kevin
schiller,
deputy
county
manager,
clark
county-
I'm
not
going
to
repeat
what
mr
burch
said,
but
chair
and
vice
chair
members
of
the
committee,
take
it
to
a
different
level.
You've
had
lots
of
personal
testimony
today.
I
think
one
of
the
pieces-
I
would
really
echo,
is
the
continuum
of
care
when
we
use
that
terminology-
and
we
talk
about
where
people
enter
the
system.
You
heard
a
lot
about
people
entering
the
system
at
the
highest
level
and
a
lot
of
what's
happened
over
the
past
year.
I
want
to
compliment
your
staff.
Q
I
want
to
complement
dhhs.
I
have
never
seen
a
stakeholder
group
in
25
years
like
this
group
and
when
I
say
the
front
door
enters
at
different
levels.
If
we
can
get
to
the
lower
levels,
if
we
can
create
diversion
and
create
these
services,
which
is
what
a
lot
of
this
is
about,
it
also
reduces
the
cost
at
the
higher
level
and
reduces
that
ultimate
end
outcome,
which
can
be
you
heard
it
today:
suicide
death,
massive
depression,
so
from
the
manager's
office
site
in
clark
county.
We
are
very
supportive
of
this.
Q
I
do
want
to
complement
the
collaboration
and
we're
happy
to
answer
any
questions,
because
I
believe
this
is
literally
precedent
setting
in
terms
of
where
we
can
move,
and
I
also
want
to
address
the
sustainability
discussion
from
a
clark
county
perspective.
The
buck
stops
here
from
the
perspective
of
when
somebody
shows
up
at
child
haven
or
whether
they
show
up
at
social
service.
So
we
don't
get
to
say
no.
We
have
to
figure
out
that
continuum
and
that
sustainability
is
tied
to
all
the
funding
pieces.
Q
That
you've
heard
medicaid
is
a
big
piece
of
that,
but
the
county
is
also
contributing
significantly
and
we
want
to
ensure
that
we
can
maximize
how
we
reimburse
so
that
we
don't
create
something
that
we're
back
in
a
year
asking
for
you
to
say
here
we
go
again.
We
want
to
make
sure
this
is
sustainable
and
that's
been
a
large
part
of
why
this
has
taken
a
year.
Thank
you.
D
Good
afternoon,
chair
members
of
the
committee,
my
name
is
ryan
gustafson
division,
director
with
washer
county
human
services
agency,
child
welfare
and
just
to
sort
of
speak
specifically
to
some
of
the
issues
of
washoe
county,
certainly
we're
seeing
the
same
things
in
washoe
as,
as
is
being
seen
in
clark,
county
and
the
rest
of
of
this
state
as
well.
D
We
have
certainly
yeah.
We
spent
several
sessions
working
with
you
and
working
with
our
system
partners
trying
to
get
in
front
of
this
problem
right,
trying
to
do
preventative
things,
starting
mobile
crisis,
starting
a
lot
of
in-home
services
and
and
kovitz
certainly
has
put
a
significant
dent
in
that
and
and
washoe.
And
specifically,
we
lost
one
of
our
acute
psychiatric
hospitals,
of
which
we
only
have
two.
So
we
lost
nearly
100
beds.
We
lost
an
early
childhood
program.
D
We
lost
a
program
that
that
worked
with
boys
who
young
young
men
who
had
been
adjudicated
of
sex
offenses,
and
so
we've
seen
all
of
these
programs
that
really
ran
the
gamut
of
mental
health
get
to
close
down,
and
that
was
really
exacerbated.
The
issues
that
we
had
had
with
the
lack
of
psychiatric
services,
just
some
sort
of
alarming
statistics,
is
that
we've
now
seen
in
the
last
year,
we've
seen
a
300
percent
increase
in
emergency
shelter
bed
days
for
children.
D
We
were
down
into
actually
the
single
digits
in
washoe
county
and
we
had
maintained
that
for
about
18
months
and
then
coveted
hit,
and
then
we
lost
a
lot
of
our
mental
health
service
providers
who
we've
been
working
with,
and
our
director
amber
hal
has
been
working
with
other
service
providers
to
try
to
really
get
that
reintegrated
in
our
community,
but
it's
certainly
been
an
uphill
challenge.
D
So
we've
seen
emergency
care,
increase,
we've
sort
of
re-bottlenecked
the
hospitals
with
kids
who
are
going
into
medical
facilities
while
they
wait
for
for
beds
which-
and
we
had
sort
of
worked
on
undoing
that
problem
with
the
mobile
crisis
program.
But
that
problem
has
certainly
re-emerged
at
this
point
and
they're
just
as
it's
not
just
mental
health
services,
there's
not
beds
for
kids.
I
know
we're
looking
at
foster
care
rates
and
other
things
that
have
not
been
touched
in
over
a
decade.
D
So
I
think
what
we
are
discussing
today
is
of
the
utmost
importance
for
kids.
Child
welfare
and
children's
mental
health
certainly
go
very
much
hand
in
hand,
and
so
I
just
really
thank
this
committee
for
the
work
that
you
guys
are
prepared
to
do.
H
Yes,
thank
you.
Thank
you,
mr
chair,
and,
and
I
guess
I've
just
got
one
thought
that
continues
to
go
through
my
mind
and
we're
appropriating
a
ton
of
money.
But
how
is
that
going
to
translate
into
personnel?
I
don't
care
what
industry
you're
in
you
know.
We
can't
find
the
providers
we
can't
find
truck
drivers,
let
alone
psychiatrists
and
especially
healthcare
providers.
You
know
it's
just
we've
got
a
huge
void.
Are
these
dollars
going
to
be
able
to
get
to
the
ground
because
we
don't
have
that
personnel.
B
We
have
some
other
issues
or
other
items
on
this
agenda
that
were
feeding
into
our
own
workforce
by
bringing
students
in
paying
them.
What
would
be
the
equivalent
of
a
stipend
if
they
were
to
do
this
at
a
private
entity
and
really
give
them
the
clinical
hours
boots
on
the
ground
they
need
to
feed
into
our
workforce.
So
it's
it's
a
really
huge
process
of
pulling
workers
into
nevada,
making
nevada
a
great
place
to
live
and
work
make
businesses
want
to
come
to
nevada,
to
provide
these
mental
health
services
and
bring
employees
with
them.
B
H
E
Hi
cara
pelle,
I'm
one
of
the
division
directors
with
wacho
county,
and
I
just
want
to
reiterate
how
important
it
is
for
us
to
work
together
with
our
state
partners
for
them
to
have
the
staff
to
get
the
job
done.
E
Our
emergency
shelters,
like
mr
gustafson
said,
are,
are
just
exploding
and
part
of
that
is
because
there
are
no
mental
health
beds
and
the
other
piece
to
that
is.
We
have
three-year-olds
with
adult,
or
you
know,
almost
adult
kids
that
are
all
together
and
it's
not
an
ideal
setting
and
our
staff
there
is
committed
to
keeping
them
safe
and
it's
just
not
what
we
want
to
see
for
our
kids
and
families.
E
On
the
the
other
side,
we
have
kids
that
are
aging
out
of
care
that
really
need
the
support
as
well,
and
public
and
behavioral
health
doesn't
always
have
the
staff
available
and
resources
available
for
them
as
well,
so
we're
getting
bottlenecked
on
both
sides
and
just
final.
My
final
statement
is
with
ab387
and
really
trying
to
help
families
keep
their
kids
out
of
child
welfare.
We
really
need
to
invest
in
that,
and
I
know
the
state
is
trying
and
they're
hiring
crisis
and
retention
crisis
is
keeping
that
from
happening
and
we're
seeing
families
suffer.
A
Okay,
we've
got
vice
church
carlton.
E
Thank
you,
mr
chairman,
so
I
just
since
some
statements
were
made
earlier.
I
just
think
I
need
to
kind
of
preface
a
lot
of
this.
Children's
mental
health
is
in
crisis
in
this
state.
It
has
been
for
a
while
we've
tried
to
address
it
piece
by
piece.
I
remember
the
first
autism
bill
I
signed
on
to.
I
was
still
in
the
senate
for
former
assemblyman
james
orenshall.
Now
senator
orangell
we've
tried
to
address
different
components
of
this
over
the
years.
E
We
now
have
an
opportunity
to
make
generational
change
in
the
state
for
children's
mental
health,
and
I
believe
we
need
to
take
this
opportunity
right
now,
and
I
and
and
senator
gokuchi
was
exactly
right.
It's
going
to
take
years
to
build,
we
can't
wait
a
year
to
start.
We
need
to
start
now.
We
have
an
opportunity.
E
E
I
appreciate
miss
borland's
comment
about
not
building
a
fiscal,
cliff
she's.
She-
and
I
have
had
many
many
conversations
about.
We
have
to
be
careful
what
we
do,
but
here's
the
thing.
I
know
the
governor's
folks
have
committed
to
children's
mental
health
in
this
state,
and
I
know
that
as
the
budget
building
process
progresses
over
the
next
couple
months,
children's
mental
health
is
going
to
be
at
the
top
of
their
list.
E
E
B
For
the
record,
dr
pitlock,
thank
you
very
much
for
that
comment.
Vice
chair
carlton,
we
do
have
our
medicaid
colleagues
that
are
ready
and
willing
to
speak
to
that.
I
believe
dr
antonina
capuro
is
with
us
today.
Dr
capuro.
L
L
Earlier
this
year
we
came
before
this
body
with
a
request
to
use
federal
title,
19,
grant
funds
and
home
and
community-based
service
reinvestment
funds
to
procure
a
consultant
to
research
and
recommend
strategies
to
enhance
medicaid-funded
children's
behavioral
health
services.
So
we
are
currently
working
with
health
management
associates
to
identify
long-term
strategies
to
help
support
the
projects
that
are
before
you
today,
and
so
we
are
very
carefully
and
methodically
going
through
those
to
identify
service
delivery
models,
any
needed
medicaid
authority
or
federal
approval
that
might
be
needed
to
sustain
those
projects.
L
A
I
think
samuel
carlton
has
some
addition.
I
Good
good
morning,
my
name
is
katrina
nielsen.
Thank
you
for
the
question.
So
we
are
anticipating
preliminarily
that
the
cost
to
continue
these
services
that
are
before
you
today
would
be
approximately
28
million.
18.6
million
of
that
would
be
medicaid,
funded
or
66
percent
and
34
would
be
funded
with
general
fund
or
9.4
million.
I
My
understanding,
thank
you,
katrina
nielsen
for
the
record.
Yes,
this.
Currently,
what
our
our
plan
is
is
the
funding
before
you
is
for
fiscal
year
23.
I
We
will
come
forward
with
our
new
funding
streams
to
reinstate
the
positions
and
the
services
that
are
being
approved.
O
Thank
you,
mr
chair,
for
the
question,
and
thank
you
all
again.
We
all
heard
the
testimony
today
and
as
a
physician,
certainly
it's
been
difficult,
referring
patients
for
those
services
and
as
someone
who
works
with
the
lyon
county
school
district,
we
know
that
these
difficulties
with
our
mental
health
and
I'm
also
on
our
behavioral
health
board
here,
and
so
we
hear
this
all
the
time.
But
and
again
I
have
huge
concerns
similar
to
what
senator
gokuchi
asked
and
I
have
to
throw
out
here.
O
These
are
46
new
positions
for
the
state
and
somebody
correct
me
if
I'm
wrong,
but
do
we
not
currently
have
anywhere
between
25
and
33
vacancies
throughout
the
state
of
nevada
on
all
departments,
and
I'm
wondering
if
this
is
really
this
all
sounds
great
on
paper,
but
and
when
it
and
how
does
it
come
to
fruition
and
then
we're
bad
if
we
don't
support
it?
O
But
but
I'm
very
concerned
that
this
is
a
huge
expansion
without
it
looks
great
on
paper,
but
finding
the
personnel
to
do
this
and
then,
if
we
as
medicaid
providers,
don't
accept
this,
as
vice
chair
carlton
put
out,
then
we're
the
bad
people,
because
then
we'll
abandon
it,
because
we
as
providers
aren't
seeing
these
patients,
but
there's
no
guarantee
in
here
that
there's
going
to
be
enough
incentive.
Why
would
we
see
them
if
we
lose
monies
every
time
we
see
a
medicaid
patient
and
then
takes
us
away
from
those
who
are
reimbursing
us?
O
And
so
then
the
providers
are
the
bad
people,
and
so
I'm
just
concerned
that
you're
setting
folks
up
with
this
expansion
without
telling
me
how
you're
really
going
to
fulfill
it.
So
I've
asked
a
lot
of
questions
there,
but
I
first
want
to
know
how
many
open
positions
do
your
department
have
right
now.
B
B
Those
programs
need
fidelity
oversight,
fiscal
oversight,
programmatic
oversight
to
make
sure
that
the
funds
that
we're
investing
into
nevada's,
youth
and
families
are
being
expended
in
in
a
way
that
has
outcomes
that
we
are
know
are
predictable
because
we're
standing
up
evidence-based
programs.
So,
yes,
we
are
bringing
brand
new
programs
into
the
state.
Those
programs
need
oversight
and
accountability
and
fidelity.
B
O
It
actually
more
concern
because
we
still
have
those
vacancies
and
are
you
going
to
be
you?
You
can't
perform
the
job
you're
trying
to
do
now
with
the
current
vacancies,
but
yet
you're
taking
on
the
task
of
all
new
programs,
and
so
that's
even
a
greater
concern
to
me,
because
you
can't
the
programs
you
have
can't
function
efficiently
now
because
of
lack
of
staffing.
A
J
Thank
you,
mr
chairman.
I
appreciate
it.
I
was
kind
of
curious,
I'm
getting
a
lot
of
text
after
my
comments,
and
I
was
wondering
if
you
could
elaborate,
I'm
getting
some
discussion
from
different
people
again
through
media
that
sometimes
these
new
positions
aren't
necessarily
new,
meaning
that
a
lot
of
times
they'll
be
utilized
to
take
people
from
part-time
status
to
full-time
status,
because
then
we'll
actually
have
the
adequate
amount
of
funding
to
do
so.
J
So
maybe
it's
not
as
problematic
as
I'm
thinking
also
within
that
respect,
funding
of
ones
that,
unfortunately,
due
to
last
session's
budget,
where
we
cut
stuff
where
we
should
not
have,
maybe
it's
actually
going
to
be
able
to
fund
those
positions
that
again
existed
before
but
were
cut
in
last
year's
budget
of
those
46
positions?
Do
you
have
any
just
off
the
top
of
your
head
percentage-wise,
which
ones
might
fall
into
that
category?
J
You
know
into
the
categorization
of
the
concept
of
ones
where
you're
going
to
be
able
to
take
people
that
are
only
working
minimally
now,
due
to
budgetary
concerns
going
from
part-time
to
full-time
and
ones
that,
unfortunately,
we
had
cut
in
previous
budgets.
You
know,
due
to
economic
reasons,
that
now
we'll
be
able
to
fund
full.
I
was
just
kind
of
curious
if
any
of
these
46
kind
of
fit
into
that.
I
Thank
you
for
the
question
katrina
nielsen
for
the
record.
The
positions
that
we're
asking
for
are
all
new
positions.
These
are
not
positions
that
were
restored
with
arpa
funding
from
last
biennium.
The
positions
that
were
restored
last
by
any
with
arpa
funding
were
for
the
juvenile
juvenile
justice
facilities,
and
these
are
for
children's
mental
health.
K
K
I
felt
very
similar
how
I
felt
during
the
covid
session,
when,
when
we
were
in
a
budget
crisis,
so
I
I
come
to
this
meeting
today
with
a
lot
of
humility
about
these
the
amounts
of
money
we're
dealing
with
and
the
the
kind
of
services
that
we
need
to
provide
in
2019.
My
first
session,
I
left
here
convinced
absolutely
convinced
about
one
thing
and
that,
yes,
we
are
in
a
mental
health
crisis
in
our
state
and
particularly
how
our
youth
are
affected.
K
K
B
For
the
record,
dr
pitlock,
thank
you
assemblywoman
hanson,
so
some
of
these
monies
will
be
passed
through
to
other
entities.
Some
we
are
planning
on
contracting
out
and
bringing
those
services
in
leaning
in
on
community
providers
as
contractors
to
provide
them,
and
some
we
will
be
standing
up
within
dcfs
dcfs
will
be
the
ultimate
oversight
authority
of
those
funds
and
programs.
K
K
K
Is
the
staffing
issue
and
we
face
this
in
education?
It's
the
staffing
issue,
we're
not
paying
enough
in
wages
or
I'm
assuming
we
just
don't
have
the
qualified.
Because
of
what
my
daughter's
a
licensed
mental
health
professional
in
the
state.
I
know
what
those
requirements
are
and
they're.
Quite
a
heavy
lift
is:
is
that
the
problem?
We
don't
have
enough
that
are
qualified
or
is
it
just?
We
don't
pay
enough.
B
I
Thank
you
katrina,
nelson,
for
the
record
in
answers
to
your
question
about
how
we're
going
to
keep
the
funding
separate.
A
Hold
on
one
second,
just
because
this
isn't
different
than
any
other
department
on
how
they
handle
that,
and
so
I
know
that
our
staff
can
actually
probably
help
you
understand
that
part
of
it,
because
I
know
this
is
like
your
first
opportunity
at
this,
and
so
I'm
trying
in
order
to
try
to
speed
us
up
a
little
bit.
I'm
going
to
ask
that
you
get
with
staff
and
just
ask
them
how?
F
So
stephanie
woodard
for
the
record
I'll
address
the
second
part
of
the
question
which
is
workforce.
We
have
endeavored
across
the
department
to
continuously
study
why
we
have
such
high
vacancy
rates,
the
kinds
of
positions
that
are
occupying
those
high
vacancy
rates.
What
we
have
seen,
especially
during
the
pandemic,
is
a
difficult
time
maintaining
a
lot
of
our
clinical
staff.
F
So
I
think
it
is
important
to
differentiate
the
kinds
of
positions
that
we
are
struggling
to
be
able
to
fill,
and
I
imagine
dr
pitlock
can
provide
some
very
granular
information
on
where
those
vacancies
are
currently
within
the
division
of
child
and
family
services,
and
then
it
also
does
have
to
do
with
the
workforce.
The
available
workforce
that
we
have
in
our
state
and
something
that
I
think
has
been
brought
before
this
body
for
many
many
years
is
how
do
we
rectify
the
need
for
additional
workforce?
F
What
I
would
say,
as
it
relates
to
the
children's
system
of
care
and
the
services
that
are
in
the
package
before
you
this
morning,
is
that
we
have
an
opportunity
now
to
also
diversify
the
kinds
of
services
that
are
available
within
the
community.
So
not
all
of
these
services
would
be
considered
traditional
clinical
services
in
here
you
have
emergency
and
plant
respite,
for
example,
those
are
not
necessarily
licensed
behavioral
health
providers
that
we
would
need
to
be
able
to
pull
from
in
existing
areas
of
our
workforce
to
be
able
to
to
provide
these
services.
F
Our
licensed
providers
to
actually
be
able
to
work
to
the
top
of
their
scope
and
not
also
simultaneously
have
to
to
try
to
be
all
things
to
all
people
that
they're
serving.
So
ultimately,
we
anticipate
that
that
services
that
are
represented
in
this
package
today
will
actually
help
to
alleviate
some
of
the
pressures
that
we
have
on
our
formal
behavioral
health
system
and
be
able
to
add
complementary
services.
K
B
A
You
and,
and
one
other
comment
I
will
make
the
the
comments
that
they
just
made
about
having
a
hard
time
hiring.
We
could
ask
every
department
in
the
state-
and
the
answer
would
almost
be
the
same-
that
we
don't
pay
enough,
that
we
don't.
You
know
all
those
things
that
they
we
just
went
through.
We
have
the
same
issues,
whether
it's
I.t,
whether
it's
police,
whether
it's
you
know
all
of
those
kinds
of
things.
So,
okay,
we
are
going
to
go
to
senator
neil.
F
I
wanted
to
dig
more
into
the
care
coordination,
I'm
on
page
19.2,
of
the
backup
where
the
school
district
will
be
a
part
of
this
relationship
and
trying
to
build
supports.
One
of
the
expected
benefits
that
was
listed
was
that
the
this
program
would,
you
know,
be
supportive
to
school
staff
and
educators,
and
I'm
just
wondering
how
you
guys
are
gonna.
Do
the
care
coordination.
F
B
For
the
record,
dr
pitlock,
thank
you
so
where
I
I
see,
we're
blending
a
few
issues
here
and
I
want
to
make
sure
that
there's
some
clarity.
So,
if
you're
talking
about
19
you're
talking
about
the
mobile
crisis,
response
team
outreach
and
support
to
both
clark,
county
schools
and
washoe
county
schools,
if
you're
referring
to
care
coordination,
we're
talking
about
the
wraparound
program.
F
B
Of
course,
dr
pitlock,
for
the
record,
so
mobile
crisis
is
going
to
be
working
directly
with
both
clark
and
washoe
county
schools,
and
we
have
representatives
from
the
department
of
education
here
to
also
add
support
and
comments,
if
necessary,
to
really
stand
shoulder
to
shoulder
with
the
school
districts
with
the
resource
officers,
the
embedded
mental
health
services
there
to
provide
a
more
robust
and
comprehensive
response.
This
is
an
excellent
opportunity
for
us
to
partner
with
the
school
districts
to
provide
that
kind
of
a
response
in
a
clinically
appropriate
way.
B
The
mobile
crisis
response
teams
are
trained
in
emergency
response
for
youth
and
are
happy
to
step
up
with
the
school
district
to
partner,
and
I
can
certainly
bump
that
to
our
department
of
ed
people
that
are
here
as
well,
that
have
been
working
with
us
over
the
last
six
months
or
so
on.
The
program.
A
Perfect
great,
thank
you.
Let's
go
to
simon
benitez
thompson.
K
Thank
you.
Thank
you.
Thank
you
so
much
chair.
I
just
as
I
look
through
all
of
the
work
programs.
I
just
want
to
speak
to
how
comprehensive
this
is
and.
K
Experience
we
in
the
course
of
like
one
session
might
get
to
do
one
or
two
of
these
things
we're
like.
Oh
look.
We
gave
a
little
chunk
of
money
to
mobile
crisis
yeah.
Oh,
we
we
give
a
little
chunk
of
money
to
respite
services
in
foster
care.
You
know,
but
never
in
this
way,
this
kind
of
package
kind
of
soup
to
nuts
schools
in
home
out
of
home
respite
china
springs
is
in
their
rural
urban
interns,
north
and
south
to
help
with
the
pipeline.
K
The
systems
of
cares
that
you're
setting
up
clinical,
all
different
types
of
licensing
types
and
unlicensed
peer
in
there
and
then
the
medicaid
billing
resources.
I
mean
this
is
just
really
soup
to
nuts.
If
you
could
set
up
and
say
we're
going
to
set
up
and
really
design
a
system
to
care
for
children
from
crisis
through
treatment,
stabilization
and
pay
for
it,
you've
covered
a
lot
and
it's
something
that
is
almost
a
gift
in
a
way
because
we've
never
been
able
to
tackle
it
like
this
before,
and
so
this
work
is.
I
Thank
you
so
much
chair
dennis
no
questions.
Just
a
very
brief
comment.
L
I'd
like
to
note
that
my
vote
today
is
is
not
just
in
support
of
the
programs,
but
also
represents
my
commitment
to
the
extent
I
have
the
ability
to
to
ensure
that
these
programs
are
ongoing,
and
I
I
joined
my.
I
asked
my
colleagues
to
join
me
in
making
that
commitment
today.
I
see
no
reason
to
wait
when
we
have
these
programs
in
front
of
us.
So
thank
you
all
so
much.
N
Thank
you,
mr
chair,
and
I
I
first
just
want
to
say
that
I
I
have
to
commend
the
work
that
we've
that
we've
heard
today,
because
I
don't
think
this
is
just
a
request
from
an
agency
for
some
additional
positions
that
cannot
be
filled
or
a
band-aid
sort
of
fix
that
this
is
really
a
comprehensive
group
of
individuals
that
we've
heard
from
the
counties
we've
heard
from
our
everybody
who
is
sitting
here
at
this
table.
N
Thank
you
to
speaker,
buckley
for
being
so
involved
in
these
efforts,
because
I
think
that
to
assemblywoman
benitez
thompson's
thompson's
point.
We
are
seeing
something
that
is
very
comprehensive,
and
so
that
gives
me
a
lot
of
confidence
in
voting
for
this.
N
I
also
am
hearing
that
this
is
both
a
runway
to
help
create
positions
where
we
do
not
currently
offer
services
and
also
to
build
in
supports
where
we're
working
within
the
other
pieces
that
exist
here
in
nevada
to
help
grow
professionals
to
take
on
these
roles,
which
also
gives
me
a
lot
of
confidence
in
the
fact
that
we
are
in
impart
of
this.
You
know
funding
some
personnel
within
these
departments
and
divisions
and
for
crisis
teams
working
with
the
schools
and
and
so
on,
and
so
forth.
N
So
for
me
that
I
think
there's
a
lot
of
value
in
that
and
that
we're
not
just
sitting
here
saying
well,
let's
just
give
a
couple
more
positions
to
the
department,
they'll
figure
out
what
to
do
with
them
and
hopefully
they'll
be
able
to
hire
the
right
people.
You
know
godspeed.
So
to
me.
I
I
feel
very
confident
in
in
supporting
this.
N
For
that
reason
as
well,
and
then
you
know
to
sort
of
buffer
that,
on
the
other
end
a
commitment
from
the
governor
who
I
have
to
commend
for
not
only
taking
on
this
task,
but
also
bringing
this
before
this
committee
and
also
for
saying
you
know
that
there's
going
to
be
a
backup
with
with
budget
requests
and
budget
enhancements
to
ensure
that
these
ongoing
programs
exist.
N
N
If
there's.
One
thing
that
I
think
we
have
also
heard
is
that
this
is
an
acute
need.
It
is
not
something
that
can
wait
until
the
end
of
the
legislative
session
in
2023
after
we
have
figured
out
all
the
other
accounts
and
funded
all
the
other
things
here
in
the
state.
This
is
something
that
has
to
happen
now.
I
also
have
heard
you
know
in
sort
of
bolstering
this
and
what
has
shed
light,
which
which
hopefully
will
be
something
that
is.
N
That
is
good
because
it
has
allowed
us
to
address
this
issue,
but
the
covid
pandemic
has
shed
light
on
the
fact
that
this
is
an
ongoing
problem
and
it's
something
that
we
need
to
address,
and
we
have
this
solution
before
us
that
I
really
do
think
is
very
comprehensive.
We
cannot
afford
to
wait.
These
parents
who
came
and
talked
to
us
this
morning
cannot
afford
to
wait.
N
N
That
does
not
mean
that
we
are
sort
of
only
beholden
to
fund
specific
one-time
requests
when
we
have
a
commitment,
on
the
other
end,
to
ensure
that
as
these
programs
work
and
as
they
continue
to
serve
parents
and
as
we
are
giving
them
solutions
to
help,
raise
and
grow
their
children
and
have
their
families
intact,
that
that
we
should
ignore
when
we
have
folks
who
are
willing
to
say,
like
the
governor,
we're
going
to
put
this
in
our
budget.
N
Unlike
some
of
my
colleagues,
I
can
guarantee
you
everyone
in
this
room
and
everyone
who
is
listening.
I
will
be
here
next
session
and
I
will
be
looking
forward
to
supporting
this
and
making
sure
that
we
continue
these
programs
where
we
can
home
grow
here
in
nevada,
the
right
people
for
the
jobs
where
we
can
increase
these
types
of
programs,
so
we're
addressing
these
needs
with
mental
health
professionals,
but
also
with
wrap
around
services
and
all
the
things
we've
discussed
today.
N
N
I
think
in
this
particular
circumstance
this
is
a
very
appropriate
necessary
use
of
those
funds,
and
I
feel
very
comfortable
with
with
voting
yes
and
saying
that
this
is
what
we're
going
to
do
to
give
some
solutions
to
parents
who
really
need
it
in
the
way
that
we
that
we
should
be
acting
as
a
legislative
body
and
my
ongoing
commitment
to
continue
this
conversation
to
continue,
invest
to
invest
in
these
and
to
continue
to
provide
these
kinds
of
services,
because
I
will
be
here
with
all
of
you-
the
next
time
around.
J
J
To
me,
we
never
should
have
shut
down
the
schools
as
long
as
we
did,
and
I
wish
that
we
wouldn't
have
it-
created
a
lot
of
problems
throughout
the
system
and,
of
course
that's
why
several
people
tried
to
actually
introduce
a
special
session
just
to
interact
intersect,
all
those
powers
that
were
taken
that
put
these
decisions
outside
the
reach
of
the
parents
and
the
people,
rather
than
just
being
within
one
bureaucrat's
control.
But
in
that
respect
you
could
double
the
amount
of
highway
patrol
people
money
right
now.
J
When
we
actually
find
more
positions,
because
it
sounds
to
me,
we
actually
need
to
grow
these
professionals
in
these
fields,
because
we
don't
have
enough,
let
alone
in
the
state
of
nevada
in
the
whole
united
states,
as
I
see
more
and
more
problems
that
are
being
developed.
So
in
that
respect,
I
do
appreciate
all
the
information.
Thank
you,
mr
chairman.
J
I
I
A
number
of
divisions
did
that,
but
not
just
say
we
have
a
problem
but
work
through
a
number
of
solutions
to
bring
to
us
as
a
body
with
what
those
solutions
can
be
to
fix
the
problem.
This
didn't
happen
just
because
of
covet.
We
were
in
this
situation
long
before
covet
and,
as
my
colleagues
have
said,
kovat
just
put
a
microscope
on.
What's
going
on,
I
haven't
been
here
as
long
as
some
of
my
colleagues
on
the
diets
I
haven't
been
here
for
24
years.
I
I've
been
in
this
legislative
body
for
six
years
and
it,
and
in
that
six
years
I've
tried
to
change
the
way
we
as
leaders
look
at
the
way
we
build
our
budgets,
but
also
look
at
money
that
we've
left
on
the
table
when
it
comes
to
federal
funds
and
the
changing
our
mindset
of
how
we
go
about
bringing
that
money
to
the
state
of
nevada
to
make
sure
that
that
money
helps
with
the
essential
needs
that
make
positive
effects
on
our
families,
and
I
think
what
you've
done
is
just
that.
You've.
We've
have
this
money.
I
That's
here
now
we
have
a
responsibility
to
make
sure
that
that
the
money
is
not
a
one-time
money
that
we
make
the
changes.
We
need
to
do
as
leaders
in
this
state
to
make
sure
that
there
won't
be
budget
holes
and
that
we
aren't
leaving
families
holding
the
bag
at
the
end.
You've
done
that.
I
applaud
you
on
that.
I
We
hear
what
you're
saying
we've
heard,
what
the
families
have
said
that
called
in
we've
heard
what
the
providers
have
said,
the
needs
that
they've
had
and
yes,
we
may
not
have
the
professionals
here,
we
will
have
to
grow
those
professionals
we
will
have
to
look
at,
as
the
chair
says,
every
division
and
how
we're
we're
paying
them
to
make
sure
we're
able
to
attract
the
staff
that
we
need
in
every
division,
but
especially
when
it
comes
to
children's
mental
health
in
our
state.
So
I
thank
you
for
the
work
that
you've
put
in.
I
F
You
so
much
chair,
and
I
don't
want
to
belabor
the
point,
but
having
chaired
interim
health
and
human
services
this
session,
I
just
want
us
or
this
interim
cycle.
I
just
want
to
reiterate
how
impressive
it
is
that
you've
all
come
together
to
work
on
this
issue
and
in
working
with
you
and
hearing
from
you
in
multiple
ways,
as
we've
discussed,
are
the
needs
of
our
children
and
the
needs
of
mental
health
care
and
behavioral
health
care
in
the
state
of
nevada.
F
F
A
Thank
you,
senator
kokochi.
H
Oh,
thank
you,
mr
chair
and
I'll,
be
very
brief
and
to
not
support.
This
would
be
ridiculous.
I
mean
we've
got
to
put
the
money
into
it.
We've
got
a
huge
issue
in
this
state.
We
all
understand
that.
I
just
want
people
to
you,
know
kind
of
balance
it
out.
It's
going
to
take
some
time.
It's
not
going
to
happen
immediately,
and
this
is-
and
you
know
I
will
be
back
next
session
as
well,
and
I
tried
to
bring.
I
brought
some
bills
last
session.
H
O
You-
and
I
appreciate
the
second
time
around
here,
mr
chair
and
I
know
we-
we
have
almost
beat
this
to
death,
but
I
think
it's
worth
the
conversation.
This
is
a
big
lift.
These
are
many
issues,
as
many
people
stated,
and
fortunately
I
too
will
be
back
next
year
in
a
different
seat,
but
I
will
be
back-
and
I
agree
with
the
majority
senate
majority
leader
that
we'll
be
back
here.
We'll
look
at
this
in
the
governor's
budget,
we'll
see
where
this
money
is.
O
I
am
supportive
of
these
programs,
however,
again
without,
I
need
a
commitment
also
from
our
medicaid
and
other
folks
to
make
sure
and
as
senator
gokuchi
just
said,
there
are
ways
that
we
can
improve
access
to
care
here.
We
have
put
in
bills
in
the
past
to
bring
providers
to
the
state
and
they
have
been
ignored
so
again,
we'll
have
this
fight.
We'll
have
we'll
all
be
here
to
discuss
this,
because
I
think
all
of
our
hearts-
everybody
here-
has
the
right
intention
for
the
mental
health
of
this
state.
O
F
Thank
you
and
not
to
add
too
much
on
to
everyone
else's
comments,
but
this
is
a
long
time
coming
and
I
I
know
in
conversation
publicly
and
privately.
We
we
desperately
need
to
do
this.
We
have,
we
do
have
a
crisis,
and
particularly
mental
health
across
the
board
and
our
youth.
So
I'm
I'm
really
grateful
that,
for
all
the
collaboration
of
all
the
professionals.
F
B
F
So
desperately
needed-
and
I
do
I
do
have
a
couple
questions.
I
understand
we'll
get
some
of
those
a
little
later
on
some
specifics,
but
I
just
want
to
make
a
comment
in
regards
to
just
the
distribution.
F
F
I
just
want
to
mark
that
I
I
do
have
a
concern
that
we're
making
sure
that
these
resources
are
really
being
spread
out
equitably
to
the
entire
states
and
where
the
needs
are-
and
I
know
we
have
some
specific
items
for
southern
nevada,
some
specific
items
for
northern
nevada
and
then
china
springs
in
there,
but
and
then
there's
some
general
items
for
the
departments
as
a
whole
across
the
whole
state,
and
so
I'd
like
to
just
continue
that
conversation
to
make
sure
we're
really
meeting
the
needs
of
all
nevada
across
the
state.
Thank
you.
A
Not
hearing
any
okay,
I'm
gonna
take
a
motion
here,
just
a
second
and
just
a
quick
comment
from
on
my
part,
18
years
being
here
in
the
legislature
and
every
time
we
talk
about
mental
health.
We
just
say
we
don't
have
enough
money
and
that's
really
the
only
discussion.
So
the
discussion
that
we've
had
today
and
well
the
people
that
we've
heard
with
are
solutions
that
can
work,
and
I'm
glad
that
I
got
to
hear
that
in
in
this
18
years
that
I've
been
here.
So
thank
you.
A
So
I'm
going
to
ask
my
vice
chair
carlton.
If
she
would
make
a
motion.
E
Mr
chairman,
I
would
move
that
we
approve
the
items
that
we've
just
been
discussing
and
once
again
we're
going
to
make
a
huge
generational
change
for
the
children
of
the
state.
So
I'm
very
proud,
I'm
very
happy
that
this
is
happening
before
I'm
forced
into
retirement.
Thank
you
very
much.
A
A
A
We've
heard
some
commitments
here
today
that
really
want
to
work
to
make
sure
that
not
only
can
we
start
this,
but
that
we
can
keep
it
going
and
make
sure
that
we're
doing
the
help
that
we
need.
So
thank
you
very
much.
We
are
now
going
to
take
a
30
minute.
Lunch
break,
I'm
going
to
start
a
timer
on
my
thing
and
I'm
right
at
that
quarter
till
I'm
going
to
gavel
back
down.
A
I
am
I
do
intend
to
take
up
items
55-57
first
thing
when
we
get
back,
which
is
the
housing
issues
so
with
that
we
are
in
recess
until
1
45.
O
A
Okay,
we're
gonna
go
ahead,
we're
gonna
go
ahead
and
get
started
and
we're
back
from
the
lunch
recess.
We
are
going
to
go
to
item
number
5556-57,
just
a
reminder
as
we
go,
especially
as
we
get
into
this
afternoon.
A
Anybody
giving
presentations
try
to
make
them
as
brief
as
possible
in
many
cases
where
I'm
just
going
to
ask
that
our
members
just
go
straight
to
questions
for
the
members,
I'm
just
asking
you.
A
If
it's
something
that
you
can
get
from
staff
later,
then
I
if,
if
I
feel
like
that's
something,
I
will
ask
you
to
do
that
so
that
we
can
just
keep
going
because
we
we
do
really
have
a
lot
of
of
items
that
we
need
to
cover
this
afternoon
and
want
to
be
able
to
be
done
before
midnight,
and
so
with
that,
if
the
per
the
people
for
the
this
item-
55
567,
if
you'd
come
forward,
I
don't
know
if
those
are
you
online
is
that
my
understanding,
steve
across.
D
Yeah
hi
senator
dennis
good
afternoon,
chair
dennis
chair
of
vice
chair,
carlton
members
of
the
committee
for
the
record,
steve
across
administrator
of
the
nevada
housing
division.
D
Thank
you
for
your
time
and
consideration
of
the
request
of
arpa
fiscal
recovery
funds
fund,
the
extension
of
the
cares,
housing
assistance
program
and
the
eviction
diversion
program
since
the
onset
of
the
pandemic.
This
division
has
been
instrumental
in
providing
conduit
funding
to
allow
rental
assistance
to
be
distributed
to
those
in
need.
D
As
of
june
30th,
all
grantees
in
the
state
have
expended
94
of
era,
1
funding,
51
of
era,
2
funding.
As
the
era
1
funds
will
soon
be
exhausted.
We
anticipate
an
increase
in
the
use
of
era,
2
funds
to
support
the
balance
of
the
program,
but
that
support
is
only
going
to
last
for
a
limited
time
before
it
will
be
exhausted.
D
The
proposals
here
before
you
add
an
additional
15
million
for
the
use
of
rental
assistance
to
ensure
the
program
will
continue
for
the
balance
of
the
calendar
year
and
the
companion
piece
of
10
million
to
support
an
eviction
diversion
program.
I
will
now
turn
it
over
to
folks
from
clark
county
to
provide
some
more
information
on
future
expenditures.
G
Good
afternoon
mr
chair
members
of
the
committee,
tim
burch,
human
services,
administrator
for
clark,
county
nevada,
just
want
to
thank
steve
and
his
team
for
all
the
great
work
we've
done
together
over
the
last
a
couple
of
months
and
years
throughout
this
pandemic
because
of
the
partnerships
with
the
state,
we've
been
able
to
issue
out
over
300
million
dollars
in
rental
assistance
to
families
and
households
in
southern
nevada.
G
That's
over
65
000
households
they've
been
able
to
stay
housed
because
the
rental
assistance
has
come
through
clark
county
specifically,
the
state
was
very
helpful
and
in
sub
granting
us
20
million
dollars
out
of
the
original
cares
act,
138
million
dollars
out
of
the
emergency
rental
assistance
or
the
era
acts
as
well
serves
as
emergency
housing.
G
So
the
programs
before
you
would
continue
to
help
flush
out
that
continuum
and
help
remove
some
of
the
covet
specific
impact
that
the
federal
dollars
have
required
in
the
past
that
were
designated
purely
for
rental
assistance.
This
allows
us
to
look
at
causes
like
fixed
income,
yet
rising
rents
and
other
types
of
issues
that
are
causing
people
to
begin
to
lose
their
housing.
So
we're
here,
president
and
kevin
schiller.
Q
For
the
record,
kevin
schiller,
deputy
county
manager,
chair
vice
chair
and
members
of
the
committee,
just
want
to
echo
a
couple
things:
the
request:
that's
before
you.
If
you
go
back
to
the
beginnings
of
covid
and
you
talk
about
keras
dollars
as
you
transition
through
era,
one
and
er
a2,
I
think
you're
all
aware
the
treasury
guidance
changed
throughout
that.
So,
with
that
300
million
dollars,
there
were
kind
of
malleable
pieces
that
were
changing
in
terms
of
requirements
with
those
requirements.
Q
I
think
the
other
thing
I
wanted
to
echo-
and
I
said
it
earlier
in
my
earlier
testimony
in
terms
of
being
the
one-stop
shop
at
the
end.
The
reality
is,
there
are
non-covet-eligible
residents
in
conjunction
with
these
same
dollars,
so
from
a
social
services
perspective
to
kind
of
echo.
What
mr
burch
is
indicating
the
eviction
diversion
specifically,
is
really
a
direct
collaboration
with
the
courts
in
that
process,
so
we
are
embedded
with
those
courts,
we're
embedded
with
legal
aid.
We
are
essentially
mediating.
Q
When
we
get
into
the
use
of
these
dollars,
it's
really
trying
to
how
do
we
intervene
on
the
eviction
diversion
site
in
the
court,
but
also
get
upstream
so
that
we
keep
people
housed?
I
don't
think
you
can
answer
that
question
without
actually
asking
what
happens.
Where
do
they
go
when
they
are
evicted?
Q
The
other
component
of
that
is.
We
are
working.
We've
dedicated
142
million
dollars
towards
affordable
housing
and
workforce
housing.
We're
in
the
process
right
now
finalizing
those
projects
for
awards.
That
is
critical.
You
guys
are
aware
of
construction
costs
right
now,
but
that
will
create
capacity
which
allows
us
to
create
that
affordable
continuum.
Q
So
these
dollars
as
much
as
you
look
at
them
and
say
it's
a
band-aid
in
some
perspective
because
we're
trying
to
keep
people
housed,
we
have
to
keep
people
housed,
because
if
we
don't
they're
homeless,
the
second
largest
piece
of
that
is:
how
do
we
work
on
the
fixed
income?
The
seniors,
those
others?
Q
So
it's
in
in
talking
about
this
request
and
and
being
very
appreciative
of
your
consideration
of
this
request-
is
absolutely
at
a
critical
need,
and
we
started
saying
this
about
a
year
and
a
half
or
two
years
ago,
the
pandemic
from
the
covid
perspective,
you've
kind
of
seen.
It
don't
do
this
in
our
world.
The
human
services
pandemic
has
not
peaked,
so
this
request
is
really
about
a
pandemic
that
has
not
peaked
and
we
are
still
challenged
with.
Q
I
think
we
are
two
years
out
from
seeing
some
level
of
flattening
it's
starting
to
see
a
little
more
availability
in
rental
units,
but
why
I
say
this
is
this
is
critical
infrastructure
which
we
can
get
out
the
door
to
support
clients
and
really
echo
the
fact
that
these
are
families.
These
are
they're
seniors.
There's
families
there's
your
traditional
homeless,
you're
non-traditional
homeless,
but
the
reality
is
making
these
dollars
go
farther
and
the
collaborative
process
with
eviction
diversion.
Q
I
just
want
to
echo
that
I
think
you're
going
to
hear
more
about
this
as
you
approach
the
session,
because
we
are
looking
forward
to
how
do
we
engage
social
service
so
that
we
are
not
reacting
so
we're
being
proactive.
So
I
think
that
the
crisis
in
a
nutshell,
was
an
opportunity.
I
know
it
was
horrible,
but
it
also
has
created
opportunity
for
us
to
change
the
system
so.
M
Thank
you,
mr
chairman
members
of
the
committee,
for
the
record.
My
name
is
barbara
buckley,
I'm
the
executive
director
of
legal
aid
center
of
southern
nevada
we've
been
embedded
working
with
clark
county
on
the
eviction
crisis
since
the
beginning
of
the
pandemic,
we're
here
in
strong
support
of
these
items.
M
I
also
wanted
to
just
mention
how
exciting
it
is
to
be
implementing
eviction
diversion
you
heard,
judge
saragosa
this
morning.
It's
a
game
changer
and
a
couple
of
the
pilot
populations
that
I
think
you
know
the
plan
is
to
work
on.
First
of
all,
is
the
elderly
people
with
disabilities
with
rising
rents
across
the
state
and
in
clark
county?
M
We
have
80
year
olds
on
oxygen
tanks,
getting
an
eviction
notice.
This
allows
us
to
divert
them
to
get
somebody
with
aging
and
disability
services.
That
said,
they
would
be
part
of
this
diversion
program
along
with
clark
county.
We
may
pay
the
landlord
one
months
of
rent
and
then
look
for
other
options.
M
It
gives
us
time
to
come
up
with
a
solution
that
keeps
the
landlord
paid
and
keeps
the
tenant
house
a
win
win.
Instead
of
just
throwing
the
80
year
old
out
on
the
street
and
having
them
go
to
catholic
charities
right,
it's
a
holistic
solution
that
we're
piloting
and
we
hope
to
bring
you
data
and
results
next
session.
M
M
A
Okay,
those
all
the
presentations
right;
okay,
I'm
going
to
go
to
simon
carlton.
E
Thank
you
very
much,
mr
chairman,
and
interested
in
full
disclosure.
I
partner
with
the
county
a
lot
as
the
executive
director
of
the
united
labor
agency.
We
have
been
a
partner
and
we're
very
appreciative
of
all
the
work
that
the
the
county
has
done.
So
I
comment
this
is
kind
of
it's
like
part
of
my
daytime
job,
but
that's
the
great
thing
about
assistance
legislature.
We
all
have
those
daytime
jobs,
the
eviction
diversion
part
of
it.
E
When
people
hear
that
they're
concerned
that
they're
gonna
have
to
go
to
eviction
court
to
be
able
to
get
assistance.
So
could
you
clarify
that
this
is
to
keep
them
from
going
to
court?
Is
my
understanding
so
that
we
know
how
seniors
totally
overreact
if
they
think
they're
going
to
have
to
go
in
front
of
a
judge?
So
we
want
to
be
able
to
give
them
that
level
or
level
of
comfort.
E
So
this
is
to
be
able
to
deal
with
that
on
the
front
end
and
then
the
second
part
of
my
question
is
we,
mr
schiller
said
something
about
some
affordable
housing
units
coming
online.
If
you
could
expand
on
that
a
little
bit
when
you
think
they
might
be
online,
what
you're
looking
at
I
know
your
guess
is
probably
as
good
as
anybody
else's,
but
if
you
could
just
give
us
a
a
little
bit
of
where
you
think
you
might
be
as
far
as
some
of
that
affordable
housing.
E
The
third
part
of
my
question
is
with
some
of
this
new
funding.
We
do
have
folks
that
have
have
literally
capped
out
on
all
the
other
assistance
that's
available
for
them.
Will
this
start
the
clock
new
for
them?
Will
they,
if
they've
already
used
their
15
months
of
chap
or
whatever
it
is
and
they're
still
in
need
until
they
can
get
into
a
more
affordable
unit?
E
M
Thank
you,
mr
chairman,
through
you
to
assemblywoman
carlton
on
the
eviction
diversion
question.
First.
M
Barbara
buckley
for
the
record,
the
goal
of
eviction
diversion
is
to
keep
the
tenant
out
of
court.
In
the
first
place,
it's
going
to
be
interesting
to
see
how
we
can
implement
that,
because
nevada
summary
eviction
process
is
the
strangest
and
most
curious
process
in
all
of
the
united
states.
Instead
of
the
landlord,
basically
filing
a
complaint
for
eviction,
the
tenant
must
file.
First,
you
will
probably
well
you
will
be
receiving
a
bill
draft
next
session
to
reverse
that
process.
M
I
believe
it
may
be
supported
by
the
landlords,
the
tenants,
the
courts
and
then,
when
the
landlord
serves
a
complaint,
it
can
go
right
to
diversion
to
keep
a
court
appearance
from
ever
being
needed.
It's
going
to
be
a
little
bit
more
difficult
with
our
current
process,
but
that
is
the
goal,
because
court
scares
people
so
we're
working
on
it.
G
G
Now,
we've
been
able
to
pilot
at
clark
county
with
all
of
the
justice
courts
in
southern
nevada,
a
process
by
which
once
paperwork
does
get
filed
prior
to
the
individual
having
to
come
to
court
social
service
gets
a
spreadsheet,
so
we
can
reach
out
every
morning
and
say:
look
we
know
you
just
got
a
piece
of
paper
on
your
door
yesterday.
Do
you
need
help
and
how
can
we
help
you
and
that
process
has
led
about
42
million
dollars
going
directly
into
those
specific
cases?
G
So
we've
been
working
this
pilot
before
we
actually
sought
pilot
funding
to
make
sure
that
we
could
really
pull
it
off.
So
we
have
great
confidence
in
that
on
the
affordable
housing
piece,
the
board
of
county
commissioners,
in
addition
to
the
wonderful
allotment
that
you
all
have
have
made
to
the
cause
of
over
500
million
dollars,
the
board
of
county
commissioners
of
clark
county
put
142
million
dollars
toward
affordable
housing
development.
That's
an
addition
to
our
existing
hud,
affordable
housing
development.
We
do
on
a
regular
year
where
we
have
about
three
projects
come
online.
G
We
anticipate
this
bill
to
double
those
up,
so
our
goal
is
to
have
2
000
more
new
units
in
the
next
few
years.
That
is,
of
course,
all
things
progressing
along
a
development
timeline
and
hoping
that
some
of
the
backlogs
in
the
supply
chain
ease
up
a
bit
in
regard
to
timelines.
The
third
part
of
your
question
there:
absolutely
these
are
new
dollars
without
their
handcuffs
and
restrictions.
Those
time
limits
were
put
on
it
by
the
funder,
which
were
you
know,
the
federal
government
in
those
acts.
G
These
dollars
are
flexible
and
let
us
get
in
and
look
at
a
senior
citizen's
case
to
say
what
can
we
do
for
you
and
how
long
we
might
need
to
keep
you
house
where
you
are
for
90
days.
Pay
your
back,
grant,
keep
you
here
90
and
while
we
help
you
look
for
another
unit,
we
right
now
today
have
about
22
families
with
voucher
in
hand
who've
been
looking
for
over
a
month
to
find
somewhere
to
accept
that
voucher.
G
So
so
long
as
we
can
help
them
with
our
housing,
harvesters
navigators
keep
looking
for
places,
keep
them
safe,
keep
them
there,
there's
not
a
clock
working
against
them
in
that.
In
that
vein,
until
we
can
get
them
re-housed
and
that's
a
part
of
our
larger
rapid
rehousing
initiative
that
I
kind
of
blurted
out
earlier,
we
call
it
operation
home.
So
we're
really
again
trying
to
tie
this
into
the
existing
continuum
of
programs
that
have
really
been
demonstrated
to
work
over
the
last
two
years.
A
Okay,
thank
you
senator
neil,
I
believe
that's
a
question.
F
Thank
you,
chair
dennis.
I
I
just
had
a
quick
question
on
so
I'm
trying
to
understand
like
the
the
chat
process,
because
I
know
somebody
who,
when
you
go
through
the
chat
process
on
the
clark
county
website.
Basically
it
asks
you.
It
still
asks
that
question.
Were
you
affected
by
coven
19
and
if
you
say
no,
then
it
kicks
you
out
and
say
you're
not
eligible.
So
are
we
flexing
the
chap
requirements
that
are
currently
on
the
website
in
order
to
make
this
rental
assistance
combination,
work.
G
Tim
burch
for
the
record.
The
requirements
are
still
present
because
the
funding
stream
we're
using
is
still
the
federally
designated
funding
stream
of
era
2.
That
has
those
rules.
G
Once
we
expend
those
dollars
which
we
will
be
done
here
in
the
fall,
we
will
change
those
requirements
to
reflect
and
we're
already
working
on
the
coding
of
the
system
to
reflect
the
more
flexible
requirements
of
being
on
a
fixed
income
facing
eviction
due
to
higher
rents.
Those
types
of
questions
and
protocol.
F
And
thank
you
for
that,
mr
burt,
because
what
what
I'm
hearing
because
of
the
increase
in
rent?
There
are
people
who
are
seeking
rental
assistance
because
of
now
there's
just
higher
rents
period
right.
A
two
bedroom
now
is
might
even
be
1800,
1900
or
2100,
and
they
may
have
a
higher
income,
maybe
they're
at
50
they're
at
50
000,
but
still
with
children
and
everything
they
can't
afford
to
pay
that
and
they're
not
eligible
for
the
assistance.
F
And
so
you
know,
we've
always
had
this
issue
of
the
mid-income
folks
who
are
being
affected
by
you
know.
Gas
and
everything
else
who
are
still
in
need
to
try
to
help
themselves,
get
into
the
door
of
an
apartment
and
stabilize,
and
I'm
wondering
if
you
guys
are
looking
at
that
population
at
all.
Q
So
for
the
record
kevin
schiller,
deputy
county
manager
through
the
chair
to
you,
senator
neil,
as
you
know,
as
we've
talked,
we
have
tons
of
people
in
emergency
housing
and
when
we
talk
about
that
continuum,
I
kind
of
want
to
answer
your
question
by
talking
about
that.
There's
the
covet
treasury
guidance,
which
kind
of
evolves
between
era,
1
era
2
and
that
flexibility,
but
at
the
end
of
the
day,
I
think
your
direct
question
is
what
happens
to
that:
individual
who's
not
eligible
for
these
funds.
Q
So
from
a
county
perspective,
we
are
the
regional
entity
for
social
service,
so
whether
we
have
era
funds
or
whether
we're
using
county
general
fund
related
to
indigent
dollars.
That
is
our
reset
in
our
programming.
So
mr
burch
can
talk
more
about
this
if
you'd
like,
but
we
also
have
a
look-alike
program
that
will
come
online.
I
believe
next
month,
which
is
specifically
for
that
vulnerable
client
population.
Q
So
we've
dedicated
about
3
million
to
start
that
so
that
we
can
actually
fund
those
individuals
that
are
somewhat
falling
in
that
category,
you're
speaking
to
which
do
not
fall
they're
falling
in
the
gap.
At
the
end
of
the
day,
that
gap
still
ends
up
at
our
front
door,
so
our
normal
and
social
service
will
never
look
like
it
did
pre-covet.
Q
So
I
want
to
make
sure
I
make
that
clear,
as
you
guys
look
to
approve
these
dollars
with
these
eligibility
requirements,
we
still
have
a
whole
other
set
of
programming
and
a
new
normal
that
we're
revamping
utilizing
dedicated
dollars
for
restricted
use,
meaning
indigent
homeless
those
vulnerable
populations.
So
I
think
you're
going
to
see
this
evolution
as
you
go
into
january
and
in
the
session
and
over
the
next
year
and
a
half
in
fact
we're
actually
revamping
our
policies.
We've
been
so
reactive,
just
in
emergency
housing.
Q
Getting
to
this
issue
of
workforce
training,
all
those
pieces
that
tie
into
this
is
a
critical
component,
but
we
recognize
we
have
a
huge
group
of
ineligible
clients
that
we
still
have
to
house
at
the
end
of
the
day
and
where
are
they
going
now?
So
I'm
going
to
answer
that
question:
we're
spending
in
upwards
of
50
million
dollars
right
now,
just
on
emergency
transitional
housing.
These
are
not
apartments.
These
are
hotels
with
services
on
site.
Q
Q
But
that
is
the
challenge
and
when
I
say
that
human
services
pandemic
is
yet
to
peak,
that's
the
piece-
and
I
think
to
your
question
specific
to
what's
happening
on
affordable
housing.
You
guys
know
this.
The
river
is
completely
backed
up.
So
what's
happened
is,
I
can
add
another
300
units
of
emergency
transitional
housing,
but
then,
through
operation
home
we
only
have
so
many
available
units
on
any
given
day.
I
will
say
this,
though
we
are
seeing
movement
in
those
units.
Q
We've
engaged
all
the
landlords,
so
I
kind
of
want
to
explain
it
that
way
so
that
you
understand
the
dollars.
You're
investing
are
part
of
a
continuum,
because
without
these
dollars
those
people
are
actually
going
to
be
added
into
that
continuum
and
take
away
from
that
senior.
So
it's
allowing
us
to
take
our
general
fund
dollar
and
do
that
other
non-covet
eligible
client
and
get
them
housed.
A
All
right,
other
cinnamon
titles.
O
Thank
you,
mr
chair,
for
the
question
I
have.
I
have
several
questions
actually
regarding
how
we
got
here,
and
I
have
some
concerns
that
this
is
specifically
for
clark,
county
and
wondering
if
this
is
a
pilot
program,
first
and
foremost
correct
your
I've
heard
you
use
the
term
pilot
program.
G
Through
you,
mr
chair
tim
burch,
for
the
record,
the
we
have
been
piloting,
work
with
the
court
to
alert
early
warning
alert
us
when
people
are
first
filed
for
eviction.
We've
not
done
that
in
the
past
people,
it's
been
a
very
you
have
to
come
to
us
for
assistance,
and
what
we've
found
in
working
with
the
court
system
is
less
than
20
of
individuals
who
receive
an
eviction
notice
actually
turn
up
to
fight
it.
So
even
fewer
than
go
and
ask
for
help.
G
So
this
is
a
way
for
us
to
really
be
able
to
target
individuals
who
don't
know
themselves
available
in
a
new
way.
The
pilot
program
specific
to
eviction
diversion
is
really
beginning
to
codify
that
with
systems
and
coding,
and
all
the
support
services
that
are
needed.
So
we
can
move
away
from
personnel
dependent
processes
into
a
more
systemic
approach.
Okay
and.
G
O
And
none
of
this
money
will
go
to
the
land.
Does
this
money
go
directly
to
landlords,
to
the
person
who
had
a
second
home
and
then
rented
that
second
home
the
people
aren't
paying
so
now,
they've
lost
both
their
homes
because
they
can't
make
their
mortgage
on
either
their
homes
any
landlord
or
homeowner
assistants
involved
in
any
of
this.
G
Yes,
the
timbers
for
the
record
again
sorry
keep
flying
protocol
the
again
the
approach
is:
we
need
to
stabilize
someone
who's
behind
on
rent,
because
the
likelihood
you're
gonna
go
find
an
affordable
unit.
Tomorrow
is
slim
to
none,
so
in
that
stabilization
process
paying
the
landlord
and
working
with
them,
which
we
have
done
through
the
the
whole
chat
process.
G
The
past
due
rent,
we
verified
on
the
day
we
issued
a
check,
where
do
they
owe
up
into
today,
with
late
fees
included
et
cetera,
and
we
pay
that
full
amount
to
bring
them
whole
and
current
and
and
then
we
will
work
with
that
tenant
to
say
if
you
can
no
longer
afford
to
be
here
because
you're
on
a
fixed
income,
your
rent's
gone
up,
let's
work
with
you
to
re-house,
so
that
could
include
down
payment
and
moving
assistance
to
another
landlord
who
could
be
a
homeowner
running
a
sec,
home,
etc.
O
Right
so
this
could
help
the
small
we're
not
talking
always
about
the
the
big
owners
of
the
apartment
complexes.
These
could
be
just
a
small
person
who
just
has
a
second
home
that
they
rented
and
now
they're
in
danger.
That
and-
and
then
I
I
guess
my
final
question
is-
is
a
concern
about
there's
an
old
expression
about
you.
If
you
build
it,
they
will
come,
and
I'm
just
wondering
if
you
have
numbers
of
homeless
that
you
had
or
people
facing
eviction
pre-covered,
then
because
you
made
the
comment,
will
never
be
the
same.
O
It'll
never
be
back
pre-covered,
but
I'm
wondering
now.
If
so
we
had
to
pre-cover
numbers
in
clark
county
of
how
many
homeless
you
had
or
how
many
people
got
evicted.
Then
we
have
coveted
when,
when
the
governor
set
our
economy
down,
and
then
we
had
nobody,
no
work
and
people
lost
their
homes,
and
now
we
have
post
covert
where
the
jobs
are
plenty
of
job
openings.
O
So
if
you
want
to
work,
you
can
get
a
job,
but
now
we
can't
afford
the
rent,
and
so
now
we
have
more
people
homeless
now,
because
of
rent
in
expanding
rent.
Is
that
what
we're
seeing
or
do
you
have
an
increasing
population
in
clark
county
now?
Has
your
population
clark
county
gone
down
since
pre-covet,
or
is
it
dramatically
up?
Is
my
concern?
Is
that
now
you
have
more
people
moving
to
clark
county,
they
can't
find
a
place
to
live,
and
so
we're
having
these
strange
numbers
of
folks
coming
that.
O
I'm
just
I'd
like
to
see
better
numbers
on
what
we're
actually
looking
at
pre-post
and
during
of
what
you
had
there
established,
and
now
we
have
do
you
have
more
people
living
in
clark
county
that
can't
find
homes
now,
because
again
it's
about
slime,
you
know
supply
and
demand.
I
like
the
fact
that
you're
doing
a
maybe
a
public
private
partnership
of
building
more
homes,
affordable
housing.
You
know
I
can
accept
that.
It
really
is.
If
atlanta
land
owners
are
gonna
or
landlords
are
gonna
charge
what
they
can
get
right.
O
So
if
there's
no
affordable
or
other
apartments
to
rent
they're
gonna
charge
more
so
now
you
have
a
thousand
people
trying
to
find
a
hundred
homes
versus
you
had
500
people
trying
to
find
40.
But,
however,
that
math
is
but
I'm
just
curious
about
these
numbers
and
have
we
create
have
we
added
to
this
problem
is
my
concern.
M
Mr
chair,
barbara
buckley,
for
the
record
just
one
comment,
because
our
office
sees
4
000
people
being
evicted
every
month
and
what
in
clark
county,
and
what
we
see
is
that
as
people
begin
to
get
jobs
back,
the
rising
rents
crush
them.
It's
affecting
seniors.
It's
affecting
people
with
disabilities.
M
The
solution,
you're
right,
one
part
of
the
solution
is
building
more
housing
right
and
the
governor's
package,
the
county's
package.
Your
efforts
are
leading
towards
that
pipeline
beginning,
but
the
need
for
these
programs
and
for
us
to
take
an
alternate
approach
to
avoid
homelessness
for
these
individuals
that
can't
afford
the
average
rent
we
have
to
prepare,
or
we
have
another
tsunami.
Q
For
the
record
kevin
schiller,
deputy
county
manager
through
the
chair
to
you,
I
wanted
to
give
you
an
example
of
something
that
I
think
is
important,
so
the
issue
of
I'm
just
going
to
take
families
for
a
second.
So
earlier
today
we
were
testifying
around
children's
mental
health,
child
welfare,
okay,
the
cost
of
child
welfare.
Q
I
just
want
to
echo
when
we
talk
about
these
dollars
and
where
we're
trying
to
support
one
of
the
key
pieces
that
I
think
is
important
is
we're
still
seeing
in
the
in
the
context
of
employability
in
clark
county.
It's
going
to
use
the
hospitality
industry
and
upwards
of
30
percent
of
unemployment
still
so
that
that
population
is
still
there.
But
the
second
piece
I
wanted
to
highlight
is
we
rented
an
entire
hotel
of
159
rooms
off
the
top
of
my
head?
Q
But
to
your
point
in
the
numbers,
I
completely
agree
with
you
is
it
worse
because
we've
established
rental
assistance
program.
My
answer
to
that
question
is:
no.
I
don't
think
it's
worse.
I
think
the
issue
is
the
need
with
the
rising
rent
and
the
convergence
of
the
hurricane,
as
I
call
it
is
kind
of
all
over
the
place
you
have.
Is
there
people
that
have
abused
rental
assistance?
The
answer
to
that
question
is:
yes:
is
there
people
that
kick
the
can
down
the
road?
Q
Q
One
of
the
questions
I
want
to
make
sure
or
one
of
the
answers
I
want
to
get
to.
You
is
the
case
management
behind
that
rental
assistance
is
really
what
you're
asking
about.
How
do
I
divert
them
and
get
them
back
to
sustainability
so
that
we're
not
just
putting
the
band-aid
on
and
saying?
Okay
next,
you
know
that's
where
you're
going,
and
I
think
that's
that
continuum
we've
been
in
reaction
mode
for
two
and
a
half
years,
but
we've
actually
evolved.
That
I
mean
putting
300
million
dollars
on
the
street.
Q
Is
is
no
easy
feat
and
I
don't
think
there's
a
perfection
either,
but
I
also
think
the
case
management
side
of
this
is
really
where
you
get
your
outcome
and
I
think
we
can
provide
those
numbers
if
these
dollars
are
approved.
We
have
to
report
on
these
dollars,
so
I
think
we
can
also
say
to
you:
here's
where
we've
seen
the
success
of
this
and
we
can
adjust
accordingly.
O
So,
thank
you
all
all
for
that,
and
just
as
an
aside
as
a
provider
and
not
seeing
somebody
in
an
emergency
room
to
discharge
them
and
not
know
that
they
had
a
place
to
go,
was
critical
because
they'd
just
be
back
into
our
er.
So
so
believe
me.
In
the
long
run,
I
believe
that
it
costs
society
less.
If
we
discharge
them
to
a
more.
You
know
a
house
make
sure
after
discharge
planning
that
you
have
a
place
to
go.
I
understand
all
of
that.
O
I
also
want
to
make
sure
that
there's
some
balance
there,
that
it
isn't
just
a
revolving
door
that
folks
no
longer
need
to
worry
about
rent
because
we
are
going
to
do
it
for
them.
So
I,
as
a
taxpayer,
want
to
make
sure
that
there's
some
accountability
here
and
some
successes
and
some
reports,
which
is
why
I
asked
if
this
was
a
study.
How
are
you
going
to
document?
Has
this
made
a
difference,
or
do
you
have
just
as
number
of
people
today?