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From YouTube: 10/20/2022 Interim Finance Committee Pt. 2
Description
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A
Thank
you
all
right.
We
need
to
how
come
okay
now
there
it
goes.
It
takes
a
second
for
the
mic
to
work,
we're
gonna
go
back
and
we're
going
to
start
with
items.
One
and
two.
B
Good
afternoon,
chair
Dennis
Vice,
chair
Vice,
chair
Carlton
members
of
the
interim
finance
committee,
my
for
the
record.
My
name
is
Craig
satuki
I'm,
currently
serving
as
the
interim
Deputy
superintendent
of
educator,
Effectiveness
and
family
engagement
for
the
Department
of
Education.
We're
here
today
to
discuss
item
D1
with
me
is
Christine
McGill,
who
is
the
director
of
The
Office
office
of
safe
and
respectful
learning
environments
and
she'll
provide
an
overview
of
this
request.
A
And
you
can
you
can
give
a
quick
version
because
we
obviously
heard
this
last
time
so
do
a
quick
version
and
then
we'll
get
to
our
questions.
Thanks.
C
Christy
McGill,
director
of
The
Office
of
safe
and
respectful
learning
good
afternoon,
chair
Dennis
and
members
of
the
committee
very
quickly.
Just
since
we
saw
you
last
time,
school
has
started.
Unfortunately,
we
were
hoping
to
see
that
the
indicators
of
some
of
the
climate,
the
hot
climate
that
we
saw
last
year,
would
decrease
we're
still
seeing
those
indicators
high,
so
we're
seeing
high
levels
of
student-to-student
violence,
bullying
and
also
suicide
ideation.
So
these
funds
are
still
really
important.
C
Some
of
those
short-term
outcomes
that
we're
hoping
to
accomplish
with
these
funds
is
one
the
workforce
shortage
issues
as
you
brought
up
last
time.
Are
we
going
to
be
able
to
spend
the
s
or
two
dollars
in
the
time
allotted
and
yes
for
several
reasons,
one,
because
the
need
is
so
high,
really
looking
at
ways
to
diversify
the
workforce
into
an
ecosystem.
So
we
have
lower
level
licensures
paired
with
higher
level
licensures
to
address
the
need
in
each
schools
just
to
be
completely
transparent.
C
We
do
still
have
some
schools
without
a
school,
counselor
or
School
social
worker,
and
we
know
that's
a
big
gap,
so
we're
really
working
on
that
as
well.
The
other
piece
of
the
Workforce
Development
piece
that
we're
working
on
is
the
districts
told
us
that
the
short
timelines
between
different
grants
are
difficult
to
make
them
competitive.
C
So
that
is
that
short-term,
a
a
strategy
as
well.
The
other
piece
is
the
last
strategy
that
we've
done.
Actually
two
more
is
looking
at
collaboration,
so
not
only
pairing
a
lower
level,
licensures
or
community
health
workers
to
create
that
ecosystem,
but
also
to
look
at
who
is
in
our
schools
now.
So
we're
really
looking
at
Protocols
of
how
schools
interact
with
law
enforcement
and
our
mobile
crisis
teams.
Thank
you
to
DHHS
for
being
this
great
partner
throughout
this
pandemic,
which
has
really
hit
our
schools
hard.
C
So
we're
really
looking
at
that,
because
kids
have
needs
right
now,
so
we're
really
looking
at
who
is
in
the
buildings?
How
do
we
all
work
together
and
really
get
some
of
these
needs
under
control?
The
other
piece
is
is
that
those
lower
level
will
be
able
to
focus
on
what
we
call
tier
one
or
prevention.
We
have
data
that
shows
going
back
about
four
years
to
show
that,
when
schools
focus
on
prevention
and
those
low
level
tiers,
we
actually
reduce
the
time
it
takes
from
a
minister
to
deal
with
discipline.
C
A
Do
you
want
to
talk
with
some
specifics?
There.
C
Christy
McGill
for
the
record.
So
far
as
of
October
15th,
we
have
spent
down
there's
a
total
of
5
million,
seven
hundred
and
thirty
five
thousand.
We
have
spent
down
1
million
764..
This
month
we
talked
to
the
districts.
Some
of
the
districts
like
Clark
County
are
having
a
harder
time
expending
these
sr2
dollars.
C
Lyon
County
already
spent
their
money,
and
so
again
so
we're
going
to
pull
from
Clark.
You
know
short
term
and
give
to
Lion
so
that
we
can
expand
these
extra
two
dollars
and
look
at
other
funding
for
the
other
districts
that
are
having
Workforce
issues.
So.
C
So
our
districts
that
are
extencing
Workforce
shortage
issues
right
now
are
the
ones
that
are
really
kind
of
diving
in
what
I
just
said,
looking
at
lower
level
licensures
to
bring
in
people
to
work
alongside
of
the
higher
licensure.
So
there
is
less
of
a
Workforce
shortage
for
community
health
workers
and
that-
and
you
know,
social
workers
with
a
bachelor's
degree.
So
we're
going
to
do
that
and
then
also
really
look
at
utilizing
contracted
Services
again.
C
This
is
very
short
term,
but
looking
at
Contracting
Services,
whether
it's
invo
progressives
and
other
entities
like
that
to
help
go
in
at
least
temporarily
help
kind
of
get
our
school
settled
and
through
this
mental
health
pandemic
crisis
and
then
to
move
forward
that
way.
So
those
are
the
two
things
that
have
changed
since
the
last
time.
We've
talked.
D
A
Not
not
seeing
any
questions
Vice,
chair,
Carlton,
you
want
to
make
a
motion.
E
Thank
you,
Mr
chairman
I
would
move
for
approval
items
one
and
two.
A
B
F
Good
afternoon,
chair
Dennis
and
members
of
the
IFC
I'm
Terry
Reynolds
director
for
the
Department
of
Business
and
Industry
and
with
me,
is
Steve
a
Croft
who
is
our
administrator
for
the
Nevada
division
of
housing.
With
the
chairs
permission,
we
would
like
to
start
with
item
J,
which
is
the
overall
status
report
and
then,
from
there
move
into
item
nine
I
think
that
would
that
progression
would
help
the
understanding
and
some
questions
that
may
occur.
G
Thank
you,
chair
Dennis
for
the
record
Steve
akroth,
administrative
of
the
Nevada
housing
division
to
go
over
the
homies
Nevada
initiative
and
just
to
make
sure
everyone
is
aware
of
exactly
what
this
is
and
I'll
sum
it
up
in
two
sentences:
it's
a
500
million
dollar
investment
to
increase
and
preserve,
affordable
housing
opportunities
for
nevadans,
the
500
million
total
250
of
which
is
pending.
G
Your
approval
today
is
split
among
four
distinct
categories:
home
ownership,
opportunities
and
Rehabilitation
land
acquisition,
preservation
of
existing
affordable
structures
and
new
development
of
affordable
structures.
I'm,
here
to
report
that
we
are
over
subscribed
in
all
four
categories:
we've
gone
through
a
significant
application
period,
the
home
ownership
and
Rehabilitation
category,
which
is
the
smallest
category.
30
million
dollars.
We
have
96
million
in
valid
requests;
land
acquisition,
40
million.
G
We
have
80
million
invalid
requests;
preservation,
130
million
of
affordable
housing,
227
million
in
requests,
and
that
includes
the
preservation
in
total
of
over
2
000
units,
94
supportive
units
and
transitional
units
1700
at
Amis
area,
median
incomes
below
50
percent
and
446
senior
units,
the
new
development
category,
300
million.
We
have
almost
a
billion
dollars
in
valid
requests,
966
million
and
the
total
would
represent
the
creation
of
over
5600
new
units,
800
supportive
or
transitional
3
000
additional
to
serve
the
low
and
extremely
low
income
nevadans
and
over
1800
senior
units.
G
Now,
obviously,
not
all
of
those
are
going
to
get
funded
because
we've
received
a
total
of
103
applications
requesting
over
1.25
billion
in
affordable
housing
development
so
effectively
we're
over
subscribed
2.5
times
we
form
various
scoring
committees
to
score
the
applications.
We
had
a
lot
of
stakeholders
from
the
affordable
housing
community.
Do
this
things
like
side,
amenities,
affordability,
sustainability
and
the
financial
aspects
are
currently
being
under
review
by
novogratic
and
Company.
G
So
once
we
determine
the
preliminary
Award
of
fundings,
which
will
be
very
very
shortly,
we'll
be
working
with
the
governor's
finance
office
and
I
I,
can't
say
enough
for
them
and
their
participation
in
this
process
for
final
eligibility
review
and
we'll
be
stress,
testing
the
projects
to
mitigate
the
risks
associated
with
the
award
from
both
a
financial
standpoint
and
an
eligibility
and
compliance
standpoint,
and
this
came
up
a
little
bit
earlier
in
discussions
about
other
things.
Treasury
actually
has
a
how-to
guide
for
using
slfrf
for
affordable
housing.
G
So
that's
come
out
a
couple
months
ago,
extremely
helpful
in
what
we're
doing,
and
so
that
gives
you
the
overview
of
where
we're
at
currently
with
the
program
sort
of
moving
on
to
the
additional
request
agenda
item
D9
I'm
going
to
have
Mr
holiday,
who
is
our
Chief
Financial
Officer
he's
on
zoom,
and
he
will
kind
of
walk
you
through
the
need
for
the
funding.
At
this
point.
F
Good
afternoon
Mr,
chair
and
members
of
the
committee
for
the
record
Michael
Holliday
I'm,
the
Chief
Financial
Officer
for
the
Nevada
housing
division.
So
the
timing
request
on
our
part
and
I'll
just
read:
it
reiterate
the
deadlines
for
everyone's
recognition.
Again,
funds
must
be
obligated
by
December
31st
of
2024
and
fully
expended,
or
the
expenses
have
to
be
incurred
fully
by
12
31
of
2026..
We're
here
today
to
request
the
approval
of
the
second
transfer
of
funds.
So
the
division
then
has
the
authority
to
provide
developers
a
notice
of
award
funding.
F
The
approval
and
subsequent
Awards
didn't
allow
the
development
teams
to
move
forward
with
their
financial
closing
and
to
begin
construction
so
that
they
have
adequate
time
to
meet
those
spending
deadlines
as
set
by
the
U.S
treasury.
There
are
a
lot
of
moving
pieces
on
these
financing.
These
developments
basically,
and
once
the
developers
have
an
award
in
their
hands,
they
have
to
still
be
able
to
go
to
their
lenders,
tax
credit,
investors,
contractors
and
other
partners
in
good
faith,
knowing
that
they
have
a
firm
commitment
of
the
Home
Means
Nevada
initiative.
F
Funds
for
the
state
and
I'll
give
you
one
example
of
how
the
timing
of
this
really
affects
development,
so
projects
that
scored
highly
in
our
in
in
the
ranking
need
to
be
ready
to
begin
construction
as
soon
as
they
close
on
financing.
In
order
to
do
that,
most
of
them
are
going
to
have
a
purchase
and
sale
agreement
with
a
landowner,
for
example,
and
a
lot
of
those
are
probably
going
to
expire.
If
we
push
out
too
far
and
then
the
project
basically
just
has
to
start
over
or
start
from
scratch.
F
F
Terry
Reynolds
director
for
business
industry
I
wanted
to
also
mention
that
for
the
last
two
years
we
have
set
aside,
we
call
volume
cap
and
that
allows
us
to
issue
tax-free
municipal
bonds
for
industrial
revenue,
bonds
or
housing
projects,
and
we
have
set
aside
in
two
years,
565
million
dollars
worth
of
volume
cap
to
be
able
to
bond.
So
we
are
working
with
these
with
the
communities.
F
Clark
County
they've
funded
several
projects,
but
we
will
be
able
to
combine
and
work
with
our
available
volume
cap
to
be
able
to
find
help
Finance
these
projects,
so
we
typically
can
get
for
every
dollar
spent.
We
can
get
two
and
a
half
to
three
times
as
much
volume
of
project
out
of
the
dollars
that
we
set
aside.
F
So
that's
very
important
in
realizing
this
and
having
this
money
to
be
able
to
start
off
and
work,
gives
the
satisfaction
and
the
confidence
for
development
to
go
ahead
and
have
their
investors
get
involved
in
the
Pro
project
and
be
able
to
set
up
the
bonding
if
they
need
to
bond
for
the
project.
So
that's
why
this
is
so
important
to
have
it
as
soon
as
we
can.
F
H
A
facility-
and
it's
almost
finished-
we
know
that
there's
a
huge,
immediate
need
and
there's
long-term
needs
when
it
comes
to
housing
and-
and
that's
been
demonstrated
in
near
testimony
that
we're
over
subscribed
so
there's
a
lot
more
need
than
there
are
dollars
for.
So
as
you
do
that
scoring.
How
are
you
going
to
determine
in
the
scoring
who
Rises
to.
H
F
G
No
I
I
appreciate
that
Steve
across
for
the
record,
all
great
questions
and
and
to
answer
the
last
one
first,
because
that's
the
one
I
remember
most.
G
We
hope
to
be
able
to
announce
preliminary
preliminary
Awards
next
week
and
as
Mr
Holliday
indicated,
that
will
at
least
start
those
processes
scoring
various
categories,
so
the
land,
the
home
ownership
and
the
preservation
and
new
development
all
had
sort
of
different
questions,
and
in
most
cases
it
was
like
literally
a
hundred
and
some
odd
questions
specifically
on
the
development.
You
know,
how
are
you
going
to
do
this?
G
What
are
you
going
to
do,
and
and
how
are
you
going
to
achieve
this
and
and
so
that
was
divided
up
right
off
hand
into
about
six
or
seven
different
scoring
categories
regarding
project
narrative,
side
amenities?
G
There
were
about
three
or
three
or
four
Financial
categories:
the
the
capability
of
the
developer.
To
do
it
and
there
was
a
whole
category
set
up
for
sustainability
and
affordability
populations
serve
things
of
that
hilt.
We
had
a
couple
of
different
scoring
groups,
as
I
mentioned.
Community
folks
do
that
and
then
the
novogratic
group
is
doing
the
financial
aspects
of
it.
Those
are
tabulated
so
as
an
example
in
new
development
and
preservation.
There's
150
points
through
this
application
process
that
are
available
and
whoever
you
know
Rises
to
the
top.
G
They
are
going
to
be
considered
for
funding.
We
still
have
to
work
with
them
in
a
lot
of
regards.
We
still
have
to
work
with
them
in
their
ask
because
these
applications
were
processed
before
not
processed
were
put
out
before
Clark
County
issued
their
CHF
funds,
which
was
120
million
of
funding.
So
we
know
some
projects
receive
some
funding
there.
G
They
may
have
asked
for
10
million
from
us
through
Home
Means
Nevada,
but
they
got
5
million
just
for
sake
of
easy
math
through
Home
Means
Nevada,
but
they
applied
for
10
million
because
they
didn't
know
they
were
going
to
get
that
5
million.
To
begin
with,
so
we
need
to
go
through
those
and
scoring
applications
that
are
above
in
the
new
development
bucket,
above
that
300
million
threshold
determine
that
they
do
in
fact
need
10
million
or
whatever.
G
That
number
is
and
if
they
only
need
5
million
well,
that
just
freed
up
5
million
for
somebody
who
might
have
fallen
below
that
line.
So
that's
sort
of
the
vetting
process
that
we
have
to
go
through.
So
to
answer
your
the
the
balance
of
that
question.
G
If
we
cannot
fund
projects
and
my
god
there
are
so
many
good
projects
and
we
can't
fund
them
all,
we
know
that.
Then
we
are
going
to
to
look
at
that.
Waterfall
that'll
be
the
first.
G
We
will
look
at
existing
funding
that
we
have,
whether
it's
through
tax
credits,
whether
it's
through
affordable
housing,
trust
funds,
those
type
of
of
grants
that
we
have
and
then
there's
a
whole
nother
part
of
this
there's
some
affordable
housing,
componentry
and
as
an
example,
the
inflate
reduction
act
that
allows
for
solar
power
to
be
installed
and
tax
credits.
G
H
F
A
Questions?
Yes,
some:
how
to
get
here.
I
I
I
G
Steve
akroth
for
the
record.
Yes,
it
is
the
points
available
in
that
particular
category.
Are
a
hundred
doesn't
affect
they're,
not
competing
against
the
new
development,
so
they're
not
already
at
50
percent
lower
than
than
where
they
should
be,
but
the
down
payment
assist
there's
three
basic
ways:
we
saw
applications
come
through
that
particular
process.
G
One
was
for
down
payment
assistance,
one
was
for
the
new
construction
of
affordable
homes
and
one
was
for
the
rehabilitation
of
homes
to
allow
for
senior
stage
in
place
or
those
who
are
physically
disabled
to
age
and
and
for
that
last
one
we
will
be
looking
at
not
only
our
weatherization
programs,
but
also
as
I
mentioned
previously.
G
We
did
apply
for
our
own
DPA
program,
as
did
Nevada
Rural
Housing
Authority,
who
has
that
the
community,
the
foundation
of
Northern
Nevada
applied
for
the
Home
Building,
as
did
Habitat
for
Humanity,
and
then
Rebuilding
Together,
both
Southern
and
Northern,
Nevada
and
Nevada,
Rural,
Housing,
Authority,
applied
and
I
know
I'm
leaving
a
couple
out,
but
those
were
the
main
ones
that
I
can
think
of
right
up
top.
My
head.
G
Steve
across
for
the
record,
sorry
I
didn't
do
that
last
time.
Distributed
is
probably
not
the
right
word,
but
the
preliminary
Awards
the
notifications
would
probably
go
out
next
week.
Yes,
thank
you.
E
A
That's
right:
I'm
I'm
there
too
I'm
already
on
the
1340.
We
have
a
motion
to
provide
them.
Nine
to
the
second
from
Center
kind
of
zaro.
Further
discussion
on
the
motion,
all
in
favor
say
aye,
any
opposed,
saying
a.
G
A
K
K
Currently
we're
talking
about
D14,
we
also
have
d495
today.
Both
of
these
are
system
enhancements
to
our
eligibility
systems.
K
Currently
we
have
a
vendor
on
board
that
is
making
changes
to
both
of
these
systems.
So
if
we
could
request
These
funds
in
advance
or
not
in
advance,
but
now
not
later,
we
could
amend
our
current
contract
and
have
the
vendor
add
these
two
Scopes
to
that
contract
and
have
them
fully
implemented
before
26.
A
Yes,
for
let
me
start
first,
so
you've
got
funds
set
aside
for
the
work
program,
which
is
a
17.3.
Is
that
correct?
A
Oh
it's,
the
total
is
48.5,
of
which
17.3
million,
so
you've
got
17.3
for
the
current
fiscal
year
right
and
then
the
31.2
after
this
fiscal
year.
Is
that
correct.
A
And
so,
as
all
these
big
IT
projects,
they
take
time
right.
So
are
you
moving
at
the
at
the
level
that
you
need
to
be
moving
as
far
for
completion.
K
For
the
record
Lisa
Swearingen,
yes,
we
are,
we
just
signed
a
contract
to
have
like
I,
said
several
system
enhancements
made
to
our
current
eligibility
engine
as
well
as
access
Nevada.
Both
of
these
work
programs
will
be
touching
those
systems
if
we
can
get
that
immense,
that
contract
amended
and
get
these
added
into
their
current
timeline,
because
they're
already
going
to
be
in
those
systems,
they'll
be
able
to
make
those
changes
sooner
rather
than
later.
A
Okay
and
then
you
you're
gonna,
you
you're
gonna,
have
an
ongoing
maintenance
and
operational
cost
of
about
4.5
million.
Is
that
accurate.
K
For
the
record,
Lisa
Swearingen,
yes
and
that's
to
address
any
possible
system
issues,
95
is
going
to
be
a
really
large
task.
We're
looking
to
take
in
several
different
other
agencies
and
kind
of
doing
a
no
wrong
door
process
so
that
our
clients
can
come
into
one
point
and
be
able
to
access
benefits
from
all
these
different
entities.
A
Okay,
so,
in
the
way
I'm
I'm
looking
at
this
is
you
know,
you've
got
to
have
what
you
need
for
the
first
current
fiscal
year
that
17.3
to
move
forward,
but
one
of
the
thoughts
as
I
looked
at
this
and
we
were
looking
and
And
discussing-
was
that
we
could
set
aside
the
the
other
31
and
just
allocate
it
as
you
need
it
is
that,
is
there
any
issues
that
would
come
up
because
of
that.
K
A
A
Okay,
great
all
right
other
questions,
yeah
some
women
tolls.
J
Thank
you,
chair
and
I
think
you
and
I
might
have
been
thinking
the
same
thing,
which
was
that
currently
you're
on
an
incremental
track
of
35
of
it
has
already
been
modernized,
and
this
would
just
it
sounds
like
expedite
that
65
and
I
just
wondered
if
there
was
any
fiscal
advantage
to
Expediting
that
or
what
would
be
the
benefit
to
expending
the
federal
funds.
For
this
to
expedite
it
now
versus
staying
on
the
incremental
plan
that
you
would
have
been
on.
Had
we
not
have
this
allocation.
F
A
For
the
record
record
bar
London,
Chief,
I.T
manager,.
F
Through
chair
Dennis
to
you,
so
if
the
question
is,
if
we
allocate
the
funds
right
now
versus
going
forward
or
sorry.
J
That's
okay,
I
think,
I
think
there
is
kind
of
almost
two
questions.
What
were
you
planning
on
doing?
If
we
didn't
have
this
Federal
funding
to
allocate
was
you
were
already
35
of
the
way
to
modernizing
so
I
assume
that
there
was
a
long-term
plan
to
incrementally
carry
out
the
other
65
percent
and
so
and
then
is
there
a
you
know?
Is
there
some
sort
of
advantage
that
we
have
fiscally
to
amend
that
plan
using
this
money
to
expedite
it?
So
it's
done
by
2026..
So.
F
F
Thompson
for
the
record
I'm,
the
administrator
for
the
division
there,
it
was
a
piecemeal
plan.
We
would
be
moving
forward
coming
forward
bits
at
a
time
asking
for
money
bits
at
a
time
as
we
were
forced
into
modernizing
the
rest
of
the
system.
F
Having
this
opportunity
now
would
be
cost
effective.
Each
time
we
would
have
to
go
forward,
we'd
have
to
re-engage
the
vendor,
possibly
get
a
new
vendor.
We
have
contracts
right
now
where
those
vendors
are
already
in
the
system.
Coding
these
same
systems
so
being
able
to
do
it
now
would
be
cost
effective.
E
And
thank
you
Mr
chairman
I'll,
try
to
do
a
better
job
this
time
around,
so
my
motion
would
be
to
allocate
17.3
million
the
total
expenditure
amount
identified
for
fiscal
year,
23
to
the
special
use
expenditure
category
and
allocate
the
remaining
31.2
million
to
a
new
dedicated
Reserve
category
for
use
in
future
fiscal
years,
and
also
in
this,
the
revision
would
require
that
this
be
included
in
the
executive
budget
in
the
upcoming
23-25
session,
and
that
way
the
that
that'll
be
fine.
That
would
be
the
motion.
E
And
if
I
may,
we've
been
through
so
many
modernization
projects
and
some
of
them
have
gone
very,
very
well
and
some
not
so
much
that
we've
had
to
really
work
hard
to
get
them
back
on
track.
I
think
this
is
a
great
way
to
move
forward
incrementally,
but
still
use
these
dollars
wisely
and
get
the
job
done
so
that
you
don't
have
to
come
back
for
the
next
five
legislative
sessions.
To
get
this
project
done,
you
can
get
it
done
in
the
next
two
legislative
sessions.
A
And
so
far
you're
actually
progressing.
We
haven't
come
back
to
us
to
say,
there's
a
problem
right.
That's
good!
Okay,
further
discussion
on
the
motion
hearing,
none
all
those
in
favor
say
aye
aye,
any
opposed,
say,
nay,
motion
carries
all
right.
K
So
for
the
record,
Lisa
Swearingen,
Deputy
Administrator
for
the
Division
of
Welfare
and
supportive
services.
To
recap:
d95
is
a
system
enhancement
to
build
what
we're
calling
a
no
wrong
door
solution
which
will
be
a
cloud-based
solution
at
one
point
of
contact
or
point
of
entry
for
our
clients
to
come
in
and
be
able
to
access
services
from
the
different
agencies
that
fall
under
DHHS.
A
Okay,
we
have
some
questions,
some
of
them
in
ch,
Miller.
A
C
F
B
A
Actually
give
me
just
a
second
before
you
go
because
I
want
to
ask
the
same
question.
I
asked
on
the
last
one:
you've
got
on
this
one.
You
have
3.1
million
it's
for
the
current
fiscal
year
and
that
would
leave
9.4
million
that
we
could
do
a
similar
thing
where
you
could
have
what
you
need
for
this
fiscal
year
and
then
have
the
other
one
set
aside
in
a
reserve
account
that
you
could
just
didn't
draw.
F
F
Okay,
thank
you,
my
apologies
for
that
so
I'm,
just
Curious
here,
if
the
agency,
if
the
modernization
project
were
to
go
beyond
the
December,
31st
2026
expiration
date
of
the
American
rescue
funds,
what's
the
plan
to
complete.
K
For
the
record
Lisa
Swearingen,
currently,
we
do
not
anticipate
there
not
being
the
ability
for
us
to
complete
it
by
that
deadline,
mainly
because
the
vendor
that
we
currently
have
is
familiar
with
this
system,
as
well
as
the
other
agencies
and
they'll,
be
able
to
build
those
crosswalks
for
us
and
make
that
I,
don't
see
it
us
not
meeting
that
deadline.
Okay,.
F
K
And
I'm,
sorry,
if
I
may,
we
can
provide
updates
once
these
are
passed
and
I
can
get
an
amendment,
we
can
provide
you
with
an
updated
timeline.
Okay,.
A
H
Thank
you
so
much
I
just
wanted
to
mention
that
I
I'm
really
excited
about
this,
because
with
the
the
concept
of
no
wrong
door
and
everything
that
we
that
the
division
is
trying
to
accomplish
with
that,
knowing
that
this
will
help
improve
the
score
we've
received
on
how
we're
streamlining
that
the
the
the
application
and
the
access
to
really
kind
of
create
that
one
stop
is
just
wonderful.
It's
wonderful
for
people
who
are
in
the
human
services
professions
who
are
helping
and
working
with
clients
and
people
who
are
vulnerable.
H
It's
wonderful
families
who
want
to
try
to
seek
for
services
themselves,
and
so
this
moves
us
towards
a
really
important
goal
and
for
as
much
of
a
popular
aging
population
as
we
have,
and
people
who
are
vulnerable
out
there
being
able
to
know
the
supports
that
the
states
can
provide
them
and
easily
entering
into
that
system
is
really
important.
So
this
does
I.
This
is
going
to
make
to
me
when
I
see
a
lot
of
the
stuff
we're
doing.
H
This
is
going
to
be
great
at
the
ground
level
once
it
gets
done,
then,
a
comment
on
the
last
one.
Just
because
I
was
like
the
nomads
and
I
was
like.
Oh
my
gosh,
are
we
talking
about
Nomads
and
so
very
appropriate
to
to
say
that
back
in
the
late
1990s
I'm,
remembering
that
changeover
from
adfc
to
TANF
and
then
the
child
support
stuff,
it
took
us
forever.
I
think
there
might
be
some
people
sitting
out
there.
Some
professionals
who
have
Nomads
PTSD
from
just
trying
to
get
the
first
system
implemented.
H
So
the
fact
that
we
could
fund
the
modernization
of
it
in
like
four
years
has
to
be
just
a
you
know:
a
welcome.
Welcome
funding
to
get
that
thing
done,
because
in
the
worst
case
scenario,
it
could
take
10
and
go
bad
in
a
lot
of
different
ways
like
it
when
we're
trying
to
stand
it
up.
So
these
are
the
dollars
going
towards
good
things.
A
All
right
other
questions
or
discussion,
the
one
thing
that
we
know
for
sure
about
any
of
the
I.T
systems
is
modernization
is
something
that
just
happens
constantly
Because.
By
the
time
you
get
it
done,
you're
going
to
be
already
working
on
monetizing,
the
you
know
going
to
the
next
level.
So
that's
why
you
constantly
are
going
to
be
seeing
these
here.
A
Okay,
not
hearing
any
further
discussion,
some
of
them
Carlton.
E
Thank
you
Mr
chairman
and
I'm,
one
of
those
people
that
lived
through
Nomads
PTSD
back
in
1999
and
2001..
So
with
that
the
motion
in
the
vein
of
the
the
previous
motion
that
we
had
earlier
hearing
where
the
committee
has
kind
of
decided
to
move,
my
motion
would
be
to
allocate
3.1
million
the
total
projected
fiscal
year.
E
2023
expenditure
amount
to
the
special
use
expenditure
category
and
allocate
the
remaining
9.4
million
to
a
new
designated
Reserve
category
for
the
use
in
future
years,
and
would
also
like
to
include
that,
as
the
executive
budget
looks
at
this,
that
they
would
look
at
it
as
an
enhancement
unit
moving
forward
and
using
these
reserves.
That
would
be
my
motion.
A
A
A
L
You
chair,
Dennis
and
so
I'm,
looking
at
17
and
18,
and
it's
about
making
sure
that
we
can
get
Telehealth
services
to
older
adults
and
when
I
looked
at
page
18
5
it
talks
about
how
many
people
are
expected
to
be
trained
and
it
says
200
professionals.
And
then
it
says
this
current
project
will
train
150
right
after
that
on
page
18.5,
so
I'm
trying
to
figure
out
if
you're,
training,
350
people,
if
it's
a
200
plus
150
or
if
it's
one
of
the
other.
C
Dean
Schmidt
for
the
record
administrator
for
aging
and
disability
services,
so
the
current
project
has
already
trained
it's
the
200
that
are
yeah
200,
that
the
current
project,
the
new
project,
will
be
training
the
additional
professional
staff.
So
this
is
a
professional
development.
It's
professionals,
teaching
professionals
how
to
use
Telehealth
and
expanding
the
access,
and
we
used
our
current
older
Americans
American
Rescue
funds
to
start
this
project,
and
so
this
is
a
continuation.
If
it's
been
so
successful
that
we
want
to
continue
that
work.
Thank
you.
A
A
M
Afternoon,
Mr,
chair
and
members
of
the
committee
for
the
record
Marla
McDade
Williams,
deputy
director
programs
for
the
Department
of
Health
and
Human
Services.
If
you
don't
mind,
I'd
like
to
just
do
a
brief
overview
combining
all
of
these
Workforce
initiatives
and
kind
of
giving
some
background
of
how
we
arrived,
where
we
arrived.
So
we're
pleased
to
have
this
opportunity
to
grow
and
support.
Much
needed.
Workforce
needs
to
build
a
network
of
essential
providers
for
the
state's
vulnerable
populations.
M
That
objectivity
will
be
managed
either
through
a
request
for
proposal
process
or
an
impartial
body
of
people
who
will
assess
the
applicants
in
some
cases.
As
with
the
advanced
practice,
nurses
they'll
meet
the
additional
criteria
area
established
by
their
respective
educational
institutions
and
in
other
cases
there
will
be
an
assessment
of
a
person's
qualifications
to
ensure
they
can
be
successful
in
completing
the
program
for
which
they're
applying.
M
We
also
have
the
benefit
of
knowing
where
the
state's
health
professional
shortage
areas
are
and,
to
the
extent
possible,
will
ensure
that
individuals
who
qualify
for
the
scholarships
and
opportunities
meet
an
underserved
need,
including
in
Rural
and
tribal
areas.
As
you
may
know,
the
health
professional
shortage
area
is
an
area
that
lacks
Statewide
access
to
preventive
and
Primary
Care
Services
experiences,
a
shortage
of
primary
care,
mental
health
and
dental
providers.
M
10
of
Nevada's
17
counties
are
single
County,
Primary
Care
shortage
areas,
including
pockets
of
areas
in
the
state's
two
largest
counties.
As
we
consider
post-training
requirements
for
individuals
who
are
awarded
these
opportunities,
we
anticipate
getting
a
commitment
from
the
individuals
to
continue
their
work
in
Nevada
and,
if
possible,
with
our
programs,
but
we
recognize
that
sometimes
a
person's
life
situation
interferes
with
their
plans.
If
someone
is
unable
to
fulfill
the
commitment,
we
feel
comfortable
that
our
efforts
have
contributed
to
a
higher
educated
Workforce
for
the
state
of
Nevada.
M
Additionally,
we
have
some
opportunities
to
apply
for
grant
funding
that
might
be
used
to
continue
these
efforts
and,
in
some
cases,
private
philanthropy,
and
we
may
also
ask
agencies
we
partner
with
to
consider
sustaining
these
efforts,
but
the
one-time,
arpa
funds
will
meet
a
need
that
isn't
being
met
now
and
as
I
opened,
with
we're
pleased
to
have
an
opportunity
to
help
build
the
state's
Workforce.
Thank
you
and
I'm
available
for
questions.
M
About
these
scholarships,
so
I
just
had
a
couple
of
real
quick
questions.
Why
is
it
most
appropriate
for
the
funds
of
these
scholarships
and.
M
Again
for
the
record
Marla
McDade
Williams,
the
department
just
recognized
that
there
are
some
severe
needs
out
there
and
unless
we
stepped
up
and
actually
did
something,
those
needs
would
continue
to
be
there.
So
we
we
know
that
in
serving
the
vulnerable
vulnerable
populations
that
we
serve,
if
we
don't
have
adequate
Staffing
we're
not
going
to
be
able
to
serve
them,
so
we
had
to
do
something
and
that's
that's.
What
prompted
us
to
do
this.
D
M
Field,
rather
than
starting
from
scratch,
and
so
I
have
another
question
about
on
the
recipient.
Would
there
be
some
sort
of
obligation
with
them
to
work
in
the
healthcare
field
within
the
state
for
a
set
period
of
time
in
order
to
receive
these
scholarships
for
the
record
Marla
McDade
Williams?
As
we
set
forward
the
criteria,
we
will
ask
that
people
make
a
commitment
to
ensuring
that
they
are
going
to
stay
in
the
state
and
and
follow
their
obligations.
M
A
N
Thank
you,
chair
Dennis,
so
I
just
had
a
quick
question,
so
would
this
expand
or
or
is
it
contemplated
to
explain,
expand
if,
let's
say
you
have
a
person,
that's
currently
working
for
division
of
Behavioral,
Health
or
DHHS,
and
they
want
to
go
to
medical
school
they're
thinking
about
shifting
into
policy
with
the
scholarship
apply
to
them.
M
O
Thank
you
for
that
and
appreciate
expanding
the
workforce
Workforce.
So
we
all
know
that
access
to
care
is
probably
the
single
biggest
hurdle
we
have
in
Nevada
at
this
time.
My
question
Falls
along
the
same
line
of
obligation
to
work
in
Nevada,
and
you
mentioned
that
you're
going
to
ask
that
that
would
be
one
of
the
criteria
and
then
you
said
life
happens
and
so
in
in
previous
programs.
That
I've
been
aware
of.
You
have
certain
obligations.
O
If
you
don't
come
back
to
Nevada,
because
life
does
happen
and
that
would
regard
payment
paying
off
whatever
that
cost
was.
Are
you
going
to
have
anything
like
that
or
you
just
say:
hey:
we
really
want
you
to
come
back
to
Nevada.
What's
going
to
be
the
actual
true
mandatory
obligation.
B
Thank
you,
Mr,
chair,
and,
and
thank
you
for
being
here
and
presenting
I
too
Echo
the
concerns
with
with
bringing
them
back,
because
the
last
thing
we
want
to
do
is
spend
money,
so
any
legal
REM,
any
legal
language
that
we
can
add
to
that.
I
would
like
to
see
at
it
as
a
condition
of
approval
for
these
These
funds,
because
to
me
the
most
important
thing
is
is
to
get
them
in
Nevada
and
keep
them
here.
B
I
do
want
to
touch
a
little
bit
on
the
the
scope
of
work,
especially
when
it
comes
to
Children
and
our
youth
I
mean
we
just
had
the
doj
come
out
and
say
we
have
a
huge
problem:
we're
dead
last
right
now
and
so
I,
just
I
kind
of
want
to
know
the
scope
of
work
when
they
get
out
of
school
and
and
how
that's
going
to
work
to
hopefully
address
what
the
doj
just
just
reported
on
us.
Thank
you.
M
Martin
McDade
Williams
I'm
I'm,
not
the
person
to
talk
with
about
the
actual
investigation,
but
I
can
say
that
we
recognize
again
that
there
are
shortages
and
Our
obligation
is
to
figure
out
how
to
address
those
so
that
we
can
build
networks
and
have
adequate
systems
out
there.
And
so
part
of
the
goal
of
this
is
to
ensure
that
we
are
Building
Systems,
so
that
we
don't
fall
into
that
category
of
you
know
being
investigated
because
we
aren't
providing
the
services
we're
supposed
to
be
providing.
A
Okay,
let's
see
Senator
siebert's
cancer.
L
Thank
you
chair
thanks
for
being
here
today
and
for
bringing
these
forward.
So
I
was
looking
at
d34,
specifically
Personal,
Care
Workforce.
You
talk
about
incentives
in
the
form
of
offsetting
training
fees,
but
forgiveness
of
a
trainee
works
with
low-income,
vulnerable
populations
and
so
I'm
just
going
to
ask
about
the
accountability
on
that
part,
to
make
sure
that
we
don't
train
people
to
really
serve
those
underserved
and
then
they
go.
M
Marta
McDade,
Williams
I
think
one
of
the
challenges
that
we
have
is
that
it's
difficult
to
find
any
type
of
a
trained
Workforce,
so
we're
trying
to
incentivize
people
to
come
in
and
get
the
training,
and
we
believe
that
once
they
get
the
training,
they'll
they'll
want
to
serve
the
people
that
they
have
indicated
that
they
wanted
to
serve
right.
Now
we
are
having
difficulty
even
getting
people
to
qualify
for
positions
so
once
we
can
invest
training
in
them.
We
believe
that
they'll
invest
back
in
US.
L
If
I
can
follow
up
so
so
what
does
that
mean
that
you're
having
a
hard
time?
Just
because
there's
not
folks
that,
are
you
said
qualified
that
they're
not
qualified.
M
Think
at
the
Department
of
Health
and
Human
Services,
that's
a
little
bit
higher
than
the
overall
State
vacancy
rate,
and
so
it's
you
know
when
you
can
have
someone
who
doesn't
have
to
go,
who
doesn't
have
to
pay
for
their
own
training
to
be
able
to
qualify
for
these
positions
working
at
a
fast
food
chain,
and
we
can
provide
them
the
opportunity
we're
going
to
pay
for
your
training
so
that
that
gives
them
and
the
incentive
now
to
come
in
into
the
state
system.
Where
right
now
they
don't
have
that
incentive.
L
Thank
you
and
the
follow-up.
So
do
you
have
the
flexibility
within
this
program
to
provide
more
incentives
and
just
the
training
like
something
to
help
them
get
into
this
Workforce,
because
you're
right
I
mean
you
can
go
to
a
lot
of
low-wage,
lower
wage,
unskilled
positions
that
are
actually
higher
weight
right
now
because
of
the
market
rate.
L
So
just
if
you
have
enough
flexibility
because
I
think
that's
part
of
it
and
that's
something
that
we
face
all
the
child,
the
challenges
that
we
face
all
the
time
is
really
trying
to
get
people
into
these
positions
and
help
them
stay
there.
And
if
you
have
enough
flexibility
to
incentivize
the
program.
C
Denishment
for
the
record
administrator
for
Aging
and
Disability
Services
Division.
So
when
it
comes
to
the
personal
care,
Workforce
training,
this
is
one
strategy.
That's
been
recommended
by
some
federal
milliman
report
on
Direct,
Care,
Workforce
policy
and
guidance
action.
This
is
one
recommendation
of
theirs
is
to
create
a
curriculum,
that's
stackable,
which
is
what
you're
getting
to
so
that
there's
incentive
to
continue
the
training
project
and,
as
they
get
more
certifications,
there's
an
incentive
with
employers
to
pay
them
more
money.
L
E
And
and
I
just
wanted
to
say
that
I
appreciate
the
path
that
you're
trying
to
take.
You
know
initially,
my
first
thought
was
well.
Why
not
date
her?
Why
not
office
of
Workforce,
Innovation
and
all
those
types
of
things
I
think
these
amounts
of
students
would
get
lost
in
those
big
huge
programs
and
I
realize
you
brought
these
ideas
forward.
E
So
therefore,
when
they
said
yes
they're
a
good
idea,
they
handed
them
right
back
to
you
to
implement,
so
be
careful
for
what
you
ask
for,
but
because
of
these
numbers,
I
I
think
it
works.
Well,
even
though
you
guys
do
have
a
vacancy
rate
that
does
concern
me,
but
I
think
the
this
amount
of
students
that
we're
talking
about
will
have
a
significant
diff
impact
on.
E
What's
going
on
and
I'm,
not
as
concerned
about
making
sure
they
stay
in
the
state
and
repay
the
debt,
we've
got
programs
out
there
now
where
people
can
get
a
scholarship
and
they
have
to
stay
in
the
state
and
we
still
have
an
access
problem.
So
why
make
the
same
mistake
again?
These
are
going
to
be
nevadans
working
in
other
jobs
who
are
going
to
want
these
trainings
or
on
that
ladder
somewhere
and
want
to
upgrade
their
skills.
So
we
found
that
once
we
get
them
in
Nevada,
we
can
keep
them
in
Nevada.
E
So
I'm
I'm,
not
as
concerned
about
that
the
one
question
I
did
have
was
some
people
are
met.
They
think
they
can
do
this
and
they
they
really
want
to
do
it.
You
get
them
in
a
class
and
they're
just
not
going
to
make
it.
So
how
are
you
going
to
deal
with
moving
them
out
and
possibly
moving
somebody
else
in,
or
is
that
going
to
be
all
within
the
RFP
for
the
contractors
to
figure
out
how
you
manage
it
because
they
may
think
they
can
be?
M
H
I,
just
I
was
hearing
some
comments
and-
and
some
of
them
just
didn't
seem
to
be
because
we've
through
these
different
work
programs
you're
addressing
really
kind
of
from
your
your
fret
line,
all
the
way
to
the
a
prns
all
the
way
to
talking
about
Public
Health
Services
like
a
lot
of
different
types
of
providers,
and
so
at
least
for
the
front
line
Caregivers
for
what
you're
doing
in
the
33
and
34
d-334
I.
Think
echoing
what
assembly
one
Carlton
says.
It
makes
no
sense
to
put
a
Nevada
requirement
on
this.
H
H
That's
helping
people
with
all
their
activities
of
living,
bathing
grooming
and
dressing
people
and
believe
me,
it
is
hard
work
and
there
are
not
a
lot
of
people
that
want
to
do
it
and
when
family
members
need
someone
to
help
care
for
someone,
they
start
calling
around
for
these
people
to
come
in.
So
we
scoop
up
anyone
we
can
in
33
to
34..
H
H
I
had
a
quick
question
because
I'm
one
of
these
as
clinical
rotation,
scholarships
and
I
didn't
know
exactly
who
we
were
talking
about
for
clinical
rotations,
but
it
looks
like
we're
only
reimbursing
them
59
a
day
per
diem,
so
I
don't
think
they're
Physicians,
because
that's
not
happened
at
59
a
day
so,
but
whoever
that
is
who's
taking
a
59
day.
You
know
59
a
day
per
diem
if
they
show
up
and
they
want
to
be
here,
give
it
to
them.
H
Oh,
my
gosh,
like
like
we're
doing
that
right
and
then
the
aprons
once
again
I
think
most
of
them
are
going
to
stay
in
the
community
there's
so
much
of
a
need
for
aprns,
I
think
they're
going
to
stay
here
and
that
they're
going
to
work
here.
H
The
only
comment
I
would
have
with
the
the
on
d107
and
106
for
aprns
is
that
the
only
thing
that
it
kind
of
makes
sense
is
you
know
which
she
does
have
an
established
program
to
help
with
APR
ends
and
I
know,
because
of
some
of
the
changes
we
made
through
that
program
last
year
that
they
weren't
I,
don't
think
able
to
fund
as
many
of
the
appearance
slots
as
they
they
had
been
and
I
haven't
talked
to
witchy,
but
it
seems
like
we
might
already
have
infrastructure
for
that
specific
one
and
I
don't
know
if
it
makes
any
sense
to
talk
with
them
to
say
like
if
we
handed
them
that
allocation
or
if
they
came
forward
to
get
that
contract
could
get
they
get.
H
C
C
There
are
registered
nurses
that
want
to
engage
not
only
in
state
APRN
programs,
but
Nevada
citizens,
Nevada
nurses,
that
want
to
engage
out
of
state
programs
not
because
they
want
to
move
out
of
state
but
because
of
the
particular
flexibility
of
that
program
or
because
that
particular
specialty
is
not
offered
in
the
state
of
Nevada.
So,
for
example,
myself
I'm,
a
women's
health
nurse
practitioner
and
I'm
here,
I
am
right
in
the
state
of
Nevada.
I
actually
went
to
State
University
Stony,
Brook,
Long
Island
and
came
right
back
home
and
happy
to
be
here.
C
So
I
really
think
that
if
we
were
to
engage
a
vendor
that
could
help
help
us
manage
that
and
allow
the
registered
nurses
full
flexibility
to
secure
that
APRN
scholarship.
They
are
our
Nevada
nurses
and
they
have
committed
to
the
field
of
nursing.
That
is
their
chosen
profession
and
we're
only
empowering
them
to
become
full-scope
providers
and
to
return
to
Nevada.
A
Not
hearing
any
Samuel
and
Carlton.
E
A
N
A
Any
opposed,
say,
nay,
motion
carries
all
right.
Thank.
M
That's
the
Oregon
donor,
Network,
okay,.
A
A
O
Thank
you
Mr
chair,
and
thank
you
for
staying
up
there
and
aptly
supported
the
program
and
I
had
a
question
regarding
you
know
it's
a
one-page
definition
or
in
our
books
to
give
us
some
more
information
and
I'm
concerned
that
15
million
is
not
enough
and
I
I
want
to
see.
I
think
that
we
need
this
program.
It's
long
overdue.
O
Very
supportive
of
it.
I
know
that
these
monies
are
looking.
You
know
throughout
the
state.
We
have
citizens
that
leave
our
state
have
taken
care
of
many
patients
that
had
to
leave
the
state
for
their
transplant,
whether
it
was
a
kidney,
liver,
heart,
lung
and
my
concern
is
how
much
is
really
needed
to
set
up
this
program.
O
How
far
would
this
15
million
go,
and
why
were
you
not
awarded
more
for
this
program
when
we
have
97
million
left
in
this
monies
I'm
just
concerned
as
an
earlier
I
agenda
item
that
there
maybe
should
have
asked
for
more
money,
and
that's
where
I'm
coming
from
with
this,
that
that
I
want
to
see
this
program
go
I
want
to
see
it
go
as
as
expeditiously
as
possible
and
I'm
concerned.
If
the
15
million
is
not
enough,.
M
Thank
you,
Mr
chair
for
the
record
Mart
McDade
Williams,
deputy
director
programs
for
the
Department
Health
and
Human
Services
I
I,
think
it
was
the
same
discussion
you
had
earlier
with
Senator
Garcia
I
mean
there
are
so
many
priorities
that
you
can
set
aside
with
the
money.
That's
there
and
we
looked
at
hundreds
and
hundreds
of
applicants.
M
They
did
request
20
million
they
didn't
and
we
were
able
to
allocate
15.
O
And
thank
you
for
that
explanation.
So
if
they
only
get
the
15
and
they
needed
20,
will
they
be
able
to
move
forward
with
this
15,
and
is
there
a
possibility
that,
if
some
of
the
funds
of
these
funds
that
are
not
expended,
could
they
come
back
and
ask
for
more.
M
For
the
record
Martin
McDade
Williams,
my
understanding
is
that
they
proposed
some
private
philanthropy
to
meet
their
needs
as
well.
So
you
know
I
we're
entering
into
a
partnership
with
them
to
support
the
efforts
because
we
recognize
the
need,
but
you
know
the
legislature
wants
to
allocate
more
funding
to
it.
I,
don't
I.
Don't
think
that
we,
you
know,
would
oppose
that
at
all.
You
know
if
if
they
did
have
a
need
to
come
back
and
there
was
funding
available
to
do
it,
you
know,
but
that's
it's
really.
O
And
again,
my
line
of
question
is
really
about
getting
this
program
moving
forward.
We
do
have
this
money,
but
is
it
now
going
to
be
a
year?
Everybody
we've
heard
multiple
times
today
that
this
is
like
an
emergency
that
we're
moving
fat
forward
rapidly
and
all
of
that,
but
but
I
want
to
make
sure
the
state
itself
is
not
getting
in
way
of
by
saying
no,
you
can
only
have
15
when
they,
you
probably
had
the
leverage
to
give
them.
The
20
is
not
really
slowing
down
this
process.
E
Thank
you,
Mr
chairman
and
typically
as
the
folks
that
sit
on
this
committee
for
the
last
four
years
know
that
when
folks
come
to
the
committee,
we
usually
ask
them
to
go,
get
the
matching
funds
first
and
then
come
back
to
the
state.
So
when
we
do
our
large
bills
at
the
end
of
session,
we
ask
them,
go,
find
your
matching
funds
and
then
they
come
back
present
it
to
us.
We
hold
the
money
in
reserve
when
they
get
there.
We
give
them
the
money.
This
is
totally
different.
E
We
are
giving
them
the
money
up
in
front,
no
matter
whether
they
make
that
or
the
38
million
or
not,
because
we
believe
this
is
very
important.
Tough
decisions
have
to
be
made
sometimes
if
we
wanted
to
give
them
more
money.
I'd,
like
suggestions
on
who
you'd
like
to
cut,
because
that's
how
that's
what
we
would
have
to
do
is
take
money
from
someone
else
in
order
to
be
able
to
do
that,
I
know.
There's
a
lot
of
feelings
out
there
right
now
about
an
extra
900,
some
million
dollars
out
there.
E
There
is
no
extra
money
in
the
state.
There's!
No
such
thing
as
extra
money
in
the
state
there's
a
lot
of
costs
that
are
going
to
be
coming
up
over
the
next
four
to
six
years,
so
I
appreciate
wanting
to
give
them
more
money,
there's
a
lot
of
other
Charities
and
a
lot
of
other
very
good
causes.
I
would
like
to
give
money
to
also,
but
at
this
time
we're
actually
going
a
step
further
with
this
group
than
we
normally
do
by
just
saying
yes,
here
is
the
money
go?
E
Do
this
very
good
work
that
we
would
like
you
to
do
and
I'm
sure
if
they
need
our
assistance
in
the
future?
I
won't
be
here,
but
I
can't
imagine
anyone
sitting
up
on
this
diet
would
be
willing
to
tell
them
no
so
I
invite
them
to
come
back
if
they
need
to
come
back,
but
right
now.
This
is
the
amount
of
dollars
that
we
can
actually
expend
towards
this
issue.
P
Ahead,
Bailey
Borderland
for
the
record
Deputy
Chief
of
Staff
to
the
governor
I,
just
wanted
to
clarify
on
the
process
that
what
we
received
was
that
there
was
a
20
million
need
from
the
organization
and,
like
has
been
mentioned
previously
today
and
at
previous
meetings.
These
weren't
true
applications
in
the
sense
that
we
didn't
have
all
of
the
information.
P
That
is
obviously
a
very
high
priority,
because
15
million
dollars
is
a
significant
amount
of
money
to
give
to
a
private
non-profit,
but
that
the
spending
plan
that
you
have
before
you
is
a
joint
effort
that
we
worked
on
with
the
non-profit
and
reached
a
conclusion
that
we
believe-
and
you
heard
through
public
comment.
They
are
very
happy
with.
O
A
O
Thank
you
very
much
Mr
chair
for
the
questions
again
looking
at
the
one
pager
that
was
submitted
with
this
documentation,
first
and
foremost,
I'm
supportive
of
the
application
of
support
of
a
long-term
contraceptives.
O
My
question
is:
according
to
the
page
that
was
submitted.
This
is
basically
for
iuds
and
I'm
wondering,
and
it's
going
to
be,
that
you're
going
to
reimburse
for
the
IUD
itself,
but
not
reimburse
for
the
actual
insertion
of
the
ID
or
removing
the
IUD,
and
so
are
you
looking
at
purchasing
these
iuds
and
then
supplying
them
to
the
providers
and
if
so,
what
providers
are
you
looking
at
and
number
two?
Did
you
consider
anything
like
that
pervera
or
alternatives
to
the
iuds?
A
lot
of
women
cannot
have
an
IUD.
H
Thank
you
for
the
question
for
the
record:
Melissa
Laffer,
Lewis
administrative
Services
officer
for
the
division.
So
in
terms
of
reimbursement,
we
currently
reimburse
the
federally
qualified,
Health,
Center,
Health
Centers
and
the
rural
health
clinics
for
the
insertion
and
the
removal
via
our
PPS
rate.
It
is
the
actual
contraceptive
that
is,
has
a
greater
cost
and
is
a
bit
cost
prohibitive
for
these
providers
to
insert
or
to
provide
in
terms
of
your
second
question,
I
believe
we
have
Dr
caparo
Who
is
our
Deputy
over
medical
programs
that
can
assist
with
that
question.
I
Good
afternoon
committee
and
thank
you
for
the
question
for
the
record:
I'm
Dr,
antonina
capurro,
and
that
is
correct.
So
the
insertion
of
the
iuds
will
be
paid
separately
by
the
provider.
They
will
bill
us
and
the
fqhcs
or
the
rural
health
clinics
will
receive
their
PPS
rate
on
their
encounter
rate
as
they
would
normally.
I
This
specific
form
of
contraception
was
the
one
that
was
more
most
problematic
for
our
fqhcs
in
a
rural
health
clinics,
and
so
this
was
the
one
that
was
selected
for
this
project.
If
there
are
others
that
we
need
to
look
towards
in
the
future,
that
can
be
part
of
this
project
as
we
unbundle
this
and
pay
for
these
separately.
O
I
For
the
record,
this
is
Dr
capera.
Thank
you
for
the
question.
Yes,
so
our
funding
will
come
from
our
administrative
budget,
we'll
be
reimbursing
providers
directly
and
as
well
as
providing
that
encounter
payment
for
the
f2fcs
for
the
insertion
of
the
device
as
well.
The
the
long-term
goal
would
be
to
unbundle
these
so
that
they're
paid
separately,
but
that
would
require
budget
Authority.
O
With
that
Mr
chair,
if
it's
okay,
I
will
go
ahead
and
move
to
approve
item
agenda
items,
number
39
and
40.
A
O
Thank
you,
Mr
chair
and
for
allowing
me
yet
another
question.
This
Revolt
resolve
revolves
around
the
dental
health
programs
and
I'm
wondering
this
will
be
what
this
statement
said
in
our
short
book
was
that
it
was
a
dental
health
programs
for
children.
O
So
it's
point
2.736
million
dollars
to
go
into
this
program
to
support
dental
health
programs
in
schools.
Where,
where
is
this?
What
schools
are
you
discussing?
What
schools
are
you
looking
at
throughout
the
state?
Are
you
hiring
are?
Is
our
Dental
Health
officer
going
to
be
doing
this?
What
are
we
looking
with
at
with
this.
I
So
this
program
is
for
a
school-based
sealant
program,
so
this
is
specific
to
those
programs
that
would
be
built
that
would
go
into
underserved
schools,
typically
Title
One
schools
and
would
serve
all
of
the
children
within
that
school.
What
we
saw
during
the
pandemic
was
that
a
number
of
these
programs
closed.
I
I
The
Nevada
oral
health
program
developed
the
oral
health
state
plan,
that's
spanning
over
2022
to
2032
and
within
the
state
plan
we
included
the
burden
of
oral
disease
in
Nevada.
In
our
research
we
found
that
but
Nevada
children,
ages,
1
to
17
had
higher
rates
of
fair
or
poor
condition
of
teeth
compared
to
the
U.S
Nevada
children,
ages,
1
to
17
at
higher
rates
of
decayed
teeth
or
cavities
compared
to
the
U.S.
I
We
also
found
that
20.3
of
Hispanic
children
have
decayed
teeth
or
cavities
compared
with
11.5
of
white
children.
In
addition,
25.4
of
non-english
speaking,
households
have
children
with
decayed
teeth
or
cavities
compared
with
13.5
percent
of
English-speaking
households.
I
I
For
the
record,
this
is
Dr
pero.
Thank
you
for
the
question
of
Simply
woman,
Titus
I'm,
just
looking
for
those
projections
because
I
we
did
have
that
initially
in
here,
as
we
had
some
oral
hygiene
supplies
that
would
be
provided
directly
to
each
child,
I
believe
the
number
was
a
hundred
thousand
children
across
the
state.
We
were
hoping
to
serve
through
this
opportunity.
A
A
O
Thank
you,
Mr
chair,
I,
appreciate
the
opportunity
to
ask
some
additional
questions.
53
and
54
are
related
to
Monies
to
support
an
education
initiative
regarding
red
flag
laws.
I
was
just
wondering
about
what
that
education
program
looks
like.
Where
do
you
intend
to
implement
this
and
because
I
didn't
get
much
with
the
documents
that
were
submitted.
J
Thank
you,
chair
Vice,
chair
and
members
of
the
committee.
My
name
is
Jessica
Adair
brennick
for
the
record
representing
the
Office
of
the
Attorney
General
I
am
joined
by
my
colleague,
our
CFO
Jessica
Hoban.
Today,
to
give
you
a
bit
more
background
about
this
program.
The
ages
office
is
requesting
four
hundred
thousand
dollars
to
fund
gun
violence
prevention
program.
J
As
you
all
know,
better
than
most
Nevada
passed
a
law
on
the
2019
legislative
session
that
permits
a
court
to
issue
an
extreme
risk
protection
order
to
temporarily
remove
firearms
from
a
person
who
is
engaging
in
violent
behavior
and
only
a
family,
member
or
law
enforcement
officer.
May
apply
for
an
extreme
risk
protection
order,
and
it's
it's
colloquially
known
as
a
red
flag
law
reporting
from
the
Nevada
independent
revealed
that
between
January
2020
and
July
2022
only
13
such
orders
have
been
issued.
That
rate
is
far
lower
than
other
states
with
similar
laws.
J
The
second
part
of
this
program
will
offer
grants
to
community
organizations,
including
faith-based
groups,
victim
service
providers,
Mental
Health,
Providers
veterans
organizations
and
others
to
provide
culturally
competent
education,
Outreach
and
resources
to
families
who
are
struggling
and
maybe
looking
for
tools
to
help
a
family
member
in
crisis.
This
is
called
the
help.
The
helpers
model.
What
we're
looking
for
are
those
leaders
in
our
communities
who
families
turn
to
when
a
loved
one
is
showing
signs
of
suicidal
ideation,
violent,
Behavior
or
other
quote
red
flags.
J
We
want
those
helpers
to
have
accurate
information,
so
they
can
offer
assistance.
So
here's
a
tool
you
can
use
if
you're
concerned
that
your
loved
one
cannot
safely
possess
a
firearm,
so
in
ab291
the
bill
did
require
County
clerks
to
assist
family
members
in
in
obtaining
one
of
or
applying
for
an
extreme
risk
protective
orders.
But
this
would
be
an
Outreach
and
education
model
with
community-based
organizations
so
trying
to
let
people
know
about
this
tool
available
to
them
before
they
end
up
at
the
courthouse
to
apply
for
that
kind
of
order.
J
I
hope
that
answers
your
questions.
Assemblywoman
Titus
I
did
prepare
a
great
number
of
research
and
statistics
about
suicide,
mass
shootings
and
domestic
violence,
as
it
relates
to
extreme
risk
protective
orders,
but
in
the
interest
of
time,
I'm
happy
to
provide
that
upon
request
to
the
members
of
the
committee.
I
will
just
make
this
one
note.
As
many
of
you
know,
ag4
chairs,
the
committee
on
domestic
violence
and
one
of
our
statutory
duties
is
conducting
the
Statewide
domestic
violence.
J
Fatality
review
the
case
that
we
reviewed
this
year
was
a
murder-suicide,
a
Nevada
man
shot
his
wife
in
the
head
and
then
turned
the
gun
on
himself,
and
there
were
four
children
under
the
age
of
eight
in
the
home
that
shooting
happened
46
days
before
the
red
flag
law
was
effect,
went
into
effect
and
at
the
time
there
were
members
of
that
family
who
were
applying
to
the
court
to
have
children
removed
from
the
home
because
of
domestic
violence.
The
man
had
been
previously
convicted
or
arrested
for
domestic
violence
battery.
J
However,
that
charge
was
reduced
to
a
simple
battery,
so
he
was
in
legal
possession
of
his
firearm.
At
that
time
we
will
have
no
idea.
We
will
never
know
if
the
red
flag
law
had
been
effective
at
that
time.
If
that
would
have
made
a
difference,
but
I
would
like
to
think
that
in
the
if
we
are
able
to
prevent
that
from
happening
in
the
future,
we
we
should
take
that
chance.
So
I'm
happy
to
answer
any
other
questions.
O
Well,
thank
you.
That
certainly
is
a
compelling
story,
but
I
think
the
the
issue
is
with
the
courts,
not
with
perhaps
a
red
flag
loss.
That's
all
the
questions
that
I
had
Mr
chair.
A
A
A
Titus
Haven
is
that
it
is
Dickman
and
Senator
Hammond.
Okay,
all
right
motion
passes
we're
going
now
to.
A
Okay,
so
we've
got
a
question
on
this
one.
Can
you
just
give
us
a
like
a
30
second
update
on
where
you're
at
as
far
as
the
the
progress
and
then
we'll
go
to
the
questions.
F
Yes,
sir,
for
the
record
Joe
Bernardi
Department
of
Taxation
deputy
director,
for
it
you
gotta,
Senate,
Bill,
414,
funded
us
to
continue
our
modernization
project
project
mint
in
the
last
two
years.
We've
hired
staff
for
the
project,
including
some
people
up
here.
We
have
brought
on
Gartner
to
help
us
write.
The
RFP
we've
gathered
the
requirements
and
we're
in
the
process
of
now
documenting
the
RFP
and
getting
ready
to
release
it
sometime,
January
time
frame
for
the
big
system,
monetization.
A
Foreign
okay,
thank
you,
Senator
Neil
that
I
might
have
just
preempted
what
you
were
going
to
ask
but
go
if
you
go
ahead.
N
Thank
you
chair,
so
this
is
really
quick
when,
when
are
you
guys
going
to
fully
implement
this
new
system,
I
know
that
that
new
system
has
a
whole
lot
to
do
with
some
of
the
revenue
legislation
that's
passed
and
whether
or
not
you
guys
can
implement
it
successfully.
So
when
will
it
be
fully
implemented?
What
date.
N
So
what
does
that
mean
in
terms
of
I
guess
Revenue
policy
that
may
need
new
I
guess
you
may
have
to
program
that
comes
out
in
23?
Is
that
going
to
have
an
enhanced
fiscal
note.
D
A
Thank
you
just
a
quick
question
and
you
may
have
heard
the
discussion
earlier
earlier.
We
had
some
that
were
requesting
money
for
the
current
year
and
then
and
we
talked
about
doing
Special
Reserve.
So
you
in
your
request
here,
you
are
not
asking
for
a
specific
request
for
the
current
fiscal
year.
Is
that
correct.
A
A
Mr
some
lemonhaven.
B
Thank
you,
Mr,
chair
and
I
appreciate
you
guys
being
here
today.
I
didn't
get
the
backup
for
this
item
until
Tuesday
afternoon,
so
your
30
second
presentations
really
helped
me
and
I
mean
no
disrespect,
but
I
can't
support
this
at
this
time.
We're
allocating
24,
25
funds.
I,
really
think
that
you
know,
based
on
the
backup
that
I
have
we're
not
looking
until
June
of
2023
to
do
anything
here.
B
So
I
think
that
this
needs
to
be
fully
vetted
during
next
legislative
process,
not
saying
it's
a
bad
idea,
I
think
it's
probably
a
good
idea.
However,
I
just
think
that,
based
on
the
timing
that
this
isn't
one
of
those
projects
that
you
know
we're
running
into
a
brick
wall
or
we'll
run
out
of
the
money,
we'll
run
out
of
time
for
the
2026.
B
I
do
think
that
this
project
could
be
further
discussed
next
legislative
process
and
again
I.
Don't
think
it's
a
bad
project,
it's
probably
a
good
project,
just
with
the
limited
time
that
I've
had
to
review
this
I
can't
support
this
at
this
time.
So
I
just
want
to
get
that
on
the
record.
So.
A
Some
of
them
and
I
just
want
to
make
sure
you
understand
what
what
the
motion
is
probably
going
to
be,
that
we
put
it
in
a
reserve
account.
It
goes
into
the
governor's
budget.
It'll
be
fully
vetted
during
the
the
legislative
session
before
any
money
is
allocated,
but
we
would
allocate
it
into
the
reserve
account
into
a
special
holding
account
now
and
then
it
would
come
to
the
session
as
part
of
the
governor's
executive
budget.
B
And
I
understand
that,
on
the
other
items
where
we
had
timing
issues,
this
one
I,
don't
see
a
timing
issue
and
please
correct
me
if
I'm
wrong,
if
there's
a
timing
issue
where
we
need
to
to
go
ahead
and
move
forward,
I,
just
don't
see
one
in
the
backup
material
and
what's
been
said
on
the
record
today.
So
thank
you.
Yeah.
F
B
A
E
And
thank
you,
and
just
just
to
clarify,
coming
to
a
reserve
is
much
easier
than
getting
through
the
budget
process,
so
when
they
do
hit
that
threshold
of
where
they
would
need
the
dollars
doing
a
work
program
to
pull
money
down
out
of
Reserve
is
much
easier
and
quicker
done
here
at
a
meeting
like
this,
whereas
in
the
budget
process
it
would
be
June
of
next
year
before
they
would
see
it.
So
we
don't
want
to
slow
the
process
down,
but
by
keeping
it
in
reserves.
We
also
keep
our
accountability
measure
intact.
So
thank
you.
A
O
Thank
you
along
the
same
line,
though
so
you
can
obligate
These
funds.
So
if
we
put
these
in
a
reserve,
you
can
obligate
These
funds.
So
then
we're
obligated
to
give
you
them
like
you,
could
authorize
the
work
programs
and
potentially
spend
these
funds
in
the
reserve
and
then
you're
asking
us
when
you
need
to
pay
it
to
take
it
out
of
the
reserves.
O
A
E
As
far
to
approve
the
revision.
Let
me
get
the
correct
numbers
here:
the
full
42.8
million
to
a
new
dedicated
Reserve
category
for
the
use
in
future
fiscal
years,
and
also
with
the
caveat
of
putting
that
this
as
they
move
forward.
This
should
be
an
enhancement
in
the
in
the
next
budget.
A
A
A
C
Afternoon,
Danish
Schmidt
for
the
record.
This
work
program
requests,
14
million
five
hundred
and
twenty
thousand
dollars
to
help
us
address
the
needs
for
dual
diagnosed
individuals
with
intensive
support,
needs,
I.
Think
there's.
Some
clarity.
I'd
like
to
add
is
that
the
520
000
of
the
funding
will
be
used
to
contract
with
the
vendor
to
help
us
create
a
request
for
proposal
as
well
as
work
with
us
to
move
any
Services
into
our
waiver
so
that
we
can
sustain
any
services
that
are
identified
through
this
project.
C
A
Okay,
thank
you.
Someone
Carlton.
E
C
Schmidt,
for
the
record,
so,
like
I,
said,
really
is
identifying
what
services
and
that's
part
of
what
this
vendor
will
help
us
do
is
identify
the
services
that
are
needed,
that
we
can
move
into
our
current
Medicaid
waiver
for
sustainability.
A
What
okay,
let
me
in
addition
to
that,
can
you
discuss
how
you
would
ensure
alternative
funding
is
in
place
so
that
the
provisions
of
intensive
behavioral,
Support
Services
not
interrupted
when
the
American
Rescue
plan
act,
fund,
Runs
Out?
A
C
C
Schmidt
for
the
record,
so
I
think
that's
one
of
the
challenges
we
have
I
guess
it
might
help
if
I
explain
a
little
bit
about
the
service
Provisions
that
we
do
for
people
with
intellectual
disabilities,
we're
finding
more
and
more
people
unable
to
receive
services,
so
we're
seeing
money
go
unspent.
Even
though
we
have
the
money.
Our
wait
list
is
getting
higher
because
there's
no
providers
out
there.
So
the
purpose
of
this
is
really
to
find
providers
that
have
a
higher
level
of
specialty
services
to
help
us
with
those
intensive
support
needs.
C
L
You
thank
you
Mr,
chair,
so
I
appreciate
you
bringing
this
forward.
I've
had
some
bills
that
amended
the
state
plan.
You
know
for
Medicaid
and
I
feel
like
we're
always
trying
to
catch
up
on
what
other
states
are
doing
and
we're
not
necessarily
maximizing
the
potential
resources
to
the
state
with
the
match
matching
dollars
that
we
can
get
so
I
appreciate
you
bringing
this
forward
and
I
think
we
should
be
doing
more
of
this
is
really
an
assessment
of
what
we're
doing,
how
we're
doing
it.
L
A
A
H
Ahead
good
afternoon
for
the
record
Melissa
law
for
Lewis
administrative
Services
officer
for
the
division
of
healthcare,
finance
and
policy,
this
work
program
creates
supplemental
payments
for
skilled
nursing
facilities,
as
well
as
Nevada
assisted
living
facilities
So.
Currently,
these
facilities
have
had
major
costs,
increase
the
last
several
years
due
to
the
pandemic,
as
well
as
other
items,
and
our
Medicaid
rates
have
not
increased
to
the
level
to
help
support
the
increases
that
they're
facing.
H
So
this
work
program
would
create
supplemental
payments
to
help
offset
that
set
some
of
the
losses
that
they
have
faced
the
last
couple
of
years.
This
this
request
also
includes
a
contractual
position
that
will
manage
these
supplemental
payments
and
work
with
the
stakeholders
regarding
the
program
specifics.
So
with
that
I
would
be
happy
to
answer
any
questions.
A
H
A
H
Let
me
move
so
I
can
see
it
so
the
absolutely
legitimate
need
here
and
no
like
the
idea
that
you're
gonna
bring
someone
into
the
office,
hire
them
via
contract,
to
establish
a
supplemental
payment
programs
to
the
assisted
livings
and
to
the
nursing
facilities.
I
guess
the
the
first
question
I
have
is,
it
looks
like
there's
already
been
a
decision
that
all
facilities
would
be
included,
even
those
who
don't
take
or
service
Medicaid
patients.
I
Yes,
good
afternoon,
I'm
Dr
caporo
for
the
record.
Thank
you
for
the
question.
So
we
worked
with
the
industry
to
create
this.
This
request,
that's
before
you,
so
that
they
can
focus
their
resources
generally
on
funding
and
Recruitment
and
Retention
for
their
caregivers
and
long-term
care
facilities.
We
do
understand
the
limitation
that
not
all
of
these
facilities
are
enrolled
with
Nevada
Medicaid.
I
If
that
is
a
condition
of
this
committee,
that
we
should
prioritize
those
individuals
that
are
enrolled
with
Nevada
Medicaid
or
make
other
conditions
of
participation,
we
would
be
happy
to
consider
those.
This
is
an
area
that
we
have
struggled
with,
because
Nevada
Medicaid
would
have
to
in
the
providers
that
are
not
enrolled
with
Nevada
Medicaid
would
need
to
go
through
the
controller's
office
to
enroll
in
order
for
us
to
provide
them
with
payment.
I
But
we
would
leave
that
suggestion
to
the
committee.
If
you
do
not
feel
that,
as
in
as
an
industry
at
large,
there
would
we
benefit
in
providing
a
supplemental
payment.
H
Do
you,
could
you
tell
me
so,
do
you
the
the
there's
two
different
types
of
providers
here,
the
the
nursing
facilities
and
then
the
assisted
livings
with
the
nursing
facilities?
Do
you
have
an
idea
of
how
many
of
those
licensed
facilities
are
are
do
not
take
Medicaid
patients.
I
Dr
Pearl
for
the
record.
Thank
you
for
the
question.
Yes,
we
do
so
we
have
three
nursing
facilities
that
are
not
enrolled
with
Nevada
Medicaid.
I
H
The
logic
for
me
doesn't
follow
that
the
non-medicaid
facilities
would
get
the
supplement,
I
and
I
I
think
the
workforce
issues
are
legitimate,
whether
they're
taking
whether
the
facility
takes
Medicaid
recipients
or
not,
but
we
just
know
for
those
that
do
take
Medicaid.
We
we
know
more
that
because
we
pay
the
rate
and
what
we
reimburse
them
at
the
state.
There's
kind
of
that
direct
correlation
between
what
the
state
pays
for
their
Medicaid
rate
and
and
not
covering
the
cost
of
care
for
the
services
that
they
provide.
H
So
to
me,
it
would
make
a
lot
of
sense
to
focus
this
on
the
on
those
that
take
the
those
that
have
Medicaid
patients
in
or
residents
in
their
facility.
H
I,
don't
know
if
there's
a
compelling
reason
for
the
for
the
the
facilities
are
non-medicated
to
be
part
of
this.
The
second
thing
is
and
I
appreciate:
I've
got
here
in
the
workup
information
from
the
association
and
really
great
numbers
on
the
workforce
and
talking
about
the
need
to
get
more
resource
to
the
workforce.
H
So,
as
a
legislator
am
I
sitting
here
with
the
expectation
that
the
supplements
will
end
up
in
the
hands
of
the
workforce
or
do
we
know
more
about
how
these
dollars
translate
to
what
I'm
being
given
about
the
ability
to
retain
and
keep
and
the
wages
of
the
workforce,
Melissa
law
for
Lewis
for
the
record.
So
once
we
make
the
supplemental
payments
to
Providers.
H
Unfortunately,
we
cannot
mandate
that
any
any
portion
of
that
goes
directly
to
staff
increases,
but
we
would
of
course,
recommend
that
okay
and
so
I
support
this
I
really
think
that
they
that
we
need
to
focus
on
the
Medicaid
facilities
exclusively
because
then,
once
the
the
reimbursement
comes
and
the
supplement
hits
those
facilities
in
some
way,
it
will
benefit
the
workforce.
I.
H
So
I
guess
chair
would
be
happy
to
make
a
motion,
but
I
guess
within
the
motion
and
maybe
staff
could
help
me.
Is
there
a
way
to
distinguish
that
for
do
well,
I
guess
and
sure
confirm
with
me
that
we
have
the
discretion
to
do
that
and
if
we
have
the
discretion
to
do
that,
then
how
would
I
ensure
that
the
motion.
H
H
A
A
E
H
E
E
I
understand
wanting
to
give
a
supplemental
payment,
hoping
that,
because
of
the
workforce
shortage,
that
these
entities
will
use
those
dollars
to
raise
the
pay
to
be
able
to
incentivize
people
to
come
to
work
for
them,
I'm
hoping
that's
what
it
would
be,
but
there
are
some
operators
that
that
may
not
happen
with
and
there's
I
know,
there's
no
way
of
us
guaranteeing
it,
but
we
will
be
able
to
evaluate
it
in
the
future.
E
I
hope-
and
you
can
confirm
this
with
me-
that
if
we
do
give
the
supplemental
payment
to
them,
whether
it
actually
did
make
it
to
the
workforce
or
not
so
I-
think
we're
gonna.
This
Committee
in
the
future
is
going
to
want
an
answer
to
that
question.
But
to
me,
if
Medicare
is
that
close
to
Medicaid?
If
there
isn't
that
big,
a
payer
difference,
then
there's
still
an
impact?
H
A
Dr
Titus.
O
Thank
you.
Thank
you.
Mr
chair
after
30
years
as
a
long-term
care,
medical
director,
I
can
say
that
Medicare
doesn't
pay
for
most
Assisted
Living
needs
and
so
comparing
them
to
Medicaid.
It's
not
comparing
Apples
to
Apples,
so
Medicare
will
pay
for
certain
skilled
levels
and,
as
you
mentioned
a
certain
amount
of
days,
but
it's
a
totally
different
issue
when
it
comes
to
Medicaid
paying
for
assisted
living
and
patients
that
have
been
in
my
long-term
care
literally
for
years,
and
so
there's
a
distinct
distinction
there.
A
F
Yes,
thank
you
and
and
I
apologize,
I
Heard
the
question
but
I
I
I
could
I
be
reminded
of
the
question.
H
Yeah,
thank
you
so
much
so.
The
the
question
is
within
the
we've
got
the
work
program
in
front
of
us.
As
stated,
the
question
is
whether
or
not
we
have
discretion
in
this
committee
through
emotion,
to
say
that
we
would
want.
F
Yes,
I
think
that
the
IFC
would
have
the
authority
to
do
that
through
a
motion
to
to
condition
approval
of
the
work
program
on
that
condition.
So
I
think
that
could
be
done
through
emotion,.
A
Okay,
we
have
a
question
senator
gantzer.
L
Mr
chair
since
we're
talking
about
this
and
how
we
do
it
the
way
this
was
proposed,
at
least
how
I
read
it.
You
were
dividing
it
up
between
the
different
institutions
versus
a
temporary
rate
increase
per
person
right.
So,
if
you
just
if
you
say,
there's
five
institutions,
one
has
a
hundred
one
has
200
one
has
500.
if
it's
block
amounts
dividing
by
the
number
five
versus
the
head
count
of
of
people.
L
L
Thank
you
if
I
continue
so
going
back
to
the
bed
day
rate
under
the
proposal
that
assembly
one,
but
he
has
Thompson,
is
suggesting
it
almost
seems
like
that,
should
be
limited
to
Medicaid
patients
versus
all
patients.
But
I
guess
that's
a
question
for
this
committee:
all
patients
versus
just
Medicaid,
if
we're
talking
about
trying
to
serve
the
Medicaid
population.
Thank
you.
A
Let's
Mr
Whitley
our
director
Whitley.
Would
you
chime
in
on
this
sure.
D
Director
Richard
Whitley
for
Department
of
Health
and
Human
Services
I
mean
first
just
to
back
up
a
little
I
think
we're
trying
to
address
two
problems
with
this
work
program.
One
is,
as
you
probably
know,
during
the
pandemic
tough
time
getting
people
discharged
from
hospitals,
primarily
people
are
discharged
from
hospitals
if
not
to
home
than
to
Skilled,
Nursing
or
assisted
living,
and
so
the
the
inability
of
those
facilities
to
hire
staff
does
impact
the
flow
within
the
Health
Care
System.
D
The
second
part,
is,
you
know,
Medicaid
will
pay,
is
the
primary
payer
for
skilled
nursing
facilities,
nursing
homes,
but
you
have
to
be
eligible
first,
which
means
you
have
to
pay
out
of
pocket
and
tell
you
qualify
for
Medicaid,
so
I.
Don't
necessarily
think
that
the
marker
of
whether
a
facility
may
be
taking
medicaid
is
an
indicator
of
whether
they
will
see
people
who,
maybe
are
are
struggling
financially.
I
mean
it's
not
it's
not
like
other
markets
per
se.
D
I
just
feel
the
need
to
to
lay
that
out
that
these
are
all
licensed
facilities
and
they
do
sometimes
take
people
that
pay
out
of
pocket,
but
they're
pending
Medicaid
or
they
may
then
be
eligible
for
Medicaid.
So
it's
a
it's
a
it's
a
little
different
landscape,
I
think
with
Assisted
Living
than
in
other
health
with
other
health
care
providers.
H
K
H
So
almost
the
entirety
of
that
facility
type
is
going
to
get
the
supplement
right
and
if
and
I,
hear
what
you're
saying
that
even
for
those
three
that
may
not
present
linger
generally
or
take
like
through
the
front
door,
admit
folks
with
Medicaid
at
some
point
they
might
have
people
come
Medicaid,
I
I,
believe
that
I
think
where
I
have
more
of
the
problem
and
I
guess
more
less
of
an
understanding
or
an
appreciation
is
on
the
Assisted
Living
side
with
two.
H
We
have
185
facilities
that
we
know
that
have
Medicaid
patients
and
207
that
don't
so
we're
talking
about
this
pot
of
money
really
being
diluted.
If
we
have
207
assisted
livings
that
that
don't
have
Medicaid
patients
getting
a
supplemental
payment
for
Medicaid,
that's
that's
where
I
feel
more
of
the
rub.
H
I
guess!
If
we
so
I
guess,
is
that
what
you
were
talking
about
still
still
true,
because
as
I
know,
the
assisted
livings
it's
unless
someone's
in
spend
down.
But
we
hypothetically
don't
have
spend
down,
I
mean
on
paper,
spend
down,
but
we've
got
families
planning
spent
down.
I
just
don't
know
how
this
Gates
Medicaid
patients
through
the
Assisted
Living
door.
D
For
the
record,
Richard
Whitley
I
think
you
know,
although
managed
in
Medicaid
I
I,
don't
think
we
were
trying
to
enhance
the
Medicaid
system
or
the
provider
Network.
We
were
really
trying
to
address
two
challenges.
D
So
we
all
know
they
provide
a
standard
of
care
they're
all
inspected,
but
we
also
saw
this
internally
as
perhaps
a
tool
to
actually
engage
more
of
the
providers
through
this
relationship.
I.
H
Appreciate
that
I
guess
and
maybe
to
and
I
see,
Miss
Genie,
Bishop
priest
appear
so
I
know
I'm
about
to
get
a
Stern
talking
to.
Maybe
I
should
couch
it
like
this.
Maybe
I
should
couch
it
like
this
that
when
you
are
thinking
of
that
supplemental
payment
and
I,
imagine
you're
you're,
hiring
someone
and
you're
you're
Contracting
someone
to
come
up
with
what
that
payment
will
be
I.
Think
a
consideration
when
you're
looking
at
assisted
livings
are
those
that
I
mean
there's
a
a
big
community
of
assisted
livings.
H
Those
that
charge
north
of
ten
thousand
dollars
a
month
are
completely
private.
Pay
and
I
know:
there's
never
going
to
be
a
Medicaid
patient
in
there.
I
know
it
right
versus
those
assisted
livings
that
are
maybe
charging
three
thousand
dollars,
and
then
they
will
keep
someone
there
on
one
of
the
waivers
when
they
start
to
deplete
funds
and
transition
over.
So
there
just
has
to
be
that
distinction
right.
I
don't
want
the
ones
that
are
the
you
know
private,
paying
in
that
very
high
monthly
fee.
H
They
don't
need
the
Medicaid
supplement,
but
but
if
you
there,
you
see
a
space
where
there
are
some
of
those
who
don't
take
Medicaid
that
could
take
Medicaid
and
you
want
to
build
them
into
that
supplement.
H
I,
guess:
okay,
it's
it's
still
just
207
who
don't
have
Medicaid
patients
right
now
and
so
I
I
worry
that
we're
diluting
a
payment
when
185
assisted
livings
that
really
do
take
Medicaid,
that
more
money
could
be
focused
towards
them
and
they're.
Taking
the
patience.
I
This
is
Dr
caporo
for
the
record,
if
I
could
just
make
a
comment
on
that
I
I
do
think
that
there
is
value
in
providing
payment
across
the
industry
and
having
those
non-medicaid
providers
register
with
the
state
as
a
vendor
can
also
help
us
start
those
conversations
with
them
to
hopefully
become
Medicaid
providers,
but
I
think
this
request
is
really
about
the
delivery
system.
Support
and
I
think
the
comment,
perhaps
about
a
tiered
system
of
of
payment.
I
Q
The
attention
of
the
IFC
I
am
Jeannie
Bishop
Paris,
b-I-s-h-o-p,
hyphen,
Paris
p-a-r-I-s-e
I
was
licensed
number
156
for
nursing
facility
administrators
in
the
state
of
Nevada,
signed
by
license
number
two
and
number
four
I
have
taken
care
of
Nevada's
vulnerable
population
since
1984,
when
I
returned
to
the
state
from
getting
my
training
out
of
state,
that's
the
only
time
that
I've
left
the
state
I
am
a
nebadan
through
and
through
and
I
was
my
High
School
Valedictorian.
Q
At
a
time
when
there
weren't,
really
scholarships
available,
I
got
the
thousand
dollar
Fleischmann
scholarship
from
my
small
High
School.
Q
The
health
care
treatment
of
our
seniors
has
really
evolved
in
the
state
since
that
time.
But
what
you've
seen
is
when
I
was
an
administrator
in
the
early
1980s,
the
reimbursement
was,
you
know,
maybe
half
private
pay
and
the
rate
was
eighty
dollars
a
day
and
then
the
Medicaid
Program
evolved
and
the
reimbursement
structure
and
it
morphed
to
where
now
really
in
a
skilled
setting.
It's
you
know
it's
250
Plus
answer
is
a
day
and
so
that's
very,
very
cost
prohibitive.
Q
Is
they
really
have
the
ones
that
are
there,
because
that's
the
only
place
that
they
can
get
care,
we're
pushing
it
down
to
the
Assisted
Living
level.
Now
I
was
one
of
because
I
I
took
care
of
one
of
Nevada's
first
AIDS
residents,
my
company
sawing
me
a
resource,
and
so,
when
covet
first
broke
out,
I
had
a
new
administrator
at
our
sister
facility
in
Redmond
Heights
that
had
two
employees
that
were
also
working
at
the
life
care.
Q
Q
You
know
higher
grade
products,
getting
that
unit,
deep
cleaned
and
and
then
restaging
it
so
that
there
would
not
be
another
outbreak,
and
then
we
also
had
to
have
a
sitter
with
each
of
those
ones
that
returned
after
comprehensive
care
plan
and
oversight
and
release
from
the
hospital
that
they
wouldn't.
You
know,
infect
anybody
and
Memory
Care
dementia
behavioral
is
a
very
you
know,
difficult
group
to
provide
services
for
one
of
the
other
things
that
we
did
with
the
legislature.
Q
Here
was
we
got
a
3
500
a
month
rate
for
memory
care
for
level,
four
Medicaid,
but
the
private
Assisted
Living
such
as
I
operated
for
10
years,
really
take
advantage
of,
and
they
have
the
ones
that
maybe
you
know
only
make
Twenty
One
Hundred,
which
puts
them
over
the
the
Medicaid
rate.
And
then
you
add
to
that.
The
veterans
Aid
in
attendance
benefit,
that's
for
them
and
you
can
get
the
rate
at
about.
You
know
3,
500
and
so
I.
Q
Don't
think
that
that
those
of
us
Innovative
private
providers
that
have
and
I
was
the
only
facility
in
the
state
of
Nevada
that
won
a
National
Quality
award
in
2020
we've
been
incurring
costs
for
covet
and
keeping
our
population
safe
and
not
having
outbreaks
and
deaths
since
the
beginning
of
2020.
So
I
say
that
you
know
the
license
beds.
Assisted
Living
do
perform
a
service
and
they
do
benefit
the
Medicaid
pot
of
money
because
people
can
live
out
and
stay
with
us.
Even
though
we're
not
a
Medicaid
provider.
Q
Some
of
us
now
and
I'm
not
saying
that
you
should
you
know,
give
us
ten
thousand
a
month
because
that's
not
within
our
charge
structure
but
I.
Think
it's
fair
to
say:
okay,
the
nursing
facility
rate
is,
you
know,
250
a
day,
the
average
Assisted
Living
rate
I
think
our
costs
were
a.
A
We're
getting
a
little
off
track
here,
we're
on
we're
trying
to
decide
on
this
budget
item.
So
we
appreciate
your
comment:
that's
probably
more
appropriate
for
public
comment,
but
so
I
need
to
get
us
back
on
track.
So
I,
don't
I,
don't
know
where
we
were
at
I
believe
that.
A
H
Well,
I
guess:
I
just
want
to
check
back
with
with
Mr
Whitley
on
the
the
207
assisted
livings
that
don't
have
the
Medicaid
patients
and
then
we
we
don't.
We've
got
some
idea
of
what's
going
to
be
happening,
the
workforce
cost
I.
Think
assembly.
When
mccarlton
has
the
question
out
there
too
about?
How
do
we
know
that
this
goes
down
to
the
workforce?
Cost
right
for
me,
I
see
more
of
a
direct
flow
with
the
185
assisted
livings
that
take
Medicaid
patients.
H
D
For
the
record,
Richard
Whitley
director
for
the
Department
of
Health
and
Human
Services
I
think
we
could
go
back
and
develop
a
tiered
program
that
would
supplement
those
that
don't
take
Medicaid
less
and
continue
to
incentivize
them
to
enroll
in
Medicaid
as
a
provider
and
and
work
with
them.
But
we
could.
We
could
definitely
develop
a
plan
that
includes
a
tiered
system.
That
would
would
be
inclusive,
all
licensed,
assisted
living,
but
would
have
a
distinction
for
those
that
accept
Medicaid
versus
those
that
do
not.
A
The
the
Medicaid
rate,
okay,
I,
think
I
think
we
have
a
plan
here.
Vice,
chair
Carlton,
you
wanna
attempt
a
motion.
E
So
there
seems
to
be
a
lot
of
questions
and
we
all
want
to
be
able
to
get
the
money
to
the
right
people
and
be
able
to
support
the
folks
that
are
supporting
nevadans,
who
do
take
Medicaid
and
director
Whitley
I,
like
your
idea
of
a
stratified
type
system.
I
think
what
might
work
for
the
committee
just
for
us
to
think
on
is
to
take
this
money
and
put
it
in
a
a
segregated
or
designated
Reserve
within
your
budget.
E
Go
ahead
and
give
it
to
you
within
your
budget
set
aside
for
this,
and
then
you
could
come
up
with
that
stratified
plan
in
order
to
be
able
to
do
it.
That
way,
we
don't
slow
you
down
by
making.
You
come
back
in
January
because
I
don't
see
an
IFC
in
December,
but
I'm
getting
a
look
from
staff.
So
that
tells
me
that
I
need
to
slow
my
roll
for
just
a
second
but
I.
We
want
you
to
be
able
to
use
these
dollars.
E
We
don't
want
to
slow
you
down,
but
we
also
want
to
make
sure
those
folks
get
out
of
the
hospital
get
into
the
proper
facility.
But
we
shouldn't
be
rewarding
people
who
don't
take
our
Medicaid
patients,
so
we're
trying
to
find
a
fine
line
here.
So
let
me
make
sure
that
I
have
the
language
correct
and
then
so
that
you
have
an
idea
of
where
I
think
we
need
to
try
to
go
so.
Give
us
just
a
moment
here.
E
So,
to
clarify
there
is
a
position
in
here
for
ninety
seven
thousand
dollars,
so
that
would
go.
We
would
process
that
we
would
take
the
balance,
put
it
in
that
designated
reserve
and
allow
you
to
come
up
with
this
stratified
plan
to
be
able
to
reward
the
different
or
to
be
able
to
use
the
supplemental
payment
system
with
with
the
other
entities.
E
L
Thank
you,
Mr
chair,
so
I
I,
think
that
sounds
reasonable,
and
what
I
was
hearing
is
part
of
what
you
why
you
want
to
incentivize
them
is
so
they
will
register
with
the
state
as
potential
Medicaid
providers
in
the
future
and
creating
that
connection
is
very
useful
and
having
a
tiered
strategy
makes
sense
to
me
so
I
think
that's
something,
and
then
they
do
the
personal
right
away.
So
I
would
agree
with
that.
Thank
you.
A
E
So
in
references
to
items
number
91,
92
and
93
I
would
move
for
approval
of
the
ninety
seven
thousand
dollars
to
go
towards
the
the
staff
cost
and
the
balance
and
Mr
Thorley
if
I
get
it
wrong
and
the
balance
go
into
a
segregated
Reserve.
In
order
for
the
agency
to
use
the
dollars
after
a
stratified
plan
has
been
developed
would
be
my
motion
just
just
a
second
ninety,
seven
thousand
six
hundred
and
twenty
three
dollars
yeah.
A
We
don't
do
sense
anymore,
all
right,
so
we
got.
We
have
a
motion
and
a
second
Senator
Council.
Okay,
further
discussion
on
the
motion:
Miss.
A
Okay,
yeah
any
other
discussion
hearing,
none
all
those
in
favor
say
aye
in
a
post,
say:
nay,
all
right
motion
carries
okay,
all
right,
so.
N
I
Good
afternoon,
chair
Dennis
and
members
of
the
committee
for
the
record,
my
name
is
Julie
ornelas
and
I'm.
The
program
administrator
for
the
Nevada
criminal
justice,
Information
System,
modernization
Program
also
here
with
me
today-
is
the
divisions,
ASO
Jason
Coleman.
We
are
here
to
present
what
the
work
program
and
answer
any
questions
that
you
may
have.
I
A
Okay,
senator
canitaro.
C
Modernization
project
had,
as
part
of
it,
the
fee
increase
for
civil
applicants,
doing
a
fingerprint
based
criminal
history
background
check,
it's
300,
it's
3.50,
not
350
3.50,
and
so
my
question
is:
if
these
arpa
funds
are
approved
for
this
modernization
project,
will
the
agency
continue
to
charge
that
additional
three
dollars
and
fifty
cents
for
civil
applicant
fingerprint
background
check
fees,
or
would
this
money
sort
of
take
the
place
of
that,
and
so
you
wouldn't
be
charging
that
fee
any
longer.
F
For
the
record
Jason
Coleman,
with
this
funding
being
available
in
fy24,
it
would
stay
in
place
during
the
FY
23
year
and
we
would
revisit
it.
During
the
legislative
session.
We
have
found
that
we
are
bringing
in
less
Revenue
in
in
certain
Revenue
GLS
and
Court
assessments,
especially
we're
projected
to
be
down
about
a
million
five
this
year.
So
we
would
like
to
revisit
that
during
the
upcoming
session.
C
I
Okay,
thank
you
for
the
record.
This
is
Julie
ornelas,
the
Insidious
modernization
program,
Staffing
structure
consists
of
eight
ftes,
eight
contracted
staff
and
three
Consultants.
I
The
program
is
scheduled
to
end
on
June
30
2025
and
once
the
modernization
program
is
complete
service
for
the
contracted
staff
and
consultant
team
members
will
end.
However
they'll
there
will
be
a
need
to
carry
forward
some
or
all
of
the
FTE
positions.
The
plan
and
structure
for
the
ftes
beyond
the
modernization
will
be
addressed
in
FY
2627
budget.
A
Okay,
any
other
question
yeah
yeah
so
and
I'm
just
going
to
ask
the
question
that
we
asked
Earl
that
we've
been
asking.
Everybody
on
these
projects
looks
like
you.
You
have
20.9
million
that's
set
aside,
but
not
for
the
current
fiscal
year,
but
for
the
future
is
that
correct.
A
If
we
did
the
similar
that
we've
done
with
the
previous
ones,
put
it
in
a
special
category,
Reserve
category,
so
that
you
could
then
do
a
work
program
to
to
to
expend
that
at
that
point
with
that,
is
there
any
issues
with
you
as
far
as
doing
that.
A
E
You
I'm
Mr,
chairman
I'm,
sorry
I,
guess:
I
got
a
little
bit
confused
about
3.50
fee.
The
Civil
applicant
fingerprint
background
check
fees,
probably
being
one
of
the
few
people
in
here.
That's
been
fingerprinted,
so
I
can
serve
bloody,
Mary's
and
club
sandwiches
just
kind
of
curious
about
whether
that
350
is
going
to
stay
going
to
go.
Have
you
not
decided
yet
what's
the
plan
and
if
I
missed
it
I
apologize.
F
For
the
record,
Jason
called
it.
It
is
something
that
we
will
do
an
analysis
of
and
revisit
during
the
session,
because
the
money
is
not
available
to
us
until
July
1
2023,
which
is
fiscal
year,
24.
that
350
we
plan
on
keeping
in
place
until
the
end
of
fiscal
year
23..
So,
during
the
upcoming
session,
we
will
provide
an
analysis
of
The,
increased
fees
and
and
where
our
reserves
stand
and.
E
E
So
this
is
going
to
sound
familiar
I
would
move
that
20.9
million
be
moved
into
a
Reserve
account
and
have
have
the
agency
come
forward
to
request
it
in
the
future.
A
H
Thank
you
so
much.
This
is
just
and,
and
thank
you
for
coming
up,
it's
it's
kind
of
a
question
and
it
it's
more
meant
to
be
about
the
language.
That's
within
the
it
looks
like
the
the
scope
of
budget
for
the
Actuarial
and
so
I
know
we're
this.
We
we
very
much
need
this.
This
is
this
the
provider
text
and
then
the
reassessment
back
out
is
going
to
be
very
important.
This
is
good
work.
H
I
just
got
nervous
because
in
in
some
places,
Mercer
is
really
qualifying
some
of
their
deliverables
and
so
I
just
kind
of
want
it
on
the
record
that
this
is
something
that
I
I
know
you
guys
will
obviously
be
watching,
but
the
legislators
on
the
panel
also
watch
as
well,
because
this
is
one
of
those
longer
contracts.
All
of
the
bullet
points
for
deliverables
and
23,
24
and
25
look
almost
identical.
You
know
they
they
talk
about.
You
know
there
being
a
lot
of
uncertainty,
so
things
in
the
budget
might
need
to
move
around.
H
Adjustments
are
going
to
be
made
as
needed,
and
you
know
the
scope
might
change
and
things
are
going
to
evolve
and
so
I.
It
felt
a
little
squishy
to
me
and
I
guess:
I
just
needed
to
hear
reassurance
from
you
that
you're
having
good
conversations
with
the
contract
vendor
there
seems
to
be
very
much
a
solid
plan.
Moving
forward
and
I
shouldn't
be
worried
about
I
shouldn't
be
worried
about
this
at
all.
I
guess
is
what
I
want
to
hear
for
the
record
Melissa
Laffer
Lewis,
so
just
to
start.
So
this
is
a.
H
Sorry
better,
this
is
a
major
initiative.
I
mean
we.
We
got
Authority
for
this
particular
program
through,
let
let
the
legislature
several
years
ago,
and
so
we
have
been
working
diligently
with
the
hospitals
to
come
up
with
the
program
as
we've
continued
those
conversations
and
got
a
semi-formal
approval
vote.
H
We
have
begun
looking
at
what
the
process
is
to
actually
implement
this
project,
and
so
we
really
need
technical
assistance
from
our
actuary,
because
there
there's
two
different
sides
of
the
house:
one
is
payments
will
be
released
via
fee
for
for
our
fee
for
service
population
which
are
going
to
be
supplemental
payments,
and
then
we've
got
our
Managed
Care
side
of
the
house.
That
requires
a
state
directed
payment,
all
of
which
gets
approved
through
CMS.
H
So,
while
I
understand
the
deliverables
using
your
words
sounds
squishy,
really
there's
so
many
unknowns
as
we
go
into
these
negotiations
with
the
hospitals
and
and
being
able
to
validate
okay,
we
have
initial
estimates
from
the
hospitals
of
certain
dollars.
What
that
ends
up
being
in
terms
of
payments
and
taxes
is
likely
going
to
change,
and
we
want
to
make
sure
that
we
have
the
technical
assistance
to
be
able
to
create
a
solid
program
that
will
be
approved
by
the
feds
moving
forward.
H
Thank
you
so
much
and
the
hospital
Association
it
looks
like
has
their
own
consultant,
helping
them
with
this
project,
and
so
the
Mercer
I
guess
they're
being
hired
by
the
state,
and
this
is
to
make
sure
that
the
state
has
the
assistance
and
resources
they
need
as
they
move
forward
with
this
project
right
it's.
This
is
kind
of
our
our
guy.
In
the
conversation,
if
you
will
Melissa
offerless
for
the
record,
that
is
correct.
Okay,
all
right
thanks.
A
C
C
Okay,
okay
I
understand.
Excuse
me.
This
request
will
be
sub
awarded
to
the
Vegas
strong
resiliency
Center
for
Capital
Improvements
to
improve
and
increase
services
for
Nevada's
victims.
It
will
also
fund
temporary
staff,
a
project
manager
and
Associate
expenses
through
December
2026..
The
center
currently
exists
to
address
trauma
and
respond
to
and
prevent
violence,
but
needs
to
be
scaled
to
meet
the
increasing
needs
of
the
community
if
funded
the
center
will
provide
a
high
quality
professional
One-Stop
shop
for
victims
to
receive
wraparound
support
provided
by
the
people
and
organization
who
were
awarded.
C
A
C
A
I
think
we
could,
let's
get
to
the
questions,
and
probably
probably
what
you're
going
to
cover
is
probably
going
to
be
covered
there.
So
assemblyman
Roberts
thank.
F
You
chair
and
I
really
enjoy
your
work.
The
stuff
that
you
do
there
is
phenomenal
and
I
certainly
support
everything
that
you're
doing
and
wants
to
get
you
in
a
permanent
home
Mike.
My
question
is,
and
it's
a
total
for
the
project
is
almost
17.5
million,
the
ask
by
the
state
7
million
and
in
their
the
federal
government's
pitching
in
some
and
then
there
were
some
pledges.
C
F
So
just
another
follow-up
is
is:
if,
if
you
don't
get
the
additional
monies,
then
what
do
you
do?
What
do
you
do
with
the
project
so
now.
K
C
Nil
Pereira
for
the
record,
we
feel
very
confident
that
we
will
raise
the
funds
that
are
needed
for
the
full
scope
of
the
building
that
has
been
proposed.
If
we
didn't
get
that
amount,
we
do
have
you
know
through
legal
aid,
so
we're
managed
and
operated
through
the
legal
aid
center
of
Southern
Nevada.
For,
for
just
an
example,
our
main
building
has
no
mortgage
on
it.
They
raise
the
funds
for
that
through
philanthropy
as
well.
So
we
feel
very
confident
we
will
raise
it.
C
However,
if
we
don't,
we
have
looked
at
other
options
and
we
feel
very
confident-
and
we
are
committed
to
this-
this
project.
Okay,.
C
So
I
believe
there's
funding
in
the
request
for
project
management,
but
to
be
clear
also,
we
do
have
experience
in
that
our
Chief
Financial
Officer
has
already
overseen
the
building
of
our
our
main
legal
aid
building,
as
well
as
some
build
outs,
it's
very
complicated
ones
with
government,
so
I
feel
very
confident.
We
have
the
expertise
for
that,
but
I
will
turn
it
over
to
Dr
pitlock.
C
C
To
know
prayer
for
the
record,
thank
you
for
that
question.
We've
actually
started
looking
at
it.
We
have
designs
that
have
been
presented
to
us
looking
at
what
would
fit
the
need
best.
Our
architect
is
Craig
glotti.
He
did
our
last
building
as
well,
and
we
have
already
started
working
also
with
HUD
for
the
three
million
appropriation
through
the
federal
government.
So
you
know
we
we're
going
to
get
started
right
away.
E
C
No
Pereira
for
the
record.
Thank
you
for
the
question.
I
will
clarify
so
right
now
we
have
a
three
million
dollar
Federal
appropriation
and
we
have
begun
the
process
with
HUD
on
that
appropriation.
C
This
would
put
us
at
about
what
9.5
so
we're
going
to
be
moving
forward
if
we're
looking
as
we
look
to
other
philanthropy
for
those
funds
or
to
other
assets
that
legal
aid
already
has,
then
we'll
do
that,
but
we're
not
going
to
stall
the
project
for
that
remaining
piece.
If
that
makes
sense,
and.
E
And
thank
you
Mr
chairman,
and
you
know:
I
Echo
assemblyman
Roberts
comments
where
we're
all
very
supportive,
but
typically
how
the
committee
processes
these
things
is.
We
would
set
the
money
aside.
Have
you
go
raise
the
money
and
then
come
back
to
us
and
say:
okay,
here
we
are,
can
we
have
that
and
by
setting
the
money
aside
for
you,
it
allows
you
to
go
to
the
other
funders
and
say
Hey?
Listen.
E
C
To
nil
Pereira
for
the
record,
so
the
way
that
would
work,
then
is
it
would
be
set
aside.
Some
of
the
previous
ones
I've
been
listening
to
today.
I,
don't
believe
so
it
would
be
dedicated
to
the
project.
Correct,
correct,
I,
don't
think
so.
E
Because
a
committee
and
Mr
chairman,
that's
that's
typically
how
we've
done
it
in
the
past
is
we've
okayed
the
dollars
set
them
aside?
Had
you
go
raise
a
portion
of
that
come
back
and
say:
we've
raised
this:
do
a
work
program?
Have
it
come
back
and
then
we
would
go
from
there.
So
in
the
vein
of
all
the
other
programs
that
we've
done
today,
that
that
would
be
where
I
would
be
leaning
in
at
this
time.
E
A
C
Q
F
A
Okay,
so
we
have
a
a
motion
from
Simone
Roberts,
second,
from
senator
canizarro,
further
discussion
on
the
motion.
Yes,.
A
K
You
Mr,
chair
and
I'll,
be
quick
I
just
wanted
to
recognize
the
work
done
by
the
resiliency
Center
and
if
you
haven't
had
a
chance
to
go
there
when
you're
in
southern
Nevada.
You
should
definitely
stop
in,
and
you
know
now
that
we
just
passed
the
five-year
anniversary
of
October.
One
I'm
excited
about
this
project.
I
think
the
vision
for
this
space
and
where
it's
going
to
be
located
is
just
going
to
be
something
amazing.
K
They
do
amazing
work
in
the
space
they're
in
now,
but
it's
in
a
very
busy
area
off
of
Charleston
and
I.
Think
this
this
project
is
is
really
exciting
and
it's
going
to
help
support
those
impacted
by
that
tragedy
for
years
to
come.
So
I
just
wanted
to
take
that
opportunity
to
thank
you
for
the
work
you're
doing.
O
Thank
you,
Mr
chair
for
the
question,
I
definitely
appreciate
what
you've
done
and
what
you're
planning
to
do
in
the
future.
It's
it's
a
kind
of
a
long-term.
You
don't
get
over
this
a
situation
like
this
in
a
day.
O
My
question
is:
do
you
still
have
relationships
with
the
visitors
that
were
not
in
the
state
of
Nevada?
This
is
one
concrete
location
and
well
any.
Besides
the
building
itself,
any
of
the
money's
being
spent
to
reach
all
of
those
folks
who
came
from
out
of
state.
C
To
no
prayer
for
the
record
I
appreciate
the
question
we
are
still
connecting
with
people
all
over
the
world
from
this
tragedy,
we're
still
hearing
on
at
least
a
weekly
basis
from
individuals
that
have
never
been
connected
with
our
services
because
they
didn't
live
in
the
area
we
connected
with.
So
many
people
over
this
five-year
remembrance-
and
it
was
just
you
know,
eye-opening,
it's
always
eye
opening
for
us.
We
continue
to
be.
C
C
So
we
will
continue
to
be
there
and,
and
that's
one
of
the
pieces
of
this,
we
wanted
to
have
something
permanent
for
all
of
Nevada,
for
whether
there's
a
mass
violence
incident-
or
it's
just
you
know
a
regular,
violent
victimization
from
someone
in
the
state
that
they
get
those
wrap
around
support
services,
but
also
recognizing
that
you
know
that
mass
incident
was
so
horribly
impactful
that
we
need
to
be
here
long
term
and
not
just
when
the
Federal
grant
Runs
Out.
A
C
D
D
The
governor
is
committed
to
ensuring
the
state
of
Nevada
has
a
comprehensive
Continuum
of
Care
for
mental
health
services
across
the
state.
As
part
of
that
commitment,
the
governor
has
worked
with
the
Department
of
Health
and
Human
Services
and
all
interested
parties,
including
the
Nevada
Supreme
Court
s
across
the
state
public
defenders
from
across
the
state
and
district
attorneys.
D
Together,
we've
identified
a
long-term
solution
to
the
long-standing
and
increasing
need
for
forensic
bed
capacity,
which
provides
complex
psychiatric
care
and
treatment.
What
you
have
before
you
today
reflects
that
work.
As
you
know,
the
state
of
Nevada
is
a
provider
of
these
services
pursuant
to
NRS
178.425.
D
D
The
increase
in
availability
of
treatment
will
reduce,
wait
lists
in
our
legal
system
across
the
state
and
support
Public,
Safety
and
communities
with
me
to
help
answer
questions
today.
Any
regarding
this
proposal
are
Bailey
Borderland,
our
Deputy
Chief
of
Staff
to
the
governor
and
Lisa
sherich
administrator
of
the
division
of
public
and
Behavioral
Health.
F
Thank
you,
chair
I
have
a
couple
of
questions
here.
First
of
all,
can
you
clarify
who
would
be
responsible
for
the
oversight
management
of
renovating
the
city
of
Las
Vegas,
Detention
Center?
That's
where
it'll
be
correct,.
D
Correct
it
will
be
in
a
standalone
building
on
the
campus
of
the
Las
Vegas
City
Jail,
not
the
Clark
County
Detention
Center.
The
I
would
turn
to
Lisa
Miss
cherish
regarding
the
renovations.
S
F
Okay,
good
too,
thank
you.
What
is
the
anticipated
building
lease
expenditure
for
this
to
acquire
the
space.
P
Bailey
bordelin
for
the
record.
We
have
been
working
with
the
city
of
Las
Vegas
on
General
behavioral,
health
concerns
and
I.
Think
you'll
see
that
on
the
next
items
as
well
that
just
in
order
to
increase
access
to
Services
there's
been
a
real,
healthy
partnership
there
and
in
that
Spirit
the
city
of
Las
Vegas,
has
offered
a
50-year
no-cost
lease
to
allow
us
to
provide
these
services
to
the
community.
P
I
I
say
that
with
a
lot
of
gratitude,
because
the
distinction
is
important
that
the
city
of
Las
Vegas
jail
is
for
misdemeanors,
so
this
isn't
necessarily
an
obligation
they
have
to
provide.
Typically,
the
population
that
is
served
here
is
the
responsibility
of
the
county,
and
then
this
service
itself
is
the
responsibility
of
the
state.
F
And
the
work
program
doesn't
include
funding
for
rent
in
expenses
or
anything
because
it's
a
no
cost
lease
perfect.
Thank
you
and
then
my
next
question
is
about
the
the
Staffing.
How
many
there's
about
115
staff
members
that
we're
anticipating,
correct?
F
Okay?
So
what's
the
with
the
current
rate
of
vacancies
right
now,
what
does
the?
How
does
the
agency
plan
to
fill
these
roles?
Would
qualified
Workforce
and
a
diverse
qualified
Workforce.
S
Lisa
Sherrick
for
the
record,
so
I
just
wanted
to
First,
preface
it
with
our
state-ran
hospitals
typically
have
vacancies
even
back
to
2020
we're
in
the
low
20
percent,
so
we
are
a
little
higher
now.
So
it's
not
unusual
for
us
to
have
vacancies.
So
what
we
focus
on
is
job
fairs,
I
I,
also
for
the
bulk
of
the
staff
that
we
look
at
for
these
hospitals,
our
mental
health
technicians
and
forensic
Specialists.
S
The
requirements
for
those
staff
is
high
school
and
one
to
two
years
of
experience
like
General
work
experience
so
we're
working
to
Target,
high
schools,
higher
education
as
well.
We've
been
very
successful
lately,
using
indeed
and
we've
had
a
25
percent
increase
in
interest
in
various
positions
that
we
post
that
way,
and
we
also
have
determined
that
the
title
of
forensic
Specialists
can
be
I,
think
difficult
for
people
to
wrap
their
heads
around
what
that
means.
So
we're
more
thoughtful
in
how
we're
labeling
that
and
that's
increased
interest.
S
F
Okay
and
and
we're
doing
the
necessary
we'll
be
doing
the
necessary
Outreach
to
ensure
that
those
are
it's
also
diverse
employees
in
this
filling
these
roles,
diverse
individuals,
yes,.
S
Lisa
Sherrick
for
the
record.
We
have
a
lot
of
efforts
underway,
I
will
say,
especially
in
Las
Vegas
Southern
Nevada,
adult
Mental
Health
Services,
which
is
where
our
two
hospitals
fall
under
and
then
the
licenses
for
these
additional
beds
will
also
be
under
that
we
have
a
very
diverse
Workforce
from
not
just
the
mental
health
texts
but
through
our
psychiatrists,
psychologists,
nurses,
Etc,
okay,.
F
And
one
last
question
so
for
these
115
new
positions,
we're
going
to
need
more
than
the
15
million
posts
to
2027.
Is
that
correct.
S
So
Lisa
Sherrick
for
the
record.
Yes,
the
plan
would
be
is
that
we
would
look
to
put
this
into
our
agency
request
for
the
coming
sessions.
After
this
you
know
this
funding
runs
out
to
continue
those
much
needed
services.
L
L
Normally
during
a
regular
session,
we
would
probably
discuss
this.
You
know
at
length
and
we're
an
interim
finance
committee
meeting
and
we're
looking
at
ongoing
expenses
for
115
employees
and
so
I
think
we
need
to
consider
that
and
how
we
want
to
commit
or
make
sure
that
it's
rolled
and
I
think
you
mentioned
that
would
be
rolled
into
the
executive
budget
for
the
next
biennium.
A
So
can
you
clarify,
have
we
ever
done
this
kind
of
thing
before
I
mean
we've
actually
had
a
forensic
facility
that
we've
managed.
S
So
Lisa
Sherrick
for
the
record.
We
have
been
providing
forensic
psychiatric
services
for
I,
think
about
oh,
since
the
70s,
so
we
have
had
expanded
beds
a
couple
times
so
I
believe
the
first
was
2007.
We
added
an
additional
beds
in
the
north
within
our
Deanie,
Townsend
psychiatric
civil
psychiatric
hospital
and
then
again
in
2015
of
what
we
refer
to
as
Stein
Hospital,
which
was
built
back
in
the
70s
as
a
civil
bed
facility.
So,
yes,
we've
been
in
the
business
for
a
number
of
years
for
the
state
of
Nevada.
So.
S
D
Add
that
the
state
of
Nevada
has
entered
into
two
previous
consent:
decrees,
one
in
2005,
and
one
in
2014,
which
completed
in
2015
and
the
issue
raised
was
the
wait
times
for
treatment
to
competency
in
our
state
licensed
forensic
facilities
as
the
population
grows,
and
there
are
National
Trends
towards
increased
need
for
forensic
facilities.
The
state
of
Nevada
is
again
in
a
position
where
this
is
at
a
critical
point.
A
Okay,
so
then
we
just
had
that
discussion
about
that.
You
know
the
project
is
going
to
take
a
little
bit
to
get
built,
so
you
obviously
need
money
to
be
able
to
do
that,
but
the
people
that
are
going
to
fill
it
you're
not
going
to
need
those
until
you
fill
after
you
get
the
facility
completed.
P
Billy
bordelin
for
the
record
I
will
let
the
administrator
speak
to
this
as
well.
But
part
of
the
issue
is:
this
is
a
problem
that
we
should
have
solved
a
long
time
ago
and
we've
never
had
the
financial
ability
to
solve
it.
So
we
have
worked
really
closely
with
our
court
systems,
because
this
impacts
them
every
day
and
there's
a
real
acknowledgment
in
our
conversations
that
this
is
something
that
the
state
has
a
legal
obligation
to
provide
and
provide
in
a
timely
fashion.
P
So
the
plan
provides
for
a
building
that
already
exists,
because
we
don't
have
time
to
build
a
new
building
and
it
also
provides
for
Staffing
that
as
quickly
as
we
can
so
that
the
moment
that
we
are
able
to
get
in
there,
we
have
already
trained
them.
We
have
already
hired
and
we
have
the
ability
to
hit
the
ground
running,
and
that
is
good
for
not
only
the
community
and
the
public
safety
and
the
services
that
we
provide.
But
the
State's
responsibilities
and
legal
liability
as
well.
S
Sherrick
for
the
record:
well,
I
I,
don't
anticipate
needing
the
entire
115
staff.
Obviously,
until
the
this
space
is
renovated,
there
will
be
a
need
for
some
of
those
staff,
as
we
have
kind
of
reformatted,
some
of
our
civil
space
at
Ross
and
nil,
and
with
the
Acuity
of
the
individuals
that
come
to
us
and
and
just
I've
under
I,
understand
maybe
many
times,
people
don't
really
understand
what
this
truly
means,
but
these
are
individuals
with
gross
misdemeanors,
felony
felony
battery
attempted
murder.
Things
like
that.
A
A
D
Sorry,
Erica
Roth
for
the
record.
The
initial
estimate
was
for
spring
of
2023.,
so
it
is
very
quick.
I
I
can't
guarantee
that
that
will
happen.
There
are
obvious
delays,
but
we
are
hoping
that
this
will
be
at
least
partially
renovated
and
ready
to
be
used
by
at
least
July
of
2023.
So
there
is
an
immediate
turnaround
that
we're
working
on.
A
S
And
Lisa
Sherrick
for
the
record.
Yes,
if,
if
we
can
do
July
1st,
which
would
be
amazing,
if
not
sooner
just
the
process
of
onboarding
recruitment
can
take
several
months
so
being
able
to
do
that
prior
to
July
1
would
be
very
important.
Okay,.
J
Thank
you,
chair
and
I
just
wanted
to
clarify
something
earlier.
You
had
said
that
you
were
going
to
be
recruiting
among
high
schoolers
or
or
just
post
high
school,
and
then
and
then
could
you
differentiate
between
civil
and
forensic
staff
and
given
the
population
that
they
would
be
dealing
with
what
what
positions,
those
youngsters
would
be
filling.
S
Lisa
Sherrick
for
the
record,
so
our
forensic
psychiatric
hospitals
have
forensic
Specialists
and
they
are
required
to
have
high
school
graduation
a
GED
or
high
school
diploma,
as
well
as
two
years
experience.
One
General
one
could
be
college
courses
or
a
combination
as
well.
The
forensic
Specialists
also
are
required
to
be
post-trained,
so
the
peace
officer,
Academy
cat
3.
for
our
civil
side,
we
have
mental
health
technicians,
also
requires
a
high
school
diploma
or
GED
they're
not
required
to
do
the
post
training.
S
Both
the
focus
is
that
Mental
Health
Training
that
we
provide
and
there's
college
courses
that
they
have
to
take
to
get
us
a
certification
within
our
organization
and
it
you
know
it's
really
primarily
the
you
know
many
of
the
same
tasks
outside
of
with
the
forensic
since
they're
still
under
the
authority
of
the
jails
when
they
come
to
us.
Having
that
peace
officer,
training
is
really
ideal
for
that
piece.
I
hope
that
answered
your
question.
But
this
we
do
have
young
people
that
apply.
They
do
get
a
minimum.
You
know
40
hours
onboarding.
S
J
Okay,
thank
you
for
clothing,
I.
Think
I,
just
misheard!
You,
because
I
thought
I
heard
that
you
were
recruiting
in
the
high
schools
for
that
position
and
maybe
I
just
misheard
you,
but
that
helps
me
understand
a
little
better.
What
the
requirements
are
and
the
additional
education
training
certification,
not
that
we're
Lisa,
share
it
and
I
apologize
it's
a
long
day
and
I
might
have
just
misheard.
You.
S
Graduated
as
there
as
they're
graduating,
it's
good
to
you
know,
get
the
word
out.
This
is
an
opportunity
to
consider
working
for
the
state
benefits
a
great
field
work
in
supporting
people
with
mental
illness.
So,
yes,
we're
not
targeting
14
15
year
olds
or
or
anyone
that's
not
going
to
graduate.
J
Thank
you
and
I
do
agree
that
we
do
need
to
start
those
career
Pathways,
early
and
I
I
think
that's
very
important
to
fill
that
pipeline.
I
just
wanted
to
make
sure
that
that
was
clear.
Thank
you.
A
S
Lisa
Sherrick
for
the
record.
Ideally
we
would
love
six
months
if
something
changes
with
how
things
are
going
as
far
as
getting
contracts
in
place
and
construction
companies
so
forth.
But
there
is
a
range,
so
it's
18
up
to
36
months,
but
that
is
really
just
based
on
the
information
that
we
have
right
now.
Things
could
change,
but
our
goal
is
to
see
if
we
can
expedite
that
as
as
quickly
as
possible.
That
was
just
an
estimate
given
to
us.
P
A
Okay,
so
I
yeah-
that
was
the
other
question
and
and
have
Vice
chair
Carlton,
ask
about
the
Public
Works
issue.
E
And
and
thank
you
Mr
chairman,
so
this
is
not
a
state-run.
This
will
be
a
state-run
facility,
but
it
won't
be
a
state
facility,
so
it
really
won't
be
under
the
operation
of
or
maintenance
of
of
Public
Works.
Is
that
correct,
because
we're
getting
a
little
confused
with
the
public
works
combination
here.
S
Lisa
Sherrick
for
the
record
we've
been
able
to
confirm
that,
even
though
we
will
be
leasing
the
space,
because
that
was
a
little
confusing
in
the
beginning
state
public
works
has
verified
that
they
will
be
able
to
provide
the
oversight
of
the
work
that
will
be
done
and
we
will
be
doing
an
agreement
with
them
like
a
formal
agreement.
So
they
will
take
on
that
responsibility
for
us,
since
they
are
the
experts
where
the
clinical
Health
Care
type
people,
not
construction
types.
So
we
will
be
working
together
with
them
on
that.
E
D
E
Thank
you
and
that's
that's.
We
had
one
response.
You
were
giving
us
another,
but
we
know
it
was
an
ongoing
process.
So
I
I
think
one
of
the
things
that
kind
of
weighs
on
me
is
giving
you
this
many
employees
up
front
is
difficult
because
we
know
the
building's
not
going
to
be
done
for
a
while,
but
yet
we're
going
to
be
designating
all
these
employees,
but
knowing
full
well
that
it
could
take
you
six
to
nine
months
to
gear
up
on
employees
and
also
knowing
that
there's
threats
of
legal
action.
E
If
we
don't
act
quickly
in
the
state,
so
I'm
I'm
a
bit
conflicted
on,
you
know
how
how
far
we
need
to
go,
but
I
do
know
that
we
need
to
show
a
good
faith
effort
as
the
state
that
we're
willing
to
address
this
problem
and
I
think
you've
done
a
good
job
in
finding
a
space
and
renovating
it.
Because
building
a
building
is
is
crazy.
E
Are
the
full
115
positions
needed
right
now
at
this
time
or
I'm,
not
sure
if
we
would
want
to
put
the
full
115
in
a
reserve
and
have
you
come
back
or
just
try
to
to
split
it
because
I
know
you
want
to
start
hiring
little
literally
as
soon
as
you
can,
because
it's
going
to
take
as
long
to
hire
as
it
is
going
to
renovate
in
my
mind,
especially
if
you
have
to
have
people
go
through
post,
because
there's
only
so
many
classes
a
year.
E
P
A
Other
questions
senator
thank.
D
You
and
I'm
getting
a
little
more
confused
all
the
time
here,
but
okay,
we're
talking
about
115
employees
and
now
we're
going
to
push
him
out
to
clear
up
to
27
in
the
original
proposal.
Correct
me,
anytime,
I
get
wrong
here,
but
I'm
I'm
still
doing
the
same
thing
as
we
did
with
water
resources
and
everywhere
else.
Okay,
we
need
to
have
an
executive
budget
from
23
going
forward
and
I
I
recognize
the
need
and
the
ability
to
hire
these
people.
But
again
we
can't
walk
in
here.
D
A
P
Apology,
Senator
I,
didn't
mean
to
speak
over
you,
Bailey
Borderland,
for
the
record,
where
this
is
different
is
that
this
is
not
about
what
the
state
can
afford.
This
is
about
what
the
state
has
a
legal
obligation
to
provide.
D
D
You
know
that
we're
not
saying
okay
we're
going
to
plug
this
in
and
then
we
hit
the
end
of
the
yard
for
dollars
and
then
the
27th
session
they've
got
to
come
up
with
the
the
15
at
that
point,
will
be
25
million
again
I'm
all
about
letting
the
legislature
do
its
job
going
forward
reserve
it
whatever
we
do,
but
the
bottom
line
is.
D
We
have
to
deal
with
this
and
create
a
budget
for
23.24
wherever
the
money's
coming
from
and
and
again
you
said
it,
the
state
has
the
obligation,
we're
required
to
bring
this,
and
if
we
don't
bring
it
out
of
our
dollars,
it
has
to
come
out
of
general
fund.
So
it's
up
to
the
next
session
of
the
legislature
to
figure
out
how
we're
going
to
do
it,
what
money
we're
going
to
use,
but
please
you
know
I
I'm,
all
about
hire
the
people
you
need
and
the
short
term
reserve
it,
but
it
has
to.
P
Bailey
Berlin
for
the
record,
I
would
just
add,
I
think
it's
fiscally
responsible
to
have
a
spending
plan
that
proves
that
we
can,
for
the
foreseeable
future,
responsibly
see
through
the
commitment
of
standing
up
a
new
hospital
so
that
we
don't
just
stand
it
up
and
not
have
a
plan
to
continue
it,
which
is
why
we
have
provided
thorough
spending
plans.
There's
an
immediate
need
to
a
will
start
today,
but
we
also
have
an
obligation
to
show
our
work,
that
we
have
an
ability
to
be
successful
down
the
road
but
add
to
that
Lisa.
S
Sherrick
for
the
record
and
and
I
apologize,
it
is
getting
late
in
the
day
and
I
always
get
confused
with
my
fiscal
years.
However,
since
these
dollars,
the
arpa
dollars
go
through
December
of
2026.,
there
wouldn't
be
a
need
to
put
it
in
our
our
budget
this
year,
like
for
this
session,
but
the
following
session.
D
Well,
I
I
really
appreciate
that,
but
again,
whether
we
do
it
in
23
or
25,
you
know
again
it
is
the
legislators
legislature's
duty
to
come
up
with
that
money
and
I
think
it's
basically
responsible.
We
can.
We
can
we're
spending
money
in
a
lot
of
directions,
but
again
we
have
to
plan
for
the
future
and
and
a
15
million
dollar
hit
is
going
to
be
it'll,
be
20
by
the
time
we
get
to
25.
and
yeah.
We
need
to
fund
it.
I
agree.
D
A
L
Dancer,
thank
you.
Mr
chair,
so
I
just
had
one
other
comment,
kind
of
going
back
to
the
construction
plan.
What
we
have
is
18
to
36
months,
and
you
may
need
some
people
in
the
near
future,
because
you
want
to
move
some
people
around
which
I
think
is
completely
reasonable,
but
if
the
bulk,
if
not
all
those
115,
because
I
think
there
were
123
spots,
there
were
some
that
were
contracted.
L
Employees
definitely
will
be
something
if
we're
consistent
with
what
we've
done
with
everything
else
today
that
we've
rolled
into
a
reserve
account
to
make
sure
that
it's
in
the
executive
branch
budget.
So
it's
not
that
someone
we're
not
saying
we
don't
support
this
project.
We're
saying
the
process
for
the
most
part
has
been
dictated
that
we
we
roll
these
funds
into
an
executive
budget
except
for
the
capital
and
again
the
the
renovation.
The
construction
work
that
you
want
to
do.
L
It's
been
made
clear
that
it's
going
to
take
18
to
36
months,
but
but
also
when
it's
a
public
works
project.
If
you're
going
with
Public
Works,
some
of
us
who've
been
here
for
quite
a
while
Public
Works.
Take
some
time
with
the
RFP
and
all
the
process
that
will
be
required
even
to
get
started
so
I
just
think.
We
need
to
consider
that
and
consider
some
of
the
actions
that
we've
done
today
and
also
the
magnitude
of
the
commitment,
which
is
very
unusual
for
an
interim
committee
to
do.
L
P
Bailey
Borland
for
the
record
I
just
want
to
clarify.
We
don't
believe
that
the
estimate
today
is
18
to
36
months.
We
believe
that
that
is
old
information
and
that
we
will
be
able
to
secure
a
faster
timeline
with
public
works
and
that
we
will
be
prioritizing
this
project
because
of
the
nature
and
importance
of
this
project.
K
Thank
you,
Mr
chair
and
you
know,
I
appreciate
the
comments,
but
I
think
the
difference
on
this
item
is
the
state's
potential
legal
exposure.
Here
we
didn't
have
that
exposure
with
the
other
items
that
we're
talking
about,
and
you
know
the
state
has
already
been
sanctioned
by
a
judge
for
these
wait
lists
and
not
be
able
to
get
people
in
that's
an
ongoing
cost
to
the
state,
and
so,
while
I
realized
the
concerns.
K
I
think
for
the
state
to
put
a
good
faith
effort
forward,
to
be
able
to
potentially
defend
against
litigation
and
honestly
to
defend
against
judges
who
want
to
sanction
the
state
now
for
the
wait
list.
I
think
approving
the
item
as
given
shows
that
good
faith
effort
that
we're
doing
everything
we
can
to
solve
this
problem,
which,
admittedly,
is
a
decades-long
problem
that
should
have
been
solved
years
ago,
but
I
I,
don't
agree
with
putting
it
in
a
reserve
account
because
I
think
there's
strings
attached
to
that.
They
have
to
come
back
for
those
positions.
K
We
want
the
state
to
be
as
strong
as
possible
to
say
we
are
doing
everything
in
our
power
to
make
sure
we're
trying
to
address
this
obligation
that
we
have
so
we
limit
legal
exposure.
So
you
know,
for
that
reason
I
I'm,
in
support
of
the
the
item
as
presented
realizing
it's
Unique
and
not
something
that
this
committee
normally
does.
But
the
legal
aspect
makes
it
makes
it
worthwhile
to
me.
D
Thank
you
and
I'm
just
along
those
lines
and
I'm.
Definitely
supportive
of
it
and
and
I
want
to
ensure
the
state
doesn't
have
any
exposure.
But
okay,
let's
say
we
go
ahead
and
we
approve
this
action.
What
stops
the
legislature
from
coming
back
and
creating
the
budget?
And
then
you
know
capturing
his
money
because
technically,
even
though
it's
committed
it
hasn't
been
expended
and
capturing
it
and
then
writing
the
Budget
moving
forward.
L
Thank
you,
Mr,
chair
I'm,
also
going
to
support
this,
but
what
I
would
like
I
think
we
have
an
interim
finance
committee
in
December.
We
actually
have
one
sometime
in
January
I
think
it's
important
for
us
to
get
some
accountability
as
far
as
how
the
construction
project
is
going
and
the
positions
that
are
being
filled
so
I'd,
like
some
accountability,
since
we
right
now,
it
doesn't
look
like
we're
going
to
put
it
into
an
executive
budget.
I
think
that
we
need
to
to
add
that
to
see
what
this
timeline
becomes.
Thank
you.
A
Okay
hold
on
one
second,
because
we
are
in
the
middle
of
of
of
emotion,
but
to
clarify,
because
this
is
this-
just
came
up
in
I'm
going
to
allow
that
you
clarify
that
just
so
that
we're
clear
on
on
that
issue.
For.
C
The
record
Robin
Hager
deputy
director
with
gfo
just
for
clarification
purposes,
this
work
program
is
going
into
budget
account
3161,
which
is
currently
an
executive
budget
account.
You
will
continue
to
see
it
through
the
entire
budgeting
process.
As
part
of
the
governor's
recommended
budget
in
an
executive
budget
account.
L
A
A
Yeah
I
know
you
might
I
know
you
might
need
a
break
right
now,
but
we're
going
to
keep
going
because
we're
it's
getting
late,
it's
quarter
to
five
and
we
still
we
still
have
we're
only
on
D,
so
we're
gonna
keep
going.
If
you
need
to
go
to
the
restroom
just
get
up
and
go
and
go
to
the
restroom,
don't
get
up
and
go
okay!
A
All
right!
You
see,
I'm
gonna,
stop
okay,
right
and
not
all
at
once.
So
yes,
so
give
us
as
brief
as
you
can
and
then
we'll
get
to
our
questions.
D
Thank
you
good
afternoon,
chair
and
members
of
the
committee.
My
name
is
Stephanie
Woodard
and
I'm.
The
Department
of
Health
and
Human
Services
senior
advisor
on
Behavioral
Health
with
me
today
is
Ms
Lisa,
Sherrick
administrator
for
the
division
of
public
and
Behavioral
Health,
as
well
as
representatives
from
the
city
of
Las,
Vegas,
Dr,
Lisa,
Morris,
hibler,
Kathy,
Thomas,
Gibson
and
Randy
Robinson,
who
are
present
in
person
in
Las
Vegas
in
the
Grant
Sawyer
building.
D
The
work
program
request
before
you
today
is
for
10
million
dollars
in
funding
to
rebuild
and
expand
the
recuperative
Care
Center
in
the
city
of
Las
Vegas
recuperative
care
is
defined
as
a
short-term
care
and
case
management
provided
to
individuals
recovering
from
acute
illness
and
injury.
That
generally
does
not
necessitate
hospitalization,
but
would
be
exacerbated
by
their
living
conditions,
meaning
that
if
an
individual
still
needs
care
and
support
to
convalesce,
however,
they
would
be
discharged
to
the
street
treat
a
shelter
or
other
unsuitable
places.
D
Their
recovery
could
be
complicated,
so
recuperative
care
really
helps
them
provide
to
receive
the
support
that
they
need
in
order
to
to
heal
and
go
on
to
be
able
to
to
be
independent.
So
a
little
bit
more,
the
estimated
project
costs
are
17
million,
with
annual
operating
costs
of
over
two
and
a
half
million.
D
The
city
will
utilize
the
entire
10
million
from
this
work
program
to
pay
a
general
contractor
to
perform
the
construction
work
Additionally,
the
city
will
contribute
7
million
to
the
project
costs
and
cover
the
2
million
and
a
half
or
the
two
and
a
half
million
in
operating
costs
and
ongoing
costs
with
the
city
of
Las
Vegas
owning
the
recuperative
Care
Center.
Building
the
state
public
works
division
will
not
have
any
involvement
in
oversight
and
management.
D
The
city
of
Las
Vegas
will
continue
to
oversee
the
existing
federally
funded
Capital
project
and
will
be
responsible
for
ensuring
all
construction
work
is
conducted
in
accordance
with
state
and
federal
guidelines
pertaining
to
arpa
funds.
This
is
a
one-time
funding
request
with
no
future
obligations
to
the
state
for
additional
Investments
and
chair.
We
are
all
available
for
questions.
A
Okay,
we
have
a
couple
questions:
Senator
Harris,.
F
M
F
N
Thank
you.
Thank
you,
chair
Dennis,
so
I
I
just
had
a
quick
question.
So
I
was
reading
the
backup
on
this
and
how
I
guess
folks
get
to
the
to
get
to
the
Respite
Center
or
the
recuperative
center,
and
so
it
mentioned
the
street
medicine
and
Outreach
team
and
I
guess:
I'm
I
I'm
wondering
like
mechanically.
N
How
exactly
does
that
work
in
order
for
patients
or
clients
homeless
clients
to
get
there
that
are
having
a
a
medical
or
mental
health
episode
and
I'm
asking
this
question
because
you
know
my
district
has
part
of
city
of
Las.
Vegas
and
I
have
seen
very
specific
incidences
where
this
is
probably
the
moment
to
call
the
street
team,
but
I've
never
understood
how
that
works
and
how
you
trigger
that.
F
Director
for
Neighborhood
Services
with
the
city
of
Las
Vegas
through
you,
chair,
Dennis
to
Senator
Neil,
the.
F
The
urban
core,
the
downtown
of
Las
Vegas,
and
so
they
are
mobile
and
rotating
through
the
corridor
of
Hope,
which
includes
the
courtyard
Catholic,
Charities,
Salvation,
Army,
Rescue
Mission
and
the
shade
tree,
so
that
general
area
is
where
the
street
medicine
team
is
currently
deployed.
It's
a
three-member
team
with
a
doctor
and
two
EMTs,
and
so
our
ability
to
cover
the
entire
city
is
limited
by
this:
the
size
of
the
street
medicine
team.
What
we're
doing
is
working
with
all
of
our
partner
agencies
that
are
in
the
corridor
of
Hope.
F
When
homeless
individuals
have
been
discharged
to
the
street
to
help
our
partners
do
an
assessment
of
where
that
particular
individual
can
or
should
go
to
get
the
best
level
of
treatment.
N
I'm
definitely
want
to
follow
up
with
you
guys
offline,
because
I
reached
out
to
DHHS
to
try
to
figure
out
how
to
trigger
trigger
exactly
this.
This
response,
but
I'm
and
so
I
want
to
follow
up,
because
there
is
an
incidence,
that's
right
by
Mount,
Moriah
and
MLK.
N
A
Thank
you
if
you
could
do
that,
that
would
be
great
any
other
questions.
A
Have
a
motion
to
approve
Senate
by
seconded
by
Senator
canzaro,
further
discussion
on
the
motion,
all
in
favor,
say
aye
aye
motion
carries.
Thank
you
all
right.
A
A
D
Good
afternoon
for
the
record
I'm
Stacy
montooth
I'm,
a
citizen
of
the
Walker
River
Paiute
nation
and
I'm,
the
executive
director
of
the
Nevada
Indian
commission.
My
agency
was
created
57
years
ago
in
Statute
in
statute
to
improve
the
quality
of
life
of
our
28
tribal
Nations
and
over
60
000.
Excuse
me,
6
000,
Urban
Indians,
who
make
who
choose
to
make
Nevada
their
home
historically
essential
Services
have
been
a
critical
need
for
our
tribal
communities,
and
this
situation
was
exasperate,
exacerbated
and
magnified
during
the
global
covid-19
pandemic.
A
Okay,
some
Elementals.
J
Thank
you
so
much
chair,
and,
and
thank
you
for
bringing
this
forward.
I
was
excited
to
see
this
on
the
list.
I
know
that
our
tribal
communities
were
particularly
impacted
in
in
so
many
ways
during
the
global
pandemic,
and
then
just
also
at
going
to
the
schools
visiting
with
families
and
understanding
just
the
the
trauma
oftentimes
that
our
tribal
communities
experience,
I,
I'm
thrilled
that
we
have
this
grant
available.
J
I
wondered
if
you
could
talk
a
little
bit
more
about
and
I
know
it's
up
to
each
tribe
to
decide
how
they
will
utilize
that,
but
a
little
bit
more
of
that
process
of
how
what
the
benefits
are,
whether
or
not
there
is
any
direction
that
might
be
given
around.
You
know:
child
care
or
infrastructure
or
mental
health
services,
Health
Care
substance
use.
These
are
ongoing
conversations
that
we've
been
having
and
and
then
also
so
how
we
are
going
to
you
know,
measure
those
the
success
of
those
outcomes.
P
Bailey
mortalen
for
the
record,
so
what
you
have
before
you
is
unique,
because
there
is
only
one
work
program,
and
that
is
really
intentional,
because
the
process
that
we
have
been
on
with
our
tribal
Nations
is
that
they
were
included
in
the
states
listening
to
her.
We
know
that
they
were
extremely
and
particularly
impacted
by
covid
and
that
they
have
great
needs.
At
the
same
time,
we
have
to
recognize
their
comfort
level
with
the
state
and
their
unique
experiences,
and
so
the
plan
here
is
that
director
montooth
will
work
directly
with
the
tribes.
P
If
this
is
approved
today,
the
committee
will
be
saying
in
the
state
and
the
legislature
will
be
saying
we
commit
that
this
amount
of
money
is
here
and
you
can
trust
it,
and
this
will
be
used
for
our
tribal
Nations,
which
will
allow
us
to
work
together
on
developing
the
parameters
of
the
grant.
So
we
will
work
directly
with
our
tribal
Nations
to
say:
is
a
housing
Is
it
child
care?
P
What
sorts
of
things
do
you
need
and
that
conversation
is
difficult,
because
we
do
have
to
pair
it
up
with
the
ARP
rules
that
have
come
down
the
400
plus
pages
that
director,
Stevenson
and
I,
and
our
teams
are
now
very
familiar
with
to
make
sure
that
we
can
find
the
best
eligible
ways
to
use
the
dollars
to
support
their
highest
needs
and
support
them
in
not
making
this
a
difficult,
tenuous
process
for
them
to
participate
in,
so
that
they're
not
applying
over
and
over
again
and
being
told,
that's
not
eligible.
P
Think
of
something
else
right
that
it
will
really
be
a
partnership
in
making
sure
that
they
can
be
successful
with
these
dollars,
but
also
self-directed
for
their
highest
needs.
So
if
this
is
approved
today,
it
is
a
vote
of
confidence
that
this
money
will
be
held
in
reserves
for
our
tribes
and
director.
Montooth
will
work
directly
with
the
tribes,
develop
those
boundaries
and
come
back
with
the
accompanying
work
program
before
this
committee
to
show
you
the
work
product
that
they
did
together.
A
We
have
a
motion
from
someone
Carlton,
second
from
Senator
Cannon,
sorrow
and
that
the
motion
is
to
put
in
reserve
D.
Okay
I
mean
just
to
approve
okay,
all
right.
It's
already
going
into
the
reserve
to
the
work
program.
So
further
discussion
on
the
motion
hearing,
none
all
those
in
favor
say
aye.
F
A
Opposing
a
motion
carries
okay.
We
will
now
go
to
139
140..
We
have
a
couple.
Members
had
questions,
Senator
Ganser,
we'll
start
with
you.
L
L
L
Thank
you
again,
Mr
chair,
so
when
I
look
at
this,
it
looks
like
it's
intended
for.
First,
through
12th,
graders
and
safe
and
respectful,
alerting
within
the
department
of
Ed,
does
quite
a
bit
of
work
on
this
front
and
they
talked
about
tiered
services
and
this
talks
about
family
counseling.
So
so
first
I
guess
I
want
to
know
if
you're
coordinating
with
them,
because
it
looks
like
you
want
to
do
a
private
contract,
but
I
know
that
they
may
have
some
of
those
resources
too.
C
Hi,
thank
you
for
the
question
for
the
record
Cindy
pitlock,
so
this
particular
program
is
actually
targeting
after
school
programs
that
are
in
the
space
of
this,
such
as
Boys
and
Girls
Club.
There
are
several
types
of
programs
that
are
in
the
space
of
providing
Services
where
Youth
and
families
access
a
great
touch
point.
So
is
there
coordination
specifically
to
make
sure
there's
not
a
duplication
of
services?
Is
that
the
question
that
you're
asking.
D
Sure
so,
Stephanie
Woodard
for
the
record.
We
work
really
closely
with
the
Department
of
Education,
and
certainly
this
can
help
to
build
off
of
the
work
that
you
heard
about
earlier
today,
around
multi-tiered
services
and
supports
within
schools.
This
would
actually
provide
some
additional
funding
to
the
community
programs
that
would
help
to
continue
to
accentuate
some
of
the
work
that's
happening
in
the
schools,
so
absolute
alignment,
just
ensuring
that
we
have
adequate
access
or
we're
building
towards
adequate
access
to
some
of
those
additional
services
in
the
community
for
students
and
families.
Thank.
L
You
and
then
also
I
appreciate
that
you're
going
to
integrate
graduate
and
undergraduate
students,
because
I
think
we
need
to
be
working
on
our
Pipeline
and
when
you
start
touching
the
undergraduates
that
will
really
help
improve
access,
I
think
in
the
long
run,
because
some
of
those
will
become
graduate
students
and
so
forth.
So
thank
you.
A
Okay,
I
believe
some
women
Haven
might
have
had
a
question
on
this.
Is
that
nope?
Okay,
any
other
any
other
questions
not
hearing
any
Senator
gantzer
UNM
make
a
motion.
Thank.
L
You
I'd
make
a
motion
to
approve
d139
and
140.
A
We
have
a
motion:
Senator
cancer,
second
from
Senator,
assemblywoman,
Carlton
I,
want
to
say
senator
Clark.
A
She
was
my.
She
was
my
state
senator
first,
so
the
we
have
a
motion
and
a
second
any
discussion
on
the
motion,
all
right
hearing
that
and
all
those
in
favor
say
aye
aye,
any
opposed
saying
they
motion
carries.
Thank
you.
A
Okay,
we
finished
D
now
we're
going
to
E
and
I
believe
what
do
we
21.?
Okay,
we're
gonna
do
E5
and
E21.
J
Thank
you,
Jessica
dear
brennick,
for
the
record
good
to
see
everyone
again.
I
in
November
of
2019
A.G
Ford
announced
a
settlement
regarding
the
merger
between
T-Mobile
and
Sprint
as
part
of
that
settlement,
T-Mobile
committed
to
keeping
hundreds
of
Nevada
jobs,
deploying
a
high-speed
5G
Network,
covering
most
rural
communities
and
offering
low
price
plans
T-Mobile
also
committed
to
paying
30
million
dollars
to
be
used
for
enhancing
Telecom
service
to
tribal
communities
and
investing
in
opportunities
for
minorities,
women
and
small
businesses.
J
This
program
will
use
4
million
of
that
T-Mobile
settlement
funding
to
offer
a
paid
internship
program
for
Nevada
college
students,
who
are
women
and
people
of
color,
pursuing
stem
education
and
working
at
Nevada
tech
companies.
It's
a
win
for
students
who
will
gain
on-the-job
experience
in
the
tech
industry
while
being
paid
for
their
labor.
It's
a
win
for
a
growing
industry,
that's
critical
to
the
expansion
and
diversification
of
Nevada's
economy,
but
new
companies
frequently
cite
a
lack
of
talent
in
engineering
and
computer
science
as
an
obstacle
for
their
further
growth
and
I.
J
Think
you
may
have
heard
from
them
some
of
them
this
morning
in
public
comment.
It's
a
win
for
Nevada's
universities
to
offer
internships
for
their
students
and
enrich
their
experience,
and
it's
a
win
for
Nevada,
as
the
state
seeks
to
grow
our
economy
and
retain
talented
young
nevadans,
who
may
otherwise
seek
to
go
to
another
state
for
job
opportunities
in
Tech
and
if
I
may
share.
J
F
A
Is
the
is
the
word.
R
This
cost
in
highs
for
the
record
Mr
chairman
Madam
Vice,
chair
members
of
the
committee
I've,
seen
my
my
boss,
Dr
Michael
Brown
behind
me
and
I
would
like
to
give
the
opportunity
for
him
to
go.
First.
Okay,.
F
Yeah,
thank
you.
Mr
chairman
members
of
the
committee,
you
heard
Sasha
Stevenson
testify
a
long
time
ago
about
this
program.
We
got
approached
by
the
startup
committee,
Venture
Capital
Community,
about
setting
up
a
subcommittee
of
the
board.
The
governor
had
two
roundtables
with
this
sector,
and
this
is
an
emerging
sector
in
our
Nevada
economy.
We
rank
of
the
50
states,
the
18th
in
this
space
with
Arizona
right
ahead
of
us
at
17..
F
We
have
been
taking
recommendations
from
this
community
and
one
of
the
recommendations
they
brought
forward
was
creating
this
kind
of
an
internship
program
we
reached
out
to
the
Attorney
General's
office,
who
founded
of
interest
and
Carson,
would
be
pleased
now
to
walk
through
the
the
particulars.
Thank
you.
R
You
Carson
Heiser
for
the
record
and
in
the
interest
of
time
it's
late.
R
Just
let
me
highlight
a
couple
of
really
important
main
points,
but
so
I
would
like
to
introduce
you
to
part
of
the
team
Michelle
in
here
from
Goa
to
my
colleague,
Katya
Albright,
from
from
UNR
who's,
a
partner
in
this.
In
this
effort
and
I
believe
online
I
can
see
him
sort
of
up
there
in
the
back
Mr
Zach
miles
from
from
UNLV
who's,
currently
I
believe
traveling
up
North.
R
So
this
is
the
team
that
you
heard
from
other
team
members
this
morning
in
public
record,
Professor
testified
in
in
Las
Vegas
and
also
Mr
luck,
Urban
from
Edon
called
in
for
public
comments,
or
did
representatives
from
stubborn
V
and
the
city
of
Las
Vegas.
So
you
may
ask
yourself:
why
is
this
important
because
you
we
have
so
many
other
internship
programs
already
operating
in
the
state?
R
So
how?
How
is
this
really
different
and
well
the
first
answer
or
the
first
response
to
this
is
really.
We
cannot
have
enough,
because
the
competition
for
talent
is
real.
That's
internationally
that's
nationally,
and
if
you
look
at
the
competition
for
engineering
and
science,
where
this
program
really
concentrates
on,
it's
even
real,
if
that's
the
real
word,
but
it
isn't,
and
especially
there
in
women
and
minority,
they
are
clearly
underrepresented
in
the
science
and
the
engineering
fields.
R
We
have
data
to
to
prove
that
and
as
Dr
Brown
already
alluded
to,
we
have
gone
through
a
tremendous
growth
in
the
to
Urban
ecosystems
startups
in
ecosystems,
in
Las
Vegas
and
in
in
Reno
over
the
years.
R
So
we
have
to
catch
up
with
this,
so
we're
trying
to
basically
prevent
the
brain
down
and
we
are
trying
to
create
a
really
meaningful
and
Target
and
effective
program
where
we're
actually
paying
18
an
hour
so
more
than
what
would
otherwise
or
what
has
materialized
in
in
in
the
past
and
another
aspect
of
that
that
shouldn't
be
forgotten.
R
Nevada
is
home
to
a
large
number
of
first
generation
college
students
and
they
often
come
from
the
same
demographic
and,
as
you
probably
can
imagine
those
first
generation
college
students
are
more
risk-averse
naturally,
so
they
will
not
end
up
necessarily
being
Founders
and
what
we
hope
to
achieve.
Founders
are
meanings
founders
of
startups
and
what
we
are
hoping
to
achieve
through
this
program
is
sort
of
a
medium-term
effect
which
we
could
call
the
third
founder
effect.
R
If
we
place
those
individuals
with
with
startups
and
with
technology
companies
that
over
time
when
they,
you
know,
find
more
confidence
and
you
know
establish
themselves,
they
can
then
become
Founders,
so
they
will
become
Founders,
but
not
immediately,
but
sort
of
deferred
and
another
aspect.
You
know,
if
you
go
to
our
sister
agency
office
of
workers
Innovation
and
you
look
up
the
top
20
or
more
high
demand
occupations.
You
will
find
six
of
the
top
10
spots
exactly
in
this
area
that
we
are
targeting
in.
R
So
the
need
is
there.
So
how
is
this
different,
so
the
standard
models
for
internships
they
utilize
job
boards,
job
fairs
traditional
means
of
Outreach.
R
This
is
different
because
we
are
going
to
embed
those
programs
deeply
into
the
local
technology
ecosystems,
so
the
programs
perform
really
an
active
role
and
will
be
acting
more
as
a
catalyst
for
leading
to
beneficial
Financial,
beneficial
collaboration
between
the
university
and
the
startup
community
and
the
tech
and
the
community,
including
obviously
technology-based
firms,
and
that
really
Narrows
the
gap
between
the
university
and
hair
growth
employers,
and
for
that
you
also
get
a
feedback
loop
back
to
the
university.
So
the
feedback
goes
back
and
say:
okay,
what
are
we
teaching?
R
Is
this
actually
relevant
for
for
our
high-tech
employers?
So
we
believe
we
have
presented
a
sort
of
a
compelling
case
for
this
program
and
we
they're
recommended
to
our
proposal
to
the
committee.
A
Okay,
questions.
A
E
You
very
much
Mr
chairman,
so
just
just
a
couple
quick
questions.
So
as
these
internships
evolve,
you
glanced
upon
it
very
briefly.
Where
are
we
going
to
find
these
students
because
I
see
the
money
is
aimed
towards
a
certain
demographic
and
we
want
to
make
sure
that
demographic
is
it
so
I
want
to
understand
the
the
plan
for
that
and
then
also
we
know
that
there's
going
to
be
an
ongoing
need.
E
These
dollars
are
only
going
to
go
too
far,
I'm
assuming
there's
going
to
be
an
evaluation
afterwards
and
then
is
there
an
ongoing
plan
to
request
more
dollars
when
these
dollars
are
exhausted?
Are
we
going
to
evaluate
it
first
and
then
see
if
there's
other
funding
out
there,
so
those
two
very
briefly
and
then
I
have
one
for
the
University.
R
Thank
you,
madam
Vice,
chair,
Carson
Heiser
for
the
record.
So
yes,
the
the
agreement
between
Telecom
Sprint
and
the
state
of
Nevada
restricts
those
funds
to
be
spent
only
for
these
demographics.
So
we
cannot
go
and
recruit
other
students
under
this
program,
so
it
has
to
be
minority
and
or
women
students
in
these,
but
where
we
are
so
discriminating
this
in
a
positive
sense.
R
Where
we're
saying
you
know
from
what
educational
background
it
will
be
from
engineering
and
science,
but
it
has
to
be
these
demographics,
so
the
answer
is
clearly:
yes,
we
can't
one
of
the
Mandate
of
the
grant
go
for
the
demographics.
We
are
cognizant
of
the
that
this
is
finite.
R
We
stretched
it
to
three
years,
which
I
think
is
ambitious,
but
I
think
we
can
get
more
than
300
students
per
program
IE
one
and
UNR,
and
at
UNLV
over
the
over
the
three
years,
and
but
we
are
aware
that
this
needs
to
be
sustainable.
So
what
goet
has
done?
Is
we
submitted
a
build
draft
request
for
the
forthcoming
session,
where
we
are
trying
to
enshrine
a
internship
program
like
this
in
legislation?
R
There's
no
fiscal
note
attached
to
it,
so
there's
no,
no
funding,
but
we
believe
that
over
the
three
years
we
will
show
to
to
your
point
the
valid
point
of
you
know
an
assessment
of
how
well
this
program
is
going
that
we
will
use
these
three
years
to
secure
more
funding
and
that
funding
actually
I'm
hoping,
although
hopeful
should
now
be
a
strategy,
but
in
this
case
it
could
be
to
demonstrate
this
to
the
private
sector,
because
they're
benefiting
from
this
that
you
know
they
will
contribute
to
make
this
program
more
sustainable.
R
E
D
Katya
Albright
from
the
University
of
Nevada
Reno
for
the
record
these,
so
the
model
for
this
internship
program
is
based
on
a
Model
that
we
use
at
the
University
of
Nevada
Reno
from
it's
called
the
PAC
internship
grant
program
and
this
program
is
flexible.
So
if
a
student
wants
to
receive
internship
credits,
they
can
take
a
class
in
addition
to
that.
But
it's
not
a
requirement.
D
E
Yes,
you
did
and
I'm
disappointed
the
community
college.
Students
won't
have
an
opportunity
to
do
this,
but
I
understand
you're,
trying
to
work
from
a
certain
base.
My
concern
is
that
it's
going
to
impact
weighted
student
credit
hours
in
the
future
and
there
will
be
an
ongoing
cost,
but
that's
really
deep
in
the
weeds
for
right
now.
That's
for
whoever
chairs
higher
ed
next
section
put
that
on
your
list
to
make
sure
that
this
does
not
impact
your
weighted
student
credit
hours,
because
that
is
your
ongoing
wrap-up
costs
on
this.
So
thank
you
very
much.
J
Thank
you
for
that
question.
That
is
exactly
something
that
we
discussed
with
goed
at
community
colleges
as
well
as
Nevada
State
College.
We
decided
to
limit
it
to
UNR
and
UNLV
because
they
already
had
this
existing
infrastructure
and
because
of
that,
we
would.
We
were
able
to
use
more
of
the
funding
for
the
students
rather
than
standing
up
a
new
program
within
the
colleges.
A
Thank
you,
yeah
Senator,
Harris,.
F
Not
so
much
questions,
but
just
a
couple
of
comments
and
I
know
this
was
just
discussed,
but
we
have
another
four-year
institution
in
this
state.
That
I
think
would
also
like
to
be
part
of
this
program
as
it
expands
and
then
the
other
thing
I
wanted
to
just
quickly
note.
As
you
mentioned,
you
will
have
a
bdr
coming
during
the
next
session.
I'm
hoping
you
will
consider
expanding
it,
not
just
women
and
minorities,
but
women,
lgbtq
and
minorities
as
well.
F
N
Thanks
chair
gymnast,
so
I
I
had
a
question
on
the
I
guess
how
it
works
in
southern
Nevada.
So
in
the
backup
it's
saying
that
the
engineering
school
I
guess
will
partner
with
startup
Vegas
and
so
I
guess
I'm,
trying
to
understand
how
that
works.
N
I'm
I'm
familiar
with
startup
Vegas,
but
it's
it's
more
like
an
entrepreneur,
ecosystem
maker
space
kind
of
so
I'm
trying
to
figure
out
how
many
of
the
stem
businesses
are
in
startup
Vegas.
In
order
to
make
this
Talent
retention
or
stem
Talent
retention,
piece
work
in
southern
Nevada.
R
F
Yes,
certainly
yeah,
certainly
so
Zach
miles
for
the
record,
I
think
they're,
one
of
the
partners
that
will
utilize
to
be
able
to
proactively
seek
engagements
with
high-tech
companies.
So
it's
one
that's
been
identified,
but
it's
not
an
exclusive
type
of
a
relationship
and
so
kind
of
the,
as
mentioned
before.
The
Karsten
kind
of
that
reactive
situation
that
we're
in
the
funding
really
helps
us
and.
N
E
A
Yeah
well
this
time
of
the
afternoon.
I
think
75
is
really
good.
So
all
right,
we
have
a
motion
and
a
second
from
Senator
camazaro,
further
discussion
on
the
motion
hearing
that
all
in
favor
say:
aye.
A
D
You
Mr,
chair
and
I'll
be
extremely
brief.
Give
it
an
hour,
I
I,
don't
know
who
I
guess:
Mr
Ferris
from
a
department
of
AG
I
know
this
is
federal
money.
The
500
000.,
the
the
data
in
the
document
says
you're,
going
to
continue
your
programs
and
some
of
the
right-of-way
fencing
I'm
just
concerned
5
000
animals.
In
there.
We
continue
to
tighten
the
perimeter
at
some
point,
you're
going
to
have
to
buy
hay
any
comments.
F
For
the
record,
Doug
Ferris
with
Nevada
Department
of
Agriculture,
I
I,
don't
know
I
hope
we
don't
end
up
at
that
point.
Senator
to
that
we
need
to
buy
a.
D
F
For
the
record,
Doug
Ferris
I'm,
currently
with
this
Senator-
that
is
our
the
outlook
on
this
with
this
program,
is
just
to
increase
by
one
Staffing
manager
and
then
also
for
continued
fencing
in
protecting
Public
Safety.
D
A
D
Again,
I
asked
for
this
to
be
pulled
Mr
chair
because
the
Contracting
State
veterinarian
is
a
immediate
family.
Member
of
bind
I
need
to
abstain.
A
Okay,
do
we
have
any
discussion
on
the
or
any
questions
on
the
item
then
I'll
ask.
A
We
have
a
motion
to
approve,
but
from
semen
Carlton.
Second,
from
senator
canizarro,
further
discussion
on
the
motion.
A
All
right
are
we
on
now
e23
we're
on
e23
I
believe
this
is
one
that
Senator
Neil
I
wanted
pull.
N
D
D
When
we
build
our
budget
when
we
did
so
two
years
ago,
it
was
based
on
projections,
as
we
all
know,
in
a
very
volatile
time,
related
to
room
nights,
so
we're
making
that
adjustment
now
to
to
collect
our
3
8
of
1
percent
of
lodging
tax,
that's
in
statute,
so
that
represents
the
5.7
million
in
the
work
program.
A
Do
you
want
to
make
a
motion?
Well
any
questions,
I'm,
not
hearing
any.
So
if
you
want
to
make
a
motion,
that's
fine.
A
A
We're
going
to
item
F
on
the
agenda
statement
of
contingent
is
that
right,
a
statement
of
contingency
account,
balance
Mr
Thorley.
B
B
I'll
be
very
brief,
starting
with
the
the
summary
sheet
on
page
seven
prior
to
any
actions
of
the
committee
today,
the
total
balance
in
the
contingency
account
made
up
of
the
unrestricted
general
fund,
unrestricted
Highway
fund
and
the
restricted,
General
and
Highway
fund
is
just
over
22
million
dollars.
B
Originally,
there
were
three
requests
before
the
committee
today
for
allocations
from
the
contingency
account.
However,
one
of
those
requests
has
been
withdrawn.
It
is
agenda
item
g
1,
a
a
request
for
allocation
of
seventeen
thousand
two
hundred
thirty
seven
dollars
to
fund
additional
costs
on
the
South
Fork
Dam
that
withdrawal
request
was
received
yesterday
and
that
was
after
the
agenda
was
posted.
So
it's
not
reflected
on
the
agenda
and
it's
also
not
reflected
in
this
statement.
B
Since
the
statement
was
prepared
before
then,
so
the
total
amount
of
requests
the
572
432-
is
actually
reduced
by
a
little
over
seventeen
thousand.
So
the
total
amount
of
requests
for
the
committee
is
actually
five
hundred
and
fifty
five
thousand
one
hundred
and
ninety
five,
and
if
all
the
items
the
remaining
two
items
are
I
should
say
remaining
two
requests
for
allocations
from
the
contingency
account
are
approved.
There
will
be
21
million
481.
B
A
Request
for
an
allocation
of
250
000
restore
funds
to
the
account
for
the
channel
clearance,
maintenance,
restoration,
surveying
and
monumenting
program,
and
that
is
Adam
Sullivan
State,
engineer,
Division
of
Water,
Resources
or
or
designated
person.
M
A
Not
hearing
any,
we
have
a
motion
from
Simon
and
Carlton.
Second
Senator
canizarro,
further
discussion
on
the
motion
hearing,
none
all
those
in
favor
say:
aye
aye,
any
opposed,
say,
nay,
motion
carries
all
right
and
we
have
now
is
it
item
two
G
I'm,
sorry
yeah,
G2,
David,
Fulkerson,
administrator
Office
of
the
military
or
designated
person.
I
City
and
sheriff
and
connection
for
excuse
me:
I
apologize
I'm
in.
F
The
east
coast
of
schema
this
week
there's
some
staff
in
the
paper,
so
I'm
gonna
stand
outside
to
get
away
from
the
noise.
We
come
to
you
asking
for
funding
from
a
request
from
Las
Vegas
Metropolitan
Police
Department,
along
with
Department
of
Emergency
Management,
and
then
also
off
the
military,
to
ensure
that
we
have
forcible
suppliers
using
a
Nevada,
National,
Guard
and
off
the
military
employees
for
their
support
during
the
New
Year's
Eve
and
then
you're
going
to
ask
Southern
Nevada,
along
with
some
Fair
resources
in
the
north.
E
Very
much
Mr
chairman
now
and
I'll
make
this
brief
and
the
statement
that
we
have
in
the
book
in
the
second
paragraph
it
states.
This
should
be
the
last
request
from
the
division
for
this
funding
through
the
interim
finance
committee,
the
governor's
office
has
indicated
that
this
funding
will
be
included
in
the
governor's
recommended
budget,
the
next
session
for
the
Nevada
National
Guard.
Thank
you
very
much.
We've
wanted
this
fixed
for
a
while
I
look
forward
to
it
being
in
the
budget.
Thank
you.
A
It's
one
of
those
things
where
we
know
it
happens
every
year
and
yet
we're
coming
in
for
contingency.
So
it's
good
to
get
in
that
budget.
Thank
you
other
questions
or
comments
all
right
hearing,
none.
We
have
a
motion
from
someone
in
Carlton.
Second,
from
Senator
canizarro,
further
discussion
on
the
motion,
all
those
in
favor
say:
aye
aye
any
opportunity
motion
hearing
motion
carries
okay,
so.
A
O
A
That
would
be
the
division
of
Environmental
Protection.
F
This
is
this
is
Jason
Cooper
from
the
division
of
Environmental
Protection
office
of
financial
assistance,
I'm
the
program
manager
for
the
drinking
water
State
revolving
fund
on
the
clean
water
State
revolving
fund
item
h3c1
is
our
normal
Grant
appropriation
for
the
drinking
water
State
revolving
fund
that
will
just
provide
additional
loan
funding
to
Water
Systems
across
the
state.
It
is
meant
for
Capital
Improvements
only.
A
E
Mr
chairman
I
would
move
for
approval
of
all
items
under
letter
H
with.
A
A
Jay
we've
done
K
informational
items.
We've
got
one
left.
B
A
We
have
so
K5
centered,
again
Sabers
cancer.
L
Thank
you,
Mr
chair,
so
I
was
looking
at
the
the
witchy
slots
and
the
changes
in
the
witchy
slots
and
I
was
concerned
and
I
know.
This
is,
for
informational
item
is
an
informational
item,
but
we
knew
we
know.
We
need
Behavioral,
Health
and
psychiatric
health,
and
when
you
look
at
the
health
professional
education
program,
the
hpep
there's
been
reductions
more
than
half
for
the
masters
of
social
work
program.
It's
a
two-year
program,
we've
gone
from
12
to
five
and
then,
when
you
look
at
psychiatric
nursing,
we've
gone
from
20
to
11.
L
and
when
we
go
to
geriatric
training,
it's
it's
ten
to
five,
and
so
anyway,
I
I
understand
that
it
says
it's
because
the
repayment
it
looks
like
it's,
because
repayment
program
has
not
received
the
revenues
that
it
anticipated.
But
it's
just
concerning
because
it's
this
is
something
that
we
may
want
to
consider
Shoring
up
at
some
point
in
time,
because
these
professionals
are
critical
to
our
Workforce
in
Nevada.
Thank
you.
C
For
the
record,
my
name
is
Patty
Avila
Porter
I
am
the
director
of
the
Nevada
office
of
witchy
and
regarding
the
issues
about
the
slot
Matrix,
which
really
is
a
part
of
the
budget
process
that
funds
are
allocated
in
the
slot
Matrix,
which
breaks
down
the
number
of
awards
available
by
occupation
area
I'm.
Here
today
to
notify
you
of
the
adjustments
and
in
regard
to
the
FY
22
slot
changes.
C
The
decrease
for
that
number
was
due
to
the
difficulty
of
Outreach
during
the
pandemic,
and
also
the
office
was
moved
during
the
pandemic
from
from
the
governor's
office
to
end
to
the
Nevada
system.
Higher
education
office
in
Reno,
also,
our
agency
had
is
an
agency
of
two
so
and
we've
had
a
vacancy.
So
it's
an
agency
of
one
during
the
pandemic
and
and
the
director
left
at
the
end
of
last
year,
I
was
appointed
May
recently
in
May
of
2022.,
so
just
to
let
you
know
about
that.
C
As
far
as
FY
22
changes
and
the
decreases,
a
lot
of
that
has
to
do
to
the
declining
loan
Revenue,
the
stipends
that
we
give
out
are
based
on
from
our
base
budget
and
also
loan.
The
loan
Revenue
repayment
we
receive,
and
so
there's
been
a
decline
in
that,
and
so
the
numbers
had
to
be
reduced.
Due
to
the
projections
decreasing
and
then
to
note.
L
It
wasn't
really
a
question.
I
just
thought
we
needed
to
take
note
of
this,
because
we
went
from
42
to
8
and
this
hpep
and
then
42
to
21
over
a
couple
of
years.
Sure
and
so
I
don't
know
if
we
need
to
change
how
we
recruit
people
and
then
it's
like
the
loan
repayment.
Do
you
think
there
was
confusion
around
Federal
loans
that
student
loans,
and
maybe
they
thought
they
didn't,
have
to
pay
them
back
or
do
you
know
what
happened
with
the
decline
in
revenues?
Well,.
C
L
C
C
Really
there
was
a
big
there
was
a
bad
debt
charge
off
of
over
790
000
in
2021,
which
obviously
takes
that
out
of
the
pool
of
of
repayment,
but
so
to
address
that
issue
as
far
as
recruitment
I
am
very
excited
to
get
involved
and
have
Outreach
to
all
the
universities
and
and
from
even
though
my
numbers
have
been
slashed
for
23
FY
23,
I
I'm
already
got
most
of
them
filled
as
far
as
my
Outreach
on
that
and
then
and
I'm.
Someone
that
likes
to
grow
and
get
involved
and
get
it
larger.
C
I
do
want
to
make
note,
though,
for
correction
that,
in
the
handout
that
I
I
provided
you
from
our
office,
I
wanted
to
make
a
correction
on
the
slot
numbers
for
FY,
23,
I
indicated
11
for
an
advanced
practice.
Nursing,
which
is
the
FNP
APRN
dnp
and
psychiatric
nursing
I,
had
indicated
11,
but
actually
that
number
is
18..
So
I
just
wanted
to
make
that
correction
for
the
record
as
well.
A
H
Evening,
Melissa
Laffer
Lewis
for
the
record.
So
this
informational
item
is
our
Porter
4
report
on
the
disproportionate
share
Hospital
program.
Happy
to
answer
any
questions
you
may
have.
A
E
Thank
you
very
much
and
dish
is
kind
of
a
heavy
issue
to
get
into
at
quarter
to
six
in
the
evening.
So
I'll
try
to
make
this
as
easy
as
as
possible.
So
with
the
the
changes
in
the
federal
rate
and
the
response
from
the
county,
how
is
the
Clark
County's
decision
to
pay
a
lesser
amount
in
the
intergovernmental
transfer
fees?
How
is
that
going
to
impact
the
state
net
benefit.
H
Thank
you
for
the
question.
Melissa
law
for
Lewis
for
the
record,
so
I
think
we
all
understand
that
the
dish
program
was
created
pre-aca
when
uncompensated
care
was
greater.
You
know
given
where
we
are
currently
with
Clark
County.
We
understand
that
the
dish
program
is
going
to
need
some
revisions.
However,
this
program
does
affect
other
hospitals
outside
of
UMC,
so
the
division
has
been
collaborating
with
UMC
to
find
a
solution
to
ensure
that
the
state
net
benefit
is
maintained
either
through
this
program
or
changes
to
other
current
supplemental
payment
programs.
E
And
thank
thank
you
very
much.
I.
Remember
we
called
them
the
dish
Wars
way
back
when
between
a
number
of
well-known
hospitals.
Umc
is
the
only
public
owned
safety
net
Hospital
in
the
state.
So
we
want
to
make
sure
that
they're,
the
hospital
of
Last
Resort
for
for
our
constituents,
but
yet
if
the
county
doesn't
negotiate
in
that
rate
ends
up
changing
it'll
have
impacts.
The
domino
effect
will
be
across
the
state,
so
I'm
glad
that
you're
still
in
negotiations.
Thank
you
for
the
answer.
E
A
All
right
so
now
we
will
go
to
public
comment.
This
is
the
last
com
period.
Public
comment
on
the
agenda
today
and
just
mention
it
again
for
because
of
time
considerations,
we've
had
all
day
we're
limited
to
not
more
than
two
minutes.
So
anyone
here
wishing
to
give
public
comment
come
forward
here
in
Carson,
City
doing
all
Rush
take
your
time.
I
A-L-E-X-A-N-D-R-I-A-C-A-N-N-I-T-O
with
Louis
Roca,
calling
it
on
behalf
of
Washoe
County
Washoe
County
is
in
support
of
items
b-130
and
d131
on
today's
agenda,
which
adds
much
needed
forensic
fed
capacity
in
southern
Nevada.
We
are
currently
seeing
the
majority
of
the
Lakes
Crossing
facility
beds,
utilized
by
court-ordered
individuals
from
Southern
Nevada,
and
the
facility
is
not
even
remotely
able
to
handle
the
needed
volume
and
the
addition
of
beds
in
southern
Nevada
greatly
improves
the
capacity
and
keeps
individuals
in
their
communities
closer
to
family
and
resources.
Thank
you.
P
Good
evening,
chair.
N
F
I
N
M
A
Thank
you
I
got
that
wrong
all
day
it
was
rock
and
roll
Superstar,
not
super
rock
and
roll
star.
Okay,
great.
Thank
you
very
much.
Anyone
else
which
do
we
have
anyone
else
on
the
line.
A
Okay,
thank
you
before
we
adjourn
I
just
wanted
to
take
the
opportunity
to
thank
all
the
members
who
have
served
and
Vice
chair
Carlton
and
that
have
served
and
won't
be
coming
back.
So
this
is
their
last
meeting
by
stroke,
Myself
by
Carlton
Senator
Tatro
assembly,
woman,
Benitez,
Thompson,
Sim,
Limon
Levitt,
some
of
them
in
Roberts
assembly
woman
tolls.
A
Thank
you
so
much
for
your
service.
If
you
wish
to
make
any
comments,
I
you're
welcome
to
anybody
similar
tolls.
J
J
Remember
a
assembly
woman,
Benitez,
Thompson
sitting
right
here
in
this
seat
and
I,
remember
making
note
that
she
listened
and
that
she
was
very
attentive
and
I
just
want
to
thank
you
for
your
service
and
for
your
friendship
and
I
also
want
to
thank
Vice,
chair
Carlton
for
just
just
an
Epic
Journey
of
serving
for
in
both
houses
and
in
this,
in
this
building
and
and
to
chair
Dennis,
for
your
friendship,
also
and
your
leadership
and
for
being
a
leader
who
listens
and
and
I
just
want
to
thank
all
the
staff
and
and
and
and
my
colleagues
for
for
so
many
good
times
and
some
not
so
good
times,
but
but
unbelievable
memories
and
I'm.
J
Just
so.
Truly
grateful
for
the
the
three
terms.
I
I'm
grateful
for
some
time
to
to
focus
on
some
other
things,
but
I
just
I
leave
here
with
tremendous
gratitude
and
appreciate
you
all.
C
Realistically,
I
just
want
to
keep
you
all
here
with
me.
A
little
bit
longer
no
I
want
to
say
a
special
thank
you
to
everyone
who
is
who
has
served
with
us
even
for
short
periods
of
time
and
and
who
are
leaving
us
to
go,
do
other
things,
but
just
a
very
heartfelt
and
special.
C
Thank
you
to
a
summary
woman,
Benitez,
Thompson,
assemblywoman,
Carlton
and
chair
Dennis
I
will
treasure
our
friendship
forever
and
we'll
miss
you
immensely
in
the
Senate
and
honestly
assembly,
woman,
Carlton
I'm
not
really
sure
how
we're
going
to
run
this
committee
without
you.
So
thank
you
very
much
for
all
of
your
service.
H
Everyone
on
the
committee,
it
truly
has
been
in
the
honor
of
a
lifetime
and
I
appreciate
everyone's
kindness
and
professionalism,
and
it's
been
it's
been
a
great
time.
So
thank
you
very
much.
A
A
E
My
husband
and
my
two
daughters
for
this
incredible
24
years,
the
state's
in
great
hands
you'll,
do
a
good
job
and
I'm
very
thankful
for
staff.
We
work
up
here
and
we
get
it
done,
but
we
look
really
great
because
they're
behind
the
scenes
doing
everything,
so
we
could
never
do
it
without
sin.
So
I
want
to
thank
them
very,
very
much.
E
My
husband
joked
when
I
first
got
elected.
They
gave
the
state
checkbook
to
a
woman
who
doesn't
balance
her
own
checkbook,
because
I
was
a
waitress
living
off
of
cash,
so
without
the
staff
we
would
have,
we
would
never
would
have
made
it.
But
I
wish
you
all
very,
very
well
and
take
care
of
yourselves,
because
you
can't
do
a
good
job
for
your
constituents
if
you
don't
take
care
of
yourself.
So
thank
you
all.
N
Yeah,
thank
you
chair
for
the
privilege
to
say
something
so
to
assembly
woman,
Benitez
Thompson,
because
we
came
in
together
in
2011..
Thank
you
for
your
friendship
assembly,
woman
Carlton
for
your
mentorship.
N
It
has
been
an
amazing
I.
I
mean
I've.
It's
been
12
years
for
me
too,
with
you
guys
and
chair
Dennis.
Thank
you
as
well.
I
mean
I,
know
I'm
a
pretty
tough
character
to
take,
but
you
guys
have
really
helped
me
to
understand
Medicaid
and
how
to
review
a
budget,
and
so
it's
been
very,
very
helpful.
Having
you
guys
in
my
life
and
mentoring,
me
so
I
know:
I'm
gonna
call
you
guys
a
lot,
but
thank
you
for
just
being
my
friend.
A
You
know
I,
18
years
ago,
I
walked
into
the
for
my
first
IFC
meeting
as
a
brand
new
freshman
in
the
legislature
and
as
it
was
typical
back
then
Bill
ragio
asked
for
20
bucks
for
lunch
and
I
was
said
sure,
and
he
actually,
apparently
he
never
gave
it
back
to
most
people.
But
to
me
he
actually
paid
me
back
so
anyways
I
I
have
appreciated
serving
on
I.
A
I.
Consider
you
all
friends
appreciate
the
the
service
that
you've
given
and
thank
you
grateful
to
serve
with
with
Maggie
I.
You
know
I
mentioned
she
was
my
Senator
I.
The
first
time
I
met
her
I
was
in
my
front
yard,
and
she
and
her
daughter
came
up
and
asked
for
my
vote,
and
that
was
well.
It
was
24
years
ago
and
I
never
knew
that.
You
know
we
would
serve
together
and
you
know
I
always
thought
when
I
got
elected.
I
would
be
here
for
like
four
years.
A
You
know
change
the
world
for
four
years
and
I'd
be
done,
and
but
you
know
grateful
to
my
wife
and
my
family
for
the
support
that
they've
given
and
so
that
I
could
do
this,
and
so
thank
you
all
for
your
service.
Thank
you
for
being
here
today.
A
We
have
no
further
thing
items
to
come
before
us
today,
and
also
thanks
for
putting
up
with
me
as
chair
for
the
last
couple
months
when,
when
Senator
Ken
hazar
asked
me
to
she
said,
oh
we're
going
to
have
a
couple
meetings
between
now
and
then
we've
got
like
eight
meetings
here
or
whatever
yeah
right
yeah
so,
but
I've
been
on
this
long
enough.
That
I
knew
that
that
wasn't
going
to
happen.
So
so
with
that.
Thank
you
very
much
and
everyone
please
travel
home
safely
and
with
that
oer
adjourned.