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Description
This is the second meeting of the 2021-2022 Interim. Please see the agenda for details.
For agenda and additional meeting information: https://www.leg.state.nv.us/App/Calendar/A/
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A
A
Howdy
present,
thank
you,
madam
secretary.
It
looks
like
all
committee
members
are
present.
Thank
you
members
for
joining
us
this
morning
and
thank
you
for
those
tuning
in
online
to
watch
us
as
well.
Before
we
begin,
I
would
like
to
go
over
our
normal
housekeeping
items.
Members
please
remember,
to
keep
your
video
turned
on
during
the
meeting
to
ensure
that
we
have
a
quorum
at
all
times.
Please
remember
to
mute
yourself
when
you
are
not
speaking
and
unmute
yourself
to
speak,
and
then
you
yourself,
when
you
are
done.
This
just
helps
eliminate
background
noise.
A
A
A
A
Before
we
get
started
with
public
helmet.
I
would
like
to
let
committee
members
and
presenters
and
anyone
else
who
is
joining
us
on
zoom
know
that
the
zoom
chat
is
specifically
reserved
to
communicate
with
it
and
bps
for
any
technical
assistance
that
you
may
need
please.
I
would
like
to
again
remind
everyone:
please
do
not
write
any
questions
in
the
committee
are
in
the
zoom
chat.
All
questions
must
be
made
verbally
so
that
they
can
be
documented
for
public
record
again.
A
Zoom
chat
is
specifically
reserved
only
for
technical
assistance
requested
to
bps
or
it
with
that.
Let
us
get
started
again.
Public
comment
will
be
limited
to
three
minutes
per
speaker
and
in
addition,
it
will
be
available
at
the
meeting.
My
intention
is
to
take
30
minutes
at
the
beginning
of
the
meeting,
and
then
we
will
take
the
remainder
of
public
comments
at
the
end.
Vps,
please
add
the
first
caller
with
public
comment
to
the
meeting.
A
B
C
A
In
public
comment,
thank
you
so
much
bps.
Okay,
we
can
move
on
to
our
next
agenda
item.
I'm
really
excited
about
today's
agenda
because
the
focus
of
our
meeting
is
on
occupational
and
professional
licensing,
something
an
area.
I've
got
to
learn
over
my
last
three
terms
on
commerce
and
labor.
At
our
last
meeting,
it
was
noted
that
the
nevada
regulates
more
than
50
different
occupational
groups,
independent
boards
oversee
most
of
them,
with
the
remainder
administer
administered
through
state
agencies
or
officials.
A
During
the
last
legislative
session,
the
commerce
and
labor
committee
heard
many
bills
relating
to
occupational
professional
licensing.
We
actually
heard
26
bills
relating
to
this
subject
that
were
passed
in
2021.
Our
first
item
on
the
agenda
is
a
presentation
on
the
national
trends
in
occupational
licensing.
A
Matt
schaefer
and
caitlin
bison
with
the
council
of
state
governments,
will
provide
an
overview
of
best
practices
in
state
licensing
directed
at
allowing
states
to
safeguard
consumers
while
maintaining
a
modern
regulatory
system
that
meets
the
needs
of
workers
and
businesses.
Mr
schaefer
and
miss
bison,
I
believe
I
you
are
with
us.
I
saw
you
sign
on
so
when
you
are
ready
to
begin
the
floor.
Is
yours.
E
Thank
you,
madam
chair.
I
will
just
share
my
screen
here
briefly
and
before
I
hand
it
off
to
caitlyn.
I
just
wanted
to
give
a
brief
introduction
about
the
council
state
government.
So
csg
is
a
nonpartisan
membership
association
that
serves
all
three
branches
of
state
government.
So
we
provide
policy
resources.
We
respond
to
research
requests,
we
host
a
lot
of
convenings
and
leadership,
development
for
legislators,
but
also
governor
staff
and
the
judiciary
to
help
promote
excellence
in
state
government.
So
we
have
four
regional
offices,
including
csg
west.
E
C
C
So,
to
begin,
we're
going
to
start
with
a
bit
of
occupational
licensure
101.
occupational
licensure
protects
public
health
and
safety
by
requiring
practitioners
of
certain
professions,
such
as
healthcare,
massage
therapy,
social
work
and
other
fields
to
undergo
certain
training
and
education,
as
well
as
enforce
oversights
in
any
cases
where
harm
occurs.
C
For
the
most
part,
each
state
has
full
autonomy
over
licensure
and
determines
what
education
and
training
will
be
required
to
obtain
licensure,
including
other
factors
such
as
the
criminal
record
in
the
1950s
licensed
workers
accounted
for
only
five
percent
of
the
employee
population,
but
over
the
last
six
years
the
number
of
jobs
requiring
an
occupational
license
has
grown
to
25
or
nearly
one
in
four
and
for
health
care.
This
number
is
even
higher
with
about
three
and
four
health
care
occupations
requiring
a
license.
C
So
with
this
increase
in
licensed
professions,
as
well
as
differences
in
licensure
requirements
across
state
lines,
certain
barriers
to
licensure
can
arise.
The
first
would
be
the
cost
of
licensure,
either
in
terms
of
monetary
cost,
time
or
opportunity,
cost
for
monetary
costs.
The
fees
for
licensure
exams
and
other
materials
they
might
need
to
be
able
to
meet
their
state's
requirements
can
be
a
barrier
to
licensure
for,
for
example,
low-income
workers
and,
depending
on
a
lot
of
different
factors.
C
The
licensure
process
can
also
take
a
bit
of
time
from
people
while
they
wait
for
their
application
to
be
processed.
The
time
spent
fulfilling
education
and
experience
requirements
and
the
time
studying
for
exams.
C
And
lastly,
while
working
to
fulfill
licensure
requirements,
there
is
an
opportunity
cost
in
a
way
and
not
spending
that
time
working
in
another
profession,
as
I
mentioned
before,
these
barriers
can
also
hinder
certain
populations
considerably
more.
For
example,
military
spouses
veterans
and
immigrants
often
have
difficulties
with
states
recognizing
their
prior
experiences
and
may
have
to
go
through
certain
education
and
trainings
a
second
time
in
order
to
obtain
license.
C
Next
likely,
so
with
these
barriers
to
licensure,
we
have
found
that
increasing
licensure
mobility
and
portability
can
aid
with
a
number
of
things,
including
fulfilling
workforce
shortages
in
certain
professions,
improving
access
to
telehealth
for
those
who
want
to
practice
in
multiple
states
aiding
in
the
licensure
process
of
specific
populations
such
as
I
mentioned,
with
military
spouses,
who
might
have
to
move
to
multiple
different
states
in
a
short
amount
of
time
and
aiding
in
disaster
relief
efforts,
as
we
saw
in
the
beginning
of
the
pandemic,
and
even
today,
so
states
have
been
working
to
remove
these
barriers
to
licensure
and
increase
license
portability
in
a
number
of
different
ways.
C
So
I
will
now
kind
of
go
over
each
of
these
trends
in
a
bit
more
detail
and
give
some
state
examples,
and
so
the
first
trend
will
be
for
targeted
reform
for
specific
populations
to
begin.
We
do
see
reform
and
legislation
surrounding
targeted
populations.
It's
usually
for
reducing
time
to
licensure
for
these
three
disproportionately
affected
populations.
C
You
see
here,
individuals
with
criminal
records,
military
spouses
or
members
veterans
and
immigrants
with
work.
Authorization
next
slide,
please
so
to
get
a
little
more
specific
for
individuals
with
criminal
records.
Some
trends
we've
seen
in
states
is
legislation
that
can
be
categorized
as
fair
chance
licensing
policies.
C
So
moving
now
on
to
military
spouses
and
veterans,
many
states
provide
them
with
a
number
of
ways
to
reduce
their
time
to
licensure
with
licensure.
By
endorsement,
this
allows
military
trained
applicants
to
have
been
awarded
a
military,
occupational,
specialty
and
military
spouse
applicants
who
are
licensed
in
another
jurisdiction
to
receive
certain
occupational
licenses
in
their
state.
C
C
Additionally,
at
least
35
states
afford
military
spouses,
an
expedited
review
for
licensure
in
order
to
ease
the
time
burden
placed
on
them,
and
a
few
states
also
provide
exception
from
licensure
for
military
spouses
and
veterans
and
assistance
with
fees
for
military
spouses
next
slide,
so
the
last
targeted
population
will
talk
about
is
immigrants
with
work
authorization.
C
There
are
around
2
million
unemployed
or
underemployed
college
educated
immigrants
in
the
u.s
at
least
60
percent
of
them
hold
international
credentials
with
over
a
hundred
thousand
of
which
are
health
related.
So
states
have
passed
legislation
to
modify
requirements
to
licensure,
to
accommodate
for
immigrants
with
work
authorization
and
their
foreign
experience
or
credentials.
C
C
So
csg
published
a
report
last
december
that
includes
a
survey
of
licensing
boards
in
seven
states,
csg
collected
31
responses
from
licensing
bodies
in
seven
states,
16
of
which
were
from
borah
state
boards
in
pennsylvania.
C
The
questions
assess
staff
member
experiences
with
implementing
ulr
policy.
The
challenges
they
face,
unintended
consequence
consequences,
sorry
and
whether
the
policy
has
positively
contributed
to
the
state's
workforce.
C
Respondents
were
also
asked
to
discuss
the
impact
of
the
policy
on
the
state's
ability
to
respond
to
the
coca-19
pandemic
and
any
resulting
workforce
challenges,
and
when
asked
whether
or
not
the
universal
recognition
policy
had
positively
contributed
to
their
state's
workforce,
we
had
35
percent
of
the
respondents
either
agree
or
strongly
agree
that
it
positively
contributed
to
their
workforce.
C
So
the
third
trend
has
been
the
enactment
of
interstate
licensure
contacts
which
I'll
go
into
a
little
bit
of
detail
on,
but
you'll
hear
more
about
that
later.
With
some
of
the
other
agenda
items
I
believe
so
interstate
combats
are
statutorily
enacted
agreements
among
states
that
allow
licensees
to
practice
across
state
lines.
They
can
allow
for
practitioners
to
practice
in
multiple
states,
such
as
with
telehealth,
which
can
help
alleviate
practitioner
shortages
in
high
demand
or
rural
areas.
C
I
believe
you'll
hear
some
more
about
a
few
of
these,
but
these
are
the
rest
of
the
active
contacts
for
nursing
psychology,
occupational
therapy,
medicine,
ems,
counseling,
physical
therapy,
audiology
and
pathology
and
advanced
practice,
nursing
next
one
and
here's
just
a
quick
map
showing
what
states
and
how
many
compacts
they
are.
Members
of
so,
like
I
mentioned
before,
nevada
is
a
part
of
two.
C
So,
while
both
methods
require
practitioners
to
abide
by
the
scope
of
practice
in
the
new
jurisdiction,
allow
for
expedited
movement
of
practitioners
during
emergencies
and
reduce
barriers
for
out-of-state
practitioners,
universal
license
laws,
don't
reduce
barriers
for
in-state
practitioners
looking
to
practice
in
multiple
states.
C
They
also
don't
gather
a
coalition
of
states
to
establish
uniform
licensure
standards
and
they
don't
create
a
multi-state
database
of
licensure
information
to
facilitate
investigations
and
a
few
other
things
on
this
chart.
But
next
time
please.
C
But
we
will
move
on
to
another
trend,
which
is
how
states
are
changing
their
regulatory
structures,
so
states
changing
their
regulatory
structure
stems
from
worries
about
active
supervision
with
the
north
carolina
dental
board
case
and
many
centralized
their
licensing
boards
by
grouping
agencies
and
departments,
delineating
single
lines
of
authority
to
the
top
and
administering
the
department
by
an
individual
instead
of
words
or
commissions
excellent,
but
to
break
it
up
into
several
models.
C
C
The
step
up
would
be
that
the
central
agency
could
have
slightly
more
functions,
such
as
budgetary,
personal
and
some
disciplinary
activities
like
in
model
c
in
model
d,
a
board's
actions
can
be
subject
to
review
by
the
central
agency
and,
lastly,
in
model
e.
The
central
agency
has
complete
authority
and
the
boards
are
advisory.
Only
some
changes
might
have
a
mix
of
these
models,
depending
on
the
professions.
C
Some
features
of
these
online
licensing
systems
include
online
initial
applications
and
renewal,
digital
licenses,
online,
continuing
education
credits
and
the
ability
to
pay
fees
online
by
digitizing.
The
licensing
processes
state
can
lower
costs
and
processing
times
they
can
lessen
a
need
for
physical
office
locations
and
they
can
utilize
the
ability
of
the
state
databases
to
increase
accountability.
C
Next
slide,
so
last
but
not
least,
states
have
been
making
efforts
to
expand
apprenticeship
programs
across
the
u.s.
So
I'll
talk
a
little
bit
more
about
that.
Apprenticeships
are
an
earn,
while
you
learn
program
with
on-the-job,
training
for
future
practitioners
of
a
trade
or
profession
according
to
the
department
of
labor
94
of
those
who
complete
an
apprenticeship
program,
maintain
employment
and
earn
an
average
salary
of
70
000
there's
been
an
128
percent
increase
in
new
apprenticeships.
Since
2009
and
12
000
new
apprenticeships
programs
have
been
created
in
the
last
five
years.
C
C
So
with
that
we'll
set
aside
the
remaining
time
for
any
questions,
you
may
have
just
feel
free
to
ask
anything
that
came
to
mind
during
the
presentation
and
we'll
answer
them
best.
We
can.
A
Thank
you
so
much
caitlyn.
That
was
such
a
wonderful
presentation.
I
was
fortunate
enough
to
see
csg
present
portions
of
it
during
the
conference
in
the
fall,
and
so
I
was
really
excited
that
you
guys
were
able
to
present
today
to
share
it
share
it
with
the
committee,
because
I
think
it's
important
to
see
the
trends
and
what
other
states
are
doing,
and
I
know
I
have
a
handful
of
questions.
A
F
Thank
you,
madam
chair,
and
I
guess
the
question
I
have
the
information.
Thank
you.
So
much
information
was
very
informative.
One
of
the
questions
that
persists,
in
my
mind,
is
have
we
done
anything.
F
Have
there
been
any
studies
and
perhaps
that
will
be
presented
later,
to
look
at
the
impact
of
licensure
or
lack
thereof
on
military
spouses,
since
we
have,
especially
in
in
southern
nevada,
with
nellis
air
force
base,
and
we
also
have
creech
and
a
number
of
the
other
air
force
bases
that
are
in
some
of
the
more
rural
parts
so
getting
when,
when
military
members
are
stationed
at
a
particular
place,
most
of
the
time,
the
cost
of
living
demands
that
there
is
more
than
one
income
earner.
F
So
have
we
looked
at
anything
related
to
how
the
licensure
process
impacts
military
spouses,
particularly
yeah,
that's
important.
A
Yeah
and
vice
chair,
I'm
gonna-
let
miss
bison
answer
that,
but
just
just
that
you
know
too
we
the
next
agenda
item
we
do
have
miss
kelly
may
douglas
on.
So
I'm
sure
she
can
help
answer
some
of
those
questions
too,
with
the
different
ones,
basically
presenting
on
barriers
to
employment
based
by
veterans,
militant
members
and
their
spouses.
F
And
the
reason
for
that
I
know
when
we
were
in
puerto
rico
a
couple
years
ago.
We
we
dealt
with
that
just
a
little
bit,
but
I'm
trying
to
make
sure
that
we're
doing
an
integration
of
what
csg
is
doing.
Ncsl
is
working
on
some
of
it,
but
sometimes
the
information
is
compartmented
and
I
think
it's
important
for
us
as
legislators
to
understand
the
total
picture,
because
that's
what
impacts
our
our
military
and
I'm
real
passionate
about
that.
So
absolutely.
E
Yeah,
thank
you
senator
spearman.
I
can
speak
to
that
point.
A
little
bit.
Certainly,
I
think
kelly
may
douglas
is
the
the
best
equipped
to
handle
that
question.
But
there
is
a
significant
cost
to
licensure
for
military
spouses.
I
know
dod
sites,
they
move
on
average
of
every
one
to
two
years
and
just
imagine
it
takes
you
six
to
nine
months
to
receive
a
license
in
a
new
state
and
then
before
you
know
it,
you
have
to
pack
up
and
move
again.
So
there
is
a
significant
cost
and
a
lot
of
times.
E
I
I
think
kelly
may
might
have
data
to
show
this,
but
a
lot
of
times
military
spouses,
just
dr
either
drop
out
of
the
workforce
completely
or
move
to
a
non-licensed
sector.
So
you
know
doing
something
that
that's
not
in
the
field
which
they
have
the
the
training
and
experience,
and
so
that's
very
unfortunate
and
something
that
you
know
at
csg.
E
We're
really
working
hard
to
try
to
alleviate,
through
the
passage
of
interstate
compacts,
which
kaitlyn
mentioned
currently
there's,
there's
nine
active
interstate
compacts,
we're
working
on
five
new
ones
for
teaching
social
work,
cosmetology,
dentistry
and
massage
therapy.
But
these
these
interstate
compacts
all
have
provisions
for
military
spouses
that
say,
while
you,
while
your
spouse
is,
is
active
duty.
You
can
designate
a
home
state
and,
if
you're
moving
around
the
country
to
any
other
compact
member
state,
you
do
not
have
to
get
a
new
license
in
that
state.
E
That
state
will
recognize
your
your
home
state
license,
and
so
it's
it's
seamless,
there's
no
extra
hoops
extra
training,
no
extra
exams!
It's
it's
instantaneous
that
the
spouse
is,
is
granted
authority
to
practice
in
the
new
state
through
the
the
interstate
compact.
That's
in
place,
so
dod
has
kind
of
said
that
that
compacts
are
the
the
gold
standard
for
portability
for
their
spouses,
and
so
that's
the
primary
issue
that
spouses
face
portability
and
interstate
compacts
are
a
great
way
to
to
help
alleviate
those
burdens.
F
And
and
madam
sheriff,
if
I
could
just
say
this
one
one
of
the
things
that
I've
pressed
hard
for
the
last
four
years,
I
was
on
the
executive
committee
is
to
make
sure
that
we
have
this
in
information
integrated,
because
when
it's
compartmentalized,
it's
very
very
easy
for
especially
at
the
state
level,
very
easy
for
us
to
forget
how
the
the
impact
of
non
compact
states,
how
that
impacts
our
service
members.
F
So
I'm
just
just
for
the
record,
I'm
just
trying
to
make
sure
that
the
information
as
thorough
as
it
is
to
make
sure
that
we're
always
integrating
that
with
information.
That
is
there
that
miss
douglas
will
present
as
part
of
her
presentation
as
the
regional
administration,
regional
representative
for
dod.
So.
A
Any
other
questions
advice
chair
before
I
turn
it
over
to
other
members:
okay,
members,
any
other
questions.
A
Okay,
I
do
have
a
couple
and
and
I'll
try
to
keep
the
list
short.
But
since
I
have
this
opportunity
I
want
I
want
to
make
sure
that
the
committee
members
get
to
hear
all
of
the
information
as
well.
But
in
the
presentation
you
talked
about
some
of
the
barriers
to
licensure
and
we
talked
about
how
one
of
the
barriers
is
for
the
populated,
low-income
population.
A
Is
there
any
trend
that
you
see
with
boards
across
the
states
where
they
offer
like
scholarships
or
grants
to
help
cover
the
cost
of
the
licensure
to
help
get
more
people
into
that
workforce?.
C
I
was
just
going
to
say
that
I
don't
I'm
not
sure
completely
about
gramps
or
scholarships.
I
know
like
I
mentioned
with
military
spouses.
They
sometimes
waive
the
fees,
especially
with
the
pandemic.
We
saw
a
lot
of
weight
fees
with
temporary
provisions
and
then
I
think
the
biggest
push
for
helping
with
those
fees,
though,
would
be
in
terms
of
the
apprenticeships,
so
they
could
continue
to
earn
money
while
they
fulfill
those
licensure
requirements
would
be
the
most
helpful
thing
that
states
are
doing
that.
I'm
aware
of
matt
did
I
miss
anything.
E
Yeah,
the
only
thing
I
would
add
there
is-
I
mean
the
the
the
unfortunate
situation
is
a
lot
of
times.
These
state
boards
live
completely
off
of
their
licensure
fees
for
their
revenue
and
so
they're
very
hesitant
to
do
anything
around
lowering
fees,
waiving
fees
things
like
that
unless
they
have
the
explicit
purpose
to
aid
populations
like
military
spouses,
but
just
for
their
general
licensing
population
a
lot
of
times.
Those
independent
state
boards
are
really
reliant
on
those
licensure
fees
for
their
their
revenue.
E
It's
really
their
only
source
of
revenue,
so
that
that's
something
that's
it's
tough
for
for
boards
to
to
get
behind
and
not
something
that
we've
really
seen
a
significant
amount
of.
A
Okay,
thank
you
and
ms
bryson.
You
touched
a
little
bit
on
like
the
waving
of
these
as
a
temporary
provision.
As
a
result
of
covet,
I
mean,
are
there
any
other
like
temporary
provisions
that
came
out
of
the
copa
19
pandemic
that
you
think
boards
are
looking
to
continue?
Maybe
that
was
a
benefit.
C
There
were
some
where
you
know
not
taking
the
they
waived
exam
requirements,
things
like
that,
so
that
obviously
would
continue
to
be
temporary.
I
the
only
thing
there's
been
some
with
some
exam
requirements,
rather
than
being
in
person
them
continuing
to
be
online,
so
things
like
that
may
continue
to
pop
up
and
be
more
permanent.
E
Agreements
between
states,
temporary
agreements
to
to
recognize
each
other's
licensees,
particularly
in
in
those
professions
that
were
in
high
demand
during
the
pandemic,
nursing
respiratory
therapy.
E
So
some
of
those
provisions-
I
I
think
especially
around
telehealth
too-
we
saw
you
know
during
the
pandemic,
the
the
rise
of
telepractice
significantly,
and
so
I
think
that
could
be
something.
That's
lasting
out
of
the
pandemic
is
a
state's
willingness
to
adopt
telepractice
as
a
viable
means
of
practice,
and
you
know
doing
that
in
a
way
that
that
makes
sense
across
state
lines
so
that
you
know
you're
not
asking
someone
to
to
go
through
the
the
licensure
process.
Again,
when
they're,
seeing
someone
through
a
telephonic
or
electronic
means.
A
Okay,
thank
you,
mr
schaefer,
and
then
I'm
just
my
last
question
and
then
I'm
going
to
do
a
last
call
with
the
committee
members
I
see
vice
chair
has
another
question,
but
you
guys
you
have
that
publication
that
you
referenced
in
your
presentation
that
examined
or
kind
of
studied
the
universal
licensure.
A
Do
you
guys
have
a
similar
publication
that
studies
compacts
and
maybe
one
that
studies
the
regulatory
structure,
I'm
curious
to
see
what
how
states
responded?
Those
states
that
do
have
like
umbrella
regulatory
bodies
or
have
a
different
regulatory
structure,
how
they
responded
to
that
and
if
they
saw
a
benefit
to
their
state.
E
Yeah,
that's
a
great
question,
so
we
have
a
lot
of
resources
on
on
interstate
compacts,
the
council
of
state
governments,
a
policy
program
that
we
we
have
at
csg
is
our
national
center
for
interstate
compact.
So
we're
really
the
the
only
organization
out
there.
That's
that's
working
on
compact,
so
there
there's
plenty
that
we
can
provide
the
committee
plenty
of
educational
resources
about
compacts
regarding
regulatory
structure.
E
We
don't
have
anything
specifically
on
that
in
terms
of
like
a
survey
report
or
anything
like
that,
I
would
point
you
to
the
council
on
licensure
enforcement
and
regulation.
It's
an
organization
called
clear
and
their
members
are
regulatory
bodies
and
they
do
a
lot
in
this
space
as
well.
Helping
states
examine
their
regulatory
framework
and
maybe
make
adjustments
where
needed.
So
they
have
a
lot
of
educational
resources
around
state
regulatory
structure.
So
I'd
be
happy
to
provide
that
to
the
committee
after
the
meeting.
A
Thank
you
so
much
and
thank
you.
I
just
want
to
thank
you,
mr
schaefer,
and
surprise
for
your
presentation
before
I
let
you
guys
go.
I
do
see
another
question
from
our
vice
chair,
so
I'm
gonna
go
back
to
her
and
then
then
we'll
move
on
to
our
next
agenda
item
vice
chair.
F
Yeah,
I'm
I'm
sorry,
so
just
a
really
good
question.
I
know
that
one
of
the
things
that
was
presented
to
us
about
six
years
ago,
I
think,
was
the
changing
demographics
here
in
nevada
that
we
are
graying
states,
so
the
licensure
compact.
F
What
effect,
if
any,
would
that
have
positively
negatively
on
the
number
of
medical
personnel
who
are
retiring
specifically,
those
who
address
needs
in
particular,
populations
such
as
the
seasoned
citizens,
such
as
those
rare
diseases,
we're
standing
up
the
the
committee
to
look
at
kidney
disease
and
all
those
sorts
of
things
so
is
there?
Is
there
anything
related
to
the
licensure
and
the
compact
agreements
that
would
be
able
to
help
us
in
those
areas
number
one
the
people
who
are
retiring?
How
do
we?
F
How
do
we
make
sure
that
we
still
have
enough
medical
personnel
for
that
and
number
two,
especially
with
those
rare
diseases
that
are
occurring,
especially
in
the
pediatric
population
and
madame
cheer?
I
appreciate
your
indulgence,
but
I
think
that's
all.
E
Great
thank
you
for
the
question.
Yes,
I
think
certainly,
we've
seen
compacts
fill
shortage
areas,
particularly
in
health
care.
If
you
in,
we
can
circulate
the
the
list
again
of
all
the
the
active
licensure
compacts
but
they're,
basically,
all
all
in
health
care.
E
So
in
terms
of
that
that
aging
population,
the
the
retirement
population,
you
know
those
folks
are
going
to
need
doctors
and
and
nurses,
and
occupational
therapists
and
physical
therapists-
and
you
know,
there's
a
compact
in
all
those
professions
that
would
allow
for
there
to
be
those
those
shortage
areas
allow
for
mobility
for
workers,
so
practitioners
from
other
states
could
come
to
nevada
and
potentially
fill
those
shortage
areas.
So
we
we've
certainly
seen
that
as
a
big
benefit
of
compacts
in
the
the
healthcare
space.
A
Thank
you,
mr
shaffer.
Okay
committee
last
call
okay.
Well,
I
just
want
to
thank
you,
mr
schaefer,
and
miss
spicen
again
for
joining
us
this
morning
and
for
all
of
the
information
you
guys,
provided
I
think
it's
just
so
important
and
to
see
where
the
trends
are
in
occupational
licensing.
So
thank
you.
I
appreciate
your
participation
this
morning.
A
I
think
we
heard
a
little
bit
about
it
from
our
vice
chair,
but
certain
populations
who
frequently
move
across
state
lines
may
have
difficulty
obtaining
professional
license,
such
as
veterans,
military
members
and
their
spouses,
whose
training
inside
the
military
may
not
align
with
state
licensing
requirements.
The
legislature
has
considered
this
issue
in
previous
sessions.
For
example,
in
2015
we
passed
a
b
89
among
the
various
provisions
of
the
bill.
Certain
regulatory
boards
were
required
to
issue
a
license
by
endorsement
to
qualified
veterans,
military
members
and
their
spouses
each
session.
A
We
continue
to
remove
barriers
to
occupational
license,
and
this
this
topic
does
deserve
our
attention
we
have
with
us
today,
ms
kelly
may
douglas
the
pacific
southwest
regional
liaison
and
state
defense
liaison
to
the
united
states
department
of
defense.
She
will
provide
a
presentation
on
the
barriers
to
employment
faced
by
veterans,
military
members
and
their
spouses
miss
douglas
when
you're
ready.
The
floor
is
yours.
You
may
be
good.
G
Good
morning,
chair
hatagi
and
members
of
the
committee,
I
really
appreciate
you
having
me
for
the
record.
My
name
is
kelly.
May
douglas.
I
work
for
the
department
of
defense
in
the
state
defense
state
liaison
office.
G
Our
office
is
has
been
in
place
since
2004
and
it
was
established
by
the
office
of
the
undersecretary
of
defense
for
personnel
and
readiness.
We
are
charged
to
address
designated
personnel
and
readiness,
key
issues
with
state
police,
policymakers
to
change
laws
and
policies
to
improve
military
family
well-being.
G
G
So,
as
I
mentioned,
we
work
with
policymakers
and
stakeholders
throughout
the
states.
G
We
identify
10
issues
each
year
that
we
focus
on
and
those
issues
are
developed
in
collaboration
with
the
service
headquarters,
the
military
services
communication
with
local
commanders,
military
spouses
veterans
and
we
identify
what
policymakers
can
make
at
the
what
changes
policymakers
can
make
at
the
state
level
that
kind
of
cross
over
the
the
whole
nation.
So
it's
something
that
we
look
at
every
year
and
we
prioritize
what
is
most
important
to
the
military
community
at
that
moment.
G
So
if
it's
a
priority
priority
for
military
families,
that's
what
we
work
on,
and
so
I
I
do
want
to
say.
If
you
are
interested
in
our
other
issues,
you
can
look
at
our
website,
which
is
listed
there.
But,
as
you
can
see
in
this
visual
here,
the
2022
key
issues,
three
of
the
top
quality
of
life
issues
that
we're
working
are
all
related
to
easing
barriers
to
licensure
for
military
spouses
and
I'll
talk
about
those
three
approaches
that
dod
is
taking
in
the
next
slides.
G
I
just
wanted
to
provide
just
a
snapshot
experience
of
from
the
mouths
of
actual
military
spouses-
I
won't
read
it
through,
but
one
of
the
the
first
quote
here
is
a
military
spouse
that
works
in
the
education
system
and
just
details.
G
How
much
work
is
needed
to
go
through
each
time
that
spouse
moves
and
the
requirements
not
just
for
the
fees
that
we've
talked
about
before,
but
also
you
know,
a
substantial
amount
of
documentation
that
has
to
be
collected
before
the
application
is
even
submitted,
and
then
the
second
one
is
a
is
a
a
quote
from
a
speech
and
language
pathologist
who
was
actually
living
in
nevada
at
the
time
that
just
is
sharing.
G
G
34
of
military
spouses
are
in
a
licensed
profession,
which
is
typically
about
10
to
15
higher
than
the
their
civilian
counterparts
and
at
the
same
time
you
know
they're
moving
and
so
any
sort
of
delay
or
barrier
that
their
experience
is
disproportionate
for
them,
because
we
found
that
that
more
military
spouses
are
in
those
licensed
professions.
So
just
that
interesting
kind
of
perspective,
for
you.
G
Trying
to
okay
so
the
I
think
I
need
to
go
back
just
one.
Second,
I
think
I
might
have
skipped
forward
too
too
much.
G
Oh
okay,
nope-
that
was
good.
All
right,
so
dod
has
been
focused
on
militaries,
are
on
reducing
barriers
to
licensure,
not
just
for
military
spouses,
but
for
service
members
and
separating
service
members
who
are
joining
the
civilian
population.
But
since
2011,
we've
really
been
focusing
on
military
spouses,
pretty
exclusively
just
realizing
what
effect
lack
of
career
portability
is
having
on
our
active
duty
force.
G
We
have
done
many
studies
and
one
of
the
the
key
findings
of
a
recent
study
was
that
a
big
proportion
of
active
duty
service
members
have
stated
that
their
spouse's
ability
to
maintain
their
career
on
their
career
path
is
or
their
lack
of
ability
to
do
so
is
a
number
one
factor
in
whether
they
decide
to
stay
in
military
service
or
not,
which
affects
national
security,
because
a
lot
of
these
military
spouses
that
are
in
licensed
professions
are
higher
further
along
in
their
career
path
than
let's
say,
younger
spouses,
and
so
their
their
their
military
member
spouse
is
regarded
as
very
highly
experienced.
G
Had
the
the
dod
has
put
millions
and
millions
of
dollars
of
training
into
each
individual
service
member
that
has
risen
in
the
ranks
and
when
you
lose
that
type
of
experience
it
has
a
direct
effect
on
national
security.
So
I
only
say
that
to
to
explain
why
this
is
such
a
high
priority
for
dod,
and
I
just
want
to
kind
of
highlight
some
of
the
things
that
have
happened
recently,
that
to
kind
of
demonstrate
how
important
this
is
to
dod.
G
In
february
2018,
the
three
service
secretaries
sent
a
letter
to
the
national
governors
association,
explaining
that
how
important
license
career
portability
and
licensure
portability
is
to
all
three
services.
G
G
As
we've
talked
earlier
in
this
in
this
hearing,
there
have
been
things
that
nevada
has
done
and
we
did
report
that,
but
there's
still
a
lot
more,
that
we
can
do
to
ensure
that
it's
a
it's
a
friendly
place
for
military
spouses
to
continue
their
career
at
the
level
that
they
deserve.
G
So
most
recently
in
december,
2020,
the
nda,
the
national
defense
authorization
act,
had
a
requirement
for
each
of
the
services
to
develop
criteria
to
evaluate
each
state's
each
state's
laws
in
terms
of
how
portable
the
military
spouse
licensure
is
in
those
states
and
they're
required
to
include
those
criteria
in
all
basing
decisions
moving
forward,
so
not
just
closing
a
base,
but
also
where
a
major
mission
might
be
placed
or
removed
now
has
to
be
a
military
spouse.
G
Licensure
portability
and
reciprocity
now
have
to
be
one
of
the
quality
of
life
measures
that
are
included
in
those
decisions,
and
this
is
just
a
snapshot
here.
The
air
force
led
the
kind
of
led
the
way
as
far
as
meeting
that
requirement,
they
have
a
website.
They
share
this
information
with
publicly
for
military
spouses
to
understand
where
each
state
stands.
G
In
terms
of
their
level
of
support
for
licensure
portability-
and
you
can
see
it
here,
nevada's
is-
is
it
kind
of
in
that
yellow
range
that
mid-range
and
that
that
comports,
with
the
dod
criteria
as
well,
which
I'll
talk
about
next.
G
So,
like
I
said,
each
each
service
branch
has
to
come
up
with
their
own
criteria
or
they
can
use
the
dod
criteria.
Are
it's
a
little
bit
different?
We,
the
dod
criteria,
is
more
broad.
G
It's
really
about
progress
and
helping
states
to
to
make
incremental
change
rather
than
a
snapshot
evaluation,
and
it's
not
used
for
basing,
but
the
military
services
can
use
our
evaluation
for
their
basing
decisions
and,
as
you
can
see
here,
our
our
approach
is
a
continuum
of
opportunities
to
transfer
an
occupational
license
between
states
for
short
and
it.
The
continuum
goes
from
the
bottom
to
the
top
short
term
to
long
term,
and
you
can
kind
of
see
it
also
matches
with
the
color
red
to
green.
G
So
this
we
use
three
lines
of
effort
to
meet
each
of
these
kind
of
points
of
the
continuum.
So
at
the
when
at
the
very
bottom
there,
no
a
state
with
no
portability
is
a
state
that
just
has
no
laws
at
all
that
allow
for
any
sort
of
waiver
or
exemption
or
temporary
license.
G
There's
just
nothing
there
for
portability,
and
then
you
move
up
into
states
that
have
some
language
in,
but
we've
found
the
language
to
be
either
weak,
as
in
using
may,
instead
of
shall
language
and
or
being
very
vague
about
what
is
actually
required
of
the
boards
to
issue
a
license
in
in
an
expedited
fashion
for
military
spouses.
So
nevada
does
have.
As
you
mentioned,
chair
ab-89,
it's
a
good
start.
It
focuses
mainly
on
healthcare
occupations.
G
It
provides
a
license
by
endorsement
within
45
days,
but
there
are,
there
are
there's
still
language
about
substantial
equivalency
and
there
is
a
substantial
amount
of
documentation
that
military
spouses
would
have
to
provide
at
the
point
of
application,
which
means
you
know
that
that
that
upfront
work
that
military
spouses
have
to
do
is
creating
the
delay
before
application,
and
so
I
just
really
wanted
to
make
that
point.
G
G
These
are
states
that
have
policies
providing
expedited
endorsement
or
temporary
license,
but
with
minimal
paperwork
up
front
and
then
and
then
you
go
into
the
the
top
kind
of
tier
of
that
of
the
state
law
continuum
where
a
state
has
exempted
all
all
partial
part
or
all
of
their
requirements
as
in
arizona
and
utah,
as
was
mentioned
earlier
today,
and
then
our
again,
our
long-term
approach
is
licensure
compacts.
We
believe
that
this
is
really
the
gold
standard.
G
As
matt
has
mentioned,
we
do
see
interstate
compacts
as
the
gold
standard
for
providing
for
long-term
reciprocity
and
long-term
career
portability
for
military
spouses,
and
so
that's
our
that's.
That's
just
that's
our
end
goal.
That's
really
what
we
would
like
to
see
states
do,
but
we
appreciate
all
efforts
on
the
continuum
moving
up.
G
So,
just
taking
a
little
time
here,
just
to
kind
of
get
more
specific
on
nevada.
These
are
our
the
current
demographics
that
we
have
and
we
have
so
three
thousand
a
little
over
three
well,
five
thousand
almost
5.5
000
military
spouses
in
the
state
3
300
of
those
are
in
the
workforce
and
18
a
little
over
1800
of
those
are
those
that
are
licensed
in
nevada,
that
are
military
spouses
and
then
just
a
breakdown
here.
G
So
again,
I'm
just
looking
at
our
our
gold
standard
here
on
interstate
compacts.
We
really
believe
that
this
is
the
true
definition
of
reciprocity,
in
that
it's
a
mutual
agreement
among
states
and
not
just
something
that
helps
let's
say
a
military
spouse
who's
coming
into
nevada,
but
not
leaving
nevada.
G
So
these
are
the
current
compacts
and
they've
already
been
mentioned
today.
These
are
the
compacts
that
we
are
helping.
The
states
with
nevada
has
passed
the
psychology
compact,
but,
as
you
can
see,
we
have
seven
other
compacts
that
are
existing
currently
working
in
the
states,
hoping
that
nevada
will
consider
joining
more
of
these
compacts.
G
As
you
can
see.
In
the
little
note
here,
42
states
have
joined,
142
compacts
and
that's
just
over
just
in
the
last
five
five
six
years,
so
really
great
progress,
but
obviously
we're
hoping
to
move
that
move
this
piece
along
in
nevada.
G
These
are
the
future
compacts
and
again
matt
already
mentioned
them,
but
I
just
wanted
to
point
out
again
as
far
as
the
the
dod
prioritization
of
licensure
and
specifically
compacts
dod,
entered
into
a
an
agreement
with
the
council
of
state
governments
to
help
fund
the
establishment
of
additional
compacts,
and
these
five
compacts
here
that
are
that
are
already
approved
and
funded
will
be
coming
in
the
next
year
or
so,
and
that
is
as
a
result
of
that
collaboration
between
dod
and
csg.
G
The
second
tier
of
our
approach
that
I
mentioned
our
our
continuum
again,
is
to
enhance
state
law.
G
We
are
asking
states
to
look
at
what
they
do
currently
do
for
for
military
spouse
portability
and
look
at
ways
to
streamline
the
process
further
and
so
for
nevada,
really
looking
to
further
streamline
the
endorsement,
that's
already
provided
by
reducing
the
amount
of
upfront,
paperwork
and
other
documentation,
that's
required,
coursework
and
exams,
expanding
the
one-year
temporary
license
to
additional
occupations
and
then
expediting
the
adjudication
of
the
license
to
move
it
from
45
days
to
30
days
and
then
finally,
to
change
all
permissive
language
from
may
to
shell.
G
And
then,
finally,
like
I
mentioned,
we
also
are
looking
at
our
near-term
request
for
states
is
to
consider
improving
accessibility
to
existing
policies
for
military
spouses.
So
this
could.
This
could
include
having
additional
information
more
specific
to
military
spouses
on
the
board's
websites
and
on
all
applications
to
provide
professional
development.
First
staff
to
understand
the
the
the
military
life
as
well.
G
As
you
know
how
to
help
military
spouses
to
navigate
the
system
within
your
state
and
then
another
idea
is
some
states
have
done,
is
they've
designated
a
military
spouse
and
veteran
liaison
within
the
each
board.
G
That
is
is
specifically
that
person
specifically
there
to
help
military
spouses
and
the
military
community,
and
then
I
I
know
that
there's
a
requirement
in
nevada
for
a
report
regarding
regarding
veterans,
as
far
as
with
the
boards,
how
many,
how
many
veterans
have
applied
and
and
various
data
points,
and
we've
just
add-
ask
that
military
spouses
be
added
to
that.
To
that
reporting
requirement
to
the
lice
to
the
legislature.
G
Just
as
far
as
the
recent
legislation,
all
of
these
bills
did
fail,
but
we
did
have
we.
We
were
really
excited
that
we
had
bills
in
play
last
year
that
addressed
each
of
our
each
of
the
components
of
our
approach
to
licensure
portability,
so
hoping
that
we
can
revive
these
efforts
and
and
and
really
move
forward,
make
progress
here
in
nevada.
G
A
Thank
you
so
much
miss
douglas.
That
was
a
great
presentation,
definitely
very
informative.
I
appreciate
you
being
here
and
sharing
that
with
us.
Can
I
ask
you
for
a
favor?
Would
you
exit
perfect
exit
out
of
your
presentation?
I
want
to
make
sure
I
can
see
all
of
the
committee
members.
I
know
I'm
gonna
we're
gonna
have
questions.
I'm
gonna
go
directly
to
our
vice
chair
because
I
believe
she'll
have
some
questions
for
you
vice
chair.
Do
you
have
questions.
F
The
last
three
years
of
my
military
career
was
spent
at
the
pentagon
in
the
army
operations
center,
where
I
saw
both
wars
from
the
bird's
eye
view
and
also
worked
with
people
who
were
paraplegics,
who
were
coming
back
from
afghanistan
and
iraq,
many
of
whom
were
under
the
age
of
30
and
had
lost
their
limbs
and-
and
it
is
for
those
reasons
that
I
believe
we
have
an
obligation
to
make
sure
that
those
who
make
the
sacrifices
for
our
country.
F
We
have
an
obligation
to
make
sure
that
not
only
their
lives
but
their
when
we
serve
our
families
serve
as
well.
Our
families
are
the
ones
that
are
up
at
night,
hoping
that
the
phone
doesn't
ring
at
two
o'clock.
Our
families
are
the
ones
that,
when
the
when
the
doorbell
rings,
they
don't
want
to
see
the
chaplain
or
senior
enlisted
person
standing
there
in
class.
F
A
is
getting
ready
to
give
some
bad
news,
and
so
this
is
for
me,
this
is
personal
and-
and
I
would
just
like
to
say
this
number
one-
many
of
the
military
spouses
who
cannot
get
work
because
we
do
not
have
compacts
in
place.
Our
women
are
women
and
and
and-
and
I
believe
we
have-
we
have
to
look
at
this
from
the
standpoint
of
yes,
it's
a
military
spouse,
but
it's
also
women
and
we
cannot.
F
We
cannot
claim
to
be
concerned
about
the
economic
status
of
women
unless
we
also
put
in
place
some
things
that
help
the
economic
status
of
women,
who
are
also
military
spouses
number
one.
The
35
percent
35
unemployment
rates
rate
among
military
spouses
there
are,
there
are,
are
a
number
of
articles
and
an
academic
review
peer
review
journals
that
talk
about
how
being
a
military
spouse
screws
up
your
career.
F
Then
that
means
that
we,
as
taxpayers,
have
not
been
judicious
in
terms
of
our
stewardship
for
that
type
of
training,
the
the
whole
piece
about
retirement.
We
had
sdr
six
last
time
that
we're
urging
congress
to
please
establish
some
kind
of
federal
retirement
system
for
our
spouses.
I'm
I'm
just.
I
listen
the
cost
mitigation.
I
heard
you
know
csg,
someone
said
csg
said
you
know.
A
lot
of
boys
are
reluctant
because
of
the
cost
you
know,
and
so
what
I
say.
F
You
balance
that
against
the
cost
of
someone
losing
their
life
and
balance
that
against
the
cost
of
someone
losing
a
limb
and
balance
that
against
the
cost
of
all
the
other
sacrifices
that
our
military
members
make,
because
we
love
this
country
and
so
thirty
five
dollars
fifty
dollars
or
whatever
the
license
should
cost.
Let's
figure
out
a
way
to
make
that
happen.
This
right
here
is
very
important.
It's
very
important
and
for
me
and
madam
chair,
I'm
gonna.
Stop
because
I'm
getting
real
emotional
for
me.
F
I
hate
it
when
people
say
thank
you
for
your
service
and
then
they
don't
do
anything
just
to
tangibly
say.
Thank
you
for
your
service,
and
this
is
one
of
those
instances
where
we
can
do
something
better
and
we
can
do
more,
and
I
believe
that
the
people
who
who
are
sacrificing
already
for
us,
they're,
they're
being
inconvenienced
and
they're
uncomfortable.
I
think
that
we
should
at
least
make
the
extra
step
to
help
make
sure
that
their
lives
are
more
comfortable,
the
cost
of
living
in
in
southern
nevada.
F
It's
about
3
500
a
year
and
when
you
stop
and
you
look
at
what
the
what
an
e4
and
e2
and
e
or
he
won
a
private
pfc,
a
specialist
and
sergeant
make
they
barely
make
enough
to
come
up
to
that.
3500
and
most
of
them
are
on
snap,
and
that
is
a
sin
and
a
shame
before
god.
Almighty.
A
F
My
question
is:
what
can
we
do
in
the
next
legislative
session?
What
can
we
because
we
got
to
do
something?
We've
got
to
do
something
every
you
know
for
the
last
six
sessions,
we've
been
bringing
bills
to
address
this,
and,
and
what
can
we
do?
What
do
we
need
to
do?
Is
there
anything
we
can
do
to
prioritize
and
make
sure
that
that
bills,
like
sb
senate
bill,
402,
get
passed
and
I'm
sorry
I
just
I'm.
This
is
just
real
close
to
my
heart.
A
Yeah
no
worries
russia.
Well
I
look
forward.
You
know
we
do
get
the
opportunity
to
introduce
bdrs
as
a
committee
for
the
committee
next
legislative
session,
so
I'm
hopeful
that
you
know
we'll
work
together.
You
me
and
ms
douglas
on
on
some
bdrs
to
help
move
the
needle
on
this.
I
am
going
to
go
to
senator
lane
next
I
saw
she
raised
her
hand
and
then
we
will
go
to
assemblywoman
hardy
great.
B
Thank
you
chair
and
thank
you
for
the
presentation
I
found
it
very
enlightening.
I
just
have
a
couple
questions
if
I
I'm
really
interested
in
the
compacts
and
if
I
were
to
do
some
research
and
look
at
probably
three
states
that
are
on
the
forefront
of
creating
compacts
in
their
states
with
other
states,
what
would
those
states
be.
G
Thank
you
for
the
question
senator
ling,
so
I
I'd
have
to
get
back
to
you.
I
don't
want
to
misspeak.
I
know
that
there
are
a
handful
of
states
that
have
passed.
Almost
every
single
compact
utah
was
leading
the
way
in
terms
of
compacts,
but
I
believe
texas
is
one
that
I
can
think
of
in
florida.
I
have
to
look
in,
but
I'd
like
to
get
back
to
you
with
better
data.
A
We
can
also
have
senator
that's
a
great
question,
I'm
wondering
if
we
could
have
our
policy
analyst,
mrs
castle
of
thomas,
if
she
could
maybe
reach
out
to
csg2,
to
see
if
they
have
any
recommendations
on
three
states
leading
in
complex
and
then
share
it
with
a
committee.
So
thank
you
senator.
That
was.
B
A
great
question
that
would
be
great
and
then
my
next
question
is
so
I
was
caught
up
in
this.
I
have
a
k-12
certificate
for
teaching
that
I
can
teach
any
subject
and
it's
supposed
to
be
able
to
be
used
in
every
state.
Although
when
I
came
to
nevada,
they
didn't
want
to
accept
that.
B
So
I
see
that
education
is
on
your
list
and
when
I
look
at
that
list
of
professions
that
you're
looking
at
getting
compacts
for
they're
all
professions
that
we're
having
trouble
getting
people
in
the
workforce
to
fill
those
positions
and
that
they
are,
you
know
we're
just
short
on
on
those
specialties.
B
So
I
think
that
I'm
really
interested
in
as
senator
spearman
is
in
the
military
spouses
and
making
sure
that
we
can
get
military
spouses
into
those
positions
that
we
have
a
void
in
in
our
state
sooner,
and
you
mentioned
that
reducing
the
periods
of
30
days
is
that
correct,
yeah
and
and
in
your
in
the
compacts
that
have
been
negotiated
are
most
people
doing
the
30
days
or
some
do
less
so.
G
The
30
days
that
we
thank
you
senator
ling
and
the
30
days
that
we
have
that
we've
listed
is
for
that
mid-range
policy
enhancement
that
we're
asking
for
compacts
are
even
better
than
30
days.
It
doesn't
take
any
time
at
all.
It's
immediate!
Okay,
that's
great!
Thank
you.
A
B
Thank
you
chair
and
thank
you
for
this
presentation.
There
was
just
so
much
information,
great
information
that
I
think
we
as
legislators
and
policy
makers
need
to
be
aware
of,
because
this
is
really
an
important
area.
As
senator
lang,
senator
spearman,
you
know
eloquently
said
we
have
a
shortage
in
so
many
of
these
key
areas,
and
I
have
no
doubt
there
are
very
qualified,
educated
spouses
that
can
fill
these
positions
and
we
should
do
whatever
we
can
and
follow
what
other
states
have
done.
B
It's
obviously
working
they
figured
it
out,
and
so
we
can
do
that
here
in
nevada.
One
thing
I
was
kind
of
surprised
to
see
was
there
were
seven
bills
in
2021
that
addressed
those
key
areas
that
you're
trying
to
target
and
all
of
those
failed.
So
have
we
you
know
now
I
don't
know
off
the
top
of
my
head.
What
all
those
were,
of
course,
but
is
there
any
way
some
of
those
possibly
could
be
worked
on
and
sorted
out
things
that
were
wrong
with
them?
G
Thank
you
senator.
I
the
only
thing
that
I
really
could
identify
as
a
one
of
our
hurdles
and
it's
a
big
hurdle,
and
it's
not
just
in
nevada.
It's
it's
everywhere
is-
is
that
there's
a
disconnect
with
many
of
the
the
labor
unions
and
workers
associations
between
the
actual
employees
and
the
laborers
who
actually
do
support
these
types
of
initiatives
and
their
perception.
I
I
think,
and
maybe
some
misconceptions
about
how
these
these
interstate
agreements
work.
I
just
think
that
that's
probably
where
the
biggest
hurdle
is.
B
Okay,
thank
you
for
that
answer,
and
at
least
you
know,
if
we're
able
to
identify
some
of
the
issues
we
can
maybe
work
with
with
those
groups
and
work
work.
Those
out
before
we
get
to
session,
try
and
answer
their
concerns,
or
you
know
see
where
again
we
can
implement
these
important
policies.
So
thank
you.
G
A
Okay,
mr
cyclos,
I
do
have
one
question
just
one
question:
the
five
compacts
that
you
said
you
were
going
to
be
focusing
on
with
csg.
Are
those
compacts
already
in
existence
or
created,
or
will
you
be?
Will
you
and
csg
be
creating
those
compacts,
because
they're
areas
of
need.
G
Matt
probably
could
answer
that
question
senator
a
little
bit
better
than
me,
but
but
they
are
they're,
they
are
established
and
they
are
being
developed
as
not
so
they
they
haven't
been
ruled
out
for
states
to
to
join.
Yet
so
matt
might
correct
me
if
I'm
wrong,
but
I
I
think
we're
really
looking
at
probably
sometime
late
fall
this
year
or
winter,
okay,.
A
Perfect,
I
believe
we've
lost
our
csg
presenters,
but
we
will
distribute
them.
But
but
you
answered
my
question
so
they,
the
compacts,
haven't
been
rolled
out
yet
they're
new
compacts
that
are
going
to
be
rolled
out
because
they're
areas
of
need-
okay,
yeah.
G
The
net
I'm
chaired
this
each
of
those
national
boards
or
associations
are
they
are
working
through
all
the
details
of
what
the
compact
will
actually
entail
for
each
for
each
of
them
specific
to
their
occupation.
A
Okay,
perfect,
thank
you
miss
douglas,
and
then
I
I
trust
that
you
and
our
vice
chair
will
work
together
on
on
some
bills,
and
I
hope
that
we
can
sponsor
some
committee
bills
here
and
from
this
joint
interim
committee
to
help
alleviate
some
of
those
barriers
for
for
not
for
not
just
our
active
military
members
but
veterans
and
their
spouses
as
well.
So,
thank
you
so
much
for
your
presentation.
I
think
it
was
a
wealth
of
information
and
obviously
an
area
that
I
think
we
need
to
improve
and
focus
on.
A
G
Absolutely
senator
so
just
kind
of
I
think
we
even
have
some
some
people
on
the
on
the
on
our
screen
that
I've
seen
that
I'm
familiar
with
so
the
the
typically
in
order
to
move
forward
in
the
state.
The
state
board
really
needs
to
take
the
leadership
role
and
have
buy-in
and
want
to
have
that
compact
in
the
state.
G
If,
if
we
don't
have
the
buy-in
of
the
state
boards,
we're
not
we're
not
going
anywhere
in
the
state,
so
that's
been
a
huge
asset
with
the
complex
that
we've
worked
so
far
in
nevada.
The
physical
therapy
compact
the
nurse
licensure
compact.
We
had
that
that
buy-in.
Okay.
Thank
you.
Thank
you.
A
A
A
We
are
now
gonna
move
on
to
our
next
agenda
item
agenda
item
number
five,
which
is
a
presentation
on
the
sunset
subcommittee
of
the
legislative
commission
and
review
of
survey
of
certain
regulatory
bodies
during
the
2019-2020
interim
many
familiar
faces,
because
many
of
us
also
sit
on
the
interim
sunset
subcommittee,
so
you
guys
are
all
familiar,
but
for
those
who
are
tuning
in
over
the
internet,
the
sunset
subcommittee
was
established
in
2011
to
review
the
over
200
of
nevada's
boards
and
commissions
and
similar
entities
to
to
determine
the
need
of
the
boards
and
whether
and
to
make
work,
make
recommendations
on
whether
they
need
to
be
modified,
consolidated
or
terminated
or
continued
with
us
to
present.
A
H
Thank
you,
madam
chair,
for
the
record,
my
name
is
cesar.
H
As
you
mentioned
this
morning,
I
will
provide
a
summary
of
the
sunset
subcommittee,
which
a
lot
of
you
are
members
of.
So
some
of
this
information
might
sound
a
little
bit
repetitive
from
our
meeting
last
week
and
I'll
also
be
kind
of
summarizing.
H
The
sunset
subcommittee
of
the
legislative
commission's
special
survey
of
certain
regulatory
bodies
from
the
2019-2020
interim,
this
report
on
2020
2019-2020
interim,
has
been
uploaded
to
the
meeting
page
and
it
is
accessible
to
the
members
of
this
committee
as
well
as
members
of
the
public,
and
I
just
by
way
of
background
in
2018
in
2008,
former
governor
jim
gibbons
established
the
nevada
spending
and
government
efficient
efficiency
commission
during
declining
economy.
In
this
commission's
final
report,
recommendation
number
17
created
a
sunset
commission
to
review
government
operations
for
the
purpose
of
improving
efficiency.
H
H
The
sunset
sub
committee
is
composed
of
six
legislative
members
that
are
appointed
by
legislative
leadership
as
well
as
three
additional
non-voting
members
that
are
nominated
by
the
governor
and
appointed
by
the
chair
of
the
legislative
commission.
The
duties
of
the
sunset
subcommittee
are
codified
in
nrs
232b,
which
regulates
legislative
review
of
public
agencies.
H
Only
those
boards
and
commissions
established
by
the
nevada
constitution
and
those
established
by
executive
order
are
outside
the
purview
of
the
sunset
subcommittee.
The
subcommittee
is
required
to
conduct
a
review
of
each
professional
or
occupational
licensing
board
and
regulatory
body
in
this
state
to
determine
whether
the
restrictions
on
the
criminal
history
of
an
applicant
for
an
occupation
or
professional
license
are
appropriate.
H
This
sec,
this
new
duty,
was
enacted
in
2019
and
it
kind
of
relates
to
the
the
measures
that
csg
commented
on
about
removing
burdens
for
licensing
and
five
interims
sunset
has
reviewed
an
average
of
nearly
27
boards
and
and
commissions
each
interim.
Yet
statue
only
requires
sunset
to
review
a
minimum
of
10
each
interim
of
the
nearly
126
boards
and
commissions
that
have
been
reviewed.
Several
have
been
reviewed
twice.
Primarily,
the
occupational
and
professional
licensing
boards,
20
boards
and
commissions
and
similar
entities
have
been
repealed
at
the
recommendation
of
the
sunset
subcommittee.
H
However,
to
put
this
in
perspective,
the
2019
legislature
created
23
new
boards
and
commissions
and
the
2021
legislature
created
seven
new
entities
since
the
creation
of
a
sunset
since
creation.
The
sunset
is
about
halfway
through
its
review
of
the
statutory
boards
and
commissions.
Some
of
these
boards
were
created
back
in
the
1800s
and
may
not
have
been
reviewed
by
the
legislature
in
a
long
time
subcommittee
provides
an
opportunity
for
the
legislature
to
look
into
the
their
operations.
H
I'll
move
on
to
the
special
report
that
was
uploaded
to
the
committee's
page.
So
this
report
that
you
see
is
consolidates
the
responses
collected
from
each
independent,
professional
and
occupational
licensing
board,
commission
or
entity
pursuant
to
title
54
of
the
veteran
by
statutes
which,
in
this
report
they
are
referred
to
as
a
regulatory
body.
H
over
the
past
several
interims,
the
sunset
subcommittee
has
reviewed
all
of
these
boards
because
they
reported
concerns
about
the
way
that
some
of
the
boards
manage
their
business
affairs.
The
subcommittee
was
directed
to
dig
a
little
bit
deeper
into
those
operations
and
practices
during
the
2019-2020
interim
by
way
of
background
title
54,
which
regulates
professions,
occupations
and
businesses
of
the
nrs,
contains
provisions
governing
more
than
55
professions
and
occupations
and
businesses.
H
These
and
of
these
independent
regulatory
bodies
regulate
33
categories
of
occupations,
while
the
remainder
are
administered
through
state
agencies
or
officials,
or
rely
on
local
officials
or
civil
action
for
enforcement.
On
this
report
in
front
of
you
contains
a
table
of
33
independent
regulatory
bodies.
H
This
survey
was
emailed
to
each
of
the
33
independent
bodies.
31
regulatory
bodies
responded
to
the
survey.
The
two
bodies
that
did
not
respond
include
the
board
of
homeopathic
medical
examiners.
The
reason
they
didn't
respond
is
because
at
the
time
and
still
today,
there
has
been
several
vacancies
for
the
membership
of
this
board,
and
this
board
has
not
been
in
pool
operation
for
the
last
couple
of
years
and
then
the
other
board
did
not
reply.
H
Twenty
two
four
point:
zero:
eight
one
of
the
eight
five
of
the
nevada
advice
statutes
requires
a
certain
regulatory
body
to
develop
a
process
for
application
applicants
to
petition
for
a
review
of
whether
their
criminal
history
would
disqualify
them
from
licensure.
Again.
This
is
passage
of
ab319
in
2019
session,
which
attempted
to
remove
some
of
the
barriers
for
licensure
for
those
with
criminal
history
and
nrs232b.
H
Section.
Three
of
the
report
is
additional
information
regarding
licensure
by
endorsement
and
reciprocal
licensure,
identifying
which
bodies
practice
licensure
by
endorsement
and
the
reciprocity.
How
many
individuals
have
been
licensed
in
the
past
five
years
through
these
means
and
how
the
various
bodies
implement
these
initiatives?
As
you've
heard
in
the
previous
presentations,
the
nevada
legislature
has
been
pretty
active
in
attempting
to
remove
barriers
for
licensing
for
specific
individuals,
but
they've
also
passed
several
measures,
increasing
opportunities
for
boards
to
or
for
applicants
to
be
licensed
by
endorsement
and
the
rest
of
prostate
section.
H
Just
because
of
the
conversation
that
we
previously
had,
I
just
want
to
highlight
some
of
the
responses
on
section
4
concerning
military
spouses,
so
of
the
33
regulatory
bodies
surveyed
13
report
that
they
do
not
track
military
spouse.
Applicant
information,
specifically,
as
kelly
may
douglas,
stated,
there's
no
specific
statute
that
requires
the
boards
to
separately
identify
military
spouse
applicants.
H
On
page
26
of
the
report,
we
have
a
table
table
14
which
breaks
down
the
number
and
status
of
applications
received
from
military
spouses
and
provides
the
average
processing
time
for
these
applications
from
the
10
regulatory
bodies
that
provided
information,
number
of
applications
received
from
military
spouses
within
the
last
five
years
range
from
one
to
fifteen
hundred
and
the
average
processing
timer
range
from
one
to
sixty
days.
H
Additionally,
in
the
report
we've
on
the
on
the
very
last
page,
we've
consolidated
from
the
boards
as
to
those
that
provide
waiver
of
fees
for
military
spouses,
so
15
of
the
three
regulatory
bodies
did
indicate
they
do.
They
do
not
waive
application
fees
for
military
spouses
most
of
the
boards
that
do
waive
the
fees
for
military
spouses.
These
boards,
it's
it's
directed
in
statute
under
their
individual
chapters,
to
provide
a
waiver
of
application
fees.
So
the
waiver
application
visa
statute
is
not
a
blanket
across
all
boards
they're.
Only
under
individual
chapters.
H
A
I
before
I
turn
it
over
to
the
members.
I
do
have
a
quick
question,
mr
margaret
I'm
looking
at
table
14
the
applications
and
for
the
under
the
medical
portion
of
the
board.
It
shows
that
three
applications
were
received,
but
that
five
applications
were
approved.
Do
you
know,
did
they
have
any
explanation
for
that?
Have
they
approved
more
at
more
applications
and
applications
that
were
received
just
out
of
curiosity,
the
board
of
men.
H
I
can
go
back
to
some
of
the
notes
from
from
this
report
and
try
to
get.
H
A
B
Am
again
I
so,
mr
mahero,
on
the
response
that
you
received,
you
noted
that
there
were
two
people,
the
optometry
and
the
homeopathic,
that
you
didn't
receive
responses
for.
Do
you
have
a
mechanism
to
be
able
to
get
responses
from
them?
Are
they
required
to
respond?
What's
the
process
because
I
feel
like
this
is
kind
of
our
checks
and
balances
a
bit
about
what's
going
on
and
if
they're
not
responding.
B
That
is
concerning
to
me-
and
the
second
thing
that's
concerning
to
me-
is
you
mentioned
that
the
homeopathic
they
don't
even
have
enough
people
to
fill
their
subcommittee
so
or
their
committee
so
is,
is?
B
Does
that
give
us
pause
and
does
that
give
us
a
reason
to
maybe
put
them
with
somebody
else
that
would
be
more
responsive?
I
remember
some
bills
in
the
legislature
last
session
about
homeopathic
medicine,
and
it
really
gives
me
pause
number
one
that
they
aren't
filling
out
the
required
reporting
and
number
two
that
they
can't
fill
their
committee.
H
Yes,
I
guess
senator
lange,
the
record
says
community
policy,
so
two
things
on
the
responses,
so
we
knew
homeopathic
wasn't
gonna,
be
able
to
respond
because
of
of
their
situation,
but
the
optometry
we've
reached
out
several
times
and-
and
we
just
did
not
receive
a
response-
and
I
mean
there
really
is
no
mechanism.
H
I
guess
to
really
enforce
the
response.
I
mean
they,
you
can
provide
it
or
they
don't
at
this
moment
and
with
the
homeopathic
situation.
So
I
don't
have
all
of
the
details
at
this
time.
However,
the
the
situation
with
the
homeopathic
cord
actually
goes
back
to
the
2018.
H
Sorry,
the
2017-2018
interim,
the
sunset
subcommittee
did
a
review
of
of
the
homeopathic
board
and
found
several
discrepancies
with
just
their
their
operations
and
they
submitted
legislation
in
the
2019
teen
session
to
so
I'm
looking
up
my
notes
at
the
moment
now
they
look,
they
submitted
legislation
to.
H
Thank
you
manager
and
then
so.
So
the
there
were
new,
no
new,
more
members
that
were
replaced
after
there.
They
were
removed
during
the
2019-2020
interim,
and
then
there
was
further
legislation
that
the
subcommittee
discussed
that
would
terminate
the
board
and
transfer
the
responsibility
for
regulating
the
practice
of
homeopathic
medicine
to
the
state
board
of
health.
H
However,
there
was
no
action
taken
in
the
2021
session.
We
have
been
in
contact
as
staff
of
the
sunset
subcommittee.
We
have
been
in
contact
with
the
governor's
office
and
about
half
of
the
members
have
been
appointed.
They
have
had
their
first
meeting
since
within
some
time
they
had
their
first
meeting
in
december,
where
they.
E
H
They
voted
on
some
new
leadership
positions.
They
are
working
with
the
attorney
general's
office
to
consolidate
some
reports
and
some
old
debts
that
they
have,
and
actually
we
are
work
as
staff
at
the
sunset
subcommittee.
We
are
working
with
the
homeopathic
board
to
provide
a
presentation
on
their
progress.
Hopefully,
at
the
march
meeting.
B
Okay,
thank
you,
and
so
madam
chair,
I
think
that's
something
we
should
watch
put
on
our
watch
list
because
it
seems
like
it's
been
going
on
for
a
while,
and
I
I
do
remember
having
some
conversation
about
them,
creating
a
new
board
and
getting
some
of
those
positions
filled.
But
I
just
think
that's
something
that
that
we
need
to
watch
may
ask
one
more
question.
A
Absolutely
senator
and
it's
something
that
we've
been
following
to
you
in
the
sunset
subcommittee,
and
I
know
you
asked
about
enforcement,
but
that's
actually
one
of
the
things
we
look
at
you
know
in
the
sunset
subcommittee,
when
we
select
boards
to
review
and
be
recognized
previous
two
interims
on
them,
then
coming
back
to
to
review
and
give
us
an
update
and
in
future
interim
committees,
some
subcommittees.
They
can
pull
them
again
and
always
make
the
recommendations
to
the
ledger.
A
Commission
if
they
are
not
abiding
like
following
their
reports
or
you
know
sending
in
their
reports
when
staff
request
them
that
you
know
we
do
recommend
that
maybe
they
be
consolidated
or
terminated,
and
so
that
is,
I
think
we
can't
forget
that
we
do
have
that
mechanism
as
an
enforcement
to
use
as
well
great.
Yes,
senator
senator
you
had
a
follow-up
question.
Please
yeah.
B
I
just
I
know
that
it
was
mentioned
in
the
report
that
it
takes
1
to
60
days
to
process
military
spouse
applications,
and
I
think
our
committee
should
look
at
ways
that
we
can
reduce.
That
on.
60
days
is
a
long
time
and
so-
and
I
think
we
heard
in
the
last
presentation-
and
some
states
say
take
no
days
right
and
they
just
make
it
happen.
So
I
think
that's
and
going
with
what
comments
that
senator
spearman
made
earlier.
I
think
that
that's
something
that
we
should
definitely
look
at.
B
A
You
senator-
and
I
do
I
do
want
to
note-
if
you
look
at
the
table,
14-
that
it
wasn't
all
boards,
it
was
only
the
osteopathic
board,
and
I
just
want
to
do
this
because
there's
some
boards
that
do
a
great
job
right
of
of
approving
applications
for
military
spouses,
like
the
accountants
board,
has
a
one-day
average
of
approving
it.
The
cosmetology
board
has
one
to
seven
days
average,
so
most
boards
are
are
very
expedited.
A
F
Thank
you,
madam
chair.
I
just
want
to
say
in
conjunction
with
something
that
we
experienced
last
time
and
our
roles
were
switched
and
as
a
vice
chair,
you
know
the
the
difficulty
we
had
in
trying
to
get
that
information
from
the
boards
two
or
three
times
he
sent
the
information
out
to
get
disaggregated.
F
What
does
it
look
like
for
in
terms
of
spouses
veterans
and
that
sort
of
thing
coming
in
so
in
402,
one
of
the
bills
that
didn't
get
across
the
finish
line
last
session?
There
was
a
clause
in
there
that
would
allow
the
governor
if
they
did
not
submit
that
information
to
freeze
their
funds
and
so
to
your
question,
senator
lang.
F
I
think
the
teeth
have
got
to
be.
There's
got
to
be.
There
has
to
be
a
price
to
pay
if
they're
not
doing
the
things
that
the
legislature
asked
them
to
do,
and
even
you
know,
repeated
requests
to
get
the
information
for
many
of
the
boards
was
ignored.
So
until
there
are
there,
there's
some
teeth
put
in
place.
It's
unfortunate
that
they
don't
see
the
need
to
make
sure
that
we're
doing
what
we
said.
F
We're
going
to
do
for
veterans
and
for
military
spouses,
but
that
information
will
continue
to
be
cloaked
in
an
aggregated
fashion
and
what
has
to
happen
if
we've
got
to
have
legislation
that
requires
the
disaggregation
of
that
information.
Otherwise
we
will
never
have
it
and,
as
I
said
before,
the
the
sad
part
about
it
is
people
ought
to
know
how
important
it
is
for
us
to
show
our
dedication
to
the
service
of
our
military
members
and
their
spouses.
F
So
the
last
thing
that
I'll
say
too
is,
as
we
look
at
possible
legislation
for
next
session.
I
think
it's
going
to
be
important
to
know
that
when,
when
the
report,
when
when
vdrs
go
out-
and
then
fiscal
says,
let's
get
a
let's
find
out
what
the
fiscal
notes
are.
F
Please
keep
in
mind
that
the
fiscal
notes
that
are
attached
are
those
that
are
attached
by
the
boards
and
that's
their
assessment
about
how
much
it
will
cost
not
what
it
will
cost
the
state
in
terms
of
the
government,
and
that
was
that
was
a
mistake
that
I
made
last
time
in
terms
of
looking
at
the
fiscal
notes
that
the
board
send
in
which
is
absolutely
separate
from
what
the
general
budget
would
be,
and
so
I'm
just
saying
when
you
get
those
the
fiscal
notes
to
come
back,
they
come
back
and
that's
the
that's.
F
The
regulatory
bodies
saying
this
is
how
much
it
will
cost
them.
It
has
absolutely
nothing
to
do
with
what
the
general
budget
would
be
and
that's
how
that's,
how
many
of
the
bills
wind
up
getting
stopped
or
stalled,
because
you
look
at
the
fiscal
note
and
think.
Oh
this.
This
has
an
impact
on
the
general
budget.
What
they
send
back
as
a
fiscal
note,
is
their
assessment.
It
has
nothing
again,
nothing
whatsoever
to
do
with
the
general
budget.
So
just
keep
that
in
mind.
A
Okay,
well
before
we
move
on,
I
do
want
to
thank
you
bye
sure,
because
this
is
an
area
that
you've
worked
so
hard
on,
and
I
know
you're
going
to
continue
to
work
hard
on
an
an
issue,
and
I
know
that
I
can
trust
in
you
as
an
advisor
help
bdrs
for
this
interim
committee
coming
into
the
next
legislative
session,
and
I
do
again
want
to
thank
you
for
your
work
in
this
area
and
thank
you
and
mr
maggie
for
your
service
to
our
country,
both
of
you.
So
thank
you,
okay.
Committee.
A
Our
next
agenda
item
is
agenda
item
six,
which
is
a
presentation
from
five
boards
that
we
have
selected
that
frequently
come
before
our
standing,
commerce
and
labor
committees.
The
boards
are
going
to
present
on
their
best
practices,
operations
recent
legislation
and
how
they
have
operated
during
the
comet
19
pandemic.
A
As
you
know,
the
legislature
creates
occupational
and
professional
licensing
boards
and
sets
the
public
policy
governing
them.
Most
of
the
laws
regulating
occupations
and
professions
in
nevada
are
located
in
title
54
of
the
nevada,
revised
statutes.
These
regulatory
bodies
are
mandated
to
enforce
the
provisions
of
state
law
for
the
protection
and
benefit
of
the
public.
A
The
boards
are
also
invested
with
the
authority
to
adopt
regulations
regarding
the
licensing
and
practice
of
the
various
professions
subject
to
review
by
the
legislature.
Again,
we
have
selected
five
boards
that
will
present
today
we
will
start
with
our
first
board,
which
is
the
board
of
cosmetology,
and
we
have
executive
director
gary
landry
here
to
present.
I
I
will
be
presenting
the
work
accomplished
by
the
entire
board
of
cosmetology
staff
during
my
tenure,
starting
in
2013..
Without
the
entire
team
working
together,
we
could
not
have
accomplished
much
of
what
I
am
presenting
today.
Today
we
are
presenting
the
board's
operational
procedures
and
best
practices
before
enduring
government
assistance.
I
Emergency
declaration
in
response
to
covet
19.,
the
slides
that
follow,
will
include
our
mission
statement,
an
overview
of
the
board
and
board
staff
number
of
licensees
and
those
we
are
licensing
from
the
armed
forces,
a
review
of
the
number
of
licensees
and
their
economic
impact,
a
summary
of
the
service.
We
provide
the
team
approach
that
we
take
a
timeline
of
accomplishments
we've
achieved
since
2013
the
time
savings
we
have
put
into
place.
I
I
The
nevada
state
board
of
cosmetology's
mission
is
to
protect
the
public
health
safety
and
welfare
of
those
who
obtain
cosmetology
related
services.
We
deliver
testing
licensing
and
inspection
services
to
beauty
service
industry
stakeholders
for
the
purpose
of
consumer
protection,
since
2017
over
70
percent
of
the
more
than
33
000
cited.
Violations
from
our
inspections
were
the
result
of
failed
inspect
infection,
prevention
and
safety
standards
by
licensed
beauty,
service,
industry,
participant
or
salon
facility.
I
We've
made
some
changes
to
our
organization,
with
the
inclusion
of
an
executive
team
composed
of
the
executive
director
chief
financial
officer
chief
operating
officer
and
a
chief
compliance
officer.
Our
executive
team
has
staffed
with
multiple
degrees.
We
have
staff
that
are
military
veterans.
We
have
staff
that
are
bilingual
in
english,
coupled
with
spanish,
vietnamese
and
chinese.
I
I
I
We
perform
more
than
7
000
health
and
safety
inspections,
conduct
more
than
500
consumer
complaint
inspections
and
deliver
more
than
400
salon.
Opening
inspections
annually
to
an
industry
with
more
than
37
000
licensed
participants,
nearly
1500
of
the
licensed
professionals
indicated
military
experience
on
applications.
I
This
is
accomplished
by
providing
licensing
in
an
easy
to
fill
out
online
form
and
expedited
process
procedures
to
license
all
persons
who
wish
to
be
licensed.
Our
fees
are
very
reasonable.
We
charge
35
a
year
to
get
a
license.
We've
not
found
anyone
who
finds
the
fees
unreasonable
as
we
provide
great
service.
We
provided
fast
and
efficient,
since
our
fees
are
reasonable
and
our
services
are
world
class
in
operations.
We
have
not
had
to
adjust
our
fees
for
covid,
the
military
or
veterans.
I
We
serve
more
than
37
000
licensed
to
registered
beauty
service
professionals
to
generate
more
than
a
half
billion
dollars
in
sales
and
salons
with
employee
employer
relationships
or
salons
with
commission
employees.
We
do
have
data,
we
do
not
have
data
on
the
estimated
40
to
60
percent
of
licensed
beauty
service
professionals
that
are
independent
contractors.
I
We
listened
to
the
students
who
waited
more
than
six
weeks
to
test
and
get
their
licenses
after
graduating
school.
We
listened
to
salon
owners
who
waited
more
than
a
month
to
open
their
business,
listen
to
the
new
nevada
residents,
who
waited
three
weeks
to
transfer
to
nevada
through
attentive
listening.
We
learned
the
obstacles
from
what
from
those
that
experienced
them
firsthand.
I
I
I
The
board's
licensing
services
promote
consumer
confidence
that
the
beauty
service
should
be
clean,
safe
and
perform
with
some
level
of
competency
and
skill.
The
board's
inspection
services
inspect
industry
participants
for
compliance
with
the
health
and
safety
regulations
established
by
the
nevada
state
legislature.
We
go
out
and
inspect
all
salons
an
average
of
two
times
a
year.
We
inspect
and
investigate.
Salons
that
have
received
complaints
on
any
subject
that
is
discussed
between
the
teams
has
only
two
outcomes:
one.
I
This
operating
structure
has
helped
us
with
efficiency,
diverse
points
of
view,
transparency
and
the
speed
of
our
services
has
also
helped
to
improve
our
ability
to
learn
about
industry,
innovation
faster
and
respond
with
consumer
protection
information
when
needed.
The
teams
are
composed
of
a
variety
of
individuals
who
are
selected
each
year
to
allow
cross
training
on
each
team
so
that
we
are
never
without
a
backup.
In
any
group,
the
current
board
administration
did
not
inherit
this
operating
structure.
We
started
planning
it
in
2013..
I
I
In
2016,
we
focused
on
our
consumer
protection
measures
through
improving
our
inspection
services,
so
they
were
consistent
throughout
the
state
and
focus
on
nrs
nac
regulations
that
protect
the
health
and
safety
of
consumers.
We
also
made
software
and
technological
improvements
which
are
mission
critical
to
the
speed
and
efficiency
of
our
services.
I
In
2017,
we
organized
our
internal
operating
structure
to
match
the
technological
improvements
that
we
that
were
made.
We
established
online
applications
and
other
online
services
in
2018.
We
developed
operating
procedure
guides
to
match
the
efficient
processes
that
were
developed
through
technology
and
we
laid
the
foundation
to
our
education
services
by
starting
the
nevada
risk
project.
I
In
2019
we
improved
our
education
services
through
information,
content,
development
and
community
outreach
events.
We
strengthened
our
internal
operation
structure
with
skill
sets
that
match
the
positions
in
2020.
We
built
upon
our
existing
knowledge
base
to
make
nevada
state
board
of
cosmetology
the
national
leader
in
consumer
protection
for
beauty
services
in
2021.
We
continue
to
operate
in
an
efficient
and
effective
manner,
providing
services
to
the
licensees
and
protecting
the
consumers
of
beauty
services.
I
The
licensing
and
testing
services
are
more
focused
on
servicing
the
licensed
beauty
professionals.
It
is
important
that
we
deliver
fast
and
efficient
services,
so
they
can
get
to
work.
The
results
of
our
accomplishments
can
be
clearly
measured
when
we
compare
2013
to
20
21
processing
times
for
4
application
services.
I
I
We
reduced
the
processing
time
for
reciprocity,
which
is
the
ability
to
transfer
license
from
another
state
to
nevada
from
21
days
to
one
day.
This
time
efficiency
has
eliminated
the
concern
of
lost
wages
for
experienced
market
participants
entering
a
new
jurisdiction
by
more
than
twenty
one
hundred
dollars
per
individual.
I
We
reduce
the
processing
time
from
renewing
a
license
from
fourteen
days
to
two
days.
We
reduce
the
processing
time
for
verifying
licensing
information
with
other
states
from
21
days
to
one
day
reduce
the
processing
time
for
opening
a
new
salon
from
30
days
to
three
days,
with
this
reduction
in
processing
time,
we've
increased
revenue
by
more
than
ten
thousand
dollars
for
new
salon,
I'll
do
a
few
slides
on
the
nevada
risk
project.
I
that
bill
made
reference
to
services
that
were
performed
by
licensed
occupations
and
the
necessity
to
be
able
to
identify
areas
that
the
service
could
be
could
adversely
affect
public
health.
We
started
the
risk
project
in
february
2018
and
is
currently
a
65
page
report
that
identifies
areas
of
risk
in
21
beauty
services.
I
This
report
is
a
living
document
that
we
expect
to
continue
to
grow.
The
project
started
with
multiple
industry
stakeholders
licensed
in
nevada.
The
project
grew
to
include
multiple
stakeholders
licensed
in
16
state
jurisdictions,
included
a
multi-state
agency,
collaboration
with
california,
maryland
minnesota,
north
carolina
and
wyoming.
We
all
worked
together
to
build
a
nevada
risk
report.
I
In
total,
the
project
included
over
40
collaborators
with
more
than
500
years
of
licensed
cosmetology
experience
in
16
states.
The
project
identifies
risk
and
21
beauty
services
and
puts
them
into
three
risk
types.
Infection
risk
relates
only
to
tools
that
can
cut
puncture
or
extract
bodily
fluid
intentionally
or
unintentionally.
I
A
malpractice
safety
risk
relates
to
the
practical
or
theoretical
malpractice.
The
misuse
of
a
product
or
implement
would
be
considered
a
malpractice
safety
risk.
A
product
reaction
risk
is
based
on
the
consumer's
irritation,
allergic
reaction
or
the
product's
counteraction
with
the
consumer's
prescription
medication.
I
I
The
information
collected
could
be
used
at
a
national
level
for
consumer
awareness
information.
It
can
provide
legislative
information
for
any
cosmetology
board
to
use
in
crafting
bills.
It
can
be
used
to
develop
educational
content,
curriculum
development.
It
can
form
the
foundation
for
improved
sanitation
inspection
processes.
I
Let's
talk
about
legislation.
We
worked
with
lcb
to
streamline
nrs
chapter
644-a
so
that
various
license
type
requirements
were
all
in
one
section.
This
did
not
require
legislation,
but
it
made
the
statutes
more
accessible
for
the
public
and
licensees,
we'll
now
discuss
legislation
and
what
came
out
of
the
81st
legislative
session
held
in
2021.
I
I
We
developed
guidelines
and
extended
our
phone
hours
on
the
days
that
the
governor
was
speaking
in
order
to
answer
any
questions
from
our
licensees
in
the
public
and
finally,
when
cosmetology
schools
were
allowed
to
reopen,
we
allow
distance
learning
to
be
used
to
allow
students
to
learn
from
their
homes
over
the
internet.
We
still
continue
to
allow
distance
learning
at
all
schools
until
the
emergency
orders
are
lived.
I
I
We
split
up
our
board
staff
into
two
working
groups
with
one
group
working
in
the
office
monday,
tuesday,
the
other
group
working
from
the
office
wednesday,
thursday
days
that
you
did
not
work
in
the
office
we
provided
for
staff
to
work
from
home.
We
continue
to
work
with
a
split
staff
even
today,
on
behalf
of
the
staff
of
the
board
of
cosmetology,
I'd
like
to
thank
you
for
the
opportunity
to
communicate
how
we
serve
the
licensees,
the
public
and
achieve
our
mission
of
consumer
protection.
I
We
hope
that
you
have
that
we
have
adequately
communicated
our
history
best
practices
and
operations
to
demonstrate
our
transparency
and
our
participation
in
practice
to
promote
a
more
open
government.
Thank
you,
madam
chair,
for
this
opportunity.
I
can
answer
any
questions
that
you
may
have
of
our
organization.
A
Thank
you
so
much,
mr
landry.
I
always
appreciate
your
presentations
and
thank
you
so
much
for
being
a
model
award
as
well.
Having
sat
on
the
interim
since
it's
a
committee
and
having
to
review
boards,
you
guys
were
just
great
to
work
with
and
getting
your
information
in
your
presentation.
So
thank
you.
F
Thank
you,
madam
chair.
First
of
all,
I
just
want
to
say,
mr,
I
really
appreciate
it
working
with
you
all
and
I
I
can
send
you
all
among
some
of
the
most
progressive
boards
regulatory
boards,
that
we
have
I'm
impressed
by
the
way
that
you've
been
able
to
disaggregate
the
information
regarding
veterans
and
military
veterans
and
spouses
etc.
F
Here's
the
question
that
I
have
last
last
year.
I
think
we
dealt,
I
want
to
say
it
was
maybe
about
september
october,
we
dealt
with
an
issue
of
of
a
an
establishment
making
some
claims
about
a
duty
procedure
that
were
not
necessarily
true,
and
that
also
raised
the
issue
about
how
people
were
either
filing
paperwork
where,
with
regard
to
the
address
of
the
owner
et
cetera,
have
we
been
able
to
tighten
that
up
at
all?
It
was
in
the
area
of
estheticians.
I
Yes,
we've
we've
tightened
that
up
and
we've
got
a
lot
more
focus
on
that
group.
We
have
an
advanced
esthetician
degree
and
that's
advanced
destination.
License
that's
going
to
provide
us
with
more
opportunity
to
get
into
this
the
aesthetics
groups,
but
we
did
investigate
that
and
tighten
that
up.
I
can
get
specific
information
on
it
for
you
from
our
staff
and
we'll
send
it
to
you.
F
Okay,
I
appreciate
it
and
I
don't
know
if
this
is
comes
under
your
purview
or
not,
but
the
other
thing
that
we
discovered
during
that
time
was
who's
handling
tattoo
haulers
and
people
who
are
doing
some
peripheral
work
next
to
adjacent
to
the
tattoo
industry.
I
F
Okay,
yeah-
and
I
think
that
was
one
of
the
questions-
is
there
anyone
who
is
responsible
for
making
sure
that
that
industry
is
following
best
practices
and
consumer
protection.
I
F
And
that
was
something
we
can
talk
about
it
offline,
but
that
was
that
was
the.
I
think
that
was
the
loophole
that
that
allowed
some
of
them
to
be
doing
some
of
the
more
unscrupulous
things
that
we
discovered.
The
last
thing
I
was
going
to
ask
is:
there
are
some
veterans
who
want
to
use
their
gi
education
bill?
F
Are
you
all
set
up
for
that
and
if
so,
how
do
you
do
that?
And
if
not,
is
that
a
possibility.
I
We
don't
handle
the
financial
aspects
of
veterans
or
licensees
that
our
students
want
to
become
licensed.
That's
handled
between
the
the
student
and
the
schools.
We're
not
involved
in
that,
but
I
could
have
the
schools
give
me
give
me
a
report
of
whether
they
they
accept
gi
benefits
or
not.
F
Thank
you
that
would
that
would
be
important,
because
I
know
that's
one
of
the
one
of
the
areas
that
I've
received
a
number
of
calls
in
terms
of
how
do
we
do
this?
We
have
this
information,
we
have
this
this
benefit,
but-
and
this
is
what
we
want
to
do,
but
it
doesn't
appear
that
there's
any
way
for
us
to
use
this
to
offset
some
of
the
costs
we
can
talk
about
offline
and
whatever,
whatever
help
or
assistance.
I
can
be
I'm
glad
to
do
that.
A
A
Okay,
mr
landry,
I
do
have
just
a
couple
of
questions,
I'm
not
sure.
If
you're
going
to
be
able
to
answer
one
of
them,
I
mean
it
might
have
to
be
information
that
you
send
us,
but
I'm
going
to
start
with
my
first
one.
You
did
say
you
have
an
apprenticeship
program
for
students
who
live
60
miles
from
a
school.
Is
that
an
earn
while
you
learn
type
of
program,
or
is
it
just
completely
up
to
the
the
apprenticeship
program?
Do
they
decide
that.
I
That
is
an
earn.
While
you
learn
program,
it
involves
apprenticeship
in
this
in
the
cosmetology
salons
and
they
have
to
have
a
cosmetologist
or
a
nail
tech
or
a
esthetician,
because
we
have
apprenticeship
programs
and
all
those
those
license
types.
They
have
to
get
a
licensed
individual
to
say
that
they're
going
to
sponsor
that
person
and
they
that
person
goes
and
works
for
them.
It's
double
the
hours
double
the
amount
of
hours,
but
it
is
kind
of
an
earn.
While
you
learn,
while
they're
going
through
the
program.
A
That's
wonderful,
thank
you
and
then
my
second
question.
This
is
the
one
where
I
think,
I'm
not
sure,
if
you'll
be
able
to
provide
us
the
information
right
now,
but
you
had
mentioned
that
when
you
took
over,
you
guys
were
able
to
reduce
some
of
the
time
periods,
and
one
of
the
ones
I
was
interested
in
getting
more
information
on
was
how
the
cosmetology
board
went
from
when
it
comes
to
licenses
with
from
other
states.
You
took
down
21
days
to
approve.
A
You
went
from
21
days
to
approve
a
license
to
one
day
to
approve
a
license
from
another
state
when
it
came
to
reciprocity.
How
are
you,
how
are
you
guys
able
to
accomplish
that?
Like
there's?
Just
you
know,
there's
certain
boards
who
are
lacking
in
that
area
and
you
guys
went
from
three
weeks
to
one
day,
which
is
great.
I
Well,
we,
this
is
gary
landry
executive,
director
of
the
nevada
state
board
of
cosmetology.
What
we
did
is
we
put
the
information
online
and
let
the
applicant
fill
that
out
and
send
it
to
us
that
allowed
us
to
get
the
information
in.
We
could
get
it
quickly
and
as
long
as
they
as
long
as
the
information
is
complete,
most
most
people
submit
rest.
Prostate
applications
provide
complete
information.
I
Then
we
review
it
and
get
it
out
that
day
we
we
had
to
do
a
lot
of
things
to
reduce
the
time
involved
and
the
number
of
people
it
went
through.
We
got
it
down
to
where
we
could
have
one
person
review
all
the
steps
review
it
and
approve
it,
and
that's
how
we
got
it
down
to
one
day.
We
we
don't
think
there's
a
great
deal
of
benefit
in
delaying
the
people
coming
in
and
that's
why
we
work.
We've
worked
we're
working
to
try
and
get
all
of
our
processes
down
to
a
single
day.
I
A
A
A
J
Good
morning,
honorable
members
of
the
legislature
and
the
public,
please
allow
me
to
reintroduce
myself
as
hardeep
solves,
also
known
as
d
and
I'm
a
newly
minted
director
of
the
nevada
state
board
of
dental
examiners.
J
J
As
you
are
all
aware,
the
mission
of
the
nevada
state
board
of
dental
examiners
is
to
protect
the
dental
health
interests
of
nevadans
by
developing
and
maintaining
programs
to
ensure
that
only
qualified
professionals
are
licensed
to
practice.
Dentistry
and
dental
hygiene
ensure
that
violators
of
the
law
regulating
the
dental
and
dental
hygiene
professions
are
sanctioned
as
appropriate.
J
The
nevada
state
board
of
dental
examiners
recommended
that
the
nevada,
dental
health
care
providers
postpone
elective
procedures
for
the
next
two
weeks
and
listed
universal
precautions
and
measures,
including
the
required
use
of
face,
masks
and
appropriate
pppe,
as
recommended
by
the
ada.
The
board
also
issued
recommendations
regarding
self-quarantining
in
accordance
with
cdc
guidelines.
J
J
On
april
2nd
2020,
the
board
posted
the
declaration
of
emergency
for
copen19
directive010
issued
by
the
state
of
nevada
and
reiterated
its
support
of
the
postponement
of
elective
dental
procedures
until
at
least
april
30th
2020..
In
response
to
inquiry
by
practitioners.
The
board
also
indicated
that
telehealth
is
within
the
scope
of
nrs
631.215.
J
The
board
repeated
that
if
emergency
dental
treatment
is
medically
needed
for
a
patient
with
known
or
suspected
suspected
covin-19
airborne
infection,
precautions
and
parameters
should
be
strongly
considered
and
if
treatment
is
offered
for
dental
emergency
customary
infection
control
protocols
should
continue
to
be
followed
april.
29
2020
the
board
reiterated
that,
according
to
nac
631.178.
J
Again,
on
april
30th
2020
board
telephone
conference
meeting
the
board
voted
to
adopt
portions
of
guidance
for
dental
services
in
nevada
memorandum
issued
by
the
nevada
department
of
health
and
human
services.
Effective
monday
may
4th
2020.
J
on
july
16,
as
in
a
july
14
2020
board
telephone
conference
meeting
the
board
voted
to
approve
and
adopt
the
cdc's
interim
dental
settings
guidelines
updated
june
17
2020
persuaded
to
nac
631.178
and
no
longer
following
the
guidance
for
dental
services
in
nevada
dhhs
that
it
had
previously
adopted
at
the
april
30th
board
meeting
the
board
posted
a
copy
of
the
current
cdc
guideline
for
reference
september,
16
2020.
J
The
board
provided
contact
information
for
cdc
coca,
which
is
a
clinician,
outreach
and
communication
activity
for
practitioners
to
utilize,
as
well
as
posted.
The
cdc
interim
re-opening
guidance
for
dental
settings
updated
on
april
28
2020.
The
board
posted
a
copy
of
the
current
cdc
guidelines
for
reference
november
30th
2020.
At
its
october
8
2020
board
telephone
conference
meeting.
J
The
board
voted
to
approve
the
cdc's
interim
dental
settings
guideline
persuade
to
nac
631.178
with
modifications
to
allow
for
the
use
of
n95
or
equivalent,
namely
a
level
3
surgical,
mask
or
face
shield
eye
protection
and
to
not
approve
the
cdc's
interim
dental
settings
guidelines
updated
april
4th
2020..
The
board
did
reiterate
that
and
per
nac
631.178.
J
Licensed
dentist
and
dental
hygienists
in
nevada
shall
comply
with
cdc
guidelines
for
dental
health
settings,
which
now
include
the
cdc's
august
28
2020
intern
dental
settings
guidelines
with
modifications
that
allow
the
use
of
n95
or
equivalent
the
board
did
post
a
copy
of
the
current
cdc
guidelines
for
reference
february.
10
2020.
As
its
january
5th
2021
board
telephone
conference
meeting.
J
The
board
voted
to
approve
the
cdc's
interim
dental
settings
guidelines
which
was
updated
on
december,
4th
2020
persian
to
nac631.178
with
the
modification
that,
where
the
guidelines
recommend
use
of
the
n95
respirators
licensees
can
instead
use
the
combination
of
a
level
3
surgical
mask
face
shield
and
eye
protection
june.
1St
2021
the
board
issued
a
memorandum
to
all
licensees
regarding
updates
to
the
cdc
guidelines
and
intern
dental
settings.
J
We
have
2600,
sorry,
2061,
dentists
and
1590
hygienists
that
are
active.
As
was
mentioned
earlier,
the
board
remained
flexible
and
made
the
appropriate
adjustments
to
ensure
that
we
serve
the
members
of
the
public
in
the
state
of
nevada.
In
addition,
please
note
that
applicants
for
active
or
retired
military
or
spouses
of
military
personnel
do
have
the
ability
for
reciprocal
licensure.
J
Currently
we
are
working
on
following
the
regulations,
the
following
regulations,
immunization
administration,
dental
therapy,
disciplinary
process
and
licensing.
When
we
speak
of
immunization
administration
under
this
regulation,
our
licensees
have
the
option
to
file
for
special
endorsement
to
administer
vaccinations
in
their
own
practice
settings
in
respect
to
the
dental
therapy.
We
have
been
working
on
this
during
2020,
and
a
regulatory
workshop
was
held
in
october
2020
in
respect
to
disciplinary
process.
The
proposed
changes
are
to
mirror
the
changes
requested
by
the
governor's
auditors
persuading
to
the
2019
audit
of
nsbde.
J
Lastly,
as
to
licensed
proposed
changes,
among
other
things,
reflect
newly
formed
dental
specialties
that
have
been
approved
and
update
our
cpr
requirements,
we
do
look
forward
to
ensuring
that
our
mission
is
fulfilled,
which
is
to
maintain
the
dental
interests
of
all
nevadans
by
developing
and
maintaining
programs
to
assure
that
only
qualified
members
professionals
are
licensed
to
practice.
Dentistry
and
dental
hygiene
ensure
that
violators
of
the
law
regulating
the
dental
and
dental
hygiene
professions
are
sanctioned
as
appropriate,
and
with
that
I
give
you
back
the
floor.
A
Sorry
about
that,
I
think
I
was
on
mute,
but
I
just
wanted
to
say
congratulations.
I
know
this
is
a
recent
appointment
for
you
in
the
last
couple
of
weeks
or
so
so.
Congratulations
on
your
new
role-
and
I
do
just
have
one
ask:
would
you
mind
sharing
your
remarks
with
our
committee
secretary
so
that
we
can
have
those
just
some
of
those
that
information
for
the
committee
member
to
the
committee
members
to
access
with
them?
I'm
going
to
go
to
the
members
to
see
if
we
have
any
questions.
F
Thank
you,
madam
chair,
and
thank
you
for
the
for
the
report.
I
have
a
question
and
I
wanted
to
direct
your
attention
to.
There
is
a
an
agenda
for
october
29
2021
and
it
is.
It
looks
like
it's
a
continuation
as
a
matter
of
fact,
at
the
top
of
the
agenda,
it
says
continuous
of
formal
hearing
and
agenda
for
antonina
capiro
day
14..
So
my
question
is,
it
looks
like
this
person
is,
has
been
on
the
agenda
for
quite
a
while.
F
Can
you
tell
me
why
that
is
and
if
there's
anything
unusual
going
on,
that
would
require
the
person
to
to
be
a
part
of
the
agenda
for
such
a
long
time.
J
Yes,
senator
spearman
and
her
deep
soul
for
the
record.
This
just
is
because
it
is
an
ongoing
disciplinary
matter.
I
I
can't
get
into
it
very
much,
but
I
do
want
you
to
know
that
there's
nothing
improper
going
on.
It
is,
unfortunately,
with
the
pandemic
and
just
the
way
the
hearings
were
being
handled.
J
They
were
in
the
evenings
just
so
you
know
so
after
hours
after,
like
usually
between
six
and
nine.
So
this
was
it's
an
ongoing
disciplinary
matter
and
obviously
I
can't
really
comment
to
the
specifics,
but
I
can
attest.
I
have
reviewed,
you
know
the
documents
as
well
senator
spearman
yeah.
J
F
This
this
is
this
was
a
matter
that
was
brought
to
my
attention
during
session,
and
I
understand
that
it's
a
personal
matter,
but
I
do
need
to
get
on
the
record
that
it
is
great
concern.
Senator
hardy
and
myself
looked
into
it
and
there
have
been
some
other
people
looking
into
it,
and
you
can't
discuss
the
particulars
of
it.
F
But
I
will
say
this
that
I
I
am
really
concerned
that,
and
I
can't
find
of
another
instance
where
there
has
been
someone
who's
been
on
the
agenda
of
a
regulatory
board
consistently
and
as
noted
here
day
14.
So
I
am,
I
am
really
concerned
about
this,
and
I
really
would
like
to
get
some
clarification
about
this
offline.
Second
question
that
I
would
have
is
I've
also
been
getting
getting
calls
from
from
people
who
are
members
of
the
dental
family.
F
Shall
I
say
who
have
some
concerns
about
the
way
that
disciplinary
action
is
being
administered
and
it
it
does
not
look
like
it
has
been
done
fairly
across
the
board.
I
will
tell
you
that
it
came
to
my
attention
because
of
some
legislation
that
we
passed
regarding
racism
as
a
public
health
crisis.
F
So
the
first
question
is:
do
you
have
information
on
the
demographic
makeup
of
the
gender
board?
Second,
one
that
is
related
to
that
demographic
makeup
of
people
who
apply
for
licensure,
not
just
veterans
but
demographic
in
terms
of
women?
What
does
that
look
like
in
terms
of
bipolar
communities?
How
many
people
are
accepted?
How
many
people
are
licensed?
What
is
the
disciplinary,
the
demographic
makeup
of
the
disciplinary
action?
F
Okay,
the
dictionary
action-
and
it
also
it'll,
also
come
to
my
attention
that
there
have
been
some
instances
where
people
who
were
previously
cleared
of
any
type
of
improprieties.
F
There
have
been
some
reopening
of
the
investigations,
and
so
I'd
really
like
to
see
that
information,
because,
as
short
as
we
are
on
dentists
here
in
the
state
and
when
I
get
calls
from
people
who
are
outside
the
state
who
are
wanting
to
come
to
nevada-
and
they
say
to
me
that
they're
not
coming
because
of
some
instances
of
some
things
that
don't
look
quite
right,
why
would
they
come
to
nevada
when
they
can
and
and
risk
losing
their
license
when
they
can
go
to
another
state?
F
That's
close
to
nevada,
and
so
we
have.
We
have
issues
with
respect
to
the
number
of
dentists
in
this
state
and
that's
not
just
general
practice,
but
that's
people
who
are
who
are
in
specialty
practice.
So
I
really
need
to
know
why
the
inf
by
the
individual
keep
showing
up
on
the
agenda,
and
I
know
I
know
that
there
are
some
unique.
F
F
I
also
need
to
know
about
the
demographic
information
of
disciplinary
action,
how
how
many?
What
does
that
look
like
by
poc?
What
does
that
look
like
gender?
What
does
that
look
like
in
terms
of
socio-economic
status?
What
does
that
look
like
in
terms
of
someone
who
has
been
previously
cleared
and
then
a
case
being
reopened
and
right
now
these
are
all
allegations.
But
if
you
can
provide
that
information
to
me,
then
I
can
set
those
allegations
aside
and
I
get
back
to
the
people
who
are
asking
these
questions
that
information.
F
Some
similarities
that
led
to
that
case,
and
I
just
need
to
make
sure
that
the
state
is
not
being
put
in
jeopardy
in
any
type
of
legal
jeopardy,
because
the
the
people
who
would
pay
for
any
type
of
lawsuit.
Are
we
the
people
who
already
pay
taxes
here,
and
so
it's
it's.
The
nevada
state
dental
board,
which,
which
means
that
we
are
the
people
who
are
paying
for
whatever
lawsuits
or
even
any
settlements
that
come
about.
F
So
I'm
concerned
about
that,
and
I
need
to
make
sure
that
we're
not
anywhere
close
to
that
that
line
where
the
north
carolina
dental
board
was
because
I
don't
want
to
see
taxpayers
have
to
pay
for
something
that
could
be
avoided
if
there
was
more
judicious
activity
going
on
with
respect
to
the
people
who
are
licensed,
people
who
are
applying
and
even
staff
personnel.
So
that's
my
concern
right
there.
Okay.
J
Sure,
okay,
so
let
me
break
this
down
a
little
bit
and
try
to
respond
to
as
much
of
it
as
I
can
and
so
in.
Let's
go
back
to
the
first
item
that
was
to
the
capiro
matter.
Just
for
the
record,
it
was
originally
scheduled
for
two
full
days
may
21st
and
may
22nd,
and
the
second
day
was
not
able
to
go
forward
due
to
religious
observances
of
the
participants
in
proceedings
and-
and
so
we
honored
that
just
so
that
you're
well
aware
of
that.
J
In
regards
to
the
issues
with
how
disciplinary
you
know,
actions
are
being
handled
and
the
info
on
demographic
makeup
whom
applies.
Our
applications
collects
some
of
it
that
information
of
the
demographic
information.
I
don't
I'm
going
to
go
ahead
and
check
on
the
disciplinary
demographics.
J
I
am
also
a
woman
of
color,
so
I
am
going
to
be
sitting
there
and
I
look
into
those
matters
very
seriously
and
we
want
to
have
an
even
hand
but
very
transparent
and
being
just
fair
to
all
nevadans
in
you
know
just
equal
to
everyone
and
so
senator
spearman.
I
heard
I
hear
what
you're
saying,
and
it
is
a
grave
concern
to
me
not
only
as
an
individual
but
as
the
executive
director
that
nothing
improper
happens
on
the
state's
dime.
J
You
know,
and
so
we
are
here
to
serve
the
public
and
obviously
we
don't
want
to
risk
the
public
in
anything,
and
that
goes
back
to
the
mission
when
it
comes
to
investigations,
I
mean
technically
where
this
there
to
you
know
investigate.
J
Basically,
the
you
know
sanctioned
activities
that
our
members
can
do,
but
not
go
beyond
that.
It
is
not
you
know
we
neither
do.
We
have
the
budget
to
be
able
to
be
reopening,
you
know
old
cases
and
that's
not
typical.
J
J
I'm
happy
to
you
know,
discuss
that
and
I
want
to
make
sure
that
we
are
operating
right
into
the
purview
of
what
our
mandate
is,
and
that
is
my
mission.
You
know
as
the
executive
director
I
will
remind
everyone.
I
know
that
there
may
be
some
testy.
You
know
history,
but
I
am
also
a
member
of
you
know
the
bar,
and
so
I
take
that
very
seriously.
J
I
take
service
to
the
public
and
to
the
legislature,
transparency
and
fairness
and
rule
of
law
to
be
very
big
hallmarks
in
not
only
my
career
as
an
attorney,
but
really
my
next
step
in
you
know
elevating
the
exact
you
know
in
this
position
as
an
executive
director.
So
I
will
you
know
say
I
commit
to
that.
J
You
know
to
you
all,
and
you
know
I
am
always
accessible
to
the
members
of
the
public
and
the
legislature,
because
that's
what
we're
here
to
do
is
to
serve
as
that,
but
you
know
within
the
purview
of
our
mandate
and
that's
what
I'm
tasked
with
too.
So
I
hope
you
appreciate
that
and
I'm
happy
to
answer
and
make
my
comments
available.
You
know
as
well.
F
And-
and
I
do
and
I
just
wanna
I'm
sorry
I
just
I
just
wanted
to
say
thank
you
so
much
and
please,
let's
get
together
offline
because
I
am
getting
more
and
more
of
these
calls
and
they
are
concerning
to
me
they.
They
started
long
before
the
20
2021
session,
but
throughout
the
2021
session,
and
I'm
sure
you
know
that
there
were
some
particular
areas
of,
shall
I
say,
interest
that
came
before
myself
and
senator
hardy.
Okay.
A
A
You
vice
chair
for
those
questions
and
director
sull.
If
you
do
gather
that
information,
if
you
would
please,
instead
of
sending
it
directly
to
vice
chair,
if
you
would
send
it
to
our
policy
analyst,
if
you
gather
the
information
on
the
demographics
so
that
it
can
be
shared
with
the
entire
committee.
A
Thank
you.
Thank
you.
Thank
you.
Okay,
thank
you,
members,
okay,
and
thank
you
so
much
for
your
presentation
director.
So
we
appreciate
you
congratulations
again
on
the
new
appointment,
okay
members.
We
are
going
to
move
on
to
our
third
board,
which
is
the
board
the
state
board
of
nursing,
and
I
believe
we
have
the
executive
director
here
miss
kathy
denauer
with
us
to
present.
Mr
now
when
you're
ready
the
floor
is
yours.
A
D
You
so
much
chairperson
how
to
gain
members
of
the
committee.
D
My
name
is
kathy
dinauer
and
I'm
the
executive
director
of
the
nevada
state
board
of
nursing
and
thank
you
for
the
opportunity
to
speak
to
you
today
and
I
have
provided
information
to
you
about
the
board
and
I'll
just
review
it
and
and
go
over
some
of
the
highlights.
D
The
nevada
state
board
of
nursing
is
a
title.
54
board
made
up
of
seven
governor
appointed
members
and
we
are
a
self-funded
board.
We
do
not
take
any
general
funding
and
the
main
functions
of
the
nevada
state
board
of
nursing
is
to
license
and
certify
to
provide
an
oversight
of
our
nursing
programs
and
discipline
and
compliance.
We
have
a
compliance
program,
which
is
a
program
that
we
run
in-house
for
nurses
who
are
experiencing
substance
use
disorders,
and
we
want
to
keep
them
in
the
field,
but
we
also
have
to
monitor
them.
D
We
also
can
issue
we
pride
ourselves
on
issuing
a
temporary
license
within
about
four
to
six
days
and
even
with
covid,
we've
been
able
to
continue
that
we
have
an
online
application
process,
which
is
greatly
helped
not
only
those
nurses
who
are
wanting
to
get
a
license,
but
for
those
for
the
staff
as
well,
because
we
are
able
to
process
licenses
via
our
online
system.
D
D
We
have
our
licensure
fees,
that
we
have
not
increased
in
over
20
years
and
don't
seem
to
be
any
plans
to
increase
that.
But
one
never
knows,
but
they
have
not
changed
in
20
in
20
years
and
I
currently
work
with
a
variety
of
different
stakeholders
in
looking
at
different
ways
to
streamline
our
processes
and
to
not
be
a
barrier
to
licensure.
D
This
last
session
we
were
on,
we
unsuccessfully
attempted
to
get
it
passed
and
introduced
into
session,
and
we
were
not
able
to
do
that,
but
our
board
has
been
very
supportive
of
the
nurse
licensure
compact.
I've
worked
with
other
stakeholders,
including
kelly
douglas,
who
spoke
earlier,
and
it's
just
unfortunate.
We
were
not
able
to
get
that
passed.
D
Currently,
we
are
working
with
the
department
of
public
and
behavior
health
on
working
on
making
some
regulatory
changes
that
would
allow
our
nursing
assistants
and
apprentice
nurses
to
be
for
to
perform
point
of
care
testing,
which
is
lab
tests
to
allow
them
to
do
glucometer
finger
sticks,
which
is
a
task
that
many
nurses
do
in
their
everyday
existence,
and
this
would
help
offset
some
of
their
workload
and
I'll
talk
about
that.
A
little
bit
as
I
talk
about
covid
so
with
covid
covet
hit
us
just
like
everyone
else,
and
now
we
are.
D
We
are
seeing
this
enormous
nursing
shortage
throughout
the
country
and
especially
in
nevada,
and
we
at
the
board
of
nursing.
What
we
don't
want
to
do
is
be
a
barrier
to
practice
in
any
way,
and
we
don't
believe
we
are.
We
can
issue
a
temporary
license
in
a
relatively
short
amount
of
time.
We
have
accepted
waivers.
We
have
received
over
5500
waivers,
which
allows
nurses
to
come
to
the
state
and
begin
working
without
having
to
get
a
nevada
license
as
long
as
they
have
a
license
or
certificate
in
another
state.
D
We
have
been
working
with
the
again
with
the
department
of
public
and
behavior
health
and
health
care
facilities
with
regards
to
the
nursing
shortage
and
recently
working
through
the
governor's
office
on
our
apprentice
program.
We
do
have
an
apprentice
program,
it's
been
around
for
a
very
long
time,
but
I'm
not
sure
that
it
was
as
well
known
to
students
and
facilities
as
it
is
probably
now,
and
that
is
because
of
ongoing
discussions
with
facilities
and
nursing
students.
We
have
about
900
students
in
nursing
programs
at
various
levels
of
their
instruction
and
working
with
facilities.
D
We
have
facilities
around
the
state
that
have
apprentice
programs
in
the
north,
the
south,
even
in
the
rural
areas,
and
it
really
is
a
great
opportunity
to
allow
that
student
while
they
are
a
nursing
student
to
work
at
a
facility
and
and
perform
the
skills
that
they
have
been
taught
in
their
program,
and
so
we're
constantly
pushing
out
that
program
and
hopefully
we'll
be
able
to
extend
it
to
other
types
of
facilities.
D
D
We,
as
I
mentioned,
we've
had
over
5
500
waivers
that
have
been
received,
that
we
are
continuing
to
get
on
a
daily
basis,
and
then
we
just
continue
to
work
with
our
ongoing
with
our
stakeholders
in
the
community
to
look
at
how
we
can
help
the
nursing
shortage
and
increase
the
nursing
pipeline,
and
I
will
entertain
any
questions.
A
A
Okay-
and
I
just
have-
I
have
a
question
for
you-
director
janauer
the
apprenticeship
program.
It's
actually
the
first
time
I
hear
of
it
for
the
for
nursing
for
a
nursing
license.
D
So,
thank
you
kathy
daniel
for
the
record.
Thank
you,
chair
chairwoman.
How
to
be,
I
can't
say
how
many
people
have
actually
completed
an
apprenticeship
program,
but
it
has
been
around
for
well
over
20
years
and
it
is
a
great
opportunity
for
the
students.
It's
a
relationship
between
the
student
and
the
facility.
D
So
when
they
graduate
that
transition
to
practice
that
time
frame
may
be
shorter,
it's
great
for
the
student,
because
then
the
student
gets
an
opportunity
to
get
to
know
the
facility.
We
we
know
of
one
facility
here
in
the
north
that
has
hired
apprentice
nurses
into
their
specialty
areas,
which
might
not
normally
have
happened
five
ten
years
ago.
A
I
know-
and
I
appreciate
that
because
I'm
assuming
you
said,
they're
employed
so
these
apprenticeships,
while
they're
going
to
school
they're,
also
earning
and
earning
in
their
field
of
study,
which
is
great
okay.
I
do
have
a
question
from
vice
chair.
I
think
that's
I'm
doing
a
show
of
hands
so
before
I
let
you
go,
I'm
gonna
go
to
vice
chair,
so
she
can
ask
her
questions.
Mr
spearman.
F
No
thank
you,
madam
chair,
and
thank
you
kathy
for
your
presentation.
I
just
got
a
real,
quick
question:
we've
we've
done
a
lot
with
respect
to
how
our
nurses
are
taking
care
of
patients.
My
question
would
be:
how
are
we
taking
care
of
those
who
take
care
of
us
any
eap
protocols
in
place?
What
are
we
doing
to
make
sure
that
I
know
I've?
I've
heard
from
some
that
you
know
the
because,
because
the
numbers
keep
spiking,
there's
there's
a
there's
a
bit
of
a.
F
I
should
have
put
it
there
they're
getting
a
little
discouraged
because
they
every
time
they
feel
like
we're
just
about
through
that
phase,
and
something
else
happens.
So
how
are
we
taking
care
of
those
who
are
taking
care
of
us?
What
does
that
look
like
from
their
mental
health?
What
does
that
look
like
in
terms
of
protecting
the
families
and
their
own
personal
health?
For
that
matter?.
D
Thank
you,
senator
spearman,
kathy
denauer
for
the
for
the
record,
and
we
at
the
board
of
nursing,
don't
have
any
regulatory
oversight
of
what
programs
may
be
available
for
nurses.
I
can
only
speak
to
you
anecdotally,
in
maybe
other
groups
such
as
nevada
hospital
association
may
know
what
I
do
hear
anecdotally,
from
nurses
in
the
field.
The
nurses
at
the
bedside
is
that
there
is
a
high
burnout.
D
F
A
Great
question
vice
chair:
thank
you
for
that.
Thank
you
so
much
for
director
danielle,
thank
you
for
being
here
with
us
and
for
your
presentation.
Thank
you.
Okay,
a
member
thanks
for
hanging
in
there.
I
know
it's
around
lunchtime,
but
we
just
have
a
couple
more
boards,
so
let's
go
ahead
and
move
forward
with
the
board
of
medical
examiners,
and
I
believe
we
have
the
deputy
executive
director,
ms
sarah
bradley
here
to
present.
A
K
Ma'am,
I
am
here
sarah
bradley
deputy
executive
director
of
the
nevada
state
board
of
medical
examiners.
Oh
sorry,
I
was
a
little
bit
off
center
there
for
a
second,
so
a
little
bit
about
our
board.
It's
a
title,
54
licensing
board
and
we
have
nine
members
that
are
appointed
by
the
governor.
K
K
K
The
board's
mission
statement
is
to
protect
the
public
and
serve
the
state
of
nevada
by
ensuring
that
only
well-qualified,
competent
physicians,
physician
assistants,
practitioners
of
respiratory
care
and
perfusionist
receive
licenses
to
practice
in
nevada.
The
board
responds
with
expediency
to
complaints
against
our
licensees
by
conducting
fair,
complete
investigations
that
result
in
appropriate
action
in
all
board
activities.
The
board
shall
place
the
interests
of
the
public
before
the
interests
of
the
medical
profession
and
encourage
public
input
and
involvement
to
help
educate
the
public.
As
we
approve
the
quality
of
medical
practice
in
nevada.
K
I
have
provided
a
handout
that
I
hope
all
the
members
have
received.
Just
with
some
information
regarding
licensing
disciplinary
actions
and
some
significant
accomplishments,
so
just
to
highlight
cove
did
not
slow
down
our
operations
at
all.
In
fact,
we
issued,
as
you
can
see,
on
the
handout
there
were
1
648
new
licenses
issued
in
2020
and
1675
licenses
issued
in
2021,
and
that
is
an
increase
over
previous
years.
The
total
number
of
licensees
in
the
state-
and
this
includes
active
and
inactive,
is
14.
K
436
of
those
10
767
are
medical
doctors,
1
348
are
physician,
assistants,
1759
are
practitioners
of
respiratory
care,
71
are
perfusionists,
and
then
we
have
491
residency
training
licenses.
So
those
are
individuals
who
have
completed
their
medical
school,
they
are
licensed,
they
are
supervised
by
a
medical
doctor
while
they
complete
their
residency
and
they
are
providing
care,
though,
to
nevada
citizens
we've
seen
an
increased
number
of
complaints
in
2021
in
2021
we
opened
1015
investigations
and
that's
an
increase
of
almost
double
last.
The
last
time
I
reported
this
information
for
2020.
K
In
2021
725
of
those
investigations,
and
it
it
may
be
some
from
the
prior
year,
so
I
can't
say
that
all
of
them
that
were
received
in
2021
were
were
dealt
with
in
2021,
but
725
investigations
were
closed.
46
resulted
in
disciplinary
action,
public
disciplinary
action,
and
so
the
total
number
of
closed
investigations
was
771.
K
The
most
frequent
kinds
of
complaints
that
we
get
is
regarding
standard
of
care,
which
I
think
makes
sense.
Patients
there's
either
concern
from
a
patient,
their
family,
another
health
care
practitioner
regarding
care
received
prescribing
issues.
We
continue
to
address
those
issues.
We
actually
have
a
meeting
with
the
pharmacy
board,
as
well
as
other
entities
to
try
to
make
sure
we
are
acting
appropriately
regarding
prescribing
cases
and
issues
and
reviewing
things
that
may
come
from
that.
Demeanor
is
another
popular
complaint.
K
These
don't
often
result
in
public
action,
but
certainly
the
board
takes
it
seriously
when
a
patient
complains
regarding
how
they
were
treated
by
a
physician,
and
it's
not
uncommon
for
for
those
individuals
to
have
to
address
the
investigative
committee
regarding
their
possible
demeanor
issue
records.
We
get
complaints
both
regarding
patients,
saying
that
they
haven't
received
records
in
a
timely
manner
after
a
complaint.
K
I'm
sorry
after
a
request,
excuse
me
or
that
records
aren't
timely,
accurate,
legible
or
complete,
and
that's
that's
an
issue,
obviously,
as
you
can
imagine,
because
if
the
record
isn't
detailed
enough,
other
healthcare
practitioners
may
not
have
information
they
need
when
treating
patients,
and
so
it's
actually
a
very
serious
issue
not
having
complete
and
accurate
records,
and
so
we
do
look
at
those
a
lot.
We've
done
some
significant
accomplishments.
K
One
of
the
things
we're
very
excited
about
is
last
year
in
early
2021,
we
launched
a
new
licensing
software
that
allows
all
of
our
applications
as
well
as
a
licensee
portal.
It's
all
online
and
so
licensees
can
actually
go
in.
They
can
log
in
they
can
update
their
address
and
other
information
right
away
without
having
to
send
a
form
into
the
office.
They
also
can
update
other
information
for
us
as
well
as
do
their
renewals
online.
We've
always
had
online
renewals.
K
K
So
we
have
just
hired
a
new
person
and
so
our
new
count
from
2020
the
increased
total
is
eight
actually
eight
new
staff
members,
new
positions
that
have
been
created
both
in
legal
investigations,
licensing
those
are
our
new
position
areas.
We
also
have
one
that's
in
administration,
so
that
that
helps
us
do
a
better
job
in
supporting
the
individuals
we
need
to
support.
K
There
was
a
lot
of
talk
today
regarding
the
licensure
compact,
and
I
wanted
to
let
members
of
the
committee
know
that
the
nevada
state
board
of
medical
examiners
has
been
a
member
of
the
medical
licensure
compact,
since
it
was
enacted
by
in
nevada
in
2015.
That
was
when
the
law
passed
to
allow
it,
and
it
took
us
a
little
bit
of
time
before
we
started
getting
applications.
So
the
notes
I
have
is
we
probably
got
our
first
applications
in
2017.
K
The
total
number
of
licenses
we've
issued
through
the
compact
is
1
434,
and
that's
just
for
medical
doctors.
It's
not
any
other
licensed
type,
because
the
compact
is
only
for
medical
doctors,
whether
they're
osteopathic,
physicians
or
medical
doctor,
either
those
physician
types
so
we've
licensed
1434
it
takes.
K
K
K
and
then,
if
they
would
like,
once
physicians
are
licensed
either
traditionally
or
through
the
compact,
they
can
actually
change
to
have
nevada,
be
their
primary
state.
It's
called
state
of
principle
licensure,
and
so
we've
issued
283
of
those.
Since
we
started
with
the
compact
and
in
2021
112,
so
you
can
see
that
the
number
of
people
getting
licensed
in
nevada
and
then
wanting
to
have
nevada,
be
their
principal
license
or
state
has
been
increasing,
because
almost
half
of
the
number
we've
received
was
all
last
year.
K
So
we
are
excited
about
the
compact,
and
I
was
excited
to
hear
too,
that
the
department
of
defense
liaison
believed
that
was
a
helpful
thing
for
allowing
reciprocity
for
military
spouses
and
veterans.
So
we're
glad
to
be
a
part
of
that.
I
also
want
to
tell
you
that
our
executive
director
actually
had
served
on
the
interstate
medical,
licensure
compact
committee
for
quite
some
time
he's
now.
K
A
Thank
you
so
much
deputy
director
bradley.
I
appreciate
you
being
here
and
for
the
presentation.
I
have
one
question,
because
my
internet
was
a
little
spotty
as
you
were
reading
those
numbers,
and
you
did
say
that
since
inception,
there's
been
1434
licenses
issued
through
the
compact.
A
Perfect,
I
just
wanted
to
make
sure
I
wrote
that
down
correctly,
so
if
a
doctor
in
a
neighboring
neighboring
state
just
comes
in
submits
their
application
for
licensure,
they
can
be
here
and
practicing
within
ten
days.
You
said
correct.
K
Well,
it's
not
necessarily
a
neighboring
state,
madam
chair,
sarah
bradley
for
the
record
yeah.
They
have
to
be
a
member
of
the
compact
and
so,
for
example,
I
don't
believe
california
is
a
member
and
obviously
they're
very
close
to
us.
So
there
are
32
states
that
are
members
of
the
compact
and
of
course,
that
number
is
growing.
K
I
just
checked
the
website
this
morning
in
new
jersey
was
added
recently,
so
if
they
are
in
a
member
state,
yes
0
to
10
days-
and
I
would
say,
the
10
days
is
a
longer
that's
if
we
have
weekends
and
holidays
in
the
middle,
because,
generally
speaking,
we
get
a
letter
from
their
state
of
principle.
Licensure
that
says,
dr
smith,
for
example,
is
is
licensed.
K
You
know
through
the
comp
here's
their
letter
of
qualification
is
what
we
call
it,
and
basically
once
excuse
me
once
we
receive
that
and
they
pay
their
fee,
that
they're
licensed
it's.
It's
usually
the
next
business
day,
it's
very
fast
and
we
do
think
it's
a
good
thing
to
help
with
mobility.
A
Okay,
thank
you
so
much
deputy
director
bradley.
I
appreciate
you
being
here
and
I
appreciate
the
information
that
you
provided
members.
We
are
going
to
move
on
to
our
last
presentation
from
the
boards.
We
have
the
state
board
of
osteopathic
medicine
and
I
believe
we
have
executive.
Yesterday,
I'd
like
to
start
on
her
camera
executive
director
and
read
here
to
present
so
miss
reed
when
you're
ready.
You
may
begin.
L
Thank
you
hi,
my
madam
chair
and
committee
members.
My
name
is
sandy
reed,
I'm
the
executive
director
for
over
five
years
for
the
nevada
board
of
osteopathic
medicine.
You
have
an
information
sheet
that
I
provided
that
I
will
be
going
through
and
if
you
have
any
questions
in
the
end,
please
feel
free
to
ask.
L
L
L
The
board
has
four
full-time
staff:
myself
executive
director,
an
investigator
a
licensed
specialist
and
an
administrative
assistant,
slash
licensing
assistant
and
we're
kind
of
a
small
board,
and
currently
we
have
about
twenty,
two
thousand
four
hundred
and
thirty
three
total
licensees,
which
is
osteopathic,
physicians,
physician
assistants
residents
and
those
who
come
through
the
compact,
which
I'll
mention
a
little
bit
later.
L
The
board
is
a
member
of
the
federation
of
state
medical
boards,
administrators
in
medicine,
which
is
an
administrative
membership
for
executive
directors
and
those
who
are
typically
not
in
the
medical
field
for
support
and
the
national
practitioner
data
bank,
which
tracks
disciplinary
actions
or
you
know,
reports,
background
checks
on
all
the
licensees.
L
The
board
adheres
to
all
for
best
practices
adheres
to
all
statutes
regulations,
and
we
always
are
looking
to
strive
to
improve
our
processes.
Since
we've
noticed
that
our
number
of
licensees
has
increased,
we
found
that
we
needed
to
reevaluate
our
licensed
database
system.
So
upon
doing
that,
we
decided
to
implement
and
revise
a
new
database
system
which
we
are
in
the
process
of
contracting
with
right.
L
Now
we
are,
the
board
has
approved
a
company
which
other
boards
use
as
well,
so
they
come
highly
recommended
and
we
are
in
the
process
of
contracting
with
them
and
by
using
them
that
will
facilitate
our
licensing
initial
applications.
They
can
go
online
which
they
can
do
now,
but
it'll
be
an
easier
process.
Each
licensee
can
create
their
own
portal.
They
can
renew
their
application,
pay
online,
upload
all
their
continuing
education
credits.
L
We
can
manage
complaints
easier
track
reports,
it'll
be
a
much
improved
and
much
anticipated
process
that
that
we're
excited
to
have
as
far
and
this
way
we
can
work
efficiently
and
maybe
maintain
our
small
staff
because
we're
not
as
large
as
some
of
the
other
boards.
We
just
want
to
do
continuous
improvement.
L
The
board
followed
and
adhered
to
all
the
governor's
emergency
directives
under
kovid
when
he
issued
the
first
directives
in
march
2020
the
board
staff
worked
from
home
but
went
into
the
office
separately
and
individually
to
process
mail
and
documents
so
work
continued
people
got
licensed,
there
was
no
real
interruption
as
time
went
on
and
restrictions
were
loosened.
L
L
L
So
we
work
three
days
a
week
in
the
office
and
two
days
at
home,
as
you
can
see,
I'm
working
from
home.
This
is
sort
of
my
my
office
jewelry
room.
L
So
but
it's
worked
very
well
and
the
staff
has
been
happy
and
all
the
licensees
have
been
attended
to
any
matters
that
we
have
to
address,
and
so
recent
legislation
that
passed
we
haven't
had
major
impacts,
but
we
know
that
sb
184,
which
allowed
pas
physician
assistants
to
be
licensed
dually
from
the
board
of
medical
examiners
and
the
osteopathic
board
that
we've
been
implementing
that,
but
we've
at
the
time
we
have
five
applications
in
the
process
of
dual
of
dual
applicants.
L
Most
of
them
are
from
people
who
are
newly
graduated,
and
then
we
also,
we
don't
charge
them
to
go
inactive,
to
be
become
enacted.
We
used
to
charge
that
fee
and
we
also
don't
require
the
the
national
commission
of
certification
of
physician
assistants
to
be
certified
every
year,
so
the
process
has
become
a
little
bit
easier
for
them.
L
The
proposed
legislation
for
2023
what
we've
been
discussing
is,
since
our
board
annually
renews
all
our
licensees
on
december
31st
and
we
have
a
small
staff
and
we
keep
increasing
our
license
numbers.
We
were
thinking
that
maybe
it's
best
to
renew
half
our
licensees
one
year
and
the
other
half
another
year,
like
even
in
odd
years,
maybe
by
alphabet,
so
that
may
make
it
a
little
easier
for
the
staff
and
for
the
licensees.
L
10
to
15
we'll
be
discussing
that
and
have
as
time
goes
on,
but
those
are
the
two,
the
only
things
that
we
see
at
this
time
that
might
be
legislative.
That
we'll
look
into.
L
As
I
stated
earlier,
we
have
from
through
december
31st
of
last
year.
We
have
2433
license
total
licenses.
We
have
about
1600
active
do's.
We
have
about
161
active
pas
for
the
compact.
We
have
licensed
135
to
date.
That's
the
interstate
medical
licensure
compact,
which
started
which
the
legislature
voted
to
enact
in
2015
and
went
live
in
2017..
L
The
good
thing
about
the
compact
is
once
we
get
everyone's
application
in
and
they
meet
the
requirements.
They
can
be
licensed
immediately
and
it
could
be
10
days
or
less.
It
just
depends
on
when
we
get
everything
in
and
that
has
moved
the
process
dramatically.
I
know
we
don't
have
as
many
as
other
boards,
but
we
are
a
smaller.
We
are
a
smaller
board
as
far
as
osteopathic
physician
numbers
that
they
are
increasing,
partly
because
I
think
the
residency
opportunities
having
expanded
in
the
state,
and
so
we
are
like.
L
I
said
we
are
seeing
larger
numbers,
which
is
a
good
thing.
Another
thing
we
did
to
expand
licensing
is
we
reduced
our
fees
under
a
regulation
in
2019
which
went
into
effect
january
1st
2020.?
We
lowered
them
by
a
hundred
dollars,
the
initial
application
and
the
renewals,
and
not
every
fee,
but
but
most
of
the
ones
that
were
a
little
bit
bit
higher
and
so
that
we
think
may
have
assisted
with
bringing
on
more
licensees
as
well
plus.
L
We
also
removed
the
requirement
that
they
had
to
send
in
their
applications
or
their
their
their
medical
papers
and
their
transcripts
through
the
federation
credentialing
verification
service.
They
could
still
do
that,
but
we
now
allow
them
to
send
the
qualifying
applications
just
from
their
own
sources
directly,
which
can
save
30
days
or
more
in
licensing
and
moving
them
for
licensing.
L
What
I'm
very
proud
to
say
is
our
board
is
probably,
I
think,
the
only
one,
I'm
not
sure
there
might
be
others.
I
could
be
wrong,
but
we
need
every
month
so,
except
for
july,
so
our
licenses
get
expedited
quickly.
Everyone
is
licensed
every
month
as
soon
as
we
get
their
applications
and
all
the
required
documents.
They
go
on
the
next
board
and
you
and
if
they
don't
have
a
doc,
you
know
a
few
documents
and
they
wait
for
the
next
meeting.
They
know
it's
coming
like
30
days.
L
We
also
license
through
endorsement
those
who
qualify
they
when
we
get
all
their
applications
in
I'll
review.
It
give
it
to
the
president
signs
off
on
it
that
doesn't
have
to
go
through
the
board
to
be
licensed,
so
they're
licensed
through
endorsement
through
the
compact.
The
board
does
not
have
to
approve
it.
I
just
sign
off
on
it
when
we
have
all
the
documents
when
they
go
through
the
interstate
compact,
so
we
have,
I
believe,
a
very
efficient
system
of
licensing
people.
L
If
someone
is
active
military,
they
do
not
have
to
pay
an
initial
licensing
fee
if
they
are
a
veteran
or
a
spouse
of
military.
They
pay
a
50
discount
for
the
initial
for
the
initial
applications
and
again
the
typical
licensing
for
anybody
that
goes
through
the
regular
process.
Not
and
not
the
compact
or
endorsement
is
30
to
60
days,
depending
on
when
we
get
their
their
their
documents.
We
also
subscribe
to
the
electr.
L
We
let
them
get
their
fingerprints
through
the
electronic
system,
which
expedites
the
the
licensing
by
30
days
rather
than
the
hard
copy
fingerprints.
So
I'm
proud
to
say
we
have
a
very
quick
licensing
process
and
we
don't
have
any
complaints
about
it.
We
just
license
as
many
people
as
we
can
as
long
as
they're
qualified
the
the
board
the
com.
The
way
the
board
handles
complaints
is
on
a
case-by-case
situation.
L
The
board
does
not
have
a
committee
like
some
other
boards.
Do
we
have
an
individual
board
member
who
we
assign
complaints
to
and
we
act
on
them
fairly
quickly.
We
get
a
complaint,
we'll
write,
a
letter
to
the
person
they
complained
about.
They
can
write
a
response,
we'll
we'll
do
our
investigation
write
a
summary
and
send
it
to
a
board
member
to
review.
So
the
turnaround
is
is
fairly
quick
and
if
it
seems
to
be
lagging
I'll,
send
reminders
to
the
board
member.
L
But
that's
that's
how
we
do
it
if
there,
if
there
is
discipline,
it'll,
go
before
the
full
board
to
to
make
a
determination
to
decide
that,
but
most
of
our
cases
are
dismissed
about
probably
about
90
percent
or
just
around
that
amount.
L
We
have
the
types
of
cases
we
get
a
medical
malpractice
standard
of
care,
that's
usually
the
largest
complaint.
Last
year
we
had
about
52
standard
of
care.
Complaints,
medical
malpractices
are
about
11.,
we
usually
we
get.
Those
after
the
case
has
been
settled
and
so
like
I
said,
because
we
have
a
a
smaller
board.
We
don't
have
as
many
complaints
as
as
maybe
some
larger
boards
haven't,
really
noticed
a
difference
in
the
size,
the
amount
of
complaints.
L
We
have
gotten
some
about
licensees,
adhering
to
covet
protocol,
which
again
the
board,
takes
on
a
case-by-case
basis.
Let
me
see
we
do.
We
do
conduct
outreach.
Well,
we
did
more
before
covid,
we
will
speak
to.
We
often
like
twice
a
year,
speak
to
toro
university
students
of
physician
assistants
and
doctors
of
osteopath.
We
tell
them
information
about
our
board
and
what
to
expect
we
go
over
the
statute.
L
We
also
work
with
other
boards
about
anything
that
we
need
to
share
either
medical
boards
or
I'm
also
a
member
of
the
administrative
collaborative
which
is
an
organization
brought
together
for
all
the
state
boards
in
nevada.
No
matter
what
type
of
board
it
is,
it
doesn't
have
to
be
medical,
it's
just
all
state
board,
executive
directors
and
we
share
information
and
support
each
other
and
that
that
has
been
very
helpful
we've
any
time
we
get
information
about
covid,
because
we
take
kovitz
seriously
and
we
follow
the
cdc
guidelines
in
our
office.
L
I
make
sure
to
put
all
that
information
on
our
website.
Our
website
lists
all
the
resources
and
also
in
our
newsletter.
We
just
sent
a
recent
newsletter
to
all
of
our
our
licensees
and
interested
parties,
and
I
think
there
was
a
question
about
burnout
and
emotional
distress
and
in
our
newsletter
we
actually
have
an
article
about
physician,
burnout
and
a
list
of
resources
available
for
them
from
either
the
from
the
american
osteopathic
association
for
wellness,
general
wellness
and
burnout.
L
A
A
I
think
everyone's
burnt
out
and
hungry
it's
once
again.
Now
we
really
appreciate
you
being
here
and
for
the
information
that
you
have
sent.
We
appreciate
the
expedited
processes,
the
expedited
process
and
issuing
the
licenses.
Again.
We've
heard
a
lot
of
discussion
throughout
today's
meeting
about
how
important
that
is
to
get
people
working
as
soon
as
they
they
move
to
nevada,
especially
our
military
spouses,
who
again
are
often
relocating
and
from
state
to
state
and
have
to
go
through
this
process.
So
thank
you.
A
Okay,
well,
thank
you,
director
reid.
We
appreciate
the
presentation.
Okay
committee
members.
We
are
getting
to
our
last
agenda
item
on
public
comments
so
before
we
take
our
first
caller,
I'm
just
going
to
remind
everyone
listening
and
calling
in
that
public
comment
must
be
kept
to
three
minutes
so
that
everyone
interested
in
speaking,
can
be
accommodated.