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From YouTube: 3/22/2022 - Legislative Committee on Senior Citizens, Veterans and Adults With Special Needs Pt. 2
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This is the first meeting of the 2021-2022 Interim. Please see agenda for details.
For agenda and additional meeting information: https://www.leg.state.nv.us/App/Calendar/A/
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A
A
Don't
have
the
communities
that
are
necessary
communities
of
color
as
a
significant
part
of
their
their
clinical
trial
programs,
and
so
the
alzheimer's
association
is
working
with
congress
to
get
past
something
called
the
equity
and
neuroscience,
and
alzheimer's
clinical
trials
act
or
we
like
acronym
acronyms,
the
enact
act,
and
this
will
look
at
enhancing
clinical
trials
staff
training
and
reducing
burden
on
communities
of
color
and
particularly
in
particular,
and
we
want
to
expand
outreach
to
underrepresented
populations
to
be
part
of
clinical
trial
programs.
A
I'm
just
going
to
talk
very
briefly
about
the
alzheimer's
association,
the
work
that
we
do.
This
is
our
mission,
a
world
without
alzheimer's
disease
and
all
other
dementia,
probably
our
most
important
asset
that
we
offer,
which
is
free
of
charge
and
available
24
hours.
Seven
days
a
week
is
our
helpline.
It's
1-800-272-3900!
Anybody
can
call
caregivers.
Individuals
might
be
experiencing
early
stages
of
the
disease.
With
concerns
you
can
actually
talk
to
a
trained
clinician.
Often
a
licensed
clinical
social
worker,
24
7
and
it's
in
multiple
languages
we
offer
in-person
as
well
as
online
training
sessions.
A
A
We
also
offer
the
trial
match
program.
It's
an
easy
to
use
clinical
studies
matching
service
for
people
living
with
dementia,
but
also
for
healthy
volunteers
without
dementia.
A
We
host
the
world's
largest
and
probably
most
influential
science
meeting
dedicated
to
advancing
dementia
science
and
that's
the
alzheimer's
association
international
conference.
I
believe
last
year
there
were
only
or
they're
almost
50
000
virtual
attendees
to
that
conference
and
you
folks
are
probably
familiar
with
our
walk,
and
I
want
to
thank
assemblywoman
garlow
for
being
involved
in
our
walk.
But
our
walk
is
one
of
our
major
fundraising
events
as
well,
and
that's
usually
in
october
down
in
las
vegas.
A
B
A
Excuse
me,
madam
chair,
if
I
may
yes,
I
did
want
to
sort
of
assume
that
senator
spearman
was
going
to
ask
me
some
similar
questions
that
you
asked
earlier.
So
with
regard
to
our
work
at
the
alzheimer's
association,
we've
been
partnering
with
aging
and
disability
services
and
the
division
of
public
and
behavioral
health
on
an
aggressive
outreach
reach
campaign,
and
so
we
have
grant
funding
from
dbph
to
provide
information,
particularly
to
communities
of
color
and
lgbtq
communities.
Through
a
digital
media
campaign.
A
We
brought
the
media
assets
to
nevada
that
the
alzheimer's
association
developed
and
tested
in
in
several
other
states,
and
so
it
was,
was
free
to
to
the
alzheimer's
excuse
me
free
to
the
state
we,
the
funding,
the
grant
funding
we
got
was
used
for
a
digital
media
campaign.
This
all
happened
at
the
time
of
covet
and
so
in
person
meetings
was
completely
done
away
with,
and
so
we
put
a
very
aggressive
media
campaign
together
in
2021
we
reached,
we
probably
had
about
2
million
ads
placed.
A
We
were
really
focused
on
media
outlets
that
had
diverse.
They
served
diverse
communities,
communities
of
color
as
well
as
lgbtq
communities,
and
so
we
did
a
lot
of
ad
placements.
There
we
had
over
14
000
individuals,
click
on
those
ads
to
get
more
information,
so
we're
very
proud
of
the
work
that
we've
done
and
we're
continuing
that
work
right
now
in
partnership
with
dbph,
so
that
outreach
work
senator
spearman
had
asked
about
you
know:
what
can
we
do
in
terms
of
educating
better
educating
our
clinical
workforce
to
be
more
dementia,
competent
or
capable?
A
So
that's
I
don't
know
how
successful
that's
been.
I've
not
asked
the
bombe
for
any
kind
of
utilization
information
on
that,
but
you
know
putting
in
some
sort
of
stricter
requirement
around
geriatrics
training
for
re-licensing,
not
just
to
physicians,
but
nurse
practitioners,
physician
assistants
and
others.
I
think
may
be
something
to
consider
down
the
road
because
you
know,
while
incentives
work
for
some,
they
don't
work
for
everybody
and
may
not
completely
fill
the
fill
the
need.
So
that's
a
suggestion.
B
Thank
you
for
that
input
and
I
do
have
a
question
going
back
to
other
dementia
diagnosis.
There's
one
clarification
because
I
know
with
on
the
autism
population:
they
can
only
be
diagnosed
by
certain
physicians.
A
primary
or
a
pediatrician
may
suspect
autism,
but
can't
officially
diagnose
so
can
primary
care
physicians
make
an
official
diagnosis
of
dementia
or.
A
So,
charles
to
work
for
the
record.
Sorry
for
that
echo,
the
a
primary
care
physician
can
make
a
diagnosis.
A
Often
they
don't,
because
a
comprehensive
differential
diagnosis
requires
quite
a
bit
more
than
what
a
primary
care
physician
can
provide
in
their
clinical
practice.
You
know
recent
discussions
with
dr
dylan
wint,
one
of
the
medical
directors
at
the
lou
rouevo
center
for
brain
health,
as
well
as
dr
john
arts,
who's
a
neurologist
up,
but
renown.
A
I've
been
learning
about
how
difficult
and
challenging
it
can
be
to
give
diagnosis,
so
not
only
are
is
a
neurologist
around
involved
in
making
that
differential
diagnosis,
but
a
comprehensive
battery
of
psychological
tests
are
given
to
the
individual
by
a
neuropsychologist
to
rule
out
other
types
of
disease
or
make
a
differential
diagnosis
to
to
separate
the
different
types
of
dementia.
Obviously,
the
most
common
is
alzheimer's
disease,
but
there's
other
types
and
there's
vascular,
dementia
and
different
types
of
of
disease.
B
So
therefore
they're
not
making
that
plan
of
care
later
on.
I
know
if
my
dad,
when
he
was
going
through
some
dementia
issues,
he
could
tell
you
the
date.
He
could
tell
you
the
president,
but
he
couldn't
tell
you
my
name
or
that
he'd
even
had
grandchildren,
so
he
was
never
diagnosed,
and
I
suspect
that
that
may
have
been
part
of
the
struggles
that
my
mom
was
going
through.
A
Again,
charles
dewart,
for
the
record
yeah,
I
I
don't
know
all
the
specific
reasons.
I
think
there's
a
lot
of
different
reasons.
There's
some
research
around
why
people
don't
get
a
diagnosis,
some
of
it's
fear.
Alzheimer's
disease
and
most
dementias
are
progressive
fatal
conditions.
There's
no
effective
treatment
right
now
to
reverse
or
stop
the
progression
of
the
disease
entirely.
A
There
are
some
new
drugs
coming
out
that
you
know
have
an
impact
on
the
early
stages
of
the
disease,
so
I
think
some
of
its
fear
some
of
its
access-
some
of
it,
like
I
mentioned
earlier,
is
belief
that
particularly
communities
of
color
can't
get
proper
care
for
dementia.
A
They
can
rule
those
things
out
or
rule
them
in
and
and
not
provide
a
specific
diagnosis
of
what
type
of
dementia
but
say
this
person
may
have
dementia
and
then
refer
them
for
to
a
specialist
for
that
comprehensive
workup.
So
again,
that's
how
it
was
explained
to
me
by
my
doctor
in
terms
of
how
she
operates.
C
Thank
you.
I
was
trying
not
to
hug
all
the
time,
but
I
certainly
don't
want
to
disappoint.
Thank
you.
That's
a
very
thorough
presentation,
a
couple
of
questions,
so
they
come
to
mind
number
one
is
there
are
some
ways
that
we
might
be
able
to
do
some
capacity
building,
but
can
you
hear
me.
C
Yes,
so
there
there
may
be
some
ways
that
we
might
be
able
to
do
some
capacity
building,
but
I'm
not
sure
that
we
have
thoroughly
explored
them
and
the
other
thought
that
comes
to
mind
is
sometimes,
if
we,
as
the
legislature,
don't
strongly
encourage
people
to
do
so.
Some
of
the
things
that
might
be
put
in
place
right
now
that
we
put
in
place
right
now
that
will
help
us
down
the
road
may
not
get
done
so
again.
C
The
question
would
become
what
do
we
need
to
look
at
in
terms
of
policy
public
policy,
and
since
we
have
the
office
of
the
governor's
office
of
grants
that
are
looking
at
all
of
the
grants
and
other
options
for
getting
monies
into
the
state
to
address
certain
needs?
C
C
C
Who
is
at
home,
the
other
thing
would
be
working
with
some
of
the
some
of
the
organizations,
such
as
silver
state
equality,
the
center
here
in
consumer
here
in
vegas
and
with
the
gathering
place,
but
there
there
are
four
or
five
different
agencies
or
organizations
I
know
of
that
are
working
with
the
lgbtq
community
and
others
communities
of
color
specifically
to
to
try
to
lessen
the
impact
on
things
like
dementia
and
alzheimer's,
so
capacity
building.
What
can
we
do
related
to
that?
C
Is
there
any
way
at
all
to
begin
to
bring
some
of
the
organizations
together
who
address
or
who
are
already
in
communities
of
color,
so
that
we
might
be
able
to
have
get
get
a
better
handle
on
number
one?
What's
happening:
the
education,
the
public
education
that
needs
to
take
place
and
number
three?
C
How
do
we
bring
all
of
this
together
and
and
keep
it
at
the
forefront
of
policy
makers
so
that
it's
not
just
the
flavor
of
the
month
when
we
start
talking
about
geriatric
care
when
we
start
talking
about
bipolar
community,
because
as
as
our
population
graze
here
in
nevada,
our
population
is
also
becoming
more
diverse
and
to
our
own
detriment.
We
have
not
done
the
things
that
are
necessary
to
put
a
foundation
in
place
so
that
we
can.
C
We
can
properly
care
for
the
the
communities
that
I've
talked
about,
and
we
do
so
not
not
just
in
our
own
detriment
in
terms
of
quality
of
health
care.
But
if
you
stop
and
you
think
about
it,
these
are
things
that
we
ought
to
be
doing
now,
so
that
the
cost
of
health
care
does
is
not
exacerbated
by
our
own
negligence
now
and
and
that
that's
what
I've
been
trying
to
get
at
each
time.
I
ask
that
question
that
I've
asked
those
questions
today.
C
If
we
don't
do
things
right
now,
there
is
an
opportunity,
cost
a
lost
opportunity,
cost
that
we
will
face
in
the
future.
That
can
be
avoided.
If,
if
we
pay
attention
to
the
fact
that
number
one-
yes,
we
are
agreeing,
yes,
we
are
becoming
more
diverse
and
it
might
not
be
something
that
we
thought
about
in
the
1950s,
but
by
god
we
need
to
be
thinking
about
it
right
now,
because
people
are
here
now
and
the
populations
are
increasing.
These
populations
are
increasing
and
if
it
weren't
for
the
grace
of
god,
there
go.
A
Well,
thank
you
very
much
for
that
question
and
madam
chair,
through
you
to
vice
chair
spearman,
for
the
record.
My
name
is
charles
dewar
yeah.
There
are
a
lot
of
aspects
to
those
those
questions
and
I'll
try
to
touch
on
each
of
them.
A
Creating
incentives
is
great
and
we
should
include
those,
but
sometimes
you
have
to
require
it
and
and
so
the
association's
not
afraid
of
that.
If
we
you
need
advocates
to
help
with
that
effort,
we're
happy
to
to
oblige.
With
regard
to
capacity
building,
I
think
you
know
with
the
relaxing
of
some
of
the
pandemic
restrictions.
A
A
That's
disproportionately
impacted
by
dementia,
and
so,
if
I
can
bring
some
brown
to
the
town,
I'm
happy
to
do
it,
but
that
was
that
was
a
bad
joke.
It
was
my
my
nephew
ran
for
mayor
one
one
time,
and
that
was
his
motto
as
a
native
hawaiian,
but
but
I'm
happy
to
meet
with
folks.
In
the
community
to
to
talk
about
that,
and
then
you
know
one
thing
I
would
mention
in
terms
of
meeting
with
lgbtq
communities
and
dealing
with
that
is
that
you've
got
a
tremendous
resource
down
at
unlv.
A
A
So
dr
flatt
is
another
excellent
resource.
You
may
want
to
call
on
to
talk
more
specifically
about
research,
informed
work
that
can
go
on
around,
reaching
and
and
helping
lgbtq
individuals
living
with
dementia
or
or
their
caregivers,
and
then
in
terms
of
bringing
it
all
together.
You
know
dr
reed
talked
about
his
work
as
the
chair
of
the
task
force
in
alzheimer's
disease,
and
I
think
that
that
plan
that
he
talked
about
and
the
revisions
of
that
plan
are
extremely
important.
A
You
know
too
often
we
have
we
develop
plans
as
commissions
or
task
forces
that
just
sit
there
and
they
don't
inform
policy
or
funding,
and
I
think
you
know
in
terms
of
my
role
as
a
member
of
the
task
force.
I
I
work
with
dr
reed
and
tina
dortch,
who
is
the
vice
chair
of
that
task
force
and
also
works
at
the
office
of
minority
health?
I
it's
taking
those
recommendations
and
making
them
happen
through
agency
budgets
through
agency
policies.
A
You
know
the
small
p
of
involved
with
regulation,
but
also
proposals
for
legislation
and
so
help
using
that
state
plan
to
inform
policy
and
funding,
I
think,
is
extremely
important
and
you
know
again
it
can
just
sit
there
or
it
could
be
used
as
an
asset
and
a
resource
to
a
committee
like
this
or
to
inform
decisions
by
the
department.
Like
I
said,
the
elders
count
didn't
include
a
word
of
the
word
dementia
or
alzheimer's
disease
in
its
2021
report.
A
I
I
raised
that
concern
up
during
a
commission
on
aging
meeting.
I
I
chaired
the
subcommittee,
the
legislative
subcommittee
of
that
that
committee
and
when
we
were
shocked
that
it
had
no
mention
of
it
and
I'm
glad
that
the
the
department
was
open
to
adding
it
to
the
2023
report.
C
No,
that's
all.
Thank
you
so
much
for
you
and.
B
B
C
I
think
I
think
probably
your
staff
is
probably
already
writing.
I
think
we've
we've
touched
again
on
on
some
of
the
inequities
that
exist
in
our
various
communities,
and
so
that
may
be
something
that
we
want
to
to
look
at.
C
In
2020,
we
passed
the
resolution
that
racism
is
a
public
health
crisis
and
I
think
that
all
of
the
good
work
that
the
folks
have
done
in
the
agencies,
we
are
still
lacking
a
concerted
effort
to
understand
what's
happening
in
our
bipark
communities
and
in
other
psychotropic
communities
such
as
the
lgbtqia
community,
and,
as
I
keep
saying,
if
we
don't
start
looking
at
that
and
seeing
how
we
can
do
some
things
now,
though,
that
that
dear
election
will
be
to
our
detriment
in
the
future.
C
So
perhaps
taking
a
look
at
let's
pull
apart,
what
we've
heard
in
terms
of
policy
what's
working
in
the
broader
population,
but
then
the
questions
about
what
does
that
look
like
in
terms
of
bypoc
and
lgbtqia
communities?
What
does
that
look
like,
as
we
start
talking
about
aging
aging,
with
pride
as
we
start
looking
at
workforce
development?
C
What
do
we
need
in
place
and
how
do
we?
How
do
we
use
this
information
and
and
and
leverage
that
so
that
we
can
work
with
other
resources
that
we
have
in
our
community
csn
unlv
et
cetera,
et
cetera,
to
start
training,
some
folks
who
are
losing
their
jobs
in
gaming,
and
perhaps
they
want
to
go
into
healthcare?
Maybe
they?
C
Maybe
they
don't
want
to
be
a
neuroscientist,
but
maybe
they
want
to
look
at
ways
that
they
can
augment
some
of
the
services
that
exist
right
now
for
seniors
and
for
those
with
special
needs.
Just
a
thought.
B
Well,
please
feel
free
to
reach
out
to
me.
If
anything
comes
to
you
later
on.
We
will
we've
got
a
lot
on
our
plate
for
this
interim,
but
we're
definitely
open
to
suggestions
and
hopefully
we
can
add
some
more
topics
to
the
to
the
conversation.
A
B
A
A
D
D
This
is
dora
martinez,
representing
the
nevada,
disability
action
coalition
and,
yes,
I've
been
with
you
guys
the
whole
time
multitasking
first,
I
want
to
say
thank
you
for
all
of
you
and
and
your
colleagues
81st
legislation
last
year
for
passing
the
ab121
that
leslie
cohen
and
and
many
of
you
passed
right
now,
washoe
county
is,
we
are
still
here
at
the
commissioners
doing
public
comment
regarding
our
votes,
our
right
to
vote,
but
I
want
to
say
thank
you
to
all
of
you,
because
people
with
disability
and
elderly
folks
that
is
not
at
risk.
D
As
far
as
I
know,
I
hope
so
people
could.
I
could
register
people
to
vote
safely
at
home
with
an
accessible
format
kudos
to
sos
of
nevada.
Please
when
you,
when
I
just
want
to
bring
this
to
your
attention.
I
understand
you
know:
people
with
elderly
folks
are
vital
to
our
community
and
you
know
they're.
I
have
a
mom
and
dad
and
uncles,
but
when
people
with
disabilities
rights
and
needs
are
met
that
check
spot,
that
checks
the
box
for
everybody.
D
So
please,
when
we
do,
when
you
talk
about
polit
policy,
help
us
in
mind
as
well,
like
from
my
first
public
comments,
I
really
do
advocate
for
public
or
equal
and
accessible
transportation.
For
all,
it's
been
a
long
day,
and
I
appreciate
all
of
you
thank
you,
chair
women,
gorilla
and
vice
chair,
spearman
and
all
of
the
rest
of
the
rockstar
committee
members.
Thank
you
have
a
great
day.
B
This
time,
okay!
Well,
thank
you
very
much.
I
would
also
like
to
take
a
moment
to
thank
all
of
our
committee
members
staff
for
all
your
hard
work
and
putting
the
meeting
together
and,
of
course,
all
of
our
presenters
today
and
those
who
attended
the
meeting
and
provide
a
public
comment.
So
with
that,
our
next
meeting
will
be
april.
12Th
starting
at
10
a.m
and
meeting
is
adjourned.