GREAT MNING I WILL CERTAINLY PHONE CALL THE COMMITTEE ON HEALTH AS WELL AS HUMAN SOLUTIONS TO ORDER. TODAY IS WEDNESDAY, FEBRUARY 15TH, 2023 WE HAVE TWO COSTS ON THE SCHEDULE TODAY AND WE HAVE A PRESENTATION FROM THE DIVISION OF HEALTH. THERE IS A QUORUM PRESENT. OUR FIRST COSTS ON THE SCHEDULE IS US SENATE SUBMIT 705 WHICH IS SEN. MORRISON'' S BILL ASSOCIATING WITH THE MINNESOTA RARE ILLNESS ADVISORY COUNCIL. WELCOME TO THE TESTIFIERS AND SEN. MORRISON PLEASE PROCEED. THANKS MME. CHAIR MME. CHAIR AS WELL AS MEMBERS THANKS FOR THE OPPORTUNITY TO PRESENT SENATE DATA 705 WHICH WOULD 705 WHICH WOULD PROVIDE FINANCING FOR THE MINNESOTA RARE DISEASE ADVISORY COUNCIL. CHECKED OUT ILLNESS ADVISORY COUNCIL CREATION IS A RECOGNITION OF THE RARE DISEASE AREA AS A DISTINCT PART OF THE MEDICAL CARE POPULACE WITH ITS OWN UNIQUE COLLECTION OF TERRIERS AND ALSO CHALLENGES THERE ARE GREATER THAN 7000 DIFFERENT 7,000 DIFFERENT RARE ILLNESS IDENTIFIED AND WHEN TAKEN INTO CONSIDERATION COLLECTIVELY THEY AFFECT ONE IN ONE IN 10 PEOPLE IN THE POPULACE. COUNCIL WAS DEVELOPED AS AN EXEC BRANCH STATE FIRM IN JULY JULY 2022 BUT IT DOES NOT HAVE A BASE BUDGET PLAN AS WAS ONLY APPROPRIATED FUNDS THROUGH FISCAL YEAR 23.
SENATE FILE 75 75 ESTABLISHES THE NECESSARY FINANCING FOR THE COUNCIL TO FUNCTION WELL. I WILL OVER TO THE COUNCIL'' S EXECUTIVE SUPERVISOR ERICA BARNES TO SPECIFY EVEN MORE MANY THANKS. THANK YOU WELCOME TO THE COMMITTEE MISS BARNES PLEASE STATE YOUR NAME FOR THE DOCUMENT AND ALSO PROCEED WITH YOUR EXAMINATION TESTIMONY. THANKS CHAIR WIKLUND I AM ERICA BARNES I'' M THE EXEC SUPERVISOR OF THE MINNESOTA RARE DISEASE ADVISORY COUNCIL. THANK YOU FOR ENABLING ME TO SPEAK TODAY IN SUPPORT OF THE RARE ILLNESS COMMUNITY AS WELL AS THE RARE CONDITION ADVISORY COUNCIL. AS SEN. MORRISON CLAIMED WHEN INDIVIDUALS LISTEN TO THE TERM RARE DISEASE THEY TYPICALLY THINK THAT DISEASE AFFECTS ONLY A SMALL SECTION OF SOCIETY AND WHILE THIS IS TRUE WITH EACH RARE DISEASE POPULATION IS THOUGHT ABOUT SEPARATELY WHEN THE OVER 7000 DIFFERENT RARE 7,000 VARIOUS RARE DISEASES ARE CONSIDERED COLLECTIVELY THEY AFFECT ONE INTENT OF THE POPULACE. INDIVIDUALS TIN BE AFFECTED IN A MYRIAD OF WAYS BY THE RARE ISEASES THEY MAY BE BORN WITH SKIN SO THIN LIKE MY GOOD FRIEND IN UNIVERSITY MINNESOTA PUPIL MOHAMED THAT THEY ARE DESCRIBED AS BUTTERFLY YOUNGSTERS AS WELL AS LIVE IN CONSISTENT PAIN.
AUTOMATE LIKE WHERE DISEASE ADVISORY COUNCIL MEMBER RAY BLALOCK SENT HAVE An ILLNESS THAT AFFECTS THE BIOCHEMISTRY OF THEIR SICKLE CELLS THAT CONTAINER RESULT IN OR MAKE DAMAGETROKE AND CHRONIC PAIN. STILL OTHERS LIKE MY CHILD CHLOE MAY BE BORN APPARENTLY HAPPY AND ALSO HEALTHY BUT EVENTUALLY LOSE THE CAPACITY TO WALK TALK INGEST AS WELL AS BREATHE ON THEIR OWN. IN SPITE OF THESE VARYING EFFECTS THERE IS ONE POINT THAT ALMOST ALL INDIVIDUALS WITH RARE ILLNESS SHARE, STRIKINGLY COMPARABLE SET OF BARRIERS ABOVE THOSE ENCOUNTERED WHEN IDENTIFIED WITH An EVEN MORE TYPICAL ILLNESS WAS SEEKING TO GAIN ACCESS TO TREATMENT IN THE MEDICAL CARE SYSTEM. THESE OBSTACLES CONSIST OF EXTREME HOLD-UP IN MEDICAL DIAGNOSIS THE STANDARD TIME TO IDENTIFY FOR RARE ILLNESS PATIENT IS SEVEN – EIGHT YEARS, EIGHT YEARS, PROBLEM IN IDENTIFYING A CLINICIAN WITH KNOW-HOW TO DEAL WITH THE PEOPLE RARE CONDITION THIS CAN NEED RELOCATION TO A BRAND-NEW CITY OR STATE AS WELL AS SIGNIFICANT DISPARITIES IN TREATMENT ALTERNATIVES. WE SEE ONLY 5% OF THE 7,000 RARE DISEASE INDIVIDUAL POPULACES HAVE AN FDA ACCEPTED THERAPY RIGHT NOW. IT WAS A RECOGNITION OF THE EQUITABLE TREATMENT FOR THE RARE DISEASE POPULACE THAT MOTIVATED 42 PARTICIPANT COALITION 42 MEMBER UNION TO ASK FOR THE PRODUCTION OF THE RARE DISEASE ADVISORY COUNCIL IN 2019 THANKS TO THOSE OF YOU WHO ELECTED THE PRODUCTION OF THE COUNCIL IN 2019.
THE 2019. THE COUNCIL'' S VISION STATEMENT IS THIS, WE ENVISION A WORLD WHERE EVERY MINNESOTA PERSON LIVING WITH A RARE CONDITION HAS ACCESSIBILITY TO A PROMPT MEDICAL DIAGNOSIS DETAILED TREATMENT AND AN EFFECTIVE TREATMENT. AS YOU CAN SEE OUR MISSION STATEMENT IS DRIVEN BY THE NEEDS OF THE NEIGHBORHOOD MOMENTARILY AMONG HER AMONG HER COUNCILMEMBERS WILL INFORM YOU A BIT REGARDING THE WORK THE COUNCIL ENGAGED IN AS WELL AS HIS OWN FUNCTION AS WELL AS BECAUSE I RECOGNIZE DR.
BORCHARD WON'' T INFORM YOU THIS DR. BORCHARD IS WORLD PROMINENT FOR HIS WORK IN THE RARE ILLNESS AREA WORKE'' S DUES AND ALSO GENETICS TREATMENT IS FIRST IN THE United States FIRST IN THE COUNTRY SOME THE WORK HE IS DOING WAS WORK THAT CHILDREN'' S HEALTH CENTER IN PHILLY BOSTON YOUNGSTERS'' S AND THE RESEARCHERS THEY WISHED TO DO BUT HE BROUGHT THE SCIENTIST MINNESOTA SO WE NEED TO BOAST OF DR. BORCHARD. IN CLOSING I WISH TO LEAVE YOU WITH THIS QUOTE FROM ABBY MYERS OWNER OF THE NATIONAL ORGANIZATION FOR RARE CONDITIONS AND ALSO MOMS OF A BOY WITH A RARE ILLNESS.
FAMILIES INFLUENCED BY RARE CONDITIONS REPRESENT A CLINICALLY DISENFRANCHISED POPULATION THAT FAILS THE SPLITS OF EVERY HEALTH CARE SYSTEM ON THE PLANET. BUT FUNDING THIS COUNCIL WE CANISTER MAKE SURE THAT NO ONE IS AN AFTERTHOUGHT IN OUR HEALTHCARE SYSTEM DESPITE HOW THEIR MEDICAL DIAGNOSIS THANKS. THANKS FOR YOUR TESTAMENT. DR. ORCHARD WELCOME TO THE COMMITTEE APPEAL STATE YOUR NAME FOR THE DOCUMENT AND ALSO START YOUR TESTIMONY. THANKS QUITE SEN. WIKLUND I'' M PAUL ORCHARD, I VALUE THE POSSIBILITY TO BE BELOW THESE DAYS TO TESTIFY ON BEHALF OF THE EXPENSE SENATE FILE 705 705 OFFERING ONGOING FINANCING FOR THE RARE CONDITION ADVISORY COUNCIL. I'' M A PEDIATRICIAN FOCUSING ON BONE MARROW TRANSPLANT AT THE COLLEGE MINNESOTA MY TECHNIQUE IS PRIMARILY FOCUSED ON THE TREATMENT OF CLIENTS WITH RARE INHERITED SERIOUS CONDITIONS THAT ARE AMENABLE TO BONE MARROW TRANSPLANTS. EVEN MORE JUST RECENTLY WE WERE INTERESTED IN GENETICS TREATMENT AS ERICA ALLUDED TO WHERE THE FIRST ESTABLISHMENT TO BE ABLE OFFER GENETICS THERAPY FOR CLINICALLY THE OTHER DAY IN THE COUNTRY WHICH WE HAVE TREATED THREE PEOPLE AS WELL AS WE STAY THE ONLY PLACE THAT CANISTER OFFER THIS TREATMENT.
WE HAD A FANTASTIC LOTS FAMILY MEMBERS IN MY TECHNIQUE HAVE BATTLED WITH CHALLENGING EXTENSIVE TRIP TO OBTAIN A DIAGNOSIS FOR THEIR ILL CHILD. FOLLOWING THE FAMILY'' S REGULAR THEY SPENT A GREAT DEAL OF TIME SEARCHING TO FIND DETAILS ABOUT THE ILLNESS WHO THE PROFESSIONALS ARE WHAT THEIR PEACE MAY BE AVAILABLE AS WELL AS HOW THEY COULD BE ACCESSED. WHEN THEY RESORT TO THE MAIN MEDICAL PROFESSIONAL BUT IT'' S A TERRIFIC ALASKA FOR ANY SETTING TO BE FAMILIAR WITH EVEN A SMALL PROPORTION OF THESE RARE CONDITIONS. SEVERAL OF THESE LIKE CYSTIC FIBROSIS ARE EXTREMELY WELL KNOWN OTHERS LIKE ADRENAL LOCAL DYSTROPHY AND ALSO HURLERS SYNDROME ARE NOT.
APPROXIMATELY 4 MILLION BABIES 4 MILLION BABIES BORN EVERY YEAR IN THE UNITED STATES AS WELL AS HURLERS SYNDROME IS ONE AS WELL AS ONE AND ALSO 100,000 BIRTHS THERE'' S ONLY PROXIMALLY 40 KIDS BORN IN THE US YEARLY WITH A DIAGNOSIS LIKE HURLERS SYNDROME HOWEVER THE LAST FEW MONTHS THERE'' S A BABY GRABBED IN CENTRAL MINNESOTA BY NEWBORN TESTING THAT HAS HURLERS AND IS BEING TAKEN INTO CONSIDERATION FOR TRANSPLANT AND ALSO I HAD AN POSSIBILITY TO AID COUNCIL THAT FAMILY MEMBERS ABOUT TREATMENT FOR THEIR LITTLE LADY. SHE'' S GOING TO BE ADMITTED FOR TRANSPLANT IN THE NEXT FEW DAYS. TWO YEARS AGO THE NATIONAL ORGANIZATION OF RARE DISORDERS DOESN'' T 31 CENTERS OF 31 FACILITIES OF QUALITY @THROUG, MINNESOTA'' S FORTUNATE HAVE TWO TWO OF THE CENTERS THE MAYO CENTER AS WELL AS THE COLLEGE OF MINNESOTA. MINNESOTA HAS A LONG TRADITION OF NATIONAL AS WELL AS INTERNATIONAL MANAGEMENT IN THE FIELD OF RARE CONDITION BUT THERE IS MUCH YET TO DO. DURING THE COUNCIL'' S FIRST 3 AND HALF 3 AND HALF YEARS WE FOCUSED ON GETTING BETTER UNDERSTANDING OF THE CHALLENGES TO THE FAMILY MEMBERS IN TERMS OF OBTAINING A MEDICAL DIAGNOSIS THE FINANCIAL WORRY THERE FORCED TO UNDERGO AND ALSO ULTIMATELY HOW WE CONTAINER IMPROVE THEIR HIGH QUALITY OF LIFE.
WE ARE ALL SET TO CARRY OUT BRAND-NEW SERVICES. IN SUMMARY I THINK THE TREMENDOUS POSSIBILITY AND ALSO POTENTIAL INHERENT THE FUNDAMENTAL USE THE COUNCIL IS BEEN A BENEFIT TO PLAY A SMALL FUNCTION IN IT I HOPE YOU WILL SUSTAIN THE REQUESTED FUNDING SO WE CANISTER CONTINUE IS ESSENTIAL WORK SAYS THANKS TO SIGNIFICANTLY. THANKS SIGNIFICANTLY FOR SHARING THE INFO IN THE BENEFICIAL WORK YOU ARE DOING BOTH OF YOU WE APPRECIATE HEARING ABOUT THE COUNCIL AND THE FUNCTION. MEMBERS DO YOU HAVE ANY OTHER TESTIFIERS. MME. CHAIR THESE ARE THE CELEBRITY TESTIFIERS. YES THEY ARE. PARTICIPANTS DO YOU HAVE ANY QUESTIONS FOR SEN. MORRISON OR TESTIFIERS? SEN. UTKE. THANKS MME. CHAIR AND ALSO THANK YOU TO THE TESTIFIERS WHEREFORE YOU DO. I WAS WANTING TO FIGURE OUT LITTLE EVEN MORE WHAT DOES THE COUNCIL DO I UNDERSTAND IS THAT KIND OF BRINGS EVERYONE TOGETHER OR DOES THE COUNCIL ACTUALLY TAKE PART IN SOME OF THIS HELPING WHETHER IT'' S THE PROVIDERS I AM TRYING TO UNDERSTAND IN WHICH THE COUNCIL ENTERS THIS WE HAVE REALLY TALENTED MEDICAL PROFESSIONAL BEFORE United States AS WELL AS I WAS WONDERING ABOUT THE COUNCIL TO ASSIST THERE.
MISS BARNES WOULD YOU LIKE TO ANSWER. SEN. WIKLUND AND ALSO SEN. UTKE YES A FEW OF THE SPECIFIED OBLIGATIONS IN OUR REGULATIONS IS TO PROVIDE SUGGESTIONS AND ALSO INFORMATION BOTH TO THE CLINICAL COMMUNITY AND TO SUPPLY RESOURCES TO THE CLINICAL COMMUNITY AS WELL AS TO GIVE SUGGESTIONS TO SEVERAL OF THE FIRMS OF THE STATE, WE'' VE DONE A NUMBER OF THINGS IN REQUISITES OF THE SUGGESTIONS WE PROVIDE WE ARE ENGAGING WITH THE NEWBORN TESTING COMMITTEE IN TALKING ABOUT ONE OF OUR GOALS IS TO DECREASE THE HOLD-UP IN DIAGNOSIS. WE HAVE FOCUSED ON DEALING WITH THAT BOARD TO FIND WAYS TO PERFORM THAT WE HAVE ALSO WORKED TOGETHER WITH A PAIR OF OTHER DIFFERENT STATE AGENCIES IN ENHANCEMENT TO THAT THE COUNCIL AS A NUMBER OF WORKGROUPS AS WELL AS RIGHT NOW OUR KEY FOCUS IS TO CREATE SOME ASSISTANCE DEVICES FOR THE CLINICAL COMMUNITY SO I CLAIM THAT WE DON'' T WANT TO BEGINNING ASKING DOCTORS TO ACCOMPLISH WHAT WE INTEND TO INQUIRE TO THINK DIFFERENTLY SO WE HAVE A NUMBER OF PROJECTS WE COLLABORATED WITH THE MINNESOTA MEDICAL ASSOCIATION TO DESIGN A TALENT MENTORING PROGRAM CALLED TASK ECO WE ARE REALLY THRILLED CONCERNING THAT, RIGHT NOW WE ARE IN THE CENTER OF TEAMING UP WITH THE MINNESOTA MEDICAL ASSOCIATION AS WELL AS THAT ABILITY MENTORING IS ORGANIZED AROUND THE SHIFT OF LOOK AFTER INDIVIDUALS WITH RARE DISEASES.
WHEN A PATIENT MOVES FROM PEDIATRIC MEDICINE TO ADULT CARE THAT TRANSITION FROM THOSE TWO SYSTEMS CONTAINER BE INCREDIBLY TRAUMATIZING AND ALSO CHALLENGING, WE ACTUALLY SEE A SPIKE IN DEATH FEES FOR A FEW OF OUR COMMUNITIES WHEN THEY TRY TO SHIFT FROM PEDIATRIC CARE TO GROWNUP TREATMENT SO WE ARE REALLY CONCENTRATING ON GIVING SUPPORT EQUIPMENT FOR PHYSICIANS IN THAT WAY. I'' VE ALSO DEALT WITH A PH D STUDENT AT THE COLLEGE MINNESOTA IN THE BIOGRAPHY INFORMATICS DEPARTMENT AND WERE WORKING ON SOME INFORMATION EQUIPMENT TO CARRY OUT OR TO USE INNOVATION BETTER TO IDENTIFY THESE INDIVIDUALS IF THAT OFFERS YOU AN RESPONSE. SEN. UTKE. THANK YOU MME. CHAIR YES THAT'' S SORT OF WHAT I WAS LOOKING FOR ALL THE DIFFERENT POINTS'YOU ' RE INCLUDED WITH AS A COUNCIL. THANKS AND ONE ONE LAST CONCERN I HAVE, WE HAVE MONEY APPROPRIATED FOR THIS BIENNIUM AND AFTERWARDS NEXT AT THIS FACTOR IT'' S AN ONGOING APPROPRIATION. SEN. MORRISON. MME. CHAIR AND SEN. UTKE YES THAT IS RIGHT. VARIOUS OTHER MEMBERS WITH QUESTIONS? I THINK MISS BARNES PERHAPS YOU COULD TELL ME A LITTLE EVEN MORE REGARDING HOW DO YOU DEAL WITH ESPECIALLY WHAT SORT OF MEDICAL COMMUNITY TO GET INFO OUT TO CONNECT PARENTS OR DR.
ORCHARD IF YOU WOULD LIKE TO DISCUSS THAT TO CONNECT PARENTS MIGHT NOT OTHERWISE REALIZE THERE ARE INDIVIDUALS DEALING WITH THE RARE ILLNESS THAT POSSIBLY THEY ARE EXPERIENCING THAT PROCEDURE IF YOU COULD INFORM US A LITTLE EVEN MORE HOW YOU DO THAT WORK. SEN. WIKLUND THANKS FOR THE INQUIRY. I AM BEFORE MY DUTY AS EXEC DIRECTOR BELOW I RAN A NONPROFIT IN THE PERSON CAMPAIGNING FOR ROOM SO I AM INGRAINED IN PERSON CAMPAIGNING FOR AND FACILITIES MOMS AND DADS HAVE MY NUMBER ON SPEED DIAL THE EXACT SAME WITH PAUL I'' M SURE FOR HIS INDIVIDUALS. A FEW OF THE WAYS WE HAVE WORKED AND YOU ARE RIGHT BEING ABLE TO CONNECT THOSE PATIENTS TO THE PROPER PROFESSIONAL IS FIFTY PERCENT THE BATTLE RIGHT? SO IN ENHANCEMENT TO COLLECTING THE RESOURCES AND TRYING TO BE A MAIN DATABASE IN MINNESOTA IN WHICH FAMILIES CONTAINER GET IN TOUCH WITH United States THE COUNCIL WILL CERTAINLY BE HOSTING IN COMBINATION WITH COLLEGE OF MINNESOTA CENTER FOR ORPHAN MEDICATION RESEARCH STUDY WE WILL CERTAINLY BE HOSTING THE PATIENT ADVOCACY BREAKFAST AND ALSO WE ARE INVITING WE EMPHASIS A GREAT DEAL ON THE INDIVIDUAL ADVOCACY NEIGHBORHOODS EVEN MORE THAN SPECIFIC CLIENTS SINCE OF CLIENT CAMPAIGNING FOR COMMUNITIES ARE LINKED TO THE SPECIFIC INDIVIDUALS IF YOU KNOW WHAT I IMPLY.
WE ARE HOLDING A MORNING MEALS AND WE ARE GOING TO EXISTING THE FUNCTION OF THE COUNCIL SEVERAL OF OUR PLAN GOALS AS WELL AS GET COMMENTS FROM THE NEIGHBORHOOD AS WELL AS DO SOME LISTENING PROCEDURES. DR. ORCHARD. IF I MAY 1ST OF THE IMPORTANT THINGS THAT SEEMED AS WE FORMULATED THE COUNCIL WE GOT BEGAN IS WE REALIZED WE DEMAND EVEN MORE INFO REGARDING A FEW OF THESE PROBLEMS THAT THE FAMILY MEMBERS FACE AS WELL AS THE COMPANIES DEAL WITH ALSO. THERE WAS A SERIES OF SURVEYS THAT WERE DEVELOPED THAT WENT OUT TO BOTH FAMILIES AND ALSO SERVICE PROVIDERS TO BETTER UNDERSTAND WHAT A FEW OF THESE BARRIERS ARE. I THINK CURRENTLY IS VERY IMPORTANT INFO IS GOING TO HELP US MOVE FORWARD AND MUCH BETTER ESTABLISH HOW WE MIGHT SERVE THE FAMILIES OF MINN MINNESOTA. THANKS, ONE LAST CONCERN. AS THIS IS SOMETHING THAT'' S GOING TO BE AN CONTINUOUS FIRM AND COLLABORATING WITH AREAS AND AN ONGOING BASIS CAN YOU TELL ME A LITTLE HOW PLAN HOW DO YOU LOOK FORWARD IN REGARDS TO DETAILS YOU MAY NOT KNOW ABOUT NOW ANTICIPATING EITHER NEW RARE PROBLEMS THAT MAY COME UNDER YOUR THE AREA YOU ARE DEALING WITH CAN YOU TALK ABOUT HOW THAT WORK WILL CERTAINLY GO FORWARD IN FUTURE YEARS I'' M UNSURE IF
DR. ORCHARD OR MISS BARNES CONTAINER SOLUTION. SEN. WIKLUND MANY THANKS FOR THE INQUIRY I BELIEVE ONE OF THE ONE OF THE REALLY PROMINENT ATTRIBUTES OF THE RARE CONDITION NEIGHBORHOOD IS THAT BECAUSE THE TERM RARE DISEASES BROAD WE DO ANTICIPATE THERE WILL BE AN INCREASING NUMBER OF DIAGNOSES THE ROOM IS VERY DYNAMIC AND WITH ALL OF OUR GENETIC TESTING AS WELL AS ALL OF THE KIND OF SEQUENCING WE ARE DOING WE ARE DISCOVERING MORE AND EVEN MORE REGARDING RARE ILLNESS AND ALSO THEIR NUMBERS ARE ENHANCING INCREASINGLY MORE FOR A NUMBER OF REASONS. I PREPARE FOR IN THE COUNCIL IS VERY FORWARD ENCOUNTERING AND MAINTAINING A PULSE ON THE DEVELOPMENTS IN GENES GOING ON AND DEVELOPMENTS IN THE CAPABILITIES WE ARE LEARNING FOR FASTER DIAGNOSIS, REALLY EXPLORING DEEPLY AND ALSO DR.
ORCHARD CAN TALK WITH THIS MORE ALSO NEWBORN TESTING IN THE WAYS WE CANISTER DO A BETTER WORK OF INFANT SCREENING FOR EARLY DISCOVERY. WE BOTH A GENETIC COUNSELOR AS WELL AS A MEDICAL GENETICIST ON OUR ADVISE AND THERE THE CHAIRS AS WELL AS COCHAIRS OF THE COUNCIL TO MAKE SURE THAT'' S A BIG AREA THAT WE NEED TO SEE TO IT AS A COUNCIL WE ARE BEING FORWARD DEALING WITH. THANKS AND DR. ORCHARD DID YOU HAVE ADDED COMMENTS. THANK YOU SEN. WIKLUND, THE NEWBORN TESTING PIECE IS VERY IMPORTANT FOR A VARIETY OF THESE DISEASES WE LOOK AFTER THE BEST POSSIBILITY TO MAKE A DISTINCTION IN THE LIVES OF THESE PATIENTS AND ALSO THEIR HOUSEHOLDS IS TO DIAGNOSE THEM EARLY AND ALSO STEP IN AS EARLY AS WE CONTAINER. NEWBORN SCREENING IS THE VERY BEST MEANS TO ACCOMPLISH THAT. WE ARE EXTREMELY THINKING ABOUT RELOCATING POTENTIALS FOR NEWBORN SCREENING ONWARD COLLABORATING WITH THE MINNESOTA DEPARTMENT OF HEALTH AND ALSO OTHER GROUPS TO HELP IMPLEMENT THAT BECAUSE TO MAKE A DISTINCTION IN THE LIVES OF THESE FAMILIES WE NEED TO MAKE A DIAGNOSIS AS EARLY AS WE CONTAINER. THANK YOU ANY OTHER QUESTIONS OR COMMENTS? I'' M NOT SEEING ANY SEN. MORRISON ANY FINAL REMARKS.
THANK YOU MME. CHAIR AND ALSO MEMBERS FOR CONSIDERING THIS BILL. AS DIR. BARNES CLAIMED SO WELL RARE DISEASES ON THEIR OWN ARE RARE BUT COLLECTIVELY THEY PREVAIL AND ALSO I BELIEVED DR. ORCHARD'' S COMMENTS THAT MINNESOTA HAS A PROUD CUSTOM OF LEADERSHIP IN THIS FIELD MAKES THIS COUNCIL EVEN MORE IMPORTANT AS WELL AS I ADVISE THE COMMITTEE'' S SUPPORT THANKS. THANKS AND WE APPRECIATE YOUR COMING IN TO TESTIFY FOR United States AS WELL AS BRINGING FORWARD THE NEED FOR THE ADDED FINANCING NOW WE WILL LAY THE BILL OVER AS WELL AS WE WILL CERTAINLY CONSIDER IT AS WE ACTION AHEAD WITH OUR BUDGET PLAN MANY THANKS ONCE MORE FOR YOUR TIME. THANKS MME. CHAIR AS WELL AS MEMBERS. GREETINGS SEN. KUNESH THANK YOU FOR JOINING US IN COMMITTEE TODAY. WE HAVE NOT US SENATE DOCUMENTS 402 AREA 402 COMMUNITY SOLUTIONS FOR HEALTHY AND BALANCED YOUNGSTER GROWTH GRANT PROGRAM BILL. SEN. KUNESH DO YOU HAVE DO YOU WISH TO START YOUR DISCUSSION. THANKS MME. CHAIR I WOULD LOVE TO SHARE WITH YOU THIS MORNING OUR SENATE SUBMIT 402 AND 402 AS WELL AS THIS IS TO ESTABLISH HEALTHY AND BALANCED CHILD ADVANCEMENT GIVE PROGRAM AND CONTINUE THE WORK WE HAVE I BELIEVE I DO HAVE AN AMENDMENT.
DO YOU HAVE A NUMBER FOR THE MODIFICATION. IT IS THE A2 MODIFICATION. THE A2 WRITERS MODIFICATION WILL BE DISTRIBUTED. THIS AMENDMENT THE A2 MODIFICATION DELETES GOV.'' S EARLY FINDING OUT COUNCIL AND INSERTS MENTION ADVISORY COUNCIL ON EARLY YOUTH EDUCATION AND LEARNING AS WELL AS LIKE REFLECT THE EXISTING TITLE OF THAT COMMITTEE. THEN IN ORDER TO MAINTAIN COINCIDING LANGUAGE ON WEB PAGE 4 LINE 7 REMOVE AGE 3 AND THREE AS WELL AS INSERT QUALITY 3. THEN THREE. THEN ON LINES 26 ERASE 26 ERASE 19 9 MILLION AND ALSO 199 MILLION AS WELL AS INSERT $50 $50 MILLION AS WELL AS REMOVE $20 $20 MILLION AND INSERT 50 50 MILLION N AS WELL AS THAT IS MY MODIFICATION.
THANK YOU AND THIS IS AN AUTHOR'' S CHANGE THIS COSTS HAS NOT BEEN LISTENED TO IN ANY OTHER BOARD SO I WOULD ADOPT THE AUTHORS MODIFICATION. SEN. KUPEC MOVES THE A2 MODIFICATION. ALL THOSE IN FAVOR SIGNIFY BY EXPRESSION AYE, THOSE OPPOSED THE CHANGE IS ADOPTED. THANKS SEN. KUNESH DID YOU WISH TO PROCEED ON THE BILL. THANKS MME. CHAIR. THANK YOU ALL QUITE FOR THIS OPPORTUNITY TO EXISTING SENATE FILE 402 IS OFFERING FINANCING FOR THE AREA SOLUTIONS FOR HEALTHY AND BALANCED CHILDHOOD ADVANCEMENT GRANT PROGRAM IN THE MINNESOTA DIVISION OF HEALTH AND WELLNESS. THE EMPHASES OF THE COMMUNITY SOLUTIONS PROGRAM IS TO BOOST STEPS OF HEALTH FOR KIDS OF SHADE AS WELL AS AMERICAN INDIAN KIDS IN MINNESOTA FROM PRENATAL AS MUCH AS AGE 8 EIGHT THROUGH THIS COMMUNITY AND ALSO EQUITY CENTERED APPROACH ACROSS THE STATE. MINNESOTA HAS SEVERAL OF THE BIGGEST DIFFERENCES BETWEEN OUTCOMES FOR WHITE CHILDREN AS WELL AS THOSE FOUR CHILDREN OF SHADE. WE ARE AMONG THE GREATEST STATES IN THE COUNTRY FOR YOUNGSTER WELLNESS AND ALSO OVERALL WE TAKE A LOOK AT YOUNGSTERS OF COLOR APART WE WOULD PRICE IN THE BASE THIRD OF THE STATES KIDS OF COLOR ARE THE POOREST MINNESOTANS WITH HUGE RACIAL DIFFERENCES FOR OUR BLACK AMERICAN INDIAN LATINO AND ALSO ASIAN AMERICAN YOUNGSTERS.
IN YOUR HANDOUTS YOU HAVE A COPY OF THE YOUNGSTERS COUNT REPORT WHICH PROVIDES COMPREHENSIVE DATA ON KEY INDICATORS THAT I WOULD ASK YOU TO EVALUATION. THE NEIGHBORHOOD SOLUTIONS GIVE PROGRAM IS A METHOD BY WHICH WE BEGIN TO ADDRESS DISPARITIES IN UPSTREAM WAY IT LEVERAGES THE ASSETS IN THE COMMUNITY TO ADDRESS THEIR PROBLEMS IT BRINGS THOSE THAT ARE THE MAJORITY OF IMPACTED INTO THE DECISION-MAKING PROCESS AND ALSO I AM REALLY PROUD TO SAY WHEN THE LEGISLATURE CREATED THIS PILOT PROGRAM CALLED NEIGHBORHOOD SOLUTIONS FOR HEALTHY YOUNGSTER DEVELOPMENT IN 2019 I WAS THE WRITER IN THE MINNESOTA HOUSE AND I'' M EXTREMELY PLEASED TO FIND BACK AND ALSO HAVE THE ABILITY TO SUPPORTER FOR IT AS SOON AS ONCE AGAIN.
THE OBJECTIVE OF THE AREA SOLUTIONS GRANT PROGRAM IS TO IMPROVE CHILD ADVANCEMENT OUTCOMES RELATED TO THE HEALTH OF YOUNGSTERS OF COLOR AMERICAN INDIAN KIDS PRE-NATAL WITH GRADE 3 AS WELL AS 3 AND ALSO THEIR FAMILIES. THAT CONSISTS OF EARLY KNOWING, WELLNESS AND ALSO HEALTH, FINANCIAL PROTECTION, SAFE STABLE NURTURING RELATIONSHIPS AND OUR SETTING. IT REDUCES RACIAL VARIATIONS IN CHILDREN'' S WELLNESS AND ALSO GROWTH FROM PRENATAL THROUGH GRADE 3 AND ALSO A THREE AS WELL AS A PROMOTE RACIAL AND GEOGRAPHICAL EQUITY. THE COMMUNITY SOLUTIONS PROGRAM OBJECTIVE IS TO FUND AREA BASED OPTIONS TO ADDRESS OBSTACLES THAT A BEEN CLEARLY RECOGNIZED BY INFLUENCED COMMUNITIES. THE PROGRAM LOOKS FOR TO FUND METHODS DELIVERED BY A PROFICIENT ORGANIZATION THAT OFFERS CULTURALLY EFFICIENT AND ALSO RELEVANT SOLUTIONS TO COMMUNITIES OF SHADES AS WELL AS INDIGENOUS COMMUNITIES. ELIGIBLE BENEFICIARIES CONSIST OF ORGANIZATIONS, NONPROFITS, TRIBAL COUNTRIES, THAT ARE EITHER LETTER STRAIGHT COLLABORATING WITH THOSE COMMUNITIES OF SHADE AND ALSO AMERICAN INDIAN COMMUNITIES AND WE NECESSITY WE NEED TO RECOGNIZE TO AID ACHIEVE EQUITY WE MUST BUILD AUTHENTIC NEIGHBORHOOD PARTNERSHIPS AS WELL AS FUND ORGANIZATIONS THAT ARE LED AS WELL AS RELIED ON BY THE GROUPS THEY SEEK TO SERVE.
IN YOUR FOLDER YOU HAVE MORE INFORMATION REGARDING THE PROGRAM AS WELL AS THE CHECKLIST OF ORGANIZATIONS THAT HAVE RECEIVED THOSE SMALL GRANTS AND ALSO YOU WILL CERTAINLY LISTEN TO FROM A VARIETY OF THEM OF OUR GRANT RECIPIENTS AND HOW EFFECTIVE THESE GRANTS WERE. I WOULD LIKE YOU TO TAKE A MOMENT TO CHECK OUT THE PAPERS YOU HAVE AND WITH THAT I'' M ALL SET TO CARRY ON TO THE TESTIFIERS.
THANK YOU SEN. KUNESH. WOULD YOU LIKE YOUR FIRST TESTIFIER TO CONTINUE I HAVE BROOKE CIRCULATION WELCOME TO THE BOARD APPEAL AS WELL AS BEGIN YOUR TESTIMONY.ECORD- THANK YOU GREAT MORNING SEN. WIKLUND AS WELL AS MEMBERS OF THE HEALTH AS WELL AS HUMAN SOLUTIONS COMMITTEE I'' M BROOKE LOVE FLOW I'' M THE COFOUNDER AND A SOCIAL ENTERPRISE FOR NATIVE CHILDREN I'' M A CITIZEN OF THE TURTLE HILL BAND OF CHIPPEWA A MEMBER OF THE VOICES AND ALSO CHOICES FOR KIDS GUIDING COMMITTEE AND ALSO A MEMBER OF THE NEIGHBORHOOD SOLUTIONS ADVISORY COUNCIL. I'' M SHARING STRONG ASSISTANCE FOR US SENATE SUBMIT 402 SINCE I 402 DUE TO THE FACT THAT I THINK NEIGHBORHOOD SOLUTIONS ARE APPROACH THAT ADDRESSES AND ALSO AMPLIFIES THE INGENIOUS SOLUTIONS THAT TAKE ADVANTAGE OF COMMUNITY ASSETS CULTURAL IMPORTANCE AND CENTERS THOSE THE MAJORITY OF IMPACTED BY ANY TOP QUALITY COMMUNITIES DO HAVE THE COMPETENCIES AND REMEDIES THAT IMPROVE THEIR LOCAL AND ALSO CULTURAL STRENGTHS BUT ARE FREQUENTLY LACKING THE RESOURCES TO IMPLEMENT THEM.
THE AREA SOLUTIONS GIVE PROGRAM IS A TECHNIQUE WHEREBY WE CAN BEGIN TO DDRESS THE DIFFERENCES IN RESOURCES TO SPECIFIC COMMUNITIES LEVERAGES THE POSSESSIONS IN THE NEIGHBORHOODS TO ADDRESS THEIR PROBLEMS AND ALSO I THINK VERY EARLY CHILDHOOD YEARS IS THE THE MAJORITY OF PRACTICAL AREA TO CLOSE EARLY EDUCATION AND LEARNING DISPARITIES AND INEQUALITIES BEFORE THEY COME TO BE LARGER SPACES AND LEAVES MINNESOTA WITH LOWER EDUCATIONAL ACHIEVEMENT RATES AS WELL AS LABOR FORCE SCARCITIES INVESTING IN HEALTHIER KIDS AND FAMILIES EARLIER WILL DEVELOP STRONGER NEIGHBORHOODS ACROSS MINNESOTA. AS A MEMBER OF THE AREA SOLUTIONS ADVISORY COUNCIL I COMPLIED WITH IN SUPPORT OF THE TRIP OF OUR ORIGINAL GRANTEES FROM 2019 2019 ASSURED LOTS OF STORIES OF SUCCESS AND RESILIENCY SOME GRANTEES BECOMING ESSENTIAL EMPLOYEES DURING THE RESTRICTION OF THEIR AREA OPTION GRANTS AS WELL AS DURING THE STARTING OF THE COVID 19 PANDEMIC.
SOME GRANTEES DEVELOPED INTO HEROES FOR THE WORKING HOUSEHOLDS OF LITTLE ONE IN MINNESOTA THAT WERE COLLECTIVELY UPHOLDING OUR ECONOMIC CLIMATE EARLY CHILDHOOD YEARS EDUCATION AND LEARNING HEALTH AND WELLNESS AND ALSO LABOR FORCE IS AN CRUCIAL PART OF OUR SOCIETY WE CANISTER NO MORE NOOR AND ALSO IS FEE FOR GREATER COLLECTIVE INVESTMENT. HIGHLY MOTIVATE YOU TO SUPPORT SENATE SUBMIT 40 TO 40 TO SUSTAIN FUNDING GRADUALLY WILL PERMIT COMMITTEES THE POSSIBILITY TO IMPROVE THE REMEDIES EXPAND THE REACH AND ULTIMATELY SET UP THIS GENERATION OF YOUNGSTERS FOR SUCCESS THANKS. THANK YOU QUITE FOR YOUR TESTAMENT. NOW I HAVE ACTUALLY LOCATED THE OLD ESTRADA APPEAL STATE YOUR NAME FOR THE DOCUMENT AND ALSO BEGIN YOUR TESTAMENT WELCOME. GREETINGS MME. CHAIR AND ALSO MEMBERS FABIOLA ESTRADA I'' M A COFOUNDER THE NETWORK FOR EARLY CHILDHOOD EDUCATION AND LEARNING WE SEE THE BOARD SOLUTIONS FOUND IN 2020 OUR LEADERS ARE MAKING HEALTHY ADJUSTMENTS THAT BENEFIT KIDS AND MEMBERS OF THE LATINO AREA RESIDING IN RICHFIELD BLOOMINGTON AND ALSO ACROSS MINNESOTA.
WE DEVELOP NEIGHBORHOOD DRIVEN SOLUTIONS TO ASSISTANCE HEALTHY CHILDHOOD YEARS ADVANCEMENT IN EARLY LEARNING OPPORTUNITIES FOR CHILDREN WHOSE FAMILY MEMBERS CHOSE THE CHAMP RELATIVE WE CARRY THIS OUT BY GIVING CULTURAL EARLY YOUTH TRAINING AND ASSISTANCE ACCOMPLISH LATINO YOUTH COMPANIES TO SUPPLY THE FINEST CHILDCARE FEASIBLE AS WELL AS SUPPORT COLLEGE READINESS.OUR WORK IS MODIFICATION THE LIVES OF THE FAMILY MEMBERS CARRIER BY TRANSFORMING THE UNDERSTANDING OF THE ROLE FROM SIMPLY BABYSITTING TO KNOWING THAT WE FUNCTION AND ALSO THEY ACCOMPLISH THIS VITAL HELP THE YOUNGSTERS'' S FUTURE AS WELL AS OUR ENTIRE AREA. WE HAVE WORKED TO SUPPORT OTHER FAMILIES BUDDIES AND ALSO NEIGHBORS ACROSS THE STATE TO ASSIST DEVELOP THE CAPACITY IN DISCOVERING IN THE NATIONAL LABOR SUPPORTING OF FFM NEIGHBORS THE COMMUNITY SOLUTIONS GRANT PROGRAM ASSISTS ASSISTANCE US TO PROVIDE EVEN MORE TRAINING FOR FAMILY MEMBERS FRIENDS AND ALSO NEXT-DOOR NEIGHBORS CREATE EDUCATIONAL PROGRAM TO OFFER SUMMER TASKS FOR KIDS TO SUPPORT OUR FAMILIES VIA COVID THIS GIVE IS DIFFERENT FOR ALL OTHER STATE GIVES WEAVES RECEIVE BEFORE THE STATE IS COLLABORATING WITH United States AS WELL AS KNOWING FROM United States THAT AIDS OUR FUNCTION AS WELL AS IS INTERESTED TO LISTEN TO THAT WE HAVE TO SAY IN SUPPORTING WHAT THE NEIGHBORHOOD NEEDS AND THE STATE GAINS FROM OUR COMMITTEE SOLUTIONS TO DEVELOP BETTER SUPPORT FOR OUR COMMUNITIES THIS GRANT PROGRAM IS LIMITED AND ALSO PLACE'' T BEEN ABLE TO TOTALLY FUND ALL THE FUNCTION WE DEMAND FOR OUR COMMUNITIES WE NEED ONGOING FINANCING TO SUPPORT COMMUNITIES TO LEAVE THE FUNCTION WE UNDERSTAND WILL CERTAINLY IMPACT THEIR FUNCTION FOR YOUNGSTERS PLEA ASSISTANCE SENATE DATA 402 BECAUSE WITH 402 BECAUSE WITH THE SERVICES HELPS HOUSEHOLDS AS WELL AS WE REPRESENTER HOUSEHOLDS CLOSE FRIENDS AND NEXT-DOOR NEIGHBORS I'' M DELIGHTED TO RESPONDING TO QUESTIONS HAVE ABOUT THE FFM PROVIDERS PROGRAM THANKS.
THANK YOU QUITE FOR YOUR TESTAMENT I AM SATISFIED TO BE ABLE TO LEARN ABOUT THE PROGRAM OVER MY YEARS IN THE SENATE IN MY AREA AS WELL AS IT HAS BEEN WONDERFUL TO SEE THE WORK THAT'' S BEEN GOING ON AND ALSO I THINK SEN. KUNESH YOU HAVE ANOTHER TESTIFIER. ANOTHER TESTIFIER. JOINING United States ONLINE.E MIKEY BROWN MR. BROWN IF YOU CAN INTRODUCE YOURSELF AS WELL AS BEGIN YOUR TESTAMENT. HELLO CHAIR WIKLUND AND MEMBERS OF THE BOARD I MIKEY BROWN AND INDIGENOUS LEADER FROM THE WHITE EARTH BOOKING I HAVE ONE TODDLER ONE KID TO TEEN BROTHER OR SISTERS AS WELL AS TWO TEEN STEPDAUGHTERS 2 ADOLESCENT STEPDAUGHTERS I'' M DEALING WITH I'' VE BEEN A PART OF THE ABORIGINAL PARENT MANAGEMENT IN CAMPAIGN FOR ROUND 2 AS WELL AS FIFTY PERCENT MONTHS.
I FEEL RECOGNIZED TO BE COMPONENT OF AN AMAZING PROGRAM THIS CAMPAIGN IS MADE A SUBSTANTIAL IMPACT ON MY LIFE ALREADY NOT ONLY AS A MOMS AND DAD BUT AS A COMMUNITY MEMBER. I'' VE BEEN ABLE TO ENTER MY POWER AND ALSO GAIN THE PERFECT EXPERTISE TO COME TO BE A BETTER MOMS AND DAD, LEADER IN MY AREA I'' M CURRENTLY COMPONENT OF THE SECOND MATE WE HAVE TO DO WITH HALFWAY THROUGH THE SESSION THEREFORE FAR WE HAVE COMPLETED AN ALL-DAY HIDEAWAY AND ALSO 9 WEEKLY 9 WEEKLY CLASS PROCEDURE TOGETHER WE HAVE ESTABLISHED THE SECURE LOCATION FOR THE LOVE IN A NEIGHBORHOOD OF LIKE-MINDED PEOPLE WHO PREPARE TO ASSIST IN CREATING CHANGE IN OUR COMMUNITIES WE ALL GENUINELY APPRECIATE OUR COMMUNITIES ON THE WHITE PLANET BOOKING. REVIEWED BOTH A STRONG STRUCTURE OF INTERACTION ABILITIES HAVE ACTUALLY CHATTED CONCERNING SO MANY TOUGH SUBJECTS SUCH AS BIGOTRY INJURY PSYCHOLOGICAL WELLNESS GRIEVING, KID OVERLOOK AND ALSO ABUSE AS WELL AS HOW THIS AFFECTS THE YOUNGSTER+ A LOT MORE.
GOT INTO IT DISCUSSIONS ABOUT WHAT RESOURCES WE HAVE AVAILABLE ON THE BOOKING AS WELL AS WHAT RESOURCES WE NEED. ALL OF US PARTICIPANTS HAD BEEN WORKING ON NEIGHBORHOOD PROJECTS THAT EACH WILL CERTAINLY BE HIM LAMENTING INTO OUR COMMUNITIES AND ALSO WANTS TO BETTER THEM THINK OF EACH PEOPLE BRANCHING OUT TO START A LION’S SHARE OF THE WORLD BY LITTLE WITH THE SYNERGY THIS WILL DEVELOP A CAUSAL SEQUENCE AND ALSO CHANGE THE COMMUNITY FOR THE BETTER. WE WILL CERTAINLY GRAB OUR COMMUNITIES AND ALSO OBTAIN An APPOINTMENT TO GET TO ITS HIGHEST POSSIBILITY THIS CAMPAIGN IS CHANGE MANY OBEYS ENLIGHTENING MOMS AND DADS I HOPE THIS CONTINUES FOR LOTS OF GENERATIONS I'' VE BEEN INSPIRED IN COMPONENT OF MANY WAYS TO AID BOARD SOLUTIONS GOALS TOWARDS THE ORIGINS OF THE ISSUES AND CONTINUES SUPPORT OF THIS PROGRAM WILL CERTAINLY AID PREVENT THESE ISSUES FROM EXISTING IN HER FUTURE AS WELL AS SAVE MONEY IN TIME. I'' VE BEEN UNDERSTANDING MY GREATER FUNCTION IN REACHING FOR WAYS TO PUT MY INTENDS INTO ACTION TO ASSIST WITH CREATING BETTER ROLE MODELS WITH EACH OTHER WE CAN BETTER OUR FUTURE GENERATIONS ONE STEP EACH TIME.
. THANKS SIGNIFICANTLY FOR YOUR TESTIMONY. SEN. KUNESH DO HAVE OTHER THOUGHTS YOU LIKE TO SHARE BEFORE WE MOST LIKELY TO QUESTIONS. SIMPLY THAT IT'' S REALLY HEARTENING TO LISTEN TO THE POSITIVE FUNCTION THAT'' S COME OUT OF THIS PILOT GRANT AND I WISH WE ARE GOING TO HAVE THE ABILITY TO CONTINUE TO REALLY COLLABORATE WITH THE COMMUNITY BECAUSE WE KNOW HOW IMPORTANT IT IS THAT THE AREAS ASSOCIATED WITH THE WELL-BEING OF OUR YOUNGSTERS NO ISSUE WHERE THEY ARE RIGHT HERE IN MINNESOTA. THANK YOU. PARTICIPANTS DO YOU HAVE ANY QUESTIONS OR SEN. KUNESH OR THE TESTIFIERS? SEN. ABELER. THANKS ND THANK YOU SEN. KUNESH. I APPRECIATE YOUR BILL THE ENTIRE DISCUSSION OF EQUITY HAS BEEN A LONG-STANDING CONVERSATION AND ALSO I DID READ SEVERAL OF THE PRODUCTS YOU HAVE ACTUALLY PROVIDED. IT MAKES ME SORT OF SAD WHEN I SEE HOW IT'' S BEEN GOING. ONE POINT AS A READ THE THING FROM VOICES AS WELL AS SELECTIONS THERE'' S A DEFINITION OF SUCCESS THAT I ENJOYED TO SEE THERE SOME'MEANS TO KNOW WHEN WE ' VE ACCOMPLISHED THE OBJECTIVE AS WELL AS IT STATES RACIAL EQUITY IS A CONDITION THAT WILL BE ATTAINED IF ONE'' S RACIAL IDENTIFICATION NO MORE PREDICTIVE AND STATISTICAL ANXIETY HOW ONE ONE PRICES IN CULTURE I THINK YOUR INTERPRETATION BUT IT'' S WONDERFUL TO HAVE SOMEPLACE TO KNOW IN WHICH WE ARE LOOKING TO REACH AND WHEN WE HAVE SUCCEEDED.
I'' M ALL FOR THAT. I WAS DISTURBED WHEN I READ IN THE RECORD FROM THIS TEAM THE BOARD SOLUTIONS FUND REPORT AND ALSO IT NECESSITY HAVE DISRUPTED YOU AS WELL. IT SAID GIVE APPLICATION SUBMITTED BY LEADERS OF COLOR AND ALSO INDIGENOUS LEADERS LIKE LESS LIKELY BE FUNDED THAN THOSE SOME BY WHITE LEADERS. THAT'' S REALLY DISTURBING, AND WE ALREADY HAVE A HEAP OF PROGRAMS WE HAVE BEEN TRYING TO DO TO ACCOMPLISH EVERYTHING YOU'' RE SETTING OUT TO DO AGAIN AS WELL AS I'' M NOT GOING TO ASK THE DIVISION AHEAD UP BUT I BELIEVE IT'' S APPALLING THIS IS NOT ANY REPUBLICAN POLITICIAN VERSUS DEMOCRAT POINT THIS IS A MATTER OF THE FIRMS OF THE STATE WHICH HAVE BEEN POPULATED BY BOTH EVENTS EVEN MORE LATELY BY THE DFL BUT THEY ARE REFRAINING FROM DOING THEIR NOT BEING FAIR AND THERE MAY BE A GREAT DEAL OF FACTORS FOR THAT AS WELL AS IT CREATES THE NEED FOR A GROUP LIKE YOURS TO SAY YOU FAR BETTER APPROVE THESE BUT THERE IS AN INHERENT THING IN THE DEPARTMENT PARTICULAR THE DIVISION FELT WHERE THESE DIFFERENT GRANTS ARE GOING WHERE THEY'' RE NOT DOING THAT AS WELL AS HAD THE POSSIBILITY TO MEET COMMISSIONER CUNNINGHAM BUT I ASSUME I'' M NOT CERTAIN IF SHE KNOWS THIS IS AMONG THE THINGS SHE REQUIRES TO COME TO GRIPS WITH IN THE EXTREMELY DIVISION SHE'' S BEEN CREDITED WATCH THAT THEY'' RE NOT SENDING CASH OUT FOR WELLNESS VARIATIONS AND EQUITY PROPOSALS IN DIFFERENT HEALTH IMPACTS BECAUSE I WOULD APPRECIATE IF THE DIVISION COULD OBTAIN ME NOT TODAY BUT A LISTING OF ALL THE DIFFERENT CASH WE HAVE PLACE IN TO THE GRANTS SYSTEM PARTICULARLY IN GRANTS AS WELL AS WHAT THE CHECKLIST OF THOSE IS AS WELL AS NEEDS TO AMOUNT TO HUNDREDS OF MANY MILLIONS OF DOLLARS AND THIS SIGNIFICANTLY ISSUES ME SO THE SOMETHING I'' M SATISFIED YOU ' RE TALKING DUALISM AS WELL AS MIDWIVES THAT'' S ON THE EXACT SAME PAGE BUT IN YOUR BILL SEN.
KUNESH I INTENDED TO CAUTION YOU WHAT YOU ARE ASKING FOR AS WELL AS ACTUALLY I ASSUME GIVEN THE PRESENT COMMISSIONER YOU PROBABLY THAT IS GREATER RISK SINCE SHE'' S GOING TO CONCENTRATE ON EQUITY ISSUES. ON PAGE 3 LINE 3.4 THIS COUNCIL ONLINE 3.3 YOU WILL SET UP THE ENTIRE UNSEL AS WELL AS YOU CAN PUT ON METAL YOU LIKE IT ' S KIND OF LIMITED AND ALSO YOU MAY WANT A BROADER DEPICTION OF THE WHOLE STATE IN THERE AS WELL AS NOT SIMPLY ORGANIZES LIKE THAT BUT IT IS YOUR GROUP YOU ARE ESTABLISHING. THEY'' RE GOING TO ENCOURAGE THE COMMISSIONER ON PROPOSALS IN A DEPARTMENT THAT ALREADY ISN'' T OFFERING OUT GRANTS THEREFORE I DON ' T KNOW IF WORDS EXPERT STRONG ENOUGH OF WHAT YOU WANT I WOULD SUGGEST MAYBE THIS GROUP TAKE OVER THE SUPPORT OF THE INITIATIVES TO TAKE CARE OF EQUITY AND ALSO SUCCESS IN RATHER THAN ENCOURAGE THERE'' S A VARIOUS WORD TO MAKE HER DO THAT BUT IF YOU WANT THIS TO WORK THERE'' S A BUNCH OF CASH THAT ' S GOING TO THE INCORRECT LOCATION UNDOUBTEDLY NOT COMPLETING THE OBJECTIVES YOU WANT AND ALSO $50 MILLION IN IS AN AMBITIOUS NUMBER $200 MILLION $200 MILLION IN THE BIENNIUM TO GET THAT CASH I WISH TO BECOME NEAR TO YOU SO I MAY DO OTHER THINGS WITH THE CASH BUT THERE'' S THAT MUCH MONEY BEING IN THE TILL CURRENTLY AS WELL AS THEN ONLINE 3.10 YOU WILL CERTAINLY RECOMMEND THE COMMISSIONER ON ACCOUNTABILITY PROCESSES AS WELL AS SUGGEST THE COMMISSIONER ONLINE 3.12 OF ONGOING OVERSIGHT.
AFTER THAT LINE 3.14 WHICH IS A VEGAS SENTENCE SUPPORT THE COMMISSIONER ANOTHER PERSON RACIAL EQUITY GIVE EFFORTS WHATEVER THAT THAT'' S NOT A SIGNIFICANT SENTENCE BUT I RECOMMEND SOMETHING I LIKE A LOT ONLINE 4.14 THE ADVISORY COUNCIL MAY RECOMMEND ADDITIONAL STRATEGIC FACTORS TO CONSIDER THE GOV. RECENTLY ESTABLISHED A BEHAVIOR WELLNESS CHEMICAL ABUSE TYPE OF A CUPBOARD THING WHERE THEY ARE GOING HAVE STAKEHOLDERS AS WELL AS THEY'' RE SUPPOSED TO RESPONSES INTO THE BEHAVIORAL WELLNESS DIVISION WHICH IS HAD A DIFFICULT TIME BEING EFFECTIVE AT THE HUMAN SOLUTIONS SIDE WE SPENT THE ENTIRE LAST SESSION TALKING ABOUT THAT TRYING TO ROTATE IT UP SO IT COULD WORK AS WELL AS I ASSUME IN A COMPARABLE WEIGHT IF YOU WANT TO MAKE A DIFFERENCE AS WELL AS I BELIEVE YOU WILL SEE SOME SUCCESS IN THE GIVES ARE GOING TO HEAD OUT UNTIL YOU'' RE FROM NOT MAYBE YOU COULD RATE THAT UP WITH THIS TEAM BUT I ASSUME SINCE I'' VE BEEN HERE WE BEEN TRYING TO SOLVE WELLNESS VARIATIONS AT ALL WE CAN CONSIDER YOUR LEFT SPEND $10 MILLION ON THAT PARTICULAR WHICH'' S WHAT I DIABETIC ISSUES, THIS WORKER LOW BIRTH WEIGHT LET'' S WORK WITH EARLY LET'' S SERVICE BIRTH MORTALITIES, AND ALSO WE'' RE VIRTUALLY STOPPED WORKING WE AS A BIPARTISAN BICAMERAL MULTI- INDIVIDUALS PORTRAYING URBAN AND COUNTRY AS WELL AS SUV ALL RACES WHO HAVE BEEN RIGHT HERE ATTEMPTING TO SOLUTION THIS.
WE HAVE ALMOST ABSOLUTELY NOTHING TO SHOW FOR IT SO I WILL RECOMMEND TO YOU YOU UTILIZE THIS AS An ESTABLISHING PAD TO UTILIZE GOVERNMENT NOT A SEPARATE COMPANY BUT AS A LOUD VOICE TO MAKE A DISTINCTION. I WOULD HAVE STATED THAT IF IT WOULDN'' T HAVE EMBED IN THIS RECORD BUT ARE NOT OFFERING YOU THE GIVES THE REALLY AGENCIES WE THINK ARE IN CHARGE ACTUALLY TRUTHFULLY ARE LEANING A LITTLE LEFT THEY MUST HAVE OBSERVED THAT AND IT'' S INTOLERABLE AS WELL AS YOU AS WELL AS I HAVE SHARED THAT THIS IS NOT An ISSUE OF WHO WAS MORE CURIOUS ABOUT HELPING A PERSON WITH A NEED THIS IS A MATTER OF ACTUALLY GETTING ABOUT IT AND ALSO IF IT TAKES $50 MILLION A YEAR WE CONTAINER ACTUALLY OBTAIN TO ACHIEVE THE GOAL YOU ESTABLISH WHERE YOU CAN DISCRIMINATE BASED UPON YOUR SKIN SHADE AS WELL AS IN WHICH YOU LIVE WHATSOEVER OF THAT, WE WILL HAVE DONE SOMETHING UNDER YOUR WATCH WITH YOUR INIT CAMPAIGN.
THAT IS MEANT TO BE VALUABLE FOR THIS PROJECT AND ALSO I'' M PREPARED TO ASSISTANCE YOU WITH LANGUAGE TO STURDINESS UP TO MAKE IT DO WHAT YOU INTENDED TO DO AND PUSH ON THE DEPARTMENTS. I PUT ON'' T THINK THE DIVISION CROUCHED THE METHOD TO DO A WORK THAT'' S NOT RIGHT BUT THE BUREAUCRACY ENTERS CERTAIN MEANS AND ALSO YOU HAVE SCORING AS WELL AS PERHAPS SOME GOOD GRANT WRITERS AND ALSO SOME PEOPLE WHO ARE SUB-PAR WITH THEIR PROGRAM BUT HAVE FANTASTIC GRANT AUTHORS AND ALSO THE TAKE ALL THE MONEY AS WELL AS PUT IT RIGHT INTO SOMETHING THAT DOES NO GOOD. THAT'' S LIKEWISE A DIFFERENCE THAT IS BEING STOPPED BY THE SYSTEM WE HAVE I WISH YOU WELL AND WISH YOU SEE THAT AS A FRIENDLY SET OF COMMENTS THANK YOU. SEN. KUNESH. THANK YOU FOR ALL YOUR FUNCTION YOU HAVE SPENT THE PAST TO ADDRESS THE DIFFERENCES. I DO THINK THE DIVISIONS HAVE A FINER AWARENESS OF SEVERAL OF THE GRANTEES AND ALSO THE ABSENCE OF GRANTING TO THE DISPROPORTIONS OF THAT I UNDERSTAND THERE ARE EFFORTS THAT ARE BEING MADE TO NOT ONLY ASSIST WITH GRANT WRITING BUT TO HAVE THOSE VOICES SUCH AS WHEN IT CLAIMS ADVISE THE OMMISSIONER ON ONGOING OVERSIGHT IN SUPPORT OF IMPLEMENTATION OF GRANTS AND ALSO GRANTEES, THAT WE ARE BRINGING THE NEIGHBORHOOD IN AND INDIVIDUALS THAT REALLY UNDERSTAND THE GRANT AS WELL AS THE AREAS.
I DIRECTLY HAVE SEEN A STRONGER EFFORT IN An EVEN MORE CONCERTED INITIATIVE IN A GREAT DEAL OF VARIOUS AREAS WHEN IT PERTAINS TO LOOKING AT THOSE GRANT APPROVALS BUT ALSO WITH THE ASSISTANCE IF YOU ARE AN ORGANIZATION THAT DOESN'' T HAVE A WHOLE LOT OF MONEY AND CAN ' T AFFORD A GRANT WRITER THAT THERE ARE METHODS TO HELP IN MAKING SURE THAT THOSE ENTITIES HAVE THAT KIND OF SOURCE AND ALSO AID THANK YOU REALLY MUCH. SEN. ABELER. MANAGER I APPRECIATE THE CONVERSATION I APPRECIATE THE INITIATIVE IT'' S SIMPLY INAPPROPRIATE IN WHICH WE ARE IN SEVERAL OF THESE DETAILS. YOU WENT FROM 20 AS MUCH AS 20 UP TO $50 MILLION IN A SPLIT SECONDS AND YOU WILL FIND YORTY KNOW THIS WHEN THE EXCELLENT CHAIR HAS A SPENDING PLAN THAT SHE'' S GOING TO NEED TO ALLOT IN SOME WAY THAT'' S A NUMBER I PUT ON ' T IF THE PIE TAKES EVEN MORE FTES EVEN ON THE 12 THAT 12 THAT THIS BILL CALLS FOR BUT WHAT I'' M RECOMMENDING IS WHAT YOU CAN REFIGURE IN THE EXISTING PROGRAMMING AS WELL AS IF THAT IS SPENT CORRECTLY HOW MUCH WOULD YOU REQUIRED IN THE SITUATION COULD BE MADE WITHOUT CHANGING YOUR NUMBER BUT I ASSUME THAT NUMBER NUMBER 50 IS A BIG NUMBER THANKS.
SEN. KUNESH. THANKS FOR THAT SEGWAY BECAUSE I DO NEED TO CORRECT MY A2 AMENDMENT. I MADE USE OF THE WRONG NUMBERS THERE SO AT THIS TIME MME. CHAIR I WISH TO ASK THE AMENDMENT BE REEVALUATED AND MAKE ADDED MODIFICATIONS AND ALSO AFTER THAT TOOK ON THAT CHANGE ONCE MORE. THE AMENDMENT TO THE A2 MODIFICATION THIS WOULD BE AN ORAL MODIFICATION I AM ASSUMING ON PAGE 1 LINE 5 DELETE $50 MILLION. $50 MILLION. SEN. KUNESH I WILL DISTURB YOU FIRST I'' D LIKE TO MAKE THE MOTION TO RECONSIDER THE THE BALLOT AFTER THAT WE WILL HAVE THE CHANGE WE CAN REINTRODUCE THE AMENDMENT AS WELL AS MAKE AN ORAL CHANGE TO THAT. FIRST MEMBERS I WOULD MAKE THE MOTION TO RECONSIDER THE FOSTERING OF THE A2 CHANGE. ALL THOSE IN FAVOR SAY AYE, THOSE OPPOSED, THE AMENDMENT HAS BEEN RECONSIDERED. NOW WE HAVE THE A2 CHANGE PRIOR TO US AS WELL AS NOW CANISTER YOU STATE YOUR DENTAL CHANGE TO MAKE THE MODIFICATIONS. WEB PAGE 1 LINE 5, REMOVE $50,000 AND INSERT 20 DELETE $50 $50 MILLION AND ALSO INSERT $25 $25 MILLION AND ON PAGE 1 LINE LINE 6 ERASE $50 MILLION AND PUT $25 MILLION.
$25 MILLION. SEN. ABELER. MME. CHAIR I WILL MOVE THAT ORAL ADJUSTMENT. THANKS MEMBERS ARE YOU CLEAR ON THE ORAL AMENDMENT TO THE A2 CHANGE AS MOVED BY SEN. ABELER? SEEING NO INQUIRIES ALL THOSE FOR THE ORAL CHANGE SAY AYE, AYE, THOSE OPPOSED, THE ORAL AMENDMENT IS ADOPTED NOW WE ARE BACK ON THE A2 AMENDMENT AS AMENDED. SEN. KUPEC CANISTER YOU MOVE THE A2 AMENDMENT AS AMENDED. THANK YOU MEMBERS THE A2 AMENDED MODIFICATION IS PRIOR TO ALL OF US THOSE IN FAVOR SAY AYE, ANY OPPOSED, THE MODIFICATION IS TAKEN ON. THANKS. NOW MEMBERS EXIST EXTRA INQUIRIES OR DISCUSSES US SENATE FILE 402 SEN. UTKE. ANY OTHER MEMBERS? I WANTED TO SEE OR STATE AND ALSO ELEVATE UP THERE'' S ONE ONE HANDOUT IN HERE THAT SPEAKS ABOUT FAMILY PALS AND NEXT-DOOR NEIGHBOR CHILD CARE SERVICE PROVIDERS AND PARTICULARLY REGARDING THE COMPANY AS WELL AS I INTENDED TO SAY IN REQUISITES OF THE WORK WE ARE DOING ON CHILDCARE I REJOICE THAT THE NEIGHBORHOOD SOLUTIONS GRANT PROGRAM HAS BEEN ABLE TO CONSIST OF THE FUNCTION AND ALSO THE FUND THE FUNCTION LORETTA IS DOING AROUND OF FAMILY MEMBERS BUDDY AND ALSO NEXT-DOOR NEIGHBOR CHILDCARE IT'' S AN ESSENTIAL KIND OF CARE THAT YOU TIN SEE ON THIS HANDOUT THAT ALMOST 40% OF KIDS MATURED TWO TWO AS WELL AS YOUNGER ARE APPROXIMATED TO BE IN HOUSEHOLD PAL AND ALSO NEIGHBOR TREATMENT IS REALLY AN ESSENTIAL SECTOR OF OUR EARLY YOUTH SYSTEM AS WELL AS IN THE PREVIOUS IT'' S BEEN VERY TESTING FOR GROUPS AND ALSO CARRIERS TO OBTAIN ASSISTANCE FOR THE FUNCTION THEY ARE DOING AS WELL AS THE WORK THAT THEY HAVE BEEN DOING HAS BEGAN SEVERAL YEARS PRIOR TO THIS PILOT PROGRAM THIS IS SOMETHING THAT'' S BEEN ESTABLISHED AND ALSO I QUESTIONED THE OLA ESTRADA IF YOU COULD TALK A LITTLE MORE ABOUT WHAT YOU THINK THE SECRET DIFFERENCE HAS BEEN WITH THIS NEIGHBORHOOD SOLUTIONS GRANT THAT MAY HAVE HELPED YOU GREATER THAN PREVIOUS EFFORTS THAT WE HAVE HAD AROUND.
WE STARTED MORE THAN 10 YEARS 10 YEARS BACK WITH NO PROGRAMS SIMPLY WITH VOLUNTEERS AND I WAS A VOLUNTEER IN 2002 I BEGAN 2002 I STARTED DEALING WITH THE GROUP AND SHE CLAIMED I HAVE 6 6 KIDS SHE STATED PLEASE COME BELOW I HAVE ISSUES SHE WAS WORKING IN THE CHURCH AS WELL AS SHE SAW ME AND ALSO I WAS PREGNANT AT THE TIME SHE STATED I HAVE NUMEROUS OFFERED SOME PROGRAMS TO THE KIDS TO DO IN THE SUMMERTIME AND WOULD YOU LIKE TO BRING YOUR KIDS THEY ARE WELCOME AS WELL AS AND WE HAD ACTIVITIES FOR THEM AND I STARTED GETTING ASSOCIATED WITH THE PROGRAM SHE OFFERED I SOUGHT IT WASN'' T A LOT OF PEOPLE SIMPLY HER AND ALSO ANOTHER PEOPLE WOMAN BUT THEY DON'' T HAVE MONEY TO SUPPLY THOSE RESOURCES FOR THE CHILDREN. I STARTED TO VOLUNTEER I WAS An INSTRUCTOR BECAUSE I WAS I WORKED AS DANCES IN MY HOME STATE AND I BEGAN TEACHING THE KIDS HOW TO DANCE FOR OUR COUNTRY AS WELL AS LATER I WAS An INSTRUCTOR OF ART BECAUSE I KNOW I RECOGNIZE HOW TO DEVELOP A GREAT DEAL OF ART AND ALSO W HAD THE KIDS SHE ASKED SOMEONE TO HAVE SOME ROOM IN PROVIDED SOME ROOM IN THE PARK FOR THE CHILDREN'' S AS WELL AS WE HAD LIKE 15 YOUNGSTERS AS WELL AS IT WAS SHE AND ALSO I AND WE TOOK TREATMENT OF THE YOUNGSTERS FROM 9 O ' CLOCK TILL 3
3 P.M.AND WE WERE DID NOT HAVE BABIES BECAUSE IT WOULD BE TOUGH WORKFORCE WE HAD LIKE AGES 5 FIVE AS WELL AS UP IN THE BIG ONES OF FILIPINO 15 THEY TAKE CARE THEY ASSISTANCE WITH United States TO DEVELOP AND ALSO WE PLAYED FOOTBALL AND ALSO DID A GREAT DEAL OF THINGS WITH THEM AS WELL AS THAT'' S HOW WE STARTED THE PROGRAM WE SOUGHT WE NEED TO HAVE CASH TO OFFER INCREASINGLY MORE AND ALSO WE WENT STEP-BY-STEP DOING THIS UNTIL WE FOUND PROGRAM THAT WE HAD THE OPPORTUNITY IN BLOOMINGTON THE DIVISION OF HEALTH IT HAD AN RATE OF INTEREST IN OUR PROGRAM IT WASN'' T ONLY FOR THE YOUNGSTERS IT WAS FOR THE FAMILIES CARE FOR THEM AND ALSO THEY ARE SOMETIMES THOSE INDIVIDUALS HAVE HIGH EDUCATION BUT THE HAVE THE UNDERSTANDING ND IT ' S HOW WE CLIMB AND WE HAD THE OPPORTUNITY TO OBTAIN THE GIVES AS WELL AS BEGINNING BIT BY BIT AS WELL AS WE BEGAN A PROGRAM ANOTHER PROGRAM IS GETTING BIG WE HAVE 3,000 MEMBERS EACH CLASS WE PROVIDE NOW WE REMAIN IN SHAKOPEE AND RICHFIELD WE HAVE TWO 2 LOCATIONS DUE TO THE FACT THAT SOME LADIES THEY DON'' T HAVE TRANSPORT TO GET THE KIDS AND ALSO WE BEGAN SERVICING SUNDAYS IN THE AFTERNOON TO 5 O'' CLOCK UP TO SEVEN OR 8 O'' CLOCK AND KEEP GOING WITH THE CLASSES WE DEAL CPR AND ALSO MONITORING BABIES AND HEALTHY FOOD AND ALSO THE SUMMERTIME WE DID THE PANDEMIC WE HAD FOOTBALL FOR THE KIDS WE HAD HOCKEY AS WELL AS WE ARE COLLABORATING WITH ANOTHER PROGRAM THEY DEAL FOOD TO US AS WELL AS WE BEGAN OFFERING FOOD TWO TIMES A MONTH THROUGHOUT THE PANDEMIC FOR ALMOST 2 YEARS AND ALSO 2 YEARS AND ALSO A FIFTY PERCENT WE QUIT THE SUMMER SEASON DUE TO THE FACT THAT THE COLLEGE IS ACQUIRING BIGGER BECAUSE IT'' S OFFERING CLASSES THEY GREW UP AND STARTED BUILDING MORE ROOMS FOR THE CHILDREN AS WELL AS WE USED ALL THE CAR PARK TO BRING THE TEAM THEY NEED FOR THE PROGRAMS AND CURRENTLY WE DON'' T KNOW IF WE REMAIN TO DO THAT BECAUSE WE SEE THE PEOPLE NEED THESE PRODUCTS AND RESOURCES THAT'' S WHAT WE ARE MAINTAINING GOING TO BE STRONGER AS WELL AS IT DOESN'' T MATTER IF WE DON'' T NEED TO MUCH CASH WE I STATE WE ARE STILL WORKING I WEAR'' T KNOW HOW WE DO THIS BUT WERE STILL WORKING FOR THE COMMUNITY BECAUSE WE STARTED IN THIS WAY THANK YOU.
THANKS SIGNIFICANTLY AND AMONG AMONG THE IMPORTANT THINGS I VALUE IS THAT THEY HAVE A METHOD TO CONNECT FAMILIES NOT ONLY TO ASSIST SERVICES BUT ALSO TO THE COLLEGE AND HOW THE SCHOOLS FUNCTION IN OUR AREAS AND ALSO IT'' S An EXCELLENT METHOD TO STRENGTHEN THE ENTIRE COMMUNITY BY THESE PROGRAMS MANY THANKS. I RECOGNIZE WE HAVE SOME FRIENDS AS WELL AS THEY HAVE HIGH EDUCATION FROM THEIR OWN COUNTRIES BUT IN UPCOMING RIGHT HERE RESEMBLES STARTING OVER THEY HAVE THE UNDERSTANDING AND ALSO THAT'' S WHY FOR THE COURSES I TOOK CLASSES IN ENGLISH AND ALSO I SUCH AS TO WRITE MY HAND AND ALSO I CONVERT THE COURSES IN SPANISH BECAUSE HER LANGUAGE IS SPANISH BUT SOMETIMES WE NEED TO SUPPLY THESE THINGS FOR THE PEOPLE THEY CAN HAVE THE UNDERSTANDING TO DEAL WITH THE CHILDREN IS WHY WE DEAL A WHOLE LOT OF CLASSES. THANK YOU QUITE.
MEMBERS ANY OTHER INQUIRIES SEN. HOFFMAN. I DO ON THE OVERALL BILL MME. CHAIR WHENEVER YOU WANT TO GET TO THAT ARE WE THEN CURRENTLY. I WILL OBTAIN A LITTLE SMALL THANK YOU FOR BRINGING THIS FORWARD.I WILL OFFER SOME SUGGESTIONS THAT I THINK THE SYSTEM AS YOU'' RE LOOKING AT THIS THIS IS A FANTASTIC BILL AND I ' M DELIGHTED IT ' S ADDRESSING THERE ARE 11 TOP PRIORITIES AT THE DIVISION OF WELLNESS HAS ACTUALLY ESTABLISHED UNDER THE MOTHER’S KID WELLNESS BUREAU DIVISION AS WELL AS IF LISA THIMJON IS RIGHT HERE PERHAPS SHE COULD BE THE ONE TO ONE TO VALIDATE THAT THIS IS WHAT'' S GOING TO TAKE PLACE THE CONCERN IS TOWARDS THE SYSTEM ON THE 11 CONCERNS ONE OF ONE OF THOSE IS THE AMERICAN INDIAN HOUSEHOLD WELLNESS WE HAVE TO TELL THE FEDERAL FEDERAL GOVERNMENT THIS IS WHAT WE ARE DOING WHAT YOU ARE DOING BELOW FITS WITHIN THE PLAN MINNESOTA NEEDS TO CREATE ANNUALLY AND ALSO TO SEND TO THE MATERNAL KID WELLNESS BUREAU WHICH IS PART OF HEALTH AND WELLNESS RESOURCES SERVICE ADMINISTRATION.
THE OTHER ONE ONE THERE'' S A COMPREHENSIVE FAMILY HEALTH AND WELLNESS STIPULATION AND ALSO THERE WITHIN THE 11 CONCERNS 11 TOP PRIORITIES I AM NOT SEEING ANY OF THAT STUFF ALTHOUGH IT'' S PROBABLY ASSUMED WHEN YOU DO REFER TO THE COMMISSIONER SHALL BUT IT'' S MY HISTORICAL EXPERTISE OF WHAT WE DON'' T REALLY INDICATE WHERE WITHIN THE FRAMEWORK OR THINGS THAT EXIST IT'' S GOING TO BE ONE ONE OF THOSE ITEMS WHERE HAVE YOU EVER BEFORE BEEN IN YOUR COOKING AREA AND ALSO OPEN YOUR CABINET AND ALSO YOU HAVE THE BEANS OVER RIGHT HERE IN THE CORN OVER HERE AND ALSO THERE'' S A BEEN OVER RIGHT HERE BY THE CORN AS WELL AS YOU SHOULD LINE UP THE BEANS WITH THE BEANS IN THE CORN WITH THE CORN, SO IF YOU CAN AESTHETICALLY IMAGINE THAT REGULAR MINNESOTA WE PUT THESE BILLS TOGETHER AS WELL AS WE DON'' T ALIGN THE BEANS WITH THE BEANS IN THE CORN WITH THE CORN I SWIPED THAT FROM A CERTAIN EXPERT I WILL KEEP UTILIZING IT FROM 10 YEARS AGO MY RECOMMENDATION TO YOU AS YOU MOVE THIS FORWARD IS A THAT THERE IS BETTER INFORMATION THAT'' S HIGHLIGHTED IN THE BILL REGARDING HOW IT'' S GOING TO COMMUNICATE WITH THE TITLE V PROGRAM THAT THE STATE OF MINNESOTA PUTS WITH EACH OTHER WHICH NEEDS TO BE COMPREHENSIVE AND AFTERWARDS THE VARIOUS OTHER ONE THAT COMES ONE THAT COMES IN WHEN YOU'' RE LOOKING AT THE EARLY YOUTH THERE ARE 2 POINTS THAT ARE MISSING THEY ARE MISSING IN THIS BILL THAT I WOULD LOVE TO SEE PUT IN RIGHT HERE.
COMPONENT C IS EARLY TREATMENT SOLUTIONS PROGRAM THAT'' S ESTABLISHED YOU WANT ME TO OFFER THE BACKGROUND ON'THAT I WON ' T BUT WAS ESTABLISHED IN 1986 BUT IT TOLD STATES YOU HAVE TO BE COMPREHENSIVE COORDINATED AND COLLABORATIVE UNDER COMPONENT C THEY TAKE A LOOK AT NOT AT THREAT VARIABLES BUT AT DANGER FOR LATER HOLD-UP BUT IT FITS IN THEIR WHERE IS THAT LANGUAGE IN RIGHT HERE IN COLLABORATION WHICH PART C BECAUSE MINNESOTA IS A BIRTH MANDATE STATE THINKS WHO HAS TERRITORY OVER COMPONENT C IN MINNESOTA THAT WOULD BE THE DEPARTMENT OF EDUCATION AND LEARNING I'' M NOT SEEING THAT IN HERE. THE THIRD ONE IS YOU LOOK AT DEVELOPING THIS TEAM, YOU MAKE RECOMMENDATION TO THE COMMISSIONER IN EXAMINATION AND THE OTHER COMMISSIONER I BELIEVE IT NEEDS TO BE CLEAR IN THERE BECAUSE IN THE DEPARTMENT OF WELLNESS THEY HAVE TO SPECIFICALLY LOOK AT.
MIDDLE AND ALSO PRENATAL AS WELL AS YOU DISCUSSED PRENATAL IN THIS BILL BUT THERE'' S NO DIRECT LINE TO THOSE HEALTH INDICATORS THAT THE DEPARTMENT HAS TO ESTABLISH AND DOES DEVELOP SO I BELIEVE FOR MINING AND LINING THE BEANS UP WITH THE BEANS AND THE CORN WITH THE CORN IN YOUR KITCHEN AREA CUPBOARD I WOULD STRONGLY ENCOURAGE THAT THOSE VARIOUS OTHER ENTITIES ENTER THIS BECAUSE THE OTHER THING IT DOES WHEN YOU BEGIN TO TOUCH INTO PART C OF OUR 11 TRIBES 11 PEOPLE FOR TRIBES OBTAIN VERY EARLY TREATMENT SOLUTIONS CASH THAT COMES FROM THE BUREAU OF INDIAN MATTERS WITH THE NATIONAL BUREAU OF INDIAN AFFAIRS THROUGH THE DIVISION OF EDUCATION AND ALSO REACHES THE TRIBAL COUNCILS RIGHT AS WELL AS THERE IS ONE THAT DEFINITELY DOESN'' T WELL RED LAKE AS HIS EARLY YOUTH BUILDING I WAS SO BLOWN AWAY YEARS AGO WHEN I SAW HOW THEY INCORPORATED EARLY YOUTH FAMILY MEMBERS EDUCATION EARLY CHILDHOOD SPECIAL EDUCATION AND LEARNING EARLY HEAD START IN HEADSTART WHATEVER IS UNDER THIS ATTRACTIVE BUILDING AND IT MADE SENSE SINCE THAT'' S WHAT THEY DID AND ALSO IT WAS THAT CASH PART OF THAT CASH WAS DEVELOPED FROM THAT THAT MONEY ORIGINATES FROM PART C OF IDE A IF ANYONE WANTS TO KNOW I WEAR'' T WANT TO NOISE WAUKESHA ON THIS BUT KIND IS MY BAILIWICK SO I ASSUME THIS IS REALLY A WONDERFUL PIECE OF REGULATION I ASSUME THIS IS A TIME FOR US TO ENHANCE OUR AGENCIES TO TAKE A LOOK AT THE COLLABORATION SYCHRONISATIONS AND COMPREHENSIVE WORK THAT THEY ARE INTENDED TO BE DOING IN THIS FIELD ALREADY.
I DON'' T KNOW IF MISS THIMJON INTENDS TO REACT OVERALL POINT ON TITLE V PUBLIC HEALTH OR THAT SOMETHING YOU INTENDED TO TAKE BACK AND ALSO SERVICE BUT REGARDLESS I ASSUME I INTEND TO AID THIS ENHANCE THIS ACTUALLY FANTASTIC BECAUSE YOU STATED THE TRIBAL NATIONS AS WELL AS TRIBAL ORGANIZATIONS ARE DOING SOME GREAT THINGS SO LET'' S COORDINATE AND ALSO I HIGHLIGHT RED LAKE AS A RESULT OF THE TRUTH THAT THE EARLY CHILDHOOD YEARS CENTER AS WELL AS I NEGLECT OFFHAND THE OTHER 3 3 THE OBTAIN THAT SPECIFIC FEDERAL IDE A DOLLARS SPECIFICALLY FOR EARLY TREATMENT IF THAT MAKES FEELING TO YOU SEN. SEN. KUNESH. THANKS MME. CHAIR YES SEN. HOFFMAN THANK YOU FOR YOUR DEEPNESS OF KNOWLEDGE ON THESE PROBLEMS AND ALSO MAYBE WHAT I WILL CERTAINLY DO IS SIT DOWN WITH YOU AND ALSO WE CANISTER EXPAND ON THIS A BIT EVEN MORE I VALUE IT.
MME. CHAIR I WOULD LOVE TO OFFER YOU An ENTIRE BACKGROUND OF HOW THESE ENTERED INTO BEING AND WHERE THEY GO TO SEN. ABELER GETS ON HER THAT. MAY BE SIMPLY THE HIGH CLIFF NOTES. THANKS SEN. HOFFMAN ANY OTHER QUESTIONS OR REMARKS? I WOULD ADD ON A BIT TO WHAT SEN. HOFFMAN CLAIMED I THINK THIS PROGRAM I HAVE ACTUALLY LOCATED ENCOURAGING AS A RESULT OF THE SPECIFIC NATURE OF TRYING TO ADDRESS THE CROSS SECTOR SYSTEMS AND COORDINATING SYSTEMS NOT ONLY BECAUSE WE CONTAINER MAKE BETTER USE OF OUR RESOURCES BUT MORE IMPORTANTLY WE CANISTER ENSURE THAT FAMILIES HAVE A EASIER AND ALSO MORE STRAIGHTFORWARD TIME BROWSING THE SYSTEM AND BROWSING THE VARIOUS PROGRAMS THAT WE HAVE AVAILABLE IN MAKING SURE THAT ALL CHILDREN HAVE GAIN ACCESS TO TO THEM. I REALLY APPRECIATE YOU BRINGING THE BILL FORWARD AS WELL AS I ANTICIPATE SEEING IT DEVELOPMENT AND WHAT WE ARE GOING TO HAVE WHAT WE WILL FINISH WITH THIS COSTS IS IT REQUIRES TO GO TO THE STATE AS WELL AS CITY GOVERNMENT AND ALSO PROFESSIONALS COMMITTEE AND WE WILL CERTAINLY HAVE IT GO THERE WE WILL CERTAINLY HAVE TO ESTABLISH HOW TO GET IT BACK AFTERWARDS SO WE HAVE TO TALK EVEN MORE REGARDING THE PATHWAY BACK TO THE BUDGET PLAN BOARD.
FOR NOW FOR TODAY WE ARE GOING TO HAVE IT TRAVEL TO THE STATE AS WELL AS REGIONAL GOVERNMENT AS WELL AS EXPERTS COMMITTEE AS A RESULT OF THE ADVISORY COUNCIL. SEN. ABELER. I CAN MAKE THE ACTIVITY FOR THE EXPENSE TO GO THERE. SEN. KUPEC IS PREPARED. I WILL CERTAINLY ACCEPT SEN. SEN. KUNESH TO ACCOMPLISH A FINAL REMARKS. KNOW BUT I VALUE THE ACKNOWLEDGMENT WHAT IS STILL A PROGRAM THIS IS. YOU CAN HEAR THIS IS REALLY A GRASSROOTS EFFORT STARTED WITHIN THE AREA BY AREA MEMBERS OFTEN AS WE HEARD WE ARE NOT CHARGING FAMILIES THEY WEREN'' T GETTING COMPENSATED AS WELL AS IT'' S ADVANCED RIGHT INTO A PROGRAM THAT I THINK IS AN EXAMPLE AND I'' M HAPPY AS WELL AS SATISFIED TO BE CARRYING THIS BILL AND LOOK ONWARD TO ENHANCING IT AND ALSO ENFORCING IT IN SUCH A WAY THAT'' S GOING TO MAKE OUR COMMUNITIES EVEN BETTER.
THANK YOU SEN. KUPEC. THANKS MANAGER I RELOCATE US SENATE FILE 42 AS AMENDED BE ADVISED TO PASS AND ALSO BE RE-REFER TO THE STATE AS WELL AS REGIONAL GOVERNMENT AND ALSO VETERANS COMMITTEE. THANKS ON THE SEN. KUPEC MOTION ALL THOSE IN FAVOR SAY AYE, THOSE OPPOSED, THE ACTIVITY DOES PASS US SENATE DATA 402 IS 402 IS RE-REFER TO TO THE COMMITTEE ON STATE AND ALSO RESIDENT FEDERAL GOVERNMENT AND ALSO EXPERTS. THANKS QUITE FOR BRINGING THIS AHEAD THESE DAYS. CURRENTLY WE ARE GOING TO TRANSFER TO AN EDUCATIONAL DISCUSSION BY THE DIVISION OF HEALTH I ASKED THE DIVISION TO FIND AHEAD WITH THIS PRESENTATION ON THE ALL PAYER DECLARES DATABASE BECAUSE WE WILL CERTAINLY BE HEARING AT SOME FUTURE HEARING DAY WE WILL BE HEARING ONE OR A COUPLE OF EXPENSES THAT HAVE A CONNECTION HAVE TAKE ADVANTAGE OF THE ALL PAYER ASSERTS DATABASE AND ALSO IT IS A RATHER TECHNICAL TO RESOURCE WE HAVE ACCESSIBILITY TO IN MINNESOTA WE HAVE THE CAPABILITY TO LEARN FROM THIS SOURCE AND ALSO I INTENDED TO ENSURE BOARD MEMBERS HAD A HISTORY ON THE REVIEW SO MANY THANKS MR. GILDEMEISTER FOR COMING TO THE BOARD TO PRESENT THAT REVIEW AND ALSO IF YOU CAN SPECIFY YOUR NAME FOR THE DOCUMENT AND START YOUR DISCUSSION.
GREAT EARLY MORNING MME. CHAIR MEMBERS OF THE BOARD FOR THE DOCUMENT I'' M STEFAN GILDEMEISTER I DIRECT THE HEALTH AND WELLNESS BUSINESS ECONOMICS PROGRAM IN THE MINNESOTA DIVISION OF HEALTH ON THE STATE WELLNESS ECONOMIST. THANK YOU FOR HAVING ME THIS MORNING. YOU VIRTUALLY TOOK MY INTRO MME. CHAIR BUT THE ALL. MINNESOTA OPEN AIR CLAIMS DATA SOURCE IS ESSENTIALLY An INFORMATION POSSESSION THE LEGISLATURE CREATED THAT IS An EFFECTIVE DEVICE FOR GIVING INFO IN KEY POLICY AREAS SUCH AS HEALTH CARE SPENDING, JUST HOW MUCH WE INVEST IN WHAT SERVICES WE SPENT MEDICAL CARE TO WHAT EXTENT THEY ARE ECONOMICAL AS WELL AS WHAT INDIVIDUALS PAY OUT-OF-POCKET HOW EFFICIENT THE SYSTEM WORKS HOW MUCH WASTE THERE IS IN THE SYSTEM, WHETHER IS TO KNOW ABOUT HEALTH CARE TOP QUALITY CONDITION AND ALSO PUBLIC HEALTH. WE APPEARANCE A LOT WITH THESE DATA AT THE HEALTHCARE MARKET AND HELPS INFORM PUBLIC HEALTH IT'' S AN ESSENTIAL PROPERTY THAT MINNESOTA HAS ACTUALLY CREATED IN THE EARLY 2009 2009 AS A BIPARTISAN EFFORT. MINNESOTA'' S ONE OF AMONG 17 STATES THAT RUNS IN ALL PAYER DECLARES DATA SOURCE AS WELL AS AMONG EARLY ONES. WHAT IS MINNESOTA A PCD? IT IS A TOOL A TOY FOR SCIENTISTS NOT ACTUALLY. THE A PCD OUR MASSIVE DATA EQUIPMENT THAT ARE A BYPRODUCT OF THE MEDICAL CARE REPAYMENT SYSTEM WHERE WE TRACK WHAT SERVICES WE ARE SUPPLIED AT WHAT PRICE AS WELL AS WHO IS IN CHARGE OF SPENDING FOR THEM.
IT'' S AS A SAY A BY-PRODUCTS OF THE INTERACTION BETWEEN PROVIDERS AS WELL AS PAYERS. GENERALLY CONSISTS OF DETAILS ON ENROLLMENT THAT HAS INSURANCE INSURANCE COVERAGE IT CONSISTS OF MEDICAL AS WELL AS PRESCRIPTION DRUG ASSERTS AND AFTERWARDS DEAL RATES FOR SOLUTIONS SUPPLIED. IT IS BY ITS NATURE GEOGRAPHICALLY RICH DATA RESOURCE WITH PARTICULARS FOR INSURED MINNESOTANS UNDIAGNOSED PROBLEMS WHAT TREATMENTS WHAT OFFERED THEM AND ALSO WHO THE MAINTENANCE SUPPLIERS ARE. IT INCLUDES DATA FOR INDIVIDUALS ON MEDICARE AND ALSO STATE PUBLIC PROGRAMS AND ALSO INDIVIDUALS WITH COMMERCIAL INSURANCE POLICY. WHICH NATURALLY 60% OF INDIVIDUALS IN THE STATE HOLD. THE COMMERCIAL DATA IS GOTTEN A LITTLE THIN STARTING IN 2016 2016 BECAUSE THE SUPREME COURT RULED THAT STATES CAN NOT COMPEL COMPANIES TO SUBMIT THESE INFORMATION BUT NEVERTHELESS THERE IS REALLY POWERFUL AND ALSO SOLID INFORMATION AROUND INDIVIDUALS SMALL TEAM AND ALSO TEAM PROTECTION IN THESE INFORMATION SO COLLECTIVELY THERE'' S INFORMATION IS AVAILABLE FOR ABOUT 5 MILLION UNIQUE COVERED 5 MILLION ONE-OF-A-KIND COVERED LIVES IN THE STATE AND ALSO REGARDING 2 2 BILLION ASSERTS.
THE DATA IS THE DETERMINED AND WHAT THAT INDICATES ESSENTIALLY IS NORMAL RECOGNIZING INFORMATION IS NOT PART OF THE DATA THAT'' S AN PROPERTY AND ALSO TO EXTENT A WEAK POINTS OF THE DATA BATTLE STATES DO THIS THE MEANS MINNESOTA DOES BUT MATTERS LIKE PATIENT NAME DAY OF BIRTH SOCIAL PROTECTION NUMBER CLIENT ADDRESS DETAIL ON REVENUE OR DETAIL FROM ELECTRONIC MEDICAL RECORDS NONE OF THAT INFORMATION IS IN THE INFORMATION IT'' S A TOUGHNESS BECAUSE IT LOWERS THE THREAT OF THESE HEALTH AND WELLNESS DATA IT ' S A WEAK POINT DUE TO THE FACT THAT IT PRODUCES SOME DATA HONESTY PROBLEMS THAT YOU TIN'' T DEAL WITH IF YOU CAN'' T ALWAYS LINK UP PEOPLE. HOW ARE THESE DATA AVAILABLE? THERE ARE ESSENTIALLY TWO MEANS THE TWO METHODS THE LEGISLATURE IN ESTABLISHING THIS EFFORT LIMITED ACCESSIBILITY TO THE DATA TO THE DEPARTMENT OF HEALTH FOR USE IN ANALYZING VARIANT IN MEDICAL CARE EXPENSES HIGH QUALITY USAGE AS WELL AS HEALTH PROBLEM PROBLEM. INCLUDING LOOKING GEOGRAPHICALLY AT THE DISTRIBUTION OF THESE THINGS SO WE MAKE THE INFORMATION AVAILABLE THROUGH OUR STUDY FINDINGS AS WELL AS REPORTS AS WELL AS INFORMATION SHORT TAKES.
SECONDLY WE HAVE ESTABLISHED RECAP PUBLIC USAGE FILES AND ALSO IN AN INTERACTIVE DATA DASHBOARD THAT KIND OF IS SHOWN BY HE GRAPHIC ON THE RIGHT-HAND SIDE I'' M DELIGHTED TO PROGRAM SOME OF THIS TO YOU. STAMINAS AND RESTRICTIONS I ' VE DISCUSSED THE STRENGTHS A BIT A FEW OF LIMITATIONS IS BY THE NATURE OF THE PROGRAM LIMITED TO MDH THERE'' S LIMITED KNOW-HOW IN PERSONNEL THAT CANISTER READ PRODUCE A RETURN ON INVESTMENT OF THIS INFORMATION WE DON'' T USUALLY HAVE SCIENTIFIC KNOWLEDGE ON OUR GROUP OR ACTUARIAL SCIENCE STOOD FOR SO WE CANISTER ONLY REACH THUS FAR MAKING USE OF THE INFORMATION.
CURRENTLY THIS IS ORE OF FUNCTION OF THE INSURANCE COVERAGE CLAIMS SYSTEM THERE IS NO INFORMATION ON RACE RACE AFTER VISITING WE DON'' T COLLECT DENTAL DECLARES INFORMATION AND ALSO AS SUPPORTER SELLS THE MOUTH AS PART OF THE BODY SO IT'' S CLEARLY WEAK POINT SCIENTIFIC DATA IS MISSING OUT ON THAT INDICATES FOR SOME ANALYTICS REALLY DID NOT HAVE INFORMATION ON LAB RESULTS PROGRESSION OF ILLNESS THINGS LIKE THAT. THERE ARE SOME CONSTRAINTS TO HEALTHCARE MARKET TRANSPARENCY IN THAT THE INFORMATION CURRENTLY IS NOT PERMITTED TO DETERMINE CARRIER ORGANIZATIONS I WILL CERTAINLY REVEAL YOU IN A MOMENT SOME WORK WITH MEDICAL FACILITY INFORMATION WE CANISTER'' T IDENTIFY THOSE WE LABEL THEM AS HEALTH CENTER An AND B AND C. WHEN WE SHOW THESE DATA TO EMPLOYERS THEY ARE STATING HOMES PRACTICAL TO ME I NEED TO KNOW HOW THE HOSPITALS IN MY NETWORK HOW THEIR PRICES CONNECT TO OTHER RATES OUT THERE. An ISSUE WITH THE EFFICIENCIES OF THE EXTENT TO WHICH THE DATA ARE TOTALLY EFFICIENT.
THERE ARE SOME PURVIEW Y THE NATURE OF HOW THE INFORMATION WERE ARRANGED E DON'' T HAVE DATA ON UNINSURED MINNESOTANS THERE'' S SOME FEDERAL PROGRAMS THAT ARE NOT REPRESENTED IN THESE DATA SOMETHING WE KEEP WORKING ON BUT THESE VOIDS EXIST AS WELL AS I STATED THE SPACE PERTAINING TO THE HIGH COURT CHOICE ON A RESEARCH PREEMPTION. THIS IS ONE INSTANCE OF THE MANY CURRENT PUBLICATION OR WE LOOKED AT HEALTH CARE COSTS AND CHECKED OUT THE 2016 THROUGH 2021 WERE 2021 WERE MODERNIZING IT NOW TO 2020 VIA 2021 AND ALSO 2021 AND BASICALLY WERE LOOKING UP THE DRIVERS OF HEALTH CARE SPENDING BETWEEN UTILIZATION AS WELL AS COSTS WHAT DRIVES HEALTHCARE SPENDING AS WELL AS YOU RECOGNIZE THE IDEA THAT IT'' S THE PRICE STUPID AS WELL AS IT TRULY IS AND ALSO HAS BEEN EVEN WHEN USAGE DROPPED OR PARTICULARLY WHEN APPLICATION FELL IN $2,020 DURING THE COVID PANDEMIC DILEMMA. THIS OFFERS UNDERSTANDING ABOUT TRENDS ON THE MARKET COSTS QUANTITY AS WELL AS MOTORISTS. I DISCUSSED THIS A MOMENT AGO WE TOOK A LOOK AT HEALTH CENTER COMMON HEALTHCARE FACILITY PROCEDURES AND ANALYZED PATTERN OF HEALTH CENTER PRICES WITHIN CENTERS AND ALSO ACROSS CENTERS AND ONCE MORE WE FIND SOMETHING THAT I BELIEVE MOST OF United States KNOW BUT IT'' S STILL REALLY BENEFICIAL TO SEE IN HARD PROOF THAT THERE IS HUGE VARIANT IN COSTS THROUGHOUT THE STATE BUT EVEN WITHIN HOSPITALS SO ESSENTIALLY THERE'' S NOT ONE ONE RATE FOR DISTRIBUTION OF AN APPENDECTOMY AS LOTS AS THERE ARE AGREEMENTS AS WELL AS MARKET POWER DRIVES THE PRICES THAT ARE BEING BILLED.
THE MARKET THE HEALTHCARE MARKET TO THINK WE ORGANIZE MEDICAL CARE AROUND IN MINNESOTA IS NOT REALLY WORKING EFFICIENTLY TRANSPARENCY IS MISSING. A NUMBER OF YOU KNOW THE HEALTH AND WELLNESS DEPARTMENT COLLABORATION WITH BUSINESS AND ALSO PERSON SOLUTION DIVISION IS LOOKING AT RESEARCH STUDY OF TELEHEALTH PARTICULARLY ON INFLUENCE OF HEALTHCARE ACCESS COSTS AND ALSO DISPARITIES IN UTILIZATION THIS IS EARLIER FUNCTION WHERE WE BEGAN TO TRACK TRENDS IN TELEHEALTH IN MINNESOTA IN THIS INFORMATION ASSISTS THE STATE EDUCATE THE LEGISLATURE AS WELL AS PLAN DECISIONS AROUND THE TELEHEALTH AREA REPORT LOOMS I SHOULD STATE.
OUR OLLEAGUES IN THE GENERAL PUBLIC HEALTH AND WELLNESS AREA OF AGENCY HAVE LOOKED AT HYPERTENSION FREQUENCY AS WELL AS DRUG ADHERENCE AND ALSO HAVE WORKED VERY CLOSELY BASED ON THESE INFORMATION WITH PHARMACISTS TO INCREASE MEDICINE AT HEARINGS WE LOOKED AT OPIOID PRESCRIBING IN MINNESOTA AND IDENTIFYING PATTERNS OF ADDICTION OVERPRESCRIBING AN ESTIMATED THE VOLUME OF NEWLY ADDICTED PEOPLE BASED ON PAST PATTERNS. THEN THERE ARE THESE PUBLIC USE RECORD THAT I STATED EARLIER THAT WE GENERATE I WILL SHOW TO YOU IF YOU WANT TO PUT IN THE TIME ON BUT ESSENTIALLY THESE ARE SUMMARY DATA AT THE MEMBER SOLUTIONS APPLICATION DEGREE LOOKING AT CARRIER SPECIALTIES AND ALSO PRESCRIPTION DRUG WHEN WE EVALUATE TIME AND ALSO WHERE WE ANALYZE DATA FOR VARIOUS SOLUTIONS THE PURPOSE OF THE DASHBOARD IS TO MAKE THESE DATA ACCESSIBLE TO INDIVIDUALS WHO ARE NOT PROGRAMMERS WERE A VARIETY OF ANALYTIC AND ALSO TECHNICAL ABILITIES THESE DATA MAKE THIS INFO ACCESSIBLE ON HEALTH CARE USAGE HEALTH CARE EXPENSE AND CIRCULATION IN THE STATE. I INTENDED TO GATHER OFFERING YOU AN SUMMARY OF THE TYPE OF FUNCTION WE ARE MAKING WITH THIS DATA CURRENTLY THERE ARE 19 ENERGETIC 19 ACTIVE RESEARCHES AT THE HEALTH AND WELLNESS DEPARTMENT UTILIZING THE MINNESOTA APC REMAIN IN THE SPREAD ACROSS THE SUBJECT AREAS THAT I POINTED OUT EARLIER ON I WON'' T READ THIS ALL TO YOU'I ' M HAPPY TO SHARE THIS MOVE DECK I BELIEVE IT'' S AVAILABLE, BUT TO DETECT A COUPLE OF DETAILS I HAVE ACTUALLY NOT CURRENTLY MENTIONED.
IN THE LEGAL AREA WE USE THE INFORMATION TO EDUCATE THE REQUIREDS ESTIMATES THE COMMERCE DIVISION AND OUR DIVISION DEALS WITH WITH EACH OTHER WE SEEK TO EXAMINE WHAT PRICE MANDATES MIGHT HAVE TO INSURANCE POLICY CONVENIENCES AS WELL AS HOW IT INFLUENCES PREMIUMS. I STATED THE DEAL WITH PRICE DRIVERS WHICH I REVEALED YOU A SLIDE ON AS WELL AS WE ARE LIKEWISE LOOKING PROACTIVELY ON PATTERNS OF OUT-OF-POCKET COSTS ACROSS PAYERS FOR PRESCRIPTION MEDICATIONS AND ALSO MEDICAL SOLUTIONS AND LIKEWISE FOR PARTICULAR CONDITIONS TO AID YOU NOTIFY CHOICES AROUND COSTS IN THIS ROOM.
THE INDIVIDUAL AS WELL AS SMALL GROUP MARKET IS AN ENERGETIC POLICY LOCATION FOR THE LEGISLATURE SO WE ARE LOOKING AT TRENDS IN BENEFITS AS WELL AS REGISTRATIONS AND PREMIUMS HOW ARE INDIVIDUALS BUYING COVERAGE WHAT ADVANTAGE DO THEY ACQUISITIONS AND HOW IS THE CHOICE BETWEEN THE LEVEL AND PRIVATE SPENDING HOW DOES THAT PLAY BENT ON INDIVIDUALS AND ALSO UP WITH THE TYPE OF HEALTH AND WELLNESS PLAN THAT IS AFFORDABLE AS WELL AS GENERATES THE MEDICAL INSURANCE AS WELL AS HEALTH AND WELLNESS ACCESSIBILITIES THAT THEY ARE LOOKING FOR. IN THE PUBLIC WELLNESS SPACE THERE IS WORK RECURRING ASSOCIATED TO DRUG ADHERENCE I MENTIONED THAT DEMENTIA OCCURRENCE AND CARDIAC RECOVERY. WE ARE BEGINNING A VARIETY OF AREAS OF FUNCTION CONCERNING SICKLE CELL ILLNESS YOUR TESTIFIERS ON THE FIRST COSTS WE'' VE TALKED WITH ABOUT HOW TO USAGE THESE DATA SUCCESSFULLY TO ASSISTANCE RARE CONDITIONS EVALUATIONS AND OPENNESS.
WE ARE CONSIDERING MENTAL WELLNESS DIAGNOSIS AS WELL AS UTILIZATION OF FETAL ALCOHOL SYNDROME PROBLEM AND ALSO NEONATAL ABSTAINING PATTERNS AND ALSO I COULD GO ON BUT I THINK THESE ARE THINGS THAT KEEP United States BUSY TODAY. THIS MY LAST SLIDE MME. CHAIR AND I'' M SATISFIED TO TAKE CONCERNS. THANKS AND ALSO PARTICIPANTS DO ANY MEMBERS HAVE QUESTIONS SEN. ABELER. MANY THANKS GREAT TO SEE YOU ONCE AGAIN SPENT A GREAT DEAL OF TIME AND I'' M ALWAYS AMAZED I BEAR IN MIND ALL THIS STUFF. OF THE GOV.'' S PROPOSALS THIS YEAR IN THE HEALTH DIVISION OR ANY BUDGET PLAN, SOME OF THOSE PROPOSITIONS EDUCATED BY THIS MATERIAL DID YOU ALREADY SAY THAT I WAS JUST INTERESTED WHAT THE RESULT IS THEN.
D. GILDEMEISTER. MME. CHAIR AND ALSO SEN. ABELER IT'' S A GREAT INQUIRY I HAVEN ' T THOUGHT ABOUT IT QUITE IN THIS WAY BUT I WILL TRY TO SERVICE AN ANSWER I THINK THERE ARE NUMBER OF PROPOSITIONS THAT CLEARLY WANT TO ADDRESS CERTAIN WEAK POINTS OR RESTRICTION IN THE INFORMATION. COMMISSIONER CUNNINGHAM HAS ACTUALLY ENCOURAGED United States TESTED United States PUSHED US TO COLLECT RACE ETHNIC CITY INFORMATION AS COMPONENT OF THE DATABASE SINCE OF ALL THE REASONS THAT ENCOURAGE THAT DECISION. IT'' S AN UPHILL CHALLENGE BECAUSE THESE INFORMATION DON'' T EXIST GENERALLY WITH INSURANCE PLANS BUT WE NEED TO BEGINNING SOMEPLACE TO ENSURE THAT'' S ONE ONE DENTAL DECLARES IS THE 2ND ONE THE GOV. HAS CAMPAIGN IN THE BUDGET TO REINFORCE PRICE BY DEVELOPING INVESTING TARGETS KIND OF RECOGNIZING THAT HEALTH CARE COSTS MOVES MUCH FASTER THAN RISING COST OF LIVING AND Y DOING SO IT TAKES RESOURCES FROM THE COMMUNITY AS WELL AS AS IT FRANKLY INTO THE MEDICAL CARE SYSTEM WHICH CAMPAIGN IS DRIVEN BY THIS ONGOING EVALUATIONS OF INVESTING TRENDS AND ALSO EVALUATIONS OF WASTE IN THE SYSTEM WHICH WE THINK THERE IS SOMEPLACE AROUND 20 OR 25% OF OVERALL INVESTING.
VARIOUS OTHER LOCATIONS WHERE THE GOV.'' S INITIATIVE SPENDING PLAN PROPOSALS ARE EDUCATED BY THIS WORK, CONNECT TO CERTAINLY THE PUBLIC OPTION IT IS A FEATURE OF JUST HOW MUCH WE SPENT AND HOW AFFORDABLE HEALTH CARE IS FOR PEOPLE THROUGHOUT THE STATE IN VARIOUS REGIONS AND WITH DIFFERENT EXPOSURE OF OUT-OF-POCKET SETTLEMENTS SO THOSE ARE THE IMPORTANT THINGS THAT MOST QUICKLY COME TO MIND. I'' M A PHONE A BUDDY TO SEE IF THERE'' S ANYTHING E ELSE. BOTH EFFORTS I 2 EFFORTS I DISCUSSED THAT ADDRESS A FEW OF THE RESTRICTION ARE TO STRENGTHEN THE APC BE RELATED TO DENTAL CLAIMS AND RACE ETHNIC CITY I KNOW THEIR COSTS YOU WILL BE HEARING THE CHAIR POINTED OUT THAT THAT TAKE THE AP CD FARTHER BEYOND WHAT THE GOV.'' S PROPOSITION WAS TO APPEARANCE TO OPEN THE DATA APPROXIMATELY MORE USAGE FOR A PUBLIC ADVANTAGE AND ALSO TO CONQUER CONSTRAINT ON DENTIFYING CARRIER ORGANIZATIONS IN THE DATA.
THAT'' S MY EXTREMELY LENGTHY ANSWER TO YOUR REALLY EXACT CONCERN. SEN. ABELER. THANKS FOR CALLING MY CONCERN PRECISE I VALUE THE ANSWER AND ALSO THIS HAS BEEN SUBJECT OF MUCH CONVERSATION ABOUT PERSONAL PRIVACY PROBLEMS AS WELL AS I VALUE PERSONAL PRIVACY A GREAT DEAL BUT THIS IS ALL DE-IDENTIFIED I DON'' T KNOW HOW YOU ' RE GOING TO GET ETHNIC INFORMATION OUT OF THAT WHEN WE SUBMIT OUR DECLARES IT DOESN'' T SAY THE ETHNIC CITY IS NOT ONE OF THE AMONG PACKAGES ON INSURANCE POLICY FORM THAT YOU CONTAINER COLLECT. IT LOOKS LIKE THEY HAVE STUDIED IF YOU'' RE 50 AND ALSO AS WELL AS 50 AND AND THERE ' S A LOT THAT COULD BE GLEANED FROM A FEW OF THIS IN A FEW OF THEIR APPROACHES THAT COULD AID United States ACTUALLY FIND OUT WITH THE 25% OF MATTERS WE ARE DOING THAT DON'' T MAKE ANY FEELING.
IT INTERESTED HEAR YOUR SOLUTION AND AS YOU STATED YOU RAISED THE EXPENSE PERSONAL CONTRIBUTION TO YOUR HEALTHCARE IS A PURPOSEFUL NUMBER BUT ON THE EXPANSION OF MINNESOTA TREATMENT I WOULD ADDITIONALLY HOPE YOU WOULD NOTIFICATION A $10,000 MEDICAL FACILITY MAY AFFECT HOSPITALS THAT MAY INTEND TO REMAIN OPEN GREATER MINNESOTA THAT YOU TIN'' T PAY NURSES SCALE ON MINNESOTA CARE EARNINGS SO I REALLY HOPE THAT WOULD COME OUT OF YOUR DIVISION TOO MANY THANKS MME.
CHAIR. MEMBERS ANY OTHER QUESTIONS SEN. KUPEC. THANK YOU OF COURSE I THINK ATTENDING TO A FEW OF THESE LIMITATIONS A GREAT DEAL OF THIS GOES TO DETAILS SEN. ABELER HAD SAID PRIOR TO. ABOUT LOOKING AFTER A FEW OF THE DIFFERENCES WE HAVE IN HEALTH CARE THROUGHOUT THE STATE AS WE STEP ONWARD IN MAKING THOSE CHOICES MME. CHAIR AS WE ARE SPENDING THAT MONEY HAVING MORE INFORMATION ON THAT PARTICULAR ASPERITY IN ADDRESSING THESE WILL AID United States MOVING ON. I'' M LIKEWISE ATTRACTED BY THE MAPS BECAUSE OF ALSO A MAP OVERVIEW BESIDES An INFORMATION GUIDE THE INTERESTING DISPARITIES FROM SOUTH TO NORTH THROUGHOUT THE STATE OF MINNESOTA. THAT SORT OF IT'' S NOT COUNTRY URBAN IT'' S VIRTUALLY SELF NORTH COULD BE THE WEATHER MAP BACK I'' M LOOKING AT BUT IT'' S THAT ' S AN INTERESTING STUDY THE INFORMATION HERE SO THANKS I APPRECIATE DEALING WITH THAT. MR. GILDEMEISTER. MME. CHAIR AS WELL AS SEN.I TIN HOOK YOU UP WITH LOTS OF MAPS AND WE HAVE CHECKED OUT GEOGRAPHIC DETAILS FOR CHILDREN'' S HEALTH AND WELLNESS AND FOR PERSISTENT ILLNESS PATTERNS AS WELL AS OF COURSE MUCH OF THOSE ARE AFFLICTED BY THE AGE CIRCULATION AS WELL AS OTHER FACTORS SO WE WISH TO ADJUST THOSE BUT YES LOCATION AS WELL AS REVEALING VARIATION VISUALLY HAS BEEN REALLY POWERFUL TOOL FOR EVEN TO US TO TAKE TIME OUT AS WELL AS ASK OURSELVES WHAT DRIVES THAT? THANK YOU FOR ACKNOWLEDGING THAT AND AFTERWARDS MME.
CHAIR IF I MAY FOLLOW-UP TO SEN. ABELER'' S COMMENT, THE PROBLEM WITH PACKAGE AND ALSO RACE ETHNIC CULTURE IS AN CRUCIAL ONE BUT S I BEGAN TO SAY WE HAVE TO BEGINNING SOMEWHERE AND ALSO THIS IS NOT A SIMPLE POINT TO HEALTH INSURANCE PLAN SUBMIT THIS INFORMATION BECAUSE THEY MAY NOT HAVE IT. REALLY IF WE ARE MAJOR IN HOLDING OR HAVING DATA THAT SPECIFIES AT THE RACE ETHNIC CULTURE DEGREE WE ENABLE THEM TO UNDERSTAND IN THISTO INFORMATION IS LEGAL AND SERVES A PURPOSE WE HAVE TO DEAL WITH ENROLLEES INDIVIDUALS AND HOMEOWNERS AND MAKE THEM UNDERSTAND COLLECTION OF THESE INFORMATION SERVES A PLAN FUNCTION AS WELL AS IMPROVING MEDICAL CARE RATHER THAN AS A MEANS TO FOSTER TERMINATION AND ULTIMATELY WE SORT OF NEED TO USE DETAILS THAT EMERGES EFFECTIVELY TO SHOW THAT COLLECTING THESE DATA OFFERS An OBJECTIVE.
IT'' S NOT RECENTLY WE HAVE THE INFORMATION AS WELL AS WE ARE PLEASED AS WELL AS WE CANISTER DO A VARIETY OF ANALYSES BUT RATHER WE HAVE TO BRING IT BACK TO THE AREAS AND SAY AND THIS IS HOW YOUR INFORMATION COMES TO PLAY WHETHER THAT'' S ABOUT ACCESS TO BOOK PRESCRIPTION DRUGS OR ACCESSIBILITY TO LIFE-SAVING SURGICAL PROCEDURE OR PERSISTENT CONDITIONS. THANKS, SEN. KUPEC. ANYBODY ELSE WITH QUESTIONS SEN. ABELER. MANY THANKS MME. CHAIR AS WELL AS THIS IS A SIDEWAYS COMPLEMENT SUE TO TRY TO ADJUSTMENT THE HIPAA KIND TO PUT A BOX AND IT MAKES EVERY PROCESS AT YOUR DIVISION LOOK EXTREMELY EFFECTIVE AS WELL AS EFFICIENT AND ALSO QUICK I CAN'' T PICTURE HOW THAT WOULD GO BUT I APPRECIATE THE IDEAS GOOD LUCK. MR. GILDEMEISTER CHEST MME. CHAIR WE HAVE AN AWESOME GROUP AND ALSO WE DEAL WITH VENDORS WE HOLD ACCOUNTABLE SO THE STRATEGY IS TO CONTINUE THAT BUT THANKS. ANY OTHER QUESTIONS FROM MEMBERS? I JUST WISHED TO ASK ONE POINT ABOUT IN STIPULATIONS OF WHEN YOU DISCUSSED USAGE AS WELL AS FOR EXAMPLE SETUPS TIN YOU TALK A LITTLE MORE CONCERNING YOUR RESTRICTION IN TERMS OF HOW GRANULAR OR HOW SPECIFIC THAT CANISTER BE FOR US IN TERMS OF YOU CAN DRILL TO CARRIER TYPE BUT WITHIN THAT POSSIBLY IF YOU CONTAINER DESCRIBE A LITTLE EVEN MORE REGARDING LIMITATIONS AS YOU GET INVOLVED IN LIKE CARRIER INFORMATION AND INSURANCE POLICY CARRIER OR PROVIDER INFORMATION.
DEFINITELY MME. CHAIR. THE DAY IT IS INCREDIBLY GRANULAR AND I INTEND TO MAKE THE DISTINCTION IN BETWEEN WHAT'' S IN THE DATA AS WELL AS WHAT WE CONTAINER OPENLY OFFER CURRENTLY. WHAT'' S IN THE DATA IS ESSENTIALLY INFORMATION ON THE SERVICING AND ALSO PAYMENT CARRIER THE DATA TELLS AND ALSO ENSURE AND AS A RESULT INFORMS ANALYSTS WHO AT WHICH SITE SO THERE'' S AN MPI THAT INTERNALIZE THE SERVICE PROVIDER AND ALSO THE AREA AS WELL AS VIA THIS NPI TYPICALLY CLAIMS INFORMATION IS NEVER THAT EASY BUT THROUGH THE NPI TYPICALLY WE UNDERSTAND WHETHER IT WAS A MEDICAL PROFESSIONAL OR REGISTERED NURSE PRACTITIONER AND ALSO WE KNOW ONCE MORE THROUGH THE NPI WHAT THE SPECIALTY IS SO IT'' S EXTREMELY DETAILED INFORMATION FACILITY WEBSITE, MEDICAL FACILITY PLACE, THE MEDICAL CARE SYSTEM IS COMPLICATED AS WELL AS I BELIEVE MAYBE THIS PARTICULAR IS ANOTHER OPPORTUNITY TO RESPONSE SEN.
ABELER'' S QUESTION ABOUT THE GOV. ' S SPENDING PLAN PROPOSITION ONE $1 EFFORT IS TO MAKE AN FINANCIAL INVESTMENT IN A PROVIDER DIRECTORY SITE THAT HELPS United States UNDERSTAND WHETHER A CARRIER ORGANIZATION IS ABSOLUTELY PART OF THE HEALTHCARE FACILITY VERSUS AN INDEPENDENT ENTITY SO ROLLING A PROVIDERS TO MEDICAL EQUIPMENT IS TYPE OF COMPLICATED BECAUSE OF HOW THEY ARE CODED IT TAKES A LOT OF FUNCTION SO SUPPLIER DIRECTORY WOULD ASSISTANCE WITH THAT BUT YES TO ANSWER YOUR CONCERN WHAT IS MORE THE INFORMATION IS REALLY INCREDIBLY GRANULAR TO DISTINGUISH BETWEEN THE RATES THE SERVICING COMPANY AND ALSO OTHER STATES OF USE THE INFORMATION TO TAKE A LOOK AT THE COST FOR PROVIDING SIMPLE IMAGING SOLUTIONS WITHIN A HEALTH CENTER EMBEDING IN AN EMERGENCY SPACE SETTING OR IN A FREESTANDING SOLUTION ATMOSPHERE SO THOSE DISTINCTIONS ARE FEASIBLE AND REALLY EFFECTIVE AND ALSO I THINK WE HAVE TO DO EVEN MORE OPERATE IN THIS AREA TO UNDERSTAND INCENTIVES EFFICIENCIES OF WASTE AND ALSO AS SEN. ABELER STATED WITH RESPECT TO THE GENERAL PUBLIC OPTIONS IT'' S A PROBLEM IS NOT TO SING WHERE CANISTER WE DRIVE MEDICAL CARE SO IT CONTAINER BE DELIVERED AT THE LOWEST COST THERE EFFICIENCIES IN GAIN ACCESS TO AS WELL AND ALSO THERE ALSO HEALTH SYSTEM FUNDING QUESTIONS BUT YES THAT IS WHY GOT SO EXCITED ABOUT THE ABCD BECAUSE IT SUPPLIES REALLY EXISTS IS REALLY EFFECTIVE DEVICE TO RESPONSE THESE CRUCIAL POLICY CONCERNS.
THANK YOU. EMBERS ANYTHING ELSE? I TRULY VALUE YOU PLACING THIS WITH EACH OTHER SO WE HAVE SORT OF A BASELINE AND ALSO PARTICIPANTS MIGHT THINK OF OTHER SPECIFIC AREAS THEY WANT TO EXPLORE ND I WISH IT OFFERS PEOPLE A METHOD TO DO THAT SO THANKS FOR PLACING THAT TOGETHER AND ALSO WE MIGHT DEMAND YOU AS WE GO THROUGH THE BILLS THAT ARE ESPECIALLY HAVE THAT ELEMENT INCLUDED BUT THIS HELPS US GET GOING ON THAT EVALUATION THANK YOU. THANK YOU MANAGER I'' M DELIGHTED TO COME BACK ONCE MORE.
PARTICIPANTS SEEING NOTHING ELSE FUNCTION.
