Committee on Health and Human Services – 02/28/23

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GREAT MORNING IT IS TUESDAY, FEBRUARY 28TH, 2023 AND ALSO WE HAVE A QUORUM PRESENT. TODAY WE WILL CERTAINLY FIRST USE UP SENATE DATA 73 WHICH WE WERE WORKING WITH RECENTLY AND SEN. PORT IS BELOW ONCE MORE TO DISCUSS RESUME DISCUSSION ON THE BILL. WE WENT TO THE POINT OF QUESTIONS AND ALSO AMENDMENTS AND SEN. PORT DID YOU HAVE ANY FURTHER COMMENTS YOU WISH TO MAKE AS WE BEGIN. KNOW SIMPLY THANK YOU FOR PUTTING IN THE TIME TO HAVE THE FULL CONVERSATION ON THIS I APPRECIATE IT I ASSUME WE ARE AWAITING A COUPLE OF AMENDMENTS FROM ME THAT ARE BEING PRINTED CURRENTLY.

WE CANISTER GO BACK TO THE CONVERSATIONS WE WERE HAVING BEFORE. APPARENTLY WE HAVE THE MODIFICATIONS HERE CURRENTLY THOSE ARE AVAILABLE DO YOU INTENDED TO BEGIN WITH THOSE. SEN. ABELER HAD AN CHANGE. DO YOU HAVE COPIES. I DO NO. WHEN YOU HAVE COPIES THEN IF YOU COULD LET ME KNOW WHICH ONE ONE YOU WOULD LIKE TO OFFER FIRST. SEN. PORT. MME. CHAIR IF WE CAN RELOCATE THE A71 FIRST. SEN. MANN WILL CERTAINLY RELOCATE THE A71 MODIFICATION. IT IS BEING LOST CONSCIOUSNESS. SEN. PORT TO YOUR MODIFICATION. THIS IS A REALLY STRAIGHTFORWARD AMENDMENT LAST WEEK WHEN WE MET WE ADDED RECUPERATION TO THE PORTION OF THE EXPENSE IN PREVENTION TREATMENT AND HEALING AS WELL AS RECUPERATION WAS MISSED ON ONE LINE SO THIS ADDS IN THE RECUPERATION PORTION THAT WAS MISSED ON THAT LINE. PARTICIPANTS ANY QUESTIONS ON THE A71 MODIFICATION? SEEING NO DOUBT ALL THOSE FOR THE AMENDMENT PLEASE SAY AYE, THOSE OPPOSED THE MOTION DOES PREVAIL THE AMENDMENT IS TAKEN ON. SEN. PORT DO YOU HAVE ANOTHER PERSON CHANGE. YES IF WE CONTAINER RELOCATE THE A73 AMENDMENT. SEN. MANN WILL YOU MOVE THE MODIFICATION PLEASE. SO MOVED. THE MODIFICATION IS BEING LOST CONSCIOUSNESS THE A73.

SEN. PORT CONTAINER YOU DEFINE THE MODIFICATION. OF COURSE THANK YOU MME. CHAIR THIS IS AN CHANGE WE HAVE BEEN WORKING ON WITH NAMI TO ADDRESS A VARIETY OF CONCERNS THEY HAVE IN THE EXPENSE. IT DOES A COUPLE OF MATTERS, FIRST IT GATHERS DATA FROM STATE COURTS AS WELL AS HEALTH CENTERS ON THE USAGE OF MENTAL WELLNESS AND MATERIAL USAGE DISORDERS EMERGENCY CLINIC VISITS AS WELL AS THINGS LIKE THAT WE ARE COLLECTING THE DETAILS TO FIND OUT ABOUT THE INCREASE OF CHECK OUTS AND ALSO THE SERVICES REQUIRED AND OBTAINS A RECAP SO WE ARE MAKING CERTAIN WE ARE ACCUMULATING THE INFORMATION TO LOCATE OUT IF THERE ARE RISES IN MINNESOTA. IT LIKEWISE ADDS HILD WELFARE WORKERS TO A SECTION OF THE COSTS I WILL MISS OVER THAT FOR A MINUTE WHILE WE PULL THAT UP.

IT REQUIRES CANNABIS FLOWER AS WELL AS CANNABINOID PRODUCTS REQUIREMENT BE INACCESSIBLE TO YOUNGSTERS AND STORED FAR FROM FOOD PRODUCTS WARNING LABELS LIKE THAT PUTS THE COMMISSIONER OF HUMAN BEING SERVICES TO CREATE THE PROGRAMS THAT ARE UNDER THERAPY INSTEAD OF THE COMMISSIONER OF WELLNESS. WE WILL CERTAINLY ADOPT EVIDENCE-BASED CULTURALLY INFORMED AS WELL AS RESPONSIVE TREATMENTS AND SERVICES THAT FUNDS ARE MADE USE OF TO ADVERTISE THE GROWTH OF AS WELL AS RECOVERY SPECIALISTS WHICH IS A SPECIFIC PIECE WE WISH TO DISCUSS THAT IS THE MANY RELIABLE METHOD THAT WE HAVE ESTABLISHED IN ALL OF THE RESEARCH STUDY IN THE VARIOUS OTHER STATES TYPE OF PEER-TO-PEER EDUCATION AND LEARNING IS ONE OF THE MOST EFFECTIVE BOTH IN STOPPING FIRST USE AND ALSO THROUGH RECUPERATION.

THE MORE SUPPORT YOU HAVE FROM YOUR P ARE NETWORK THE MORE YOU ARE ABLE TO GET ACCURATE INFORMATION FROM YOUR P ARE NETWORK THE EVEN MORE VALUABLE IT IS THE MORE IT STICKS AND ALSO ACTUALLY CURBS ACTIONS. THAT IS A PIECE WE WISHED TO DEVELOP OUT IN THIS, THE FINAL BIG POINT THAT THIS DOES IS IT DELETES THE COMPOUND USAGE ADVISORY COUNCIL THAT'' S PRODUCED IN THE BILL AND ALSO RATHER POINTS BACK TO SUBSTANCE USE AND ALSO OPIOID ADVICE THAT THE GOVERNOR ALREADY HAS WE DISCUSSED THAT A BIT RECENTLY AS WELL AS IN CHATTING WITH DHS AND ALSO THE GOV.'' S OFFICE AS WELL AS WITH TREATMENT AND ALSO HEALING EXPERTS THEY SAY THIS WOULD BE A DUPLICATE OF COUNCIL WHICH ADVICE ACTUALLY IS ALREADY DOING FUNCTION THROUGHOUT THE STATE AS WELL AS THEY PREFERRED TO HAVE IT AIM STRAIGHT TO THAT ADVICE.

PARTICIPANTS ANY QUESTIONS ON THE AMENDMENT? SEEING NO QUESTIONS ON THE A73 CHANGE ALL THOSE IN FAVOR SAY AYE, ANY OPPOSED, THE MOTION IS TAKEN ON THE ACTIVITY PASSES AND ALSO THE CHANGE IS EMBRACED. THE FINAL ONE I WILL CERTAINLY SUPPLY MME. CHAIR IS THE A72. SEN. MANN WOULD YOU SUPPLY THE A72 AMENDMENT. SO RELOCATED. THE A72 CHANGE IS BEING PASSED OUT. SEN. PORT PLEASE DESCRIBE THE MODIFICATION.

THIS INCLUDES RIGHT INTO THE KIND OF CHECKLIST OF WARNINGS THAT NEED TO BE DEVELOPED BY THE WORKPLACE A PARTICULAR WARNING LABEL REQUIRING REGARDING THE EFFECTS OF USAGE OF CANNABIS BLOSSOM AND CANNABINOID PRODUCTS FOR PEOPLE 25 YEARS OLD OR YOUNGER THIS IS A PART WE HAVE CHATTED REGARDING THROUGHOUT TESTAMENT OCCASIONALLY ARE SEVERAL PLACES IN THE BILL WHERE WE HAVE PEER-TO-PEER EDUCATION AND LEARNING IN WHICH WE HAVE CIVIL SERVICE EDUCATION AS WELL AS POINTS LIKE THAT BUT WE ARE ADDITIONALLY ADDING THE WARNING TAG. MEMBERS ANY INQUIRIES ON THE AMENDMENT? SEEING NO DOUBT ON THE A72 MODIFICATION ALL THOSE IN FAVOR PLEASE SAY AYE, ANY OPPOSED, THE MOVEMENT DOES COME ON THE AMENDMENT IS ADOPTED.

ANY FURTHER AMENDMENTS. THAT'' S WHAT I HAVE TO RELOCATE THANK YOU. RELOCATING TO PARTICIPANT AMENDMENTS ARE THERE ANY FURTHER CHANGES SEN. ABELER. THANKS MME. CHAIR I UNDERSTAND YOU HAVE A BRAND-NEW DUPLICATE AVAILABLE I DON'' T REMEMBER THE NUMBER BUT IT ' S ONE TO MODIFICATION THE AGE FROM AGE 21 APPROXIMATELY 25. 25. I SEE COUNSEL HAS THE MODIFICATION OR YOU DO NOT. MME. CHAIR IT IS THE A60 THREE AMENDMENT.THREE CHANGE.

I WILL RELOCATE THE AMENDMENT I PUT ON ' T KNOW IF YOU REQUIRED A COPY EVERYWHERE IT STATES AGE 21 IT 21 IT WOULD ADJUSTMENT TO AGE 25 25 THERE'' S A NUMBERS OF CITATIONS BUT THE REST OF THE COSTS REMAINS THE SAME. I WILL MOVE THE CHANGE AND AFTER THAT DEAL A COMMENT. SEN. ABELER MOVES THE A60 3 AMENDMENT SEN. PORT ANY COMMENTS. THANKS MME. CHAIR I ASK MEMBERS TO ELECT NO ON THIS AS AS A NATION WE HAVE AGREED THE AGE OF 21 YOU ARE ADULTS AND WE ARE PROVIDING AMPLE EDUCATION AND LEARNING PARTICULARLY TO THE KINDS OF EDUCATION AND LEARNING IN THIS COSTS THAT WE ARE FOUND THROUGH RESEARCHES IN OTHER STATES HAVE BEEN EFFECTIVE TO GET THE DETAILS TO YOUNG INDIVIDUALS ABOUT THE RISKS. AT SOME TIME THEY ARE ADULTS AND WE HAVE TO DEPEND ON THEY WILL CERTAINLY TAKE THE INFO AND ALSO USE IT TO MAKE THE IDEAL DECISIONS FOR THEMSELVES. ALSO I WOULD ADD ALCOHOL HAS ADVERSE IMPACTS ON THE BRAIN NO PERSON IS CALLS TO RELOCATE THE LAWFUL AGE OF DRAINING TO AGE 25 MIND ADVANCEMENT 25 BRAIN ADVANCEMENT BEYOND MIND DEVELOPING BOTH ALCOHOL AND TOBACCO HAVE SIGNIFICANTLY STRONGER WELLNESS CONCERNS AND WE ARE NOT KIND OF SINGLING THEM OUT IN THAT METHOD MY BIGGEST ARGUMENT IS THIS BILL IS BUILT ON THE PREMISE THAT RESTRICTION HAS NOT FUNCTIONED IT IS A STOPPED WORKING SYSTEM THAT IS NOT KEPT CANNABIS OUT OF THE HANDS OF OUR COMMUNITIES AND OUR COMMUNITIES HAVE PAID A REALLY HIGH PRICE FOR THAT.

IF OUR GOAL IS TO HAVE PEOPLE FROM THE AGE OF 21 TO AGE 25 NOT USE 25 NOT USE CANNABIS WHY WOULD WE FOCUS ON FELL SHORT PROHIBITION SYSTEM THAT IS NOT BEEN EFFECTIVE IN DOING THAT UNTIL NOW INSTEAD WE NEED TO CONCENTRATE ON THE THINGS WE KNOW THAT WORK WHICH IS PEER-TO-PEER EDUCATION WHICH IS GETTING CIVIL SERVICE EDUCATION AND LEARNING OUT THERE WHICH IS WORKING THROUGH THE SYSTEMS THAT WE UNDERSTAND CAN BE EFFECTIVE. IF WE WERE TO ELEVATE THE AGE TO 25 WE WOULD ESSENTIALLY BE BEAMING A SPOTLIGHT ON YOUNGSTER FOR THE IMMORAL MARKET TO TARGET THEM IN OUR GOAL IN THIS COSTS IS TO WORK AND ALSO UTILIZE THE VERY BEST METHOD WE HAVE ACROSS OTHER STATES TO DESTROY THE ILLEGAL MARKET AND THIS WOULD BE SHINING A LIMELIGHT TO THEM TO TARGET OUR YOUNG INDIVIDUALS SO FOR THAT FACTOR I REQUEST A NO BALLOT.

PARTICIPANTS ANY FURTHER CONVERSATION OR COMMENTS ON THE MODIFICATION SEN. ABELER. I WON'' T BELABOR THIS WE DISCUSSED THIS A LITTLE BEFORE, I AGREE YOU INTEND TO SAFEGUARD THE YOUNGSTERS FROM THE IMMORAL MARKET BUT I ALSO DON'' T AGREE THAT WE REQUIREMENT TO DISREGARD EVERY SCIENTIFIC POINT OF VIEW ABOUT THE INJURIES OF THIS SPECIFIC PRODUCT EVEN IN YOUR LAST CHANGE WARNING LABEL ABOUT UNDER AGE 25 WHEN IT'' S AGE 21 WITH A 21 WITH A CAUTION LABEL THE YOUNGSTERS ARE GOING TO BLOW THIS WARNING UP AND HOLDING ON THE WALL SURFACE IN THEIR DORMITORY BECAUSE IT'' S GOING TO BE FUNNY BECAUSE IT ' S IMMATERIAL WE HEARD THE EXCELLENT GOV.

VENTURA SAY IF YOU'' RE ABLE TO BE IN THE ARMED FORCE OUGHT TO BE ABLE TO SMOKE A JOINT IT'' S JUST THAT CASUAL NO BIG OFFER. I SPOKE WITH SOME MEDICINE PEOPLE THIS EARLY MORNING THE GROWTH IN DRUG THERAPY NOWADAYS THE FAST GROWTH REMAINS IN MARIJUANA IN THE PRESENT SCENARIOS WHEN WE MAKE IT LEGAL THERE WILL CERTAINLY BE MORE IN YOUR 2ND AMENDMENT YOU DISCUSSED MORE TREATMENT YOU SPOKE ABOUT FIRST EPISODE OF CYCLE UNTIL YOU'' RE 25 I 25 I PUT ON ' T TREATMENT IF WE CHECK OUT WE HAVE A CIGARETTE SMOKING THINK WE CONTAINER BUY CIGARETTES WHEN YOU'' RE 21 BUT 21 BUT YOU CAN SMOKE THEM WHEN YOU'' RE 18 THAT IS GOOFY BUT ACTUALLY SOMEBODY IDEA IT MADE FEELING AND PERHAPS IT'' S HELPING MINIMIZE CIGARETTE SMOKING. I BUT I CANISTER TELL YOU PASSING THIS BILL AT AGE 21 WILL INJURY INDIVIDUALS DEATH THIS COSTS AT AGE 21 21 WILL MAKE MORE SITUATIONS OF THE MOMMY WHO SAT THERE ABOUT HER SON WITH PSYCHOSIS THAT AT AGE 22 22 WHO ACTUALLY KILLED HIMSELF DEATH THIS EXPENSE AT AGE 21 21 WILL CERTAINLY CAUSE HARM AS WELL AS I TIN'' T REMEMBER A TIME IN THIS BODY WHEN WE PASSED An EXPENSE THAT WE UNDERSTOOD WOULD CAUSE INJURY AND ALSO THAT'' S WHY URGE MEMBERS TO CHOOSE AGE 25 AND ALSO PUT A BIG STAR ON THEIR IT'' S NOT MY OBJECTIVE TO HINDER THE COSTS BUT IT'' S MY OBJECTIVE TO MAKE THE EXPENSE WE PASSED BE ONE THAT YOU CAN HAVE SOME CONFIDENCE IN THAT INDIVIDUALS THAT COMPLY WITH THE LEGISLATION WILL REFRAIN FROM DOING HARM THAT'' S ALL I HAVE

MME. CHAIR. SEN. MANN. THANK YOU MME. CHAIR THIS IS SOMETHING I HAVE BEEN BATTLING WITH QUITE A BIT AS YOU RECOGNIZE THEREFORE I WAS LEANING TOWARDS THIS ENTIRE TIME VOTING FOR THE AGE BOOST HOWEVER LAST NIGHT I TALKED WITH SEVERAL INDIVIDUALS CONSISTING OF POLICE FELLOW DOCTORS, INDIVIDUALS FROM COLORADO I MADE A WHOLE NIGHT OF IT IT WAS WONDERFUL. A NUMBER OF THINGS ATTRACTED ATTENTION IN MY MIND ONE IS ONE IS THIS CONCEPT THAT WE AS A SOCIETY HAVE DECIDED THAT 21 21 MAKES YOU AN ADULT I DON'' T KNOW IF I CONCUR NECESSARILY I REMEMBER BEING 21 AND BEING A FULL MORON BUT THAT ' S WHAT WE HAVE DECIDED COLLECTIVELY AS WELL AS I WEAR'' T THINK INDIVIDUALS SHOULD SMOKE MARIJUANA AT THAT YOUNG AGE I WEAR'' T THINK INDIVIDUALS SHOULD DRINK ALCOHOL AT 21 BUT AGAIN 21 BUT AGAIN WE HAVE MADE A DECISION THAT WE ARE GOING TO ALLOW PEOPLE TO MAKE HER OWN CHOICES AT AGE 21.

THE OTHER THING IS IT WAS BROUGHT TO MY FOCUS IF WE TAKE THAT TEAM OF PEOPLE AND SAY YOU CAN NOT DO THIS THERE ALREADY DOING IT RIGHT, 21-YEAR-OLDS VIA 25 THERE 25 THERE ALREADY USING IF THEY'' RE GOING TO USAGE CANNABIS THERE ALREADY UTILIZING CANNABIS IN THE STATES THAT HAVE LEGALIZED IT THE USE FOR THAT AGE 21 WITH 25 DID NOT 25 DID NOT RISE IN THAT STUCK OUT TO ME A FAIR BIT WHAT TOOK PLACE BECAUSE AGE THERE ABLE TO GET A LEGAL PRODUCT THAT IS REGULATED RATHER THAN GETTING FENTANYL TIED PRODUCTS ON THE ROAD. SO WHILE I STILL IS DIFFICULT FOR ME BECAUSE IT OPERATE IN THE EMERGENCY ROOM I HAVE An EXTREMELY SKEWED VISION OF WHAT HAPPENS WHEN THERE'' S ALCOHOL USE AND ALSO SUBSTANCE ABUSE I TOTALLY UNDERSTAND THE OTHER SIDE AS WELL AS I THINK IF WE INTEND TO DO OUR BEST TO NOT ALIENATE INDIVIDUALS TO NOT PUT FIRE UNDER AN UNLAWFUL MARKET TO MAKE CERTAIN PEOPLE ARE OBTAINING A SAFER PRODUCT, THEN I BELIEVE ELECTING MAINTAINING AGE 21 IS THE 21 IS THE RIGHT DECISION.

THANKS SEN. MANN. ANY OTHER COMMENTS OR QUESTIONS? WE WILL RELOCATE TO A VOTE AND ON THE A60 3 AMENDMENT OFFERED 3 CHANGE OFFERED BY SEN. ABELER ALL THOSE IN SUPPORT SAY AYE, THOSE OPPOSED, THE MOVEMENT DOES NOT PREVAIL THE AMENDMENT IS NOT EMBRACED. THANK YOU MME. CHAIR I VALUE THE CONVERSATION THAT THIS IS STILL AN VITAL TOPIC THANKS. THANK YOU SEN. ABELER. ANY OTHER AMENDMENTS MEMBERS HAVE? SEN. LIESKE. I KNOW SEN. HOFFMAN WAS TALKING ABOUT CARRYING THIS BUT I ALSO PROVIDED TO BRING IT IF HE WASN'' T RIGHT HERE I WOULD STEP THE

A70 AMENDMENT. SEN. LIESKE RELOCATES THE A70 CHANGE THAT WILL BE PASSED OUT. SEN. LIESKE CANISTER YOU DEFINE THE MODIFICATION. I WILL CERTAINLY DO THE FINEST I TIN. THE CHANGE BASICALLY EXPLAINS A RESEARCH STUDY WILL CERTAINLY BE DONE ON THE RESERVATIONS IN ORDER TO SEE IF THERE'' S ANY INCREASES BEING USED OR THINGS OF THAT NATURE I BELIEVE THAT'' S THE FUNDAMENTALS OF WHAT THIS AMENDMENT WILL CERTAINLY TRY TO ACCOMPLISH. SEN. PORT ANY RESPONSE. THANK YOU MME. CHAIR SEN. LIESKE I'' M WONDERING HAS THERE BEEN CONVERSATIONS WITH THE TRIBES ON THIS I'' VE BEEN TALKING WITH THEM QUITE A LOT AND ALSO HAVE NOT HAD A CONVERSATION ABOUT THIS ITEM.

SEN. LIESKE. MME. CHAIR YES REGARDING I KNOW THEY HAVE SEN. ECO-FRIENDLY WAS IN CONVERSATION WITH THE PEOPLE AND HE OFFERED THIS AS A POSSIBLE MODIFICATION FOR THIS COMMITTEE SO SINCE HE'' S NOT SITTING ON IT HE ASKED ME AND SEN. HOFFMAN TO LOOK INTO THE POSSIBILITY OF LUGGING THIS FORWARD TO HAVE THAT INFORMATION EASILY AVAILABLE. SEN. PORT. THANK YOU MME. CHAIR AT THIS MOMENT I WOULD REQUEST A NO BALLOT ON THIS I'' M NOT CERTAIN THIS IS THE PLACE TO PERFORM RESEARCH ON THE NUMBER OF MURDERS AS WELL AS DEATH RATES ESPECIALLY TAKING INTO CONSIDERATION IN MY MANY CONVERSATIONS WITH THE PEOPLE I HAVE ACTUALLY NOT HEARD THIS AT ALL SO I WOULD REQUEST A NO BALLOT.

SEN. ABELER. THANKS MME. CHAIR AND ALSO SEN. PORT IS THIS BILL GOING TO THE HUMAN SERVICES BOARD NEXT. IT IS. ADAM CHAIR I WOULD HAVE A SUGGESTION NONE OF US HAVE SEEN THIS ADAM UP THIS IS A GREAT MODIFICATION OR NOT, HOW COULD SEN. HOFFMAN NOT HAVE A GOOD CHANGE THAT SEEMS TO BE IMPOSSIBLE GIVEN THAT WE ARE GOING TO GO TO THE BOARD NOW THAT THE CHANGE IS AROUND SEEMS INDIVIDUALS CAN REACT TO IT SO POSSIBLY YOU INTEND TO CONSIDER WAITING ON THIS. THANKS AND SEN. LIESKE. SUPERVISOR I WILL CERTAINLY TAKE OUT THE CHANGE FOR NOW AND ALSO WILL LET IT HAVE FACTOR TO CONSIDER IN THE NEXT BOARD. THANKS SEN. LIESKE WITHDRAWS THE A70 AMENDMENT I ASSUME THAT WOULD BE GOOD TO HAVE THE CONVERSATION WITH THOSE THAT ARE INVOLVED AND SEN. PORT AND DISCUSS WHETHER THE STATISTICS CATCHING THE STATISTICS WOULD BE SOMETHING WOULD BE MEANINGFUL AND OF INTEREST. ANY OTHER CHANGES? MEMBERS DO YOU HAVE ANY FINAL COMMENTS OR DISCUSSION BEFORE WE MOST LIKELY TO THE WRITER SEN.

UTKE. THANK YOU MME. CHAIR I HAVE A NUMBER OF QUESTIONS I WOULD LOVE TO GO THROUGH WITH THE WRITER TO GET SOME ADDITIONAL INFOS AND I WILL TAKE THEM AS I HAVE THEM TO AS WELL AS MOVE FORWARD. UNDER THE INTERPRETATIONS IN THESE THINGS ARE GOING TO COME UP IN VARIOUS DETAILS THROUGHOUT THE COSTS BUT IT JUST HAPPENS TO BE THE MEANS I HAVE THEM YOU HAVE BONA FIDE LABOR COMPANY AS WELL AS YOU HIGHLIGHT THAT WHY? IT APPEARS YOU ARE SPECIFICALLY CLAIMING ALL WORKERS ARE MEMBERS OF AN ARRANGED LABOR UNIT IS THAT CORRECT AND ALSO WHITE. THANK YOU MME. CHAIR AS WELL AS SEN. UTKE YES AS WE ARE SETTING UP THIS NEW SECTOR WE NEED TO GUARANTEE IT HAS GREAT PAYING EXCELLENT ADVANTAGE JOBS FOR MINNESOTANS THIS EXPENSE WHICH WILL BE DISCUSSED IN LENGTH IN THE LABOR BOARD ON THURSDAY I THINK DOES REQUIRE A LABOR PEACE AGREEMENT. SEN. UTKE. THANKS MME. CHAIR MY ONLY REMARK THERE AS WELL AS I WOULD FOLLOW TO SEE WHAT WE SEE APPEAR OF THE JOBS COMMITTEE OR LABOR BOARD YOU STATED BUT THE REALITY THAT THERE AN ARRANGED LABOR UNIT DOES NOT YOU MENTIONED GOOD PAY AND ALSO ADVANTAGES, THAT DOESN'' T SIGNIFY THAT HOLDS TRUE MAYBE THE OTHER WAY TOO.

I WILL WAIT TO SEE WHAT ADDITIONAL COMES OUT I TAKE PLACE TO SEE THAT A LITTLE DIFFERENTLY. ON WEB PAGE 6 WEB PAGE 6 DEPARTMENT OF SOCIAL EQUITY PROMOTES GROWTH SECURITY AND SAFETY AND SECURITY IN COMMUNITIES THAT EXPERIENCED AT THIS PROPORTIONATE DOWNSIDE INFLUENCE FROM CANNABIS RESTRICTION AND ALSO USAGE. I KNOW THAT'' S GOING AHEAD UP HERE LATER ON ONCE AGAIN IN THE EXPENSE, WHY WOULD NOT HAVING LEGALIZED MARIJUANA BE A TROUBLE? I PUT ON'' T SEE IN WHICH WE ARE TARGETING AND SING WE HAVE COMMUNITIES THAT ARE SUFFERING BECAUSE THEY DON'' T HAVE

THAT. WE ARE GOING TO VIEW AS WE GO FURTHER INTO THE COSTS THE REALITY THAT IT'' S ACKNOWLEDGING THE REALITY WERE GOING TO FULFILL MORE SU D SERVICES WE WILL NEED MORE DIFFICULTIES WITH YOUNGSTER WE WILL HAVE ALL THESE ISSUES SIMPLY TRYING TO UNDERSTAND WHY THAT IS An ISSUE NOT HAVING IT. SEN. PORT. THANK YOU MME. CHAIR AND SEN. UTKE WHAT THIS IS REALLY ACQUIRING AT ACROSS THE COUNTRY AS WELL AS IT'' S REAL IN MINNESOTA PEOPLE OF COLOR AND ALSO WHITE PEOPLE USE MARIJUANA AT ROUGHLY THE VERY SAME RATES NEARLY SIMILAR PRICES YET THEY ARE PROSECUTED AT SIGNIFICANTLY DIFFERENT PRICES OVER 4 – ONE THAT THAT BLACK PEOPLE ARE PROSECUTED FOR HAVING CANNABIS FOR USING CANNABIS AT A MUCH HIGHER PRICE THAN WHITE INDIVIDUALS AS WELL AS WHAT THIS ACCESSES IS THERE HAS BEEN A DISCRIMINATORY EXPENSE TO CANNABIS PROHIBITION THAT IS AFFECTED SPECIFIC COMMUNITIES GREATER THAN OTHERS AND WHAT THIS IS TRYING TO VENTURE OUT IS IF YOU BECOME PART OF A NEIGHBORHOOD THAT HAS BEEN TARGETED AND ALSO PAID A MUCH HIGHER PRICE THAN ANY OTHER COMMUNITY THAT WE WISH TO MAKE SURE AS CANNABIS IS NO MORE FORBADE AND ALSO HAS A LAWFUL MARKET IS SETTING UP AS WELL AS I'' M CERTAIN YOU ' LL GET THE TO THIS IN YOUR INQUIRIES THAT YOU WILL CERTAINLY HAVE A RISK YOU HAVE THE CAPABILITY TO GET RIGHT INTO THIS MARKET THAT HAS ACTUALLY TRIGGERED SUCH DRASTIC HARM THROUGH PARTICULARLY BLACK MINNESOTAN COMMUNITIES.

SEN. UTKE. THANKS MME. CHAIR I ASSUME THE SOLUTION SORT OF GOT AWAY FROM WHAT THIS AREA WAS CHATTING ABOUT THIS IS JUST TALKING CONCERNING THEY DIDN'' T HAVE IT WASN ' T AVAILABLE WE ARE GOING INTO THE LAWFUL SIDE MORE OF APPREHENSIONS AND ALSO SUCH I WEAR'' T SEE A LINK THERE TO TALK ABOUT IT SAFEGUARDS THE STATE'' S INTERESTS. WHY WOULD THAT BE THE CASE IT ESSENTIALLY FROM WHAT I AM SEEING THE ORGANIZED LABOR STAFF MEMBER TEAM THAT WOULD BE WORKING THERE IS FORBIDDEN TO CHOICE IT OR HAVE FUNCTION INTERRUPTION ETC. AROUND THE MARIJUANA SERVICE BUT WHY DOES THAT PROTECT THE STATES RATE OF INTEREST. SEN. PORT. MME. CHAIR CAN INTRODUCE MY SPECIALIST AS WELL AND ALSO HAVE HER TAKE THIS CONCERN. APPEAL STATE YOUR NAME FOR THE RECORD AS WELL AS SOLUTION THE QUESTION.E PROJECT SUPERVISOR FOR MN PREPARES THE STATES LARGEST AS WELL AS THE MAJORITY OF VARIED UNIONS OF CANNABIS PLAN STAKEHOLDERS.

WE HAVE BEEN WORKING FOR SEVERAL YEARS AND IN THE LAST FEW MONTHS TO DO MUCH OF THE PLAN RESEARCH STUDY AND STAKEHOLDER INVOLVEMENT TOWARDS PRODUCTION IMPROVEMENTS TO THE COSTS. MME. CHAIR AND ALSO SEN. UTKE THE LABOR PEACE AGREEMENT PROVISION DOESN'' T REQUIRE ENTIRETY OF THE WORKFORCE IN THE CANNABIS INDUSTRY BE UNIONIZED BUT IT NEEDS LABOR PEACE ARRANGEMENTS SINCE SINCE ONE OF THE MAJOR PUBLIC LAW GOALS OF THIS COSTS IS TO ELIMINATE THE IMMORAL MARKET AS WELL AS TO ENSURE THERE'' S SUFFICIENT SUPPLY OF WELL-REGULATED PRODUCT THAT IS SAFE AND OFFERED TO CONS CONSUMERS, THE PROBLEM FROM THE STATE INTEREST PERSPECTIVE WITH HAVING A LABOR CONCERN THAT INTERFERES WITH SUPPLY IS THAT WOULD THEN PUSH CONSUMERS TO INVESTING IN THEIR PRODUCTS FROM AN ILLICIT MARKET IN WHICH THEY ARE LESS SECURE AS WELL AS UNCONTROLLED THE LABOR PEACE CONTRACT ARE NOT UNUSUAL IN SITUATIONS LIKE THAT WHERE THERE'' S PROBLEMS OF HEALTH AND WELLNESS F PUBLIC INTEREST THAT MIGHT BE DISRUPTED OR ENDANGERED DUE TO A LABOR DISPUTE.

SEN. UTKE. THANK YOU MME. CHAIR I THINK A LITTLE OF A COMMENT THE FACT THAT THIS WOULD IT WAS BROUGHT UP I WILL TALK ABOUT THE IMMORAL MARKET IS GOING TO GO AWAY THAT IS FROM EVERY LITTLE THING I HAVE SEEN RIGHT HERE READING ETC. OR THE LAST NUMBER OF YEARS IT DOESN'' T TAKE PLACE THAT ' S A PIPELINE DESIRE. IN SOME CASES IT GROWS SINCE WE EXPOSE YOUNGSTER TO THE PRODUCT MAYBE WITH A LEGAL ACQUISITION BUT IT LEADS TO THE ILLEGAL MARKET. I DON'' T SEE THAT ONCE MORE AS ANYTHING THAT REFERS TO MANAGING AND ALSO DECREASING IT FEELS LIKE THIS IS ONLY GOING TO INCREASE THE USE OF THIS ITEM. I STAND UP TO PAGE WEB PAGE 15 AND YOU HAVE A MEDICAL MARIJUANA PROGRAM IT DISCUSSES THE DUTIES OF THE DEPARTMENT OF WELLNESS, THIS IS ALL BEING MOVED ESPECIALLY THE CLINICAL MARIJUANA FROM THE DEPARTMENT OF WELLNESS TO THIS NEW OFFICE.

HOW IS THAT RELATIONSHIP BETWEEN THE DEPARTMENT OF HEALTH AND WELLNESS AND ALSO THIS NEW WORKPLACE DO YOU SEE THAT WORKING, PARTICULARLY THE MEDICAL CANNABIS IS STILL SO-CALLED HEALTH PRODUCT THEY'' RE GOING TO HAVE TO FUNCTION TOGETHER WHERE DO YOU SEE THAT HOW DO YOU SEE THAT WORKING. THANKS MME. CHAIR AND ALSO SEN. UTKE, THERE ARE NUMEROUS PROVISIONS IN THE EXPENSE ESPECIALLY AS IT REACHES THE MEDICAL CANNABIS PROGRAM WHERE THEY OPERATE IN TANDEM WITH EACH OTHER THEY WILL CERTAINLY INTERACT HOWEVER PUTTING EVERYTHING UNDER ONE FOR THE LICENSING FOR GUIDELINES AND FOR CHECKING FOR EVERY ONE OF THOSE PIECES, IT MAKES MORE FEELING THAN LEAVING THAT TYPE OF OFF TO THE SIDE UNDER THE DIVISION OF HEALTH. WE HAVE FOLKS FROM DHS RIGHT HERE RIGHT NOW IF YOU HAVE ADDED INQUIRIES ON THAT PARTICULAR THAT YOU WANT TO ASK. SEN. UTKE. MME. CHAIR I BELIEVE WE MUST THIS IS THE HEALTH BOARD I BELIEVE IT'' S CRUCIAL TO LISTEN TO THAT.

THE DIVISION OF HEALTH AND WELLNESS IS HERE, WELCOME TO THE BOARD PLEASE STATE YOUR NAME FOR THE DOCUMENT. I AM THE SUPERVISOR OF THE CLINICAL MARIJUANA PROGRAM AT THE MINNESOTA DEPARTMENT OF HEALTH MANY THANKS MME. CHAIR. SEN. UTKE YOU HAVE A CONCERN FOR THE DEPARTMENT. THANK YOU MME. CHAIR MY CONCERN WAS WE SEE EVERYTHING RELOCATE'' S DEVELOPING ON THE ENTERTAINMENT SIDE A NEW OFFICE FOR MARIJUANA BUT IT'' S LIKEWISE BRINGING ALONG THE CLINICAL CANNABIS WHICH WOULD HAVE A STRAIGHT CONNECTION AS FOR IT'' S PART OF HEALTH CARE AS WELL AS IT'' S BEING CONFORMED. HOW DO YOU SEE MY CONCERN WAS ABOUT THE FUNCTIONING RELATIONSHIP DUE TO THE FACT THAT IT'' S STILL PRESCRIBED AS A HEALTH ITEM THE CONNECTION IN BETWEEN THE BRAND-NEW WORKPLACE AS WELL AS THE EXISTING DEPARTMENT OF HEALTH AND WELLNESS WILL YOU STILL BE INCLUDED OR HOW DO YOU SEE THAT IT'' S ALL KINDA PROPOSED IT STILL THEORETICALLY HOW DO YOU REVIEW THAT.

MISS EMPHASES. MME. CHAIR AS WELL AS SEN. UTKE THE COSTS KEEPS THE MEDICAL PROGRAM THE DEFINITIONS OF MEDICAL MARIJUANA PRODUCTS IT KEEPS THE FRAMEWORK OF THE WORKPLACE OF MEDICAL CANNABIS AS IT OPERATES TODAY IT DOES CREATE NEW CERTIFICATE CATEGORIES FOR THE SUPPLIERS BUT LARGELY THE WORKPLACE WILL PRESERVE THE MANNER IN WHICH IT OPERATES TODAY.THE MEANS WE OPERATE AS AN COMPANY NOW IS WE HAVE VERY STRONG CONNECTIONS WITH VARIOUS OTHER COMPANIES FOR INSTANCE THE MEDICAL CANNABIS PROGRAM HAS SOLID PARTNERSHIP WITH THE MINNESOTA DIVISION OF AGRICULTURE NOW AS WELL AS WE AIM TO THEM FOR THEIR KNOWLEDGE ON CULTIVATION AND ALSO PESTICIDE USE AND OTHER DETAILS THAT RUN OUT THE WHEELHOUSE OF THE DIVISION OF HEALTH AND WELLNESS AND I WOULD IMAGINE A SIMILAR PARTNERSHIP WITH OTHER AGENCIES AS NEEDED WOULD BE WHAT OCCURS WITH THE OFFICE OF CANNABIS MANAGEMENT THEY WOULD TAKE ADVANTAGE OF VARIOUS OTHER AREAS OF EXPERTISE WITH INTERAGENCY CONTRACTS OR IN INFORMAL DISCUSSIONS WERE SUBJECT MATTER EXPERTS AS NEEDED.

SEN. UTKE. THANKS MME. CHAIR THAT'' S WHAT I WAS LOOKING FOR. MME. CHAIR IF I COULD THERE REMAINS IN THAT SAME LOCATION WE TALK ABOUT PRODUCTION LOANS AS WELL AS GRANTS FOR THESE PROGRAMS. WHAT KIND OF CASH OR AMOUNTS DO YOU SEE AS BEING MADE USE OF IN LENDINGS AND GIVES DUE TO THE FACT THAT TO ME I WILL TOSS IT OUT THERE SO YOU CONTAINER RESPOND TO IT TO LET US KNOW WHAT THESE LOANS AND GRANTS WILL CERTAINLY WIND UP DOING TO ME IT'' S TAKING MARIJUANA DISPENSARY TO An AREA NEAR YOU. WHAT IS THE CONCEPT BEHIND THIS AS WELL AS HOW BIG WILL CERTAINLY IT BE. SEN. PORT. THANK YOU MME. CHAIR AS WELL AS SEN. UTKE, THERE ARE NOT FISCAL NUMBERS IN THIS COSTS YET WE ARE STILL WAITING FOR THE FINANCIAL NOTES THOSE WILL CERTAINLY BE INCLUDED BUT WHAT I CAN TELL YOU REGARDING THE PROGRAMS IS THESE ARE ESSENTIALLY TO AID INDIVIDUALS ENTER INTO A NEW INDUSTRY WE ARE GOING TO DEMAND TO COLLECTION UP A ROBUST INDUSTRY WE DON'' T WANT IT TO BE A COUPLE OF KIND OF 2 KIND OF HUGE CONGLOMERATES THAT HAVE THE WHOLE MARKET OUR GOAL WAS ESTABLISHING THESE PROGRAMS BOTH FOR GROWERS TO OBTAIN BUSINESS PROFICIENCY TO OPEN WHICHEVER LEVEL OF LICENSING YOU NEED TO DO EDUCATION AROUND THAT.

THE IDEA IS TO HELP PEOPLE AS WELL AS THERE IS THE SOCIAL EQUITY PART TO THIS AS WELL FROM COMMUNITIES THAT HAVE BEEN DAMAGED AND INDIVIDUALS THAT WISH TO GET INVOLVED IN THIS MARKET TO BE ABLE TO GO INTO AT A SMALLER MINNESOTA-BASED BUSINESSES WHAT WE ARE LOOKING TO STAY CLEAR OF IS HAVING A COUPLE OF OF THE BIG GUYS FROM OUT-OF-STATE CAN BE FOUND IN AND ALSO ON THE ENTIRE MARKET WE INTEND TO GIVE AN POSSIBILITY FOR MINNESOTANS TO RUN THIS MARKET IN SMALL BUSINESSES IN WAYS THAT CONTAINER GROW BUT DO NOT RELY ON A COUPLE OF LARGE TWO LARGE STAKEHOLDERS.

SEN. UTKE. THANK YOU MME. CHAIR AS WELL AS ONE AMONG MY QUESTIONS LATER BECAUSE THAT'' S AT THE END OF THE EXPENSE WILL CERTAINLY BE WHAT WE HEARD ABOUT A FISCAL NOTE, WE ARE NINE WEEKS RIGHT INTO SESSION DEFINITELY HAD THIS EXPENSE AVAILABLE PRIOR TO SESSION, DO WE HAVE ANY IDEA WHEN WE ARE GOING TO SEE THESE NUMBERS. THANK YOU MME. CHAIR AND ALSO SEN. UTKE I DO NOT I UNDERSTAND WE GOT ANOTHER PERSON PORTION OF IT WAS FILLED OUT BUT WE ARE STILL WAITING ON THE COMPLETE FISCAL N KEEP IN MIND. SEN. UTKE. THANKS MME. CHAIR I SEE THINGS I HAVE HIGHLIGHTED AS FAR AS A FEW OF THE RESEARCH STUDIES THAT ARE REQUIRED DRIVING IMPAIRED AND ALSO SUCH, I PUT ON'' T THINK WE DEMAND TO INVEST A LOT OF TIME AND ALSO EFFORT ON THE RESEARCHES THE DETAILS IS ALREADY THERE. AS AN INSTANCE I UNDERSTAND IN MY RESIDENCE COUNTY THIS IS PROBABLY A NUMBER OF MONTHS AGO AT LEAST THEY WERE SPEAKING ABOUT WE NO LONGER HOUSE INMATES FROM OTHER COUNTIES BECAUSE WE HAVE THE PRISON FULL ON OUR OWN AND WE HAVE A NEW OR WHAT MUST BE A LARGE PRISON IS METHOD EVEN MORE THAN WE NEEDED AND HUBBARD REGION BUT IT'' S PRACTICALLY AT CAPABILITY AND THEY SAID 85% OF THOSE INDIVIDUALS IN PRISON WERE AS A RESULT OF DRUNK DRIVING OF MEDICINES WHICH'' S WHY AS I GO THROUGH THIS WHOLE POINT IT SO CONCERNING THAT WE ARE CURRENTLY TOUCHING OUT OUR JAILS ARE PUBLIC SAFETY THINGS THEY ARE AT CAPACITY AND WE ARE GOING TO INCLUDE EVEN MORE TO THEIR WORKLOAD.

YOU RECOGNIZE I LAUGH AT THE FACT WE HAVE TO CHANGE ALL OUR MEDICINE DOGS ALL OF THESE THINGS ARE CRAZY THE FACT WE ARE GOING TO SEEK TO TRANSFORM ALL THIS I HAVE A COUPLE MORE BELOW. WE SPOKE AND ALSO IT BECAME PART OF THE MODIFICATIONS THE LABELS THAT ARE GOING TO GET ON THESE PRODUCTS, DO WE THINK INDIVIDUALS WILL THAT WILL CERTAINLY MAKE A DISTINCTION WE SEE IT CURRENTLY IN OUR CURRENT SUBSTANCES THERE ARE MORE AFTER IF YOU DESIRED TO REFER TO IT AS THEIR ENJOYMENT OR THEIR FUN WHATEVER THE NOT GOING TO BE WORRIED CONCERNING IT STATES A CERTAIN THING OR NOT. SCHOOL PROGRAMS I HAVE LEAPT AHEAD ON WEB PAGE 185 AND ALSO IT DISCUSSES THE SCHOOLS STARTING IN 2026 AND ALSO 2027 THAT 2027 THAT THEY NEED TO BEGINNING THEY MUST IMPLEMENT A COMPREHENSIVE EDUCATION PROGRAM ON MARIJUANA USE AND ALSO SUBSTANCE USE FOR PUPILS IN CENTER INSTITUTION AND HIGH COLLEGE. ONCE MORE IT'' S DEMONSTRATING HOW BAD THIS IS BUT THE BIG POINT IS IT'' S A REQUIRED TO THE SCHOOLS IS ONE ONE MORE THING THAT'' S ON THEIR PLATE THEY ARE TRYING TO EDUCATE OUR PUPILS AND CURRENTLY HOW BIG A DEAL DO YOU PICTURE IS THIS SOMETHING I HAVE PUT OUT SOME FLYERS AND ALSO SPEAK ABOUT IT ONE OR TWO TIMES DURING THE YEAR OR MORE THINK THIS IS EVEN MORE PART OF A COURSE THAT WILL TAKE MORE FOCUS TO DRIVE HOUSE WHAT THIS ITEM WILL PERFORM IN THE AFFECTED COULD HAVE ON YOUTH.

THANKS MME. CHAIR AS WELL AS SEN. UTKE AS GETS ON PAGE 185.2 IT OUTLINES THE COMMISSIONER OF EDUCATION AND LEARNING REQUIREMENT CREATE A VERSION PROGRAM I AM NOT An EDUCATOR, I AM NOT AN STIMULATED IN THAT AREA AS WELL AS WE DO HAVE EXPERTS WHICH'' S WHY WE DESCRIBE THEM IN THIS EXPENSE 12 PUT 12 ASSEMBLE THAT PROGRAM. I SHOULDN'' T BE THE ONE TYPE OF ONE TYPE OF WRITING THAT PROGRAM BECAUSE I'' M NOT AN PROFESSIONAL IN EDUCATION AND LEARNING THAT'' S WHY WE EFER IN THE EXPENSE TO THE DIVISION TO HELP PUT WITH EACH OTHER A MODEL PROGRAM THAT INSTITUTION DISTRICTS CAN USE. SEN. UTKE. THANKS MME. CHAIR NOW I AM BACK THROUGHOUT OF POST 6 WRITE-UP 6 THERE IS A REPEALER WITH REGARDING 3 QUARTERS OF 3 QUARTERS OF THE WEB PAGE OF STUFF THAT'' S RESCINDED. CAN YOU HIGHLIGHT WHAT'' S CONSISTED OF THEREIN WITHOUT HAVING TO GO THROUGH ALL OF THOSE WHAT ARE WE SECURING OF LAW OR PROBABLY CHANGING STATUTE COULD YOU OFFER US A QUICK OVERVIEW OF WHAT'' S BEING RESCINDED.

PERHAPS ADVICE COULD GO THROUGH A FEW OF THE REPEALERS. SEN. UTKE ARE YOU TALKING ON PAGE 213. PAGE 213. I AM ON WEB PAGE 213 AND WEB PAGE 214 PAGE 214 I WAS LOOKING FOR A HIGH DEGREE WE DON'' T REQUIRED UNLESS COUNCIL AS A QUICK AND SIMPLE RESPONSE WE DON'' T REQUIRED TO GO THERE RIGHT NOW. MME. CHAIR AS WELL AS SEN. UTKE I BELIEVE THE REPEALER IS REPEALING EVERY ONE OF THE MEDICAL MARIJUANA LANGUAGE AND IT WILL CERTAINLY BE RESTATED IN LAW. SEN. UTKE. THANKS MME. CHAIR AND ALSO THANKS FOR THAT IT WAS WHAT I WAS ANTICIPATING THAT ANSWERS THAT. THANK YOU MME. CHAIR. I WAS TARGETING TO GET MORE DETAILS ON. ANY OTHER MEMBERS WITH INQUIRIES? ANY OTHER MEMBERS WITH COMMENTS ON THE COSTS AT THIS FACTOR? SEN. PORT SOME CLOSING THOUGHTS. I DESIRE TO THANK THE COMMITTEE FOR ITS TIME AND ALSO INVOLVING ON THE CONCERN I THINK I WANT TO SPECIFY FOR THE RECORD THOSE PEOPLE WERE FUNCTIONING ON THIS EXPENSE DO TAKE IT SERIOUSLY THIS IS NOT SOMETHING WE ARE FLIPPANTLY MOVING WITHOUT IDEA THIS IS SOMETHING WE ARE TAKING EXTREMELY SERIOUSLY AND ALSO WE ARE TAKING IT SERIOUSLY BECAUSE DONE SIGNIFICANT INJURY TO OUR NEIGHBORHOOD'' S THE PROHIBITION OF CANNABIS IS DONE SIGNIFICANT HARM TO OUR COMMUNITIES WE SEE CAN TO REVERSE THE DAMAGE IS THIS WE BILL PERFECT NO, IT'' S 300 WEB PAGE 300 PAGES CURRENTLY IT'' S GOING TO CONTINUE TO HAVE CHANGES AS WE MOVE WITH THE PROCESS AS WELL AS I THINK THAT IS GOOD FOR THE COSTS I THINK IT'' S EXCELLENT WE HAVE THESE CONVERSATIONS I BELIEVE IT ' S EXCELLENT WE CONTINUE TO TALK AS WELL AS ASK QUESTIONS AND PICK UP FROM EACH OTHER BECAUSE OUR OBJECTIVE IS TO MAKE THIS THE VERY BEST COSTS. I DO THINK WE HAVE THINGS IN THE EXPENSE THAT ARE TAKING THE VERY BEST PARTS OF WHAT HAS OPERATED IN OTHER STATES TO GET AT A FEW OF THE PROBLEMS PARTICULARLY ON THE ILLICIT MARKET WE HAVE SEEN MAJOR DROPS IN SOME STATES MONTANA 41 WENT FROM ABOUT AFTER THEY LEGALIZED 100% OF THE USAGE PRE-LEGALIZATION WAS WITH THE ILLEGAL MARKET NOW OVER 80% IS WITH THE CONTROLLED MARKET THAT'' S A HUGE DROP AS WELL AS COMPONENT OF THE FACTOR THAT WORKED IS BECAUSE THEY DIDN'' T HAVE AREAS OF THE STATE THAT COULD CONTINUE PROHIBITIONS OF THE WEREN'' T BLOCKS OF COUNTIES N AREAS IN WHICH CANNABIS WAS STILL RESTRICTED WHICH ELIMINATED OUT MUCH OF THE ILLICIT MARKET. WE ARE LOOKING TO TAKE LESSONS FROM THE STATES WE ARE GAINING FROM WHAT HAS OPERATED IN OTHER STATES TO CURB USAGE AMONG YOUTH TO QUIT THE PRELIMINARY FIRST USE WHICH IS PEER-TO-PEER EDUCATION AND LEARNING FAR OUT SHINING EVERYTHING ELSE ABOVE AS WELL AS BEYOND AND SO I DO APPRECIATE THE INTERACTION AND I'' M DELIGHTED TO REMAIN TO DEAL WITH PEOPLE AS THIS CONTINUES VIA THE PROCESS OF THINK IT'' S REGARDING HALFWAY THROUGH THE COMMITTEE QUITS NOW THEREFORE WE STILL A LONG METHOD TO GO, AND MY DOOR IS ALWAYS AVAILABLE TO CONTINUE THE DISCUSSIONS AS WELL AS I THINK THE COMMITTEE FOR ITS ENGAGEMENT.

THANK YOU SEN. PORT I VALUE ALL THE WORK YOU HAVE TAKE INTO TAKING IN COMMENTS AS YOU GO ALONG AND TAKING ACTIONS TO ACT UPON THE FEEDBACK AND ALSO I REALLY HOPE THAT WILL PROCEED FROM MY POINT OFVIEW IN THIS BOARD I VALUE THERE ARE A GREAT DEAL OF PROACTIVE EFFORTS PLANNED REGARDING EDUCATION OF YOUNG PEOPLE AS WELL AS EDUCATION AND LEARNING OF ADULTS ON THE HEALTH AND WELLNESS IMPACTS AS WELL AS WE CANISTER LEARN FROM OTHER STATES WHAT HAS BEEN PARTICULARLY HELPFUL IN THESE AREAS AS WELL AS WE CONTAINER MAINTAIN CONSTANTLY IMPROVING THE PROGRAMS THAT WE ARE TAKING KEEP IN MIND OF ANY AREAS WHERE WE ARE SEEING NEGATIVE EFFECTS AND ALSO WE ARE TRYING TO ADDRESS THEM THROUGH MEANS IN EDUCATION AND PROGRAMS WE DEVELOP SO I APPRECIATE THE DISCUSSION IN THIS COMMITTEE AND APPRECIATE MEMBERS YOUR FULL CONVERSATION OF THE COSTS. SEN. MANN WOULD YOU PLEASE MAKE THE MOTION. MME. CHAIR I WOULD RELOCATION SENATE DOCUMENTS 73 AS AMENDED BE RECOMMENDED TO PASS AS WELL AS BE DESCRIBED THE HUMAN SERVICES COMMITTEE. ON THE SEN. MANN MOVEMENT ALL THOSE IN SUPPORT SAY AYE, THOSE OPPOSED, THE MOTION PREVAILS SENATE SUBMIT 73 AS CHANGED DOES PASS AS WELL AS WILL BE REFERRED TO THE BOARD ON PERSON SOLUTIONS.

THANKS. NOW MEMBERS WE WILL TRANSFER TO THE VARIOUS OTHER SEVEN BILLS WE HAVE ON THE SCHEDULE FOR TODAY. THE FIRST COSTS WE HAVE UPCOMING UP NOW IS US SENATE FILE 1814 WHICH 1814 WHICH IS A SEN. FATEH COSTS AS WELL AS SEN. MANN IS PRESENTING FOR SEN. FATEH. THANK YOU MME. CHAIR US SENATE SUBMIT 1814 APPROPRIATES $500,000 IN ONE-TIME FINANCING FOR THE DEPARTMENT OF HEALTH TO CREATE A PUBLIC WELLNESS PROJECT ON ALZHEIMER'' S CONDITION AS WELL AS OTHER TYPES OF DEMENTIA. CURRENTLY ALZHEIMER'' S IS ONE OF THE MOST COMMON DEVELOP OF DEMENTIA AND REPRESENT 60 – 80% OF DEMENTIA CIRCUMSTANCES DEMENTIA WILL INTENSIFY WITH TIME AS WELL AS THERE IS CURRENTLY NO CURE.

HOWEVER WE CANISTER SLOW ITS DEVELOPMENT AND ALSO IMPROVE CLIENT'' S TOP QUALITY OF LIFE IF IT IS DIAGNOSED EARLY. INTEGRAL PART OF THE EXPENSE IS THE DIVISION WELLNESS MUST DEVELOP CULTURALLY RELEVANT MESSAGING CUSTOMIZED TO UNDERSERVED NEIGHBORHOOD'' S TAKING ON RURAL POPULACE LOCAL AND IN JESUS COMMITTEES AND COMMUNITIES OF SHADE REASON FOR THAT IS FOR INSTANCE BLACK PEOPLE ARE TWO TIMES AS LIKELY TO HAVE MENTAL DETERIORATION LATINOS ARE ONE AS WELL AS HALF TIMES AS LIKELY THESE RACIAL VARIATIONS ARE DRIVEN BY SOCIAL DETERMINANTS OF WELLNESS AS WELL AS NOT BY GENETIC FACTORS. ENCOUNTERING THESE RACIAL VARIATIONS THE NEED FOR CULTURALLY PERTINENT MESSAGING ON AGING IS MORE VITAL THAN EVER. EARLY DETECTION IS SHOWN BOOST TOP QUALITY OF LIFE BY EMPOWERING PEOPLE WITH ALZHEIMER'' S OR OTHER DIMENSION TO COLLECT WITH LIKED ONES AS WELL AS MEANINGFULLY TAKE PART IN THERAPY PLANNING OFFERS INDIVIDUALS TIME TO TAKE POSITIVE ACTIONS TO OUTFIT A PROGRESSION OF THE DISEASE AND ALSO IT CONSERVES THE STATE MONEY AND ALSO EARLY MEDICAL DIAGNOSIS HOLD-UPS ASSISTED LIVING HOME PLACEMENTS THAT MME.

CHAIR WE HAVE SOME TESTIFIERS. THANK YOU BEFORE YOU CONTINUE PLEASE STATE YOUR NAME FOR THE DOCUMENT AND START YOUR TESTAMENT. I'' M TUESDAY GLOVER I WORK FOR VOLUNTEERS OF AMERICA. MINNESOTA AND ALSO WISCONSIN I'' M THE SUPERVISORS OF THE CULTURALLY RESPONSIVE CAREGIVER ASSISTANCE AND ALSO DEMENTIA SOLUTIONS PROGRAM VOLUNTEERS OF AMERICA MINNESOTA AND ALSO WISCONSIN IS A NONPROFIT HEALTH AND PERSON SERVICES ORGANIZATION COMMITTED TO PORTION INDIVIDUALS IN REQUIREMENT ENHANCING FAMILY MEMBERS AND ALSO BUILDING AREAS. FOR 125 125 YEARS VOLUNTEERS OF AMERICA IN WISCONSIN IS PROVIDE SEMINARS OF SERIES OF INNOVATED SERVICES AND NETWORKS THAT RESPOND AND ALSO INVOLVE WITH THE NEEDS OF COMMUNITIES. IN THE QUEST OF ITS MISSION TO AID INDIVIDUALS BUILD HOPE STRENGTH AND ALSO WELL-BEING. I'' M HERE THESE DAYS TO REPRESENT THE WORK AND SERVICES WHICH I LEAVE THE CULTURALLY RECEPTIVE CAREGIVER SUPPORT AS WELL AS DEMENTIA SOLUTIONS TEAM. THE SERVICE HISTORICALLY FOCUSES ON SUPPORTING AFRICAN-AMERICAN AND ALSO EAST AFRICAN COMMUNITY MEMBERS THROUGH EDUCATION PERTAINING TO DEMENTIA OFFERING MEMORY SCREENS AND SUSTAINING CAREGIVERS. THE TENSIONS AND ALSO HEALTH IMPACTS AND ALSO EXPENSES CONNECTED WITH LONG JOURNEY OF TAKING CARE OF SOMEONE IMPACTED BY MEASUREMENT OFTEN PRODUCES TWO OR MORE OR EVEN MORE PEOPLE THAT ARE HOPELESS SEEKING ASSISTANCE.

OUR FUNCTION SUPPORTING CAREGIVERS EXPOSES THE IMPORTANCE OF THE EFFECT OF OFFERING REPRIEVE TO CAREGIVERS AS WAS STATED DEMENTIA CONDITION OF THE BRAIN IS FATAL THIS VICIOUS DISEASE CONTAINER IMPACT MEMORY EXEC OPERATING DAY-TO-DAY LIVING AS WELL AS DECISION-MAKING. THOSE AFFECTED BY THE ILLNESS WILL AT SOME POINT FAIL TO REMEMBER THEIR LIKED ONES NAMES NEGLECT WHO THEY ARE AND ALSO NEGLECT TO EAT. THEY WILL REQUIRE A CARETAKER THIS CARETAKER TRIP CONTAINER BE DIFFICULT AND ALSO SELF-CARE IS VITAL. WITHOUT PROPER SELF-CARE DATA SHOW CAREGIVER WILL CERTAINLY RUN OUT BEFORE THE TREATMENT RECEIVER DUE TO THE DEMANDING RESPONSIBILITIES AND ALSO ANXIETIES THAT OCCUR WITH BEING A CARETAKER. AS A SPEAKER ON BEHALF OF OF CAREGIVERS OF MY CLIENTS AND ALSO CAREGIVERS IN THE TWIN CITY LOCATION CARETAKERS RESPITE I REALLY FEEL REMAINS IN SITUATION OUR PROGRAM KATES FOR CARETAKER SELF-CARE OUR CLIENTS ARE SEEKING RESPITE SERVICES SO THEY ARE ABLE TO GO TO THE PHYSICIAN THEIR MEDICAL PROFESSIONALS APPOINTMENTS MOST LIKELY TO THE DENTIST OR GET A HAIRSTYLE FOR THE STANDARD COST FOR RESPITE SERVICES IS 30 – $40 FOR AN HOUR WITH A 3 HR MINIMAL THREE HOUR MINIMUM AVERAGING $120 FOR 3 HOURS THE MAJORITY OF OUR CAREGIVERS ARE RETIRED AND ALSO DID NOT PLAN FINANCIALLY FOR RESPITE SOLUTIONS.

THE CULTURALLY RESPONSIVE CAREGIVER ASSISTANCE AND MENTAL DETERIORATION SOLUTIONS PROGRAM HAS LATELY TEAMED UP WITH THE VOA VOLUNTEERS OF AMERICA PROGRAM CALLED AMERICORPS IT'' S A SENIOR PROGRAM TO RECRUIT VOLUNTEERS TO HELP WITH SHORT-TERM BREAK SOLUTIONS FOR OUR PRESENT CLIENTS SO THEY CAN HAVE BREAK SOLUTIONS WHILE THEY TAKE PLEASURE IN OUR MENTAL DETERIORATION AND MIND EDUCATION HEALTH AND WELLNESS COURSES. I ASKED THE STATE OF MINNESOTA CREATE EVEN MORE FINANCING FOR CAREGIVERS LOOK AFTER OLDER ADULTS AND AS THEY TAKE CARE OF THEIR ENJOYED ONES WITH MENTAL DETERIORATION INDEPENDENTLY IN THEIR HOUSE FOR AS LONG AS THEY POTENTIALLY CAN. AGAIN THANK YOU FOR HAVING ME ALLOWING ME TO ADVOCATE ON PART OF CAREGIVERS VOLUNTEERS OF AMERICA MINNESOTA AND WISCONSIN IN THE CULTURALLY RESPONSIVE CARETAKER SUPPORT AND ALSO DEMENTIA SOLUTIONS. THANKS. THANKS SIGNIFICANTLY. CURRENTLY YOU HAVE THE SECOND TESTIFIER. MME. CHAIR I WILL BE RELIEVING THE TRANSLATION OF TESTIMONY I AM FROM THE ALZHEIMER'' S ORGANIZATION. WELCOME TO THE COMMITTEE PLEASE STATE YOUR NAME. I AM IT AT O'' MEARA MONTALVO I WAS BORN IN SAN JUAN PUERTO RICO AND ALSO RELOCATED TO MINNESOTA WITH MY HUSBAND MY OTHER HALF WAS RECENTLY DIAGNOSED WITH ALZHEIMER'' S CONDITION, IF I WOULD NOT OF HAD THE POSSIBILITY TO LEARN MORE ABOUT THE WARNING SIGNS IN SPANISH MY PARTNER NEVER WOULD'' VE RECEIVED AN EARLY DIAGNOSIS
. 8 YEARS BACK I STARTED JOINING THE WISE ELDERS PROGRAM WHERE LEARNT MORE ABOUT ALZHEIMER'' S AND TOOK PART IN AN ORIGINAL PLAY IN SPANISH TO PROMOTE UNDERSTANDINGS OF THE 10 CAUTION 10 WARNING INDICATIONS. UNFORTUNATELY A FEW YEARS LATER I BEGAN TO NOTIFICATION THE INDICATORS WITH MY HUSBAND WHEN I TOLD HIS PRIMARY CARE DOCTOR SHE DISMISSED MY CONCERNS IS REGULAR AMNESIA CAUSED BY AGING. DUE TO THE FACT THAT OF WHAT I HAD DISCOVERED I KNEW WHAT MY HUBBY WAS EXPENSING WAS NOT NORMAL IT TOOK GREATER THAN 3 YEARS OF THREE YEARS OF LISTENING GOING FROM DOCTOR TO MEDICAL PROFESSIONAL AND FINALLY A FEW MONTHS AGO MY PARTNER OBTAINED A FORMAL DIAGNOSIS OF ALZHEIMER'' S CONDITION. THE EDUCATION AND LEARNING AND RESOURCES ARE BOOKED AT THE PROGRAM PROVIDED ME THE SELF-CONFIDENCE AND THE DEVICES I REQUIRED TO CONTINUE DEALING WITH TILL I GET THE DIAGNOSIS ALSO AS DOCTOR QUESTIONED AS WELL AS REDUCED MY CONCERNS. THE MAJORITY OF LATINAS IN MINNESOTA HAVE NOT HAD THE OPPORTUNITIES THAT I HAVE ACTUALLY HAD WHICH IS WHY MANY ARE TAKING CARE OF HOUSEHOLD PARTICIPANTS WITH ALZHEIMER'' S WITHOUT An OFFICIAL DIAGNOSIS.

MISSING OUT ON OUT ON OPPORTUNITIES TO SLOW THE DEVELOPMENT AND BOOST QUALITY OF LIFE. EVEN MORE ALZHEIMER'' S EDUCATION AND LEARNING AND ALSO RECOGNITION CAMPAIGNS THAT ARE CULTURALLY PROPER AS WELL AS IN SPANISH ARE NEEDED TO BOOST RATES OF EARLY DISCOVERY AS WELL AS DIAGNOSIS THANK YOU. THANK YOU FOR YOUR TESTAMENT GIVES THANKS TO FOR COMING TODAY. HAVING NO OTHER TESTIFIERS MEMBERS ANY QUESTIONS ON THE COSTS SEN. UTKE. THANKS MME. CHAIR I WILL HAVE ONE CONCERN AT THE END BUT MORE OF A COMMENT TO BEGINNING WITH. FOR MR. SMITH I'' M GLAD TO SEE THE LANGUAGE OF THE COSTS DUE TO THE FACT THAT WE HAD CONVERSATIONS AROUND IT LAST YEAR WHERE IT SAYS IS DIRECTED AT THE GENERAL POPULACE DUE TO THE FACT THAT WE KNOW THERE'' S NOBODY THAT IS EXEMPT FROM EXPERIENCING FROM THIS HORRIFIC DISEASE BUT AS WE SIMPLY HEARD GETTING IT EXPANDED INTO LANGUAGES IN AREAS SO WE DO COVER THE GENERAL POPULACE TO ENSURE THAT IS GOOD. I LIKE THAT AND JUST AT THE END WE DISCUSS IT'' S A HALF MILLION DOLLARS APPROPRIATION BUT THE QUANTITY THAT CAN BE UTILIZED BY THE DIVISION FOR THE REPORT IS STILL SPACE DOES ANY PERSON HAVE AN CONCEPT OF WHAT NUMBER WILL ENTER THERE I AM HOPING IT'' S A SMALL AS POSSIBLE SO THE VAST MAJORITY GOES IN THE DIRECTION OF THIS JOB.

MR. SMITH IF YOU HAVE AN RESPONSE OR I WOULD FOR THE DOCUMENT WE HAVE REQUESTED A FISCAL NOTE IF THE DIVISION WOULD BE THE ONE I BELIEVE TO PRODUCE. MME. CHAIR AS WELL AS SEN. UTKE THANKS THAT BLANK APPROPRIATION SPEAK SPECIFICALLY TO THE REPORTING REQUIREMENTS AROUND THE PUBLIC UNDERSTANDING CAMPAIGN I THINK ALL OF US AGREE WE HOPE BULK OF THE RESOURCES GOES INTO THE PUBLIC AWARENESS CAMPAIGN AS WELL AS ESPECIALLY ENGAGING THE NEIGHBORHOOD'' S A LOT OF AFFECTED BY ALZHEIMER'' S CONDITION SO THEY CAN HELP TO DEVELOP THE CULTURALLY APPROPRIATE MESSAGING IF YOU'' RE SEARCHING FOR PARTICULARS WE WILL CERTAINLY HAVE TO DELAY FOR THE MONETARY NOTE. SEN. UTKE. MME. CHAIR MANY THANKS MY CONCERN TO YOU IS THIS BILL DOES IT STAY IN OUR BOARD NOW WE LAID OVER UNTIL WE KNOW WHAT THAT IS O.K. GOOD WE WILL CERTAINLY HAVE A CHANCE TO CONSIDER IN AND ALSO MAINTAIN THAT NUMBER DOWN SO WE CAN DO GOOD WORK WITH THE REMAINDER OF IT THANKS.

PARTICIPANTS ANY OTHER CONCERNS OR COMMENTS CONCERNING THE COSTS? CLOSING COMMENTS SEN. MANN. I VALUE YOUR BRINGING THE COSTS AHEAD I THINK AS WE DISCOVER MORE CONCERNING WHAT IS EFFECTIVE IN COMING TO BETTER UNDERSTANDING OF EARLY DISCOVERY AND GOING OVER THE BENEFITS OF DOING THE WORK EARLY I ASSUME IT'' S VITAL TO RECOGNIZE WE DEMAND TO MAKE CERTAIN ALL NEIGHBORHOOD'' S HAVE ACCESS TO THE INFORMATION SO WE PRESENT YOUR BRINGING THE EXPENSE FORWARD THE BILL WILL BE LAID OVER FOR CONSIDERATION IN THE FUTURE BILL THANK YOU. NEXT ON THE AGENDA IS US SENATE FILE 988 SEN. 988 SEN. BOLDON. THANK YOU SEN. BOLDON PLEASE WAGE YOUR PRESENTATION. THANKS MME. CHAIR AND PARTICIPANTS THIS IS A REALLY SIMPLE EXPENSE. IT WAS BROUGHT TO ME BY THE BOARD OF DENTISTRY IT DOES 2 THINGS, IT CUSTOMIZES THE LANGUAGE IN STATUTE IN 2 TWO AREAS WHERE IT SAYS HELPING AND ALSO NEED TO CLAIM ASSISTANT JUST A TECHNICAL CHANGE.

IT ADDS A LINE EACH LICENSEE NECESSITIES SUBMIT TO NONREFUNDABLE FIVE DOLLARS FEE $5 COST TO DEMAND A MAILING ADDRESS LISTING. THIS IS LANGUAGE THAT WAS ACCIDENTALLY UNINTENTIONALLY LEFT OUT IN THE DRAFTING PROCESS FOR THE BOARD OF DENTAL CARE LARGER PLAN COSTS IN 2014 SO IT'' S CORRECTING THAT OMISSION AND IT PUTS IT ACCORDING TO WHAT IS AVAILABLE FOR OTHER PANELS WHICH LICENSEES CANISTER DEMAND A CHECKLIST FROM THE BOARD CURRENTLY REQUESTERS MUST ACQUISITION LICENSEE SUBSCRIBER LIST FROM THE MINNESOTA BOOK SHOP BUT THE BOARD OF DENTAL CARE HAS THE ABILITY TO OFFER THIS DETAILS AS WELL AS THEY ARE REQUESTING FOR A $5 CHARGE TO DO THAT WHICH IS A CLAIMED IS IN LINE WITH WHAT OTHER PANELS DO SO IT'' S An EASY CHANGE BROUGHT IN BECAUSE IT WAS LEFT OUT FROM THE COSTS LAST YEAR.

MEMBERS ANY, QUESTIONS ON THE EXPENSE? SEN. ABELER. THANKS MME. CHAIR AND 5 $5 FEE IS A PATTERN WE OUGHT TO BE LOOKING AT IT EXPENSE THAT MUCH TO GATHER IT HAS THE DIVISION OF HEALTH LOOKS FOR THEIR COVERAGE I ASSUME THERE'' S A LESSON TO BE TAKEN THROUGHOUT GOVERNMENT IF YOU CAN DO SOMETHING FOR 5 DOLLARS AT $5 AT THE BOARD DEGREE AND ALSO MAYBE A FEW OF THE COMPANIES TIN MAKE THE BOARDS LEAN AS WELL AS PENNY-WISE AND MORE CASH CAN GO INTO AIDING INDIVIDUALS THERE HAPPY WHEN WE SUGGEST THAT. THANKS SEN. ABELER ND I WILL CERTAINLY PHONE CALL YOUR FOCUS THERE IS A MONETARY KEEP IN MIND WE RECEIVED AND THERE IS NO STATE PRICE.

THIS COSTS WILL PASS THIS EXPENSE AS WELL AS GO TO THE FLOOR FOR ACTIVITY ON THE FLOOR. ANY OTHER QUESTIONS OR COMMENTS? SEEING NONE ALL THOSE IN FAVOR SEN. BOLDON YOU CAN MAKE THE MOVEMENT. THANK YOU MME. CHAIR I WOULD STEP THAT THE BILL BE PASSED AND BE DESCRIBED THE FLOORING. ALL THOSE IN FAVOR PLEASE SAY AYE, ANY OPPOSED, THE ACTIVITY DOES PREVAIL SENATE SUBMIT 988 988 DOES PASS AND ALSO WILL CERTAINLY BE IT DOES PASS. THANK YOU SEN. NEXT ON THE PROGRAM IS US SENATE FILE 1,129 SEN. HOFFMAN'' S EXPENSE. WELCOME SEN. HOFFMAN TO THE PRESENTATION. THANKS MME. CHAIR I ELEVATED THE CHAIR. MEMBERS THERE IS AN A1 MODIFICATION IT IS ATTACHED I WISH TO RELOCATE THE AMENDMENT FIRST. SEN. HOFFMAN MOVES THE A1 CHANGE ALL THOSE IN SUPPORT SAY AYE, ANY OPPOSED THE AMENDMENT IS ADOPTED. THANKS MME. CHAIR CURRENTLY THE EXPENSE REMAINS IN THE FORM I WANTED TO REMAIN IN. I INTEND TO WELCOME SARAH GOODNO TO THE TABLE ALSO THIS DEALS WITH A MASSIVE PROBLEM INDIVIDUAL ADVOCATES AND ALSO MEDICAL FACILITY SUPPLIERS HAVE BEEN RUNNING INTO WHICH ENDURES G TUBES HAVE BEEN RUNNING INTO PRIOR AUTHORIZATION CONCERNS.

PRIOR CONSENT ON EVERYTHING IS ABSOLUTELY PAST LIVE EXPENSE MYSELF BUT THIS ALSO ROLLS INTO THE PREFERRED MEDICATION LIST WITH CHILDREN WITH FEEDING TUBES ARE INCAPABLE TO GAIN ACCESS TO THE FLUID VERSIONS OF NEEDED DRUGS. THIS ONE IS A HUGE ISSUE THAT'' S WHY I ' M HERE BEFORE YOU TO ACCOMPLISH THAT. THE DRUG FORMULARY COMMITTEE DFC IF YOU INTENDED TO OBTAIN ANOTHER ACRONYM IN YOUR WORLD IS RESPONSIBLE FOR HANDLING MINNESOTA'' S PUBLIC WELLNESS CARE PROGRAMS PREFERRED MEDICINE LIST AND REVIEWS WHETHER MEDICINES COVERED BY PUBLIC PROGRAMS OUGHT TO GO THROUGH PRIOR PERMISSION WHAT THE PRIOR PERMISSION CRITERIA OUGHT TO BE.ALL WE ARE STATING IN THIS US SENATE SUBMIT 1129 IS WE 1,129 IS WE WOULD MODIFY THE MAKE-UP OF THE MEDICINE FORMULARY COMMITTEE AND ALSO UPDATE THE PROCEDURE FOR MAKING ADJUSTMENTS TO THE FAVORED MEDICINE LISTING TO BOOST THE DIVERSITY A SUPPLIER COMPETENCE AS WELL AS SEN.

THE CLIENT EXPENSE AND ALSO CONSIST OF THE TRANSPARENCY IN THE PROCEDURE. THERE IS THE ENHANCEMENT OF THREE CONSUMER 3 CUSTOMER REPS TO THAT WHICH THE BOARD INCLUDING RARE CONDITION DISABILITY PEDIATRICS. WHAT I WOULD ASK IS SARAH GOODNO WHO IS THE ADVOCACY AND PUBLIC LAW SUPERVISOR FOR THE EPILEPSY FOUNDATION OF MINNESOTA CANISTER SPEAK MORE IN SUPPORT OF THE EXPENSE THANK YOU MME. CHAIR AND MEMBERS. WELCOME TO THE COMMITTEE MISS GOODNO PLEASE INTRODUCE YOURSELF AS WELL AS ONCE AGAIN YOUR STATEMENT. CHAIR WIKLUND AND MEMBERS OF BOARD I'' M SARAH GOODNO ON THE ADVOCACY AND ALSO PUBLIC POLICY SUPERVISOR AT THE EPILEPSY FOUNDATION OF MINNESOTA. I'' M RIGHT HERE THESE DAYS TO TESTIFY IN SUPPORT OF SENATE FILE 1129 1,129 WITH MODIFY THE DRUG FORMULARY BOARD STRUCTURE AS WELL AS MAKE MODIFICATIONS TO THE PROCEDURE UPGRADING THE PREFERRED MEDICINE LIST. THE MEDICATION FORMULARY BOARDS AND ALSO THE FAVORED DRUG CHECKLIST HAVE A CONSIDERABLE INFLUENCE ON HOW PEOPLE THAT UTILIZE MEDICAL ASSISTANCE HAVE THE ABILITY TO GAIN ACCESS TO MEDICATIONS IN MINNESOTA.

THE EPILEPSY FOUNDATION SUSTAINS ADDING EXTRA CUSTOMER REPS AS WELL AS COMPANIES WITH EXPERTISE IN RARE CONDITION HANDICAP AS WELL AS PEDIATRIC MEDICINE BECAUSE THAT DIVERSITY OF THOUGHT PRACTICE AS WELL AS INFO WILL CERTAINLY ENCOURAGE THE COMMITTEE TO LOOK PAST TO THE EXPLICITLY CLINICAL INFORMATION AND RIGHT INTO THE LIVES OF PATIENTS. SUCH AS A CHILD WITH A RARE EPILEPSY MEDICAL DIAGNOSIS WAS MOMS AND DADS REQUIRED TO PUT TABLETS RIGHT INTO THE FOOD DAILY DUE TO THE FACT THAT THE PREFERRED DRUG CHECKLIST AND ALSO PRIOR AUTHORIZATION STANDARDS WOULDN'' T COVER THE FLUID VARIATIONS OF THE MEDICATION THIS IS ONE ONE INSTANCE WE HAVE LISTENED TO SIMILAR STORIES WERE PRIOR PERMISSION OF THE LIQUID VARIATION OF A MEDICATION IS REPETITIVELY REJECTED FOR YOUNGSTERS USING FEEDING TUBES WHICH COULD CAUSE CRUSHING PILLS CLOGGING THEIR G-TUBES IN THIS CASE THE TECHNIQUE OF APPLICATION IS NOT An ISSUE OF CONVENIENCE BUT COULD BE A MATTER OF LIFE-AND-DEATH THIS MAY NOISE MEDIC BUT ALSO FOR EPILEPSY AND ALSO A NUMBER OF OTHER CHRONIC CONDITIONS INGLE MISS DOES COULD HAVE SUBSTANTIAL REPERCUSSIONS VARIED CLINICAL AS WELL AS PERSON EXPERIENCE AS WELL AS KNOWLEDGE AS VOTING PARTICIPANTS OF THE DRUG FORMULARY COMMITTEE IS FUNDAMENTAL TO ENSURING THAT THE VERY BEST DECISIONS ARE MADE WITH PEOPLE WHO ARE DIRECTLY IMPACTED BY THE CHOICES.

I ENCOURAGE YOUR SUPPORT FOR SENATE DATA 1,129 AND I ENJOY TO REPRESENT INQUIRIES. THANK YOU I BELIEVE THAT'' S YOUR ONLY TESTIFIER MEMBERS DO YOU HAVE ANY QUESTIONS SEN. MORRISON. THANKS MME. CHAIR. NO DOUBT I INTENDED TO GIVE THANKS TO SEN. HOFFMAN FOR BRINGING THIS BILL FORWARD PRIOR CONSENT IS A PROBLEM FOR CLIENTS AS WELL AS SUPPLIERS CAUSES DAMAGE DELAYS CARE AS WELL AS INCREASES EXHAUSTION. THIS IS LOW HANGING FRUIT SO MANY THANKS QUITE FOR SUPPORTING FOR INDIVIDUALS THIS WAY.

SEN. HOFFMAN CLOSING COMMENTS. THEY COULD DR. MORRISON AND MME. CHAIR IT IS LOW HANGING FRUIT YOU WONDER WHITE WE ESTABLISH ALL THESE OBSTACLES TO ACQUIRING TO INEFFECTIVE PERSON CENTERED EXPERIENCE IN THIS ONE ONE IS ONE OF A SMALL LITTLE MOVEMENTS TOWARDS THAT I VALUE YOU LISTENING TO THE COSTS AS WELL AS PASSING IT. SEN. ABELER. SIMPLY A PILOT SEN. MORRISON DID A RESPECTABLE JOB OF COMMENTING ABOUT IT TO MIRROR A FEW OF THESE PRIOR AUTHORIZATIONS EXPENSE CASH MORE CASH THAN THEY ARE ORTH. THEY ONLY CONSERVE MONEY BY REJECTING CARE THAT'' S NECESSARY OR POSTPONING IT IN A FEW OF THE INJURY THAT HAPPENS WITH SOME OF THESE POLICIES IS REALLY BAD I PUT ON'' T UNDERSTAND WHETHER PREPARES CONTINUE DOING THIS THAT WE HAVE TO PASS A LEGISLATION TO SAY COULD YOU UTILIZE YOUR HEAD AS WELL AS RESPECT THE CUSTOMERS FOR WHAT WE PAY FOR OUR HEALTH CARES AND ALSO TO REJECT SEVERAL OF THESE DETAILS THAT ALSO ARE ALMOST 100% AUTHORIZED BY THE TIME YOU NAVIGATE TO IT MAKES NO SENSE WHATSOEVER AND CONTRIBUTE TO IT MINISTRY OF EXPENSES. THANKS FOR THE EPILEPSY STRUCTURE AS WELL AS THANK YOU SEN.

HOFFMAN. TO THAT POINT MME. CHAIR BOTH PHYSICIANS DIRECTS DEFINITELY MY LIVED EXPERIENCE I HAD TO APOLOGIZE I REALLY FEEL LIKE I NEEDED TO ASK FORGIVENESS TO MY LITTLE GIRL'' S OWN PRIMARY TREATMENT MEDICAL PROFESSIONAL BECAUSE SHE WAS SPENDING EVEN MORE TIME ROUTING PAPERWORK THAT SHE WAS TRYING TO DO THE WORK THAT SHE WAS PAID TO PERFORM AS WELL AS DO WELL AND ALSO AFTER THAT TO ALLURE AND ALSO TO COMBAT KNOW WHAT LET'' S MAKE IT RIGHTU AS WELL AS DO THIS RIGHT FIRST I APPRECIATE THE REMARKS AND VALUE PASSING THIS EXPENSE.

THANKS SEN. HOFFMAN AS WELL AS THANKS FOR BRINGING THIS ONWARD IN THE EXPENSE REQUIRES TO GO TO THE BOARDS AS WELL AS STATE AS WELL AS NEIGHBORHOOD GOVERNMENT AND ALSO EXPERTS. IF YOU COULD MAKE THAT ACTIVITY TO RECOMMEND THE EXPENSE IS PASSED AS AMENDED AND AFTERWARDS BE REFERRED TO THE BOARD ON STATE AND CITY GOVERNMENT AND PROFESSIONALS. MAY I ASK MME. CHAIR A QUESTION, I WILL NEED SOME GUIDANCE ON WHY IS IT GOING TO SPECIFY AS WELL AS REGIONAL GOVERNMENT. MENTION AS WELL AS CITY GOVERNMENT HAS ACTUALLY REQUESTED THE COSTS THE CHAIR. SEN. ABELER. MME. CHAIR AND SEN. HOFFMAN MAYBE IT IMPACTS SEGIP THEY RUN THAT INSURANCE. MME. CHAIR TO THAT FACTOR I COMPREHEND POINTS GETTING REFERRED BUT WHAT WOULD BE THE OTHER CHOICE FOR THIS BILL IF IT WAS NOT DESCRIBED THAT BOARD.

MAYBE LAID OVER I THINK THERE WILL BE A MONETARY INFLUENCE SO WE WILL CERTAINLY NEED TO ASK COUNSEL. ADVICE BELIEVES THE EXPENSE REFERS TO THE FORMULARY COMMITTEE WHICH THE STATE AND CITY GOVERNMENT WOULD HAVE JURISDICTION OVER COMMITTEES LIKE THAT. THANKS MME. CHAIR FOR CLARIFYING THAT. AS WELL AS TRANSFORMING EXPIRATION DATES. THANK YOU I VALUE YOU DOING THAT IT'' S ONE OF THOSE AMONG THOSE MOMENTS YOU WONDER WHY IT'' S GOING SOMEPLACE. THAT IS COMPLETELY FINE TO ASK A CONCERN ABOUT THAT CAN YOU MAKE THE MOTION. I MAKE THE MOTION THAT IS AMENDED WE REFER THE BILL TO THE STATE AS WELL AS NEIGHBORHOOD GOVERNMENT AND ALSO PROFESSIONALS COMMITTEE. PARTICIPANTS ALL THOSE IN FAVOR SIGNIFY BY EXPRESSION AYE, ANY OPPOSED, THE ACTIVITY DOES PREVAIL US SENATE FILE 1129 AS 1,129 AS AMENDED IS PASSED AS WELL AS IS REFERRED TO THE COMMITTEE AND ALSO STATE AS WELL AS REGIONAL GOVERNMENT AND ALSO EXPERTS.

THANK YOU, THE NEXT BILL ON THE SCHEDULE IS US SENATE SUBMIT 441 WHICH IS SEN. MORRISON'' S BILL. SEN. MORRISON OU HAVE SENATE SUBMIT 441. 441. THANK YOU MME. CHAIR AND ALSO MEMBERS I APPRECIATE THE OPPORTUNITY TO PRESENT SENATE DATA 441 THIS BILL WOULD DIRECT THE COMMISSIONER OF HEALTH TO STUDY AND LAMENT A STATEWIDE DIGITAL DATA SOURCE FOR SUPPLIER ORDERS FOR LIFE-SUSTAINING TREATMENT OR PULSED FORMS IT'' S An USEFUL TOOL FOR MEDICAL PROVIDERS TO OUTLINE INDIVIDUAL THERAPY PREFERENCES IS AND WHETHER THE TRANSFER NOT TO TRANSFER OR RESUSCITATE OR DO NOT RESUSCITATE ETC. PULSED TYPES ARE EXCEPT ALL INDIVIDUALS THERE MEANT FOR SERIOUSLY UNWELL PEOPLE GETTING END-OF-LIFE TREATMENT.

THEY ARE CLINICAL ORDERS NOT AN DEVELOPMENT REGULATION AND ALSO ESPECIALLY DETAIL THE THERAPY OF INDIVIDUAL WANTS OR DOES NOT WANT. CURRENTLY WHEN A SUPPLIER AUTHORIZES A PULSE TYPE THE PERSON IS GIVEN A PAPER DUPLICATE IF THE INDIVIDUAL LOSES THE FORM IT OBTAINS HARMED OR THEY DON'' T HAVE IT WITH THEM IN AN EMERGENCY SITUATION IS LIKELY THERE END-OF-LIFE PREFERENCES WILL CERTAINLY NOT BE FOLLOWED. WITH TODAY'' S INNOVATION CLIENTS NEED TO OTHER PULSE TYPE ACCESSIBLE WITHOUT HAVING PHYSICAL DUPLICATE PRESENT.

PULSED FORMS ARE ESPECIALLY VALUABLE IN INSTANCE OF EMERGENCY WHEN EMERGENCY CARE PROVIDERS GET HERE ON THE SCENE THEY MAY NOT EVEN KNOW THE PERSON'' S PULSE KIND UNLESS THE TYPE IS CONVENIENTLY AVAILABLE THIS CANISTER BRING ABOUT OBLIGATION ISSUES FOR EMERGENCY PROVIDERS MANY EMS RESPONDERS AND ALSO INVESTOR TALES WERE RELATIVE ARE SCREAMING AT THEM NOT TO RESUSCITATE OR TRANSFER DUE TO THE FACT THAT THEY HAVE THAT LAID OUT IN THEIR PULSE TYPE BUT THEY DON'' T HAVE THE PHYSICAL TYPE. THIS IS HAPPENED IN MY HOUSEHOLD IT'' S QUITE HORRIBLE. THIS EXPENSE CREATES AN ADVISORY COMMITTEE OF STAKEHOLDERS WILL CERTAINLY CONSIDER THE SUGGESTIONS HOW TO BEST IMPLEMENT THE REGISTRY SUCH AS HOW TO UPDATE IT WHEN ADJUSTMENTS ARE MADE TO A PATIENT'' S ARTICLE WAS CHARGED WITH SAFEGUARDING THE KINDS ETC.

. STANDARD POSTWAR WAS ESTABLISHED IN 2008 2008 AND ALSO FINALIZED IN 2010 IT'' S 2010 IT ' S COMMONLY MADE USE OF AS WELL AS RECOGNIZED BY HOSPITAL EQUIPMENT LONG-LASTING CARE FACILITIES MEDICAL PROFESSIONALS AS WELL AS EMS THROUGHOUT MINNESOTA TODAY. WITH THAT SAID MME. CHAIR I DO HAVE A TESTIFIER DR. NICHOLSON I BELIEVE IS RIGHT HERE. THANK YOU AND ALSO WELCOME TO THE COMMITTEE. DR. NICHOLSON APPEAL STATE YOUR NAME FOR THE RECORD AND BEGIN YOUR TESTIMONY. GOING FROM PEDIATRIC FEEDING TUBES TO END-OF-LIFE TREATMENT MANY THANKS FOR DANGLING IN THERE. I'' M WILL NICHOLSON CHAIR OF THE MINNESOTA MEDICAL ORGANIZATION FAMILY DOCTOR AS WELL AS I EXERCISE AS A HOSPITALIST IN EAST CITY.

PRESIDENT OF THE MINNESOTA MEDICAL ORGANIZATION I'' M RIGHT HERE TO ASSISTANCE SENATE DOCUMENTS 441 THIS 441 THIS COSTS IS NEEDED TO ENSURE MY INDIVIDUALS HEALTHCARE DECISIONS AT THE END-OF-LIFE ARE KNOWN AND FOLLOWED BLOG POST IS SOMETHING THAT EQUIPS INDIVIDUALS REPRESENTS SUPPLIER ORDERS FOR LIFE-SUSTAINING THERAPY THAT'' S PROVIDER ORDERS FOR VITAL THERAPY THESE ARE ORDERS THEY'' RE NOT INTENT OR FEELINGS THERE ORDERS THAT A PROVIDER LEGAL RIGHTS FOR THEIR INDIVIDUAL WITH THEIR PATIENT AS WELL AS THEIR CRITICAL TOOL THAT PHYSICIANS AND ALSO CLIENTS MAKE USE OF TO FILE PATIENT PREFERENCE FOR THERAPIES AS WELL AS A FEW OF THE MOST CRUCIAL PHASES OF LIFE ADJUSTMENT.

AT THE END-OF-LIFE WE UNDERSTAND THAT WE OVER TREAT INDIVIDUALS THAT WE DO MATTERS THAT THEY DON'' T WANT DUE TO THE FACT THAT IT IS TYPE OF THE STANDARD THAT WE FOLLOW AND THIS OFFERS PATIENTS A CHANCE TO DESCRIBE WHAT THEY NEED AT THE END-OF-LIFE RATHER THAN ADHERING TO THE BASIC PROCEDURE. THEY BEEN EXTENSIVELY USED IN MINNESOTA TO GOOD IMPACT LASTING TREATMENT FACILITIES MEDICAL PROFESSIONALS EMS AND HOSPITALS HAVE BEEN USING IT FOR ABOUT 10 YEARS AND ALSO THEY BASICALLY ENABLE US TO BE ON THE EXACT SAME PAGE THE ISSUE IS YEARS BACK WE WERE MANDATED TO BUY THESE FANCY MEDICAL DOCUMENTS WE'' RE NOT MANDATED TO HAVE THEM TALK TO EACH OTHER AS WELL AS THE PATIENTS OBTAIN STUCK IN THE CENTER SO CURRENTLY MANY PULSED TYPES EXIST AS PAPER TYPES THAT A PERSON LITERALLY BRINGS AND ALSO AS A SEN. OUTLINED THERE ARE NUMBER OF CIRCUMSTANCES WHERE THOSE COPIES OF THOSE FORMS GET MISLAID OR DAMAGED OR ARE INACCESSIBLE AS WELL AS WHEN AND ALSO EMS CARRIER OR EMERGENCY SITUATION DEPARTMENT DOESN'' T HAVE GAIN ACCESS TO TO PULSED PUTS THEM IN A REALLY TIGHT SPOT POTENTIALLY PROVIDING UNINTENTIONALLY PROVIDING CARE THAT A CLIENT DOESN'' T WANT IF YOU PUT YOURSELF IN THE AREA OF THE CLIENT OR THEIR RELATIVE, YOU TIN PICTURE TAKING A SEAT AND HAVING THE CHALLENGING DISCUSSION CONCERNING END-OF-LIFE DOCUMENTING THIS WITH YOUR PHYSICIAN AND AFTERWARDS PRESENTLY YOU'' RE SICK AS WELL AS LOOKING FOR AID YOU WEAR'' T OBTAIN WHAT YOU NEED. PATIENTS AWAKEN IN HEALTHCARE FACILITY BEDS AFTER DOCUMENTING THAT THEY NEVER WISHED TO LEAVE THEIR RESIDENCE FAMILIES OF CLIENTS THAT PUT ON'' T WAKE UP HAVE TO MAKE TOUGH DECISIONS REGARDING ENDING CARE THAT THE CLIENT NEVER WANTED IN THE FIRST LOCATION AND ALSO MEDICAL CARE PROVIDERS NEED TO CONSIDER THE REALITY THAT WE HAVE SUPPLIED INDIVIDUAL CARE THAT NOBODY WANTED ONE DESIRED AFTER VOUCHING THE FIRST DO NO DAMAGE IN REALIZING THAT WERE DOING THIS BECAUSE WE JUST HAVE A SYSTEM THAT DEPENDS ON PAPER.

I BELIEVE THE TERRIBLE AND ALSO PREVENT CAPACITY OF THIS IS DIFFICULT TO EXPLAIN UNLESS YOU HAVE BEEN THERE. WE HAVE MUCH BETTER INTERACTION TOOLS NOW WE NEED TO USE THEM AS WELL AS SENATE FILE 441 DIRECTS THE 441 ROUTES THE COMMISSIONER OF WELLNESS TO KIND AN ADVISORY COMMITTEE FOR DOCTOR PATIENTS ETHICISTS AND ATTORNEYS EMS AND RELIGIOUS NEIGHBORHOOD LEADERS TO STUDY AND ALSO RECOMMEND HOW TO IMPLEMENT A STATEWIDE ONLINE WINDOWS REGISTRY FOR PULSED WE BEEN ABLE TO PERFORM THIS ON OTHER MEDICAL TOPICS BOOSTER SHOTS AND ON OPIOIDS THAT A BEEN INCREDIBLE HELPFUL THIS CONTAINER BE SOMETHING COULD BE ACCESSED BY HEALTH CARE COMPANIES ANYTIME FROM THROUGHOUT AS A MEDICAL PROFESSIONAL I WISH TO GUARANTEE THAT EVERY INDIVIDUAL'' S WISHES ARE KNOWN AND FOLLOWED STATEWIDE COMPUTER SYSTEM REGISTRY FOR PULSED WILL CERTAINLY AID MAKE SURE FOR OUR CLIENTS AND ALSO ASSISTANCE United States STOP DELIVERING UNNEEDED TREATMENT.

I APPRECIATE THE POSSIBILITY TO TESTIFY ON THE TOPICS AND ALSO I'' M SATISFIED TO SOLUTION INQUIRIES. THANKS FOR YOUR TESTAMENT PARTICIPANT DO YOU HAVE ANY CONCERNS CONCERNING THE BILL? SEN. ABELER. I APPRECIATE I BELIEVE WAS A CO-AUTHOR ON THIS EXPENSE IN 2015 AND I KEEP IN MIND WITH MY PAPA THAT DIED A YEAR AND A FIFTY PERCENT AGO IN THE HOUSE ON VETERANS DAY WHICH IS EXCELLENT AS MAYBE HE HAD THIS ENVELOPE THEY HAD 3 DUPLICATES OF IT TAKE IT TO FLORIDA AS WELL AS COME BACK SO LUCKILY THEY NEVER REQUIRED IT BUT I VALUE THE COSTS AS WELL AS THE EXCELLENT PHYSICIAN DESCRIBING I WAS GOING TO HELP.

I HAVE A CONCERN REGARDING THE PROCEDURES OF PEOPLE WRITING UP THERE PULSED AS WELL AS HOW YOU SAY THAT APPROPRIATELY SO THESE ARE A PHYSICIAN RESTING DOWN WHATEVER CARE TEAM SITTING DOWN WITH THE HOUSEHOLD AND ALSO THEY OFFER AND TAKE THE WRITE-DOWN EVERY PERSON IS ENGAGED AND KNOWN AS COMPLAINED ABOUT THIS BUT THE PROCESS SEEMS LIKE IT'' S PROGRESSED WHERE INDIVIDUALS '' S AS WELL AS SOLID AGREEMENT ABOUT WHAT IS WRITTEN DOWN AND THE MEDICAL PROFESSIONAL WOULD GIVE GUIDANCE IN THE FAMILY COULD SAY YES OR NO OR THE INDIVIDUAL WAS THE TARGET WOULD CONSENT TO THE NEED TO INDICATOR IT THEMSELVES CONTAINER YOU COMMENT ABOUT THAT PROCESS.

IT'' S A FANTASTIC CONCERN OUR STANDARD FOR DECISION-MAKING CONSIDERS HEAVILY ON FREEDOM AS WELL AS INFORMED CONSENT. THE HUGE BULK OF THE SCENARIOS OUR PEOPLE THAT A BEEN FACING END-OF-LIFE DIFFICULTIES FOR A LONG PERIOD OF TIME A LOT OF THE MOMENT THEY BRODY HAD THE PROCEDURE ASSEMBLING AN ADVANCED DIRECTIVE AND DEVELOPING CODE STATUS AS WELL AS THIS IS AN INCLUDED LAYER OF SPECIFICITY AND ALSO INSURANCE POLICY THAT WHAT THEY WANT TO HAVE HAPPEN WILL CERTAINLY TAKE PLACE THAT THERE GENERALLY DONE EN MASSE CHOICE IN MY EXPERIENCE IT'' S NORMALLY NOT JUST'A PATIENT IT ' S An INDIVIDUAL AND THEIR FAMILY ALONG WITH THEIR HEALTH CARE PROVIDERS. WE ARE HARD DECISIONS OUR OBJECTIVE IS NOT TO ADVICE IS MUCH AS IT IS TO ENCOURAGE AND ALSO HELP PEOPLE UNDERSTAND WHAT EACH OF THE DECISIONS THAT END-OF-LIFE INDICATES THE MAJORITY OF US HAVE NEVER DIED BEFORE SO I KNOW IT SEEMS APPARENT BUT WE SANCTUARY'' T PUT A GREAT DEAL OF THOUGHT INTO IT SO A GREAT DEAL OF WHAT PROVIDERS DO IS DISCUSS THE DANGERS HE BENEFITS AS WELL AS THE CHOICES AS WELL AS HELP PATIENTS COMPREHEND WHAT THE MOST EFFECTIVE POINT FOR THEM AND ALSO THEIR GOALS MAY BE.

THANK YOU I'' VE NEVER HAD ANYBODY COMPLAIN ABOUT IT IT'' S WONDERFUL TO HEAR HOW COLLABORATIVE IT IS THANK YOU. I NEED TO INCLUDE PEOPLE CAN CHANGE THESE AT ANY MOMENT SIMILAR TO ANYTHING IN HEALTH CARE THE PERSON CONTAINER CHANGE THEIR MIND OUR OBJECTIVE IS TO BEAT THE NEEDS OF THE INDIVIDUAL NOT HOLD THEM TO SOME CRITERION WE DEVELOPED A DAY AS WELL AS A FIFTY PERCENT AGO. SEN. UTKE. THANKS MME. CHAIR AND I WAS THROUGHOUT THE TESTAMENT I BELIEVE YOU TOUCHED ON IT AT THE END SINCE I WAS WONDERING IF THIS IS SOMETHING THAT REQUIRES TO BE CREATED FROM THE GROUND UP NEW I BELIEVE YOU CLAIMED THERE'' S KIND OF A SYSTEM OUT THERE FOR MEDICATIONS AND ALSO OPIOIDS CURRENTLY IN WHICH THIS COULD BE TYPE OF ATTACHED EXISTS A SYSTEM THAT DOES SPREAD SOME INFO NOW THAT THIS COULD BE AFFIXED TO OR DO WE NEED TO CREATE A WHOLE NEW NETWORK TO PERFORM IT WE'' RE TRYING TO PERFORM BELOW. DR. NICHOLSON OR SEN. MORRISON. THANK YOU SEN. FROM THE VIEWPOINTS OF An INDIVIDUAL WHO UTILIZES THE SYSTEMS ON A DAILY BASIS I DON'' T KNOW THE SOLUTION TO HOW BEST TO PERFORM THIS I BELIEVE THAT'' S WHY WE SPOKE ABOUT ESTABLISHING A TASK REQUIRE ON THIS BILL TO GET A GROUP OF EXPERTS AS WELL AS COMMUNITY STAKEHOLDERS TO ASSIST GUIDE THE PROCESS I'' M NOT AN EXPERT AND ALSO HOW BEST TO ACCOMPLISH THAT. SEN. UTKE. THANKS MME. CHAIR THAT'' S WHAT I WAS SEEKING BECAUSE IT DOES TALK ABOUT FORMING A COMMITTEE AS WELL AS KINDA STRUCTURE THIS FROM GROUND UP IN A MANNER OF SPEAKING TO CREATE THIS WHOLE PROCESS THAT'' S WHAT I DESIRED THANK YOU. FOR MEMBERS INFORMATION WE HAVE REQUESTED A FISCAL NOTE SO WE WILL CERTAINLY BE ACQUIRING THAT WE WILL CERTAINLY BE LAYING THE COSTS OVER TODAY.

ANY OTHER QUESTIONS? I VALUE YOUR BRINGING THE COSTS FORWARD I HAD A LOVED ONE MY OTHER HALF'' S GRANNY LIVED A LONG PERIOD OF TIME PASSED 100 TO BE 100 TO BE 107 I KEEP IN MIND THE FAMILY MEMBERS PRODUCED COLLABORATE WITH THE DOCTORS TO CREATE A PULSED FORM AND I MARVELLED THEY WOULD HANGING ON THE FRIDGE AS WELL AS HOPE THAT WOULD WORK OUT FOR EVERY POSSIBLE TIME THAT THEY MAY HAVE A SITUATION WHERE EMERGENCY WORKER WOULD BE SEE IT OR INVOLVE THE RESIDENCE OR WHO RECOGNIZES THAT EXISTED AS WELL AS WOULD IDENTIFY WHETHER THE TYPE WOULD BE OBSERVED SO I APPRECIATE YOUR BRINGING THE EXPENSE ONWARD IT FEELS LIKE An ADVANTAGE TO RESEARCH AND ALSO TO NUMBER OUT IF THERE'' S A BETTER MEANS TO ENSURE THEIR DESIRES ARE BEING COMPLIED WITH THE WAY THEY HAVE DIRECTED MANY THANKS. WE WILL BE LAYING THE EXPENSE OVER FOR POSSIBLE CONSIDERATION IN A FUTURE EXPENSE THANKS FOR YOUR TIME TODAY. THANKS MME. CHAIR. NEXT SEN. MORRISON HAS ANOTHER PERSON COSTS US SENATE FILE 836. 836. THANK YOU MME. CHAIR AS WELL AS MME. CHAIR AND ALSO PARTICIPANTS I VALUE THE CHANCE TO PRESENT US SENATE DOCUMENTS 836.

WE'' VE ALL WITNESSED THE EXPANDING STRESS OUR YOUNGSTERS DEAL WITH TODAY AS WELL AS WE'' VE HEARD STATEMENT IN A NUMBER OF OUR COMMITTEES ABOUT THE DEMAND FOR MENTAL HEALTH AND WELLNESS SUPPORT IN OUR SCHOOLS AND ALSO COMMUNITIES THE TENSION OUR PUPILS FACE EXISTED PRIOR TO COVID 19 AS WELL AS OF 19 AS WELL AS OBVIOUSLY WILL CERTAINLY EXIST AFTER THE PANDEMIC IS SHOWN A HARSH LIGHT ON THE ABSENCE OF ASSISTANCE IN THE SECURITY NET FOR THOSE TRAINEES THAT ARE STRUGGLING. THIS BILL IS A SMALL ACTION WE CANISTER TAKE TO GIVE TRAINEES THE DEVICES THEY NEED TO ACCESS MENTAL HEALTH AND WELLNESS SUPPORTS BEFORE THEY END UP BEING DIRE. IN CURRENT LAW IS 16 AS WELL AS 16 AND 17-YEAR-OLD MAY TO CHECK THEMSELVES RIGHT INTO AN INPATIENT CENTER OF THEIR INDEPENDENCY BUT CONTAINER NOT ACCESS THE ASSISTANCES OF MENTAL HEALTH PROFESSIONAL IN AN OUTPATIENT SETUP WITHOUT PARENTAL CONSENT FIRST.

WITH THIS BILL IT'' S OUR HOPE THAT YOUNG ADULTS WILL CERTAINLY GET THE ASSISTANCE THEY REQUIRED LONG BEFORE REQUIRING A MEDICAL FACILITY KEEP DELAYING URGENT TREATMENT CANISTER BE COSTLY IN NUMEROUS WAYS SOMETIMES THESE DELS CANISTER BE STRAIGHTFORWARD AS A LANGUAGE BARRIER OR TIME RESTRICTIONS FOR THE PARENTS OF THE SDENT OR IT MAY BE A LACK OF KNOWLED ABOUT THE RESOURCES AVAILABLE. WHEVER THE CASE MAY BE WE WANT OUR YOUTHFUL CHILDREN YOG ADULTS TO OBTAIN NEEDED AID WITHOUTHAT EXPENSIVE DELAY. PARTICIPANTS YOU OUGHT TO HAVE TW TWO LETTERS OF ASSISTANCE IN YOUR PACK FOR THIS BILL FROM NAMI AND ALSO THE MINNESOTA SCHO PSYCHOLOGIST ORGANIZATION. I LIEVE I HAVE TESTIFIERS TODAY MME. CHAIR. TRE IS A TESTIFIER OSCAR WOLF WHOS JOINING US USING ZOOM. WELCOMEO THE COMMITTE PLEA STATE YOUNAME FOR THE RECORD AND ALSO BIN YOUR STIMONY. THANK YOU E. CHAIR I'' M OSCAR WOLF A SENR AT PKINS HIGH SCHL IN THE WEST METRO I'' M RIGHT HERE TO TEIFIN ASSISTANCE OF THIS COSTS.

AUT A YEAR AGO I REMAINED IN FRENCH CLASWHEN A IEND OF MINE HAD PANIC ATCK I SAW H FEZE UP I SAW HER EYES OBTAIN PICKY IN A BRAND-NEW ETTYUICKLY SOMETHI WASN'' T RHT. I FLAGGEDOWN MY TCH AS WELL AS WE WERE ABLTO T MYRIEND TTHNURSES OFFI UNFTUNATELY ON TH PARTICUL DAY THERE WASO MENTAL HEAH ECIALIST IN THE SCHO SMY FRIEND HAD TOAI FOR OUT AN HR ANA LF IN ANMPTY AREA BEFOREHEAS LE TO BE SEEN BYOMNE. U ULD THINK TEA TRMAC EXPERIENCE LIKTH MYRIEND WOULD NEEDOMSORT MTAL HEALTHARTO AID PE WITH THATUTN MY FRNDCASE 1 OF THE MAR CONTRITI FACTORS TO HER MENTAL HLTISSUES WAS HER SITUATIOATOME WAS HER PARENTS.BECAE E UNDERSTOOD IF SHE WERE TUSTHOSE MENT WELLNESS ROUES THEY WOULD BE CALLG HO SHE DIDN'' T SEEK THEMUTT ALTHE TRUTH I THISILHAD EXISTEA AR AGMYRIEND WOULD'' VE REID DICATREATMENT ATHE REQUIRED N THE YEA IE BE INIGH COLLEGE I'' VE TULY EN T RESOURCESVAABLE ENHANCE A GREAT DEAL PKS NOW OFRS PSYCHOLIS AND ALSO SOCIAL EMPLOYEES D ERAPTS AND WHOLE LOTS OF THAT SN AVAILABLE WHEN I WAS FSHMAN.

HOWEVER GIVEN HOW MANYTUNTS NEED THE SOURCES IS PRETTY SURPRISINHOUNDERUSED THEY ARE AS WELL AS ONEF E SIGNIFICANT ASONS FOR THAT IBEUSE TRAINEES RECOGNIZE TH TY DON'' T VE THAT COIDTIALITY THEIR PARENTS ARE INTO KNOW. AT HOPKINS ALMOSTALOF STUDENTS ARE ON FREE MINIMIZED LUNCH S GOING TSIDOF INSTITUTION G RESINTL THERAPY FO PRIVE ERAPIST IS OFT NOT A REONABLE OPTION SOE ED MAKSURE WE RIP DOWN ER BARRIETHAT'' S MAKING THE RESOURS IN INSTITUTION AND ACCESSIB TO TRAINEES ESPECIALLY OUROW REVENUE TRAINEES. I DO UNDERSTAND WI THE RES MAY SIGHT TS AS A LO OF CONTROL ON TIRND T AS A STUDENT WAS WCHED IS PLAY OUT IN SCHOOLS AND THREAL GLOBE ADULT NSENT ISROVEN TO BE MU EVEN MORE OF AN CHALLENGE THAN A SAGUARD. KEEPING THAT WOULD URGE YOU ON BEHALFF THE TRAINEES THROUGHOUT MINNETA TO SUPPORT THIS BILL ORDER TO MAKE MENTAL HEAH TREATMENT MORE ACCESSIBLE FOR ALL THANK YOU.

THANKS VERMUCH FOR YOUR TESTAMENT ANK YOU FOR TAKING SOME TIME TO PREST YOUR THOUGHTS ON THE COSTS. SEN. MORRISON ANY OTHER COMMEN. MME. CHAIR KNOW I'' M HE TO STANFOR INQUIRIES. MEMBERS ANY QUESTIONS, SEN. ABELER. THANKS I'' VE MET RESEARCH STUDY THIS I JUST LISTENED TO CONCERNING TS CURRENTLY I VALUE THE TESTIMONY OF THE FELLOW THERE SORRY I DN'' T OBTAIN HIS NAME. AS WEISCUSSED WHAT MINORS CONTAINER DO ON THEIR OWN WITH OR WITHOUT APPROVAL WITHOUT INFORMING I RECOGNIZE THE ISSUES THAT CAN BE FOUND IN A FEW OF THE RELATIONSHIPS WHERE THEY AREN'' T READY TO TELL ANYONE AND ALSO I ' M CERTAIN THERE ' S SOME TRAINEES SOME YOUNGSTER TAKEN THEIR LIVES BECAUSE THEY DIDN'' T FEEL THEY COULD SPEAK ABOUT SOMETHING AND ALSO WE INTEND TO STAY CLEAR OF THAT BUT BEYOND OF THE COIN IS ANYBODY REVEALED A WORRY ABOUT THAT THIS DISCONNECTS FROM THE FAMILY THERE ARE SOME GOOD FAMILIES AROUND THAT IF THEY COULD TALK T WOULD ACTUALLY WORK.

I DO KNOW WHERE THIS COSTS IS GOING COULD YOU COMMENT CONCERNING THAT SEN. MORRISON. MME. CHAIR AND SEN. ABELER MANY THANKS FOR THE QUESTION. I ASSUME MANY PSYCHOLOGISTS WOULD TELL YOU OTHER PSYCHOLOGICAL HEALTH EXPERTS WOULD TELL YOU IDEALLY THE HOUSEHOLDS ENTAILED FROM THE OUTSET AND ALSO THAT'' S NORMALLY THE SITUATION BUT THERE ARE SITUATIONS WHERE THERE'' S EITHER A FAMILY MEMBERS SCENARIO OR SOME OF THE EXAMPLES I MENTIONED IN MY OPENING REMARKS EITHER LANGUAGE BARRIER OR ABSENCE OF EXPERTISE CONCERNING MENTAL HEALTH SUPPORTS VARIOUS OTHER THINGS CAN BE OBSTACLES FOR KIDS GETTING THE HELP THEY NEED AND THE REALITY THEY CAN CONSENT TO INPATIENT MENTAL WELLNESS THERAPY BUT NOT OUTPATIENT APPEARS INCONGRUOUS SO THIS GENERATES CONGRUITY AND COST ACCESSIBILITY TO OUR KIDS ARE IN CRISIS WE REQUIREMENT TO BE CREATIVE NOW AS WELL AS DOING EVERY LITTLE THING WE CONTAINER TO OBTAIN THEM THE AID THEY DEMAND.

SEN. ABELER. I VALUE THAT I DON'' T THINK I'' M AN OPPONENT I ' M SIMPLY TYPE OF AGNOSTIC NOW.JUST TO REMIND EVERYONE WHO LIKES THIS REGULATION THE MOMS AND DADS ARE GOING TO LOCATE A DUE TO THE FACT THAT THE GOING TO GET A BILL IN THE MAIL FROM WHEREVER THEY WENT AND ALSO THEY MAY GO TO PLACE THAT'' S NOT EVEN RIGHT PLACE IN THEIR PLAN IN THE POINT OF IT ALL SO THIS ACTUALLY THERE ' S A SIDE IN WHICH IT COULD REASON SOME'DISPUTE LIKE WHY DIDN ' T YOU GO TO THE PERSON WE HAVE THIS WHOLE NETWORK IT'' S AN AMAZING ONE AND'THEY ' RE NOT COVERED SO JUST A POINT THAT OUT THOSE ARE LOGISTICAL THINGS I DON'' T KNOW HOW YOU REPAIR BUT I THINK YOU'' RE ON THE RIGHT TRACK THAT'' S ALL I HAVE THANKS. ANY OTHER MEMBERS SEN. UTKE. THANKS MME. CHAIR AS WELL AS SEN. ABELER DISCUSSED COMPONENT OF IN WHICH I WAS HEADING TO ABOUT WHO PAYS AND YORTY TOUCHED ON THE TRUTH THEY CONTAINER GRANT INPATIENT BUT THIS IS OUTPATIENT CARE. I WAS GOING TO INQUIRE ABOUT WHO OBTAINS THE COSTS BUT IF THE COSTS IS REVEALING UP IN THE HOUSE AFTERWARDS AND ALSO THE REALITY THINGS IT'' S SOMETHING I WANT TO KNOW EVEN MORE CONCERNING IS THERE A FISCAL NOTE ON THIS IS THEIR ANY PRICE TO THE STATE IF'IT ' S PUBLIC SOLUTIONS WE ARE PAYING BUT DO WE ANTICIPATE THERE WILL CERTAINLY BE EVEN MORE PRICE WE ARE ALREADY SPENDING FOR ONE SIDE ONE SIDE THIS IS OFFERING IT ANOTHER OPTION. SEN. MORRISON. MME. CHAIR AND SEN.

UTKE, I ASSUME MR. WOLF MADE A WONDERFUL POINT AS AN EXAMPLE HIS HIGH SCHOOL THEY HAVE A GREAT DEAL OF OPTIONS CURRENTLY THAT THEY DIDN'' T USAGE TO HAVE AS WELL AS THEY ' RE NOT BEING USED IN HIS SIGHT TO THE EXTENT THEY ARE REQUIRED AS A RESULT OF THIS OBSTACLE TO ENSURE THAT'' S COMPONENT OF THE GENERAL PUBLIC EDUCATION TO ENSURE THAT WOULD NOT BE AN ADDITIONAL COST BUT IF THEY SUCCESS OUT INTO THE COMMITTEE THAT'' S TRUE THERE WOULD AT SOME POINT BE A COSTS BUT ALSO TO SEN.

ABELER'' S POINT BUT I WOULD MENTION MENTAL HEALTH PROFESSIONALS WILL INFORM YOU IN A CIRCUMSTANCE SUCH AS THIS OFTEN IT WILL TAKE A CHECK OUT OR 2 THEN 2 THEN THEY WILL WORK WITH THE STUDENT WITH THE YOUNG ADULT TO BRING THEIR FAMILY MEMBERS IN SO IT'' S ALWAYS THE GOAL TO INVOLVE THE FAMILY AS WELL AS MAY SIMPLY BE A COUPLE OF CHECK OUTS TO GET THE STUDENT TO THE POINT WHERE THEY HAVE THE ABILITY TO DO THAT THAT'' S CONSTANTLY THE OBJECTIVE OF A GOOD PSYCHOLOGICAL HEALTH PROFESSIONAL ASSUMING THAT IT'' S SAFE. SEN. UTKE. THANK YOU MME.'CHAIR AND ALSO THANK YOU THAT ' S ALWAYS A PROBLEM BECAUSE SOMETIMES THAT ' S A VALUED BILL IN THE MAIL CREATES EVEN MORE ISSUES THAN WE HAD BEFORE AS FOR THE YOUNG PERSON IN THE CONNECTION TO THEIR PARENTS OR GUARDIANS ANYONE WHO THEY ARE WITH. WE WAIT AS WELL AS SEE THANK YOU. THANKS SEN.

MORRISON IT FEELS LIKE THIS WILL CERTAINLY BE A BENEFIT TO INCREASE THE ALTERNATIVES STUDENTS THE YOUTH HAVE SINCE THEY CONTAINER ALREADY CONSENT TO SOME OF THESE CARE SOLUTIONS THAT MAKE GOOD SENSE TO ME WE ARE ABLE TO HAVE THEM EFFECTIVE AUTHORIZATION FOR THE NONRESIDENTIAL TREATMENT TOO. I VALUE YOUR BRINGING THE BILL FORWARD THIS COSTS DOES NOT HAVE A FISCAL EFFECT AND ALSO WE WILL PASS THE COSTS OUT TODAY TO THE FLOORING. IF YOU WOULD LOVE TO MAKE THE MOTION. SO MOVED MME. CHAIR. US SENATE DATA A36 IS RECOMMENDED TO PASS ALL THOSE IN SUPPORT PLEASE SAY AYE, ANY OPPOSED THE MOVEMENT DOES PREVAIL IN THE EXPENSE IS PASSED. THANKS. NOW I WILL TURN THIS OVER TO SEN. MANN FOR BOTH BILLS THAT I HAVE. MME. CHAIR PLEASE PROCEED.

FIRST I WISH TO MENTION US SENATE SUBMIT 1680. THIS 1,680. THIS IS A COSTS THAT MAKES STATE FUNDING AVAILABLE FOR HOUSEHOLD FRIEND AS WELL AS NEIGHBOR SUPPORT AS WELL AS EDUCATION CASH WAS PASSED TO SUPPORT THIS KIND OF CHILD CARE IN THE 2021 SESSION 2021 SESSION AND ALSO WE USED DURING THAT TIME FEDERAL COVID FUNDS WERE USED AS WELL AS WE WISH TO MAKE THIS GRANT PROGRAM CONTINUE I AM THRILLED TO BE ABLE TO OFFER THIS IMPORTANT EXPENSE WHICH SUSTAINS FAMILY MEMBERS BUDDY AND ALSO NEXT-DOOR NEIGHBOR CHILDCARE PROVIDERS AND ALSO HELPS MAKE CERTAIN TOP QUALITY TREATMENT AND ALSO LEARNING IS AVAILABLE TO ALL YOUNGSTERS DESPITE WHERE THEY GET THEIR TREATMENT OR THAT EXISTS CARE COMPANY. FAMILY MEMBERS BUDDY AND NEIGHBOR SUPPLIERS PROVIDE LEGAL UNLICENSED KID CARE TO KIDS AS WELL AS FAMILY MEMBERS AS WELL AS OUR FREQUENT SELECTION OF TAKE CARE OF PARENTS WITH INFANTS AND KIDS SPECIFICALLY PARENTS IN A DIVERSE SOCIAL AND ETHNIC COMMUNITY AND MOMS AND DADS WITH DIFFERENTLY ABLE TO CHILDREN PARENTS FUNCTIONING NONSTANDARD OUR JOBS ALSO MAKE A GREAT DEAL OF USE FAMILY MEMBERS FRIEND AND ALSO NEIGHBOR COMPANIES. IF YOU REMEMBER WHEN WE HAD THE COSTS HEARING ON THE NEIGHBORHOOD SOLUTIONS GIVE PROGRAM AMONG THE TESTIFIERS WAS FROM THE PROGRAM OR UNION IN THE RICHFIELD BLOOMINGTON AREA AND THEY EMPHASIS THEIR INITIATIVES ON SUPPLYING TRAINING AND ALSO OTHER POSSIBILITIES FOR HOUSEHOLD PAL AS WELL AS NEIGHBOR SUPPLIERS.

EVERY HOUSEHOLD NEED TO HAVE THE ABILITY TO SELECT THAT TAKES CARE OF THEIR KIDS WHEN THEY FUNCTION OUTSIDE THE HOUSE AS WELL AS THE PRICES OF CHILDCARE AND SHORTAGE OF CHILD PROGRAMS ARE USUALLY THE DRIVING FORCES BETWEEN OR BEHIND MOMS AND DADS DECISION-MAKING. I KNOW THERE ARE MANY HOUSEHOLDS IN MY COMMUNITY AND ACROSS THE STATE THAT NEED THEIR YOUNGSTERS TO BE LOOKED AFTER BY A MEMBER OF THE FAMILY OR GOOD FRIEND MIGHT SHARE THEIR CULTURAL PERSONAL OR RELIGIOUS VALUES, AS WELL AS I WISH WE WOULD HAVE THE ABILITY TO SUPPORT THOSE PROVIDERS ALSO SO THEY CANISTER DEAL THE GREATEST HIGH QUALITY TREATMENT REGARDLESS OF WHO WAS OFFERING IT. OVER THE PAST PAIR OF YEARS DHS HAS BUILT A NETWORK OF AREA SUSTAINS FOR FAMILY MEMBERS CLOSE FRIEND AS WELL AS NEIGHBOR SERVICE PROVIDERS ACROSS THE STATE WE APPROVED $4.5 MILLION IN ONCE ONE-TIME FINANCING TO CONSTRUCT THIS NETWORK AS WELL AS TO OBTAIN REQUIRED RESOURCES TO HOUSEHOLDS AND AREAS.

THESE FUNDS ARE SET UP TO END IN 2023 2023 THIS EXPENSE WOULD MAINTAIN FUNDING FOR THIS NEW NETWORK AS WELL AS WOULD ALLOW FOR AN EXPANSION RIGHT INTO THE WESTERN AREAS OF THE STATE. AS YOU WILL CERTAINLY SEE IN THE BILL THE GRANT AWARDS CAN BE USED FOR A VARIETY OF PURPOSES SUCH AS OFFERING CULTURALLY AND LINGUISTICALLY APPROPRIATE TRAININGS SUPPORT AND ALSO RESOURCES TO FAMILY MEMBERS BUDDY AND NEXT-DOOR NEIGHBOR CARETAKERS THEY CAN USAGE THE GRANT MONEY TO CONNECT CAREGIVERS AND ALSO KIDS'' S FAMILY MEMBERS WITH AREA RESOURCES CONNECTING HOUSEHOLD CLOSE FRIEND AND ALSO NEIGHBOR CARETAKERS AND CHILDREN'' S HOUSEHOLDS TO EARLY CHILDHOOD YEARS TESTING PROGRAMS AND SO FORTH. I DO HAVE THINK 3 THREE TESTIFIERS TODAY WHO I THINK ARE HERE WITH US REMOTELY AS WELL AS I WOULD LIKE TO MOST LIKELY TO THE TESTIMONY NOW. THANKS MME. CHAIR FIRST IS SUE THOMAS. GREETINGS MME. CHAIR AND MEMBERS OF THE COMMITTEE I'' M SUE THOMAS WE SERVE 9 NINE COUNTIES IN SOUTH CENTRAL MINNESOTA TO GIVE A BROAD SERIES OF SOLUTIONS IN THE NEIGHBORHOODS AND ALSO ACROSS THE AREA INCLUDING RENTAL AND HOME LOAN AID FOOD AID REFUGEE NEGOTIATION IN MY LOCATION OF FUNCTION SUPPORTING CHILD CARE IN EARLY UNDERSTANDING WE WORK VERY CLOSELY THROUGHOUT A CHILDCARE INDUSTRY TO ASSISTANCE FAMILIES EARLY YOUTH PROFESSIONALS AND ALSO PARTNERS TO IMPROVE THE GAIN ACCESS TO TO HIGH-QUALITY CHILD CARE KNOWINGS AS WELL AS EDUCATION FOR KIDS WE KNOW IS A SOLID STRUCTURE IS A BASIS FOR TO LAST THROUGH STORMS AND MAKES A STRONG STRUCTURE OF CONSISTENT RISK-FREE NURTURING AND ALSO CULTURALLY RELEVANT CARE IS THE BASIS FOR KID TO ESTABLISH IN SCHOOL AND ALSO IN LIFE.

IN OUR COMMUNITY THERE'' S AN INCREDIBLE SHORTAGE OF CHILDCARE PROVIDERS BUT WE HAVE PROGRAMS THAT OFFER KIDS SPEAK LANGUAGES BESIDES ENGLISH AND ALSO BECAUSE OF CLOSE WORK WE PERFORM WITH THESE FAMILIES WE KNOW FAMILIES ARE LOOKING FOR CULTURALLY RELEVANT TREATMENT AND ALSO OFTEN USE FAMILY MEMBERS GOOD FRIEND AND ALSO NEIGHBOR CHILDCARE SINCE THEY KNOW THERE'' S PEOPLE WHO THEY ARE ACQUAINTED WITH AS WELL AS KNOW THEIR WAY OF LIFE AND ALSO WE ALSO KEEP IN MIND THERE IS A HUGE NUMBER HOUSEHOLDS FROM NONTRADITIONAL HOURS THAT COUNT ON BUDDIES AS WELL AS HOUSEHOLD AS WELL AS NEXT-DOOR NEIGHBORS TO PROVIDE CHILD CARE WHILE THEY FUNCTION AS WELL AS OUR COMPANY BELIEVE CHILD CARE PROVIDERS THE MATTER IF THEY WORK IN A LICENSE CENTER OR IN A HOUSE PROGRAM OR COLLEGE THAT OR FURTHER AN UNLICENSED PROVIDED THEY DESERVE THEM SUPPORTS NEEDED TO GIVE THE FINEST QUALITY TREATMENT FEASIBLE IN WHICH SUSTAINS CANISTER BE FUNDAMENTAL TRAINING AND ALSO SAFETY AND SECURITY THE SIGNIFICANCES OF TRAINING AND ALSO A PROGRAM TO ENCOURAGE THE WORTH OF HEALTHY AND BALANCED COMMUNICATIONS NOURISHMENT AND SO A LOT MORE. WERE CURRENTLY RECEIVING FUNDING FROM DHS VIA THE GRANT PROGRAM TO ASSISTANCE FFM PROVIDERS IN OUR COMMUNITIES THIS GRANT PROGRAM IS AN OPPORTUNITY FOR United States TO DEAL WITH DHS AND ALSO OR COMPANIONS TO LEARN HOW TO BEST SUPPORT FFM PROVIDERS AS WELL AS THE GRANT AS YOU LISTENED TO IS TIME-LIMITED AND ALSO WILL BE END IN SEPTEMBER AND WE NEED FUNDING TO RISE TOP QUALITY CHILD CARES AND ALSO RESOURCES IN THE NEIGHBORHOODS AND WERE GLAD THE STATE IS START TO THINK ABOUT HOW TO PROCEED THE SUPPORT FOR BUDDY FAMILY MEMBERS CARE IN THIS GRANT PROGRAM HAS BEEN ONE MANNER IN WHICH HAS IMPACT IN An AREA OF THE STATE.

I ASSUME YOU FOR YOUR TIME. THANKS MISS THOMAS NEXT IS MISS PRINGLE. THANKS MME. CHAIR GOOD EARLY MORNING BOARD MEMBERS I'' M KUHLIA PRINGLE THE MINNESOTA STATE SUPERVISOR FOR THE NATIONAL PARENTS UNION. I'' M RIGHT HERE TO TESTIFY IN SUPPORT OF US SENATE FILE 1680 ESTABLISHED FAMILY 1,680 ESTABLISHED FAMILY BUDDY NEIGHBOR CHILD CARE GIVE PROGRAM. IN MY WORK I'' VE WORKED INDIVIDUALLY TO ASSISTANCE FAMILIES AS THEY NAVIGATE PRE-K AREAS PREDOMINANTLY BLACK BROWN AS WELL AS LOW INCOME FAMILIES WHEN THE LEGISLATURE CHOSE TO DETERMINE EMERGENCY FUNDS TO SUPPORT FAMILY FRIEND AND ALSO NEXT-DOOR NEIGHBOR CARRIERS WE SUSTAINED 40% OF FAMILIES IN MINNESOTA.

THEY RECEIVE CRITICAL TREATMENT THEY REQUIRED TO SUPPORT THE GROWTH AND ALSO ADVANCEMENT OF THEIR KIDS. FF AND ALSO ARE RELIED ON BY THE NEIGHBORHOOD THAT LOOK AFTER BLACK BROWN AND ALSO COUNTRY MINNESOTANS HAVE BEEN DISPROPORTIONALLY AFFECTED BY THE RECURRING PANDEMIC AND EVEN MORE FAMILIES OF ALL BACKGROUNDS RETURNED TO THEIR FAMILY FRIENDS AND NEIGHBORS TO HELP LOOK AFTER THEIR YOUNG KID FFM GRANTS ENABLE CARRIERS TO ACCESSIBILITY TRAINING TO FOSTER SOCIAL EMOTIONAL UNDERSTANDING HEALTHY AND BALANCED ADVANCEMENT EARLY PROFICIENCY AND ALSO OTHER SKILLS NEEDED TO PREPARE KIDS FOR SCHOOL AS WELL AS THE LIFETIME OF UNDERSTANDING. THESE RESOURCES ASSISTANCE PROMOTE RISK-FREE SETTINGS FOR CHILDREN TO BE TAKEN CARE OF AS WELL AS ENHANCES ACCESS TO CULTURALLY RESPONSIVE AS WELL AS LINGUISTICALLY APPROPRIATE TREATMENT. OUR TEAM BELIEVE IT'' S CRITICAL TO GIVE HIGH QUALITY CARE AND ALSO SUPPORT KIDS AND THEIR COMPANIES NO MATTER WHERE THEY ARE GETTING CARE OR WHO IS OFFERING THE TREATMENT. PLEASE ASSISTANCE ME IN SUPPORTING THIS COSTS MANY THANKS. THANKS MISS PRINGLE NEXT IS MIA ROCHA. GREETINGS MIA ROCHA HOUSEHOLD BUDDY AND ALSO NEIGHBOR NAVIGATOR WITH MATURING HEALTHY A PROGRAM OF HEALTHY AND BALANCED NEIGHBORHOOD IN RICE AREA MATURING HEALTHY VISUALIZES A RICE COUNTY IN WHICH DIVERSE POPULACES ARE LINKED TO EVERY OTHER AS WELL AS ARE ACTIVE PARTICIPANTS IN DEVELOPING A NEIGHBORHOOD WHERE ALL FAMILY MEMBERS THRIVE.

PARTICULARLY WORKING WITH LATIN NEXT IMMIGRANT HOUSEHOLDS AND ALSO ALL INCOME HOUSEHOLDS TO CULTIVATE AREA LEADERSHIP FOSTER SOCIAL CONNECTIONS AS WELL AS COLLECTIVELY SUPPORTER FOR EQUIPMENTS OF DEGREE CHANGE TO SUPPORT ALL HOUSEHOLDS MATURING HEALTHY AND BALANCED RECEIVED A GRANT FROM DHS TO SUPPORT FFM PROVIDERS IN RICE COUNTY FFM PROVIDERS RECORD REALLY FEELING DETACHED FROM RESOURCES AND ALSO SERVICES TYPICALLY DUE TO LANGUAGE BARRIERS OR BECAUSE THEY ABSENCE TRANSPORTATION OR FINANCIAL RESOURCES TO PARTICIPATE IN NEIGHBORHOOD WIDE PROGRAMS. ALL SOLUTIONS ARE BEING OFFERED IN SPANISH AND ENGLISH SO FF AND CAREGIVERS CONTAINER GET THE DETAILS NEEDED IN THEIR MOTHER LANGUAGE WE ALSO HOST VARIOUS TRAININGS FOR FFM CAREGIVERS INCLUDING RED CROSS FIRST-AID MOUTH-TO-MOUTH RESUSCITATION IN SPANISH TO MAKE CERTAIN THEY HAVE THE ABILITIES THEY REQUIREMENT TO DEVELOP A RISK-FREE ATMOSPHERE FOR KIDS IN THEIR TREATMENT.

EXPANDING UP HEALTHY CREATES REGULAR OPPORTUNITIES FOR FF AND ALSO CARETAKERS AND ALSO FAMILIES TO CONNECT IN THE COMMUNITY BOTH PER OTHER AND TO SUPPORTIVE SERVICES THAT ENABLE THEM TO IN THEIR ROLE CARING FOR OUR YOUNGEST AREA MEMBERS WE FUNCTION WITH FFM CARETAKERS AND ALSO FAMILIES TO BRING CULTURAL AND LANGUAGE INTO THE TREATMENT OF THE CHILDREN. FOR MULTIPLE YEARS MATURING HEALTHY AND BALANCED HAS BECOME AWARE OF OBSTACLES AND DIFFICULTIES THAT FF AND ALSO CAREGIVERS WE ARE STRIVING TO BREAK DOWN THOSE BARRIERS IN PARTNERSHIPS WITH THE FFM CAREGIVERS FAMILIES AS WELL AS REGIONAL LEADERS.

WE BELIEVE IN ONGOING FUNDING S CRITICAL TO OUR LASTING OBJECTIVES F INCREASING SOCIAL CONNECTIONS AMONG ALL RICE AREA FAMILIES IN GRANTS LIKE THESE CONTAINER TAKE ADVANTAGE OF OTHER IMPORTANT AREA PROGRAMS. THANKS FOR YOUR SUPPORT OF FF AS WELL AS PROVIDERS IN RICE AREA WE ARE FIRED UP TO FUNCTION WITH YOU AS WELL AS TO GUARANTEE HIGH QUALITY TREATMENT IS AVAILABLE IN ALL MINNESOTA YOUNGSTERS THANKS. THANKS MISS ROCHA. MEMBERS ANY DISCUSSION? SEN. HOFFMAN. THANK YOU MME. CHAIR AS WELL AS THANK YOU SEN. WIKLUND FOR TAKING THIS. I STARTED TO SMILE BECAUSE YEARS AGO WHEN I WENT TO THE UNIVERSITY OF NORTH CAROLINA THE SPOKE CONCERNING CHILD AND ALSO CAN AND THEY WERE WONDERING IN WHICH THAT NETWORK WAS AND TO ME IT SEEMS LIKE THIS IS DESIGNED AFTER THE WASHINGTON STATE OF FF AND NETWORK THAT'' S ENHANCED AS WELL AS ESTABLISHED THERE AS WELL AS IF THAT'' S THE CASE AS THEY TAKE A LOOK AT PARSING OUT THE EARLY CHILDHOOD YEARS STUFF IN MINNESOTA IS IT YOUR OBJECTIVE I TIN ASK WHAT YOUR INTENT IS IS HE YOUR DESIRE THAT THIS FOLLOW IN ADDITION TO THAT SAME COURSE SO IT BECOMES EMBEDDED IN HOW WE DO COMPANY IN MINNESOTA.

SEN. WIKLUND. THANKS SEN. HOFFMAN AS WELL AS MME. CHAIR YES I HOPE THE CASH THAT WE HAVE BEEN ABLE TO SUPPLY OVER THE PREVIOUS NUMBER OF YEARS HAS SHOWN WE CANISTER SUPPLY AN RELIABLE COURSE FOR GRANT MONEY TO HEAD TO THESE NETWORKS AND TO HELP SUPPORT THE HOUSEHOLD FRIEND AND ALSO NEIGHBOR COMPANIES IN THEIR OWN CULTURAL AS WELL AS LANGUAGE DETAILS WAYS THEREFORE I THINK WHAT THE COSTS IS INTENDING TO ACCOMPLISH IS TO PRODUCE EVEN MORE POSSIBILITIES FOR THAT AND ALSO AS WE GO FORWARD TO EXPAND EVEN MORE NETWORKS THROUGHOUT THE STATE SOME EVEN MORE FAMILIES CAN GAIN FROM MORE WELL-TRAINED SUPPLIERS. YES MME. CHAIR DOES ANSWER MY QUESTION I WOULD HOPE THE HOPE IS NOT A METHOD THAT'' S THE NAME OF A KID THAT ' S NOT AMUSING BUT IN THIS INSTANCE AS WE BEGIN TO APPEARANCE AT ALL THE VARIOUS SYSTEMS THAT ARE OUT THERE REGARDING THIS POCKET OF KIDS AS WELL AS HOUSEHOLDS I'' M DELIGHTED TO SEE YOU BRING THIS FORWARD BECAUSE IT'' S BRINGING JOY IN THE REALITY THAT THIRTY YEARS THIRTY YEARS BACK WE'' RE HAVING THE EXACT SAME CONVERSATION AND IS OF THE STATES THAT HAVE DONE IT.

I WOULD HOPE THE DEPARTMENT UNDERSTANDS THE VALUE OF THIS AND ALSO SUSTAINS IT REGARDING THE DISCUSSION THAT'' S GOING TO BE GOING AHEAD WHEN THEY BEGIN TO LOOK AT ALL THE EARLY CHILDHOOD SERVICES AND PROGRAMS IN MINNESOTA BECAUSE THIS IS A REWARDING INVESTMENT MANY THANKS FOR BRINGING IT AHEAD. THANK YOU AS WELL AS JUST TO REMARK, THE DIVISION DID HAVE SOME FINANCING FOR THE PDG GRANT WAS ABLE TO HIRE SOMEONE TO DO SOME TASK ADMINISTRATION AND ALSO LEARNING FROM THIS SPECIFIC APPROACH AS WELL AS I ASSUME THEY ARE VERY COMMITTED TO MAKING IT CONTAINER TO NEW IN An EFFECTIVE WEIGHT. VARIOUS OTHER COMMENTS SEN. ABELER. MANY THANKS AND MANY THANKS MME. CHAIR. I IDENTIFY I BELIEVE WE DID WITH SEVERAL OF THE MONEY WE HAD WHEN THE BIG STACK OF MONEY CAME DOWN ON United States BUT GOING FORWARD SIMPLY An IDEA TO YOU I'' VE A FEELING WE MAY SEE THIS ONCE MORE IN An EXPENSE CONCERNING US SOMEDAY. IT APPEARS LIKE IT'' S FOR LAWFUL AS WELL AS UNLICENSED WHICH I BELIEVE IS A FANTASTIC SUGGESTION AS YOU FUNCTION TO PUT SOME MORE FRAMEWORK INTO THE PROGRAM YOU MAY WISH TO THANK WHAT'' S A GOOD-SIZED GIVE FOR INDIVIDUALS TO GET HOW MANY DO YOU WANT TO TRY TO GO OUT WHAT ABOUT DISTRIBUTION ACROSS THE STATE TO ENSURE IT'' S COVERED PARTICULARLY IN AREAS WHERE THERE'' S An ABSENCE OF CHILDCARE I SUPPOSE IN GREATER MINNESOTA PARTICULARLY. I'' M SURE THERE ARE SOME URBAN GROUPS THAT WOULD BE OFFERED BY THIS TOO SO I WOULD ENCOURAGE YOU AS YOU WE DID A GREAT DEAL OF THOSE PROGRAMS SWIFTLY AND ALSO WE SPENT $600 $600 MILLION I BELIEVE IN A SHORT AMOUNT OF TIME FRANKLY BEHIND-THE-SCENES IT WAS A LOUSY WAY TO PERFORM SERVICE SOME EXCELLENT PROGRAMS APPEARED OF IT AMONG THOSE MAYBE THIS JUST A THOUGHT AS YOU GO AHEAD TO NOT BE SHY TO SIT WITH THE SUPPORTERS AS WELL AS HOMES AND ALSO GET SOME STRUCTURE SO THE EVEN MORE FRAMEWORK THEY HAVE THE LESS THEY'' LL SPEND ON THE ADMINISTRATIVE SIDE MANY THANKS.

SEN. WIKLUND. THANK YOU CHAIR AND ALSO SEN. ABELER THAT MAKES A GREAT DEAL OF FEELING AND ALSO I WILL MOST DEFINITELY TALK WITH THEM ABOUT IF THERE'' S MORE LANGUAGE WE CONTAINER INCLUDE IN THE BILL THAT WILL CERTAINLY DEFINE THINGS A LITTLE MORE FRAMEWORK. ANYBODY ELSE, SEN. WIKLUND ASSUMING FOR BRINGING THE BILL FORWARD IT'' S BRILLIANT WORK MAINTAINING KIDS IN THEIR AREA'' S WERE SPENDING PUTTING CASH BACK INTO THOSE NEIGHBORHOODS WHILE FIGHTING THE CHILDCARE SITUATION WERE I'' VE BEEN ASKED TO BE ADDED TO THE EXPENSE. ANY FINAL REMARKS. KNOW I WOULD APPRECIATE WILL LAY THE COSTS OVER SO I PUT ON'' T REQUIREMENT TO ASK FOR ASSISTANCE TODAY BUT I DO HOPE THAT YOU SEE THE VALUE IN MAKINGORE RESOURCES AVAILABLE GRADUALLY AND WHEN WE UNDERSTAND OVER 40% OF NEWBORNS AND ALSO TODDLERS ARE BEING CARED FOR IN THE SETUPS WE NEED INDIVIDUAL THAT ARE TAKING CARE OF THEM TO BE ABLE TO BE SUCCESSFUL IN THESE IMPORTANT EARLY YEARS OF GROWTH.

I VALUE THE MOMENT AND YOUR INTEREST TODAY. THANK YOU WITH THAT SAID THE COSTS IS LAID OVER. SEN. WIKLUND TO YOUR EXPENSE SENATE DATA 1675. 1,675. THANK YOU MME. CHAIR US SENATE SUBMIT 1,675 BELONGS TO MEDICAL PRICES OPENNESS AND I HAVE AN AMENDMENT AN WRITER'' S CHANGE. I DON ' T KNOW THAT IS INCLUDED IN YOUR PACKAGE IT IS THE A1 AMENDMENT. THE ACTIVITY TO MOVE THE A1 CHANGE EVERYBODY IN FAVOR SAY AYE, THOSE OPPOSED OK THE AMENDMENT IS TAKEN ON. THANKS THE CHANGE IT DOES CLARIFY MAKES TECHNICAL MODIFICATIONS IT WILL CERTAINLY ALSO TRANSFORM THE BUILDING AND CONSTRUCTION SO THE HEALTHCARE FACILITY CONFORMITY IS BY GENERALLY FIRST OF 2024 AND THE OTHER MEDICAL OR DENTAL PRACTICES IT GIVES THEM ANOTHER PERSON YEAR FOR THEM RESTRICTION OF THIS COSTS.

AS I CLAIMED THE BILL RELATES TO MEDICAL PRICING TRANSPARENCY OVER THE PAST 20 20 YEARS MAINLY AT THE FEDERAL LEVEL THERE'' S BEEN A WHOLE LOT OF CONVERSATION ABOUT HOW TO LOWER HEALTHCARE EXPENSES AND ALSO PERHAPS IF WE EMPOWERED CONSUMERS TO BE ABLE TO CHOOSE ABOUT THEIR HEALTH CARE BASED ON UNDERSTANDING THE QUALITY AND ALSO THE COST OF THE MEDICAL CARE THAT POSSIBLY THAT WOULD BE A MEANS WE COULD DECREASE HEALTHCARE EXPENSES IN OUR COUNTRY. THERE HAVE BEEN VARIOUS EFFORTS TO ESTABLISHED THESE DIFFERENT PROPOSITIONS AND HOWEVER A LOT OF THEM DIDN'' T HELP IN REQUISITES OF GIVING INFO ABOUT WHAT PATIENTS REQUIRED TO BE SERVICES SO WHAT THIS BILLE FUNCTIONS TO DO IS PUT EVEN MORE HEALTHCARE FACILITIES AND VARIOUS OTHER MEDICAL AND ALSO DENTAL TECHNIQUES MUST MAKE AVAILABLE AT THE FEDERAL DEGREE THERE WAS A NEED BY START IN 2021 FOUR 20,214 HOSPITALS NATIONWIDE TO PUBLISH THEIR RATE IN A MACHINE-READABLE FORMAT AND ALSO THIS TAKES IT An ACTION FURTHER IN TERMS OF DEFINING WHAT THE TYPICAL FORMAT IS SO CLIENTS CAN ACTUALLY MAKE USE OF THE INFO.

THE REGULATION IN THE STARTING DID NOT SPECIFY A PARTICULAR STYLE SO HOSPITALS COULD DEVELOP A STYLE OF THEIR OWN AS WELL AS THAT MADE IT DIFFICULT FOR PEOPLE TO BE ABLE TO COMPARE DETAILS ACROSS CENTERS. SENATE DATA 1675 1,675 WOULD NEED MINNESOTA HOSPITAL EQUIPMENT TO REORGANIZE THEIR EXISTING RECORD INTO THIS NEW STYLE NEXT JANUARY. BECAUSE THERE ARE OTHER CARRIERS OF LOTS OF SHOP ABOUT MEDICAL SOLUTIONS SOLUTIONS THAT CONTAINER BE PLANNED IN BREAKTHROUGH SUCH AS RADIOLOGY CHECKS ARE ORTHOPEDIC JOINT SUBSTITUTES VISION ENHANCEMENT SURGICAL PROCEDURES AND SO FORTH, THEY ARE NOT HOSPITALS BUT THEIR SPECIALIZED PRACTICES AS WELL AS THE EXPENSE WOULD REQUIRE THESE PRACTICES IN THESE SPECIALIZEDS WITH OVER $50 $50 MILLION IN ANNUAL INCOME TO PUBLISH THEIR RATE IN THE VERY SAME FORMAT BY JANUARY 2025 SO THEIR PRICES CAN BE CONSISTED OF IN PRICE COMPARISON RECORDS FOR CONSUMERS AS WELL.

WHAT THIS WOULD APPEAR LIKE IN PRACTICE FOR CONSUMERS THERE IS A SITE YOU CAN GO TO TODAY CALLED TURQUOISE WELLNESS AS WELL AS YOU CANISTER ACTUALLY PLACE IN YOU TIN GO INTO WHAT SOLUTION YOU'' RE INTERESTED IN FINDING OUT ABOUT THE NAME OF THE PROCEDURE YOUR POSTAL CODE AND ALSO THE TOOL FEEDBACK WITH THE CASH MONEY PRICE OF THAT PROCEDURE AT HOSPITALS IN YOUR AREA. IF YOU DO THIS YOU CAN SEE THIS QUITE VARIANT IN THE CASH COSTS FOR THE PROCEDURE THROUGHOUT HOSPITALS YOU CANISTER ALSO DRILL DOWN FURTHER AND ALSO YOU CAN CHOOSE THE NAME OF YOUR OWN HEALTH PLAN WHICH CAN SHOW YOU RATES THE HEALTH CENTER FOR YOUR HEALTH INSURANCE PLAN SO THERE'' S A LOT OF DETAILS THAT IS AVAILABLE BUT IF HOSPITALS ARE NOT USING THE VERY SAME FORMAT THAT MAKES IT MORE CHALLENGING FOR INDIVIDUALS TO GET ACCESS TO IT.

WITH INFO LIKE THIS MEDICAL CARE CUSTOMER GREAT FOR THE VERY FIRST TIME HAVE THE ABILITY TO MAKE AN EDUCATED DECISION ABOUT WHERE TO HAVE THEIR EXPENSIVE HEALTH CARE PROCEDURES DID BASED ON COST THE BLUE-GREEN TOOL DOES ALSO INCLUDE SOME DETAILS ABOUT CMS HIGH QUALITY RANKING SO IT DOES HAVE INFO ABOUT QUALITY, AND THEY WOULD BE ABLE TO SIGHT INFO ABOUT RATE AND ALSO QUALITY. SENATE DOCUMENTS 1675 DOES 1,675 DOES ALSO ASK THE DIVISION OF HEALTH JOB THEM WITH DEVELOPING OR PROCURING A TOOL SIMILAR TO THIS FOR MINNESOTA HEALTHCARE CUSTOMERS THERE WILL CERTAINLY BE A FISCAL NOTE THAT WILL CERTAINLY BE DEVELOPED TO OBTAIN DETAILS ABOUT WHAT THAT PRICE WOULD BE FOR DEVELOPING THE DEVICE OR IF THEY COULD ACQUISITION SOMETHING THAT'' S ALREADY OUT THERE.

I DO HAVE A TESTIFIER ONLINE TODAY JEAN ABRAHAM WAS A TEACHER AT THE UNIVERSITY OF MINNESOTA. MISS ABRAHAM PLEASE INTRODUCE YOURSELF AS WELL AS PROCEED. MME. CHAIR AND COMMITTEE MEMBERS THANKS I'' M JEAN ABRAHAM HEALTH ECONOMIC EXPERT AS WELL AS TEACHER IN THE COLLEGE OF PUBLIC WELLNESS AT THE COLLEGE OF MINNESOTA. MY FEEDBACK TODAY REPRESENT MY OWN VIEWS AS WELL AS NOT THOSE OF MY EMPLOYER. GREATER THAN 90% OF MINNESOTANS WITH EMPLOYER-BASED COVERAGE HAVE AN ANNUAL DEDUCTIBLE DEMAND WITH STANDARD AMOUNTS THAT NOW REACH $4,200 ANNUALLY FOR FAMILY COVERAGE STUDIES BY THE RAND CORPORATION AND OTHERS LIKEWISE HAVE ACTUALLY DOCUMENTED RAPID DEVELOPMENT IN COMMERCIAL HEALTH INSURANCE RATES AND ALSO SUBSTANTIAL GEOGRAPHICAL PARTICULAR VARIANT. THESE FACTORS TOGETHER REINFORCE CONSUMERS INCENTIVES TO LOOK FOR AND USE PRICING DETAILS WHEN CHOOSING ABOUT THE COMPANIES FROM WHOM THEY SEEK TREATMENT.

THOROUGH EASILY ACCESSIBLE AND ALSO TIMELY PRICING INFORMATION ALSO ASSISTANCE FINANCIAL RESEARCH TO EDUCATE POLICYMAKING AS WELL AS REGULATORY ACTIONS TO ADVERTISE AFFORDABLE MEDICAL CARE MARKETS. LOTS SCIENTISTS INCLUDING MYSELF ARE EXPLORING THE EXECUTION OF THE FEDERAL HEALTH CENTER PRICE OPENNESS REGULATION THAT ENTERED INTO EFFECT IN 2021. RESEARCHERS 2021. RESEARCHERS THROUGHOUT THE COUNTRY ALSO HAVE BEGUN TO CONDUCT ANALYSES TO ACTION HEALTHCARE FACILITY COST VARIANT FOR VARIOUS SOLUTIONS OR TO QUANTIFY HOW PRICES DIFFER BY ORGANIZATIONAL OR MARKET CONNECTS. NEVERTHELESS USING THE ACTUAL MACHINE-READABLE DATA CONTAINED THAT ARE PUBLISHED ON THE INTERNET BY HOSPITALS HAS BEEN VERY TESTING TO USE GIVEN THE LACK OF A STANDARD INFORMATION STRUCTURE FORMAT.

SO WHAT WORTH DOES US SENATE SUBMIT 1675 1,675 CONFER? FIRST REQUIRING A SPECIFIC FILE FRAMEWORK WOULD HELP WITH THE COMBINING OF FILES THROUGHOUT HEALTH CENTERS AND ALSO ASSISTANCE ANALYSES OF CRUCIAL STATE PLAN RELEVANT QUESTIONS. FOR INSTANCE YOU TIN KEEP TRACK OF HOW PRICES ARE ALTERING WITH TIME FOR DIFFERENT SECTIONS OF INDEPENDENTLY GUARANTEED POPULATIONS IN CITIZEN GEOGRAPHIC MARKETS AND ALSO ONE CAN ANALYZE THE PARTNERSHIP BETWEEN MODIFICATIONS IN RATES AS WELL AS SERVICE PROVIDER MARKET COMPETITION THIS IS REALLY VITAL DUE TO INCREASING DEBT CONSOLIDATION VIA MERGER AS WELL AS PROCUREMENT IN BOTH PROVIDER AND ALSO INSURANCE PROVIDER MARKETS. ALSO SENATE FILE 60 AS WELL AS 75 60 AS WELL AS 75 CONFERS ALUE TO CONSUMERS AND EMPLOYER PURCHASERS BY EXPANDING THE COLLECTION OF PROVIDERS THAT WILL BE REPORTING INFORMATION THIS IS VALUABLE BECAUSE INDIVIDUALS PEOPLE CAN SIGNIFICANTLY SELECT TO USAGE OUTPATIENT SETTINGS ALONG WITH HOSPITAL-BASED SETTINGS FOR LOTS OF KINDS OF MEDICAL PROCEDURES.US SENATE FILE SIX 6 AS WELL AS 75 IS NECESSARY STEP IN ASSISTING CONSUMERS MAKE MORE INFORMED SELECTIONS CONCERNING WHERE FROM WHOM THEY RECEIVE THEIR TREATMENT AND ALSO FINALLY IT ENABLES THE STUDY AND POLICYMAKING AREAS TO BETTER CHECK COST DEVELOPMENT AS WELL AS RATE VARIANT ACROSS COMPANIES ALONG WITH HOW PRICES ARE TRANSFORMING WITH CHANGES IN THE STRUCTURE OF CARRIER AND INSURANCE MARKETS.

THANK YOU. THANK YOU MISS ABRAHAM MEMBERS ANY CONVERSATION? SEN. ABELER. THANKS MME. CHAIR AND SEN. WIKLUND THANKS FOR SERVICING THIS JUST A THOUGHT ONCE MORE AS YOU MOVE FORWARD, THE TERM CRITERION CHARGE THERE'' S LIKEWISE NORMAL CUSTOMARY THERE IS WHAT WE FEE AS WELL AS THERE IS WHAT AN STANDARD COMMERCIAL COMPANY WILL CERTAINLY PAY SOME OR HIGHER AND SOME ARE REDUCED THE PMAP REIMBURSEMENTS ARE LOW BUT THEY VARY SIGNIFICANTLY BY CARRIER TOO. AS YOU GO AHEAD WORKING ON THIS I HOPE YOU CARRY OUT IN THE PREVIOUS HEALTH CENTERS HAVE PUSHED BACK THAT IS TOO HARD OR SOMETHING IS GREAT USAGE IN SOME OF THIS IF YOU TIN STANDARDIZE WHAT YOU'' RE TRYING TO PERFORM AND YOU MAY ALSO CONSIDER PACKAGES IF YOU'' RE GOING TO GO IN FOR A DELIVERY SOME HOSPITALS BUT HAVE DIFFERENT RATES WOULD INCLUDE DIFFERENT THINGS AS FOR THE PRICE AS WELL AS I WEAR'' T HONESTLY KNOW YOU GET ACCURATE REPRESENTATION SOME PLACES OFFER A DISCOUNT FOR MONEY An INDIVIDUAL WALKS IN WITH CASH WITH THAT SAID PLAN PRICE THAT WOULD BE SOMETHING THAT BE PIN DOWN I ASSUME BACK IN TIME THEN ATTY.

GEN. HATCH OB OWNED HOSPITALS TO OBTAIN INDIVIDUALS CASH DISCOUNT RATE SOMETHING MATCHING TO THE ORDINARY COMMERCIAL PRICE OR SOMETHING. IT'' S A TRULY GOOD SUGGESTION ESPECIALLY IF YOU CANISTER CONNECT INDIVIDUALS WITH ARE THE PRICES YOU MAY UNDERSTAND HEALTH CENTER CHECKS OUT ARE GREATER THAN SIMPLY A $50 CO-PAY IT'' S A WORTHWHILE VENTURE THANK YOU. MME. CHAIR AND SEN. ABELER THANKS I BELIEVE THERE IS WORK GOING ON I KNOW THE AUTHOR IN YOUR HOME AGENT ELKINS I WANT TO ACKNOWLEDGE HE HAS DONE A WHOLE LOT OF SERVICE THIS THIS BILL AND SOME OTHERS IN REQUISITES OF HAVING PEOPLE COME TOGETHER ON SYSTEMATIZING THE DOCUMENTS FORMATS SO IT CANISTER BE ACCESSIBLE I ASSUME YOU ARE RIGHT THE NEXT TIP OF LOOKING AT WHAT DETAILS IS PROVIDED AS WELL AS HOW IS IT RELEVANT TO A PARTICULAR INDIVIDUAL THIS CONCEPT OF CRITERION CHARGES WHAT DOES IT MEAN? I ASSUME THERE'' S A WHOLE LOT EVEN MORE WORK HAPPENING IN TERMS OF THAT AND ALSO YOU ARE RIGHT THERE ARE TIMES WHEN YOU DON'' T KNOW EXACTLY ALL THE SOLUTIONS YOU NEED BUT YOU UNDERSTAND YOU REQUIRED YOUR KNEE REPLACED OR SOMETHING LIKE THAT SO COMING UP WITH A WAY TO SEE TO IT IT'' S ACCESSIBLE FOR INDIVIDUALS WHEN THEY WISH TO SEE INFORMATION ABOUT A PARTICULAR SERVICE THAT IS AVAILABLE THAT WOULD BE HELPFUL TOO.

THANK YOU. MEMBERS VARIOUS OTHER REMARKS OR CONCERNS SEEING NONE SEN. WIKLUND FINAL IDEAS. I SEE THIS AS 1 EVEN MORE MEANS WE COULD NOT ONLY EMPOWER INDIVIDUALS TO UNDERSTAND MEDICAL CARE COSTS BETTER BUT WE CONTAINER ALSO SUPPLY A WAY FOR RESEARCHERS AS TEACHER ABRAHAM AS SAID AND CHECK OUT COSTS OVER TIME AND ALSO BY SEEING TO IT THE STYLE IS STANDARDIZED AND WE HAVE A DEVICE TO BE ABLE TO VIEW THEM YOU THE INFORMATION I BELIEVE THAT WILL HELP US MAKE PROGRESS AS WE LOOK AT WAYS TO UNDERSTAND AND ALSO LOWER MEDICAL CARE PRICES THANKS. THANKS SEN. AND KEEPING THAT THE EXPENSE WILL CERTAINLY BE LAID OVER. SEN. WIKLUND ANY OTHER THOUGHTS BEFORE WE ADJOURN. QUESTION 1 WITH THE OBTAIN THINGS DONE IS TO INTIMIDATE THE STATE.

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