Committee on Health and Human Services – 03/07/23

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GREAT EARLY MORNING I WISH TO CALL THE MEETING OF THE SENATE HEALTH AND WELLNESS AS WELL AS HUMAN SOLUTIONS COMMITTEE TO ORDER. IT IS WEDNESDAY MARCH H 8, 2023 2023 AS WELL AS WE HAVE A QUORUM PRESENT. WE ARE GOING TO OCCUPY THE BILLS IN A LITTLE VARIOUS ORDER WE HAVE AUTHORS WHO ARE PROVIDING IN OTHER BOARDS SENATE FILE 2437. 2,437. SEN. WITT DISCLOSES OUTDATED LANGUAGE IT IS ALSO ONE WE ONE WE WISH TO LOSE CONSCIOUSNESS OF THE COMMITTEE TO THE FLOORING AND AFTER THAT WE WILL HAVE IT AVAILABLE FOR COLLABORATE WITH THE VARIOUS OTHER BODY AND A CHAIR PINTO WILL CERTAINLY ALSO TAKE THE COSTS UP. IF THERE'' S ANY QUESTIONS I TIN RESPONSE THOSE. SENATE DOCUMENTS 2,437 IS BEFORE United States, ANY QUESTIONS MEMBERS? FAR BETTER THAN SHUT THANKS A LOT FOR MAKING TIME IN THIS HECTIC WEEK FOR THIS CRUCIAL PIECE OF REGULATION US SENATE FILE 1,561 KNOWN AS THE MAINTAINING REGISTERED NURSES AT THE BEDSIDE ACT. I AM RIGHT HERE TODAY WITH A REGISTERED REGISTERED NURSE AND IS AN EXPERT IN THIS LEGISLATION AND ALSO IT IS NECESSARY TO HAVE EXPERTS IN THIS REGULATIONS BECAUSE IN MY LEGISLATIVE CAREER THIS IS AN PROBLEM THE LEGISLATURE HAS BATTLED WITH TIME AFTER TIME CYCLE TER CYCLE AND ALSO WITH EACH PASSING TERM THE COSTS REMAINS TO CHANGE IN RESPONSE TO THE PROBLEMS AND ALSO THE FEEDBACK THAT THE REGISTERED NURSES HAVE ACTUALLY OBTAINED AS WELL AS THAT IS I THINK THE METHOD MINNESOTANS ANTICIPATE US TO PERFORM OUR FUNCTION TO RESPOND TO THE WORRIES TO MODIFY TO CONCESSION TO MAKE A MODIFICATION IN ORDER TO ACCOMPLISH THE GOAL AS WELL AS I AM REALLY HAPPY TO BE RIGHT HERE THESE DAYS WITH MY COLLEAGUES IN NURSING THAT HAVE DONE THE DIFFICULT FUNCTION.

I CONSIDERED PREPARING COMMENTS FOR YOU AS WELL AS I MADE A DECISION INSTEAD I WANTED TO TALK A LITTLE ABOUT MY OWN METHOD WHICH IS A VARIETY OF YEARS SINCE I'' VE BEEN IN THE MEDICAL FACILITY. I ASSUME IT EXEMPLIFIES WHAT OUR NURSES ACROSS THE STATE ARE EXPERIENCING AS WELL AS WHY I ASSUME IT IS SO IMPORTANT TO TAKE UP THIS CONCERN I RECOGNIZE WE HAVE A SUBSTANTIAL AMENDMENT TO THE EXPENSE WHICH REPRESENTS THE CHANGES THAT HAVE BEEN MADE SINCE THE COSTS WAS INTRODUCED AS WELL AS I HOPE MR.

MONAHAN CANISTER STROLL US THROUGH THE CHANGE WHEN YOU PREPARE THIS IS THE BILLS FIRST HEARING IT WILL BE AN AUTHOR'' S AMENDMENT BUT IT'IS SUBSTANTIAL I BELIEVE IT ' S IMPORTANT YOU UNDERSTAND WHAT IS THERE. ESSENTIALLY THIS IS LEGISLATION TO MAKE CERTAIN WE HAVE ENOUGH PROFESSIONAL NURSES AT THE BEDSIDE TO LOOK AFTER MINNESOTANS WHEN THEY ARE SICK. I BELIEVE THAT'IS A COMMON OBJECTIVE THAT ' S A GOAL FOR REGISTERED NURSES IT IS An OBJECTIVE FOR FAMILIES IT IS An OBJECTIVE FOR MINNESOTANS AND ALSO IT IS An OBJECTIVE FOR MEDICAL FACILITIES AS WELL AS THE MEDICAL FACILITIES CONTINUE TO BE OPPOSED TO THIS LEGISLATION I KNOW YOU RECOGNIZE THAT'SO I AM NOT PHRASE ANYTHING THAT ' S ALREADY PERFECTLY CLEAR BUT IT IS RATHER LOST ON ME THAT REGARDLESS OF THE NUMEROUS ADJUSTMENTS AND ALSO REGISTERED NURSES HAVE MADE INCLUDING REMOVING WHAT WAS THEIR PRINCIPAL GOAL A RATIO FIXED IN LAW REMOVING THAT COMPLETELY FROM THIS REGULATION THERE IS STILL EXTREMELY STRONG RESISTANCE FROM THE HOSPITALS THEY HAVE GOT RID OF THAT REPAIRED RATIO IN REGULATION AND ALSO REPLACED IT WITH A COLLECTION OF COMMITTEES THAT WOULD FUNCTION MUTUALLY NURSES, AS WELL AS HEALTHCARE FACILITY ADMINISTRATORS, NURSES AND ALSO CNL IS TO SEE TO IT THERE SUFFICE NURSES AS WELL AS WE ARE BUILDING A STRUCTURE TO RETAIN OUR SKILLED REGISTERED NURSES IN OUR HOSPITALS.

AS I HAVE SHARED BEFORE WE ARE PREPARING NURSES NURSES LIKE MY CHILD WHO SELECT TO VISIT OPERATE IN A HEALTH CENTER AS WELL AS THEY LEAVE SOON THEY WEAR OUT AS A RESULT OF THE PROBLEMS UNDER WHICH THEY ARE FUNCTIONING WHICH PIPELINE WHILE IT MIGHT BE PREPARING NURSES IT'' S NOT KEEPING THE NURSES AT THE BEDSIDE AND ALSO WE WISH TO MAINTAIN OUR KNOWLEDGEABLE REGISTERED NURSES AT THE BEDSIDE IN OUR HOSPITALS WHILE WE HAVE A NATIONWIDE LACK OF MEDICAL CARE EMPLOYEES THAT HOLDS TRUE AND ALSO IT'' S NOT SIMPLY IN HOSPITALS I ASSUME THAT TO ME IS A CLEAR SIGNAL WE REQUIREMENT TO ACCOMPLISH EVEN MORE WITHIN THE CENTERS TO KEEP OUR INDIVIDUALS THAT SIMPLY PUMPING PEOPLE THROUGH NOT ONLY DOESN ' T ADDRESS THE ISSUE OF ADEQUATE STAFFING BUT IT UNDERMINES THE OBJECTIVE OF An EXPERIENCED SKILLED GROUP OF NURSES IN THE HEALTHCARE FACILITY PREPARED TO CARE FOR OUR PEOPLE IN STUDY AFTER RESEARCH STUDY REVEALS United States WHEN WE HAVE A SKILLED SKILLED WORKFORCE IN OUR HOSPITALS INDIVIDUALS GET BETTER CARE AND THAT MUST BE OUR GOAL. WHEN YOU BELIEVE ABOUT YOUR OPERATE IN A HEALTH CENTER I'' M LOOKING AT SEN. BOLDON BECAUSE SHE OPERATES IN A MEDICAL FACILITY TOO, ON EVERY SYSTEM IN EVERY HEALTHCARE FACILITY IN EVERY CHANGE THERE IS A PROPORTION IT'' S A BASIC MATH FORMULA THERE ARE THIS LOTS OF PATIENTS AS WELL AS THIS LOTS REGISTERED NURSES.

WHAT THE NURSES CONTINUE TO SAY TO United States IF THAT RATIO RUNS OUT BALANCE THEY ARE UNABLE TO PERFORM THEIR JOBS WITH SKILL AND ALSO THEY ARE CONCERNED REGARDING IT AND ALSO IT'' S THEIR PROFESSIONAL RESPONSIBILITY UNDER THEIR LICENSE ND AS REPORTED BY THE CODE OF NURSING THAT THEY ADVOCATE FOR PROBLEMS WHERE THEY CONTAINER PROVIDE THE TREATMENT THAT IS RISK-FREE SAFE BEING A BASELINE NOT ALWAYS AN EXCEPTIONAL BUT AN SUPERB THEY ARE INVOLVING US AGAIN FOR A REMEDY AS WELL AS THEY HAVE DONE A GREAT DEAL OF FUNCTION AND A GREAT DEAL OF COMPROMISE TO BRING THAT TO BEAR ON THIS REGULATIONS WHICH MY TESTIFIER WILL SHARE MORE WITH YOU AND LASTLY MY OWN EXPERIENCE MY FIRST WORK IN A HEALTHCARE FACILITY WAS IN A HUGE REGIONAL MEDICAL FACILITY IN THE FACILITY OF COUNTRY WISCONSIN MUCH LIKE YOU WOULD CONSIDER MAYO CENTER AS A MODEL OR CENTRIC CARE AS A PLACE IT IS IN WHICH THE PEOPLE THROUGHOUT NORTHERN WISCONSIN AS WELL AS THE UPPER PENINSULA FACILITY LIKED ONES WHEN THEY WERE CRITICALLY SICK IT WAS A BIG MEDICAL FACILITY OF 500 BEDS I SERVICED A BIG SYSTEM A 50 BED DEVICE MEDSURG WE OBTAINED WHOLE LOTS AND WHOLE LOTS OF ADMISSIONS.

IN THE EVENING THEY WERE USUALLY JUST TO SIGNED UP REGISTERED NURSES AND OTHER TEAM AS WELL AS BY THE MEANS THIS LEGISLATION ACCOUNTS FOR AND ALSO CONSISTS OF OTHER STAFFING THAT'' S WHY WE HAVE THE SUPPORT OF SEIU HEALTH CARES AND AFSCME COUNCIL 65 BECAUSE WE ARE NOT SIMPLY DISCUSSING NURSING ANYMORE WE ARE SPEAKING REGARDING THE CONTINENT OF TEAM THAT'' S CRUCIAL. ON A GRAVEYARD SHIFT I CAME IN WE HAD A PERSON WHO JUST BEEN RELEASED FROM THE CRITICAL CARE UNIT AS WELL AS HE HAD BEEN INTUBATED HE HESITATED DUE TO THE FACT THAT HE ASSUMED HE COULDN'' T BREATHE HE REQUIRED A LOT AND ALSO EMOTIONAL ASSISTANCE DOWN THE HALL BY ABOUT 10 SPACES THERE WAS A PERSON HAD A HEART APPREHENSION IT WAS MY FIRST HEART ATTACK AND I WAS THE INDIVIDUAL TAKING CARE OF HIM IN THE ROOM WHEN IT TOOK PLACE AS WELL AS OF COURSE CALLED THE CODE DID CPR UNTIL THE GROUP GOT HERE AS WELL AS WE LOST THAT PATIENT THAT EVENING THROUGHOUT THE HALLWAY AND ALSO DOWN THE ALL ANOTHER PERSON 25 BEDS OR TWO A PATIENT WITH AN ACTIVE G.I.

BLEED THEY WERE TO REGISTERED NOOSES ON THAT SYSTEM WE CALLED FOR AID BUT DIDN'' T OBTAIN ANY AID NOT NE INDIVIDUAL THE INDIVIDUAL THATENT WAS RECENTLY INTUBATED WAS AFRAID AND ALSO WISH ON A FIRST THE PERSON WAS PROACTIVELY HEMORRHAGING WAS EVENTUALLY SENT TO THE OPERATING AREA TO BECAUSE RISE TO TO QUIT THE BLEEDING. WE FINALLY GOT SUBSTITUTE NURSES IN THE EARLY HOURS OF THE MORNING THAT IS NOT AN UNCOMMON EXPERIENCE IT IS WHY WE TALK ABOUT NURSING CALLING FOR CRITICAL SKILLS AND ALSO VIGILANCE AS WELL AS WHY WE DEMAND COMPETENT INDIVIDUALS OPERATING IN OUR HOSPITALS BUT THE CONCERN FOR United States IS AS ONE AMONG THE REGISTERED REGISTERED NURSES THAT EVENING HAD MY NURSING MANAGERS DECIDED TO ADMIT ANOTHER PERSON CLIENT TO THE DEVICE SHOULD I HAVE BEEN ABLE TO SAY YOU TIN'' T DO THIS WE DON ' T HAVE THE PERSONNEL AND IF THEY HAD FIRMLY INSISTED WHAT WOULD ' VE HAPPENED TO THAT PATIENT? THAT'' S THE CONCERN WE HAVE TO ANSWER IS IT IN THE PERSON ' S RATE OF INTEREST IF WE OVERLOOK THE SPECIALIST JUDGMENT OF THE REGISTERED NURSES IN THIS FORMULA SIMPLY TO SEE TO IT THE NURSES OR THE PATIENTS ARE CONFESSED WE NEED PATIENTS ADMITTED BUT WE ALSO NEED PERSONNEL SUFFICIENT TO LOOK AFTER THEM TO GIVE CARE THEY REQUIRED AND THAT'' S WHAT THIS LEGISLATION IS ABOUT THAT ' S THE QUESTION PRIOR TO THIS LEGISLATURE IT IS ALTERED SIGNIFICANTLY SO IF YOU LISTEN TO THERE'' S A PROPORTION IN THIS EXPENSE THAT ' S NOT TRUE. THERE IS An INDICATES FOR PLACING THE NURSES AS WELL AS HEALTHCARE FACILITY ADMINISTRATORS WITH EACH OTHER TO MAKE SURE THERE SUFFICES STAFFING AS WELL AS I BELIEVE IF WE ARE SERVICING STAFFING AS WELL AS LOWERING WORK ENVIRONMENT VIOLENCE AND ALSO MAKING IT EASIER FOR NURSES TO VISIT INSTITUTION AND ALSO OBTAIN A DEGREE IN SPECIALIST NURSING THAT THEY WILL CERTAINLY LOCATE A WORK IN MINNESOTA AND IF THEY CONTAINER DO THEIR JOB AND ALSO DO IT WITH SPECIALIST ABILITIES THEY WILL CERTAINLY KEEP THEIR TASK AS WELL AS THEY WILL CERTAINLY REMAIN IN THAT WILL BE OUR PATH AHEAD TO HIGH-QUALITY CARE IN MINNESOTA I ASSUME THAT'' S AN ESSENTIAL WORTH FOR United States AS POLICYMAKERS AN ESSENTIAL VALUE FOR United States AS HUMAN BEINGS IF WE RESPECT THE INDIVIDUALS OF MINNESOTA AND I RECOGNIZE WE ALL DO.

WITH THAT SAID I WISH WE CAN OFFER THE AUTHORS AMENDED WE CAN LEARN THROUGH MR. MONAHAN AND ALSO TRANSFORM IT OVER TO THE TESTIFIER THANKS SIGNIFICANTLY FOR MAKING TIME THIS MORNING FOR THIS IMPORTANT REGULATION. THANK YOU SEN. MURPHY MEMBERS YOU HAVE THE A3 AMENDMENT IN YOUR PACKET ALSO YOU HAVE IT'' S AN UNOFFICIAL ENGROSSMENT THAT MR. MONAHAN PREPARED THAT'' S DESIGNED TO BE ASSISTANCE YOU KIND OF GO THROUGH WHAT THE BILL WOULD LOOK LIKE WITH THE A3 AMENDMENT APPLIED.

SEN. ABELER. MME. CHAIR I WILL MOVE THE COSTS AS WELL AS THE CHANGE. SEN. ABELER RELOCATES THE A3 AMENDMENT WOULD YOU LIKE MR. MONAHAN TO GO THROUGH. MR. MONAHAN IF YOU COULD GO THROUGH THE CHANGE THANK YOU. MME. CHAIR AS WELL AS MEMBERS, ON THE A3 AMENDMENT PAGE 1 LINES 3 THREE VIA 10 ARE ADDING OFFERS AUTHORITY TO THEHAT COMMISSIONER OF HUMAN BEING SERVICE I'' M SORRY COMMISSIONER OF HEALTH TO ENFORCE THE NEW STAFFING COMMITTEE LANGUAGE THAT REMAINS IN SHORT ARTICLE 2 OF THE BILL. LINES 11 AND ALSO 12 SPECIFY 12 SPECIFY THAT THE PROBLEM FOR SAFE STAFFING KIND WILL CERTAINLY BE ESTABLISHED BY THE COMMISSIONER OF WELLNESS. LINES 14 THROUGH 16 14 WITH 16 ARE THE FIRST OF A VARIETY OF REQUESTS FROM THE DIVISION OF HEALTH HAT THE LANGUAGE SPECIFIES THAT THEY ARE NOT REQUIRED TO PERFORM ON-SITE VISITS IN ORDER TO VERIFY COMPLIANCE WITH THE STAFFING BOARD REQUIREMENTS IN SHORT ARTICLE 2.

LINE 17 REMOVES THE DEMAND THAT THE HOSPITAL STAFFING COMMITTEES HAVE A SYSTEM FOR THE SUBMISSION OF CONCERN FOR RISK-FREE STAFFING KINDS THAT ANONYMOUS LINE 18 IS THE FIRST OF A VARIETY OF CHANGES THROUGHOUT THE AMENDMENT THAT ARE RELEVANT TO CLARIFYING THAT THE NURSE WORKFORCE BOARDS THAT THERE REQUIRES TO BE ONE ONE LABOR FORCE COMMITTEE FOR EVERY SYSTEM IN THE HEALTHCARE FACILITY. LINES 19 WITH 27 ARE 27 ARE ADAPTING ADJUSTMENTS CONFORMING ADJUSTMENTS ASSOCIATED WITH LANGUAGE MUCH LATER IN THE COSTS MAYBE IT'' S ARTICLE 6 ABOUT THE NURSING WORKFORCE REPORT. LINES 25 WITH 27 ARE ONCE AGAIN 27 ARE ONCE MORE CONNECTED TO CLARIFYING THE LABOR FORCE BOARDS ARE UNIT SPECIFIC. 28 WITH 29 IS THE DEPARTMENT OF HEALTH LANGUAGE ABOUT NOT REQUIRING ON-SITE VISITS, LINE LINE 30 IS AGAIN RELATED TO THE WORKFORCE COMMITTEES BEING UNIT SPECIFIC AS IS ALL THE LANGUAGE ON PAGE 2 LINES ONE THROUGH 10.

TEN. LINES 11 THROUGH 15 ONCE MORE 15 AGAIN OUR DEPARTMENT OF HEALTH REQUESTS THE LANGUAGE CLEARS UP THEY'' RE OPTIONAL TO PERFORM ON-SITE VISITS. LINE 16 LINE 16 CLARIFIES THE COURT STAFFING PLANS NEED TO BE SUBMITTED TO THE COMMISSIONER OF HEALTH AND WELLNESS. LINE 18 VIA 20 20 ONCE AGAIN IS MDH LANGUAGE CONCERNING ON-SITE SEES LINES 21 IS JUST 21 IS SIMPLY DEALING WITH THE RECOMMENDATION TO THE COMMISSIONER OF LABOR AND INDUSTRY. LINES 22 VIA 23 CORRECTING A 23 CORRECTING A DRAFTING MISTAKE PERTAINING TO THAT RECEIVES A RECORD FROM THE HOSPITALS. LINES 24 AS WELL AS 25 BELONG TO LANGUAGE INVOLVING THE FAILURE OF A HOSPITAL TO RECORD WHEN AN ELECTIVE SURGICAL TREATMENT IS EXECUTED WHEN THE HEALTHCARE FACILITY IS NOT IN CONFORMITY WITH ITS CORE STAFFING STRATEGY.

LINES 26 AND ALSO 27 26 AS WELL AS 27 ARE MAKING SURE THAT IF THE COMMISSIONER OF WELLNESS ENFORCES AN IMMEDIATE PENALTY THE HOSPITAL STILL PRESERVES ITS APPEAL RIGHTS UNDER THE EXISTING HEARING FRAMEWORK. ON WEB PAGE 3 LINE 1 THROUGH 3 THREE IS CLARIFYING THE COMMISSIONER OF LABOR AND ALSO SECTOR SHALL ENFORCE THE AREA CONCERNING RETALIATION. ON THE AMENDMENT PAGE 3 LINE 4, WITH SIX IS MODIFYING SEVERAL OF THE LANGUAGE CONNECTED TO APPLICATION REGARDING THE PROBLEM FOR RISK-FREE STAFFING KIND THE COMMISSIONER OF HEALTH AND WELLNESS REQUIRES TO ESTABLISH AS WELL AS MAKE AVAILABLE ONLINE. STARTING ON LINE 7 WE ARE CURRENTLY INTO WRITE-UP 3 THIS IS THE WORK ENVIRONMENT PHYSICAL VIOLENCE LANGUAGE. THE ACTIVITY PLANS PERTAINING TO THAT. LINE 7 IS SWAPPING OUT AN INDICATED DEMAND THAT A HEALTH CENTER HAVE A COMPUTER SYSTEM TO PAPER REPORTS REGARDING OFFICE PHYSICAL VIOLENCE AS WELL AS RATHER CALLING FOR THEM TO HAVE SOME SYSTEM IT MAY NOT DEMAND TO BE ELECTRONIC. LINE 8 CONCERNS IS CLARIFYING CHANGE ABOUT STAFFING REQUESTS THE STAFFING DEMANDS ONTEMPLATED IN THAT NEIGHBORHOOD NEED TO BE STRAIGHT CONNECTED TO LESSENING THE DANGER OF PHYSICAL VIOLENCE LINES PAGE 3 LINE 9 IS RELATED TO THE GENERAL PUBLIC DISCLOSURE OF THE ACTIVITY PREPARES SEN.

MURPHY IS REMOVING THE NEED THAT THE PREPARES BE MADE PUBLICLY AVAILABLE AND REMOVING THE NEED THAT THEY BE PUT ON THE HEALTH CENTERS WEBSITE AND ALSO INSTEAD IS SUBSTITUTING THE PREPARES NECESSITY BE MADE AVAILABLE STRAIGHT TO THE DIRECT CARE EMPLOYEES AS WELL AS NOT IN REINSTATING THE LANGUAGE THAT TO REPS OF THEABLE COLLECTIVE BARGAINING SYSTEM. LINES 13 THROUGH 15 RELATE 15 ARE RELATED TO A LEGISLATIVE REPORT BASED ON THE ACTIVITY STRATEGY SUBMITTED BY THE HOSPITALS TO THE COMMISSIONER OF HEALTH MODIFYING AS WELL AS MAKING CLEAR THE DAYS REPORT IS REQUIRED AND ALSO LINE 17 STATES THE DEMAND TO SUBMIT THE RECORDS DOES NOT EXPIRE. LINES 18 THROUGH 19 18 THROUGH 19 RELATE TO THE FINES FOR FAILING TO ADHERE TO THE ACTIVITY STRATEGY NEEDS AS WELL AS T IS SPECIFYING THE COMMISSIONER OF HEALTH CANISTER ENFORCE A PENALTY WITHOUT FIRST ISSUING A MODIFICATION ORDER. AFTER THAT ADDITIONALLY WE ARE ADDING LANGUAGE SEN.

MURPHY IS ADDING LANGUAGE TO PERMIT THE CENTER THIRTY DAYS TO 30 DAYS TO CORRECT An OFFENSE PRIOR TO THE COMMISSIONER ANALYZES A FINE. PAGE 3 LINE LINE 22 DELETES EVERY ONE OF POST SHORT ARTICLE 5 AND ALSO THE REASON THAT IS BEING DONE IS INSTEAD OF CREATING NEW LOAN MERCY PROGRAM INDEPENDENT OF THE EXISTING HEALTH AND WELLNESS PROFESSIONAL EDUCATION LENDING MERCY PROGRAM, THE LANGUAGE REGARDING HEALTHCARE FACILITY NURSING IS GOING TO BE INCORPORATED RIGHT INTO WHAT WAS POST 6 IN THE ORIGINAL BILL SO WHAT BEGINS ON THE AMENDMENT ON WEB PAGE 3 LINE 23 IS THE BRAND-NEW CONSOLIDATED LANGUAGE FROM ORIGINAL SHORT ARTICLE 5 AS WELL AS ORIGINAL ARTICLE SHORT ARTICLE 6.

THE CHANGE THERE PRODUCES A FINANCE FORGIVENESS PROGRAM FOR ON THE ONE HAND ONE HAND REGISTERED NURSES THAT ACCEPT WORK IN NONPROFIT HOSPITALS GIVING DIRECT TREATMENT AS WELL AS THE OTHER CLEARS UP AND ESTABLISHES A MECHANISM FOR DEDICATING CASH FOR NURSES WHO ACCEPT EDUCATE THAT'' S THE MAJORITY OF THE CHANGE AFTER THAT THERE IS SOME CONFORMING CHANGES AFTERWARDS THAT BRINGS US ALL THE MEANS TO PAGE 11 OF THE MODIFICATION. THOSE ARE EXISTING APPROPRIATIONS IN THE COSTS THAT HAVE BEEN REWORKED AS WELL AS REWORDED AS A RESULT OF THE WAY WE RESTRUCTURED THE CAR LOAN MERCY PROGRAM IT BRINGS United States TO PAGE 12, LINES 12.2 VIA 12.22 CREATE A NEW REQUIREMENT UNDER THE UNFAVORABLE OCCASION REPORTING SYSTEM THAT REQUIRES A FACILITY WHEN ADDITIONALLY DOCUMENT IN THE REPORTTO CLIMATE THE DEVICE ON WHICH THE UNFAVORABLE OCCASION HAPPENED WAS IN COMPLIANCE WITH THE COURT STAFFING PLAN AT THE TIME THE NEGATIVE OCCASION TOOK PLACE.

LINES 23 TO 28 ON TO THE FOLLOWING WEB PAGE ON 13 WITH LINES 8 REQUIRES THE EIGHT CALLS FOR THE COMMISSIONER OF HEALTH AND WELLNESS TO DEAL WITH THE MINNESOTA NURSES ASSOCIATION AS WELL AS OTHER EXPERT NURSING ORGANIZATIONS TO ESTABLISH ANALYTICAL TOOLS TO TRY TO DETERMINE ANY CAUSAL HYPERLINKS BETWEEN ADVERSE EVENTS AND ALSO UNDERSTAFFING AND ALSO REQUIRES A RECORD BY JANUARY 1ST OF 2026. TEN THROUGH 21 REQUIRE THENES 10 21 CALL FOR THE COMMISSIONER OF WELLNESS TO ESTABLISH A RECORD TO DESCRIBE THE CURRENT STANDINGS OF THE NURSING OF NURSING IN HEALTHCARE FACILITIES. THAT ENDS THE AMENDMENT.

THANK YOU MR. MONAHAN. DO SEE I WAS INFORMED TO I DON'' T INTEND TO IMPLY I FOUND THIS BUT I WAS ALERTED TO ON LINE 13.12 OF THE CHANGE OR 13.30 TEENAGER I AM SORRY, THERE LOOKS LIKE THERE IS A WORD IT CLAIMS MODIFICATION MAYBE IT IMPLIES IT SHOULD BE PORT. THAT'' S CORRECT THAT IS NOT THE SHELLEY CORRECT THAT OR OUGHT TO WE DELAY. IF WE WISH TO ORALLY CHANGE THE CHANGE I HAVE A COUPLE OF OTHERS WE COULD DO ALSO. WHAT IS YOUR WOULD YOU LIKE TO TAKE TREATMENT OF THIS AT ONCE AND OBTAIN ALL THE CORRECTIONS MADE IF YOU HAVE THOSE NOTED.

MME. CHAIR IF YOU ARE PREPARED TO ACCOMPLISH THAT WITH MR. MONAHAN'' S HELP I ASSUME YOU MR. MONAHAN I WOULD LOVE TO ACCOMPLISH THAT AND OBTAIN IT INTO THE FORM IT NEEDS TO BE IN. DO YOU WISH TO BEGINNING WHERE YOU NOTED THE FIRST POINT YOU WISH TO CHANGE OR BEGINNING WITH THIS ONE. ONE. WE COULD START WITH THIS ONE ONE MME. CHAIR. SEN. ABELER. TO QUICKEN HE COULD GIVE A LIST AS WELL AS I COULD INCORPORATE THOSE RIGHT INTO THE CHANGE. MR.

MONAHAN. MME. CHAIR AS WELL AS SEN. ABELER THE FIRST MODIFICATION WOULD BE WEB PAGE AGE 13 LINE 3RD TEENAGER, ERASE WORDS AMENDMENT AND ALSO INSERT RECORD. SORRY I DID NOT TAKE CARE OF THIS AHEAD OF TIME. ON THE CHANGE ON PAGE 3, AFTER LINE 8 INSERT WEB PAGE 20 LINE 24, REMOVE PUBLIC. THAT WAS THE OTHER ONE I WANTED MME. CHAIR. MME. CHAIR I WILL INCORPORATE THOSE MODIFICATIONS. TO MEMBERS UNDER STAND THE MODIFICATIONS WE WISH TO INCLUDE AS DENTAL CHANGES TO THE A3 CHANGE? ALL THOSE FOR THE DENTAL MODIFICATIONS TO THE A3 MODIFICATION SAY AYE, AYE, ANY OPPOSED, THE ORAL AMENDMENTS ARE TAKEN ON.

NOW WE ARE BACK TO THE A3 AMENDMENT AS AMENDED. ANY QUESTIONS PRIOR TO WE BALLOT ON THAT? SEEING NO DOUBT PARTICIPANTS ALL THOSE IN SUPPORT OF THE A3 AMENDED MODIFICATION SAY AYE, AYE, ANY OPPOSED, THE AMENDMENT IS ADOPTED. SEN. MURPHY NOW WE HAVE THE COSTS IN THE FORM YOU WOULD LIKE IT TO BE IN. OULD YOU LIKE TO MOVE TO THE TESTIFIERS WHAT WE HAVE TODAY WE HAVE 7 TESTIFIERS 7 TESTIFIERS IN ASSISTANCE AND ALSO 7 IN OPPOSITION WE ARE GOING TO BEGIN WITH THOSE IN SUPPORT ND EACH TESTIFIER WE WILL ALLOCATE THREE MINS AS WELL AS THREE MINS AND THE TEAM WILL CERTAINLY DO THE TIMING OUR FIRST TESTIFIER IN ASSISTANCE IS USING ZOOM IT IS STEVE ROMANESQUE A ALL.

WELCOME TO THE BOARD MR. ROMANESQUE OH PLEASE STATE YOUR NAME AND ALSO BEGIN YOUR TESTAMENT. SIMPLY A MINUTE WE ARE NOT LISTENING TO YOUR SOUND. CANISTER YOU HEAR ME NOW? THANKS. I'' M STEVE ROMANESQUE OH GREETINGS CHAIR WIKLUND AS WELL AS MEMBERS OF THE COMMITTEE THANKS FOR INVITING ME TO SPEAK ON BEHALF OF US SENATE FILE 1551 1,551 KEEPING NURSES AT THE BEDSIDE ACT. I WILL TALK WITH YOU BECAUSE OF MY EXTENSIVE EXPERIENCE IN THE CULTIC WITH THE PRESENT HEALTHCARE AT 34 I 34 I CHANGE MY JOB IN HIGHER EDUCATION AND LEARNING I'' VE BEEN A SPECIALIST SICK PERSON FOR OVER TWENTY YEARS BECAUSE BEING DIAGNOSIS WITH SCOLIOSIS IN IT PROGRESSIVE CONDITION THAT BROUGHT TO LIVER TRANSPLANTS AND ALSO COLITIS YOUR MOBILE ILLNESS THE TRIGGERS MIKE: TO BE REMOVED AS YOU TIN IMAGINE I'' VE BEEN A REGULAR FLYER IN THE MEDICAL FACILITY FOR A LOT OF MY LIFE AND ALSO CAN TRIGGER A JOURNEY TO THE ER IN A FEW DAYS OF ADMISSION INTO THE ER FOR ME OVER THE PAST YEAR I'' VE HAVE EXPENSES ACROSS THE METRO AREA IN MEDICAL FACILITIES FOR NUMEROUS FACTORS ALL THESE SEES I SAW NURSES TAKING CARE OF BETTER CLIENT LOWS I WAS USED TO IN CASES OF ADMISSION MUCH GREATER WAITING TIME TO OBTAIN INTO THE HEALTHCARE FACILITY.

I WAITED IN THE EMERGENCY ROOM WAITING LOCATION FOR VER EIGHT HRS ON ONE GOS TO AS WELL AS ONE BROWS THROUGH AS WELL AS WAITED 24 – 36 24 – 36 HRS DEPENDING ON THE TIME ON THE CHECK OUT FOR A ROOM TO OPEN FOR ME TO BE ADMITTED. ON THE FLOORINGS I OBSERVED ROOM SITTING EMPTY DO TO LOWER STAFFING LEVELS WHILE NURSES AT GREATER THE NUMBER PATIENT TONS AND DOUBLE SPACES WHEN I GO TO THE HEALTH CENTER DO I FEAR FOR MY LIFE BUT HOWARD LATELY IT HAS BEEN THE INSTANCE. I WAS NOT RECEIVING THE MOST EFFECTIVE CARE COULD'' VE DUE TO THE STRESS ON THE MEDICAL SYSTEM AND ALSO A FEW OF ONE OF THE MOST IMPORTANT ITEMS OF THE SYSTEM THE NURSES IT'' S CLEAR TO MEET WE AS A SOCIETY REQUIREMENT TO TAKE BETTER CARE OF NURSES GIVEN SO MUCH TO US AND ALSO HAVE BEEN SO CRITICAL FOR MY ABILITY TO ENDURE AND ALSO FLOURISH MAINTAINING REGISTERED NURSES AT THE BEDSIDE ACT DOES SIMPLY THAT AND ALSO ASSISTS CONSERVE STAFFING DEGREES FOR CRITICAL TREATMENT PEOPLE SUCH AS MYSELF KEEPS PATIENT OUTSIDE THE HALLWAYS IN THE EMERGENCY ROOM PREVENTS PHYSICAL VIOLENCE FOR NURSES AND REINFORCES EDUCATION TO THE NURSING PIPE URGE THE BOARD TO ASSISTANCE THIS CRITICAL COSTS FOR ALL MINNESOTANS THANK YOU.

THANK YOU REALLY MUCH MR. ROMANESQUE OH. NEXT WE WILL CERTAINLY HAVE MARY TURNER PLEASE STEP FORWARD. WELCOME TO THE BOARD APPEAL STATE YOUR NAME FOR THE RECORD AS WELL AS BEGIN. GREETINGS MME. CHAIR THIS IS LIKE DEJA VU HERE. I AM MARY TURNER I'' M IN ICU REGISTERED NURSE AS WELL AS CURRENTLY PORTION PRESIDENT OF THE MINNESOTA NURSES ASSOCIATION WE REPRESENT 80% OF THE MEDICAL FACILITY BEDSIDE NURSES IN MINNESOTA. AS YOU LIKELY KNOW DURING OUR CURRENT STATEWIDE CONTRACT SETTLEMENT STAFFING WAS A CENTRAL STICKING POINT IN BETWEEN WORKERS AND MANAGEMENT. REGISTERED NURSES SOUGHT NOT ONLY A GREATER VOICE IN STAFFING AS WELL AS SCHEDULING DECISIONS BUT RESPONSIBILITY FROM OUR HEALTHCARE EQUIPMENT WHEN THOSE STAFFING DEGREES ARE NOT MET. TIME AND TIME AGAIN OUR EMPLOYERS TOLD United States THAT THEY WOULD NEVER PUT THAT SORT OF STAFFING LANGUAGE IN OUR DEALINGS AND ALSO THEY WOULD NEED TO BE DIRECTED BY THE LEGISLATURE TO PERFORM SO.

THE MOST EFFECTIVE LANGUAGE ANY HEALTH CENTER OBTAINED JUST PREVENTED STAFFING FROM GETTING WORSE. THAN IT CURRENTLY IS IN THOSE CURRENT LEVELS ARE UNSUSTAINABLE. WE HAVE DONE ALL WE CONTAINER THROUGH NEGOTIATIONS FOR OVER A YEARS MNA HAS PERTAIN TO THE LEGISLATURE REQUESTING ASSISTANCE TO MAKE STAFFING AND ALSO HEALTH CENTERS SAFER AND I TIN VOUCH FOR THAT I'' VE BEEN THERE EVERY TIP OF THE WAY FOR THE PAST DECADE. TODAY THE DEMAND CONTINUES TO BE ALARMING AS NURSES FUNCTION ON THE FRONT LINES BASICALLY STAFFED UNITS WITH INCREASING PHYSICAL VIOLENCE MISUSE AND TRAUMA. WITH HARMFUL STAFFING HIGHER CLIENT HEALTH NEEDS AND AN INTENSIFIED ANXIETY FROM LIVING VIA A GLOBAL PANDEMIC WE ARE SEEING EVEN MORE AS WELL AS HEALTH CENTERS AND ALSO NURSES PROCEED TO TAKE THE IMPACTS OF EVERY ONE OF THIS. WE SEE THIS ALL COME TO A HEAD WITH THE IMPROVED VIOLENCE AND ALSO ABUSE WE EXPERIENCE A RECENT RESEARCH LAST SPRING FROM THE PRESS GAINEY NATIONAL DATABASE OF NURSING TOP QUALITY INDICATIONS SHOWS FOR EVERY SINGLE HR IN THE DAY 2 OR TWO OR EVEN MORE REGISTERED NURSES ARE ASSAULTED I REPEAT TO NURSES ARE ASSAULTED EVERY SINGLE HOUR BY CLIENT'' S MEMBER OF THE FAMILY AS WELL AS VISITORS.

THIS EVOKES WHEN DURING NEGOTIATIONS AT A RALLY AS WELL AS I OBTAIN A TEXT FROM A REGISTERED NURSE FROM MY FLOORING THAT STATES THIS AS WELL AS I WANT TO NEVER HAVE THIS AGAIN SHE STATES MARY, I ALMOST PASSED AWAY TODAY AT WORK. SHE HAD BEEN SEVERELY ASSAULTED BY INTUBATED CLIENT WHO HAD GOTTEN OUT OF THEIR RESTRAINTS AND ALSO TRAPPED HER IN THE SPACE. I COLLABORATED WITH THIS TAKE CARE OF THE VARIOUS OTHER EVENING AND ALSO AS REGISTERED NURSES GO WE WERE REMINISCING ABOUT THE PANDEMIC, AS WELL AS SHE WAS TALKING ABOUT HER INCREASED ALCOHOL MISUSE. AND ALSO JUST HOW MUCH SHE HAS THE PTSD THIS IS REALLY ACTUAL FOR United States HAVING BEEN IN A COVID ICU FROM THE VERY STARTING.EVERY DATE NURSES ARE PLACE IN FUNCTION CIRCUMSTANCES WHERE THEY RELIVE THEIR OWN EXPERIENCES OF VIOLENCE AND ALSO MISUSE ONLY FURTHER WORSENING THE INJURY AND ALSO CREATING DEEP ISSUES WITH THEIR MENTAL HEALTH.

AS REPORTED BY A LITERARY REVIEW OF CLINICAL ARTICLES SPANNING THE LAST DECADE 96% OF NURSES EXPERIENCE A MINIMUM OF ONE SYMPTOM OF PTSD FEMALE NURSES HAVE DOUBLE THAT RISK OF SELF-DESTRUCTION COMPARED TO FEMALE IN THE BASIC POPULATION AS WELL AS ARE 18% MORE LIKELY TO PASS AWAY BY SELF-DESTRUCTION RESEARCH STUDIES FROM 2020 2020 AS WELL AS 2022 PROGRAM THAT NEARLY 50% OF ICU REGISTERED NURSES WENT TO RISK FOR HAVING PTSD. WITH ENHANCED SERIOUS DEPRESSION AND ALSO ANXIOUSNESS MEDICAL DIAGNOSIS IS WHICH RISES THE RISK OF LEAVING THE CAREER. IT'' S NOT EXAGGERATION TO SAY OUR OCCUPATION IS IN SITUATION BUT THAT DILEMMA IS NOT THAT WE DO NOT HAVE ENOUGH NURSES WE HAVE TWO REGISTERED 2 SIGNED UP REGISTERED NURSES FOR EVERY NURSING TASK IN THE STATE. REGISTERED NURSES WHO ARE PHYSICALLY AND MENTALLY ABLE TO PROCEED IN THIS JOB WITHOUT PROPER SUPPORT WITHOUT ADEQUATE SUPPORTS WE WILL NEVER EVER ADDRESS THIS TROUBLE. MS. TURNER IF YOU TIN COMPLETE YOUR TESTAMENT. THANK YOU REALLY MUCH. NEXT WE HAVE BECKY NELSON. GOOD MORNING WELCOME PLEASE STATE YOUR NAME OR THE RECORD AND BEGIN. EXCELLENT MORNING CHAIR WIKLUND AND ALSO BOARD MEMBERS I'' M BECKY NELSON I'' VE BEEN A SIGNED UP REGISTERED NURSE FOR EVEN MORE THAN TWENTY YEARS. TWENTY YEARS. MY ENTIRE PROFESSIONAL LIFE HAS BEEN FOCUSED ON PROVIDING PERSON CARE I AM ALSO THE CHAIR OF M&A ' S GOVERNMENT MATTERS COMMISSION THIS WEEK M&A RELEASED INFORMATION ON WHY NURSES ARE LEAVING THE BEDSIDE IN MINNESOTA BUT BEFORE WE EVEN REACH THE WHY I WISH TO HIGHLIGHT ONE NUMBER THAT'' S ONE NUMBER THAT ' S 2400 THAT IS 2,400 THAT IS HOW LOTS MNA NURSES LEFT THE BEDSIDE MEDICAL FACILITY WORK IN THE IN 2014.

THAT IS A RETENTION CRISIS IT IMPLIES BETTER AS WELL AS NURSES ARE RETIRING EARLY AKING YEARS OF EXPERIENCE WITH THEM AND IT SUGGESTS NEW NURSES ARE BEING AVERTED FROM A JOB THAT THEY SPEND YEARS EARNING A LEVEL FOR ONLY TO LEARN THAT THE WORK IS NOT REALLY HAT THEY ENROLLED IN AND MAKE NO MISTAKE THERE IS NO SHORTAGE OF MINNESOTANS THAT NEED TO FUNCTION AS NURSES IN 2022 THERE WERE MORE THAN 122,000 SIGNED UP NURSES IN MINNESOTA WHICH IS AN BOOST OF MORE THAN 4000 OVER 4,000 OVER THE PREVIOUS YEAR. OVER AND OVER AGAIN IN RESPONSES SENT TO OUR STUDY WE SAW REGISTERED NURSES SAY THEY MISS THE MEDICAL FACILITY THAT THEY REALLY NEVER WANTED TO LEAVE BEDSIDE CARE BUT THE CONDITIONS THEY FACE THEIR MADE IT IMPOSSIBLE FOR THEM TO REMAIN.

IN OUR NEW RESEARCH STUDY LESS THAN ONE ONE IN 5 REGISTERED NURSES CLAIMED THEY WOULD NOT RETURN TO THE BEDSIDE UNDER ANY CONDITION THAT INCLUDES THOSE THAT HAVE ACTUALLY RETIRED THAT INDICATES APPROXIMATELY 2000 2000 MINNESOTA REGISTERED NURSES ARE ALL SET TO GO BACK TO THE BEDSIDE IF PROBLEMS BOOST. IN THE NEARLY 500 NURSES WHO REACTED TO THE STUDY THE LEADING NUMBER 1 REASON THEY IDENTIFY FOR WHY THEY LEFT THE BEDSIDE WAS INSUFFICIENT STAFFING COMPLIED WITH BY TENSION MONITORING ISSUES AND POOR FUNCTIONING PROBLEMS. THESE RESPONSES WERE WERE WHEN REGISTERED NURSES WERE ASKED THE LEADING CONCERNS WHEN THEY THOUGHT ABOUT RETURNING THE HOSPITAL REGISTERED NURSES MUCH AWAY IN THAT IF I'' D STAFFING IS ONE OF THE MOST CRITICAL PROBLEM TO NURSING RETENTION. THE ACTIONS OF OUR EMPLOYERS CAN MAKE OR BREAK THE WILL TO REMAIN AT THE BEDSIDE INSTEAD OF WORKING TO RETAIN United States WE ARE BEING CONSUMED PHYSICALLY AS WELL AS PSYCHOLOGICALLY WE ARE NOT A BILLABLE LINE ITEM WE ARE NOT ROBOTS WE ARE HIGHLY KNOWLEDGEABLE SPECIALISTS AND WE ARE PEOPLE WE NEED TO BE TREATED THEREFORE AND ALSO WE DEMAND A VOICE OF THE TABLE TO ASSIST MAKE THESE IMPROVEMENTS IN ENSURE CLIENT TREATMENT IS THE TOP PRIORITY.

THANK YOU FOR YOUR TIME I URGE YOU TO PASS US SENATE SUBMIT 1561 TO 1,561 TO HELP SOLUTION STAFFING IN OUR HOSPITALS AND BRING NURSES BACK TO THE BEDSIDE THANK YOU. THANK YOU NEXT WE HAVE KIERSTEN PRICE. GOD MORNING THANK YOU FOR HAVING ME. SHALL I START? I'' M KIERSTEN RATE I'' M A REGISTERED REGISTERED NURSE'I ' M RIGHT HERE THESE DAYS ON BEHALF OF THE MINNESOTA NURSES ASSOCIATION I'' M RIGHT HERE TO GIVE TESTIMONY ND ASSISTANCE OF KEEPING THE NURSES AT THE BEDSIDE ACT I HAVE BEEN WORKING IN HEALTH CENTER SETUP FOR 10 $ONE DECADE CURRENTLY WITH MY LATEST PLACEMENT IN AN ICU IN MINNEAPOLIS. I'' M A CURRENT TRANSPLANT FROM THE GOLDEN STATE WHERE ROBUST LAWS AROUND REGISTERED NURSE STAFFING LEVELS HAVE BEEN IN LOCATION FOR GREATER THAN TWO DECADES IN 20 YEARS IN MY TIME WORKING AS A BEDSIDE REGISTERED NURSE IN THE GOLDEN STATE NOT ONLY COULD I TREATMENT FOR PATIENTS IN A HUMANE AS WELL AS DIGNIFIED WAY BUT NEVER WHEN DID I FEEL THAT I WAS AT DANGER OF LOSING MY LICENSE DUE TO UNSAFE CLIENT ASSIGNMENTS. GIVEN THAT TRANSFERRING TO MINNESOTA HOWEVER I AM CONCERNED I HAVE ACTUALLY SEEN IN RELATION TO UNSAFE STAFFING AND THE RESULTS OF HIS HAD ON PATIENTS I TREATMENT FOR THE REGISTERED NURSES I FUNCTION ALONG WITH WITH.

DURING MY TIME IN MINNESOTA THERE A BEEN COUNTLESS RISKY CIRCUMSTANCES THAT COULD HAVE RESULTED IN GUARD EVENTS WHICH IS A PATIENT OCCASION THAT CAUSE DEATH PERMANENT HARM OR EXTREME SHORT-LIVED HARM. THESE CIRCUMSTANCES INCLUDE TIMES WHEN REGISTERED NURSES NEEDED TO HANDLE MORE INDIVIDUALS THAN WHAT IS MEDICALLY RISK-FREE LEAVING United States TO PUT OUR LICENSES ON THE LINE AND WORST OF ALL OUR INDIVIDUALS LIVES IN JEOPARDY. IN MY HOSPITAL THERE ARE CIRCUMSTANCES WHEN CHARGE NURSES NEED TO TAKE PATIENT PROJECTS THAT ARE ADDITIONALLY REQUIRED TO RESPOND TO UNEXPECTED CARDIAC OR RESPIRATORY ARRESTS ACROSS THE HOSPITAL OFTENTIMES LEAVING THEIR INDIVIDUALS WITHOUT A NURSE TO CARE FOR THEM. OFTEN CLIENTS REMAIN WITHOUT THE CARE THEY DESERVE OR A NURSE IS FORCED TO MISS THEIR ONLY LUNCH BREAK AND A 12 HOUR DURATION AS A RESULT OF A LACK OF STAFFING UNFORTUNATELY I WOULD SAY IT'' S BECOME THE STANDARD. IF YOU ASK YOURSELF WHY NURSES ARE LEAVING THE BEDSIDE IN DROVES LOOK NO MORE THAN THE SOUL CRUSHING REALLY FEELING OF THE FAILURE TO GIVE RISK-FREE AND ALSO HUMANE CARE TO INDIVIDUALS DURING THEIR THE MAJORITY OF VULNERABLE AND LETHAL MINUTES.

AMONG THE PRIMARY GOALS OF KEEPING THE REGISTERED NURSES AT THE BEDSIDE ACT IS TO ADDRESS THE CRISIS OF UNDERSTAFFING IN MINNESOTA HOSPITALS BEGINNING WITH THE ESTABLISHMENT OF NURSE STAFFING COMMITTEES AND THE CAPACITY TO HAVE MEANINGFUL VOICES AS WELL AS WHAT SECURE INDIVIDUAL TREATMENT APPEARS LIKE IN OUR HOSPITALS. IF YOU FEEL OR EXPECT THE CLIENTS ARE WORTHY OF A HIGHER CRITERION OF TREATMENT AFTER THAT YOU REQUIRED TO ACT NOW. PASSING KEEPING REGISTERED NURSES AT THE BEDSIDE ACT YOU WILL CERTAINLY BE DEMONSTRATING TO CONSTITUENTS THAT THEY DESERVE TO BE TAKEN TREATMENT OF WITH THE DN RESPECT AND ALSO AT THE END OF THE DAY MAINTAINING EVEN MORE NURSES AND ALSO CARE THANK YOU. THANK YOU MISS COST WE WILL CERTAINLY LISTEN TO FROM WENDY WALL AFTERWARDS IS AMBER HARTWIG. PLEASE INTRODUCE YOURSELF FOR THE RECORD AND ALSO PROCEED. THANK YOU FOR WANTING TO LISTEN TO MY STATEMENT I'' M WENDY WALL. I WORK IN A COUNTRY CRITICAL ACCESS HEALTH CENTER SANFORD BURGLAR RIVER DROPS I AM A NURSE OF OVER JUST TWO DECADES.

20 YEARS. NURSES ARE EXHAUSTED AND MUCH OF US ARE QUIETLY GRADUALLY LEAVING NATURALLY OVER 2000 NURSES 2000 REGISTERED NURSES HAVE LEFT THE BEDSIDE MOST OF THESE NURSES ARE STANDING ON THE SIDELINES WATCHING WAITING, READY TO RETURN IF WORKING PROBLEMS ENHANCE. WE ARE ALL WAITING ON WORKING PROBLEMS TO IMPROVE 16 OF 54 THAT'' S 16 OF 16 OF 54 INPATIENT SETTINGS 54 INPATIENT PLACEMENTS ARE OPEN AT MY HOSPITAL THAT'' S 16 OF 54 16 OF 54 WE ARE ALL AWAITING FUNCTIONING CONDITIONS TO ENHANCE BUT THE STAFFING REMEDIES BEING PROVIDE BY MY MONITORING EXCHANGING THREE OPEN SIGNED UP THREE OPEN SIGNED UP REGISTERED NURSES POSITIONS WITH NURSING ASSISTANTS THESE SETTINGS ARE CURRENTLY BEING COVERED BY INDIVIDUALS THAT CURRENTLY WORK THERE WHO ARE REGISTERED NURSES. ALL NON- OB FEE REGISTERED NURSES REQUIRING TO END UP BEING PROFICIENT AND ALSO CARING FOR BABIES AS THEY ARE BORN SO THEY CONTAINER REDUCTION MINIMUM STAFFING PROPORTIONS THESE THINGS DO NOT ENHANCE FUNCTIONING CONDITIONS THAT MAKE THEM WORSE. MONITORING TELLS ME THERE IS NO FINANCIAL DEMAND TO CUT NURSES BUT AS OPPOSED TO OFFERING TO SUIT STARTING SALARIES WITH ALL THE SURROUNDING MEDICAL FACILITIES ARE SUPPLYING SIGN-ON REWARDS TO BRING IN REGISTERED NURSES THEY ARE UPLOADING LOTS OF SETTINGS CALLING FOR CANDIDATES TO COMPLETE NEARLY 1,000 HRS WORTH OF CLASSES TO BE ELIGIBLE TO APPLY ECAUSE OF THESE THINGS I RECOGNIZE I CAN NOT COUNT ON MY ADMINISTRATION IN MY HEALTHCARE FACILITY SYSTEM TO PROTECT MY INDIVIDUALS AND MY COMMUNITY.

I AM ASKING YOU LEGISLATORS TO PROTECT MY INDIVIDUALS AND AREAS MAKE CERTAIN MINNESOTA HOSPITALS KEEP AN EYE OUT FOR THE NEIGHBORHOODS BEST RATE OF INTEREST AS WELL AS ARE ACCOUNTABLE AND ALSO ARE CLEAR THE REGISTERED NURSES AT THE BEDSIDE ACT ACCOMPLISHES THESE GOALS. IT CALLS FOR SIGNIFICANT DISCUSSIONS REGARDING STAFFING PUBLISHING OF STAFFING PLANS TO THE GENERAL PUBLIC PATIENTS AND ALSO AREAS HAVE A RIGHT TO EASILY UNDERSTAND HOW THEIR MEDICAL FACILITY IS STAFFED THEY HAVE A RIGHT TO KNOW THEN PEOPLE WILL CERTAINLY BE ABLE TO USE THEIR DOLLARS TO INCENTIVIZE THE HEALTHCARE FACILITIES TO PERFORM THE RIGHT THING. THANK YOU FOR YOUR TIME. THANKS FOR YOUR STATEMENT MISS WALL NEXT WE WILL CERTAINLY HEAR FROM AMBER HARTWIG AND AFTERWARDS BRING EVEN MORE TRUED. WELCOME TO THE BOARD PLEASE INTRODUCE YOURSELF AND PROCEED WITH YOUR TESTAMENT. GREAT EARLY MORNING I'' M AMBER HARTWIG A SIGNED UP REGISTERED NURSE WHO LIVES AND FUNCTIONS IN DULUTH.

I DROVE DOWN TODAY TO SPEAK IN BEHALF OF MINNESOTA NURSES ASSOCIATION. WE NEED REGULATION TO ASSIST KEEP OUR SPIRITS REGISTERED NURSES AT THE BEDSIDE AND ALSO A FEW OF OUR UNION AGREEMENTS WE HAVE ATTEMPTED ADDRESS UNSAFE SIMONSON SHORT STAFFING HOWEVER THERE ARE NO WORKABLE REMEDIES FOR REGISTERED NURSES ARE EFFECTS FOR HOSPITAL EXECUTIVES AND ALSO MONITORING. RISKY STAFFING PORTS ARE FILED THEY ACCUMULATE AND ALSO ABSOLUTELY NOTHING CHANGES.

REGISTERED NURSES HAVE TRIED TO PERFORM EVERY LITTLE THING WE CAN WITHIN OUR AGREEMENT LANGUAGE THE ISSUE PERSISTS. IN MY HEALTH CENTER THERE OFTEN CHANGES WERE MANAGEMENT IS SCHEDULED ABSOLUTELY NO CORE NURSES THAT'' S ZERO NURSES THAT WERE HIRED FOR THAT FLOOR INSTEAD MANAGEMENT DEPEND ON FLOAT NURSES FROM OTHER DEPARTMENTS OR TRAVELING REGISTERED NURSES THAT MAY HAVE NEVER BEEN ON THAT UNIT BEFORE THE VARIETY OF BEDS IN A HEALTH CENTER IS A STATIC NUMBER BUT THE NUMBER OF STAFF BEDS CHANGES BASED ON SHIPS AS WELL AS STAFFING LEVELS THERE TYPICALLY EMPTY AREAS WITH BEDS BUT NOBODY TO STAFF THEM SO WE ARE TOLD THERE ARE NO BEDS.

OUR EMERGENCY SITUATION DEPARTMENT ROUTINELY HOLDS MULTIPLE PEOPLE WAITING TO BE ADMITTED AS INPATIENTS FOR MORE THAN 24-HOUR OUR 24-HOUR OUR NEIGHBORHOOD AS WELL AS CLIENTS ARE WORTHY OF BETTER. OUR ER AND ALSO LABOR AND ALSO DELIVERY FLOORS CANISTER NOT TRANSFORM AWAY ANY INDIVIDUAL NO MATTER SPACE OR PERSONNEL SCHEDULE ON MY SHIFT LAST EVENING LABOR AND ALSO DISTRIBUTION WE CONFESSED FOR INDIVIDUALS WHO EACH NEED TO'' VE HAD A ONE-ON-ONE NURSE TO TAKE CARE OF THEM. THERE WAS ONLY ONE THE REGISTERED NURSES THAT CURRENTLY HAD FULL TASKS HAD TO ABSORB MUCH MORE CLIENTS. DANGEROUS STAFFING DEGREES SIMILAR TO THIS CAUSE DELAYS IN TREATMENT IMPORTANT CRUCIAL INDICATOR CHANGES BEING MISSED OUT ON LIKE An ALARMINGLY HIGH BLOOD PRESSURE OR LOW BIG SUGAR NEW EDUCATION AND LEARNING THEY NEED TO TAKE HOUSE THEIR BABY COLLEAGUES LIGHTING NOT BEING ADDRESSED A PROMPT MANNER PAY NOT BEING SUFFICIENTLY MANAGED AND ALSO REGISTERED NURSES NEVER EVER GETTING A BREAK WHICH ONLY FURTHER TIRES OUR CAPABILITY TO ASSISTANCE OUR PATIENTS. THESE ARE THE CONDITIONS CAUSING REGISTERED NURSES TO LEAVE THE BEDSIDE ARE BEDSIDE TEAM ARE MORALLY MENTALLY AS WELL AS LITERALLY HARMED WE ARE UNFORTUNATELY IGNORING THE HEALTHCARE FACILITY SETUP.

WHEN THAT TAKES PLACE WE LOSE ALL OF THE COMPETENT AND EXPERIENCED TOTALLY IN OUR HOSPITALS NEED TO SPEND TIME MONEY AS WELL AS EVEN MORE RESOURCES INTO HIRING AND TRAINING NEW STAFF MEMBERS WE NEED YOU TO INTERFERE NOW O MAKE CERTAIN HOSPITAL BEDSIDE NURSES HAVE THE ASSISTANCE THEY REQUIRED TO REMAIN TO LOOK AFTER YOU AND YOUR ENJOYED ONES. PLEASE PASS THE KEEPING NURSES AT THE BEDSIDE ACT. THANKS FOR YOUR TESTAMENT. LAST ON THE SUPPORTER LIST IS CARRY MORE TRUED PLEA STATE YOUR NAME FOR THE DOCUMENT AS WELL AS BEGIN.

THANK YOU CHAIR WIKLUND AND ALSO COMMITTEE MEMBERS AND SEN. MURPHY I'' M CARRY EVEN MORE TRUED THAN HER STAFFING PROFESSIONAL AT MINNESOTA NURSES ORGANIZATION. THANKS FOR THE CHANCE TO AFFIRM I PROVIDED A BEDSIDE NURSING OVER 18 YEARS AGO 18 YEARS AGO BECAUSE I COULDN'' T DELIVER TREATMENT SAFELY TO MY PATIENTS. THE MOMENT I GAVE UP WAS ONE OF ALWAYS REMEMBER WHEN I WAS TOLD TO PUT AMONG THE TWO 2 CARDIAC ICU CLIENTS IN THE HALLWAY IN A MOBILITY DEVICE BECAUSE I WAS CONSUMING A THIRD I UNDERSTOOD THEN THAT SOMETHING IN HEALTH CENTER TREATMENT WAS SERIOUSLY WRONG. EVER SINCE IT'' S ONLY FURTHER DEGRADED AS REGISTERED NURSES REMAIN TO BATTLE ON THE CUTTING EDGE TO PROVIDE SECURE TOP QUALITY CLIENT CARE. MEDICAL FACILITY BEDSIDE NURSES REMAIN IN SITUATION S YOU'' VE HEARD FROM THE TESTIMONY PRIOR TO ME THEY ARE BELOW ADVOCATING THE ACTUAL SOLUTIONS THAT KEEPING NURSES AT THE BEDSIDE ACT GIVES.

THIS IS A THOROUGH REMEDY YOU ARE GOING TO HEAR HOW THIS REGULATION IS ONLY GOING TO CAUSE FURTHER PROBLEMS WITH STAFFING AND ALSO FINANCIALLY INJURY THE MEDICAL FACILITIES. YET RESEARCH STUDY SHOWS SECURE STAFFING LEVELS RAISE QUALITY OF TREATMENT THE FEDERAL FIRM FOR HEALTH CARE RESEARCH AS WELL AS TOP QUALITY FUNDED RESEARCH WHICH FOUND INCREASING VARIETY OF INDIVIDUALS PER NURSE IS TYPICALLY CONNECTED WITH HIGH PRICES OF NONFATAL ADVERSE OUTCOMES SUCH AS PNEUMONIA, SHOCK, HEART ATTACK, AND ALSO URINARY SYSTEM INFECTIONS. CHALLENGERS STATE FULFILLING THE LAWMAKER CRIMINAL OFFENSES WILL MONETARILY HURT HOSPITALS YOU TO RESEARCH STUDY THE JOURNAL OF HEALTHCARE FINANCE TITLED NERVE STAFFING TOP QUALITY AND FINANCIAL EFFICIENCY DETERMINED INCREASED STAFFING OF RNS DOES NOT SIGNIFICANTLY REDUCTION THE HEALTH CENTERS REVENUES ALTHOUGH IT MAY INCREASE THEIR OPERATING EXPENSE.

THE CHALLENGERS WILL CERTAINLY STATE THIS IS PROPORTION BILL AS YOU'' VE HEARD A LOT OF TIMES OVER IT IS NOT. YOU MAY EVEN HEAR THAT THIS COSTS WILL CERTAINLY ELIMINATE CLIENTS IT WILL CERTAINLY NOT. YOU MAY ALSO RIGHT HERE THIS EXPENSE WILL CERTAINLY MAKE THE EMERGENCY ROOM CIRCUMSTANCE WORSE WHEN REALLY IF REGISTERED NURSES ON THE FLOORINGS HAVE THE SUITABLE VARIETY OF PERSONNEL THEY WON'' T NEED TO CLOSE THEIR UNITS WHICH WILL CERTAINLY MAKE THE EMERGENCY CLINIC CIRCUMSTANCE FAR BETTER. THIS REGULATION IS VARIOUS THAN THE STAFFING BILLS PASSED IN THE GOLDEN STATE IT CONSISTS OF STAFFING COMMITTEES OFFICE VIOLENCE REFORM AND FUNDING MERCY. WHILE WE STRONGLY THINK THIS IS A RETENTION CONCERN WE ALSO RECOGNIZE WE DEMAND TO KEEP THE PIPE OPEN AND ALSO MOTIVATE NURSES AHEAD EVERY YEAR MEDICAL FACILITY ADMINISTRATORS COME PRIOR TO YOU TO ASK YOU NOT TO HINDER THEIR COMPANIES AND ALSO LEAVE THE CHOICES APPROXIMATELY THEM AND ALSO ONCE AGAIN TODAY NURSES ARE ASKING YOU FOR THEIR ASSISTANCE THE OLD WAY OF DOING THINGS ISN'' T WORKING.
M&A GATHERS CONCERN FOR RISK-FREE STAFFING DATA FROM NURSES WHEN IN THEIR SPECIALIST JUDGMENT THEY BELIEVE INDIVIDUALS ARE AT THREAT FOR BEING HURT OR HAVE BEEN HARMED IN THE A LOT OF CURRENT INFORMATION WE COLLECTED IN 2015 REVEALS 90% OF THE MOMENT WHEN NURSES ARE CALLED FOR MONITORING FOR SUPPORT THERE WAS EITHER NO ANSWER OR THE REACTION WAS O O.K.. IF YOU CAN TOTAL YOUR IDEAS. AT THE VERY SAME TIME DAMAGING EVENTS ROSE 33% FOR HEALTHCARE FACILITIES IN 2014 THAT INDICATES AREAS WERE LIKELY TO EXPERIENCE HAVING THE WRONG LIMB AMPUTATED HAVING SURGICAL PROCEDURE PERFORMED ON THE INCORRECT INDIVIDUAL DEATH OR SEXUAL ATTACK. SEVERAL NURSES THE AMOUNT OF NURSES MUST LEAVE BEFORE WE ARE HEARD? THE NUMBER OF CLIENTS MUST SUFFER SUBSTANDARD OR PERHAPS SERIOUSLY UNSAFE STAFFING BEFORE WE ARE LISTENED TO THE AMOUNT OF? THANK YOU. THANK YOU FOR EVERY ONE OF THE TESTIFIERS NOW WE WILL RELOCATE TWO TWO TESTIFIERS HOW REMAIN IN OPPOSITION TO THE COSTS. THE FIRST IS TAMMY HAYES. WELCOME APPEAL STATE YOUR NAME AND BEGIN YOUR TESTIMONY.

MME. CHAIR I'' M TAMMY HAYES I ' M THE PRIMARY NURSING EXEC AT NORTHFIELD HOSPITAL AND ALSO FACILITIES. I HAVE TWENTY YEARS AS A NURSING LEADER AS WELL AS 18 YEARS AT 18 YEARS AT THE BEDSIDE PREVIOUSLY. WHILE PROPONENTS OF THE EXPENSE BELIEVE IT WILL BRING NURSES BACK TO THE BEDSIDE WE DISAGREE. STATEWIDE 57% OF REGISTERED NURSES ARE NOT WORKING A FULL TIME SCHEDULE. HOSPITAL THROUGHOUT THE STATE ARE ACCOMMODATING THIS TO PERMIT NURSES TO HAVE A BETTER WORKLIFE EQUILIBRIUM IT'' S SOMETHING WE ENJOY TO ACCOMMODATE AT NORTHFIELD MEDICAL FACILITY. HOWEVER WE ARE STILL A HOSPITAL AND ALSO REQUIREMENT TO SUPPLY EXCEPTIONAL TREATMENT TO OUR INDIVIDUALS 24/7 AND 365 DAYS A YEAR.

THIS IMPLIES WE DEMAND TO EMPLOY MORE NURSES TO OVER 5000 VACANT NURSINGTA IS 5,000 VACANT NURSING SETTINGS IN NORTHFIELD MEDICAL FACILITY WE HAVE 15 OF THEM BUT IT IS ABOUT 12% OF OUR REGISTERED NURSE STAFFING. WE UNDERSTAND THIS WORKFORCE SHORTAGE IS NOT SIMPLY COME DOWN TO STAFFING RATIOS. THIS IS ABOUT PERSON GRAPHICS TREATMENT TEAM EXPERIENCE DEGREES AS WELL AS THE SKILL OF OUR INDIVIDUALS NOT ALL PEOPLE REQUIRE THE SAME TREATMENT. THE COMMITTEE PROCEDURE PROPOSED IN THIS COSTS WILL NOT BRING REGISTERED NURSES BACK TO THE OCCUPATION. IF OFFERING ON COMMITTEES TEMPTS ANY NURSE TO FIND BACK TO THE BEDSIDE IT WILL JUST BE A FEW STAFFING PROPORTIONS ARE NOT PROVEN TO RELIEVE THE STRESS ON THE NURSING SCARCITY THE GOLDEN STATE IS STAFFING PROPORTIONS WHICH HAVE BEEN IN PLACE FOR NEARLY TWENTY YEARS.

TWO DECADES. THE GOLDEN STATE HAS OVER 40,000 VACANT NURSING SETTINGS. IT IS THE MANY IN THE COUNTRY PROPORTIONS DON'' T ENHANCE HIGH QUALITY OF CA EITHER. MINNESOTA RATES FOURTH NATIONALLY FOR HEALTH CARE END RESULTS ACCSIBILITY AND PRICE THE GOLDEN STATE RANKS9TH AT NORTHFIELD MEDICAL FACILITY ITHESE PROPORTIONS WERE IN IMPACT WE WOULD LIKELY HAVE TO CLOSE UNITS LOWER SOLUTION AND NOT HAVE THE ABILITY TO OFFER OUR PEOPLE. THANK YOU FOR YOUR TIME. THK YOU FOR YOURESTIMONY, IS MARY BETH OLSON. WELCOME TO THE COMMITE APPEAL STATE YOUR NAME FOR THE RECORD AND ALSO BEGIN. THANK YOU MME. CHAIR I MARY PRIDENT OF ACUTE-CARE NURSING PROCEDURES AT ALLINA HEALT ACTION W INCLUDED DEVELOPING APPROACHES TO ADDRESS THE ACUTE-CARE REMAIN IN LABOR FORCE SCARCITY PRIOR TO THIS ROLE AS CHIEF NURSING OFFIR AT GRACE HOSTAL ON PIDS AND UNITEHOSPITAL IN ST.

PAUL I'' M OVER 39 YEARS 39 YEARS WORKING AS A NURSE MIKE PARENTS OF THBEDSIDE CLUDES MSURGURSING CRITICAL TREATMENT IN THE RUNNING OM. ALLINA WELLNESS AND ALSO OTH METR EQUIPMENT EASILY RESOLVED THE COLLECTIVEARGAING CONTRACTS WITH THE MIESOTA NURSES ASSOCTION AND ALSO THE SERVICE PROVIDER THOSE COMPONES ICH EATES STRAIGHTENED DIRECTION OF STAFFING THCONTRACTS ARE GENEROUS REGARDLESS OF HEALTHCARE SYSTEMS BEING VERY FINANCIALLFRAGILE STAFFI ANSUPP EXPENSE RING IN REPAYMENTS STAYING FLAT. HOWEVER KNEW THIS IS AT WE DESIRED AND ALSO NDED TO PERFORM FOR R RSES ALLA HEALTH AND WELLNESS IS A ST TICLE 2 OF THE COSTS IT MOVES STAFFING TO DECISION BY COMMITTEE TH DOES NOT ALLO FOREALIME DECION-MING AS WELL AS FLEXIBILIT NOR RESPONSIBILITY TO THE COST OF CARER THE WORKFORC CHLENG.

THE CMITT IS NOT CHAED WITH USG THE STANDARDS SNDARDS OR BENCHMARKS WHEIDENTIFYING STAFNG GRIDS. THEILL REQUESTS THE BOARD TO MEET REGULARLY ANDECI THE NURSING SFFING RATIOS ALLINA ALREADY HAS A COMMITTEE PROCESS IN POSITION AND IT FUNCTIONS AN ADVIRY COMMIEE IDOES NOT SET RAOS. OUR TEAMSAVE DAILHUDDLES AND ALSO FRUENT REAL-TIME CONVERSATIONS WITH STAFNURSES AS WELL AS THETAFF NURS WORKINGN THCHARGE REGISTERED NURSE FUNCTION. HE DECIDE AND ALSO RECOMMENDATIONS ON THE STAING NEEDS. ATIE UITY CONTAINER ALTER ICKLY AND EFFICIENTLY TOESPOND SWIFTLY NECESSARY IN TIME WHEN WEARY HA OVEROWDING HER EMERNCY DEPARTMENT IN OUR BOARNG PIENTS FOMANYAYS SOME DAYS IT'' SECESSARY TO REPOSITION OUR AFFING WITHIN THE PARTNTS TO MAKE SU ALPATIENTS ARE REIVING THE HIGHEST ALITOF TREATMENT. A PROPORTION NOT ALLOW THE PRIVATE INRNALIZATION OFARE D ALIME PROBLEMOLVING WHICH NURSESND THE REMAINDER OFHE TREATMENT AM ARE TINEDND FURNISHED TO DO WE ASKEDHE COMMITTEE OPPOSERTICLE 2 OF THBILL THANYOU.

ANK U FOR YOUTESTIMONY. NE IERRYONES I APOGIZE IF GOTHE NAME MISDOING. LCOMEO THE COMMITTE. THANK YOU MME.CHAIR I'' M JEY SN ' S I ' M THE DIRTOR NURSING ANDLINICA SOLUTIONS AT THE NFORTRACY MEDICACENT I'' VE BE AN FO35 YEARS AND IE BEEN THE DIRECTORF NUES FOR 30 OF OF THE I LL SAYLL 35 I 35 I CSIDER FRONTLINBECAUSE AM OUTHERE WITH THE NUES AS WELL AS EVERYTHI EVE DAY. E ARE A SML CRICAL GAIN ACCESS TO MEDICAL FACILITY WE ARE ONE OF0 E OF 70 DOUBTER ACCESS 70 CRICAL CESS HOSTALSN NNESOTA WHAVE8 HEALTH CENTER 18 HEALTHCARE FACILITY DS OENTIMES OUR REGISTERED NURSES A COVING INPATIENTS OBSEATIO ERS AND ALSO OUTPATIEN TREATMEN. WNEED T FLIBILIT TO SILY ME NURSESETWEENLL OF ESE REQUIRES. E OFFER THE SOUTHWESTERNIDE OF THE STA REQUIRGURSETAFFINRATIOS AND ALSO HER CONNECTIONS ESTABLISH THBILL WLD ADDN ADDITIONAL BDEN THAT WOULD EXACBATE LABOR FORCE IUES WITHIN OUROSPITAL. I SPE CONSTANT EVERY D WH STF ABOUTHEIR EDS IF I'' NOT AROUHEY CANISTER CIDE ITHEY NEED TO CALLN AADDITION NUES THAT THEY OR RESHUFE IN SE AREASF SO ARE ARE BUER TN OTHERSHIS GIS RSES THE AUTONY TO DO WHAT IS RIGHTOR PIENTS AS WELL AS FOR OUR TREATMENT TM.

WEMPOWEOUR FRONLINE NSES REQUIRING OUR HOSPAL THAVE COMMITT SIMPLY WOU NOT WORKHIS WOULD ADD RESSHANGTHE CULTURF US WORKING TETHER AS TEAM AND WOULDOMPRISE OUR DEVERY OCARE. WE WOD NE TO K THEM TCOMEN ON THEIDAYS OFF OR CHGE THE SCHEDULESVEN IF WE ARE YING THEM TO GOO COMMITTEE MEETIN WOULDE EXTREMELY BURDENME. IOULD NEV FIN VOLUEERS TO ATTENDHESE COMMITTEE MEINGS WHIL ARCLE TO STATED INTENON IS TO TENSIONSO REDUCE BURNO AND ALSO UNFE PCTICES TS COSTS WOULO JUSTHE OPPITE. THANK YOU. THANK YOU FOR MING IN THANK YO FOR YR TEIMON NEXT ISARAH DEBAH RK. ELCOME THEOMMIEE PLEAS STE UR NAME AND ALSO BIN YOUR TESTAMENT. THANK YOU MME. CHA I'' M SAH VE RICK I ' M THE IEF NURSING OFCER AT WONA RECOVER I'' VE BEEN AURSE FOR 37 YEARS 12 THOS INDIRECT 12 THOSENDIRECT PATIENT TREATMENT ARE 49 BED RAL HEALTHCARE FACILITY IN HER NEXT NEART HOSPITALS 30 MILES Aö0 MILEAWAY.

WE USE ILY STAFNG GATHERS AT WINA WELLNESS TO MA STAFFING DECISIONS AND ALSO REAL-TIME LOWING FX ABILIT TO READJUST STAFFING AS WELL AS RESPOND PROMPTLY TO INDIVIDUAL NEEDS ASHEY CHANGE CLUDING STAFFING NEEDS OF PEOPLE BOARDING INUR ERGENCY PARTNT. STAFFING RATIOS WL NOT ALLOW QUI PROBLESOLVG REAL-TIME CHANGE ABILY AND THE STAFFING CHANGES THAT ARE ABSOLELY IMPORTANT TO MEETI THE CHANGG EDS OF OUR PATNTS. PASNG TH EXPENSE WILL CERTAINLY SEVELY RESTRICTION OUR PATIT ADMISSIONS AND OUR ABILY TO PROVIDE CE RESUING IN EVEN LAER BACKLOGS IN PATIENT CAREE HOLD-UPS. THIS LL SUGGEST ARTRATION AS A SUTION TO FIX STAFFING CHALLENGES WHIC WOULD ALSO HOLD-UP RESPONSE TI TO PATIENT NEEDS AS WELL AS ADD COSTS. TICLE 2 IS NOT ONLY CREATING A STAFFING PROPORTION IT IS A RAONING OF HEAHCARE IT WILL CERTAINLY BE A FIRST COME FIR OFFERED DESIGN OF CARE THAT DESIGN WILLOT OPERATE IN MINSOTA WHERE INDIVIDUALS HAVE ME TO EXPECT EXCEPTIAL TREATMENT.

NE ONE OF OUR VALUES AT WINONA HEALTH IS ERYONE MATTERS OUR COMMITY RELIES HEAVILY ON United States WE ARE TRE HEALTH CENTER WINONA HEAL AS DEEP NEIGHBORHOOD ROOTS TRIAGING CARING ANADJUSTING TOO THE MOST EFFECTIVE WE N WITH THE LIMITED RESOURCES NEED TO PROVIDE ON OUR MISSION OR VISION AND OUR WORTHS. WHILE SIGNED UP REGISTERED NURSES ARE ABSOLUTELY CRITICAL TO OUR CARE TEAM, NURSING AIDES CERTIFIED NURSES RESPATORY THERAPISTS PHARMACOLOGISTS AND MEDICAL PROFESSIONALS AND OTHERS ARE EQUALLY IMPORTANT TO SUPPLY TEAM-BASED AND BUSINESS HAS OF CARE. THIS EXPENSE INOT RIGHT FOR MINNESOTANS IT LL ADVERSELY EFFECT THE CARE WE CONTAINER GIVE WE ASK THIS BOARD TO OPPOSE SHORT ARTICLE 2 POST 2 OF THE COSTS THANK Y YOU. THANKS FOR YOUR STATEMENT NEXT IS ROCHELLE SCHOLZ. WELCOME TO THE BOARD APPEAL STATE YOUR NAME AS WELL AS START YOUR TESTAMENT. GREETINGS MME.

CHAIR AND MEMBERS I'' M ROCHELLE SCHOLZ I WORK AT WINONA HEALTH AND WELLNESS AND ALSO INDEPENDENT BOARD MEDICAL FACILITY RUN THE HEAD OF STATE AND CHIEF EXECUTIVE OFFICER. I'' M ALSO VERY DISTRESSED AND ALSO DEEPLY WORRIED FOR MY COMMUNITY AND ALSO MY ORGANIZATION IS OUR BENEFIT TO OFFER MUCH OF SOUTHEAST MINNESOTA'' S HEALTHCARE REQUIRES BUT OUR HEALTH AND WELLNESS SYSTEM REMAINS IN DIRE DEMANDS OF EVEN MORE LABOR FORCE AND ALSO FINANCIAL RELIEF WE ENDED OUR 2022 FISCAL YEAR 2022 FISCAL YEAR WITH AN OPERATING MARGIN OF -3% THIS ISN'' T BECAUSE OF MISMANAGEMENT OF FINANCES THIS RESULTS FROM THE EXPONENTIALLY CLIMBING COSTS FOR LABOR THAT EVENTS MEDICAL SUPPLIES AND SO FORTH NECESSARY TO SERVE OUR PATIENTS IN ADDITION TO THE INADEQUATE REIMBURSEMENT WE RECEIVED FROM GOVERNMENT PREPARES THAT IS FAR LESS THAN THE COST OF GIVING CARE. ALSO FEE TO THE LABOR FORCE SHORTAGES WE HAVE BEEN CONFRONTED WITH THE LACK OF ABILITY TO RELEASE CLIENTS TO APPROPRIATE TREATMENT SETUP WHETHER THAT'' S An ASSISTED LIVING HOME ASSISTED-LIVING RESIDENCE CARE AND EVEN RESIDENCE.THE RESULT OF CLIENT REMAINING IN THE HEALTHCARE FACILITY LONGER THAN CLINICALLY ESSENTIAL IS OUR EMERGENCY DIVISION FILLS THERE LONGER WAITING TIMES FOR PATIENTS WHO REQUIRED CARE. ALL OF THIS IS VERY EXPENSIVE TO FINANCE IN MY 35 35 YEARS IN HEALTH CARE ADMINISTRATION I'' VE NEVER SEEN FUNDS AND ESTIMATES SO POOR.

WHILE 2022 WAS A CHALLENGING YEAR 2023 IS PROJECTED TO BE EVEN WORSE WITH THE POSSIBLE -6% OR MORE OPERATING MARGIN. IF ENACTED THIS BILL WILL CERTAINLY MAKE OUR FINANCIAL FUTURE A LOT MORE GRIM TO ADHERE TO THE SUGGESTED RIGID STAFFING PROTOCOLS WE WOULD NEED ADDITIONAL HELP AND ALSO THERE ARE SIMPLY NOT NEARLY ENOUGH NURSES TO WORK WITH. WE ARE STILL TRYING TO REPLACE TRAVELING TEAM WITH THEIR OWN CAREGIVERS FROM THE PANDEMIC AND EVEN CURRENTLY WE UNDERSTOOD HOW EXPENSIVE NURSE STAFFING AGENCIES ARE AND THAT IS CLEARLY NOT A VIABLE CHOICE FOR OUR SYSTEM.

THIS LEAVES United States WITH THE ONLY OTHER OPTION OF SHUTTING DOWN UNITS AND SOLUTIONS. SYSTEMS AND ALSO SERVICES ARE ALREADY EING SHUT WHERE THE VARIETY OF TEAM BEDS REDUCED TO ABSENCE OF LABOR FORCE IN LOTS RURAL LOCATIONS AS WELL AS WE HAVE STAFFING RATIOS ALREADY IN POSITION. CANISTER SUSTAIN MORE CONSTRAINTS OUR AREA COUNTS ON United States TO BE THERE FOR THEM. IT'' S APPROXIMATED THAT OVER 70,000 MINNESOTANS WOULD BE UNABLE TO ACCESSIBILITY TREATMENT IF THIS EXPENSE WERE ENACTED AS WELL AS IT'' S TERRIFYING TO ME WHAT WILL CERTAINLY HAPPEN TO THOSE PATIENTS THAT APPEAR AS WELL AS CAN'' T OBTAIN CARE.
I'' M DISCOURAGED TO SAVE MINNESOTA MINNESOTA CLIENTS WE CURRENTLY SERVE WOULD BECOME PART OF THAT NUMBER. WE ASK THAT YOU PLEASE OPPOSE POST 2 OF THE BILL AND CONSERVE RURAL HOSPITALS IN OUR STATE THANK YOU. THANK YOU FOR YOUR TESTIMONY. NEXT IS ADAM CARLIN. THANK YOU SUPERVISOR I'' M THE MEDICAL NURSING DIRECTOR FOR CRITICAL-CARE PARK NICOLLET METHODIST HEALTHCARE FACILITY HAVE A DOCTORATE IN BOARD QUALIFICATION IN NURSING LEADERSHIP A USED THE IN 2015 AS A NURSING LEADER IN THE PRIOR SIX YEARS AS AN ICU REGISTERED NURSE. METHODIST IS An ONE-OF-A-KIND HOSPITAL AS WELL AS IS LONG-STANDING STAFFING BOARD IN CHARGE OF REVIEWING STAFFING INTENDS AND ALSO DEALING WITH STAFFING PROBLEMS. IN MY FUNCTION AS A REGISTERED NURSE LEADER I OFTEN FIND MYSELF TAKING CARE OF OUR PEOPLE WHILE ALSO TAKING CARE OF OUR HEALTHCARE SYSTEM. I PUT MY HEART IN A NURSING THE SYSTEM BACK TO HEALTH AND WELLNESS BUT JUST LIKE FOR THE PATIENTS IN OUR HOSPITAL A MASSIVE DOSE OF THE WRONG MEDICATION LEAD TO An ACCIDENT.

POST 2 OF THE COSTS IS JUST SUCH A HARMFUL DOSAGE I VALUE THE URGE TO ACT BUT I'' M RIGHT HERE TODAY SINCE THIS REGULATIONS WAS DEVELOPED WITH THE CALCULATED EXEMPTION OF MEDICAL FACILITY REGISTERED NURSE LEADERS WHILE THERE ARE CUTTING-EDGE ELEMENTS IN THIS EXPENSE SUCH AS ADDRESSING WORK ENVIRONMENT VIOLENCE AVOIDANCE LENDING FORGIVENESS AS WELL AS FUNDING FOR MENTAL HEALTH AND WELLNESS SOLUTIONS, I TIN ASSURE YOU OTHER ASPECTS OF THE EXPENSE WOULD OPEN THE DOOR TO CATASTROPHIC HEALTHCARE SPENDING WITH NO ASSURANCE OF ADDED WORTH IN THE CARE WE DELIVER. WE OPPOSE POST 2 ARTICLE 2 OF THE EXPENSE AS IT ENDANGERS TO REPLACE EXISTING STAFFING BOARDS WITH AN NOT PRACTICAL DIVISIVE ONE-SIZE-FITS-ALL LEGISLATIVE MANDATE. THE BILL RECOMMENDS THAT UNSOLVED ISSUES WOULD RELOCATE TO ADJUDICATION AND UNTIMELY PROCESS THAT'' S COMMONLY CHOSE BY THE PRIVATE WITHOUT ANY STAFFING EXPERIENCE. WE APPRECIATE THE MODIFICATION THAT SUGGEST HOSPITALS WOULD NOT CREATE ANONYMOUS STAFFING CONCERN FORMS AND ALSO METHODIST OUR FORMS ARE NOT ANONYMOUS ENABLING US TO BETTER UNDERSTAND THE PROBLEMS THAT STEP FORWARD AND ADDRESS THEM IN A PROMPT FASHION. OUR METHOD EQUIPS STAFF MEMBER TO SPEAK OUT IN THE MOMENT AS WELL AS TO DEAL WITH THEIR LEADERS FOR REAL-TIME RESOLUTION.

MORE THIS BILL DIRECTLY COMPLEX WITH MEDICARE REGULATORY DEMANDS THAT ASSIGN ULTIMATE DUTY FOR HOSPITAL STAFFING TO NURSE EXECUTIVES SO I ASK YOU UNDER THIS SUGGESTED LEGISLATION WHO IS ULTIMATELY RESPONSIBLE FOR HEALTHCARE FACILITY STAFFING? THANKS. THANKS FOR YOUR TESTAMENT LAST ON THE CHECKLIST IS MARY KRINKIE. WELCOME TO THE BOARD PLEA STATE YOUR NAME AND START YOUR TESTAMENT. THANKS MME. CHAIR FOR THE RECORD I AM MARY KRINKIE I'' M WITH THE MINNESOTA HOSPITAL ASSOCIATION. LAST EVENING I WAS STRUCK BY THE REMARKS OF FORMER GOV. MARK DAYTON HE DISCUSSED OBTAINING TOP QUALITY HEALTH CARE IN NEARLY A LOTS DIFFERENT MINNESOTA HOSPITALS WHICH MINNESOTA HAS END UP BEING KNOWN FOR ITS FANTASTIC DELIVERY OF HEALTHCARE. WHICH IT IS AVAILABLE TO ALL MINNESOTANS I HESITATE IF THIS BILL IS IMPLEMENTED IT COULD THREATEN THAT TOP QUALITY OF TREATMENT AND ALSO ACCESS THAT WE HAVE FAMILIARIZE. I DESIRE TO DEAL WITH 2 PRINCIPLES IN TWO PRINCIPLES IN THIS EXPENSE BETTER PARTICULARLY TROUBLING THE FIRST IS BRINGING IN ARBITRATION TO FIX STAFFING DEGREE DIFFERENCES AS WELL AS WHEN THE STAFFING COMPLAINT TYPES CAN'' T BE SOLVED BY THE FRESHLY PRODUCED WORK COMMITTEES WITHIN THIRTY DAY.

MEDIATION IS A LAWFUL PROCESS IN WHICH THE SELECTED MEDIATOR MAKES A BINDING DECISION A BINDING CHOICE SETTLEMENT IS USED IN CONTRACT DISPUTES REGARDING INCOME AND ALSO CONVENIENCES IT'' S TYPICALLY WHEN THERE IS A PUBLIC UNION POLICE AND ALSO FIRE INDIVIDUALS NEEDS ARE CONSTANTLY CHANGING THIS WOULD STEP STAFFING DECISIONS OUT OF THE HEALTHCARE FACILITY AND ALSO REMOVE REAL-TIME STAFFING DECISIONS WHICH ADAPT TO INDIVIDUAL ACUITY. MEDIATION IS COSTLY AND ALSO WILL ADD EVEN MORE TIME HOLD-UPS AS WELL AS RANGE FROM STAFFING CHOICES THE 2ND CONCERN I DESIRE TO DRAW YOUR INTEREST TO IS LANGUAGE IN THE EXPENSE ENABLING REGISTERED NURSES TO DECLINE THE PATIENT PROJECT. THE LANGUAGE THAT CALLS FOR A 50% OF THE REGISTERED NURSES ON THE UNIT TO BALLOT REGARDING WHETHER TO ACCEPT AN ADDED INDIVIDUAL ON THAT PARTICULAR UNIT. HEALTHCARE FACILITIES TIN'' T OFFER THEIR NEIGHBORHOODS TAKING BALLOTS TO IDENTIFY IF An INDIVIDUAL IS ALLOWED TO BE ADMITTED.

HEALTHCARE FACILITIES AS WELL AS HEALTHCARE FACILITY SYSTEMS WILL ENCLOSE INDIVIDUALS WILL CERTAINLY BACK UP IN MEDICAL FACILITY EMERGENCY SITUATION AREAS AS WELL AS ACCESS TO TREATMENT WILL CERTAINLY BE IN JEOPARDY FOR THOUSANDS OF MINNESOTANS I WANT TO REPEAT THAT MHA SUSTAINS SEVERAL OF THE STIPULATIONS IN THE BELT HOSPITALS INTEND TO WORK COLLABORATIVELY WITH ALL OF OUR TREATMENT TEAMS ON DECREASING WORK ENVIRONMENT VIOLENCE SUPPORTING FINANCE MERCY FOR NURSES AS WELL AS FINANCING FOR MENTAL HEALTH AND WELLNESS PROGRAMS WERE HEALTHCARE EMPLOYEES. OUR RESISTANCE AS WELL AS WORRIES ARE ALL CONSISTED OF IN WRITE-UP 2 WHICH CONSISTS OF THE NUMEROUS STAFFING REQUIREDS.

I WISH TO ACKNOWLEDGE AND CLOSING THAT NURSING IS DIFFICULT FUNCTION AS WELL AS THERE ARE MANY CHALLENGES TODAY IN HOSPITALS PERSON DISCHARGE PROBLEMS EMERGENCY CLINIC BOARDING HEALTH CARE WORKFORCE SHORTAGES AND YES REGRETFULLY SEVERAL INSTANCES OF PHYSICAL VIOLENCE AGAINST OUR WORKER. POST 2 DOES NOT ADDRESS THESE CHALLENGES AND ALSO WILL CERTAINLY DEVELOP NEW PROBLEMS OF GAIN ACCESS TO TO CARE IT IS NOT A SERVICE. THANK YOU. THANKS FOR YOUR TESTAMENT.

THAT FINISHES THE LIST OF TESTIFIERS WE HAVE AND WE HAVE THE ABILITY TO RELOCATE TO PARTICIPANT QUESTIONS AND ALSO I HAVE SEN. MORRISON. THANK YOU MME. CHAIR I INTEND TO SAY THANKS TO SEN. MURPHY AND ALSO ALL THE TESTIFIERS I'' VE BEEN FURIOUSLY TAKING NOTES BELOW THIS IS AN INCREDIBLY CRUCIAL CONVERSATION THAT WE HAVE TO HAVE. I ASSUME I CONTAINER SAY AS A DOCTOR MYSELF WAS OPERATED IN HOSPITALS IN THREE DIFFERENT 3 VARIOUS STATES THAT NURSING NEEDS TO BE AMONG ONE OF THE MOST NOBLE OF PROFESSIONS AND ALSO REGISTERED NURSES ARE IMPORTANT PARTS OF THE HEALTH CARE GROUP. WHEN SOMEONE HAS BEEN IN THE HEALTHCARE FACILITY THE PEOPLE THEY REMEMBER THAT TAKE TREATMENT OF THEM ARE THE REGISTERED NURSES THE NURSES OF THE PEOPLE THAT ARE WITH INDIVIDUALS AROUND-THE-CLOCK. THE PANDEMIC WAS EXTREMELY DEMANDING ON HEALTHCARE WORKERS THINGS WERE DIFFICULT IN ADVANCE BUT IT ACCELERATED A WHOLE LOT OF THE OBSTACLES WE HAVE BEEN TALKING ABOUT THIS MORNING.

I COMMEND ELEVATING THIS PRINCIPLES OF MORAL INJURY BECAUSE IT IS REAL AND ALSO IT HAS ACTUALLY RUINED A GREAT DEAL OF HEALTHCARE EMPLOYEES AND WE ARE LEFT WITH THAT SAID AS WELL AS WE REMAIN TO BATTLE WITH IT. I THINK OCCASIONALLY YOU CONTAINER ALMOST FEEL LIKE SOCIETY IS BREAKING DOWN WHEN WE HEAR HER HOSPITALS CURRENTLY WITH THE TENSIONS OF CARING FOR SICK OR IN EVEN MORE MEDICALLY INTRICATE INDIVIDUALS THREATS OF VIOLENCE ACTUAL VIOLENCE A DEFENSE THESE ARE SCARYWITH TRUTHS. EVERY ONE OF THIS HAS LED TO INCREASED MENTAL HEALTHCARE CHALLENGES WE ARE SEEING ACROSS-THE-BOARD NOT SIMPLY AMONG OUR HEALTHCARE PROFESSIONALS.

I ASSUME THE PART OF THE EXPENSE THAT THE $10 MILLION ANNUAL GRANT ARRANGEMENT MIRRORS THAT NEED AS WELL AS I WAS REALLY HAPPY TO SEE THAT PART OF IT WORK ENVIRONMENT PHYSICAL VIOLENCE AVOIDANCE IS ABSOLUTELY CRITICAL. RESOLVING OUR STATEWIDE WORKFORCE CHALLENGES NEEDS TO BELONG TO THIS CONVERSATION AS WELL AS THE ARRANGEMENTS FOR FINANCING FORGIVENESS AND OTHER INCENTIVES ARE KEY. I DEFINITELY SUPPORT THE OBJECTIVE OF THE STAFFING COMMITTEES AND I EAGERLY ANTICIPATE CONTINUING THE DISCUSSION WITH YOU SEN. MURPHY AND THE ADVOCATES AS WELL AS I DON'' T HAVE An INQUIRY I WISH TO EXPRESS GRATEFULNESS THANK
YOU. SEN. ABELER. MANY THANKS SUPERVISOR I VALUE THE CONVERSATION I DESIRED THIS WAS THE FIRST CONVERSATION WERE CARRYING THE SUBJECT CONSIDER THIS BELOW'' S A TROUBLE LET ' S FUNCTION TO RESOLVE IT. WE ' VE BEEN WORKING ON THIS FOR WHAT SEN. MURPHY A YEARS OR LONGER? AS WELL AS HOW ABOUT THIS AND HOW ABOUT THAT I NEVER SUPPORTED RATIOS AS THE INDIVIDUALS RECOGNIZE THAT WERE IT MAKES GOOD SENSE AND I THOUGHTHT THE BOARD'' S AND ALSO HOSPITALS CONTAINER TYPE THIS OUT KUDOS TO TRACY AND ALSO WINONA FOR ACTUALLY DOING THAT AND TRACY IN WINONA YOU PUT ON'' T REQUIRED THIS BILL. BUT IT SEEMS TO ME AS I PAID ATTENTION TO NURSES IN MY AREA AND OTHER PEOPLE WILL CERTAINLY SPEAK WITH ME THAT THEY DON'' T FEEL SAFE AT FUNCTION AND ALSO THEY FEEL OVERLOADED AS WELL AS THEY FEELING INCAPABLE OF PROVIDING PROPER CARE THAT TO ME MUST BE A BIG DEAL TO INDIVIDUAL THAT REMAINED IN THE MINISTRY INSIDE THAT ALSO THEN INTEND TO HAVE SECURE STAFFING AS WELL AS QUALITY TREATMENT INDIVIDUALS WHO GO TO FUNCTION. I JUST DON'' T UNDERSTAND WHAT INGREDIENT RETURN ANSWER IS CHECK OUT THIS AND NITPICK THE ISSUE WITH THE CHECK OUT THAT HOW CANISTER WE DO THAT? I ASSUME AT SOME TIME THERE HAS TO BE A COLLABORATIVE EFFORT IN THIS IS THAT THE IDEAL INITIATIVE UNTIL NOW I BELIEVED THAT MADE FEELING LET'' S HAVE THE COMMITTEES HAVE THE BOARDS AND ALSO HEALTH CENTERS DEAL WITH THAT SUPPOSE WE HAVE A BOARD THAT HALF THE INDIVIDUALS PEOPLE FUNCTION THERE AND HAVE INDIVIDUAL THE MINISTRY REACHES A POINT THAT APPEARS TYPE OF A PRACTICAL POINT TO ME I DON'' T THINK ANY PERSON INTENDS TO MOST LIKELY TO ARBITRATION BUT I ASSUME IT'' S IN! I THINK THIS COSTS IS RIGHT TO BE SPOKEN CONCERNING NOT IN A ROUGH BARGAINING CONTEXT LIKE WERE GOING TO WIN AS WELL AS YOU'' RE GOING TO SHED BUT HOW CONTAINER WE MAKE NURSES FEELING SAFE HOW CANISTER WE MAKE NURSES FEEL THEY ARE DOING WHAT THEY ARE EFFICIENT AND ALSO HOW CANISTER WE LUCKILY FOR EVERYONE THE PUBLIC DOESN'' T KNOW HOW BAD IN DANGER THEY ARE AS WELL AS THAT TROUBLE IS NOT A FEATURE OF THE REGISTERED NURSES TEAM OR'THE ADMINISTRATIONS GROUP IT ' S A FEATURE OF THE MOMENTS AND ALSO MY WISH IS MME. CHAIR I THINK LEAVING THIS COMMITTEE BILL BUT THEIR IDEAS DRIFTING AROUND HOW TO MANAGE THE HEALTH CENTER COMPRESSION CONCERNS WHERE WE CANISTER'' T OBTAIN PEOPLE TO LEAVE AS WELL AS THERE ' S DIFFERENT SUGGESTIONS ABOUT HELPING ASSISTED LIVING HOME GET A BONUS ARE TAKING SOME OF THE TOUGH TO SERVE INDIVIDUALS HENNEPIN AREA IS OVER 50 PEOPLE 50 PEOPLE SITTING THERE TODAY THAT A BEEN THERE A GOOD VERY LONG TIME THAT DON'' T BELONG THERE AND ALSO PEOPLE NEED TO CARE FOR THEM AND MELT UP YOUR REVENUE MARGINS AND ALSO YOUR BEDS AND ALSO WASTE NURSES TIME DOING STUFF THAT IS NOT USEFUL ANYMORE. JUST WHAT IF THIS WAS A COLLECTIVE INITIATIVE AS WELL AS TO THE MANAGEMENT THERE AT GRACE MEDICAL FACILITY AND ALSO UNITY HEALTH CENTER IN MY AREA I RESPECT THAT I GOT YOUR NOTES AS WELL AS I PUT ON'' T DISAGREE THAT IT CAN NOT BE WHENEVER THIS SHOWS UP NOTHING TO SEE RIGHT HERE.

THAT'' S MY DISAPPOINTMENT AND ALSO THAT'' S WHY I ' M ON THE EXPENSE I ' M PLEASED TO RELOCATE IT TOWARD A RESOLUTION EXISTS A WORKING COMMITTEE FRAMEWORK THAT EXISTS IN MINNESOTA NOW SEEMS LIKE TRACY IN WINONA THEY HAVE ONE ONE LET'' S PUT THAT RIGHT INTO THE EXPENSE SO HOW DOES IT FUNCTION? IT SEEMS THE MANAGEMENT EXISTS IS COMPLETELY IN MAKING CERTAIN THAT GREAT POINTS OCCUR SO IT'' S A PARTNERSHIP I BELIEVE WHEN IT GOES LIKE THIS IT DOESN'' T ASSISTANCE ANYBODY AS WELL AS WHY WOULD A REGISTERED NURSE NEED TO FUNCTION SO HOW DO WE MAKE THEM FEELING SAFE VALUED AND ACTUALLY EMPOWERED TO NOT WORRY THAT A PERSON MADE BY THAT THEY CANISTER'' T REACH THE LIGHT. THOSE PROBLEMS EXCEED BUT THIS IS AN ACT OF ANXIETY BY THE PEOPLE WHO ARE BRINGING IT ONWARD THEIR EXPERT SPECIFICATIONS TOO AND ALSO NEVERMIND THE PROFESSIONS WHAT ABOUT THEIR MORAL COMMITMENT THE PEOPLE WHO STROLLED IN HAVING A HEART STRIKE OR SOME OTHER PROBLEM AT THE ER WAITING TO GET SOMEPLACE IN THE MEDICAL FACILITY AS WELL AS I ASSUME YOU FAR BETTER START EXPRESSION SORRY YOUR LIKE NINE A NINE A LIST AND IKE IT GETS ADDRESSED IT'' S BEST OF LUCK AND WERE STILL GOING TO COST YOU A GREAT DEAL OF CASH TO SIT BELOW AND GET THAT DONE.

I AM ALL IN ON THIS REPAIR AND ALSO I PROMPT HE PEOPLE WITH WORRIES AHEAD FORWARD AND OBTAIN AFTER THIS. IT'' S A GOOD YEAR TO DO IT THERE IS STILL TIME ND SEN. MURPHY I'' M WITH YOU IN THE GOAL OF THIS AS WELL AS I ' M WITH YOU ON THE MAJORITY OF THE COSTS I THINK YOU ' RE SEARCHING FOR SUGGESTIONS HOW TO MAKE IT FUNCTION MUCH BETTER,'TO MAKE SURE THAT ' S ALL I HAVE THANKS. THANKS SEN. ABELER, SEN. BOLDON. THANK YOU MME. CHAIR. THANKS TO SEN. MURPHY FOR TAKING THIS COSTS AS WELL AS ARE HEARING LAST EVENING WE HEARD TIME AS WELL AS TIME ONCE AGAIN REGARDING THE TREATMENT AND HEALTHCARE WE PROVIDE IN MINNESOTA IS THE NUMBER 1 ADVANTAGE WE CAN PROVIDE TO OUR PEOPLE. I THINK HEALTH CARE IN MINNESOTA IS THE VERY BEST IN THE WORLD AND THAT CAN'' T CONTINUE IF WE DON'' T HAVE NURSES AT THE BEDSIDE TO OFFER THAT TREATMENT. I'TOO AM A SIGNED UP NURSE I ' VE BEEN A NURSE FOR OVER 20 YEARS, THE FIRST 10 YEARS OF THAT I WORKED IN A HOSPITAL MOSTLY IN THE ICU AND AFTERWARDS FOR REGARDING THE NEXT TEN YEARS I OPERATED IN EDUCATION AND LEARNING I WAS FAR FROM THE BEDSIDE AND LAST FALL I RETURNED TO THE BEDSIDE IN A MEDICAL FACILITY AS WELL AS IT HAS BEEN EYE-OPENING BECAUSE LOTS OF THINGS STAY THE SAME OVER THAT 10 OR TEN OR 11 YEAR GAP WHEN I WAS FAR FROM THE BEDSIDE AND ALSO A WHOLE LOT IS DIFFERENT.

I ADDITIONALLY HAVE RELATIVELY RECENT EXPERIENCE GETTING ON THE OTHER SIDE OF THE POOR HAVING A CHILD WAS IN THE HOSPITAL FOR TWO MONTHS LAST 2 MONTHS LAST SPRINGTIME AS WELL AS JUST RECENTLY IVE WEEKS BELOW THIS YEAR. HAVING BOTH THE EXPENSE OF BEING THE NURSE AT THE BEDSIDE AS WELL AS BEING ON THE OTHER SIDE OF THE BAD I KNOW WE GO TO A DILEMMA POINT IT IS WHERE WE GO TO AS WELL AS NOT SUSTAINABLE. IN MY CONVERSATIONS WITH MY COLLEAGUES AND ALSO WITH NURSES WERE TAKING CARE OF MY CHILD IT APPEARS THAT WE CANISTER NOT REMAIN ON THIS PATH REGISTERED NURSES ARE STRUGGLING FOR ALL THE FACTORS WE HAVE SPOKE ABOUT. WITH THE ETHICAL INJURY WE'' VE EXPRESSED OVER THE LAST THE PANDEMIC AND ALSO EVEN BEFORE THAT WITH THE MENTAL HEALTH AND WELLNESS TRAUMA THAT FOLKS HAVE ACTUALLY EXPERIENCED WITH A LACK OF RESOURCES THERE WAS ONE OF THE ONE OF THE EARLIER TESTIFIERS STATED SOMETHING THAT REALLY REVERBERATED WITH ME THE SPIRIT CRUSHING LACK OF ABILITY TO PROVIDE LIKE PEOPLE IN THE THE MAJORITY OF PRONE MINUTES. IT'' S HEARTBREAKING REGISTERED NURSES WE ENTER INTO THE OCCUPATION BECAUSE WE INTEND TO TAKE CARE OF INDIVIDUALS THAT'' S WHO WE ARE THAT ' S WHAT WE DO AS WELL AS WHEN YOU HAVE A LOT OF PEOPLE YOU TIN'' T DO THAT YOU CAN ' T GIVE THE CARE THEY NEED ALL YOU MAY DO IS INTEND TO KEEP YOUR HEAD OVER WATER AS WELL AS KEEP EVERY PERSON RISK-FREE THAT'' S INADEQUATE AS WELL AS IT ' S NOT SUSTAINABLE AS WELL AS WE HAVE TO DO BETTER.

SEN. MURPHY THANKS IT IS NEEDED. THANKS SEN. BOLDON SEN. LIESKE. THANKS MME. CHAIR. FIRST I WISH TO BEGINNING WITH A MANY THANKS TO EVERY PERSON IN THE AREA WAS A MEDICAL CARE EMPLOYEE I WOULD SAY AS WE HAVE LISTENED TO THE PANDEMIC HAS SPED UP THE STRESS AND STRAIN THAT ALL MEDICAL CARE WORKERS ARE REALLY FEELING IN HOSPITALS ACROSS CLINICS AND EVERYWHERE AND THE ONE POINT I ONE THING I WILL VOUCH FOR IS AS WE SPOKE ABOUT REGISTERED NURSES ARE THE FIRST POINT AS WELL AS LAST THING YOU BEAR IN MIND CONCERNING A HEALTHCARE FACILITY STAY OR ANY COMMUNICATION N A MEDICAL CARE SETTING.

I TIN THINK ABOUT THE LAST FEW TIMES I CAN REMEMBER THE NURSE NAME FROM LABOR AS WELL AS SHIPMENT OF BOTH OF MY CHILDREN IT WAS REALLY RATHER EXCITING IT WAS THE EXACT SAME REGISTERED NURSE BOTH TIMES. APPROVED ONE ONE WAS BORN BEFORE COVID AND ALSO ONE WAS BORN DURING THE HEIGHT OF COVID SO IT'' S A PRETTY TERRIFYING SETTING BUT WE GOT TO AT LEAST COLLABORATE WITH SOMEONE WE KNEW AS WELL AS REMEMBERED.

THESE EXPERIENCES WE HAVE HEARD THE POINTS THAT WE ARE HEARING I REALLY FEEL EACH AND EVERY SINGLE THING EVERYONE IS BROUGHT TO THE TABLE. NATURALLY THE DIFFICULT QUESTION BELOW IS IS THIS EXPENSE EXACTLY THE METHOD WE WISH TO PROGRESS TO REPAIR THE TROUBLES WE ARE HEARING CONCERNING NEVER READ THROUGH IT I THINK A LOT OF THE THINGS ARE GREAT THINGS I AM CONCERNED CONCERNING I WOULD LOVE TO ASK SEN. MURPHY ABOUT A QUITE SIMPLE IS JUST HOW MUCH TIME DO YOU BELIEVE THIS WILL CERTAINLY ELIMINATE FROM THE BEDSIDE BY HAVING THESE COMMITTEES HOW MUCH TIME DO THESE NURSES HAVE TO RELATE TO BEYOND HEALTH CARE JUST TO ADDRESS THESE THINGS. SEN. MURPHY. THANK YOU SEN. WIKLUND AS WELL AS THANKS FOR YOUR INQUIRY I LIKEWISE BEAR IN MIND THE NURSES WHO CARED FOR ME WHEN I DELIVERED MY TWINS THEY STICK TO YOU THAT'' S RIGHT. I WILL CERTAINLY ASK MISS MORE TRUED TO DISCUSS THIS BECAUSE SHE HAS EVEN MORE FRESH HANDS-ON EXPERIENCE REGARDING THE MOMENT I CAN'' T ENVISION IT WOULD BE THE AMOUNT OF TIME THAT WE SPEND IN COMMITTEE BECAUSE WE SPENT A GREAT DEAL OF TIME IN COMMITTEE BUT THERE IS SOMETHING ABOUT THAT THAT IS NECESSARY WE REMAIN IN A TARGET DATE WEEK AS WELL AS WE ARE GETTING TO OUR ABILITY AS INDIVIDUALS TO PERFORM OUR JOBS AS WELL AS TO PERFORM THEM WELL AND ALSO WE HAVE THE CAPACITY TO PUMP THE BRAKES WE ARE NOT GOING TO TAKE ANYMORE EXPENSES WERE JUST GOING TO HEAR THIS MANY AND ALSO I THINK I'' VE BEEN THINKING ABOUT THIS THERE IS A PARALLEL OF EFFECTS THAT ARE VARIOUS OF CHOICES THAT ARE DIFFERENT AS WELL AS WE WISH TO MAKE CERTAIN THE MEDICAL FACILITIES ALSO HAVE THE CAPABILITY THEY CANISTER'' T PUMP THE BRAKES AND ALSO SAY DON'' T INVOLVE OUR HEALTH CENTER WE WISH TO MAKE CERTAIN CLIENTS MINNESOTANS COME INTO THE HOSPITALS THAT THERE ARE ADEQUATE INDIVIDUALS THERE PREPARED TO DEAL WITH THEM.

KEEPING THAT I WILL LOOK TO MISS MORE TRUED MANY THANKS FOR THE CONCERN. THANK YOU CHAIR WIKLUND AS WELL AS SEN. LIESKE. THERE ARE LOTS HEALTH CENTERS CURRENTLY THAT HAVE SOME TYPE OF MIDI WHETHER IT BE LABOR-MANAGEMENT COMMITTEE, NURSING TREATMENT SHIPMENT BOARD, AND A FEW OF THOSE REGISTERED NURSES THAT SERVE IN THOSE BOARDS ARE ALLOTTED TIME TO DO THAT WORK. AS YOU LEARNT THROUGH AMONG THE HEALTHCARE FACILITY MANAGERS THAT THERE AREN'' T MANY REGISTERED NURSES THAT IN FACT WORK ONE POINT OF THEM WORK IF THERE 12.9 OR 12.7 9 NINE THERE ARE ADDED DAYS THAT ARE A TIME OFF BUT IF NURSES COULD GET THE ASSURANCE THAT THEY HAD A SAY IN STAFFING OUR BELIEF 100% IS THEY WOULD PARTICIPATE SO THEY KNOW WHEN THEY BE AVAILABLE IN THAT THEY'' RE GOING TO BE SAFE. TO ADDRESS ONE OF AMONG THE WORRIES CONCERNING THIS WAS DEVELOPED WITHOUT MANAGEMENT, IT'' S THE PRIVATE NURSE OBTAINS DESIGNATED THAT INDIVIDUAL JOB AS WELL AS IT IS HER RESPONSIBILITY TO SUPPLY SAFE CARE AND ALSO WHEN THAT DOESN'' T OCCUR EVEN IF THE ADVERSE END RESULT DOESN'' T HAPPEN THAT REGISTERED NURSE CANISTER BE DISCIPLINED BY THE BOARD OF NURSING FOR PLACING THOSE INDIVIDUALS IN JEOPARDY. I WEAR'' T KNOW ONE MANAGER ONE MANAGER WHO HAS SHOWN UP AT THE BOARD OF NURSING HEARING TO SAY I COMPELLED HER TO DO THAT THAT'' S ON

ME. REGARDLESS OF THE FACT THAT CMS DOES NEED THE SEATTLE TO VALIDATE THE STRATEGY THEY ARE NOT THE ONES THAT GO TO THE BOARD OF NURSING AND ALSO PROTECT THE DECISION TO REQUIRE THOSE CLIENTS ON THOSE REGISTERED NURSES. SEN. LIESKE. THANKS FOR THE RESPONSE. THE ONE PROBLEM I AM SEEING HAS TO DO WITH A NUMBER OF DATA I PULLED UP THE PROBLEM RIGHT HERE IS WITH THESE LESSEES TO BOARDS YOU HAVE FULL TIME REGISTERED NURSES WOULD WANT TO GET ON THE COMMITTEES AND ALSO I COULD POTENTIALLY ENDANGER IS LONG AS 15% OF THEIR ABILITY AND AT THAT NUMBER YOU'' RE LOOKING AT 70,000 MINNESOTANS EACH YEAR NOT GETTING TREATMENT THAT THEY WOULD STRAIGHT REQUIRED SO WITH THAT WORRY, WE HAVE DRASTIC FIGURES THAT WE ARE BEGINNING TO TALK ABOUT AND ALSO KEEPING THAT NUMBER I KNOW THIS AMENDMENT WILL CERTAINLY PROBABLY GET YOU ANGRY AND IT'' S FINE WE ARE BELOW TO REVIEW IT AS WELL AS HONESTLY IS NOT HERE TO BE MEAN AND ALSO I HEAR THIS CONFLICT I INTEND TO PRESENT A FRIENDLY MODIFICATION I RECOGNIZE THIS ISN'' T GOING AHEAD THROUGHOUT AS FRIENDLY BUT THE SUGGESTION IS TO HAVE A CONVERSATION.

WITH THAT I WILL OFFER THE A 8 8 MODIFICATION AND ALSO MR. MONAHAN I WILL NEED YOUR AID AS THIS WAS THE AMENDMENT PRIOR TO THE A3 AMENDMENT THAT WE TAKEN ON. SEN. LIESKE USES THE An EIGHT MODIFICATION. IT WILL BE DISTRIBUTED. MR. MONAHAN DO YOU WANT TO DESCRIBE HOW IT WILL FIT IN WITH THE A3 CHANGE BEING TAKEN ON OR DO YOU DESIRED SEN. LIESKE TO DESCRIBE HIS PURPOSE CAN YOU DEFINE WE WILL CERTAINLY FUNCTION NOW THAT WE'' VE ADOPTED THE A3. MME. CHAIR I WILL CERTAINLY ACCEPT THE SEN. ABOUT DESCRIBING THE INTENT OF THE MODIFICATION IT DOES REQUIREMENT TO BE AMENDED SLIGHTLY TO CONFORM ITH COMPONENT OF THE CHANGE THAT SEN. MURPHY AS WELL AS SEN. ABELER OFFERED. AS I COMPREHEND IT HE WANTS TO CONFORM HIS CHANGE TO COMPONENT OF WHAT WAS DONE FORMERLY.

SEN. LIESKE CAN YOU CLARIFY THE CHANGE. I WILL DISCUSS THE INTENTION OF THE MODIFICATION IT IS TO STRIKE SHORT ARTICLE 2 AS WE HAVE HEARD FROM THE MHA AND ALSO THE STATEMENT AND ALSO THE REASON FOR STRIKING POST 2 IS NOT NECESSARILY TO SAY THE NURSING PROPORTIONS NURSING STAFF DOESN'' T NEED HELP AS WE HAVE DISCUSSED I'' M FULLY IN SUPPORT OF SEARCHING FOR A SERVICE RIGHT HERE.

THE PROBLEM IS THE MEANS THE EXISTING ARTICLE ARTICLE 2 IS WRITTEN IT'' S A PRETTY HEAVY REQUIRED AND ALSO FOR ME I'' VE NEVER CONCURRED THAT MANDATES OF THE SERVICE TO ANYTHING A GREAT DEAL OF TIMES YOU'' LL FIND MORE OF A SOLUTION BY GRANTING INCENTIVES INDIVIDUALS ARE EVEN MORE SATISFIED TO COME TO THE TABLE AND ALSO HAVE THE DISCUSSION AND AFTERWARDS WE FIND A METHOD TO ACTUALLY FUNCTION TO An OPTION AS WELL AS WE HEARD FROM THE TESTIFIER FROM WINONA THEY FOUND THE SOLUTION PRIOR TO A REQUIRED AND MAYBE THEIR OPTION ISN'' T BEST BUT IT SEEMS LIKE THE SERVICE IS MUCH BETTER THAN THE HEAVY-HANDED REQUIREDS WE ARE ESTABLISHING FORTH YOUR IN POST SHORT ARTICLE 2.THE OTHER PARTS WERE SPEAKING ABOUT THE OTHER PART OF THE AMENDMENT IS TO TALK ABOUT THE PUBLIC LANGUAGE YOU'' VE ALREADY STRICKEN PART OF THE PUBLIC LANGUAGE THE ONLY COMPONENT I WISHED TO MAINTAIN PULLING OUT WAS THE RECORDS BACK TO THE COMMISSIONER IS I'' M UNCERTAIN IN WHICH THE COMMISSIONER COMES UNDER THE DISCUSSION SO MY FEAR IS WERE PUSHING MORE DOCUMENTS RIGHT INTO THE COMMISSIONER'' S WORKPLACE MAKING THE HEALTHCARE FACILITIES CARRY OUT MORE MAKING THE NURSES HAVING MORE DOCUMENTATION TO SUBMIT AS WELL AS THOSE ARE CONCERNS I HAVE TH THEIR.

SEN. MURPHY I AM HAVING PROBLEM WITH HOW TO HAVE A BETTER DESCRIPTION OF WHAT I SEE IT DELETES POST 2 WHAT IS THE REST SEN. LIESKE. MME. CHAIR THE REMAINDER OF THE LANGUAGE WOULD REMAIN IN AREA IT WOULD BE A LITTLE LITTLE BIT OF STRICKEN LANGUAGE WOULD REMAIN IN POST 3 CLASS 15 I 15 I THINK PRIMARILY TAKING OUT THE PARAGRAPHS THAT FORCE REPORTING TO THE COMMISSIONER AND ALSO AS I SAID WHAT WE ARE GOING TO ASSIST WITH MR.

MONAHAN IS TRYING TO SATISFY THE LANGUAGE THAT ARE CAME IN POSITION ET CETERA OF THAT NEIGHBORHOOD. FIRST SEN. MURPHY CAN YOU OFFER US An ACTION ON THE CHANGE. THANKS MME. CHAIR AND PARTICIPANTS. I WOULD ASK RESPECTIVELY THAT YOU VOTE VERSUS THE A8 CHANGE SEN. LIESKE I APPRECIATE YOUR POINT OF SIGHT AND ALSO I DO LOVE THE COLLOQUIAL LANGUAGE ABOUT HERE BUT FRIENDLY AMENDMENT SAID NOT FRIENDLY AMENDMENTS AND OUR TASK IS TO WRESTLE TO THE PROBLEM THAT WE EXPERIENCE WITH EACH OTHER AS WELL AS WHEN WE DO THIS AND DO THIS WELL I ASSUME WERE REVEALING MINNESOTANS WE ARE REALLY UP FOR THE TASK THEY SENT US RIGHT HERE TO DO. I UNDERSTAND AND ALSO VALUE THE CONTEXT WITH WHICH YOUR BRINGING THIS FROM MY POINT OF VIEW IT ESSENTIALLY LAMINATES THE HEART OF THE PROPOSAL AND ALSO AS I STARTED WITH MY TESTAMENT THIS IS A MANY YEARS EFFORT TO ATTEMPT AND COME TO THIS LEGISLATURE RAISING THIS INQUIRY WITH EACH TIME WITH MORE URGENCY AND ISSUE WITH EACH TIME AN STRATEGY THAT ACKNOWLEDGES AS WELL AS MIRRORS THAT OBJECTION THE ISSUE THE INPUT THE REVIEW FROM HOSPITALS AND FROM LEGISLATORS AS WELL AS HAVING GONE FROM THE FIRST PROPOSAL THAT WAS PRESENTED IN 2007 OR 2008 2007 OR 2008 WHICH DID INCLUDE A FIXED RATIO TO THIS WHICH WOULD SAY HOSPITAL ADMINISTRATORS NURSING EXECS AS WELL AS TEAM REGISTERED NURSES IN THE HEALTH CENTER WE NEED YOU TO COME WITH EACH OTHER AND DUKE IT OUT THIS CHOICE IN YOUR HEALTH CENTER INCLUDING THE EXPERT JUDGMENT OF THE PRACTICING TEAM REGISTERED NURSES IN THE HEALTHCARE FACILITY IS A MUCH DIFFERENT STRATEGY AND ALSO ONE THAT I THINK BASICALLY IDENTIFIES AND SHOWS THE OBLIGATION AS WELL AS JUDGMENT OF EVERYONE INVOLVED WITH THE GOAL OF TOP QUALITY INDIVIDUAL TREATMENT I THINK WE OUGHT TO SHARE THE TELEPHONE CALL IF WE TAKE THAT AREA OUT WE REMOVE THE EFFORT AS WELL AS THE INTENT ON THE COMPONENT OF LEGISLATORS TO SAY WE NEED TO DO THAT INTERACT AS WELL AS WITHOUT IT I PUT ON'' T BELIEVE IT WILL CERTAINLY'HAPPEN BECAUSE IT HASN ' T OCCURRED SINCE 2008 2008 RESPECTIVELY I WOULD REQUEST A NO BALLOT.

SEN. UTKE. THANK YOU MME. CHAIR I WISH TO REMARK ON THE MODIFICATION, THE MODIFICATION DOES SOME GOOD WORK DOING AWAY WITH WRITE-UP 2 IS ESSENTIAL AND I HAVE ONE THING I WISH TO INCLUDE FOR A REASON WHY AND THIS IS A NEWS RELEASE FROM DECEMBER 6TH OF THIS PAST YEAR RIGHT AS THEY WERE FINISHING THEIR BARGAINING. IT CLAIMS REGISTERED NURSE NEGOTIATION LEADERS WITH THE MINNESOTA NURSES ASSOCIATION TODAY REVEALED THEY HAVE GOT TO TENTATIVE AGREEMENTS WITH HOSPITAL EXECS FOR A NEW THREE-YEAR AGREEMENT FOR 15,000 NURSES IN THE TWIN CITIES AND THE TWIN PORTS.

THIS TENTATIVE CONTRACT IS A HISTORICAL WIN FOR BEDSIDE THIS QUOTE WAS BY MARY TURNER HEAD OF STATE OF THE MINNESOTA NURSES ASSOCIATION. THE NURSES APPEARED THEY UNDERWENT A BARGAINING PROCESS THEY'' RE EXCEPTIONALLY DELIGHTED WITH WHAT THEY OBTAINED. TO ME ARTICLE 2 IS A SUPPOSED SOLUTION SEEKING A GREAT DEAL OF TROUBLES AND I PUT ON'' T SEE ANYTHING GREAT WITH IT THAT ' S WHY WOULD ASK YOU TO ASSISTANCE THE MODIFICATION. SEN. MURPHY. MME. CHAIR AND SEN. UTKE, HEAD OF STATE TURNER WAS AMONG OUR ONE OF OUR TESTIFIERS TODAY AS WELL AS TALKED ABOUT THE MATERIAL OF THOSE AGREEMENT NEGOTIATIONS BOTH THE BEING REJECTED FOR THE HEALTHCARE FACILITY ADMINISTRATORS TO USE UP THE PROBLEM OF STAFFING AS WELL AS A RECOGNITION THAT IN THE MATERIAL I CAN SPEAK TO THE MATERIAL OF THE CONTRACT BUT SHE COULD SHE IS HERE THE PROGRESS THEY HAVE MADE WAS IN ONE HOSPITAL THEY WERE GOING TO ADDRESS SO IT WOULDN'' T GET ANY WORSE THAN IT ALREADY WAS SO THERE ARE ALREADY GREAT INITIATIVES ON THE PART OF THE REGISTERED NURSES IN THOSE MEDICAL FACILITIES THAT WENT TO THE NEGOTIATING TABLE TO ADDRESS THE STAFFING CONCERN THEY DIDN'' T MAKE MUCH PROGRESSION AT THE NEGOTIATING TABLE.

SEN. BOLDON. THANK YOU MME. CHAIR JUST BRIEFLY, I WOULD SUPPORTER VOTING NO ON THE CHANGE I BELIEVE THIS IS AN ESSENTIAL ITEM OF THE COSTS AND ALSO CERTAINLY I WILL SAY I AM NOT FOR FIXED RATIOS DUE TO THE FACT THAT THE INDIVIDUAL REMAINS IN THE PERSON ISN'' T THE PERSON BUT I VALUE THE STRATEGY OF THIS EXPENSE BECAUSE IT IS A CONVERSATION THAT CONSISTS OF REGISTERED NURSES AND ALSO BEDSIDE NURSES NEED TO HAVE INPUT AND ALSO HAVE A VOICE AT THE TABLE TO SPEAK ABOUT THE DEGREE OF STAFFING FOR UNITS BECAUSE THEY ARE THE ONES OFFERING THAT CARE. I APPRECIATE IT ISN'' T SIMPLY A DEALT WITH PROPORTION THAT IT IS A PROCESS IN A CONVERSATION AND A PARTNERSHIP INCLUDING THE VOICE OF THOSE BEDSIDE NURSES TO REACH WHAT IS BEST AND SECURE FOR PEOPLE BECAUSE AT THE HEART THIS IS LESS ABOUT NURSES AND MORE REGARDING PEOPLE THANKS. THANKS SEN. BOLDON. PARTICIPANTS SEN. LIESKE WANT TO REACH A VOTE ON THIS CHANGE. THANK YOU MME. CHAIR SIMPLY PROMPTLY AS WELL AS QUICKLY TO WHY A BROUGHT THE AMENDMENT. I HAVE 17 EMAILS FROM MEDICAL FACILITIES THROUGHOUT THE STATE INCLUDING THE 2 2 COUNTRY HEALTHCARE FACILITIES IN MY AREA.

THEY'' RE BOTH WORRIED POSSIBLY HAVING TO CLOSE WINGS POSSIBLY TO CLOSE THE WHOLE HEALTHCARE FACILITY THAT'' S A REALLY BIG CONCERN ESPECIALLY IN MY DISTRICT BECAUSE THE NEXT CLOSEST HEALTH CENTER WHICH ADDITIONALLY EMAILED ME IS OVER 45 MINUTES 45 MINUTES AWAY FROM WHERE I LIVE SO THIS IS A WORRY OF THE RESIDENTS IN THE AREA WHERE I LIVE THEN BE WITHOUT A MEDICAL FACILITY WHATSOEVER IN RESPONSE THAT'' S WHY BROUGHT THE CHANGE AS WELL AS I'' M HERE TO REPRESENT THOSE VOICES. THANKS SEN. LIESKE. I WISH TO RELOCATE TO A VOTE ON THE CHANGE AND PARTICIPANTS ALL THOSE FOR THE A8 CHANGE PLEASE SAY AYE, AYE, THOSE OPPOSED THE MODIFICATION DOES NOT PASS THE MODIFICATION IS NOT TAKEN ON. PARTICIPANTS I WAS GOING TO OFFER A LITTLE EXAMINE THAT TIME IT IS 10255 AM THE 10,255 AM THE DFL MEMBERS ARE INTENDED TO BE IN CAUCUS BUT I WOULD LIKE TO FINISH THIS WE DO HAVE ANOTHER PERSON BILL SEN.

MAYE QUADE HAS A MONEY EXPENSE WE WOULD BE INSTALLING OVER AS WELL AS I WILL ASK I PUT ON'' T KNOW IF YOU HAVE A NUMBER OF AMENDMENTS YOU DESIRED TO DISCUSS SEN. UTKE. SEN. LIESKE. THANK YOU MME. CHAIR I WOULD MOVE THE A9 CHANGE THIS WOULD BE THE OTHER HALF OF THE A8 AMENDMENT PURELY ATTEMPTING TO ELIMINATE THE LANGUAGE WE WOULD BE FORCING RECORDS OVER TO THE COMMISSIONER'' S OFFICE WHENEVER. A LITTLE EVEN MORE FRIENDLY APPROACH AGAIN WE LIKE TO USAGE THAT WORD A WHOLE LOT AROUND HERE I ASSUMED IT WOULD OFFER THAT MR. MONAHAN WOULD HAVE THE ABILITY TO EXPLAIN WHERE THIS WOULD LOSS AS WELL AS HOW IT WOULD ADJUSTMENT THE EXPENSE. MR. MONAHAN. MME. CHAIR AND MEMBERS, THIS AMENDMENT WOULD WHEN IT'' S AMENDED WOULD REMOVE THE REQUIREMENT ON WEB PAGE 20 LINE 29 LINE 29 THAT THE HEALTH CENTERS SEND THEIR ACTIVITY PLANS AS WELL AS LATEST ANNUAL TESTIMONIALS OF THE ACTION PLANS TO THE COMMISSIONER OF WELLNESS AND ALSO IT WOULD ALSO ELIMINATE THE NEED THAT THE COMMISSIONER OF HEALTH AND WELLNESS PUT TOGETHER THE DETAILS IN THE REPORTS OR THE INTENDS AND ALSO YEARLY EVALUATIONS SENT BY THE HEALTH CENTERS AS WELL AS ASSEMBLE THAT DETAILS INTO A REPORT THAT IS SENT TO THE LEGISLATURE.

THANKS, SEN. MURPHY OR SEN. LIESKE DID YOU INTENDED TO DESCRIBE THE MODIFICATION ANY FURTHER. TANK YOU SEN. WIKLUND I WOULD REQUEST FOR A NO BALLOT ON THE CHANGE IT'' S CRUCIAL THE DIVISION OF HEALTH AND AS RESPONSIBLY THE REGULATORY DUTY FOR MEDICAL FACILITIES HAVE ACCESS TO THIS INFORMATION AS WELL AS THE LEGISLATURE HAVE GAIN ACCESS TO TO THE RECORDS. ANY OTHER MEMBERS DREAM TO TALK ABOUT THE AMENDMENT? MEMBERS WE WILL TAKE A BALLOT ON THE A9 MODIFICATION ALL THOSE IN SUPPORT SAY AYE, THOSE OPPOSED THE CHANGE DOES NOT PASS THE MOVEMENT DOES NOT PASS THE CHANGE IS NOT TAKEN ON. SEN. UTKE. THANKS MME. CHAIR I WOULD DEAL THE A7 MODIFICATION. SEN. UTKE USES THE A7 CHANGE. SEN. UTKE WOULD YOU WANTED TO BEGIN DESCRIBING IT. IF EVERYBODY HAS THEIR COPY WHAT THIS MODIFICATION DOES IT AT AT THE TOP OF THE CHANGE IF YOU BEAR IN MIND A PAIRS OF MOMENTS AGO MR.

MONAHAN DEFINED WHAT WAS I THINK IN A9 AMENDMENT IF I HAVE THE NUMBERS CORRECT THE TOP COINCIDES THING IT DELETES WRITE-UP 2 SHORT ARTICLE 2 AND GOES RIGHT INTO THE VARIOUS OTHER COMPONENT. THE HEART AND ALSO SPIRIT OF THIS CHANGE IS WE ARE ABSORBING ADDRESSING WHAT WE TRULY WANT FOR OUR NURSES WE HAVE A WORKFORCE SCARCITY WE HAVE EVERY ONE OF THIS AND ALSO WE NEED TO ADDRESS AND ALSO SPEAK TO, AND ALSO WE AND ALSO IN THIS INSTANCE OUR REGISTERED NURSES THEY'' RE LOOKING FOR AID. THIS MODIFICATION IS THE NURSE LICENSURE COMPACT WHICH WOULD HELP WE'' VE HAD IT BEFORE IN 2014 IT'' S SOMETHING THAT WILL CERTAINLY HELP PUT EVEN MORE NURSES IN OUR HOSPITALS AS WELL AS OUR FACILITIES. WE ARE IN OUTLIER WE CURRENTLY AMONG 5 STATES THAT DEVELOP A FENCING AROUND OUR STATE AS WELL AS DON'' T ALLOW OUR NURSES TO GO BACK-AND-FORTH. WE TAKE AS WELL AS AS WE HEARD LAST EVENING ABOUT THE VARIETY OF DOCTORS THAT WE EDUCATE AND ALSO TRAIN AND PREPARE TO GO OUT AS WELL AS OFFER EVERYONE AS WE HAVE MEDICAL NEEDS 80% OF THEM ARE TRAINED BELOW IN MINNESOTA WE HAVE THE VERY SAME POINT WITH OUR REGISTERED NURSES WE TRAIN A GREAT DEAL OF NURSES WE GO THROUGH THE SCHOOLING THEY GRADUATE AS WELL AS WHAT DO THEY DO A GREAT DEAL OF THEM CROSS THE BORDERS AND OBTAIN THE MULTISTATE CERTIFICATE.

SINCE WE UNDERSTAND SPECIFICALLY YOUNGER INDIVIDUALS ITH THAT AGE KEEPS GROWING THEY CANISTER BE QUITE OLD AND ALSO YOU'' RE STILL YOUNGER THAN ME BUT INDIVIDUALS MOVE FOR 5 OR SIX YEARS IN ONE ONE PLACE WE HEARD SEVERAL OF THESE 30+ YEAR SOLUTIONS WHICH ARE REMARKABLE WE APPRECIATE EVERY LITTLE THING YOU HAVE DONE IN THESE VARIOUS HOSPITALS AND COMMUNITIES BUT TODAY'' S WORLD IS VARIOUS INDIVIDUALS ARE EVEN MORE MOBILE. WHEN THEY ARE MORE MOBILE THEY NEED TO MOVE AS WELL AS CANISTERS MOVE AROUND THE NURSE LICENSURE COMPACT ENABLES THEM TO DO THAT BUT IT ALLOWS THEM TO COME TO MINNESOTA WE HAVE EXCELLENT HEALTHCARE WE HAVE FANTASTIC WORK OPPORTUNITIES AND WE NEED TO IMPROVE THE NUMBERS AND AIDS EXPAND THOSE NUMBERS.

CURRENTLY WE SIT WE ARE BRIEF 5000 REGISTERED NURSES 5,000 NURSES THE DATA I COLLABORATED WITH LAST YEAR I DON'' T HAVE THEM DONE IN FRONT OF ME BUT THE HUNDREDS OF THOUSANDS OF NURSES WE ARE SHORT THROUGHOUT THE United States AND ALSO WHEN WE LOOK AT THE VARIETY OF NURSES WE ARE TRAINING AND ALSO EDUCATING TODAY WE ARE NOT STAYING ON PAR WITH RETIREMENTS. THAT IS WHITE WE ARE SHORT 5,000 NOW IN WHICH WILL THAT REMAIN IN ANOTHER 5 YEARS? FIVE YEARS? THIS IS SOMETHING THAT WOULD DEFINITELY ASSIST United States REMAIN IN THE CHAUFFEUR SEAT AND ALSO BRING THE ABLE TO CAPITALIZE OFD THIS LABOR SWIMMING POOL.

WITH THAT SAID I WOULD ASK YOU SUSTAIN THE A7 CHANGE. SEN. MURPHY. THANKS MME. CHAIR AND ALSO MEMBERS. I WOULD REQUEST A NO BALLOT ON THE A7 AMENDMENT. IN COMPONENT BECAUSE IT DELETES SHORT ARTICLE ARTICLE 2 PARTIALLY BECAUSE IT ADVANCES THE REGISTERED NURSE LICENSURE COMPACT. AS I TESTIFIED IN THE BEGINNING THE PURPOSE OF THIS COSTS IS TO MAINTAIN OUR NURSES AT THE BEDSIDE WE ARE TRYING TO RETAIN OUR REGISTERED NURSES WE DO HAVE MANY CERTIFIED NURSES THROUGHOUT THE COUNTRY BUT WE DON'' T HAVE LICENSED REGISTERED NURSES PRACTICING IN OUR HOSPITALS THAT'' S THE TROUBLE WE ARE TRYING TO SOLVE AS WELL AS IT WOULD BE AWESOME IF WE SOLVED IT AS IF REGISTERED NURSES FROM VARIOUS OTHER COMPONENTS OF THE NATION MADE A DECISION THEY DESIRED TO COME HERE AND ALSO TECHNIQUE DUE TO THE FACT THAT THEY KNEW THEY WERE GOING TO BE ABLE TO OFFER HIGH-QUALITY TREATMENT.

I DON'' T BELIEVE THE COMPACT IS An OPTION TO THIS ISSUE I WOULD REQUEST A NO BALLOT THANK YOU. SEN. BOLDON. THANK YOU MME. CHAIR ALONG WITH THE COMMON SEN. MURPHY COMPANION I WOULD LIKEWISE URGE A NO VOTE ON THE CHANGE IN COMPONENT BECAUSE IT DELETES WRITE-UP ARTICLE 2 ALSO PERHAPS THIS IS A FAIR CONVERSATION TO HAVE BUT I BELIEVE WE MUST HAVE A FULL CONVERSATION ABOUT I PUT ON'' T THINK IT MUST REMAIN IN A COUPLE OF MINUTES WE HAVE IN THE HEARING OUT ON THE AMENDMENTS ON THE BILL WHICH HAS A DIFFERENT EMPHASES THEREFORE IF WE WERE TO HAVE THIS CONVERSATION IT SHOULD BE A HEARING ON ITS OWN WITH ABILITIES FOR TESTIFIERS AS WELL AS A FULL CONVERSATION AROUND THIS AS A RESULT OF ALL THOSE REASONS I PROMPT A NO VOTE.

THANKS SEN. UTKE ANYTHING TO ADD. THANKS MME. CHAIR I WEAR'' T HAVE ANYMORE AMENDMENTS I HAVE SOME INQUIRIES I WANT TO ASK OF THE STAFF AS WELL AS THE AU WRITER. WE WILL CERTAINLY RELOCATE TO A BALLOT ON THE A7 CHANGE. MEMBERS ALL THOSE IN SUPPORT SAY AYE, THOSE OPPOSED, THE AMENDMENT DOES NOT PREVAIL THE A7 CHANGE IS NOT TAKEN ON. SEN. UTKE YOU HAVE SOME CONCERNS. THANK YOU MME. CHAIR I WILL CERTAINLY LET MR. ALBRECHT GET INVOLVED IN HIS CHAIR DUE TO THE FACT THAT I HAVE CONCERNS FOR IM. MR. ALBRECHT WITH THE COSTS THAT IS BEFORE United States OTHER COSTS IN THIS EXPENSE THAT YOU SEE ON TOP OF THAT E HAVE A NUMBER OF DETAILS DETAILED AT THE END AS APPROPRIATIONS OTHER EXTRA EXPENSES. MR. ALBRECHT I DO SEE SEVERAL AREAS WHERE THERE ARE RECORDS AS WELL AS THE DIVISION OF HEALTH AND WELLNESS HAS RESPONSIBILITY EXISTS A GENERAL OR ANY OTHER FINANCIAL IMPACTS YOU WOULD MENTION.

MME. CHAIR AND ALSO SEN. UTKE I ADDITIONALLY SEE A NUMBER OF REQUIREMENTS FOR THE COMMISSIONER OF WELLNESS THE PRICE FOR THOSE THINGS WOULD BE ADDRESSED IN THE FISCAL KEEP IN MIND WE HAVE NOT REQUESTED ONE YET. ONE YET. SEN. UTKE. SEN. UTKE AND SUPERVISOR WITH NOT QUESTED ONE YET. ONE YET. THANKS MME. CHAIR I WAS GOING TO BE MY INQUIRY IF THERE WAS ONE THAT HAD BEEN REQUESTED NOW THERE HAS NOT BEEN ONE DO YOU ONE DO YOU ANTICIPATE THE AUTHOR OR MR. ALBRECHT DEMAND A FISCAL KEEP IN MIND SOON SO WE COULD SEE WHAT THIS IS I WILL STOP THERE. SEN. UTKE WE WOULD DEMAND A FISCAL NOTE THIS EXPENSE DOES NEED TO TRAVEL TO MULTIPLE OTHER COMMITTEES SO WE ALSO ACKNOWLEDGE THERE'' S FUNCTION THAT WILL CERTAINLY HAPPEN WITH THE EXPENSE AS IT MOVES ON. I WILL CERTAINLY COVER UP WITH THIS NEXT QUESTION AFTER THAT THE REALITY THAT IT DOES HAVE ADDITIONAL QUITS.

WILL WE SEE THIS AGAIN ONCE IT'' S MADE ITS TRAVELS AND COME BACK BELOW BECAUSE IT'' S GOING TO HAVE FISCAL EXPENSES WILL WE GET A CHANCE TO TAKE A LOOK AT THOSE AND ALSO ACT UPON THAT.'SEN. UTKE I HAVEN ' T WRAPPED UP THE PATH WITH SEN. MURPHY YES THERE ARE BUDGET PLAN EFFECTS THAT WOULD ORIGINATE FROM THE DIVISION OF WELLNESS OR WOULD HAVE TO GO TO THE DIVISION OF WELLNESS I THINK IT WOULD BE POSSIBILITY FOR TO AND ALSO APPEAR BACK HERE SO WE WOULD BE THE ONES DEALING WITH THE APPROPRIATIONS THAT WOULD REQUIREMENT TO HEAD TO THE DIVISION OF WELLNESS BUT I HAVEN'' T COMPLETED THAT COURSE WITH SEN.

MURPHY. THANK YOU MME. CHAIR. PARTICIPANTS ANY OTHER INQUIRIES OR CONVERSATION? SEEING NOTHING ELSE INQUIRIES BEFORE US I WOULD RELOCATE TO A BALLOT SEN. MURPHY CLOSING COMMENTS. MME. CHAIR MEMBERS GIVEN THE TIME I WILL CERTAINLY STATE THANK YOU SO MUCH FOR PRODUCTION A LOT TIME FOR THIS IMPORTANT PROBLEM I WISH TO GIVE THANKS TO SEN. ABELER FOR HIS PARTNERSHIP AND ALSO COAUTHORSHIP I VALUE IT. THANKS SEN. MURPHY YES IT'' S BEEN An EXCELLENT DISCUSSION TODAY I BELIEVE WAS BENEFICIAL TO LISTEN TO THE PERSPECTIVES OF ALL THOSE INVOLVED AS WELL AS I APPRECIATE YOUR COMMITMENT TO KEEP WORKING WITH MANY FROM MY PERSPECTIVE I SIGNED INTO THE COSTS DUE TO THE FACT THAT I ALSO LEARN THROUGH CONSTITUENTS WHO ARE EXPERIENCING THE OUTCOMES OF THIS RETENTION DILEMMA THAT TESTIFIERS HAVE MENTIONED. THERE WORKING IN SITUATIONS THEY DON'' T FEEL SAFE IN AND ALSO THEY FEELING WE REQUIREMENT TO ACCOMPLISH OUR BEST TO SHOT TO ADDRESS THESE SITUATIONS I ASSUME THE EXPENSE IS COMPREHENSIVE I LIKE IT APPROACHES THIS FROM THE DIFFERENT ELEMENTS THAT ARE ASSOCIATED WITH TRYING TO BRING A GOOD SERVICE TO THIS TROUBLE. I VALUE YOUR BRINGING IT AHEAD AS WELL AS I VALUE YOU AGREE TO PROCEED WORKING AND DISCUSSING WITH ALL THOSE ENTAILED.

THE EXPENSE TODAY WE WILL BE RELOCATING THE BILL TO THE LABOR COMMITTEE THEN I'' M NOT EXACTLY SURE THE NEXT TOP BEYOND THAT SO MEMBERS THAT WOULD MAKE THE MOVEMENT SEN. BOLDON WOULD YOU PLEASE MAKE THE MOTION THAT SENATE DATA 1,561 AS AMENDED BE RECOMMENDED TO PASS AS WELL AS BE DESCRIBED THE BOARD ON LABOR. SO MOVED MME. CHAIR. MEMBERS ON THAT MOVEMENT ALL THOSE IN FAVOR SAY AYE, THOSE OPPOSED, THE MOTION DOES PREVAIL THE BILL SENATE FILE 1,561 AS AMENDED IS REFERRED TO THE LABOR COMMITTEE.

MEMBERS WE HAVE ONE OTHER EXPENSE THAT WE WISH TO SWIFTLY MAKE IT THROUGH ITS SEN. KUPEC'' S BILL HAS A TESTIFIER RIGHT HERE IF WE CONTAINER DO THAT QUICKLY THIS EXPENSE WILL CERTAINLY BE LAID OVER FOR POSSIBLE INCORPORATION IN A BUDGET PLAN EXPENSE. THANKS SEN. KUPEC THIS IS US SENATE FILE 2353 PLEASE GO 2,353 PLEASE PROCEED WITH YOUR EXPENSE. THANK YOU SEN. WIKLUND I WILL ATTEMPT TO BE AS SHORT AS I CAN. SENATE DOCUMENTS 2,353 IS ASKING TO CONSIST OF INTO BASICALLY TO HAVE PEOPLE DISCUSS BE TRAINED AND ALSO SPEAK ABOUT ALZHEIMER'' S IN THE BOARD WELLNESS SETUP. ALZHEIMER ' S CONDITION RACIAL DIFFERENCES IN 2020 99,000 2020 99,000 MINNESOTANS WERE COPING WITH ALZHEIMER'' S ILLNESS AS WELL AS OTHER KINDS OF DEMENTIA THE NUMBERS DELIGHTED TO ENHANCE BY 21% BY 2025 ELDERCARE SYSTEMS 2025 ELDERCARE EQUIPMENT IS FACILITY AND ALSO FRAGMENTED SCARCE RESOURCES AND A COMPLEX SYSTEM THE TO DETERMINE ELIGIBILITY FOR PUBLIC PERK MAKES IT HARD FOR MINNESOTA ELDERS TO GAIN ACCESS TO RESOURCES OR DIAGNOSE ALZHEIMER'' S AS WELL AS OTHER KINDS OF MENTAL DETERIORATION THESE BARRIERS ARE MORE PRONOUNCED PARTICULARLY IN COMMUNITIES OF SHADE.

SEE HWS OUR WELLNESS EQUITY WORKFORCE COMES FROM AREAS THEY OFFER NORMALLY SHARING IDENTITIES LOCATION AND EXPERIENCES WITH THE CUSTOMERS AND ALSO ATIENTS THIS COMMONNESS MAKES CW S DISTINCTIVELY QUALIFIED TO RELATE AND ALSO PROVIDE ASSISTANCE TO INDIVIDUALS IN THE BOARD. LOOKING PROMPTLY AT THE COSTS ESSENTIALLY IT ADDS IN TO THE EXPENSE THE COMMISSIONER OF HEALTH AND WELLNESS WILL CERTAINLY COLLABORATE WITH INTERESTED STAKEHOLDERS AS WELL AS CREATE A PROGRAM FOR TRAINING BOARD HEALTH AND WELLNESS WORKERS TO RECOGNIZE AND ALSO UNDERSTAND ALZHEIMER'' S DISEASE AS WELL AS DEMENTIA I HAVE A NUMBERS OF TESTIFIERS. THANK YOU AND I'' M SEEING NICOLE GOINGS PLEA STATE YOUR NAME FOR THE RECORD AND BEGIN YOUR STATEMENT. I'' M NICOLE GOINGS I AM A NEIGHBORHOOD HEALTH AND WELLNESS WORKER WITH VOLUNTEERS OF AMERICA MINNESOTA AND WISCONSIN I WORK WITH THE CULTURALLY RESPONSIVE MEASUREMENT TREATMENT GIVER SUPPORT GROUP WE PROVIDE EDUCATION AND LEARNING ON HIGH BLOOD PRESSURE DIABETES MELLITUS HEART AND ALSO MIND HEALTH LIKEWISE WE PROVIDE MEMORY SCREENING IN THE AREA AS IT CANISTER BE A DANGER FACTOR FOR EARLY ONSET OF ALZHEIMER'' S. MEMORY TESTING IS NECESSARY TO NEED TO DETECT THE EARLY INDICATIONS OF MENTAL DETERIORATION AGE HOUSEHOLD BACKGROUND AS WELL AS GENETIC ARE THE MAJOR ASPECTS THAT INCREASE THE GROWTH OF ALZHEIMER'' S ILLNESS. I PROVIDED OF THREE THREE MIN MEMORY SCREEN TEST WHICH CONSISTS OF REMEMBERING 3 WORDS MAKING THE CLOCK AND ALSO SETTING THE CLOCK TO 10 TEN PAST O'' CLOCK AND SADLY THE CLIENT DID NOT PASS THE EXAMINATION AND ALSO I WAS ABLE TO REFER THE CLIENT TO THE SETTING THAT FOCUSES ON MIND HEALTH AND WELLNESS AS An AREA HEALTH WORKER I WAS ABLE TO GIVE RESOURCES AND ALSO SUPPORT FOR THE CLIENT AS A FIGHT THIS TERRIBLE DISEASE. I TAKE PRIDE IN HELPING OLDER ADULTS IN NEED WHICH MADE HELPS FIND RESOURCES FOR REPRIEVE ADULT DAY TREATMENT FACILITY FOOD SUPPORT TRANSPORT EDUCATION OR SIMPLY TO LISTEN. THANKS TO MY TRAINING I TIN GO OUT IN THE AREAS AND ALSO HELP FAMILY MEMBERS AND ALSO THEIR LOVED ONES WHO HAVE ALZHEIMER'' S ILLNESS. THANKS. THANKS FOR YOUR TESTAMENT TODAY. MR. SMITH DID YOU HAVE EXTRA TESTIMONY OR ARE YOU RIGHT HERE FOR INQUIRIES. MANAGER GIVEN THE TIME I'' M RIGHT HERE TO RESPONSE ANY QUESTIONS MANY THANKS.

MEMBERS DO YOU HAVE ANY QUESTIONS FOR THE COSTS WRITER? SEN. UTKE. I WILL RAISE THE SAME WHEN I GENERALLY DO AS I CONSIDER THIS IN WHICH ARE WE AT WITH THE FISCAL KEEP IN MIND ON THIS BECAUSE THERE APPEARS THERE'' S A FAIR BIT OF SPENDING WE ARE ENTAILING THE INSTITUTION OF HIGHER LEARNINGS AND ALSO CREATING A TRAINING PROGRAM DOES ANY PERSON KNOW HAS A KEEP IN MIND BEEN PURCHASED OR REQUESTED IN ANY SUGGESTION WHAT IT MAY BE.

SEN. KUPEC I DO NOT BELIEVE WE REQUESTED IT HAS NOT BEEN REQUESTED YET SEN. UTKE BUT WE WILL CERTAINLY LOOK AT REQUESTING THE FISCAL NOTE DUE TO THE FACT THAT WE WILL A IT OVER WE WILL CERTAINLY HAVE THAT INFO BEFORE WE WOULD TAKE ANY FURTHER ACTIVITY ON THE BILL. ANY OTHER QUESTIONS? SEN. KUPEC ANY OTHER THOUGHTS YOU WISH TO EXISTING ON THE COSTS. I WANT TO THANK MY CO-AUTHORS ABOUT FIFTY PERCENT OF THE REMAINDER OF THE COMMITTEE MANY THANKS FOR YOUR SUPPORT. THAT HOLDS TRUE MANY THANKS I VALUE YOUR STATEMENT IT LOOKS LIKE COMMITTEE HEALTH AND WELLNESS EMPLOYEES ARE TRULY IN A SETTING THAT THEY COULD PLAY A PRIZED POSSESSION DUTY IN AIDING TO INFORM PEOPLE THAT THEY FUNCTION WITH IN THE NEIGHBORHOODS AND IT DOES SEEM THAT THE TRAINING WAS AVAILABLE THAT THERE WOULD BE WORKERS THAT WOULD APPRECIATE HAVING THAT AS YOU SAID YOU'' RE ABLE TO PROVIDE BETTER SOLUTIONS IN THEIR COMMUNITY AS YOU HAVE HAD THE TRAINING SO MANY THANKS FOR YOUR FUNCTION AND ALSO FOR COMING TODAY.

MEMBERS KEEPING THAT WE WILL LAY OVER SENATE FILE 2353 2,353 FOR POSSIBLE INCLUSION IN A FUTURE COSTS. TO MAKE PEOPLE CONSCIOUS US SENATE FILE 1274 WAS SEN. 1,274 WAS SEN. MAYE QUADE'' S EXPENSE SHE WASN ' T ABLE TO STAY FEE TO ANOTHER PERSON CONSULTATION WE WILL TAKE UP SENATE DOCUMENTS 1274 1,274 TOMORROW. WITH THAT SAID WITHOUT ANY OTHER WORK PRIOR TO US THE CONFERENCE IS ADJOURNED.

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