House Health and Human Services Finance Division – part 1 4/5/19

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>> > > [GAVEL]> > > CHAIR LIEBLING: GOOD MORNING EVERY PERSON. I LIKE TO PHONE CALL TO ORDER THE WELLNESS AND ALSO PERSON SERVICES FUND DIVISION. THANKS EVERY PERSON FOR GETTING YOUR BRIGHT AS WELL AS EARLY ON A FRIDAY MORNING. AS YOU KNOW WE ARE PLENTY OF WORK TO ACCOMPLISH. WE ARE DOING OUR MARKUP TODAY. WE GET ON RESIDENCE FILE 2414 THE DE AMENDMENTS. WHICH IS CODED WHICH IS CODED AA -19 -0439. DON'' T ASK ME WHY WE USAGE THAT CODING COME I DON ' T KNOW. WE ARE BELOW TO TAKE MODIFICATIONS AS WELL AS TALK ABOUT AMENDMENTS AND WE HAVE MANY OF THEM. SO WE EXPEC T TO THIS COULD BE An EXTREMELY LENGTHY PROCESS. SO WE ARE BELOW RIGHT NOW UP UNTIL ABOUT 11 PM BECAUSE MEMBERS HAVE CAUCUS. I RECOGNIZE SOME MEMBERS THE MOST RECENT NOTIFICATION CLAIMED 11:15 AM. THEN WE HAVE FLOOR AT NOONTIME. I REALLY HOPE TO OBTAIN MEMBERS TIME TO GET SOME LUNCH BUT I THINK WE WILL NOT TO BE ABLE TO REALLY DO THAT. THEN OUR INTENTION IS TO RETURN THIS NIGHT AFTER THE FLOORING SESSION. WE HOPE IT WILL CERTAINLY NOT LAST UNTIL MIDNIGHT AND WE HOPE THAT THIS BOARD WILL CERTAINLY NOT LAST UNTIL MIDNIGHT THAT WE WILL CERTAINLY IF WE NEED TO; AS WELL AS THEN IF NEEDED WE WILL CERTAINLY BE BACK TOMORROW MORNING TO END UP THE MARKUP.SO WITH THAT IN MIND; WE ARE GOING TO TRY TO OBTAIN TO SURVIVE RATHER RAPIDLY WITH A GREAT DEAL OF THE CHANGES COULD I DO WANT TO SAY; IN SITUATION I THINK I CLAIMED THIS AT THE LAST MEETING MODIFICATIONS HAVE TO BE BALANCED. IN OTHER WORDS WE ARE NOW MAKING WITH THE COSTS THAT HAS A TARGET THAT REMAINS IN BALANCE AND ALSO WHEN THE BILL PASSES OF THIS BOARD IT HAS TO BE IN BALANCE. I RECOGNIZE THAT IN SOME YEARS I BELIEVE THAT BOARDS HAVE ACTUALLY PLAYED A LITTLE LITTLE BIT RECKLESS WITH THAT SAID AS WELL AS THIS IS A SUBSTANTIAL EXPENSE. SO WE ARE NEVER GOING TO OBTAIN EVERY LITTLE THING IDEAL IN IT BUT THE INSTRUCTIONS FROM THE CHAIR OF MEANS AS WELL AS MEANS HAS BEEN DO YOUR OPERATE IN BOARD AND ALSO THAT IMPLIES LOSING CONSCIOUSNESS A WELL BALANCED BILL. SO MEMBERS AMENDMENTS HAVE TO REMAIN IN EQUILIBRIUM OR THEY WILL CERTAINLY BE OUT OF ORDER. SO IF YOU ARE LOOKING FOR SOMETHING THAT IS NOT FUNDED; YOU NEED TO LOCATE SOMEWHERE IN THE BILL THAT YOU TIN TAKE SOME CASH FROM AND IF YOU WEAR'' T; YOUR AMENDMENT IS

OUT OF ORDER.SO I JUST INTENDED TO MAKE SURE THAT EVERYBODY UNDERSTANDS THAT. SO OKAY; KEEPING THAT; WE WILL BEGIN. PERMIT ME TO JUST OFFER YOU A LITTLE A ROADMAP FOR PARTICIPANTS. WE HAVE IN YOUR PACKAGES FIRSTLY OUR TEAM HAS DONE AN AMAZING WORK. YOU HAVE TO THINK MOMENTARILY ABOUT WHAT IT TAKES. NOT ONLY TO COMPOSE THE MODIFICATIONS; OBTAIN THEM IN OFFICIAL ORDER;; BUT GET THEM REPLICATED AS WELL AS INTO OUR PACKETS IN A VERY BRIEF AMOUNT OF TIME TO THE AMENDMENT TARGET DATE WAS NOON YESTERDAY AND THAT'' S WHAT I ' M WELL PRIOR TO THAT NATURALLY OUR RESEARCH STUDY TEAM FUNCTIONED LIKE CRAZY TO GET THIS READY BUT ALSO OUR PAIGE IS MS.NEAR HOFFER AND ALSO ALL THE INDIVIDUALS A GREAT DEAL OF PE OPLE ASSISTANCE IN ANY WAY THIS IN ORDER. THE CHANGES ARE PRACTICALLY IN NUMERICAL ORDER IN YOUR PACKET BUT WE WILL CERTAINLY NOT BE TAKING THEM UP IN NUMERICAL ORDER IS WHY WANT TO MAKE THAT CLEAR AS WELL AS I WILL PROVIDE YOU A ROADMAP AS WE GO ALONG. SO THE FIRST ONE WE ARE GOING TO OCCUPY IS THE WRITER CHANGE; THE A- 10.

AFTER THAT THE STRATEGY SO IF YOU WISHED TO WRITE THEM DOWN MEMBERS; QUICKLY TO HAVE A FEW AS WELL AS YOU ARE READY TO GO; THE A- 14; THE A- 19-00431; THE A- 44; THE A- 11-1;; AND ALSO THE A- 35. SO WE WILL CERTAINLY REACH THAT AND AFTERWARDS I'' LL LET YOU UNDERSTAND WHAT THE NEXT ONES WILL CERTAINLY BE. SO BEGINNING WITH THE A- 10. THE COSTS IS ALREADY RELOCATED IN THE DE AMENDMENT IS ALREADY MOVED SO I AM GOING TO MOVE THE A- 10 WRITER AMENDMENT. I WILL CERTAINLY UNDERGO WHAT'' S IN THIS MODIFICATION WITH YOU MEMBERS DID A GREAT DEAL OF WHAT REMAINS IN HERE IS TOTALLY TECHNOLOGICAL THERE ARE SOME ITEMS IN HERE THAT ARE A BIT PAST TECHNICAL.SOME ARE PARTS OF LANGUAGE THAT WERE SIMPLY LEFT OUT OF THE COSTS ACCIDENTALLY THAT REQUIRED TO BE IN THEIR. AND ALSO LET ' S SEE; THE FIRST THING THAT I SIMPLY INTENDED TO KEEP IN MIND FOR YOU THAT GOES A LITTLE BEYOND TECHNOLOGICAL BUT ALSO IS SORT OF TECHNICAL I WOULD ARGUE IS LINE 4.15. AS YOU UNDERSTAND; WE'' VE DONE A GREAT DEAL THIS YEAR WITH THE ONE TREATMENT PLAN; THE GOVERNOR ' S PREPARE FOR MEDICAL CARE. IN A PLAN THERE'' S A DENTAL BENEFIT. IN THE DENTAL BENEFIT THE DEPARTMENT HAD PUT SOME RATHER BIG CHANGES TO THE WAY DENTAL PRICES ARE DONE UNDER MEDICAID AND UNDER MINNESOTA CARE. WE HAVE BEEN TALKING ABOUT THIS ALL ALONG AND ALSO I THINK I'' VE MENTIONED TO MEMBERS THAT I WASN'' T HAPPY. I'BELIEVE EVERYONE UNDERSTANDS I ' M NOT SATISFIED WITH THAT LANGUAGE. WE HAVE BEEN WORKING ON IT. ON THIS AS WELL AS SOME OTHER THINGS BUT WE SIMPLY RAN OUT OF TIME. SO I AM ADDING SOME LANGUAGE BELOW THAT I WOULD BASICALLY CAPTURED COMFORT LANGUAGE.IT SIMPLY TYPE OF SAYS THAT MY INTENTION IS TO GO ON WORKING ON THIS. THE DIVISION IS GOING TO CONTINUE WORKING THIS SIMPLY TO LET INDIVIDUALS KNOW THAT WHAT IS IN THE COSTS CURRENTLY IS NOT NECESSARILY WHAT'' S GOING TO BE THERE. REMINDING INDIVIDUALS THAT THE DENTAL ADVANTAGE PACKAGE DOESN'' T START FOR 3 YEARS. SO THIS RESEMBLES NOT AN IMMEDIATE ISSUE BUT THAT'' S WHAT THIS LANGUAGES. SO THIS IS KIND OF THE VERY BEST WE CAN DO ON SHORT NOTIFICATION. LET'' S SEE. I WOULD LOVE TO WELL I ' LL GO THROUGH THIS AND I REALLY NEED TO MAKE AN DENTAL CHANGE TO MY AMENDMENTS. LINE 614 WE ARE INCLUDING A BILL THAT WAS SIMPLY ACCIDENTALLY MISSED WHILE DOING SOS AND THIS IS An EXPENSE THAT WE HEARD WE ARE TO BOTH EXTENSIVELY BOTH IN POLICY AND BELOW IN THIS BOARD AND IT'' S A GRANT TO ENLIGHTEN AREAS REGARDING AND LIGHTNING PRODUCTS THAT CONTAIN MERCURY.SO WE ARE INCLUDING THIS TO THE BILL. IT NEEDS TO BE NONCONTROVERSIAL. IT ' S WELL BALANCED IN THE BILL DUE TO THE FACT THAT A FEW OTHER MONEY WALKED AROUND A LITTLE BIT WHEN WE GOT FISCAL KEEP IN MIND. SO THE EXPENSE IS WELL BALANCED WITH THIS IN IT AND IT'' S A GRANT FOR EDUCATION AND LEARNING BECAUSE WE HEARD THAT THESE PPRODUCTS; WHICH ARE ILLEGAL; ARE COMING IN THAT WHOLE FAMILY MEMBERS ARE SUBJECTED TO MERCURY WHEN THEY EVEN OPEN THE JAR.THAT WE HAVE BABIES IN THE STATE WERE BEING POISONED BY MERCURY DUE TO THESE PRODUCTS AND ALSO WE BASICALLY HAVE ABSOLUTELY NOTHING IN LOCATION TO T RY TO BEGINNING EDUCATING COMMUNITIES ABOUT THIS. SO THIS IS WHAT THAT PIECES. ET CETERA OF IT; I ASSUME; IS BASICALLY TECHNOLOGICAL LANGUAGE AS WELL AS JUST TIDY UP AND IF THERE ARE INQUIRIES ABOUT THAT PROBABLY THEY CANISTER GO TO TEAM. I WOULD PAUSE BELOW AND SEE IF THERE ARE INQUIRIES ABOUT ANY ONE OF WHAT I ' VE GONE THROUGH UNTIL NOW? REPRESENTATIVE GRUENHAGEN > > REP GRUENHAGEN: THANK YOU;> MME. CHAIR. ON LINE 2.23; WEB PAGE 2; ARE WE REDUCING THE CENTERS OF TARGET TORTURE FROM THREE SITES TO ONE WEBSITE AND CONTAINER YOU PROVIDE A QUICK IF THAT ' S REAL; WHAT THE RATIONALE SWIFTLY > > CHAIR LIEBLING: THAN K YOU REPRESENTATIVE GRUENHAGEN FOR AIMING IT OUT.THAT ' S WHAT ' S BEEN HAPPENING. THERE ' S BEEN A GREAT DEAL OF CONVERSATION WITH THEM AND
PERTAINING TO'THE IR CAPACITY. GOING'TO THREE WEBSITES THERE ARE REMARKABLE ORGANIZATION BUT GOING TO 3 SITES IS A BIG LEFT AND MAY BE MORE THAN THE SYSTEM WOULD ALLOW. SO THIS IS KIND OF SCALING IT BACK A LITTLE AND ALSO THIS IS A WAZLAWIK BILL. OF COURSE REPRESENTATIVE GRUENHAGEN > > REP GRUENHAGEN: THANKS; MME. CHAIR. SO THEY DON ' T HAVE 3 SITES >> NOW. THEY ONLY HAVE ONE? > > CHAIR LIEBLING: AGENT GRUENHAGEN; THEY WERE PROPOSING >> IN THE EXPENSE TO EXPAND TO 3 EVEN MORE SITES. THIS IS SCALING IT BACK TO ONE EXPANSION SITE.I CANISTER NOT TELL YOU SPECIFICALLY HOW LOTS OF SITES THEY HAVE NOW.

IT ISN ' T MY EXPENSE BUT THAT WOULD HOLD TRUE. REP MUNSON > > REP MUNSON: THANK YOU; MME. CHAIR. ON >> THIS AS WELL AS LIGHTNING PRODUCTS SESSION; THIS IS CASH THAT ' S BEEN GAVE [FAINT] MERCURY. DOES IT ALSO INCLUDE OTHER PRODUCTS LIKE VACCINES THAT HAVE MERCURY OR IS IT SIMPLY FOR SKIN PRODUCTS? EXISTS A GENERAL [FAINT] OR SPECIFIC PRODUCT? A >> > > CHAIR LIEBLING: AGENT MUNSON; YOU CAN READ THE LANGUAGE IN THE EXPENSE THAT'' S RIGHT HERE. MY UNDERSTANDING; IT ' S DANGERS ASSOCIATED WITH USING SKIN LIGHTENING LOTIONS AND ALSO PRODUCTS WHICH CONTAIN MERCURY THAT ARE PRODUCED IN VARIOUS OTHER NATIONS AND ALSO BROUGHT RIGHT INTO THIS NATION AND SOLD UNLAWFULLY ONLINE OR IN STORES.THAT IS WHAT THIS RELATES TO. I THINK IN TESTAMENT WAS A WHOLE LOT OF COMMUNITIES OF SHADE ARE USING THESE PRODUCTS AND ALSO THEY ARE SO HIGHLY DANGEROUS THAT THE LEVELS OF MERCURY INDIVIDUAL PROGRAM ARE OFF THE CHART AND EFFECTIVELY I SUGGEST THE POISONING FACET OF THE CON ARTIST CONTROVERSIAL WHATSOEVER. REP SCHULTZ >> > > REPRESENTATIVE SCHULTZ: [FAINT] DON'' T CONTAIN MERCURY ANY LONGER. >> > > CHAIR LIEBLING: THANKS AGENT SCHULTZ. IF THERE'' S NOTHING ELSE QUESTIONS REP >> ZERWAS IN > > AGENT ZERWAS: THANKS; MME. CHAIR. ON 4.15; THE AREA WITH THE PRICE AS WELL AS DENTAL MODIFICATIONS; I RECOGNIZE HOW I HAD TROUBLE COMPANIES GET IN TOUCH WITH ME ESPECIALLY SAFEGUARD PROVIDERS CONCERNED WITH THE PRICE METHOD PROPOSED BY THE DEPARTMENT THERE WOULD STILL CAUSE ESPECIALLY WHEN YOU LOOK AT MERKEL PEDIATRIC DENTAL CLIENT; DESPITE THE 54% BUMP IN THE BASE RATE; IT WOULD STILL BE CHECKING OUT A DECREASE WHEN YOU ELIMINATE ALL THE ADD-ONS. SO I THINK THIS REALLY IS A CONVERSATION WE DEMAND TO CONTINUE TO HAVE. I RECOGNIZE I WAS KIND OF SCRAMBLING IS THE NEW HR WAS APPROACHING WITH MR. XIONG TO COME UP WITH SOMETHING TO MAINTAIN THIS DISCUSSION ALIVE IN IC THAT IS IN YOUR MODIFICATION AND ALSO I TRULY APPRECIATE THE CHANCE TO MAINTAIN DISCUSSING THIS.I KNOW THAT OUR SECURITY WEB DENTAL PROVIDERS ARE TO THE ODYSSEY; WE CONSIDER 54% RISE IN THE BASE AND ALSO WE ARE UNDOUBTEDLY EXCITED ABOUT THAT BUT WHEN WE HAVE REALLY AND ALSO INFRASTRUCTURE OF PROVIDERS THAT HAVE FOR TWO YEARS DEVELOPED A PRACTICE AROUND LOOKING AFTER MOST SUSCEPTIBLE ORAL PATIENTS IN THE STATE; WE CAN'' T DEVELOP A SYSTEM WHERE THERE SOMEHOW TAKING A CUT. THA T SIMPLY DOESN'' T MAKE GOOD SENSE. SO I VALUE YOUR READINESS TO CONTINUE TALKING ABOUT THAT COULD OBVIOUSLY; UNDERSTANDING THE IMPLEMENTATION DAYS AND THIS PROPOSITION IS STILL SEVERAL YEARS OUT. >> > > CHAIR LIEBLING: THANKS AGENT ZERWAS. I UNDERSTAND YOU HAD CONCERN ABOUT THE SAME ISSUE THROUGHOUT THE YEARS AND I INTEND TO PROCEED WORKING WITH THIS AND ALSO REALLY DIG INTO THIS BECAUSE AS THE FURTHER I BEGIN THE MORE I RECOGNIZE HOW COMPLICATED IT REALLY IS. REP ZERWAS I'' D LOVE TO COLLABORATE WITH YOU AS WELL. THIS MUST BE AND HAS BEEN A BIPARTISAN EFFORT AS WELL AS I SIMPLY WOULD SAY THAT AS I FIND OUT ABOUT IT; MY WORRY NOT ONLY THAT WE NOT DISTRESS WHAT WE'' VE GOT BUT THAT WE ALSO GET FAR BETTER ACCESSIBILITIES FOR THE MONEY.I ' M NOT EXACTLY SURE IF WHAT WE ARE THE MEANS OUR CASH IS ACQUIRING USED IS GETTING BETTER GAIN ACCESS TO FOR THE MONIKERS WE REQUIREMENT TO CHECK OUT THIS DEEPLY BUT I UNDERSTAND THE DIVISION IS TRYING TO DO THAT AND ALSO PROBABLY IF YOU AS WELL AS I OBTAIN DEEPLY ASSOCIATED WITH IT WE CAN MAKE SOMETHING REALLY HAPPEN IN THE NEAR FUTURE BUT WE CAN'' T DO THIS BETWEEN I SIMPLY CONTAINER NOT DO IT AS THIS EXPENSE WAS TAKING A TRIP IN THIS YEAR. WE HAVE A LOT OF BIG THINGS ON HER PLATE THANKS FOR THAT. OKAY. SO I DID NOTICE SOMETHING I WAS MISSING OUT ON FROM THE A- 10. THAT IS; IF PARTICIPANTS REMEMBER THROUGHOUT THE TESTAMENT; THERE WAS A RECOMMENDATION TO A TECHNOLOGICAL ERROR PERTAINING TO HEMP AND THAT HAD TO DO WITH TRANSPORTING. THERE'' S An AREA IN THE EXPENSE; ON PAGE 730 OF THE EXPENSE; AS WELL AS IT INVOLVED MR. LEHMAN'' S TESTIFY TO THIS; THAT WAS JUST An ERROR ABOUT HEMP BEING INCLUDED TO THE MEDICATION ICAL CANNABIS IN WHICH IN An AREA TO DO NOT REQUIREMENT TO BE.IT HAD TO DO WITH SAFETY AND SECURITY OF MOVING HEMP. THEREFORE IT'' S SECTION 68 OF THE COSTS ON PAGE 730. SO WHAT I WANT TO DO IS RELOCATE ORAL MODIFICATION OR INTEGRATE An ADJUSTMENT I WOULD SAY THAT I DON'' T THINK I REQUIRED TO RELOCATE ORAL CHANGE BUT INCORPORATE A CHANGE IN THE WRITER AMENDMENT. AS STAFF ARE CONSIDERING THIS NOW FOR THE VERY FIRST TIME. SORRY ABOUT THAT. YOU TIN SEE I IN FACT REVIEW THE AUTHOR AMENDMENT. SO PAGE 730 I WISH TO REMOVE AREA 68. IF SOMEBODY COULD TELL ME IF THAT'' S THE CORRECT LANGUAGE? THAT I THINK THAT WOULD PURSUE LINE 6.12 OF THE MODIFICATION TO INCLUDE A THAT SAYS;; WEB PAGE 730;; DELETE AREA 68. COULD TEAM CONFIRM IF THAT'' S THE METHOD TO ACCOMPLISH IT >>? > > STAFF: MME. CHAIR THAT IS CORRECT >> > > CHAIR LIEBLING: O.K.. SO I WOULD INCORPORATE THAT RIGHT INTO THE AMENDMENT. SO ANY OTHER CONVERSATION ON THE A- 10 MODIFICATIONS? ON THE A- 10 CHANGE AS WITHOUT ADJUSTMENT INC.? NO.OKAY SEEING NONE; ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOTION DOMINATES. THE CHANGE IS ADOPTED >> > > [GAVEL]> > > CHAIR LIEBLING: SEE THAT; WE ARE ON OUR METHOD. JUST 25 MINUTES AFTER THE HOUR. >> >> > > > > [LAUGHING]>. > > CHAIR LIEBLING: HOPEFULLY THAT IS KIND OF ONE OOF THE TOUGHEST ONES TO PERFORM. SO WE WILL CERTAINLY OCCUPY REPRESENTATIVE HALVERSON WE WILL TAKE UP THE A- 14. MOST OF US WILL NEED A MINUTE TO GET IT OUT.I BELIEVE THAT IS YOUR MODIFICATIONS. >> > > REP HALVERSON: MME. CHAIR I MOVE THE A- 14 >> >> > > > > CHAIR LIEBLING: REPRESENTATIVE HALVERSON WAS THE A- 14. TO YOUR MODIFICATION >> > > REPRESENTATIVE HALVERSON: MME. CHAIR THIS BE DONE AS COMPONENT OF THE HOMELESS YOUNG PEOPLE ACT AS WELL AS IT PROVIDES THE YOUTH THE CAPABILITY TO MANAGE THEIR OWN RECORDS AND OBTAIN ACCESS TO THEIR OWN DOCUMENTS AND IDENTIFICATION. >> > > CHAIR LIEBLING: AGENT HALVERSON I TIN SEE YOU AND I DO NOT QUITE CATCH THE LAST THING YOU STATED. >> > > AGENT HALVERSON: IT OFFERS TO ELEVATE BY THE HOMELESS YOUTH ACT AS WELL AS IT OFFERS THE YOUNG PEOPLE ACCESS TO GET THEIR OWN DOCUMENTS AND ALSO IDENTIFICATION.VERY OFTEN THESE ARE INDIVIDUALS WHO DON ' T HAVE GAIN ACCESS TO TO THEIR RECORDS'FOR MEMBER OF THE FAMILY AND ALSO THEY NEED THEM FOR VARIOUS RECOGNITION FOR TASKS; FOR TO DRIVE; EVERYTHING. > > CHAIR LIEBLING: OK. >> EXIST QUESTIONS TO THE A- 14. REP MUNSON > > REPRESENTATIVE MUNSON >>: MME. CHAIR AS WELL AS TO REPRESENTATIVE HALVERSON AND ALSO THE AUTHOR; I SIMPLY HAVE A QUESTION ON THE MINNESOTA ID CARD. WHAT AT ACCESS IS PUT ON THE ID CARDS IF YOUNG PEOPLE ARE HOMELESS? > > REPRESENTATIVE HALVERSON: MME. CHAIR AND >> AGENT MUNSON; THE YOUTH CAN OBTAIN ACCESS TO ADDRESSES BASED ON WHERE THEY LIVE MEANS THERE HAD ALSO BEEN HOMELESS DOESN ' T NECESSARILY MEAN MEAN YOU DON ' T HAVE A HOUSE'YOU ' RE REMAINING AT THEY CONTAINER USAGE'THE PERMANENT ADDRESS TOO IF THEY HAD FAMILY MEMBERS OF BEGINNING. THE ADDRESS OFTEN TENDS TO BE IN WHICH YOU LAY YOUR HEAD. > > CHAIR LIEBLING: ALL RIGHT. SEEING NO FURTHER CONVERSATION ALL THOSE IN SUPPORT SAY; AYE. [CHORUS OF AYES.] THOSE OPPOSED SAY; NAY

. THE MOVEMENT DOMINATES. THE MODIFICATION IS EMBRACED. > > [GAVEL]> > > CHAIR LIEBLING: WE WILL CERTAINLY USE UP THE A-19 NO 0431. AGENT OLSON. > > REP OLSON >>: WHICH AMENDMENTS? > > CHAIR LIEBLING: THE A-19 -0431. I THINK THAT MAY REMAIN IN THE BACK. > > REP OLSON:> I RELOCATE THE A- 4- >> > > AGENT OLSON: I MOVE THE A- 4-0431 >> > > CHAIR LIEBLING: REP OLSON MOVESTHE A- 19-0431 CHANGE. >> > > REP OLSON: THIS AMENDMENT IS ACTUALLY FEE TO A LAW THAT WAS PASSED IN THAT ADDS INTO THE OPIOID STEWARDSHIP GRANT THAT WE HAVE IN THE BILL. IT SIMPLY ALLOWS SOPHISTICATED PRACTICE REGISTERED NURSES TO BE A COMPONENT OF THOSE TEAMS TO SOMETHING WE'' VE PASSED IN PREVIOUS LOSSES SOMETHING WE DEMAND TO ADD INTO IT TO BE OK SO REP OLSON UNDERSTOOD THIS TO BE A DRAFTING OVERSIGHT IS THAT YOU WOULD CHARACTERIZE IT? >> > > REPRESENTATIVE OLSON: CORRECT MME.CHAIR >
> CHAIR LIEBLING: ANY QUESTIONS THAT? ALL RIGHT. ALL THOSE IN SUPPORT SAY; AYE. [CHORUS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOMINATES. THE CHANGE IS TAKEN ON. >> > > [GAVEL]> > > CHAIR LIEBLING: WE WILL CERTAINLY RELOCATE TO THE A- 44 MODIFICATION. THAT IS AGENT MORAN. THE A- 44. REP MORAN RELOCATES THE A- 44. >> > > REPRESENTATIVE MORAN: THANKS; MME. CHAIR. MEMBERS; – FORGIVE ME – THIS MODIFICATION IS An AUTOMOBILE LANGUAGE FROM HOME DOCUMENTS 1503. THIS PROVIDES TRIBAL FEDERAL GOVERNMENT GAIN ACCESS TO TO CERTAIN IMPORTANT DOCUMENTS HELD BY DHS.THIS COSTS

CAME OFF THE HOUSE FLOOR ON MARCH 21 WITH 123 TO ABSOLUTELY NO VOTE. THE [INAUDIBLE] HEALTH AND WELLNESS AND ALSO HUMAN BEING SOLUTION PRESUME COMMITTEE DO NOT OFFER TIME TO GIVE THE EXPENSE FOR HEARING THIS YEAR BUT THE VERY SAME LANGUAGE PASSED THE SENATE 64-0 IN 2018. THE COSTS DID NOT PASS IN 2018 BECAUSE OF NO FAULT OF THE COSTS BUT OTHER FACTORS OUT OF OUR YOUTHFUL CONTROL. THIS IS AN IMPORTANT CHANGE FOR EQUITY BETWEEN THE TRIBES IN THE NEIGHBORHOOD PUBLIC HEALTH. >> > > CHAIR LIEBLING: ALL RIGHT. ANY QUESTIONS TO THE A -40 WORK. SEEING NONE; ALL THOSE IN FAVOR SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY PREVAILS. THE CHANGE IS EMBRACED. >> > > [GAVEL]> > > CHAIR LIEBLING: WE WILL CERTAINLY TAKE UP THE A- 11-1 AND I ASSUME REP HALVERSON THIS ONE IS ALSO YOURS. >> > > REPRESENTATIVE HALVERSON: MME. CHAIR I WOULD LIKE TO RELOCATE THE A- 11-1 >> > > CHAIR: AGENT HALVERSON MOVES THE A -11 ONE. >> > > AGENT HALVERSON: MME. CHAIR THIS IS LANGUAGE THAT PASSED OFF YOUR HOUSE FLOORING WITH WONDERFUL BIPARTISAN ASSISTANCE. IT PUTS E CIGARETTES IN OUR CLEAN INDOOR AIR ACT.

>> > > CHAIR LIEBLING: ALL RIGHT. IS THERE DISCUSSION TO THE MODIFICATION? AGENT MUNSON THE >> > > REPRESENTATIVE MUNSON: MME. CHAIR ON CHAIR ON LINE 1.190 THE MODIFICATION IT DESIGNATES A CARRYING TOOL IN PUBLIC IT CONSISTS OF THAT IN MAKING USE OF SMOKING CIGARETTES I NEED TO ASK THE EXPENSE WRITER WHY THE TERM; CARRION; WOULD BE CONSISTED OF IN THIS LEGISLATION DID NOT ACTUALLY SMOKING. CONTAINER I OBTAIN AN RESPONSE ON THAT? >> > > REP HALVERSON: MME. CHAIR AGENT MUNSON THE INQUIRY TURNED UP ON HOUSE FLOOR ALSO. IT'' S AN TURNING ON DEVICE. IT SIMPLY MAKES IT REALLY CLEAR THAT IF THE DEVICE IS ON MUCH LIKE A CIGARETTE IT'' SS BEEN LIT AND ALSO SOMEONE STATES I'' M NOT SMOKING IT;; IT WOULD BE THE SAME POINT. >> > > AGENT MUNSON: BUT FOR ELECTRONIC [INAUDIBLE] WHEN I CAN BE CARRYING IT WITH AN ELECTRICAL COST AND ALSO WOULD BE DAMAGING THE LEGISLATION. I SUGGEST PLAINLY HAVE UTILIZING THAT DISCUSSION ELECTRONIC SHIPMENT GADGET WOULD EXIST BUT TRANSPORTATION IT WOULD MAKE OWNERSHIP OF A GADGET ILLEGAL; AND I IMPLY SOMEBODY OUT LEGALLY USING THIS TOOL IN THEIR VEHICLE AND AFTER THAT THEY STROLL WITH THE GENERAL PUBLIC LOCATION JUST HAVING THE TOOL ON THEM WOULD BE BREAKING THE LAW.I AM WONDERING IF THE WRITER WOULD JUST TAKE A VERBAL CHANGE TO DELETE WORDS; ELIMINATING; IN THE OVERVIEW TO MAKE SURE THAT SPECIFIES YOU NEED TO BE UTILIZING THE DEVICE TO BE ILLEGAL. >> > > REPRESENTATIVE HALVERSON: THE KEY WORD BECAUSE PHRASE IS NOT KAREN COULD IT'' S ACTIVATED YOU CAN CARRYING ARE NOT ACTIVATED GADGET. YOU CAN'' T WE DON ' T WANT ACTIVATED DEVICES TO BE BROUGHT INDOORS JUST LIKE WE WERE NOT ONE A LITCIGARETTE LUGGED INSIDE ALSO IF A PERSON IS NOT SMOKING CIGARETTES IT.

>> > > CHAIR LIEBLING: AGENT MUNSON ARE REMOVING A CHANGE? >> > > REP MUNSON: I LIKE TO MOVE A CHANGE TO WRITE OFF THE WORD; TRANSPORTATION. BECAUSE AN INITIATING ELECTRONIC TOOL WOULD BE PACKED AND BILLED AND IT'' S TURNED ON. IT FEELS LIKE IT WOULD BE MAKE CRIMINALS OUT OF INDIVIDUALS FOR CARING ILLEGAL TOOL >> > > CHAIR LIEBLING: AGENT MUNSON ACTUALLY COME I ASSUME EVEN THOUGH IT'' S MODIFYING A WORD I ASSUME IT'' S A MAJOR MODIFICATION TO THE BILL AS WELL AS SO I THINK I WOULD SAY THAT MODIFICATION WOULD BE OUT OF ORDER. DUE TO THE FACT THAT I PUT ON'' T INTEND TO WE ARE NOT IT WOULD MEAN DEBATING A WHOLE NEW SUBJECT BELOW TODAY I WEAR'' T THINK WE ARE

HERE TO PERFORM THAT.ONE THAT HAS NOT BEEN SUBMITTED AS A CHANGE. SO I ASSUME I'' M GON NA ROLL THAT OUT OF WHACK.>> > > AGENT MUNSON: MME. CHAIR; I GUESS AT OF QUALITY; SINCE WE ARE WE HAVE NOT ADOPTED THE HIGHLIGHTED MODIFICATION TO THE BILL; WOULD ALL CHANGES ANY AMENDMENT TO DAY BE OUT OF ORDER BECAUSE WE CONTAINER CHANGE CHANGES? >> > > CHAIR LIEBLING: THANK YOU FOR BRINGING THAT UP. I HAVE SAID IN PAT PAST THAT WE WOULD TAKE I WOULD USE DISCERNMENT TO USAGE MINOR [FAINT] OF PEOPLE OF TECHNICAL FIXES TO THEIR AMENDMENTS AND ALSO THINGS LIKE THAT; BUT IN MANY COMMITTEES YOU TIN'' T DO A POINT. WE PASSED OUR AMENDMENTS DEADLINE AS WELL AS I'' M A TICKET AT HARD-LINE APPROACH AS I HAVE NOT THROUGHOUT OUR ENTIRE TIME AS A BOARD BUT I BELIEVE THAT IN THIS SITUATION IT'' S TOO BIG OF An ADJUSTMENT EVEN THOUGH IT'' S ONLY ONE WORD CHANGES. IT'' S A BIG MODIFICATION TO THE EXPENSE. SO I'' M NOT GOING TO ENABLE THAT IS AN DENTAL CHANGE. BUT NO; I'' M NOT CLAIMING I WON ' T ALLOW ANY OR AMENDMENTS.AMONG NOT SAYING THAT AT
ALL. REP HALVERSON JUST ONE INQUIRY FOR YOU IS A PRICE TO THIS BILL? > > AGENT HALVERSON: MIGHT ' VE >> MME. CHAIR I PUT ON ' T'BELIEVE THERE ' S A COST TO THIS BILL. > > CHAIR LIEBLING: REP > > STAFF: THE TIDY INDOOR >> ACT HAS EXISTS AND [INAUDIBLE] TO THAT LIST. > > CHAIR LIEBLING: THANKS REPRESENTATIVE HALVERSON. SO AGENT HALVERSON HAS RELOCATE THE A-7-1. ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY PREVAILS. THE AMENDMENT IS ADOPTED. > > [> GAVEL]> > > CHAIR LIEBLING: WE WILL CERTAINLY TAKE UP THE A- 35 MODIFICATION; AGENT ACOMB. >> > > AGENT ACOMB: THANKS; MME. CHAIR. THIS IS A RATHER MONOTONOUS AMENDMENT >> >> > > > > [GIGGLING]>. > > [INAUDIBLE/ OFF MICROPHONE]> >> > > > > [LAUGHING]> > > AGENT ACOMB: I HAD TO BE PROMPTED TO PERFORM IT BUT I PROVIDE CREDIT HISTORY TO REPRESENTATIVE LISLEGARD.THIS A COSTS SHE
BROUGHT AS WELL AS HE DID GO THROUGH HHS POLICY COULD I THINK THE TIMING AVOIDED IT FROM PROCEEDING ON. IT WAS LIKEWISE PASSED IN 2015 IN THE OMNIBUS EXPENSE AND AFTERWARDS BE TOWED. SO IT DOES INCLUDE THE PRICE BUT IT IS NOT COME OUT OF OUR BUDGET BUT COMES OUT A SPECIAL ACCOUNT THAT I FORGET WHAT THAT ACCOUNT THAT IS BUT PERHAPS TEAM CAN AID US WITH THAT SAID. >> > > CHAIR LIEBLING: THANKS AGENT ACOMB. MR. BYRD >> > > STAFF: MME. CHAIR REPRESENTATIVE ACOMB THIS IS INCLUDED IN US SENATE FILE 890. THERE'' S A MONETARY KEEP IN MIND ON IT.IT HAS $136; 000 IN COST OF STATE GOVERNMENT SPECIAL REVENUE ONE AND A REPRESENTATIVE ACOMB REFERENCE THE MAJORITY OF TH IS EXPENSE ALTHOUGH THIS A SMALL MODIFICATION;; MOS ES EXPENSE PASSED IN 2015 AND ALSO DOES NOT CHANGE THAT TARGET THE STATE FEDERAL GOVERNMENT SPECIAL REVENUE FUND IS [INAUDIBLE]> > > CHAIR LIEBLING: ALL RIGHT. KEEPING THAT ARE THERE QUESTIONS FOR THE AMENDMENT? ALL RIGHT SEEING NONE; ALL THOSE IN SUPPORT SAY; AYE.

[CHORUS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT PREVAILS. THE CHANGE IS ADOPTED. >> > > [GAVEL]> > > CHAIR LIEBLING: NOW WE ARE O.K.; SO MEMBERS; YOU ARE GETTING DISTRIBUTED A NEW SPREADSHEET IN HIS BRAND-NEW SPREAD SHEET MIRRORS THE AUTHOR AMENDMENT SO YOU KNOW. SO THAT IS NOW THE SPREAD SHEET THAT WE ARE SWEATING OFF OF AND THE MAIN ADJUSTMENT TO IT COME I THINK WOULD BE THE [INAUDIBLE] WE PU T INSKIN LIGHTNING THING WE PUT IN I THINK WE CONTAINER LEAVE IT AT THAT FOR NOW. SO WE ARE GOING TO TAKE UP WE REACH THE END OF THE CHANGES I HAD ANNOUNCED. SO WE ARE GON NA USE UP IN ORDER IF YOU INTENDED TO WRITE THIS DOWN; THE A- 43 WILL BE NEXT. THAT IS LOEFFLER. ANOTHER PERSON LOEFFLER; THE A- 77. THEN WE WILL CERTAINLY TAKE UP ZERWAS; A -54. AFTER THAT A- 65; MORAN. AFTER THAT A- 19-0409;; SCHOMACKER. AFTER THAT WE WILL CERTAINLY OCCUPY THE A- 19-0424; MUNSON. WE WILL ASSUME THAT POINT.SO PERMIT ME TO SIMPLY DO THAT ONCE AGAIN SWIFTLY; A- 43; A- 77; A- 54; A- 65; A- 19-0409; AND ALSO A- 19-0424. FINE SO WE WILL CERTAINLY MOST LIKELY TO REPRESENTATIVE LOEFFLER AS WELL AS I DO UNDERSTAND IT TAKES A MOMENT TO DETERMINE WHE RE THE AMENDMENT REMAINS IN YOUR PACKAGE. THAT'' S O.K.. I ' M DOING THE EXACT SAME POINT. SO A-43. IF MEMBERS CANISTER FIND THAT WE WILL GO AHEAD WITH THAT SAID >>. PROCEED; PLEASE REPRESENTATIVE LOEFFLE R > > REPRESENTATIVE LOEFFLER: THANK YOU; MME. CHAIR. PARTICIPANTS; THE A-43 AMENDMENT ACCREDITS USING TELEMEDICINE BY NEIGHBORHOOD HEALTH WORKER AND THE HEARING THAT WE HAD ON THIS YOU MIGHT RECALL THIS IS PROVEN TO BE A REALLY COST-EFFECTIVE METHOD WHICH IT'' S USEFUL TO PEOPLE TO HAVE INFECTIOUS DISEASES LIKE CONSUMPTION IN WHICH [FAINT] STRAIGHT OBSERVE A TREATMENT TO ENSURE THEY'' RE CONSISTENTLY TAKING THE MEDICATION COULD IF THEY DON'' T IT CAN EVOLVE INTO DRU G RESISTANCE. TUBERCULOSIS CANISTER BE VERY DANGEROUS ALONG WITH EXPENSIVE TO TREAT AND ALSO IT REALLY WORKS BETTER FOR THE PEOPLE AS WELL BECAUSE THEY DON'' T NEED TO REQUIRE TIME OFF OF WORK.THEY CONTAINER

SIMPLY SKYPE WITH THEIR COMPANY AND MEET THE DEMANDS. >> > > CHAIR LIEBLING: THANK YOU REPRESENTATIVE LOEFFLER. I BELIEVE WE WANT TO RELOCATE. SO AGENT LOEFFLER'' S MOVING THE A- >> 33 > > REP LOEFFLER: YES MME. CHAIR I RELOCATE THE A- 43 >> > > CHAIR LIEBLING: ANY QUESTIONS ON A- 43 AMENDMENT? SEEING NONE; ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT PREVAILS. THE MODIFICATION IS TAKEN ON. >> > > [GAVEL]> > > CHAIR LIEBLING: WE GET ON THE ALRIGHT WE GET ON THE A- 77. THAT IS ALSO LOEFFLER. DO YOU HAVE THAT IN FRONT OF YOU AGENT LOEFFLER >> > > REP LOEFFLER: THANK YOU; MME. CHAIR. THE I WOULD LOVE TO MOVE THE A- 77 CHANGE. >> > > CHAIR LIEBLING >>: > > REPRESENTATIVE LOEFFLER: WITH THE AMENDMENT DOES IT PUTS IN LEGISLATION THE PRESENT CUSTOMER DEFENSES IN THE YOU UNDERSTAND UNIFORM MEDICATION FORMULARY THAT'' S SUGGESTED IN THIS BILL AS WELL AS BY THE DIVISION OF PERSON SERVICES.IT ATTENDS TO EXPEDITED EXEMPTION DEMANDS AND ALSO CHARMS;; AND A GREAT DEAL OF CUSTOMER DEFENSES TO MAKE SURE THAT IF A PERSON IS CURRENTLY ON A PRESCRIPTION DRUG AND THE FORMULARY ADJUSTMENTS THEY GET BREAKTHROUGH NOTICE. THEY CANISTER OBTAIN An ACTION WITHIN 24 HR ON THE ASK FOR THE APPROVAL AS WELL AS IT ASSURES THAT ARE PUBLIC FORMULARY WILL MEET THOSE SPECIFICATIONS WE REVIEWED WITH VARIOUS OTHER SOLUTIONS. >> > > CHAIR LIEBLING: ALL RIGHT. EXISTS ANY CONVERSATION TO THE MODIFICATIONS? TO THE A- 77? NOT SEEN ANY BIG; ALL THOSE IN FAVOR SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOMINATES. THE A- 77 IS TAKEN ON >> > > [GAVEL]> > > CHAIR LIEBLING: WE WILL OCCUPY THE A- 54 AGENT ZERWAS. >> > > REP ZERWAS: THANKS; MME. CHAIR. I MOVE THE A- 54. PARTICIPANTS; THIS LANGUAGE IS CONSIDERABLY SIMILAR TO THE LANGUAGE IN A BILL FROM REPRESENTATIVE CONSIDINE'' S; THE YELLOW LINE PROJECT; THE JAIL DIVERSION TASK; WHICH INCORPORATE SOCIAL SERVICES INTO JAILS OFFERING RESOURCES TO THOSE PEOPLE THAT ARE INCARCERATED IN AREA JAILS. THE CHANGE DIFFERENTIATOR BETWEEN REPRESENTATIVE CONSIDINE LANGUAGE IN THIS LANGUAGE IS THE CONSIDINE LANGUAGE WOULD HAVE PRODUCED A STATE PRICE FOR THE FEDERAL SHARE BUT THIS LANGUAGE WILL HAVE REGIONS SELECT UP THE FEDERAL SHARE IF THEY CHOOSE TO TAKE PART IN THIS JOB THAT KEEPS YOUR COSTS; MME.CHAIR; IN BALANCE. CHATTING WITH BLUE EARTH REGION AND ALSO SEVERAL OTHER REGIONS THAT ARE CURRENTLY FUNCTIONING THIS JOB;; THEY STILL BELIEVE EVEN PICKING UP THE FEDERAL SHARE THAT THEY WILL COME OUTAHEAD OF INTEGRATING SOCIAL SERVICES WITHIN YOUR INCARCERATED POPULATION. KEEPING THAT MME. CHAIR I RELOCATE THE A- 54 > > CHAIR LIEBLING: ALL RIGHT >> REP ZERWAS IS MOVING THE A-54. IS THERE DISCUSSION TO BE -54? I HAVE A CONCERN AGENT ZERWAS. I ' M IN INTERESTED IN THIS LANGUAGE THAT ' S IN THIS EXPENSE WERE IN THE CHANGE. OFFICER ENTAILED. THAT SUCH UNCOMMON LANGUAGE FOR US TO USAGE IN HEALTH AND ALSO HUMAN SERVICES AND AM WONDERING IF I REVIEW THIS BILL IN WHAT METHOD IS AN POLICE OFFICER INCLUDED? I IMPLY I RECOGNIZE THIS GEARED TO DIVERT INDIVIDUALS FROM JAIL BUT IN WHICH'' S THE POLICEMAN INVOLVEMENT IN THIS BILL? >> > > REP ZERWAS: THANK YOU; MME. CHAIR.THAT ' S

An EXCELLENT INQUIRY. IF YOU SEE THE [FAINT] LANGUAGE IS POST ARREST AS WELL AS THE WHOLE POINT OF THE [INAUDIBLE] CHANGES IS TO TRY TO DO IT IN JAIL DIVERSION AND ALSO IF AT ALL POSSIBLE; AVOID AN ARREST AS WELL AS INCARCERATION OF A PERSON HAVING AN ACUTE MENTAL HEALTH AND WELLNESS EPISODE. SO WITH THE LANGUAGE CAME DOWN ON WAS POLICE OFFICER INVOLVED. SO 911 IS CALLED TO THE AUTHORITIES OFFICER IS THAT THEY'' RE ENGAGED IN INDIVIDUAL INDIVIDUAL FREQUENTLY IS THE TIME.BUT HOPEFULLY
; ARE ABLE TO DIVERT THE SPECIFIC TO THE SUITABLE RESOURCES AND WE ARE NOT PLACING SOMEBODY THAT NEEDS MEDICAL TREATMENT INTO THE CRIMINAL JUSTICE SYSTEM. SO WE HAVE GOT TO POLICEMAN INVOLVED BUT THE BIG ELIMINATE IS WHENEVER POSSIBLE WE ARE MITIGATING OR STAYING CLEAR OF IMPRISONMENT. >> > > CHAIR LIEBLING: ALL RIGHT; THANKS REPRESENTATIVE ZERWAS COULD I'' M GOING TO ASK MR.BERG IF HE CAN TO COMMENT AS WELL AS POSSIBLY IF DHS WISHES TO BOIL DOWN AND COMMENT >> > > PERSONNEL: MME. CHAIR; I BELIEVE THIS TO YOU HAVE ACTUALLY NOT SPOKEN WITH THAT HOME BE 3 I LEAVE AS RED REP ZERWAS SUGGESTED THIS WILL CERTAINLY PROLONG THE REGION'' S ABILITY TO PAY THE NONFEDERAL SHARE TO ENSURE THAT IT OUGHT TO NOT HAVE A COST PERHAPS THE DEPARTMENT CONTAINER [FAINT]> > > CHAIR LIEBLING: YES. CANISTER SOMEONE FROM DHS BOIL DOWN AND PROVIDE United States A WORDS ON THAT PARTICULAR WHETHER THIS HAS A COST? WELCOME TO THE BOARD >> > > TESTIFIER: THANK YOU MME. CHAIR MET DEPARTMENT OF HUMAN SOLUTION. TO THE QUESTION; NO; THIS LANGUAGE IS DRAFTED DOES NOT HAVE A CAUSE BUT IT REALLY SIMPLY SOME CLEANUP IN DISCUSSION WITH THE CMIS AND BLUE PLANET WE BEEN DEVELOPING THIS PILOT PROJECT. >> > > CHAIR LIEBLING: THANK YOU. REPRESENTATIVE LOEFFLER >> > > REP LOEFFLER: THANKS; MME. CHAIR. A VARIETY OF COUNTIES ARE DOING COMPARABLE TYPE OF APPROACHES THAT EXISTED TO CONCERN INDIVIDUALS IS BEEN BEFORE THE OFFICERS INVOLVED. THERE ARE [FAINT] PSYCHOLOGICAL HEALTH AND OTHER INDIVIDUAL TO REACT TO THE CALL FOR THE CONCERN AS WELL AS I'' M CONCERNED THIS IS RATHER SLIM AND ALSO LINE 2.6 IT REALLY JUST OFFERS THE AREA TO CHOICE UP THE NONFEDERAL SHARE OF ITS ARTICLE ARREST.SO I PUT ON ' T THINK THAT AREA F IS CLEAR WHATSOEVER MIRRORS THE PURPOSE OF WHAT WE SIMPLY HEARD. > > CHAIR LIEBLING: ANY OTHER DISCUSSION>? ALL THOSE IN FAVOR SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOTION PREVAILS. THE CHANGE IS ADOPTED. > > [> GAVEL]> > > CHAIR LIEBLING: THE A- 65; REPRESENTATIVE MORAN. PROVIDE ME A MINUTE RIGHT HERE. >> > > REPRESENTATIVE MORAN: THANKS; MME. CHAIR. I WOULD LIKE TO RELOCATE THE A- 65 CHANGE. AS MOST OF YOU RECOGNIZE I'' VE BEEN TRANSPORTATION A FEW BILLS ON KID DEFENSE AS WELL AS AS I W AS A CO-AUTHOR OF THE CHILD CARE TRAINING ACADEMY THAT REP KRESHA LUGGED TOGETHER WITH THE GUV'' S LANGUAGE AROUND THE YOUNGSTER WELFARE PLANNING; I SAW THE THIS WAS KEYWORDS MISSING FROM THAT TRAINING.WE KNOW THERE

IS HUGE VARIATIONS WITH THE KID WELL-BEING SYSTEM AND ALSO AS WE BEGIN TO DEAL WITH THIS ACADEMY; THIS TRAINING ACADEMY; I BELIEVE IT'' S CRUCIAL THAT WE INSERT SOME REALLY CLEAR LANGUAGE ABOUT THAT WHAT WE ALSO INTEND TO DO WITH OUR KID WELL-BEING SYSTEM IN AROUND'' S DIFFERENCE. SO THE FIRST PART OF THE MODIFICATION MODIFIES EXISTING LANGUAGE THE KID WELL-BEING TRAINING PROGRAM SECTION. ASSOCIATING WITH THE MATERIAL OF THE TRAINING IT ADDS MORE CERTAIN LANGUAGE AND MORE [FAINT] RACIAL DIFFERENCES IN THE YOUNGSTER WELFARE OUTCOMES AND ALSO IMPLICIT BIAS FOR THE PURPOSES OF [INAUDIBLE] THE SECONDLY PART OF THE CHANGE IS FROM US SENATE FILE 2750.

THIS ROUTES THE COMMISSIONER TO TESTIMONIAL OPPORTUNITIES TO IMPLEMENT PATIENT METAL MODELS TO SUPPORT PLACEMENT A YOUNGSTER WITH A RELATIVE FOSTER PARENTS AS WELL AS IN THE THIRD COMPONENT OF THE CHANGE ALSO COMES FROM US SENATE FILE 2750. THIS CALLS FOR THE COMMISSIONER TO CREATE AS WELL AS GIVE GUIDANCE AS WELL AS CONCERN A BULLETIN TO AID CITIZEN SOCIAL SOLUTIONS WITH CARRYING OUT SEARCHES BUT IT'' S MY UNDERSTANDING THAT DHS ALREADY DOES THIS TO SOME DEGREE. THEREFORE IT SHOULDN'' T BE A TROUBLE LINKED WITH IT.

>> > > CHAIR LIEBLING: OKAY. AGENT MORAN I INTEND TO ENSURE YOU RELOCATED IT; RIGHT. >> > > REPRESENTATIVE MORAN: YES I DID. >> > > CHAIR LIEBLING: THANK YOU. EXIST QUESTIONS TO THE MODIFICATIONS? NOT SEEN ANY; I PUT ON'' T KNOW IF WE NEED MR. BYRD YOU INTENDED TO [> FAINT] > > TEAM: MME. CHAIR I BELIEVE AGENT MORAN IS CORRECT. WE HAVE FINANCING FOR THE KID GOVERNOR ' S TRAINING ACADEMY IN HERE IN THIS LANGUAGE SIMPLY SUPPLY SOME DIRECTION ON HOW THEY NEED TO STRATEGY THE TRAINING. >> > > CHAIR LIEBLING: THANKS REALLY MUCH. SEEING NO FURTHER CONVERSATION ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THE THOSE OPPOSED SAY; NAY. THE MOTION PREVAILS. THE MODIFICATION IS EMBRACED. >> > > [GAVEL]> > > CHAIR LIEBLING: MOVING ON; I COMPREHEND THE A- 19-04 PROCEEDING; I COMPREHEND THE A- 19-0409 IS WITHDRAWN.AND WE WILL RELOCATE

RIGHT INTO THE A-19-0424; REP MUNSON > > AGENT MUNSON >>: THANK YOU; MME. CHAIR. THIS IS A CLIENT LEGAL RIGHTS TO PATRONIZE. THIS EXPENSE WOULD ALLOW CLIENTS TO STORE OUTSIDE OF THEIR INSURANCE COVERAGE NETWORK IN WHICH THEY ARE CURRENTLY [FAINT] TO VIEW AS WE UNDERSTAND THERE'' S A GREAT DEAL OF PRICE DISCREPANCIES BETWEEN HOSPITALS AND ALSO PROVIDERS. IT'' S BEEN REPORTED IN THE INFORMATION HIP REPLACEMENT SWORDS YOU THEY ARE 40 GRAND BELOW AND 20 RAN THROUGHOUT THE STATE AND THE SAME PHYSICIAN WE DON'' T HAVE SHOT SPEND THURSDAY. TO THIS EXPENSE WOULD NEED ALL INSURER RELEASE THEIR PRICES AS WELL AS REIMBURSEMENT PRICES FOR ALL SERVICES MINNESOTA AS WELL AS PEOPLE WOULD MAY TO PURCHASE CARE OUTSIDE OF THEIR NETWORK AS WELL AS THE INSURER WOULD HAVE TO PAY THEM A PROVIDERS OF THEIR NETWORK THE SAM E PRICE THEY PAY INSIDE SO OFFERS PEOPLE THE RIGHT TO STORE FOR LOOK AFTER PRICE AS WELL AS QUALITY AS OPPOSED TO WHETHER INSURANCE PROVIDER DETERMINES THEY GO. IN ORDER TO ALLOW INDIVIDUALS TO STORE AND INCENTIVIZE TO DO SO THIS BILL WOULD DEVELOP SHARED INCENTIVE ACCOUNT SO WHEN THEY DO BUY TREATMENT AND THE GREAT SOLUTIONS THAT ARE CHEAPER OUT OF THEIR NETWORK THE INSURANCE PROVIDER WOULD BE REQUIRED TO PAY THAT PERSON FIFTY PERCENTS OF THE SAVINGS.SO A CONVERSATION
WITH AGENT HAMILTON WE HAD A$17; 000 A MONTH MIXTURE FOR MSHIM IF HE DISCOVERS OUTSIDE OF HIS NETWORK IT'' S A$4000 CHEAPER; HE WOULD RECEIVE A CHECK MONTHLY FOR $2000. WE HAVE A SMALL PERCENT OF INDIVIDUALS THAT INVEST THE MANY QUANTITIES OF MONEY ON CARE WOULD HAVE AN INCENTIVE TO ACTUALLY SHOP FOR LIKE SAVE CASH;; CASH FOR THE INSURANCE COVERAGE STRATEGY. 50% OF THE FINANCIAL SAVINGS GOES TO THE PATIENT INTEREST-BEARING ACCOUNT THEY REACH MAKE USE OF FOR PREMIUMS OR DEDUCTIBLE S OR CO-PAYS SO YOU HAVE PEOPLE THAT THE GREATEST CLINICAL COSTS WOULD ACTUALLY BE ABLE TO SPEND FOR THEIR PREMIUMS WITH THE MOTIVATION THEY PAY FOR SHOPPING.THE OTHER 50%OF THE SAVINGS ENTERS INTO THE INSURANCE POLICY POOL TO MINIMIZE THE COST FOR EVERYBODY ELSE OF THE INSURANCE SWIMMING POOL. THAT THE FISCAL KEEP IN MIND THAT CAME OUT ON THIS BILL SHOWS IT ' S GOING TO PRICE $12 MILLION A YEAR. WHICH IS FRUSTRATING BECAUSE $6.2 COUNTLESS THAT-SORRY-$ 5.8 MILLION OF THAT IS DETERMINED AS THE PRICES OF THE STATE WOULD HAVE TO PAY PEOPLE DUE TO THE FACT THAT THEY FIND PRICE LOWER ELSEWHERE. SO IN OTHER WORDS; THE FINANCIAL NOTE CONSISTS OF THE COST OF THE STATE WOULD HAVE TO PAY FOR THE STATE STAFF MEMBER TEAM INSURANCE POLICY PROGRAM AS INCENTIVE.WE ' LL BE ACROSS THE STATE? WE WOULD NEED TO PAY INDIVIDUALS$5.8 MILLION BECAUSE WE ARE OVERCHARGING PEOPLE FOR SOLUTIONS IN NETWORK. THIS COSTS RECOGNIZED $5.89 SO I ' M GOING TO IT ' S FRUSTRATING BECAUSE THAT ' S ACTUALLY FIFTY PERCENT OF THE VERY SAME'$ 5.8 MILLION AND ALSO MOTIVATION SETTLEMENTS IS LIKE ALMOST $12 MILLION IN FINANCIAL SAVINGS COULD IF THIS BILL WOULD GENERA TE 5.8 GOES TO THE CLIENT; 5.8 REMAINS IN THE INSURANCE POOL FOR LOWER COST FOR EVERYONE ELSE. THE STATE HAS ACTUALLY ALSO RECOGNIZED AS THE COST FOUR DOLLARS PER MONTH TO HANDLE THE SHARED FINANCIAL SAVINGS INCENTIVE ACCOUNTED SIMPLY PUT YOU HAVE AN ACCOUNT OPEN. I WILL CERTAINLY BE PULL THE BILL TODAY BUT I INTEND TO SAY THAT I DON ' T THINK THAT SHARED COST SAVINGS REWARD ACCOUNT NEED TO BE OPEN ALL 130; 000 ENROLLEES IN THE GROUP INSURANCE POLICY PROGRAM MUST IT WOULD JUST BE REQUIRED IF A PERSON INTENDED TO PURCHASE TREATMENT AND ALSO HAVE THIS OPTION AVAILABLE. THAT WOULD DRASTICALLY LOWER THE EXPENSE RECOGNIZED THE COSTS RECOGNIZED$5.89 AND NOT EVERYONE TO PURCHASE CARE.BUT THIS RIGHT TO STORE ACT ENACTED IN FOUR OTHER STATES AS WELL AS IS CREATED 10S OF MANY MILLIONS OF DOLLARS IN FINANCIAL SAVINGS.

THIS IS A TOOL WE CONTAINER USE FOR PRIVATE INSURANCE POLICY. IT ' S NOT DESIGNATED FOR MEDICARE FOR MEDICAL ASSISTANCE;; BUT THIS IS A TOOL WE NEED TO BE FOCUSING ON TO SAY THE PRIVATE INSURANCE MARKET BECAUSE IT WILL CERTAINLY AID DRIVE DOWN COSTS. AS AGENT HAMILTON DETERMINED TO STORE BEYOND HIS INSURANCE POLICY NETWORK OFFERS MONTH-TO-MONTH MIXTURE TO SAVE THOUSANDS AS WELL AS THOUSANDS OF DOLLARS FROM THE SUPPLIER CURRENTLY CHARGES THOUSAND DOLLARS WILL CERTAINLY HAVE TO LOWER HIS EXPENSE TO BRING PEOPLE BACK TO HIM. SO MME. CHAIR MANY THANKS FOR SEND ME THE MONETARY KEEP IN MIND. THE SENATE AMENDMENTS BUT ONLY MAKING SOME AMENDMENTS TO THE EXPENSE AS WELL AS BRING IT FORWARD AS WELL AS WITH ANY LUCK IN THE CHAIR IS APSLEY GUARANTEED THE SHE WILL TAKE INTO CONSIDERATION > > > > [GIGGLING] > > REP MUNSON: AND ALSO EDUCATIONAL HEARING.SO I EXPECT HAVING AN EDUCATIONAL HEARING AND HAVING A >> EXTENSIVE DISCUSSION AT A LATER >> DAY. I WILL WITHDRAW MY AMENDMENT VISUALLY SAY THANKS TO

YOU REP MUNSON COULD I KNOW YOU HAVE A GREAT DEAL OF INTEREST FOR THIS CONCEPT AS WELL AS APPRECIATE YOU BRINGING AFFORD AND ALSO EXPLAINING IT. SO I ' M SURE THIS WILL BE THE END OF OUR DISCUSSION ON THIS IDEA ON THIS IDEA. SO THE A-19-0424 IS WITHDRAWN. THE NEXT ONES WE ARE GOING TO USE UP; AND ALSO THE NEXT ONE WILL'BE THE PLEASE WRITE THESE DOWN MEMBERS.SO THE A -19 0358. THAT ' S KUNESH-PODEIN. THEN WE ' LL HAVE THE A-8; SCHULTZ. AFTER THAT THE A-FOUR; CANTRELL.

THE A- 19 -0406. THE'A-25. AND ALSO THE 88-80 AS WELL AS LET ME SAY WAS A TRICK I DID NOT SAY THAT NAME OF THE WRITERS ON ALL THEM. THE NEXT ONE IS THE A- 19– 0358 IS KUNESH-PODEIN. THE A- EIGHT IS SCHULTZ. THE A- FOUR IS CANTRELL. THE A-19-0406 IS EVEN MORE AND ALSO [FAINT] AS WELL AS THE A-80 IS SCHULTZ. ALLOW ' S SEE IF WE CONTAINER MAKE IT THROUGH THOSE. IS MY UNDERSTANDING THE A-9 WILL CERTAINLY NOT BE OFFERED. IS THAT CORRECT? THAT ONE WILL NOT BE PROVIDE TO REP CANTRELL TO THAT IS CORRECT MME. CHAIR HOWEVER, FOR THE MOMENT BEING IT WILL NOT BE PROVIDE TO BE OKAY.ALL RIGHT. SO THE A-19 -05 -05008 REPRESENTATIVE KUNESH-PODEIN A > > AGENT KUNESH-PODEIN: >> THANK YOU; MME. CHAIR. THIS IS AGENT BAHNER ' S EXPENSE. SO THIS AMENDMENT IS TO'A TASK FORCE THAT IS SET TO EVALUATE AS WELL AS STUDY AREA REMEDIATION PROGRAMS FOR PEOPLE IN THE CRIMINAL JUSTICE SYSTEM WHO HAS ACTUALLY BEEN REGARDED INEXPERIENCED TO STAND TRIAL. WHAT THE CHANGE DOES IS IT DEFINES PARTICIPANTS FOR THAT TASK COMPEL AS WELL AS IT JUST CLEANSED UP SEVERAL OF THE LANGUAGE. > > CHAIR LIEBLING: ALL RIGHT. SO AGENT BERNARDY MOVES THE A-19-0358. REP KUNESH-PODEIN IT ' S MY UNDERSTANDING THAT THE CURRENT THIS IS VARIOUS THAN WHAT ' S IN OUR BILL IS THAT IT IS A DIFFERENT BILL BUT RELOCATED TO THE BOARD PROCESS AND THESE ARE MODIFICATIONS THAT ARE [FAINT] AM I REMEDY > > REPRESENTATIVE KUNESH-PODEIN: YES;> YOU ARE CORRECT; THANK YOU. > > CHAIR LIEBLING: CONCERNS>; MEMBERS IN REPRESENTATIVE HALVERSON AYE WASN ' T SIMPLY ON PART OF'ALL THE ENGLISH MANAGERS IN THE AREA LINE 1.9 OBTAINING RID OF THE RATE ' I APPROVE. > > > > [
>> >> LAUGHING]> > > CHAIR LIEBLING: THANKS AGENT HALVERSON MAYBE WE COULD SAVE MONEY ON APOSTROPHES. EXISTS ANY OTHER CONVERSATION TO THE CHANGES? SEEING NONE; ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT PREVAILS. THE MODIFICATION IS TAKEN ON. >> > > [GAVEL]> > > CHAIR LIEBLING: WE WILL CERTAINLY TAKE UP THE A- EIGHT AGENT SCHULTZ >> > > AGENT SCHULTZ: I RELOCATE THE A-8 CHANGE. THIS CHANGE CUSTOMIZES MEDICAL LOSS RATIO LANGUAGE IN THE DELETE EVERY LITTLE THING CHANGE. SO I PUT SOME LOSS PROPORTION AT 80% ON SHORT-TERM WELLNESS PLANS. >> > > CHAIR LIEBLING: THANKS REP SCHULTZ. I'' M CERTAIN NOBODY HAS ANY QUESTIONS ON WHAT THAT IMPLIES. DOES ANY PERSON HAVE ANY QUESTIONS ON WHAT THAT IMPLIES? REP GRUENHAGEN >> > > REPRESENTATIVE GRUENHAGEN: THANKS; MME. CHAIR. I THINK THAT'' S THE SAME FOR INDIVIDUAL PLANS IF I BEAR IN MIND >> > > REPRESENTATIVE SCHULTZ: IT ' S A PERCENT MEANS THAT 80% OF EVERY PREMIUM BUCK NEEDS TO GO TO [FAINT] WE ARE SIMPLY ASK ANY THAT'' S IN THE SHORT-TERM LIMITED PERIOD OF HEALTH AND WELLNESS PREPARES. >> > > CHAIR LIEBLING: ANY OTHER CONVERSATION? SEEING NONE; ALL THOSE IN SUPPORT SAY; AYE.

[CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOMINATES. THE MODIFICATION IS EMBRACED. >> > > [GAVEL]> > > CHAIR LIEBLING: WE WILL CERTAINLY OCCUPY THE A- FOUR; AGENT CANTRELL. >> > > REPRESENTATIVE CANTRELL: THANKS; MME. CHAIR. I WANT TO RELOCATE THE A- FOR MODIFICATION. WHAT THE A- FOR AMENDMENT DOES IT ENTRY INTO OUR STATUTE THE NECESSARY WELLNESS BENEFITS PACKAGE NEEDS FOR HEALTH INSURANCE OUGHT TO BE AFFORDABLE CARE ACT SUDDENLY DISAPPEARED. >> > > CHAIR LIEBLING: OKAY REP CANTRELL. EXISTS ANY DISCUSSION TO THE MODIFICATIONS? BE REV. GRUENHAGEN >> > > REPRESENTATIVE GRUENHAGEN: THANK YOU; MME. CHAIR. I WOULD SIMPLY SAY I WOULD OPPOSE THE AMENDMENT.WHEN THHE AFFORDABLE
CARE BASICS BENEFITS CAME OUT; MINNESOTA CONFERENCE OF HEALTH ASSOCIATION; WHICH HURT PEOPLE WITH UNINSURABLE CONDITIONS; COVERED THERAPY FOR SPECIFIC AUTISM CONDITIONS AS WELL AS THE VITAL BENEFITS DIDN ' T. WE ALSO HAD TESTIMONY BELOW; IF I BEAR IN MIND THE CONDITION; RIGHT OR SOMETHING PERFORM WITH [INAUDIBLE] MADE USE OF TO BE COVERED BY INSURANCE BUT I DID CONTACT BLUE CROSS AS WELL AS THEY CLAIMED IT ' S OUTSIDE THE VITAL ADVANTAGES THAT WE DON ' T'COVER IT. SO AGAIN; FEDERAL GOVERNMENT MICROMANAGING WHAT IS AND ISN ' T COVERED IS NOT A GOOD MEANS TO OFFER HEALTHCARE BECAUSE THEIR'PRIMARY REWARD TO LOWER EXPENSE INSTEAD OF PROVIDE TREATMENT THAT ' S NEEDED.SO I WOULD OPPOSE THE MODIFICATION BUT I WEAR ' T BELIEVE

GOVERNMENT NEED TO BE SIDED WITH THOSE REQUIREMENTS ARE AS WELL AS I THINK THE HEALTH PLAN HAD MORE COMPASSION THAN COLD GOVERNMENT POLITICIANS ATTEMPTING TO CUT COSTS. THOSE ARE MY THOUGHTS MME. CHAIR. SO I PROMPT OPPOSITION TO THE MODIFICATION. > > CHAIR LIEBLING: THANKS REPRESENTATIVE GRUENHAGEN. PROBABLY A GREAT DEAL OF YOUR >> [INAUDIBLE] HOPE THEY ' RE NOT COLD. > > > > [GIGGLING] > > CHAIR LIEBLING: REP'CANTRELL > > REP CANTRELL: THANK YOU; MME. CHAIR. >> TO THE FACTOR; I REALLY THINK >> THAT IS A LEGISLATURE IS OUR OBLIGATION TO ENSURE THAT THE THE MAJORITY OF AT RISK PEOPLE IN MINNESOTA ARE SECURED IN LAW. THE DIFFERENCE IN BETWEEN COLD BUREAUCRATS; WHICH I WISH THERE AREN ' T ANY IN ANY WAY STRATEGY BUSINESS AND WHAT OUR'DUTY IS THAT OUR OBLIGATION IS FIRST AS WELL AS FOREMOST TO THE PEOPLE. WE ARE ACCOUNTABLE TO INDIVIDUALS OF MINNESOTA. THE WHEREAS THE HEALTH INSURANCE PLAN OR OTHERWISE. SO I THINK ALONG THAT LINE WOULD REALLY MUCH APPRECIATE A YES VOTE ON THE CHANGE. > > CHAIR LIEBLING: REP GRUENHAGEN >
>> > AGENT GRUENHAGEN >>: I WOULD SIMPLY REACT TO THAT AN INSURER SURVIVES BASED ON CLIENTS THEY ARE THE MANY ANSWERABLE ENTITIES AROUND TO OFFER THE NEEDS OF THE CLIENTS. IF THEY DON ' T THEY FAIL BUT UNFORTUNATELY FEDERAL GOVERNMENT;; WHETHER THEY SERVE THE NEEDS OF ONE OF THE MOST CRITICALLY SICK INDIVIDUALS OR OTHERWISE; THEY REMAIN IN ORGANIZATIONS WHICH'' S WHEN THE ISSUES SOCIALISM.THANK YOU; MME. CHAIR. > > CHAIR LIEBLING: IS THERE ANY OTHER DISCUSSION FOR MEMBERS? REP MUNSON > > REPRESENTATIVE MUNSON >>: THANKS; MME. CHAIR. I LIKEWISE WILL CERTAINLY BE OPPOSING THE AMENDMENT AND I THINK THAT WE JUST REQUIRED TO TAKE A LESSON FROM THE FAILING OF OBAMA CARE. IT FELL SHORT AS A RESULT OF THE GUIDELINES THAT WERE PUT IN THE WE SHOULD NOT BE CREATING WE MUST NOT BE CREATING FOLLOWING THE EXACT SAME PLANS AND ALSO FAILING BY WRITING THAT IN JULY MINNESOTA.I THINK MEANS TO LEARN FROM WHY OBAMA CARE IS FAILING AS WELL AS

DO SOMETHING DIFFERENT. VERSUS COPPING THE EXACT SAME POINT AND ALSO PUTTING THAT RIGHT INTO STATUTE IN MINNESOTA. > > CHAIR LIEBLING: AGENT CHURCHILL > > AGENT SCHULTZ: THANKS; MME. CHAIR. I WOULD CHARACTERIZE THE AFFORDABLE TREATMENT WORK AS A FILTER IT INSURED MILLIONS OF INDIVIDUALS IN THE COUNTRY. AND ALSO IT DID WHAT IT LAY OUT TO WHICH IS TO INCREASE GAIN ACCESS TO TO HEALTH CARE. SO IT DID NOT ' S PRIMARY GOAL IS NOT TO [INAUDIBLE] OF THE CAMPAIGN. SO I SUSTAIN THE MODIFICATION COULD I THINK INSURANCE POLICY FIRMS ARE LAY OUT TO VENTURE TO RE/MAX MAY THEIR EARNINGS OR INCOME AS WELL AS TO DO THAT THEY CAN REALLY BENEFIT AND AFTERWARDS PICK SIMPLY HEALTHY AND ALSO ENROLLEES TO EARN A PROFIT SO THAT ' S WHY THEY MAY LIMITATION THE ADVANTAGE PACKAGE [INAUDIBLE] GUIDELINE'BY THE FEDERAL GOVERNMENT. > > CHAIR LIEBLING: REPRESENTATIVE HALVERSON REFUTES YOUR HAND UP BEFORE? NO. >> REP MUNSON > > REPRESENTATIVE MUNSON: THANK YOU; MME. CHAIR. I WOULD SAY THE AFFORDABLE TREATMENT ACT WAS NOT AFFORDABLE BUT I WOULD LIKE TO ASK THE WRITER OF THE AMENDMENT WITH THE FISCAL [INAUDIBLE] OF THE AMENDMENT.THERE NEEDS TO BE SOME FIGURES ENTAILED WITH THIS PARTICULARLY IF YOU ARE REQUESTING FOR A FEDERAL WAIVER
OR FINANCING TO COVER THESE CHANGES. > > REP CANTRELL: THANK YOU; MME. CHAIR. I BELIEVE THIS CHANGE DOES NOT INCUR ADDITIONAL FISSILE COST BUT PERHAPS MR. BERG WOULD BE > > CHAIR: MR. BERG > > PERSONNEL: THIS IS THE EXISTING SCENARIO. THIS IS NOT MODIFICATION ANYTHING.IT EXPECTS IF FEDERAL REGULATION WERE TO MODIFICATION THE GREAT DEAL WOULD REMAIN THE SAME BUT IT DOES NOT ACTUALLY ADJUSTMENT ANYTHING IN THE CURRENT SITUATION.

>> > > CHAIR LIEBLING: ALL RIGHT. SO NO CHARGE. AGENT GRUENHAGEN >> > > REPRESENTATIVE GRUENHAGEN: THANK YOU; MME. CHAIR. JUST QUICKLY; ARE UNINSURED RATE ENHANCING AS IT IS A CROSS THE NATION SO OBAMA TREATMENT HAS SHOWN TO BE A FAILURE IN BETWEEN 6 AS WELL AS 7% OF UNINSURED OUT AFTER SPENDING AN ESTIMATED $2.7 TRILLION NATIONALLY OVER TEN YEARS WHICH IS ONLY SUPPOSED TO PRICE 959 BILLION TO THE GOVERNMENT HEALTHCARE IS A DISASTER IN TERMS OF COVERAGE AND PRICE. NOW WE ARE SEEING BOOSTED WITHOUT INSURANCE INDIVIDUALS. THANKS; MME. CHAIR. >> > > CHAIR LIEBLING: ALL RIGHT WELL AGENT >> > > REP I SIMPLY WISHED TO WEIGH IN ON THE CONVERSATION BUT I BELIEVE THE INEXPENSIVE TREATMENT ACT HAS BEEN SUCCESSFUL.THE RATE HAS BEEN NOT
A CONSIDER MY POLICIES FOR MY ORGANIZATIONS AND FOR MY EMPLOYEES BUT An OPERATE IN PROGRESS SUCH AS THIS ENTIRE HEALTHCARE SYSTEM IN THIS COUNTRY IS A FUNCTION IN PROGRESSION AS WELL AS THE ABILITY TO CHANGE OR CORRECT THINGS IS WHAT WE ARE ALL BELOW FOR TODAY. AS WELL AS AS AGENT CANTRELL STATED; WHEN THE INSURANCE MARKETS; THE PRIVATE MARKETS DON'' T ACTION IN THAT ' S WHEN WE NECESSITY SO WE WILL CERTAINLY NEED TO REMAIN TO KEEP DOING THAT AN INSURER AGENT GRUENHAGEN IS CORRECT. THEY DO VALUE THEIR CLIENTS THEY SIMPLY OUR FOCUS ON PROFIT LIKE ALL CAPITALIST COMPANIES ARE AND MUCH TO THE DETRIMENT OF THOSE WHO CONTAINER NOT AFFORD COVERAGE. SO WE REMAIN IN THAT PINCH OF EVEN MORE PEOPLE NOT BEEN ABLE TO AFFORD THEIR PREPARES BUT HAVING TO SEEK ASSISTANCE IN OTHER PLACES AS WELL AS THAT'' S WHERE WE COME IN.I RECOMMEND A FAVORABLE VOTE ON THIS EXPENSE. THANK YOU. >> > > CHAIR LIEBLING: ALL RIGHT; MANY THANKS. SO I'' M ATTRACTED TO JUMP IN BUT I'' M NOT GOING TO EXTEND THE DISCUSSION. ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT DOMINATES. THE MODIFICATION IS TAKEN ON. >> > > [GAVEL]> > > CHAIR LIEBLING: REPRESENTATIVE MORAN THE A- 19-0406 >> > > REPRESENTATIVE NOOR: THANK YOU; MME. CHAIR. THIS IS A BILL FROM THE [INAUDIBLE] FROM DHS THAT WERE TRYING TO TIDY UP SOME LANGUAGE IN IT.IT ' S A LENGTHY COSTS BUT I JUST INTENDED TO PUT SOME FEW THINGS AHEAD. I WISH TO MOVE THE A- 19-0406 AMENDMENT MME. CHAIR. >> > > CHAIR LIEBLING: O.K.. SO IT IS ACTION AGENT NOOR >> > > RE PRESENTATIVE NOOR: SO TO ADVANCE I THINK WE'' VE HEARD A GREAT DEAL ABOUT ISSUES ABOUT CHILD CARES AND VARIOUS OTHER PROGRAMS CONCERNING ABUSE AS WELL AS FRAUDULENCE IN MANY OTHER THINGS. THIS IS INSURING THAT WE TAKE TREATMENT OF THOSE INDIVIDUALS. AT THE EXACT SAME TIME; ALL THOSE INDIVIDUALS THAT DEVOTE INTENTIONAL [INAUDIBLE] ACCOUNTABLE. SO THIS CLARIFY SOME THE ISSUES THAT HAVE BEEN BROUGHT ONWARD. SO THERE'' S EXPLANATION ON ADMINISTRATIVE INCOMPETENCY. ON CHILDCARE SUPPLIER TO CHILDCARE SUPPORT PROGRAM BUT AT THE SAME TIME IT ALSO MAKES CLEAR THE PENALTY; THE CRIMINAL CHARGES; FOR ANY PERSON THAT IS INVOLVED IN HEALTH AND WELLNESS AND ALSO HUMAN SERVICES PROGRAM.THIS CLARIFY A FEW OF THE ISSUES THAT ARE BEEN LEFT OUT FROM THE PREVIOUS BILL THAT WAS CARRIED BY AGENT PINTO. KEEPING THAT SUPERVISOR I SIMPLY WISHED TO BRING THE HEALTH AND WELLNESS AND PERSON SERVICES [FAINT] TO CLEAR UP THE MODIFICATION THOROUGHLY. > > CHAIR LIEBLING: O.K.. >> EXISTS A PERSON? > > REP NOOR: YES >> MME. CHAIR WE HAVE A PERSON. > > CHAIR LIEBLING: SO WELCOME TO> THE COMMITTEE. PLEASE PROVIDE US YOUR NAME AS WELL AS WHO YOU ARE AND ALSO UNDERSTAND YOU ARE SIMPLY GOING TO AID EXPLAIN WHAT ' S IN HE RE. > > TESTIFIER': MY NAME IS >> JENNIFER MANAGER WITHIN THE DEPARTMENT OF PERSON SERVICES. OFFICE OF INSPECTOR GENERAL. SO THE IF I TIN NOT BEGINNING WITH A BIG ONES AS WELL AS COME BACK TO THIS THE CHILD CARE COULD ACTUALLY; I WILL BEGINNING WITH > > CHAIR LIEBLING: IF YOU ' RE UNPREPARED AT THIS MINUTE I THINK WE MIGHT HAVE LOOKS LIKE WE CUT YOU OFF-GUARD BUT POSSIBLY WE SHOULD LAY THIS OVER AND ALSO RETURN TO ITS.WOULD THAT BE HELPFUL? > > TESTIFIER: SURE. > > CHAIR LIEBLING: AGENT NOOR > > REP NOOR: THAT WOULD BE PENALTY > > CHAIR LIEBLING: WE WILL CERTAINLY LAY OVER THE A >> -19-0406 AND RETURN TO IT AT SOME TIME LATER ON. SO THE NEXT ONE IS A-25; REPRESENTATIVE MORAN > > AGENT MORAN: THE A-25 THE MODIFICATION WAS WRITTEN IN CONSULTATION WITH THE AGES COULD IT DEVELOPS 2 OBJECTIVES >>. IT CREATES CLARITY WITH [INAUDIBLE] FINAL AUTHORITY FOR LICENSING REMAIN TO LIVE WITH THE COMMISSIONER AND ALSO 2; IT REDUCES [FAINT] FOR SOME KINSHIP FAMILIES BY PRODUCTION TRAINING MORE ACCESSIBLE. TO PROVIDE YOU SOME BACKGROUND ON THIS; THIS LANGUAGE IS GIVEN BY DHS TO ADDRESS A [FAINT] FOR FAMILIES WHO ARE CARING FOR KEN. WHEN KEN ACCEPTS TREATMENT FOR YOUNGSTERS THEY KNOW THE CHILDREN WILL BE TOOK CARE OF. THEY KNOW THAT. AND [FAINT] THEY DO NOT REQUIREMENT THE THREE-HOUR CHILD CARE KID POLICY TRAINING [FAINT] PROSPECTIVE REASONS FOR KIDS WHO MAY ENTER THEIR TREATMENT IS THERE KIN. THIS LANGUAGE ALLOWING FOR SHORTER TRAINING FOR KIN HAS BEEN CONCURRED TO BY THE DIVISION OF PUBLIC SECURITY. TRAINING WILL CERTAINLY BE REQUIRED FOR KIDS UNDER THE AGE OF EIGHT AND PERMIT KIN TO PLEASE THE DEMAND FOR SHORTER TRAINING THAT IS TARGETED TO THE NEEDS OF THE KIDS IN THEIR CARE.THAT ' S THE COSTS > > CHAIR LIEBLING: ALL RIGHT REPRESENTATIVE MORAN THIS BECOMES PART OF YOUR CONTINUOUS INITIATIVE TO ENSURE CHILDREN HAVE A FAR BETTER OPPORTUNITY TO REMAIN WITH HER OWN FAMILY WHEN THEY ' RE GOT RID OF FROM THEIR PARENTS. > > REP MORAN: YES MME. CHAIR. > > CHAIR LIEBLING: YES; THANK YOU. ARE THERE CONCERNS FOR THE A-25 CHANGE? ALL RIGHT SEEING NONE; ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.]> THOSE OPPOSED SA Y; NAY. THE MOTION DOMINATES. THE AMENDMENT IS TAKEN ON. > > [GAVEL] > > CHAIR LIEBLING: SO WE WILL GO TO THE A-80 WHICH IS AGENT SCHULTZ. > > REPRESENTATIVE SCHULTZ: THANKS; MME. CHAIR. I RELOCATE THE A-80 >> MODIFICATION. THIS CHANGE ' >> S LANGUAGE THAT HAS BEEN WORKED WITH BY THE STAKEHOLDERSAND THE AGENCIES WORKING ON THE >> SENIOR MISUSE COSTS AND ESSENTIALLY THE CHANGE REMOVES THE SE INDEPENDENT LIVING CENTERS FROM BEING CERTIFIED IF THERE ONLY OFFERING MARGINAL SUPPORTIVE SERVICES.IT CLARIFIES WHAT ARE NOT A CERTIFICATE AIDED LIVING FACILITY. PUT TH AT EVEN MORE DEFINITIVE IN LANGUAGE COULD IT CLEARS UP [FAINT] IT WOULD HAVE NO REGULATORY OBLIGATION OF THESE KINDS OF INDEPENDENT SENIOR LIVING CENTERS SINCE THERE ' S NO HEALTH-RELATED SERVICES BEING OFFERED. IT INCLUDES SECURITIES VERSUS DECEPTIVE ADVERTISING AND MARKETING AND IT GIVES ENFORCEMENT AUTHORITY TO THE ATTY. GEN. THE RESIDENCE FOR INFRACTIONS OF THE LEGAL REQUIREMENTS OF THIS ONE AREA UNDER THE ELDERS DEFENSE APPEARED [INAUDIBLE] BEING OFFERED BY THESE INDEPENDENT SENIOR LIVING FACILITIES AT THESE FACILITIES WOULD NOT BE LICENSE UNDER THE LICENSURE POLICY BEING FUNCTIONED ON.THAT ' S THE CHANGE. > > CHAIR LIEBLING: ALL RIGHT; THANK YOU. VARIOUS OTHER CONCERN TO THE MODIFICATION? ALL RIGHT SEEING NONE; ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT PREVAILS. THE CHANGE IS TAKEN ON.

> > [> GAVEL] > > CHAIR LIEBLING: DON ' T GO TO REST ON THE INDIVIDUALS. > > > > [CHUCKLING] > > CHAIR LIEBLING: SO NOW WE WILL TAKE UP WERE MOVING RIGHT ALONG. THIS IS GOOD. THIS A TRULY EXCELLENT. >> SO THE NEXT ONE WE ARE PLANNING> TO TAKE UP WILL CERTAINLY BE THE A-'19 0381 REPRESENTATIVE BAKER THE MESS 19-0399 FOR WHICH I DON ' T KNOW EXACTLY THAT ' S MODIFICATION THAT IS REPRESENTATIVE SCHOMACKER AND AFTER THAT WE WILL USE UP THE A -16; WHICH IS ANDERSON IS ALSO REP SCHOMACKER. AS WELL AS THE A- 7 AND AGENT HALVERSON. SO WE WILL QUIT THEN RIGHT CURRENTLY. SO LET ' S ALL DISCOVER THE SO LET ' S ALL FIND THE A-19-0381. OK. SO REPRESENTATIVE BAKER > > AGENT BAKER: MME. CHAIR I WOULD LOVE TO RELOCATE THE A- 19-0301. THIS WAS REP CLAFLIN ' S > > [FAINT/ OFF MICROPHONE] > > REPRESENTATIVE BAKER: THANKS. THE AREA DEALS WITH TASKS FOR ASSISTED LIVING FACILITY WITH UNIQUE ANALYSES ASSOCIATED TO CLEAN POWER PROJECTS. I SIMPLY DON ' T THINK THIS IS THE RIGHT >> BILL FOR THIS STIPULATION I ' M STILL TAKE CARE OF >> RETIREMENT HOME THE ADJUSTMENT HONESTLY HAS EVEN MORE TO ACCOMPLISH WITH CLEAN ENERGY PROJECTS. AS A PARTICIPANT OF THE ENERGY COMMITTEE THERE ' S TO AN AND$ 50; 000 THAT WE ARE PUTTING CASH AHEAD AS WELL AS COULD CONVENIENTLY BE ASSESSED OR IN THE POWER BOARD. WE SAW ABSURD COSTS AND POWER BOARD THIS YEAR AND ALSO WE ONE AS AN EXAMPLE; 69 DOLLARS ARE YOU OF THEM RESEARCH FOR CLIMATE CHANGE THAT A GREAT DEAL OF MEMBERS HAD A LOT OF PROBLEM ABOUT JUST SEARCH FOR [FAINT] I THINK THIS IS ONE WE CONTAINER CONSIDER. I ASSUME WOULD CONVENIENTLY TAKE IN THAT IN THOSE ENERGY BILLS [FAINT] BUT I INTEND TO PUT THAT AROUND BUT THIS IS A GREAT BILL AND ALSO HOPE WE CONTAINER SUPPORT THE CHANGE. > > CHAIR LIEBLING: ALL RIGHT. AGENT SCHULTZ > > REPRESENTATIVE SCHULTZ: SO I THE UNDERLYING COSTS BY REP KLEVORN IS An ADJUSTMENT IN THE REPAYMENT RATE IN ASSISTED LIVING HOME BASED ON BECOMING ENERGY-SAVINGS AS WELL AS TRYING TO SAVE MONEY.IT ' S A PILOT PROGRAM. SO I WOULD NOT ASSISTANCE THE AMENDMENT AND ALSO BELIEVE THIS IS THE [INAUDIBLE] FOR THIS BILL > > CHAIR LIEBLING: ALL RIGHT. THE CHAIR OF THE LONG-TERM CARE BOARD THINKS IT BELONGS BELOW AND ALSO REP SCHULTZ WAS INSISTED YOUR COMMITTEE > > REP SCHULTZ: YES IT WAS MME. CHAIR > > CHAIR LIEBLING: O.K.. OTHER CONVERSATION TO THE CHANGE THAT WOULD STEP REPRESENTATIVE KLEVORN ' >> S COSTS AGENT MUNSON > > REPRESENTATIVE MUNSON: I ' M SUPPORTING THE MODIFICATION IS VESTED BECAUSE WERE LOOKING AT CUTTING COMPENSATION TO NURSING HOUSE FACILITIES AND ALSO AT THE EXACT SAME TIME POCKET MONEY ON THINGS >> THAT MUST BE GOING TO NURSING HOMES.I JUST THINK I SELECT AGENT BAKER THIS OUGHT TO BE LONG IN THE POWER BOARD FOR THE A FEW OTHER INCENTIVE BUT >> WE ALREADY HAVE AN REWARD'AVAILABLE FOR POSITIONING [INAUDIBLE] THERE ' S A LOT OF CASH IS BEING LOST ON PROGRAMS. THERE ' S ALREADY INTENT TO PUT SOME ENERGY EFFICIENCY PROJECTS OUT THERE AS WELL AS I JUST THINK THIS IS NOT AN APPROPRIATE USAGE OF CASH FOR HEALTH AND WELLNESS AS WELL AS PERSON SERVICES. > > CHAIR LIEBLING: OTHER CONVERSATION? REPRESENTATIVE BAKER > > AGENT BAKER: THANK YOU FOR THAT. I APPRECIATE THE SUPPORT OF REPRESENTATIVE MUNSON. I ' M BATTLING TOUGH TO KEEP THE FINANCING AT A GREAT RATE WITH OUR LONG-LASTING CARE INTENDS AND WITH THE GREAT WORK THEY ' RE DOING IN NURSING HOMES.SO THIS IS A QUARTER OF$1 MILLION WE CONTAINER >> PUT THINGS IN THE DIRECTION OF LIKE THAT. THESE EVERY DOLLAR WE SPEND IS NECESSARY SO I ASSUME IS An AFFORDABLE AS WELL AS AGAIN I ASK FOR YOUR SUPPORT THIS IDEA. >'> CHAIR LIEBLING: ALL RIGHT COULD I WOULD JUST SAY THAT WE ARE PLACING WHOLE LOTS AND GREAT DEALS OF CASH FOR ASSISTED LIVING HOME DESPITE HAVING THE MODIFICATIONS IN THE COSTS BUT
ANYWAY; SO WITH THAT; ALL THOSE IN FAVOR SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOES NOT PREVAIL. > > [GAVEL] > > CHAIR LIEBLING: AGENT SCHOMACKER THE A-19-00399 > > REP BACKER: THANK YOU; MME. CHAIR. I MOVE THE A -18 -0399 THIS ACTUALLY SIMPLY REACHES THE CONVERSATION WE HAVE IN COMMITTEE THAT HAPPENS ENSURING THE GRANTS ARE PROVIDE AFFORDABLE IN ONE WAY SHAPE OR KIND. THIS SIMPLY MODIFICATION INTENT IS TO SEE TO IT THAT LANGUAGE IS INCLUDED THEREIN EVEN THOUGH WE KNOW WITH THE PURPOSE AND WHERE THE GRANTS WILL CERTAINLY LIKELY WIND UP GOING.BECAUSE OF THEIR USUALLY WANT TO BRING HIM ONWARD. THIS SIMPLY PERMITS THE LANGUAGE TO SHOW THAT THESE GRANTS ARE COMPETITIVE. > > CHAIR LIEBLING: IS THERE DISCUSSION TO THE LET ' S JUST PERHAPS I COULD ASK HOME RESEARCH TO SIMPLY TELL US EXACTLY WHAT THE AMENDMENT IS TAKING OUT EXACTLY WHAT IT ' S DOING? IF YOU COULD DO THAT FOR US? THE A- 19-0399. YOU CAN SEE I DO NOT PROVIDE A HEADS UP EACH TIME. > > TEAM: MME. CHAIR MEMBERS COME I THINK THE AMENDMENT SIMPLY

GOES TO THE EXPENSE AS WELL AS MAKE DETAILS RECOMMENDATIONS IN LANE WHICH RELATED TO GIVE PROGRAMS. SO SPECIFIC REFERENCES TOORGANIZATIONS IN WHICH CURRENTLY >> THE GIVE FUNDING WOULD BE TARGETED AS WELL AS AFTER THAT AT THE END OF THE AMENDMENT; PAGE 2; IT GIVES THAT UNLESS OTHERWISE SPECIFICALLY PROVIDED GIVES WILL CERTAINLY BE GRANTED TO AN RFP PROCESS. > > CHAIR LIEBLING: OKAY.ANY OTHER CONVERSATION TO THIS? REP SCHOMACKER I UNDERSTAND YOU ' RE SIMPLY REORGANIZING THE >> EXPENSE. WHEN YOU HOLD THE VOID I HOPE YOU NEVER PUT ANYTHING SPECIFIC FOR ANY TREATMENT PROGRAM [INAUDIBLE] [FAINT/ OFF MICROPHONE] > > > > [LAUGHING] > > CHAIR LIEBLING: REP LOEFFLER > > REPRESENTATIVE LOEFFLER: THANK YOU; MME. CHAIR. PARTICIPANTS; I BELIEVE IN COMPETITIVE GRANTS AND THERE IS 15; 20; 30 COMPANIES THROUGHOUT THE STATE OFFERED >> THOSE KINDS OF SOLUTIONS

. THESE SPECIFIC PROGRAMS ARE THE ONLY ONES IN THE STATE DOING THIS AND ALSO IT WOULD BE A REAL WASTE OF STATE COMPANY TIME AS WELL AS RESOURCES TO ACCOMPLISH AN RFP WHEN THERE ' S JUST ONE ORGANIZATION WITH A TRACK DOCUMENT THIS CHANGE AS FOR > > CHAIR: THANKS AGENT LOEFFLER. REP BIERMAN?> >> NO. OK. >> REPRESENTATIVE SCHOMACKER > > REPRESENTATIVE >> BACKER: THANK YOU; MME. CHAIR. THE AMENDMENT REALLY TO REP LOEFFLER ' S POINT; SIMPLY ENSU RES THAT THEY WILL STILL HAVE THE ABILITY TO GET THE FUNDING BUT GUARANTEES THAT WHEN THERE ' S ONLY ONE TEAM [FAINT] WE DON ' T IN SOME WAY LIMIT ITS.THAT ' S ONLY BE ONE GROUP GOING AHEAD BELOW. MME. CHAIR; I ACTUALLY HOPE THAT YOU HAVE THE ABILITY TO INSPECT MY EXPENSE AND ALSO >> [FAINT] > > > > [CHUCKLING] > > CHAIR LIEBLING:> VERY CONDITIONAL. IF YOU EVER BEFORE; EVER > > > > [GIGGLING] > > CHAIR LIEBLING: ALL RIGH T; SO REP SCHOMACKER IS MOVING THE A-19-0399. ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY

. THE'MOTION DOES NOT PREVAIL. THE AMENDMENT IS NOT TAKEN ON. > > [GAVEL] > > CHAIR LIEBLING: OK; THE A-15. A-16. >> >> REP SCHOMACKER MOVES THE >> A-16 CHANGE. REPRESENTATIVE SCHOMACKER > > REP SCHOMACKER: THANK YOU; MME. CHAIR. >> PARTICIPANTS; THIS MODIFICATION WAS BROUGHT TO ME FROM REP URDAHL CARING THE BILL LANGUAGE IN ANOTHER PERSON COSTS. THE LANGUAGE ESTABLISHES THE GRANT PROGRAM THAT ADDRESSES MENTAL HEALTH AND WELLNESS ISSUES FOR FIREFIGHTERS AND ALSO THE COST HAS TO DO WITH$20;> 000 COULD WE MAKE A TRANSFER FROM THE ALLOWANCE FOR IT RENOVATION TO FUND THE PROGRAM FOR THE$200; 000 BUT FIREMENS FACE POSTTRAUMATIC STRESS CONDITIONS ELEVATE BUT SOME EXAMINES> SHOW NEARLY 40%OF FIREMANS HAVE PTSD WE WOULD LOVE TO ADDRESS THIS DISPARITY BY OFFERING TRAINING FOR SOLUTION DOLLARS FOR FIREFIGHTERS PROVIDING EXTRA SUPPORT FOR SOLUTIONS TO ASSIST THEM IN THEIR FAMILI ES FEEL BETTER WITH PTSD AND ALSO REQUEST FOR YOUR ASSISTANCE > > CHAIR LIEBLING: IS THERE ANY CONVERSATION TO THIS AMENDMENT? REPRESENTATIVE HALEY > > AGENT HALEY: THANKS; MME.CHAIR. I WOULD SIMILAR TO TO SPEAK IN SUPPORT OF THE CHANGE. IT ' S BEEN BROUGHT TO MY FOCUS FROM THE FIREFIGHTERS IN MY AREA AND WE ARE CONCENTRATED A GREAT DEAL OF MENTAL WELLNESS IN THIS COMMITTEE THIS YEAR BUT I ASSUME THIS IS A GROUP THAT WE HAVE NOT CHATTED SUFFICIENT CONCERNING AND I WOULD ASSISTANCE AGENT SCHOMACKER AMENDMENT. > > CHAIR LIEBLING: EXISTS OTHER CONVERSATION TO THE CHANGE? REP GRUENHAGEN > > AGENT GRUENHAGEN: THANKS; MME. CHAIR. I WOULD ALSO >> SPEAK IN FAVOR OF THE MODIFICATION.

MY ASSOCIATE INSURANCE POLICY AGENT HIM AND I FUNCTIONED TOGETHER FOR THIRTY YEARS. IS'A VOLUNTEER FIREMEN DIVISION INDIVIDUAL. SO UNLIKE THE CITY AREA WHERE THEY ARE PAID OUT IN A BACKWOODS CLASSIFIED 7 VOLUNTEERS THAT WANT TO PUT THEIR 9 FOR SECURITY OF THEIR FELLOW RESIDENTS RESIDENTIAL OR COMMERCIAL PROPERTY AS WELL AS THEIR NEIGHBORHOOD. THEYHAVE LITTLE REWARD FINANCIALLY FOR THEM. SO I WOULD CERTAINLY SUPPORT THE AMENDMENT I ' M SURE WE COULD FIND A TWO AND ALSO$50;> 000 CUT SOMEPLACE ELSE IN ORDER TO ASSISTANCE THIS. > > CHAIR LIEBLING: WELL; EXIST VARIOUS OTHER PARTICIPANT DISCUSSION? SO I WOULD SIMPLY SAY; WE HEARD THIS COSTS IN PLAN COMMITTEE.I AGREE IT ' S A DESERVING REASON BUT IT ' S A WORTHWHILE REASON AMONGST LOTS OF. CERTAINLY; IT IS COMPELLING THAT FIREFIGHTERS TO SUFFER FROM TRICK PTSD. I MUST SAY THAT I DON ' T SEE IN THIS BILL THAT REPRESENTATIVE SCHOMACKER IS PUTTING AN RFP TO SEE THAT MAY BE ABLE TO SUPPLY THESE SOLUTIONS [FAINT] > > > > [LAUGHING] > > > > [NUMEROUS VOICES.] > > CHAIR LIEBLING: ALL OF US HAVE TO >> PICK THROUGH EVERY EXPENSE IN EVERY OMNIBUS EXPENSE GOES MANY MANY WORTHY CAUSES THAT DON ' T ENTER INTO THE BILL.I DIRECTLY HAD A COSTS I DID NOT EVEN HEAR DUE TO THE FACT THAT WE DO NOT HAVE TIME I WAS RATHER CERTAIN I WASN ' T GOING TO BE ABLE TO FUND IT. THIS IS ALWAYS THE SITUATION. SO I SIMPLY ASK PARTICIPANTS TO SUPPORT THE COSTS AND ALSO VOTE NO ON THE MODIFICATION. SO ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT DOES NOT PREVAIL. THE CHANGE IS NOT TAKEN ON. >> >> > [GAVEL]> >> > > CHAIR LIEBLING: REPRESENTATIVE HALVERSON;> THE A- A7 > > AGENT OLSON: I WISH TO RELOCATE THE A7 MODIFICATION > > CHAIR LIEBLING: REPRESENTATIVE HALVERSON TO YOUR MODIFICATION > > REPRESENTATIVE HALVERSON
: THANK YOU; MME. CHAIR. THIS CHANGE CHANGES MINNESOTA STATUTE TO GO BACK TO PREVIOUS OVERSIGHT AS WELL AS REGULATIONS CONCERNING TEMPORARY LIMITED DURATION INSURANCE POLICY PLANS. THE TEMPORARY INTENDS SERVE ARE REALLY VITAL PURPOSE OF PRIOR TO THE ACA. WHEN IN ORDER TO STAY COVERED YOU NEEDED TO HAVE CONTINUOUS COVERAGE AS WELL AS NOT HAVE A BREAK IN INSURANCE COVERAGE. SO IF YOU SHED YOUR WORK OR WERE TRANSFORMING TASKS; YOU OBTAIN A 90 DAY >> PLAN TO BRIDGE THAT VOID SO YOU DIDN ' T> SHED COVERAGE AND CONSEQUENTLY WOULD MAKE YOU TOPIC TO UNDERWRITING IF YOU WERE GOING TO SHOT TO ENTER A NEW PLAN.THEY ARE LESS SUBSTANTIAL CURRENTLY AND ALSO IN REALITY THEY PUT A GREAT DEAL OF CONSUMERS AT RISK. AT THE VERY SAME TIME; THERE APPEARS TO BE A NATIONAL PRESS TO EXPAND A TERM LIMITED DURATION INSURANCE COVERAGE AS WAY TO TELL PEOPLE THAT ARE COVERED WHEN THEY ARE REALLY NOT. THESE KINDS OF PLANS AND ALSO UP LEAVING PEOPLE WITH A GREAT DEAL OF MEDICAL FINANCIAL DEBT; WITH A GREAT DEAL OF SURPRISE PAYMENT BECAUSE THEY THINK HOSPITALIZATION AS AN EXAMPLE IS COVERED BUT THERE WILL CERTAINLY BE EXCEPTIONS IN THE POLICY TO SAY EXEMPT INJURIES FROM ORGANIZED SPORTING ACTIVITIES AND ALSO SO YOUR KID IS A BLAST IN FOOTBALL MAY HAVE TOOK PLACE TO US AT AND ALSO YOU ARE NOT COVERED.SO LEAVING PEOPLE WITHOUT COVERAGE [FAINT] REALLY UNDERMINES THE ECONOMIC PROTECTION OF MINNESOTANS AND SO I WOULD WANT TO RETURN TO THE 90 DAY DURATION FOR SHORT-TERM LIMITED DURATION PREPARES AS WELL AS THE 185 AND A DEMAND FOR THE CAPABILITY TO RENEW THESE INTENDS. PEOPLE REQUIREMENT SEMINAR OF COVERAGE AS WELL AS THIS IS [FAINT] WHEN IT ' S NOT. > > CHAIR LIEBLING: THANKS REPRESENTATIVE HALVERSON COULD CONVERSATION? REP GRUENHAGEN > > AGENT GRUENHAGEN: THANK YOU; MME. CHAIR. I WISH TO DIFFER WITH MY BUDDY KAREN THE REINSURANCE COSTS WHICH I CONSIDERABLY APPRECIATE REP HALVERSON. ONCE MORE I MARKETED HEALTH INSURANCE CONSIDERING THAT 1970. THESE SHORT-TERM MEDICALSHAVE BEEN EXCEPTIONAL PRODUCTS TO FILL UP A VOID. FOR EXAMPLE; SOMEBODY LOSES THEIR INSURANCE COVERAGE IN APRIL AND CAN ' T SIGN UP IN A QUALIFIED PLAN TILL OCTOBER 15 UNTIL JANUARY 1 OR WHATEVER THE REGISTRATION DATES ARE AT THAT TIME; THE MUCH SHORTER MEDICAL WORK AND ALSO THE AGENTS; I ' VE NEVER HAD PEOPLE WITHOUT COVERAGE. [INAUDIBLE] YOU MERELY DRAW OUT TO THEM. THEY HAVE A WORRY ABOUT THAT THEN THEY HAVE TO THE PAST AND ALSO PUT THEM ON'[ FAINT] MINNESOTA SEMINAR OF WHICH OF THAT [INAUDIBLE] AS WELL AS COVERS THE PRE-EXISTING CONDITION AND ALSO WE HAD A METHOD TO ACCOMPLISH WITH United States BEFORE OBAMA CARE.UNFORTUNATE; OBAMA TREATMENT COMPLETELY RUINED THAT WE ALSO KNOW THE FEDERAL DEGREE PRESSING IS BECAUSE IT OFFERS YOU [FAINT] ESPECIALLY BETWEEN THOSE INDIVIDUALS BETWEEN 55 AS WELL AS 64 INTEND TO RETIRE EARLY OR LEAVE THEIR WORK AND ALSO ARE DEALT WITH WITH SKYROCKETING PRIVATE COSTS OR COBRA WHICH LIKEWISE IN THEIR GROUP; WHICH ADDITIONALLY IS A SKYROCKETING COSTS DUE TO THE FACT THAT NOW THEY NEED TO PAY 100 % OF IT VERSUS WHATEVER THEIR EMPLOYER WAS SO I WOULD STRONGLY OPPOSES. ONCE MORE WE ARE TRYING TO LIMITATION'CHOICES FOR INDIVIDUALS AND ALSO PROVISIONS AS WELL AS GIVE INDIVIDUALS THE SELECTION. I ASSUME THESE PREMIUMS ARE GOING TO BE 50; 60%LOWER THAN THE EXISTING INDIVIDUAL MARKET. IF I MARKET APPROPRIATELY WHICH REPRESENTATIVE HAVE YOU KNOW INSURANCE COVERAGE I HAVE MY OWN. SO I WEAR ' T MARKET IT APPROPRIATELY AND ALSO THERE ' S A PROBLEM I HAVE LIABILITY PROTECTION. SO PLEASE; OPPOSE THE MODIFICATION AND OFFER PEOPLE THE CHOICE ON LESSENING THE PREMIUM AND ALSO GETTING THE PROTECTION THEY NEED FOR THE SCENARIOS THEY ARE ENTERED THANK YOU; MME. CHAIR. > > CHAIR LIEBLING: ALL RIGHT; WELL IF INSURANCE POLICY DOESN ' T COVER ANYTHING IT ' LL BE REALLY REALLY CHEAP.REPRESENTATIVE HALVERSON; GO ON. > > AGENT HALVERSON: THANKS; MME. CHAIR. THIS ADJUSTMENT ACTUALLY HAPPEN AT THE FEDERAL DEGREE WITH A MODIFICATION OF RULES AT THE FEDERAL DEGREES AND THERE WAS A PUBLIC COMMENT PERIOD WITH REGARD TO THE EXPANSION TO THESE INSURANCE COVERAGE LIMITATIONS FOR SHORT-TERM LIMITED PERIOD PLANS AND 90%OF THE GENERAL PUBLIC REMARKS FROM PATIENT TEAMS; FROM MEDICAL PROFESSIONALS; FROM NURSES; FROM OTHERS WAS OPPOSED TO THESE ADJUSTMENTS. AS A RESULT OF THE PROBLEMS THAT THEY LEAVE PEOPLE WITH. AS WELL AS MINNESOTANS CAN NOT BE PAYING TO BE UNINSURED. THEY SERVE A VERY LIMITED PURPOSE AND ALSO I WILL ALSO SAY THERE IS BEEN A REALLY CONCERTED EFFORT FOR GROUPS TO START ADVERTISING THESE PREPARES AS INSURANCE COVERAGE BUT IT ' S NOT INSURANCE POLICY. THIS IS NOT PROVIDE ADEQUATE PROTECTION FOR MINNESOTANS. THIS IS A STOPGAP MEASURE.IT ' S AN EMERGENCY SITUATION ACTION. AS WELL AS IT ' S BEING SOLD AS A MEANS FOR INDIVIDUALS TO OBTAIN AFFORDABLE INSURANCE COVERAGE BUT IT ' S NOT PROTECTION.

I HEARD SOME TESTIMONY AT A NATIONAL SEMINAR WITH RESPECT TO TEMPORARY LIMITED DURATION PREPARES THE FUNNIES THE MARKET THESE PRODUCTS WERE MARKETING THEM AS ACTUAL INSURANCE COVERAGE PROTECTIONS AND THEY ACTUALLY TESTIFIED THAT IF STATES HAD A TROUBLE WITH THESE BEING THE TYPE OF INSURANCE COVERAGE THAT TEMPORARY LIMITED PERIOD INTENDS GIVEN OR DIDN ' T PROVIDE THAT THE STATES COULD JUST ASK REQUIREDS WHICH NATURALLY IT WOULD COME RIGHT IN AS WELL AS OPPOSE. SO THESE ARE NOT CREATED TO OFFER ANY KIND OF INSURANCE COVERAGE MEETING OF PROTECTION; FOR MINNESOTANS; AND ALSO LEAVE INDIVIDUALS WITH EXORBITANT MEDICAL EXPENSES. AS WELL AS THOSE PEOPLE WE BE PEOPLE WHO REQUIRED CARE OUT IN THE COOL > > CHAIR LIEBLING: I ASSUME REP MUNSON YOU AND YOUR HEAD UP? > > REPRESENTATIVE MUNSON: YES MME. CHAIR; THANK YOU EXTREMELY OPPOSED TO THE MODIFICATION. I UNDERSTAND AGENT HALVERSON ' S DEBATE THAT THIS KIND OF PROTECTION IS NOT THE COMPLETE EXPANSE OF CADILLAC PLAN; BUT WE ARE FINISHING WITH 5%OF MINNESOTANS THAT LEFT THE PRIVATE MARKET BECAUSE THEY CONTAINER ' T AFFORD THE INSURANCE COVERAGE THAT ' S OUT THE THEIR OUT CARS AND TRUCK SEARCHING FOR AN AFFORDABLE HONDA CIVIC AND ALSO OTHER GIVEN HIS CADILLACS AND ALSO THEY CAN AFFORD THOSE PLANS.SO THIS BILL WOULD GET RID OF PEOPLE ' S CAPABILITY TO GET SOMETHING FOR INSURANCE POLICY. SOMETHING. IT IS AN SUITABLE BUT YOU ARE REMOVING PEOPLE ' S CAPABILITY TO APPLY A PLANT THAT ' S MORE AFFORDABLE THAT OFFERS THEM SOME INSURANCE. WHETHER THEY FALL OFF THE ROOFING SYSTEM OR SOMETHING ELSE; THEY REQUIREMENT TO HAVE SOME INSURANCE POLICY TO PROTECT THEMSELVES. THIS ISN ' T ALMOST HEALTH INSURANCE COVERAGE. SOMETIMES THIS HAS TO DO WITH HOMEOWNERS INSURANCE COVERAGE. IF YOU GET ILL >> YOU WEAR ' T SHED YOUR HOUSE.PEOPLE ARE GOING THROUGH LIFE ADJUSTMENTS NEED AN OPTION >> FOR SOMETHING AROUND. YOU ARE TAKING THIS AWAY FROM THEM.THIS IS AN INSURANCE PLAN THAT IS EVEN MORE AFFORDABLE; DOESN'' T HAVE A GREAT DEAL OF BELLS AND WHISTLES BUT PEOPLE REQUIREMENT SOMETHING. THIS IS SUCH AN CRUCIAL CHANGE THAT YOU AR E DOING. MME. CHAIR I'' D LIKE TO ASK FOR A ROLLCALL ON THIS DUE TO THE FACT THAT I NEED TO UNDERSTAND;; PEOPLE NEED TO UNDERSTAND; THAT IS TAKING THIS CRUCIAL CHOICE FAR FROM THEM.

>> > > CHAIR LIEBLING: ROLLCALL HAVING BEEN REQUESTED WE WILL HAVE A ROLLCALL. AGENT HOLT HALVERSON ARE YOU REMOVING TEMPORARY INTENDS ARE JUST BRINGING THEM BACK TO WHERE THEY WERE BEFORE THEY WERE JUST RECENTLY EXPANDED FOR USE IN MINNESOTA? >> > > REP HALVERSON: MME. CHAIR; THE MODIFICATION SIMPLY BRINGS THEM BACK TO THE ASSUMPTION; THE REGULATION THAT REMAINED IN LOCATION BEFORE 2015. SO IT MAKES THEM REALLY SHORT-TERM. AS WELL AS IF SOMEBODY DOESN'' T LOSE THEIR WORK AND FINISHES UP WITHOUT THEIR GROUP COVERAGE THAT'' S ACTUALLY A QUALIFYING EVENT. THEY DON'' T HAVE TO DELAY UNTIL OPEN ENROLLMENT AND TO MAKE CERTAIN TO LOOK FOR PERSON MARKET COVERAGE.SO INDIVIDUALS HAVE A LOT MORE CHOICES IN TEMPORARY LIMITED DURATION PREPARES. IT ' S KIND OF LIKE SAYING I AM GOING TO CHEF YOU A MEAL AND CLAIMED YOU GET A BAG OF PUFF CHINOS WHICH [INAUDIBLE] IT DOESN'' T MEAN IT ' S HELPFUL FOR YOU AND ALSO IT DOESN ' T MEAN IT ' S GOING TO DEAL WITH ANY NUTRITIONAL NEEDS AND ALSO I ASSUME THAT THAT ' S WHAT WE ' RE TALKING ABOUT. EVEN MORE OF THESE ARE BEING MARKETED AS A SOLUTION TO AFFORDABLE HEALTH AND WELLNESS TREATMENT PROTECTION;; THE EVEN MORE PEOPLE ARE GOING TO GO TO DANGER ECONOMICALLY OF LOSING OF MEDICAL BANKRUPTCY AS WELL AS OTHER PROBLEMS THAT HAVE TORMENTED INDIVIDUALS PRIOR TO THE ACA. THIS IS SETTING INDIVIDUALS MEANS MORE IN JEOPARDY. IF YOU GET A CANCER CELLS DIAGNOSIS ON THIS YOU ARE OUT IN THE COLD. [INAUDIBLE] ON ONE OF THESE INTENDS YOU ARE OUT IN THE COOL OR YOUR KID OBTAINS INJURED AS WELL AS THERE IS A POLICY THAT SAYS IS NOT; BECAUSE THE MEANS YOUR CHILD WAS HARMED. THIS IIS NOT COVERAGE.IT'' S NOT PROTECTION. WE CANISTER REALLY GO WITHOUT THESE IN MINNESOTA BUT I'' M NOT TAKING THEM AWAY. > > CHAIR LIEBLING: SAY THANKS TO YOU.RED PROSPECTIVE > > REP SCHULTZ: I SUSTAIN THE AMENDMENT. THANKS; MME. CHAIR. IS ONE INFORMATION. THERE CANISTER BE NO SHORT-TERM PROTECTION POLICIES SOLD THAT WERE 185 DAYS OF COVERAGE? SO GOOD TO BE SOMETHING STILL AGENT HALVERSON THAT IS LARGER THAN 90 DAYS PROTECTION? >> > > REPRESENTATIVE HALVERSON: MME. CHAIR; YOU COULD GET A REVIVAL OF YOUR 90 DAY INSURANCE COVERAGE. THAT WOULD DEPEND ON 185 DAYS. CURRENT LAW IN OUR FEDERAL RULES TRANSFORM THIS BE COVERAGE FOR A YEAR. THATA GREAT DEAL OF SUSCEPTABILITY FOR PEOPLE TO BE BASICALLY PAYING FOR PROTECTION THAT DOESN'' T COVER ANYTHING >> FOR YOU. > > REP SCHULTZ: THANKS; MME. CHAIR. I GOT A LOT OF CALLS FROM PEOPLE WHO ARE ON TEMPORARY LIMITED PERIOD INSURANCE POLICY PLANS THEY SIMPLY DON'' T REALIZE THAT LOTS THINGS ARE NOT COVERED IN A STRATEGY WHICH COULD BANKRUPT YOU AS A RESULT OF THE COST THEY IDEA WERE COVERED BUT WERE NOT.SO THE BETTER CHOICE IS FOR THEM TO BUY LOW COSTS BUT HIGH DEDUCTIBLE STRATEGY AND ALSO A LEASE COVERS THE DEVASTATING EVENTS THAT WEAR'' T BRING ABOUT PERSONAL BANKRUPTCY. >> > CHAIR LIEBLING: ALL RIGHT ROLLCALL HAVING BEEN REQUESTED THE CLERK WILL TELEPHONE CALL THE ROLL. >> > > PERSONNEL: LIEBLING AYE; ACOMB AYE; BAKER NAY; [FAINT] CANTRELL AYE; [FAINT] GRUENHAGEN NAY; HALEY NAY; HALVERSON AYE; HAMILTON KUNESH-PODEIN AYE; LOEFFLER AYE; MANN AYE; MORAN AYE; MUNSON NAY; AYE-NAY >> >> > > > > [LAUGHING]>. > > TEAM: NOOR AYE; OLSON AYE; SCHOMACKER NAY; SCHULTZ AYE; >> TRENDS OR LOSSES NAY; > > CHAIR LIEBLING: THERE BEING 12 AYES AND ALSO SEVEN NAYS THE MOVEMENT DOMINATES. THE AMENDMENT IS EMBRACED >> > > [GAVEL]> > > CHAIR LIEBLING: WERE GOING TO TAKE UP THE NEXT TEAM OF AMOUNTS FOR THE A- 27; THE A- 32; A- 30; A- 33; A- 36; A- 34; A- 29; AS WELL AS A- 26.

SO STARTING THEN WITH THE A- 27 WHICH IS REPRESENTATIVE [INAUDIBLE] >> > > REPRESENTATIVE HALEY: I WISH TO MOVE THE A-27 MODIFICATION. >> > CHAIR: REPRESENTATIVE HALEY RELOCATES THE A- 27 AMENDMENT. GO AHEAD. >> > > AGENT HALEY: MME. CHAIR AND MEMBERS; THIS MODIFICATION WOULD CALL FOR THE EVALUATIONS OF A SINGLE PAYER SYSTEM TO CONSIDER WHETHER PEOPLE FAIL TO ACCESSIBILITY TREATMENT OR REQUIRED FOR TOP QUALITY CARE LONG CONSULTATION TIMES OR COMPANY SHORTAGES COULD IF WE ARE GOING TO LOOK AT THE POSSIBILITY OF CREATING A SINGLE-PAYER SYSTEM WE NEED TO LIKEWISE TAKE A LOOK AT THE POSSIBLE ADVERSE IMPACTS THAT'' S IN THE BILL. LONG MEANS TIMES AS WELL AS SHORTAGES IN HOSPITAL CLOSURES ARE PARTICULAR ISSUE TO RURAL MINNESOTA. WERE ALREADY FACING SOME OF THESE DETAILS. TALES FROM NATIONS WITH SINGLE-PAYER PERSON ARE REQUIRED TO DELAY EXCEPTIONALLY VERY LONG TIMES [INAUDIBLE] EVERY SINGLE DAY. IN CANADA SOME INDIVIDUALS ARE COMPELLED TO DELAY APPROXIMATELY NEARLY 20 WEEKS PRIOR TO SEEN A HEALTH CARE PHYSICIAN AND A PROFESSIONAL FOR MEDICALLY ESSENTIAL TREATMENT. WE ARE TALES ALL THE TIME THESE CLIENTS FROM CANADA COMING OVER TO MINNESOTA TO OBTAIN PROMPT CARE.SO WE DEMAND TO KNOW EXACTLY WHAT WE ' RE GETTING OURSELVES INTO IT I WOULD APPRECIATE YOUR ASSISTANCE OF THIS ANALYSIS AND THE MODIFICATION. THANK YOU. > > CHAIR LIEBLING: ALL RIGHT;> DISCUSSION? REPRESENTATIVE GRUENHAGEN > > AGENT GRUENHAGEN >>: THANK YOU; MME. CHAIR. THE MINNESOTA HOSPITAL ORGANIZATION 2016 DID ANNOUNCE THAT 30 %; WAS [INAUDIBLE] OF OUR HOSPITALS ARE LOSING CASH. LOTS THEM ARE BARELY MAKING ANY CASH. ESPECIALLY IN THE BACKWOODS. SO I STRONGLY SUPPORT THE MODIFICATION AND ALSO APPRECIATE REPRESENTATIVE HALEY BRINGING IT FORWARD. > > CHAIR LIEBLING: SO HALEY RELOCATES REPRESENTATIVE HALEY MOVES THE A-27. ALL THOSE IN FAVOR SAY; AYE. [CHORUS OF AYES.] THOSE OPPOSED SAY; NAY.THE ACTIVITY DOES NOT PREVAIL.

THE MODIFICATION IS NOT EMBRACED. > > [GAVEL]>. > > CHAIR LIEBLING: THE A-32. THAT IS THAT WOULD BE AGENT BAKER. O.K.. >> > > REPRESENTATIVE BAKER: MME. CHAIR I SUCH AS TO RELOCATE THE A- 33 ONCE AGAIN TO PIGGYBACK OFF OF REPRESENTATIVE HALEY; WHAT WE KNOW ABOUT THE NEW SINGLE-PAYER SYSTEM IS WHAT IS THE LIKELY GOING TO ACCOMPLISH TO OUR HOSPITALS AND ALSO CENTERS LATER ON. DO YOU HAVE CASH PUT ASIDE FOR STUDY WHICH IS An ADVANTAGE BUT YOU HAVE TO UNDERSTAND THE LONG-TERM [FAINT] WHAT DOES THIS RESEMBLE? SOMEONE SET MONEY ASIDE FOR THIS IMPORTANT POINT BUT I THINK WE ARE MISSING A GREAT DEAL OF VITAL COMPONENT PARTS OF THE LANGUAGE IS [FAINT] I WEAR'' T KNOW WHY ASKING A QUESTION CONCERNING WHAT THIS IS GOING TO DO TO MAINTAIN HOSPITALS AS WELL AS CENTERS MAINTAINING THEM IN BUSINESS.I THINK THAT

' S AN ESSENTIAL INQUIRY WE SHOULD BE ASKING. I ASSUME ANY PERSON RIGHT HERE DESIRED TO SEE OUR MEDICAL CENTERS REMAIN TO REMAIN OPEN AND GIVE THIS PROCEDURE TO OUR [INAUDIBLE] SO I'' M SIMPLY ASKING TO APPROVE THIS EVALUATIONS AND I WISH YOU CAN ASSISTANCE THE CHANGE. >> > > CHAIR: ANY FURTHER DISCUSSION? ALL THOSE IN FAVOR SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOES NOT PREVAIL. THE AMENDMENT IS NOT ADOPTED. >> > > [GAVEL]> > > CHAIR LIEBLING: WE ARE ON THE A- 30 MODIFICATION AND ALSO THAT IS REP HALEY.

>> > > REP HALEY: THANKS; MME. CHAIR. I LIKE TO MOVE THE A- 30 AMENDMENT >> > > CHAIR LIEBLING: AGENT HALEY MOVES THE A- 30. >> > > REP HALEY: MME. CHAIR AS WELL AS COMMITTEE MEMBERS THIS AMENDMENT AS LONG A SIMILAR POINT THE OF THE CLAIMED MANY RESEARCHES MME. CHAIR IN THIS BILL. THERE CONNECT TO SINGLE-PAYER SYSTEM. AND ALSO I CONCUR WITH AGENT BAKER THAT WE ARE NOT REALLY CONSIDERING THE WHOLE IMAGE. THE AMENDMENT WOULD REQUIRE THAT EVALUATION THINK ABOUT THE FINANCIAL FEASIBILITY OF OUR HOSPITALS AND ALSO CLINICS AS THEIR SETTLEMENTS ARE LOWERED TO GOVERNMENT LEVELS. I WOULD HAVE TO SHARE THAT LAST WEEK WHEN I WAS [INAUDIBLE] SANDBAGGING IN REDWING THE CHIEF EXECUTIVE OFFICER OF ONE OF OUR HOSPITALS I WAS DOING THAT AS WELL AND WE HAD A LONG CONVERSATION ABOUT THE SINGLE-PAYER SYSTEM IN ABOUT ONE MINNESOTA ONE CARE AS WELL AS HE SAID; DON'' T SAY UNDERSTAND WHAT THIS WILL DO TO OUR HEALTHCARE FACILITY. THOSE ARE MY WORDS. THOSE WERE WORDS OF CEO OF ONE OF MY RESIDENT HOSPITALS. THIS ISN'' T An INDIVIDUAL POKE AT THE OPPOSITE SIDE. IS SIMPLY A REALITY. LOTS OF THE INDIVIDUALS RESTING ON MY SIDE OF THE TABLE HERE REPRESENT COUNTRY COMMUNITIES AS WELL AS WE ALREADY HAVE SOME THE WORST ACCESS TO MEDICAL CARE IN THE STATE AND ALSO WE ARE EXTREMELY FEARFUL OF WHAT REDUCED COMPENSATION LEVELS WILL DO TO OUR HOSPITALS.SO THAT IS THE EFFORT OF MY A- 30 CHANGE AS WAS MIKE A-36 AND ALSO HAVING ACTUALLY SAID THAT I WILL CERTAINLY WITHDRAW BOTH OF THE CHANGES. >> > > CHAIR LIEBLING: THE A- 30 IS WITHDRAWN AND ALSO THE A- 36 IS WITHDRAWN. ALLOW'' S SEE. SO THE NEXT ONE WOULD BE THE A- 33. REPRESENTATIVE GRUENHAGEN RELOCATES THE A- 33. TO YOUR MODIFICATION REPRESENTATIVE GRUENHAGEN >> > > REP GRUENHAGEN: THIS [INAUDIBLE] SOME OF THE IMPORTANT THINGS AGENT HALEY SIMPLY DISCUSSED. I ADDITIONALLY REPRESENT A RURAL LOCATION AND MY WORK [FAINT] GOVERNMENT REIMBURSEMENT. THEY ARE SHEDDING CASH AS STATED EARLIER MEDICAID USUALLY REPAYS AT ABOUT 20; 30% OF THEIR COSTS. MEDICARE ABOUT 30; 40% TYPICALLY. PRIVATE INSURANCE REPAYS AT 187% ABOVE MEDICARE PRICE. IT REALLY GENERATE INCOME ON THE. WE DESTROY THE PRIVATE INSURANCE POLICY MARKET AND ALSO EXPAND GOVERNMENT MEDICAL CARE YOU ARE GOING TO CRIPPLE THE MEDICAL SERVICE PROVIDERS. THE SECOND POINT IS THAT THE ECONOMIC SECTOR WHICH OBTAINS DEMONIZED ON RIGHT HERE A FAIR BIT I WON'' T NAME ANY NAMES MME. CHAIR BUT THE PRIVATE INSURANCE POLICY MARKET HAS ACTUALLY RELEASED FEDERAL GOVERNMENT PROGRAMS THROUGH PRICE SHIFTING FOR ALMOST 50 YEARS.SO THE SURVIVAL OF GOVERNMENT PROGRAMS AND ALSO THE DEVELOPMENT AND WELFARE OF THE HEALTH CARE SYSTEM IS STRAIGHT AS A RESULT OF THE PRIVATE INSURANCE COVERAGE MARKET PAYMENT OUT TO THE REIMBURSEMENT RATE FOR THE GOVERNMENT PROGRAM. IT IS NOT GOING TO WORK ANY LONGER SINCE OBAMA CARE AS WELL AS SERIOUSLY DAMAGE; AND AS A RESULT OF THE GROUP MODIFICATIONS WITH THE CHILD BOOMERS RETIRING. UNFORTUNATELY; WE HAVE YOUTHFUL INDIVIDUALS IN THE FUNCTIONING REQUIRE AT THE TIME. SO THE IMPORTANT THINGS IS; WE ARE SEEING A DOCTOR SHORTAGE IN THE LAST COMMENT I WILL MAKE IS I SHARED EARLY IN THIS BOARD; IT WAS A PHYSICIAN HAD I HAD TO SEE FOR A SERVICE FACTOR JUST ACROSS THE ROADWAY BELOW IN ST.PAUL. HE HAS BEEN A ORAL SURGEON MEDICAL SERVICE PROVIDER

FOR OVER THIRTY YEARS HERE IN MINNESOTA A ND HIS 3 KIDS ALL ENTERED INTO MEDICAL PRACTICE BUT THEY ALL LEFT THE STATE OF MINNESOTA. HE INFORMED ME I COULD USE HIS AND ALSO I DECIDED TO LEAVE IT OUT THIS TIME. BUT HE IS ALSO LEAVING MINNESOTA. HE SAID; GOVERNMENT REGULATIONS TAX AND ALSO MICROMANAGEMENT OF HEALTHCARE IS PRODUCTION HIM LEAVE. BY THE MEANS; HE TAKES MEDICAID CLIENTS FROM ALL ACROSS THE STATE FOR ORAL SURGERY. ONE OF MINORITY SUPPLIERS THAT DOES. SO WE ARE ACTUALLY; THROUGH OUR RULES AS WELL AS GUIDELINES AND ALSO TAXES; DRIVING HIM AND ALSO HIS KIDS OUT OF THE STATES.THAT ' S NOT GOING TO ASSIST OUR THE MAJORITY OF NEEDY PEOPLE; ESPECIALLY LOW INCOME. WITHOUT MME. CHAIR I TAKE OUT THE
MODIFICATION. > > CHAIR LIEBLING: THE A-33 IS WITHDRAWN. THE A-36. THAT WAS WITHDRAWN. >> THE A- 36 WAS WITHDRAWN? O.K.. THE A- 36 WAS WITHDRAWN. TO THE A- 34 AGENT GRUENHAGEN > > REPRESENTATIVE GRUENHAGEN: THANKS; MME. CHAIR. I SUCH AS TO >> OFFER THE A-34. THE CHANGE WOULD CALL FOR A SOLITARY PAYER ANALYSIS TO TAKE A LOOK AT THE TAX OBLIGATIONS WE REQUIREMENT TO INCREASE THE TO SPEND FOR IT. WHAT KIND OF EFFECT HIGHER EXHAUSTS HAVE? AS WELL AS TO WHAT LEVEL WOULD HAVE A DOWNSIDE AFFECT ON OUR MINNESOTA ECONOMY AND EVEN GAIN ACCESS TO FOR OUR CRITICALLY ILL INDIVIDUALS IN THE STATE? ALLOW ME JUST SAY THIS BUT ONE ANALYSIS THAT WAS LATELY DONE ON TURNING SINGLE-PAYER IN MINNESOTA ESTIMATED THAT WOULD COST $35 BILLION A YEAR; PARTICIPANTS; TO START A SINGLE-PAYER STRATEGY IN THE STATE OF MINNESOTA. THAT ' S 70 BILLION EVERY TWO YEARS. CALIFORNIA CONSIDER'SINGLE-PAYER. THEY CHOSE NOT TO OBTAIN IT WAS OVER$400

BILLION OF NEW SPENDING TO HIM AND ALSO SINGLE-PAYER. THE SECONDLY THING IS; I THINK VERMONT ALSO CHOSE TO PERFORM AWAY WITH THEIR SINGLE-PAYER PLAN. IT ' S A IN INSOLVENCY. THE VARIOUS OTHER THING I WOULD MENTION TO MEMBERS IS; PLEASE; DO AN EVALUATION OF CURRENT FEDERAL GOVERNMENT HEALTHCARE PROGRAMS. IF YOU CHECK OUT THE HISTORY; LET ' S SAY OF MEDICARE; IN 1968; INCIDENTALLY YOU CANISTER READ MY BOOK TO OBTAIN THIS INFORMATION JUST; IN 1968 MEDICARE EXPENSES SET YOU BACK 6.2 OR$6.8 BILLION. IN 1960. IT WAS PROJECTED TO COST $10 BILLION BY 1990. IF BY 1990 THE EXPENSE BETWEEN 90 AND$ 100 BILLION AND ALSO MORE THAN 10 TIMES GREATER THAN PROJECTION. IN 1992 IT COST 136 BILLION. AS WELL AS MEDICAID INCREASED EVEN AT A FASTER PRICE THAN MEDICARE.GOVERNMENT HEALTH CARE NO W ONCE MORE IT FUNCTIONS DUE TO THE FACT THAT WE HAVE THE CHILD BOOMERS THE 77 MILLION IN THE LABOR FORCE. THEY ARE LEAVING THE WORKFORCE ON THE GOVERNMENT HEALTHCARE. YOU DO EXPANSION OF FEDERAL GOVERNMENT HEALTHCARE SUCH AS THIS EXPENSE WISHES TO AND ALSO YOU DO A SINGLE-PAYER EVENTUALLY; YOU ARE GOING TO BANKRUPT THE STATE TRIED A LOT OF OUR MAJOR CORPORATIONS OUT OF THE STATE DUE TO THE FACT THAT THEY WILL CERTAINLY LOOK FOR LOWER TAX OBLIGATION STATES AND ALSO YOU WILL CRIPPLE SMALL COMPANY WHICH GIVE EMPLOYMENT COULD AS WELL AS YOU WILL CERTAINLY PARALYZE THE HEALTHCARE INDUSTRY AND ADDITIONALLY ACCESSIBILITY. THE SERIOUSLY ILL. WE NEED FEDERAL GOVERNMENT HEALTH CARE AS A SECURITY NET BUT AT THIS MOMENT IN OUR HISTORY EXPANDING IS THE INCORRECT SOLUTION AT THE WRONG TIME. FOR OUR STATE. IF WE NEED TO CONTINUE TO HAVE A WORLD LEADING HEALTH CARE SYSTEM THAT INNOVATES AND PROVIDES THE MOST RECENT MEDICAL TREATMENT FOR OUR PEOPLE. PLEASE; MEMBERS; DO YOUR RESEARCH ON FEDERAL GOVERNMENT HEALTHCARE COULD YOU WILL CERTAINLY DISCOVER IT BANKRUPTS STATES AND IT ' S GOING TO BANKRUPT THE STATE.OTHER THAN THAT > > > > [CHUCKLING] > > CHAIR LIEBLING: REPRESENTATIVE SCHULTZ >
> AGENT >> >> SCHULTZ: THANKS; MME. CHAIR. >> I WANT TO REMIND MEMBERS THAT WE REQUIREMENT TO STICK TO THE CONTENT OF THE MODIFICATION AS WELL AS UNDERLYING BILL. OTHERWISE WE WILL CERTAINLY BE BELOW FOR A LONG TIME. SO WE CAN HAVE THESE DEBATES LATER BUT SIMPLY PLEASE; STAY WITH THE AMENDMENT AS WELL AS UNDERLYING COSTS OF THE AMENDMENT. WE ARE NOT PROPOSING A SINGLE-PAYER SYSTEM IN THE BILL. > > CHAIR LIEBLING: OTHER MEMBER CONVERSATION? REPRESENTATIVE NOOR TO ORDER > > REPRESENTATIVE NOOR: WE SHOULD NOT >> BE [INAUDIBLE] I ASSUME THAT SOMETHING I SIMPLY WANT TO PUT >> ON THE TABLE. > > CHAIR LIEBLING: POINT MAYBE IT REP GRUENHAGEN WE ' VE HAD A GREAT DEAL OF DISCUSSION > > AGENT GRUENHAGEN: I ONLY SAID 2%OF WHAT I WISHED TO SAY. > > > > [LAUGHING] > > CHAIR LIEBLING:> ALL THOSE IN FAVOR SAY; AYE. [CAROLERS OF AYES. >> >>] THOSE OPPOSED SAY;> NAY. THE MOTION DOES NOT PREVAIL. THE CHANGE IS NOT TAKEN ON. > > [GAVEL] > > CHAIR LIEBLING: ALLOW ' S GO AFTER THAT TO THE A-29. THAT IS AGENT GRUENHAGEN. > > REPRESENTATIVE GRUENHAGEN: THANK YOU; MME. CHAIR. THIS IS A SIMPLE ONE. >> > > > > [CHUCKLING] > > REP GRUENHAGEN: >> >> WE SIMPLY INTEND TO ADJUSTMENT THE NAME FROM >> UNIFIED WHAT IS THE PRESENT NAME? > > > > [LAUGHING] > > REP GRUENHAGEN: UNIFIED HEALTHCARE FINANCE SYSTEM TO WHAT IT ACTUALLY IS GOOD A GOVERNMENT TAKEOVER OF HEALTH CARE. TO BE TRANSPARENT AS WELL AS HONEST ABOUT WHAT WE ARE TRYING TO DO HERE. THAT ' S THE AMENDMENT. THANK YOU; MME. CHAIR. > > CHAIR LIEBLING: ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOTION DOES NOT PREVAIL. THE AMENDMENT IS NOT TAKEN ON. > > [GAVEL] > > CHAIR LIEBLING: THE A-26 AMENDMENT. >> > > AGENT GRUENHAGEN: WHAT THE> AMENDMENT DOES; IT DELETES THE EXPENSE SINGLE-PAYER SYSTEM ANALYSIS. I CURRENTLY GAVE YOU AN EVALUATION YOU WEAR ' T NEED TO INVEST > > > > [CHUCKLING] > > CHAIR LIEBLING: REP GRUENHAGEN O.K. THANK YOU >> >> REALLY MUCH.ANY DISCUSSION OTHER MEMBERS? ALL THOSE IN> SUPPORT SAY; AYE. WERE IN THE CENTER OF A VOTES. ALL THOSE IN SUPPORT SAY; AYE

. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOES NOT PREVAIL. THE MODIFICATION IS NOT ADOPTED. > > [GAVEL] > > CHAIR LIEBLING: LET ' S SEE. WHAT IS NEXT? FINE SO WE >> WILL MOST LIKELY TO THE A-13 AMENDMENT WHICH IS> REPRESENTATIVE HALEY'' S. I ' M SORRY. MEMBERS ALLOW ME PROVIDE YOU THE ORDER SO WE CONTAINER TRY TO GET ON TRACK RIGHT HERE. WE HAVE A WHOLE LOT OF PAPER TRAVELING AROUND IN FRONT OF US. SO THE INTENTION AFTER THAT AND PERMIT ME TO KNOW IF I ' M PHRASE ANYTHING WE COVERED. THE A-13 WOULD BE NEXT. AFTER THAT WE WILL CERTAINLY GO TO THE A-28; A- 17; A-15; A-19-041 AS WELL AS ALLOW ME DO AGAIN WITH THE WRITERS HAVE I ' M A LESBIAN THE A- 13 REPRESENTATIVE HALEY.THE A-28; REP GRUENHAGEN THE A- 17 TO REP GRUENHAGEN; THE A-15 REP GRUENHAGEN. THE A-19-040419 REPRESENTATIVE ZERWAS. SO LET ' S TAKE THOSE. SO THE A-13 WILL BE NEXT. AS QUICKLY AS I FIND IT. OK; THE A -13 AGENT HALEY AYE > > HOUSE SPEAKER HORTMAN: I SUCH AS TO MOVE THE A-13 AMENDMENT. HER MANY THANKS. THIS COULD BE ONE I TRULY BELIEVES YOU COULD ASSISTANCE. THE A-13 IS An AMENDMENT TO NEED THE OFFICE OF THE LEGAL OTTER TO PERFORM A STUDY OF VARIATIONS BETWEEN MINNESOTA ' S DIFFERENT INSURANCE POLICY RANKING AREAS DETERMINED WHAT [FAINT] CREATES HIGHER INSURANCE COVERAGE RATES IN HIGHER DIFFERENT PARTS OF THE SPEED THAT THE OLA WOULD DEVELOP A PROPOSAL TO [FAINT] AND SUPPLY RESPONSES TO THE LEGISLATURE ON THE EFFECT OF THE CURRENT SCORE LOCATIONS AND ALSO GIVE US ADJUSTMENTS ON HOW SUGGESTIONS ON TO HOW TO AUTOMATE RATE DISPARITIES. THIS WAS BILL THAT PASSED LAST BIENNIUM I THINK WAS A CONSISTED OF IN THE FINAL TO United States THAT OBTAINED VETOED.IT HAS THE SUPPORT OF THE HEALTH INSURANCE PLAN. THERE ' S A GREAT DEAL OF FUNCTION LAST SESSION TO BRING ALL THE CELEBRATIONS TO THE TABLE. ONCE AGAIN'I REQUEST FOR THE REPORT ESPECIALLY FROM THE OFFICE OF THE LEGISLATIVE AUDITOR DUE TO THEIR NONPARTISAN STANDING. I ASSUME THIS IS INFO THAT MOST OF US REQUIRED TO TO INTRODUCE AND ALSO CONSTANTLY BOOST OUR MEDICAL INSURANCE SYSTEM SO THAT ALL MINNESOTANS C AN PAY AFFORDABLE FEES IN HEALTHCARE THIS PART OF THE PIECE OF THE PROBLEM AND ONCE AGAIN WITH EVERY ONE OF THE STUDIES CONSISTED OF IN THE COSTS; MME. CHAIR COME I BELIEVE THIS IS A PIECE THAT REQUIRES TO BE PART OF THIS POTENTIAL INFO WE ARE ALL SEEKING. I WOULD APPRECIATE YOUR SUPPORT. BEECHER LIBBY OTHER DISCUSSION TO THE CHANGE? REPRESENTATIVE LOEFFLER > > REPRESENTATIVE LOEFFLER: THANKS; MME. CHAIR. REP HALEY; WE ALL AS LEGISLATORS OBTAINED A POSSIBILITY> TO ELECT ON WHAT [INAUDIBLE] CONCERN. I THINK THEY HAD MORE THAN 150 SENT BY LAWMAKERS BUT IT ' S A PRACTICE IN THE LEGISLATURE THAT ALL LEGISLATORS REACH PROPOSE STUDIES. I WELCOMED BY THE PARTICIPANTS OF THE AUDIT COMPENSATION AS WELL AS SOME OF THE WORK THEY CONTAINER TAKE CARE OF IS AND ALSO THEN THEY BRING IT THEN OUT FOR US ALL TO
BALLOT ON COULD I BELIEVE TODAY MAY ACTUALLY BE THE LAST 8 TO KIP DOWN YOUR BALLOTS. I REALLY THINK WE OUGHT TO RECOGNIZE THE POSSIBILITY IT ' S A FAIR PRICE OF ITS TRANSPARENT. IT GIVES EVERYONE IS An OPPORTUNITY TO PARTICIPATE IN THIS REALLY REMAINS IN AND RUN IT THAT DOESN ' T APPEARANCE AT THE CAPACITIES OF THE TEAM RESOURCES [FAINT] IN THE BALLOTS WE ARE GIVEN. > > CHAIR LIEBLING: OTHER PARTICIPANT DISCUSSION? REP SCHULTZ > > REP SCHULTZ: THANK YOU; MME. CHAIR. I ADDITIONALLY ASSUMES THAT THE LEGAL >> AUDITOR MAY NOT BE THE VERY BEST OFFICE TO CONDUCT THIS RESEARCH COULD I> BELIEVE PERHAPS THE DEPARTMENT OF MINNESOTA DEPARTMENT OF WELLNESS AND THE HEALTHY AND BALANCED BUSINESS ECONOMICS TEAM WOULD BE BETTER. > > CHAIR LIEBLING: OTHER DISCUSSION? REP HALVERSON. > > AGENT HALVERSON: THANKS; MME.CHAIR. I THINK I SHARE YOUR PASSION FOR HEALTH CARE EXPENSES DISCUSSION AGENT HALEY. I THINK THAT WE COULD THERE ' S SO MUCH INFORMATION OUT THERE ALREADY BUT I WEAR ' T KNOW THAT THE LEGISLATIVE AUDITOR IS THE PROPER WAY TO OBTAIN TO THIS CONCERN BUT I BELIEVE THAT WE REQUIREMENT TO OBTAIN TO THIS INQUIRY. I THINK THE OFFICE OF HEALTH ECONOMICS IS A GOOD LOCATION. THE ALL CLAIMS DATA SOURCE EXPENSE THE ALL NEIGHBORHOOD MEASUREMENT JOB. I ALMOST SEEM LIKE THIS IS TOO NARROW AND ALSO OFTEN THE CONCERN NEEDS TO BE ASKED EVENTUALLY HERE TOO. SO I ' LL BE WORKING WITH THE EXPENSE AND HOPEFULLY I TIN CONVINCE REP HALEY TO G ET WORKING ON IT WITH ME [INAUDIBLE] BEECHER LIBBY REP HALEY > > REPRESENTATIVE HALEY: THANKS; MME.CHAIR. SIMPLY'TO CLEAR UP AND ALSO GET ON THE RECORD; THIS IS NOT INTENDED IN ALL TO BE AROUND. I FUNCTION REALLY CAREFULLY WITH THE WORKPLACE OF THE LEGAL AUDITOR AND HAD NUMEROUS MEETINGS LAST BIENNIUM WITH >> BOTH PEOPLE TO WORK ON THE DATABASE; AGAIN THE
HEALTH STRATEGY; THE WORKPLACE OF WELLNESS ECONOMICS. ALL THOSE PARTIES WERE ASSOCIATED WITH THIS DISCUSSION THIS A REALLY GENUINE EFFORT TO OBTAIN AT NONPARTISAN INFORMATION ON An ITEM OF THIS PUZZLE.THE MODIFICATION ALSO CALLS OUT LEGISLATIVE AUDITOR AND ALSO AGREEMENT WITH ANOTHER PERSON ENTITY F OR TECHNOLOGICAL AID TO CONDUCT A RESEARCH STUDY AND ALSO ALSO SUGGEST THEY WILL CERTAINLY GATHER THE INFO FROM ALL THESE AREAS GROUPS IN ORDER TO PROVIDE US A TOTAL PICTURE. SO I SIMPLY DESIRED TO MAKE THAT CLEAR
TO MEMBERS. THANK YOU; MME. CHAIR. > > CHAIR LIEBLING: REPRESENTATIVE HALEY I WOULD JUST SAY; ON THE UNDERLYING PROBLEM I SERIOUSLY VALUE YOUR EFFORT ON THIS DUE TO THE FACT THAT I BELIEVE YOU ' RE DEAD-ON. THIS HAS BEEN A PROBLEM FOR A WHILE AS WELL AS WE DO DEMAND TO I ASSUME I SORT OF UNDERSTAND WHY THE RATES ARE VARIOUS. >> I BELIEVE IT WOULD BE TRULY GREAT TO WORK; I ASSUME; WITH THE HEALTH ECONOMICS SECTION AS WELL AS GET SOMETHING EVEN MORE CLEAR-CUT AROUND THAT. I DON ' T OPPOSE THAT WHATSOEVER. NEVERTHELESS; I BELONG TO THE LEGISLATIVE AUDIT COMMISSION; AS WELL AS I DO APPRECIATE REPRESENTATIVE LOEFFLER ' S COMMENTS ABOUT THAT. NOTWITHSTANDING THAT YOU COLLABORATE WITH THE AUDITOR; THIS IS KIND OF SOMETHING THAT HAS BEEN JUST SO MEMBERS UNDERSTAND THE LEGAL AUDIT PAYMENT HAS MEMBERS FROM BOTH EVENTS AND ALSO BOTH BODIES ON IT. AND ALSO WE PLACE IN QUITE A LITTLE BIT OF TIME FROM FUNCTION AS WELL AS WE ARE'INTENDED TO SUPERVISE THE LEGAL AUDITOR AS WELL AS WE HAVE A PROCESS BY WHICH TOPICS ARE SELECTED.THE REALITY THAT THE AUDITOR HIMSELF WILL CERTAINLY SOMETIMES COLLABORATE WITH MEMBERS TO PUT REGULATIONS WITH EACH OTHER COME I THINK THERE ' S A WIDESPREAD REALLY FEELING THAT UTILIZING THE AUDITOR OUTSIDE THE PROCESS OF THE AUDIT COMMISSION IS REALLY NOT TO MAYBE THE WORD INAPPROPRIATE IS A LITTLE TOO SOLID BUT IT ' S NOT THE DIRECTION WE MUST BE GOING BECAUSE IF YOU ARE GOING TO DO THAT CURRENTLY HIM SIMPLY REPLY TO ONE-OFF REGULATIONS IT ' S BEEN DONE. I WEAR ' T WANT TO PULL YOU OUT FOR THIS SINCE IT ' S BEEN DONE BEFORE AND ALSO WHENEVER IT IS DONE IT IS COMMENTED UPON AND ALSO SOMETHING THAT WE TYPE OF NEEDS TO NOT BE DOING BECAUSE WE'HAVE A PROCEDURE FOR GUIDING HIS WORK. AS A MATTER OF FACT; I SIMPLY OBTAINED THE WHEN THE OPTIONS ARE MADE; THE AUDIT; THE TEAM OFFERS US METRICS ABOUT HOW YOU SEE THINGS ARE EXAMINED'AND WHETHER THERE ' S RELATED IN'THE RANGE OF THEIR ABILITY TO DO. AND ALSO ALL TYPE OF WORK IS DONE AROUND WHICH THINGS ARE THE VERY BEST THINGS TO CHOICE FOR TOPICS FOR THE AUDITOR. SO I WOULD ASK MEMBERS TO OPPOSE THE CHANGE. ALTHOUGH I ABSOLUTELY WOULD PERSONALLY ENJOY TO HELP YOU IN GETTING INFORMATION; IDENTIFYING WHO MUST DO THIS WORK THEREFORE'ON; AND SO I DO THINK THAT IS A DESERVING EFFORT.WITH THAT I WOULD ASK MEMBERS TO OPPOSE THE MODIFICATION. SO ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOES NOT PREVAIL.THE MODIFICATION IS NOT ADOPTED. >> > > [GAVEL]> > > CHAIR LIEBLING: WE ARE ON TO THE A- 28. REPRESENTATIVE GRUENHAGEN. >> > > REPRESENTATIVE GRUENHAGEN: MME. CHAIR I MOVE THE AMENDMENT A- 28. IT BASICALLY IT DELETES An AREA CONCERNING FEES FOR HEALTH CARE COMPANIES TO REQUEST WAIVERS O F NETWORK ADEQUACY.THE ONLY REMARK I WILL CERTAINLY MAKE IS YOU PUT ON ' T LOWER HEALTH CARE SETS YOU BACK'BY INCREASING TAXES AND ALSO FEES ON HEALTH AND WELLNESS INSURANCE COVERAGE INDUSTRY. WITH THAT SAID MME. CHAIR I WILL CERTAINLY WITHDRAW THE A- 28 > > CHAIR LIEBLING: EXISTS ANY DISCUSSION> I ' M SORRY. THE A-28 IS WITHDRAWN'. THE A- 17. REP GRUENHAGEN. >> > > AGENT GRUENHAGEN: THANKS; MME. CHAIR. I MOVE THE A- 17. IT BASICALLY RESOLVES THE SECTION OF THE COSTS WHERE THE ATTY. GEN. HAS THE ABILITY TO EVALUATION MEDICAL CARE CONVERSION WERE RELOCATING WHICH OUTCOMES IN MOVING MOVING CASH AROUND YOU BELIEVE WE HAD TESTIMONY RIGHT HERE ABOUT THAT AS WELL AS MME. CHAIR COME I DO HAVE ONE PRAISE ABOUT YOUR EXPENSE. I WAS GOING TO SAY THAT IF YOU ACCEPT WHEN MY AMENDMENTS IF YOU APPROVE THIS ARE SHOWN TO YOU. >> >> > > > > [CHUCKLING]>. > > CHAIR LIEBLING: AGENT GRUENHAGEN THAT IS REALLY TEMPTING. >> >> > > > > [GIGGLING]>. > > CHAIR LIEBLING: PLEASE CONTINUE >> > > REPRESENTATIVE GRUENHAGEN: THANK YOU; MME. CHAIR. WHAT WE HAVE HERE MEMBERS AND IN THE TARGET MARKET YOU HAVE THE GOVERNMENT ENFORCING THE ATTY.GEN.

WITH A SLEDGEHAMMER OF THE RISK OF LAWSUITS FOR CHARGES INTO An EXCLUSIVE COMPANY. I RECOGNIZE THESE PARTICULAR BUSINESSES DEAL WITH THE GOVERNMENT AND TO OBTAIN SUBSIDIES BUT THEY SHARE THEIR MOTION AND ALSO THEIR CONVERSION; THE MEDICAL INSURANCE BUSINESS; WITH THE STATE OUT OF COURTESY. RATHER THEY OBTAIN HAMMERED WITH THIS. ONCE MORE; YOU OPEN THIS DOOR WITH THE ATTY. GEN. GETTING INTO THESE PRIVATE BUSINESSES DECISIONS BUT THAT IS SIMPLY THE BEGINNING. PRETTY SOON THEY WILL CERTAINLY BE JUST AS WELL AS COMPANIES THAT USE STATE AIDS THEY WILL CERTAINLY ENJOY EVERY SERVICES AND ALSO RATHER SOON YOU HAVE THE ATTY. GEN. RUNNING THE STATE. AND THREATENING BUSINESS WHICH IS GOING TO PUT A CHILL ON DEVELOPMENT BELOW OR EVEN BUSINESSES UPCOMING TO THE STATE. SO I HIGHLY SUPPORT THE MODIFICATION THAT WOULD ERASE THE AREA THAT ALLOWS THE ATTY. GEN. TO OBTAIN ENGAGED IN HIS PRIVATE SERVICES CHOICE. ONCE MORE WE ARE NOT GOING TO CONCUR WITH EVERY DECISION I MAKE BUT AT THE VERY LEAST PROVIDE THEM THAT FREEDOM TO MAKE THOSE DECISIONS AS THEY CONTAINER GO OUT OF BUSINESS.AGAIN FEDERAL GOVERNMENT CANS. THAT ' S THE UNFORTUNATE SITUATION WE FIND OURSELVES IN. SO MME. CHAIR I ADVISE ASSISTANCE OF THE CHANGE. >> > > CHAIR LIEBLING: REP SCHULTZ >> > > REP SCHULTZ: MEMBERS; I PROMPT A NO BALLOT ON THE CHANGE. WE FUNCTIONED TRULY DIFFICULT WITH A KIND OF BUSINESS AND THE AG'' S WORKPLACE TO COME UP WITH LANGUAGE WHEN THE REPUBLICAN POLITICIANS PASS REGULATION 12 FOR-PROFIT WELLNESS INSURANCE POLICY BUSINESS TO RUN IN MINNESOTA. HE SUPPLIED NO STANDARDS FOR WHO ARE IF A PLAN WOULD CONVERT FROM NONPROFIT AS WELL AS FOR-PROFIT STATED THEY HAVE A LOT OF RESERVES AS WELL AS THEY HAVE [INAUDIBLE] DUE TO THE FACT THAT THEY WERE NONPROFIT WE NEED TO SECURE THE PROPERTIES THAT ARE PRODUCED FROM TAXPAYER FUNDING. AND ALSO STATE FINANCING. SO IT'' S SIMPLY SENSIBLE THAT THE STATE WOULD REVIEW POSSIBLE CONVERSIONS TO PROTECT TAXPAYER POSSESSIONS; COMMUNITY POSSESSIONS; WHEN THEY DO CONVERT.SO IT ' S SIMPLY SOME OVERSIGHT FOR THOSE CONVERSIONS. >> > > CHAIR: REPRESENTATIVE GRUENHAGEN >> > > REPRESENTATIVE GRUENHAGEN: THANKS; MME. CHAIR. I APPRECIATE THAT PERSPECTIVE REP SCHULTZ THAT I WOULD STRONGLY DIFFER THEY ALREADY HAVE HUNDREDS OF GUIDELINES AND ALSO LEGISLATIONS THAT MICROMANAGE WHAT THEY DO. WE DON'' T NEED THE ATTY. GEN. BECOMING A BOARD PARTICIPANT BASICALLY; WITH THEIR ORGANIZATION. PLEASE; ASSISTANCE THE AMENDMENT >> > > CHAIR LIEBLING: REP MANN >> > > REP MANN: THANKS; MME. CHAIR. SO WE DID YOUR STATEMENT THAT WE ARE TESTAMENT THAT INSURANCE COMEDIES OF $175 COUNTLESS STATE CASH WALKED AROUND TO ANOTHER STATE EVEN. AS USUAL; THIS DISCUSSION HIGHLIGHTS WAS MISDOING WITH HEALTHCARE SYSTEM. IS THAT WE CHERISH AND ALSO WE PUT PROFITS AS WELL AS CASH OVER PATIENT TREATMENT. WE ARE LEADING FIRMS TAKE MONEY OUT OF THE STATE OUT OF OUR TAXPAYER POCKETS AND DO WHATEVER THEY WANT WITH IT.THIS AMENDMENT IS PHRASE; THAT'' S ALRIGHT YOU CANISTER KEEP DOING IT. WE ARE NOT GOING TO SAY ANYTHING ABOUT IT. I ADVISE A NO VOTE ON THE AMENDMENT AS WELL AS I WOULD REQUEST A ROLLCALL. >> > > CHAIR LIEBLING: ROLLCALL HAVING BEEN REQUESTED; FINAL REP ZERWAS. >> > > REPRESENTATIVE ZERWAS: THANKS; MME. CHAIR. I JUST WISHED TO ENSURE THAT WE'' VE ACCURATE INFO AROUND. WHILE CERTAINLY CASH WAS RELOCATED AROUND I N SOME SIGNIFICANT QUANTITY OF CASH WAS RELOCATED TO AN ENTITY OUT OF THE STATE; I THINK IT'' S OVERLY WIDE AND ALSO ENCOMPASSING TO SAY IT WAS THAT'' S A TOTAL OF THE CASH WAS STATE CASH. CERTAINLY THERE ARE OTHER CLIENTS AND COSTS PAPERS THAT PAID IN TO THOSE INSURANCE POLICY PROVIDERS AND ALSO ALL THE CASH THAT WAS MOVED WAS SPECIFY CASH OR TAX MONEY.I THINK AN OVERLY BROAD DECLARATION AS WELL AS JUST WANT TO TYPE OF FAUCET THE BRAKES ON IT JUST A LITTLE LITTLE BIT. > > CHAIR LIEBLING: WILL CERTAINLY W E DON >> ' T KNOW. THAT ' S SORT OF THE TROUBLE I ASSUME. THERE BEEN NO FURTHER CONVERSATION; THE STAFF WILL CERTAINLY TAKE THE ROLL ON THE AMENDMENT. >> > > PERSONNEL: LIEBLING NAY; SCHOMACKER AYE; ACOMB TO NAY; BAKER AYE; NOOR [FAINT] CANTRELL NAY; FRANSON AYE; GRUENHAGEN AYE; HALEY AYE; HALVERSON NAY; HAMILTON'' S PRE-; KUNESH-PODEIN NAY; LOEFFLER NAY; MANN NAY; BAHR NAY; MUNSON AYE; NOOR NAY; OLSON NAY; >> SCHULTZ NAY; ZERWAS AYE; > > CHAIR LIEBLING: THERE BEING THE SEVEN AYES AS WELL AS 12 NAYS MOTION DOES NOT PREVAIL.THE MODIFICATION IS NOT EMBRACED > > [GAVEL] > > CHAIR LIEBLING: O.K.. WHERE ARE WE RIGHT HERE? WE JUST DID 17. AND NOW WE ' RE DOING THE A-15 CHANGE. ANOTHER ONE FROM REPRESENTATIVE GRUENHAGEN. THE A-15 REPRESENTATIVE GRUENHAGEN > > AGENT GRUENHAGEN >>: I MOVE THE A-15 MME. CHAIR. WHAT THIS CHANGE DOES; IT TALKS ABOUT THE DIVISION OF BUSINESS WANTING TO REVERT TO NONPROFITS ONLY. SEVERAL SESSIONS AGO OR NUMBER OF PROCEDURE AGO; WE PASSED THE GOVERNOR OF THE STATE AUTHORIZED THE PERMITTED FOR-PROFIT HEALTH INSURANCE POLICY FUNNIES TO AGAIN MARKET IN THE STATE OF MINNESOTA. THAT PAST AGAIN GOV. DAYTON ASSIGNED IT SO IT WAS A BIPARTISAN EXPENSE. BELOW WE INTEND TO GO BACK TO LESS COMPETITION AND ALSO WITH LESS COMPETITION YOU HAVE A TENDENCY TO OBTAIN RISING PREMIUMS. I DO INTEND TO PROTECT REVENUE MOMENTARILY. PROFIT OBTAINS DEMONIZED. REVENUE IS AN MOTIVATION TO DO THINGS SUCCESSFULLY. I SUGGEST; AGAIN; NOT EXCESSIVE EARNINGS AND ALSO A LOT OF EXCESSIVE EARNINGS IS AVAILABLE IN CONNECTION TO COMPANIES TO COLLABORATE WITH GOVERNMENT AIDS. THAT'' S WHAT YOU GET EXCESSIVE EARNINGS. BUT THE AVERAGE COMPANY AROUND THAT IS FOR-PROFIT FUNCTIONED EXTREMELY TOUGH AND ALSO DILIGENTLY TO BE EFFICIENT AS WELL AS SEE TO IT THAT An EARNINGS CANISTER BE >> > > CHAIR LIEBLING: REP GRUENHAGEN I DO INTEND TO INTERRUPT YOU BUT TO THE CHANGE >> > > REPRESENTATIVE GRUENHAGEN: ALL RIGHT.MY FACTOR IS SIMPLY THIS WE INTEND TO KEEP FOR-PROFIT FIRMS IN THE STATE OF MINNESOTA. SO THIS AMENDMENT WOULD REMOVE THAT SECTION IN YOUR COSTS. KEEPING THAT I WILL MOVE THAT AMENDMENT AS WELL AS ADVISE A YES VOTE. > > CHAIR LIEBLING: IS THERE ANY OTHER CONVERSATION TO THE A-15 MODIFICATIONS? AGENT HALVERSON > > AGENT HALVERSON >>: THANKS; MME. CHAIR. OF MINNESOTA HAS BUILT A REALLY STRONG HEALTHCARE SYSTEM BY REQUIRING OUR HMOS TO BE NOT-FOR-PROFIT AND ALSO THIS IS AN VITAL DIFFERENCE IN MINNESOTA MEDICAL CARE. IT HAS MEANT THAT MINNESOTA HEALTH CARE PREMIUM DOLLARS HAVE MOSTED LIKELY TO CARE AND IT HAS NOT GONE TO INVESTORS. IT HAS ACTUALLY NOT MOSTED LIKELY TO PEOPLE INVEST IN THE FIRM. THAT ' S ESSENTIAL IN MINNESOTA AND IT ' S PROVIDED EXTREMELY MAJOR COMPETITORS AMONG HMOS IN MINNESOTA.WE HAVE AVOIDED THE LOAN CONSOLIDATION THAT STATES HAVE SEEN WHERE LARGE FOR-PROFIT FIRMS COME IN BY A SERVICE WITH [FAINT] COLLAPSE SMALL IN STATE INTENDS; AS WELL AS DECREASE COMPETITION; NOT INCREASE COMPETITION. INCREASING COMPETITORS IN WELLNESS INSURANCE COVERAGE IS TYPE OF AN INTERESTING CONCEPT BECAUSE YOU REQUIRED A PARTICULAR AMOUNT OF COVERED [INAUDIBLE] IN ORDER TO EARN A PROFIT AND WE ONLY HAVE 5 MILLION PEOPLE TO COVER. IT ' S NOT A BIG SUFFICIENT POPULATION. IN REALITY UNITED HEALTHCARE SIMPLY TOOK OUT OF IOWA COME OUT OF THE GENERAL PUBLIC PROGRAMS SINCE THEY WERE NOT EARNING A PROFIT. THEY ENTERED AS WELL AS BOUGHT A BUSINESS AS WELL AS NOW LEFT A WHOLE LOT OF INDIVIDUALS UNINSURED. THE OTHER THING WE HAVE SEEN WITH THE FOR-PROFIT AND ALSO UNITED HEALTHCARE TEAM HAD A JUDGMENT VERSUS NINE PROTECTION DENYING COVERAGE FOR MENTAL HEALTH SOLUTIONS. IN ORDER TO MAKE A REVENUE THEREFORE THE COURTS OF HAD TO GET INVOLVED WITH RESPECT TO THIS. HAVING A MINNESOTA BASED ON PROFITS HAVE BEEN A REALLY ESSENTIAL DISTINCTION.IF YOU INTENDED TO TELEPHONE CALL CLIENT SERVICE FROM MINNESOTA HEALTH INSURANCE PLAN YOU WISHED TO SPEAK WITH MINNESOTA AND COULD LIKE I CLAIMED PRIOR TO I CONSTANTLY UNDERSTAND

SPEAKING TO MINNESOTA CUSTOMER CARE REPRESENTATIVE WHEN I SURVIVED ST. CROIX TRITON AND A NEW HOW TO SAY ST. CROIX. IT WAS ADDITIONALLY POINT OF DIFFERENCE BUT THIS HAS TO DO WITH MINNESOTANS BUT IT ' S ABOUT SEEING TO IT THAT WE ASSISTANCE MINNESOTA BUSINESS. WE SUPPORT THE HANDS COMPETITION WE HAVE IN OUR NONPROFIT MEDICAL CARE SYSTEM AND I DEFINITELY OPPOSE'THE AMENDMENT. > > CHAIR LIEBLING: REPRESENTATIVE HALEY. > > REP HALEY: THANKS; MME. CHAIR. PARTICIPANTS; I OFFER ON THE COMMERCE COMMITTEE AND MY NOT CORRECT THIS PAST OF COMMERCE;> I THINK? MAYBE AGENT HALVERSON CONTAINER CLEAR UP? I SEE THE INTENT OF THIS AS CONFERENCE TO OTHER GOALS WHICH IS ENSURING ACCESSIBILITIES AND MAKING CERTAIN REASONABLE COST. THAT ' S WHAT WE ARE WANTING TO ACCOMPLISH BELOW. > > CHAIR LIEBLING: AGENT HALVERSON. > > REPRESENTATIVE HALVERSON: MME. CHAIR; MAYBE > > CHAIR LIEBLING: MAYBE I COULD RESPONSE THAT'SINCE IT WAS MY EXPENSE IT WAS ATTACHED TO>. THIS DOES NOT LOOK LIKE THE EXACT SAME AS WHAT GOT ON THE COSTS AT ONE TIME. IT JUST TURNED OUT NOT> TO BE WORKABLE. ALLOW ME TO SIMPLY SAY THIS. TH IS IS THIS EFFORT TO SAY; LET ' S NOT STOP THE FOR-PROFITS AS WELL AS LET ' S UNLESS WE CAN PROVE THAT THEY WILL CERTAINLY DO POOR THINGS.WELL I WOULD SAY WE HAVE HAD NONPROFITS ONLY FOR SEVERAL YEARS IN THE STATE. I DON ' T KNOW; MAYBE AGENT HALVERSON RECOGNIZES HOW MUCH BACK THIS GOES BUT I STATE THE PROBLEM GETS ON THE PERSON

INTENDS TO MAKE A CHANGE IN THE MODIFICATIONS BRINGING IN THE FOR-PROFITS THAT IS WHERE WE OUGHT TO OF HAD THIS TYPE OF RESEARCH PRIOR TO LICENSING FOR-PROFITS NOT NOW WE NEED TO SAY WAIT; HANG ON. IT ' S EARLY TO PERFORM THAT. THIS THERE MUST HAVE BEEN SOME TYPE OF PROVING THIS WAS An ADVANTAGE AND I; HONESTLY; DON ' T REMEMBER MUCH DISCUSSION AT ALL ON THIS CHOICE. MAYBE SOME OF YOU DO BUT I ABSOLUTELY WEAR ' T REMEMBER IT. SO THAT IS WHY I DEFINITELY OPPOSE THE AMENDMENT YOU REPRESENTATIVE CANTRELL > > REP CANTRELL: THANK YOU; MME.CHAIR. I CONCUR WITH YOU'DEFINITELY. MINNESOTA WE HAVE BETTER NONPROFITS HEALTH AND WELLNESS INTENDS BECAUSE HMOS WERE FIRST AUTHORIZED IN 1973. > >> CHAIR LIEBLING: THANK YOU REP CANTRELL. AGENT HALVERSON THAT WHAT YOU ARE GOING TO SAY? > > REPRESENTATIVE HALVERSON: I WAS GON NA SAY LONG TIME SO THANK YOU REPRESENTATIVE CANTRELL. > > > > > > [LAUGHING] > > CHAIR LIEBLING: REPRESENTATIVE GRUENHAGEN > > REP >> GRUENHAGEN: I WOULD JUST REMIND PARTICIPANTS > > HOME AUDIO SPEAKER HORTMAN: I WOULD REMIND MEMBERS ALL >> >> WE DO IS CRITICIZE NONPROFITS APPEAR AS WELL AS CONSIDERING THAT I SOLD WELLNESS TREATMENT REP CANTRELL IS >> CORRECT GIVEN THAT 1973 AS WELL AS WAS SUPPOSED TO BE THE END-ALL BE-ALL FOR >> MEDICAL INSURANCE AND FOR THE MEDICAL SECTOR. IT ENDS UP IT HAS NOT BEEN. BY CHASING; TO CHASING COMPETITION OUT THINGS HAVE GOT WORSE NOT BETTER. SO MME. CHAIR WE CAN MANAGE COMPANIES BUT WE HAVE RULE ABOUT THAT TURN UP FOR-PROFIT AND NONPROFIT. WE DON ' T REQUIRED TO EXCLUDE THEM FROM THE MARKET. THESE ARE CHOOSE THE CHANGES. > > CHAIR LIEBLING: ALL RIGHT.ALL THOSE IN SUPPORT SAY; AYE. [CAROLERS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT DOES NOT PREVAIL. THE MODIFICATION IS NOT EMBRACED. > > [GAVEL] > > CHAIR LIEBLING: >> REPRESENTATIVE ZERWAS THE A-19-0419. > > REPRESENTATIVE ZERWAS: THANK YOU; MME. CHAIR. MEMBERS; WITHIN THIS COSTS WHEN IT COMES TO THE ONE TREATMENT PROPOSITION THIS EXPENSE OFFERS THE COMMISSIONER OF WELLNESS >> THE CAPACITY TO UNILATERALLY TO MODIFICATION ONE CARE REPAYMENT FEES. THIS IS SOMETHING THAT THE MINNESOTA MEDICAL FACILITY ASSOCIATION AFFIRMED ABOUT DURING THE REMARKS FROM THE WAS CONCERNED ABOUT THAT. I; TOO; HAVE CONCERN THE CONCEPT THAT WE AS A LEGISLATURE WOULD HAND OVER OUR CAPABILITY AS WELL AS RESPONSIBILITY TO BE INVOLVED WITH AS WELL AS AID COLLECTION COMPENSATION FEES. THERE IS An INCREDIBLE QUANTITY OF CONCERN FROM THE PROVIDER NEIGHBORHOOD. DEFINITELY WITH THE COUNTRY MEDICAL FACILITIES AND WHAT CHANGE A CONSIDERABLE MODIFICATION IN THE PAYER MIX MAY RESEMBLE FOR THE FINANCIAL PRACTICALITY OF RURAL HOSPITALS AS WELL AS COUNTRY CARRIERS. SO PEOPLE ARE EXTREMELY NERVOUS WITH THE CONCEPT THAT WITHOUT LEGISLATIVE AUTHORIZATION THAT THE COMMISSIONER COULD UNILATERALLY MAKE THESE PRICE ALTERS ONCE THE ONE TREATMENT SYSTEM IS IMPLEMENTED. SO MY CHANGE MME. CHAIR; WOULD ALLOW THE LEGISLATURE TO HAVE EXPLICIT LEGISLATIVE AUTHORIZATION PRIOR TO RATES AND ALSO ADVANTAGES ARE TRANSFORMED WITHIN THIS NEW SYSTEM.WE HAVE BEEN ELECTED BY 35; 37; 000 MINNESOTANS TO STAND FOR OUR NEIGHBORHOODS. WE HAVE 201 MEMBERS OF THE LEGISLATURE STANDING FOR ALL 87 COUNTIES COULD I BELIEVE THAT IS ONE OF THE MOST APPROPRIATE; THE MAJORITY OF EQUITABLE; AND ALSO MANY RESPONSIVE WAY TO ADDRESS THESE KINDS OF CONCERNS AND ALSO PROBLEMS AND ALSO NOT PUT THAT KIND OF CAPABILITY AS WELL AS CONTROL INTO THE HANDS OF ONE INDIVIDUAL. THERE IS A WHOLE LOT OF ENTITIES REALLY NERVOUS AS THE STEP GOES FORWARD WITH A MODIFICATION IN WHAT THE MAKEUP OF THE MEDICAL CARE SHIPMENT SYSTEM MAY RESEMBLE IN 2022. HAVING United States REPOSSESS SOME OUR LEGISLATIVE CONTROL I BELIEVE IS A VERY FIRST STEP IN TELLING FOLKS THAT ARE REALLY NERVOUS ABOUT THIS THAT WE ARE BEING RESPONSIVE TO THEIR CONCERNS AND THAT WE REMAIN IN THIS INSTANCE LISTENING TO THEIR CONCERNS.THANK YOU; MME. CHAIR. BE CHILLY THANK YOU REPRESENTATIVE ZERWAS. CONVERSATION TO THE MODIFICATION? AGENT LOEFFLER > > AGENT LOEFFLER: THANK YOU; MME. CHAIR. PARTICIPANTS I THINK IT ' S IMPORTANT TO NOTE THAT THE UNDERLYING BILL OFFERS PUBLIC NOTICE AND ALSO POSSIBILITY TO RESPOND AS WELL AS I ' M NOT SURE PEOPLE FULLY COMPREHEND JUST HOW MUCH WORK THIS WOULD BE IN A LACK OF PROFICIENCY IT WOULD OFFER THE DISCUSSION. HAVING ACTUALLY ONCE EVALUATED EVERY ONE OF THE RESPONSES TO A DHS >> OR PMI OTHER WORK I TIN TELL YOU IT ' S A SUPPLY SUCH AS THIS IN RESPONSES AS WELL AS YOU WOULD BE HEARING FROM An ENTIRE LOT OF INDIVIDUALS ABOUT REALLY DETAILED ACTUARIAL ANALYSIS AND ALSO CONCERNS AS WELL AS I ' M UNSURE THAT ANY ONE OF United States BRING THE EXPERTISE TO THAT LEVEL COULD I DEFINITELY PUT ON ' T AND ALSO I RECOGNIZE ANY INDIVIDUAL AROUND THIS TABLE WOULD EVER INTEND TO OFFER ON HEALTH AND HUMAN SERVICES IF WE SETTLED ENDED UP BEING THE RATESETTING REVIEW AGENCY. > > CHAIR LIEBLING: THANKS REPRESENTATIVE LOEFFLER.OTHER DISCUSSION TO THE AMENDMENT? I WOULD ASK YOU REPRESENTATIVE ZERWAS; TO EXPLAIN WHAT RECEIVING EXPLICIT LEGISLATIVE AUTHORIZATION WOULD MEAN IS IT ON YOUR MODIFICATION REPRESENTATIVE JONES WAS > > REPRESENTATIVE ZERWAS: THANKS; MME. CHAIR. I THINK THAT ' S THE TRICK HERE. I ' M NOT SEARCHING FOR A RATESETTING METHOD MME. CHAIR THAT WOULD HAVE United States SETTING INDIVIDUAL INVOICING CODE REIMBURSEMENT FEES.

WHAT I AM SEARCHING FOR IS THAT THESE PROPOSED RATE CHANGES AND CERTAINLY SIGNIFICANT RATE CHANGES MAY BE EFFECT HOSPITAL COMPENSATION FEES; THAT THEY WOULD PERTAIN TO THE LEGISLATURE AS A COMPONENT OF THE HHS >> ALLOCATE AUTHORIZATION. I KEEP IN MIND VERY CLEARLY MME. CHAIR; IN 2013 IN MY FRESHMAN YEAR; An EXTENDED AND ENGAGED DISCUSSION AROUND HOSPITAL REIMBURSEMENT FEES AND PROPOSE CHANGES TO HEALTHCARE FACILITY COMPENSATION FEES. DURING THAT TIME FORMER REPRESENTATIVE FROM BURNSVILLE WAS TRYING TO SUGGEST A QUITE CONSIDERABLE CHANGE IN PROSPECTIVE CUT TO HEALTH CENTER REIMBURSEMENT AND ALSO I THINK THE DISCUSSION TOOK PLACE FOR A FEW HRS ASKING IF THAT MEMBER HAD ACTUALLY EVEN CALLED HIS HEALTH CENTER MANAGER OR OTHER MEDICAL FACILITY MANAGERS CONCERNING THE SUGGESTED MODIFICATION TO THE MEDICAL FACILITY REIMBURSEMENT RATES.SO I THINK IT HAS BEEN AS WELL AS IS OUR TECHNIQUE TODAY 12 IS VERY ROBUST DISCUSSIONS ABO UT REIMBURSEMENT RATES. CERTAINLY; WHEN IT CONCERNS HEALTHCARE FACILITY REPAYMENT FEES IN OUR CRITICAL ACCESSIBILITY HOSPITALS THROUGHOUT THE STATE. MY UNDERSTANDING IS THAT THIS WOULD TAKE A GREAT DEAL OF THAT AWAY AND PUT IT INTO THE HANDS OF THE COMMISSIONER. I WEAR ' T THINK THAT ' S AN IDEAL MOVE AND IT CERTAINLY A RELOCATION MME. CHAIR; THAT AS THE CARRIER VERY NERVOUS. > > CHAIR LIEBLING: OTHER CONVERSATION? I JUST WOULD NOTE THAT THE CHANGE AS IT IS DRAFTED GETS RID OF THE GENERAL PUBLIC NOTICE AND OPPORTUNITY FOR PUBLIC REMARK AND ALSO CHANGES IT WITH THIS SPECIFIC LEGISLATIVE APPROVAL. SO THERE ' S NO OTHER COMMENTS ASHES I WOULD ADD I OPPOSE THE MODIFICATION AGENT ZERWAS > > AGENT ZERWAS: MME. CHAIR WHAT WE DO IS THAT'IT BACK TO STATUS IN THE ADJUSTMENTS THE HEALTHCARE FACILITY REIMBURSEMENT RATES BELONG TO An ITEM OF LEGISLATION THAT

>> WOULD GO TO THE LEGAL PROCESS; AS IT DID IN THE DISPUTE I REFERENCED IN 2013. IT ' S GONE OVER AS WELL AS DEBATED OPENLY AND ALSO OPENLY IN EVERY BUDGET PLAN YEAR RIGHT HERE AT THE FUNDING. SO IT WOULD NOT BE REMOVING THE PUBLIC NOTIFICATION THAT IS CURRENTLY IN LOCATION BUT IT WOULD BE KEEPING THE RATESETTING >> PRACTICE THAT THIS LEGISLATURE FOLLOWS TODAY IN POSITION. > > CHAIR LIEBLING: VARIOUS OTHER COMMENTS? I WOULD ASK MEMBERS TO OPPOSE THE MODIFICATION. ALL THOSE IN FAVOR SAY; AYE. [CHORUS OF AYES.] THOSE OPPOSED SAY; NAY. THE ACTIVITY DOES NOT PREVAIL. THE MODIFICATION IS NOT TAKEN ON. > > [GAVEL] > > CHAIR LIEBLING: I ASSUME WE HAD GOT TO POSSIBLY WHERE WE HAD PAUSE.SO THE NEXT BATCH WILL BE; THE A-37. AGENT GRUENHAGEN. THE A-69 REP HALEY. A-46 REPRESENTATIVE HALEY. >> THE A- 47 REPRESENTATIVE GRUENHAGEN. A-31 AGENT SCHOMACKER. AND ALSO THE A-76 BE ASSOCIATE HE LOEFFLER REP LOEFFLER BUT LET ' S SEE IF WE OBTAIN TO THAT SET. SO THE A-37 WILL CERTAINLY BE NEXT WHICH IS REPRESENTATIVE GRUENHAGEN. > > REP GRUENHAGEN: THANKS; MME. CHAIR. I MOVE THE A-37 AMENDMENT.

WHAT THE CHANGE DOES IS TO HAVE A SINGLE-PAYER ANALYSIS ON THE LIKELIHOOD THAT A SOLITARY PAYER SYSTEM WILL CERTAINLY PRODUCE A TWO-TIERED HEALTHCARE SYSTEM. ONE FOR THE RICH AND BLESSED AND A SECOND RATE ONE FOR THE REMAINDER OF THE CITIZENS AS WELL AS CHILDREN OF THE STATE OF MINNESOTA. THE VERY BEST WAY TO ILLUSTRATE THIS IS WITH A CARDIOLOGIST DR. FROM CLEVELAND CLINIC WHEN >> THE MAJORITY OF POPULAR HEART DOCTORS CLINICS ON THE PLANET. I TAKE PLACE TO SIT BY THAT DR. ON A TRIP BACK FROM OUR VACATION IN FLORIDA SEVERAL YEARS EARLIER. I WAS READING A BOOK ON HEALTHCARE BY A DOCTOR WHO HAD BEEN A CANADIAN MEDICAL PROFESSIONAL WHO LEFT THE CANADIAN SYSTEM AS WELL AS CAME TO TECHNIQUE IN AMERICA BECAUSE HE WAS SICK OF THE GOVERNMENT INFORMING HIM IF WHEN AND ALSO HOW HE CANISTER TREAT HIS PATIENTS. > > CHAIR LIEBLING: AGENT GRUENHAGEN PLEASE STAY WITH THE CHANGE. > > REPRESENTATIVE GRUENHAGEN: I AM. THIS IS AN EXAMPLE. SO HE LEFT THE CANADIAN SYSTEM BECAUSE HE SAW A FEW OF HIS PEOPLE CHRONICALLY WORSE OR PERHAPS DIE. THIS CARDIOLOGIST I WAS CITY BY; WE HAD A CONVERSATION ABOUT SINGLE-PAYER AS OBAMA HAD OBAMA TREATMENT HAD ALREADY BEEN PASSED AND ALSO I ASKED HIM WILL CERTAINLY OBAMA CARE LEAD TO HEALTHCARE RATIONING AS WELL AS HE BEEN A CARDIOLOGIST FOR OVER TWENTY YEARS. HE SAID; ABSOLUTELY. I SAID WELL HOW ARE THEY CONTAINER I DO IT TO FOR YOUR SURGICAL PROCEDURE HE STATED WELL BEFORE I COULD DO A SURGICAL TREATMENT ON A CLIENT I HAVE TO HAVE EXAMINATION ON ON THEM TO SEE TO IT HE CAN SURVIVE THE HEART SURGERY.HE CLAIMED; THEY ARE NOT FAST AHEAD TO ME AND ALSO TELL ME I TIN NOT DO THE SURGICAL TREATMENT ON THESE INDIVIDUALS THAT NEED HEART CITY. BUT WHAT THEY WILL CERTAINLY DO; THEY WILL RESTRICT MY CAPABILITY TO OBTAIN EXAMINATIONS ON THESE INDIVIDUALS AS WELL AS TO LAY THOSE SOLUTIONS SO ULTIMATELY DELAY MY SURGICAL TREATMENT; MY PAIN SURGICAL PROCEDURE ON THOSE CLIENTS. HE CLAIMED THAT IS HOW IT ' S GOING TO BE DONE AND AFTERWARDS I ASKED HIM; WELL DO YOU BELIEVE THERE WILL BE EXEMPTIONS LIKE A BLACK MARKET OF MEDICAL CARE WHERE ABUNDANT AND ALSO PRIVILEGED PEOPLE BUT IN LINE AGAINST OTHER PEOPLE REQUIRED SURGERY.

HE CLAIMED; ABSOLUTELY. SO WE DEMAND AN EVALUATION THE EMPLOYEE GO DO WN THE ROADWAY OF SINGLE-PAYER THAT KIND OF HEALTHCARE DOESN ' T OUTCOME BELOW IN THE STATE OF MINNESOTA. MEMBERS; I HIGHLY ADVISE YOU TO SUPPORT THE A-370 MODIFICATION FOR YOUR OWN HEALTH AND WELLNESS TREATMENT FOR YOUR YOUNGSTERS AS WELL AS GRANDCHILDREN AND ALSO YOUR FAMILY MEMBERS LOVE ONES.THANK YOU; MME. CHAIR. > > CHAIR LIEBLING: REPRESENTATIVE SHOULD SCHULTZ BE SCHULTZ > > RESIDENCE AUDIO SPEAKER HORTMAN: I ADVISE MEMBERS TO VOTE NO ON THE AMENDMENT BECAUSE THEY ' RE NOT RECOMMENDING A SINGLE-PAYER SYSTEM AND ALSO I DISAGREE WITH THE PREVIOUS COMMENTS. > > CHAIR LIEBLING: ALL THOSE IN FAVOR SAY; AYE. [CAROLERS OF AYES.'] THOSE OPPOSED SAY; NAY. THE MOTION DOES NOT PREVAIL. THE AMENDMENT IS NOT ADOPTED. > > [GAVEL] > > CHAIR LIEBLING: WE WILL CERTAINLY GO TO; THAT WAS THE A-37. WE WILL >> GO TO THE A-69 REP HALEY. > > REPRESENTATIVE HALEY: >> > HOUSE SPEAKER HORTMAN: I MOVE THE A-69 MODIFICATION. THANK YOU; MME. CHAIR. PARTICIPANTS; THIS AMENDMENT WOULD MAKE THE ONE CARE PROPOSAL CONNECTING TO SINGLE DENTAL MANAGER THE STATE RAN PBM AND THE BUY-IN ALTERNATIVE SUBJECT TO FUTURE LEGISLATIVE IMPLEMENTATIONS. IN THE MEANTIME WE WOULD CALL FOR A REPORT TO ACTUALLY RESEARCH THE INFLUENCES OF THIS PROPOSITION WOULD BE. >> MODIFICATIONS IN THE ONE TREATMENT AIRPLANE ALL OF US >> KNOW ARE NOT GON NA HAPPEN QUICKLY SO I BELIEVE WE SHOULD TAKE A MOMENT TO MAKE SURE WE KNOW WERE >> GETTING OURSELVES INTO.IN PREVIOUS STATEMENT IN THIS COMMITTEE I ' VE ASKED IF ONE CARE PROPOSITION IS MOVING THE STATE INTO A POSITION OF THINKING ALL THE INSURANCE RISK AND THE ANSWER WAS; YES. I ' VE ASKED IF THERE WAS ANY ACTUARIAL EVALUATION DONE ON THE ONE CARE PROPOSAL. THE RESPONSE WAS; NO. I ' VE ASKED IF WE WOULD KNOW THE PRICES THAT INDIVIDUALS WOULD BE BILLED ON THE PLATINUM INTEND ON THE ONE CARE PROPOSITION AND ALSO THAT ANSWERS WE ARE NOT CERTAIN YET. AGAIN; THE PLANT WILL CERTAINLY BE IMPLEMENTED IN PHASES BUT NOT FULLY BUT FOR FOUR YEARS. SO WE HAVE THE MOMENT TO GET THIS RIGHT. I ' M PARTICULARLY CONCERNED ABOUT A SINGLE DENTAL ADMINISTRATOR PLAN. WE DON ' T KNOW WHAT THE FINANCIAL SAVINGS WOULD BE. WE DON ' T KNOW IF THE ADJUSTMENT WILL CERTAINLY BOOST THAT WERE POSSIBLY DECREASE ACCESS THAT WE DON ' T REALLY HAVE EVIDENCE OF DENTISTS THERE WILL CERTAINLY NOT BE SEEN EVEN MORE PUBLIC PROGRAM INDIVIDUALS WHETHER THEY SEEM ESSENTIALLY OF THEM.WE REALLY DON ' T KNOW THE OUTCOMES OF THAT RELOCATION. WE ALSO DON ' T KNOW HOW THE STATE WILL ADMINISTER THIS BUT WILL CERTAINLY IT THEY SENT A QUOTE OUT FOR A SINGLE ADMINISTRATOR; ETC. THEY SENT A BID OUT FOR A SINGLE ADMINISTRATOR; ETC. SO THOSE ARE SIMPLY SOME OF THE QUESTIONS WITH A SINGLE DENTAL ADMINISTRATOR SECTION OF THE ONE TREATMENT PROPOSITION. IN REGARD TO THE STATE OPERATED PBM PROPOSAL; THERE HAVE BEEN LOTS QUESTIONS ASKED. HOW DO WE KNOW THAT WILL LOWER PRICE? WILL THE STATE TRANSFERRED TO BRANDING DRUGS RATHER THAN LOWER-COST GENERIC BRANDS? WHAT WILL OCCUR TO THE DISCOUNTS? WILL THE STATE ITSELF BECOME THE PBM OR WITH An AGREEMENT THAT OUT?THESE ARE JUST A FEW OF THE NUMEROUS MANY INQUIRIES THAT WE HAVE WITH THIS PROPOSAL AND FOR THAT REASON I URGE YOUR ASSISTANCE OF THE CHANGE TO OFFER MORE RESPONSE TO THE LEGISLATURE IN ADDITION TO THE PEOPLE OF MINNESOTA.THANK YOU AND ALSO REQUEST FOR YOUR SUPPORT. > > CHAIR LIEBLING: EXISTS DISCUSSION TO THE CHANGE? I WOULD JUST SAY THAT REP HALEY; I ASSUME THAT A LOT OF THE CONCERNS SIMPLY POINTED OUT KIND OF HAVE BEEN RESPONDED TO BUT MAYBE NOT EACH AND EVERY SINGLE ONE BUT AMONG THE THINGS IS THAT SINCE WE HAVE TIME; FUTURE LEGISLATURE OR THIS LEGISLATURE NEXT YEAR CONTAINER ALWAYS AMEND THE REGULATION COULD CH ANGE THE TRAJECTORY AND ALSO SO ON. IT ' S NOT AS IF IT ' S GOING TO'BE UNABLE TO BE'IMPACTED AFTER THIS YEAR. SO I THINK THIS IS GOES A LITTLE BIT TOO MUCH IN THE DIRECTION OF PLACING THINGS BACK IN THE LEGISLATURES HANDS AS WELL AS THEY WOULD I THINK EFFECT THE CAPABILITY TO BEGINNING PREPARATION THAT NEEDS TO BE DONE WHICH IS AMONG THE FACTORS THIS IS OUT IN THE FUTURE. AS WELL AS I NEED TO SAY WHAT I ' VE STATED MANY TIMES BUT I PUT ON ' T LOVE THIS IDEA BECAUSE I BELIEVE THAT MAINTAINING THE PRIVATE MARKET; THAT'' S NOT MY GOAL.YOU BETTER BELIEVE I WILL BE WATCHING THIS POINT BECAUSE I'' M NOT JUST GIVING IT THE CARTE BLANCHE EITHER. I BELIEVE A LOT OF US WILL BE WATCHING TO SEE OTHERS DISMISS. THAT BEING STATED I WOULD ASK MEMBERS TO OPPOSE THIS CHANGE. VARIOUS OTHER CONVERSATION? I JUST ASK YOU FOR LAST WORD REP O REP HAGY GRUENHAGEN >> > > REPRESENTATIVE GRUENHAGEN: I BELIEVE'IT ' S AN SUPERB AMENDMENT. [FAINT] A PRIVATE COMPANY THAT COULD FAIL AND ASK AMENDMENTS WOULD NEVER MOVE AHEAD WITH THIS WITHOUT HAVING SOME OF THESE QUESTIONS ADDRESSED BUT GOVERNMENT THAT CANISTER CONFISCATE OTHER PEOPLE'' S MONEY TO TAXES; MOVES ON ON MATTERS THAT ARE NOT FULLY VETTED. WE DON'' T REALIZE THE IMPACT OF IT. THEY JUST RAKE ONWARD ANYHOW. SO I WOULD SAY HE REQUIRES MUCH MORE BETTING AND ALSO HIGHLY ENCOURAGE SUPPORT OF REPRESENTATIVE HALEY'' S AMENDMENT.
>> > > CHAIR LIEBLING: THANK YOU REPRESENTATIVE GRUENHAGEN. WERE EXPLAINING WITH REPUBLICAN POLITICIAN BULK DID ON FOR-PROFIT INSURERS AND ON REINSURANCE AND TRUTHFULLY; AT ANY MOMENT YOU DO A BIG CHANGE IS A POLICY ISSUE; BIG POLICY MODIFICATION; NEVER EVER EXACTLY KNOW WHAT'' S GOING TO HAPPEN. THAT ' S WHY YOU ALWAYS HAVE TO TWEAK THOSE THINGS THAT TOOK PLACE WITH EVERY LARGE PLAN. AND THE PROBLEM COMES WHEN YOU OBTAIN THESE POLITICAL STANDUPS AND AFTERWARDS YOU'' RE UNABLE TO UPDATE AND MODIFICATIONS YOU REQUIRED TO MAKE TO SEE TO IT THINGS WERE. SO THEY'' RE NOT ONLY TO THE IMPORTANT THINGS I JUST STATE REPUBLICAN POLITICIAN BULK DID SO I NEED TO SAY THE ASSISTED LIVING FACILITY VALUE-BASED REIMBURSEMENT IS ALSO SOMETHING THAT REQUIRES TO BE TWEAKED AS WELL AS ADJUSTED AND ALSO UNFORTUNATELY ON OFF-TOPIC I WON'' T SAY EVEN MORE ABOUT THAT BUT I JUST WANT TO SAY A MEMBERS WILL CERTAINLY OPPOSE THIS. THAT ' S BALLOT ON IT. SO -SORRY-REPRESENTATIVE HALEY I WISH TO OFFER YOU LAST >> WORD IS > > REP HALEY: THANK YOU

; MME.CHAIR. I JUST WISHED TO REPLY TO YOUR PREVIOUS COMMENT. IN ALL CHARGE REGARD; AGAIN THERE ARE LOTS OF RESEARCHES CALLED OUT IN THIS BILL THAT ARE ASKING FOR RESEARCHES. ONE REMEDY WHICH OPTION BEING A SOLITARY GOVERNMENT HEALTH INSURANCE PLAN. SO I THINK WE ARE CHATTING OUT OF BOTH SIDES OF HER MOUTH WHERE SOME RESEARCH STUDIES ARE EXCELLENT SINCE THE CONCENTRATE ON ONE SERVICE BUT OTHER RESEARCHES ARE NOT ALWAYS I WOULD IMPULSE MEMORIES TO ASSISTANCE THIS. IT DOESN'' T QUIT; TO YOUR POINT; DOESN ' T QUIT THE PROPOSITION FROM MOVING ON. IT SIMPLY AS A MATTER OF FACT GIVES United States EVEN MORE INFO AND ALSO THOROUGH INFO. INSURANCE POLICY IS FACILITY. AND ALSO NEEDS ACTUARIAL EVALUATION. WE DON'' T HAVE ANY IN ANY ONE OF THESE KEY COMPONENTS. THE DENTAL COMPONENT; THE ACTUAL INSURANCE POLICY RATES IN THE PLATINUM STRATEGY; NOR THE DRUG STORE ELEMENT THANKS SO MUCH FOR LONNIE THE FINAL WORD >> > > CHAIR LIEBLING:'I ' M GOING TO OPPOSE THE AMENDMENT.ALL THOSE IN SUPPORT SAY; AYE. [CHORUS OF AYES.] THOSE OPPOSED SAY; NAY. THE MOVEMENT DOES NOT PREVAIL. THE MODIFICATION IS NOT TAKEN ON. >> > > [GAVEL]> > > CHAIR LIEBLING: WE ARE ON THE A- 46 AS WELL AS AGENT HALEY THAT IS YOURS I BELIEVE. >> > > AGENT HALEY: SORRY MME. CHAIR I DID NOT REALIZE RESIDENCE UP NEXT AGAIN. I WOULD LOVE TO MOVE THE A- 46. NOW THIS MAY BE THE ONE THAT WE WILL ALL SUPPORT BEFORE WE ADJOURN TO SESSION. THE A- 46 WOULD FUND CONVENTIONAL RECOVERY GIVES THAT THE GOVERNOR'' S GUV ' S ADVISED DEGREES WITH THESE GRANTS WOULD HELP TRIBAL COMMITTEES SUPPLY TYPICAL RECOVERY METHOD AS WELL AS BOOST [INAUDIBLE] A GRANT CANISTER BE MANY INTERNET STEPS TO COMBAT OPIOID ABUSE IN OUR STATE. THE DE MODIFICATION TODAY IS LACKING IN FUNDING FOR OPIOID PREVENTION OVER THE FIRST YEAR BEFORE CASH WOULD END UP BEING OFFERED FROM THE FEES WE VOTED ON LEVY AGAINST THE OPIOID MANUFACTURE.I THINK THERE ' S
MONEY IN THIS EXPENSE THAT WE REALLOCATED FROM THE IT PROJECT AS WELL AS PUT OUR CASH IN THE DIRECTION OF WHAT WE UNDERSTAND ARE CONSIDERABLE PROBLEMS IN OUR TRIBAL COMMUNITIES WITH OPIOID DEPENDENCY AND ALSO WE LISTENED TO MUCH STATEMENT ABOUT THE RESULT IN THE REALLY FAVORABLE OUTCOMES THAT ORIGINATE FROM CONVENTIONAL HEALING APPROACHES. LASTLY ONCE MORE THIS WAS IN THE GOVERNOR ' S PROPOSITION AS WELL AS I YOUR SUPPORT. > > URGE YOUR ASSISTANCE. AND I WANT TO DEMAND A ROLLCALL. >> MAKE SURE THE ROLLCALL HAVING BEEN REQUESTED.REPRESENTATIVE OLSON > > AGENT OLSON: THANKS; MME. CHAIR. THIS WAS SUGGESTING THE GOVERNOR ' S SPENDING PLAN OUT OF THE >> OPIOID STEWARDSHIP ACCOUNT AND WITHIN THE OPIOID STEWARDSHIP ACCOUNT IN RESIDENCE SUBMIT 400 BEEN IN CONFERENCE GOING WITH QUITE A BIT OF LANGUAGE AROUND FUNDING FOR TRIBAL SPECIFIC DEAL WITH A GREAT DEAL OF LATITUDE ON THAT. SO WITH THIS EXPENSE I COMPLETELY SUSTAIN AS WELL AS I THINK ALL OF US COMPLETELY SUPPORT THE SUGGESTION OF TYPICAL RECOVERY BUT THIS ACTUALLY CUTS THE EXTREMELY DEPARTMENT THAT WOULD BE IN CHARGE OF DOING THE MANAGEMENT OF THE PROGRAM AND I THINK IT ' S A VERY VARIOUS WAY TO GO ABOUT IT. SO ALTHOUGH THIS IS THE GUV ' S SPENDING PLAN; I DON ' T THINK THAT HOME WORD GUV WOULD BE SUPPORTING A CUT TO THE REALLY DEPARTMENT THAT REQUIRES TO ADMINISTER THE PROGRAM.TO THAT FACTOR'; AHEAD I BELIEVE AGENT HALEY; I BE INTERESTED TO LISTEN TO WHAT ELEMENTS OF STANDARD HEARING ARE VITAL TO YOU AND ALSO MAYBE THAT WOULD BE SOMETHING YOU AND I AS WELL AS REPRESENTATIVE BAKER TO TALK EVEN MORE REGARDING REP BAKER COULD AID [FAINT] FOR FUNDING IN WHILE REMAINED IN MEETING COMMITTEE BECAUSE THAT IS A PART OF THE DISCUSSION WE ARE HAVING IN CONFERENCE TO ENSURE THAT EXTREMELY REASON I WOULD IMPULSE MEMBERS TO ELECT NO ON THIS. > > CHAIR LIEBLING: IS THERE OTHER MEMBER DISCUSSION? I SIMPLY WOULD SAY TO THE WRITE-UP TO REPRESENTATIVE BAKER BUT I WOULD SAY THAT IN THE GOVERNOR

>> ' S SPENDING PLAN THIS WAS FUNDED OUT OF THE OPIOID ACCOUNT WHICH SO THAT BUDGET MANAGE THIS ALL A LITTLE IN DIFFERENT WAYS. WE DO NOT CHOICE UP THOSE THINGS BECAUSE WE DON ' T HAVE AN OPIOID ACCOUNT IN OUR BUDGET PLAN. IT ' S RUNNING INDEPENDENTLY IN HOUSE SUBMIT 400. TO ENSURE THAT ' S WHY WE DON ' T HAVE THIS PRODUCT IN OUR BUDGET'. REP BAKER > > AGENT BAKER: THANKS; MME. CHAIR. TO THE REMARKS; I AGREE WITH REPRESENTATIVE HALEY ' S EFFORT TO ENSURE THIS PART BELONGS OF THIS >> PROGRAM. PART OF OUR CONCERNS WE HAVE TODAY WITH OUR DEAL WITH THE OPIOID EXPENSE AND CURRENTLY EARNINGS IS WE HAVE TO AWAIT THAT MONEY A BIT. I ASSUME WHAT REP HALEY ' S EXPENSE IS DOING REAL HIGH DEGREE IS TRYING TO GET SOME MONEY TO IT FASTER FROM ANOTHER AGATE AS I RECOGNIZE IF I ' M MISDOING PLEASE CORRECT ME.WE REQUIREMENT TO ADDRESS THE RECOVERY CHOICE IN DEEPNESS. YOU HAVE SIMPLY LOOKED INTO OUR FUNCTION IN THE OPIOID EXPENSES ONLY DELIGHTED THE CHIEF WRITER OF YOUR HOUSE FILE 400'IS COMMITTED TO DOING GOOD THINGS LIKE THIS. I ' M SITTING WITH HER SIDE-BY-SIDE. I SUSTAIN THIS IS WHAT WE NEED TO HAVE AS MANY IDEAS OF THE TABLE SO I WILL SUPPORT THIS BUT I THINK WE NEED TO FIND MONEY SOONER THAN QUICKER. >'> CHAIR LIEBLING: I LIKE TO ASK OF MR. BERG TO EXPLAIN WHERE THE CASH IS COMING FROM IN THE CHANGE? IS > > TEAM: MME. CHAIR MEMBERS; LIKE LOTS OF AMENDMENTS THAT WE HAVE >> SEEN TODAY OR IN THE PACKETS; IT TAKES MONEY FROM THE HOME OFFICE OPERATION WITH THE ADDITIONAL MONEY FOR THE SYSTEM WILL CERTAINLY BE TRANSITIONED [FAINT] IS LOCATED > > CHAIR LIEBLING: MR.BERG IT ' S NOT SPECIFICALLY WE WOULD NOT KNOW ON THE MODIFICATION SPECIFICALLY WHAT WOULD BE UNFUNDED IF THIS > > TEAM: MME. CHAIR THE CHANGES DOESN ' T ESPECIALLY SAY THAT BUT THE [INAUDIBLE'] THE IT CASH [INAUDIBLE] > > CHAIR LIEBLING: OKAY. ANY OTHER DISCUSSION ON THE >> AMENDMENT? AGENT HALVERSON > > REP HALVERSON: GIVEN THAT ANSWER AS WELL AS GIVEN THE DETAILS IS GIVEN BY REPRESENTATIVE OLSON IS THE MODIFICATION IN ORDER IN OUR >> BUDGET PLAN FOR DISCUSSION? I JUST INTENDED TO CHECK > > CHAIR LIEBLING: WELL I WEAR ' >> T THINK IT ' S OUT OF ORDER REPRESENTATIVE HALVERSON BECAUSE IT DOES RELOCATION MONEY AROUND WITHIN THE BILL.SO IT DOESN ' T JUST SAY RIGHT HERE; FUND THIS AND ALSO NOT TAKE IT FROM SOMEWHERE. I ASSUME IT ' S RATHER I WOULD >> SAY TO WELL AS I CAN HAVE WEAK OF GIRLFRIEND FREEMAN TURN UP AS WELL AS DESCRIBE WITH THE CASH TAKES CASH FROM.

I BELIEVE THAT MIGHT BE USEFUL FOR MEMBERS. MR. THE STAFF > > TESTIFIER: DAY FREEMAN DEPARTMENT'OF HUMAN BEING SOLUTIONS. THE SPECIFIC AREA THE FIRM SPENDING PLAN IS BEING CUT IS THE MAIN OFFICE. WHICH CONSISTS OF OUR LICENSING DEPARTMENT; SOME INTERNAL FUNCTION WE DO COULD I ' M TRYING TO CONSIDER LICENSING;> HISTORY RESEARCH STUDIES. ALSO IT WORK BUT IT COMES FROM THROUGHOUT. WE WOULD NEED TO DISCOVER WITHIN OUR COMPANY IN WHICH WE ARE GOING TO REDUCE$2.5 MILLION A YEAR FROM OUR HOME OFFICE. WHICH WOULD PROBABLY NOT BE EASY. > > CHAIR'LIEBLING: ALL RIGHT. THANKS MR. FREEMAN. REP HALEY > > AGENT HALEY: > > CHAIR LIEBLING: I ' M SORRY. AGENT HALVERSON > > AGENT HALVERSON: THAT CONCERNS ME A WHOLE LOT DUE TO THE FACT THAT WE WOULD BE POTENTIALLY PUTTING BACKGROUND STUDIES SPECIFICALLY WHEN WE ARE SEEKING TO THE BACKGROUND RESEARCH STUDIES SHIELD NUMEROUS INDIVIDUALS IN OUR SYSTEM BUT KNOWING THERE ' S CASH COMING DISAPPEAR DEALT WITH >> IT ANOTHER PERSON EXPENSE ANOTHER COMPONENT OF THE SPENDING PLAN THAT PUTTING AT RISK INDIVIDUALS IN DANGER TO PEOPLE HAVE HISTORY RESEARCHES; THAT ' S REALLY CONCERNING TO ME. > > CHAIR LIEBLING: THANK YOU. IS THERE OTHER DISCUSSION? I INTEND TO SAY; THIS SORT OF REMINDS ME OF OTHER HHS MONEY BOARDS HAVE SAT ON THE PAST WERE REPUBLICANS CHAIRS ASSEMBLE BILLS THAT SIMPLY I WOULD SAY MADE UP CASH I JUST LACKING IT OUT OF CENTRAL WORKFLOW FOR

>> THE DEPARTMENT NOT EVER INDICATE WHAT THEY WANT. SO WHEN YOU SAY; JUST SECURE OF CENTRAL PROCEDURES; YOU ' RE BASICALLY EXPRESSION COMMISSIONER; YOU FIGURE IT OUT. RATHER OF CLAIMING; YOUR SOMETHING WE ARE DOING THAT WE COULD STOP DOING. I ASSUME THIS IS; ALTHOUGH IT ' S REALLY LIKE THE CONCEPT OF TYPICAL RECOVERY GRANTS I ABSOLUTELY AM LOOKING TO AGENT OLSON AS WELL AS REP BAKER TO ENSURE WE ARE PUTTING SOME FINANCING INTO THAT ENTER INTO THINGS THAT WE HOPE WILL FUNCTION AS WELL AS MOVE THESE NEIGHBORHOODS ONWARD I WOULD OPPOSE THE CHANGE. REPRESENTATIVE HALEY FINAL WORD > > REP HALEY: THANKS; MME. CHAIR. SIMPLY TO CLEAR UP; WERE NUMBER OF QUESTIONS ABOUT WHAT MY INTENT WAS AS WELL AS WHERE THIS CASH WOULD COME FROM. IT WASN ' T MEANT THAT WAS GOING TO LOWER ANYTHING IN THE OPIOID EXPENSE HOUSE DOCUMENTS 400. NOR; TAKE CASH ESPECIALLY FROM HISTORY CHECKS WHAT WAS DISCUSSED OVER HERE. AS A MATTER OF FACT;> THERE ' S AN RISE IN THE DHS ALLOCATE IT FOR SOLUTION SHIPMENT PLANT TRANSFORMATION. SO THIS IS AN ATTEMPT TO HAVE LESS OF AN INCREASE THERE. SO NOT CUTTING YOUR ALLOCATE TAKING SEVERAL OF THAT INCREASE IN ORDER TO APPLY IT TO OPIOID AVOIDANCE AND ALSO CONVENTIONAL HEARING AND MY PURPOSE ONCE MORE IS TO EMPHASIZE THAT NEIGHBORHOOD IS YOUR BOTH REPRESENTATIVE BAKER REPRESENTATIVE OLSON HAD TOLD United States THE GREATEST PER HEAD OCCURRENCE OF DEPENDENCY AND ALSO STRUGGLING WITH THIS HORRIBLE ADDICTION; GREATER THAN ANY OTHER COMMUNITY IN OUR STATE AND ALSO I VALUE ALL THE FUNCTION YOU HAVE DONE ON THEIR EXPENSE. I WAS JUST TRYING TO REACH PROVIDE CASH SO DETAILS COULD HAPPEN RIGHT AWAY IN THIS AREA. VALUE YOUR INDULGENCE I ASK YOUR SUPPORT > > CHAIR LIEBLING: THE CLERK WILL CERTAINLY TAKE THE ROLL ON THE AMENDMENT. > > STAFF: LIEBLING NAY; ACOMB NAY; BAKER AYE; BIERMAN NAY; CANTRELL NAY; FRANSON GRUENHAGEN AYE; HALEY AYE; HALVERSON NAY; HAMILTON; KUNESH-PODEIN NAY; LOEFFLER NAY; MANN NAY; MORAN MUNSON PASS; NOOR NAY; OLSON NAY; SCHULTZ NAY; ZERWAS AYE; > > CHAIR LIEBLING: THERE BEING FIVE IT AYES 11 NAYS AS WELL AS ONE ABSTENTION THE MOTION DOES NOT PREVAIL. THE AMENDMENT IS NOT TAKEN ON > > [GAVEL]
>> > > CHAIR LIEBLING: WE WILL CERTAINLY GO TO THE A-47 TO UNDERSTAND TH E REPUBLICAN POLITICIAN MEMBERS HAVE CAUCUS AT 11. SO THIS MAY BE THE LAST ONE WE TAKE PRIOR TO WE BREAK. LET ' S SEE HOW QUICKLY WE CANISTER OBTAIN THROUGH THIS. REPRESENTATIVE GRUENHAGEN RELOCATES THE A-47 AMENDMENT. > >> > REPRESENTATIVE GRUENHAGEN: THIS CONCERNS THE INTERMEDIATE CARE FACILITIES THAT WE HEARD THEY CARE FOR SOME OF OUR MOST BEHAVIORAL >> AND DISABLED PEOPLE AND SOME OF THE >> PRESENT REIMBURSEMENT RATES HAVE NOT DO NOT MEET THEIR TREATMENT NEEDS CURRENTLY.I WOULD APPRECIATE THE CHAIRS AUTHORIZATION IF MR. GRIFFIN COULD OFFER COMMENTS EXTREMELY BRIEFLY ON THE AMENDMENT SINCE HE DEALS WITH THOSE GROUPS. > > CHAIR LIEBLING: WELL AGENT GRUENHAGEN; WE REALLY QUICK IN A TIMELY MANNER HERE >> AND ALSO I BELIEVE ALL OF US WE HEARD SEVERAL BILLS IN THIS COMMITTEE AND I BROUGHT SOME FORWARD. SO THEY ARE ICF. WE TELEPHONE CALL THEM ICF- ED SO THERE WERE SEVERAL OF THEM AS WELL AS IT CAME TO BE EXTREMELY CLEAR WAS NO PRICE METHOD. SO I VERY MUCH APPRECIATE YOUR BRINGING THIS AHEAD. I DEFINITELY THINK THIS IS SOMETHING WE REQUIREMENT TO PERFORM; INSTRUCTIONS WE NEED TO BE ON. I REQUIRED TO SAY THOUGH THAT THE CHANGE IS ACTUALLY OUT OF ORDER BECAUSE IT ISN ' T EXPENSE NEUTRAL BUT I BELIEVE THIS WOULD [INAUDIBLE] IF THERE WOULD BE A COST FOR DHS TO PERFORM THIS MAYBE SOMEONE FROM THE DIVISION COULD COME DOWN.I CERTAINLY THINK THAT CAN SOMEONE COME DOWN AND DISCUSS THE POSSIBLE COST OR IF THERE IS A PRICE ON THE A-47? I ABSOLUTELY SUPPORT YOU IN CONCEPT ON THIS REP GRUENHAGEN. I THINK I ' M PLEASED THE HEARING HAD THAT EFFECT BECAUSE WE ONLY TO UNDERSTAND THAT THERE IS THIS TYPE OF THEY ARE TYPE OF THE FORGOTTEN STEPCHILDREN OF THE SYSTEM. THEY ' RE THE ONLY ONE THAT ISN ' T THERE WAS NOT BROUGHT ALONG WE CERTAINLY ARE INDIVIDUALS BELOW DESERVE OUR ASSISTANCE. SO MR. COULD YOU TALK WHAT THE
COST? > > TESTIFIER: MME. CHAIR DAVE. OUR EXPERIENCE COLLABORATING WITH THE DWRS AND PRICE SYSTEM TOGETHER WE LEARNED A WHOLE LOT OF LESSONS FROM A.T HERE ARE WE NEED SOME RESOURCE IN ORDER TO PUT THIS TOGETHER TO DO THIS TYPE OF STUDY THIS IS NOT AN INSIGNIFICANT ISSUE WORK WE WOULD BE DOING. WE PROBABLY WOULD REQUIRED A MINIMUM OF A PT AGREEMENT AND ALSO FTE TO LOOK AFTER THE WORK AS WELL AS I WOULD BE INVOLVED IN SETTING THIS TYPE OF WORK OF THE RANGE IN ORDER TO PUT AS WELL AS CONNECT THIS WITH EACH OTHER > > CHAIR LIEBLING: SPIRIT THE NEGATIVE > > REPRESENTATIVE GRUENHAGEN: THANK >> YOU. I RECOGNIZE ALTHOUGH I BELIEVE THERE ' S A LOT WAYS TO REDUCE YOUR BUDGET BUT THAT ' S BESIDES THE FACTOR
. BUT I DO APPRECIATE YOUR COMMENTS MME. CHAIR AND ALSO HOPE YOU ' LL PRIORITIZE IT NEXT SESSION AT SOME LEASE FACILITIES ARE BARELY HANGING ON AS WELL AS ONCE AGAIN THEY TAKE CARE OF SOME OF OUR A LOT OF HANDICAPPED INDIVIDUALS WITH BOTH WELLNESS AND ALSO OTHER PROBLEMS AND ALSO THE STAFFING REQUIREMENTS ARE EXTREMELY HIGH MENTALLY WITH A FACILITY BUT APPRECIATE INDEX I SHOULD MAKE >> TO PRIORITIZE THIS. THANK YOU I WITHDRAW THE AMENDMENT > > CHAIR LIEBLING: PERMIT ME TO SIMPLY STATED PRIOR TO YOU BEFORE THE MODIFICATION IS ACTUALLY WITHDRAWN HERE SIMPLY TO SAY THAT'I APPRECIATE THAT AS WELL AS I HAVE ACTUALLY REALLY DISCUSSED THIS A LITTLE BIT WITH DHS AND THEY KNOW THIS IS TYPE OF HIGH UP ON OUR RADAR.I DO INTEND TO SAY TOO; WHAT I ' VE SEEN OVER THE YEARS IS THE FACILITIES COME AHEAD AND TYPE OF A ONE-OFF FASHION AND ALSO A GREAT DEAL NOW OR FOR A FEW YEARS ANYHOW; HAS ACTUALLY DEPENDED UPON WHETHER THEY KNOW THEIR LEGISLATOR AS WELL AS HIS DISTRICT THEY ARE IN AND ALSO I ASSUME IT ' S A VERY UNREASONABLE MEANS TO >> FUND THE THINGS. SO I AGREE WITH YOU THAT WE DEMAND A METHOD AND APPRECIATE IT SO THE AMENDMENT IS WITHDRAWN. SO WE ARE GOING TO KEEPING THAT WE ARE GOING TO RECESS TO THE PHONE CALL OF THE CHAIR. I ASSUME WE ' VE MADE REALLY GOOD DEVELOPMENT AS WELL AS IF WE HAVE THE ABILITY TO COME BACK THIS EVENING IT ' LL BE AN HOUR PERHAPS WE CAN COMPLETE IT. I KNOW EVERYBODY WOULD PREFER NOT TO COME BACK TOMORROW. BUT WE WILL SEE WHAT WE DO. AS WE STAND IN RECESS. > > [GAVEL] > > [RECESS] > >.

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