TEST
>>: FROM FEBRUARY 22ND TO 18
ANY CORRECTIONS THAT NEED TO BE
MADE? SEEING NONE.
>>: THE BILL THAT
YOU HAVE BEFORE YOU IS THE BILL THAT
HELPS STREAMLINES RECESS
RESIDENTIAL TRUE AND CORRECT
TRUE AND TRUE AND -- UNDER
OCCUR RENT LAW BEFORE THEY CAN
START THE DEPARTMENT OF HUMAN
SERVICES; THAT PROVIDEOER MUST
ALREADY HAVE A CONTRACT IN
PLACE.
THIS BILL; ELIMINATES --
COUNTIES MACON -- THE
STATEMENT OF NEED MUST SPECIFY
THE NEED OF PROGRAM. THIS BILL
WILL HELP SPEED UP THE PROCESS
OF DEVELOPING NEW CA CAPACITY.
HOSPITALS NEED MORE VEIL
AVAILABLE TEE. THERE ARE NO
CONCERNS FROM THE DEPARTMENT OF
SERVICES.
HEALTH PARTNERS BUILT A NEW --
THANK YOU FOR YOUR SUPPORT OF
THIS BILL. IF YOU WOULD LIKE
TO COME UP AND SHARE YOUR
TESTIMONY.
>>: THANK YOU. THERE IS NO
AMENDMENT.
>>: MR. CHAIRMAN; I'M THE
DIRECT OR OF CO
MMUNITY SERVICES WE'RE OPENING OUR THIRD -- -- IT WAS EX THAT WE WERE ACTUALLY AWARDED TO THE COUNTY. WE RELY
ON OUR PARTNERS AND OUR HOW
FAST COUNTY. IT PROBABLY ADDED ABOUT 18 MONTHS TO THE PROCESS WHERE WE WERABLE TO BE BEGIN DEVELOPMENT TO THE SITE AND THE
FAY
. >>: WHA
T IS IT THAT GOES ON DERING THOSE 18 MONTHS? >>: WE BE BEGAN MEETING; WE
WONTED TO PROVIDE THAT
STATEMENT OF NEED AND OUR NEED
NOT ONLY AS HOSPITAL. WE HAVE
THE R F P PROCESS. AND ONGOING
WE'RE GOING TO HAVE THEM 3 TO 5
YEARS TO HAVE THIS CONTRACT. A
N APPROVAL BUY IO OVERRULED BY
THE COUNTY.
>>: I'M IN -- WHAT THE CHANGE
REALLY DOES. IT SOUNDS LIKE
THERE IS SOME OFFER OVERLAY.
>>: THANK YOU. ARE THERE ANY
OTHER QUESTIONS FOR THE --
THANK YOU.
>>: I JUST WANT TO SAY THIS IS
ABOUT HELPING MOVE TOWARD THAT
GOAL. >>: QUESTIONS FOR PETER
SON >>: I HOPE THAT YOU UNDER STAND THE MISSING PIECES OF
INFORMATION.
ARE WE LOSING ANYTHING BY
MAKING THIS CHANGE?
>>: THANK YOU FOR THE
QUESTION. I BELIEVES THIS IS
KEEPING THE COUNTY INFORMED.
ADDRESSING THOSE CONCERNS AND
GETTING THOSE SERVICES TO
THE COMMUNITY
>>: ANY OTHER QUESTIONS?
>>: THANK YOU; MR.
CHAIRMAN. WE ARE IN FULL SUPPORT OF THIS
LEGISLATION. WE HAVE A LOT TO
DO YET AND WE WANT TO DEVELOP
THESE FAY FACILITIES.
>>: THANK YOU. ALL THOSE IN
FAVOR.
>>: THE MOTION IS TO HOUSE
FLOOR -- WITH THAT I'LL IN --
ITS SIMPLY MOVING THINGS
AROUND.
>>: ALL RIGHT. PLEASE STATE
YOUR TESTIMONY.
>>: HI. I'VE HAD TO FILE
CHILD ABUSE -- THE SYSTEM IS
BROKEN. HERE IS THE SECTION;
IT SAYS IN CASES IN RESULTING
IN DEATH; TO MAKE IS DEENTER
-- IN PERFORMING ANY OF THESE
DUTIES; THAT'S WHAT THEY CALL
THE FINAL BLOW LAW. THIS
PROCESS FOR C P S TO REMOEFB A
CHILD. IT'S NOT ENOUGH. THIS
BILL HAS THE SAME LANGUAGE FROM
THE PRIO OR BILL. IN 500
PAGES OF LEGISLATION IS NOT
EFFECTIVE. THIS IS NOT A GOOD
WAY TO PROTECT KIDS. I'VE
SEEN A LIST; CHILD PROTECH SHUN
NEEDS TO TAKE PRIO OR TEE.
>>: COULD YOU BRIEFLY SAY THE
ONE THING IN YOUR EXPERIENCE?
>>: WHEN YOU HAVE A STACK OF
POLICE REPORTS LIKE THIS; THERE
IS NO PROCESS. LESS THAN 200
CASES FOR MENTAL HEALTH ABUSE.
THEY SAID IT'S PHYSICAL OR
NOT. I COULDN'T GET THAT THROUGH.
THEY SEE -- YOU SHOULD BE
CAREFUL ABOUT WHAT YOU'RE
SAYING. THEY'RE SAYING THIS
COULD BE A FALSE
ALLIGATION. IF YOU HAVE PAGES OF BRUISES
HAPPENING AND YOU'RE ASKING THE
SIMPLE QUESTION SO THAT YOU
DON'T GET IN TROUBLE; YOU HAVE
TO BE CAREFUL ABOUT YOUR
WORDING. THIS ISN'T A CLEAR
CUT SITUATION. ITS THE
EDGE CASE AND YOU HAVE TO DEAL WITH
IT AND THERE IS NOBODY THERE
SPEAKING ON BE HALF OF THE KID.
THEY'RE NOT READY TO ACT.
ONE CHILD WAS REMOVED. HE WAS
RESTORED TO THE FAMILY IN ABOUT
A MONTH. I ASKED THE SIBLING.
HE SAID NO ONE BELIEVES ME. I
SAID YOU'RE NINE; RECORD IT.
THE C P S SAID WE'RE GOING TO
FOSTER CARE. THESE PEOPLE ARE
SICK OF DEALING WITH THESE
CASES. THEY CALLED THIS A HIGH
RISK SITUATION AND NO FOLLOW
UP. THIS PROCESS; IT'S NOT
EFFECTIVE. I DON'T KNOW WHAT
ELSE TO SAY EXCEPT THAT
IT NEEDS TO BE CHANGED. IT'S NOT
THAT I ONLY HAVE A SITUATION.
IT'S THE STATE. IT'S NOT A
-- NO ONE WILL MAKE IT A PRIO
TEE. I WOULD SAY LET'S REACH
OUT TO PEOPLE WHO HAVE FILED
BEFORE. HOW MANY OF THEM WERE
AFRAID TO SAY WHAT WAS REALLY
GOING ON?
>>: ALL RIGHT.
>>: THANK YOU MR. CHAIR. I'M
CURIOUS; --
>>: THERE'S ANOTHER FATHER
INVOLVED AND HE SAID THIS IS A
BIG DEAL. HIM AND HIS WIFE
WERE READY TO GIVE UP. THERE
IS NO WAY TO GET IN FRONT OF
THIS. I'VE SEEN -- THERE IS
STILL PENDING ACT -- YOU
EXHAUST EVERYTHING. YOU APPEAR
LIKE YOUR MOTIVES ARE SUSPECT.
THEY GET 30 PEOPLE IN A ROOM
AND NOTHING HAPPENS BECAUSE
IT'S NOT ENOUGH.
>>: THANK YOU. FRANKLY; I'VE
HAD CONVERSATIONS. THEY KNOW
THAT THE PEOPLE WHO THEY TALK
TO MAKE A DOE --
>>: ANY QUESTIONS FROM
MEMBERS? FINAL WORD.
>>: I -- THIS LAW IS A
REWRITE OF THE STATUTE. WE
CHANGED THE LAW SO MANY TIMES
THAT WE MADE IT MESSY SO THAT
IT'S EASIER TO READ. WHEN
WE'RE WORKING THROUGH THESE
ISSUES. YOU GAVE ME AN
OPPORTUNITY FOR MY SOAPBOX.
THIS IS THE HEART THAT WE END
UP DEALING WITH. AT THIS STAGE
WE HAVE KIDS THAT ARE TREATED
TO POORLY AND THE TRAUMA THAT
THEY EXPERIENCE CAN'T BE SHAKEN
OFF. THEY LOOK TO THINGS TO
TRY TO FIX THOSE. BY THE TIME
THAT CHILD IS REPORTED THE
DAMAGE IS DO NOT. WE SPEND A
LIFETIME TRYING TO UN-- IT. I
GOT TO TELL YOU WE'RE REPORTING
OVER 70 ;000 KIDS. WAIT UNTIL
THEY BECOME ADULTS. WE HAVE A
TRAINING BILL COMING UP FOR
SOCIAL WORKERS. I'M CERTAINLY
NOT A BUREAUCRATIC FENDER
HERE.
>>: THANK YOU FOR THE WORK
THAT YOU HAVE DO NOT ON THIS.
I AGREE WITH YOU THAT THIS IS
ONE OF THE BIGGEST ISSUE THAT
WE FACE. HOW ARE WE GIVING
THEM OPPORTUNITY TO BE
SUCCESSFUL. WE KNOW THAT OUR
STATE IS ONLY GOING TO BE
SUCCESSFUL IF EVERYBODY IS
INCLUDED. WHAT YOU HAVE
THOUGHT ABOUT IN TERMS OF
PREVENTION.
SO HAVE YOU THOUGHT ABOUT
ANYTHING THAT HELPS PAR RENTS
BE BETTER. THE PREVENTION
SIDE. THIS HAPPENS WHEN A
FAMILY WALKS BY AND DOESN'T SAY
HOW DO I HELP YOU? I'LL GIVE
YOU AN EXAMPLE OF TRY TO BE A
FOSTER PAR RENT. WE KEEP
PUTTING THINGS IN PLACE BECAUSE
WE FEEL GOOD ABOUT IT. WE CAN
MAKE A LIST; WE CAN CREATE POST
IT NOTES. BUT WE HAVE TO FIND
A WAY SO THAT WHEN A FAMILY IS
STRUGGLING; OTHER FAMILY STEPS
IN TO HELP. A LOT OF TIMES
THAT'S THE PROBLEM; NOBODY IS
THERE TO HELP THEM OUT.
GOVERNMENT CAN'T DO THAT. I
SAY WE COLLECTIVELY ARE MISSING
THE BOAT. HOW MANY OF US CAN
BECOME FOSTER PAR RENTS FOR 24
HOURS. THIS HAS TO COME FROM
US DOING BETTER.
>>: THE MOTION PREVAILS.
HOUSE FILE 2074.
REPRESENTATIVE DEAN.
ONE AMENDMENT AND YOU WANT TO
MOEFB MOVE THE A ONE
AMENDMENT.
>>: TAKE A LEAD ON THIS; IT
ALLOWS FAMILY MEMBERS WITH RARE
DID DID DISEASES -- THIS
REALLY PROVIDES SOME MAPS TO BE
ABLE TO BAND TOGETHER. THE
AMENDMENT A ONE ADDS A SECTION;
THE D E GETS THE BILL INTO
SHAPE NARROWS DOWN.
>>: AMENDMENT AS AMENDED.
SEEING NONE. ALL IN FAVOR AS
AMENDED. THE AMENDMENT AS
AMENDED IS ADOPTED. TO YOUR
BILL.
>>: ONE OF THE THINGS THAT IS
IMPORTANT -- EVEN RESEARCH
AT THE UNIVERSITY OF MINNESOTA AND
MAY O CLINIC IS LOOKING AT
THERAPIES RITE EIGHTH RIGHT
NOW. HOW THAT CAN AVENUE --
AFFECT. NOW YOU WILL FIND WHEN
YOU TALK TO PAR RENTS OF
CHILDREN WITH RARE DISEASES
THEY HAVE TO DO RESEARCH ON
THEIR OWN; BECOME
FUND-RAISERS. DOWN THE ROAD WHAT WOULD BE
BETTER IS TO ALLOW WAYS FOR
PARENTS TO DIRECTLY CONNECT
WITH THERAPIES
AND CLINICAL TRIALS THAT'S WHAT THIS IS ATTEMPTING TO DO. AND HELP
FAMILIES HERE IN MINNESOTA AND
ACROSS THE COUNTRY.
>>: I'M HERE IN SUPPORT OF THE
BILL. MY CHILD IS ONE OF THE
MIRACLES. THANK YOU UNIVERSITY
OF MINNESOTA. SHE LOOKS HAPPY
AND HEALTHY. THAT SMILE IS
STILL THERE. SHE CAN NO LONGER
SPEAK AT ALL. SHE
COMMUNICATES WITH EYE -- M L D
FOR SHORT. SINCE MY --
I CONTACTED A DOCTOR IN
CONNECTICUT. MORE TESTS WERE
ORDERED BUT NO ANSWERS WERE
FOUND. AS I SAT IN HER ROOM
TELLING ALL INVOLVED THAT WE
WEREN'T LEAVING WITHOUT ANSWERS
A YOUNG DOCTOR -- SHE SEEN IT
ONCE AT THE UNIVERSITY OF
MINNESOTA. I TRIED TO FIG YOU
-- THE FIGHT FOR HER LIFE BEING
CARED FOR BY AN UNBELIEVABLE
TEAM. I WOULD FIGHT FOR HER
MEDICATION. I WOULD FIGHT FOR
THEM IN -- I'D FIGHT FOR HOME
NURSING CARE; HOSPITAL CARE EX
TENSIONS. EVENING DOCTOR
APPOINTMENTS. TO KEEP MY
HOUSE. THIS IS THE REALITY
OF RARE DID DID SEASES.
PLEASE HELP ME JUST BE HER
MOM. PICK UP THE BATTLE FOR ME AND
FAMILIES LIKE MINE.
>>: THANK YOU FOR TAKING THE
TIME TO SHARE YOUR STORY WITH
US.
>>: DO YOU HAVE ANY OTHER
THIS MORNING?
>>: WELCOME. PRESENT YOUR
TESTIMONY.
>>: I'M A PARENT AD --
ADVOCATE. THIS WAS MY
DAUGHTERS CASE. SHE HAS A RARE
DISEASE. THE ONLY
AVAILABLE TRUE AND CORRECT STATEMENT --
TREATMENT WAS HERE IN
UNIVERSITY OF MINNESOTA. IN
THE MEANTIME HE DEVELOPED A
TREATMENT THAT THE BONE MARE
ROW TRANSPLANT GIVES MORE TIME
TO PATIENTS. THAT DIDN'T
HAPPEN FOR HER; SHE PASSED AWAY
45 DAYS AGO.
ALL THIS IS ADDED TO THE DAILY
STRUGGLE THAT FAMILIES HAVE TO
DEAL WITH EVERY DAY.
I BELIEVE THAT THE
UNDER STANDING OF THE UNIQUE
CHALLENGES; FROM BENCH TO
BEDSIDE. I THINK IT WILL HELP
THE STATE MAXIMIZE RESOURCES.
STREAMLINING PROCESSES. WHERE
A LOT OF THE FUNDS GET LOST.
WE WENT THROUGH ALL OF THE
HOOPS OF PROCESSES. IN MY
EXPERIENCE THE STATE OF
MINNESOTA HAS BEEN CARING; A
RARE DISEASE COUNCIL WOULD BE
OUTSTANDING. BECAUSE OF THE
WORK OF THE DOCTOR MY DAUGHTER
HAD -- THANK YOU.
>>: THANK YOU FOR
BRINGING YOUR TESTIMONY TO US THIS
MORNING AND WE'RE SORRY FOR
YOUR LOSS. ANY QUESTIONS? IS
THERE ANYONE ELSE WHO WANTS TO
TESTIFY? ARE THERE ANY
QUESTIONS FOR THE BILL AUTHOR?
SEEING NONE.
>>: IT WAS RARE
DISEASE DAY AT THE UNIVERSITY OF
MINNESOTA. ONE OF THE REASON --
RESEARCHERS HIGHLIGHTED THIS
DISEASE. HOPEFULLY THIS
WILL BE A WAY THAT WE CAN HELP
PARENTS AND THE RESEARCH.
>>: WITH THAT REPRESENTATIVE
DEAN RENEWS HIS MOTION. SAY
AYE. MOTION PREVAILS. AT THE
REPRESENTATIVE DEAN.
SHIFTING GEARS A BIT.
REPRESENTATIVE DEAN WE HAVE THE
BILL BEFORE US. TO YOUR BILL.
>>: 2725 LOOKS AT HE
ELIGIBILITY SYSTEMS -- THIS IS
A CONTINUATION.
HOW IT WORKS FROM THE COUNTIES
SIDE AS THEY'RE GOING THROUGH
THAT PROCESS.
THE A BILL TEE FOR COUNTIES TO
RESPOND TO THAT. BOTH
COUNTIES HAVE TO DO THE SAME THING IN
DEALS WITH OUR STATE FUNDED
PROGRAMS. TRYING TO MAKE
SURE THAT FAMILIAR -- FAMILIES ARE
GETTING WHAT THEY NEED THREW
THROUGH OUR PUBLIC PROGRAMS. I
STARTED LOOKING TO TRY TO
FIGURE THIS PROBLEM OUT. I
WOULD MEET WITH COUNTY
CASEWORKERS TO GET FEEDBACK AT
THE END OF THE DAY TO SEE WHAT
WAS WORKING. THEN WE WOULD DO
A TOWN HALL AT NIGHT. IT WAS
AT ONE OF THOSE LATE MEETINGS
THAT THIS KIND OF CAME FROM.
WE HAD THE INSURANCE
BROKERS AND IT WAS A DISCUSSION --
THEY WERE TRYING TO DO EACH
OTHERS JOBS IN A SYSTEM THAT
WAS SUPPOSED TO INTEGRATE
THEM. WHAT WE TRIED TO LOOK AT WAS
WHAT IS THE SOLUTION HERE?
GET THEM OUT OF THE PRIVATE
HEALTH INSURANCE -- WHO IS
GOING TO DESIGN THIS DOWNED
ROAD? IT IS GOING TO BE D H F.
WHO IS GOING TO BE FIGURING
THIS OUT. THE EYE DID IDEA IS
THE COUNTY; THAT'S HOW WE'RE
SET UP IN THE STATE. THEY HAD
DONE THIS TEN YEARS AGO;
THEY'LL DO IT TEN YEARS FROM
NOW. THEY'RE GOING TO BE
TASKED WITH THAT JOB. AS
I TRAY VERY -- TRAY TRAVEL
AROUND THE STATE -- THOSE SAME
FAMILIES WILL KNEAD NEED THAT
HELP. WHAT THIS BILL SAYS IS
THAT IT'S THE COUNTIES BECAUSE
THEY'RE CLOSEST. NOW; THE TWO
MAIN IDEAS OF THIS; THIS
WOULD BE AT THE PHASE WHERE YOU HAVE
A MARKER AND DIAGRAMMING THE
BUILDING; THAT'S THE PHASE
WHERE THIS IS
AT. THAT'S THE IDEA WITH THIS BILL.
HERE COMES ANOTHER IDEA FROM
GOVERNMENT THAT IS SUPPOSED
HELP US. I DO NOT FAULT THEM
MORE BEING SKEPTICAL. WITH
THAT; THOSE ARE THE TWO MAIN
IDEAS BE HIND THIS BILL. SO
IN A NUTSHELL; THAT IS THE
BILL.
>>: SO I'M ONE OF THOSE
BROKERS THAT HAD THOSE
MEETINGS. WE WERE FRUFT
RATED. IT'S BEEN A FRUSTRATING
PROCESS.
WHAT WE DO; THE PROCESS HAS
CHANGED FOR US TOO. WE USED TO
ENROLL PEOPLE IN THE MEDI-CAID
PROGRAM WHEN WE SHOULDN'T
HAVE. WE VET THE PEOPLE NOW ON THE
PHONE. WE'RE GETTING THESE
PEOPLE THROUGH THE WEB SITE AND
THE COUNTY. THEY'RE SENDING
THEM OUR WAY. WE VET THEM ON
THE PHONE. SHOULD THEY COME TO
US OR DO WE SEND THEM TO THE
PROPER PERSON?
OUR EXPERIENCE TODAY IS MUCH
DIFFER RENT.
>>: THANK YOU FOR YOUR
TESTIMONY. ANY QUESTIONS FOR
-- SEEING NONE. TESTIFY --
>>: GOOD MORNING. WE'RE AN
OFFICIALAL PARTNER. OUR
ENROLLMENT CENTER SEVERSS
MORE THAN 25 THOUSAND A YEAR.
AS I SAID WE COLLABORATE. WE
WORK CLOSELY WITH THE COUNTIES
AND WITH OTHER PARTNERS. MORE
THAN 20 ;000 ARE HELPED. THIS
WOULD NOT HAVE BEEN POSSIBLE
WITHOUT THE GRANTS THAT WE GET
WHICH HELP US GO OUT AND
EDUCATE THE PUBLIC. WE WORK
EVERY DAY; WE'RE OPEN YEAR
AROUND. THE COUNTY IS OUR
LARGEST REFERRAL. SOMETHING
THAT WE DO ON A DAILY BASIS. I
CAN TELL YOU THAT THIS YEAR WAS
OUR MOST SUCCESSFUL YEAR YET.
IT'S WORKING BETTER THAN EVER
IN SERVING THE UNIQUE NEEDS OF
MINNESOTA.
60 PERCENT OF -- TAX CREDITS
THAT -- SAVE OFFER 3 HUNDRED
$300 MILL WHY NOT IN TAX
CREDITS. WHEN WE CALL TO GE
T SOMETHING DONE; HELP THEM
CHANGE A PASSWORD; HELP THEM
WITH THE APPLICATION. IT'S DO
NOT IN TEN MINUTES. WE KNOW
FIRSTHAND HOW FARRO HAS COME.
IT'S REALLY IMPAIR -- TO BUILD
ON THE SERVICES THAT THEY HAVE
COME TO RELY ON. AS YOU KNOW
YOU SAW ONE OF THE SURVEYS THAT
CAME OUT. MORE AND MORE PEOPLE
ARE INVOLVED. BECAUSE OF THE
SYSTEM AND PROGRAM. AND MANY
OF THESE PEOPLE WOULDN'T HAVE
INSURANCE. THIS BILL IS A
SOLUTION IN SEARCH OF A --
CREATING A NEW I T SYSTEM IS A
WASTE. NOW IS NOT THE TIME TO
GO BACKWARDS SO I'M HERE TO
TELL YOU THAT. WE'RE HERE
WITNESSING IT. WE PUT IN ALL
THAT WE COULD AND WE SHOULD NOT
GO BACKWARDS AND DESTROY WHAT
WE BUILT.
>>: QUESTIONS FROM MEMBERS.
>>: THANK YOU MR. CHAIR. I
SEE A DIFFERENT POINT OF
VIEW. THEY GIVE UP. IF IT BECOMES A
LOSS; WHAT HAPPENS TO ABREVA?
>>: THEY DON'T GO ALL OVER THE
PLACE. THEY KNOW A
TRUSTED RESOURCE THAT CAN SERVE THEM IN
MULTIPLE LANGUAGES. WE SERVE
ALL OVER THE STATE. WE HAVE AN
ONLINE SYSTEM. WE'VE DONE IT
MORE THAN EVER IN THIS OPEN
ENROLLMENT.
>>: TODAY IS THE FIRST TIME
THAT I HEARD OF A BREEFB -- A
ABREVA.
>>: ABREVA WILL EXIST BECAUSE
WE PROVIDE THESE SERVICES. I'M
PRETTY SURE THAT THOSE 30
;000 PEOPLE WOULD BE DEVASTATED THAT
THEY WOULD NOT HAVE ANYWHERE TO
GO AND THEY WOULD HAVE TO
RELEARN SOMETHING. IT TOOK US
YEARS TO GO OUT THERE AND SHOW
THEM HOW TO SIGN UP. WE'RE
SIGNING UP PEOPLE WHO HAVE
NEVER HAD HEALTH INSURANCE
BEFORE.
>>: SO YOU SERVE THE
FUNCTION OF NAVIGATOR. HOW
EASY IS IT TO FIND A NAVIGATOR
IN THE STATE?
>>: WE WOULD GO OUT THERE AND
DO AN OUTREACH AND THEY WOULD
LEARN HOW TO GET TO US. WE
DISTRIBUTE MATERIALS. THE
OTHER OPTION IS THERE IS A
WEB SITE. AND THEN THE COUNTY
-- WE HAVE BECOME A
RESOURCE FOR THE COUNTY. THERE ARE
THOUSANDS OF PEOPLE THAT WOULD
SHOW UP SO IF THEY CAN'T HANDLE
IT THEY SEND PEOPLE TO US. WE
HAVE REFERRAL PARTNERS.
>>: THANK YOU. I HEAR THAT
SOUNDS LIKE MY COMMUNITY.
THERE ARE NAVIGATORS IN FOOD
SHELTERS -- AM I HEARING YOU
CORRECTLY IN SAYING THAT PEOPLE
MAY NOT ACCESS ENROLLMENT
HEALTH IN THEIR LANGUAGE AND
IT'S COMMUNITY PLACES THAT THEY
TRUST?
>>: YES. WE HAVE I THINK
OVER 100
ORGANIZATIONS ALL OFFER THE STATE THAT PROVIDE
SERVICE IN DIFFERENT
LANGUAGES. THAT WOULD NOT BE POSSIBLE
IF PEOPLE HAVE TO GO THREW --
THROUGH THE COUNTY. ITS UNIQUE
TO THE NEED OF SPECK I SPECK
POPULATIONS.
>>: I'M WONDERING WHAT --
YOU TO START THIS?
>>: BECOMING A BRIDGE IN
SPECIALLY HARD TO REACH
COMMUNITIES. WE FELT THERE WAS
A NEED TO BRIDGE THAT GAP.
SO THAT'S HOW WE STARTED
INITIALLY. THEN WE -- WITH
THE LAUNCH. WE ARE A FOR
PROFIT; SMALL COMPANY.
>>: SO YOU ARE FOR PROFIT.
YOU HAVE A PROFIT AND LOSS
STATEMENT THAT YOU LOOK AT.
I'M CURIOUS IN TERMS OF YOUR
GRANT THAT YOU
RECEIVE. HOW DID YOU SAY THAT PLAY OUT? IT
IS ONGOING OR ONE TIME?
>>: THE GRANT IS ONGOING. TO
GIVE YOU A QUICK HISTORY WE
STARTED WITH A SMALL GRANT.
130 ;000 .
ENROLLMENT LAST YEAR WE HELPED
MORE THAN 13 ;000.
WE WENT FROM SPENDING MAYBE 80
.
>>: SO IF I WERE TO LOOK AT
YOUR PROFIT AND LOSS; YOUR
RELIANCE ON THE GRANT IS NOT A
SMALL A MOUNT. WHAT PER -- OF
YOUR PROFIT AND LOSS
STATEMENT. >>: ITS ABOUT MAYBE 40
PERCENT. THIS IS A GRANT; WE
SPEND 100 PERCENT OF IT RUNNING
THE PROGRAM. ALL OF THOSE
ENROLLMENTS THAT WE DO WE --
FOR US THAT IS WHERE WE HOPE TO
GET A PROFIT. I WAS LOOKING AT
OUR PROFITS LAST YEAR. WE
ALMOST SPENT EVERYTHING. 70
;000. WE'RE PROCESSING SO MANY
PEOPLE AND THE PER ENROLLMENT
RATE THAT WE GET -- WE'RE
FUNCTIONING LIKE A NO -- NONE
PROFIT.
>>: YOUR RELIANCE AT STATE;
YOUR RELYING MORE THAN THAT --
YOU EVEN SAID THAT IF THE
COUNTIES WERE;ABLE TO PROCESS
THOSE ON THEIR OWN. IF THE
COUNTIES HAD A PROGRAM THAT
DIDN'T REQUIRE AN OUTSIDE
VENDOR. IF 340 $340;000 WASN'T
EXPENDED OUTSIDE. IF WE HAD A
PROGRAM THAT SERVED THE PEOPLE
IN THE STATE OF MINNESOTA THAT
DIDN'T REQUIRE EXTRA PEOPLE TO
GET THE HELP THAT THEY NEED.
>>: THANK YOU. SO KIND OF
LIKE WHAT I'M HEARING IS THAT
WE HAVE A -- THAT FOUR OR FIVE
YEARS AGO CAME TO THE
REALIZATION OF TECHNICAL
PROBLEMS AND HAS BECOME MORE
EFFICIENT. THE ONE THING I
THINK THAT WE KNOW ABOUT IN
COUNTIES AND STATES IS THAT
THEY CANNOT DO THE WORK TO
REACH OUT -- FOR SOME REASON
THEY ARE NOTABLE TO DO THE WORK
THAT NEEDS TO BE DO NOT IN THE
LANGUAGE; COMMUNITIES THE WAY
THAT AN OUTSIDE VENDOR CAN DO.
I HEARD THE AWESOME WORK THAT
THEY'RE DOING. TO MAKE SURE
THAT FAMILIES ARE GETTING THE
SERVICES THAT THEY NEED.
AND HAS DO NOT A WONDERFUL JOB OF
OUTREACH TO MAKE SURE THAT THEY
ARE CONNECTING. THE COUNTIES
ARE PARTNERING WITH AN OUTSIDE
VENDOR. AS WE LOOK AT; WE WONT
TO CREATE A WHOLE NEW SYSTEM
THAT MAKES IT MORE DIFFICULT;
TO LOOK AT SOMETHING NEW. MY
QUESTION TO REPRESENTATIVE
DEAN; SOME TIMES PEOPLE MOEFB
MOVE FROM COUNTY TO COUNTY.
THEY DO IT HOWEVER THEY WANT TO
DO IT WITHOUT BEING;ABLE TO
SUPPORT. ANY TIME SOMETHING
NEW HAPPENS IT TAKES TIME TO BE
EFFECTIVE.
>>: THE ANSWER IS WE DON'T
HAVE SUCH AN AWESOME TRACK
RECORD FOR I T PROGRAM
ENROLLMENT. BEFORE I GOT LET
THE ELECTED THERE WAS
SOMETHING CALLED HEALTH MATCH.
THEY JUST IMPOSED THIS I
T SYSTEM ON THE STATE. THERE WAS
NO BACK UP AND NO NET. SO ALL
OF THE PEOPLE THAT COULDN'T GET
SERVED; COUNTIES HAD TO HIRE
PEOPLE TO GET CAUGHT UP. IT
STILL DOESN'T WORK. WE'RE
GOING TO FIND OUT THAT
THEY'RE GOING TO BE SPENDING HUNDRED
OF MILL I -- LETS GET THE
RIGHT VOICES AND NOT PULL THE
RUG OUT FROM UNDERNEATH THE
COUNTY. THAT'S THE IDEA.
>>: WE HAVE 12 MINUTES LEFT
>>: WE WERE UP AGAINST A
FEDERAL MANDATE TO GET THE
DOLLARS THAT WE NEEDED.
HERE WE ARE YEARS LATER.
ANYTHING NEW TAKES TIME. THE
THING IS WHAT DO WE LEARN? I
HEARD THAT YOU'RE GOING TO PUT
A GROUP TOGETHER AND TAKE YOUR
TIME TO MAKE IT HAPPEN. SO WE
WANT TO REPEAL STATUTES AND
RULES. WHAT DID THAT LOOK LIKE
REPRESENTATIVE DEAN?
>>: SECTION 4 -- IN ORDER TO
DO THAT WOULD ALLOW STATE
FLEXIBILITY. ALLOW US TO
CONTINUE TO USE WHAT WE HAVE
UNTIL WE HAVE
SOMETHING BETTER. >>: IS THERE A -- ASSOCIATED
WITH THIS?
>>: THE COST WITH IN THAT
EXISTING A -- WE'RE GOING TO
LOOK AT HOW THOSE MONEYS ARE
GOING TO BE SPENT. THAT MAKES
SENSE; SOMETHING THAT IS GOING
TO LAST.
>>: MY HOPE IS THAT WE HAVE A
SMALL BUSINESS IN FRONT OF US
WHO HAS DONE A GREAT JOB; IN MY
HOPE IS THAT WE'RE NOT HERE TO
ATTACK THE GREAT WORK THAT THE
BUSINESS IS DOING; BUT SEE THE
VALUE THAT SHE HAS BROUGHT INTO
A SYSTEM THAT MANY OF US HAVE
THOUGHT WAS BROKEN. THAT WE
RECOGNIZE THAT SHE IS A JOB
CREATOR. FROM WHAT I HEAR IS
WORKING EXTREMELY HARD
AND DID YOU SAY NOT RECEIVE MUCH OF A
PROFIT. I THINK THAT'S A JOB
WELL DONE. I WANT TO THANK YOU
FOR YOUR SERVICE.
>>: MR. CHAIR; I'M CONFUSED
BECAUSE I THOUGHT THIS
BILL WAS ABOUT HAVING A WORKING SYSTEM.
WE HEARD ABOUT ENROLLMENT; THE
PERCENT OF -- FROM
NONFUNCTION -- BASICALLY THIS
BILL IS AIMED AT THE USER
BEINGABLE TO DEFINE A SYSTEM
THAT WORKS. I WOULD LOVE TO
HEAR YOUR COUNTY PEOPLE WHO
DON'T HAVE A PROBLEM WITH THE
SYSTEM AND THEN I'LL JOIN YOU.
BUT OUR CITIZENS DESERVE THEIR
COUNTIES THAT HAVE TOOLS THAT
WORK FOR THEM. SOMETHING THAT
FUNCTIONS. ACTUALLY
FUNCTIONS. YOU CAN DO THIS IN MONTHS IN
THE REAL WORLD. IF YOU DON'T
REQUIRE SECONDARY COMPANIES.
>>: THANK YOU. IT'S BEEN A
LITTLE BIT HARD TO DISEN LISTEN
TO THIS CONVERSATION. I HOPE
MEMBERS AREN'T IN TENDING TO GO
DOWN THAT ROAD. I SUGGEST THAT
-- THEY DID START OUT WITH
DIFFICULTY; IT'S NOT PERFECT.
WE DON'T NEED TO ATTACK THE
MESSENGER HERE. THINK ABOUT WE
HAVE A COMPLICATED SYSTEM OF
MAKING SURE THAT PEOPLE HAVE
INSURANCE TO MAKE SURE THAT
THEY HAVE HEALTH
CARE. YOU DO NEED A LOT OF OUTSIDE HELP
WITH.
I THINK REPRESENTATIVE DEAN
KNOWS WHERE I'M GOING WITH
THIS. IF WE WANT A SYSTEM THAT
DOESN'T TAKE ODDS OUT HELP.
WE SHOULD GET RID OF THE
INSURANCE. PEOPLE WOULDN'T
HAVE THIS COMPLICATED POINT.
WE DO ALL OF THESE THINGS AND
HAVE THIS LAYER TO MAKE THIS
THING WORK THAT ISN'T EVEN
ABOUT HEALTH CARE. WE NEED A
ONE POOL SYSTEM. WE WOULDN'T
HAVE TO SEND THIS TO THE
COUNTY. SOMEBODY WITH A RARE
DID -- DISEASE SHOULD HAVE
HEALTH CARE. IN THE
MEANTIME WHEN WE HAVE THE SYSTEM THAT WE
GOT; ITS WORKING BETTER.
>>: THANK YOU. I KNOW YOU'RE
TRYING TO HELP PEOPLE WHO FIND
THEMSELVES IN A DIFFICULT
SITUATION.
I DO SUPPORT REPRESENTATIVE
DEANS BILL. A KOUFL COUPLE
THINGS I WANT TO BRING UP.
WE'RE GOING BACKWARDS IN THAT
AREA. PEOPLE COULD NOT AFFORD
IT. I HAVE MORE PEOPLE
CANCELLING. PEOPLE ARE JUST
SAYING THAT'S ENOUGH. THE
BIGGEST THING WE'RE DOING IS
EXPANDING GOVERNMENT HEALTH
CARE. GOVERNMENT HEALTH CARE
UNDER PAYS PROVIDERS. I HAVE
CRITICAL ACTS OF COST -- I SAID
HOW ARE THINGS GOING? SHE SAID
WE HAVE TO SAVE MONEY. THE
FACILITY IS UNDER PRESSURE
FINANCIALLY. WE'RE DAMAGING
ONE OF THE BEST HEALTH
CARE SYSTEMS IN THE WORLD. IF WE'RE
EXPANDING YOU'RE GOING TO
SEE LESS ACCESS. PEOPLE WERE
WAITING 40 DAYS TO SEE A
GENERAL PRACTITIONER. ITS
GOING TO DAMAGE ACCESS AND THE
I -- AND NOT MAKE IT BETTER.
IT HAS TO BE REPLACED WITH
PRIVATE SECTORS. WE CAN BRING
THE COST DOWN. WE HAD A 9
NINE PERCENT UNIN SURED RATE. WE
HAD A 3 THREE PERCENT -- AFTER
SPENDING. ALL WE HAD TO DO WAS
TWEAK OUR SYSTEM AND WE WOULD
HAVE TAKEN CARE OF THAT 3 THREE
PERCENT.
I COULD KEEP GOING ON.
>>: THANK YOU
FOR YOUR TESTIMONY TODAY.
>>: PLEASE RECONSIDER YOUR
POSITION.
>>: WELCOME. I AM THE DIRECT
OR OF MINNESOTA COUNTIES. I
DON'T GET HERE OFTEN. I WILL
BE BRIEF. I KNOW MANY OF YOU
HAVE SAT WITH YOUR
COUNTY WORKERS AND SEEN
THE CHALLENGES THAT TLAR FACING.
WE HAVE SOME QUESTIONS ABOUT THIS PROPOSAL.
WE BELIEVE THESE SYSTEMS
DO HAVE TO BE TESTED OUT AND
COUNTIES NEED TO BE AT THE
TABLE IN DEVELOPING THEM. WE
DO HAVE A NUMBER OF QUESTIONS
AND -- RIGHT NOW THERE IS NO
GREAT MECHANIC -- HOW WE WOULD
OWN; OPERATE AND MAINTAIN IT.
BUT WE ARE CONCERNED ABOUT
COUNTIES BEING PLACED IN A
DIFFICULT SITUATION; TRYING TO
OPERATE
AND MAINTAIN SYSTEMS. WE'VE BEEN HERE BEFORE. WE DO
WANT TO WORK TOGETHER. IT DID
YOU SAY NO GOOD TO EXPEND
RESOURCES TO TRY AND MAKE
SYSTEMS THAT SHOULD MAKE OUR
LIFE EASIER. TOMORROW IS
COUNTY DAY HERE. I'D ASK YOU
TO REACH OUT TO YOUR LOCAL
FOLKS ABOUT THIS PROPOSAL AND
OTHER TECH ISSUES.
>>: MEMBERS; ANY FINAL WORDS?
>>: TOMORROW TALK TO YOUR
COUNTIES.
>>: THANK YOU REPRESENTATIVE
DEAN.
>>: WITH THAT REPRESENTATIVE
DEAN RENEWS HIS MOTION. MOTION
PREVAILS. WITH THAT WE ARE
For more infomation >> Pueblo Animal Services will have a new set of rules to follow - Duration: 2:17. 
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