BE ABLE >> CHAIR MARIANI: AND
>> [GAVEL] >>
CHAIR MORAN: I WOULD LIKE TO CALL HIM MEETING OF THE
COMMITTEE OF THE HEALTH AND HUMAN SERVICES POLICY
TO ORDER. CAN WE PLEASE;
BE SEATED. OKAY THERE IS A QUORUM.
MAY I HAVE A MOTION TO APPROVE
THE MINUTES? THANK YOU.
REPRESENTATIVE LIEBLING HAS
MOVED APPROVAL OF THE MINUTES
FOR TUESDAY
FOR TUESDAY; JANUARY 29. ANY DISCUSSION?
HEARING NONE; ALL THOSE IN FAVOR SAY; AYE. [CHORUS
OF AYES.] THOSE POSED?
THE MOTION PREVAILS. THE MINUTES
THE MOTION PREVAILS. THE MINUTES FOR TUESDAY; JANUARY 29 ARE PROVED. >> [GAVEL] >> CHAIR MORAN: SO
WE HAVE A BILL BEFORE
US TODAY BUT BEFORE WE GET TO
THAT BILL; ONE; I WOULD LIKE TO SAY THAT
THIS BILL ON OPIOIDS IS A
HUGE BILL. IT'S A PRETTY
COMPREHENSIVE BILL THAT HAS BEEN VETTED;
THAT HAS
THE SUPPORT OF NOT ONLY DOES
LEGISLATIVE BODY BUT ALSO FROM THE COMMUNITY
. THERE'S A CRISIS THAT'S GOING ON WITH OUR COMMUNITIES ACROSS THE STATE OF MINNESOTA.
I AM SO HAPPY AND ELATED TO KNOW THAT TH
IS IS A BIPARTISAN BILL THAT'S GOING TO BE MOVING TO THIS BODY
. IT'S GOING TO BE INTRODUCED BY
BBIPARTISAN LEE. WE SHOULD REALLY REALLY IMPORTANT.
AND AS THE CHAIR OF THIS COMMITTEE;
MY INTENTION IS TO MOVE
THIS BILL BEFORE
US TODAY. THAT IS THE INTENSE. WE HAVE TESTIFIERS
THAT TRAVELED FROM ACROSS THE STATE OF MINNESOTA TO
BE HERE TO SHARE THEIR
TESTIMONY AND I WANT TO MAKE SURE WE ARE ABLE TO
DO THAT. SO IT'S REALLY
IMPORTANT THAT WE ALLOW
-- I AM ABOUT TO HAPPEN AND THAT
WE CREATE
SUFFICIENT TIME FOR EACH SPEAKER TO SPEAK.
SO ONE OF THE THINGS THAT WE
HAVE DONE AHEAD OF TIME IS THIS
. WE OBSERVED TO OUR TESTIFIERS TO COME BEFORE US TO THE TABLE;
BE REALLY CLEAR IN YOUR STATEMENT
ABOUT WHAT YOU NEED TO SAY BECAUSE WE
WANT TO REALLY MAKE SURE THAT
WE ALLOW EVERYONE TO HAVE A VOICE WAS COME BEFORE US TO
DO THAT. WE
WOULD LIKE TO GIVE YOU A FEW MINUTES TO DO THAT AND
-- LET'S SEE. ONE OF THE
THINGS THAT I WOULD
ALSO; TOO; WOULD LIKE TO SAY
IS THAT MY INTENT AGAIN IS TO MOVE THIS
BILL TODAY. IF WE DO NOTGET
DONE BY 4:15 PM. WE WILL
RETURN THIS AFTERNOON AFTERNOON AT
5:15 PM
THIS AFTERNOON TO COMPLETE THE BILL BEFORE US. I AM GOING TO PUT
A PRIORITY FOR THE TESTIFIERS TO SPEAK TODAY.
I WANT EVERYONE;
THE MEMBERS;RUN THE TABLE
AND ALSO [INAUDIBLE]
TO KNOW THAT I LIKE TO BE FAIR. I LIKE TO BE A
GOOD LISTENER
AND CREATE A SPACE FOR PEOPLE TO COME BEFORE THIS BODY
TO DISCUSS AND SHARE THEIR THOUGHTS ON THE BILL. I'M
ALSO A CHAIR THAT WANTS TO
BE RESPECTFUL. IN MY
FIRST PRIORITY IS TO ALLOW THE MEMBERS TRAVELED FROM AROUND
THE STATE TO HAVE THEIR
VOICES HEARD.. SO WE WON'T SPEND TOO MUCH
TIME TODAY OPENING STATEMENTS FROM MEMBERS
BECAUSE AS WE CAN
ALL SEE; THE COMMUNITY
SHOWED UP. SO WHAT I WOULD LIKE TO DO IS
BRING THE BILL BEFORE
THE COMMITTEE. I WOULD LIKE
TO MOVE HOUSE FILE 400. I ASK
REPRESENTATIVE OLSON AND
REPRESENTATIVE BAKER TO COME
BEFORE ME AND I WOULD LIKE TO MOVE HOUSE FILE 400 TO
BE RECOMMENDED TO BE RE-REFERRED
TO THE COMMITTEE
OF COMMERCE. WE HAVE THE BILL BEFORE US
TO REPRESENTATIVE OLSON; I LIKE TO WELCOME YOU TO THE
COMMITTEE TODAY. I UNDERSTAND THERE ARE SOME
OTHER AMENDMENTS DO WISH TO
SAY ANYTHING TO THE AMENDMENTS BEFORE WE TAKE TESTIMONY? >>
REPRESENTATIVE OLSON: >> REPRESENTATIVE MORAN:
>>
REPRESENTATIVE OLSON: THANK YOU;
MME. CHAIR.. BEFORE I MAKE COMMENTS ON THE BILL AND WALK THROUGH I DO WANT TO MOVE THE AUTHOR AMENDMENT AND I
WOULD ALSO MOVED TO ACCEPT THERE
ARE TWO
AMENDMENTS TO THE ARMAMENTS ARE ALSO HERE TODAY
AND I WOULD MOVE TO ACCEPT THOSE AMENDMENTS INTO THE AUTHOR AMENDMENT AS WELL. >> CHAIR MORAN: REPRESENTATIVE
OLSON --
>> REPRESENTATIVE OLSON: I CAN MOVE THOSE BUT I WOULD
ASK THE WE CONSIDER THE
AMENDMENT TO THE AMENDMENT ALONG WITH THE
AUTHOR'S AMENDMENT.>> CHAIR
MORAN: REPRESENTATIVE
>> REPRESENTATIVE: I'M
HAPPY TO ADOPT THE AUTHOR AMENDMENT INCORPORATING THE
LANGUAGE [INAUDIBLE] FOR THE AUTHOR TO GET THE BILL IN
THE LANGUAGE THAT THE AUTHOR WISHES. >> CHAIR MORAN: THANK YOU.
REPRESENTATIVE PINTO MOVES
THAT THE A - ONE
WHICH IS THE AUTHOR'S AMENDMENT
INCLUDING THE A - FOR AN
[INAUDIBLE] ALL THOSE IN FAVOR SAY; AYE. [CHORUS OF AYES.] THE A -
ONE AMENDMENT AS AMENDED
IS ADOPTED REPRESENTATIVE OLSON TO
YOUR BILL.
>> REPRESENTATIVE: ISN'T IT
CUSTOMARY TO
OPEN UP FOR DISCUSSION ON THE AMENDMENTS? >> CHAIR MORAN: ARE REQUESTING
TO --
>> REPRESENTATIVE POINT OF
ALIMENTARY INQUIRY; I GUESS. >> CHAIR MORAN:
SO REPRESENTATIVE
PIERSON; ONE OF THE THINGS I WOULD LIKE TO DO A
SPIRIT AND SO LET ME GIVE A
LITTLE HISTORY.
YESTERDAY WE WENT THROUGH THIS
LONG CONVERSATION ABOUT
THE AMENDMENTS
RIGHT CREATED [INAUDIBLE] NOT ONLY THANK YOU;
MR. CHAIR'S TO HAVE
AN OPPORTUNITY TO BE PRESENTED IN
THIS COMMITTEE AND THAT
WAS DONE. WITH THIS HUGE CONVERSATION YESTERDAY ABOUT
CREATING A PLACE WHERE
THE COMMUNITY CAN
TRAVEL DOWN FROM THE
RURAL COMMUNITY TO HAVE A VOICE TO BE HEARD AND
I WELCOME IT DISCUSSION. I THINK
I CREATEDA GREAT SPACE TO HAVE
FOR CONVERSATIONS TO
HAPPEN. SO; WHAT DOES HAPPEN IS THAT
THE OPPORTUNITYPRESENTED FOR THE
MINORITY COMMUNITY TO DO WITH A US TO
DO HAPPENED. WE HAVE THE AUTHOR OF
THE BILL HAS DECIDED TO ACCEPT TWO OF
THE AMENDMENTS ONTO A BILL
AND WHAT I WOULD LIKE TO DO
REPRESENTATIVE PIERSON IS OH I WOULD LIKE
TO ALLOW THE AUTHOR OF THE BILL; THE AUTHORS;
THE BILL; TO HAVE AN OPPORTUNITY TO DISCUSS THE BILL. WE WILL
MOVE TO [INAUDIBLE] WHERE WE
CAN DISCUSS AND ASK QUESTIONS
. THAT WILL TAKE PLACE.
>> REPRESENTATIVE PIERSON: MME. CHAIR; I ACTUALLY AGREE WITH YOU 100% IF YOU'VE DONE A GREAT JOB OF FACILITATING THESE
CONVERSATIONS AND [INAUDIBLE]
YESTERDAY. OUTSTANDING.
OUTSIDE OF THATMIGHT DEEPER
QUESTION GOES
TO YESTERDAY YOU STATING THERE WERE 20 PEOPLE ARE SPEAKERS LIST TODAY.
TODAY THERE ARE 14 PEOPLE ON THE SPEAKERS LIST IN THE FIRST TIME I RAISE MY
HAND HERE THIS AFTERNOON I WASN'T ADDRESSED
AND WE WERE INTRODUCING THE BILL. I SIMPLY WANT TO ASK THE QUESTION BECAUSE CLEARLY YOU WANT TO MOVE THIS TODAY
YOU STATED THAT A COUPLE OF TIMES. I APPRECIATE AND RESPECT
THE POSITION. MY QUESTION IS;
WHO ARE THE OTHER
SIX TESTIFIERS AND WHY WERE THEY NOT ABLE TO BE HERE TODAY?
>> [INAUDIBLE / OFF MICROPHONE]
>> CHAIR MORAN:
THE QUESTION YOU PUT BEFORE ME WHAT HAPPENED TO THE
OTHER SPEAKERS TESTIFIERS WHO ARE NOT-
[INAUDIBLE] SO WHAT WE
HAVE ALLOWED TESTIFIERS TO
DO IS AS WE ALWAYS DO; FOR THOSE
WHO DECIDE THAT IS BEST FOR
THEM TO SUBMIT A WRITTEN TESTIMONY; FOR
THOSE WHO CANNOT MAKE IT; THEY DECIDED TO DO THAT. WHY
THEY DIDN'T -- I MEAN; FAMILY GETS IN THE WAY. MANY
DIFFERENT REASONS WHY PEOPLE CAN'T
BUT AGAIN WE HAVE
THE TESTIMONY IN OUR FOLDER. >> REPRESENTATIVE PIERSON:
M
ME. CHAIR I'M ALL FOR HEARING TESTIMONY IF EVERYONE WAS ABLE TO MAKE IT OR TO GET I'M
JUST [INAUDIBLE] THE QUESTION
THE ACTION GOES TO WHY WE ARE ALREADY TALK ABOUT HOLDING OVER
THE BILL SO WE CAN HEAR
FROM EVERYONE. WE ALREADY KNOW
THIS BILL IS INTRODUCED EXTREMELY
THE EIGHT AND THE NOTICE FOR
THE COMMUNITY
ALL COMMUNITIES TO PARTICIPATE ON A DAY
LIKE TODAY FOR THE
REASONS THAT AUDIENCE MEMBERS
POINTED OUT AND WAS VERY DIFFICULT TO GET
HERE TODAY.
I JUST WOULD CONTINUE THIS CONVERSATION
SO IMPORTANT THAT I DON'T TAKE UP A LOT OF TIME. THIS CONVERSATION IS SO IMPORTANT THAT I DON'T UNDERSTANDBY
OUR REQUEST TO HOLD OVER
THIS BILL CAN
BE RECOGNIZED AND ACCEPTED SO THAT EVERYONE CAN HAVE INPUT ON
THIS BILL AND THE MULTIPLE AMENDMENTS THAT SHIFTED
AND CHANGED WITHIN A COUPLE
OF HOURS OF THIS HEARING. SO I
WOULD RESPECTFULLY
REQUEST THAT
IN ADVANCE SO THAT WE DON'T HAVE TO RUSH ANYONE
SO WE CAN LISTEN TO ALL THE PEOPLE WHO
WERE NOT ABLE TO COME
HERE TODAY; TO CONTINUE
THE CONVERSATION. AGAIN; I UNDERSTAND THE OBJECTIVE BUT I
DON'T THINK IT SERVES THE
BILL WILL >> CHAIR MORAN: INC. YOU
REPRESENTATIVE PIERSON FOR THAT STATEMENT. IT SEEMS
LIKE YOU -- MEMBERS AROUND
THE TABLE
REALLY APPRECIATE THOSE WHO HAVE TRAVELED HERE..
THOSE WHO ARE HERE NOW AND WE ARE
GOING TO RESPECT THE FACT THEY ARE HERE AND
CREATE SPACE SO THAT WE CAN ACKNOWLEDGE THAT..
REPRESENTATIVE ALBRIGHT >>
REPRESENTATIVE ALBRIGHT: THANK YOU; MME. CHAIR I THINK
THE ISSUE WE ARE ADDRESSING
TODAY IS NONPARTISAN
AND THE FOCAL POINT OF THIS CONVERSATION
; HOWEVER LONG IT TAKES FOR
THE PEOPLE THAT SUFFER SUCH A
DREAD DISEASE. SO; AS I LOOK AT
THE
TESTIFIERS LINEUP; THE COMMITTEE STRUCTURE; AND WHAT WE
ARE CALLED TO DO; I THINK IT WOULD BE INCUMBENT UPON US
I THINK YOU SHARE THIS;; THAT FOR
THE NEXT HOUR AND A HALF OR HOWEVER LONG
IT TAKES; I THINK WE SHOULD AVAIL PEOPLE IN
THE AUDIENCE TO HAVE THE OPPORTUNITY TO SPEAK TO US
; SPEECH WAS FROM THEIR HEARTS; AND SPEAK TO US FROM THEIR
PERSONAL EXPERIENCES. THEN;
COMMIT OURSELVES TO COMING BACK AT
5:15 PM TAKING OF THE COMMITTEE STRUCTURE THAT WE KNOW ABOUT THE AMENDMENTS
AND HAVE A ROBUST CONVERSATION
FOR OUR HELP HOWEVER LONG IT TAKES
AND BUT [INAUDIBLE]
PUBLIC SAFETY WITH
THE ROADS AND THE WEATHER BEEN IT IS; I
THINK THAT IT WOULD
BE A DISSERVICE TO THE FOLKS WE DO NOT ALLOW THEM AS MUCH TIME DURING
THIS AFTERNOON BEFORE IT
GETS DARK. TO SAY THEIR PIECE AND HE
INFORM US ABOUT HOW THIS ISSUE
AFFECTS THEM. SO YOU HAVE
OUR COMMITMENT THAT
WE WANT TO HAVE A CONVERSATION BUT WE WOULD LIKE TO HAVE IT SO THAT
ALL PARTICIPANTS HAVE
AN OPPORTUNITY TO SPEAK TO
THE ARGUMENTS BUT THANK YOU FOR THAT >> CHAIR MORAN: I
APPRECIATE THAT
REPRESENTATIVE ALBRIGHT. LET'S MOVE THE BILL
TO THE BILL REPRESENTATIVE OLSON >> REPRESENTATIVE OLSON: THANK YOU;
MME. CHAIR AND MEMBERS. I THINK IT'S FITTING THAT WE ARE
HERE TODAYON A VERY COLD DAY.
THIS DISCUSSION IS NOT NEW TODAY. THERE'S A LOT
OF FOLKSTHAT COME BEFORE US
INCLUDING REPRESENTATIVE
BAKER AND MANY IN THIS ROOM THAT WORKED FOR A
LONG TIME FOR MY COLLEAGUES ARE ASKING FOR MORE TIME; I WOULD JUST REMIND
FOLKS THAT EVEN THE AMENDMENT YOU ARE OFFERING A PART OF THE BILL
THAT WAS IN YOUR CONTROL LAST YEAR AND WE ARE HERE
AGAIN TODAY. SO THERE IS URGENCY
. ONE OF THE TESTIFIERS THAT CANNOT BE HERE TODAY
IS LIEUT. [INAUDIBLE] FROM THE DULUTH POLICE DEPARTMENT. THE REASON HE CAN'T BE HERE IS BECAUSE
HE IS FIGHTING THIS CRISIS
BACK ON. THERE IS URGENCY THAT WE
ALL KNOWFROM
PERSONAL STANDPOINT; FROM COMMUNITY STANDPOINTS. IN MY COMMUNITY
IN DECEMBER WE SAW THE HIGHEST NUMBER OF OVERDOSES THAT WE HAVE EVER SEEN DUE TO THE
OPIOID CRISIS.
OUR FOLKS KNOW THAT EVERY DAY THAT WE DON'T ACT IS
A DATE THAT A LIFE COULD
BE LOST. WHEN WE ASK EVERYONE TO COME TO THE TABLE AND I THINK THIS BILL BRINGS
THAT FORWARD
. SO I THINK IT'S REALLY FITTING THAT WE ARE HERE TODAY AND WE ARE NOT WAITING ANY LONGER TO ADDRESS THE CRISIS
THAT MANY OF US IN THE ROOM
I FELTON A DEEPLY PERSONAL LEVEL. FROM A STATE LEGISLATOR'S PERSPECTIVE; WE ARE ASKEDTO ACT. THE PUBLIC
IS ASKING OF US TO ACT BECAUSE
THIS IS A CRISIS THAT WE
ARE FACING FROM OUR STATE BUDGET PERSPECTIVE; THAT'S COSTING OUR COUNTIES
THAT IS CAUSING EVERY TAXPAYER IN
THIS ROOM WITH EVERY DAY OF INACTION WE HAVE. IT COST US MORE AND MORE AND PERSONAL AND FINANCIAL LOSSES. SO TODAY I
S A NEW DAY AND WE ARE BRINGING FORWARD A GREAT PIECE OF
LEGISLATION THAT IS AT STOP NUMBER ONE. THIS WILL TAKE SEVERAL STOPS ALONG THE WAY I
HAVE NO
BELIEF THIS IS THE PERFECT PIECE
OF LEGISLATION OUT OF THE GATE B
UT I'M COMMITTED TO WORKING WITH FOLKS HERE AROUND THE TABLE
FROM FOLKS ON BOTH SIDES OF THE AISLE;
TO MAKE SURE THAT WE CONTINUE TO WORK TOGETHER TO DO A BIPARTISAN EFFORT TO INCORPORATE AS MANY VOICES AS WE CAN INTO
THIS BILL. SO WITH THAT; I WILL GET INTO THE BILL AND I WAS WE TURN IT OVER TO REPRESENTATIVE BAKER IN A MINUTE
TO SHARE SOME COMMENTS AS
WELL. SO TO THE BILL IN FRONT OF US AS AMENDED. WE
PUT FORWARD A BILL T
HAT IS GOING TO BE LOOKING TO GENERATE REVENUE
FROM REGISTRATION
-- REGISTRATION FROM MANUFACTURERS AND DISTRIBUTORS. SO YOU WILL SEE THAT IN THE FIRST PART OF THE BILL. WE ARE GOING TO BE ASKING AN ADVISORY COUNCIL
TO FORM WITH THE
VARIOUS STAKEHOLDERS TO THEN LOOK
OVER THE FUNDS THAT WILL GO INTO A
SPECIAL ACCOUNT
TO BE ABLE TO FIGURE OUT HOW WE
ADMINISTER THESE. THROUGH THIS BILL WE WILL ALSO BE LOOKING AT HOW WE
GO UPSTREAM AND CONTINUE TO KEEP THE PRICES CRISIS FROM
HAPPENING FROM
PREVENTION AND EDUCATION EFFORTS. WE ARE GOING TO BE HAVING GRANT FUNDING; FOR VARIOUS DEPARTMENTS AND COMMISSIONERS TO WORK IN CLOSE CONTACT WITH THE ADVISORY COUNCIL SO THAT WE ARE TALK ABOUT EXISTING PREVENTION METHODS THAT WE
KNOW WORK. WE ARE TALK ABOUT LOOKING
AT INNOVATIVE NEW METHODS
WHAT WE WOULD DO TO ADDRESS
THIS CRISISAND A PARTICULAR PART I'M
EXCITED ABOUT THAT YOU SEE REFLECTED IN THE AMENDMENT THAT WE JUST PUT FORTH TODAY
. FOR THOSE OF YOU THAT WERE
AT LAST FRIDAY WE HAD THE OPPORTUNITY TO GO TO MILLE LACS AND WE OPPORTUNITY TO HEAR FROM TRIBAL GOVERNMENTS WHICH ARE SOME OF THE; TRIBAL LEADERS AND
TRIBAL REPRESENTATIVES; AND WE KNOW TRIBAL COMMITTEES ARE SOME OF THE HARDEST HIT
BY THIS CRISIS. SO WE HAVE ADDED IN LANGUAGE
TO REFLECT WILL BE HEARD
ON FRIDAY TO BE ABLE TO OFF
ER THESE FUNDS TO CULTURALLY SENSITIVE AND CULTURALLY
APPROPRIATE PROGRAMMING
IN THOSE AREAS AS WELL WHICH I'M
INCREDIBLY PROUD OF. I THINK THIS BILL REALLY GETS TO
THE SPIRIT OF HOLDING ACCOUNTABLE THAT WHICH NEEDS TO BE HELD ACCOUNTABLE AND PROVIDING CULTURALLY
APPROPRIATE INNOVATIVE AND PROVEN WAYS
TO FIGHT THIS CRISIS THROUGH EDUCATION PREVENTION
AND TREATMENT. SO WITH THAT I'LL TURN OVER TO REPRESENTATIVE BAKER. >> CHAIR MORAN:
REPRESENTATIVE BAKER
>>
REPRESENTATIVE BAKER: ADAM CHAIR AND COMMITTEE; THANK YOU FOR ALLOWING US
TO HAVE THE FORT AND I WOULD MAKE A QUICK STATEMENT BECAUSE WE WANT TO GET TO TESTIFIERS AS WELL.
I'VE WORKED ON THIS BI
LL WERE [INAUDIBLE] FOR LUNCH I WANT TO THINK A LOT OF MEMBERS SITTING AT
THIS TABLE AND FOLKS THAT ARE NOT HERE AT THE TABLE THAT HELPED US WRITE THIS BILL.
REPRESENTATIVE ALBRIGHT WORKED A LOT OF STUFF ON THIS BILL WITH
QUALIFIED HEALTH SYSTEMS THAT CAN DO A LOT OF GREAT WORK IN REPRESENTATIVE KRESHA DID SOME GREAT WORK IN MORRISON COUNTY THAT IS CURRENTLY RESPONDING MORE MEDICAL CENTERS THAT
ARE PROVIDINGMY LEXICON AND
ALSO SUBOXONE; SUPPORT FOR PEOPLE IN
SO BLOWN ADDICTION AND IT'S AMAZING RESULTS. THE AQUA PROJECT IS GOING REALLY WELL FROM THE FOLKS IN MORRISON COUNTY. REPRESENTATIVE
KUNESH-PODEIN HELP ME WRITE THE
[INAUDIBLE] LAW
EDUCATION SYSTEM IN THIS BILL AND
COMPONENTS ABOUT
OUR STRAIGHT IN THIS BILL. THERE'S A LOT OF REALLY GOOD THINGS IN THIS BILL A LOT OF MEMBERS
HAVE RESPONSIBILITY AND SHOULD TAKE GREAT PRIDE IN WITH THIS POST AT.
REPRESENTATIVE OLSON HAS SAID; WE DO NOT THIS BILL
RIGHT;
YET. WE HAVE A LOT OF PLACES TO MAKE IT BETTER. I'M COMMITTED TO DOING THAT AND
I ALLOW OUR TESTIFIERS TO TELL US
THEIR STORY
.. TO 55 BELOW WINDSHIELD I CAN IMAGINE A
BETTER DAY TO DO THIS
TO WARM THE HEARTS AND WHAT WE HAVE TO WITHOUT MME. CHAIR OUT ABOUT YOU. >> REPRESENTATIVE OLSON: I ALSO TO THE POINT I MADE ABOUT
THE VISIT TO THE MILLE LACS; THEY WERE NOT ABLE TO BE HERE BUT DID WANT TO SEND A LETTER OF SUPPORT FOR THE BILL
THE LANGUAGE WE ARE INCLUDING TODAY. >> CHAIR MORAN: OKAY.
SO LET'S BEGIN HEARING TESTIMONY.
AGAIN; AS YOU COME UP; PLEASE; INTRODUCE YOURSELF TO I AM
NOTORIOUS FOR TRYING TO
PRONOUNCE NAMES.. IF
I DON'T YOU REALLY NEED TO SAY YOUR NAMEAND BE REALLY CLEAR
AND PRECISE AS YOU CAN BE. AND TO
THE TESTIFIER WILL BE[INAUDIBLE]
CAN WE ALSO
SHELLEY WILKINSON. PLEASE
INTRODUCE YOURSELF. >> TESTIFIER: MME. CHAIR
MY NAME IS CHARLES RESIN A COPY OF ADDICTION MEDICINE DOCTOR AT
HENNEPIN HEALTHCARE AND IN RICE
COUNTY MINNESOTA. SHALL
I BEGIN. >> CHAIR MORAN: YES.
>> TESTIFIER: OKAY. I WANT TO START BY THANKING YOU ALL FOR CONSIDERING THIS BUT ALSO FOR THE WORK FOR MINNESOTA.
I HAVE A FEW BRIEF COMMENTS ABOUT
OPIOID ADDICTIONAND WHAT OPIOID
ADDICTION IS
IN SOME WAYS TO UNDERSTAND THE WORK I'VE BEEN DOING WITH
OPIOID ADDICTION.ALL ADDICTIONS OF COURSE ARE
CUT SOME FROM SIMILAR FABRIC BUT EACH ADDICTION IS UNIQUE IN
SOME WAYS. OPIOID ADDICTION
IS UNIQUE IN ITS LETHALITY
.. OPIOID ADDICTION
KILLS PEOPLE AT ANY AGE OF LIFE AND
HAS VERY HIGH DEATH RATE. SO RECENT EVIDENCE
SHOWS THATIF YOU HAVE AN OPIOID ADDICTION; YOUR CHOICE OF DEATH IS 25%
IN 10 YEARS THAT'S PROBABLE COMPARABLE TO HAVING
COLON CANCER. SO IT'S A VERY SERIOUS
LIKE NOT
DIAGNOSIS TO GIVE SOMEONE IF YOU HAD AN OVERDOSE AND SURVIVED YOUR DEATH
RATE DOUBLES 5% PER YEAR. IN IF
YOU HAVE JUST COME OUT OF A LONG
PERIOD OF ABSTINENCE AND THEN YOU HAVE YOUR
FIRST RELAPSE YOUR DEATH RATE IS
20 FOLD AS HIGH. WE KNOW THAT FOR EXAMPLE IS FROM HER INCARCERATED POPULATION IN THE FIRST TWO WEEKS AFTER RELEASE FROM INCARCERATION. THE DEATH RATE FROM OVERDOSE IS 20 TIMES AS HIGH. SO IT'S A VERY SERIOUS GRAVE MORTALITY NUMBER
.. FOR PEOPLE WITH OPIOID
USE DISORDER. WHAT WE DO ABOUT IT?
/ WELL
I THINK IT'S IMPORTANT WHEN YOU THINK ABOUT INTERVENTIONS YOU ASK NOT JUST WHAT
SOUNDS GOOD OR WHAT LOOKS GOOD OR WHAT FEELS GOOD BUT HOW DO WE KNOW IT
; HOW DO WE KNOW THAT HELPS PEOPLE AND WHAT ARE
THE OUTCOMES.
SO MEDICATIONS; THIS IS PART OF WHAT I DO
-- METHADONE OR [INAUDIBLE]
SUBOXONE;
WITH HUNDREDS OF THOUSANDS OF
PATIENT STUDIES LOWER DEATH
RATES THREEFOLD. IF YOU LOWER
DEATH RATES THREEFOLD WHILE YOU ARE ON IT BUT IT'S NOT A CURE AND IT'S NOT AN
EASY ANSWER AND IT HAS TO BE
MAINTAINED LONG-TERM.
WE DON'T KNOW HOW TO GET PEOPLE OFF
THOSE
MEDICATIONS ENSURE OPIOID ADDICTION BUT WHILE YOU ON
METHADONE OR [INAUDIBLE] YOUR DEATH RATE IS ONE THIRD
BEDROOM BETTEROUTCOMES ARE LESS
[INAUDIBLE] AND LESS INCARCERATION. AND LESS DRUG USE. SO THERE'S A LOT OF GOOD OUTCOMES THERE
IS OTHER MEDICATIONS
SUCH AS [INAUDIBLE] WHICH MAY BE
BENEFICIAL BUT IS LESS WELL RESEARCH. A FEW MORE
FINAL COMMENTS.
I CAN BACK THIS UP BUT I CAN
SAY WITH CERTAINTY THAT THE NUMBER OF
OPIOID ADDICTS; PEOPLE
WITH OPIOID ADDICTION I SHOULD
TAKE HIMPEOPLE WITH OPIOID ADDICTION MINNESOTA; 30;000 PEOPLE.
MANY AS AS MANY AS 50;000
PEOPLE. AND 80% OF THOSE FOLKS ARE
NOT TREATED THAT'S TENS OF THOUSANDS OF MINNESOTANS THAT
HAVE A 10 YEAR MEANT TO TELL
YOU 25%. WE WILL
[INAUDIBLE] OF THIS DEATH RATE CONTINUES. FOR DECADES. LITERALLY. UNTIL WE IDENTIFY THOSE WITH
AN ADDICTION AND
OFFER THEM COMPLETE TREATMENT;
FULL-SERVICE TREATMENT INCLUDING
OPTIONS THAT FITS THEIR WISHES AND NEEDS. SO THIS IS GOING TO
KEEP GOING AND IF YOU
LOOK AT PORTUGAL OR IRELAND; ENGLAND;
SPAIN; FRANCE;; THEY OF HALL AT
SUCCESSFUL
INTERVENTIONS OF LOWER
THE OPIOID DEATH OF THE VOTES INCORPORATE MEDICATIONS BUT WASN'T SUPPOSED MEDICATION NEVER REALLY DRAMATIC
DECREASES IN DEATH RATES.
WE ARE NOT THOSE COUNTRIES COULD WE WERE ARE GOING TO DO IT OUR WAY BUT I JUST WANT TO LET YOU ALL KNOW THAT THIS HAS BEEN DONE IN OTHER PARTS OF THE WORLD SUCCESSFULLY AND WE CAN DO IT HERE. THE FINAL COMMENTS; I WOULD JUST SAY IS THAT WE
DON'T HAVE A CURE YET AND WE
ARE HOPEFUL THAT WE CAN DEVELOP NEW CHORES AND TO THAT EXTENT; WE
REALLY NEED
INDUSTRY TO HELP US BECAUSE THEY NEED TO DEVELOP
NEW INTERVENTIONS; NEW MEDICATIONS; NEW TREATMENTS FOR BOTH PAIN AND FOR ADDICTION. SO INDUSTRY IS NOT OUR ENEMY BUT
I THINK IN MINNESOTA WE CAN
SAY THAT IF THERE'S A
BUSINESS MODEL THAT
CAUSES HARM AND IS CAUSING HARM TO THE PEOPLE
OF MINNESOTA;
THAT BUSINESS WHATEVER THE
INDUSTRY IS; SHOULD BE ACCOUNTABLE FOR SOME
OF THE HARM IT'S
CAUSING AND THAT SHOULD BE TRUE WHETHER WE ARE TALK ABOUT 3M OR WHETHER WE ARE TALK ABOUT PHARMACEUTICAL INDUSTRY WHETHER WE ARE TALK ABOUT ANY INDUSTRY. IF YOU HAVE A
BUSINESS MODEL THAT EXTERNALIZES THEM TO MINNESOTANS WE HAVE TO TRY TO MAKE YOU ACCOUNTABLE. WHILE MAKING PARTNERSHIPS. SO
THAT IS THOSE ARE MY REMARKS. I APPRECIATE YOUR TIME AND ATTENTION. THANK YOU. >> CHAIR MORAN: THANK YOU SO MUCH.
REPRESENTATIVE PIERSON >>
REPRESENTATIVE PIERSON: JUST A
THICK QUICK FACTUAL QUESTION BUT WHEN WE WERE HEARING TESTIMONY GIVEN UP THERE THAT TALKED ABOUT THE
TREATMENT SUBOXONE YOU WERE
TALKING ABOUT THE DECREASE IN
MORTALITY RATES WHEN
THAT'S PRESCRIBED. I AM ASSUMING YOU ARE REFERRING TO THE
A PRESCRIPTION
WITH COUNSELING. IS THAT WHAT THAT NUMBERIS AN
INDICATION OF HIS REQUEST THAT?
>> TESTIFIER: ALL OF
THE STUDIES INCLUDE COUNSEL BECAUSE IT SHOULD BE THE DEFAULT
PEOPLE GET COUNSELING IN ADDITION TO MEDICATION. SO ALL REPARABLE >> TESTIFIER: IF AND YOU CANNOT ETHICALLY STUDY ADDICTION WITHOUT PROVIDING COUNSELING.
THANK YOU. >> CHAIR MORAN:
ALL RIGHT. TO THE NEXT TESTIFIER; PLEASE
INTRODUCE YOURSELF. >> TESTIFIER: GOOD AFTERNOON
MY NAME IS
SHERRY ELKINGTON. MME. CHAIR; THANK YOU
FOR ACKNOWLEDGING THE PEOPLE
THAT HAVE TRAVELED I DROVE ALMOST 3
HOURSLAST NIGHT TO COME HERE AND IT WAS TREACHEROUS BUT
IT'S IMPORTANT
AND I KNEW I HAD TO BE OR SO THANK YOU FOR
ACKNOWLEDGING THAT. IT
REALLY WAS A TOUGH DRIVE.. I LOST
MY DAUGHTER; CASEY JOE; A 26 YEARS OLD AND I WANT TO ACKNOWLEDGE PEOPLE IN THIS ROOM THAT LOST THEIR CHILDREN THAT
I WILL WANT YOU ALL TO KNOW THAT I'M NOT JUST SPEAKING ABOUT
MY DAUGHTER I'M SPEAKING ABOUT YOUR SONS
AND YOURS
AND YOURS AND YOUR FRIENDS AND YOURS.
SO I JUST WANT TO SAY THAT. I WOULD
REALLY LIKE
TO SEE THE BILL FORWARD. I'VE TESTIFIED A NUMBER OF TIMES ON
THIS BILL AND IT'S BEEN
A STRUGGLE AND I; TOO; WITH LIKE TO SEE THE THINGS
FORWARD TODAY. WE CAME A LONG
WAY AND WE WOULD
APPRECIATE THAT. CASEY JOE WAS 26
YEARS OLD THAT'S OLD
SHE WILL FOREVER BE. SHE WAS SICK. SHE HAD A CHRONIC AND PAINFUL CONDITION CALLED
CROHN'S DISEASE AS A RESULT OF CONVOCATIONS SHE
WAS PRESCRIBED PRETTY HIGH AMOUNTS
OF OPIOIDS
FOR PAIN. FOR ABOUT TWO YEARS SHE WAS GIVEN OXYCODONE; OXYCONTIN; FENTANYL ALONG WITH SOME
BENZODIAZEPINES. SHE TOOK HER PRESCRIPTIONS TO THE PHARMACYIN THE CLINIC
EACH APPOINTMENT AND SHE WAS HANDED THESE
MEDICATIONS CLOCKWORK EACH AND
EVERY MONTH.
THESE MEDICATIONS WERE GIVEN TO HER BY
A DOCTOR. SHE WAS SICK AND SHE WAS GOING TO
BE OKAY. WE THOUGHT SHE WAS SAFE. BUT SHE WASN'T.
CASEY JOE WENT FROM A CHAMPION SWIMMER AND ATHLETE; DANCER; A STUDENT TO A SHELL OF A HUMAN TO
AN ADDICT. MY HEAR
T BROKE EACH DAY SEEING THE LIFE DRAIN FROM HER BEAUTIFUL BROWN EYES; HER DREAMS; HER AMBITIONS HER LOVE OF SCIENCE AND LEARNING
. THEY WERE ALL GONE.
PER DAY WAS CONSUMED WITH
HER ADDICTION GETTING MORE PILLS; GOING TO THE
EMERGENCY ROOM; BEING ADMITTED TO
THE HOSPITAL'S MY DAYS AND NIGHTS WERE LIKE MANY OF THE PARENTS IN THIS ROOM
FILLED WITH UNCERTAINTY
; ANXIETY; BUT MOST OF ALL FEAR.
OUR CHILDREN DIED EVERY DAY BEFORE THEY
ACTUALLY DIED AND THAT'S A REALITY. WATCHING
CASEY JOE WITH HER ADDICTION EACH DAY
WAS NEARLY AS HARD AS LOSING HER TO IT WHICH YOU WOULD
BE CALLING ME FOR MONEY; NEED HELP; WHICH BE CLOSE TO DYING OR OVERDOSING? WOULD SHE
BE ARRESTED? WOULD SHE
BE RAPED? WOULD SHE
BE KILLED? ALL OF THOSE THINGS HAPPEN TO
MY DAUGHTER. OUR FEARS
BECAME REALITY. THAT HAPPENS WHERE CHILDREN ARE LIVING A LIFE THAT WE
CANNOT CONTROL WE CAN HELP AND CANNOT CHANGE
. THE LAST DAY I EVER SAW CASEY I WENT WITH HER TO THE DOCTOR.
I WAS GOING TO TELL HIM I WAS CONCERNED ABOUT HER OPIOID USE BUT EVEN MORE I WAS AFRAID HE WOULD STOP GIVING THEM
TO HER AND SHE RETURNED
TO HEROINE. LITTLE DID I KNOW THAT SHE
ALREADY HAD.WHEN WE MET WITH THE
DOCTOR HERS FACE WAS BLANK AND SHE BARELY SPOKE THAT HE TOLD HER THAT SHE DID YOU FIND A TREATMENT CENTER
WHERE HE COULD NOT PRESCRIBED TO HER ANYMORE. HE GAVE HER ANOTHER MONTHS WORTH BUT THAT WAS IT. THERE WAS NO REFERRAL. THERE WAS
NO SPECIALIST ASSIGNED
TO HER. THERE WAS
NO NURSEMAKING PHONE CALLS TO HELP
AN INTAKE SUMMARY THERE WAS
A PAMPHLET HANDED OUT OR LIST OF RESOURCES TO CALL. JUST
;; YOU NEED TO FIND A TREATMENT CENTER.
I WATCH WHAT LITTLE HOPE WAS
IN HER
THAT THEY IN FACT SHE FILLED HER PRESCRIPTIONS FOR A WAY OUT OF THE TRUNK SHE WENT INTO A GAS STATION BATHROOM
AND SHE
NEARLY OVERDOSED. SHE LIVED TO TELL ME THAT SHE
WAS FINE. I LEFT HER IN A HOTEL ROOM THAT NIGHT
I HUGGED HER. I LOOKED INTO HER EYES AND I KNEW I WOULD NEVER SEE HER ALIVE AGAIN.
SIX WEEKS LATER WE WERE CALLED BY THE FARGO
NORTH DAKOTA
POLICE DEPARTMENT TO TELL
US THATTHE BODY HAVE BEEN FOUND IN A GARAGE. WE HAD TO FIGHT HER BODY WE WERE
ASKED HOW WAS THE
PROBLEM? [CRYING] HER BROWN EYES. SHE
WORE GLASSES.
THEY NEVER ASKED US IF WE WERE REPUBLICANS. THEY NEVER ASKED US IF WE
WERE DEMOCRATS. THEY DON'T ASK YOU THOSE THINGS.
WHEN I WAS AT THE PRESS CONFERENCE THIS MORNING I WATCH FOR LEGISLATORS FROM THIS BODY
AND ACROSS THE STREET GET UP TOGETHER AND NOBODY ASKED THEM EITHER. YOU CA
NNOT TELL THEY DO NOT ANNOUNCE THEMSELVES AS A REPUBLICAN OR DEMOCRAT.
THEY JUST
GOT UP TO DO THE GOOD WORK THAT WE KNOW WE NEED TO DO
WERE TAKEN FROM OUR LOSS IS THAT I
CAN ONLY CASEY'S VOICE
BE SILENT THE FEAR SHE FELT THE HOPELESSNESS SHE FELT; THE LACK OF ANY DIRECTION OR SUPPORT FROM HER
MEDICAL TEAM. IT HAS TO CHANGE. NO ONE SHOULD BE GIVEN MEDICATIONS FROM THE DOCTOR TO BECOME ADDICTED AND THEN HAVE A PROBLEM BECAUSE
THEIR OWN
TO SOLVE. THIS IS A MEDICAL CRISIS THAT YOU BE TREATED LIKE ONE. EVERY PATIENT SHOULD FEEL SAFE AND COMFORTABLE TELLING THE DOCTOR THEY NEED HELP. EVERY PATIENT SHOULD BE GIVEN RESOURCES AND IMMEDIATE MEDICAL ATTENTION FOR WITHDRAWAL SYMPTOMS AND ADDICTION. EVERY PATIENT SHOULD BE TREATED WITH THE DIGNITYAND RESPECT. SEN. ROSEN;
SEN. [INAUDIBLE] LAST WEEK SOMETHING THAT STUCK WITH ME AND SAID WE NEED TO DO THIS TO
HELP THOSE THAT ARE STILL HERE AND SHE
IS RIGHT. SHE'S ABSOLUTELY RIGHT.
I VISIT MY DAUGHTER IN
THE CEMETERY THERE ARE MOTHERS IN OUR STATE RIGHT NOW
THAT CAN BE SPARED HAVING TO DO THAT.
THERE ARE MOTHERS IN
THE STATE THAT CAN SEE THEIR
DAUGHTERS LIVE
THIS LEGISLATION WILL PREVENT HER MOTHER FROM HAVING
TO
DECIDE WHAT PLANT TO BRING OUT TO THEIR MOTHERS
GREAT EACH SPRING BECAUSE THAT IS
MY REALITY.
I WILL LEAVE YOU WITH ONE COAT. HOLDING THE POWERFUL TO ACCOUNT TAKES
FEARLESSNESS. IT TAKES TENACITY AND IT
TAKES YOU. THANK YOU.
>> CHAIR MORAN: THANK YOU.
CHRIS JOHNSON. ROCHELLE WESTLUND
PLEASE INTRODUCE YOURSELF.
>> TESTIFIER: BEEN IN
CHRIS JOHNSON. I WORK FOR ALINA HEALTH BUT ALSO
ON THE BOARD OF [INAUDIBLE] IN
HIM CHAIR >> [INAUDIBLE / OFF MICROPHONE]
>> TESTIFIER: ALSO CHAIR OF THE DEPARTMENT OF HUMAN
SERVICES OPIOID PRESCRIBING WORKER. I WANT TO THANKADAM CHAIR AND MEMBERS OF
THE COMMITTEETHIS OPPORTUNITY
SPEAK TODAY. I ALSO SORT OF WANT
TO APOLOGIZE TO MEMBERS OF
THE COMMITTEE. AND TO
EVERYONE HERE WHO'S GOT PATIENTS AND FAMILIES
THAT SUFFERED FROM THIS
CRISIS BECAUSE MY PROFESSIONAL
FAILED YOU. MAKE
NO MISTAKE; YOU ARE HERE LISTENING TO THIS TESTIMONY BECAUSE THE
MEDICAL INDUSTRY FAILED YOU TO
THIS CRISIS WAS NOT
AN ACCIDENT. THIS
WAS ENGINEERED. SO I SPEAK IN SUPPORT OF THIS BILL BECAUSE
YOU CAN IGNORE THE NUMBERS THAT WE ARE FACING NOT JUST IN MINNESOTA BUT AROUND THE COUNTRY AND IN 1999 6000
AMERICANS DIEDOF ACCOMMODATION PRESCRIPTION AND
HEROIN OVERDOSE. 2016; I
WAS 50;000. THAT IS NOT
AN ACCIDENT. THAT IS AN AGENDA.
IT'S IMPORTANT TO UNDERSTAND WHY IT HAPPENED AND HOW IT HAPPENED BECAUSE THAT'S A STUDY OF EPIDEMIOLOGY THAT IS HOW WE FIX THINGS AND THAT'S WHY ACCOUNTABILITYIS VERY IMPORTANT.
AND PREDOMINANTLY ALMOST EXCLUSIVELY; THIS WITH THE CREATION OF A PHARMACEUTICAL COMPANY
AGENDA TO SO OPIOIDS BUT
NOT NECESSARILY TO CREATE A HOLOCAUST
OF DEATHS BUT THEY WERE TRYING
TO SELL AND THEY FOUND A COMPLAINT MEDICAL INDUSTRY AND STARTING IN 1996 WITH THE INTRODUCTION OF OXYCONTIN BEGIN A MULTIMILLION DOLLAR MARKETING CAMPAIGN
THAT WORKED FOR
SURGEONS QUADRUPLED BILLIONS IN REVENUE WERE
SOON GENERATED AND THE
DEATHS SOARED. SO WE ARE HERE TO HELP
. WE ARE HERE TO ASK THE PHARMACEUTICAL INDUSTRY TO HELP FIX THE MESS THEY CREATED.
AMONG THE THINGS THAT ALWAYS STRIKES ME WHEN I HEAR
TESTIMONY LIKE
MS. ELKINGTON'S; OF THOSE
I KNOW THE PATIENTS WERE
[INAUDIBLE] BUT LISTEN TO THE PATIENT TO
KNOW TALLER
THAN THEIR MEDICAL MARKETPLACE. IF THE PATIENTS HAD POWER IN THE
MEDICAL MARKETPLACE THEY WOULD BE PAYING TRIPLE THE COST OF INSULIN COMPARED WITH A DID 10
YEARS AGO. THEY NEED US
TO ASK AS ADVOCATES FOR THEM
. THEY NEED YOU TO ACT AS ADVOCATES
FOR THEM.
SO ONE OF THE IMPORTANT THINGS OF THIS BILL
BY GENERATING THESE IS TWOFOLD.
I HAVE HOPE THAT GENERATING THESE LICENSING FEES FOR THE PHARMACEUTICAL INDUSTRY WE CAN HELPDEFRAY THE COST OF TREATMENTS
FOR PATIENTS AND FAMILIES THAT SUFFERED
FROM THIS. MAN
Y HAVE LOST THEIR FORTUNES AND THEIR FINANCIAL
RUIN BECAUSE OF THE COST OF ADDICTION PURCHASE FROM THE COST OF TREATMENT BUT FROM JOBS THAT ARE LOST
ANOTHER THE COST TO GO WITH IT AND THEY
NEED SUPPORT. BUT THE OTHER IMPORTANT
THING YOU CAN DO BY INCREASING THE ACCOUNTABILITY ON THE
MASUDA GOES IS THAT
YOU CAN PERSUADE FUTURE MARKET VALUES TO OVERPRESCRIBING AND I CANNOT THINK OF A MORE
FORTUITOUS STUDY TO COME OUT IN THE LAST TWO WEEKS THAN THE ONE I JUST APPEAR TO THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION YOU PROBABLY SAW IN THE EUDORA TIMES FOR IT TO A STRAIGHT LINEFROM INCREASED MARKETING AND PAYMENTS TO DOCTORS; COUNTY
BY COUNTY; WHERE THERE WAS
INCREASED MARKETING PAYMENT TO DOCTORS
INCREASE PRESCRIBING OF OPIOIDS AND IT WAS INCREASED
DEATHS. PERIOD. SO
ADDING THIS LEVEL
OF ACCOUNTABILITY WE ARE HOPING TO SLOW THAT
CHAIN REACTION.
IF YOU [INAUDIBLE / OFF MICROPHONE] IN
THE LAST OPIATES THE PATIENT POPULATION IS EXPOSED TO THE FUEL OVERDOSE
DEATHS THERE WILL BE. I
WILL CONCLUDE BY STAMENS. SOME OF
YOU MIGHT
BE HAVING I WAS HERE LAST YEAR AND I ACTUALLY BEGAN
INVESTIGATING THIS IN 2005 COULD HAVE BEEN WAVING MY HANDS FRANTICALLY FOR 15 YEARS NOW AT
MY HOSPITAL
AND NOW AT THE STATE LEVEL. I WOULD
HAVE BELIEVED I BE DOING IT 15 YEARS LATER BUT HERE
WE ARE. I HAVE TO ASK YOU THE LEGISLATORS;
BECAUSE MY PROFESSION HAS FAILED TO LOOK OUT FOR YOUR CONSTITUENTS I'M ASKING YOU TO HELP US; TOO. THIS IS PARTLY
YOUR RESPONSIBILITY WE NEED TO
HAVE EVERYONE
NOW ACCEPT THAT. BEGIN TURNING THIS AROUND.
BECAUSE THE PATIENTS
DESERVE BETTER. THANK YOU VERY MUCH. >> CHAIR MORAN: THANK YOU.
BEFORE YOU START AND I WAS
SUZANNE -- COME DOWN; PLEASE.
PLEASE; PROCEED.
>> TESTIFIER: GOOD AFTERNOON
MENTIONED HIM HENNEPIN
COUNTY COMMISSIONER
MIKE >> TESTIFIER: IF AND MY SON HAD BEEN TO THE ASSOCIATION OF
MINNESOTA COUNTIES. I'M CHAIR
AND MEMBERS; COUNTIES ACROSS
THE STATE SUPPORT THIS
LEGISLATION WOULD DO THAT BECAUSE WE ARE NECKDEEP IN
THE CRISIS. EFFECTS ARE
FELT ACROSS THE STATE AND EVIDENCED IN MANY OF OUR SYSTEMS
AND DEPARTMENTS.
NUMEROUS FACTORS CONTRIBUTE TO
SUBSTANCE ABUSE WOULD BE NO FIGHTING ADDICTION ARTERIES MUST BEIN CONFERENCE
OF APPROACH. WE APPRECIATE THAT THIS BILL INVESTS THE DEFENSE OF THE CHILD PROTECTION WE HAVE SEEN THE IMPACT OF
THE OPIOID EPIDEMIC FIRST-HAND IN HENNEPIN COUNTY AS WE TRY TO REFORM A CHILD PROTECTION AND CHILD WELL-BEING SYSTEM. SOME OF THESE STATS ARE GOING TO GIVE YOU IS COMPELLING AS I'VE SEEN IN THE MORE THAN MY 20 YEAR CAREER. WE HAVE
NOT SEEN WE HAVE SEEN A 90% INCREASE THE NUMBER OF CHILD ABUSE AND NEGLECT CASES
INVOLVING OPIOIDS.96%. 90% OF CHILD PROTECTION
CASES INVOLVING INFANTS INVOLVE PARENTAL
DRUG USE. HEAVY ON THAT OF COU
RSE IS OPIOIDS. IN A HOSPITAL AND THIS ONE IS PROBABLY THE
MOST COMPELLING
AND TRAGIC; IN OUR HOSPITAL WHERE WE USE TO
SEE 612 PREGNANT WOMEN IN TREATMENT FOR OPIATES FOR YOUR;
WE ARE NOW SEEING THAT'S A NUMBER ON ANY
GIVEN DAY. OF COURSE YOU CAN DRAW A BRIGHT LINE
CHILD PROTECTION
AND OUT OF HOME PLACEMENTS IN HENNEPIN COUNTY WHERE CURRENTLY SPENDING OVER $122 MILLION A YEAR. IN OTHER
PARTS OF OUR OPERATIONS WE ARE NOW TRAINING OUR SECURITY OFFICERS TO ADMINISTER NARCAN.
WE'VE HAD
OVERDOSES ARE LOTTERIES OF ALL PLACES
AND COUNTYWIDE ACROSS OUR MANY BUILDINGS ARE SECURE
THE OFFICERS ON A PILOT PROJECT TO MAKE SURE THAT NARCAN IS ALWAYS AT HAND. THIS IS A CRISIS THAT
IMPACTS THE ENTIRE FAMILY. WE RECOGNIZE THE OPIOID CRISIS
COST RESIDENCE
MINIMUM [INAUDIBLE]
JOBS; HOUSING EMPLOYMENT; BROKEN FAMILIES; BANKRUPTCIES ADULTS AND CHILDREN NUMBER OF CHILDREN AT HOME CARE. MOST IMPORTANT; LOSS
OF LIFE. LAST YEAR IN HENNEPIN
COUNTY ALONE
WITH US 149 RESIDENTS TO
OPIOIDS. THAT'S 149 TOO MANY. AS A TRAGI
C RESULT OF THAT WE HAD INCREASED COST FOR
MEDICAL EXAMINER WE HAD A $400;000 INCREASE IN LAB COSTS FOR
SYNTHETICS TESTING TWO ADDITIONAL PHYSICIANS
WERE HIRED AND INCREASE AUTOPSY
COST OF $240;000 IN WAY. WE ARE
ALSO RESPONDING RECORDSJAILS
AND OF COURSE EMERGENCY MANAGEMENT SERVICES. SO WE NEED TO FOCUS ON AND IN THE CHRIST. THIS BILL
FUNDS AWARENESS AND PREVENTION PROGRAMS TO STOP
THE CRISIS. COUNTIES WANT TO BE A PARTNER IN THIS WORK
WE APPRECIATE
THAT IN THE COMMITTEE AS THE MACHINE IS BUILT WILL BE
LOCAL REPRESENTATION
. SO YOU CAN HEAR ABOUT OUR LOCAL
CHALLENGESAND STRATEGIES. THANK YOU
MME. CHAIR AND COMMITTEE FOR BRINGING THIS BILL FOR. >>
CHAIR MORAN: THANK YOU BOTH FOR YOUR TESTIMONY. WE HAVE
SUZANNE [INAUDIBLE] COMING TO THE TESTIFIER TABLE..
PLEASE; CONTINUE. >> TESTIFIER: MME. CHAIR
COMMITTEE MEMBERS MY NAME IS
SUZANNE [INAUDIBLE] AT THE
MINNEAPOLIS FOUNDATION.
OUR NATION HAS BEEN INVESTING IN LAST FOUR YEARS AND BUILDING
SELF-CARE AS
PRIMARY CARE AND CULTURALLY MEANINGFUL TRAUMA HEALING PRACTICES AND COMMITTEES. WHAT WE FOUND
OVER THE LAST FOUR YEARS AND THAT THESE PATCHES ARE VERY WELL RECEIVED AS A PRIMARY
PREVENTION STRATEGY SO I'M HERE TO SUGGEST IS THAT ALL THE TREATMENT AND RECOVERY AND THE INTERVENTION PROGRAMS ARE VITALLY IMPORTANT WE SPECIFICALLY NEED MORE ALL
OF THAT BUT WE SHOULD ADD ON A TRUE PRIMARY
PREVENTION PIECE WHICH GOES TO THE HEART OF
THE MATTER PEOPLE ARE OFTEN
USING DRUGS
AND ALCOHOL AND TAKING THEIR OWN LIVES BECAUSE OF
THE PAIN. TO THEIR SPIRITUAL PAIN; EMOTIONAL PAIN;
PHYSICAL PAIN HOW DO WE GET AT THE PAIN THE PEOPLE ARE SUFFERING FROM AND GIVE THEM TOOLS THAT MAY BE ABLE TO HELP THEM
USE GENERATIVE POSITIVE HEALTHY PRACTICES? SO WE'VE BEEN
TESTING THESE
MODELS FOR A NUMBER YEARS AND WE FIND THEY
ARE VERY ACCESSIBLE IN COMMUNITIES AND THERE'S A PLACE
FOR THEM
IN THE CONTINUUM OF CARE THAT WE THINK SHOULD
BE OFFERED AS PART OF
THE STRATEGY. WE ARE TALK ABOUT BUILDING RESILIENCY TO ADDRESS
DISEASES OF
DESPAIR AND DEATH BY SUICIDE; ALCOHOL; DRUG ADDICTION; THESE ARE
DISEASES OF DESPAIR. RESILIENCE IS ONE COMPONENT AND RESILIENCE AS A TEACHABLE SCOPE. IT'S A SET OF PRACTICES THAT ACTUALLY BEGINS TO GO TO
THE HEART OF HOW DO YOU MANAGE YOUR PAIN. I DO DEAL WITH THE TRAUMA IN YOUR LIFE. HOW DO
YOU COUNTERACT THE EFFECTS OF
TOXIC STRESSIN YOUR COMMUNITY
FOR EXAMPLE. LIKE THE NEW LANGUAGE IT HAS TO BE PRACTICE. SO WHAT WE ARE LEARNING IS A VERY COST-EFFECTIVE INTERVENTION THAT
TEACHES PEOPLE THE SKILLS THEY CAN USE THEMSELVES AND WITH THEIR FAMILIES AND IN
THEIR COMMUNITIES TO ACTUALLY COPE WITH HER PAIN AND TRAUMA
MORE EFFECTIVELY. IT'S NOT
THE PANACEA BUT IT SHOULD BE PART OF THE CONTINUUM OF SERVICES WE ARE
PROVIDING PEOPLE. ACCESS TO NONNARCOTIC PAIN MANAGEMENT STRATEGIES. THE SUFFICIENT DATA NOW THAT SHOWS PRACTICES
LIKE YOGA
AND MINDFULNESS AND THERAPEUTIC MASSAGE AND MEDITATION AND ACUPUNCTURE
ARE TRULY EFFECTIVE IN TREATING MANY TYPES OF PHYSICAL PAIN
THEY SHOULD BE ACCESSIBLE AND AVAILABLE TO BURST PEOPLE RUNNING SO WE ARE PARTICULARLY EXCITED BY THE PROVISIONS OF THE BILL THAT PROVIDE FOR A MAPPING STUDY 12
WAS UNDERSTAND WHERE IN THE STATE OF MINNESOTA WE ACTUALLY HAVE ACCESS TO THESE RESOURCES. HOW EFFECTIVE ARE THEY AND WHAT ARE THE BARRIERS TO PEOPLE
ACCESSING THEM AND THEN THE SUPPORT TO DO SOME DEMONSTRATION PROJECTS
TO REALLY BEGIN TO TEST SOME THEORIES TO SAY
WHEN WE GO TRULY INTO THE PRIMARY PREVENTION STANDS; CAN WE NOT ONLY PREVENT DISEASES
OF DESPAIR BUT WHAT ELSE CAN WE DO IN HELPING PEOPLE DEVELOP
POSITIVE SELF-CARE
THAT IS THE TRUE PRIMARY CARE. WE HAVE EXAMPLES OF THIS HAPPENING ALREADY. I'M HAPPY TO SHOW YOU
THOSE WITH YOU IF YOU HAVE THOSE QUESTIONS. THANK YOU. >> CHAIR MORAN: THANK YOU SO MUCH. I'VE MARGARITA --
COME DOWN AS MR. [INAUDIBLE] TESTIFIES >> TESTIFIER: MME. CHAIR MEMBERS; JEFF OUR WITH THE
CATALYST INITIATIVE MINNEAPOLIS FOUNDATION IT WILL BE
VERY BRIEF. SUSANNA SAID MOST OF THAT WE REALLY WANT TO
SAY THANKSREPRESENTATIVE OLSON AND
REPRESENTATIVE
BAKER FOR BRINGING THIS
BILL FORWARD. WHEN YOU'RE IN THE MIDST OF
AN EPIDEMIC YOU HAVE
TO INTERVENE AND WE ARE REALLY PLEASED TO SEE THIS BILL HAPPENING AT THIS TIME.
WE UNDERSTAND A LOT OF THE INTERVENTIONS THAT NEED TO HAPPEN
RIGHT NOW ARE OF THE ACUTE VARIETY AND WE NEED TO GET ON THAT IMMEDIATELY. WE
ALSO KNOW THAT
PREVENTION MATTERS AND THAT WE HAVE NOT INVESTED ENOUGH
IN PREVENTION BEYOND THAT; WE ALSO KNOW
THAT OFTENTIMES IMMUNITIES HAVE
THEIR OWN SOLUTIONS TO
THESE ISSUES. SO WE ARE REALLY PLEASED TO SEE
SO MUCH LANGUAGE IN THIS BILL THAT REFERENCES
CULTURALLY SPECIFIC COMMUNITY
LED INTERVENTIONS
.. COMMITTEES HAVE THEIR OWN MEANS OF HEALING.
WE ARE JUST
SO PLEASED THIS IS SUPPORTED IN THIS BILL.
THE OTHER PIECE THAT WE ARE PARTICULARLY
PLEASED TO IS A POSITION ON THE COUNCIL
RESERVED FOR SOMEONE WHO
HAS DIRECT
LIVED EXPERIENCE OF OPIOID ADDICTION AND TREATMENT. WE THINK THAT'S VITALLY IMPORTANT TO HAVE THAT VOICE AND MANY MORE OF THOSE VOICES BUILDING WITH A
SOLUTION IS. I'M JUST GOING TO FINISH ON A PERSONAL NOTE. I WAS GOING TO DO BUT IT IS ACTUALLY
WHEN SUZANNE ASKED ME TO WORK ON THE PROJECT I'M
A LOBBYIST. I KNOW A LOT OF BECAUSE HEY THAT'S THE LOBBIES WORKS ON A LOT OF STUFF.IT'S OBVIOUSLY PLEASED TO GET A CONTRACT
IN SUZANNE MINNEAPOLIS FOUNDATION. BUT
I ALSO
WAS PLEASED TO BE ABLE TO WORK ON THIS
ISSUE BECAUSE TOMORROW IS ACTUALLY
THE 10 YEAR ANNIVERSARY OF HAVING LOST MY BEST FRIEND TO ADDICTION. SO
MORE THAN ANY ISSUE I'VE
WORKED ON
UP YOUR IS A REALLY PERSONAL ONE
TO ME SO I WANT TO THANK YOU ALL SO MUCH FOR TAKING
THIS UP
TAKING IT SERIOUSLY AND MAKING THIS THE YEAR THAT YOU GET THIS DONE. THANK YOU VERY MUCH. BEECHER MORAN THANK YOU
VERY MUCH.
I'VE NOT >> CHAIR MORAN:
I CAN I HAVE MET DELORENZO COME DOWN?
STATE YOUR NAME THEN YOU CAN CONTINUE WITH YOUR TESTIMONY
>> TESTIFIER: MY NAME IS
MARGARITA ORTEGA. I AM A JACK OF ALL TRADES I WANT TO SAY.
I MAY
[INAUDIBLE] RESIDENT;MEMBER OF NATIVE SECONDS HEROINE.
I'M ALSO A POLICY PUSHER AND
I ALSO WORK WITH MANY
CITY COUNCILMEMBERS THE CITY OF MINNEAPOLIS. I WORK FOR COUNCILMEMBER [INAUDIBLE] CONNOR
.. I'VE DONE A LOT OF DIFFERENT THINGS TO HELP ADDRESS THIS
ONE ISSUE. TO TRY AND COMBAT IT BUT NOW IT IS TIME THAT THE STATE HELP US.
WE CAN CONTINUE TO DO THIS ALONE.
WE NEED YOUR SUPPORT
AS WELL. IT IS COSTING A LOT OF
FUNDING EVEN OUT OF OUR OWN POCKETS. MYSELF;
AS WELL; TO HELP PEOPLE GET
ON SUBOXONE. SOME INSURANCES DON'T
EVEN COVER
THE SUBOXONE SO THEN WE HAVE TO GO OUT OF OUR
OWN POCKET. AS MENTORS OF
NATIVE SECONDS HEROINE WE PUT OUR
MONEY TOGETHER OUT OF OUR OWN POCKET TO
PROVIDE PEOPLE WITH
THE SUBOXONE.. SO THAT WEIGHT WE ARE GETTING THEM
OUT OF ACTIVE USE OR ACTIVE
WITH STRONG THERE'S A LOT
OF WORK WE DO ON THE GROUND. WE
HELP PEOPLE THAT ARE HOMELESS ON
THE STREET THAT HAVE NOWHERE
TO GO.. WE HELP PEOPLE GET THEIR
CHILDREN BACK THAT
ARE LOSING THEIR CHILDREN TO THE CHILD PROTECTION SYSTEM. WE HELP THEM GET INTO TREATMENT BUT
IT'S THESE
GRASSROOTS ORGANIZING THAT IS HELPING OUR
PEOPLE KEEL. WE NOT ONLY
HELP THEM GET OUT OF THAT SITUATION. WE GIVE
THEM A STEP
INTO LEADERSHIP. THEY BECOME AN ADVOCATE AND THEY DO IT THEMSELVES AS WELL.
THEY DO THE SAME WORK. A LOT OF
OUR MEMBERS ARE
PASSED ALEX. I AM AN ADDICT
IN RECOVERYOF OPIOIDS. WHEN I WAS 20 YEARS OLD I HAD A SURGERY
AND WHEN I HAD THAT SURGERY I DO
NOT REALIZE I WAS AN ADDICT. I DO
NOT KNOW WHAT I
WAS DOING UNTIL I STARTED ALMOST LOSING
MY CHILDREN. WHEN I WAS GOING TO LOSE MY CHILDREN THAT'S
WHEN REALITY STARTED TO HIT B
UT I STILL WAS IN FULL-BLOWN ADDICTION AND I CANNOT STOP IT. IT WAS LIKE A TRAIN THAT I WAS RIDING AND I HAD NO CONTROL.
IT WAS UP TO MY FAMILY;;
MY COMMUNITY; AND THE PEOPLE AROUND ME THAT STOPPED TO ME
FROM FALLING FURTHER DOWN
THE TUNNEL AND IT
WAS FORCEFULLY STOPPED. I WAS LITERALLY LOCKED IN MY HOUSE FOR SIX MONTHS AWAY
FROM PEOPLE COME AWAY FROM
MY FRIENDS JUST SO
I WOULDN'T GO BACK INTO THE ADDICTION
. IT TOOK ME SIX MONTHSTO
ACTUALLY HAVE A MIND OF MY OWN AGAIN
AND IT WAS
EXTREMELY DIFFICULT TO DO IT ON MY OWN AND I STILL DO
IT TODAY. JUST THIS PAST YEAR
I RAN FOR
STATE REPRESENTATIVE TO SIT AMONGST YOU AND AFTER
THE ELECTION I FOUND OUT I HAD ALSO
RATED COLITIS. I WAS
HOSPITALIZED FOR
2.5 WEEKS AND I'M STILL GOING IN AND OUT OF
THE HOSPITAL.. THERE FIX FOR ME WAS TO PUT ME BACK
ON OPIOIDS AND I AM STILL STRUGGLING TO
FIGHT AGAINST THE ADDICTION
AND IT IS STILL A
STRUGGLE TODAY. YOU HAVE TO UNDERSTAND; I
AM FIGHTING SPIRIT AND I'M FIGHTING FOR NOT ONLY MYSELF BUT I'M FIGHTING FOR MY GIRLS. I AM FIGHTING FOR
EVERYBODY'S CHILDRENTHAT ARE OUT HERE AND
I NEED YOU GUYS TO ALL FIGHT;
TO BECAUSE
I CAN'T FIGHT THIS ALONE. I'M NOT ONLY FIGHTING MY OWN DEMONS; MY OWN TRAUMA I'M
INDIGENOUS; YESAND WE HAVE A LOT OF
TRAUMA ALREADY AND THERE'S A LOT OF PAIN ALREADY
. NOT ONLY IN OUR BLOOD BUT IN
OUR GENERATION THAT IS PASSED
DOWN BUT YET I'M STILL FIGHTING AND I NEED YOU GUYS TO
HELP US FIGHT. I NEED YOU GUYS
TO HELP HOLD THE PHARMACEUTICAL
COMPANIES ACCOUNTABLE FOR WHAT THEY HAVE DONE
AND WHAT THEY ARE CONTINUING
TO DO BECAUSE YET I'M STILL
BEING PRESCRIBED OPIOIDS EVEN THOUGH I TOLD
THE DOCTOR THA
T I AM A PAST ADDICT AND I'M AFRAID OF THEM.
I AM AFRAID OF OPIOIDS. I'M
AFRAID OF HAVING TO PICK UP A
PERCOCET BECAUSE I
DON'T KNOW HOW MANY TIMES HAVE TO PICK UP A PERCOCET AND NO WHICH ONE OF
THOSE PILLS ARE GOING TO BE
THE ONE THAT DRIVES ME ON THE TRAIN
AGAIN. SO I DO THIS
[CRYING] TO HELP YOU
GUYS REALIZE THAT YOU GUYS HAVE POWER AND I
TRY TORUN TO HELP
SIT AMONGST YOU AND TEACH YOU GUYS WHAT IT IS THAT YOU GUYS DON'T
SEE. I WANT TO SIT WITH YOU SO THAT WAY I CAN HELP YOU LEARN
BUT MAYBE I CAN HELP YOU LEARN FROM THE SIDE OF
THE TABLE
AND I AM HOPING I CAN DO THAT.
SO; PLEASE; THIS IS NOT A LOT. WE ARE
ASKING PENNIES FOR A PILL WHEN IT
TAKES LIVES.. WHEN I BURIED MY
FAMILY MEMBERS WHEN I BURIED
MY FRIENDS
. NO PHARMACEUTICAL COMPANY IS GOING TO
PAY US FOR THE LIVES WE HAVE LOST IN
THE CHILDREN WE HAVE LOST
IT THAT'S ALL I HAVE TO SAY.
THANK YOU. >> CHAIR MORAN: THANK YOU FOR
YOUR TESTIMONY.I JUST WANTED
TO KNOW WE SEE YOUR RESILIENCY.
>> TESTIFIER:
THANK YOU >> CHAIR MORAN: [INAUDIBLE]
>> TESTIFIER: THANK YOU MME. CHAIR MEMBERS OF THE COMMITTEE.
MY NAME IS MATTHEW DEALER
OUT OF VICE PRESIDENT OF STATE GOVERNMENT AFFAIRS AT HEALTHCARE
DISTRIBUTION ALLIANCE.
FIRST OFF; I WOULD LIKE TO SAY THERE
ARE MANY ASPECTS OF THE PROPOSAL OF A
JUST 400
THAT HDA DOES SUPPORT. WE THINK THERE'S MANY ASPECTS OF THIS
LETTER POSITIVE AND WOULD HAVE A POSITIVE IMPACT ON
THIS EPIDEMIC HOWEVER; HDA DOES
HAVE CONCERNS WITH
THE WHOLESALER
REGISTRATION FEE ASPECT OF
THE LEGISLATION. HDA IS A NATIONAL TRADE ASSOCIATION
REPRESENTING 36 PRIMARY
WHOLESALE DISTRIBUTORS. I THINK IT'S VERY IMPORTANT TO REMEMBER
. THAT OFTENTIMES THE NATIONAL CONVERSATION IS FOCUSED ON A SMALL NUMBER OF ALSO
DISTRIBUTORS BUT THERE ARE A NUMBER OF THOSE OUT THERE. THERE ARE NUMBER OF WHOLESALE DISTRIBUTORS
HDA REPRESENTS 36 OF THEM TO THE
RAIN FROM LARGE NATIONAL CORPORATIONS TO SMALL
REGIONAL BASED WHOLESALERS
THAT MIGHT BE
PRIVATELY OWNED. I WOULD ALSO LIKE TO FROM TIME TO EDUCATE EVERYONE IN THE ROOM ON THE ROLE OF ALSO DISTRIBUTES
THAN THE
SUPPLY CHAIN. ALSO DISTRIBUTE AS OUR CRITICAL LINK IN HEALTHCARE
SUPPLY CHAIN TO DELIVER MEDICINE TO HEALTHCARE SUPPLY SAFELY SECURELY
AND EFFICIENTLY TO VIRTUALLY EVERY
HEALTHCARE DELIVERY SETTING IN
THE COUNTRY.
PHARMACIES; HOSPITALS; PHYSICIANS OFFICES; AND SO FORTH. EXCUSE ME.
THE PRODUCT HDA MEMBERS DELIVER
RANGE FROM THE MOST COMMON OVER-THE-COUNTER PRODUCTS SUCH
ASHIS BUTTOCKS [INAUDIBLE] INTERFACE TO THE MOST COMPLEX SPECIALTY PRESCRIPTION MEDICATION IN VIRTUALLY
ANY MEDICATION AND MEDICAL SUPPLY. AGAIN; OFTENTIMES DURING
THE PUBLIC CONVERSATION MY READING
THE PAPER WHAT HAVE
YOU; THAT IS AN OPIOID DISTRIBUTORS. THAT'S ACTUALLY A VERY MISLEADING STATEMENT.
ALSO DISTRIBUTORS HANDLE ALL TYPES
OF HEALTHCARE RX
AND MEDICATIONS OPIOIDS ACTUALLY MAKE UP A SMALL PERCENTAGE OF THE OVERALL VOLUME
THAT WHOLESALERS SHIP HDA IN
THIS COUNTRY.
WHEN YOU WALK INTO YOUR
DOCTOR'S OFFICE OR PHARMACY; VIR
TUALLY ANYTHING YOU SEE IN THERE; EVEN BEYOND PRESCRIPTION MEDICATIONS ARE TYPICALLY HANDLED BY A WHOLESALE DISTRIBUTOR. HDA
MEMBERS COMPANIES WORK AROUND
THE CLOCK
[INAUDIBLE] 200;000 LICENSED PHARMACY HOSPITALS AND LONG-TERM CARE
FACILITIES; CLINICS AND OTHER
HEALTHCARE PROVIDERS ARE QUICK TO THE CRITICAL PRODUCTS
PATIENTS NEED. THIS IS ANOTHER VERY IMPORTANT ASPECT OF THE ROLE OF THE WHOLESALE DISTRIBUTOR THAT I THINK MUST BE REMEMBERED. HDA MEMBERS
PRIMARILY WHOLESALE DISTRIBUTORS; NOT
RESEARCH; MANUFACTURE; MARKET;
PRESCRIBE; MEDICATIONS OR MEMBERS ARE NOTHEALTH
CARE PROVIDERS. PRESCRIBING OR
DISPENSING PRACTITIONERS. WE DO
NOT
INFLUENCEPRESCRIBING PATTERNS..
THEY ALSO DON'T HAVE ANY
INFLUENCE OVER PATIENT BENEFIT DESIGN.
HDA MEMBERSGO TO
GREAT LENGTHS TO THOROUGHLY VERIFY AND FULFILL ORDERS PLACED BY DEA LICENSED
HEALTHCARE PRACTITIONERS
BASED ON THOSE PRACTITIONERS PROFESSIONAL JUDGMENT OF PATIENT NEED. ESSENTIALLY; WE ARE THE LOGISTICS ARM OF THE SUPPLY CHAIN. OUR ORDERS COME IN FROM DEA LICENSED
PETITIONERS AND WE COMPLETE
THOSE ORDERS. YOU'RE NOT THE
MEDICAL PRACTITIONERS
OR PRESCRIBERS OF THE SUPPLY CHAIN. HDA IS COMMITTED TO WORKING
WITH POLICYMAKERS TO POSITIVELY INFLUENCE THE
DRUG ABUSE
EPIDEMIC IMPACTING THE NATION AND RECOGNIZING THE INTENT
OF HF-400 IS ARROW. HOWEVER; WE DO NOT SUPPORT
THE LEGISLATION
SPECIFIC PROVISION PLACING A SIGNIFICANT
FINANCIAL PENALTY ON THE DISTRIBUTION OF
LEGITIMATE MEDICATIONS
PRESCRIBED BY DEA
LICENSE PRACTITIONERS.
BASICALLY; OUR CONCERN IS THAT THE
DISPLACES A LOGISTIC
FOCUS INDUSTRY IN THE DIFFICULT POSITION OF
EITHER; ONE; ABSORBING SIGNIFICANT
FINANCIAL ASSESSMENT
BASED ON A PRODUCT REPRESENTING A SMALL PORTION OF THE OVERALL PRODUCT
VOLUME POTENTIALLY DENYING MEDICAL EXPERTS AND PATIENTS
THEY SERVE FOR THE
REQUESTED ORDERS.. ESSENTIALLY; IF A PHYSICIAN OR PRESCRIBER OR LICENSED PRACTITIONER PLACES
AN ORDER
SAYING THAT THEY WOULD NOT BE ABLE TO
ACCESS THAT; OR PASSING A
COST ALONG TO A DISTRIBUTORS CUSTOMERS AND POSSIBLY THE PATIENTS.
THIS IS ESSENTIALLY A NO-WIN SITUATION
IF WE RAISE COST OR
DECREASE ACCESS FOR
LEGITIMATE PATIENTS. AND WE MUST REMEMBER
THAT NOTEVERY OPIOID
ORDER IS FOR ILL USED IN HOSPITAL CENTERS;
I MEAN
HOSPICE CENTERS; CANCER CENTERS; THESE ARE PATIENTS THAT MIGHT REQUIRE
THESE MEDICATIONS BASED ON THEIR
PRESCRIBERS ORDERS. WHAT IS MORE; THE LEGISLATION
[INAUDIBLE] POLICY WOULD RESULT ENVIRONMENTS WORK EVEN
A PRESCRIPTION
OPIOID DEMAND WOULD DECREASE MULTIMILLION DOLLAR LICENSURE FEET WOULD CONTINUE TO PLACE SIGNIFICANT FINANCIAL RESPONSIBILITY IN THE LOGISTICS ARM OF THE SYSTEM. IN ITS CURRENT FORM ANY VOLUME OF
OPIOID PRODUCTWOULD RESULT IN
THIS CASE $8 MILLION ASSESSMENT. ESSENTIALLY; IN THIS IS AN EXTREME EXAMPLE BUT JUST FOR # -- THERE WAS ONE SMALL REGIONAL
WHOLESALE DISTRIBUTOR SERVICING A HOSPICE CENTER
IN MINNESOTADOWN THE LINE; AND THAT WAS THE ONLY VOLUME GOING INTO
THE STATE; BUT SMALL REGIONAL WHOLESALER
SERVICING THAT HOSPICE CENTER WILL BE RESPONSIBLE FOR $8
MILLION. ESSENTIALLY;
NONSUSTAINABLE FIGURE.
HDA STRONGLY SUPPORTS A VARIETY
OF POLICIES OF THOSE DECREASE
OPIOID DEMAND AND DISPENSING WHILE ENCOURAGING SAFE DISPOSAL OF MEDICATIONS. LIKE I SAID EARLIER IN THIS ALASKAN; SOME APPROACHES ARE CONTAINED IN EACH OF 408 WE FEEL THEY SHOULD BE
SUPPORTED. HDA DOES NOT ADVOCATE FOR THE USE
OF OPIOIDS. LICENSED MEDICAL
PROFESSIONAL ORDERS OR WHAT
DETERMINE [INAUDIBLE] WE ARE NOT IN THE ROLE ADVOCATING
FOR OPIOID USE. THE DEVELOPMENT
OF ALTERNATIVE PAIN TREATMENT SHOULD BE ENCOURAGED AND ONE DAY
SUCH OPTIONS MAY BECOME MORE WIDELY AVAILABLE
THAT SAID; THERE MAY ALSO CONTINUE TO BE A PLACE FOR OPIOID AND CLINICAL MANAGEMENT OF PAIN
AS A RESULT THEY SHOULD BE ACCESSIBLE TO PATIENTS WHEN A
LICENSE PRESCRIBER DETERMINES THEIR APPROPRIATE AND CLINICALLY NECESSARY.THE SCOPE
BE HAVING ANOTHER IMPORTANT ASPECT OF MUST
BE REMEMBERED THE SCOPE OF MEDICAL PROCEDURES THAT USE OPIOIDS IS VAST. NOT
JUST INCLUDING THOSE
RECEIVED FROM 18
PAIN MANAGEMENT GETS PUT IN THE MEDICINE CABINET AS I PUT IT POSSIBLY DIVERTED.
OPIOID -CONTAINING PRODUCTS ARE USED FOR EXAMPLE IN EPIDURALS
DURING CHILDBIRTH.
THEY ARE USED IN VIRTUALLY EVERY
SURGICAL PROCEDURE TO
MANAGE PAIN DURING THAT
SURGICAL PROCEDURE.
THESE PROCEDURES WOULD ALSO BE IMPACTED
BY THE ASSESSMENT AND
ESPECIALLY IMPACTED IF THERE IS A
DECREASE ACCESS TO
OPIOID MEDICATION. WHAT THIS PROPOSAL >>
CHAIR MORAN:;; AND ASK YOU TO
WRAP UP >> TESTIFIER: ALMOST DONE.
WHILE
THIS PROPOSAL APPEARS TO REDUCE [INAUDIBLE] BY RAISING
REVENUE FOR
PREVENTION AND TREATMENT PROGRAMS IMPOSE A
COST BURDEN ON THE LOGISTICS ARM OF THE SUPPLY CHAIN IS
AN OVERSIMPLIFIED
AND [INAUDIBLE] PLOT APPROACH
WE FEEL. MOVING FORWARD; HDA HOPES TO CONTINUE TO WORK WITH LEGISLATORS
TO FIND SOLUTIONS TO
THIS ISSUE AND I WELCOME ANY QUESTIONS YOU
MIGHT HAVE. >> CHAIR MORAN: THANK YOU FOR
YOUR TESTIMONY. CAN I HAVE
PLEASE HAVE DAVE BRENNER
AND [INAUDIBLE]
>> TESTIFIER: MME. CHAIR
AND MEMBERS
MY NAME IS DAVE BRENNER [INAUDIBLE] MEDICAL ASSOCIATION. I THINK WE HAVE TO DO STRONGLY SUPPORT HOUSE FILE 400 THE MDA HAS A BORE
THAT [INAUDIBLE]
AND WE ARE GLAD TO SEE IT'S MOVING FORWARD AGAIN THIS YEAR. WE ARE ALSO GRATEFUL FOR
REPRESENTATIVE OLSON AND REPRESENTATIVE BAKER ON
THIS ISSUE
AND WE HAVE BEEN TRYING TO WORK WITH BOTH OVER THE
YEARS. RESOURCES
BASED ON THE BILL ARE LONG
OVERDUE AND WILL BE APPOINTED
AND ATTACKED IN FIGHTING THE OPIOID EPIDEMIC THE INVESTMENTS TREATMENT SERVICES EDUCATION WITH PRESCRIBERS AND
THE PATIENTS AND PREVENTION IS CRITICAL.
I DO HOWEVER NEED TO POINT OUT ONE CONCERN AND WE RACES WITH BOTH REPRESENTATIVE BAKER AND REPRESENTATIVE OLSON IN THE PAST. ONE PROVISION OF THE BILL DOING WITH THE MANDATE THE STATE LAW THAT MANDATES THE TYPE OF CONTINUING MEDICAL EDUCATION THAT PHYSICIANS AND OTHER PRESCRIBERS
MUST HAVE. FIRST OF ALL
MDA TAKE SERIOUSLY THE ISSUE
OF EDUCATION.
WE ARE FOCUSED ON THE ISSUES OF OPIOID EDUCATION OVER THE LAST SIX YEARS AND WE
WORKED CLOSELY WITH STEVE
>> TESTIFIER: IF AND I WERE GOING TO UNIVERSITY MINNESOTA TO GREAT DISTRIBUTE FREE
LECTURE SERIES
[INAUDIBLE] OPIOID ADDICTION AND
SAFETY PRESCRIBING. BMI MADE PAIN
ADDICTION LECTURE SERIES HAS BEEN VERY
SUCCESSFUL. BOTH LIVE AND ONLINE OVER
7500 VIEWS PHYSICIAN THROUGHOUT MINNESOTA AS
WELL AS48 OTHER STATES. SO WE ARE NOT OPPOSED TO THE CONCEPTS
OF EDUCATION AND WE CLEARLY REALIZE THAT
PRESCRIBERS [INAUDIBLE] AND JOHNSON REFERRED TO EARLIER
AND NEEDED TO CHANGE THE PRESCRIBING PATTERNS WE ARE GLAD TO SEE THAT THAT IS HAPPENED. OUR CONCERN HOWEVER IS WHEN YOU START MANDATINGLAW THE TYPES OF
EDUCATION THAT PHYSICIANS AND OTHER PRESCRIBERS
MAY HAVE. AGAIN; WE'VE SEEN MANY DIFFERENT
ISSUES OVER THE LAST
DOZEN YEARS
[INAUDIBLE] MANY TIMES WHEN YOU GET INTO
MEDICAL EDUCATION ONE SIZE DOES NOT
FIT ALL.
CNET AGAIN [INAUDIBLE] WE LOOK FORWARD TO WORKING WITH
REPRESENTATIVE OLSON AND
REPRESENTATIVE BAKER AND ADJUSTING OUR CONCERNS.
THANK YOU >> CHAIR MORAN: THANK YOU.
MS. COOK >> TESTIFIER:
MME. CHAIR AND MEMBERS OF THE COMMITTEE. MY NAME IS JUDY >> I'M REPRESENTING THE ZOSYN
OF ACCEPTABLE MEDICINE THIS
ORGANIZATION REPRESENTING GENERIC DRUG MANUFACTURERS. UNFORTUNATE; NO ONE FROM AAM WAS ABLE TO BE HER TODAY BUT BRIGHT MICHELIN IS THE DIRECTOR OF STATE GOVERNMENT AFFAIRS WAS HERE LAST WEEK
I BELIEVE HE WILL BE BACK NEXT WEEK TO VISIT WITH YOU AND WE CAN TALK ABOUT THIS
AND OTHER IMPORTANT ISSUES YOU ARE CONSIDERING WHICH
ABOUT GENERIC IN HEALTHCARE MARKETPLACE
IN MINNESOTA. WE DID APPRECIATE THE OPPORTUNITY
TO TALK WITH BOTH REPRESENTATIVE OLSON AND REPRESENTATIVE BAKER ABOUT THIS LEGISLATION LAST WEEK AND LOOK FORWARD TO CONTINUING
TO BE PART OF THE DISCUSSION
GOING FORWARD. WITH RESPECT TO
HOW [INAUDIBLE] REVIEWING
THE LANGUAGE
AND AS I SAID; WE WILL BE ABLE TO BUY MORE
DETAIL FEEDBACK VERY SIMPLY AAM ALSO
RECOGNIZES THATOPIOID AND OTHER FORMS OF ADDICTION
ARE SIGNIFICANT PUBLIC POLICY
ISSUE AND A CHALLENGE FOR STATE AND
LOCAL GOVERNMENT.
A PRIORITY FOR AAM AND OPIOID
LEGISLATION REMAINS ACCESS
TO APPROPRIATE CARE FOR THOSE INDIVIDUALS FROM OPIOIDS ARE IMPORTANT COURSE OF TREATMENT SUCH AS CANCER
OR END-OF-LIFE. THERE'S EXCELLENT WORK BEING DONE TO DEVELOP AND UTILIZE BEST PRACTICES FOR THE PRESCRIBING OF OPIOIDS
FOR THOSE PATIENTS FOR WHOM THOSE DRUGS ARE APPROPRIATE.
BUT; FOR THOSE IT IS NOT
WE SUPPORT YOU THROUGH THE PRESCRIPTION MONITORING PROGRAM AND OTHER BEST PRACTICES TO SIGNIFICANTLY
LIMIT AND REDUCE PRESCRIBING AND USE OF OPIOIDS IS WAY TO
PREVENT ADDICTION. THERE ARE EFFECTIVE ALTERNATIVES AVAILABLE BUT TO BE UTILIZED
MORE
WIDELY. ALSO; AAM IS WORKING TO PREVENT FUTURE ADDICTION BY OFFERING A PROGRAM TO EDUCATE
HIGH SCHOOLERS AND COLLEGE-AGE STUDENTS ABOUT THE DANGERS OF OPIOID AND OTHER
DRUG ABUSE.
OUR CONCERN WITH THIS TYPE OF LEGISLATION IS THAT IT DOES NOT RECOGNIZE
WHAT IS HAPPENED TO OPIOID
FIRST BROUGHT TO THE MARKET. WHEN THEY WERE BRAND COMPANIES AGGRESSIVELY DETAILING TO PRESCRIBERS AND INSURERS URGING PHYSICIANS TO TREAT PAIN WITH THESE OPIOIDS
. NOW; THE VAST MAJORITY OF OPIOIDS ARE MANUFACTURED BY GENERIC COMPANIES WHICH DO
NOT DETAIL [INAUDIBLE] WERE CONDUCTED
DIRECT TO CONSUMER ADVERTISING. SINCE THESE DRUGS WENT
OFF PATENT
THEY ARE FREQUENTLY ON MULTIPLE
GENERIC COMPANIES MAKING THE
SAME PRODUCT. NOT ALL GENERIC MANUFACTURERS
HAVE OPIOID PRODUCTS. OPIOIDS LIKE OTHER GENERIC DRUGS. MORE THAN 90% OF WHAT'S PRESCRIBED ARE
GENERIC NOW. AT LESS THAN A QUARTER OF THE COST.
IT'S ALSO IMPORTANT TO KNOW THAT GENERIC MANUFACTURERS HAVE NO CONTROL OVER WHICH OF THE PRODUCTS ARE SOLD IN MINNESOTA. IT'S A
NATIONAL MARKETPLACE AND GENERICS PRIMARILY ARE SOLD TO
THREE CUSTOMERS
TO WHOLESALERS YOU JUST HEARD FROM. ALSO THE
DEA DETERMINED DRUG ENFORCEMENT
AND DETERMINES HOW MUCH ANY MANUFACTURER CAN MAKE OF ANY
GIVEN OPIOID. THAT NUMBER HAS BEEN REDUCED SIGNIFICANTLY
EACH YEAR. AS WE READ
THIS BILL; THE LICENSING FEE WILL
FALL PRIMARILY
ON GENERIC MANUFACTURERS GET OTHER ENTITIES
IN THE SUPPLY CHAIN HAVE BEEN AND CONTINUE TO BE INVOLVED IN PRESCRIBING AND FILLING
OPIOID PRESCRIPTIONS. GENERIC MANUFACTURERS KNOW THEY ARE PART OF THE SUPPLY CHAIN
. WHEN PATIENTS ARE PRESCRIBED OPIOIDS AND RECOGNIZE THEY SHOULD HAVE
A FAIR ROLE IN ADDRESSING THE PROMS THAT HAVE ARISEN FROM USE
OF OPIOIDS. AAM IS WILLING
TO PARTICIPATE IN
A FAIR SYSTEM. AGAIN;
GENERIC MANUFACTURERS DO NOT CREATE OPIOIDS DO NOT MARKET THEM; DO NOT
PAY PHYSICIANS.
THEY ARE HIGHLY REGULATED AND ONLY MANUFACTURE WITH THE DEA ALLOWS.
AS YOU MADE; A SIMILAR FUNDING MECHANISM WAS FOUND
UNCONSTITUTIONAL IN NEW YORK. WE ENCOURAGE YOU TO DEVELOP A PROPOSAL IN MINNESOTA THAT WILL BE FAIR AND INCLUDE
ALL PARTIES OF THE OPIOID
SUPPLY CHAIN. LOOK FORWARD TO WORKING WITH YOU ON THAT.
AND I ALSO AM HAPPY TO TAKE ANY QUESTIONS IF I'M NOT ABLE TO ANSWER THEM I WILL
PASS THEM ALONG INITIALLY WE WILL GET ANSWERS.
AND YOU VERY MUCH. >> CHAIR MORAN: THANK YOU SO MUCH FOR YOUR TESTIMONY. SO CAN
I HAVE [INAUDIBLE] BONNIE?
CAN YOU
INTRODUCE YOURSELF AND BEGIN
YOUR TESTIMONY >> TESTIFIER: THANK YOU MME. CHAIR MEMBERS THE COMMITTEE
SPAM JESSICA WEBSTER OF A STAFF ATTORNEY WITH LEGAL AID AND REPRESENT LOW INCOME PEOPLE ACROSS THE STATE.
? SOME RESPONSES LEGISLATION AND WE ARE PARTICULARLY THANKFUL TO THE FAMILIES IN THE MOMS
WHO HAVE TAKEN TREMENDOUS LEADERSHIP ON IT. I DO HAVE
ONE CONCERN
THAT SOMETHING THAT'S NOT INCLUDED HERE. I DON'T WANT TO SLOW THIS BILL DOWN AND I HOPE IT CAN BE CONSIDERED SEPARATELY IN THIS COMMITTEE
. IN 2012 THIS HEALTH AND HUMAN SERVICES COMMITTEE PASSED A LAW TO GET TOUGHER ON PEOPLE LOW
INCOME PEOPLE WHO USE OPIOIDS AND OTHER
CONTROLLED SUBSTANCES. BEGINNING
IN 2012 PARENTS WITH
CHILDREN IN MFIP AND
SINGLE ADULTS RECEIVING GENERAL ASSISTANCE IF THEY FAILED A DRUG TEST THEY ARE
CUT OFFFROM ASSISTANCE. WE
HAVE REPRESENTED SINGLE ADULTS AND FAMILIES WHO WILL BECOME HOMELESS UNDER
THIS PROVISION AND I HOPE THAT THE COMMITTEE CAN LOOK AT THIS
GOING FORWARD. THE STATE WITHOUT REFERENCE DOES NOT REQUIRE TREATMENT. IT DOESN'T OFFER RESOURCES. DOESN'T OFFER REFERRALS. DOESN'T HAVE ANY COMPASSIONATE COMPONENT TO
IT AND AS A STATE I THINK WE ARE IN A DIFFERENT PLACE TODAY THAN
WE WERE IN 2012
ABOUT THIS CONVERSATION AND I HOPE WE CAN AVENUE CONVERSATION ABOUT THIS PROVISION IN THE FUTURE BUT SO;
THANK YOU. >> CHAIR MORAN: THANK YOU.
THANK YOU
FOR [INAUDIBLE]. PLEASE INTRODUCE YOURSELF.
>> TESTIFIER: THANK YOU CHAIR MORAN AND OTHERS OF
THE COMMITTEE MY NAME IS BONNIE
EMM
A LICENSE ACUPUNCTURE FOR A VERY PAST ABOUT THIS ISSUE BECAUSE I'VE SEEN THE DEVASTATION. I'VE HEARD
THE ALL-TOO-FAMILIAR STORY OF A FAMILY MEMBER
OR FRIEND WHEN INTIMACY TREATMENTS FOR PAIN RECEIVED
IN OPIOID BECAME ADDICTED TO IN OPIOID AND DIE BECAUSE BEEN OPIOID. THIS IS NOT THE WAY IT SHOULD BE.TO ME; THE OPIOID
EPIDEMIC REPRESENTS WE HAVE A PROBLEM WITH THE WAY WE TREAT PAIN AND HOW WE HANDLE ADDICTION. WE NEED COMPASSION FOR
THESE ISSUES. WE HAVE OVER RELIED ON OPIOID FOR PAIN MANAGEMENT WITH A POPULATION PEOPLE THAT DON'T HAVE
ACCESS TO EVIDENCE-BASED NONDRUG PAIN MANAGEMENT LIKE ACUPUNCTURE. ACUPUNCTURE IS NOT CONSISTENTLY A
COVERED SERVICE. EVEN THOUGH MANY PAIN GUIDELINES AND BEST
PRACTICE DOCUMENTS RECOMMEND ACUPUNCTURE FOR PAIN
WE HAVE SPECIAL POPULATIONS THAT NEED ACCESS TO NONDRUG OPTIONS
LIKE ACUPUNCTURE BECAUSE THEY
CONDITIONS THAT PUT THEM AT
GREATER RISK OF DEATH ADDICTION AND
PHYSICAL DEPENDENCY. I AM THANKFUL FOR THE INCLUSION OF THE ARCHITECTURE COVERAGE AND THE OPIOID PRODUCT STEWARDSHIP BILL
BECAUSE WE NEED OPTIONS FOR PAIN MANAGEMENT TO ADJUST THE MANY ISSUES OF THE OP
IOID EPIDEMIC HAS CREATED IN A CONFERENCE AWAY. I AM THANKFUL FOR THE COVERAGE OF ACUPUNCTURE THAT IS OUT THERE
BUT IT IS NOT AVAILABLE AND COVERED FOR ALL THAT IS WHAT I HOPE
WILL CHANGE.IF I COULD CHANGE THE WORLD I WANT TO SEE ACUPUNCTURISTS IN
EMERGENCY DEPARTMENT IN ACUTE
AND CHRONIC PAIN COVERAGE
FOR ACUPUNCTURISTS FOR ALL
AND I WANT OPIOID PRESCRIBERS TO SEE THE NON-FROM A LOGICAL
PAIN MANAGEMENT IS A GOOD PART OF PAIN MANAGEMENT. SUPPORT ACUPUNCTURE PART COVERAGE. THE SECOND PART I WANT TO ADDRESS ITS PRESCRIBER EDUCATION.
THIS IS IN PART MYAKKA PUNCHER LEGISLATION THE REPRESENT OF
FREIBERG A SPONSOR FOR THE LAST
THREE YEARS. DO I WANT MANDATED
EDUCATION? NO. WHAT OTHER OPTIONS DO WE HAVE? THE CDC IS NUMBER ONE'S RECOMMENDATION TO TRY NONPHARMACOLOGICAL PAIN
MANAGEMENT FIRST.
OPIOID EDUCATION IS AGGRESSIVE
AND MISLEADING. HOW DO WE
CHANGE THAT? I
HAVE BEEN IN THE PROCESS OF LICENSING BOARDS ON
THIS ISSUEAS THEY HAVE
SPENT THE LAST 15 YEARS TRYING TO EDUCATE ABOUT OPIOID PAIN MANAGEMENT. BUT I BELIEVE THERE IS A BIG INFORMATION GAP IN THE NONPHARMACOLOGICAL PAIN MANAGEMENT EDUCATION IN BOTH TRAINING AND CONTINUING EDUCATION. I'M HOPING THE ASSOCIATIONS REPRESENTING
THE PROFESSIONSWILL TESTIFY IN SUPPORT OF THIS EDUCATIONAL COMPONENT AND HAVE THE COMMITTEE UNDERSTAND THAT THIS
INFORMATION GAP WHEN IT COMES TO NONPHARMACOLOGICAL
PAIN MANAGEMENT. WE NEED
A REVOLUTION AND NOT AN EVOLUTION IN HOW WE MANAGE PAIN.
WE NEED COMPASSION AND TREATMENT FOR THOSE WHO SUFFER
THE CONSEQUENCE OF PAIN
MEDICATION ADDICTION. PLEASE; SUPPORT PRESCRIBER EDUCATION. THE OPIOID PRODUCT STEWARDSHIP BILL OFFERS
COMPETITIVE SOLUTIONS TO ADDRESS A BIG ISSUE. THANK YOU FOR YOUR TIME AND SUPPORT HOUSE FILE 400.
>> CHAIR MORAN: THANK YOU
SO MUCH. CHARLES SAWYER?
WELCOME TO INTRODUCE YOURSELF. THIS IS
OUR LAST SCHEDULED TESTIFIER BUT WE WILL BE
OPENING UP TO INCLUDE ANYBODY THAT WANTS TO
TESTIFY ALSO.
>> TESTIFIER: MME. CHAIR AND MEMBERS OF THE
COMMITTEE TOMY NAME IS CHUCK SORT;
CHIROPRACTOR DR. WITH NORTHWESTERN HEALTH SCIENCES AT
BLOOMINGTON WE CHAIN
CHIROPRACTOR DOLLARS ACUPUNCTURE'S AND WITH TWO BRIGANDS AND THERAPEUTIC MASSAGE. SO OUR INSTITUTION A SMALL'S AND IS AS IS ONE OF PERCENT FOCUSED ON
HEALTHCARE AND PREDOMINATELY
ON PAIN AND ITS MANAGEMENT. I'M HERE TODAY TO SUPPORT HOUSE FILE
400 BECAUSE WE
FEEL OPTIMISTIC THAT THIS LEGISLATION WILL ALLOW US TO MAKE SOME URGENT HEADWAY
IN ADDRESSING WHAT I THINK IS PROBABLY THE MOST
PRESSING PUBLIC HEALTH PROBLEM IN
OUR DAY.
I'M UNDER NO ILLUSIONS THAT ARE PROFESSIONS
CAN ON THEIR OWN SOLVE THE PROBLEM OF ACUTE AND CHRONIC PAIN.
IT'S COMPLICATED
AND OFTEN [INAUDIBLE] MOST NOTABLY BACK
PAIN; STARTS
THAT TRAGIC CASCADE TOWARD OPIOID DEPENDENCE AND
ULTIMATELY WORSE. WITH
THAT SAID;
THERE ARE TWO PROVISIONS IN THIS BILL THAT
ARE IMPORTANT. FIRST IS THE REQUIREMENT FOR COMING ACUPUNCTURE IN ALL HEALTH PLANS.
ACUPUNCTURE'S IS REMARKABLY SAFE AND COMMONLY EFFECTIVE TREATMENT FOR PAIN
IS PRACTICALLY NEVER
ANY DOWNSIDE TO THAT THERAPY AND
MORE IMPORTANTLY; WHEN A PATIENT
IN PAIN
PARTICULARLY WITH MUSCULOSKELETAL PAIN CAESAR
ACUPUNCTURE'S OR
CHIROPRACTOR DR.; THERE
IS NO EXULTATION OF MEDICATION BEEN PRESCRIBED OF
ANY KIND.
MUCH LESS AN ADDICTIVE NARCOTIC. FOR THE COVERAGE OF HER AFTER ACUPUNCTURE IS BODY AS YOU
JUST HEARD ACROSS AN
INCONSISTENT ACROSS INSURANCE PLANS
AND ACROSS [INAUDIBLE] THE SECOND PROVISION REQUIRING CONTINUING EDUCATION FOR PHYSICIANS AS PRACTITIONERS AND DENTISTS
IS ALSO IMPORTANT IN OUR
VIEW BECAUSE THEIR KNOWLEDGE OF
NONPHARMACOLOGICAL THERAPIES IS ALSO INCOMPLETE. THE
TWO-HOUR
REQUIREMENTIS REASONABLE AND WE BELIEVE WOULD BE EFFECTIVE IN HELPING
OUR COLLEAGUES
IN OTHER PROVISIONS BECOME
BETTER ACQUAINTED WITH THE TRAINING THAT
WE HAVE; THE CARE THAT WE PROVIDE AND VALUE.
THANK YOU. >> CHAIR MORAN: THANK YOU
SO MUCH. SO AT THIS TIME
I WOULD LIKE TO OPEN IT UP TO ANYONE IN THE AUDIENCE WOULD LIKE TO TESTIFY ON HOUSE FILE 400.
COME DOWN. PLEASE INTRODUCE YOURSELF
>> TESTIFIER: MY NAME IS JOHN BARRON. I LIVE IN
RAMSEY MINNESOTA.
OCTOBER 22; 2014 I LOST MY 29-YEAR-OLD SON TO THE
OPIOID EPIDEMIC.WHERE HE GOT THOSE OPIATES FROM WAS FROM
MY PURSE.. I HAVE BEEN IN HORRIFIC
CHRONIC PAIN
SINCE 2001 WHEN I TOOK A DRAMATIC FALL OF MY
FRONT STEP. WITHIN SIX MONTHS I
WAS PRESCRIBED EVERYTHING
UNDER THE
BOOK THAT I PUT MY ALLOCATIONS FOR
MY DOCTOR IN MY KITCHEN CUPBOARD LIKE I DID WITH ALL
MY PRESCRIPTIONS. IT WASN'T UNTIL I WAS
AN ACCREDITED PAIN CLINIC THAT I WAS TOLD TO KEEP THOSE MEDICATIONS LOCKED UP
I LIVE IN BOTH WORLDS. BUT I REALLY DON'T FIT IN WITH SOME OF THE
PARENTS HERE AND
I'M STUCK IN THE MIDDLE BECAUSE I'M IN
HORRIFIC PAIN. I SUFFER WITH [INAUDIBLE] ARRAY OR NERVE DISORDER OF THE PELVIS. WHICH AFFECTS
MY PELVIC [INAUDIBLE]
EVACUATING EVERYTHING I'M GOING TO BE IN BED FOR TWO DAYS FOR PULLING
TODAY OFF WITH AN ICE PACK
IN MY HANDS FOR THE NEXT
TWO DAYS. WE HAVE GOT TO FIND A WAY
WHERE IT BEGINS WITH US; WITH ME. IT BEGAN WITH MY PAIN. YOU
ARE RIGHT AND YOU KNOW WHAT; FOR THOSE THAT HAVE FOUND
ACUPUNCTURE THERAPIES
WONDERFUL FOR ME; THAT IS GREAT. YOU SHOULD GO FOR THAT. YOU KNOW MY FAMILY HAD
TO DO? HE WENT TO MAIL. MAIL SENT US TO
FRANCE. I WENT TO FRANCE AND SPENT
FOUR WEEKS AND HAD A COMPLEX SURGERY
ONLY TO BE LEFT WITH A DAMAGE NERVE ON THE
RIGHT SIDE AND HERE I SIT 18 YEARS LATER; STILL
IN HORRIFIC
PAIN;; STILL MOURNING WHAT MY
FAMILY LOST. WE PAID THE ULTIMATE SACRIFICE
18 YEARS OF LOST WAGES
AND WE ALSO LOST OUR SON
TO IT. SO IT DID NOT MATTER AFTER I WAS TOLD
[INAUDIBLE] [CRYING] AND 3-46 IN MY HOUSE AND OF COURSE I WAS ALWAYS TOLD THAT ADAM STOLE
MY CHECKBOOK
THAT WE SHOULD PRESS CHARGES AGAINST HIM AND I
DID; TWICETWO FELONY CHARGES. I PRESSED AGAINST HIM. ALL IT DID WAS MAKE MATTERS WORSE. I LIVE
IN BOTH WORLDS WERE I KNOW THERE IS
A NEED TO DEAL WITH THIS. I'M ALSO
IN HORRIFIC CHRONIC PAIN. SO I ENTER
THE MEDICAL CANNABIS PROGRAM
MIGHT $40 AT CBS NOW COST
ME $400 TO CHOOSE A
SAFER ALTERNATIVE. $400 A MONTH. THAT'S A
CAR PAYMENTS
AND MY FAMILY NEEDS A CAR RIGHT NOW. I'VE GONE FROM
80 MG OF METHADONE THREE TIMES
A DAY TO 110 MG
TAB PERIOD. THAT IS SIGNIFICANT
ALL THOSE PILLS NOW ARE NEVER GOING TO FALL INTO THE WRONG HANDS
AND I JUST WANT YOU TO TAKE
INTO CONSIDERATION THE CHRONIC PAIN
PATIENT BECAUSE IT BEGAN WITH
US AND BEGINS WITH US.
SO I REALLY APPRECIATE IT. THANKS. >>
CHAIR MORAN: THANK YOU VERY MUCH FOR SHARING YOUR STORY. WE REALLY APPRECIATE IT.
SO IS THERE ANYONE ELSE IN THE AUDIENCE WOULD LIKE TO TESTIFY?
PLEASE INTRODUCE YOURSELF.
>> TESTIFIER: MY NAME IS SHERRY'S MARKET I'M FROM THE
[INAUDIBLE] FOUNDATION. I'M HERE TO
TALK ABOUT WHAT WE WANT TO DO WITH THIS BILL. WE HAVE
THE LAST TWO YEARS
BUT TO GET THIS BILL IN THE LAST YEAR HE DID VERY WELL. LAST FALL WE ALSO DID SOME
PRIVATE PROGRAMMING IN THE SCHOOLS
. WE GOT GREAT RESULTS FROM THE KIDS. THEY REALLY LIKED IT. THEY LEARNED A LOT AND THEY WANT IT. I JUST HOPE THAT
WE GET EDUCATION INTO THE SCHOOLS AND THEY HEAR EVERY YEAR
BECAUSE MY SON
JAKE; [INAUDIBLE] HAD
NO IDEA HOW WHAT OPIOIDS WERE AND I HEAR THAT ALL THE
TIME. [INAUDIBLE]SO I JUST HOPE WE CAN GET THIS PAST AND SAVE
OUR YOUTH AND HONOR THE ONES THAT
HAVE DIED.
I MEAN MY LIFE; EVERY DAY I THINK
OF JAKE. I'M HEARTBROKEN EVERY DAY.
[CRYING] HE JUST DID NOT KNOW. HE WAS A
SMART KID. HAD EVERYTHING GOING FOR HIM. ATHLETIC
[INAUDIBLE] HAD TONS
OF FRIENDS. HE WAS LOVED BY EVERYBODY
[CRYING] TO GO THROUGH
THE PAIN THAT I GO THROUGH EVERY DAY.
THANK YOU. >> CHAIR MORAN: THANK YOU SO MUCH FOR SHARING YOUR STORY.
THANK YOU. SO TO THE MEMBERS;
DO YOU WANT
TO TESTIFY? INTRODUCE
YOURSELF; PLEASE. >> TESTIFIER: MY NAME IS
VALERIE --
THANK YOU MME. CHAIR BUT THIS IS ALL BEEN VERY ENLIGHTENED I'VE NOT BEEN VERY INVOLVED ON THIS OF THE
TABLE [INAUDIBLE] I AM ONE OF THE
WOMEN CALLED I SUFFER FROM A DISEASE OF DESPAIR. I'M A HEROIN ADDICT. I'VE BEEN SOBER FOR 22 YEARS. I'M VERY ACTIVE IN RECOVERY COULD I COME FROM A
VERY LOVING KIND
OF FAMILY. THIS IS NOT A MORAL ISSUE.
I WAS ALWAYS A
GOOD PERSON. I WAS A
COLLEGE GRADUATE AND I GOT VERY INVOLVED IN OPIOIDS TO
THE POINT OF LIVING IS A
HOMELESS PERSON DYING
OF ALCOHOLISM INCARCERATED A NUMBER OF
TIMES AND WEIGHED ABOUT 100 POUNDS
;; DID NOT EAT; DID NOT SLEEP
AND DID ANYTHIN
G IMAGINABLE FOR MY HABIT. WHICH WAS ATROCIOUS AND NEARLY KILLED ME MANY TIMES WITH I LOST MY BOYFRIEND ON 4
JULY 1995 AND THAT THRUST ME INTO A DEEPER ADDICTION
AND IT WASN'T UNTIL AUGUST 7 OF 1996 WERE I GOT SOBER
THROUGH TREATMENTINTERVENTION; THAT SORT OF THING. SO I'M NOW ON THE OTHER END OF THE DISEASE IN MANY MANY WAYS I WORK IN
THE FIELD I'M NOT A COUNSELOR OR IN ANY WAY CLINICAL PERSON. I
PROVIDE HOUSING
FOR MANY ALCOHOLICS
AND ATTICS; IN RECOVERY. AND I ALSO
RAISE A CHILD THAT WAS BORN ADDICTED
TO HEROIN SHE IS IN FACT
MY GRANDDAUGHTER BY MARRIAGE AND
SHE IS [INAUDIBLE] YOUNG
INNOCENT LIFE THERE
WAS BORN 5 POUNDS ADDICTED
TO HEROIN.. WEANING OFF
METHADONE; SHAKING IN AN INCUBATOR.
10 YEARS AGO WE THOUGHT WE WOULD HAVE HER A
FEW DAYS. [INAUDIBLE] WITH MY BOYFRIEND WE JUST DON'T KNOW WE WERE HAVING A CHILD
SIX DAYS LATER WE BROUGHT THIS
CHILD HOME. SO I HAVE WATCHED
HER SUFFER FROM THE ADDICTION
AS WELL. THERE IS AN EPIDEMIC
. CLEARLY; WE'VE HEARD ALL THE STATISTICS IN OUR WAY. I ALSO WOULD LIKE TO ADDRESS THE EPIDEMICTHAT WILL BE AFFECTING OUR CHILDREN THAT ARE
BORN ADDICTED. [INAUDIBLE] SPECIAL
EDUCATION PLAN.CRACK BABIES ARE
RECOGNIZED FROM ALCOHOL
FEDERAL STUDENT IS RECOMMEND THAT YOU DON'T OFTEN HEAR ABOUT THE EFFECTS OF HEROIN ADDICTION AND A CHILD IN THE LONG-TERM
EFFECTS OF [INAUDIBLE] NOXIOUS
PLACENTA. SOME HERE REPRESENTING MY BEAUTIFUL
BEAUTIFUL CHILD
SHE'S BRILLIANT. ATHLETIC; FABULOUS
BUT HER BRAIN WILL NEVER BE THE SAME AS A CHILD WHO DID NOT
SUFFER FROM
THE MOTHER WHO PROBABLY DO NOT EAT WAS ALWAYS
IN
STRESS AND HAD A LOT OF POISON IN HER BODY I ALSO
WANT TO A QUICK SHOUT OUT TO THE STEVE FROM
THEIR ORGANIZATION MANY YEARS AGO
I ADOPTED [INAUDIBLE] IN MY HOME AND
ONE OF THE EARLY ADOPTERS AND
EVERY MONTH AT OUR POTLUCK WE
SHARE ABOUT HOW TO USE
IT APPROPRIATELY AND TWO
MONTHS AGO THE YOUNG WOMAN
DID OVERDOSED IN THE HOME
WHICH IS UNFORTUNATE REALITY OF THE BUSINESS I'M IN
. SHE OVERDOSED AND FORTUNATELY;
HER PARENTS CAME OVER TO BRING HER
SOME OATMEAL
THAT SUNDAY AT NOON AND ONE OF THE SENIOR RESIDENTS OF THE HOME FRONT
AND NARCAN KIT AND MINISTER TO BE SHE DID SURVIVE. SHE WAS IN A COMMA FOR THREE WEEKS BUT SHE IS
STILL ALIVE. THE PARAMEDICS THAT
CAN ALSO ADMINISTER
THE NARCAN. SO I'M HERE
TO JUST ALSO JUST REALLY STRESSED THE IMPORTANCE
OF PREVENTION. AS I JUST
TALKED ABOUT WE WANT
OUR CHILDREN SUCH AS MOTHERS; DAUGHTERS; TO
LIVE WOMEN. FOR A
LONG TIME I WENT TO A WOMEN'S HOUSING BUT MAN; TOO; OF COURSE. FOR MY
LATE; BILLY. MY BOYFRIEND. 23
YEARS AGO. BUT I ALSO
YOU KNOW; THEN WHAT. SO WE SURVIVE AND THEN WHAT? SO THIS FUNDING WILL ALSO HELP WITH NOT
JUST TREATMENT. SHE TALKED
ABOUT ACUPUNCTURE BUT ALSOEDUCATION
AND HOUSING
. FOR ME; THEY STRUGGLE TO WHAT I WOULD LIKE TO SEE SOME OF THE
FUNDING TOWARDS WOULD BE ALL THE BARRIERS
AND OBSTACLES THAT WHEN SOMEONE IS SOBER
IT'S VERY HARD FOR THEMBECAUSE OF THEIR
LACK EMPLOYMENT HISTORY THE LACK OF RENTAL HISTORY
FINDING A HOME TO LIVE
BECAUSE OF THE RENTAL HISTORY AND WHETHER ADDICTION HAS BROUGHT THEM. SO
THESE BARRIERS MAKE THEM GO BACK TO THEIR UNHEALTHY SITUATION AND BECOMES
THEN A REVOLVING DOOR OF ADDICTION.
WITH A GET OUT OF MY HOMES AND THEN ONCE AGAIN GO
TO THE EX-BOYFRIEND OR GOVERNMENT GRANDMOTHER
SPACE AND BECAUSE OF THE OBSTACLES AROUND
EDUCATION; AROUND
RENTAL HISTORY AND
PLUMBING HISTORY AND THINGS LIKE THAT. SO I THINK A SENSE OF PURPOSE REALLY
NEEDS TO BE
LOOKED AT IN A WAY THAT WE HELP THEM SURVIVE AND THEN HOW DO WE GIVE THEM A SENSE OF PURPOSE BUT I WOULD LIKE TO SEE SOME OF THAT FUNDING GO TOWARDS COLLEGE EDUCATION THINGS OF
THAT NATURE.THANK YOU SO MUCH FOR LETTING
ME SHARE. >> CHAIR MORAN: THANK YOU
SO MUCH. IS THERE ANYONE ELSE
WOULD LIKE TO TESTIFY?
OKAY; MEMBERS QUESTIONS FROM ANY
OTHER TESTIFIERS?
CHECK LIEBLING >>
REPRESENTATIVE LIEBLING: THANK YOU; MME. CHAIR
FIRST OF ALL I JUST WANT TO THANK
EVERYBODY TESTIFIED
AND THANK YOU TO LEGISLATORS ABOUT THIS BILL. I MEAN; THIS IS A VERY EMOTIONAL AND VERY VERY
COMPELLING ISSUE AND I'M
REALLY HOPEFUL AS I KNOW SO MANY OF US ARE; PROBABLY ALL OF US ARE THAT WE CAN DO SOMETHING MEANINGFUL THIS YEAR
ON THIS. MME. CHAIR; I GUESS WE ONLY HAVE THREE MINUTES BUT I WOULD PUT THIS TO YOUR DISCRETION IF YOU REALLY WANT TO ASK HIM QUESTIONS OF
MR. D LORETTO WHO SPOKE FOR THE HEALTHCARE DISTRIBUTION ALLIANCE AND TALKED ABOUT THE36 WHOLESALE DISTRIBUTORS IN THE STATE
SO I WAS UNDER THE IMPRESSION WE
ONLY HADTHREE WHO SELL
HERE AND I
DON'T KNOW MAYBE WE DON'T HAVE TIME TO GET INTO THAT NOW BUT.
WE WILL HEAR THE BILL ULCERS WILL BE ABLE TO PASS ON THAT
AND JUST GONNA PUT THAT OUT THERE AND LET IT
GO AHEAD. >>
CHAIR MORAN: CHAIR LIEBLING THIS IS A REALLY CONFERENCE
OF BILL AND WHAT WE ARE GOING
TO DO IS COME BACK
AFTER DINNER. I'M GOING TO RECESS
TO CALL BACK AT THE CALL OF THE CHAIR.
SO THE QUESTION IS WHETHER
OR NOT YOUR TESTIFIER WOULD
BE AROUND. HE WILL BE
HERE; OKAY. >>
REPRESENTATIVE LIEBLING: THANK YOU MME. CHAIR.
>>
CHAIR MORAN: SO WHAT WE ARE GOING TO DO AND I'M HOPING
MEMBERS AND THE AUDIENCE WHO CAN WILL ALSO COME BACK AND JOIN US. WE NEED TO RECONVENE
FOR NOW. I BELIEVE WE
WILL RECESS.
- SORRY - RECESS FOR NOW. I BELIEVE WE NEED TO VACATE THIS ROOM BECAUSE
THERE'S A
REPUBLICAN CAUCUS; THEY NEED THE SPACE HERE.
WE WILL BE CALLED BACK AT THE CALL OF THE CHAIR.
REPRESENTATIVE ALBRIGHT >> REPRESENTATIVE ALBRIGHT:
MME. CHAIR; WILL THE MEMBERS OF
THE COMMITTEE BE IDENTIFIED
IN ADVANCE OF WHEN YOU INTEND TO
COME BACK
? IS THERE ANTICIPATED TIME OF WHEN WE MIGHT
COME BACK? >> CHAIR MORAN:
SO THE HOPE IS IT WOULD BE AROUND 6:30 PM.
CHRISTOPH ICA WILL SEND OUT AN EMAIL TO EVERYONE. AT
THAT TIME. WE WILL RECONVENE IN
THIS ROOM. THANK YOU.
>> REPRESENTATIVE LIEBLING: ARE NOT RECONVENE BECAUSE I'VE A QUESTION. >> CHAIR
MORAN: KNOW. WE ARE IN RECESS TO THE CALL THE CHAIR. >> [GAVEL] >> [ADJOURNMENT]
>> >>
>> [GAVEL] >> [RECESS]
>> >> [GAVEL] >> [RECESS]
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