Joint Budget Committee

He had the personnel report and they give me the personnel report activating. Thank you mister chairman personnel committee men. The. Oh no but we eighteen. I am the personal committee review the governor's last amendments listed as I love who want to sixteen please note that there are two tire poles all the report under number sixteen for the institutions of her education the report should so house will turn forward and then for east or can someone community college in the soon bill authority to for sale card seventeen eighteen and nineteen a regular business requires all of seventeen eighteen or a reviewed by the committee while I all i'm learntin required and received approval because involves department secretaries and the governor's managers. Exceeding their pay grade maximums and there's a mischair less a report i'll be happy to enter any questions it may come up. Thank you thank you representative members where me questions on the personal court. The. All right seeing none we've got a motion to adopt we've got a second others in favor significant saying I are the supposed motion carries members we've got a number of items that were in the personnel report that are ready to come out the bills at already come out and i'll i'll go down through those if you have any questions will take questions and then it will be looking forward to pass as amended one second. All thank you members so senate bill twenty three governors letter three is ready for a due pass is amended or the questions on senate bill twenty three seeing none we've got a motion do pass as a minute we've got a second in discussion on the motion seeing none of the favorite significant saying I although suppose motion carries senate bill twenty four department carmers governors letter for is ready for do pass as amended is in questions on senate bill twenty four. Seeing no questions we've got a motion do pass as amended we've got a second israel discussion on the motion seeing none I was in favor significant saying I are the supposed motion carries this is b one in your packet. Governor's letter five house built in seventy eight is ready for do pass as amended are the questions on our house build ten seventy eight. See none we've got a motion do pass as an amended we got a second in discussion on the motion seeing none I was in favor significant saying I are the supposed motion carries. Governor's letter seven sent bill thirteen ready for do pass as amended are the questions on senate bill thirteen. Seeing none we've got motion to pass as amended we've got a second in discussion on the motion seeing none else in favor of significant saying I always opposed motion carries in a bill nine governors letter eight ready for do pass as amended or in questions on senate bill nine seeing none we've got emotion do pass is amended we've got a second in discussion on the motion seeing none of us in favor signed five saying I those posed motion carries sent bill seventeen governors letter twenty one department of human services. We get it's ready for new passes amended in questions seeing none of the motion do passes amended we've got a second all those in favor significant saying I was opposed mission carries governor's letter twenty two senate bill sixteen ready for do pass as amended in any questions on senate bill sixteen. Seeing now we got emotion do passes a minute we've got a second in discussion seeing none I was in favor significant saying I are the supposed motion carries. Senate bill forty five governors letter of twenty six. Is ready for do passes amended in a question seeing no questions we've got emotion do pass is amended you got each button. Calls in it bill twenty two. And you said. It seems like we voted on senate governors letter twenty two which is senate bill sixteen. There would be number ten on your pack it be deant or AB one it's governor's letter twenty two which is senate bill sixteen. Jumpy one be one front page. Item number ten. The. The. If you have. Center flourishing hitch remarking in. And it just keeps going off i'm not sure what happened. I thought you had a question so I was trying to okay. Alright I think that brings us to governor's letter twenty six in a bill forty five. I can't recall their questions on senate bill forty five seeing none we've got a motion to pass as amended we've got to second in discussion on the motion seeing none others are favor significant saying I others opposed motion carries governors letter twenty nine which is house build tin eleven are there any questions. Seeing them we've got a motion to pass as amended we've got a second in discussion on the motion seeing none of those in favor of significant saying I are the supposed motion carriers and that so this is sixteen and there are number of these bills with the exception of UA m as that are ready to go so that's going to be house bill tin nineteen as corrected by representative wooden house will ten forty nine house will ten fifty two senate bill twelve senate bill twenty five. Cinnabill thirty two not thirty senate bill forty and senate bill fifteen. Those all need a motion do pass and we're going to motion to pass we've got a second in discussion on the motion seeing none of those in favor signed if I was saying I are the supposed motion carries all right that's going to take us to section c. Thank miss chairman item see one in your packet this is a mimute by senator gilmore is to sing a bill twenty nine auditors state operations on claim property it adds a marketing and promotion line item single get more you're recognized for your amendment. Thank you mister actually a representative baitie my coast sponsor on the bills presenting it. And i'm gonna leave it up to the members this morning just to help kind of expect things if you want to present a bill in your chair I have no issue or amendment in your chair that is fine if you're needing some additional help in your presentation then you're welcome to go in front not saying you need additional. Yeah. You reckon asked thank you mister chair representative howard baby district ninety five here with me at the table with stacy peterson with the auditors office oh i'm sorry just a good key that unclaimed property manager i'm sorry. Here to present the amendment to senate bill twenty nine this is an authorization request for a hundred and seventy five thousand dollars for marketing of the unclaiming property program. First point to note is that these funds will come out of the central service is fine and not affect arkansas law states in each other DF will transfer eighteen million to general revenue from the unclaimed property proceeds trust fine the trust find is an account that we pay claims from and in our in it earns in a cruise interest in accordance with the state treasury money management trust fine what the what the auditor is requesting is to use a hundred and seventy five thousand dollars of the interest earned in the state treasury money management trust fine for marketing purposes to break some of the stay on bfa each year wounds the amount of unclaiming property program uses for operational expenses within the auditors of office then you cp repays the entire operating experience money's back to dfa each year when when they send them the eighteen b and per statue. So the average annual operation expenses for unclaimed properties around two point two million. As a simple I asked to increase the authorization amount for operating expenses by five thousand dollars and the use that money to promote the program and it will be repaid each year out of the operating expenses when they pay back to the fa so the question is why promote this program under current arkansas statute the the arteries required to post a notice of unclaimed property received in the prior year and that's got to be published in the newspaper of general circulation in each county the publication in the newspaper alone costs thirty to forty thousand dollars a year. New on claim property comes to the auditor each year and there's a need for continued cyclical promotion in education in the program to arkansas citizens so every dollar that goes back to our kansas churches charities college corporation and those folks where it rightfully belongs is an economic boost to your local communities as well as to the state just to report on a water auditor milligan has done and his first call you're in office they processed approximately thirty eight thousand claims and the returned approximately thirty four million dollars back to arkansas citizens. And it's a direct resort of of the work that the autos put in to return as much money as possible back to citizens I know that he's made it like a couple trips down to to south arkansas to bring money back in and there been some happy folks when they show up and present those checks so historical numbers in twenty twenty one there was about seventeen thousand eighteen thousand claims that repaired for about eighteen point six million and twenty two was about twenty five million dollars return about twenty four thousand claims and then in twenty three this first year they returned thirty four million approximately thirty eight thousand claims back to arkansas citizens so again the ask is simply for a hundred and seventy five thousand dollars from the interest from the unclaimed property trust find that they will repay at the end of the year but to dfa. So with bad unopened questions repsitive richardson you get. Representative speak shepherd thank you reps about it just you mention that the money was coming from state central services. So when you say it's paid back you were saying it was it would be paid back to the stress fund is that ultimately make it back to replenish central services at that point I believe that's correct I mean we could we could pull uh dfa that I think the money comes from the final and it goes back to the ethernet and then where they where they put that money I think it would go back to where where it was taken but i'm not certain we could ask the definitely class i'd like I mean I just know what central services that's something that we tried to tried to protect because it's it's going to flow and if that is the case it is going back to central services that certainly would be uh I think would be would make me feel more comfortable thank you guess her week when get clarification on center page. Thank you mister chair i'm sorry this is probably more of a curiosity question but. Is this a new line adam or how have we been advertised in the program in the past I mean you gave the history of. Thirty twenty thirty thousand claims being improcessed for eighteen to thirty million over the years. Ah what have we used in the past two informed people in promote is this is this replenishing that resist new a new line upset appreciate the question i'll i'll deferred to the optus office to explain what they've done in the past on this item. Senator we have been paying for this traditionally out of our regular operating expenses with the program browing and increased staffing and having to do a little extra contracting with fried at a prevention that fund is just getting depleted and so in order to continue to do the work that we're doing and continue to reach more people we just feel that we need an additional line item specifically for this purpose so it's a new line item will your regular operating expenses go down that you've been paying for this out of. Potentially but there are other programs that we don't participate in an other opportunities that we have not utilized because of the restriction on the phones so with the increase. At this this will allow some extra phones for operating expenses as needed. Okay thank you thank you mister chair thank you refs in the wooden. Thank you miss chairman or representative basically the honor in the seventy five thousand comes out trust for. It is repaid though it yes yes okay and then you have a total of ten positions and alters office that work in this program. So what one is what is the total cars the tornadoe. What was the total operating calls representative wooten in prior years we've been spending about two point two million and to run the program so this will be an million million two point two yes we return thirty four million last year correct thank you mr chairman for the clarification thank you and key reps in appearing thank you mister chairman representing by the what is the approximate value of the unclaimed property. Address again I would defer to the fna for the total balance I don't have that information that estimated. Representative period are you asking for how much is in the trust find currently that they send the trust fine but the amount of unclaimed property owed to citizens currently it's about three hundred and fifty million okay alright thank you. All right thank you I think it looks like all the questions. Just one thing that I would add in enclosing you know the hundred seventy five thousand dollars kind of the allocation of where that money's going for marketing proposed budget would include wonderful approximately thirty two thousand dollars for marketing materials that would be provided throughout the state direct me or campaigns in your districts of twenty five thousand print advertisements of around sixty thousand then outreach festival admissions different thanks along those sides partnerships parade the core about eighty five hundred about twelve thousand for digital marketing twenty thousand for a television marketing in in those markets where we have television about fifteen thousand for radio and twenty five hundred four incidentals county association meetings road reliance club in those things I think the other side of that is this hundred seventy five thousand dollars will be spent here with arkansas businesses to get the word out to arkansas citizens about and claim property. Thank you network a little too quick sooner flowers you recognize for a question that i'm going to come to chair so so how much is in this trust fine and what what what kind of interest is it bearing right now. The. Center of flowers and in the current fiscal year with the current interest environment that we're in we will be earning about three million this year and interest. Okay and in my other question is. Do you plan to hard consultant with this hundred and seventy five thousand dollars center flowers we do not so it would be used for the same. Services that you've been. Providing to get the word out we hope to expand on those programs so we're really restricted by our budget right now and we've been doing a lot of. Um data work to find individuals locate their best resend them letters trying to renote them with their property and that's very expensive with the increase of postal services it costs about fifty cents per address to find his individuals and their new best address so we just want to expand our marketing and outreach we are doing it on a very limited basis right now if I might miss the chair. When when you have some body. On the list for uncommon property. Year after here after year but are you trying to find them the unit know there the cease store what what is your. The. Gone on for and what what do you plan to do to to get more people to claim their property. Yes me i'm that we haven't been doing it. We have been dedicating staff members to researching after in these individuals with the unclaimed property are deceased and so we have to research their errors and reach out to them obviously that becomes an expensive process as well dedicating staff members to that and having to retail to multiple individuals if we find there are multiple airs. I know of incidences where somebody is bid on their named. The cease two thousand six or seven. And I haven't seen any kind of outreached to their family members or even technology. They're deceased at me I don't understand why you need more money to do something that you already see it representative bailey people are happy with I don't understand that. The. Thank you thank you you said right off about this come off at a state central services didn't then we get it to this trust fine I will make sure people know that their additional furning of this has come out of state central services and all we're doing is adding more money to promotion we're already doing the things that you just said but the the auditor feels like they need more funds. For promotion in the education that correct yes sir it's just to increase the marketing to get the word out more arkansas businesses to see the sensitive but this is state central services money yes sir okay thank you. I thank you russian richeston. Thank you mr chip just a quick question do you guys have a breakdown of moneys that have been returned like but district city anything like that. Baby said he got a ton of mine i'm trying to figure out if I do too representative we could get you a letter thank you. All right thank you members I think that is all of the questions what's will the committee will get a motion to adopt. We have a second. We've got a second I was in favor of single fab saying I always post motion fails alright too that was what we just did or was it now it's not CD you wonder yes sir yes sir item c two were on page five in your c packet. This is by representative bentley it's an amendment to senate bill fifty one per uams appropriation it adds a new appropriation certified nurse midwife program payable out of misleading since he's fine and deletes the arkansas centers for health improvement. Appropriation that's currently in the bill it's substituted for the same amount mister chairman and same funding source alright thank you you are recognized to present your amendment thank you chairman of members I know that all of you are aware of the maternal mortality crisis that we have in our state we have a the highest rate of my turn more tady in the nation not only that we've lost three hospitals that are delivering babies in the past year and women in our state in rural areas have to wait up to a year to be able to see an ob we have actually a crisis mode and if we look at other states to what other states have done to rectify this problem to make things better the states that have a much better return of montality rate and have much healthier moms and babies what they've done as they have started a certified interest midwife program and that will fill in the gap for those observed we really have are having a hard time to get here in the state so this is really a simple bill they will take that funding to start a certified nurse middle or we have none in the state of arkansas we had the least amount of certified nurse midwise had the least amount of deliveries by certified nurse midwives and this would be a great step in the right direction it's not going to fix the whole problem that's what other states have done to improve maternal health across their state and I hope we can do the same thing here and I think when it comes to a car that's a group that we have a lot of data centers here just really not anything we need the we can't do without so i'm with that i'd be happy to take any questions from members right thank you neal need to leave your mike on to be arranged for questions okay. All right sinner tucker you recognized. Alright. But you had the innocuous there would be well deserved mr thank you for the mercy mister chair I had heard earlier this week that this proposal was going to cut half a million dollars from a cap but then I heard mr anderson say that the a car finding is is is replaced at the same amount you get out i'm fine with either representative bentley were mister anderson helping me understand what what's actually happening with the air car funding but isn't that we're not replaced in a car funding this is taken the money from akout and putting it into the certified nursement like program. So is it take is it taking funding from a car that yes ok I don't know it was so far i'm questioned them for ripped us for representative bentley is what what's the rest now for taking the money from a car well I think there is a state we have to prioritize or finding this we can do them in the national level they have been unable to do so and they're they're budgets gone crazy with thirty four train dollars and debt I think it's important that we prioritize funding and spend money where it can again we have data centers all over all across the state if you're ever in a public health committee meeting you'll see that we have data reports from everywhere I don't think it's something that we can I think some are going to easily do without and have other entities pick up whether it's a dhs or the state health department we can easily replace what they're doing a I see that clearly so. That's why oh we thank you. I think you members I think we get a couple of conversations happen in the room if we can I think we've got some membership having a harder time hearing the questions in the in the comments back and forth so if we can take those conversations out representative clown you recognize thank mr chair representative I you hopefully know by now my support of material health initiatives and especially midwise but I have sort of take the same concerns a senator tucker which is the defunding of a k you mention that we have other folks who were doing the same thing who can do the same work can you tell me who some of those organizations are because in my experience across has proven kind of invaluable to a lot of work we do here or like I said the actually are owned DHS the information that eight kids comes right from teacher so actually their own staff could do that as well as department of help there's a just again they're what they receive are medicaid numbers from our own information that we have here I think their staff can do just as well that's what we're getting from a car follow up yes mr at some point would it be possible to talk to a car just got a question of can we bring somebody to the table at some point it doesn't need to be now but before we vote on this. But yes if can't if you have questions for the representative moved through those and then we can bring up we finish those. Alright singer king. Now. That would be used in yourselves and sorry thank you represented bentley is the car is that the same organization that supported all the masts in the back scenes and stood beside the governor made all those recommendations there were eventually proven fast and even the director of the department of health said that they're outcomes and their recommendations to shut the state down or not accurate yes that's exactly research that they did the research they that they said supported all these different actions was eventually admitted by the department of health that they were incorrect xecorate that's correct and also together put forth her executive borders to do exactly opposite of what they were saying thank you I thank you center flowers. Thank you so we. We have a certified nurse mid wife and reprogram any university of arguments on medical science we do not have any certified nurse program in the state of arguments do we have mit wives already we have very few we have the least amount in the nation. And how many women are. Available themselves to. Mit wibes. This is a different problem with certain friends midwight was I think it on average we have ten percent of women they go to lay midwives are outside of hospitals but I think other states have shown that certified nursemen while the deliver in the hospital have a burst center a much safer and is the option that our women arkansas do not have an opportunity to use right now because we don't have we have very very few in the state we have six that are practicing at ums and that's it at this point. And so this would be used to recruit two thousand what you say hospitals in rural areas are closing. But they're no midwives in those rural areas. So that's what we're trying to fix with this bill because we have none trained so it will take two years it's not instant thing the problem won't be able to start twenty twenty six and to be twenty twenty eight before those women graduate it's a very extensive program so I do they have to go to nursing school or anything yes I have to have a associate in. A better sense to green nursing they have to practice for four years and labor in delivery and then they can enter into this program. Ok they do that anyway no they cannot. So how do the mid lives qualify at you a ms they get certified their program at the end understand they went out of state to other states to get their degree that they have now so we have women yes leaving the state and getting the program elsewhere I just want to increase the number that we have here by starting a program here in arkansas. The. So there is a. Procedure at least even if it's out of state for somebody to become a mit like correct I mean I don't you just propose that we allow. Nurses with better degrees whatever the other states recognize and become midwares. They have as extensive program there's other states where they go for two years of training and they get bored certified so just can't go on deliver in a hospital without being forward as a board certified nurse midwife. So you ams would be doing the certification they will be doing the training and then they would take a board certified test a national test. Just like we do to get a an orange degree now. Does uams propose this is the euro idea I you know we looked at what other states were doing one improve the maternal health here in our state and so I went to um as an asked them how much money would they need to start a program here in arkansas and that's with a half a million dollars came from as from ums's recommendation what they would need to get the program up and running last question is here how many people will are asking for certification to become a mid wife do you know II know there's a great deal of interest for women in the state to go into this field I don't have an exact number for you though and these people are coming from rural communities they came from all over the state thank you thank you recently. Thank you mister chairman. Representative bentley can you and you may have loaded this. How many states currently have this program and how has it impact in handling montel and those states just about everything state has a certified nurse midwife program with those that have the most real best programs and have the highest number of certified nurse midwives have the best material and mortality rates in the nation comes well prove and documented. Okay follow up if I may is will this permit all right to the entire state or will it just start out there and smaller area and until it's proven or how will it help well you am start a certified nurse midway program again I said it won't be twenty twenty six before it gets running it's a two year programs with twenty twenty eight depending on the amount of graduates we have they can go. All of across the state and I hope that we'll be able to in the future do some scholarships like we do now for physicians to go to our rural areas hopefully we can do the same thing with them to get them out to those parts of our estate there's there's a great opportunity for that thank you representing that most german. Setting in sir. Okay. Aren't ripped in college thank you mister so represented a bandwidth from senator solving's question in your answer it sounds like one of the motivations for doing this is to punish for publishing public health information that you disagree with during the panel store they do the punishments has to do with priorities anything as a very important we have a lot of data centers across our state we have zero certified nursement of our programs for us to me I love to see where we could transfer five hundred thousand dollars with it without a negative aspects under the state to make us asked prioritising money into an area where we really need it can you tell me about the data centers that are runs. The. Aka text are medicaid data and they get it out to those across the state at essentially what they do but we have a people all across the state given uh information on mature mortality we have a department of health dhs people with a medicator tobacco funding others people we have reports all across the state of what's going on medically new funding even now going to you ms description of what I can do is I have a question for you mass if I may we get them up if we have it. But let's move their questions on you know on the the bill with her and then we can get to and we've also gone to have a question with their car so I think I have representative that has additional question okay if I could then follow up with representative that we and she may be able to answer does your mess support taking this money from a car to do their neutralises ghous they're just their neutral on it this legislative prior priority is what I was told I shouldn't ask them when they do cover thanks in are so honestly we'll have a car here will have you a mess if they're here into this questions and with that you are recognized reps. Thank you mister chairman I just wanted to out of that in my county it's in the northwest corner of the state with alcohol and missouri we have great requests I have had this issue brought up to me many times or the course of my two terms here and I support this whole heartedly we have a large population growing in north with stark and stuff from half a million to a million and the next few years but also we have a lot of rural areas so I hear from both constituents both urban and rural role that they prefer to have a midwife and there's none available so they go to missouri comma so I appreciate your work on this representative thank you that's exactly right we have to have our cans that travel to missouri oklahoma to deliver was certified nurse minimized because we don't have them here in our state alright anyone from a card that like to come in maybe answer a couple of questions. This. The. If you could just recognize yourself for the committee and then represent climbing and recognize you for your question. I'm michelle kitchens with arkansas center for help improvement. Thank you ham this kitchen is great to see you could you I guess just for the committee but briefly kind of lay out what it is the work that a cutters and how this lack of funding will impact your operations sir a car does work with a lot of data is representative bentley mentioned we do data analytics that support policy initiatives in the state I don't we do a lot of it in a little actually for some of the state agencies but we do some of that as per research angering its operation we also run the arkansas transparency initiative which includes the apcd which includes the claims data not just medicare and medicate not just medicaid data but it's inclusive of medicare some commercial data in the state the state health plans they so would you mind also II think that one of the things that obviously were hearing a lot about right now is maternal motality huge crisis in our state and we are doing everything we can as a legislature to address it and I couldn't be happier about that but there are lots of other health concerns in a receipt facing us right now one of the foremost that we've also worked very hard on addressing is the opportunity crisis can you talk because I know that that you have worked at your office has worked very hard on use and death data can you talk a little bit about the work that you've done in that space and also if anybody else is doing that same work sure we have done some work in the that space specifically and we've looked at prescriptions about and that's one thing that's great about the claims database were able to see prescriptions of opinions across the state where there's volume and it helped target different things like that we've also done an analysis that was related to one of the bills that was passed by a session that looked at an unexplained desk if you will and if they had had a high volume oblige prescription. In the previous months and it cannot gave us some insight into perhaps there was some overdoes there that was not being captured and as i'll probably know when you don't have accurate overdosed information it impacts your funding from the federal government to do a baitman of the harms of that so that's something unique that we contributed in that space and were also running on the notes home program which er is in fifty two hospitals across the state it allows people to take home in the locks home when they present it with the overdose at risk of an evidence that something we've been doing for a couple years and and we're having some good success there like the sovereign fifty two hospitals be willing to expand any others in some of the hospitals have gone grown the program since we've been there so that's been a that's going to go a good work for us in that space. And on the maternal side if I we do have a a line of interest in that that's obviously a critical issue and we don't disagree with representatively at all it is a critical issue and number so excited to see the general assembly engaged there and in more ways and see the interest behind it but we have a lot of data things that are rostered about maternal health there we are planning to come out with the next few weeks in fact one today that will be or released i'm i'm unclear about what we're releasing today can you talk about a lot of different things but that's what one thing that the spending days it allows us to explore what's out there helps see the landscape helped tell the general assembly and the public more about what's happening and these spaces and look beyond just obviously with medicate medicare and matter i'm sorry medicaid they're paying for a lot of the bursts in the state but it looks at all allows us to look at the commercial side as well and just tell you a little bit more about what it's happening one thing that we're looking about looking at is. Whose delivering baby is what kind of practitioner where those are where those deliveries are happening and then how far the mother is traveling to do that because we'll be able to put that out and give everyone some idea about where the real across the spots are and definitely we work with partners all the time for things like that but for excited to do that we think it's an important control you send to said this conversation in particular. The. The. Who is sitting in senator king see. Yeah. Sir so you're recognized thank you. To when they had the pandemic and a car stood up with a governor and others and made the recommendations that people get vaccinated people were masks are people get sent home via repeated times for our several weeks people lost their jobs business is closed down in the ekay student and made those recommendations. Then doctor merrill gets app when this is all over instead of we were wrong essentially. Why would we hire someone who is that wrong on such an important issue and not doubting you work hard that you study. Ah as you spend a lot of time and effort you were just wrong why would we extend that now the governor has I think an executive order saying we're not going to do those things again. But that was the result of your steady. Why would we hire there. In fairness I think that there are individuals that have opinions at a car that make their britain you know their opinions known and that's not necessarily while it may have a cars or below and i'm not thank you for more opinions versus the data collection in giving they do i've not do take away from what you're saying I understand your point but I think they're their biggest thing is compiling the information that we provide to them. Essentially from the state and from a few other sources they received from and then they resell that information to people that want to analyze it and utilize it further maybe by the creation or report even just the role that I think in fact you guys ask us often to buy or only information so if blr makes a quest there's a request from a car to pay for the information b l says no because we're privating money like this forward and we're not going to do that and get also held through with prior administrations i'm not sure how it works with this administration but you guys collect data that you turn around the increase reports and then you turn around and sell that's generally the function of a car well and to be clear with the when you say sell the money goes to the insurance department to support the the transfer abcd so it doesn't come to us I just want to do we clear and I think most of the state agencies have access for free and they did I mean that there has been times in which because i've been asked. To negotiate a price for the state's information of which the status said no we're not going to barrel and information right but there are the entities out there for instance in the medical marijuana community in other places that do pay for the information that you guys collect from the state. Sure okay absolutely I don't think does that make sense thank you for have. Yes over here and you're right thank you thank you for taking time to answer a question this morning could you share with me about the work that you do for maternal health. Sir would you like to let me see if I have my list of the things that were going to grow out from internal health in the next like few weeks if you don't if you don't mind I was just curious about what you have done what we have so a few months ago we published a a birthing journey I had about nine points on it and explored nine different obviously there's a whole range of policy and the currencies that happen with anyone that's giving birth and so but we picked out some things that we thought we're going to be super important in the discussion and things that arkansas are consider it goes either way from prenatal to kind of that post um the first post visits and it cannot give some policy options that gives more inside into what's happening there. And we did AAC section analysis before the last session where we looked at we're seeing sections were occurring and though the volume percentage was in the county and that's something that's on our website now we don't little work for that uh about the experience of section verses of aginal delivery so that's something else that we've done in that space i'm trying to think. I'm trying to think of anything else that we have looked at nurse midwiles in the past I apologize it has been a while since we've looked at nursemen some of little unclear about what that was that analysis told us a follow up mr are you aware of any other agencies in the state that provides similar or similar spectrum information. So am biased I think we're very good it will redo and I think that we're one of the best that looking at the the data that's there the other do other people have abilities of course are they exactly like ours I don't think so so I understand correctly at your reply to my first question about what you do for a maternal health and it was publications and information in that field correct okay and just I have a crystal clear understanding not specific to any type of hands on approach or anything like that no I do not deliver by these yes ma'am yes yeah II recommend i'm being turning right now yeah we don't we don't do any thing clinical if that's what you're asking yes ma'am okay and the pellet was sorry less question the publications that you provide do those go into the hands of mothers or mothers to be. They can their public on our website some people legislators have seen them I know because some of you have a particular interest in that issue and we share them the the press occasionally when we've found something that is that's particularly interesting or not our news where they perhaps thank you thank you mister and just for clarification it's not a state agency was greater by legislation but not a state agency that work yes where it may show you how is under your ams but we have some separation distinction. All right to represent if her. Thank you mister chairman thank you for coming in helping us understand I wondered what percent of your budget this five hundred thousand is i'm not aware of what you're told budget is so we have a operating budget of a round seven million this is about seven percent over operating but thank you all right thank you center flowers. No. Thanks in fact this might be for the sponsor i'd like to know in these other states does medicaid pay for. Birth but mates it but midwives best certified nurse midwires yes they do. N if this program developed into midwives in the state of arkansas. What we have to a man. Insurance laws to allow for coverage. Of burs assisted by blind or no there already covered would not be anything required there I didn't know we were not there already covered wouldn't have to be any changes on that that so insurance policies in arkansas allow four. Mit wives to assist with birthing could you repeat that against senator i'm sorry i'm trying to understand if you if you want me it was. And you said in these rural areas where you concentrate when the hospitals have disappeared if you want them out there and if. If the citizen was so inclined to use a mid life which i'm not so certain about that but. If they have insurance. Does the insurance. In arkansas policies allow four. Reimbursement for midwife's services as long as there's a certified nurse midwire from head current training and what would certified yes but not for lay bid wise there's a big difference between element wife and certified nursemen a certified nurseman wipe has enough train near in a second notice practitioner someone has much more extensive training than a lightman wireless is hit training outside of the hospital totally different there so yes insurance companies will pay for a surface nursemen wife to deliver a baby in arkansas and they don't have to be in a collaboration agreement with them certified doctor obstitution i'm sure they're going to work hand in hand because there are times that embernarces happens you have to see section of certified nurse midwives do not do AC section or those that emergency situation so definitely they are in collaboration with physicians obstitutions in the hospital so are you suggesting that a midwife would not be able to do a sea section correct they are not trained or qualify to do AC section. And so if they're not qualified to do that and they're out in the rural area where there's no hospital maybe no doctor who's going to determine that the midwife yesterday determined to send that that mother to the hospital that's what that's what they're trying to do to send him where they need to be. Thank you perhaps in a guy thank you mr chair I just have a quick question I know that both of my nursing practice and in my non profit work we utilized a lot of data because you're able to collect that data in a such silo like it is in some of the other agencies can do you have any idea how many organizations are folks around the state utilizal services. So obviously several state agencies do particularly the ones that deal with health they use the data we there's several million dollars and research that uses the data and the apcd and then there are other organizations that that purchase the data and I invite some of the work that seagle has been doing that it's not purchased I want to be clear and they've been doing some databalls from from what we have so they can do the work for your about the employee benefits plan so and there's a lot of these a lot of different utility there to send a flowers question if there was we can tell you on a claim who was paying for it and if it was a nurse midwife and and that kind of thing so we we could investigate that so you have so touches a little bit about what data is collected so that you're so that you have that information share so all of the medicaid data is in the claims database all of the. As state employee health plans are school employee health plans uhm the hps which are medic medicaid but they are commercial so it gives you kind of some unique insight there and then we actually purchase the medicare data for an richmond and richmond purpose so there's. We think it's about eighty percent of a covered lives and arkansas there's a gap of course because the self insured commercial plans do not have to submit below so there there is a gap in there data and we wouldn't have any private pay like of some more paying cash that wouldn't come to us but basically for anybody who's using state phones you would have that information so we have that in one spot yes as opposed to having to pull it from other than an inclusive pharmaceutical thank you. All right thank you see tina sure but you are just going caught previous question. Okay. And a move previous question are immediate consideration make insurance yes. The. All right we've got a motion for immediate consideration we have a second others of every single fab of saying I was opposed notion curious. And you all out I do not love media consideration but all motion carries are with that we've got a motion or we don't we need a motion to act. We got a motion to adopt a second all those in favor significant saying I others opposed to at motion carries. One two three aren't roll call. Okay miss chairman roll call on. Adoption of the amendment senator english. Representative matthew shepherd. Not seeing representative shepherd for assaulted in representative badly. Senator mark johnson. Representative. Not seeing representative welcome representative mccure. Senator hammer. Representative flowers. Senator tucker. I'm i'm sorry senator tucker. Okay thank you. Reps of ubank's. The. Center pain. The. Represent richmond. The. Center urban. Represent. A single reps and task first alternate representative of should. Second alternate representative painter yes sir. Senator flipper. Represent cabinet. Center blake johnson. Representative lench. Senator hill. Representative of evans. The senator sullivan. Represent a mac roy. Center murdoch. Represent milligan. Sinner hester. This. Repsir mcgee. Sarah letting. Representative terrorist shepherd. Senator king. First offered it senator brian. Represent a wooden. First often it represented springer. Okay i'm sorry. That's an eye. Sarah penzo. First alternate senator brian. Represent perry. Senator point. Represent scott. This. Sarah petty. Represent collins. Center chesterfield. First offer in center clark. The. Representative gardener. Senator flowers. Representative lee johnson. Center stopper feel. Represent clowning. Sinner hacky. Website of j richardson. The. Senator davis. First alternate senator clark. We have seen a hawk. Singer gilmore. Representative rose. Senator rice website war law. Yeah. Is there a call. Representative eaves. Sir wallace. Represent gas away. Senator call well. Representative will make. That's it. Motion fails. The. All right next step we have uh synergic decent bill nineteen that has special language missing that special language next is world war in her hickey asked in seventy four hour special language see three and CC three has special language seat for a special language c five also sinner heaky a special language. C six hundred king has special language. Is returned johnson is he or is he still on the phone. We're going to we're going to circle back to c seven we can take that up today c eight has special language see nine a special language alright and then we have sinner bill seventy seven needs to be referred to personnel. Okay aren't we going to go ahead while we're waiting at a pass overseas seven in and we'll move on to our each back and think we have one bill we have one internet okay guess her inner are each pack at each of the right hand corner it's on page eight. And then get there. Mischairman that is house bill ten thirty treasure state that's for refund of local taxes the pastor alright thank you members to have any questions on house built in thirty this is getting on page eight. Seeing none we've got a motion to pass we've got a second discussion on the motion seeing no discussion on this in favor significant saying I was closed my son carries texas to our senate packet yes sir on page five senate packet s liberation corner page five is cynical twenty two university of arkansas system and it's various divisions are members where me questions on senate bill twenty two. Seeing no questions we got a motion to pass we've got a second in the discussion on the motion sing nine others in favor sign if i'm saying I although I suppose my securities. That takes us to center bill forty four which is on page twelve that is health department this is their regulatory boards and commissions senate bill forty four on page twelve alright thank you senate bill forty four members to win the questions once in a bill forty four we'll get emotional do pass we've got a secondly discussion on the motion seeing none of those in favor of significant saying I was post motion carries all right the members that is all we have for today. One second we talked my code. All right members thank you for your time this morning and we one second. All right with that we are adjourned thank you.