Adsd.nv.gov



center000RICHARD WHITLEY, MSDirector BRIAN SANDOVALGovernor525780026670EDWARD ABLESER, Ph.D.Administrator00EDWARD ABLESER, Ph.D.AdministratorDEPARTMENT OF HEALTH AND HUMAN SERVICESAGING AND DISABILITY SERVICES3416 Goni Road, Suite D-132Carson City, NV, 89706Telephone (775) 687-4210 Fax (775) 687-0574 of Organization:Nevada Commission on Aging(Nevada Revised Statute [NRS] 427A.034)Date and Time of Meeting:November 29, 201610:00 a.m.This meeting had a video conference at the following locations:Carson:Early Intervention Services2667 Enterprise RoadReno, NV 89512Las Vegas:Aging and Disability Services1860 East SaharaLas Vegas, NV 89104Elko:Nevada Early Intervention Services1020 Ruby Vista DriveSuite 102Elko, NV 8980I.Call to Order/Roll CallJill Berntson, Deputy AdministratorMembers Present: Eddie Ableser, Lisa Krasner, Connie McMullen, Patsy Waits, Nancy Anderson, Glenn Trowbridge, Jose Tinio, Jacob Harmon, Travis LeeMembers Absent: Joyce Woodhouse, Stravros Anthony, Joseph Romeo, Chris GuinchiglianiGuests: Jane Gruner, Jeff Klein, Sally RammStaff Present: Camala Foley, Jill Berntson, Shaina Holmes-RobinsonA quorum was declared. II.Verification of Posting Posted November 22, 2016. III.Approval of the Minutes from September 13, 2016 Meeting (For Possible Action)Patsy Waits made a motion to approve the minutes with the correction of attendance for John Rice. Connie McMullen seconded the motion. The motion passed.IV. Public Comment(No action may be taken upon a matter raised under public comment period unless the matter itself has been specifically included on an agenda as an action item. Comments will be limited to three minutes per person. Persons making comment will be asked to begin by stating their name for the record and to spell their last name and provide the secretary with written comments.) No Public CommentV. Administrator’s ReportEddie Ableser, Administrator Eddie Ableser discussed the Commission meeting post session. Joseph Romeo and Chris Guinchigliani have been appointed to COA. There is one vacancy open on the Commission. The Commission discussed the Agency Request that was submitted to the Governor’s Office. The purpose for the upcoming budget is to expand Aging and Disability Services to help clear the Physical Disability Waiver as well as Frail and Elderly Waiver waitlist. The budget also included 3 Ombudsman positions that are also a part of the projected caseload growth. BDR 120/AB31 is to expand the positions of Elder Rights Chief and Advocate for Elders. The Commission discussed BDR 507 regarding recommendations to remove Ombudsman mandated report statute. Ombudsman will still have ability to report abuse but will not be mandated to do so. Eddie Ableser discussed Managed Care for Long-term Service and Reports in other states including Wisconsin. Nevada Senior Services was nationally recognized by the Rosenland Carter Leadership Caregiving Award. Jeff Klein discussed the award with the commission. Jill Berntson discussed collaboration with the District Attorney’s Office and the Corniners Office in Clark County. The Corniners Office will contact Elder Protective Services to see if there has been any Elder Abuse report for deceased seniors. VI. Report from the Legislative Subcommittee including Approval of Draft White PapersJeff Klein, NV Senior Services, Subcommittee ChairpersonEvent Planning ChecklistCommission on Aging Subcommittee on Legislative Issues Event Planning Check ListThe CoA Subcommittee on Legislative Issues has prepared this check list as a guide for your organization to host an event for legislators. Events offer the opportunity to:Share information about your organization and the impact of services offeredEducate legislators about issues facing the older adults you serve and Nevada’s elders Create ongoing dialogue about senior issuesPlanning Your Event: Events should take place prior to the start of the Legislative session on February 6, 2017Identify legislators (Senate and Assembly) in your district to be invited. Link: Select date, time and locationCreate guest list:LegislatorsCommission on Aging Subcommittee on Legislative Issues membersCommission on Aging membersAgency representatives including board and staffConsumers, clients and familiesRepresentative from aging organizations: Nevada Aging and Disability Services Division, Nevada Silver Haired Legislative Forum, AARPSend invitation to legislators and guests (preferably 4 weeks in advance of event)Follow-up with legislators to confirm acceptance of invitation to attend your event Learn about the areas of interest of your legislatorsPlan agenda:Create an agenda (approximately 1 – 1 ? hours) and assign specific tasksSample agenda Welcome and introductionsOverview of agency services and programsClient experiences/storiesConversation on elder issues in NevadaPlans for follow-up on specific issuesClosing remarksFacility tourPrepare handouts for day of event and take-away packet (agency materials, Elder Issues in Nevada)Plan logistics: room arrangement, refreshments, parking, audio-visual equipment, name tagsSend reminder about event to legislators and guests (one week prior to event)Day of Event:LogisticsCheck that logistics are completedGreet and introduce guestsMonitor schedule and timeDistribute handoutsLegislator(s)Inquire about experience with older family members and as caregiverIn concluding the event, specify plan for follow up on issues of importance to organization, legislative bills and information requested by legislator. Determine preferred method of communicationAfter Event:Send note of thanks to legislator(s)Follow-up, as planned, on all outstanding issues including requested informationContinue dialogue by communicating with legislator(s) regarding elder issues, request for support for bills/agency budgets and other pertinent informationSend summary of visit to Commission on Aging Subcommittee on Legislative Issues Packet Cover LetterToday’s DateNameOrganizationAddressCity State ZipDear Name:On behalf of the Commission on Aging’s Subcommittee on Legislative Issues, thank you for your interest in inviting your legislator(s) to visit your organization. We hope that these events will educate legislators about services for older adults, increase awareness of the issues affecting the individuals you serve and create an opportunity for ongoing dialogue during the session.To facilitate your efforts, we have prepared the attached materials:Event planning checklistSample format for invitationSubcommittee stationery for invitation to which your agency logo can be addedElder Issues in Nevada (Subcommittee on Legislative Issues’ position paper)The members of the COA Subcommittee on Legislative Issues are available to provide support in the planning process and on the day of the event. We request that once your date is set, you share that information so that we can schedule a Sub-Committee member and aging representative (AARP, Silver Haired Legislative Forum and ADSD) to attend. Thank you, in advance, for your efforts to participate in this important initiative to highlight the needs of Nevada’s older adults and organizations who positively impact their lives. As you begin planning your event, please contact one of us listed below, so that we can offer our assistance.Sincerely,Jeffrey Klein, Chair (702) 648-3425jklein@Diane Ross, Co-Chair (775) 829-4700dianeross@Sally Ramm, Staff (775) 687-0835sramm@adsd.VII.Update and Discussion Regarding the Bureau of Health Care Quality and Compliance and Change of Ownership of Facilities. (For Possible Action)Jose Tinio, COA MemberDear _____________:This is with regard to the reporting of “Health Facility Inspection Surveys” of various health care facilities, licensed by BHCQC, through the “Nevada Health Statistics Portal” and the DPBH “ALIS Licensee Search.” Both can be accessed through the DPBH Web portal.These are definitely valuable tools by which the consuming public can, in one way, be informed about a facility that they might consider using. They can definitely make use of these reports to compare amongst different facilities. However, the reports do not discriminate against facilities whose ownerships have changed. Sometimes, the new ownership will effect a facility name change or change of endorsement to differentiate it from the previous entity. The reports, however, continue recorded deficiencies to the “new” facility. In this instance then, the public could be misled to think that the facility is still the same. We suggest that the systems be upgraded to indicate changes in ownerships. Furthermore, is it necessary to continue inspection reports that were recorded over five years ago?Thank you.VIII.Report on BDR’s and Guardianship CommissionSally Ramm Elder Rights Attorney, ADSDADSD PROGRAMSBDR 120 – Aging and Disability Services (AB 31)Revises provisions governing the duties of the Community Advocate for Elder Rights.BDR 152 – Legislative Committee on Senior Citizens, Veterans and Adults with Special NeedsHome-delivered mealsBDR 371 – Subcommittee to Conduct a Study of Postacute CareExpands duties of Long Term Care Ombudsman ProgramBDR 507 – Senator RattiRevises provisions relating to the State Long-Term Care Ombudsman.BEHAVIORAL AND COGNITIVE CAREBDR 63 – Senator WoodhouseEstablishes an interim study committee to research issues regarding the behavioral health and cognitive care of older persons.BDR 410 – Legislative Committee on Health CareTransfers responsibility for regulating certain mental health-related professions to the State Board of Health.CONSUMER PROTECTIONBDR 451 – Senator FarleyRevises provisions relating to consumer protection.CRIMINALBDR 260 – Committee on Corrections, Parole and Probation (AB 76)Revises provisions relating to the Central Repository for Nevada Records of Criminal History.BDR 444 – Assembly Committee on JudiciaryEnacts the Human Trafficking Prevention ActBDR 474 – Senator HarrisRevises provisions relating to crimes.BDR 406 – Attorney General (SB62)Revises provisions governing the penalty for subsequent convictions of battery which constitute domestic violence.BDR 501 – Senator HarrisRevises provisions relating to elder abuse.DEVELOPMENTAL AND PHYSICAL DISABILITIESBDR 132 – Assembly Committee on Health and Human Services (AB 46)Revises provisions governing services provided to persons with mental illness and other disabilities.BDR 133 – Committee on Health and Human Services (SB 27)Revises the definition of the term “mental illness” for purposes of provisions relating to criminal procedure, mental health and intellectual disabilities.BDR 145 – Legislative Committee on Senior Citizens, Veterans and Adults with Special NeedsMakes an appropriation to the Division of Aging and Disability Services to convert contracted sign language interpreter positions to state employee positions.BDR 224, 225 – Rehabilitation Division of DETR (AB 20)Revises provisions governing vocational rehabilitation. Revises provisions relating to the Bureau of Services to persons who are Blind or Visually Impaired.BDR 251 – Department of Education (AB 64)Revises provisions governing requirements for graduation and diplomas.BDR 306 – Senator WoodhouseProvides for an audit of the student assessments conducted in public schools.BDR 326 – Legislative Committee on EducationsRevises provisions relating to certain education reporting requirements.BDR 327 – Legislative Committee on EducationsRevises provisions relating to competency-based education.BDR 328 – Legislative Committee on EducationRevises provisions relating to pupils with disabilities.BDR 363 – Legislative Committee on Health CareRevises provisions relating to autism.BDR 405 – Washoe County School District (SB 49)Revises provisions relating to special education identification and funding.BDR 490 – Assemblyman OscarsonRevises provisions governing special education.ELECTIONSBDR 2 – Secretary of State (AB 13)Makes various changes relating to elections.BDR 22 – Senator Ford (Joint Requester Assemblyman Araujo)Revises provisions relating to elections.BDR 88 – Assemblyman HansenRevises provisions relating to elections.BDR 268 – Senator HardyRevises provisions relating to elections.BDR 274 – Assemblyman JonesRevises provisions relating to elections.BDR 426 – Secretary of State (AB 45)Revises various provisions relating to elections.BDR 450 – Senate Committee on Legislative Operations and ElectionsRevises provisions relating to elections.BDR 452 – Senator FarleyRevises provisions relating to elections.BDR 463 – Secretary of StateRevises provisions relating to voter registration.BDR 491 – Senate Committee on Legislative Operations and ElectionsMakes various changes relating to elections.END-OF-LIFEBDR 17 – Senator Parks (Joint Requestor Senator Kieckhefer)Revises provisions governing prescribing, dispensing and administering controlled substances designed to end the life of a patient.BDR 114 – Senator SegerblomIncreases the fee for death certificates to fund grief support.BDR 143 – Senator WoodhouseMakes various changes relating to palliative care.BDR 174 – Division of Public and Behavioral Health (SB 50)Provides for advance directives for psychiatric care.BDR 365 – Legislative Committee on Health CareRevises provisions governing end-of-life care.GUARDIANSHIPBDR 6 – Senator HarrisRevises provisions relating to guardianships.BDR 87 – Senator HarrisMakes various changes relating guardianships.BD 84 – Senate Committee on JudiciaryRevises provisions relating to privacy.BDR 468 – Senator HarrisRevises certain provisions governing guardianships.BDR 487 – Senate Committee on JudiciaryRevises provisions relating to guardianships.BDR 502 – Assemblyman SprinkleRevises provisions governing the guardianship of minors.BDR 509 – Senator HarrisRevises provisions relating to privacy. HEALTH CAREBDR 24 – Senator FarleyRevises provisions relating to health care.BDR 270 – Senator HardyRevises provisions relating to Alzheimer’s diseaseBDR 271 – Senator HardyRevises provisions regarding health care.BDR 288 – Assemblyman OhrenschallRevises provisions regarding health care.BDR 319 – Senator HardyRevises provisions concerning health care.BDR 350 – Senator HardyRevises provisions relating to health care.BDR 467 – Senator ParksRevises provisions relating to health insurance coverage of certain cancer treatment drugs.HOUSINGBDR 339 – Assemblyman Elliot AndersonRevises provisions governing landlords and tenants.BDR 420 – Nevada League of Cities and Municipalities (SB 5)Revises provisions governing programs that provide affordable housing.LICENSING PROFESSIONALSBDR 218 – Assemblyman JonesRevises provisions governing professional licensing.BDR 228 – Office of the GovernorEstablishes the State Board of Health as the regulatory oversight body for behavioral health occupational licensing boards.BDR 229 – Office of the Governor (SB 69)Revises general provisions governing state agencies, boards and commissions that regulate occupations and professions.BDR 391 – Attorney General (SB 55)Revises provisions relating to the invalidation of professional or occupational licenses issued by a regulatory body in error.BDR 417 – Lieutenant Governor (SB 32)Makes various changes to provisions governing investment advisers and securities.BDR 483 – Senate Committee on Commerce, Labor and EnergyRevises provisions relating to professions.BDR 484 – Senate Committee on Commerce, Labor and EnergyMakes certain changes relating to professions.MEDICAIDBDR 209 – Assemblyman OscarsonProvides for the periodic review of rates under the State Plan for Medicaid.BDR 368 – Subcommittee to Conduct a Study of Postacute CareRequires analysis of adequacy of rates of reimbursement paid through Medicaid waiver programs for personal care services.BDR 369 – Subcommittee to Conduct a Study of Postacute CareRequires comparative analysis of rates of reimbursement paid for personal care services and home-and community-based services furnished by certain providers.BDR 373 – Nevada Silver Haired Legislative Forum (SB 28)Requires periodic reviews of certain rates paid under the State Plan for Medicaid.BDR 379 – Attorney General (AB 53)Revises provisions relating to the investigation and prosecution of Medicaid fraud. BDR 438 - Clark County (AB 65)Revises provisions relating to the administration of Medicaid.PROPERTY TAXESBDR 441 – Nevada Association of Counties (AB 43)Revises provisions governing the partial abatement of taxes levied on residential or other property.RESIDENTIAL AND LONG TERM CARE FACILITIESBDR 132 – Division of Public and Behavioral HealthRevises provisions governing the regulation of community based residential facilities.BDR 133 – Division of Public and Behavioral HealthRevises the definition of the term “mental illness” as used in the provisions relating to mental health.BDR 370 – Subcommittee to Conduct a Study of Postacute CareRequires establishment of minimum standards of operation for provision of long-term care for certain persons.BDR 146 - Legislative Committee on Senior Citizens, Veterans and Adults with Special NeedsEnacts provisions governing safety at residential facilities for groups.BDR 183 – Division of Public and Behavioral Health (SB 71)Revises provisions relating to administrative sanctions for licensed and unlicensed medical facilities and other related entities.BDR 370 – Subcommittee to Conduct a Study of Postacute CareRequires establishment of minimum standards of operation for provision of long-term care for certain persons.TRANSPORTATIONBDR 86 – Senator ParksMakes various changes relating to transportation.BDR 411 – City of Las Vegas (SB 60)Revises provisions relating to supplemental reimbursement for Medicaid ground emergency medical transportation services.VETERANSBDR 32 – Assemblyman ThompsonEnacts provisions relating to suicide prevention for veterans.BDR 57 – Senator SpearmanRevises provisions relating to veterans.BDR 64 – Senator WoodhouseRevises provisions relating to veterans.BDR 123 – Department of Veterans Services (AB 22)Makes various changes relating to the Department of Veterans services.BDR 124 – Committee on Government Affairs (SB 58)Revises various provisions relating to veterans.BDR 125 – Department of Veterans Services (AB 19)Revises the reporting requirements for data relating to veterans.BDR 147 – Legislative Committee on Senior Citizens, Veterans and Adults with Special NeedsMakes an appropriation to the Department of Veterans Services to support certain dental programs for veterans.BDR 150 – Legislative Committee on Senior Citizens, Veterans and Adults with Special NeedsMakes changes relating to programs for the treatment of veterans and members of the military.BDR 164 – Committee on Judiciary (SB 33)Prohibits the foreclosure of real property owned by certain military personnel or their dependents in certain circumstances.BDR 166 – Committee on Government Affairs (SB 70)Revises provisions governing the management of certain abandoned or unclaimed property by the Department of Veterans Services.BDR 169 – Committee on Government Affairs (SB 7)Revises provisions of the Nevada Code of Military Justice BDR 423 – Secretary of State (AB 44)Authorizes waiver of certain initial filing and other fees for new veteran-owned businesses.BDR 456 – Assemblyman MooreRevises provisions to provide expanded opportunities for veterans in public employment.WELFARE AND SUPPORTIVE SERVICESBDR 38 – Assemblyman Wheeler Revises provisions governing eligibility for welfare and supportive services.BDR 77 – Senator SettlemeyerRevises provisions relating to public welfare.BDR 256 – Division of Welfare and Supportive ServicesMakes various changes relating to welfare and supportive services.BDR 277 – Assemblyman SilberkrausMakes various changes relating to veterans courts.BDR 408 – State Treasurer (SB 17)Requires State Treasurer to form an independent corporation for public benefit to provide access to emergency capital for Nevada’s educators, veterans and active duty military families.IX.Report from the Strategic Planning SubcommitteeConnie McMullen, Senior Spectrum, Subcommittee ChairpersonThe Strategic Plan Subcommittee has been fully engaged in the update of the Olmstead Plan. A rought draft of the Olmstead Plan should be available in January. Two new members have joined the Strategic Planning Subcommittee. X.Discussion and Approval of Agenda Items for next meeting (For Possible Action)Eddie Ableser, AdministratorThe next meeting will be scheduled for the June 19, 2017 in Las Vegas.XI. Public Comment(No action may be taken upon a matter raised under public comment period unless the matter itself has been specifically included on an agenda as an action item.) Comments will be limited to three minutes per person. Persons making comment will be asked to begin by stating their name for the record and to spell their last name and provide the secretary with written comments.)No Public CommentXII.Adjournment The meeting was adjourned around 3:30pm (time not recorded) ................
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