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Health Hearing March 15, 2019

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Health Hearing March 15, 2019 Transcript Prepared by Clerk of the Legislature Transcribers Office Health and Human Services Committee March 15, 2019 HOWARD [00:00:02] [RECORDER MALFUNCTION] Committee. My name is Senator Sara ​ Howard and I represent the 9th Legislative District in Omaha and I serve as Chair of this committee. I'd like to invite the members of the committee to introduce themselves starting on my right with Senator Murman. MURMAN [00:00:14] I'm Senator-- hello. I'm Senator Dave Murman, District 38, from Glenville, ​ Clay, Webster, Nuckolls, Franklin, Kearney, Phelps, and southwest Buffalo County. ARCH [00:00:23] John Arch with District 14, Papillion, La Vista, and Sarpy County. ​ WILLIAMS [00:00:28] Matt Williams from Gothenburg, Legislative District 36, Dawson, Custer, ​ and the north portion of Buffalo Counties. B. HANSEN [00:00:34] Senator Ben Hansen, District 16, Washington, Burt, and the flooded ​ Cuming County. HOWARD [00:00:41] Also assisting the committee is our legal counsel, Jennifer Carter, our ​ committee clerk, Sherry Shaffer, and our committee pages, Maddy and Erika. A few notes about our policies and procedures. Please turn off or silence your cell phones. This afternoon we'll be hearing three bills-- well, two bills and an amendment, and we'll be taking them in the order listed on the agenda outside the room. On each of the tables near the doors to the hearing room you will find green testifier sheets. If you are planning to testify today, please fill one out and hand it to Sherry when you come up to testify. This will help us keep an accurate record of the hearing. If you are not testifying at the microphone but want to go on record as having a position on a bill being heard today, there are white sign-in sheets at each entrance where you may leave your name and other pertinent information. Also I would note, if you are not testifying but have written testimony to submit, the Legislature's policy is that all letters for the record must be received by the committee by 5:00 p.m. the day prior to the hearing. Any handouts submitted by testifiers will also be included as part of the record as exhibits. We would ask that if you do have any handouts, that you please bring ten copies and give them to a page when you come up to testify. We do use a light system in this committee. Each testifier will have five minutes to testify. When you begin, the light will be green. When the light turns yellow, that means you have one minute left. When the light turns red, it is time to end your testimony and we will ask you to wrap up your final thoughts. When you come up to testify, please begin by stating your name clearly into the microphone and then please spell both your first and last name. The hearing on each bill will begin with the introducer's opening statement. After the opening statement we will hear from supporters of the bill, then from those in opposition, followed by those speaking in a neutral capacity. The introducer of the bill will then be given the opportunity to make closing statements if they wish to do so. We have a very strict no-prop policy in this committee. And with that, we'll begin today's hearing with the gubernatorial appointment of Rebecca Schroeder to the Nebraska Rural Health Advisory Commission. Welcome, Ms. Schroeder. 1 of 65 Transcript Prepared by Clerk of the Legislature Transcribers Office Health and Human Services Committee March 15, 2019 REBECCA SCHROEDER [00:02:32] Thank you. Good afternoon. ​ HOWARD [00:02:32] Good afternoon. So we were hoping you could just tell us a little bit about ​ yourself. And I know you've been on the commission for a while, and so tell us a little bit about your work there. REBECCA SCHROEDER [00:02:41] Sure, sure. Well, I am a clinical psychologist in Curtis, ​ Nebraska. l practice in Curtis, North Platte, McCook, Dawson County, kind of all in that area. I have been on the commission since-- I-- I looked this up today-- since 2003, and I was kind of shocked that it's been that long. But years do go by fast, but it's been-- it's been a great experience; it's been a growing experience. I live and work with rural issues on a daily basis, being from Frontier County, and I feel that it's been really beneficial for me, and hopefully for rural psychology, to have the commission and to have the health issues addressed as we do. We are working really hard right now on our two incentive programs. One is the student loan program. One is the loan repayment program. And I was-- I was kind of amazed at our last commission meeting. We were told that there was a graduate student from-- I think it was the Office of Rural Health who did a study that showed that 40 percent of all family practice doctors in rural Nebraska went through our program. Isn't that amazing? I was just astonished by that and what a great thing that we can offer those medical students who are coming out of prac-- coming out of school and ready to go to practice. HOWARD [00:04:01] It's wonderful. So you've specifically been working on the student loan and ​ the loan repayment program, but your background is in mental health. Would you care to speak to our challenges in terms of mental health coverage and availability in Nebraska? REBECCA SCHROEDER [00:04:15] Sure. As I'm certain you are all aware, there-- there is ​ definitely a behavioral health shortage, especially in rural Nebraska. We struggle with number of psychiatrists, number of psychologists. You heard me mention the wide area that-- that I cover. There just aren't very many Ph.D.-level practitioners or M.D. practitioners in our part of the state. We are starting to get some APRNs coming in, some nurse practitioners, who are specializing, which is very helpful, but we still have a big gap between what we have and what we need in the future. For example, I had somebody call me just a couple days ago and say, well, we-- I really need my son in counseling, and they live in or around Curtis. It's like, where can we go? It's like, well, McCook, North Platte. Either way, it's a 45-minute drive, which is just prohibitive for a lot of people. So we deal with the access of care. We deal with the shortage of workers. In North Platte we especially have a shortage of workers who are willing and able to deal with children. I think that's a real big area right now that needs to be addressed. HOWARD [00:05:16] Thank you. Are there questions from the committee? Senator Williams. ​ 2 of 65 Transcript Prepared by Clerk of the Legislature Transcribers Office Health and Human Services Committee March 15, 2019 WILLIAMS [00:05:21] Thank you, Chairwoman Howard. And thank you, Ms. Schroeder, and ​ especially thank you for your long-term commitment, I think, that continuation of bringing those visions. Senator Howard asked you about the continuation of care. Are-- are you seeing that the-- the loan program would be something that we should try to figure out a way to not just continue but expand into some other disciplines besides just the medical doctors? REBECCA SCHROEDER [00:05:50] One of our-- our main challenges right now is on our loan ​ repayment program is we're just running out of money. We have 14 people on waiting list and as of the middle of February, we had 12 more applications and I'm guessing there's probably been more that have come into the office since then. So these individuals are having to wait an average of one-and-a-half years right now to even get on the loan repayment program. So as you can see, that would be a big issue. I would definitely be in favor of including as many professions as we can, but we are certainly limited by funds right now. WILLIAMS [00:06:29] Yep. Thank you. ​ HOWARD [00:06:29] Any other questions? Seeing none, thank you for your willingness to serve ​ on the Rural Health Advisory Commission. We're very grateful. The committee will meet in Executive Session and make a decision about whether to recommend your appointment to the full Legislature and then we'll-- we'll hear it on the floor. So we do appreciate your willingness to serve. REBECCA SCHROEDER [00:06:48] All right. Thank you. Thank you all. ​ HOWARD [00:06:50] Thank you. This will close the gubernatorial appointment for Rebecca ​ Schroeder to the Nebraska Rural Health Advisory Commission and open the hearing for LB653, Senator Wayne's bill to adopt the Healthy Kids Act and require tests for lead-based hazards in housing. Welcome, Senator Wayne. WAYNE [00:07:06] Thank you. Thank you, Chairwoman Howard. How are you doing today, and ​ how is everybody? Great. My name is Justin Wayne, J-u-s-t-i-n W-a-y-n-e, and I represent the Legislative District number 13 which is north Omaha and northeast Douglas County. I'm here today to introduce Healthy Kids Act. This bill require lead-- lead swipe tests paid for by the landlords and sellers within 90 days-- in 90-day windows preceding the sale or rental of property built before 1978, when lead-based paint was banned.
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