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The August 25th, 2026 meeting of the

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Human Services Committee will now come

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to order.

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Will the clerk please call the roll.

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Mr.

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>> Here.

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>> Mr. Blankley is present. Ms. Bonner?

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>> Here.

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>> Ms. Bonner is present. Mr. Cruz?

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>> Presente.

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>> Mr. Cruz is present. Mr. Donderfer?

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>> Here.

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>> Mr. Donderfer is present. Ms. Hasman?

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>> Here.

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>> Ms. Hasman is present. Mr. McCabe? Mr.

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McCabe is present. Mr. Milne?

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>> Here.

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>> Mr. Milne [music] is present. Ms. Smith?

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is present. Ms. Vasquez

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Simmons?

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>> Here.

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>> Ms. Vasquez Simmons is present.

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Is there anyone signed up for the public

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forum?

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>> There is not.

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>> Is there anyone present who has not

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signed up to speak who would like to

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address the committee at this time?

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Seeing none.

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The next item on the agenda is the

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approval of minutes. You have the July

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28th, [music] 2026 minutes before you.

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They will stand approved unless the

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clerk is notified of any changes by the

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end of the day.

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Next item on the agenda is new business.

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Madam Clerk?

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>> Referral number 26-0255, [music]

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authorize contracts for the provision of

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forensic pathology services to the

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Monroe County Office of the Medical

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Examiner.

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>> Move it.

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>> Second.

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>> Moved by Legislator Vasquez Simmons,

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seconded by Legislator Blankley. Is

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there any discussion? Yes, Legislator

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Milne.

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>> Thank you, Madam Chairwoman. Just a

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couple of questions through you to the

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administration.

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Um what are the current wait times or

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backlog in the Medical Examiner's

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Office?

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» Uh good evening and through the chair,

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Bob Zerby, Chief Investigator with the

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Medical Examiner's Office. Uh the

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current backlogs it varies at this

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point. With our incumbent physicians,

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there's two.

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Theirs is approximately 11 months. There

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were doctors that served basically solo

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terms while we were trying to build up

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staff. Uh we do have a third sitting

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whose

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times are amazing. She's essentially

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completing 90% of her cases within 90

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days, which is essentially the the

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guidelines for the national standards by

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the National Association of Medical

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Examiners.

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» Thank you. And a follow-up question if I

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may, again through the chair to the

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administration. Um

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You know, it's

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And I mean, I don't mean this in a

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negative way. It seems like my years on

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this legislature, we've been asking one

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of these same questions every year and we understand you're working on it,

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but through the chair, what steps is the

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office of the medical examiner taking to

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ensure that these additional forensic

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pathology

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positions are filled? And And do we feel

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like we're making any progress? You

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know, sometimes in business, right? All

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of a sudden, there'll be a a rash of

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people that are looking for work or have

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passed a class or whatever. Are we

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making any progress in your opinion?

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>> Uh through the chair, absolutely.

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Uh we again, Dr. Melito, our newest

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doctor with um 90% of cases completed in

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90 days is outstanding.

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Um in October, we're set to seat a new

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forensic pathologist. Um new [music] in

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the sense of she's completing her

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training and she'll be joining our team

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in October. Um that leaves one vacant

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spot

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>> [music]

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>> and we're we're hopeful. Uh universally,

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you you probably noticed that no one

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essentially is going into medicine

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anymore. They're short physicians, even,

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you know, everyday physicians,

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hospitals, and whatnot. Um nurses, you

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know, technical people, people just

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aren't going into medicine. Um forensic

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pathology experiences the same. And it's a national shortage. Uh roughly

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1,200 doctor spots for forensic

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pathologists, the doctors that are

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medical examiners across the US with

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anywhere between six to 800 people to

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fill those seats. Um what makes it

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really difficult for Monroe is because

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we were short for so long. And it's not

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just Monroe. I mean, this is Erie, this

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is Onondaga, this is most offices. Um

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you you want to be accredited.

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Accreditation standards through NAME

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call for doing no more than 325 cases

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per doctor. Um with with three doctors

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and 1,500 autopsy cases, that's 500.

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We're well above the limit. So, when you

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try to woo someone to come to your

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office, it's like, "Hey, we're going to

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pay you this much money, but you might

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be doing 500 cases." They're going to go

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to an accredited office where they know

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the ceiling is 300 and a quarter. They

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know what their salary is. They can do

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basic math and figure out essentially

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it's this much per case. So, once we get

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the doctor four in here, it's going to

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make it significantly better because our

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other doctors can focus on their

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backlogs, bringing their average time

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down. The doctors that are new with no

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backlog will be steaming along at good

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speed. And if we can identify that third

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doctor who does have no backlog, uh

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we're we're going to be golden and look

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only for improvement after that through

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the chair.

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>> Thank you very much. I I do appreciate

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your candor with those answers. And and

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I also want to say that I appreciate

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[music] the work that you and your team

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do. Thank you.

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>> Through the chair, thank you.

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>> Legislator McCabe.

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>> Yes, ma'am. Chairman, through you to um

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Chief Zerbe.

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Some states, I know, have hired like

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they're doing PAs or doing forensic

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pathology. Now, is that

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even allowable in New York State at the

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current time?

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>> So, so in in New York, the county law is

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the New York law that covers medical

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examiners and coroners.

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Uh there's actually specific ruling that

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a physician's assistant can't stand in

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for the work of a medical examiner. Uh

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county law as it relates to medical

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examiners and coroners is wildly

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archaic. Um it just it doesn't get

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reviewed frequently, so it's it's very

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old and

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there wasn't such a thing when the law

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was written. Um as times are tougher,

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something has to give somewhere. Um if I may and and please do recognize

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that New York is actually recognizing

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death investigation as a significant

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thing. Um as you may or may not know, um

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Monroe County has a medical examiner

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system. Most of the state enjoys a

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coroner system. Um coroners are elected

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official, and essentially if any of you

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are over the age 18 and lived in one of

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those counties, you could run for

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coroner. Absolutely zero requirement for

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any qualifications about death

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investigation whatsoever. It's it's a

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horribly weak system. Um so, what New

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York recently did is they actually

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recognized that, "Hey, you know

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something? Going forward, this is

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important." And they put a continuing

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education requirement. So, even if you

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don't know anything, through by your

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third year and going forward, you have

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to have at least I I think it's 30

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credit hours um in in your term to

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actually sustain your position as a

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coroner. So, I mean, it's a start.

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They're actually seeing that this is

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something and they're paying attention

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to it. That may turn things around for

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us through the chair.

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>> All right. Thank you. I appreciate I

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yield. Thank you.

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>> Any other discussion?

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All those in favor, please signify by

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saying I.

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>> I.

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>> Any opposed?

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>> [music]

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>> Item carries. Next item, please.

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>> Referral number 26-0256.

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Authorize a contract with UR Medicine

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Home Care Licensed Services Inc. DBA

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Visiting Nursing Nurse Signature Care

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for support of the Nurse Family

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Partnership Program.

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>> Move it.

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>> Second.

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>> Moved by Legislator Askew-Simmons,

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seconded by Legislator Blakely. Is there

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any discussion?

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Legislator Askew-Simmons.

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>> Thank you. Through you to the

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administration,

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is this contract uh funded via grant or

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is it part of the 2026 operating budget?

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» Through the chair, this is grant-funded.

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» Okay, great. Thank you. I yield.

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>> Um I wait, Madam Clerk. I would like to

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declare my interest in this.

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>> Noted. Thank you.

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>> Thank you. And I have a question as

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well. Um this is such a wonderful

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program. I was wondering if you have a

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list of accomplishments, outcomes that

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you can share with us to date.

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>> I can pull together a list of

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accomplishments and have that ready

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within the next day or so.

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>> That would be wonderful. Thank you. Any

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other discussion?

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All those in favor, please signify by

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saying I.

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>> I.

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Any opposed?

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Item carries. Next item, please.

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>> Referral number 26-0257.

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Acceptance of a grant from Health

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Research Inc. for the Public Health

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Emergency Preparedness Program.

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>> Move it.

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>> Second.

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>> Moved by Legislator Askew-Simmons,

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seconded Blankly. Is there any

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discussion?

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Seeing none, all those in favor please

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signify by saying I.

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>> I.

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>> Any opposed? Item carries.

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Are there any other matters to come

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before this committee?

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>> Madam

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>> Oh, yes, Legislator

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Cruz.

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>> Um, yes, Madam Chair, do you and uh

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please correct me um if I'm wrong,

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through our parliamentarian.

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I just I'm I'm seeing the subject of the

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uh renewal of the contract with item

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26-0256.

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Seeing how we kind of just

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have had conversation about these sort

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of contracts not coming back to the

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legislative body if there is some sort

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of issue with the agency that we're

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contracting with.

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Is there any Is this too late to put any

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sort of stipulations to these sort of

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contracts?

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Um especially with this being a Visiting

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Nurse Signature [music] Care

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organization.

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Similar to what we kind of experienced,

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something wrong happens, but we don't

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get to see the renewal of the contract

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when it comes up. It doesn't go through

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the legislative body.

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Should I rephrase?

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>> I'm sorry, I'm unclear what the question

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is, actually.

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>> Yeah,

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>> [music]

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>> me too. I'm sorry. I'm making it up,

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that's how it goes.

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There is a renewal of contract for item

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26-0256,

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right? We've had similar conversations

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in the past recently where the renewal

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of these contracts don't come back to

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the legislative body. They just renew

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when the time for renewal was up. In

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this particular case,

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uh

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where is it?

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>> Point of order.

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>> Uh this says

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uh authorized contract in amount

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Sorry.

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>> You have the floor. You put a point of

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order. What was the point of order?

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>> The point of order is we've we should do

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a motion to reconsider. We've already

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voted on this matter.

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>> That's why I'm asking if I'm

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>> And we should do a point of order, do a

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motion to reconsider to bring it back to

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the table if we're going to do that.

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>> on a second. Is that what you're asking?

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>> Is that what you're asking? To bring it

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back to the table?

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>> Yes, if I'm able to to discuss it. I was

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going to ask the question, but

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everything flew so fast.

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>> Well, you you could we could vote to

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or you could allow him to ask a question

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of the administration

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just as a matter of

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without it being associated with the

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motion. It's up to you.

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>> Um

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I will allow the question.

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>> All right, so I guess my question is

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just seeing how there is a renewal of

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contract um for 1 year for a 1 year

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period.

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Does that get Does that come back to the

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legislative body at all? Or is it just

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when that year is up, they renew? Does

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this um

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agency get to automatically renew?

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Like in past practice.

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>> Through the chair.

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I apologize.

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>> asking if

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>> Does the contract renew without it

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having to come back to the legislative

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body?

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>> You're asking if we vote on this

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annually?

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>> I guess so, yeah.

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On the renewal of contract.

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» Yes.

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>> Uh through the chair. No, the the way

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that this uh proposed legislation is

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written, it is a uh 1-year contract uh

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with four additional 1-year renewals

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uh up to four additional 1-year

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renewals.

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Um those renewals uh would not need to

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come back to the legislature um

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to to be accomplished.

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>> Thank you. Um sorry for the butchering

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of the question. I was I was trying to

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piece it together. [music]

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Um I just wanted to voice that

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due to in lieu of recent events that is concerning and just looking

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forward to be able to amend some

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language in the future concerning

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[music] the the the construct of these

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contracts of renewal in case something

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happens with the provider so we could at

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least review it prior for them getting

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another year of renewal.

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>> satisfied with that or do you want to

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bring it up again?

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>> I'm satisfied with that answer. Thank

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[music] you.

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>> Okay.

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So, there being no other So, close

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it now? Okay, thank you. Thank you to

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our parliamentarian. There being no

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other matters, the August 25th, 2026

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meeting of the Human Services Committee

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stands adjourned. The next meeting of

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the Human Services Committee will be

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held on Tuesday, September 29th, 2026 at

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5:00 p.m.