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and give the pitch a rationale

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but I don't want to take up too

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much space here

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does anybody else have anything

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before we let Dr. Winograd go

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we're just going to unleash her

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let her go

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What I'll do too from what I'm

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hearing today is we'll put

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together maybe a little bit more

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condensed list of here's the

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things that we're

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really

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like for one thing we you know

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the drug courts that's something

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I think most of us can really

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get on board with

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and we'll put we'll make a

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little bit more condensed type

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of list in an I likepresentative

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Black's idea if we can file

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things on both sides of the

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building

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and

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work on this as much together as

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we can with the consensus that

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we have

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that would be great So Dr.

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Winograd if you would like to

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take your ir0 seconds and and

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go.

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s you know 30 minutes so I had 3

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recommendations the first one

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was to legalize syringe access

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and drug checking

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the second one was to establish

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and fund two methadone units

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and the third one was to

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establish and fund embedded

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certified peer specialists

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within 3 to5 fQHCs

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so the second two I'm framing as

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treatment pilot programs

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and I'm happy to talk more about

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what those would look like what

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you would want to make sure to

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see and evaluate but the spirit

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behind the pilot programs and

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I've seen Missouri do this well

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is essentially say before we're

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going to set a goalpost way out

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here that we're going to make

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some radical change in a funding

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model or a service deployment we

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are going to keep it small and

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tight and test it among a small

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handful of ready, willing and

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able agencies who have to

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compete for it who have to

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partake in some type of program

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management and evaluation but

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when you do a

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pilot project like that and

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let's say you guarantee funding

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for three years and we're going

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to see how it goes

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I think that can be really

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helpful in giving us insights

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before we launch something or

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try to launch something big and

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statewide so I can speak to

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those in more detail

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specifically about methadone

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access outside of traditional

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opioid treatment programs and

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then peer specialists within

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federally qualified health

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centers and we can talk about

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the billing and the payment

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stuff as well but my first

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recommendation was a policy

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recommendation not a funding

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recommendation and that was to

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legalize syringe access in

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Missouri where we would join

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about 38 other states

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and

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essentially the idea here is we

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would make it allowable for

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programs to provide people with

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sterile syringes

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as they frequent the drop in

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center and then the drop in

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center staff can help people

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connect to treatment and

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recovery. There's decades of

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evidence from across the world

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that syringe programs increase

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rates of recovery increase

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access to treatment decrease

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rates of HIV and hepatitisc etc.

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and importantly to address the

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concern among many do not

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increase risky drug use.

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so Missouri I think is a bit

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behind that we have not passed

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this legislation in the9 or10

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years that it's been up

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I know I'm not the expert here

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in the room so I'll steette

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speak I think this camera's

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small but I think you're there

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and then coupled with that is

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also legalizing drug checking

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technology and equipment so we

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heard a lot of testimony about

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the unpredictability of the drug

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supply across the country and

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here in Missouri

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that things are popping up in

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drugs that we never would have

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dreamt of and so using street

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drugs now is way riskier and

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more dangerous and unpredictable

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than it ever has been and so the

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interventions that we're seeing

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in other states who are getting

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ahead of this is that they're

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letting people test their drugs

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they're letting programs do you

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pop up on a corner and have a

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drug checking machine to say hey

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guess what's in your drugs this

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is scary

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don't use it or modify your use

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so that it doesn't kill you and

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in Missouri the only drug

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checking that we have legalized

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is fentanyl test strips which

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are good

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and they're helpful but they are

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becoming increasingly sort of

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obsolete or unnecessary as the

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drug supply is already you know

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full of fentanyl it's kind of

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like you don't need to test an

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opioid supply for fentanyl you

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just assume it is but test

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strips for xylazine and

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nidazines and metatomidine and a

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lot of these scary synthetics we

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are not allowed to give them out

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for drug checking in Missouri

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only for urine testing but at

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that point if someone's already

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consumed it and it's showing up

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in your urine you're lucky if

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they're alive so that would be

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my policy recommendation is

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focus on the life saving aspect

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of tools that we can provide

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people to in increase engagement

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in care, reduce infection and

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reduce the likelihood of

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accidental fatal overdose.

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and then I had the two pilots

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yeah yeah I think

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Representativesinnett wanted to

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make a comment just before that

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if you don't mind I wanted to

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let you know Dr. Winograd the70H

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bill should be in your inbox now

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and then a lot of dinging

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I just had a question on this

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drug checking device on a corner

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so is this just a little

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machine? What is this? I've

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never heard about this

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so I am no expert it's the inner

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section of chemistry and

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addiction services so when you

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get as high tech as some of

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these states are doing they're

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called mass spectrometers or FIR

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machines and you need a trained

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drug teching drug checking

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technician

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who's trained to use these

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machines. I saw one when I was

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visiting Illinois last year. I

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saw someone do a demo so but it

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essentially it's a piece of

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equipment and people bring a

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drug supply and you take a

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little sample and it takes like

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10 minutes but it reads out like

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an ingredient list and potency

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list of exactly what's in that

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illicit drug supply and so they

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may put up a station at a dance

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festival you know a music

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festival a

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concert and people utilize it so

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I do acknowledge that this might

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be farther down the line for us

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to actually be training people

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and purchasing the equipment to

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use it but step one would be

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making it legal to do so so that

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if someone could get a grant and

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buy a machine they could do it

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but right now we're not even

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able to compete with other

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states because it's not legal on

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the books for us to do that

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that's

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a pretty so

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like any type of drug can

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somebody bring a bag of weed and

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have it checked

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excuse me, marijuana marijuana I

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assume I can text my drug

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checking colleague but I

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wouldn't worry as much about

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cannabis as I would about little

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powders yeah no I know I'm just

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trying to wrap my brain around

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how this thing works think ok

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I'll get back to you. I'm going

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to send a text message yeah and

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I know Representative Stinnett

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wants to speak as well and I'll

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say this to both of you if you

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can send some research about the

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syringes and how effective

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that'd be

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yeah the most has done some

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given us information in prior

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sessions so that's certainly

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available and I can send to you

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the bill that I filed in

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prior sessions which I would

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plan to file again really just

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removes the paraphernalia laws

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from approved facilities that

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DHSS would approve so it

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wouldn't be available to just

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anybody anywhere it would be

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public health entities or in

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Springfield there's an

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organization called

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APO that does this type of work

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so it would be you know

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restricted to the organizations

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that are doing this type of work

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and approved through DHSS and it

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would just remove those

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paraphernalia laws that would

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right now restrict them from

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being able to do that with the

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the syringes but the most

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important piece of the bill

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really is the requirement that

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it be associated with a

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treatment option and so they

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would have to have a

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collaborative agreement with

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some organizations or within

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themselves offer a treatment

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option to these individuals that

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are accessing the program

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because that's really the

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benefit right and what the

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research shows is that

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individuals are4 to5 times more

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likely to access treatment if

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they're utilizing something like

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these syringe access programs

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and that's what the most paper

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showed as well so I can

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definitely send that you know

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I think it's an important

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conversation I'm not as familiar

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with the drug checking component

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of it

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but one of the reasons and I

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think I've shared this

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previously and may have done so

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in our prior task force hearing

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but I have a lot going on in my

291
00:09:39,368 --> 00:09:39,618
life right now so I can't

292
00:09:41,368 --> 00:09:41,618
remember but you know one of the

293
00:09:42,068 --> 00:09:42,318
reasons it felt really important

294
00:09:44,034 --> 00:09:44,284
to me is because in my community

295
00:09:47,368 --> 00:09:47,618
we have people just everyday

296
00:09:48,101 --> 00:09:48,351
people living in neighborhoods

297
00:09:49,868 --> 00:09:50,118
going into areas around our

298
00:09:51,634 --> 00:09:51,884
elementary school and cleaning

299
00:09:54,134 --> 00:09:54,384
up needles and I see this as not

300
00:09:55,834 --> 00:09:56,084
an overall solution right it's

301
00:09:56,534 --> 00:09:56,784
not going to clean that up

302
00:09:58,101 --> 00:09:58,351
completely but I think it is an

303
00:09:59,501 --> 00:09:59,751
opportunity to clean that

304
00:10:03,368 --> 00:10:03,618
up some and so I want to take

305
00:10:05,368 --> 00:10:05,618
every opportunity we can to help

306
00:10:07,601 --> 00:10:07,851
our neighbors not have to do

307
00:10:09,368 --> 00:10:09,618
things like that and instead

308
00:10:10,068 --> 00:10:10,318
have opportunities for these

309
00:10:11,868 --> 00:10:12,118
individuals who are obviously

310
00:10:13,601 --> 00:10:13,851
struggling with something to

311
00:10:15,401 --> 00:10:15,651
have access to those treatment

312
00:10:17,368 --> 00:10:17,618
options and this gives a door to

313
00:10:19,868 --> 00:10:20,118
that so it's a really narrowly

314
00:10:23,868 --> 00:10:24,118
tailored bill that I think could

315
00:10:25,634 --> 00:10:25,884
make a good difference for

316
00:10:26,334 --> 00:10:26,584
people and you're planning on

317
00:10:27,734 --> 00:10:27,984
filing that ok great

318
00:10:30,168 --> 00:10:30,418
very good

319
00:10:33,934 --> 00:10:34,184
any other questions about

320
00:10:35,668 --> 00:10:35,918
that

321
00:10:39,501 --> 00:10:39,751
OK Doctor Winograd did you want

322
00:10:40,134 --> 00:10:40,384
to continue

323
00:10:41,901 --> 00:10:42,151
Sure.

324
00:10:46,101 --> 00:10:46,351
my second recommendation was

325
00:10:47,868 --> 00:10:48,118
to establish and fund two

326
00:10:50,134 --> 00:10:50,384
methadone units as a reminder

327
00:10:53,368 --> 00:10:53,618
these are methadone dispensing

328
00:10:55,668 --> 00:10:55,918
sites that are outside of

329
00:10:57,368 --> 00:10:57,618
traditional methadone clinics

330
00:10:58,101 --> 00:10:58,351
also known as opioid treatment

331
00:10:58,768 --> 00:10:59,018
programs

332
00:11:03,368 --> 00:11:03,618
the pilot would fund one within

333
00:11:05,868 --> 00:11:06,118
an FQHC and one within a

334
00:11:07,568 --> 00:11:07,818
substance use treatment center

335
00:11:09,401 --> 00:11:09,651
to see which model works better

336
00:11:10,101 --> 00:11:10,351
or if they both work well

337
00:11:13,868 --> 00:11:14,118
this funding and supporting

338
00:11:16,134 --> 00:11:16,384
methadone units is a way to

339
00:11:18,134 --> 00:11:18,384
increase access to methadone

340
00:11:20,101 --> 00:11:20,351
that is really really hard to

341
00:11:23,601 --> 00:11:23,851
get. We only have 13 to15

342
00:11:25,368 --> 00:11:25,618
methadone sites in the entire

343
00:11:27,401 --> 00:11:27,651
state so in many rural areas

344
00:11:28,068 --> 00:11:28,318
it's just a nonstarter

345
00:11:31,368 --> 00:11:31,618
for you to access methadone even

346
00:11:33,368 --> 00:11:33,618
though methadone is the gold

347
00:11:34,101 --> 00:11:34,351
standard treatment medication

348
00:11:35,468 --> 00:11:35,718
especially in the age of

349
00:11:36,001 --> 00:11:36,251
fentanyl

350
00:11:37,834 --> 00:11:38,084
so this would be a way to

351
00:11:40,101 --> 00:11:40,351
increase access to methadone and

352
00:11:44,134 --> 00:11:44,384
also testing out a new delivery

353
00:11:44,768 --> 00:11:45,018
method

354
00:11:48,134 --> 00:11:48,384
outside of the the the walls of

355
00:11:49,668 --> 00:11:49,918
an opioid treatment program

356
00:11:51,368 --> 00:11:51,618
where it's historically been

357
00:11:53,368 --> 00:11:53,618
relegated Federal laws

358
00:11:55,634 --> 00:11:55,884
officially changed in2024 to

359
00:11:57,868 --> 00:11:58,118
encourage states to establish

360
00:12:00,134 --> 00:12:00,384
more methadone units. Missouri

361
00:12:01,901 --> 00:12:02,151
has yet to establish a single

362
00:12:03,401 --> 00:12:03,651
one. I think we're really

363
00:12:05,468 --> 00:12:05,718
missing an opportunity not only

364
00:12:06,134 --> 00:12:06,384
to increase access

365
00:12:09,634 --> 00:12:09,884
but to learn about how to do it

366
00:12:11,401 --> 00:12:11,651
and how to do it well and that's

367
00:12:12,101 --> 00:12:12,351
why I'm suggesting a three year

368
00:12:12,768 --> 00:12:13,018
pilot

369
00:12:14,134 --> 00:12:14,384
and my third recommendation

370
00:12:17,601 --> 00:12:17,851
is regarding certified peer

371
00:12:19,368 --> 00:12:19,618
specialists we heard a ton of

372
00:12:20,334 --> 00:12:20,584
testimony about the valuable

373
00:12:23,368 --> 00:12:23,618
role of peers in the substance

374
00:12:24,068 --> 00:12:24,318
use disorder treatment and

375
00:12:27,368 --> 00:12:27,618
recovery space and specifically

376
00:12:30,068 --> 00:12:30,318
that there is a disconnect

377
00:12:32,068 --> 00:12:32,318
between the behavioral health

378
00:12:33,868 --> 00:12:34,118
treatment setting that is able

379
00:12:36,101 --> 00:12:36,351
to bill for peer services and

380
00:12:37,868 --> 00:12:38,118
the federally qualified health

381
00:12:39,634 --> 00:12:39,884
care setting which wants to

382
00:12:41,368 --> 00:12:41,618
employ peers but cannot bill for

383
00:12:43,634 --> 00:12:43,884
them throughmohealthnet so I do

384
00:12:44,334 --> 00:12:44,584
think in the background we

385
00:12:44,868 --> 00:12:45,118
should be working

386
00:12:51,484 --> 00:12:51,734
with MPCA and DSs and DHSS to

387
00:12:53,601 --> 00:12:53,851
figure out how to get peers

388
00:12:55,368 --> 00:12:55,618
billable through Medicaid but

389
00:12:56,068 --> 00:12:56,318
that is a longer term process so

390
00:12:59,368 --> 00:12:59,618
in the meantime I suggested a

391
00:13:01,834 --> 00:13:02,084
three year pilot where 3 to5

392
00:13:04,101 --> 00:13:04,351
health centers apply and get

393
00:13:07,634 --> 00:13:07,884
funding to hire a peer who is

394
00:13:08,234 --> 00:13:08,484
supported with appropriate

395
00:13:11,368 --> 00:13:11,618
supervision and guardrails and

396
00:13:13,601 --> 00:13:13,851
scope etc and there's evaluation

397
00:13:14,301 --> 00:13:14,551
and project support to see

398
00:13:14,868 --> 00:13:15,118
really what it

399
00:13:17,634 --> 00:13:17,884
would look like to have fulltime

400
00:13:19,368 --> 00:13:19,618
peers embedded in a health

401
00:13:21,368 --> 00:13:21,618
center and we could learn in the

402
00:13:23,601 --> 00:13:23,851
process as we are also working

403
00:13:24,301 --> 00:13:24,551
toward Medicaid reimbursement

404
00:13:28,368 --> 00:13:28,618
so methadone is one and peers in

405
00:13:29,034 --> 00:13:29,284
FQHCs is another.

406
00:13:33,834 --> 00:13:34,084
excellent so now I need to ask

407
00:13:34,534 --> 00:13:34,784
you a question about this

408
00:13:35,034 --> 00:13:35,284
methadone dispensing

409
00:13:39,601 --> 00:13:39,851
unit. What what what is that

410
00:13:40,368 --> 00:13:40,618
exactly what does it look like?

411
00:13:41,034 --> 00:13:41,284
Where would it go

412
00:13:43,601 --> 00:13:43,851
yeah I admit

413
00:13:47,368 --> 00:13:47,618
for the first year or so when I

414
00:13:49,368 --> 00:13:49,618
heard about a methadone unit I

415
00:13:50,101 --> 00:13:50,351
thought it was like an ATM

416
00:13:51,634 --> 00:13:51,884
machine. I thought it was a

417
00:13:53,368 --> 00:13:53,618
physical thing.

418
00:13:53,701 --> 00:13:53,951
it is not

419
00:13:57,601 --> 00:13:57,851
it's a it's a a confusing name.

420
00:13:59,601 --> 00:13:59,851
it just means more like a

421
00:14:00,168 --> 00:14:00,418
satellite site

422
00:14:03,468 --> 00:14:03,718
so a methadone unit could be

423
00:14:08,101 --> 00:14:08,351
health center ABc They work

424
00:14:09,601 --> 00:14:09,851
through a collaborative

425
00:14:11,368 --> 00:14:11,618
agreement with methadone

426
00:14:13,701 --> 00:14:13,951
clinicXYz that might be 30 miles

427
00:14:14,368 --> 00:14:14,618
away

428
00:14:17,601 --> 00:14:17,851
but there's a good amount of

429
00:14:18,334 --> 00:14:18,584
patients who could benefit from

430
00:14:19,868 --> 00:14:20,118
methadone who live much closer

431
00:14:21,734 --> 00:14:21,984
to the health center than the

432
00:14:22,368 --> 00:14:22,618
methadone clinic

433
00:14:24,101 --> 00:14:24,351
so if the health center was

434
00:14:26,101 --> 00:14:26,351
allowed to be a methadone unit

435
00:14:27,634 --> 00:14:27,884
maybe got a little bit of

436
00:14:29,368 --> 00:14:29,618
funding I'd be happy to look

437
00:14:30,001 --> 00:14:30,251
into like what is funding even

438
00:14:30,668 --> 00:14:30,918
look like

439
00:14:33,368 --> 00:14:33,618
and they'd have a relationship

440
00:14:35,601 --> 00:14:35,851
with this the hub site the

441
00:14:37,601 --> 00:14:37,851
methadone clinic and patients

442
00:14:39,368 --> 00:14:39,618
once they get established at the

443
00:14:40,101 --> 00:14:40,351
hub site could then do their

444
00:14:42,268 --> 00:14:42,518
daily medicine visits at the

445
00:14:42,934 --> 00:14:43,184
health center

446
00:14:47,601 --> 00:14:47,851
yeahpresentativesennett Drnograd

447
00:14:49,434 --> 00:14:49,684
what's keeping us from doing

448
00:14:50,101 --> 00:14:50,351
that now?

449
00:14:57,568 --> 00:14:57,818
I don't know.unding a bandwidth

450
00:14:58,234 --> 00:14:58,484
oversight

451
00:15:03,568 --> 00:15:03,818
ok so we have we said we have 13

452
00:15:06,168 --> 00:15:06,418
ish places across the state that

453
00:15:06,834 --> 00:15:07,084
are

454
00:15:09,434 --> 00:15:09,684
doing this

455
00:15:13,701 --> 00:15:13,951
are they only at specific types

456
00:15:15,534 --> 00:15:15,784
of healthcare sites currently

457
00:15:17,401 --> 00:15:17,651
what what are those specific

458
00:15:18,034 --> 00:15:18,284
types

459
00:15:21,501 --> 00:15:21,751
yeah it is it is one specific

460
00:15:23,534 --> 00:15:23,784
type it is called an opioid

461
00:15:25,334 --> 00:15:25,584
treatment program referred to as

462
00:15:27,534 --> 00:15:27,784
an OTP. they're also just

463
00:15:29,601 --> 00:15:29,851
referred to colloquially as

464
00:15:31,534 --> 00:15:31,784
methadone clinics. If you walk

465
00:15:33,568 --> 00:15:33,818
into a methadone clinic it is

466
00:15:34,234 --> 00:15:34,484
specific

467
00:15:35,901 --> 00:15:36,151
it looks very different than

468
00:15:37,734 --> 00:15:37,984
like a primary care clinic or

469
00:15:39,734 --> 00:15:39,984
even an addiction broader

470
00:15:40,301 --> 00:15:40,551
addiction clinic

471
00:15:43,334 --> 00:15:43,584
a methadone clinic

472
00:15:45,301 --> 00:15:45,551
feels a little bit more

473
00:15:45,868 --> 00:15:46,118
carceral. there's like locked

474
00:15:47,901 --> 00:15:48,151
doors you have to walk into

475
00:15:49,534 --> 00:15:49,784
someoneone has to buzz you in.

476
00:15:51,534 --> 00:15:51,784
there's a dosing window with a

477
00:15:53,734 --> 00:15:53,984
glass pane. People wait in line

478
00:15:55,534 --> 00:15:55,784
to visit the nurse at the front

479
00:15:56,134 --> 00:15:56,384
who gives them the methadone

480
00:15:56,801 --> 00:15:57,051
dose etc.

481
00:16:01,334 --> 00:16:01,584
and so those are methadone

482
00:16:03,734 --> 00:16:03,984
clinics also known as OTPs don't

483
00:16:05,534 --> 00:16:05,784
quote me on the 13 number it

484
00:16:09,534 --> 00:16:09,784
might be like 16 now but yeah

485
00:16:10,201 --> 00:16:10,451
they set up in that

486
00:16:13,734 --> 00:16:13,984
way regulatory wise through one

487
00:16:17,334 --> 00:16:17,584
of the departments yes they are

488
00:16:17,968 --> 00:16:18,218
overseen by the department of

489
00:16:21,334 --> 00:16:21,584
Mental Health. there's a single

490
00:16:22,068 --> 00:16:22,318
roll called the state opioid

491
00:16:23,668 --> 00:16:23,918
Treatment Authority the SOTA

492
00:16:25,834 --> 00:16:26,084
every state has to have one

493
00:16:31,934 --> 00:16:32,184
in missouri we have a soda who's

494
00:16:33,701 --> 00:16:33,951
embedded at DMH now he also has

495
00:16:35,701 --> 00:16:35,951
like5 other jobs

496
00:16:39,334 --> 00:16:39,584
so that's you know part of the

497
00:16:40,034 --> 00:16:40,284
the problem across state

498
00:16:41,901 --> 00:16:42,151
agencies from my vantage point

499
00:16:43,701 --> 00:16:43,951
is that you know people have a

500
00:16:45,901 --> 00:16:46,151
bunch of jobs and so to kick off

501
00:16:49,334 --> 00:16:49,584
a pilot project like this you

502
00:16:49,934 --> 00:16:50,184
need to have some funding for

503
00:16:51,934 --> 00:16:52,184
some staff to help get it off

504
00:16:52,601 --> 00:16:52,851
the ground and evaluate it.

505
00:16:57,334 --> 00:16:57,584
so the issue is not regulatory

506
00:16:59,534 --> 00:16:59,784
in nature as far as like what we

507
00:17:01,534 --> 00:17:01,784
need to change something

508
00:17:03,634 --> 00:17:03,884
statutorily to open it would

509
00:17:04,268 --> 00:17:04,518
just be funding

510
00:17:07,934 --> 00:17:08,184
and then would they be able to

511
00:17:11,501 --> 00:17:11,751
sustain after initial funding

512
00:17:13,334 --> 00:17:13,584
like like a here's a little bit

513
00:17:14,034 --> 00:17:14,284
to get started and then they

514
00:17:17,334 --> 00:17:17,584
could start billing and sustain

515
00:17:17,968 --> 00:17:18,218
or would they need ongoing

516
00:17:18,534 --> 00:17:18,784
funding.

517
00:17:21,501 --> 00:17:21,751
that's a good question. I think

518
00:17:23,334 --> 00:17:23,584
that would be part of the pilot

519
00:17:24,068 --> 00:17:24,318
to look at funding

520
00:17:25,534 --> 00:17:25,784
sustainability models you know

521
00:17:26,201 --> 00:17:26,451
if there's a way where they

522
00:17:26,768 --> 00:17:27,018
could

523
00:17:29,968 --> 00:17:30,218
bill through the DMH system that

524
00:17:31,734 --> 00:17:31,984
would you know that would

525
00:17:33,934 --> 00:17:34,184
probably be what it would be is

526
00:17:35,534 --> 00:17:35,784
that how the other methadone

527
00:17:36,134 --> 00:17:36,384
clinics are billing is through

528
00:17:36,801 --> 00:17:37,051
DMH

529
00:17:39,901 --> 00:17:40,151
some of them well they all have

530
00:17:43,334 --> 00:17:43,584
a a bit of a DMH contract. some

531
00:17:45,334 --> 00:17:45,584
of them it's predominantly DMH

532
00:17:45,934 --> 00:17:46,184
and some of them they only have

533
00:17:47,701 --> 00:17:47,951
a little bit of money from DMH

534
00:17:49,334 --> 00:17:49,584
and everything else is out of

535
00:17:51,768 --> 00:17:52,018
pocket pay and it's $17 a day

536
00:17:53,568 --> 00:17:53,818
and that was a few years ago for

537
00:17:54,234 --> 00:17:54,484
a methadone patient. OK.

538
00:17:55,801 --> 00:17:56,051
thank you

539
00:17:57,734 --> 00:17:57,984
Great

540
00:17:59,934 --> 00:18:00,184
thank you Doctorinterred

541
00:18:01,668 --> 00:18:01,918
appreciate it very much. I'll

542
00:18:02,334 --> 00:18:02,584
mute myself

543
00:18:03,534 --> 00:18:03,784
for now

544
00:18:09,401 --> 00:18:09,651
any other conversation

545
00:18:09,868 --> 00:18:10,118
discussion

546
00:18:11,501 --> 00:18:11,751
about these policy

547
00:18:11,934 --> 00:18:12,184
recommendations

548
00:18:15,934 --> 00:18:16,184
anything else that you'd like to

549
00:18:16,601 --> 00:18:16,851
discuss talk about

550
00:18:22,401 --> 00:18:22,651
Representative Dolan

551
00:18:25,901 --> 00:18:26,151
thank you M She I was just going

552
00:18:27,634 --> 00:18:27,884
to make a point it's been a

553
00:18:28,368 --> 00:18:28,618
minute since I was in the drug

554
00:18:30,134 --> 00:18:30,384
courts business but when we were

555
00:18:33,601 --> 00:18:33,851
pricing the what we call

556
00:18:35,934 --> 00:18:36,184
quickest the cups and stuff like

557
00:18:37,901 --> 00:18:38,151
that you've got information from

558
00:18:39,868 --> 00:18:40,118
all of these suppliers and all

559
00:18:41,368 --> 00:18:41,618
these providers and back then

560
00:18:44,234 --> 00:18:44,484
the GCMS, which is the gas

561
00:18:47,668 --> 00:18:47,918
spectrometer mass the machine

562
00:18:49,368 --> 00:18:49,618
that you were inquiring about

563
00:18:51,368 --> 00:18:51,618
those were anywhere from 100,000

564
00:18:53,468 --> 00:18:53,718
to300,000 dollars apiece so

565
00:18:54,001 --> 00:18:54,251
you know if

566
00:18:55,901 --> 00:18:56,151
Senator Black can find that in

567
00:18:57,601 --> 00:18:57,851
his budget, I'm sure there will

568
00:18:58,268 --> 00:18:58,518
be a couple spots that

569
00:19:01,468 --> 00:19:01,718
that's going to be a

570
00:19:05,468 --> 00:19:05,718
Thank youpresentative

571
00:19:08,201 --> 00:19:08,451
Anybody else online

572
00:19:10,034 --> 00:19:10,284
in the room

573
00:19:14,201 --> 00:19:14,451
I will just say drug checking

574
00:19:15,901 --> 00:19:16,151
machines are extremely

575
00:19:17,868 --> 00:19:18,118
expensive. The ones that I've

576
00:19:19,634 --> 00:19:19,884
heard about used in other states

577
00:19:21,368 --> 00:19:21,618
in recent years are more

578
00:19:23,401 --> 00:19:23,651
like40,000 dollars apiece which

579
00:19:25,468 --> 00:19:25,718
to be clear I am not suggesting

580
00:19:26,134 --> 00:19:26,384
the state would fund

581
00:19:29,701 --> 00:19:29,951
but many local jurisdictions

582
00:19:31,401 --> 00:19:31,651
have their own pots of money or

583
00:19:32,201 --> 00:19:32,451
would go for their own grants

584
00:19:34,201 --> 00:19:34,451
and they'd be responsible for

585
00:19:36,168 --> 00:19:36,418
footing the bill as a one time

586
00:19:38,168 --> 00:19:38,418
outlay if that's in their best

587
00:19:40,034 --> 00:19:40,284
interests as a jurisdiction yeah

588
00:19:40,701 --> 00:19:40,951
ok good

589
00:19:43,968 --> 00:19:44,218
ok

590
00:19:47,634 --> 00:19:47,884
well I hope this has been

591
00:19:48,201 --> 00:19:48,451
helpful today

592
00:19:51,368 --> 00:19:51,618
I think it has been and like I

593
00:19:53,668 --> 00:19:53,918
said we'll put a list of the

594
00:19:55,634 --> 00:19:55,884
main topics we talked about

595
00:19:57,634 --> 00:19:57,884
together and get those to you

596
00:20:00,134 --> 00:20:00,384
and in the meantime I know

597
00:20:01,734 --> 00:20:01,984
most will be working on the

598
00:20:02,301 --> 00:20:02,551
budget

599
00:20:05,634 --> 00:20:05,884
report andarrah will put

600
00:20:07,468 --> 00:20:07,718
together a summary report for us

601
00:20:08,134 --> 00:20:08,384
as well

602
00:20:10,201 --> 00:20:10,451
again thank you all so much for

603
00:20:11,901 --> 00:20:12,151
your diligence, your hard work,

604
00:20:15,368 --> 00:20:15,618
your dedication to this

605
00:20:17,368 --> 00:20:17,618
particular issue it's it's a

606
00:20:18,134 --> 00:20:18,384
very critical and critical in

607
00:20:21,401 --> 00:20:21,651
saving lives and helping our

608
00:20:22,134 --> 00:20:22,384
health professionals do their

609
00:20:25,368 --> 00:20:25,618
jobs more efficiently and

610
00:20:27,634 --> 00:20:27,884
better. thank you Mr. Hummer,

611
00:20:30,134 --> 00:20:30,384
Dr. Winograd really appreciate

612
00:20:32,434 --> 00:20:32,684
it Judge Olmes thank you for

613
00:20:33,934 --> 00:20:34,184
your participation and for your

614
00:20:37,468 --> 00:20:37,718
help for your expertise as well

615
00:20:38,134 --> 00:20:38,384
thank you. I know I

616
00:20:39,934 --> 00:20:40,184
am very very dependent on your

617
00:20:41,668 --> 00:20:41,918
guys's expertise in this area

618
00:20:45,868 --> 00:20:46,118
so thank you all very very much

619
00:20:46,534 --> 00:20:46,784
and with that we are done