[24:16] ed will come to order first item [24:18] on the agenda is approval of [24:20] August11,2026 minutes [24:26] got to get Mcgeha is recognized [24:27] you thank you Mr Chair I move [24:29] to approve the august11 minutes. [24:33] like again moves to approve the [24:36] the mes or discussion [24:41] not all those in favor signify [24:43] by saying I all this booze no [24:44] the us appear toha it the ays do [24:46] have it declare the minutes [24:47] approved. [24:53] first item is committee report [24:53] requests [24:59] then we move on to monthly [25:01] quarter quarterly reports [25:01] received [25:05] the next order of business [25:06] before the committee is the [25:08] regular monthly quarterly [25:09] reports members will find in [25:10] their packets the reports from [25:11] each agency [25:14] first one is Mr Peter [25:15] Shirley [25:26] Thank you Mr President. good [25:27] afternoon everyone. [25:30] I am Pete Shirley, deputy [25:31] revenue secretary and I'm going [25:33] to go ahead and go through our [25:34] revenues through the first two [25:35] months of FY2027. [25:39] so diving right into things [25:41] august for the general [25:44] revenue fun we were34.8 million [25:48] or 8.4% above estimate and we [25:52] were52.5 million or13.2% over [25:54] august of last year. So [25:56] regardless of which way you're [25:58] looking at it, whether you're [25:59] looking at it relative to [26:00] estimate or you're looking at [26:02] actual year over year growth [26:04] both really healthy revenue [26:05] figures for the state [26:10] looking there at the various [26:11] components of general revenue [26:13] you can see that the largest [26:15] driver of that both again [26:16] whether you're whether you're [26:18] looking relative to estimate or [26:20] year over year growth is [26:22] personal income tax so personal [26:24] income tax was15.3 million [26:26] dollars over estimate or26.5 [26:28] million over last year and you [26:30] can see there that especially [26:31] with that year over year growth [26:32] that's a really big percentage [26:34] and I think a natural question [26:35] is why is that is that that [26:36] people are making that [26:39] much more money what's you know [26:42] what's going on there as I've [26:43] mentioned a couple of times [26:44] before I think that looking at [26:45] withholding earth is a really [26:46] good way to get a measure of [26:48] this that's the withholding that [26:50] comes out of people's paychecks [26:52] you know for for us that work [26:53] here at the state it's every two [26:54] weeks whether it's you know two [26:56] weeks twice a month, monthly [26:58] whatever the case may be [27:02] withholding is up2.4% over the [27:04] past 12 months. so it is up [27:05] that's that's growth that's [27:06] below the rate of inflation [27:06] which [27:10] is3.4% but withholding over the [27:11] past year [27:13] has grown but not at that rate [27:15] so that doesn't explain all of [27:16] this growth that we've seen. [27:18] there are two other things that [27:20] I think are important there one [27:21] is that we've paid out [27:24] significantly less in refunds in [27:25] just the month of August alone [27:28] we paid out about7.5 million [27:30] dollars less in refunds than we [27:32] did in August of last year so [27:34] that's that's a good chunk of [27:36] that growth and part of the [27:40] reason for that is the MB1, the [27:41] car tax rebate I think is as [27:41] it's more [27:44] commonly known as for all of [27:48] 2025 we refunded a little [27:51] over125 million to taxpayers [27:53] so that's through all of2025 [27:54] through [27:57] the most recent data that I had [28:01] for2026. it was 96.5 million so [28:04] it was almost30 million dollars [28:05] less. there's still some more [28:06] that will come in particularly [28:07] for people that file an [28:07] extension but [28:11] we are on track to pay out [28:13] less this year than we did last [28:14] year and that's not just [28:15] per [28:19] per claim we've had about50,000 [28:21] fewer claims for the credit [28:22] relative to last year so I think [28:24] it's the combination of those [28:26] things withholding is up yes but [28:28] we also have less that's being [28:30] paid out in refunds and a good [28:32] chunk of that is is because of [28:34] the the car tax rebate so [28:36] that's personal income tax sales [28:39] tax4 million overestimate7.7 [28:42] million over August of last [28:42] year. the thing that I really [28:44] like to see there on sales tax. [28:45] I just mentioned it for the PT [28:46] is that [28:50] that growth rate4.3% is above [28:51] the rate of inflation so it's [28:52] good to see sales tax growth [28:54] above the rate of inflation that [28:56] means that you know real [29:00] spending has has increased in [29:01] severance a bounce back month [29:02] for severance we'll look at the [29:03] year to date for severance here [29:04] on the next slide but good to [29:06] see a bounce back month on [29:10] severance um10.3 million above [29:12] estimate and16.3 million [29:15] above the prior august and those [29:16] three combin [29:20] ed for29.6 of that34.8 over [29:22] overestimate and everything else [29:24] was the was the remaining5.2 so [29:26] really those those three items [29:28] PT sales and severance were the [29:31] were the drivers of our august [29:32] revenues looking year to date [29:37] very similar story um46.1 [29:40] million over for the first two [29:42] months overestimate that's5.8% [29:46] or53.2 million 6.8% over [29:50] for the year as as with august [29:51] and again there's only two [29:52] months in this fiscal year to [29:54] date data so you would expect [29:55] that you know [29:58] august is going to be very [29:59] important there PT was the [30:02] number one driver but again [30:03] the same caveats that I just [30:04] mentioned that withholding [30:05] growth over the past 12 months [30:08] has been slower than the rate [30:10] of inflation and that some chunk [30:12] of this is applied to refunds [30:14] both of those caveats still [30:18] apply sales again same thing15 [30:19] million relative estimate for [30:22] the year21.4 million over the [30:24] prior fiscal year to date that [30:25] that growth rate is actually [30:25] even higher at 6 [30:28] 8 % so that that's an [30:30] encouraging sign for [30:32] additional consumption and [30:34] severance the one thing to note [30:35] there is that we had a [30:37] particularly bad July followed [30:40] by a pretty good august and so [30:43] we are under for the estimate [30:45] for the year by about a little [30:47] over2 million dollars but we [30:48] have experienced growth from [30:52] FY2026 to FY2027 year to date [30:54] and so you know essentially what [30:55] that means is that the estimate [30:56] was anticipating [30:58] growth but it was anticipating a [31:00] little bit more growth than than [31:02] what we actually saw and I think [31:04] that some relatively no low [31:06] natural gas prices again [31:07] something we'll we'll dive into [31:08] a little bit here more in a [31:09] second are something that I [31:09] think has a [31:13] has driven that other than that [31:14] just looking down at the the [31:16] other items the biggest one [31:17] there that stands out is [31:20] interest income which is3.7 [31:22] million above relative to the [31:24] estimate for the year and that's [31:26] again it it's good that that [31:28] the state's investments continue [31:30] to bring us a return above what [31:32] we are anticipating short [31:33] term interest rates remain [31:36] remain elevated but we have seen [31:37] a little bit of softening over [31:40] the past year or so in the [31:41] balances that are being invested [31:41] which [31:43] means that agencies that have [31:44] cash on hand that is being [31:46] invested particularly with the [31:48] BTti that cash is is being [31:51] spent down for a variety of [31:51] purposes [31:56] looking at our general [31:57] revenue fund collection trends [31:58] one thing that I think is [32:01] important to note if if you [32:02] all you all have the slides so [32:04] you can sort of look at it with [32:06] me if you look at that red line [32:07] which is the personal income tax [32:08] so these are the major [32:09] components of the general [32:11] revenue fund if you look at that [32:12] red line you can sort of see two [32:14] points where it sort of inflexs [32:16] upwards. One is in sort of [32:19] that2022 to early2023 period so [32:21] that was right before the [32:22] initial21.24 personal income [32:25] tax rate reductions occurred so [32:26] you can sort of all of that was [32:28] under the same rate environment [32:29] so it's sort of easy to see [32:31] what's going on there and you [32:32] can see that that tends to trend [32:34] up right about the same time [32:35] that the severance tax starts to [32:36] trend upwards and you can see a [32:38] little bit of that again in the [32:40] most recent data where PT starts [32:42] to inflect back up again at the [32:44] same time that severance starts [32:46] to inflect back up. I'm not [32:47] trying to make a causal argument [32:49] here perse but one of the things [32:52] that I want to emphasize that [32:53] I think is important and I don't [32:53] think [32:55] it's talked about as much as it [32:56] should is that [32:58] the energy and the severance [33:00] industry also matters for our [33:02] personal income tax collections [33:04] and the reason for that is that [33:06] when gas prices are higher [33:08] when there's larger production [33:10] and that you know that gas is [33:11] extracted from the ground [33:13] those companies pay royalties to [33:14] the royalty owners the people [33:16] who own the miner rights and [33:17] when those people earn that [33:18] income from those royalties they [33:20] owe personal income taxes on it. [33:22] so when you have a period of [33:24] good gas production or we we've [33:26] increased gas production every [33:27] year for the past15 years so [33:29] it's sort of been a good gas [33:30] production environment for the [33:32] past decade and a half but also [33:33] when you've had [33:34] periods of higher prices [33:37] that shows up both in the [33:38] severance tax data but then that [33:40] also has an effect on personal [33:44] income tax data as people pay [33:45] income taxes on those royalties [33:46] so just something that I want to [33:48] point out also to an extent we [33:51] see this with real realize [33:52] capital gains so when we have [33:54] particularly good times in the [33:57] market you know this matters [33:58] whether or not people are [34:00] realizing those gains or not [34:01] because they only pay income [34:02] taxes once they actually realize [34:03] those capital gains [34:08] but when we see periods of of [34:10] very good investment returns and [34:12] people tend to realize those [34:13] gains that will also have an [34:14] effect on our personal income [34:16] tax collection so just two other [34:18] things to keep in mind that I [34:20] think are partially to explain [34:22] why our Pt collections are up so [34:24] much especially so far early in [34:26] this fiscal year sort of despite [34:28] the fact that withholding has [34:30] grown but grown at a much slower [34:32] rate than you see that that [34:33] overall growth [34:36] speaking of severance tax [34:38] collections the next slide you [34:39] can see a couple of recent dips [34:39] there [34:43] that's driven again primarily by [34:44] natural gas. naturaltural gas [34:46] prices are down July of last [34:48] year they were2 dollars 64 cents [34:49] per MCf [34:52] July2026 they were closer to2 [34:53] dollars about gas prices [34:56] about20% down year over year at [34:58] least looking at the the July [35:00] figures so the trend that we saw [35:01] downward here at the beginning [35:03] of the this fiscal year is is [35:06] mostly driven by natural gas you [35:07] can see that the coal there has [35:07] remained [35:10] relatively stable over about the [35:11] past year or so. [35:14] switching to the state [35:18] roadund state road fund is27.2 [35:22] million over for August or 9.5% [35:23] compared year over year [35:28] that's37.1 million or13.4% on [35:29] that37.1 [35:32] the the largest component of [35:34] that that I think is really [35:35] important to point out is the [35:37] back of the budget funding for [35:40] roads so in August there was you [35:41] can see there that august [35:42] official estimate for [35:44] miscellaneous was125 million [35:46] dollars that is that125 million [35:48] dollars appropriation from the [35:50] back of the budget lastst year [35:52] it was100 million dollars so [35:54] that difference of25 million [35:56] dollars is in that39.6 million [35:59] and so a good chunk of that [35:59] year over year difference [36:04] is additional transfers of money [36:05] from the general revenue fund to [36:08] the to the state roadund looking [36:09] at the other components [36:10] registration fees were almost [36:12] exactly on estimate for the [36:14] month. Saes tax was slightly [36:17] down motor fuel tax slightly up [36:18] again that's something that I've [36:21] been cautious about if if you [36:22] recall over these past couple of [36:24] months especially with slightly [36:26] higher gas prices but that has [36:28] been these past two months have [36:29] been have been relatively good [36:30] for the motor fuel tax [36:33] and federaler reimbursement has [36:36] been above estimate for the [36:37] month again something that we've [36:38] been keeping an eye on [36:40] becauseeder reimbursements came [36:42] in well below estimate for [36:44] FY2026 so that is as they [36:45] continue to work through that [36:46] backlog from some of the [36:47] flooding that they had hadn't [36:48] been dealing with with those [36:50] issues so it's good to see them [36:51] getting back [36:53] getting back on track [36:55] year to date [36:58] relatively similar story not a [37:00] whole lot to add there47.8 [37:02] million over for the month [37:03] or47.8 million over for the [37:04] fiscal year to date again that's [37:08] just July and August or10.9%52 [37:09] million over [37:11] for the [37:14] year over year11.9% again I [37:15] think the biggest thing to point [37:16] out there is that [37:18] 25 million of that is the [37:22] additional appropriation from [37:24] the general revenue fund but [37:26] registration fees and sales [37:28] continue to outperform the [37:30] estimate motor fuel does as well [37:31] which is good and [37:34] so does theeder reimbursement [37:36] again for the same reasons the [37:38] fiscal year to date story there [37:39] in the [37:41] just the the august story I [37:41] think or [37:44] relatively similar and that is [37:46] the state road fund and Mr [37:47] President I'm happy to take [37:48] any questions that you all have [37:52] thank you Mr Shirley is a [37:53] questions our delegate howe [37:58] thank you Mr Chairman thanks for [37:59] being here, Pete. a couple of [38:00] questions when we take the [38:02] severance tax out which I [38:03] believe is how we calculate if [38:04] we're going to reduce the income [38:05] tax [38:07] how are we comparing to [38:08] inflation [38:09] how's that looking are we [38:13] outperforming inflation we blow [38:14] inflation where are we at on [38:16] that? So I have not done that [38:18] through these two months so far [38:19] this year but I can tell you [38:20] sort of when we did the [38:22] calculation at the end of [38:25] uhY2026 we were below the rate [38:25] of inflation [38:29] for FY2026 when you remove [38:31] severance tax so we had revenue [38:33] growth without severance tax but [38:34] it was revenue growth below the [38:36] rate of inflation so we got [38:38] farther away from the trigger [38:39] than we were [38:42] prior year. I believe we missed [38:45] the trigger by306 million [38:45] dollars [38:50] last July and we missed it by [38:51] 391 this July. [38:54] is that a trend you expect to [38:55] continue? [38:58] For the most part yes [39:02] also noticed that back about [39:04] the beginning of25 corporate [39:05] nets starts to drop [39:08] or our corporations becoming [39:10] less profitable or we losing [39:11] them are we not replacing them? [39:12] what's what's the cause of that? [39:16] I think the largest the largest [39:17] thing that you see there so some [39:18] of this comes in before the [39:20] effects of the big beautifulau [39:22] bill but part of that the lion's [39:24] share of that I think I think we [39:26] had estimated about100 million [39:28] on the corporate side was going [39:29] to be the effects of the big [39:30] beautifulau bill and we've seen [39:32] something slightly larger than [39:34] that over the past period of [39:35] time. so [39:38] two things there one that's the [39:40] largest driver but I also think [39:41] that [39:43] similar to what I just said on [39:46] the PT being tied to the energy [39:47] industry. a lot of our most [39:50] profitable companies that have [39:52] sales in west Virginia also our [39:55] energy companies and so when [39:56] when energy prices are [39:56] relatively high they have higher [39:58] profits we see that come in and [40:00] then as energy prices start to [40:01] come down that sort of comes [40:01] back out a little bit as well [40:04] that's not really showing in the [40:05] graph here as I see it [40:08] you don't think so [40:11] because it because I see the [40:15] personal income tax is on the [40:18] rise sales tax is on the rise [40:19] but this is going down here. I'm [40:19] looking at this chart [40:22] I'm suck I'm looking at about [40:26] July of2025 it starts to come [40:28] down for the green line which is [40:29] the corporate net right that's [40:30] what I was looking at yeah and [40:32] so that again I think the lion's [40:34] share of that is the effects of [40:35] conformity from the big [40:36] beautifulau bill because if you [40:38] recall a lot of those provisions [40:40] were actually made retroactive [40:42] to the beginning of2025. So when [40:44] we canf when we conformed even [40:46] though we conformed early in [40:48] well that have been January of [40:49] this year. a lot of those [40:49] provisions were actually made [40:50] retroactive to [40:53] the beginning of2025 and a lot [40:54] of those corporations were [40:56] anticipating that we would [40:58] ultimately conform because I [41:00] think the public posture from [41:01] folks in the administration was [41:02] that that was the intent and so [41:04] they began to act as though we [41:05] that we were going to conform [41:06] even if we hadn't formally [41:07] passed the bill yet. [41:09] and another question on [41:10] severance tax where you know [41:14] natural gas is now what's [41:16] 6070% of our severance or [41:19] something along those lines.2/3 [41:20] to70% yeah that's right. But but [41:22] looking at your chart here and [41:25] like gas is much more volatile [41:28] than cole or the others so [41:29] what's that gonna to do for our [41:30] projections going forward where [41:32] we're gonna have be further off [41:34] on our projections because gas [41:35] is so volatable now a large [41:36] chunk of our [41:39] it it certainly makes our lives [41:41] more difficult yes yes yes the [41:43] the more volatile your severance [41:46] industry is the more the more [41:46] volatile any industry that you [41:48] have in your projections is the [41:49] harder it is to make good [41:51] projections right? I mean we [41:52] could we could talk about all [41:53] sorts of geopolitical things [41:54] that are going on that have [41:56] wreaked havoc on any estimates [41:57] that we could have put together [41:58] for what was going to happen [41:59] with the energy market and [42:04] yeah so I think I think there [42:06] it's sort of a philosophical [42:10] question of my my personal [42:11] preference and my personal [42:13] recommendation is to sort of err [42:14] on the side of where our [42:16] historical trends have been [42:18] maybe rely a little bit less on [42:19] trying to project into the [42:20] future and say ok what is sort [42:22] of our what is our base that we [42:24] can really rely on year over [42:27] year and do you treat you know a [42:28] good severance year essentially [42:31] as a as a bo as a windfall [42:31] rather than something you're [42:32] trying to [42:34] anticipate and you're trying to [42:35] explicitly budget for [42:37] do you do you expect to see more [42:39] conservative estimates so when [42:40] we do have good times where [42:41] we'll tend to have surpluses [42:43] because of that I don't I don't [42:44] think [42:45] I'm not sure [42:48] because obviously this is the [42:49] this would now be the third [42:53] round of budget estimates that I [42:54] would have been part of helping [42:56] put together I think that's been [42:58] the approach for at least all of [43:00] the ones that I've been a part [43:02] of is that you know maybe we [43:04] thought that severance would be [43:06] a little bit higher but do you [43:07] want to take that risk? do you [43:07] want to risk [43:10] you know conflict in the Middle [43:12] East that type of thing. what do [43:13] you do you want to project that [43:13] or would you rather say [43:16] this is where we have been [43:18] historically. this is something [43:20] that you know I personally as [43:22] the deputy revenue secretary who [43:23] was the person who usually gets [43:23] up and explains these estimates [43:24] to you [43:26] is that the number that I think [43:27] I can get up here and stand here [43:27] and look you in the eye and [43:28] defend. [43:30] and something maybe that's more [43:32] rosy do I get a little more [43:34] nervous if I'm saying you know I [43:35] think we can get there or would [43:36] I rather say I really think [43:38] we'll have at least this and [43:39] maybe we get some more and [43:40] that's a surplus and that'd be [43:41] great we'd love to see that but [43:43] do we want to count on that [43:45] and I have one final question [43:46] back on to the road funding act [43:48] with the downward trend in the [43:50] federal reimbursement is that a [43:52] timing issue is that the roads [43:53] to prosperity completely running [43:53] out what's [43:56] so we are not involved as much [43:57] of that so a lot of the [43:58] information I'm going to give [44:00] you is now sort of secondhand [44:02] from from DOt so if you really [44:03] want it from the source I'd [44:04] recommend talking to them but [44:07] from my understanding with a lot [44:08] of the flooding that occurred [44:10] last year. they essentially took [44:12] people that were typically doing [44:13] their normal federal [44:15] reimbursement process and sort [44:16] of shifted them to working more [44:18] with FEMA on disaster response [44:20] and trying to get money through [44:22] disaster recovery efforts and [44:23] then as they've sort of [44:25] finished up that project they've [44:26] moved back onto their normal [44:28] federaler reimbursement and so [44:30] you've seen the federaler [44:31] reimbursement start to swing up [44:32] over the past few months as they [44:33] sort of have gotten through that [44:35] backlog and they're back to sort [44:36] of their more normal activities. [44:38] So I think you did see a dip. it [44:40] was that that was absolutely the [44:42] the case. but what was relayed [44:44] to me is that they anticipated [44:45] that to be sort of transitory as [44:45] they worked through that process [44:47] thank you thank you Mr Chairman [44:50] delicateri [44:52] thank you Mr President [44:57] the the trenton on the PT are [45:00] are we still seeing some backlog [45:02] on withholding from the from the [45:04] corporations or or businesses [45:07] that are still withholding at a [45:09] higher rate and trying to play [45:09] catch up [45:11] on their withholding [45:14] because did we see in you're [45:16] trending I think I heard you [45:19] mention that your refund on pRT [45:22] was up a little bit still we [45:23] still got a couple more months [45:26] to go on extensions. I I think [45:28] that there has been some of that [45:29] yes. I think that [45:31] when we initially put together [45:34] the estimates for I can't [45:34] remember what bill number it was [45:36] now but it was the it was the5% [45:38] across the board tax cut when we [45:39] had put those estimates together [45:42] we both had an effect for FY2026 [45:44] and in effect for FY2027 and the [45:46] idea behind FY26 when it was [45:48] originally conceived was that [45:50] the bill would be passed very [45:51] quickly almosts that it you know [45:52] it perhaps could have even been [45:54] done prospectively rather than [45:56] retroactively and people could [45:57] have had time to update their [45:58] withholdings that obviously [45:59] didn't happen it [46:01] passed later in session and so [46:02] yes, I think there were people [46:03] for whom [46:05] they didn't properly withhold [46:06] for those first couple of months [46:08] of the year and I think there [46:10] will be employers for whom you [46:12] know especially small mom and [46:13] pop organizations they're [46:14] probably not gonna go to their [46:16] accountant and try to have their [46:18] handful of employees update [46:18] their withholdings they'll [46:20] probably just wait until January [46:22] 1 of next year and do that so [46:24] those those types of people will [46:26] be withholding too much from now [46:29] until December31 and what will [46:30] happen is all of those people [46:31] will then come in [46:34] early next year they'll catch up [46:35] when they do their refund and [46:36] they'll say, oh I took out too [46:38] much now I get a larger refund [46:40] and then the other thing on the [46:42] big beautiful bill I think there [46:44] was a special consideration for [46:46] depreciation and a continuation [46:49] of section179 on bonus [46:52] depreciation do you do are we [46:54] able to see within the corporate [46:55] returns [46:58] those dollars as far as those [47:00] the increases in that that is an [47:02] excellent question. I don't know [47:04] the answer to it but I will I [47:05] will look into that and get back [47:05] to you. I would [47:08] I would imagine that there is [47:09] somewhere where they [47:12] specifically are claiming that I [47:13] don't know exactly what the form [47:14] where where that would show up [47:16] on the form but I would imagine [47:17] there's a place where they claim [47:18] it and so we should be able to [47:20] get some kind of aggregate [47:22] that's been a big help to a lot [47:23] of businesses that are heavy [47:23] industry [47:26] to be able to do to take that [47:27] bonus depreciation in one year [47:32] and the section179 and I assume [47:33] that the the corporate [47:35] returns that we're seeing are [47:36] traditional type businesses with [47:37] heavy equipment [47:41] and a lot of iron like in in [47:42] businesses that I'm familiar [47:44] with and that was very helpful [47:47] as far as reduction in in [47:49] corporate tax owed to the state [47:51] so yeah if you can get a trend [47:53] on that I'd appreciate it's it's [47:54] an excellent point. I have not [47:55] looked into it but [47:57] we we should and I will thank [47:57] you thank you Mr President [48:02] delegate hornbuckle [48:05] thank you Mr President and [48:06] thank you Mr Secretary for [48:09] presenting today if you would [48:11] remind me again what all is [48:12] included in sales and use tax [48:22] sales of goods and services that [48:24] aren't subject to an exemption [48:25] of which there are [48:28] in code I think at this point [48:30] maybe 80 different exemptions. [48:32] most most things the big ones [48:34] that aren't groceries aren't [48:36] exempt prepared foods are [48:37] included you know most things [48:39] that you would go and buy in a [48:40] store are subject to the sales [48:43] and use tax yes sir and and I [48:46] thought so and your take on [48:47] how that's risen our our [48:49] revenue from that [48:54] category so the increase there [48:55] is so looking I'll just do the [48:58] fiscal year to date it's15 above [49:00] estimate and21.4 [49:01] above [49:05] the first two months of of [49:08] last fiscal year and so that [49:10] last one is a 6.8% growth and so [49:12] two primary things that I look [49:14] at there first is it growing or [49:18] not so our people spending more [49:19] money in the west Virginian [49:20] economy are they buying more [49:22] things than they were last year [49:24] and they are so that's check one [49:25] that's that's good and then the [49:26] second thing that I look at is [49:28] whether or not that rate is [49:30] above or below the rate of [49:31] inflation and the reason for [49:34] that is that if it's if it's [49:35] essentially at the rate of [49:36] inflation they're not really [49:38] buying more stuff they're buying [49:40] the same amount of stuff at a [49:41] slightly higher price [49:42] if it's below the rate of [49:44] inflation, yes they're spending [49:46] more money but they're actually [49:48] getting less for what they're [49:49] buying and if it's above the [49:51] rate of inflation as it is here [49:53] that's sort of the the best case [49:54] scenario of the three because [49:56] that means that not only has our [49:58] spending kept up with the rate [50:00] of inflation we're actually [50:01] spending more than that so [50:05] prices are up3% but we're buying [50:05] 6.8% more stuff [50:09] so there's real growth in the [50:10] amount of spending that we're [50:11] doing we're actually buying more [50:14] things than we were last year I [50:15] was then I would agree with [50:16] that I was sort of confused on [50:19] that because we have lost [50:21] some population and so I was [50:22] trying to figure out how that [50:23] number has grown with less [50:24] people in the state while our [50:27] our population year over year [50:29] was actually almost essentially [50:33] flat so for a a state of1.77 [50:35] million people I believe our [50:36] population lost from2024 [50:39] to2025 was approximately1200 [50:40] people [50:43] yeah and I wasn't saying it was [50:44] like major I was just stating [50:46] the fact that it has decreased [50:48] but yet this number has risen so [50:50] I'm just trying to get a I [50:51] think you might have alluded to [50:52] it as well consumer spending [50:56] habits or if it was just that [50:57] think it's primarily consumer [50:58] spending habits yeah ok [51:04] the next one is on the next [51:06] page you've might have [51:08] already spoken to this but the [51:13] corporate net being down33.5% [51:16] wass that due to the to the big [51:18] bill or is there something else [51:20] what's your take on that? think [51:22] the the largest piece of that is [51:24] the the effects of the the big [51:26] beautiful bill we also had [51:28] one or two just large refunds [51:30] that came out that we weren't [51:31] anticipating but I think in [51:32] in the grand scheme of things [51:34] our estimates [51:36] are where we [51:40] the actual revenues are where we [51:42] expected them to be and where we [51:44] expected them to be was down [51:46] primarily as a result of [51:48] conformity with the big [51:50] beautiful beltir and what was [51:51] those those one or two large [51:54] refunds you were alluding to I [51:55] can't talk about specific [51:56] taxpayer information just that [51:58] there were a couple of large [51:59] refunds that [52:02] happened in the normal course of [52:03] business from time to time [52:06] so do you see that as a trend [52:08] continuing? no I think they were [52:10] one time you know with the the [52:12] loss of the the corporate net is [52:13] that just going to be sort of [52:15] permanent fixture is that [52:16] number going to rise? Will it [52:18] decrease? There was there was [52:19] one element of the big [52:20] beautifulau bill that was [52:22] temporary there was a temporary [52:24] exclusion for new manufacturing [52:26] facilities and I believe our [52:27] estimate for that was somewhere [52:28] in the neighborhood of2 [52:32] $5 million and I believe the [52:34] overall estimate for corporate [52:35] net was about100 so [52:40] that25 I would imagine [52:41] eventually sort of comes back [52:42] once that temporary exclusion [52:44] goes away and so I would say [52:46] about75% of that estimate [52:47] is [52:48] assuming no other [52:50] law changes permanent [52:52] thank you [52:56] under barrett [53:00] thank you Mr President. Pete, [53:01] appreciate the presentation as [53:02] always I want to follow up on [53:04] some questions related to the [53:06] the rate of growth for consumer [53:09] sales tax compared to the rate [53:11] of inflation can you talk about [53:13] that rate of growth pre and post [53:13] tax cut [53:17] that's a good question [53:21] I believe [53:24] pretax cut I'm try I'm trying to [53:26] recall now because I don't [53:27] actually have the data in front [53:27] of me and I don't want to [53:30] and I both don't want to dodge [53:31] your question but I also don't [53:31] want to say something that's [53:33] inaccurate but I believe towards [53:33] the end of [53:38] fiscal26 so you know34 months [53:39] ago [53:42] our growth rate in consumer [53:44] sales was slightly below the [53:45] rate of inflation and now it's [53:46] slightly higher so I I believe [53:48] in the past couple of months [53:50] that growth rate at least on [53:52] that measure has has ticked up a [53:54] little bit and I'm talking and I [53:55] should have said this more [53:56] specifically to the large tax [53:58] cut in the beginning of24, [54:01] the21.25cent tax. I I wanna [54:04] understand that the part of the [54:06] the intention of a tax cut, [54:07] you know what we anticipate to [54:08] happen when you cut personal [54:09] income tax is that there will be [54:09] more consum [54:12] er spending, higher collection [54:13] on consumer sales tax and I want [54:15] to understand that that's if [54:18] that took place or not think you [54:21] see some increase in taxes. I [54:23] don't think I mean if you flip [54:24] to this what slide is it for [54:26] here and you look at that orange [54:29] line that is the sales tax line [54:29] I mean if you if you [54:31] if you if you took away that red [54:32] line [54:32] and [54:36] asked somebody where did the PT [54:37] cut happen [54:40] and [54:43] and I think part of that is that [54:44] and I think this is a bit of a [54:45] misnomer when [54:48] when you have these these tax [54:50] cuts like this. I think the idea [54:52] is that that you put additional [54:53] dollars into the economy and [54:54] that the person who is spending [54:56] that dollar spends that dollar [54:57] more efficiently than the [54:58] government does and that there's [55:00] a return on that investment in [55:02] the private sector I don't think [55:04] you see as much of that in in [55:05] tax collections I don't think [55:06] there's a return on investment [55:10] to the general revenue fund as a [55:11] result of that because if I hand [55:13] you a dollar back and you go and [55:14] spend it on something that [55:15] generates consumer sales tax [55:16] I've given you a dollar but [55:18] the general revenue fund has [55:19] gotten 6 cents back [55:20] all right [55:22] thank you thank you Mr [55:22] President. [55:24] ri [55:27] yeah a couple follow up [55:27] questions [55:32] last time we met we talked about [55:34] the severance tax case that was [55:35] before [55:36] at the end of the fiscal year [55:41] did we make those refunds in [55:41] this fiscal year [55:44] we made all of the refunds that [55:47] we were able to in fiscal [55:47] year2026. [55:50] we made a concerted effort to [55:52] get as many of those out the [55:54] door as possible. We did not get [55:55] all of them out the door [55:57] however, because some of those [55:58] cases where they were throughout [56:00] the process whether they were [56:04] withotta the ICA or or up [56:05] with the Supreme court some of [56:06] those had other issues [56:09] intertwined that were not just [56:10] relevant to theecuador case you [56:14] couldn't sort of unwind those [56:14] complexities where that may have [56:16] just been one amongst a number [56:17] of issues relevant to that case [56:20] so there are some other cases [56:23] out there that could eventually [56:26] be impacted by that ruling where [56:27] sort of the other issues haven't [56:29] been resolved to the point where [56:31] that case can be resolved in [56:32] what it manner whatever manner [56:34] it's going to be resolved in yet [56:36] but all the ones that we were [56:37] able to take care of where that [56:39] was the issue. those were all [56:41] paid out in FY2026. do you have [56:43] a number of anticipation on what [56:44] your reduction would be in [56:46] severance tax for the cases that [56:47] are still pending. I believe we [56:47] tried to [56:50] put a number on that we had a [56:51] number and I believe it was [56:54] about15 million dollars of what [56:55] we were able to immediately pay [56:57] out. I don't think we were able [56:58] to come up with a number on [57:01] these remaining cases because we [57:04] weren't able to say well you [57:05] know if there's3 issues here and [57:07] we know what this one is how [57:08] would these other two resolve [57:10] and if they resolve one way it [57:11] might end up being less if it [57:12] resolves another way it may end [57:13] up being more and I think we [57:15] were unable to put an estimate [57:17] on those remaining cases because [57:17] of the fact that there were [57:20] other things that could affect [57:22] that amount that we don't know [57:24] how they'll wind up yet. Do you [57:26] anticipate being able to pay [57:27] those out during this fiscal [57:30] year or do you have any clue [57:32] don't I'm not you know, I don't [57:34] sort of work with those cases [57:35] day to day. I don't know exactly [57:36] where they are. I don't know how [57:38] many of them are you know close [57:39] to a resolution I believe I [57:41] believe you know just as a as a [57:42] example I believe thisecuador [57:43] case had [57:46] severance tax payments that went [57:48] back as far as2016 that we [57:49] ultimately issued a refund on so [57:49] these things can take [57:53] quite a long time all right [57:56] then the last question I I [57:58] noticed in trending on your [58:00] estimates and the revenues from [58:01] over your estimates [58:02] on a liquor [58:04] cigarettes [58:05] and lottery [58:09] can you can you read anything [58:09] into that [58:12] or a historical information [58:14] based on those three items where [58:16] we are going with our [58:16] discretionary dollars [58:20] Um, so [58:24] on tobacco I've actually been [58:29] quite frankly I've been [58:30] surprised that we've beaten the [58:32] estimate we've we've failed to [58:34] meet the estimate. I feel like [58:35] I've either come up here when [58:36] we've put together our press [58:37] releases I feel like I was [58:38] beating a dead horse of just [58:40] saying in tobacco missed the [58:42] estimate again and missed the [58:44] estimate again I'm frankly not [58:46] entirely sure what's going on [58:47] with our tobacco products taxes [58:48] there they continue [58:51] they continue to overall trend [58:53] downward but we've had frankly [58:54] we've had a couple of good [58:56] months there. I'm not really I'm [58:58] not ready to call that sort of a [58:59] a shift in the trend yet but [59:04] I am I am frankly a little [59:06] happy to see that we at least so [59:07] far knock on wood that we've [59:10] not overestimated the tobacco [59:14] products tax again on on the [59:16] liquor taxes we have seen a [59:18] little bit of slowdown in [59:21] overall consumption rates but [59:23] this is also partially that you [59:25] know the liquor is is a is a [59:28] percent wholesale tax and so as [59:29] prices go up even if you have [59:30] slightly down consumption and [59:31] you know it's a balance between [59:32] consumption slightly down but [59:34] prices are slightly up so how [59:38] does that net out and then on [59:40] lottery on lottery lottery [59:42] has continued lottery has had [59:44] some struggles with the [59:45] traditional lottery most of [59:48] lotteries increases recently [59:49] the the the real area of [59:50] growth that they've seen has [59:52] been in the the iaming category [59:54] and and the sports wa wagering [59:56] those are the sort of you know [59:57] the the new sort of [1:00:02] fresh I think more exciting [1:00:03] especially for the for the [1:00:04] younger demographics. those are [1:00:06] the places where we have seen [1:00:07] actual increases in revenue. I [1:00:08] think most of the other [1:00:10] categories have been relatively [1:00:12] flat or even in some cases [1:00:14] slightly declining so it appears [1:00:15] that our people were staying [1:00:16] home [1:00:18] smoking cigarettes drinking [1:00:19] their liquor and playing [1:00:19] eyeammes [1:00:22] that that would be a a [1:00:25] a conclusion that you could make [1:00:25] right thank you [1:00:32] Any further questions forharon [1:00:33] not [1:00:36] thank you deputy secret Shirley [1:00:37] for present report [1:00:41] next on the agenda is [1:00:42] doctorctor Hannahha Hazard [1:00:44] Jenkins executive chair and [1:00:46] director of Wvu Cancer [1:00:47] Institute [1:00:50] Mr President, thank you very [1:00:51] much for the opportunity to be [1:00:54] here today if you're ok with [1:00:54] that I'll pull up our [1:00:56] presentation as we walk through [1:00:58] the slides that have already [1:00:59] been provided for you [1:01:02] prior to today [1:01:10] so I I just as a level set our [1:01:11] purpose is really to change the [1:01:13] way cancer is experienced and [1:01:14] happens in the state of west [1:01:15] Virginia and the goal would be [1:01:16] to reduce the mortality [1:01:18] reduce the incidence which is [1:01:20] actually the ultimate goal while [1:01:22] improving access to clinical [1:01:24] care clinical trials and [1:01:26] ideally that then generates a [1:01:28] reduction in some of the [1:01:30] healthcare disparities and in [1:01:31] particular the cancer [1:01:32] disparities that we see in West [1:01:33] Virginia [1:01:36] these are the statistics for [1:01:38] the state incidents on the one [1:01:40] side and mortality on the other [1:01:41] this is by county [1:01:43] there's some interesting trends [1:01:44] there that you might notice. for [1:01:46] example the northern panhandle [1:01:47] has a little bit of a higher [1:01:48] incident rate but they actually [1:01:50] have a better mortality rate and [1:01:52] on the eastern panhandle we have [1:01:53] a lower incident rate but a [1:01:53] higher mortality rate [1:01:56] so these are the types of [1:01:58] questions that we then use to [1:02:00] generate hypotheses and then [1:02:01] further clinical and [1:02:01] translational research. [1:02:05] er ha p s what is most startling [1:02:06] and really important to look at [1:02:08] as this2025 report that showed [1:02:10] that while the national trend [1:02:12] for mortality is dropping it is [1:02:13] a very disproportionate drop [1:02:16] in twenty0 20 [1:02:20] the or sorry in2000 the delta [1:02:22] between urban versus rural [1:02:24] per100,000 was about 6.6 [1:02:27] per1und0,000 and in2020 that is [1:02:30] now25.5 per1und0,000. so while [1:02:32] we're all dropping we are very [1:02:33] disproportionately dropping [1:02:36] and this begs questions like [1:02:37] what are some of those barriers [1:02:39] to care and in west Virginia you [1:02:40] know our rural geography is [1:02:42] really quite a challenge we're [1:02:44] the most ruggedly rural state in [1:02:45] the continental United States. [1:02:46] a lot of our healthcare [1:02:48] literacy can also be [1:02:49] contributory in our [1:02:49] socioeconomic disadvantage [1:02:52] and the financial toxicity [1:02:54] that's associated with the [1:02:56] cancer diagnosis. all of those [1:02:57] come together for delayed [1:03:00] screening, delayed diagnosis [1:03:02] and then ultimately sort of feed [1:03:03] into [1:03:05] I do think financial toxicity is [1:03:07] an important point to bring up. [1:03:10] so about40% of all personal [1:03:12] bankruptcies are associated with [1:03:14] a medical deb and then about [1:03:16] a cancer diagnosis is associated [1:03:20] with a2.65 times increase rate [1:03:21] of personal bankruptcy [1:03:24] and those that declare [1:03:26] bankruptcy have a79% greater [1:03:28] mortality that is not an [1:03:29] insignificant number. [1:03:31] so to sort of delineate all of [1:03:32] this [1:03:35] we asked professor Deskins at [1:03:36] the Chambers College to look at [1:03:38] the impact of cancer in West [1:03:40] Virginia in totality so agnostic [1:03:41] of health system but looking at [1:03:42] the entire state [1:03:44] and really it's a public [1:03:46] healthcare crisis it's a barrier [1:03:48] to our economic prosperity and [1:03:49] it has some really negative [1:03:51] economic consequences so I'm [1:03:52] just going to show you a couple [1:03:54] numbers and it's based on the [1:03:55] lives lost due to cancer [1:03:56] between2018 and2022. [1:04:01] so in this economic impact [1:04:04] report if you look at the direct [1:04:06] wage and salary loss as well as [1:04:08] foregone socialalcurity income [1:04:09] and you add those together it's [1:04:10] over4 billion dollars. [1:04:14] if you then look at the medical [1:04:16] expenses associated with cancer [1:04:18] we'reat another2.12.2 billion [1:04:19] dollars [1:04:21] and this in this case lung [1:04:22] cancer is the most expensive has [1:04:24] the greatest piece of the pie [1:04:26] and when you add all of that up [1:04:28] it looks like West Virginia [1:04:29] is foregoing about3 billion [1:04:30] dollars in total spending [1:04:31] cumulatively over this decade [1:04:34] com e of West Virginia would be [1:04:36] about5 billion dollars higher [1:04:37] our state and local governments [1:04:39] are losing about200 million [1:04:40] dollars in additional tax [1:04:42] revenue and we're losing [1:04:44] about5,000 jobs it's important [1:04:46] to note that the loss of jobs or [1:04:48] loss of jobs. This does not take [1:04:50] into account that when [1:04:50] someone's diagnosed with cancer [1:04:52] gets treatment, they may not [1:04:54] return to the same level of [1:04:57] their capability at work as [1:04:59] compared to when prior to [1:05:01] their diagnosis chemobrain is a [1:05:01] real [1:05:03] a very tangible thing [1:05:06] so when you have a problem you [1:05:07] have to have a solution. I [1:05:08] learned that from my father [1:05:10] and so one of those isnciI [1:05:11] designation and we are one of [1:05:13] only 6 states east of the [1:05:14] Mississippi that does not have [1:05:16] an NCI designated cancer center [1:05:18] and it matters for a variety of [1:05:19] reasons. It matters when it [1:05:21] comes to research because the [1:05:22] stronger the research is then [1:05:24] the more that we can do earlier [1:05:26] trials and translate that [1:05:27] research into our patients which [1:05:29] then have with better access [1:05:31] earlier screening, better [1:05:32] outcomes and for the state of [1:05:33] west Virginia it really means it [1:05:33] helps us retain [1:05:36] our talent. it allows us to [1:05:38] attract in new talent brings in [1:05:40] innovative companies and [1:05:42] partnerships and where [1:05:43] partnerships that they're more [1:05:44] interested in partnering with [1:05:45] NCI designated cancer centers. [1:05:50] so we also asked Trip Unbox to [1:05:52] create a impact report for us [1:05:54] specifically to the Wv Cancer [1:05:56] institute as we mature from2025 [1:06:00] to202035 as we move towards NCI [1:06:02] designation and the data is [1:06:04] based on about13,000 new cancer [1:06:07] diagnoses a year our mortality [1:06:08] rate, which is much higher than [1:06:10] the national average and [1:06:12] about20% of the patients and or [1:06:13] people in west Virginia leave [1:06:13] the state [1:06:15] and the impact of gaining [1:06:18] designation is about2.4 billion [1:06:20] dollars annually in societal [1:06:22] value family cost savings [1:06:22] of18081 million [1:06:26] and then about almost250 million [1:06:28] in retained instate money [1:06:29] spent. [1:06:32] The NzI designation or that [1:06:34] grant is really a research [1:06:36] infrastructure grant so to focus [1:06:37] specifically on what this will [1:06:38] do for our research. it's about [1:06:40] a sixfold increase over the [1:06:42] course of 10 years. NiaI [1:06:44] designation unlocks money from [1:06:46] the federal government there are [1:06:48] grants you cannot apply to [1:06:50] unless you're an NCI designated [1:06:51] cancer center. inndustries are [1:06:52] more interested in partnering [1:06:54] with an NCI designated cancer [1:06:55] center and certainly [1:06:57] philanthropic sources are much [1:06:59] more interested from an NCI [1:06:59] designated cancer center [1:07:02] increase in jobs [1:07:04] interestingly for every increase [1:07:06] in biopharma job there's about [1:07:09] a3.5 increase in other [1:07:09] additional jobs [1:07:14] so if you look at the statewide [1:07:16] impact as we project towards [1:07:18] maturity our economic impact our [1:07:20] projected growth for the for the [1:07:22] economy is about36%. Our job [1:07:25] supported is an increase of29% [1:07:28] and our tax revenue up about27%. [1:07:30] and then as I said our societal [1:07:32] value is a2.4 billion dollars [1:07:37] Wv medicine has invested heavily [1:07:38] and continues to invest heavily [1:07:40] in the cancer program and in [1:07:42] bricks and mortar. so these are [1:07:45] some current estimates in [1:07:47] the investment you can see [1:07:49] here for example wheeling will [1:07:52] build a new comprehensive [1:07:54] cancer center there Princeton [1:07:56] is going to get a wing that [1:07:58] will bring radiation oncology to [1:08:00] that campus. other sites like [1:08:02] Jackson General, Jefferson [1:08:03] Memorial, Boone, all of those [1:08:03] are getting [1:08:06] cancer centers with infusion [1:08:08] services as well as medical [1:08:10] oncology services and so this [1:08:12] represents a substantial [1:08:14] increase in the economic impact [1:08:16] to our state. in a variety of [1:08:17] different ways [1:08:19] so I truly believe this is a [1:08:20] transformational opportunity for [1:08:23] West Virginia both with economic [1:08:24] impact but let's not forget what [1:08:26] it means as far as health equity [1:08:28] and what that translates to [1:08:30] the people that live here in our [1:08:32] state and certainly [1:08:33] developing a workforce over [1:08:33] time. [1:08:36] so I'd like to transition and [1:08:38] just sort of give you an idea of [1:08:39] some of the things we've [1:08:39] accomplished over the last [1:08:40] couple of years. Certainly we [1:08:43] have hired inappropriate people [1:08:44] that help can help us navigate [1:08:46] this mattinfrey behind me is our [1:08:48] associate director for [1:08:48] administration he came from [1:08:49] Nebraska [1:08:51] he is well versed in the grant [1:08:52] and the things that we need to [1:08:54] do establishing an internal [1:08:56] advisory board so within our [1:08:57] own institution that's headed by [1:08:59] Sally Hotter who is the head of [1:09:02] CTSI building out our clinical [1:09:03] research program so I'll show [1:09:05] you a data in the next slide [1:09:06] about that but really having a [1:09:09] tremendous increase over200% [1:09:10] between2023 and2025. [1:09:13] and then being able to establish [1:09:14] our research programs again I'll [1:09:16] articulate that better and then [1:09:18] lastly really needing to [1:09:22] invest in the future of our [1:09:23] state and then the cancer [1:09:23] programs and biomedical [1:09:24] research. [1:09:28] our clinical interventional [1:09:29] trials so this is what the NCI [1:09:30] cares about is interventional [1:09:32] trials and you'll look our [1:09:33] lowest point was right around [1:09:36] COID20202021. if you look at the [1:09:39] increase in from23 to25. that's [1:09:40] about a200% increase [1:09:42] but I'd like to call your [1:09:44] attention to is the last bar [1:09:46] at210 it's just year to date so [1:09:48] that's end of august. so if you [1:09:50] annualize that out it's315 [1:09:51] people put on trial [1:09:56] which is another5960% [1:09:58] increase as it is and then if [1:10:00] you add that in138% increase [1:10:02] over the year. We care about [1:10:03] that because it is well [1:10:04] documented that people on [1:10:06] clinical trial have a better [1:10:07] overall cancer outcome than [1:10:08] those that are not on clinical [1:10:09] trial. [1:10:12] Our research programs are3 so [1:10:14] cancer biology which is the [1:10:16] basicci component of it [1:10:17] experimental therapeutics is how [1:10:19] you translate that basic science [1:10:20] knowledge to the patients and [1:10:22] then how do our communities both [1:10:24] benefit from those [1:10:26] investments and then those [1:10:27] findings but then also telling [1:10:29] us where we need to investigate [1:10:31] and Lucas which is outside is a [1:10:32] classic example of listening to [1:10:34] our communities with their high [1:10:36] cancer lung cancer incidents and [1:10:37] late [1:10:40] late diagnosis Each of these [1:10:41] three programs needs a certain [1:10:42] amount of funding and from a [1:10:43] certain number of researchers [1:10:47] so what does the support grant [1:10:50] fund and and take part in how [1:10:52] do we and what have we done so [1:10:54] really on the research it's [1:10:55] beginning to integrate and [1:10:57] create this these three [1:10:58] research programs it will [1:11:00] require considerable amount of [1:11:03] recruitment of others coming to [1:11:04] the cancer institute outside of [1:11:06] the state in addition to the [1:11:07] retention of the talent that we [1:11:08] have [1:11:10] our clinical research team a [1:11:12] lot of this growth is because we [1:11:14] reorganized it we invested in it [1:11:15] and the people that help us run [1:11:17] it to allow us to have this kind [1:11:19] of growth we also investing [1:11:20] in our investigator initiated [1:11:22] trials so there are trials that [1:11:24] come from a national perspective [1:11:25] but there are also trials that [1:11:26] come from the people that work [1:11:28] in the cancer institute that [1:11:29] have ideas and investing in that [1:11:33] We also shared resources so this [1:11:34] is a common area where people [1:11:37] can go to use equipment one of [1:11:38] the most important things in [1:11:40] that is what we call biTrac [1:11:41] which is we're going to study [1:11:43] the tumors of westvirginians [1:11:44] instead of buying cancer cells [1:11:45] from Norway [1:11:48] I believe in studying our own [1:11:50] patient population, not that of [1:11:52] another country and then we [1:11:54] also have a resource a shared [1:11:55] resource that looks at health [1:11:57] communication. so how do we [1:11:58] learn better to communicate [1:12:00] which was poor English, which is [1:12:02] a funny point and then how do [1:12:04] we translate that back to our [1:12:05] population I can't treat [1:12:06] somebody for breast cancer if [1:12:07] they don't show up at the door [1:12:08] and they don't show up at the [1:12:09] door if they don't trust me and [1:12:10] so how do we talk to our [1:12:11] population [1:12:13] investment in the next [1:12:16] generation so not only our [1:12:18] PhD students but our clinical [1:12:20] scientists and our clinicians [1:12:21] moving forward [1:12:23] a good bit of investment in our [1:12:24] community engagement we have [1:12:28] over700 community partners and [1:12:29] that's really important to be [1:12:31] able to invest and mature those [1:12:32] over time and then really [1:12:34] building out our infrastructure [1:12:35] so that way we're able to [1:12:36] continue to build on the [1:12:37] successes we've had [1:12:40] on the horizon, most [1:12:42] immediately really is our ad [1:12:44] hoc scientific review so we are [1:12:46] bringing in leaders in the field [1:12:48] both Do Jensen and Dr Evers come [1:12:50] from NCI designated [1:12:52] Comprehensive cancercerenters. [1:12:53] Both of them joined their cancer [1:12:54] centers when they were emerging [1:12:56] cancer centers like ours and not [1:12:58] only took them to designation [1:13:00] but then also to comprehensive [1:13:03] designation Elektra Pasquette [1:13:05] is the deputy director at OSU [1:13:06] She is nationally [1:13:07] internationally known for her [1:13:07] community outreach and [1:13:08] engagement work and then [1:13:10] Paullo Vertino who is a basic [1:13:13] scientist has been really a a [1:13:16] accredited with [1:13:18] helpingRochester get NCI [1:13:18] designation which and they're [1:13:19] one of the most recent NCI [1:13:20] designated [1:13:23] in the near future we also need [1:13:24] to bring in some of those basic [1:13:26] scientists to help us this group [1:13:28] ad hoc scientificroup will also [1:13:30] help us understand sort of where [1:13:31] our best investments are. [1:13:34] incor is a community oncology [1:13:35] research grant that will go in [1:13:36] on Thursday. This is about a [1:13:38] million dollars a year funding [1:13:39] if we get the grant to help [1:13:42] support the clinical trials not [1:13:44] just in Morgantown but outside [1:13:45] of Morgantown because we are a [1:13:48] state of1.77. Not everybody can [1:13:50] travel to Morgantownn so we have [1:13:52] to think about how we can [1:13:53] deliver that kind of quality of [1:13:54] care outside of Morgantown. [1:13:58] so in summary where you live [1:13:59] should never determine your [1:14:00] cancer outcome and that's [1:14:01] what we're trying to accomplish [1:14:02] today. So I'm happy to take [1:14:04] questions thank you very much [1:14:05] for your attention and time. [1:14:07] thank you doctor [1:14:08] delegateri [1:14:09] thank you Mr President [1:14:14] About3 or four years ago we [1:14:15] appropriated about30 million [1:14:15] dollars [1:14:19] to the cancer institute and my [1:14:20] understanding if I recall maybe [1:14:21] the speaker can remember [1:14:24] I thought it was towards this [1:14:26] national cancer facility or so [1:14:28] we're not there yet is that what [1:14:30] you're telling this is a no we [1:14:33] are not there it takes if you [1:14:36] talk to some of like Kansas [1:14:40] it took anywhere from15 to20 [1:14:41] years depending on the [1:14:41] institution [1:14:44] so we need NCci funding that [1:14:46] amounts to at least10 million on [1:14:48] average every year from21 [1:14:50] different researchers or21 [1:14:52] different grants so if we need [1:14:54] the10 million we're around that4 [1:14:57] to4.5 million dollar mark so [1:14:59] it takes it is a marathon. it is [1:15:01] not an immediate I will tell [1:15:04] you that NI is incredibly [1:15:06] interested in us becoming an NCI [1:15:07] designated cancer center [1:15:09] Appalachia we're all in [1:15:10] Appalachia that is a big hole [1:15:11] for them when they [1:15:14] look at their portfolio so I [1:15:18] talk with the director of the [1:15:18] cancer programs on a pretty [1:15:20] regular basis and so he they [1:15:22] are interested in us doing it so [1:15:23] yes it's is a marathon [1:15:26] so no we are not there yet [1:15:28] our goal would be before2035 to [1:15:29] apply for it [1:15:32] because it's a grant are you [1:15:33] looking for additional funding [1:15:36] from the legislature for the for [1:15:38] this or you just are you here to [1:15:39] explain what you've done with [1:15:40] our money so far. I'm here to [1:15:41] explain I've done with your [1:15:44] money so far yes at some point [1:15:45] there we are looking at other [1:15:48] sources so this is an endeavor [1:15:50] that will be you know a [1:15:51] combination of philanthropic [1:15:54] support funding from a state [1:15:55] level stunning from the health [1:15:56] system so there's a multitude of [1:15:59] factors that go in if you look [1:15:59] at designated [1:16:01] and emerging centers that's [1:16:02] pretty well documented. yes sir. [1:16:03] right thank you thank you Mr [1:16:04] President. [1:16:04] delegate howell [1:16:09] and thank you for being here Do [1:16:10] Jenkins. a couple of [1:16:12] questions I have the report [1:16:14] indicates that21% of cancer [1:16:16] services which are provided out [1:16:17] of state nationally that's [1:16:20] like7% so we're like three times [1:16:22] it's high if think if you think [1:16:23] about some of the border states [1:16:26] it's easy to go somewhere in [1:16:27] Ohio when you're on the western [1:16:29] border and when you're in sort [1:16:31] of very rural south eastern west [1:16:33] Virginia it's it's easier [1:16:35] from a travel perspective yes so [1:16:35] that you [1:16:38] may be there with that I look [1:16:39] out the window home into [1:16:41] Maryland so I was gonna [1:16:42] wondering how much of that was [1:16:44] what cancer treatments and [1:16:46] procedures are we are most [1:16:48] commonly leaving the state for [1:16:50] we have tell yeah there are some [1:16:52] I would tell you pediatric bone [1:16:54] marrow transplant always leaves [1:16:56] the state. we do not have that [1:16:57] program here in the state [1:17:00] we have a good proportion I [1:17:02] mean there are not many programs [1:17:04] that we don't participate on the [1:17:06] adult side we do our own [1:17:08] transplant our own car therapy [1:17:10] we have highack we have a [1:17:12] varietyamma knife so some of it [1:17:13] I think is more convenience [1:17:13] and travel [1:17:17] and you [1:17:20] you kind of touched on this a [1:17:21] little bit with the listing I [1:17:22] have a Potomac Valley Hospital [1:17:23] in my district in Mineral County [1:17:24] and I know they're they're [1:17:26] working on that. So how much of [1:17:27] this is going to be pushed out [1:17:28] into the counties how much of [1:17:30] this is going to be more in town [1:17:31] central cent that it's an [1:17:32] excellent question so you know [1:17:34] I'm a clinician so I think of it [1:17:36] all as being intertwined I [1:17:38] think we have a network of [1:17:39] cancer centers that is sort of [1:17:40] unparalleled for other NCI [1:17:43] designated cancer centers us [1:17:45] not being one of them so we will [1:17:45] the current [1:17:50] inco grant has an intentional [1:17:52] increase in trial participation [1:17:53] at some of the larger regional [1:17:55] hubs. We also as a health system [1:17:56] are committed to that and have [1:17:57] invested in that [1:18:00] we atriical Access hospitals [1:18:01] we have to be a little bit [1:18:02] careful about how much of a [1:18:04] burden of paperwork and such [1:18:06] we can put at that level the [1:18:08] goal I would have is that for [1:18:10] example patients at Potomac [1:18:12] Valley might be able to either [1:18:14] come here or to Martinsburg or [1:18:15] some version of that for some [1:18:16] trials so they don't have to [1:18:18] move and shift as much as [1:18:18] possible. Garrett's certainly a [1:18:19] possibility in the future [1:18:23] I just I am very cognizant that [1:18:24] everybody can't get to [1:18:26] Morgantown and you just [1:18:29] mentioned Garrett hospitalspital [1:18:30] because that's in Maryland I [1:18:32] know it's your hospital so it's [1:18:33] some of the state funding if we [1:18:34] push in here going to go there [1:18:38] no this all stays within our [1:18:39] state [1:18:40] all right thank you you're very [1:18:41] welcome [1:18:42] any further questions [1:18:46] Mr Speaker thank you Mr [1:18:48] President Drctoredingas, thank [1:18:49] you very much for being here and [1:18:50] and friends for the benefit of [1:18:52] the committee. I asked Doctor [1:18:54] Hezer Jenkins to give this [1:18:55] presentation today for this [1:18:56] reason we make a lot of [1:18:58] investments on things that are [1:19:00] important to a lot of us. We [1:19:02] support research. those are, [1:19:04] those are great things to [1:19:06] support but this is one that I'm [1:19:08] proud that we supported because [1:19:09] it is a long time trajectory, [1:19:11] the time horizon on this process [1:19:13] is long but it's also a [1:19:16] real quality of life issue for [1:19:18] West Virginians and that's [1:19:18] something I don't want us to [1:19:21] blow past it's easy to have this [1:19:22] conversation in terms of [1:19:24] economic development and job [1:19:26] impacts and the growth of [1:19:27] research dollars and what that [1:19:28] means to our local communities [1:19:30] and local economies but I'm I'm [1:19:33] most interested in not letting [1:19:34] Do. Hezer Jenkins leave this [1:19:36] podium till we talk just a [1:19:37] minute about the impact of this [1:19:39] designation on patients and what [1:19:40] it would mean for West [1:19:42] Virginians to have access to an [1:19:43] NCI des designated facility here [1:19:43] within our [1:19:45] borders. [1:19:48] so it is pretty well documented [1:19:50] that people taking care of at [1:19:52] NCI designated centers have a [1:19:53] better oneyear survival rate [1:19:55] than those not taking care of at [1:19:56] an NCI designated cancer center [1:20:00] if you are in rural West [1:20:02] Virginia you aren't necessarily [1:20:03] going to go on the internet and [1:20:04] look for an NTI designated [1:20:05] cancer centerer for your cancer [1:20:07] care. so I'm also very cognizant [1:20:10] of that what NCI designation [1:20:12] does from a quality of care [1:20:14] outcomes does is it attracts in [1:20:16] and then also retains the talent [1:20:17] that we have so one of the first [1:20:19] questions I get from anybody [1:20:21] interviewing medical oncology [1:20:22] radiation oncology surgical [1:20:24] oncologists is where are you on [1:20:26] the Ncici designation journey [1:20:27] and are you going to be NCI [1:20:27] designated [1:20:28] over the next so many years [1:20:32] there is a level of training and [1:20:34] quality of training that we will [1:20:36] attract to the state that [1:20:38] elevates the quality of care [1:20:39] that we have it continues to [1:20:41] allow us to push the envelope [1:20:42] and where we are going with our [1:20:44] cancer care in the state and so [1:20:46] while it may not be somebody [1:20:48] googling an NCI designated [1:20:51] cancer center what it does is it [1:20:54] sort of all all tides rise [1:20:55] in that perspective [1:20:57] so it improves quality of life [1:20:58] it improves outcomes [1:21:00] yeah it's a very important [1:21:01] point. [1:21:04] it's as a clinician it's easy to [1:21:05] talk about the clinical [1:21:06] component and how important this [1:21:10] is so thank you for that [1:21:12] question. It's not at all a [1:21:13] secret that I support [1:21:14] investments in our economic [1:21:16] development apparatus everyone [1:21:17] in the room everyone listening [1:21:18] knows that I've talked about it [1:21:19] for years I'll keep talking [1:21:21] about it but this is an [1:21:24] investment that we made that is [1:21:25] not just about the economy it's [1:21:26] about quality of life for our [1:21:28] people. This is this is about [1:21:30] doing something good for West [1:21:31] Virginians and I'm proud that we [1:21:32] did it [1:21:36] Felther questions [1:21:39] Delicate Mcgeeha [1:21:48] you're wrong but thank you for [1:21:49] being here [1:21:57] that something to the effect of [1:22:00] I can't get anybody through [1:22:02] the door. If I don't know how to [1:22:04] talk to him because they might [1:22:05] not trust me [1:22:07] from your perspective in general [1:22:10] why would the people of the [1:22:11] state not trust you? [1:22:15] well I think in general [1:22:17] people of this state have [1:22:20] oftentimes greater burdens on [1:22:22] their mind than preventative [1:22:23] medicine and healthcare [1:22:26] screenings so you know it is [1:22:30] when you are tackling child care [1:22:32] and keeping the lights on in [1:22:34] your home and making sure [1:22:35] there's food on the table I'm a [1:22:36] breast surgeon so if somebody [1:22:38] feels a lump they usually will [1:22:41] prioritize their families [1:22:41] over themselves in most [1:22:43] instances [1:22:46] the part of the regionalization [1:22:48] of the cancer institute is very [1:22:50] specifically designed to reduce [1:22:52] some of those physical barriers [1:22:54] so if you live in you know roan [1:22:57] County if you've got a cancer [1:22:58] center in ome general as opposed [1:23:00] to having to drive to Charleston [1:23:02] or to Parkersburg, you might [1:23:03] show up a little bit earlier [1:23:06] I don't know that there's a [1:23:10] distrust. I think it is more of [1:23:13] a comfort level of walking [1:23:14] through the door. I think when [1:23:16] you walk through the door with a [1:23:17] breast lump [1:23:20] you kind of play a scenario [1:23:21] that's pretty significant and [1:23:22] the ripple effect throughout [1:23:24] your entire family and community [1:23:25] is really quite profound [1:23:29] and so the more comfortable we [1:23:31] can make it for somebody to walk [1:23:33] through the door with that and [1:23:35] the more reasonable those [1:23:36] socioeconomic and geographic [1:23:38] challenges can be I think the [1:23:40] better the what I was referring [1:23:43] to is called chats which is [1:23:46] you know talking about science [1:23:48] translating it into our [1:23:49] communities it's run by a [1:23:50] researcher her name's Danell [1:23:51] Boatman who's a health [1:23:51] communications expert [1:23:56] and for example, how a lung [1:23:57] cancer screening so we got to [1:23:58] sort of a steady state the [1:24:00] national average is not super [1:24:01] high we are lower and eligible [1:24:01] people [1:24:06] to screen so she just surveyed [1:24:08] our communities and as sort of [1:24:10] what do you what would you [1:24:12] listen to more so if you look at [1:24:13] traditional lung cancer [1:24:15] screening, it is very much [1:24:18] threatba so standing on piles of [1:24:20] cigarette butts or burning lungs [1:24:22] that are matches. those are very [1:24:23] threatbased and that's pretty [1:24:25] dull like they just don't listen [1:24:27] to that but what they did say is [1:24:28] that when you start talking [1:24:31] about themes like hope and time [1:24:31] and families and those kinds of [1:24:32] things [1:24:34] that was much more interesting [1:24:37] to them and so Danell actually [1:24:39] changed our lung cancer [1:24:42] screening advertisements and put [1:24:43] it up on Facebook with a new [1:24:44] theme associated with it and the [1:24:46] selfreferrals for lung cancer [1:24:50] screening went up by243% over [1:24:52] the course of a two week period [1:24:53] where it was put on Facebook. so [1:24:55] it's an example of how we should [1:24:56] listen to our communities to [1:24:59] understand how they want to be [1:25:00] interacted with that we can then [1:25:01] turn around and help [1:25:05] reduce some of those mortalities [1:25:05] and incidents if possible. [1:25:09] Did I answer your question or [1:25:09] not really? [1:25:14] to see how you react. [1:25:16] any further questions [1:25:20] If not thank you thank you very [1:25:21] much for me [1:25:23] s ir any feller business to come [1:25:23] before the committee? [1:25:28] if not I look to Speakerhanshaw [1:25:29] for a motion to President I move [1:25:30] the committee meeting adjourn. [1:25:32] All those in favorick5 by saying [1:25:34] a all those poses know the eyes [1:25:35] spirit habit the eyes do have it [1:25:36] I declare meeting adjourned