00:00 funding under that particular item however if you look at items 4 for the most far all the way to item 10 the house elected to break out these various initiatives versus putting them under a particular item I also note that the senate version also listed as a specific initiative item 5 which is the critical time intervention similarly under this substance abuse prevention and treatment block grant on page 410 if you turn with me to that page item 05A which is the substance abuse services treatment for children and adults the senate had a slightly increased amount for that item and they also had an item funding for the veterans crisis which is item 05F however the house as you can see here again elected to list out specific initiatives in terms of giving the funding under the substance abuse block grant the last thing I'll note is on page 410 at the bottom the house carved out under the maternal and child health care block grant funding for prevent blindness and Mr Chair that concludes my remarks Mr Ryan Blackledge will be up next. [SPEAKER CHANGES] Thank you miss Welch Mr Blackledge. [SPEAKER CHANGES] Mr Chair, members of the committee Ryan Blackledge with Legislative Drafting I'm going to cover medicate provisions they start on page 334 page 334 I'm gonna cover the first half and then Jennifer Hillman is gonna come up and cover the second half of this the very first provision the senate had a medicate reorganization that they set out they created a new medicate nst outside of the department of health and human services and also specified that there will be full risk capitated health plans for medicate, if you turn to page 336 you will see that the house did not do that nor did they include any details about a direction for reform and said that there was just this provision that follows the money and says that anything for medicate reform can only be used for medicate reform and not anything else like a shortfall I will note though if you turn to page 383 the house did have a provision that had some restructuring so to speak and the house had included a provision that required again it's page 383 the house had required a provision to have the medicate director recommended by the secretary of health and human services appointed by the governor and then confirmed by the general assembly sets up a 5 year term of office they can be removed for some reasons they're not completely serving at will there're some reasons they can be removed and then there's some additional detail in here the general message being just appointment and approval by the general assembly of the medicate director alright let's jump back to where we were let's go to 337 please page 337 Steve mention this already this morning the senate had made some adjustments to medicate eligibility there was delinking the SA and then also the elimination of coverage for the medically needed the house chose not to do either of those additionally within this senate provision on page 337 there's that subsection B which had a study to look at some possibilities for taking some additional coverage down for aged,blind and disabled persons on page 338 there's a provision that the senate had and the house did not that was just a study of an additional 1915C waver over on page 339 and also 340 there's the senate version and the house version of a traumatic brain injury waver just to draw your attention to the 340 the house version of that you can see the underline language the house just added a few additional details on the study on page 341 there's a provision that follows the money this was discussed earlier this involves [??] a something on the nursing home direct care services case mix right now that goes up periodically and this would have put a freeze upon that that automatic rate increasing on page 342 there is well 342 and 333 are two different ways of dealing with something the [??] government is going to be requiring of states or at least theoretically it's expected and that's changing to using the average acquisition cost for drugs. 05:00