WEBVTT 00:00:00.000 --> 00:00:00.500 align:middle line:90% 00:00:00.500 --> 00:00:03.968 align:middle line:90% [CLASSICAL MUSIC PLAYING] 00:00:03.968 --> 00:00:21.824 align:middle line:90% 00:00:21.824 --> 00:00:23.520 align:middle line:90% House will be in order. 00:00:23.520 --> 00:00:30.110 align:middle line:90% 00:00:30.110 --> 00:00:31.670 align:middle line:84% Mr. Jones of North Reading doubts 00:00:31.670 --> 00:00:33.180 align:middle line:90% the presence of a quorum. 00:00:33.180 --> 00:00:35.150 align:middle line:84% Chair can ascertain that quorum is not present. 00:00:35.150 --> 00:00:37.250 align:middle line:84% Court officers, summon the members. 00:00:37.250 --> 00:00:40.630 align:middle line:84% Indicate a quorum roll call is now in progress. 00:00:40.630 --> 00:00:44.095 align:middle line:90% [NO AUDIO] 00:00:44.095 --> 00:01:11.356 align:middle line:90% 00:01:11.356 --> 00:01:12.730 align:middle line:84% Cleark will make an announcement. 00:01:12.730 --> 00:01:15.676 align:middle line:84% The voting station for Representative Kocot is locked. 00:01:15.676 --> 00:01:19.148 align:middle line:90% [NO AUDIO] 00:01:19.148 --> 00:02:07.290 align:middle line:90% 00:02:07.290 --> 00:02:10.940 align:middle line:84% Under rule 49, court officers will vote for Representative 00:02:10.940 --> 00:02:14.786 align:middle line:90% Miceli during roll call votes. 00:02:14.786 --> 00:02:17.774 align:middle line:90% [NO AUDIO] 00:02:17.774 --> 00:04:54.644 align:middle line:90% 00:04:54.644 --> 00:04:57.550 align:middle line:84% The Chair would like to take this opportunity 00:04:57.550 --> 00:05:01.960 align:middle line:84% to introduce here in the rostrum Professor Patrice Otieno 00:05:01.960 --> 00:05:07.360 align:middle line:84% Lumumba, who is a Kenyan who served as Director of Kenya's 00:05:07.360 --> 00:05:13.360 align:middle line:84% Anti-Corruption Commission from September 2010 to August 2011, 00:05:13.360 --> 00:05:16.590 align:middle line:84% and is currently the director of the Kenya School of Law 00:05:16.590 --> 00:05:18.280 align:middle line:90% since 2014. 00:05:18.280 --> 00:05:20.950 align:middle line:84% He is well known for his powerful anti-corruption 00:05:20.950 --> 00:05:25.150 align:middle line:84% speeches and selfless work for African empowerment. 00:05:25.150 --> 00:05:25.780 align:middle line:90% Let's welcome. 00:05:25.780 --> 00:05:27.216 align:middle line:90% [APPLAUSE] 00:05:27.216 --> 00:05:27.716 align:middle line:90% 00:05:27.716 --> 00:05:30.620 align:middle line:90% [NO AUDIO] 00:05:30.620 --> 00:05:32.556 align:middle line:90% 00:05:32.556 --> 00:05:34.976 align:middle line:90% [APPLAUSE] 00:05:34.976 --> 00:05:37.900 align:middle line:90% 00:05:37.900 --> 00:05:40.720 align:middle line:90% Members, please take your seats. 00:05:40.720 --> 00:05:41.922 align:middle line:90% [BANGS GAVEL] 00:05:41.922 --> 00:05:43.255 align:middle line:90% Members, please take your seats. 00:05:43.255 --> 00:05:57.460 align:middle line:90% 00:05:57.460 --> 00:06:00.880 align:middle line:84% Mr. Jones of North Reading asks unanimous consent 00:06:00.880 --> 00:06:03.485 align:middle line:84% to withdraw his request for a roll call quorum. 00:06:03.485 --> 00:06:05.270 align:middle line:90% Does the chair hear objection? 00:06:05.270 --> 00:06:07.090 align:middle line:90% Chair hears none. 00:06:07.090 --> 00:06:08.890 align:middle line:84% Members, please subdue your conversation 00:06:08.890 --> 00:06:09.760 align:middle line:90% and take your seats. 00:06:09.760 --> 00:06:13.000 align:middle line:90% 00:06:13.000 --> 00:06:16.077 align:middle line:90% Colleagues. 00:06:16.077 --> 00:06:17.410 align:middle line:90% Court officers, clear the aisle. 00:06:17.410 --> 00:06:23.710 align:middle line:90% 00:06:23.710 --> 00:06:27.250 align:middle line:90% Please subdue your conversation. 00:06:27.250 --> 00:06:30.560 align:middle line:84% Members of the House, Speaker of the House. 00:06:30.560 --> 00:06:33.990 align:middle line:90% [CONVERSATIONS CONTINUE] 00:06:33.990 --> 00:06:38.400 align:middle line:90% 00:06:38.400 --> 00:06:40.020 align:middle line:90% Speaker of the House, Mr. DeLeo. 00:06:40.020 --> 00:06:45.660 align:middle line:90% 00:06:45.660 --> 00:06:47.190 align:middle line:90% Thank you very much, Mr. Leader. 00:06:47.190 --> 00:06:50.700 align:middle line:84% And I promise this will be a little bit shorter 00:06:50.700 --> 00:06:54.110 align:middle line:84% than the president's remarks last night, just-- just a tad. 00:06:54.110 --> 00:06:56.094 align:middle line:90% [APPLAUSE] 00:06:56.094 --> 00:07:00.780 align:middle line:90% 00:07:00.780 --> 00:07:04.290 align:middle line:84% To my friends and colleagues, thank you. 00:07:04.290 --> 00:07:07.470 align:middle line:84% It's an honor to join you here today. 00:07:07.470 --> 00:07:12.020 align:middle line:84% It's an honor to serve as the Speaker of this institution, 00:07:12.020 --> 00:07:15.390 align:middle line:90% which we all love so much. 00:07:15.390 --> 00:07:20.250 align:middle line:84% As representatives, we are close to the people, 00:07:20.250 --> 00:07:22.650 align:middle line:90% tied to our districts. 00:07:22.650 --> 00:07:27.420 align:middle line:84% We hear the concerns of our constituents directly 00:07:27.420 --> 00:07:31.050 align:middle line:84% and we stand up for those in need. 00:07:31.050 --> 00:07:35.900 align:middle line:84% That may not be flashy, and it's certainly not what we heard 00:07:35.900 --> 00:07:38.750 align:middle line:90% about last night in Washington. 00:07:38.750 --> 00:07:43.070 align:middle line:84% But is at the core of what we do. 00:07:43.070 --> 00:07:49.340 align:middle line:84% We listen, we learn, and we help. 00:07:49.340 --> 00:07:52.010 align:middle line:84% That role endures as we address the issues 00:07:52.010 --> 00:07:59.410 align:middle line:84% of the day, all while being sound fiscal stewards. 00:07:59.410 --> 00:08:05.410 align:middle line:84% As in prior years, we will be passing a balanced budget that 00:08:05.410 --> 00:08:08.860 align:middle line:84% takes care of our most vulnerable residents 00:08:08.860 --> 00:08:12.280 align:middle line:84% while maintaining fiscal discipline. 00:08:12.280 --> 00:08:13.870 align:middle line:84% We will do so with the budget that 00:08:13.870 --> 00:08:18.940 align:middle line:84% comes out of Ways and Means with no new broad-based taxes. 00:08:18.940 --> 00:08:21.922 align:middle line:90% [APPLAUSE] 00:08:21.922 --> 00:08:27.890 align:middle line:90% 00:08:27.890 --> 00:08:32.030 align:middle line:84% And today, we take up an interim spending bill 00:08:32.030 --> 00:08:34.159 align:middle line:84% that addresses some of the Commonwealth's 00:08:34.159 --> 00:08:36.980 align:middle line:90% most pressing needs. 00:08:36.980 --> 00:08:41.299 align:middle line:84% In the wake of devastating storms in Puerto Rico, 00:08:41.299 --> 00:08:46.610 align:middle line:84% we will provide aid to students who have relocated here. 00:08:46.610 --> 00:08:51.230 align:middle line:84% These fellow Americans and those educating them 00:08:51.230 --> 00:08:52.625 align:middle line:90% deserve our support. 00:08:52.625 --> 00:08:55.230 align:middle line:90% 00:08:55.230 --> 00:08:59.810 align:middle line:84% We have all become acutely aware of the critical, pervasive, 00:08:59.810 --> 00:09:04.400 align:middle line:84% and distressing issues at the heart of the #MeToo 00:09:04.400 --> 00:09:07.040 align:middle line:90% conversation. 00:09:07.040 --> 00:09:11.360 align:middle line:84% Earlier today I joined with members 00:09:11.360 --> 00:09:16.310 align:middle line:84% to attend a House listening session, part of the council's 00:09:16.310 --> 00:09:21.590 align:middle line:84% ongoing review of the House's policies 00:09:21.590 --> 00:09:25.640 align:middle line:90% relating to sexual harassment. 00:09:25.640 --> 00:09:29.780 align:middle line:84% As council prepares its independent review, 00:09:29.780 --> 00:09:34.040 align:middle line:84% we must also be mindful of the existing supports 00:09:34.040 --> 00:09:37.130 align:middle line:84% that the Commonwealth has for those reporting 00:09:37.130 --> 00:09:40.250 align:middle line:90% sexual harassment. 00:09:40.250 --> 00:09:45.290 align:middle line:84% We have heard directly from MCAD that requests 00:09:45.290 --> 00:09:50.560 align:middle line:84% for sexual harassment training are up dramatically. 00:09:50.560 --> 00:09:55.030 align:middle line:84% And they expect an increase in the filing of sexual harassment 00:09:55.030 --> 00:09:57.030 align:middle line:90% complaints. 00:09:57.030 --> 00:10:00.420 align:middle line:84% The funds that we will allocate today 00:10:00.420 --> 00:10:04.380 align:middle line:84% will allow MCAD to hire two additional staffers 00:10:04.380 --> 00:10:10.130 align:middle line:84% for training and one new investigator. 00:10:10.130 --> 00:10:14.360 align:middle line:84% This year I am proud that, with all the challenges coming 00:10:14.360 --> 00:10:17.490 align:middle line:90% from Washington, we-- 00:10:17.490 --> 00:10:21.750 align:middle line:84% we here in the House have kept our eye on the ball, 00:10:21.750 --> 00:10:25.530 align:middle line:84% advancing Massachusetts' leadership while remaining 00:10:25.530 --> 00:10:26.790 align:middle line:90% true to our values. 00:10:26.790 --> 00:10:29.890 align:middle line:90% 00:10:29.890 --> 00:10:32.140 align:middle line:84% I can think of no policy topic that 00:10:32.140 --> 00:10:36.180 align:middle line:84% exemplifies this balance more than health care. 00:10:36.180 --> 00:10:39.920 align:middle line:84% We have a moral obligation to ensure 00:10:39.920 --> 00:10:45.710 align:middle line:84% that people have access to high-quality, affordable health 00:10:45.710 --> 00:10:46.528 align:middle line:90% care. 00:10:46.528 --> 00:10:49.874 align:middle line:90% [APPLAUSE] 00:10:49.874 --> 00:10:56.090 align:middle line:90% 00:10:56.090 --> 00:11:03.160 align:middle line:84% Through our work, Massachusetts has set the national example. 00:11:03.160 --> 00:11:06.360 align:middle line:90% We have much to be proud of-- 00:11:06.360 --> 00:11:09.600 align:middle line:84% near-universal insurance coverage, 00:11:09.600 --> 00:11:14.530 align:middle line:84% the best hospitals in the world, and a slower cost growth 00:11:14.530 --> 00:11:17.410 align:middle line:90% than the rest of the country. 00:11:17.410 --> 00:11:21.360 align:middle line:84% But we must always remain vigilant, especially 00:11:21.360 --> 00:11:23.430 align:middle line:84% as the health care landscape continues 00:11:23.430 --> 00:11:27.150 align:middle line:90% to change dramatically. 00:11:27.150 --> 00:11:30.960 align:middle line:84% That is why we will be taking up health care 00:11:30.960 --> 00:11:34.450 align:middle line:90% reform in the coming months. 00:11:34.450 --> 00:11:39.360 align:middle line:84% This legislation will maximize the impact of our existing 00:11:39.360 --> 00:11:43.320 align:middle line:84% infrastructure and will include new strategies 00:11:43.320 --> 00:11:50.010 align:middle line:84% to bring down costs, improve quality, and enhance access. 00:11:50.010 --> 00:11:54.360 align:middle line:84% These will include supporting our community hospitals 00:11:54.360 --> 00:11:57.000 align:middle line:90% and community health centers. 00:11:57.000 --> 00:12:01.290 align:middle line:84% These institutions are both economic engines and safety 00:12:01.290 --> 00:12:07.410 align:middle line:84% nets within our districts, shielding patients 00:12:07.410 --> 00:12:10.050 align:middle line:84% from bearing the burden of rising health care costs, 00:12:10.050 --> 00:12:12.390 align:middle line:84% and ensuring that they have all the information 00:12:12.390 --> 00:12:18.470 align:middle line:84% necessary to make informed decisions; 00:12:18.470 --> 00:12:24.010 align:middle line:84% empowering businesses by giving them an expanded toolbox; 00:12:24.010 --> 00:12:26.560 align:middle line:84% increasing pharmaceutical spending 00:12:26.560 --> 00:12:31.360 align:middle line:84% transparency while cultivating our reputation 00:12:31.360 --> 00:12:37.520 align:middle line:84% as an international leader in research and innovation. 00:12:37.520 --> 00:12:44.850 align:middle line:84% In Massachusetts, we are heirs to a tradition of discovery. 00:12:44.850 --> 00:12:47.310 align:middle line:90% We take pride in that legacy. 00:12:47.310 --> 00:12:52.780 align:middle line:84% But we also take concrete steps to advance it. 00:12:52.780 --> 00:12:57.730 align:middle line:84% The legislature's $1 billion investment in life sciences 00:12:57.730 --> 00:13:00.650 align:middle line:90% has paid off. 00:13:00.650 --> 00:13:08.240 align:middle line:84% Today, 18 of the top 20 biopharma firms and all 10 00:13:08.240 --> 00:13:11.480 align:middle line:84% of the world's leading medical device companies 00:13:11.480 --> 00:13:15.730 align:middle line:84% have a presence right here in Massachusetts. 00:13:15.730 --> 00:13:18.700 align:middle line:84% This session, we will renew our commitment 00:13:18.700 --> 00:13:22.570 align:middle line:84% to innovators in industries at the forefront 00:13:22.570 --> 00:13:28.330 align:middle line:84% of scientific and technological breakthroughs. 00:13:28.330 --> 00:13:34.430 align:middle line:84% We will take up legislation providing financial support 00:13:34.430 --> 00:13:37.460 align:middle line:90% to the life sciences sector. 00:13:37.460 --> 00:13:41.870 align:middle line:84% These funds are critical to maintaining 00:13:41.870 --> 00:13:47.030 align:middle line:84% our competitive edge, promoting advanced manufacturing, 00:13:47.030 --> 00:13:52.610 align:middle line:84% and developing a productive workforce. 00:13:52.610 --> 00:13:58.780 align:middle line:84% Our work to foster a responsive talent pipeline 00:13:58.780 --> 00:14:03.960 align:middle line:84% and provide residents with educational opportunities 00:14:03.960 --> 00:14:08.880 align:middle line:84% begins before they learn about science and tech. 00:14:08.880 --> 00:14:12.170 align:middle line:84% In fact, it begins before they enter 00:14:12.170 --> 00:14:15.880 align:middle line:90% the doors of elementary school. 00:14:15.880 --> 00:14:19.240 align:middle line:84% We will build on the House's ongoing commitment 00:14:19.240 --> 00:14:26.520 align:middle line:84% to providing high-quality early education and care, 00:14:26.520 --> 00:14:32.010 align:middle line:84% in large part by supporting our early education and care 00:14:32.010 --> 00:14:34.080 align:middle line:90% workforce. 00:14:34.080 --> 00:14:38.970 align:middle line:84% This means advancing a plan to build a sustainable workforce 00:14:38.970 --> 00:14:43.530 align:middle line:84% development system, one that is responsive to the distinct 00:14:43.530 --> 00:14:47.490 align:middle line:90% needs of the EEC field. 00:14:47.490 --> 00:14:51.450 align:middle line:84% We know that the EEC [INAUDIBLE] provide 00:14:51.450 --> 00:14:57.137 align:middle line:84% a unique opportunity for us to impact learning outcomes 00:14:57.137 --> 00:14:57.845 align:middle line:90% for our children. 00:14:57.845 --> 00:15:00.370 align:middle line:90% 00:15:00.370 --> 00:15:05.160 align:middle line:84% We also know that it is equally vital time 00:15:05.160 --> 00:15:08.520 align:middle line:90% for addressing mental health. 00:15:08.520 --> 00:15:12.270 align:middle line:84% I'm currently working with the Chairs of Education and Mental 00:15:12.270 --> 00:15:15.330 align:middle line:84% Health, as well as the Child Advocate, 00:15:15.330 --> 00:15:18.990 align:middle line:84% to coordinate efforts as we again 00:15:18.990 --> 00:15:24.850 align:middle line:84% prioritize children's long-term social, emotional, 00:15:24.850 --> 00:15:29.850 align:middle line:84% and academic success by investing in early childhood 00:15:29.850 --> 00:15:31.530 align:middle line:90% mental health services. 00:15:31.530 --> 00:15:34.869 align:middle line:90% [APPLAUSE] 00:15:34.869 --> 00:15:41.080 align:middle line:90% 00:15:41.080 --> 00:15:44.900 align:middle line:84% And once children reach school age, 00:15:44.900 --> 00:15:47.450 align:middle line:84% we also similarly recognize the need 00:15:47.450 --> 00:15:51.320 align:middle line:84% to provide effective student supports that 00:15:51.320 --> 00:15:54.550 align:middle line:90% go beyond academia. 00:15:54.550 --> 00:16:00.090 align:middle line:84% But we also realize that our schools cannot do it alone. 00:16:00.090 --> 00:16:05.070 align:middle line:84% Therefore, we will build on our Safe and Supportive Schools 00:16:05.070 --> 00:16:10.080 align:middle line:84% Initiative, created in the 2014 gun law, 00:16:10.080 --> 00:16:14.730 align:middle line:84% to help schools integrate student supports, leverage 00:16:14.730 --> 00:16:19.230 align:middle line:84% preexisting investments, and coordinate school- 00:16:19.230 --> 00:16:23.720 align:middle line:90% and community-based resources. 00:16:23.720 --> 00:16:26.900 align:middle line:84% As we foster the intellectual and emotional growth 00:16:26.900 --> 00:16:29.780 align:middle line:84% of our students, we also want them 00:16:29.780 --> 00:16:35.030 align:middle line:84% to gain the requisite skills to participate in our democracy. 00:16:35.030 --> 00:16:38.400 align:middle line:90% 00:16:38.400 --> 00:16:41.780 align:middle line:84% Now more than ever, we need to ensure 00:16:41.780 --> 00:16:45.260 align:middle line:84% that children understand the importance 00:16:45.260 --> 00:16:46.800 align:middle line:90% of civic engagement-- 00:16:46.800 --> 00:16:49.662 align:middle line:90% [APPLAUSE] 00:16:49.662 --> 00:16:54.910 align:middle line:90% 00:16:54.910 --> 00:16:57.940 align:middle line:84% --that they understand the role of state and federal 00:16:57.940 --> 00:17:02.290 align:middle line:84% government, and understand the rewards 00:17:02.290 --> 00:17:06.819 align:middle line:84% and duties of being an American in a well-functioning 00:17:06.819 --> 00:17:09.369 align:middle line:90% democracy. 00:17:09.369 --> 00:17:12.230 align:middle line:84% In our House and in Massachusetts, 00:17:12.230 --> 00:17:16.420 align:middle line:84% we are fortunate to enjoy a spirit of civil debate. 00:17:16.420 --> 00:17:19.270 align:middle line:90% 00:17:19.270 --> 00:17:26.060 align:middle line:84% For example, Leader Jones and I may have our disagreements, 00:17:26.060 --> 00:17:30.260 align:middle line:84% but when we disagree we do so with a sense 00:17:30.260 --> 00:17:36.380 align:middle line:84% of history and solemnity of the House of Representatives. 00:17:36.380 --> 00:17:40.280 align:middle line:84% One cannot look at the roiling national political climate 00:17:40.280 --> 00:17:46.430 align:middle line:84% of the last 24 months and not realize that too many people 00:17:46.430 --> 00:17:50.300 align:middle line:84% are unaware of our basic political tenets 00:17:50.300 --> 00:17:52.380 align:middle line:90% and traditions. 00:17:52.380 --> 00:17:57.420 align:middle line:84% In the void, pernicious beliefs and basic untruths 00:17:57.420 --> 00:17:58.280 align:middle line:90% can take hold. 00:17:58.280 --> 00:18:00.950 align:middle line:90% 00:18:00.950 --> 00:18:04.220 align:middle line:84% Several members of the House have been hard at work 00:18:04.220 --> 00:18:07.430 align:middle line:84% with the Chair of Education on a bill strengthening 00:18:07.430 --> 00:18:10.560 align:middle line:84% the importance of civics education. 00:18:10.560 --> 00:18:12.870 align:middle line:84% And I have to recognize our Senate President, 00:18:12.870 --> 00:18:15.930 align:middle line:84% the gentle lady from Worcester, for her leadership 00:18:15.930 --> 00:18:18.420 align:middle line:90% on this issue. 00:18:18.420 --> 00:18:23.580 align:middle line:84% The House will move forward on a civics education bill 00:18:23.580 --> 00:18:27.630 align:middle line:84% and increase our existing support for the JFK library 00:18:27.630 --> 00:18:32.490 align:middle line:84% as it engages students, a cause that we championed 00:18:32.490 --> 00:18:38.490 align:middle line:84% in the fiscal '18 budget as we mark the 100th anniversary 00:18:38.490 --> 00:18:39.975 align:middle line:90% of President Kennedy's birth. 00:18:39.975 --> 00:18:42.860 align:middle line:90% 00:18:42.860 --> 00:18:48.280 align:middle line:84% Massachusetts helped make America. 00:18:48.280 --> 00:18:52.570 align:middle line:84% We can again help her live up to her ideals 00:18:52.570 --> 00:18:57.250 align:middle line:84% by reminding our young people of them. 00:18:57.250 --> 00:19:02.050 align:middle line:84% Today, we approach our work with renewed energy, 00:19:02.050 --> 00:19:07.350 align:middle line:84% based on a shared responsibility, standing up 00:19:07.350 --> 00:19:10.346 align:middle line:84% for those that all of us represent. 00:19:10.346 --> 00:19:11.970 align:middle line:84% Thank you very much for your attention. 00:19:11.970 --> 00:19:14.958 align:middle line:90% [APPLAUSE] 00:19:14.958 --> 00:19:17.946 align:middle line:90% 00:19:17.946 --> 00:19:19.938 align:middle line:90% Thank you very much. 00:19:19.938 --> 00:19:28.404 align:middle line:90% 00:19:28.404 --> 00:19:29.898 align:middle line:90% Thank you very much. 00:19:29.898 --> 00:19:39.858 align:middle line:90% 00:19:39.858 --> 00:19:41.352 align:middle line:90% Thank you very much. 00:19:41.352 --> 00:19:42.348 align:middle line:90% I appreciate that. 00:19:42.348 --> 00:19:43.344 align:middle line:90% Thank you. 00:19:43.344 --> 00:19:53.802 align:middle line:90% 00:19:53.802 --> 00:19:57.786 align:middle line:90% Thank you very much. 00:19:57.786 --> 00:20:00.774 align:middle line:90% [NO AUDIO] 00:20:00.774 --> 00:20:27.230 align:middle line:90% 00:20:27.230 --> 00:20:30.770 align:middle line:84% Mr. [INAUDIBLE] moves that the Speaker's remarks 00:20:30.770 --> 00:20:33.475 align:middle line:90% be spread on the record. 00:20:33.475 --> 00:20:35.600 align:middle line:84% All those in favor say aye, all those opposed, nay. 00:20:35.600 --> 00:20:36.680 align:middle line:90% The aye's have it. 00:20:36.680 --> 00:20:39.509 align:middle line:84% Speaker's remarks will be spread on the record. 00:20:39.509 --> 00:20:42.503 align:middle line:90% [NO AUDIO] 00:20:42.503 --> 00:20:50.986 align:middle line:90% 00:20:50.986 --> 00:20:53.650 align:middle line:84% The Chair would also like to recognize the gentleman 00:20:53.650 --> 00:20:55.750 align:middle line:84% from South Boston and congratulate him 00:20:55.750 --> 00:20:58.950 align:middle line:84% on the birth for he and his wife of a new baby girl. 00:20:58.950 --> 00:20:59.616 align:middle line:90% Congratulations. 00:20:59.616 --> 00:21:02.326 align:middle line:90% [APPLAUSE] 00:21:02.326 --> 00:21:15.300 align:middle line:90% 00:21:15.300 --> 00:21:18.294 align:middle line:90% [NO AUDIO] 00:21:18.294 --> 00:26:08.213 align:middle line:90% 00:26:08.213 --> 00:26:09.810 align:middle line:90% [BANGS GAVEL] 00:26:09.810 --> 00:26:11.670 align:middle line:90% House will be in order. 00:26:11.670 --> 00:26:13.260 align:middle line:90% House has been informed that-- 00:26:13.260 --> 00:26:16.290 align:middle line:84% Chair has been informed that House 4160 has 00:26:16.290 --> 00:26:18.660 align:middle line:84% been released by the Committee on bill's third reading. 00:26:18.660 --> 00:26:21.690 align:middle line:84% Mr. Sanchez of Boston moves suspension of the rules. 00:26:21.690 --> 00:26:23.222 align:middle line:90% All those in favor, say aye. 00:26:23.222 --> 00:26:24.180 align:middle line:90% All those opposed, nay. 00:26:24.180 --> 00:26:26.217 align:middle line:90% The ayes have it. 00:26:26.217 --> 00:26:27.300 align:middle line:90% Third reading of the bill. 00:26:27.300 --> 00:26:33.660 align:middle line:90% 00:26:33.660 --> 00:26:35.820 align:middle line:84% An act making appropriations for the fiscal year 00:26:35.820 --> 00:26:38.460 align:middle line:84% 2018 to provide for supplementing certain existing 00:26:38.460 --> 00:26:42.300 align:middle line:84% appropriations, and for certain other activities and projects, 00:26:42.300 --> 00:26:43.710 align:middle line:90% House number 4160. 00:26:43.710 --> 00:26:47.196 align:middle line:90% 00:26:47.196 --> 00:26:51.990 align:middle line:84% Chair will respectfully ask the members to take their seats, 00:26:51.990 --> 00:26:54.440 align:middle line:90% subdue their conversations. 00:26:54.440 --> 00:26:56.370 align:middle line:84% Court officers, clear the aisles. 00:26:56.370 --> 00:26:59.370 align:middle line:90% [NO AUDIO] 00:26:59.370 --> 00:27:21.870 align:middle line:90% 00:27:21.870 --> 00:27:23.510 align:middle line:84% Members will please take their seats 00:27:23.510 --> 00:27:24.900 align:middle line:90% and subdue their conversation. 00:27:24.900 --> 00:27:30.444 align:middle line:90% 00:27:30.444 --> 00:27:34.169 align:middle line:84% Chair recognizes Mr. Sanchez of Boston. 00:27:34.169 --> 00:27:36.460 align:middle line:84% Thank you, Mr. Speaker, and through you to the members. 00:27:36.460 --> 00:27:40.860 align:middle line:90% 00:27:40.860 --> 00:27:45.990 align:middle line:84% Mr. Speaker, thank you so much for starting out our session 00:27:45.990 --> 00:27:47.110 align:middle line:90% by outlining your vision. 00:27:47.110 --> 00:27:55.120 align:middle line:90% 00:27:55.120 --> 00:27:57.640 align:middle line:84% Thank you, Mr. Speaker, once again 00:27:57.640 --> 00:28:00.610 align:middle line:84% for outlining your vision for the Commonwealth 00:28:00.610 --> 00:28:02.830 align:middle line:90% and for this body. 00:28:02.830 --> 00:28:07.330 align:middle line:84% And this supplemental bill that we have before us 00:28:07.330 --> 00:28:09.880 align:middle line:84% today goes immediately to a number 00:28:09.880 --> 00:28:14.330 align:middle line:84% of the issues that you spoke to just a moment ago. 00:28:14.330 --> 00:28:18.820 align:middle line:84% So I won't drag on the points, because you effectively 00:28:18.820 --> 00:28:20.200 align:middle line:90% made them. 00:28:20.200 --> 00:28:22.690 align:middle line:84% The pieces before us today will go 00:28:22.690 --> 00:28:24.910 align:middle line:84% to the apocalypse that hit Puerto Rico, where 00:28:24.910 --> 00:28:29.110 align:middle line:84% we have right now over 2,400 students within our school 00:28:29.110 --> 00:28:30.550 align:middle line:90% system. 00:28:30.550 --> 00:28:33.070 align:middle line:84% And this supplementary allocation 00:28:33.070 --> 00:28:37.480 align:middle line:84% provides money to the Department of Education 00:28:37.480 --> 00:28:44.380 align:middle line:84% to go at and support chapter 70 based on full-time equivalent 00:28:44.380 --> 00:28:49.840 align:middle line:84% student numbers that will be verified by the department. 00:28:49.840 --> 00:28:55.030 align:middle line:84% We also get, again, relative to the #MeToo movement, 00:28:55.030 --> 00:29:03.860 align:middle line:84% a definitive investment in the agency that handles directly 00:29:03.860 --> 00:29:10.910 align:middle line:84% complaints of discrimination and harassment. 00:29:10.910 --> 00:29:15.040 align:middle line:84% The monies that we'll vote on today 00:29:15.040 --> 00:29:18.730 align:middle line:84% will allow the Massachusetts Commission on Discrimination 00:29:18.730 --> 00:29:22.480 align:middle line:84% to conduct training in sexual assault and harassment, 00:29:22.480 --> 00:29:24.730 align:middle line:84% and will help to advance the work of the commission 00:29:24.730 --> 00:29:31.120 align:middle line:84% overall given the work that they have before them. 00:29:31.120 --> 00:29:34.450 align:middle line:84% We also make a definitive investment 00:29:34.450 --> 00:29:38.440 align:middle line:84% to address a critical condition that's 00:29:38.440 --> 00:29:41.410 align:middle line:84% happening in the Western part of the state, 00:29:41.410 --> 00:29:45.880 align:middle line:84% where we are currently experiencing a care and custody 00:29:45.880 --> 00:29:46.640 align:middle line:90% attorney shortage. 00:29:46.640 --> 00:29:50.910 align:middle line:90% 00:29:50.910 --> 00:29:53.340 align:middle line:84% The dollars that we are investing today 00:29:53.340 --> 00:29:59.220 align:middle line:84% will allow for a temporary rate increase to $75 an hour 00:29:59.220 --> 00:30:04.260 align:middle line:84% for private bar attorneys if CPCS 00:30:04.260 --> 00:30:08.280 align:middle line:84% determines that the shortage in that county 00:30:08.280 --> 00:30:10.500 align:middle line:90% warrants an emergency. 00:30:10.500 --> 00:30:12.360 align:middle line:84% Currently, those private bar attorneys 00:30:12.360 --> 00:30:15.750 align:middle line:84% are just paid $55 an hour, and there 00:30:15.750 --> 00:30:18.240 align:middle line:84% aren't very many attorneys that are going out 00:30:18.240 --> 00:30:20.220 align:middle line:84% to deal with the critical issues that 00:30:20.220 --> 00:30:25.980 align:middle line:84% deal with such critical issues with vulnerable children 00:30:25.980 --> 00:30:27.760 align:middle line:90% in a number of our communities. 00:30:27.760 --> 00:30:30.850 align:middle line:84% So we hope to address that immediately. 00:30:30.850 --> 00:30:34.980 align:middle line:84% We also know-- so the spending bill that we have 00:30:34.980 --> 00:30:36.340 align:middle line:90% before us is very short. 00:30:36.340 --> 00:30:40.500 align:middle line:84% I think it's probably the smallest supplemental budget 00:30:40.500 --> 00:30:45.520 align:middle line:84% that's been filed in recent history, at least. 00:30:45.520 --> 00:30:49.050 align:middle line:84% And we know that we may be coming forward 00:30:49.050 --> 00:30:53.130 align:middle line:84% again given that there may be in the future deficiency accounts 00:30:53.130 --> 00:30:55.770 align:middle line:84% that we need to handle in other areas, as well. 00:30:55.770 --> 00:31:00.540 align:middle line:84% But for right now, we're looking at these areas 00:31:00.540 --> 00:31:02.147 align:middle line:90% that we have before us today. 00:31:02.147 --> 00:31:03.230 align:middle line:90% So thank you, Mr. Speaker. 00:31:03.230 --> 00:31:05.820 align:middle line:90% 00:31:05.820 --> 00:31:09.370 align:middle line:84% Chair recognizes Mr. Hill of Ipswich. 00:31:09.370 --> 00:31:10.380 align:middle line:90% Thank you, Mr. Speaker. 00:31:10.380 --> 00:31:14.800 align:middle line:84% And before the chairman from Ways and Means moves on, 00:31:14.800 --> 00:31:17.560 align:middle line:84% I just want to make a statement to him and to his committee 00:31:17.560 --> 00:31:18.760 align:middle line:90% members. 00:31:18.760 --> 00:31:20.950 align:middle line:84% He just gave us a very good explanation 00:31:20.950 --> 00:31:23.805 align:middle line:84% of what is in this particular proposal. 00:31:23.805 --> 00:31:25.180 align:middle line:84% But what I would like to bring up 00:31:25.180 --> 00:31:28.540 align:middle line:84% is something that is not in this supplemental budget 00:31:28.540 --> 00:31:31.270 align:middle line:84% that I think we should be aware of 00:31:31.270 --> 00:31:35.080 align:middle line:84% and possibly be able to have a dialogue moving forward. 00:31:35.080 --> 00:31:37.900 align:middle line:84% And that is in regards to the special education circuit 00:31:37.900 --> 00:31:40.080 align:middle line:90% breaker line item. 00:31:40.080 --> 00:31:42.850 align:middle line:84% As we probably have heard from just about every school 00:31:42.850 --> 00:31:45.700 align:middle line:84% district that we represent, the figure 00:31:45.700 --> 00:31:47.200 align:middle line:90% that-- as I understand it. 00:31:47.200 --> 00:31:49.150 align:middle line:90% Please correct me if I'm wrong. 00:31:49.150 --> 00:31:51.190 align:middle line:84% The figure that we were given during the budget 00:31:51.190 --> 00:31:55.690 align:middle line:84% debate was not accurate, and that we somehow 00:31:55.690 --> 00:31:59.260 align:middle line:84% did not fund it to the 75% that we had promised our school 00:31:59.260 --> 00:32:00.610 align:middle line:90% districts. 00:32:00.610 --> 00:32:03.760 align:middle line:84% My understanding is that that amount totals probably 00:32:03.760 --> 00:32:06.580 align:middle line:84% around $39 million and some change, 00:32:06.580 --> 00:32:09.550 align:middle line:90% give or take a few dollars. 00:32:09.550 --> 00:32:12.610 align:middle line:84% Those were dollars that our school districts 00:32:12.610 --> 00:32:16.000 align:middle line:84% were expecting for this current fiscal year, 00:32:16.000 --> 00:32:18.440 align:middle line:84% and have been blindsided by the lack of funds. 00:32:18.440 --> 00:32:21.550 align:middle line:84% And again, every one of us in this chamber 00:32:21.550 --> 00:32:24.100 align:middle line:84% moved to our school districts and said 00:32:24.100 --> 00:32:27.050 align:middle line:90% we will fully fund this at 75%. 00:32:27.050 --> 00:32:30.010 align:middle line:84% And I feel as though, unintentionally, we 00:32:30.010 --> 00:32:32.080 align:middle line:90% broke that promise to them. 00:32:32.080 --> 00:32:34.120 align:middle line:84% I did not want to file that amendment today, 00:32:34.120 --> 00:32:37.720 align:middle line:84% because I felt as though we needed to see what our revenue 00:32:37.720 --> 00:32:40.900 align:middle line:90% figures would be after January. 00:32:40.900 --> 00:32:42.430 align:middle line:84% But it is my further understanding 00:32:42.430 --> 00:32:45.730 align:middle line:84% that we may see another supplemental budget coming down 00:32:45.730 --> 00:32:49.540 align:middle line:84% the path in the very near future, and I would hope 00:32:49.540 --> 00:32:52.450 align:middle line:84% and I would ask my fellow colleagues here 00:32:52.450 --> 00:32:55.750 align:middle line:84% that we make this a priority in the next supplemental budget. 00:32:55.750 --> 00:32:59.830 align:middle line:84% Our school districts, again, had budgeted this funding. 00:32:59.830 --> 00:33:02.650 align:middle line:84% And now, halfway through the fiscal year, 00:33:02.650 --> 00:33:04.240 align:middle line:90% they don't have this funding. 00:33:04.240 --> 00:33:07.780 align:middle line:84% And it's causing a very big hole in many of the districts 00:33:07.780 --> 00:33:09.130 align:middle line:90% that we represent. 00:33:09.130 --> 00:33:12.400 align:middle line:84% So Mr. Chairman, I thank you for your comments. 00:33:12.400 --> 00:33:15.940 align:middle line:84% And I hope that we can all have this dialogue moving forward, 00:33:15.940 --> 00:33:18.670 align:middle line:84% because it's very important to our districts-- and again, 00:33:18.670 --> 00:33:22.360 align:middle line:84% a promise that somehow was broken unintentionally 00:33:22.360 --> 00:33:23.470 align:middle line:90% to our school districts. 00:33:23.470 --> 00:33:26.140 align:middle line:90% Thank you, Mr. Speaker. 00:33:26.140 --> 00:33:28.134 align:middle line:90% House will be in a brief recess. 00:33:28.134 --> 00:33:31.116 align:middle line:90% [NO AUDIO] 00:33:31.116 --> 00:33:45.529 align:middle line:90% 00:33:45.529 --> 00:33:49.008 align:middle line:90% [MUSIC PLAYING] 00:33:49.008 --> 00:34:00.219 align:middle line:90% 00:34:00.219 --> 00:34:02.510 align:middle line:84% Question now is on passing of the bill to be engrossed, 00:34:02.510 --> 00:34:04.994 align:middle line:84% pending which Mr. Jones of North Reading 00:34:04.994 --> 00:34:06.910 align:middle line:84% offers an amendment in the hands of the clerk. 00:34:06.910 --> 00:34:09.330 align:middle line:90% Clerk will read the amendment. 00:34:09.330 --> 00:34:11.243 align:middle line:84% Amendment number one as changed, Mr. Jones 00:34:11.243 --> 00:34:13.409 align:middle line:84% of North Reading and other members of the House move 00:34:13.409 --> 00:34:14.909 align:middle line:90% to amend the bill. 00:34:14.909 --> 00:34:19.590 align:middle line:84% In section 2a by inserting after item 761-0011 the following 00:34:19.590 --> 00:34:24.130 align:middle line:84% item, 0521 0007 for reimbursements 00:34:24.130 --> 00:34:27.150 align:middle line:84% in municipalities for costs associated with 00:34:27.150 --> 00:34:29.820 align:middle line:84% the implementation of the mandated provisions of early 00:34:29.820 --> 00:34:33.210 align:middle line:84% voting for November 8, 2016 state election as required 00:34:33.210 --> 00:34:36.090 align:middle line:84% by section 25b of chapter 54, the general laws, 00:34:36.090 --> 00:34:39.270 align:middle line:84% as was determined through the collection and certification 00:34:39.270 --> 00:34:42.090 align:middle line:84% of accurate accounting by the state auditor and the division 00:34:42.090 --> 00:34:42.980 align:middle line:90% of local mandates. 00:34:42.980 --> 00:34:44.520 align:middle line:84% Any unexpended funds in this item 00:34:44.520 --> 00:34:48.670 align:middle line:84% shall be made available until June 30, 2018. 00:34:48.670 --> 00:34:50.596 align:middle line:90% $1,063,000. 00:34:50.596 --> 00:34:52.054 align:middle line:84% If there be no objection, the clerk 00:34:52.054 --> 00:34:53.887 align:middle line:84% will dispense with the reading of the paper. 00:34:53.887 --> 00:34:55.199 align:middle line:90% Chair hears none. 00:34:55.199 --> 00:34:58.770 align:middle line:84% Chair recognizes a Mr. Jones of North Reading. 00:34:58.770 --> 00:35:01.755 align:middle line:90% 00:35:01.755 --> 00:35:03.380 align:middle line:84% Chair will respectfully ask the members 00:35:03.380 --> 00:35:06.716 align:middle line:84% to please take their seats and subdue their conversation. 00:35:06.716 --> 00:35:08.090 align:middle line:84% Court officers, clear the aisles. 00:35:08.090 --> 00:35:09.590 align:middle line:90% [INAUDIBLE] 00:35:09.590 --> 00:35:10.340 align:middle line:90% Clear the aisles. 00:35:10.340 --> 00:35:25.900 align:middle line:90% 00:35:25.900 --> 00:35:29.116 align:middle line:84% --recognizes Mr. Jones of North Reading. 00:35:29.116 --> 00:35:31.946 align:middle line:84% Thank you, Mr. Speaker, and through you, to the members. 00:35:31.946 --> 00:35:33.570 align:middle line:84% Some of you may remember that last fall 00:35:33.570 --> 00:35:36.080 align:middle line:84% when we did the final deficiency, 00:35:36.080 --> 00:35:38.850 align:middle line:84% I had offered an amendment along with colleagues, 00:35:38.850 --> 00:35:42.924 align:middle line:84% and we embraced it, to put in funding to reimburse cities 00:35:42.924 --> 00:35:45.090 align:middle line:84% and towns for the costs associated with early voting 00:35:45.090 --> 00:35:49.470 align:middle line:84% from the last election, the presidential election of 2016. 00:35:49.470 --> 00:35:52.800 align:middle line:84% The auditor determines that the law that we passed, parts of it 00:35:52.800 --> 00:35:54.810 align:middle line:90% constituted an unfunded mandate. 00:35:54.810 --> 00:35:56.520 align:middle line:90% Should come up with a figure. 00:35:56.520 --> 00:35:58.710 align:middle line:84% While we weren't successful in securing funding, 00:35:58.710 --> 00:36:01.890 align:middle line:84% ultimately we compromised and asked the auditor to go back 00:36:01.890 --> 00:36:05.430 align:middle line:84% and to recertify the numbers, and to report back in January. 00:36:05.430 --> 00:36:07.800 align:middle line:84% The auditor reached out to cities and towns, 00:36:07.800 --> 00:36:10.530 align:middle line:84% came back in early January with a figure 00:36:10.530 --> 00:36:13.380 align:middle line:84% that was the amount of the costs that were 00:36:13.380 --> 00:36:15.300 align:middle line:90% mandated to the early voting. 00:36:15.300 --> 00:36:18.240 align:middle line:84% That figure is-- in the amendment 00:36:18.240 --> 00:36:22.200 align:middle line:84% it is just under $1.1 million, to hopefully make our cities 00:36:22.200 --> 00:36:23.880 align:middle line:84% and towns whole for the costs associated 00:36:23.880 --> 00:36:26.860 align:middle line:84% with the early voting law that we passed in 2016. 00:36:26.860 --> 00:36:28.860 align:middle line:84% So I hope the amendment is adopted, Mr. Speaker. 00:36:28.860 --> 00:36:30.300 align:middle line:84% I would ask that when a vote is taken in this matter, 00:36:30.300 --> 00:36:32.400 align:middle line:84% it be be taken by a call of the yeas and nays. 00:36:32.400 --> 00:36:33.990 align:middle line:84% Mr. Jones of North Reading asked when 00:36:33.990 --> 00:36:36.730 align:middle line:84% the matter is taken, it be taken by a call of yeas and nays. 00:36:36.730 --> 00:36:38.880 align:middle line:84% Those joining [INAUDIBLE] return the count. 00:36:38.880 --> 00:36:40.120 align:middle line:90% First division? 00:36:40.120 --> 00:36:40.620 align:middle line:90% Zero. 00:36:40.620 --> 00:36:41.120 align:middle line:90% Zero. 00:36:41.120 --> 00:36:42.954 align:middle line:90% Second division? 00:36:42.954 --> 00:36:43.830 align:middle line:90% 28. 00:36:43.830 --> 00:36:44.370 align:middle line:90% 28. 00:36:44.370 --> 00:36:46.340 align:middle line:84% Sufficient number having risen, matter 00:36:46.340 --> 00:36:51.282 align:middle line:84% will be taken by a call of the yeas and nays forthwith. 00:36:51.282 --> 00:36:52.740 align:middle line:84% Court officers, summon the members. 00:36:52.740 --> 00:36:55.200 align:middle line:84% Indicate a roll call is in progress. 00:36:55.200 --> 00:36:58.693 align:middle line:90% [NO AUDIO] 00:36:58.693 --> 00:39:36.080 align:middle line:90% 00:39:36.080 --> 00:39:38.750 align:middle line:84% Have all members voted wish to do so? 00:39:38.750 --> 00:39:42.215 align:middle line:90% [NO AUDIO] 00:39:42.215 --> 00:40:13.895 align:middle line:90% 00:40:13.895 --> 00:40:15.370 align:middle line:90% Have all members voted? 00:40:15.370 --> 00:40:18.842 align:middle line:90% [NO AUDIO] 00:40:18.842 --> 00:40:48.140 align:middle line:90% 00:40:48.140 --> 00:40:51.110 align:middle line:90% Have all members voted? 00:40:51.110 --> 00:40:52.530 align:middle line:90% Time for voting has expired. 00:40:52.530 --> 00:40:54.350 align:middle line:84% The clerk will display the tally. 00:40:54.350 --> 00:40:57.890 align:middle line:84% On this matter, 151 members voted in the affirmative, none 00:40:57.890 --> 00:40:59.340 align:middle line:90% in the negative. 00:40:59.340 --> 00:41:00.875 align:middle line:90% The amendment is adopted. 00:41:00.875 --> 00:41:02.730 align:middle line:84% The question now is on passing the bill 00:41:02.730 --> 00:41:05.600 align:middle line:84% to be engrossed, pending which Mr. Sanchez of Boston 00:41:05.600 --> 00:41:07.910 align:middle line:90% asks for a roll call vote. 00:41:07.910 --> 00:41:10.580 align:middle line:84% Those joining with him, arise. and monitor return the count. 00:41:10.580 --> 00:41:11.300 align:middle line:90% First division? 00:41:11.300 --> 00:41:11.820 align:middle line:90% Six. 00:41:11.820 --> 00:41:12.320 align:middle line:90% Six. 00:41:12.320 --> 00:41:14.900 align:middle line:90% Second division? 00:41:14.900 --> 00:41:16.600 align:middle line:90% Second division? 00:41:16.600 --> 00:41:17.480 align:middle line:90% 15. 00:41:17.480 --> 00:41:17.990 align:middle line:90% 15. 00:41:17.990 --> 00:41:21.590 align:middle line:84% Sufficient number having arisen, roll call vote is now open. 00:41:21.590 --> 00:41:23.622 align:middle line:90% Remain open for three minutes. 00:41:23.622 --> 00:41:25.080 align:middle line:84% Court officers, summon the members. 00:41:25.080 --> 00:41:26.600 align:middle line:84% Indicate a roll call is in progress. 00:41:26.600 --> 00:41:30.320 align:middle line:90% 00:41:30.320 --> 00:41:32.140 align:middle line:84% Ms. Khan of Newtown asks unanimous consent 00:41:32.140 --> 00:41:33.700 align:middle line:84% to be recorded on the last roll call. 00:41:33.700 --> 00:41:34.880 align:middle line:90% Chair objection? 00:41:34.880 --> 00:41:37.030 align:middle line:90% Chair hears none. 00:41:37.030 --> 00:41:39.790 align:middle line:84% On roll call number 308, Kay Khan. 00:41:39.790 --> 00:41:40.897 align:middle line:90% Yes? 00:41:40.897 --> 00:41:44.376 align:middle line:90% [NO AUDIO] 00:41:44.376 --> 00:43:14.980 align:middle line:90% 00:43:14.980 --> 00:43:18.124 align:middle line:84% Have all members voted wish to do so? 00:43:18.124 --> 00:43:21.540 align:middle line:90% [NO AUDIO] 00:43:21.540 --> 00:43:33.770 align:middle line:90% 00:43:33.770 --> 00:43:34.898 align:middle line:90% Hall all members voted? 00:43:34.898 --> 00:43:38.384 align:middle line:90% [NO AUDIO] 00:43:38.384 --> 00:43:50.850 align:middle line:90% 00:43:50.850 --> 00:43:51.990 align:middle line:90% Time for voting is expired. 00:43:51.990 --> 00:43:53.850 align:middle line:84% The clerk will display the tally. 00:43:53.850 --> 00:43:56.775 align:middle line:84% On this matter, 151 members voted in the affirmative, none 00:43:56.775 --> 00:43:57.795 align:middle line:90% in the negative. 00:43:57.795 --> 00:44:00.138 align:middle line:84% The bill is passed to be engrossed. 00:44:00.138 --> 00:44:03.624 align:middle line:90% [NO AUDIO] 00:44:03.624 --> 00:46:37.310 align:middle line:90% 00:46:37.310 --> 00:46:40.490 align:middle line:84% Mr. Puppolo of Springfield asks unanimous consent 00:46:40.490 --> 00:46:42.980 align:middle line:90% to be recorded on roll call 308. 00:46:42.980 --> 00:46:43.790 align:middle line:90% Chair objection? 00:46:43.790 --> 00:46:45.330 align:middle line:90% Chair hears none. 00:46:45.330 --> 00:46:48.958 align:middle line:84% On roll call number 308, Angelo Puppolo, yes. 00:46:48.958 --> 00:46:52.444 align:middle line:90% [NO AUDIO] 00:46:52.444 --> 00:48:17.310 align:middle line:90% 00:48:17.310 --> 00:48:19.430 align:middle line:90% House will be an order. 00:48:19.430 --> 00:48:20.547 align:middle line:90% Voter committee. 00:48:20.547 --> 00:48:27.110 align:middle line:90% 00:48:27.110 --> 00:48:30.960 align:middle line:90% Page 25, calendar item number-- 00:48:30.960 --> 00:48:37.270 align:middle line:84% page 26 a calendar item number 295, 00:48:37.270 --> 00:48:41.120 align:middle line:84% House 4116, Ms. Gregoire of Marlborough 00:48:41.120 --> 00:48:43.000 align:middle line:90% moves suspension of rule 47. 00:48:43.000 --> 00:48:44.172 align:middle line:90% All those in favor, say aye. 00:48:44.172 --> 00:48:45.130 align:middle line:90% All those opposed, nay. 00:48:45.130 --> 00:48:46.280 align:middle line:90% The ayes have it. 00:48:46.280 --> 00:48:48.607 align:middle line:90% Rule 47 suspended. 00:48:48.607 --> 00:48:49.690 align:middle line:90% Third reading of the bill. 00:48:49.690 --> 00:48:54.080 align:middle line:90% 00:48:54.080 --> 00:48:56.140 align:middle line:84% An act relative to Alzheimer's and related 00:48:56.140 --> 00:48:59.715 align:middle line:90% dementias in the Commonwealth. 00:48:59.715 --> 00:49:01.730 align:middle line:84% The question now comes on passing the bill 00:49:01.730 --> 00:49:04.500 align:middle line:90% to be engrossed. 00:49:04.500 --> 00:49:07.340 align:middle line:84% Chair will ask members to please take their seats 00:49:07.340 --> 00:49:08.690 align:middle line:90% and subdue their conversation. 00:49:08.690 --> 00:49:12.120 align:middle line:90% [NO AUDIO] 00:49:12.120 --> 00:49:18.990 align:middle line:90% 00:49:18.990 --> 00:49:21.570 align:middle line:84% Members are asked to please take their seats 00:49:21.570 --> 00:49:23.289 align:middle line:90% and subdue their conversation. 00:49:23.289 --> 00:49:26.712 align:middle line:90% [NO AUDIO] 00:49:26.712 --> 00:49:39.430 align:middle line:90% 00:49:39.430 --> 00:49:41.005 align:middle line:90% Members, please take your seats. 00:49:41.005 --> 00:49:47.167 align:middle line:90% 00:49:47.167 --> 00:49:48.500 align:middle line:90% Members, please take your seats. 00:49:48.500 --> 00:49:52.400 align:middle line:84% Court officers, clear the aisles. 00:49:52.400 --> 00:49:53.040 align:middle line:90% Clear the well. 00:49:53.040 --> 00:50:00.190 align:middle line:90% 00:50:00.190 --> 00:50:03.057 align:middle line:84% Chair recognizes Ms. Gregoire of Marlborough. 00:50:03.057 --> 00:50:05.740 align:middle line:90% 00:50:05.740 --> 00:50:08.230 align:middle line:84% Thank you, Mr. Speaker, and through you, to the members. 00:50:08.230 --> 00:50:11.860 align:middle line:84% I rise in support of House 4116, an act 00:50:11.860 --> 00:50:14.110 align:middle line:84% to address Alzheimer's and related dementias 00:50:14.110 --> 00:50:15.730 align:middle line:90% in the Commonwealth. 00:50:15.730 --> 00:50:18.640 align:middle line:84% There are currently more than 120,000 people 00:50:18.640 --> 00:50:21.200 align:middle line:84% in our commonwealth with Alzheimer's disease, 00:50:21.200 --> 00:50:24.040 align:middle line:84% and that number is expected to grow to over 150,000 00:50:24.040 --> 00:50:25.960 align:middle line:90% within the next 10 years. 00:50:25.960 --> 00:50:27.970 align:middle line:84% One in three seniors will die of Alzheimer's 00:50:27.970 --> 00:50:30.370 align:middle line:84% or a related dementia this year, making 00:50:30.370 --> 00:50:33.640 align:middle line:84% it the sixth-leading cause of death in Massachusetts. 00:50:33.640 --> 00:50:35.530 align:middle line:84% The cost of caring for those with Alzheimer's 00:50:35.530 --> 00:50:38.920 align:middle line:84% and other dementias is estimated to total $259 billion 00:50:38.920 --> 00:50:41.130 align:middle line:90% in America. 00:50:41.130 --> 00:50:43.930 align:middle line:84% And at least 50 percent of Americans with Alzheimer's are 00:50:43.930 --> 00:50:49.020 align:middle line:84% not diagnosed, making their health care costs even more. 00:50:49.020 --> 00:50:51.385 align:middle line:84% This proves challenging to patients, caregivers, 00:50:51.385 --> 00:50:54.010 align:middle line:84% and health care professionals in assuring appropriate treatment 00:50:54.010 --> 00:50:57.730 align:middle line:84% and support, helping patients to live a safer lifestyle 00:50:57.730 --> 00:50:59.890 align:middle line:84% and flowing associated conditions and disease 00:50:59.890 --> 00:51:00.880 align:middle line:90% progression. 00:51:00.880 --> 00:51:02.740 align:middle line:84% We have all seen in the recent weeks 00:51:02.740 --> 00:51:05.680 align:middle line:84% the coverage of this epidemic in the news, 00:51:05.680 --> 00:51:07.780 align:middle line:84% and we are all moved by the story told 00:51:07.780 --> 00:51:10.230 align:middle line:84% by the wife of the late Gene Wilder. 00:51:10.230 --> 00:51:14.870 align:middle line:84% In short, Alzheimer's disease is a public health crisis. 00:51:14.870 --> 00:51:16.930 align:middle line:90% The time to act is now. 00:51:16.930 --> 00:51:20.230 align:middle line:84% To that end, earlier this year this body 00:51:20.230 --> 00:51:22.750 align:middle line:84% provided for a public awareness campaign 00:51:22.750 --> 00:51:26.080 align:middle line:84% and funded it to the tune of $100,000 00:51:26.080 --> 00:51:28.870 align:middle line:84% to alert people to the warning signs of Alzheimer's 00:51:28.870 --> 00:51:30.670 align:middle line:90% and related dementias. 00:51:30.670 --> 00:51:32.890 align:middle line:84% This bill requires the implementation 00:51:32.890 --> 00:51:36.550 align:middle line:84% of an integrated state plan and an advisory council 00:51:36.550 --> 00:51:39.340 align:middle line:84% within the Executive Office of Elder Affairs 00:51:39.340 --> 00:51:41.530 align:middle line:84% to ensure that resources for the diagnosis 00:51:41.530 --> 00:51:45.850 align:middle line:84% and treatment of Alzheimer's are maximized and leveraged. 00:51:45.850 --> 00:51:49.210 align:middle line:84% With the passage of this act, we will require that curriculum 00:51:49.210 --> 00:51:52.300 align:middle line:84% content on Alzheimer's be incorporated 00:51:52.300 --> 00:51:54.700 align:middle line:84% into the physician, registered nurse, 00:51:54.700 --> 00:51:57.520 align:middle line:84% physician's assistant, and licensed practical nurse 00:51:57.520 --> 00:52:00.760 align:middle line:84% continuing education curriculum currently required 00:52:00.760 --> 00:52:04.600 align:middle line:84% under Massachusetts law for continued licensure. 00:52:04.600 --> 00:52:08.290 align:middle line:84% This curriculum is available and accessible and will increase 00:52:08.290 --> 00:52:10.930 align:middle line:84% diagnostic rates, improve treatment options, 00:52:10.930 --> 00:52:14.840 align:middle line:84% and improve quality of life for people living with Alzheimer's. 00:52:14.840 --> 00:52:16.810 align:middle line:84% This bill also memorializes the work 00:52:16.810 --> 00:52:19.570 align:middle line:84% done by the Alzheimer's and Related Dementia Acute Care 00:52:19.570 --> 00:52:22.240 align:middle line:84% Advisory Committee by requiring that three 00:52:22.240 --> 00:52:25.000 align:middle line:84% years from the effective date, all hospitals providing 00:52:25.000 --> 00:52:28.810 align:middle line:84% services to adult populations shall complete and provide 00:52:28.810 --> 00:52:32.980 align:middle line:84% to the DPH upon their request a copy of an operational plan 00:52:32.980 --> 00:52:36.040 align:middle line:84% to identify dementia and or delirium in the emergency 00:52:36.040 --> 00:52:39.430 align:middle line:84% department inpatient settings, and to have a specialized care 00:52:39.430 --> 00:52:42.640 align:middle line:84% plan in the event that dementia is detected. 00:52:42.640 --> 00:52:46.090 align:middle line:84% This will also ensure that designated caregivers are 00:52:46.090 --> 00:52:48.620 align:middle line:90% included in hospital processes. 00:52:48.620 --> 00:52:51.730 align:middle line:84% H4116 also ensures optimal care and treatment 00:52:51.730 --> 00:52:54.310 align:middle line:84% of persons living with Alzheimer's by expressly 00:52:54.310 --> 00:52:56.860 align:middle line:84% allowing for diagnosis and care treatment plans 00:52:56.860 --> 00:53:00.370 align:middle line:84% to be provided to a family member or legal representative 00:53:00.370 --> 00:53:02.230 align:middle line:90% of the patient. 00:53:02.230 --> 00:53:05.620 align:middle line:84% Treatment of this disease is difficult, if not impossible, 00:53:05.620 --> 00:53:07.990 align:middle line:84% where the patient experiences memory setbacks 00:53:07.990 --> 00:53:11.860 align:middle line:84% and other difficulties that come with an Alzheimer's diagnosis. 00:53:11.860 --> 00:53:14.170 align:middle line:84% This also aids in the treatment of other health issues, 00:53:14.170 --> 00:53:16.480 align:middle line:84% such as heart disease and diabetes, where patients 00:53:16.480 --> 00:53:18.220 align:middle line:84% can be incapable of being medically 00:53:18.220 --> 00:53:22.230 align:middle line:84% compliant with the prescription drug protocols or diet changes, 00:53:22.230 --> 00:53:26.170 align:middle line:84% and may be failing in their own care without even knowing it. 00:53:26.170 --> 00:53:28.000 align:middle line:84% Informing the family as well as the patient 00:53:28.000 --> 00:53:30.250 align:middle line:84% will allow the patient to participate in clinical drug 00:53:30.250 --> 00:53:33.340 align:middle line:84% trials and in health, financial, and life planning activities 00:53:33.340 --> 00:53:37.090 align:middle line:84% while he or she is still able to do so. 00:53:37.090 --> 00:53:39.430 align:middle line:84% There are currently 330,000 caregivers 00:53:39.430 --> 00:53:41.950 align:middle line:84% in Massachusetts providing hundreds of thousands 00:53:41.950 --> 00:53:44.890 align:middle line:84% of hours of unpaid care and incurring higher health 00:53:44.890 --> 00:53:47.470 align:middle line:84% costs, higher rates of depression, 00:53:47.470 --> 00:53:51.340 align:middle line:84% and more financial difficulties than caregivers serving those 00:53:51.340 --> 00:53:53.440 align:middle line:90% without dementia. 00:53:53.440 --> 00:53:54.970 align:middle line:84% The negative impact on caregivers 00:53:54.970 --> 00:53:57.250 align:middle line:84% extends to the economy, where caregivers 00:53:57.250 --> 00:54:00.910 align:middle line:84% report missing work, switching from full- to part-time, 00:54:00.910 --> 00:54:03.460 align:middle line:90% or losing their jobs altogether. 00:54:03.460 --> 00:54:06.100 align:middle line:84% Very few people in this room today do not have a personal 00:54:06.100 --> 00:54:08.110 align:middle line:90% connection to Alzheimer's. 00:54:08.110 --> 00:54:10.240 align:middle line:84% And while we work diligently to improve the lives 00:54:10.240 --> 00:54:13.450 align:middle line:84% and care of patients, we must also recommit our support 00:54:13.450 --> 00:54:16.530 align:middle line:90% to those providing their care. 00:54:16.530 --> 00:54:18.700 align:middle line:84% All of the people in this room know or have known 00:54:18.700 --> 00:54:20.530 align:middle line:90% or have been the caregiver. 00:54:20.530 --> 00:54:24.260 align:middle line:84% This disease takes a devastating toll on the patients-- 00:54:24.260 --> 00:54:27.760 align:middle line:84% and we also have to remember, those who love them. 00:54:27.760 --> 00:54:31.240 align:middle line:84% I remember as a young adult watching my father's struggle 00:54:31.240 --> 00:54:33.280 align:middle line:90% as his mother declined. 00:54:33.280 --> 00:54:35.980 align:middle line:84% Looking back on it, I remember the Christmas 00:54:35.980 --> 00:54:39.430 align:middle line:84% she brought presents for all the other grandchildren except one. 00:54:39.430 --> 00:54:41.774 align:middle line:90% It happened to be me. 00:54:41.774 --> 00:54:43.940 align:middle line:84% I remember the Thanksgiving she was late for dinner, 00:54:43.940 --> 00:54:46.180 align:middle line:84% because she got lost on our way to the house 00:54:46.180 --> 00:54:50.057 align:middle line:84% that she'd been visiting for over 15 years. 00:54:50.057 --> 00:54:51.640 align:middle line:84% And I remember the panicked phone call 00:54:51.640 --> 00:54:54.010 align:middle line:84% from the assisted living in Worcester 00:54:54.010 --> 00:54:57.760 align:middle line:84% that she had wandered off and was missing somewhere downtown. 00:54:57.760 --> 00:54:59.260 align:middle line:84% It was not until the end she really 00:54:59.260 --> 00:55:01.420 align:middle line:84% started to fail that she required constant 00:55:01.420 --> 00:55:04.230 align:middle line:84% and then eventual residential care. 00:55:04.230 --> 00:55:06.930 align:middle line:84% And every week without fail, my father would visit her. 00:55:06.930 --> 00:55:08.890 align:middle line:84% And every week without fail, my mother and I 00:55:08.890 --> 00:55:13.466 align:middle line:84% would discuss whether he felt better or worse having done so. 00:55:13.466 --> 00:55:15.340 align:middle line:84% The last time I went to visit my grandmother, 00:55:15.340 --> 00:55:17.860 align:middle line:84% she talked with me believing I was her mother. 00:55:17.860 --> 00:55:20.530 align:middle line:84% I was 22, and it was years before she eventually 00:55:20.530 --> 00:55:22.570 align:middle line:90% passed away. 00:55:22.570 --> 00:55:24.970 align:middle line:84% So today, we require a better plan 00:55:24.970 --> 00:55:27.400 align:middle line:84% on the state level, a study on how 00:55:27.400 --> 00:55:30.370 align:middle line:84% to help folks with early onset Alzheimer's, better 00:55:30.370 --> 00:55:32.560 align:middle line:84% training for the health care providers, 00:55:32.560 --> 00:55:35.560 align:middle line:84% and better tools and supports for the caregivers. 00:55:35.560 --> 00:55:37.990 align:middle line:84% It's a giant leap forward for our commonwealth 00:55:37.990 --> 00:55:41.020 align:middle line:84% and for residents dealing with this insipid disease. 00:55:41.020 --> 00:55:44.230 align:middle line:84% We recommit ourselves to increasing diagnostic rates, 00:55:44.230 --> 00:55:47.770 align:middle line:84% researching treatments, and finding a cure. 00:55:47.770 --> 00:55:49.840 align:middle line:84% I would be remiss if I did not thank our friends 00:55:49.840 --> 00:55:53.530 align:middle line:84% at the Alzheimer's Association and their dedicated advocates 00:55:53.530 --> 00:55:56.740 align:middle line:84% for providing a roadmap for this legislation. 00:55:56.740 --> 00:55:59.440 align:middle line:84% I have to thank Senator Jehlen for creating the Acute Care 00:55:59.440 --> 00:56:00.790 align:middle line:90% Commission. 00:56:00.790 --> 00:56:04.090 align:middle line:84% Thank you to the gentlemen from South Hadley, Dedham, Melrose, 00:56:04.090 --> 00:56:07.270 align:middle line:84% and Quincy for filing bills that form the cornerstone 00:56:07.270 --> 00:56:09.070 align:middle line:90% of this legislation. 00:56:09.070 --> 00:56:12.220 align:middle line:84% Thank you to my staff, the staff of the majority leader, 00:56:12.220 --> 00:56:14.800 align:middle line:84% the staff the Speaker, and House counsel for their continued 00:56:14.800 --> 00:56:17.410 align:middle line:84% support as we move this bill forward. 00:56:17.410 --> 00:56:19.990 align:middle line:84% Thank you to the Speaker and the Majority Leader for making 00:56:19.990 --> 00:56:21.880 align:middle line:90% this bill a priority. 00:56:21.880 --> 00:56:25.120 align:middle line:84% And lastly, thank you to my family, 00:56:25.120 --> 00:56:26.740 align:middle line:84% without whom I would likely have not 00:56:26.740 --> 00:56:29.650 align:middle line:84% had the passion and dedication that I 00:56:29.650 --> 00:56:33.850 align:middle line:84% have for people with Alzheimer's and those who love them. 00:56:33.850 --> 00:56:34.930 align:middle line:90% Thank you, Mr. Speaker. 00:56:34.930 --> 00:56:36.460 align:middle line:84% And I ask when a vote on this matter 00:56:36.460 --> 00:56:38.670 align:middle line:84% be taken, it be taken by a call of the yeas and Nays 00:56:38.670 --> 00:56:39.730 align:middle line:84% Ms. Gregoire asks when the matter 00:56:39.730 --> 00:56:41.990 align:middle line:84% is taken, it be taken by a call of the yeas and nays. 00:56:41.990 --> 00:56:43.040 align:middle line:84% Those joining with her will rise. 00:56:43.040 --> 00:56:44.590 align:middle line:84% The monitors will return the count. 00:56:44.590 --> 00:56:45.780 align:middle line:90% First division? 00:56:45.780 --> 00:56:46.660 align:middle line:90% 20. 00:56:46.660 --> 00:56:47.470 align:middle line:90% 20. 00:56:47.470 --> 00:56:49.096 align:middle line:90% Second division? 00:56:49.096 --> 00:56:50.140 align:middle line:90% Three. 00:56:50.140 --> 00:56:50.640 align:middle line:90% Three. 00:56:50.640 --> 00:56:53.380 align:middle line:84% Sufficient number having arisen, the matter taken 00:56:53.380 --> 00:56:55.750 align:middle line:84% be taken by a call of the yeas and nays. 00:56:55.750 --> 00:56:58.010 align:middle line:84% Chair recognizes Mr. Muradian of Grafton. 00:56:58.010 --> 00:57:01.004 align:middle line:90% [NO AUDIO] 00:57:01.004 --> 00:57:13.990 align:middle line:90% 00:57:13.990 --> 00:57:16.840 align:middle line:84% Thank you, Mr. Speaker, and through you to the members. 00:57:16.840 --> 00:57:20.880 align:middle line:84% I rise today in support of House Bill 4116, 00:57:20.880 --> 00:57:23.590 align:middle line:84% an act relative to Alzheimer's and related dementias 00:57:23.590 --> 00:57:25.060 align:middle line:90% in the Commonwealth. 00:57:25.060 --> 00:57:27.970 align:middle line:84% I would be remiss not to thank the chair of Elder Affairs, 00:57:27.970 --> 00:57:29.800 align:middle line:84% the gentle lady from Marlborough, 00:57:29.800 --> 00:57:33.000 align:middle line:84% and her staff for their diligence 00:57:33.000 --> 00:57:35.810 align:middle line:84% in working to craft this legislation. 00:57:35.810 --> 00:57:37.810 align:middle line:84% Many of us in this very room have 00:57:37.810 --> 00:57:40.540 align:middle line:84% had the unfortunate circumstance of watching someone 00:57:40.540 --> 00:57:43.480 align:middle line:84% that we have known or a loved one suffer 00:57:43.480 --> 00:57:45.940 align:middle line:90% from Alzheimer's or dementia. 00:57:45.940 --> 00:57:48.430 align:middle line:84% We've had to sit, sometimes idle, 00:57:48.430 --> 00:57:50.860 align:middle line:84% knowing that they are suffering and there is not 00:57:50.860 --> 00:57:53.860 align:middle line:84% a whole heck of a lot that we can do. 00:57:53.860 --> 00:57:57.070 align:middle line:84% Well, today, this bill in this legislative body 00:57:57.070 --> 00:57:59.890 align:middle line:84% is sending the message that we are taking steps 00:57:59.890 --> 00:58:02.830 align:middle line:84% to help those same people that we have known, 00:58:02.830 --> 00:58:05.392 align:middle line:90% and to help our loved ones. 00:58:05.392 --> 00:58:06.850 align:middle line:84% I want to highlight what I consider 00:58:06.850 --> 00:58:09.610 align:middle line:84% to be a key component to this legislation. 00:58:09.610 --> 00:58:14.020 align:middle line:84% Section 7 of this bill deals with the flexibility of sharing 00:58:14.020 --> 00:58:18.100 align:middle line:84% medical information, including information about care planning 00:58:18.100 --> 00:58:20.980 align:middle line:84% services, with a patient's family member 00:58:20.980 --> 00:58:24.550 align:middle line:84% or legal personal representative given express or implied 00:58:24.550 --> 00:58:27.430 align:middle line:90% consent from said patient. 00:58:27.430 --> 00:58:30.730 align:middle line:84% These services include assistance understanding 00:58:30.730 --> 00:58:35.050 align:middle line:84% the diagnosis, as well as the medical and non-medical options 00:58:35.050 --> 00:58:36.790 align:middle line:90% for outgoing treatment. 00:58:36.790 --> 00:58:40.060 align:middle line:84% Whereas this could be a time of confusion, nervousness-- 00:58:40.060 --> 00:58:42.430 align:middle line:84% and quite frankly, being scared-- 00:58:42.430 --> 00:58:46.000 align:middle line:84% today we will add another layer to a much-needed support 00:58:46.000 --> 00:58:48.370 align:middle line:90% structure for these patients. 00:58:48.370 --> 00:58:52.060 align:middle line:84% I urge my colleagues to vote in favor of this legislation 00:58:52.060 --> 00:58:54.550 align:middle line:84% so that we can continue to enhance support 00:58:54.550 --> 00:58:58.060 align:middle line:84% to our seniors, especially individuals suffering 00:58:58.060 --> 00:59:00.009 align:middle line:84% from Alzheimer's and dementia, and ask 00:59:00.009 --> 00:59:01.550 align:middle line:84% that when a call is taken, it's taken 00:59:01.550 --> 00:59:03.010 align:middle line:90% by a call of the yeas and nays. 00:59:03.010 --> 00:59:04.968 align:middle line:90% Thank you. 00:59:04.968 --> 00:59:07.400 align:middle line:90% It's already been required. 00:59:07.400 --> 00:59:09.950 align:middle line:84% Chair recognizes a Mr. Brodeur of Melrose. 00:59:09.950 --> 00:59:16.860 align:middle line:90% 00:59:16.860 --> 00:59:18.700 align:middle line:84% --Speaker, and through you to the members. 00:59:18.700 --> 00:59:21.940 align:middle line:84% I want to extend my thanks to the gentle lady 00:59:21.940 --> 00:59:26.350 align:middle line:84% from Marlborough, who's been a terrific leader on this issue. 00:59:26.350 --> 00:59:30.070 align:middle line:84% I come to this issue from my days in the Executive 00:59:30.070 --> 00:59:32.800 align:middle line:84% Office for Elder Affairs and through the experience 00:59:32.800 --> 00:59:35.950 align:middle line:84% my grandmother had when she was dealing 00:59:35.950 --> 00:59:40.270 align:middle line:84% with dementia over the past 10 years or so of her life. 00:59:40.270 --> 00:59:42.220 align:middle line:84% But one particular thing I want to point out 00:59:42.220 --> 00:59:46.360 align:middle line:84% to folks that is a really important part of this bill 00:59:46.360 --> 00:59:49.150 align:middle line:84% is the training piece for folks who work 00:59:49.150 --> 00:59:50.530 align:middle line:90% in elder protective services. 00:59:50.530 --> 00:59:53.230 align:middle line:84% And I want to be clear, it is not a criticism of the work 00:59:53.230 --> 00:59:54.310 align:middle line:90% that they do every day. 00:59:54.310 --> 00:59:55.480 align:middle line:90% It's incredibly hard work. 00:59:55.480 --> 00:59:58.086 align:middle line:84% It is incredibly challenging work, 00:59:58.086 --> 00:59:59.710 align:middle line:84% and they have a lot of things that they 00:59:59.710 --> 01:00:01.293 align:middle line:84% have to juggle when they are presented 01:00:01.293 --> 01:00:03.100 align:middle line:84% with cases involving seniors that 01:00:03.100 --> 01:00:05.440 align:middle line:90% may be cognitively compromised. 01:00:05.440 --> 01:00:08.170 align:middle line:84% What this bill will do is provide the training 01:00:08.170 --> 01:00:10.750 align:middle line:84% to those folks on the front lines 01:00:10.750 --> 01:00:13.510 align:middle line:84% so that they can in fact be sensitive, be 01:00:13.510 --> 01:00:16.150 align:middle line:84% aware of those issues as they arise, 01:00:16.150 --> 01:00:21.970 align:middle line:84% because it is a sad thing to have to tell you that this is 01:00:21.970 --> 01:00:25.390 align:middle line:84% a group of folks who are very much 01:00:25.390 --> 01:00:29.410 align:middle line:84% subject to financial exploitation and abuse. 01:00:29.410 --> 01:00:32.410 align:middle line:84% And unfortunately, very often the person 01:00:32.410 --> 01:00:34.690 align:middle line:84% who is exploiting them or abusing them 01:00:34.690 --> 01:00:36.130 align:middle line:90% is a family member. 01:00:36.130 --> 01:00:42.010 align:middle line:84% So very often, it is the Elder Protective Services worker 01:00:42.010 --> 01:00:46.480 align:middle line:84% who has to confront that issue, sometimes with the family not 01:00:46.480 --> 01:00:50.960 align:middle line:84% cooperating, or being actively hostile to the investigation. 01:00:50.960 --> 01:00:56.770 align:middle line:84% So as this population grows and that exposure to exploitation 01:00:56.770 --> 01:00:59.650 align:middle line:84% and abuse grows, I believe this bill 01:00:59.650 --> 01:01:01.450 align:middle line:84% and the particular training piece 01:01:01.450 --> 01:01:03.880 align:middle line:84% around the Protective Services worker 01:01:03.880 --> 01:01:06.620 align:middle line:84% is a dramatic step forward for our seniors 01:01:06.620 --> 01:01:07.480 align:middle line:90% in the commonwealth. 01:01:07.480 --> 01:01:08.860 align:middle line:90% Thank you, Mr. Speaker. 01:01:08.860 --> 01:01:11.498 align:middle line:84% Chair recognizes a Mr. McMurtry of Devon. 01:01:11.498 --> 01:01:23.129 align:middle line:90% 01:01:23.129 --> 01:01:25.420 align:middle line:84% Thank you, Mr. Speaker, and through you to the members. 01:01:25.420 --> 01:01:28.130 align:middle line:84% It brings me great pride to stand here before you today 01:01:28.130 --> 01:01:29.860 align:middle line:90% in support of this legislation. 01:01:29.860 --> 01:01:33.660 align:middle line:84% And I also want to thank the lady, the Chair of Elder 01:01:33.660 --> 01:01:35.410 align:middle line:84% Affairs, the gentle lady from Marlborough, 01:01:35.410 --> 01:01:39.290 align:middle line:84% for her tireless effort on this growing health care concern. 01:01:39.290 --> 01:01:41.500 align:middle line:84% And there are few here among us that have not 01:01:41.500 --> 01:01:44.350 align:middle line:84% been affected either directly or indirectly 01:01:44.350 --> 01:01:47.260 align:middle line:84% by this debilitating and all-too-often undetected 01:01:47.260 --> 01:01:48.380 align:middle line:90% disease. 01:01:48.380 --> 01:01:51.490 align:middle line:84% Today, 50% of Americans living with Alzheimer's go 01:01:51.490 --> 01:01:52.270 align:middle line:90% undiagnosed. 01:01:52.270 --> 01:01:55.330 align:middle line:84% And of the other 50%, less than half 01:01:55.330 --> 01:01:57.280 align:middle line:84% are even aware of their condition. 01:01:57.280 --> 01:01:59.350 align:middle line:84% These are alarming numbers considering 01:01:59.350 --> 01:02:01.420 align:middle line:84% the potential life-threatening issues that 01:02:01.420 --> 01:02:04.690 align:middle line:84% can arise from a patient not receiving proper care 01:02:04.690 --> 01:02:06.220 align:middle line:90% in a timely manner. 01:02:06.220 --> 01:02:08.560 align:middle line:84% In addition, without the proper protocols 01:02:08.560 --> 01:02:11.170 align:middle line:84% for Alzheimer's patients, care providers 01:02:11.170 --> 01:02:14.580 align:middle line:84% can be overburdened, including a loss of job opportunities, 01:02:14.580 --> 01:02:17.770 align:middle line:84% a strain on personal and family relationships, 01:02:17.770 --> 01:02:19.270 align:middle line:90% and a loss of income. 01:02:19.270 --> 01:02:22.780 align:middle line:84% In fact, some caregivers have reported an annual average lost 01:02:22.780 --> 01:02:26.230 align:middle line:84% wages of over $15,000, a hardship that 01:02:26.230 --> 01:02:29.320 align:middle line:84% would threaten the financial security of most families 01:02:29.320 --> 01:02:30.760 align:middle line:90% here in our commonwealth. 01:02:30.760 --> 01:02:32.800 align:middle line:84% And for these reasons, I stand before you 01:02:32.800 --> 01:02:35.110 align:middle line:90% in support of House 4116. 01:02:35.110 --> 01:02:38.895 align:middle line:84% And I'm pleased that a bill I filed along with 73 of you 01:02:38.895 --> 01:02:41.870 align:middle line:84% as colleagues is included in this legislation. 01:02:41.870 --> 01:02:43.840 align:middle line:84% It would create a one-time requirement 01:02:43.840 --> 01:02:46.780 align:middle line:84% that the curriculum content about Alzheimer's and dementia 01:02:46.780 --> 01:02:50.230 align:middle line:84% be incorporated into the continuing medical education 01:02:50.230 --> 01:02:52.180 align:middle line:90% programs for license renewal. 01:02:52.180 --> 01:02:55.210 align:middle line:84% I thank the health professionals and the advocates 01:02:55.210 --> 01:02:57.490 align:middle line:84% across the commonwealth that work 01:02:57.490 --> 01:02:59.610 align:middle line:84% to battle this disease every day and who 01:02:59.610 --> 01:03:02.860 align:middle line:84% have supported this vital legislation from the beginning. 01:03:02.860 --> 01:03:05.060 align:middle line:84% With a better informed medical community, 01:03:05.060 --> 01:03:08.020 align:middle line:84% we will be able to detect early signs of the disease 01:03:08.020 --> 01:03:10.240 align:middle line:84% and provide a high standard of care that 01:03:10.240 --> 01:03:12.820 align:middle line:84% will allow patients and their families access 01:03:12.820 --> 01:03:16.120 align:middle line:84% to medical and support services and give patients 01:03:16.120 --> 01:03:17.725 align:middle line:90% the dignity they deserve. 01:03:17.725 --> 01:03:21.220 align:middle line:84% It will also reduce costs and provide an opportunity 01:03:21.220 --> 01:03:24.520 align:middle line:84% for the patient to make legal, financial, and care plan 01:03:24.520 --> 01:03:26.850 align:middle line:90% decisions while still capable. 01:03:26.850 --> 01:03:28.930 align:middle line:84% With the issue of Alzheimer's and dementia 01:03:28.930 --> 01:03:31.720 align:middle line:84% threatening to become an ever-growing epidemic, 01:03:31.720 --> 01:03:33.370 align:middle line:84% it is of paramount importance that we 01:03:33.370 --> 01:03:37.390 align:middle line:84% take precautions and prepare to the best of our abilities now. 01:03:37.390 --> 01:03:40.030 align:middle line:84% I believe that this legislation will once again 01:03:40.030 --> 01:03:43.270 align:middle line:84% prove why Massachusetts is a national leader on health care, 01:03:43.270 --> 01:03:45.890 align:middle line:84% and bring us one step forward in protecting 01:03:45.890 --> 01:03:48.310 align:middle line:84% individuals and families afflicted 01:03:48.310 --> 01:03:49.890 align:middle line:90% by this terrible disease. 01:03:49.890 --> 01:03:51.820 align:middle line:84% So once again, thank you for supporting 01:03:51.820 --> 01:03:54.332 align:middle line:84% these bills, including this comprehensive legislation. 01:03:54.332 --> 01:03:56.290 align:middle line:84% And Mr. Speaker, I want to personally thank you 01:03:56.290 --> 01:03:58.510 align:middle line:84% for your commitment and priority to this 01:03:58.510 --> 01:04:00.374 align:middle line:84% and the many other health care concerns 01:04:00.374 --> 01:04:01.540 align:middle line:90% we face in the Commonwealth. 01:04:01.540 --> 01:04:03.520 align:middle line:90% Thank you. 01:04:03.520 --> 01:04:06.051 align:middle line:84% Chair recognizes Mr. Cantwell of Marshfield. 01:04:06.051 --> 01:04:10.380 align:middle line:90% 01:04:10.380 --> 01:04:12.720 align:middle line:84% Thank you, Mr. Speaker, and through you to the members. 01:04:12.720 --> 01:04:15.780 align:middle line:84% I briefly rise to also speak in favor of House 4116, 01:04:15.780 --> 01:04:18.030 align:middle line:84% An Act Relative to Alzheimer's and Related 01:04:18.030 --> 01:04:19.510 align:middle line:90% Dementia in the Commonwealth. 01:04:19.510 --> 01:04:21.510 align:middle line:84% I want to thank the gentle lady from Marlborough 01:04:21.510 --> 01:04:23.430 align:middle line:84% for her tremendous efforts here today, 01:04:23.430 --> 01:04:25.450 align:middle line:84% and all those who spoke before me. 01:04:25.450 --> 01:04:28.730 align:middle line:84% I'm standing to speak on behalf of a Joe Lambert, who 01:04:28.730 --> 01:04:31.740 align:middle line:84% is a gentleman here from Marshfield, from my district 01:04:31.740 --> 01:04:35.250 align:middle line:84% who sadly was one of those five million Americans who 01:04:35.250 --> 01:04:39.090 align:middle line:84% lives with Alzheimer's, and just passed away one year ago. 01:04:39.090 --> 01:04:41.970 align:middle line:84% His wife Yanna came and testified before our committee 01:04:41.970 --> 01:04:44.760 align:middle line:84% on public health last year, speaking specifically 01:04:44.760 --> 01:04:47.460 align:middle line:84% of an issue that's addressed in section 8 of this bill, where 01:04:47.460 --> 01:04:49.980 align:middle line:84% she spoke of the need for hospitals in acute care 01:04:49.980 --> 01:04:54.300 align:middle line:84% settings to have an operational plan recognizing and managing 01:04:54.300 --> 01:04:55.710 align:middle line:90% individuals with dementia. 01:04:55.710 --> 01:04:57.457 align:middle line:84% As she went on to speak, the location 01:04:57.457 --> 01:04:59.040 align:middle line:84% where her husband was having treatment 01:04:59.040 --> 01:05:00.600 align:middle line:90% did not have such a plan. 01:05:00.600 --> 01:05:02.760 align:middle line:84% In her view, was treated rather poorly. 01:05:02.760 --> 01:05:05.880 align:middle line:84% In her view, she was looking for some form of Alzheimer's 01:05:05.880 --> 01:05:07.194 align:middle line:90% patient bill of rights. 01:05:07.194 --> 01:05:08.610 align:middle line:84% I think the tremendous work that's 01:05:08.610 --> 01:05:10.077 align:middle line:84% been done through this legislation 01:05:10.077 --> 01:05:11.910 align:middle line:84% and through the gentle lady from Marlborough 01:05:11.910 --> 01:05:13.935 align:middle line:84% addresses this very significant issue. 01:05:13.935 --> 01:05:16.110 align:middle line:84% I thank you, Mr. Speaker, for your time. 01:05:16.110 --> 01:05:18.420 align:middle line:84% On behalf of Joe Lambert from Marshfield, 01:05:18.420 --> 01:05:20.790 align:middle line:84% I ask for support for this legislation as well. 01:05:20.790 --> 01:05:22.710 align:middle line:90% Thank you very much. 01:05:22.710 --> 01:05:24.750 align:middle line:84% Mr. [INAUDIBLE] asks unanimous consent 01:05:24.750 --> 01:05:27.460 align:middle line:84% to be recorded on roll call number 309. 01:05:27.460 --> 01:05:31.520 align:middle line:84% Chair hears objection/ Chair hears none. 01:05:31.520 --> 01:05:33.060 align:middle line:90% Roll call number 309. 01:05:33.060 --> 01:05:35.820 align:middle line:90% David Paul Linsky, yes. 01:05:35.820 --> 01:05:37.170 align:middle line:90% House will be in a brief recess. 01:05:37.170 --> 01:05:44.156 align:middle line:90% 01:05:44.156 --> 01:05:47.649 align:middle line:90% [NO AUDIO] 01:05:47.649 --> 01:07:16.471 align:middle line:90% 01:07:16.471 --> 01:07:21.940 align:middle line:84% The question now is on passing [INAUDIBLE] engrossed, 01:07:21.940 --> 01:07:24.160 align:middle line:84% pending which Mr. Jones of North Reading 01:07:24.160 --> 01:07:26.145 align:middle line:84% offers an amendment in the hands of the clerk. 01:07:26.145 --> 01:07:29.440 align:middle line:84% The clerk will read the amendment. 01:07:29.440 --> 01:07:32.356 align:middle line:90% [NO AUDIO] 01:07:32.356 --> 01:07:36.740 align:middle line:90% 01:07:36.740 --> 01:07:40.310 align:middle line:84% Amendment number one, Mr. Jones of North Reading 01:07:40.310 --> 01:07:42.040 align:middle line:84% and other members of the House move 01:07:42.040 --> 01:07:45.100 align:middle line:84% to amend the bill in section 1 in line 26 01:07:45.100 --> 01:07:47.600 align:middle line:84% by inserting after the words, "The Senate Chair of the Joint 01:07:47.600 --> 01:07:49.220 align:middle line:84% Committee on Elder Affairs or designee 01:07:49.220 --> 01:07:51.332 align:middle line:84% the words of the ranking Senate-- 01:07:51.332 --> 01:07:52.790 align:middle line:84% If there be no objection, the clerk 01:07:52.790 --> 01:07:54.320 align:middle line:84% will dispense with the reading of the paper. 01:07:54.320 --> 01:07:55.195 align:middle line:90% The chair hears none. 01:07:55.195 --> 01:07:56.820 align:middle line:84% The question now is on the amendment. 01:07:56.820 --> 01:07:58.570 align:middle line:90% All those in favor, say aye. 01:07:58.570 --> 01:08:00.120 align:middle line:90% All those opposed, no. 01:08:00.120 --> 01:08:00.840 align:middle line:90% The ayes have it. 01:08:00.840 --> 01:08:02.031 align:middle line:90% The amendment is adopted. 01:08:02.031 --> 01:08:03.656 align:middle line:84% The question now is on passing the bill 01:08:03.656 --> 01:08:05.174 align:middle line:90% to be engrossed as amended. 01:08:05.174 --> 01:08:07.340 align:middle line:84% Roll call having been ordered, the roll call machine 01:08:07.340 --> 01:08:08.360 align:middle line:90% is now open. 01:08:08.360 --> 01:08:10.380 align:middle line:90% Remain open for three minutes. 01:08:10.380 --> 01:08:12.260 align:middle line:84% Court officers, summon the members. 01:08:12.260 --> 01:08:13.910 align:middle line:84% Indicate a roll call is in progress. 01:08:13.910 --> 01:08:19.470 align:middle line:90% 01:08:19.470 --> 01:08:20.294 align:middle line:90% That's it. 01:08:20.294 --> 01:08:24.246 align:middle line:90% [BACKGROUND CHATTER] 01:08:24.246 --> 01:08:42.524 align:middle line:90% 01:08:42.524 --> 01:08:45.982 align:middle line:90% [NO AUDIO] 01:08:45.982 --> 01:09:03.819 align:middle line:90% 01:09:03.819 --> 01:09:06.750 align:middle line:84% Chair would like to announce to the members that 01:09:06.750 --> 01:09:08.760 align:middle line:84% is does not anticipate any further roll 01:09:08.760 --> 01:09:12.798 align:middle line:90% calls this afternoon. 01:09:12.798 --> 01:09:16.284 align:middle line:90% [NO AUDIO] 01:09:16.284 --> 01:09:17.790 align:middle line:90% 01:09:17.790 --> 01:09:22.250 align:middle line:84% Mr. Pignatelli of Lenox asks be recorded on roll call number 01:09:22.250 --> 01:09:22.890 align:middle line:90% 309. 01:09:22.890 --> 01:09:23.859 align:middle line:90% Chair objection? 01:09:23.859 --> 01:09:25.350 align:middle line:90% Chair hears none. 01:09:25.350 --> 01:09:29.539 align:middle line:84% On roll call number 309, Smitty Pignatelli yes. 01:09:29.539 --> 01:09:33.032 align:middle line:90% [NO AUDIO] 01:09:33.032 --> 01:13:19.350 align:middle line:90% 01:13:19.350 --> 01:13:21.730 align:middle line:84% Have all members voted wish to do so? 01:13:21.730 --> 01:13:23.200 align:middle line:90% All members voted. 01:13:23.200 --> 01:13:24.340 align:middle line:90% Time for voting is expired. 01:13:24.340 --> 01:13:25.714 align:middle line:84% The clerk will display the tally. 01:13:25.714 --> 01:13:29.080 align:middle line:84% On this matter, 153 members voted in the affirmative, none 01:13:29.080 --> 01:13:30.230 align:middle line:90% in the negative. 01:13:30.230 --> 01:13:32.399 align:middle line:84% The bill is passed to be engrossed. 01:13:32.399 --> 01:13:35.357 align:middle line:90% [NO AUDIO] 01:13:35.357 --> 01:13:54.630 align:middle line:90% 01:13:54.630 --> 01:13:56.990 align:middle line:84% [INAUDIBLE] order in the hands of the clerk. 01:13:56.990 --> 01:13:58.970 align:middle line:90% Clerk will read the order. 01:13:58.970 --> 01:14:00.680 align:middle line:84% Order that when the House adjourns today, 01:14:00.680 --> 01:14:02.645 align:middle line:84% it adjourned to meet tomorrow at 11:00 a.m. 01:14:02.645 --> 01:14:04.520 align:middle line:84% The question now is on adoption of the order. 01:14:04.520 --> 01:14:06.050 align:middle line:90% All those in favor, say aye. 01:14:06.050 --> 01:14:07.160 align:middle line:90% All those opposed, nay. 01:14:07.160 --> 01:14:07.870 align:middle line:90% The ayes have it. 01:14:07.870 --> 01:14:09.065 align:middle line:90% The order is adopted. 01:14:09.065 --> 01:14:11.190 align:middle line:84% Mr. Jones of North Reading now moves that the House 01:14:11.190 --> 01:14:12.260 align:middle line:90% stands adjourned. 01:14:12.260 --> 01:14:13.670 align:middle line:90% All those in favor, say aye. 01:14:13.670 --> 01:14:14.670 align:middle line:90% All those opposed, nay. 01:14:14.670 --> 01:14:15.560 align:middle line:90% The ayes have it. 01:14:15.560 --> 01:14:18.830 align:middle line:84% House stands adjourned to meet tomorrow, Thursday, 11:00 a.m. 01:14:18.830 --> 01:14:20.540 align:middle line:90% in an informal session. 01:14:20.540 --> 01:14:22.640 align:middle line:90% [NO AUDIO] 01:14:22.640 --> 01:14:51.440 align:middle line:90% 01:14:51.440 --> 01:14:54.790 align:middle line:90% [MUSIC PLAYING] 01:14:54.790 --> 01:17:38.027 align:middle line:90%