and while providers are not contracted to provide services with i.c.e. or the detention facility, they are licensed medical professionals and licensed by county boards. we are improving oversight by providing guidelines and instituting a "national review" process, an initiative. i.c.e. is committed to ensure that people are treated with respect and dignity and to fully cooperating and complying with request from oversight bodies. we continue to fully participate in all investigations of medical mistreatment at icdc. thank you for the opportunity to speak with you today and i look forward to your questions. senator osoff: dr. hearn, you may offer your opening statement. dr. hearn: members of the subcommittee, thank you for arranging this hearing for the opportunity to provide testimony concerning detainee mistreatment. i'm dr. pamela hearn and medical director and overseen at the irwin county detention center in georgia since january, 2020. i'm responsible for the medical operations and deployment of health resources to support a number of medical facilit

available and to provide transportation to and from those providers. at all time lasalle partners at the federal government and the agencies to provide excellent medical care and exceed the relevant standards. >> thank you doctor hearn. >> chairman, ranking member johnson and members of the subcommittee, thank you for the opportunity to discussyo the oversight work our mission is to provide independent and objective oversight a responsibility that i and the dedicated career professionals of my team take seriously. it is an honor to appear before you today and i am profoundly grateful for the continued bipartisan supportye we are receiving from congress. the support is included year over year increases with the appropriations. as a promise in my confirmation hearing i have used the expanded investment in our work to augment detention oversight with medical professionals. between fy 20 and 22 we conducted 12 inspections of the detention facilities and with nine of those teams of medical professionals , typically a nurse and a doctor reviewed the medical

mental health providers, who are going to provide this. we are not talking, now, about the veteran who has a result of a pregnancy test, or whatever it is. we're talking about the people that you train, and deploy, to help these veterans who are under stress. what's the plan? >> yes sir, the mental health council would only be part of a team that would be working with a gynecologist -- >> so they're going to sit in this counseling session? >> they may well be. >> well if they may well, again, if i'm under stress in a situation, and i've got someone advising me, i want to make sure that i've got answers right there, right then. is this something that we kick the can down the road, come back next year? because i'm not qualified to answer the question? is there a plan? >> we cannot provide the plan the directly today. >> i would suggest, let's keep the court behind the horse, let's get the plan together before we start putting women veterans at risk for making a decision that they could later regret because they got bad information. with that

and while providers are not contracted to provide services with i.c.e. or the detention facility, they are licensed medical professionals and licensed by county boards. we are improving oversight by providing guidelines and instituting a "national review" process, an initiative. i.c.e. is committed to ensure that people are treated with respect and dignity and to fully cooperating and complying with request from oversight bodies. we continue to fully participate in all investigations of medical mistreatment at icdc. thank you for the opportunity to speak with you today and i look forward to your questions. senator osoff: dr. hearn, you may offer your opening statement. dr. hearn: members of the subcommittee, thank you for arranging this hearing for the opportunity to provide testimony concerning detainee mistreatment. i'm dr. pamela hearn and medical director and overseen at the irwin county detention center in georgia since january, 2020. i'm responsible for the medical operations and deployment of health resources to support a number of medical facilit

provided commissions such as ours make findings. to comply, item 5 and 6 on this agenda is the request to considering whether continued use of teleupon conference minimize health risk and whether we can use it in a matter of using public transparency. members may lefsh this meeting via sfgov.org and channel 78 and may offer comment calling the comment phone initial i like to welcome the members of the public and staff watching live on sfgovtv. the commission asks and thanks you for patience during the times. we ask the public to have patience and expect delay and gaps during the meeting during public comment itch the to welcome and thank james and cooley from tif department for assisting today. and i wanted to thank justin who has been doing double duty on das who is now able to focus on his real duties and have to help with the meetings but wanted to say how much we appreciated justin the last couple of years helping us. >> to eliminate background noise all panelists via web ex mou themselves had not speaking or wait being to prese

yes, these funds are provided for six months to a year or permanently.depends on whether they ask for help for temporary protection, then it comes to the river and they can continue everything. if not, then up to 90 days, how easy is it to find a job considering the fact that everyone wants to feed themselves and only receive social assistance from the romanian government, this is not enough for a normal life, and what is the situation on the labor market, is it easy to find a job without knowing the romanian language, all citizens of ukraine have the right to employment in romania here. of course , changes were made to more than 20 laws so that citizens of ukraine could more easily go to work if, for example, they left the territory of romania on the basis of the laws and applied to receive temporary protection, then the resettled people have the right to work for individuals or legal entities on the basis of the status of temporary protection and a residence permit is issued for a period of 12 months, and here we say with the possibility of extending t

>> you have the tap providers. technical assistant providers that the epa has throughout the country. i believe there are six of them if i'm not mistaken. my counterpart at the in west virginia university is one of those tapped providers. -- they do the same thing, trying to interact there. the problem is there's a lot more work that needs to be done there if you are going to get out to those more rural, smaller communities. i have to tell you, it takes a whole lot of one-on-one meetings in order to really get them on board. >> i agree with you. you are saying we could help the federal government in providing the resources for technical assistance. for communities to have challenges working through the application process for grandson eligibility. can we make the grants a little bit simpler and more focus to make it easier for these communities? >> that would make us all happier, i can assure you. again, for our smaller communities they are really kind of a step behind. it is very difficult to be able to pull all o

that are provided by baker. at the same time working with baker to try to keep them going. so i'm sorry how close are to you finding that potential provider and where are things going. we were asked for moncompetence gave you money fund the services. this has been going to 5 years now. i understand it is in the easy to transition and find a provider. . perfect transification. the next slide. um -- so where we are now is we just within a couple weeks reached an agreement with baker we proposed an e terrible low a set of financial agreements with the city and baker. a transition period through june 30 of 2023 this . is important to us because tell take time to transfer some programs and need the run way to do that that is the focus how do we provide this transition period so we don't have an impact on clients. baker accept today just left week. this there will be program this is do transfer before june of 23 and we probably have at least 2 programs by january to a new provider. others will take longer because tell

we ask how va provides -- providers with moral objections would be excused from providing abortions, counseling, or a performing abortions. the va blew past the questions they learn to respond to our questions. when we did receive the answer to my question, as i said yesterday, many of the responses were non or half answers. setting aside the basic illegality of this effort, how can you justify proposing such a significant change without being able to provide timely responses to basic questions about it? dr., and then i'm going to ask this question as well with that, all you have talked about so far when the question came up earlier is about emergency situations. you are proposals and what you have answered us goes way far past emergency. also passes well past the -- do you have a response? >> yes, congressman. i understand that you are taking this position around our authority. i want to say that we respectfully disagree with that. our council -- consultation with the department of justice. what i can tell you is, when we were trying to be responsive to the urgent situation that fac

providing for consideration of the joint resolution, house joint resolution 100, to provide for a resolution with respect to the unresolved disputes between certain railroads represented by the national carriers conference committee of the national railway labor conference, and certain of their employees, and for other purposes. the speaker pro tempore: referred to the house calendar and ordered printed. for what purpose does the gentleman from massachusetts seek recognition? mr. mcgovern: by direction of the committee on rules i call up house resolution 1499 and ask for its immediate consideration. the speaker pro tempore: the clerk will report the resolution. the clerk: house calendar number 1353. house resolution 1499. resolved, that upon adoption of this resolution it shall be in order to consider in the house the bill, h.r. 3372, to authorize implementation grants to community-based nonprofits to operate one-stop reentry centers. all points of order against consideration of the bill are waived. the amendment printed in part a of the report of the committee on rules accompanying this res

>> no. >> it he provided any other treatment option but did he provide any chance to discuss treatment options? >> no. >> you. i have a question, doctor mueller's testimony says, editors quote, if a patient has no symptoms, not bothered by her symptoms or a particular surgery or intervention is not indicated, that intervention exposes the patient to unwarranted risk without benefit of the subcommittee found the doctor performed unexpectedly large number of invasive procedures on women in its facility. 90% of four types of invasive procedures performed on all ice detainees were performed by doctor emin despite the fact i cdc houses 4% of the national female detainee population. starting with you, doctor mueller, what is your best assessment for why a doctor would perform such an extreme number of invasive procedures? >> thank you for that question. as a medical expert, i can review medical records and tell you if it's beneath standard of care, d what is typically done d etc., it's difficult for me to comment on the motivation behind tthat type of medical care buti do think you shed ligh

that go to the non profit providers that provide workforce development service. more i just instituted the workforce alignment committee at the board which existed while i served as executive director of a workforce development organization and that committee is really focused on working with all city departments to make sure there is alignment with the definition of what workforce development is. making sure the resources are going to the right places to build pathways and skills of people who need employment. i fought hard for mandatory hire on construction projects to make sure people from san francisco and live in san francisco are also well paid on the jobs in their own community. working on legislation right now to provide local hire for tech companies and companies that have been taking advantage of and residents of the city and members of the city and so i will continue not only to provide funding, continue to make sure pathways and pipeline programs are in place and build off the opportunities that have not existed like more local mandatory laws. also, w

>> you have the technical assistance providers throughout the country. i think there's six of them if i'm not mistaken. my counterpart is one of those providers, so they work to do that same thing. the problem is there needs to be a lot more work to be done if you're going to get out to those of smaller communities. and i have to tell you it takes a whole lot of one-on-one meetings in order to really get them on board. >> so you're saying we could help the federal government applying the resources for technical assistance for the communities that have challenges working through the application process for grants and eligibility. can we make them a little bit simpler and make it easier for these communities? >> that would make us all happy happier i can assure you. again for the smaller communities, they are kind of a step behind just because it's very difficult to be able to pull the needed requirements into those applications. if you don't score well on one a subsection of an application, you probably won't be funded as was mentioned earlier we had to t

to ukraine, whether he will provide it or not, most likely they will provide it, because israel is in a dependent position. they understand that, surrounded by countries of friends that surround them, it is dangerous to transfer lethal weapons, because they can also countermeasure us, of course, this is an unpleasant signal, but we understand that they are under very strong pressure from the united states, this is such a gesture. good will. leave me alone, at least something to give out on the news, we'll be back. hello news on channel one with you andrey kharev, a series of terrorist attacks on energy infrastructure facilities in crimea was prevented by the russian special services . in one of the districts of the republic, the suspect was caught red- handed from him three high-explosive-type explosive devices were seized at once, instructions for their use and a layout plan, if the sabotage was successful, then without light. would stay more 5,000 inhabitants of crimea, that is, as a goal of harming the civilian population, the detainee has already been arrested by a local court, an

care coordination and integration with existing providers. do they coordinate for the person's primary care provider? other existing health care mental health care providers that may be involved and again (inaudible) in the mix. is it equitable? is access and cultural care. are there peer services integrated and opportunities for families and community support? i think that might be our last slide. let's look at one more. key outcomes for selection. again, if we look at these in chunks, thinking about access for your people. thinking about engagement and satisfaction of their customer base. improvements and outcomes. able to demonstrate that it's measured and articulated and continually improved. and then behavioral health improvement. what types of metric standard tools are used to determine pref-post outcomes for individuals. the last two items in blue are accreditations. do you have a level of accreditation from a national body like the joint commission for example. i think-next slide. so again this is a quick list of the 12 areas that we

the services were provided at no cost to the city. national rural water association and it's 50 state rural -- are governed by 350 volunteer directors selected from these very water systems associating the nation. we have more than 750 professional workers in the field. we have boots on the ground working 24 hours a day, 365 days a year. reaching across the nation with all 50 states including tribes and u.s. territories. >> as we all know, water utility prep are -- according to the u.s. environmental protection safe drinking water information system, they are currently 50,000 community water systems in the country, 91% of them which serve population of less than 10,000. 60% of them serve a population of 500 if you are. the current public health crisis in jackson, mississippi, the covid-19 pandemic, the historic drought conditions plaguing the western states as we speak all highlight the essential fact. safe drinking water service and wastewater treatment is essential to modern life in the economy. this fact occurs and small, rural, tr

law provides when we ask for records provide them within 10 days. that does not always happen. but sometime its it is difficult with committees who manipulate multiple candidates. we try to accommodate and hold to time frames. i think that when we electric at our audits and talk about procedures it is everything from verifying that the contributions, committees reported came from contributors. verifying the expenditures this committees are reporting. we do look at the public financing. we look to see if other laws are complayed with such as the don tractor contributor bands. so, what the external auditors do is a broad scope of verify whatting is reported on campaign statement system accurate. and also look to see that there are not indications of activities not reported on campaign statements that may have been required to be disclosed. and to look at other various law busy disclosure and disclaimer requirements. to look at the host of city luand how correspondidates did in comply congress state laws as well where applicable. >> thank you. one prooes piece i would add after th

the services were provided at no cost to the city. are governed by 350 volunteer directors we have more than 750 professional workers in the field with boots on the ground 24 hours a day 365 days per year reaching across the nation with all 50 states including tribes and us territories. as we all know it is virtual to america according to epa safe drinking water system there 50000 community water systems in the country, 91 percent serve a population of less than 10000. . . . . water service in a wastewater treatment is essential for modern life in the economy. small world tribal disadvantaged communities across the country which we have heard. i mentioned at the top of my remarks that i am a part-time for the simple fact many small rural simply cannot afford certified operators. i have been in the wastewater and water industry serving small communities for 34 years. it's unheard of to understand small committees only operate to serve the public interest in her ear to take necessary actions to protect our public water supply. i what th

is there anyone from the public who wishes to provide comment? >> at this time if there are members of the public who wish to provide public comment call 415-655-0001, 24848270132. press pound sign twice and star 3 to be placed in the queue. if you are listening press star 3 if you like to provide a comment. mr. chair, it does not appear there are members of the public wishing to comment on this item. >> thank you. hearing no request to speak on the item i close public comment. commissioners, may i get a motion for this consent item? >> chair, before they start on that i like to acknowledge commissioner brackett did join us by phone. she is here and will unmute her now. >> great. thank you. may i have a motion? >> mr. chair, i move that this be approved. >> thank you commissioner scott. may i have a second? >> second that motion. >> thank you commissioner ludlum. madam secretary, please take roll. >> please announce your vote when i call your name. [roll call] mr. chair, the vote is 4 ayes, one absent. >> thank you motion carries. please call the

there are five companies that provide medicaid services. each requiring a different type of preauthorization or prior authorization for services. so this is a job of two or three people. we have a census of about 170. it's hard to finance that. i am, you know, aware that businesses need to be financed in a fiscally responsible manner. but the amount of administrative support you need to get these things done is astronomical. >> dr. hoover, anything to add? dr. hoover: i agree with everything you said. we need some authorization in place, especially for our most vulnerable youth who may, for example, experience poly pharmacy, young people in the foster care system may be on multiple medications. there needs to be some authorization on process for understanding the medications they have been prescribed. so it's done responsibly. but the wait times for getting into mental health care as you said, mind numbing. astronomical. and for families can be really impossible to navigate. >> in my experience what was frustrate, after my nurses spend days

we provide more flexibility on the ultrasound, providing a flexibility for life for the mother. tom and i actually agree on exceptions for rape and incest. tom and i actually agree on making sure we dont deal. we dont criminalize doctors in this process. were much more aligned on this issue than anyone would have you believe. i think our law is pretty much in line with massachusetts and with with new york. so theres no extremism here by any means. i get that this is the one issue that all the democrats want to talk about. but think about that. dogs case said overturn roe v wade. i supported roe v wade. but when jobs happened, nothing changed here. other states it did. other states, you saw that extremism, but nothing changed from the day before to the day after. and again. so to paint this out as some type of extremism just isnt just isnt fair. >> dr. sherman, youve said that its disingenuous to talk the need to pass laws in new hampshire guaranteeing the right to an abortion up until birth. because you say late abortions simply dont happen. so if a bill allowing the right to an

there is one that provided, for example, 100,000 tulips. there is one company that provided a million from this warehouse in the chernivtsi region . boxes with planting materials will be sent. in schools all over ukraine, half a thousand bulbs each in just 5 days of the flowers for school project , more than 3,000 educational institutions submitted their applications, and they developed a simple questionnaire on facebook, we came across it, filled out this questionnaire and became participants in this project, this bukovyna school was the first to receive flower set in boxes of bulbs of dutch tulips of selected varieties this is a very popular terry tulip it grows so very full uh it even looks a bit like a peony about weapons delighted with the process actually the first time i've never planted anything like this, well, except for the barabol of all this. well, i can say one thing, it's very interesting, it's interesting for us. it took me 30 minutes and several hundred bulbs were already in the school flower bed. there should be a beautifu

in puerto rico we will also discuss the legislative proposal designed to provide. we will hear from local government officials although the administrator was unable to join us today i want to thank the biden administration for its rapid actions to ensure the resources it needs to recover from previous natural disasters. after hurricane maria, the impacts congress appropriated a disaster for the territory but the reconstruction process moved slowly, very slowly. for almost three years the previous administration was giving dollars for projects on the island. further although they provided significant support the agency's response to the structural issues including the territories financial situation. the community organizations and small businesses. in june, 2021 the energy grid was transferred from the power authority to private operator which was tasked with rebuilding the grid and since then puerto rico has been, has not seen an improvement in the frequency in their duration. the local government was conducting oversight to operate, maintain and modernize the ele

we'll provide you more information what happened in 2008 and 9 time frame and happy to provide you with other information you need. you know the voluntary agreement does focus the in river things we see that could be improved. those are things that improve productivity and the modeling by districts shown that should increase productivity. increase on the tuolumne river does not mean the fish will make it we don't have control in the bay delta or the ocean. does not mean we will get more fish back. we can do things in the tuolumne river and that's when we are focussed on. there are other things like the hatchery issue outside of our influence that -- could be using to have improvements. >> we need a holistic approach. broad are than counting fish or trying to make sure we have all the right tools to help us to protect the fish you are sort of meeting the reliability required meet and all that. >> yes. >> thank you. >> sorry. >> could you give me an example of the genetic management plan? >> that's trying to bring more diversity genetic diversity into a spawning program they have admit ha

what are we doing to provide oversight on those activities and provide the public assurance they are complying? that is something we have not been talking about or doing enough of buzz of our resource limitations. all of the demands will require that we rethink and continue to strengthen our audit resources moving forward. >> any final comments? no, i look forward to seeings this in writing and like to continue the matter to the call the chair if pleases the committee >> so moved >> call the roll. >> public comment. >> i'm sorry. thank you. let's open up for public comment. >> thank you. are there members of public withhold like to make comment for item 1. line up to the right remote callers press star 3 to be added the queue. we will go to the phone lines. >> can you provide the stat? there are no caller >> thank you. >> public comment on this item is closed. >> and like to move to continue this to the call of the chair. >> on the motion to continue to the call of the chair, vice chair chan. >> aye >> member mandelman. >> aye. >> chair preston. >> aye. >> there are 3 aye's >> thank

what is the situation with providing people with firewood, and look at providing people with firewood fuel materials, communities are just as fruitfully engaged in this, because after the territories were de- occupied, they make a description of this from the fact that we we saw from what we know, but what we talked about is that there is an order for which it is understood at the state level and the state will provide as much fuel as it can , and there is also a conversation not only about fuel materials, but also about some roofing materials, engineering, which must also be provided to communities, cities and towns so that there is not only something to warm up, but where to warm up. thank you , oleksandr, for your difficult work, and, of course, for being included in our live broadcast . khrystyna, in a few moments we will talk with a military expert from defense express, in particular, about ramstein, which is happening right now and where it will be decided, what kind of weapons we will receive from our partners in the near future. related let's say informational reasons mr. oleg

mother abchase. >> chase bank provide financing for block b. in addition to the subsidy funding reach out to the banks and our investors always to get more funding and we want to thank you for your support. >> thank you. jonathan beach with chase community development bank. an honest torto be here thank you for inviting me. just to start, i joined chase 4 months ago. prior i managed santa clara affordable housing department of i want to admit i have didn't least amount work of anybody here but get the honor of speaking at the ground break. that said, i want to thank bridge. and all of our partners here today and congratulations on the ground break. i have been a fan of bridge for a long time at the city and at chase. and i could not think of a better development team to tackle a complicated and master plan development on a site like this the oldest public housing sights in the city. you know chase roll roll was to provide 150 million dollars in construction financing and 50 million dollars in permanent financing and despite the big number there

because most fighters provide mutual aid, i.e. the first aid is provided by someone who is nearby or fighter should provide himself afterwards , ideally, it is really fundamental for us and this is what happens in most cases when a combat medic works in a combat medic - this is really not a medic, this is a parameter - it is a person who passed the courses and all over the world it is a standard uh, ideally uh, in this one, uh, combat medics are trained for four months, we prepared it w whiskey eh format is like eh military, where they studied four places now, unfortunately, in our for example, with our terror management in the east, we organized a group for us, the hospitalists helped the group. when we gather our combat medics right on the territory of our stabilization points and teach them there for several days there, because unfortunately, these courses are far away for us, they are very few people can be released, the troops need help today and it is about the climatic stage that was announced to you , and i am constantly repeating this for many places, this stage in which exa

law provides when we ask for records provide them within 10 days. that does not always happen. sometime its it is difficult with committees who manipulate multiple candidates. we try to accommodate and hold to time frames. i think that when we electric at our audits and talk about procedures it is everything from verifying that the contributions, committees reported came from contributors. verifying the expenditures this committees are reporting. we do look at the public financing. we look to see if other laws are complayed with such as the don tractor contributor bands. so, what the external auditors do is a broad scope of verify whatting is reported on campaign statement system accurate. and also look to see that there are not indications of activities not reported on campaign statements that may have been required to be disclosed. and to look at other various law busy disclosure and disclaimer requirements. to look at the host of city luand how correspondidates did in comply congress state laws as well where applicable. >> thank you. one prooes piece i would add after the te

why haven't you provided the clarity, why haven't you provided guidance so that it is clear and we could have customers have the assurance of having their assets stored by reliable institutions. mr. hsu: if banks can demonstrate that they can do that activity in a safe sound and fair manner, we're all ears. sen. toomey: but i think some of this obligation is on you to provide some clarity about how that could work. and as i say, what i'm hearing from the industry is that this activity is being discouraged and the result is not that the activity doesn't occur, it's just that it goes somewhere where the regulation is often lax. let me, let me move on. another aspect of this. vice chairman barr, you recently said that there are types of crypto related activities where the fed may need to provide guidance to the banking sector, in your view, is custody a category of crypto activity that the banking sector can provide and could use some guidance. mr. barr: thank you, senator toomey. i do think that it would be useful for for us to provide guidance to the banking sector about how to safely cus

it is hard to believe that big providers will provide transparency in europe and not the equivalent in the united states. i don't think that will be a tenable position to take and i think transparency is coming one way or another. >> so twitter and elon musk, it is interesting because part of me on twitter says i am a free marketer and it is a petri dish and we were talking about the blue check that meant something and now it means you paid twitter and so will that dissolve versus the service act where you had an element of regulation and the attempt to make something mean more usually slows down the process while people try to figure out how to gain whatever that is. we are getting an interesting clash in multiple venues of regulation versus all these things that are fundamental to at least around free speech in america. how do we, the global world view, and i appreciate you bringing europe in, making sure what we do doesn't tip the scales too hard and the whole thing breaks. >> i don't know that anyone knows the answer to that we are embarking on a great experiment both in europe and