0001|                       HOUSE JOINT MEMORIAL 19
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0002|     43rd legislature - STATE OF NEW MEXICO - first session, 1997
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0003|                            INTRODUCED BY
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0004|                            J. PAUL TAYLOR
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0005|     
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0006|                                   
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0007|     
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0008|                 FOR THE HEALTH CARE REFORM COMMITTEE
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0009|     
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0010|                           A JOINT MEMORIAL
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0011|     REQUESTING THE NEW MEXICO HEALTH POLICY COMMISSION TO ESTABLISH
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0012|     A TASK FORCE IN COOPERATION WITH THE ASSOCIATION OF COUNTIES
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0013|     AND  THE DEPARTMENTS OF HEALTH AND INSURANCE TO MAKE
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0014|     RECOMMENDATIONS ON COUNTY INDIGENT HEALTH CARE PROGRAMS AND
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0015|     ADDRESS INSURANCE ACCESS ISSUES OF THE UNINSURED AND WORKING
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0016|     POOR.
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0017|     
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0018|          WHEREAS, it is the health policy of the state to assure
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0019|     access to needed health services regardless of financial
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0020|     status; and
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0021|          WHEREAS, great variation exists in eligibility standards,
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0022|     means testing, covered services and reimbursement methodologies
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0023|     among counties regarding use of indigent funds for health
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0024|     services; and
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0025|          WHEREAS, this variability contributes to apparent
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0001|     inequities in access to health care based on the county of
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0002|     residence; and
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0003|          WHEREAS, the counties and the state share responsibility
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0004|     for assuring access and availability of health care services to
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0005|     their residents; and
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0006|          WHEREAS, while the expansion of medicaid coverage to one
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0007|     hundred eighty-five percent of the federal poverty level for
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0008|     children has helped, working poor adults often remain
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0009|     uninsured; and
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0010|          WHEREAS, the implementation of welfare reform initiatives
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0011|     may exacerbate the problem, as individuals coming off welfare
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0012|     may enter low-paying jobs that provide no health insurance
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0013|     benefits;
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0014|          NOW, THEREFORE, BE IT RESOLVED BY THE LEGISLATURE OF THE
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0015|     STATE OF NEW MEXICO that the New Mexico health policy
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0016|     commission be requested to establish a task force in
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0017|     cooperation with the association of counties and the
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0018|     departments of health and insurance to make recommendations to
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0019|     expand health care access to indigent and working poor
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0020|     populations in New Mexico through the following:
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0021|               A.  identification of optimal uses of county
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0022|     indigent funds, including:
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0023|                    (1)  development of uniform minimum standards
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0024|     of eligibility, means testing and covered services;
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0025|                    (2)  development of standard methodologies and
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0001|     rates for claims paid;
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0002|                    (3)  sharing or consolidation of administrative
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0003|     functions, including technical expertise; and
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0004|                    (4)  identification of a mechanism to equalize
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0005|     county revenues to enable all counties to comply with the
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0006|     minimum eligibility and covered services standards;
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0007|               B.  making affordable insurance recommendations that
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0008|     consider:
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0009|                    (1)  decreasing risk segmentation;
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0010|                    (2)  improved risk pooling;
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0011|                    (3)  stop loss protections;
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0012|                    (4)  administrative simplification and a
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0013|     continuum of coverage;
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0014|                    (5)  graduated subsidies and potential revenue
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0015|     sources for the subsidies;
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0016|                    (6)  variable insurance products and choices;
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0017|     and
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0018|                    (7)  removal of costly insurance mandates;
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0019|               C.  identification of a mechanism for affordable
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0020|     insurance access that defines the population to be served and
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0021|     the responsibilities of the employee, employer and state; and
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0022|               D.  discovering any common ground that may exist
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0023|     between insurance coverage and indigent fund coverage of
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0024|     indigent and working poor persons; and
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0025|          BE IT FURTHER RESOLVED that the recommendations of this
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0001|     task force be presented to the appropriate interim legislative
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0002|     committee no later than September 1, 1997; and
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0003|          BE IT FURTHER RESOLVED that a copy of this memorial be
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0004|     sent to the chairman of the New Mexico health policy
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0005|     commission, the director of the association of counties, the
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0006|     secretary of health  and the superintendent of insurance.
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0007|                                - 4 -                       State of New Mexico
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0008|                      House of Representatives
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0009|   
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0010|                      FORTY-THIRD LEGISLATURE
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0011|                        FIRST SESSION, 1997
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0012|   
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0013|   
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0014|                                                   March 4, 1997
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0015|   
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0016|   
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0017|   Mr. Speaker:
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0018|   
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0019|        Your GOVERNMENT AND URBAN AFFAIRS COMMITTEE, to
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0020|   whom has been referred
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0021|   
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0022|                   HOUSE JOINT MEMORIAL 19
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0023|                               
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0024|   has had it under consideration and reports same with
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0025|   recommendation that it DO PASS, and thence referred to the
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0001|   APPROPRIATIONS AND FINANCE COMMITTEE.
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0002|   
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0003|                                 Respectfully submitted,
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0004|   
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0005|   
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0006|   
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0007|                                                                 
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0008|   
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0009|                                                              Lynda M. Lovejoy, Chairwoman
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0010|   
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0011|   
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0012|   Adopted                          Not Adopted                     
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0013|    
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0014|             (Chief Clerk)                       (Chief Clerk)
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0015|   
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0016|                        Date             
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0017|   
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0018|   The roll call vote was 5  For 2  Against
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0019|   Yes:      5
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0020|             No:       Pearce, Wallace
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0021|             Excused:  Hobbs
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0022|             Absent:   None
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0023|   
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0024|   
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0025|   G:\BILLTEXT\BILLW_97\HJ019                       State of New Mexico
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0001|                      House of Representatives
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0002|   
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0003|                      FORTY-THIRD LEGISLATURE
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0004|                        FIRST SESSION, 1997
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0005|   
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0006|   
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0007|                                                  March 10, 1997
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0008|   
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0009|   
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0010|   Mr. Speaker:
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0011|   
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0012|        Your APPROPRIATIONS AND FINANCE COMMITTEE, to
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0013|   whom has been referred
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0014|   
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0015|                   HOUSE JOINT MEMORIAL 19
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0016|                               
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0017|   has had it under consideration and reports same with
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0018|   recommendation that it DO PASS.
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0019|   
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0020|                                 Respectfully submitted,
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0021|   
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0022|   
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0023|   
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0024|                                                                 
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0025|   
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0001|                                                              Max Coll, Chairman
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0002|   
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0003|   
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0004|   Adopted                          Not Adopted                     
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0005|    
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0006|             (Chief Clerk)                       (Chief Clerk)
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0007|   
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0008|                        Date             
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0009|   
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0010|   The roll call vote was 8  For 4  Against
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0011|   Yes:      8
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0012|             No:       Buffett, Marquardt, Pearce, Wallace
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0013|             Excused:  Bird, Knowles, Picraux, Salazar, Townsend
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0014|             Absent:   None
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0015|   
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0016|   
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0017|   G:\BILLTEXT\BILLW_97\HJ019  
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0018|   
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0019|                      FORTY-THIRD LEGISLATURE
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0020|                        FIRST SESSION, 1997
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0021|   
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0022|   
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0023|                                                  March 18, 1997
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0024|   
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0025|   Mr. President:
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0001|   
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0002|       Your PUBLIC AFFAIRS COMMITTEE, to whom has been
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0003|   referred
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0004|   
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0005|                    HOUSE JOINT MEMORIAL 19
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0006|   
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0007|   has had it under consideration and reports same with
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0008|   recommendation that it DO PASS.
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0009|   
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0010|                                Respectfully submitted,
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0011|   
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0012|   
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0013|   
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0014|                                
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0015|   __________________________________
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0016|                                Shannon Robinson, Chairman 
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0017|   
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0018|   
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0019|   
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0020|   Adopted_______________________   Not
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0021|   Adopted_______________________
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0022|             (Chief Clerk)                          (Chief Clerk)
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0023|   
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0024|   
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0025|                     Date ________________________
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0001|   
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0002|   
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0003|   The roll call vote was  6  For  0  Against
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0004|           Yes:    6
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0005|           No:     0
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0006|                Excused:     Adair, Boitano
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0007|           Absent: None
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0008|   
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0009|   
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0010|   
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0011|   
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0012|   HJ019PA1
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