0001|                       HOUSE JOINT MEMORIAL 21
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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|                            DANICE PICRAUX
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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 TO MAKE RECOMMENDATIONS THAT DEFINE REGIONS, 
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0013|     INFRASTRUCTURE AND OTHER NECESSARY ELEMENTS TO ALLOW REGIONAL
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0014|     PURCHASING OF PUBLICLY FUNDED HEALTH INSURANCE.
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0015|     
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0016|          WHEREAS, great variation exists in the state with regard
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0017|     to access to and delivery of health care services; and
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0018|          WHEREAS, different areas of the state have different
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0019|     service capacities and supplies; and
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0020|          WHEREAS, regionally based purchasing of publicly funded
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0021|     health insurance, including regionalization of the medicaid
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0022|     program, has been demonstrated in other states to control
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0023|     health care costs and stimulate more effective use of the
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0024|     health care marketplace; and 
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0025|          WHEREAS, in a formal study conducted by the nationally
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0001|     recognized Lewin consulting group for the New Mexico health
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0002|     policy commission, it was projected that regionally based
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0003|     purchasing of publicly funded health insurance could
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0004|     potentially control health care costs and stimulate more
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0005|     effective use of the health care marketplace in New Mexico; and
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0006|          WHEREAS, managed care has a limited penetration in many
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0007|     rural areas of the state; and
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0008|          WHEREAS, regionally based health care plans have the
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0009|     potential to better meet the needs of each regional area due to
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0010|     the knowledge and recommendations gained from community-based
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0011|     providers; and
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0012|          WHEREAS, conditions in many rural parts of the state,
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0013|     including the availability of health professionals,
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0014|     infrastructure and density, present unique challenges to the
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0015|     development of managed care; and
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0016|          WHEREAS, government is a major purchaser of health care in
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0017|     New Mexico, and as such changes in the state's method of
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0018|     purchasing publicly funded insurance may have significant
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0019|     effects throughout the state's entire health care delivery
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0020|     system;
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0021|          NOW, THEREFORE, BE IT RESOLVED BY THE LEGISLATURE OF THE
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0022|     STATE OF NEW MEXICO that the New Mexico health policy
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0023|     commission be requested to convene a task force to determine
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0024|     appropriate geographic regions in the state for health care
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0025|     delivery,  identify market conditions and infrastructure that
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0001|     will promote regionalization of health care delivery and
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0002|     clarify financial, quality assurance, certification, filing and
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0003|     reporting requirements and other provisions necessary to
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0004|     promote regionally based health care services purchased by
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0005|     publicly funded health insurance, including medicaid; and
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0006|          BE IT FURTHER RESOLVED that the New Mexico health policy
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0007|     commission include on the task force representatives of the
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0008|     department of health, the risk management division of the
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0009|     general services department, the public school insurance
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0010|     authority, the Albuquerque public school system, the department
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0011|     of insurance, the medical assistance division of the human
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0012|     services department, the retiree health care authority and
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0013|     representatives of health care providers, facilities and
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0014|     insurers; and
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0015|          BE IT FURTHER RESOLVED that a method be established to
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0016|     gather data and information to assess and monitor the impact of
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0017|     a regionally based purchasing strategy for publicly funded
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0018|     health care and its effects on the state's health delivery
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0019|     system, the insurance market and access to care for the
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0020|     uninsured; and
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0021|          BE IT FURTHER RESOLVED that a report of the findings and
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0022|     recommendations of the task force be presented to the
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0023|     appropriate interim legislative committee by September 30,
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0024|     1997; and 
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0025|          BE IT FURTHER RESOLVED that a copy of this memorial be
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0001|     sent to the secretaries of health, human services and general
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0002|     services, the superintendent of insurance, the chairs of the
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0003|     New Mexico health policy commission, the public school
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0004|     insurance authority and the retiree health care authority, the
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0005|     superintendent of the Albuquerque public schools and the
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0006|     governor.
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0007|                                                         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|                                               February 18, 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 CONSUMER AND PUBLIC 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 21
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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|                                                              Gary King, Chairman
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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 9  For 0  Against
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0019|   Yes:      9
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0020|             Excused:  Rios
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0021|             Absent:   None
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0022|   
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0023|   
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0024|   G:\BILLTEXT\BILLW_97\HJ021                       State of New Mexico
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0025|                      House of Representatives
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0001|   
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0002|                      FORTY-THIRD LEGISLATURE
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0003|                        FIRST SESSION, 1997
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0004|   
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0005|   
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0006|                                               February 25, 1997
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0007|   
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0008|   
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0009|   Mr. Speaker:
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0010|   
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0011|        Your APPROPRIATIONS AND FINANCE COMMITTEE, to
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0012|   whom has been referred
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0013|   
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0014|                   HOUSE JOINT MEMORIAL 21
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0015|                               
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0016|   has had it under consideration and reports same with
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0017|   recommendation that it DO PASS.
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0018|   
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0019|                                 Respectfully submitted,
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0020|   
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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|                                                              Max Coll, Chairman
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0001|   
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0002|   
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0003|   Adopted                          Not Adopted                     
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0004|    
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0005|             (Chief Clerk)                       (Chief Clerk)
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0006|   
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0007|                        Date             
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0008|   
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0009|   The roll call vote was 13  For 1  Against
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0010|   Yes:      13
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0011|             No:       Bird
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0012|             Excused:  Heaton, Wallace, Watchman
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0013|             Absent:   None
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0014|   
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0015|   
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0016|   G:\BILLTEXT\BILLW_97\HJ021  
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0017|   
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0018|                      FORTY-THIRD LEGISLATURE
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0019|                        FIRST SESSION, 1997
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0020|   
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0021|   
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0022|                                                  March 15, 1997
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0023|   
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0024|   Mr. President:
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0025|   
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0001|       Your PUBLIC AFFAIRS COMMITTEE, to whom has been
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0002|   referred
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0003|   
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0004|                      HOUSE JOINT MEMORIAL 21
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0005|   
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0006|   has had it under consideration and reports same with
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0007|   recommendation that it DO PASS.
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0008|   
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0009|                                Respectfully submitted,
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0010|   
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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|                                Shannon Robinson, Chairman 
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0016|   
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0017|   
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0018|   
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0019|   Adopted_______________________   Not
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0020|   Adopted_______________________
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0021|             (Chief Clerk)                          (Chief Clerk)
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0022|   
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0023|   
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0024|                     Date ________________________
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0025|   
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0001|   
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0002|   The roll call vote was  5  For  0  Against
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0003|           Yes:    5
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0004|           No:     0
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0005|   Excused: Adair, Ingle, Vernon, Smith
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0006|           Absent: None
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0007|   
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0008|   
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0009|   
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0010|   
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0011|   HJ021PA1
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