1 00:00:06,760 --> 00:00:12,000 Speaker 1: Welcome to Why Not Me? Embracing Autism and Mental Health Worldwide? 2 00:00:12,680 --> 00:00:20,200 Speaker 1: Hosted by Tony Mantor, broadcasting from the heart of Music City, USA, Nashville, Tennessee. 3 00:00:21,280 --> 00:00:25,360 Speaker 1: Join us as our guests share their raw, powerful stories. 4 00:00:25,880 --> 00:00:29,880 Speaker 1: Some will spark laughter, others will move you to tears. 5 00:00:30,880 --> 00:00:36,479 Speaker 1: These real life journeys inspire, connect and remind you that 6 00:00:36,520 --> 00:00:41,400 Speaker 1: you're never alone. We're igniting a global movement to empower 7 00:00:41,600 --> 00:00:46,640 Speaker 1: everyone to make a lasting difference by fostering deep awareness 8 00:00:47,120 --> 00:00:53,280 Speaker 1: on wavering acceptance, and profound understanding of autism and mental health. 9 00:00:53,680 --> 00:00:58,160 Speaker 1: Tune in, be inspired, and join us in transforming the world, 10 00:00:58,520 --> 00:01:05,360 Speaker 1: one story at a time. I'm hi, I'm Tony Mantur. 11 00:01:05,680 --> 00:01:10,720 Speaker 1: Welcome to Why Not Me? Embracing Autism and Mental Health Worldwide. 12 00:01:10,880 --> 00:01:15,720 Speaker 1: This is our special event crafting justice, empowering autism and 13 00:01:15,800 --> 00:01:20,040 Speaker 1: mental health through legislation. Joining us today is Iowa State 14 00:01:20,120 --> 00:01:24,320 Speaker 1: Representative And Meyer. She's a passionate advocate for health and 15 00:01:24,440 --> 00:01:28,240 Speaker 1: human services as a registered nurse and chair of the 16 00:01:28,240 --> 00:01:32,000 Speaker 1: Health and Human Services Committee in Iowa's House District eight. 17 00:01:32,480 --> 00:01:36,200 Speaker 1: Representative Meyer brings a wealth of experience to the table, 18 00:01:36,880 --> 00:01:41,640 Speaker 1: championing policies that support individuals with autism and mental health challenges. 19 00:01:42,240 --> 00:01:46,480 Speaker 1: She's here to share her expertise on crafting impactful legislation 20 00:01:46,880 --> 00:01:50,600 Speaker 1: and offer insights on how we can unite to support 21 00:01:51,000 --> 00:01:54,040 Speaker 1: those that are desperately in need of help. It's a 22 00:01:54,080 --> 00:01:56,680 Speaker 1: pleasure to have her join us. Thanks for coming on. 23 00:01:57,040 --> 00:02:01,360 Speaker 1: Sure my pleasure, Yes, mine as well. So I understand 24 00:02:01,640 --> 00:02:05,120 Speaker 1: that you are a huge mental health advocate. Could you 25 00:02:05,200 --> 00:02:06,400 Speaker 1: expand on that sum. 26 00:02:06,560 --> 00:02:09,760 Speaker 2: Yes, I am so. I originally ran for office back 27 00:02:09,800 --> 00:02:12,120 Speaker 2: in twenty eighteen. So my background is, I'm a nurse. 28 00:02:12,480 --> 00:02:14,960 Speaker 2: I worked for the community college. I taught at the 29 00:02:15,160 --> 00:02:18,320 Speaker 2: clinicals at the bedside in the local hospital. And I 30 00:02:18,360 --> 00:02:20,760 Speaker 2: complained to my state senator, who was a friend, that 31 00:02:20,840 --> 00:02:23,240 Speaker 2: I didn't like some of the things I saw in 32 00:02:23,280 --> 00:02:26,400 Speaker 2: the hospital as far as regulations and taking people away 33 00:02:26,400 --> 00:02:29,239 Speaker 2: from the bedside, and so he just suggested, well, maybe 34 00:02:29,320 --> 00:02:32,600 Speaker 2: you should run for Iowah House representatives. And I was like, no, 35 00:02:32,720 --> 00:02:34,920 Speaker 2: I'm not going to do that. I approached him again, 36 00:02:35,000 --> 00:02:37,600 Speaker 2: he said, well maybe you should run again, not addressing 37 00:02:37,600 --> 00:02:40,840 Speaker 2: my issue. So my background is not mental health care, 38 00:02:40,880 --> 00:02:43,760 Speaker 2: it is, you know, adult healthcare. But when I was 39 00:02:43,880 --> 00:02:47,200 Speaker 2: knocking on doors, you can't believe how many people I 40 00:02:47,280 --> 00:02:50,120 Speaker 2: ran into that would sit and talk for twenty or 41 00:02:50,160 --> 00:02:53,680 Speaker 2: twenty five thirty minutes to a stranger the situations they 42 00:02:53,680 --> 00:02:55,960 Speaker 2: were having in their family and how sad and dire 43 00:02:56,000 --> 00:02:58,080 Speaker 2: the situations were, and they didn't feel they were getting 44 00:02:58,160 --> 00:02:58,600 Speaker 2: enough help. 45 00:02:58,720 --> 00:03:01,240 Speaker 3: So, while I was still focused on healthcare. 46 00:03:00,800 --> 00:03:05,280 Speaker 2: That really became a major focus of my work in theatre. 47 00:03:05,480 --> 00:03:08,320 Speaker 1: Yes, it is amazing. I don't have anything to do 48 00:03:08,360 --> 00:03:11,280 Speaker 1: with autism or mental health. I knew nothing about it 49 00:03:11,360 --> 00:03:15,160 Speaker 1: until I started this podcast. The amount of people that 50 00:03:15,200 --> 00:03:18,639 Speaker 1: will come on and tell me their stories and their journeys, 51 00:03:18,919 --> 00:03:22,200 Speaker 1: Like you said to a stranger, it's pretty amazing. It 52 00:03:22,320 --> 00:03:24,399 Speaker 1: just goes to show you that what they're going through 53 00:03:24,440 --> 00:03:27,760 Speaker 1: and the issues they have is still not addressed. That's 54 00:03:27,800 --> 00:03:30,120 Speaker 1: why they're willing to come on a podcast like this 55 00:03:30,240 --> 00:03:33,440 Speaker 1: and talk about it. So when you got elected, what 56 00:03:33,480 --> 00:03:35,320 Speaker 1: was one of the first things that you tried to 57 00:03:35,360 --> 00:03:37,520 Speaker 1: do so that you could help those people out that 58 00:03:37,560 --> 00:03:38,120 Speaker 1: you had seen. 59 00:03:38,440 --> 00:03:41,280 Speaker 2: What I found from people reaching out is we just 60 00:03:41,320 --> 00:03:42,760 Speaker 2: don't have enough access to care. 61 00:03:42,960 --> 00:03:46,040 Speaker 3: I mean people were waiting. If you have a. 62 00:03:46,000 --> 00:03:49,320 Speaker 2: Mental health crisis, you can't wait six months for an appointment. 63 00:03:49,720 --> 00:03:52,880 Speaker 2: So you know, honestly, your first year in the legislature 64 00:03:53,120 --> 00:03:57,920 Speaker 2: is fast and confusing. My leadership changed at the end 65 00:03:57,960 --> 00:04:02,160 Speaker 2: of twenty nineteen. Our speaker, Speaker Pat Grassley, he had 66 00:04:02,160 --> 00:04:05,920 Speaker 2: a situation in his district and where he grew up, 67 00:04:05,960 --> 00:04:09,400 Speaker 2: where a high school coach was shot by a shot 68 00:04:09,440 --> 00:04:13,080 Speaker 2: and killed by one of his former students. This was 69 00:04:13,360 --> 00:04:16,240 Speaker 2: everything that I was talking about was well supported by 70 00:04:16,240 --> 00:04:20,400 Speaker 2: the Speaker. So twenty twenty nineteen and twenty twenty were 71 00:04:20,480 --> 00:04:23,839 Speaker 2: my That was my first term. Twenty twenty one, I 72 00:04:24,000 --> 00:04:27,480 Speaker 2: was named the chair of Human Resource, which was Human 73 00:04:27,520 --> 00:04:31,360 Speaker 2: Resources back then now it's Health and Human Services, same committee. 74 00:04:31,520 --> 00:04:34,400 Speaker 2: I started seriously talking to him about what we need 75 00:04:34,440 --> 00:04:36,920 Speaker 2: to do to address the mental health crisis, and he 76 00:04:37,120 --> 00:04:41,760 Speaker 2: was completely one hundred percent supportive, as was everyone in 77 00:04:41,800 --> 00:04:42,560 Speaker 2: the legislature. 78 00:04:42,560 --> 00:04:44,120 Speaker 3: Because there's not a district in. 79 00:04:44,080 --> 00:04:49,520 Speaker 2: Iowa that our representatives have not heard about problems, whether 80 00:04:49,560 --> 00:04:54,240 Speaker 2: it's from families, but more importantly through not more importantly, 81 00:04:54,279 --> 00:04:57,080 Speaker 2: no one's more important than the family, but law enforcement. 82 00:04:57,480 --> 00:05:00,479 Speaker 2: All of their time is a lot of their time 83 00:05:00,600 --> 00:05:04,760 Speaker 2: is consumed with addressing mental health issues every day, and 84 00:05:04,800 --> 00:05:07,560 Speaker 2: sometimes it's the same person every day. They get calls 85 00:05:07,640 --> 00:05:11,520 Speaker 2: for the staff in the emergency room. Patients were just 86 00:05:11,600 --> 00:05:14,559 Speaker 2: backed up in the hallways because there was no place 87 00:05:14,600 --> 00:05:15,120 Speaker 2: to there. 88 00:05:15,000 --> 00:05:17,960 Speaker 3: Were no beds open. We have a hospital right now. 89 00:05:18,120 --> 00:05:20,640 Speaker 2: We have a forty nine bed hospital here in Fort Dodge, 90 00:05:20,680 --> 00:05:25,080 Speaker 2: and we did have a mental health unit when I 91 00:05:25,279 --> 00:05:28,279 Speaker 2: was practicing that closed in two thousand and eight. 92 00:05:28,640 --> 00:05:31,040 Speaker 3: That turned out to be a big loss our area. 93 00:05:31,520 --> 00:05:36,120 Speaker 1: I have former House of Representatives Patrick Kennedy and Tim 94 00:05:36,200 --> 00:05:39,400 Speaker 1: Murphy that have joined me to be part of the series. 95 00:05:39,800 --> 00:05:43,320 Speaker 1: They have their ideas and thoughts on what they think 96 00:05:43,320 --> 00:05:46,960 Speaker 1: should happen to may change. Everyone has a different approach 97 00:05:47,000 --> 00:05:49,680 Speaker 1: on what they think needs to happen for change. What 98 00:05:49,720 --> 00:05:52,440 Speaker 1: are your thoughts on the fundamentals that need to be 99 00:05:52,560 --> 00:05:55,800 Speaker 1: done to make this change so the people that need 100 00:05:55,800 --> 00:05:57,960 Speaker 1: it can actually get the help. 101 00:05:58,120 --> 00:06:00,920 Speaker 2: I think the most important thing is access to care, 102 00:06:01,320 --> 00:06:03,960 Speaker 2: and I think that there's a lot of different levels 103 00:06:04,000 --> 00:06:07,560 Speaker 2: of that. I think the number one issue is increasing 104 00:06:07,640 --> 00:06:11,680 Speaker 2: our providers. We've got to have more people to provide 105 00:06:11,680 --> 00:06:15,400 Speaker 2: the care so the patients can get in to see them. 106 00:06:15,680 --> 00:06:16,159 Speaker 3: That's one. 107 00:06:16,640 --> 00:06:20,680 Speaker 2: Definitely, more providers. As much as people don't like to 108 00:06:20,760 --> 00:06:26,720 Speaker 2: hear that patients do need probably more than thirty days treatment. 109 00:06:27,120 --> 00:06:29,559 Speaker 2: There are people out there that do you can't cure 110 00:06:29,920 --> 00:06:34,279 Speaker 2: mental illness, especially severe cases, in thirty days and just 111 00:06:34,440 --> 00:06:37,560 Speaker 2: expect the problem to be taken care of. So the 112 00:06:37,600 --> 00:06:40,520 Speaker 2: first thing we worked on we did a package of 113 00:06:40,560 --> 00:06:43,560 Speaker 2: four things. Back in I believe it was twenty one. 114 00:06:44,080 --> 00:06:47,719 Speaker 2: We increase the amount of training for psychiatrists. Iowa was 115 00:06:47,800 --> 00:06:52,360 Speaker 2: one of the lowest ratio per capita for psychiatry, so 116 00:06:52,400 --> 00:06:56,000 Speaker 2: we at University of Iowa, which is our taxpayer funded 117 00:06:56,040 --> 00:07:02,520 Speaker 2: medical school, we added twelve residencies for psychiatry and we're 118 00:07:02,760 --> 00:07:06,200 Speaker 2: just you know, that was four years ago when I 119 00:07:06,200 --> 00:07:09,240 Speaker 2: think that legislation passed. We're just now getting up to 120 00:07:09,279 --> 00:07:12,200 Speaker 2: the point where we're starting to fill those residencies because 121 00:07:12,240 --> 00:07:14,720 Speaker 2: it takes so long to get the federal red tape 122 00:07:14,760 --> 00:07:18,920 Speaker 2: to approve a graduate medical residency, So those are filling 123 00:07:19,000 --> 00:07:21,800 Speaker 2: up again. Once you get into the residency, you're still 124 00:07:21,800 --> 00:07:24,440 Speaker 2: going to need three or four more years before we 125 00:07:24,480 --> 00:07:28,440 Speaker 2: start putting out the doctors. We increased the amount of 126 00:07:28,760 --> 00:07:31,520 Speaker 2: loan repayment because we want to make sure that if 127 00:07:31,560 --> 00:07:35,000 Speaker 2: someone graduates and they are willing to practice in Iowa 128 00:07:35,320 --> 00:07:40,240 Speaker 2: as a psychiatrist or even a therapist, we want to 129 00:07:40,240 --> 00:07:43,640 Speaker 2: make sure that we're giving them incentives to stay in Iowa. 130 00:07:43,920 --> 00:07:46,480 Speaker 2: I mean, you said, you live in Nashville and you've 131 00:07:46,520 --> 00:07:50,160 Speaker 2: got some pretty good attractions and some pretty good weather. 132 00:07:50,800 --> 00:07:51,239 Speaker 3: We don't. 133 00:07:51,400 --> 00:07:54,120 Speaker 2: I mean, we're in Iowa. Iowa is a great quality 134 00:07:54,160 --> 00:07:57,760 Speaker 2: of life. We you know, know traffic, but we do 135 00:07:57,840 --> 00:08:02,280 Speaker 2: have to provide financial incentives to recruit people and retain people. 136 00:08:02,840 --> 00:08:03,880 Speaker 3: So we did that. 137 00:08:04,320 --> 00:08:06,800 Speaker 1: So I'm originally from Maine and I was talking with 138 00:08:06,840 --> 00:08:09,040 Speaker 1: somebody just the other day and they said, that's a 139 00:08:09,080 --> 00:08:13,920 Speaker 1: psychiatry issue is tremendously lacking in Maine. Now, Maine has 140 00:08:14,080 --> 00:08:16,240 Speaker 1: kind of the same thing that they're a out of 141 00:08:16,280 --> 00:08:19,680 Speaker 1: the way state. They're more rural, not a lot of cities. 142 00:08:19,840 --> 00:08:22,160 Speaker 1: Sounds to me like you've got a similar situation there. 143 00:08:22,240 --> 00:08:25,360 Speaker 1: So that's one step in getting them to practice there. 144 00:08:25,560 --> 00:08:28,720 Speaker 1: What's the next step to make it really work so 145 00:08:28,760 --> 00:08:31,200 Speaker 1: that you can see that difference that you're putting into 146 00:08:31,320 --> 00:08:33,319 Speaker 1: it that's rewarding for everybody. 147 00:08:33,679 --> 00:08:37,760 Speaker 2: Well. Quality of life overall in Iowa is important. We 148 00:08:37,880 --> 00:08:41,079 Speaker 2: have lowered our income tax rate. We are now down 149 00:08:41,160 --> 00:08:43,960 Speaker 2: to a flat tax of three point eight, so that's. 150 00:08:44,000 --> 00:08:45,319 Speaker 3: More financial incentive. 151 00:08:45,520 --> 00:08:48,520 Speaker 2: The state invests a lot in the counties, especially the 152 00:08:48,559 --> 00:08:51,200 Speaker 2: county that I live in, not just especially. Other counties 153 00:08:51,240 --> 00:08:52,959 Speaker 2: are doing the same thing, but I can only speak 154 00:08:52,960 --> 00:08:56,320 Speaker 2: to my county. Webster County puts a lot of investment 155 00:08:56,400 --> 00:09:00,839 Speaker 2: into quality of life, you know, trails, outdoor activities for families, 156 00:09:01,240 --> 00:09:05,280 Speaker 2: indoor activities for families. But quality of life is very important. 157 00:09:05,360 --> 00:09:07,320 Speaker 2: So we talked about you know, we came from the 158 00:09:07,320 --> 00:09:11,360 Speaker 2: Detroit area and we lived fifteen to twenty miles from 159 00:09:11,400 --> 00:09:13,920 Speaker 2: both of my husband's hospitals, and he was driving an 160 00:09:13,960 --> 00:09:16,160 Speaker 2: hour and a half each way to and from work. 161 00:09:16,280 --> 00:09:17,599 Speaker 3: We don't have that here. 162 00:09:17,720 --> 00:09:20,000 Speaker 2: In Fort Dodge, which is a town of about twenty 163 00:09:20,040 --> 00:09:20,720 Speaker 2: six thousand. 164 00:09:21,080 --> 00:09:23,920 Speaker 3: I'm six minutes from the hospital here. My son was 165 00:09:23,920 --> 00:09:24,440 Speaker 3: in school. 166 00:09:24,760 --> 00:09:26,160 Speaker 2: He could leave in the middle of the day if 167 00:09:26,200 --> 00:09:28,440 Speaker 2: he wanted to for twenty minutes or a half hour 168 00:09:28,520 --> 00:09:31,640 Speaker 2: for a program. There was never a parent teacher conference 169 00:09:31,640 --> 00:09:35,160 Speaker 2: he had to miss. So that type of slower quality 170 00:09:35,160 --> 00:09:37,360 Speaker 2: of life I think is important. 171 00:09:37,640 --> 00:09:40,160 Speaker 1: I totally agree with you on the quality of life. 172 00:09:40,240 --> 00:09:43,280 Speaker 1: When you work in legislatures, it takes seems like the 173 00:09:43,320 --> 00:09:46,640 Speaker 1: clock ticks and nothing happens lots of times. How do 174 00:09:46,679 --> 00:09:49,679 Speaker 1: you speed that clock up so that some of the 175 00:09:49,720 --> 00:09:52,839 Speaker 1: things that you've put in place are a starting point 176 00:09:52,920 --> 00:09:54,959 Speaker 1: to help, but there are other things that you need 177 00:09:55,040 --> 00:09:58,600 Speaker 1: to do to open that door to broader things. So 178 00:09:58,640 --> 00:09:59,800 Speaker 1: how do you go about doing that? 179 00:10:00,200 --> 00:10:00,880 Speaker 3: It is a tour. 180 00:10:01,160 --> 00:10:06,120 Speaker 2: We introduced several good pieces of legislation, and I think 181 00:10:06,360 --> 00:10:09,480 Speaker 2: that you came to me through our in my opinion, 182 00:10:09,640 --> 00:10:12,959 Speaker 2: our number one mental health advocate in the state, if 183 00:10:13,000 --> 00:10:16,880 Speaker 2: not the country. She is always working for and she 184 00:10:16,960 --> 00:10:21,240 Speaker 2: works from personal experience because of the experiences she's had 185 00:10:21,240 --> 00:10:25,839 Speaker 2: with her son who is affected. She is literally tireless 186 00:10:26,040 --> 00:10:30,000 Speaker 2: and the best. We meet throughout the session, but when 187 00:10:30,000 --> 00:10:32,960 Speaker 2: we're meeting during the session, it is mostly just to 188 00:10:33,040 --> 00:10:36,160 Speaker 2: make sure we're reaching out to all of our members 189 00:10:36,320 --> 00:10:38,280 Speaker 2: to make sure they understand the legislation. 190 00:10:38,679 --> 00:10:40,160 Speaker 3: For instance, Ali. 191 00:10:39,960 --> 00:10:41,840 Speaker 2: Will tell you about a bill that I think could 192 00:10:41,880 --> 00:10:44,640 Speaker 2: have made a great deal of difference, and it passed 193 00:10:44,760 --> 00:10:46,319 Speaker 2: through the House unanimously. 194 00:10:46,720 --> 00:10:49,640 Speaker 3: If the Iowa House was ruling the world, it would 195 00:10:49,640 --> 00:10:50,040 Speaker 3: be great. 196 00:10:50,280 --> 00:10:53,839 Speaker 2: But we also have to work with the Senate, who 197 00:10:54,360 --> 00:10:58,680 Speaker 2: does not have my counterpart right now in the Senate, 198 00:10:58,840 --> 00:11:03,520 Speaker 2: and my counterpart last two assemblies in the Senate, I 199 00:11:03,559 --> 00:11:06,480 Speaker 2: did not have the healthcare experience, and I don't think 200 00:11:06,520 --> 00:11:09,440 Speaker 2: they had the issues in their family. So one piece 201 00:11:09,480 --> 00:11:12,559 Speaker 2: of legislation that I'll highlight that Leslie brought to us 202 00:11:12,600 --> 00:11:13,720 Speaker 2: this year was. 203 00:11:14,000 --> 00:11:15,480 Speaker 3: Something they're doing in other states. 204 00:11:15,480 --> 00:11:19,840 Speaker 2: It talks about after commitment, whether you're being committed for 205 00:11:20,240 --> 00:11:23,360 Speaker 2: mental health issues, that when you're committed, when it comes 206 00:11:23,360 --> 00:11:27,480 Speaker 2: down to commitment, remember it's a physician examination, it is 207 00:11:27,640 --> 00:11:32,520 Speaker 2: a court hearing, they're committed to a facility, and then 208 00:11:32,520 --> 00:11:33,439 Speaker 2: they're discharged. 209 00:11:33,800 --> 00:11:35,040 Speaker 3: I'm not saying that every. 210 00:11:34,800 --> 00:11:37,800 Speaker 2: Facility does this, and I especially don't think our state 211 00:11:37,840 --> 00:11:41,480 Speaker 2: facilities do this, but I have heard tell even in 212 00:11:41,480 --> 00:11:46,680 Speaker 2: my own town, that sometimes patients are just what we 213 00:11:46,760 --> 00:11:51,480 Speaker 2: call streeted after discharge, meaning they hand them their paperwork, 214 00:11:51,559 --> 00:11:54,160 Speaker 2: they hand them their phone numbers to call to make 215 00:11:54,200 --> 00:11:58,120 Speaker 2: follow up appointments, and there's no formal follow up to 216 00:11:58,200 --> 00:12:03,160 Speaker 2: actually make those appointments. This mandated that, this mandated everyone 217 00:12:03,160 --> 00:12:06,600 Speaker 2: who was discharged after a commitment was going to be 218 00:12:06,679 --> 00:12:12,520 Speaker 2: case managed either by our Medicaid program MCOs, which everyone 219 00:12:12,559 --> 00:12:16,000 Speaker 2: in MCO has a case manager, or our new behavior 220 00:12:16,040 --> 00:12:19,680 Speaker 2: Health system in the state, which that is supposed to 221 00:12:19,720 --> 00:12:22,360 Speaker 2: be coordinating care so everyone. 222 00:12:22,040 --> 00:12:25,120 Speaker 3: Throughout the state gets the same care. Past the House, 223 00:12:25,360 --> 00:12:26,360 Speaker 3: like I said, past. 224 00:12:26,160 --> 00:12:30,800 Speaker 2: Subcommittee past that regular Committee past. The House unanimously brought 225 00:12:30,800 --> 00:12:33,960 Speaker 2: it to the Senate. Talked to the Senator, He's like, yeah, 226 00:12:34,000 --> 00:12:36,319 Speaker 2: that does sound like a good idea. We made a 227 00:12:36,360 --> 00:12:40,000 Speaker 2: few changes to make it more palatable. We it initially 228 00:12:40,040 --> 00:12:44,400 Speaker 2: said also give them thirty days medication the hospitals, and 229 00:12:44,679 --> 00:12:47,160 Speaker 2: actually my husband told me we can't really discharge them 230 00:12:47,200 --> 00:12:50,200 Speaker 2: with that amount of medication because medications change. 231 00:12:50,520 --> 00:12:52,360 Speaker 1: So how did that affect the bill? 232 00:12:52,920 --> 00:12:54,800 Speaker 2: We actually took that part out because we do think 233 00:12:54,840 --> 00:12:58,800 Speaker 2: the case management is the most important part of follow 234 00:12:58,880 --> 00:13:01,280 Speaker 2: up care to make sure or that people can get 235 00:13:01,280 --> 00:13:03,959 Speaker 2: their medications, and medications can be paid for three they're 236 00:13:03,960 --> 00:13:06,600 Speaker 2: paid for by Medicaid, they're paid for it by private insurance, 237 00:13:06,640 --> 00:13:09,520 Speaker 2: and if they're not covered by either one of those, then. 238 00:13:09,640 --> 00:13:11,360 Speaker 3: That's when our state system kicks in. 239 00:13:11,679 --> 00:13:14,959 Speaker 2: Working with the Senate, as the Senator said, this would 240 00:13:14,960 --> 00:13:18,800 Speaker 2: be he likes it. We adjusted it to make it 241 00:13:18,840 --> 00:13:22,160 Speaker 2: more palatable, and it did not make it through their 242 00:13:22,640 --> 00:13:25,200 Speaker 2: what's called the legislative funnel over in the Senate. 243 00:13:25,679 --> 00:13:28,520 Speaker 3: So now I serve as the HHS Budget Chair. 244 00:13:28,840 --> 00:13:31,800 Speaker 2: If we have really good legislation that has been vetted 245 00:13:31,840 --> 00:13:34,760 Speaker 2: by the House and everyone agrees on, I would like 246 00:13:34,800 --> 00:13:37,520 Speaker 2: to put that legislation in our budget bill. And I 247 00:13:37,559 --> 00:13:40,599 Speaker 2: know everyone likes clean bills, but sometimes you need to 248 00:13:40,679 --> 00:13:43,200 Speaker 2: teck that kind of stuff on. It didn't make the 249 00:13:43,240 --> 00:13:47,000 Speaker 2: cut with my counterpart. And then there's a final bill 250 00:13:47,040 --> 00:13:51,240 Speaker 2: of the session. It's called standings and what people refer 251 00:13:51,360 --> 00:13:54,080 Speaker 2: to it as as a Christmas tree. Any policy that 252 00:13:54,120 --> 00:13:56,480 Speaker 2: didn't make it through, everyone wants to stick it in 253 00:13:56,520 --> 00:13:59,240 Speaker 2: the end of the years standings bill. I told my 254 00:13:59,320 --> 00:14:01,600 Speaker 2: leadership that was my number one priority is to get 255 00:14:01,600 --> 00:14:07,080 Speaker 2: that one bill through Standings, and because of whatever's going 256 00:14:07,080 --> 00:14:09,960 Speaker 2: on in the Iowa Senate right now, it didn't pass. 257 00:14:10,320 --> 00:14:12,480 Speaker 2: So the first year was introduced. A lot of bills 258 00:14:12,520 --> 00:14:14,679 Speaker 2: don't make it through on the first round. I will 259 00:14:14,960 --> 00:14:17,440 Speaker 2: go back and make that my first priority next year. 260 00:14:17,480 --> 00:14:20,240 Speaker 2: But I do think that follow up care is most 261 00:14:20,360 --> 00:14:23,320 Speaker 2: important thing when we're talking about patients. 262 00:14:23,640 --> 00:14:26,800 Speaker 1: When you run into people that don't understand because they 263 00:14:26,880 --> 00:14:30,280 Speaker 1: just don't have that lived experience, how do you gently 264 00:14:30,600 --> 00:14:34,120 Speaker 1: nudge them, twist their arm, whatever you need to do 265 00:14:34,320 --> 00:14:38,160 Speaker 1: to get them to understand that this bill is one 266 00:14:38,480 --> 00:14:42,800 Speaker 1: that not only covers your area, but it also covers 267 00:14:42,840 --> 00:14:46,520 Speaker 1: people in their area as well. If they can't get 268 00:14:46,600 --> 00:14:49,680 Speaker 1: that follow up healthcare they need. One of two things 269 00:14:49,760 --> 00:14:53,120 Speaker 1: is going to happen. Number one, they end up on 270 00:14:53,160 --> 00:14:57,920 Speaker 1: the street, or number two, they could end up incarcerated. Now, 271 00:14:58,120 --> 00:15:00,680 Speaker 1: if you look at just the sheer numbers, either one 272 00:15:00,680 --> 00:15:04,240 Speaker 1: of those things happen, it can cost the taxpayers millions 273 00:15:04,280 --> 00:15:07,120 Speaker 1: and millions of dollars. So why can't they just see 274 00:15:07,120 --> 00:15:10,240 Speaker 1: the numbers and then go from there to make this 275 00:15:10,280 --> 00:15:10,760 Speaker 1: thing right? 276 00:15:11,240 --> 00:15:14,000 Speaker 2: And that's exactly how I address it. When I can't 277 00:15:14,000 --> 00:15:17,600 Speaker 2: get the healthcare portion of it. I talk about their sheriffs, 278 00:15:17,640 --> 00:15:19,320 Speaker 2: and I talk about their law enforcement. 279 00:15:19,440 --> 00:15:20,600 Speaker 3: What are you hearing from them? 280 00:15:20,920 --> 00:15:23,600 Speaker 2: I try to have their law enforcement in their district 281 00:15:23,920 --> 00:15:25,480 Speaker 2: specifically reach out to them. 282 00:15:26,120 --> 00:15:28,480 Speaker 3: Just like you said, that's what we're looking at. 283 00:15:28,520 --> 00:15:32,680 Speaker 2: What would affect their lives, what would they consider important 284 00:15:32,720 --> 00:15:35,760 Speaker 2: to their constituents. I think the law enforcement part is 285 00:15:36,320 --> 00:15:38,200 Speaker 2: a big part of that, So I'll always. 286 00:15:37,840 --> 00:15:39,200 Speaker 3: Go toward that next. 287 00:15:39,480 --> 00:15:43,280 Speaker 2: And then back in twenty nineteen in Port Dodge, we 288 00:15:43,400 --> 00:15:48,840 Speaker 2: had a tragic incident. One of our Lutheran pastors, fabulous guys, 289 00:15:48,880 --> 00:15:53,440 Speaker 2: supported law enforcement. He was their chaplain for both fire 290 00:15:53,480 --> 00:15:56,840 Speaker 2: and police department, did ride alongs, tried to keep them. 291 00:15:57,120 --> 00:15:59,000 Speaker 3: His heart being in law enforcement. 292 00:15:59,200 --> 00:15:59,760 Speaker 1: Yeah, it is. 293 00:16:00,360 --> 00:16:03,240 Speaker 2: He was in his church. It was five in the afternoon, 294 00:16:03,920 --> 00:16:06,960 Speaker 2: the door was locked. Someone knocked on the door. He 295 00:16:07,040 --> 00:16:09,520 Speaker 2: went out and opened it and it was a man 296 00:16:09,680 --> 00:16:13,200 Speaker 2: who the police knew who murdered him with the hammer, 297 00:16:13,680 --> 00:16:17,240 Speaker 2: and he just a strong, strong person in our community. 298 00:16:17,560 --> 00:16:20,760 Speaker 2: The police knew based on the camera. They knew who 299 00:16:20,800 --> 00:16:23,000 Speaker 2: it was because there was a camera at the door. 300 00:16:23,400 --> 00:16:26,320 Speaker 2: They went right to his apartment and arrested him. This, 301 00:16:26,920 --> 00:16:31,200 Speaker 2: in my opinion, could have been prevented with and nothing 302 00:16:31,240 --> 00:16:34,960 Speaker 2: against the police officers, but this man couldn't get the 303 00:16:35,000 --> 00:16:38,000 Speaker 2: help that he needed. And his mom said, I have 304 00:16:38,120 --> 00:16:42,400 Speaker 2: been trying and trying to get help through the system 305 00:16:42,760 --> 00:16:46,880 Speaker 2: for years before twenty nineteen, and this was the outcome. 306 00:16:47,240 --> 00:16:50,560 Speaker 2: So that's what I try to impress on people who 307 00:16:50,640 --> 00:16:53,520 Speaker 2: are not in healthcare. I always try to adjust it 308 00:16:53,560 --> 00:16:56,720 Speaker 2: through the law enforcement system, because again, all of our 309 00:16:56,760 --> 00:16:57,680 Speaker 2: districts have. 310 00:16:57,760 --> 00:16:58,600 Speaker 3: Issues like this. 311 00:16:59,120 --> 00:17:02,280 Speaker 2: Maybe not that one severe, but there are severe issues 312 00:17:02,320 --> 00:17:04,320 Speaker 2: out there like that. So that's how I try to 313 00:17:04,480 --> 00:17:06,040 Speaker 2: put it in their perspective. 314 00:17:06,640 --> 00:17:09,359 Speaker 1: Yeah, that's tough. I'm sure that can be difficult to 315 00:17:09,400 --> 00:17:12,119 Speaker 1: get across. Now, what about homeless do you have a 316 00:17:12,119 --> 00:17:15,639 Speaker 1: lot of homeless in your area. It's my understanding that 317 00:17:15,840 --> 00:17:19,400 Speaker 1: a high percentage of homeless have mental illness happening. 318 00:17:19,640 --> 00:17:23,280 Speaker 3: Yes, we do in Fort Dodge. I really can only 319 00:17:23,280 --> 00:17:25,120 Speaker 3: speak for our area, and I'm. 320 00:17:24,920 --> 00:17:29,280 Speaker 2: Not sure how prevalent homelessness is in the more rural areas, 321 00:17:29,480 --> 00:17:32,679 Speaker 2: and remember Iowa is more of a rural state. But 322 00:17:33,000 --> 00:17:36,120 Speaker 2: in our town, we have a great homeless shelter. It's 323 00:17:36,200 --> 00:17:39,720 Speaker 2: run very well, but it has rules. What goes hand 324 00:17:39,760 --> 00:17:43,720 Speaker 2: in hand with mental illness is substance abuse, and those 325 00:17:43,840 --> 00:17:47,119 Speaker 2: rules are you can't drink, you can't use drugs in there. 326 00:17:47,200 --> 00:17:50,239 Speaker 2: And so they choose not to have that bed and 327 00:17:50,280 --> 00:17:53,800 Speaker 2: those meals and that support, they'll be on the street. 328 00:17:54,320 --> 00:17:55,720 Speaker 3: Yeah, we do have an issue with that. 329 00:17:56,280 --> 00:18:00,400 Speaker 1: Now, when you're dealing with legislation, you have a set 330 00:18:00,480 --> 00:18:04,040 Speaker 1: back like this, what becomes of it? You mentioned that 331 00:18:04,160 --> 00:18:07,160 Speaker 1: you were going to try to reintroduce it next year, 332 00:18:07,920 --> 00:18:10,879 Speaker 1: So is there any way to make that clock tick 333 00:18:11,119 --> 00:18:15,080 Speaker 1: a little faster? Like you said earlier, these people that 334 00:18:15,160 --> 00:18:19,320 Speaker 1: need help, they can't go months and months without some 335 00:18:19,400 --> 00:18:22,360 Speaker 1: sort of support. If they don't get that, they can 336 00:18:22,400 --> 00:18:27,280 Speaker 1: spiral downward, and unfortunately that's when bad things can happen. 337 00:18:27,880 --> 00:18:30,480 Speaker 1: We have to find some way to have a plan 338 00:18:30,600 --> 00:18:34,400 Speaker 1: B that will give them a cushion. What's the next steps? 339 00:18:34,800 --> 00:18:36,920 Speaker 1: How do we go about getting that done. 340 00:18:37,240 --> 00:18:39,399 Speaker 2: There's not a whole lot I can do over the 341 00:18:39,400 --> 00:18:43,399 Speaker 2: interim except work with the other legislators and have our 342 00:18:43,440 --> 00:18:46,560 Speaker 2: advocates work with the other legislators to make sure they 343 00:18:46,640 --> 00:18:50,720 Speaker 2: understand what the issue is. And it's rare that a 344 00:18:50,760 --> 00:18:53,840 Speaker 2: bill that is introduced in the same session makes it 345 00:18:53,880 --> 00:18:58,280 Speaker 2: out of that session. It takes some more education, and 346 00:18:58,320 --> 00:19:00,760 Speaker 2: we'll keep doing that and I will keep working on that. 347 00:19:01,080 --> 00:19:03,879 Speaker 2: Although I will say back when we started in twenty 348 00:19:04,160 --> 00:19:08,160 Speaker 2: twenty one, when we increased the residency programs. During that year, 349 00:19:08,200 --> 00:19:13,480 Speaker 2: we also increased intensive psychiatric care rates to encourage hospitals 350 00:19:13,520 --> 00:19:16,200 Speaker 2: to take more patients. We do have empty beds in 351 00:19:16,240 --> 00:19:19,239 Speaker 2: the hospital. We just hear from our hospitals that they 352 00:19:19,280 --> 00:19:21,800 Speaker 2: don't have the staff to take care of them. So 353 00:19:22,080 --> 00:19:24,480 Speaker 2: we've got to build that foundation up and which we are, 354 00:19:24,720 --> 00:19:26,240 Speaker 2: which we have been for years. 355 00:19:26,560 --> 00:19:26,959 Speaker 3: That's it. 356 00:19:27,080 --> 00:19:29,960 Speaker 2: I think it's just more education and across the actually 357 00:19:30,080 --> 00:19:31,280 Speaker 2: across the rotunda. 358 00:19:31,359 --> 00:19:33,640 Speaker 3: It was supported unanimously. 359 00:19:33,280 --> 00:19:36,200 Speaker 2: And I think the reason it was supported unanimously is 360 00:19:36,200 --> 00:19:39,959 Speaker 2: because everyone in our Chamber has heard of these issues, 361 00:19:39,960 --> 00:19:42,920 Speaker 2: whether it's from families, hospitals, or law enforcement. 362 00:19:43,119 --> 00:19:46,920 Speaker 3: It's just more education, more people talking about it. On 363 00:19:46,960 --> 00:19:50,200 Speaker 3: that same bill next year, what would you like. 364 00:19:50,160 --> 00:19:53,600 Speaker 1: To tell the listeners that you think is very important 365 00:19:53,840 --> 00:19:57,639 Speaker 1: that they hear and understand. The unfortunate part is you 366 00:19:57,720 --> 00:20:00,119 Speaker 1: have a lot of people out there that just do 367 00:20:00,119 --> 00:20:04,400 Speaker 1: not understand how our government works. Lots of times they 368 00:20:04,440 --> 00:20:07,600 Speaker 1: will think that our government isn't working, that you're not 369 00:20:07,680 --> 00:20:10,639 Speaker 1: doing anything, when in reality, you're doing everything that you 370 00:20:10,720 --> 00:20:14,240 Speaker 1: can to pass laws that can help those that need 371 00:20:14,240 --> 00:20:16,800 Speaker 1: the help. So what would you like to tell them 372 00:20:17,200 --> 00:20:20,160 Speaker 1: so they can understand the process of what you're trying 373 00:20:20,160 --> 00:20:22,800 Speaker 1: to do to help those that you represent. 374 00:20:23,240 --> 00:20:25,840 Speaker 2: I'd like to tell them to reach definitely, reach out 375 00:20:25,920 --> 00:20:30,439 Speaker 2: to your legislator who is in your district, who do 376 00:20:30,560 --> 00:20:33,919 Speaker 2: you have the relationship with, even going back before that, 377 00:20:34,000 --> 00:20:36,760 Speaker 2: if you've got any issues, even if you don't have 378 00:20:36,840 --> 00:20:41,000 Speaker 2: an issue, make a connection with your local legislator, because 379 00:20:41,240 --> 00:20:44,320 Speaker 2: I know in Iowa we're all very accessible. I'm assuming 380 00:20:44,600 --> 00:20:48,840 Speaker 2: in the Midwest region it's the same. Establish that relationship 381 00:20:48,960 --> 00:20:51,320 Speaker 2: and then when you address them with the problem, they 382 00:20:51,359 --> 00:20:54,159 Speaker 2: know who you are and they can speak to their 383 00:20:54,240 --> 00:20:57,719 Speaker 2: legislator about that, and they have better luck with that. 384 00:20:58,400 --> 00:21:01,880 Speaker 2: I also think it shouldn't be just a mass email 385 00:21:01,960 --> 00:21:04,600 Speaker 2: to all of the legislators. I think it should be 386 00:21:06,000 --> 00:21:08,280 Speaker 2: I think personal stories help the best. 387 00:21:08,720 --> 00:21:09,920 Speaker 3: I am always. 388 00:21:09,520 --> 00:21:12,760 Speaker 2: Willing to meet with constituents during the interim, So we 389 00:21:13,160 --> 00:21:17,879 Speaker 2: just finish our session yesterday morning at six point thirty. 390 00:21:18,400 --> 00:21:20,760 Speaker 2: This is a part time job. It is a full 391 00:21:20,800 --> 00:21:23,480 Speaker 2: time job for most of us. We meet all year 392 00:21:23,560 --> 00:21:27,880 Speaker 2: round with constituents. That's where our legislation comes from. Basically, 393 00:21:27,920 --> 00:21:30,560 Speaker 2: that's where they address the problems. If we can address 394 00:21:30,600 --> 00:21:33,720 Speaker 2: the problem in back channels with the department, you know, 395 00:21:34,520 --> 00:21:38,680 Speaker 2: change some rules or you know, without legislation, Yeah, we'd 396 00:21:38,680 --> 00:21:41,600 Speaker 2: love to do that. But when we try that and 397 00:21:41,640 --> 00:21:44,639 Speaker 2: it doesn't work, then we have to write legislation. I 398 00:21:44,640 --> 00:21:47,280 Speaker 2: think the most important thing is to develop a relationship 399 00:21:47,359 --> 00:21:50,320 Speaker 2: with your legislator, and even if you are approaching them 400 00:21:50,359 --> 00:21:53,640 Speaker 2: with a problem for the first time, make it personal, 401 00:21:54,240 --> 00:21:57,359 Speaker 2: share their personal stories. Not like Iowa, it just doesn't 402 00:21:57,359 --> 00:21:59,520 Speaker 2: have enough bedforst like patients. Well, we all know that 403 00:21:59,680 --> 00:22:02,600 Speaker 2: we don't have enough. So I think that personal reach 404 00:22:02,640 --> 00:22:06,600 Speaker 2: out is good. I think a zoom meeting, a phone call. 405 00:22:07,200 --> 00:22:09,920 Speaker 2: Those are the things you can do. I always tell 406 00:22:09,960 --> 00:22:13,760 Speaker 2: people my cell phone is what's on the legislative website. 407 00:22:13,800 --> 00:22:17,160 Speaker 2: You can call me anytime. I will always call you back. 408 00:22:17,480 --> 00:22:20,639 Speaker 1: I think that's really good. Now, when you get into 409 00:22:20,800 --> 00:22:26,320 Speaker 1: some states, in some areas, you have assistance gatekeepers, so 410 00:22:26,400 --> 00:22:31,000 Speaker 1: to speak, you never can get in contact with your representative. 411 00:22:31,520 --> 00:22:34,199 Speaker 1: So how do you get past that and how do 412 00:22:34,280 --> 00:22:37,359 Speaker 1: you do that so you can form that relationship? 413 00:22:38,200 --> 00:22:41,440 Speaker 2: Okay, As an Iowa legislator, we don't have any gatekeepers. 414 00:22:41,680 --> 00:22:46,719 Speaker 2: We have a clerk during session that schedules meetings for us. 415 00:22:46,960 --> 00:22:49,479 Speaker 2: When I say meetings, I mean legislative meetings, Like they 416 00:22:49,520 --> 00:22:51,919 Speaker 2: schedule our committees and our subcommittees, and they do that 417 00:22:52,040 --> 00:22:54,639 Speaker 2: kind of thing. They may write our newsletters. I always 418 00:22:54,640 --> 00:22:58,199 Speaker 2: write my own newsletter. Honestly, in Iowa, we don't have that. 419 00:22:58,400 --> 00:23:01,080 Speaker 2: I don't think they have that in a break. I'm 420 00:23:01,080 --> 00:23:06,360 Speaker 2: not sure about Illinois. I'm honestly not sure about other states. 421 00:23:06,400 --> 00:23:07,760 Speaker 3: You know, when you're full time. 422 00:23:07,800 --> 00:23:10,480 Speaker 2: I think in Michigan are they full time in Michigan 423 00:23:10,840 --> 00:23:14,360 Speaker 2: and they do have local offices, I think you can 424 00:23:14,400 --> 00:23:17,080 Speaker 2: still request a meeting or a phone call with that person. 425 00:23:17,400 --> 00:23:19,520 Speaker 3: Because we are the closest thing. 426 00:23:19,880 --> 00:23:24,800 Speaker 2: The local legislators, state and state reps and state senators. 427 00:23:25,119 --> 00:23:29,879 Speaker 2: We're the closest thing you can do starting the ball rolling. 428 00:23:30,520 --> 00:23:33,960 Speaker 1: Yeah, that makes total sense, because when you start talking 429 00:23:34,000 --> 00:23:37,600 Speaker 1: with the US representatives, House and senators. I've heard that 430 00:23:37,640 --> 00:23:39,160 Speaker 1: it can be a total nightmare. 431 00:23:39,800 --> 00:23:43,520 Speaker 2: That's the situation you were talking about. You don't talk 432 00:23:43,560 --> 00:23:48,520 Speaker 2: to your federal legislator. You talk to their subject expert 433 00:23:48,680 --> 00:23:50,679 Speaker 2: staff on that which I. 434 00:23:50,680 --> 00:23:53,040 Speaker 3: Don't mind that. I don't mind doing that, but I 435 00:23:53,080 --> 00:23:53,960 Speaker 3: want results. 436 00:23:54,440 --> 00:23:58,439 Speaker 2: Usually our local or our federal legislators in Iowa have 437 00:23:58,560 --> 00:24:01,919 Speaker 2: town halls all throughout out the state, so if you 438 00:24:02,000 --> 00:24:04,440 Speaker 2: really need to reach out to them, and what honestly, 439 00:24:04,480 --> 00:24:06,719 Speaker 2: they will probably do. They do have a lot more 440 00:24:06,800 --> 00:24:09,199 Speaker 2: constituents to take care of. They'll say, Okay, I'm going 441 00:24:09,240 --> 00:24:12,760 Speaker 2: to give you to Mike. He is my health and 442 00:24:12,840 --> 00:24:16,639 Speaker 2: human services policy experts. Give him your information and he 443 00:24:16,720 --> 00:24:18,920 Speaker 2: will get back to you with the information. 444 00:24:19,400 --> 00:24:23,160 Speaker 3: Another thing about Iowa state legislator, I will say, we 445 00:24:23,200 --> 00:24:24,719 Speaker 3: do write a lot of bills. 446 00:24:25,160 --> 00:24:28,320 Speaker 2: They most of them don't make it over the finish line. 447 00:24:28,720 --> 00:24:32,160 Speaker 2: But our year is filled with constituent work. I think 448 00:24:32,280 --> 00:24:35,800 Speaker 2: that's the most important work we do. Is constituent work. 449 00:24:35,840 --> 00:24:38,760 Speaker 2: If you are having a problem with getting your mental 450 00:24:38,760 --> 00:24:44,159 Speaker 2: health services covered by Medicaid or anything stayed insured, we 451 00:24:44,200 --> 00:24:47,520 Speaker 2: would be your first person to call and help with that. 452 00:24:48,000 --> 00:24:53,080 Speaker 1: Well, this has been great, tremendous information, great conversation. I 453 00:24:53,160 --> 00:24:56,600 Speaker 1: really enjoyed it. Thanks for taking time to be on 454 00:24:56,640 --> 00:24:57,399 Speaker 1: our show today. 455 00:24:57,800 --> 00:25:00,000 Speaker 3: I appreciate that. I appreciate you getting the word out 456 00:25:00,200 --> 00:25:02,040 Speaker 3: to everyone. It's my pleasure. 457 00:25:02,200 --> 00:25:11,760 Speaker 1: Thank you, It's been my pleasure. Thanks again. Thanks for 458 00:25:11,840 --> 00:25:14,560 Speaker 1: taking time out of your busy schedule to listen to 459 00:25:14,600 --> 00:25:18,320 Speaker 1: our show today. We hope you enjoyed it as much 460 00:25:18,359 --> 00:25:21,919 Speaker 1: as we enjoyed bringing it to you. If you know 461 00:25:22,080 --> 00:25:25,359 Speaker 1: someone who has a story to share, tell them to 462 00:25:25,440 --> 00:25:31,320 Speaker 1: contact us at whyomt World. One last thing, Spread the 463 00:25:31,320 --> 00:25:36,920 Speaker 1: word about why Not Me, our conversations, our inspiring guests, 464 00:25:37,359 --> 00:25:41,080 Speaker 1: the show. You are not alone in this world.