.

>>> COMING UP NEXT ON "ARIZONA HORIZON" THE LEGAL ASPECTS OF PRESIDENT TRUMP DEPLOYING U.S. MARINES IN RESPONSE TO IMMIGRATION PROTESTS IN LOS ANGELES.

ALSO TONIGHT NEW RULES RAISE STANDARDS FOR ARIZONA'S ASSISTED LIVING FACILITIES SERVING DEMENTIA PATIENTS.

AND A NONPROFIT HELPING THE VALLEY'S HOMELESS OPENS A NEW MEDICAL RESPITE CENTER.

THOSE STORIES AND MORE NEXT ON "ARIZONA HORIZON."

>>> GOOD EVENING WELCOME TO "ARIZONA HORIZON" I'M TED SIMONS.

A BATTALION OF 700 MARINES IS BEING MOBILIZED TO DEPLOY TO LOS ANGELES THAT'S ACCORDING TO DEFENSE DEPARTMENT OFFICIALS WHO SAY THAT THE ACTIVE DUTY TROOPS ARE NEEDED TO GUARD FEDERAL PROPERTY FROM IMMIGRATION PROTESTORS.

THOSE DUTIES ARE CURRENTLY BEING CARRIED OUT BY CALIFORNIA'S NATIONAL GUARD.

INDEED THE GUARD WAS CALLED UP BY THE PRESIDENT OVER THE OBJECTIONS OF THE STATE'S GOVERNOR WHICH LED TO THE STATE FILING A LAWSUIT TODAY AGAINST THE PRESIDENT.

A SUIT WILL ASK A FEDERAL COURT TO SET ASIDE THE PRESIDENT'S MOVE TO FEDERALIZE AND THUS TAKE CONTROL OF THE CALIFORNIA NATIONAL GUARD AND IN RESPONSE TO IMMIGRATION PROTESTS IN LOS ANGELES, THOSE PROTESTS WERE IN RESPONSE TO AN IMMIGRATION ENFORCEMENT RAID.

THE MAYOR OF LOS ANGELES TODAY SAID THAT NONE OF THIS NEEDED TO HAPPEN.

>> WHY WERE THERE RAIDS?

YOU KNOW WE HAVE BEEN TOLD THAT HE WAS GOING TO GO AFTER VIOLENT CRIMINALS?

IT WASN'T A DRUG DEN, IT WAS A HOME DEPOT IT WAS PLACES WHERE PEOPLE ARE WORKING.

SO WHAT WAS THE POINT OF DOING THIS?

AND THEN KNOWING THAT IN A CITY LIKE LOS ANGELES, AND WE HAD TALKED ABOUT THIS FOR A LONG TIME, THAT HAS A VERY SOPHISTICATED LONG-TERM IMMIGRANT RIGHTS ORGANIZATIONS AND INSTITUTIONS, THAT IF THESE RANDOM RAIDS WERE GOING TO HAPPEN, THEN THERE WAS GOING TO BE THE DANGER OF A BACKLASH AND YOU ADD ONTO THAT THE NATIONAL GUARD, AND IT FELT LIKE FUEL FOR A FIRE THAT WAS UNNECESSARY.

>> WE WILL HAVE MUCH MORE ON THE LEGAL ASPECTS OF THE PRESIDENT'S ACTIONS IN JUST A MOMENT.

>>> OTHER HEADLINES PRESIDENT TRUMP'S NEW TRAVEL BAN TOOK AFFECT TODAY.

CITIZENS FROM A DOZEN COUNTRIES MOSTLY FROM AFRICA AND THE MIDDLE EAST ARE NOW BARRED FROM TRAVELING TO THE U.S.

THE PRESIDENT'S ORDER ACCUSED MANY OF THE COUNTRY'S ON THE LIST OF EXPLOITING THE U.S. VISA SYSTEM AND FAILING TO COOPERATE ON DEPORTATIONS.

NOTE A TRAVEL BAN DOES NOT APPLY TO THOSE WITH VISAS WHO ARE ALREADY IN THE COUNTRY OTHER EXCEPTIONS INCLUDING GREEN CARDHOLDERS, DUAL CITIZENS AND ATHLETES PARTICIPATING IN MAJOR SPORTING EVENTS.

>>> ECONOMIC NOTE U.S. IMPORTS FROM CHINA DROPPED MORE THAN 20% LAST MONTH THAT'S A STEEPEST DROP SINCE THE START OF THE PANDEMIC.

THE NUMBERS REFLECT PRESIDENT TRUMP'S INITIAL 145% TARIFFS ON GOODS FROM CHINA AND ARE NOT INDICATIVE OF A 90 DAY PAUSE ON THOSE TARIFFS THAT WAS QUICKLY ENACTED.

STILL, PORTS ON THE WEST COAST SAW SIGNIFICANT DECLINES IN SHIPPING LAST MONTH WITH ACTIVITY IN L.A., LONG BEACH AND TACOMA, WASHINGTON DOWN BETWEEN 18% TO 26%.

>>> AND MUSICIAN SLY STONE HAS DIED.

STONE WAS A CHARISMATIC AND GROUNDBREAKING FRONT MAN FOR SLY AND THE FAMILY STONE WHICH TRANSFORMED POP MUSIC IN THE SCHIZ AND 70s WITH A -- 60s AND 70s WITH SPARE THED MIX OF ROCK, JAZZ AND SOUL AND EARLY CARNATIONS OF FUNK ALL BY THE MAJOR ACT TO INCLUDE BLACK AND WHITE, MEN AND WOMEN.

SLY STONE'S INFLUENCE RANGED FROM PRINCE TO GEORGE CLINTON TO ANY NUMBER OF RAP AND HIP-HOP ARTISTS.

SLY STONE DEAD AT 92.

>>> AS WE MENTIONED THE TRUMP ADMINISTRATION IS MOBILIZING AN EXPECTED TO DEPLOY U.S. MARINES TO THE STREETS OF LOS ANGELES IN RESPONSE TO IMMIGRATION PROTESTS.

THIS FOLLOWS THE PRESIDENT'S CALLING UP OF THE CALIFORNIA NATIONAL GUARD AGAINST THE WISHES OF THE STATE'S GOVERNOR.

ALL OF WHICH RAISES ALL SORTS OF LEGAL QUESTIONS.

JOINING US NOW IS STEPHEN MONTOYA PARTNER OF MONTOYA PASTOR.

I KNOW THE NATIONAL GUARD THING IS FASCINATING FROM A CONSTITUTIONAL ASPECT, FROM LONG AGO AND WE WERE TALKING BEFOREHAND ABOUT THIS.

BUT THIS BUSINESS OF CALLING UP ACTIVE DUTY TROOPS CAN THE PRESIDENT CALL UP FEDERAL TROOPS ON U.S.

SOIL?

>> YES BUT, HE HAS TO USE THE RIGHT LAW AND AS OF LAST NIGHT, HE WASN'T USING THE RIGHT LAW HE WAS USING TITLE 10 OF THE UNITED STATES CODE, SECTION 12406 WHICH ONLY AUTHORIZES HIM TO CALL OUT THE NATIONAL GUARD AND MOREOVER, ONCE HE DOES CALL OUT THE NATIONAL GUARD, EVERYTHING GOES THROUGH THE GOVERNORS OF THE STATES, OR IN THE CASE OF THE DISTRICT OF COLUMBIA, THROUGH THE COMMANDING GENERAL OF THE NATIONAL GUARD OF THE DISTRICT OF COLUMBIA.

THAT DIDN'T HAPPEN IN THIS CASE.

CALLING OUT THE MARINES, THE MARINES ARE NOT THE NATIONAL GUARD.

MOREOVER, HE'S HIS GENERALS OR SOMEBODY ELSE'S IN CHARGE OF THE NATIONAL GUARD NOT THE GOVERNOR OF CALIFORNIA THAT ALSO VIOLATES THE LETTER OF THIS LAW.

HOWEVER, THERE'S ANOTHER LAW, A MORE FAMOUS LAW, OR A MORE INFAMOUS LAW DEPENDING UPON YOUR PERSPECTIVE, AND THAT'S THE SO-CALLED INSURRECTION ACTS UNDER THE INSURRECTION ACTS PRESIDENT TRUMP CAN, DOESN'T NEED THE GOVERNOR'S PERMISSION AND IN FACT, FEDERAL AUTHORITIES WOULD BE IN CHARGE OF EITHER THE NATIONAL GUARD OR SOME OTHER ARMED FORCES WHICH WOULD INCLUDE THE MARINES.

>> OK. >> BUT HE HASN'T INCITED INSURRECTION ACT.

>> I WANT TO GET BACK TO THE MARINES REAL QUICKLY HERE.

I'M OLD ENOUGH TO REMEMBER WHEN LATE NIGHT TALK SHOWS WOULD TALK ABOUT -- HOW THE GOVERNMENT WAS READY SO SEND IN TROOPS TO TALK OVER'S RIGHTS JUST -- TAKE OVER EVERYONE'S RIGHTS AND TRAMPLE OVER EVERYONE AND INDEED.

>> COUNCIL FOR FOREIGN RELATIONS THEY ALL RAN TOGETHER.

THOSE ARE BACK IN THE DAY.

THIS IS THE REAL THING RIGHT NOW.

HOW DOES THAT LAW APPLY TO THE PRESIDENT PUTTING ACTIVE DUTY U.S. MARINES IN AN AMERICAN CITY?

>> WELL, HONESTLY, IT REALLY DOESN'T.

THE POSSE COMATAUD A, S LAW OF 1878 IS A FASCINATING AS THE YEAR SUGGESTS 1878, IT WAS PASSED RIGHT AFTER RECONSTRUCTION WHEN THE SOUTH WAS SUCCESSFULLY RIDDING ITSELF OF THE UNION ARMY THAT WAS MAKING SURE THE LAWS, INCLUDING THE 13th AND 14th AMENDMENT WERE FAIRLY ENFORCED.

BUT PART OF THE COMPROMISE OF 1877, ACTUALLY, REQUIRED THE FEDERAL TROOPS TO LEAVE THE SOUTH, AND THAT'S WHY THAT LAW WAS PASSED.

BUT THAT LAW WAS TRUE EVEN BEFORE.

THE PRINCIPLE WAS TRUE EVEN BEFORE IT WAS PASSED.

THAT THE UNITED STATES MILITARY COULD NOT ACT AS LAW ENFORCEMENT OFFICERS.

AND THAT GOES ALL THE WAY BACK TO THE REVOLUTIONARY PERIOD.

REMEMBER, TED, THE AMERICAN REVOLUTION WAS INITIATED IN PART PROTESTING A STANDING ARMY.

THE STANDING ARMY OF KING GEORGE THAT OCCUPIED THE 13 COLONIES, RIGHT?

>> UH-HUH.

>> SO THE COLDIST INS WERE VERY COLONYISTS WERE VERY DISTRUSTFUL AND SO WERE THE FOUNDING FATHERS AND THAT'S WHY EVEN THOUGH THE CONSTITUTION ITSELF AUTHORIZES CALLING UP THE MILITIA IN CASES OF INSURRECTION, THERE WERE CERTAIN VERY, VERY STRINGENT PROCEDURAL SAFEGUARDS REQUIRED.

FIRST OF ALL, ONLY CONGRESS COULD CALL UP THE MILITIA, WHICH AND COMMANDED THE MILITIA WHICH WOULD BE TRANSFERRED TO THE PRESIDENT.

BUT BEFORE IT WAS TRANSFERRED TO THE PRESIDENT EITHER AN ASSOCIATE JUSTICE OF THE SUPREME COURT OR A FEDERAL DISTRICT COURT JUDGE HAD TO CERTIFY THAT IN FACT IT WAS AN EMERGENCY.

SO ALL THREE BRANCHES OF GOVERNMENT HAD TO PARTICIPATE IN CALLING FOURTH THE MILITIA UNDER THE FIRST MILITIA ACT WHICH LATER MORPHED INTO THE INSURRECTION ACT.

>> OK, I'M NOT REMEMBERING AND I'M NOT SEEING ANY REPORTS OF THAT HAPPENING IT.

>> DIDN'T HAPPEN.

IT DIDN'T HAPPEN BECAUSE THAT LAW ACTUALLY THE FOUNDERS, THE FOUNDING GENERATION WERE SO SUSPICIOUS OF STANDING ARMIES AND THE STANDING MILITIA THAT THE LAW AUTOMATICALLY EXPIRED AFTER THE PASSAGE OF THREE YEARS.

AFTER GENERAL WASHINGTON WHO WAS -- PRESIDENT WASHINGTON, WHO ACTUALLY PRESIDED OVER THE DIFFERENT CALLING OUT OF THE MILITIA, AFTER HE DID HIS WORK IN QUASHING THE WHISKEY REBELLION WITHOUT FIRING A SHOT, HE ACTUALLY DISMISSED THE MILITIA EARLY AND IT WAS PASSED AGAIN IN 1795.

IN 1795 LAW, LIKE THE PRESENT LAW, DIDN'T HAVE THOSE PROCEDURAL SAFEGUARDS TO MAKE SURE THAT IT STAYED IN THE RIGHT LANE.

>> OK, IF YOU'RE NOT IN THE RIGHT LANE, AND CALIFORNIA'S GOVERNOR AND ATTORNEY GENERAL BOTH SAY THAT THE PRESIDENT WAS NOT IN THE RIGHT LANE, IN CALLING UP THE NATIONAL GUARD OVER THE GOVERNOR'S OBJECTIONS, THEY FILED A LAWSUIT DO THEY HAVE A CASE?

>> I THINK THEY DO HAVE A CASE.

IT'S A DIFFICULT CASE THOUGH BECAUSE EVEN THOUGH, AND IT DEPENDS UPON HOW THE UNITED STATES ANSWERS THE CASE.

REALLY, BECAUSE THE INSURRECTION THE INSURRECTION LAW IS PRESENTLY CONSTITUTED ALLOWS CALLING UP THE ARMED FORCES OF THE UNITED STATES RATHER THAN MERELY THE NATIONAL GUARD, WHICH IS THE SUCCESSOR TO THE MILITIAS, BECAUSE INSURRECTION ACT ALLOWS THAT, REALLY PRESIDENT TRUMP DID WHAT HE COULD DO.

THERE'S A LONG TRADITION OF THAT THAT PEOPLE HAVE FORGOTTEN ABOUT THAT.

PRESIDENT EISENHOWER, FEDERALIZED THE NATIONAL GUARD AND ACTUALLY THE ARMY FLEW INTO LITTLE ROCK TO MAKE SURE INTEGRATION UNDER BROWN VERSUS BOARD OF EDUCATION WAS EESKTIATED IT'S HAPPENED OVER AND -- EFFECTUATED.

IT HAPPENED IN THE LATE 1990s, REMEMBER EUGENE DEBS THE FAMOUS LABORER ACTIVIST THEY CALLED OUT THE ARMY TO TAKE CARE OF ONE OF THE PROTESTS HE LED AND GUESS, WHAT IT WAS AFFIRMED BY THE SUPREME COURT.

>> OK, BUT IN THIS CASE, DOES THE PRESIDENT HAVE TO TROUGH THE ADMINISTRATION THE DEFENSE DEPARTMENT HAVE TO PROVE A, THERE'S AN INSURRECTION, B THAT IT'S AN EMERGENCY, C, THAT IT'S AN INVASION THOSE ARE THE WORDS THAT THE ADMINISTRATION KEEPS USING TO JUSTIFY THESE KIND OF ACTIONS?

>> WELL, ALL HE HAS TO DO IS -- WELL, UNDER THE INSURRECTION ACT, IF HE CITES THE INSURRECTION ACT IN DEFENSE OF WHAT HE DID, ALL HE HAS TO DO IS PROVE THAT UNLAWFUL OBSTRUCTIONS MAKE IT IMPRACTICABLE TO ENFORCE THE LAWS OF THE UNITED STATES.

AN UNLAWFUL OBSTRUCTION IS NOT AN INSURRECTION, IT'S NOT AN INVASION.

ACTUALLY, IT'S ILL DEFINED THAT'S ONE OF THE PROBLEMS WITH THIS LAW IT.

>> COULD BE DEFINED AS KEEPING I.C.E.

AGENTS FROM DOING THEIR JOB?

>> YES, OR ATTACKING FEDERAL BUILDINGS, OR ATTACKING FEDERAL PROPERTY.

THOSE ARE VERY SERIOUS FELONIES BY ANYBODY'S ESTIMATION WHETHER OR NOT YOU NEED THE UNITED STATES MARINES TO ACT AS THE POLICE FORCE IN THAT CONTEXT IS A COMPLETELY DIFFERENT MATTER.

>> WOW, ALL RIGHT, HOLY SMOKES WE COULD GO ON ALL DAY ABOUT THIS BECAUSE THIS -- IT'S FASCINATING HISTORICAL ASPECTS ARE FASCINATE WE DON'T EVEN KNOW WHAT'S GOING TO HAPPEN AS FAR AS LOS ANGELES IS CONCERNED AND OTHER CITIES THE CITY IS TALKING ABOUT GETTING NATIONAL GUARDS FROM OTHER STATES TO COME OVER TO LOS ANGELES.

>> HE IS.

I THINK WHAT'S IMPORTANT TO REMEMBER IS USING THE MILITARY TO ENFORCE DOMESTIC LAW IS A STRIDE IN THE DIRECTION OF A POLICE STATE.

THAT'S WHY THE FOUNDING FATHERS WERE AGAINST IT.

>> DAVID MONTOYA, PARTNER THERE, FRIEND HERE.

GOOD TO HAVE YOU HERE.

>> THANK YOU, SIR.

THANK YOU.

>>> THIS IS VERY EXCITING.

>> ON FINDING YOUR ROOTS ACTOR NAGIN LANE IT.

>> MAKES ME WANT TO HAVE A PARTY.

>> IT'S A REAL REIMAGINING OF SELF.

>> DRAMATIC STORIES FROM IRELAND.

>> THEY WERE KICKING THEM OUT.

>> I DIDN'T KNOW ANY OF THIS.

>> AND THE STARTLING DISCOVERY.

>> THAT IS YOUR GRAND PAPPY.

>> WOW THE FACT THAT YOU HAVE GONE BACK THIS FAR IS OVERWHELMING.

TUESDAY NIGHT AT 7:00 ON ARIZONA PBS.

>>> NEW RULES WILL BE GOING INTO PLACE NEXT MONTH RULES THAT WILL RAISE STANDARDS OF CARE AT ASSISTED LIVING IN ITS ARIZONA.

THE REGULATIONS ARE DESIGNED TO PROTECT PATIENTS WITH DEMENTIA.

TO LEARN MORE WE WELCOME CAITLIN McGLADE A DATA REPORTER AT THE ARIZONA REPUBLICAN AND AZCENTRAL.COM.

GOOD TO SEE YOU AGAIN THANK YOU FOR JOINING US.

>> THANK YOU FOR HAVING ME.

>> THIS IS BASICALLY HAPPENING BECAUSE OF YOUR REPORTING THERE AT AZ CENTRAL.

GREAT JOB THERE.

LET'S TALK ABOUT WHY THESE RULES WERE NEEDED AND WHAT NOW THESE RULES WILL ACCOMPLISH?

HOPEFULLY.

>> THERE IS A WIDESPREAD ISSUE IN THE ASSISTED LIVING INDUSTRY THAT MEMORY CARE IS A BIT OF A MARKETING TERM.

SO, FACILITIES CAN SAY WE OFFER MEMORY CARE FOR, WHICH IS ESSENTIALLY ENHANCED CARE FOR PEOPLE WITH DEMENTIA AND THEY CAN CHARGE A LOT MORE MONEY.

IF THEY SAY THEY OFFER MEMORY CARE BUT THERE'S NO STANDARDS THAT DEFINE WHAT MEMORY CARE IS.

DEPENDING ON WHERE YOU GO YOU WILL GET VERY DIFFERENT RESULTS.

>> SO BASICALLY, IT SOUNDS LIKE THESE NEW RULES WE ARE TALKING MANDATED INCREASED TRAINING FOR CAREGIVERS, SPECIFICALLY THOSE FOR DEMENTIA CARE.

>> UH-HUH.

>> WHAT DOES THAT MEAN INCREASED TRAINING?

WAS THERE NOT ENOUGH TRAINING BEFORE?

WAS THERE ANY TRAINING BEFORE?

>> THERE WAS VERY LITTLE TRAINING WHEN IT CAME TO ACTUALLY WORKING WITH PEOPLE WITH DEMENTIA.

EVEN THOUGH A LOT OF PEOPLE WHO LIVE IN ASSISTED LIVING HAVE DEMENTIA, THE DEMENTIA-SPECIFIC TRAINING IS PRETTY MINIMAL FOR CAREGIVERS.

SO WHAT YOU WOUND UP HAVING IS EMPLOYEES WHO DON'T REALLY KNOW HOW TO MANAGE REALLY DIFFICULT BEHAVIORS OR FACILITIES THAT, THAT LIKE ONE CAREGIVER ACTUALLY SPEAKING IN FAVOR OF REFORM SAID THAT A LOT OF WHAT HAPPENS IS THAT STAFF IF THEY'RE NOT TRAINED MIGHT MISINTERPRET SOMETHING A DEMENTIA PATIENT DOES AND THEN PUNISH THEM FOR IT.

TAKE AWAY THEIR FOOD OR CREATE SITUATIONS THAT CAUSE THE RESIDENT TO BE VERY STRESSED OUT AND THEN HURT THEMSELVES OR HURT OTHERS.

SO THERE WASN'T A LOT OF TRAINING.

BUT NOW THERE WILL BE.

THE LAW DID SAY THAT DEMENTIA, THAT FOLKS WORKING WITH DEMENTIA PATIENTS WILL HAVE TO HAVE AT LEAST EIGHT HOURS BEFORE THEY START WORKING AS A CAREGIVER OF DEMENTIA-SPECIFIC TRAINING AND THEN AFTER THAT ANOTHER FOUR HOURS EVERY YEAR RENEWED.

>> OK. ALSO, ESTABLISHING STRICTER ENFORCEMENT MEASURES FOR WHEN THINGS GO AWRY.

OBVIOUSLY, ENFORCEMENT MEASURES SUGGEST THAT THERE ARE RULES IN PLACE.

ARE THE RULES IN PLACE, ARE THEY ENFORCEMENT MEASURES STRICTER?

>> SO, THAT WAS A BIG PROBLEM THAT WE FOUND IN OUR INVESTIGATIVE SERIES THAT RAN IN 2023, WAS THAT FACILITIES WOULD MAKE ALL KIND OF EGREGIOUS MISTAKES LIKE MIXING UP SOMEBODY'S MEDICINE THEN THAT PERSON ENDING UP KILLING THEIR ROOMMATE.

THAT PARTICULAR SITUATION THAT I JUST CITED, THE FACILITY GOT FINED $500.

>> YEAH.

>> SO, THERE WAS JUST VERY LITTLE PIECE TO THE LAW WHEN STATE SURVEYORS FOUND THAT FACILITIES MET THAT.

AND SO WHAT THE NEW LAW DOES IS THAT IT INCREASES THE FINES THAT FACILITIES WILL HAVE TO PAY.

AND ALSO, SETS IT SO IT'S LIKE BASED OFF OF THE NUMBER OF RESIDENTS THAT ARE AFFECTED EVERY SINGLE DAY.

SO THE ACTUAL AMOUNT OF MONEY THE FACILITY ALSO HAVE TO PAY WILL BE A LOT MORE THAN WHAT THEY WERE PREVIOUSLY PAYING WHICH THEY WERE BASICALLY BAKING INTO THE COST OF DOING BUSINESS.

>> YEAH, YEAH, OK THAT SOUNDS LIKE SOMETHING THAT THE INDUSTRY WOULD NOT BE ALL THAT HAPPY WITH.

WHAT KIND OF PUSHBACK DID YOU SEE?

>> SO, THERE WAS A LOT OF LAST MINUTE PUSHBACK JUST LAST WEEK AND THE WEEK BEFORE AT THE GOVERNOR'S REGULATORY REVIEW COUNCIL.

THAT COUNCIL IS TASKED WITH VETTING FINAL RULES BEFORE THEY BECOME CODIFIED, AND SO, INDUSTRY LOBBYISTS TURNED OUT PRETTY FIERCELY AGAINST, SO THEY DIDN'T WANT AN ENTIRE SECTION OF THE LAW THAT DEFINED MEMORY CARE STANDARDS.

THEY DIDN'T, THEY SAID THAT SOME FOLKS SAID THE TRAINING WOULD BE TOO EXPENSIVE AND THAT COST WOULD BE PASSED DOWN TO RESIDENTS.

THEY SAID THAT THE TRAINING WAS DUPLICATIVE WHICH IS ACTUALLY NOT TRUE.

THERE WAS NOT THAT MUCH TRAINING.

THEY ALSO, THERE WAS ANOTHER ACTUALLY MICHELLE SHOWED UP AND SAID THAT THE STATE HAD MADE ALL OF THESE CHANGES IN SECRET BUT SHE ACTUALLY HAD NEVER ATTENDED ANY OF THE STAKEHOLDER MEETINGS.

SO, SO THERE WAS A LOT OF PUSHBACK AT THE GOVERNOR'S REGULATORY COUNCIL TO WATER DOWN THE RULES THE STATE HAD BEEN WORKING ON FOR THE LAST YEAR SINCE THE BILL WAS PASSED TO LIKE GET THOSE RULES GOING.

>> AND THAT PUSHBACK DID NOT SUCCEED?

>> IT DID NOT.

>> OK. >> WITH THAT SAID, TAKES EFFECT NEXT MONTH.

IS THERE GOING TO BE A GRACE PERIOD INVOLVED?

>> THE STATE SAYS YES, THAT THEY'RE NOT GOING TO BE ENFORCING EVERYTHING RIGHT AWAY.

ONE OF THE THINGS IN THE LAW THAT THE INDUSTRY WAS REALLY NERVOUS ABOUT IS THIS ONSITE MONITORING THING WHERE IF A FACILITY IS MAKING REPEATED PROBLEMS OR THEY'RE PUTTING THEIR RESIDENTS IN SEVERE DANGER, THE LAW SETS UP THIS SYSTEM WHERE THE STATE CAN ACTUALLY HAVE SOMEBODY ON-SITE FROM THE REGULATORY AGENCY MAKING SURE THAT THEY ARE, IN FACT, IMPROVING AND THEY CAN CHARGE A FEE FOR THAT.

AND SO, THAT'S THE THING THAT THEY'RE NOT GOING TO BE ENFORCING RIGHT AWAY NOT.

>> RIGHT AWAY.

BUT EVENTUALLY.

IT SOUNDS LIKE, AGAIN, GREAT WORK ON.

THIS IT SOUNDS LIKE GREAT WORK AT GETTING WHAT WE HOPE ARE BETTER RESULTS FOR DEMENTIA CARE THE ASSISTED LIVING FACILITIES.

CAITLIN McGLADE.

GREAT TO SEE YOU.

>> THANK YOU FOR HAVING ME.

>>> CIRCLE THE CITY IS A NONPROFIT ORGANIZATION THAT OFFERS HOPE AND HEALING TO THOSE EXPERIENCING HOMELESSNESS.

THEIR EFFORTS ARE NOW EXPANDING INTO THE EAST VALLEY WITH A NEW RESPITE CARE CENTER IN MESA.

KIM DESPRES IS THE C.E.O.

OF CIRCLE THE CITY.

WELCOME TO "ARIZONA HORIZON" GOOD TO HAVE YOU HERE.

>> THANK YOU.

GIVE ME A BETTER DEFINITION OF CIRCLE TO CITY?

>> CIRCLE TO CITY IS A NONPROFIT ORGANIZATION WE PROVIDE HEALTHCARE TO PEOPLE PHRASING HOMELESSNESS ACROSS MARICOPA COUNTY.

>> OK, THIS IS A RESPITE CENTER A NEW MEDICAL RESPITE CENTER FOR EAST MESA.

WHAT IS A MEDICAL RESPITE CENTER?

>> WE ALREADY HAVE TWO EXISTING RESPITE CENTERS.

I DESCRIBE THEM MORE LIKE A MINI HOSPITAL.

THE ONES WE HAVE CURRENTLY ARE 50 BEDS EACH AND THE ONE THAT WE'RE GOING TO BE BUILDING IN MESA WILL HAVE 85 BEDS.

IT'S FOR PEOPLE WHO ARE FACING HOMELESSNESS WHO NEED MEDICAL TREATMENT AFTER SURGERY, TRAUMA, CHRONIC CONDITION THEY CAN GO THERE TO HEAL AND RECOVER.

>> SO THESE FOLKS AREN'T SICK ENOUGH FOR THE HOSPITAL BUT THEY'RE HONESTLY TOO SICK TO BE ON THE STREETS?

>> CORRECT.

>> OK. >> HOW DO YOU FIND THESE FOLKS?

>> WELL, WE HAVE REFERRALS FROM ALL OVER THE PLACE.

FROM HOSPITALS, NURSING HOMES, DOCTORS OFFICES, WE ALSO HAVE INTERNAL REFERRALS WHERE WE HAVE A LOT OF INTERNAL SITES.

WE HAVE OUR MOBILE OUTREACH UNIT, WE HAVE OUR STREET MEDICINE AND OUR CLINICS SO WE'LL GET REFERRALS ALSO INTERNALLY.

>> OK, YOU MENTIONED THE MEDICAL RESPITE CENTER HERE IT'S A STATE OF THE ART FACILITY WITH 84 BEDS NEARLY DOUBLED.

OTHER THINGS LIKE THREE FRESHLY PREPARED MEALS A DAY.

>> YES.

PATIENTS WILL HAVE A PLACE TO LAY THEIR HEAD AT NIGHT SAFE AND SOUND.

THREE HAVE MEALS.

WE HAVE A CASE MANAGER WHO WILL WORK WITH ALL OF THE SOCIAL DETERMINANTS OF HEALTH.

OUR BEHAVIOR HEALTH CONSULTANT WILL SEE THE PATIENT THE WE ALSO DO WE TAKE CARE OF MOMENT WHO HAVE SUBSTANCE USE DISORDERS AND OF COURSE MOST IMPORTANTLY, THEIR MEDICAL ISSUES.

>> AND MEDICAL ISSUES INCLUDES TRANSFER TO APPOINTMENTS, TRANSPORTATION I WOULD IMAGINE TO APPOINTMENTS, CORRECT?

>> THAT WILL TAKE THEM TO THE EXPERIMENT APPOINTMENTS THREE SO OUR PROVIDERS IN THE CLINIC WE HAVE NURSES 24/7 AND PROVIDERS -- DAILY MEDICAL CARE, ALL OF THIS AT WHAT POINT DO YOU SAY, DO YOU SEE SOMEONE WHO'S BEEN CARED FOR THEY HAD A PLACE TO REST AND RECOVER, THEY HAVE RECOVERED TO A CERTAIN DEGREE.

HOW DO YOU SAY GOOD-BYE?

>> THEY'RE VERY DIFFICULT.

THE AVERAGE LENGTH OF STAY IS ABOUT 45 DAYS.

DURING THAT TIME IT'S VERY HARD TO FIND THEM A PLACE TO GO WHEN THEY LEAVE OUR FACILITY.

WE IN FACT WE HAVE ABOUT 78 TO 80% OF PATIENTS WHO LEAVE OUR FACILITY ARE PLACED SOMEPLACE OTHER THAN THE SHELTER.

>> THEY HAVE TO HAVE A PLACE TO GO?

IF THEY DON'T HAVE A PLACE TO GO WHAT HAPPENS?

>> SO, THE LONGER WE HOLD ONTO PATIENTS THE FEWER BEDS THERE ARE FOR THE REALLY SICK PATIENTS.

>> YES.

>> SO IT'S A VERY FINE BALANCE CAN BE DIFFICULT DECISIONS.

BUT WE'LL TRY VERY HARD TO GET THEM TO A SAFE PLACE.

>> THESE ARE MEDICAL RESPITE CENTERS THIS IS EAST MESA.

YOU STILL HAVE MOBILE UNITS.

>> WE HAVE FIVE MOBILE MEDICAL UNITS THAT GO ALL OVER MARICOPA COUNTY.

THREE STREET MEDICINE TEAMS WHICH IS LIKE BACKPACK MEDICINE AND TWO OUTPAIR CLINICS.

>> -- -- OUTPATIENT CLIN 96.

>> IS THERE A WAY TO KNOW THEY'RE MAKING A DIFFERENCE.

ARE THERE METRICS INVOLVED HERE, HOW DO YOU KNOW?

>> THAT'S A GREAT QUESTION.

WE TRACK MANY THINGS INCLUDING QUALITY OF CARE METRICS.

WE TRACK LENGTH OF STAY AT THE RESPITE CENTERS.

WE TRACK ALL THE THINGS LIKE HAVE SOMEONE GOTTEN THEIR MAMMOGRAM, CERVICAL CANCER SCREENING, COLONOSCOPIES WE DO EVERYTHING WE CAN FOR PREVENTIVE CARE.

>> AGAIN I THINK NOW IS THIS PART DO YOU KNOW ABOUT THIS PBS CAREGIVING SPECIAL YOU WERE IN THIS WERE YOU NOT?

>> WE WERE.

WE HAVE TWO SHORTS THAT WERE FILMED, ONE REGARDING OUR RESPITE CENTER ONE FOR OUR STREET MEDICINE TEAM.

THEY WERE FABULOUS.

>> AND BRADLEY COOPER I THINK IS BEHIND ALL THIS THING?

>> YEAH.

>> WE WILL BE ABLE TO SEE YOU GUYS ON THAT.

>> YES, I THINK WE'LL BE ON THAT.

>> THAT'S COMING UP, CORRECT?

>> YES.

>> I SHOULD KNOW THIS I WORK AT PBS.

I HAVE TO BE AWARE.

THIS MEDICAL RESPITE CENTER IS IN THE EAST VALLEY THIS MAKES THREE AS YOU MENTION.

>> YES.

>> THERE ARE PLANS FOR MORE?

>> WE'LL SEE.

WE'LL SEE.

LET'S SEE HOW THINGS GO.

WE'RE WATCHING MEDICAID VERY CLOSELY, AND ANYTHING THAT MIGHT CHANGE IN REGARD TO REIMBURSEMENT.

>> I WAS GOING TO SAY, WITH THIS MEDICAID ISSUE, WE HAVE TALKED SO MUCH ABOUT IT ON THE SHOW, HOW DOES IT AFFECT WHAT YOU DO?

>> WE ARE PROBABLY 80% OF OUR PATIENTS THAT HAVE MEDICAID AND SO IT WOULD IMPACT US QUITE A BIT IF MEDICAID WAS CHANGED IN ANY WAY.

SO WE'RE, WE BELONG TO A COUPLE ALLIANCES IN THE COMMUNITY WE'RE REALLY WORKING HARD TO SEND LETTERS AND MAKE CALLS SO IT DOESN'T IMPACT OUR PATIENTS.

>> AND FOR FOLKS THAT WANT TO LEARN MORE ABOUT CIRCLE THE CITY WHERE DO THEY GO?

>> WWW.CIRCLETHECITY.ORG.

KIM, GOOD TO HAVE YOU HERE.

CONGRATULATIONS ON THE NEW MEDICAL RESPITE CENTER.

GREAT WORKS.

>> THANKS FOR HAVING ME.

>> YOU BETCHA.

THAT'S IT FOR NOW.

I'M TED SIMONS.

THANK YOU SO MUCH FOR JOINING US AND YOU HAVE A GREAT EVENING.