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Good morning. Thank you very much for being here. Know,e surgeon as you the Surgeon General is with us. The Surgeon General, all of you should know. I did not want you to hear the secret things i was saying. Now can you hear me . Do you want to hear me . [laughter] that is the most important thing. Ajoke i tell all of the time, man was giving a speech to about 500 people. A guy in the back raised his hand and said, senator, i cant review. A medially, a guy in front row jumped up and said i can and i will trade places with you. [laughter] i hope none of you trade places. Sheriff, good to see yo...

Is the minutes and approval of minutes of october 172,017th. Motion is in order for the approval of the minutes. Second. So moved. Its been a motion second are there any corrections to the minutes . If not all those in favor of the minutes please a aye. All opposed the minutes have been approved. Thank you. Next item. 3 the directors report. Good afternoon commissioners i want to welcome the ucsf pharmacist students, lift your hands so we can wave at you. Also our members of our drug usage union are here today to testify so i want to acknowledge all of you. And many advocates from the communit...

Also our members of our drug usage union are here today to testify so i want to acknowledge all of you. And many advocates from the community so well have a very Great Commission meeting today. And just on that note, well let you know President Trump announced he is helping Human Services agency to declare a Opioid Crisis a publichealth emergency. This does not provide us new dollars. There are a couple of things i think are worth noting, one is that there may be flexibility about the regulations of certain medications considering being able to pay for tele medicine for many Rural Communities ...

Pharmacist students, lift your hands so we can wave at you. Also our members of our drug usage union are here today to testify so i want to acknowledge all of you. And many advocates from the community so well have a very Great Commission meeting today. And just on that note, well let you know President Trump announced he is helping Human Services agency to declare a Opioid Crisis a publichealth emergency. This does not provide us new dollars. There are a couple of things i think are worth noting, one is that there may be flexibility about the regulations of certain medications considering bei...

Without objection, the witnesseswritten statement will be accepted in their entirety. You have a light in front of you. I assume that you know what all of that means. Mr. Vitale, you are first. Mr. Botticelli, you are first. Mr. Botticelli thank you all for being here today. The National Drug control strategy, the administrations primary blueprint for policy, treat the problem as a Public Health challenge. The increase in the number of people using her when has come a significant problem in our country. Opiate misuse can have devastating consequences. Deaths from using her with increased over ...