-How the Las Vegas Paiute Tribe is expanding its economic footprint, plus... From the new visitor center at Valley of Fire to life saving healthcare in rural communities, how a major philanthropic effort is helping shape the state.

That's this week on Nevada Week.

♪♪ -Support for Nevada Week is provided by Senator William H. Hernstadt.

-Welcome to Nevada Week.

I'm Amber Renee Dixon.

A new visitor center at Valley of Fire and more support for rural healthcare across the state, one charitable trust is behind both.

That story is ahead, but we begin with the Las Vegas Paiute Tribe.

Poised for potential land expansion, the Tribe is playing a growing role in the Southern Nevada economy, while advancing new wellness programs for its members and thousands of urban Indians.

Here to expand on those topics and more is Benny Tso, Las Vegas Paiute Tribe Chairman.

Chairman, thank you for joining Nevada Week.

-Thank you for having us.

-So the land expansion that I mentioned, that is part of the lands bill in Congress, formally known as the Southern Nevada Economic Development and Conservation Act.

We've talked about it on this program.

It's meant to open up federal land to build houses on.

There's also a conservation aspect.

And what would it mean for your Tribe?

(Benny Tso) We'd be able to put a bigger footprint for our Tribe, you know, having that much acreage added to the existing 4,000, under 4,000 acres.

It would improve our economic development, improve our traditional homelands.

We once had about 2.5 million acres, you know, spanning from Southern Utah, Southern Nevada, tip of Northern Arizona, all the way down through Southern California.

So to get that little bit back, I think, would help boost our, you know, economic development, some Tribal homes, and some-- Obviously, it would help out, you know, the surrounding areas with the growth in Nevada.

-And this would be near Snow Mountain where you already have a reservation.

And this would add on to it, and you would plan to develop it?

What would you do with that land?

Do you know?

-Right now, you know, we're still in the planning stages.

We have some ideas, potentially, for some of that land use.

Some of it we would be trying to help out, you know, the local installment of Creech Air Force Base, potentially, you know, expanding for airman housing there to help them out with some things.

And we know that the energy corridor is running through that way, so partnering up with that type of utility and being able to provide possibly some Tribal homes for our Tribe, Tribal members.

-Wow.

Are there efforts to mine in that area right now?

-Right now we're in a co-stewardship with BLM right now.

So all of those things are a no-go for potential mining.

We definitely don't want anything like that around there.

We're close to the Tule Springs monument, you know, which is part of our cultural significance of the Tribe.

That's part of our creation story.

So, yeah, I don't think there's going to be any mining up in that area.

-Okay.

And the area that we're talking about is also where the Las Vegas Paiute Golf Resort is, three courses first opened back in 1995.

How has that impacted the Tribe that you now help oversee?

-It's a huge impact.

That's one of our economic drivers for the Tribe, you know, along with our smoke shop and our NuWu Cannabis marketplace.

But I think that's taken the forefront right now.

So the focus is a little bit more on the Golf Resort, you know, new ideas, trying to bring it current.

But plans for possibly a hotel, conference center, things of those natures.

But, again, we're still preliminary.

We're still taking a look at how that would affect the land, affect the resources, and, you know, things like that.

-And then you talked about new ideas.

One of those recently came to development with the Vlasic Classic.

Tell me about that.

-I think it's the first of its kind.

It's the first full-consumption golf tournament.

And I don't know how people feel about that, you know, mixing-- -Marijuana consumption?

-Yes, marijuana consumption.

No alcohol.

They have to stay completely separated, you know, per the State and per the Tribe's, you know, regulations.

But it's a full-consumption cannabis, you know, golfer, golf tournament.

-Golf tournament.

Was that early November that that happened?

-Yes.

It was the 8th of November.

-And how did it go?

-I think it went well, well-served for the cause that, you know, that helped out-- -The Last Prisoner Project.

And will you tell us about that.

-Yeah.

So people that have been incarcerated for cannabis, you know, cannabis use, and small amounts that they are not considered, you know, prohibited now.

So what that does is that creates revenue for those inmates to be helped out with their fighting their cases, you know, getting some of those cases overturned, especially their nonviolent, you know, convictions.

So I think it's a good cause.

-People who are still serving time for a substance that is now legal in many places.

-Yes.

-The cannabis industry in Nevada, you had a big role in getting your Tribe involved in that.

You opened one of the largest dispensaries in the country at the time.

That was back in 2017.

That is the NuWu Cannabis-- -Marketplace.

- --marketplace located...?

-We have two locations.

So we have one downtown on our downtown reservation.

It's on Main Street in between Owens and Washington.

And then we have a sister store out at Snow Mountain.

-Okay.

-So that's-- We call that NuWu North.

-Okay.

And for our viewers who are unaware of the colony that you have in north, north of downtown, will you tell the story of how that came to be.

-So back in the day, Helen J. Stewart, a lot of our relatives and a lot of our aunties, uncles, grandparents, great-grandparents, they did work for Helen J. Stewart on her ranches and also worked on the Union Pacific Railroad, which passes right behind us.

So she saw the need and identified a little area of her land.

So she deeded the 10 acres to us to have, and it gave us a place to call home and it gave us a place to be able to rest, you know, as we worked on her ranches and worked on the Pacific Railroad.

And going a little bit fast forward, we did some, a little bit of work, leg work, and got a few more acres put into trust for us, and now we expanded that 10 acres to about 31 acres now.

-Okay.

So it's where you have your dispensary, also the consumption lounge.

And for how many years?

That was the only consumption lounge in town, right?

-Yeah.

It started off as a, as a tasting room so you can get what they called back then "micro doses," just to kind of get a feel for the project.

I guess the best way to explain it is like if you went to a winery and you got flights of wine, right?

And then it just grew from there to being a full-on consumption lounge.

-And with the introduction of other consumption lounges in Las Vegas, has it impacted the business there?

-No, not at all.

I think we're a standalone, you know, and I think what it does is gives us the opportunity to showcase what Tribes can do, put their mindset to it, and, you know, kind of do the things the right way and follow the regulations.

We've created our own policies and procedures.

Our regulations are along with the State's, if not more restricted than theirs.

But it doesn't; I don't think it impacts anything.

-The UNLV Cannabis Policy Institute, we had them on earlier this year.

They had a report talking about the falling prices of retail cannabis across the board.

Does that impact you?

Are you concerned by that?

-Right now, at this point in time, we do see the decline in the cannabis retail side of it.

And we're just like everybody else, too, so we're realizing a little bit of that.

But I think the way we've structured our program and the way we've adopted, you know, from 2017 up until now, I think we're prepared for it.

I think we've taken a look at some of the things, kind of forecasted some of the events and some of the happenings that are going on, and we're able to, I guess, kind of survive some of that.

One of the things that we're most proud of with our Tribe is we don't look at things for today.

We kind of forecast, you know, generations out.

So we have to do that to prolong our existence and for us to make sure, not only us as enrolled Tribal members now, but for the future generations to come.

-Do you see any correlation to the smoke shops?

I believe you had mentioned in an interview with the City of Las Vegas that you saw a downturn in the smoke shops, and you started looking elsewhere for other development.

-Yeah.

That was one of the main reasons, you know, to diversify their revenue, to not kind of put our eggs all in one basket, to be able to create and, you know, generate new revenue sources for our Tribe, just like our ancestors did before us, our old relatives did before us.

When they created the smoke shop and they did all of that stuff, you know, they gave us the opportunity to kind of look outside the box.

And they gave us a foundation to grow on.

So, you know, being, you know, on the Tribal Council now, and as the Chairperson leading the Tribal Council, I think that that falls on our shoulders as well now.

It's now it's time for us to kind of diversify, spread our wings, so to speak, and to be able to generate revenue and economic development for our Tribe.

-You also have an indoor grow facility?

-I wouldn't necessarily call it indoor, but it is, it's an outside grow.

So we have about-- There's a 110,000 square foot grow facility that we have out at the Snow Mountain Reservation.

So we've figured it out, and we kind of had that ball rolling.

So we're in between harvest right now, so the first harvest-- -The climate is suitable for that, then?

-Yeah.

Again, being able to figure things out and being able to kind of go with the flow and see what works and not works, you know, being able to grow grass out there is not too much of a difference.

-Okay.

Because that was another point the Cannabis Policy Institute had was that indoor growing is so expensive; and if interstate trade is ever allowed, it's cheaper to grow in California, it'll be cheaper to buy here, and perhaps local growers are going to be out of luck.

But sounds like you have that kind of planned out.

Okay.

A couple more topics.

We were fortunate to go to the grand opening of the gym and wellness center at the colony earlier this year.

How was that made possible?

Why was that important?

-I think-- What made it possible is, you know, the partnerships that we have and some of the federal funding that we received through the Special Diabetes Program for Indians, some HUD grants, and things like that.

The Tribe put a little bit into it.

I think what's special about that and what benefits the Tribe and the Tribal community in Las Vegas is that we're able to educate.

We're able to provide a place for nutrition, health and wellness, you know, and some traditional holistic healing, as far as that goes.

And it brings our community back together.

We're starting to lose some of our culture.

We're starting to lose some of those things, but I think having the wellness center, being able to provide nutrition classes, cooking classes, you know, craft fairs, things like that, basketball tournaments, being able to have that and the accessibleness of having that in downtown, why not?

And it's a true benefit for all of our Tribal youth.

A lot of our members are up in age, you know, trying to get there.

So getting them back on that health track and getting them back, you know, with their wellness and health, I think it's beneficial.

-And so you brought up the federal funding that made that possible.

Have any of the federal funding cuts recently impacted your Tribe?

-No, not necessarily.

Again, you know, we're a Tribe that's kind of forecasted; we kind of think ahead, a little bit ahead.

I think what helps us out is our Tribe is pretty much, you know, self-sufficient, and we try to do as much as we can for both our businesses and our Tribal members.

-Las Vegas Paiute Tribal Chairman Benny Tso, thank you so much for joining Nevada Week.

-Thank you.

-We move now to Valley of Fire State Park and its new visitor center.

The Moapa Band of Paiutes provided Tribal consultation for it, given that its location lies within the Tribe's ancestral lands.

Designed to educate and inspire, the center has several notable features, like a 200-seat outdoor amphitheater and an indoor facility where you can watch an orientation video narrated by William Shatner.

A $7 million grant from the Helmsley Charitable Trust, along with a matching $8 million investment from the Conserve Nevada program, made it possible.

A hotel and real estate mogul in the 1980s who the media nicknamed the "Queen of Mean," Leona Helmsley and her husband created the Helmsley Charitable Trust and made their grandson, Walter Panzirer, one of its trustees.

He joins us now.

Okay.

So mental health, telehealth, and rural healthcare are your priorities.

How does the donation to the Valley of Fire Visitor Center, $7 million, fit into that?

(Walter Panzirer) Well, that's a good question.

It totally fits into it.

I'm a firm believer that everybody needs to have access to open spaces, access to the outside, access to recreate and get exercise and just mental health breaks out in the open.

So with the opening of the Valley of Fire new Visitor Center, it allows people to better access their parks, to get out there, to know what opportunities are available at Valley of Fire.

That visitor center, old visitor center, was wonderful, but it served its purpose.

It was built in the 1950s back when Las Vegas and the valley was, had far less population, and it's so outgrown.

And so this new visitor center will serve Nevada for now and probably for many, many decades to come.

-Let's talk about private philanthropy's role in rural healthcare.

Your passion for rural healthcare stems from your time as a first responder in South Dakota.

You saw firsthand how different access to healthcare is depending on where you live.

-Absolutely.

I am so passionate about rural healthcare.

I started my career in Oakland, California, so I saw a system where people had access points.

And when I moved to South Dakota, I saw there wasn't a lot of access points.

There were a lot of competent individuals--doctors, physicians, nurses, other first responders--but the technology was lacking, and that spurred my passion when I came to the Helmsley Charitable Trust.

I saw the haves and have nots, and I saw that people's zip codes determined healthcare outcomes.

And that's not right.

Everybody deserves healthcare equity.

And that's what we do at the Helmsley Charitable Trust is level that playing field in a variety of ways--by bringing technologies, by taking those risks out in rural communities to make equity across the healthcare divide.

-What are you most proud of here in Nevada?

-There is so much I'm so proud of.

We've been in Nevada almost five years.

And in that short time, we've invested over $62 million across the entire state.

We have helped every critical access hospital.

We have helped every county.

Two of the projects that stand out on my mind that I'm most excited about and it has made a huge amount of difference across Nevada is, one, our ECMO program.

We expanded beds across, ECMO beds, which is reserved for the sickest cardiac and pulmonary patients across Nevada.

-That acronym, will you pronounce it?

I don't know how to.

-ECMO.

-But Extracorporeal Membrane Oxygenation, what in the world does that even do?

-What it does-- I'll bring it down to the layman's level.

-Yes, please.

-What ECMO does is basically works as your heart and works as your lungs.

-I mean, rural hospitals ability to afford something like this is... -Yeah.

It doesn't exist.

-It wouldn't have happened.

-It would not happen.

And even having ECMO centers, it didn't even happen in Nevada.

It was very much not used across the state.

So when we came in and made this investment, we expanded services in Southern Nevada over at UMC for child and adult ECMO and also ECMO services at Dignity Health - St.

Rose.

And then up in Northern Nevada at Renown Health, we brought a brand new service line of ECMO.

So now the state's pretty much covered.

So wherever you go for tertiary services, you can access this type of service if it's needed on it.

But that, when I think-- When you say, What has been the most impact, biggest impact?

Hearing those ECMO stories.

We had a 45-year-old gentleman saved, able to return home to his family, who had a massive heart attack and was placed on ECMO to live up in Northern Nevada at Renowns.

In Southern Nevada, a 17-year-old had a cardiac arrest, a witness cardiac arrest.

He was placed on ECMO.

He's alive today.

And seeing those faces and hearing those stories is what makes it so meaningful.

The second point that is really impactful that we've done as a grant was across all of our service states' areas, we placed AEDs in first responder vehicles.

And that's very important.

When you talk about an AED, an automatic external defibrillator, in first responder cars, what we've learned and what we've seen, we have saved over 700 documented saves of people surviving sudden cardiac arrest.

When you think about that, 700, that's like a small town.

-Now, one, I guess, critique of private philanthropy in healthcare is that, sure, you may buy these wonderful machines, but then are you there paying for the maintenance?

And what if a hospital closes down and there's no one to even operate the machine?

-Well, we're very concerned about hospital closures.

That's something that can be a reality, but that doesn't keep us from funding these small critical access hospitals.

We like to say we don't write checks, that we're long-term partners.

So, for example, when you say "machines and training," we also have a point-of-care ultrasound initiative that we've done across Nevada.

Very important to have point-of-care ultrasound for diagnostic tools in rural clinics.

We've even done it in urban clinics.

-What does that mean, point-of-care, for those who don't know?

-For those that don't know what point-of-care is, it's a small, little ultrasound machine that the physician can just use bedside.

They don't have to send you somewhere for a lab or anything.

They can do the scan.

It's not just for OB.

It can be used for cardiac.

It can be used for different types of ailments as well.

So it's pretty much standard of care.

All across Southern Nevada, all across Reno, you see these machines in your primary care offices, not so much in the rural areas and not so much in more of your impoverished areas.

So the trust, several years ago, made a grant to provide point-of-care ultrasound in lower income clinics, urban clinics, rural clinics, rural hospitals.

And we've also partnered with Great Basin College, where-- to provide the training, because it's so important to make sure you have the trained sonographers.

And so we expanded the training program at Great Basin to provide that training for the new machines that are going all across Nevada.

-There was a program that we had you on when you were here last when your trust, this trust had just entered Nevada, and it was providing law enforcement in rural areas with iPads that can connect to a mental health professional, because you have faced it yourself.

You're going out to a call, and really what needs to happen is a mental health intervention.

How has that worked?

-Well, that has been going-- It's still ongoing.

We're in nine counties.

And I got to say, across where it's been working--we're also in South Dakota as well, and we've expanded into Wyoming.

So it's across all of South Dakota and now expanding in Wyoming.

And where we've seen successes is when it's utilized.

So in these nine counties that are the high utilizers, we have seen it in Nevada, keeping Nevadans at home 80% of the time.

That's huge.

Where before, if they would, they would be conservative.

Because if someone's threatening suicide, threatening self-harm, they take them to a higher level of care.

Or they could end up in a jail.

And so when we're able to keep 80% of the people at home in their community, that's a huge cost savings for the county, because you got to remember, some of these rural counties are coming all the way down to Las Vegas for beds or all the way over to Reno for beds, and now-- That takes deputies and EMS workers out of their county.

So it's keeping the county workers there, saving the county money, and also keeping the patients where they need to be, because not every patient needs that highest level of care.

If they can be served in the community, that's what's best for the patient.

-What is keeping counties from utilizing this to its full potential?

-I think it's something where it's new.

This is, this is a brand new technology.

This is something that's a new tool kit.

So it sort of takes some time to develop change.

And I'm very confident.

I look at how South Dakota, when our first state, where we launched that, has embraced our virtual crisis care.

-Internet access can also be an issue out in rural areas.

Is that something you're confronting?

-Yeah.

In some states it is.

It can be a challenge, especially as we work with telehealth.

I got to say, Nevada, from all the past governors, has really utilized broadband and really utilized the federal broadband funding.

So Nevada is in a much better place than some of our other states that we work with.

But it still can be a challenge.

-Okay.

Last topic.

Private philanthropy, how much can it help in a system-- So many rural hospitals have populations that utilize Medicare and Medicaid, and that funding is always at threat of running out.

Can private philanthropy fill that role?

-Private philanthropy cannot totally fill that role.

It's never a substitute for reimbursements or payment structures and those type of things that is necessary for the smaller hospitals to operate in the black and operate in a profit and reduce their risk of closing.

-So payment structures like-- -Payment structures-- - --like employee salary-- -Yeah.

Employee salaries or anything like-- It's not a substitute for the fee-for-service for what they're getting back on the insurance.

-Okay.

-Where philanthropy can come in and be so impactful is taking those risks, bringing new service lines that should be sustainable.

That's the key.

When the Helmsley Charitable Trust brings a service line, we look to make sure that the hospital can afford it after the grant's out and afford to keep on running it.

It's key, because we never want to come in and introduce a new service line--whether it's a cardiac cath lab, a cancer center, fill in the blank on it--and have that disappear after the grant, because that does more harm to the community.

Because the community gets used to the service, the community wants that service, but if the hospital can't afford to maintain it, we failed as a funder.

But it's the funder or the philanthropy's role to come in and really push the envelope of risk.

It's pushing those envelopes.

-Walter Panzirer, thank you so much for joining Nevada Week.

-Thank you for having me.

I greatly appreciate coming on.

-And thank you for watching.

For any of the resources discussed in this show, including more information on the Southern Nevada Economic Development and Conservation Act that's in Congress right now, go to vegaspbs.org.

And I'll see you next week on Nevada Week.

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