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From YouTube: Interim Joint Committee on Local Government (9-21-21)
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A
Okay,
good
morning
welcome
to
the
fifth
meeting
of
the
interim
joint
committee
on
local
government
glad
you're
here
today.
We've
got
a
full
agenda,
so
madam
clerk,
please
call
the
roll.
B
B
B
A
Okay:
okay,
we
have
quite
a
few
people
online
today,
members
online,
so
at
this
moment,
if
you're
online,
can
you
please
check
your
mic
and
mute
that
we've
got
a
couple
noisy
backgrounds
and
then
remember
to
unmute?
If
you
have
questions
when
called
on
before
we
get
started
on
our
business,
senator
thayer
has
been
asked
to
be
recognized.
E
Thank
you,
mr
chairman.
I
have
just
learned
that
one
of
the
members
of
this
committee,
representative,
deanna
frazier,
has
been
awarded
the
2021
distinguished
service
award
winner
from
her
from
her
alma
mater
eastern
kentucky
university.
E
A
A
Trying
to
hear
a
motion
for
approval
all
right
have
a
second
okay,
all
in
favor,
say
aye
all
right.
The
minutes
are
approved
very
good.
Well,
we've
got
a
pretty
good
agenda
here
today.
The
first
item
on
our
agenda
is
the
discussion
of
the
health
department's
health
district's
implementation
of
legis
possible
of
our
legislation
from
the
special
session
and
also
just
kind
of
a
general
discussion
around
health
departments
and
their
vital
role
that
they
are
playing
and
have
played
over
the
last
year
and
a
half.
A
A
A
I
A
Okay,
and
do
we
have
scott
locke
here
on
okay.
I
A
A
I
Or
can
you
start
sure?
Yes,
thank
you.
The
floor
is
yours.
Thank
you.
So
much
as
I
mentioned,
I'm
the
dana
nichols
the
executive
director
of
the
kentucky
health
departments
association
and
we
are
an
association
of
60
local
health
department
directors
from
across
the
state,
and
we
do
have
as
introduced
already.
We
do
have
georgia
heist
and
sarah
jo
best
here
and
also
scott
lockert,
who
will
be
sitting
at
the
table
shortly.
We
also
have
three
directors
I
believe
online.
We
have
dr
sarah
moyer
from
louisville
metro.
I
We
have
clay
horton
from
green
river
district
down
in
western
kentucky,
and
we
also
have
matt
rhodes
from
oldham
county
health
department
and
he
formerly
worked
with
dr
moyer
at
louisville
metro.
So
we
tried
to
have
a
good
sampling
from
around
the
state
to
be
responsive
to
your
questions
that
I
know
that
you're
going
to
have
for
us,
but
just
a
little
bit
more
about
cada,
we
are
a
nonprofit
association
I
like
to
think
of
it
as
a
professional
association
for
local
health
department
directors.
I
We
are
a
very
busy
association.
I
like
to
say
that
I
work
for
60
ceos
which
I
thoroughly
enjoy,
but
they
are
all
very
hard
workers
both
in
their
areas
as
well
as
for
the
association
our
offices
are
located
here
in
frankfort,
and
we
focus
on
collaboration
is
a
big
part
of
what
we
do
with
each
other.
Sharing
resources.
I
Also
communication
with
with
you,
with
the
state
government,
with
executive
branch
and
legislative
advocacy.
So
you
may
see
us
around
sometimes
or
you
may
have
already,
and
also
policy.
We
do
work
with
the
babbage
team
who's
here
supporting
us
today
and
we
do
also
work
with
keiko
and
we're
thankful
to
to
them
for
being
our
partners,
and
our
mission
is
just
to
work
together
to
improve
public
health
in
kentucky.
I
We
do
appreciate
the
opportunity
to
be
here.
We
thank
the
chairs
for
inviting
us
to
come
and
speak.
I
want
to
say
that
we're
especially
thankful
for
house
bill
129's
passage
in
2020,
which
all
of
you,
I'm
sure,
voted
for,
because
it
was
very
popular
legislation
and
we
are
thankful
to
senator
alvarado
for
co-sponsoring
that
and
for
leading
the
charge
in
the
senate
on
that
legislation
and
also
for
the
help
on
the
pension
and
the
last
session.
We're
so
thankful
for
that.
So
with
that
I'll
turn
it
over
to
sarah
joe,
our
cater
president.
K
What
I
want
to
talk
to
you
about
first,
is
what
local
health
departments
do,
and
so
this
is
what
we
were
doing
before
coveted,
what
we're
doing
while
co,
while
we're
responding
to
coven,
but
I
think
what's
important
about
this-
is
to
remember
as
we
go
through
this
presentation.
This
is
all
cumulative.
K
We
didn't
stop
doing
services
so
as
we
go
through
this
presentation,
you'll
see
a
cumulative
effect.
So
what
does
public
health
do?
Public
health
transformation
legislation
really
helped
define
this
and
what
it
did
for
us
is.
It
provided
an
accountability
for
the
public
that,
when
they
walk
into
a
local
health
department
across
the
commonwealth
of
kentucky
there
insured
a
certain
set
of
services
or
a
minimum
set
of
services,
and
this
was
important
for
us
to
be
accountable
to
the
public
that
we
serve.
K
It
also
provided
some
consistency
which
could
could
also
make
a
wider
impact
across
kentucky.
K
So,
regardless
of
where
you
are
in
the
commonwealth
of
kentucky,
what
your
zip
code
is
what
your
tax
base
is,
there's
a
certain
set
of
services,
they're
assured
to
you
and
I'll
go
through
these,
but
foundational
public
health
services
are
what
we
prioritize
first,
so
public
health
transformation
basically
created
a
prioritization
of
services,
so
those
foundational
public
health
services
are
those
services
that
are
required
by
statute
and
then
second
to
that
is
the
core
public
health
package,
which
includes
our
wic,
hands
and
harm
reduction
program.
I'll
talk
about
each
one
of
those
in
detail.
K
So
our
foundational
public
health
services
are
those
services
again
that
are
required
by
statute
and
they
include
population,
health,
enforcement
of
regulation,
emergency
preparedness
and
response
communicable
disease
control
and
administration
and
organizational
infrastructure,
and
I
want
to
let
you
know
what
falls
under
that.
Those
are
really
broad
categories,
and
so
that's
confusing
sometimes
about
what
that
actually
means
boots
on
the
ground
for
the
public.
K
K
Okay,
thank
you
sorry
to
interrupt
you,
that's
okay,
so
this
involves
using
data
to
drive
our
decisions,
evaluation
of
our
programs
to
assure
they're,
they're,
effective
and
they're
having
the
intended
outcome
that
we
want,
and
the
impact
of
policies,
environment
and
behaviors
that
affect
the
overall
health
status
of
our
communities.
K
We
do
linkage
of
services
in
this
area.
So
if
it's
not
something,
the
health
department
may
provide
we're
a
trusted
resource
within
the
community
that
individuals
will
reach
out
to
and
will
link
individuals
to
those
community
services
assurance
of
access
of
services
within
our
community
and
advocacy
for
good
public
health
policies.
Enforcement
of
regulation.
K
That's
most
evident
in
our
environmental
health
programs
that
regulate
permit
and
inspect
facilities
such
as
pools,
motels
schools,
food
service,
mobile
home
parks,
youth
camps,
tattoos,
parlors,
ear
and
body,
piercing,
sewage
disposal,
pumper
trucks,
as
well
as
managing
animal
bites,
rabies,
vaccinations,
on-site,
sewage,
evaluation
and
other
overall
threats
to
our
population's
health,
emergency
preparedness
and
response.
A
lot
of
what
you're,
seeing
today,
local
health
departments,
began
planning
for
events
like
this.
As
early
as
2002's.
K
When
I
started
in
in
our
preparedness
department
at
the
local
level,
we
were
making
plans
for
mass
immunization
points
of
dispensing
whatever
happened
in
our
community.
We
were
training,
we
were
practicing
and
as
real
world
events
happen
like
the
hepatitis,
a
outbreak
or
when
we
were
deployed
to
hurricane
katrina
and
rita
in
mississippi.
K
And
then
I'll
go
over
our
core
public
health
services,
so
these
are
kind
of
that.
Second
tier
wic
provides
federal
grants
for
supplemental
foods,
health
care,
referrals
and
nutrition,
education
for
low-income
pregnant
breastfeeding
and
non-best
feeding,
postpartum
women
and
to
infants
and
children
ages,
five
who
are
found
to
be
at
nutritional
risk.
K
Hands
has
served
families
free
voluntarily
programmed
to
support
parents
at
home
and
help
them
learn
how
to
be
more
engaged
in
their
child's
life,
and
I
think
that
if
everybody
knew
the
six
benchmarks
of
hands,
we'd
have
way
more
referrals
into
this
program
than
we're
able
to
obtain
the
the
six
benchmarks
are
improved.
Maternal
and
newborn
health
reduction
and
child
injuries,
abuse
and
neglect,
improve
school
readiness
and
achievement,
reduction
in
crime
or
domestic
violence,
improving
family
economic
self-sufficiency
and
improving
service
coordination
and
referrals
to
other
community
resources
and
support
for
those
families.
K
It's
really
about
meeting
people
where
they
are,
and
it's
so
much
more
than
a
syringe
exchange
program.
These
programs
are
an
entry
point
for
vulnerable
individuals
that
misuse
substances.
They
often
will
not
seek
services
or
healthcare
services.
Other
ways
it's
a
trusted
entry
point
for
them
in
hepatitis,
a
outbreak.
This
was
critical
in
reaching
that
population
and
providing
vaccines,
and
so
we
do
that.
With
this
program
covered
19,
we
can
do
testing.
We
can
for
hiv
sexually
transmitted
infections,
hep
c.
K
We
can
ensure
that
they
get
into
treatment
for
those
we
can
refer
them
into
community
resources.
We
may
assist
them
getting
their
their
insurance
back
to
be
able
to
enter
into
treatment
programs,
and
so
it's
really
a
comprehensive
program
that
meets
people
where
they
are,
and
then
the
icing
on
the
cake
is
once
we
establish
that
relationship
we're
more
likely
to
get
them
into
treatment
than
if
they
didn't
have
those
services
available
to
them.
K
So,
in
summary,
that's
what
we
do
on
a
daily
basis
and
we
continued
to
do
that
during
the
coveted
19
pandemic.
As
you
know,
overdose
deaths
were
an
issue.
Suicides
were
an
issue.
All
those
types
of
things
became
an
issue
during
the
pandemic,
and
so
these
services
were
critically
important
to
continue
to
support,
I'm
going
to
turn
it
over
now
to
dr
georgia,
heiss.
J
J
I
need
to
introduce
a
local
board
member
who
came
with
me,
mr
joe
gilbert.
He
serves
on
the
carrollton
carroll
county,
local
board
of
health,
and
he
has
been
very
helpful
during
this
and
he
wanted
to
get
the
perspective
of
what
it's
like
to
do
this,
and
also,
if
anybody
want
to
ask
him
what
it's
like
to
be
on
the
local
board
of
health.
I
would
also
have
to
give
a
shout
out
to
carolyn
stewart
she's
75
years
old,
she's
watching
me,
but
she
is
our
purchasing
agent
at
three
rivers.
J
Okay,
so
that
then,
I
also
have
to
apologize
for
anything
weird
that
might
be
going
on
with
my
mouth.
I've
had
extensive
oral
surgery
recently,
so
just
bear
with
me.
J
I
would
like
to
say
that
the
group
sitting
here
has
done
a
lot
of
work
in
policy,
but
not
for
the
last
18
months,
because
we
have
been
on
the
front
lines
at
home
at
our
health
department,
so
we
haven't
been
able
to
come
to
frankfort,
but
before
the
pandemic
hit,
I
spent
a
year
senator
alvarado
representative
moser,
and
we
worked
on
house
bill
129
that
turned
into
the
public
health
transformation
that
our
president
was
speaking
about
and
we
were
thrilled
with
that.
So
last.
J
Well,
I
guess
march
of
2020.
We
actually
some
of
us
were
on
the
hill
in
d.c
talking
about
the
decades
of
underfunding
for
public
health
at
the
federal
level,
and
that's
something
I
have
done
for
10
years
except
2021.
I
didn't
do
it
this
year,
but
it
was
amazing
that
we
were
there.
There
were
people
from
washington
state
who
were
just
getting
the
first
cases
that
was
march
2020,
and
then
we
come
back
home.
That
is
my
the
slides
you're
looking
at
my
emergency
operations
center.
J
We
spent
12
14
16
hour
days,
seven
days
a
week
and
just
trying
to
take
care
of
our
folks
at
home,
the
best
we
could
and
we
were
in
the
dark,
literally
and
figuratively,
because
nobody
knew
what
the
new
virus
was
going
to
do.
We've
done
contact
tracing,
we've
done
disease
investigation
for
years
and
years
and
years,
but
this
was
a
brand
new
virus.
So
we
had
to
see
what
it
was
going
to
do.
J
So
we
spent
a
lot
of
time
trying
to
educate
and
our
communities
and
just
get
the
information
the
best
we
could
from
the
cdc
from
the
state
the
places
that
were
generating
it
from
other
countries.
When
was
it
going
to
get
here?
How
quickly
was
it
going
to
spread
and
doing
everything
we
could
do
about
how
to
keep
safe,
and
at
that
time
we
had
nothing
but
good
old-fashioned
public
health,
which
is
social
distance?
Wash
your
hands
wear
a
mask.
That
was
it.
J
That
was
the
all
the
tools
we
had
at
the
time
for
the
to
fight
the
virus.
So
we
did
jump
in
and
do
disease
investigation
and
contact
tracing
the
way
we
have
always
done
it
with
reportable
diseases.
We
know
how
to
do
this
with
covid.
It
really
got
ramped
up
to
a
different
level,
we're
overtaking
with
it
now,
and
the
schools
are
having
to
do
that
kind
of
work.
J
At
least
the
contact
tracing
part
in
their
schools,
because
we
have
so
many
cases
that
we
can't
keep
up
and
in
the
beginning,
the
folks
that
we
talked
to
were
scared
and
wanted
to
know.
You
know
what
we
could
do,
what
they
should
do
and
very
compliant.
Let
me
say
or
willing
to
take
any
advice
that
we
were
giving
that
they're,
not
that
much
that
way.
Now
it's
not
it's
difficult
to
get
somebody
to
answer
the
phone
really
maybe
early
on.
J
We
also
spent
much
time
with
our
businesses,
especially
the
ones
that
stayed
open
through
the
shutdown
about
how
to
space
people
out
the
barriers.
The
every
time
we
got
new
updates
from
cdc
on
how
we
could
make
businesses
work
and
be
safe
and
keep
everybody
doing
what
they
needed
to
do
so
that
food
could
be
delivered,
that
the
services
that
people
are
used
to
having
could
be
maintained.
J
J
We
also
were
the
distributors
of
the
ppe,
and
that
was
great
fun,
because
in
the
beginning
there
was
much
confusion
about
the
masks
we
didn't.
We
had
a
shortage
and
I'm
3m
just
multitudes
of
things
that
went
amok
at
all
levels,
but
we
did
not
have
enough
of
the
right
kind
of
mass.
So
we
tried
to
save
the
n95s,
the
mass
that
we
did
have
for
the
folks
that
were
on
the
front
line,
treating
the
people
with
covid,
and
so
we
had.
You
know
the
girl
scout
troops
and
the
churches
making
masks.
J
Then
testing
came
along
and
it
was
kind
of
the
same
way
as
the
mask
when
we
didn't
at
first
we
didn't
have
tests.
You
know
there
was
cdc
issues
and
didn't
use
the
tests
from
another
country
and
the
things
that
went
along
with
that.
So
in
the
beginning,
in
kentucky,
we
only
had
the
state
lab
that
had
very
small
capacity
to
do
testing
so
people
that
weren't
very
ill,
and
then
we
had
the
original
virus
at
that
time
were
urged
to
stay
home
and
isolate.
J
There
would
be
nothing
any
different,
getting
the
test
versus
not
getting
the
test.
That's
not
so
much
true
now,
but
so
before
we
had
very
many
tests.
We
were
trying
to
get
people
to.
You
know
not
worry
so
much
about
the
test,
just
to
take
care
of
themselves
and
then
fast
forward.
We
got
a
contracts
with
gravity,
everybody
wanted
to
test.
J
We
had
all
kinds
of
tests,
they
were
coming
out
our
ears,
so
all
of
this
has
been
you
know
we
started
out
with
nothing
and
then
we
ramped
up
by
the
time
we
got
an
abundance
of
stuff.
Then
our
people,
our
community
at
large,
had
decided
we're
done
with
this
we're
tired
of
this.
We
don't
want
to
hear
any
more
about
it
and
then
the
vaccine,
so
we
were
thrilled.
I
felt
like
santa
claus
when
it
came
to
our
health
department.
J
J
They
are
dead,
stood
in
line
ready
to
roll,
and
we
made
sure
they
got
the
vaccine
and
they're
less
sick
than
the
other
folks,
but
the
vaccines
are
sort
of
the
same
as
everything
else,
the
mass
and
the
test
before
we
had
it.
Everybody
wanted
it
now
that
we've
got
enough
for
everybody
and
their
dog
too.
J
Nobody
wants
it
so
so
fast
forward
to
where
are
we
right
now?
So
this
is
a
kentucky
hospital
association
slide
showing-
and
this
was
I
think
from
friday,
but
how
many
folks
that
we've
had
in
the
hospital
and
all
of
our
our
statistics
that
are
just
you
know.
These
are
not
statistics
we
want.
We
want
on
the
other
side
of
this,
we
just
like
you
and
everybody
else
want
to
move
to
a
a
different
kentucky
to
a
different
nation
than
what
we've
got
going
on
right
now.
J
J
Little
did
we
know
at
the
minute
this
we
knew
at
some
point,
we'd
be
faced
with
a
pandemic,
but
we
didn't
know
how
quick
it
was
going
to
be
coming
and
we
we
were
just
on
the
edge
of
having
this
done,
having
the
funding
for
foundational
infrastructure
for
health
departments,
because
it's
what
this
bill
is
all
about,
and
then
we
launched
into
nothing
like
any
of
us
had
seen
before
the
the
battle
of
our
careers,
and
then
this
is
where
public
health
is.
J
Where
see
us
squished
there
between
politics
and
science,
that's
where
we
are
and
then
throw
in.
You
know
social
media
and
all
that
other
stuff,
and
that
is
the
tight
spot.
We
find
ourselves
in
in
public
health
and
especially
in
kentucky,
because
we're
only
one
of
three
states
in
the
united
states
that
does
that
public
health,
a
shared
governance
system.
J
We
try
to
always
play
that
to
the
best
of
our
outcome
if
we
can.
But
that
means
we
answer
to
two
masters,
so
the
health
department
directors
answer
to
the
state
department
of
public
health
and
also
to
a
local
board,
which
is
has
a
local
judge
executive
sitting
on
that
board
as
well.
So
we
the
state
and
locals,
that's
not
that
way
in
the
other
states
in
2014
how
I
got
started
going
on
the
hill
in
dc.
J
I
was
the
president
of
the
national
association
of
county
and
city
health
officials,
which
serves
2
800
health
departments
across
the
country.
So
kentucky
is
only
one
of
three.
The
rest
are
either
if
you're
a
health
department.
You
are
a
part
of
the
state
government
or
you
are
part
of
the
local
government,
except
we
are
kind
of
that
in
the
middle.
Sometimes
that
makes
for
very
interesting
happenings.
J
H
Okay,
I'll
take
it
from
here
again:
I'm
scott
locker
public
health
turn
on
my
mic:
scott
locker
public
health,
director
kentucky
river
district
health
department.
I
served
prairie
knot,
lecher
leslie,
wolfely
and
owsley
counties
in
the
far
eastern
part
of
the
state
there
neighbors
to
pike
county
and
prior
to
that
I
was
public
health
director
in
clark
county.
So
I
had
the
privilege
to
work
with
senator
alvarado
there
for
12
years.
This
chart
right
here
kind
of
shows.
You
know
when
we
start
talking
about
public
health.
H
I'll
often
ask
whenever
I
do
a
a
presentation
to
a
group,
how
many
of
you
all
have
ever
received
a
service
from
your
local
health
department
and
we'll
typically
see
a
couple
of
hands,
go
up
because
a
lot
of
people
think
well
we're
clinics
for
poor
people.
But
when
you
look
at
what
all
we
do
here,
you
know:
have
you
ate
in
a
restaurant?
Have
you
bought
groceries?
You
know
we
touch
every
member
of
the
commonwealth
of
kentucky
every
day.
H
I've
often
said
that
in
public
health,
it's
the
only
place,
I
know
of
where
you
can
work
with
issues
dealing
from
as
a
director
from
pap
smears
to
rabies
all
in
the
same
day-
and
you
know
it's
really
going
to
be
an
interesting
day
if
it's
the
same
patient
you're
dealing
with
both
issues
on
so
it's
never
never
dull,
there's
so
much
going
on.
Our
public
health
system
is
so
much
more
than
our
local
health
departments.
H
This
gives
you
an
example
of
what
a
public
health
system
looks
like
law
enforcement,
they're,
a
big
part
of
public
safety,
so
they're
a
big
part
of
our
public
health
system,
our
nursing
homes,
we've
been
working
hand
in
hand
with
them
throughout
this
pandemic,
a
big
part
of
the
public
health
system,
economic
development,
our
chambers
of
commerce.
The
best
way
to
raise
health
status
is
to
raise
socioeconomic
status.
H
H
You
know
who,
among
us
in
the
past
18
months,
hasn't
felt
some
anxiety
hasn't
been
depressed
at
times
has
not
had
stress,
there's
just
so
many
different
things
that
we
deal
with
on
a
daily
basis.
You
know
our
schools,
our
schools
are
a
very
important
partner,
so
much
public
health
goes
on
in
schools.
Some
of
our
health
departments
still
have
school
health
programs
where
we
actually
provide
nurses
for
the
schools.
All
of
us
have
been
working
with
our
schools
throughout
this
pandemic
and
and
just
so
many
issues
that
they
have
been
dealing
with.
H
My
heart
goes
out
and
if
you're
not
aware,
the
lee
county
school
system
had
their
third
employee
die
yesterday
from
covid,
so
their
guidance
counselor,
who
was
much
beloved
in
this
small
community
of
6
500
people.
You
know
it's
just
been
devastating
to
the
local
community
there.
It's
it's
truly
been
devastating,
so
my
thoughts
and
prayers
are
with
them.
H
You
see
the
the
image
of
a
conductor
many
times
what
the
health
department,
the
main
role
we're
doing
is
we're
convening
entities
in
the
community.
We
are
that
impartial
third
party
who
can
bring
together
the
fqhcs,
the
rural
health
clinics,
the
hospital
system,
the
schools,
the
the
the
fire
chief,
the
the
police.
Commissioner,
all
these
parties
around
the
table
and
let's
do
that
community
health
assessment.
Let's
assess
our
strengths,
let's
look
at
our
opportunities
for
growth
and
then,
let's
do
our
chip,
our
community
health
improvement
plan.
H
So
each
entity
is
addressing
those
things
which
they
are
uniquely
equipped
to
do.
Our
a
lot
of
our
fire
departments
and
law
enforcement
partners
do
a
lot
around
car
seat
safety.
So,
if
that's
being
done
by
them,
we
don't
need
to
do
it.
We
are
very
much
a
do
or
a
sure
model
in
many
of
our
bigger
communities
where
we
have
a
lot
more
partners.
H
We
we
are
just
doing
this,
conducting
we're
making
sure
that
that
we're
linking
people
to
whatever
needs
to
occur
in
some
of
our
small
communities
like
owsley,
county
4,
500
people,
it's
too
small
for
a
private
for-profit
home
health
agency
to
make
to
to
make
it
there.
So
you
know
I'm
one
of
the
few
remaining
public
home
health
agencies
in
the
state
to
make
sure
that
very
valuable
service
gets
delivered
next
slide,
please,
throughout
the
pandemic.
Again
we
have
been
doing
all
these
other
services
and
we've
been
doing
it
under
challenging
situations.
H
What
you're
seeing
here
is
the
record
flood
that
was
in
lee
county,
where
we
saw
water
four
feet
deep
in
the
streets,
the
the
biggest
flood
they've
had
since
the
50s
there-
and
this
is
a
one
of
our
partners-
we're
from
the
department
of
public
health,
our
immunization
specialists
there,
who
we
worked
with
emergency
management
and
we
boated
in
to
save
the
covet
vaccine
because
it
was
so
precious
at
that
time.
We
had
so
few
doses
when
water
got
over
our
generator.
H
I
was
not
about
to
let
that
water,
let
our
vaccine
go
down,
so
we
voted
in
and
we
saved
our
vaccine,
so
we've
dealt.
Two
of
my
communities
have
had
record
floods.
You
know
100
year,
floods
this
year,
and
so
our
environmentalists
been
working
with
the
community
in
response
to
that,
our
fqhc
that
has
served
lee
county.
H
Their
facility
has
been
flooded
out,
and
so
we
see
a
lot
of
people
that
were
going
there
for
cancer
screening
now
they're
not
going
to
the
adjoining
county,
where
they
have
relocated
at
their
home
office,
and
so
we
see
more
demand
for
our
services,
testing
we're
the
pri.
You
know
primary
testing
provider
there
in
lee
county,
so
there's
just
lots
of
different
things
that
we're
doing
again:
health
departments
that
do
or
assure,
if
it's
being
done,
we
back
out
of
it.
If
not,
we
get
in
there.
Okay
next
slide,
please!
So
what?
H
What
have
we
done
as
a
result
of
the
special
session?
And
again?
Thank
you
all.
We
appreciate
your
work
here
to
promote
the
health.
I
think
we
all
have
the
same
goal
in
mind.
How
do
we
have
a
healthy
kentucky?
That's
economically
prosperous
for
its
citizens.
That's
what
we
all
want!
We
all
have
common
interests
there.
So
the
information
here,
the
test
to
stay
program.
H
This
is
a
program
that
we'd
actually
had
conversations
about
and
looked
at
some
models
and
we
have
been
working
with
our
school
system.
The
state
department
of
public
health
has
already
put
out
guidance,
so
we
appreciate
them
for
that.
Some
of
us
had
already
put
out
guidance
to
our
local
communities
as
well,
based
upon
a
draft
that
they
had
circulated
a
while
back
and
these
test
to
stay
programs,
the
key
components
of
test
to
stay
and
what
the
science
says.
H
So
you
have
to
have
the
logistics
you
have
to
have
the
testing
vendors
and
the
state
department
of
public
health
had
contracted
with
vendors,
and
they
are
out
on
the
website,
and
the
kde
has
shared
that
information
along
with
their
guidance
and
so
the
the
school
superintendents
we
have
been
working
hand
in
glove
with
those.
I
have
nine
school
superintendents
in
my
district
there,
and
and
we
talk,
they
have
my
cell
number
and
we
talk
and
text.
You
know
at
countless
hours
the
other
issue
there.
H
H
We
want
to
be
able
to
talk
with
our
local
school
officials,
because
my
district's
90
miles
apart
just
kentucky
river
watch
may
be
right
in
whitesburg
may
not
be
right
in
bayville,
and
so
this
gives
us
the
opportunity
to
do
what
we
need
to
do.
And
so
again
we
appreciate
that
our
local
superintendents-
I
worked
with
several
of
my
superintendents.
As
I
know,
my
colleagues
did
to
get
them
the
science
on
the
masking
and
we
see
how
many
of
them
elected
to
continue
to
mask
because
we're
at
record
levels.
H
That's
how
much
delta
has
kicked
our
butts
it
it's
just
the
the
transmission
and
and
dr
alvarado.
If
I
get
this
wrong,
he
can
correct
me
here,
but
the
r
are
not
we're
seeing
for
every
delta
variant,
patient
that
they're,
probably
infecting
another
seven
patients
roughly,
whereas
previous
strains
every
positive,
was
infecting
one
to
two
other
people.
So
again
it's
just
been.
We
really
feel
like
we're
on
the
front
lines
of
a
war
out
there.
H
Our
hospital
beds,
I
work
closely
with
the
arh
system
and
the
the
icus
are
full
ventilators
are
full
they're
they've
been
on
diversion
several
times.
You
know,
we've
had
days
here
with
less
than
100
open,
icu
beds
in
the
entire
state.
So
it's
really
we're
truly
at
the
height
of
this
pandemic.
In
our
response
next
slide,
please
the
senate
bill
2,
provided
that
we,
the
regional,
covet,
19,
antibody
administration,
centers.
H
You
know
the
the
monoclonal
antibody
infusion,
centers
say
that
three
times
fast,
we
call
it
bam
down
in
my
neck
of
the
woods
with
with
our
local
providers,
and
so
you
know
setting
up
those
regional
providers.
But
now
we've
been
told
because
of
the
covid
situation,
the
spread
of
disease
that
they're
now
limiting
these
bam,
the
monoclonal
antibody
treatments
to
about
4
900
a
week
so
they're
having
to
ration
those
basically
so
everybody
that
wants
one
of
these
may
not
get
them.
H
So
I
think
this
is
one
of
the
things
too
we'll
be
ready
to
respond
with,
and
dph
has
already
engaged
us
and
asked
us.
Do
we
have
providers
in
our
area
that
are
providing?
This?
Is
this
need
already
met?
Do
we
have
the
need
for
additional
centers
there,
so
we're
working
with
that
psas
and
public
awareness?
Here's
an
example
of
a
public
awareness
campaign.
We've
already
been
doing
all
my
peers.
Social
media
has
been
you
know
bombarded
with
this.
We've
been
doing
television
ads
radio
ads.
H
This
is
a
billboard
in
my
district
there,
where
we
got
one
of
the
younger
folks
there,
because
we
were
targeting
vaccines
towards
the
one
of
the
the
youth
and
we
targeted
one
of
the
the
the
youth
there
in
our
schools
and
and
tried
to
you
know
again
get
these
local
champions.
Who
are
your
local
champions?
Who
are
your
local
medical
professionals?
H
We
have
seen
that
instead
of
the
legislature
telling
people
what
to
do
us
at
the
health
department
telling
people
what
to
do
if
their
doctor
tells
them
what
to
do
they're
going
to
listen
more
so
so
that's
very,
very
important,
and
that
leads
us
to
the
next
step:
the
distribution
of
vaccines
at
these
regional
distribution
hubs.
We've
already
been
working
on
that
the
picture
at
the
bottom.
There
is
a
super
cold
freezer
that
will
store
the
pfizer
vaccine
at
that
negative
80
degrees.
H
That's
recommended
there,
so
a
lot
of
us
in
the
health
departments
are
agreeing
to
go
ahead
and
be
a
regional
distribution
hub.
So
we
can
get
these
vaccines.
Pfizer
only
comes
in
lots
of
1170
doses.
Well,
the
the
small
physician
practice
on
the
corner
doesn't
need
you
know
they
can't
take
that,
so
they
don't
may
only
need
you
know,
18
doses.
So
what
do
we
do?
We
get
the
1170
and
we're
going
to
get
the
order
from
them
and
we're
going
to
take
them
down
three
vowels,
so
they
can
have
that
18
doses.
H
So
again,
every
opportunity
we
have
to
get
a
vaccine
in
the
arm.
That's
what
we're
trying
to
do
not
right.
Now
we
want
no
stone
unturned
and
by
utilizing
our
local
providers
and
not
missing
these
opportunities.
That's
going
to
be
a
big
part
of
it,
and
also
too
senate
bill
2
added
local
health
departments
to
krs
chapter
13,
a
and
39a.
H
You
know
just
about
that.
I
guess
any
local
health
department
mandates
on
vaccine
there.
That
was
that
opt
out
provision
and
things
like
that
and
again
none
of
my
peers
that
have
I
talked
to
are
wanting
to
do
this
at
the
local
level.
We're
wanting
to
work
with
our
policy
makers
on
all
this
next
slide.
Please,
the
senate
bill
3
the
appropriation
of
the
funding.
This
is
greatly
appreciated.
H
I
have
very
few
providers,
so
we're
standing
up
and
doing
the
testing
ourselves
down
there,
and
this
is
my
testing
team,
two
members
of
that
testing
team
down
there
and
we're
testing
daily
there
so
and
again,
funding
to
do
and
provide
the
testing
for
the
test
to
stay
and
all
these
different
things.
So,
ultimately,
at
the
end
of
the
day,
whatever
is
decided
here
in
frankfurt,
we
at
the
local
health
departments
were
glad
to
serve
as
your
subject
matter.
Extroverts
provide
you.
H
K
K
We
were
happy
being
in
the
background
and
taking
care
of
our
communities,
and
we
found
ourselves
kind
of
shoved
out
to
the
front
where
what
we
did
became
very
visible
and
even
publicized,
and
sometimes
even
criticized
what
we.
What
we
ask
for
moving
forward
is
that
the
public
health
transformation
legislation
be
fully
implemented.
K
We
need
public
health
transformation
funding
according
to
the
law,
the
way
that
it
was
spelled
out
in
the
formula,
and
so
that
hasn't
happened.
That's
the
only
part
of
the
legislation
that
hasn't
happened
to
date,
the
rest
of
the
items
we've
put
in
a
motion
and
put
in
action
both
at
the
legislative
level,
the
state
level
and
the
local
level.
So
that's
our
continued
ask
and
that
would
be
in
addition
to
the
pension
subsidy
that
we're
receiving
through
house
bill
8..
K
K
So
that
concludes
our
information,
part
of
it.
You
do
have
myself
scott
and
georgia
in
the
room.
I
just
want
to
remind
you
that
you
also
have
dr
sarah
moyer,
with
louisville
metro,
public
health,
clay,
horton
with
green
river
district
health
department
and
matt
rhodes,
with
oldham
county
health
department
on
the
line
and
we're
available
to
answer
your
questions.
A
Very
good,
thank
you
so
much
for
that
presentation.
That
was
exactly,
I
think,
what
we
all
needed
to
just
kind
of
a
review
and
overview
of
where
our
we
get
so
many
questions
about
the
health
department
and
and
it's
just
good
to
get
a
review
on
how
you
function
and
what
you're
doing
and
how
busy
you
are,
and
we
obviously
all
are
very
appreciative
of
your
services
and
the
long
hours
that
you've
put
in
the
last
year
and
a
half.
So
we
probably
have
a
couple
of
questions,
we'll
open
it
up
with
senator
alvarado.
Thank.
C
I
got
to
talk
so
I
appreciate
the
opportunity
just
to
let
people
know
as
a
practicing
physician
in
clark
county,
a
list
that
I
just
started
writing
things
of
what
I
would
have
contacted
the
health
department
for-
and
I
never
really
done
that
list
before,
but
I
think
of
all
the
stds
we
saw
in
our
office
like
you
mentioned,
pap
smears
people
coming
in
with
complaints,
and
you
find
something
you
have
to
report
that
substance
use
disorder,
resources,
tuberculosis
people
have
had
tb.
C
People
have
come
in
from
other
countries
with
tb
they
haven't,
you
know,
had
treatment,
how
to
treat
them.
Sometimes
people
that
refuse
treatment
for
that
and
are
infecting
others
and
then
have
to
be
quarantined
for
those
purposes.
Influenza
cryptococcus,
which
is
a
waterborne
disorder,
all
the
hepatitis,
a
b
and
c
rabies.
C
I've
had
people
trying
to
rescue
raccoons
get
bitten,
have
to
require
a
shot,
and
you
can't
get
those
I
mean
those
are
really
specializing
how
to
give
them
the
health
department's,
a
resource
immunizations
for
kids,
who
the
few
that
have
fallen
in
between
where
they
don't
qualify
for
chip
or
other
things,
have
to
get
immunizations
wic
programs
for
babies
who
need
formula
all
of
those
things.
So
just
some
of
the
things
top
of
my
head
that
as
a
practicing
doctor,
I've
had
to
contact
the
health
department
with
for
assistance.
C
So
I
do
appreciate
all
the
work
that
you
all
do.
We
know
how
important
it
is.
A
couple
of
quick
questions
in
on
senate
bill
2,
some
of
the
things.
I
would
urge
you
if
the
department
of
public
health
and
the
cabinet's
gonna,
I
wanted
to
be
more
prescriptive
in
that
bill.
That
came
through
it's
more
of
it.
Please
assist
and
help
is
the
language
that's
used
in
that
bill.
C
So
if
they're
gonna
turf
that
to
you
all,
then
please
do
I
mean
what
we've
heard
from
a
lot
of
our
providers
providers
that
we
haven't
gotten
help
from
the
cabinet
on
these
things
and
they
said
oh
we're
helping
and
most
almost
all
the
providers,
I
talked
to
say
we're
not
seeing
it
we're
not
feeling
it
so
on
issues
like
regeneron
the
federal
government's
now
restricting
that
I
just
called
my
hospital
in
clark
county.
They
were
ordering
200
doses
a
week.
C
They
were
given
40.,
they
said
that'll
last
them
about
a
day
and
a
half
norton's
has
had
the
same
kind
of
issue,
they've
requested,
so
many
they
were
giving.
So
the
feds
are
rationing
that
I'm
not
really
sure
why.
I
don't
know
that
it's
a
manufacturing
thing,
I'm
not
sure
why
they're
rationing
it.
There
has
really
been
a
good
explanation
for
it,
but
we
need
to
see
if
we
can
bump
that
up.
However,
we
can
and
get
that
into
into
folks
it's
going
to
keep
them
from
the
hospital.
C
Doctor's
offices
need
vaccinations
as
well.
I
know
they
can't
store
pfizer
and
moderna,
but
johnson
and
johnson
they
can.
You
know
it's
paperwork
is
the
headache
for
those
doctors,
it's
like
a
20-page
document
to
fill
out
and
all
a
doctor
hates
to
hear
is
you
know
all
you
have
to
do
is
if
you
hear
that
they
don't
want
to
do
it,
because
it's
just
another
piece
of
paperwork
for
them
to
fill
out
anything.
We
can
do
to
do
that.
The
public
service
announcements.
We
need
to
be
graphic
with
our
public
service
announcements.
C
Take
someone,
you
know
if
you
can
get
someone
who's,
30
years
old,
who
hasn't
been
vaccinated,
who's
about
to
be
put
on
a
ventilator
and
film
that
moment
before
that,
the
last
words
before
they
go
on
event
and
put
that
on
television
for
our
young
people
to
see
that
will
be
a
bigger
impact
almost
than
anything
and
we've
seen
that
with
tobacco
kind
of
advertising
and
that
sort
of
thing
a
couple
of
quick
questions
for
you.
C
K
So
the
estimates
we
are
still
working
on
finalizing
that
detail
we're
using
closeout
data,
and
so
some
of
that
is
just
being
approved.
But
the
estimate
at
this
point
is
between
7.7
to
19
million
dollars
for
fiscal
year.
23.
C
Okay,
very
good
and
that's
important,
for
I
think
we
hear
that
in
health
and
welfare
and
I've
put
the
request
in
myself,
but
it's
important
for
those
who
aren't
on
that
committee
to
know
what
the
amount
is
and
the
kind
of
work
that
you
do.
I
think
you
know
that
price
tag
is
going
to
be
well
worth
what
we
need
moving
forward.
Also,
I've
often
talked
about
also,
you
know
the
the
importance
of
considering
our
mcos
in
medicaid
and
trying
to
blend
them
with
our
health
departments.
C
Some
states
have
done
that
because
you
all
are
closer
to
the
ground.
You
know
your
communities,
you
know
the
needs
that
are
in
those
communities,
so
maybe
thoughts
on
that
and
then
also
the
biggest
threat
for
our
health
departments.
Right
now,
I
know
some
of
them
are
in
better
fiscal
shape.
Some
are
not.
Maybe
you
can
just
touch
on
that
very
briefly
of,
except
from
what
I
understand
several
at
risk
of
closing.
Maybe
you
can
touch
on
that
really.
H
Okay,
yeah:
I
get
that
question
a
lot,
because
the
local
funding
issues
vary
greatly.
You
know
the
big
the
base
of
a
health
department's
funding
is
the
local
tax
base
and
many
of
our
health
departments
that
the
tax
that
is
required
by
the
statute
is
1.8
is
what
the
the
commissioner
sends
it
at,
but
many
of
our
local
health
departments
and
smaller
counties
are
at
8
cents
or
even
10
cents,
which
is
the
maximum.
H
Now
I
have
a
situation
in
lecher
county
and
it's
a
prime
example
here
of
how
again
health
departments
differ
greatly
and
our
financial
needs
come
to
the
forefront
here
in
2014,
the
local
taxing
district
generated
1.2
million
dollars
in
whitesburg
in
the
lecher
county
system,
and
so
we
have
a
health
department
down
there.
You
know
they
had
built
a
new
health
department
based
upon
financial
data
and
the
the
needs
at
that
time.
Well
now,
since
2014
things
have
changed,
you
know
unmined
minerals.
H
The
legislature
changed
the
way
we
tax,
unmined,
minerals
and
and
oil
and
gas
leases
and
coal
mining
is,
is
just
bottomed
out
so
this
year.
The
the
the
estimate
for
next
year
is
that
the
local
health
taxing
district
will
generate
540
000
dollars
down
from
1.2
million.
H
You
know
I
can
no
longer
afford
to
pay
the
payment
on
my
health
department,
much
less
pay
the
pension.
If
we
have
that
star
step
down
from
house
bill
8.
H
you
know,
and-
and
that
was
the
thing
house
bill
8
and
I
know
I
saw
david
eagers-
we
come
in
this
room
and
and
we
all
look
forward
to
the
day
when
we
don't
say
the
p
word
or
the
c
word
anymore
in
here
right
we
get
away
from
covered,
we
get
away
from
pension,
but
that,
though
those
you
know,
that
is
a
the
biggest
threat
to
my
health
department.
Right
now
is
equitable
funding.
H
We
have
a
we're
losing
tax
base
down
there
and
the
people
that
are
leaving
are
the
ones
that
need
public
health-
probably
the
least
you
know,
and
so
we're
seeing
that
so
so
that
that's
very
different
on
on,
and
we
need
to
to
take
a
look
at
that.
How
we
really
address
that
that
equitable
funding
issue
and
so
on.
F
B
L
Thanks,
sarah
joe,
so
we
the
trends
in
vaccination-
probably
it
was
the
highest
in
march
when
supply
was
still
limited,
everybody
wanted,
it
definitely
went
down
through
june.
We
saw
a
little
bit
of
an
uptick
in
august
when
delta
first
hit
and
people
were
nervous,
but
those
numbers
have
started
trending
down
in
this
last
week.
I
think
the
the
next
big
bump
that
we're
probably
will
see
will
be
when
more
workplaces,
when
it
becomes
a
condition
of
employment,
is
what
we're
predicting.
K
J
We
had
an
uptick
when
we
were
allowed
to
give
it
to
the
up
to
12
to
17
year
olds,
so
the
folks
that
wanted
that
for
their
children
and
then
I
think,
we'll
get
it
again
when
we're
we
get
something
approved
for
the
five
to
11
year
olds,
but
we
kind
of
had
a
it's
not
picked
up
for
us.
J
I
mean
it
was
heavy
duty
and
when
we
first
got
the
vaccine
and
then
people
got
dependent
on
the
vaccine,
they
got
they
got
the
second
dose,
but
once
we
got
those
people
taken
care
of
it's
kind
of
been
just
fell
off.
It's.
H
And
that's
where
the
psas
and
the
public
service
announcements,
I
appreciate
the
the
elected
leaders
in
this
room
have
put
out
things
on
their
facebook
and
different
things,
supporting
people
making
that
choice,
getting
the
information
and
getting
vaccinated,
there's
so
much
misinformation
and
disinformation
in
eastern
kentucky,
where
I'm
from
one
ously
county,
has
a
vaccination
rate
of
about
33
34
up
to
the
highest
in
perry,
county
of
about
58
percent.
But
there
that
we're
constantly
combating
misinformation,
disinformation
we're
not
trying
to
microchip
people.
I
can
care
less
what
they
do.
H
I
hope
have
fun.
You
know
you
know,
and-
and
so
it's
just
getting
out-
that
accurate
information
there
that
we're
not
rewiring
your
dna
and
doing
all
these
different
things.
But
but
this
is
medical
science,
a
modern
medical
miracle,
as
senator
mitch
mcconnell
says,
and
he
recommends
everybody
gets
vaccinated.
So
we
need
more
of
that.
We
we
just
need
to
really
really
flood
the
airwaves
and
social
media
and
everything
with
people
who
obviously
I'll
turn
it
back
on
around
here
for
a
second,
but
you
all
are
respected
you
all.
Obviously
you
win
elections.
H
You
get
here,
people
value
what
you
all
think
too,
so
I
would
challenge
each
of
you
all.
How
can
you
help
us
in
this
battle
and
and
to
educate
and
inform
again
not
mandate,
we're
we're?
I
prefer
people
make
their
own
decisions
too,
but
I
prefer
they
make
it
with
the
accurate,
factual
information.
Thank
you
thank.
M
Thank
you
chair.
If
I
could
first
just
thank
you
all.
I
mean
your
efforts
in
the
last
18
months
have
been
absolutely
herculean.
M
M
So
thank
you
for
everything
you
do,
and
you
know
I
love
that
you
were
talking
about
what
your
normal
activities
are
outside
of
coven
and
I
remember
last
summer
when
coveted
was
starting
to
die
down
and
then
the
great
pool
opening
debate
of
the
summer
of
2020
took
over
and
you
all
had
to
get
all
of
those
pools
open
as
fast
as
possible.
I
think
I
got
more
emails
on
that
than
I
did
covet
in
july
of
last
year.
I
have
two
questions.
M
If
I
may,
the
first
is:
can
you
all
talk
about
where
your
wic
programs
and
all
of
those
outreach
programs
are
concerned?
Are
you
starting
yet
to
see
the
benefit,
perhaps
of
what
the
expanded
snap
benefits
were
doing
for
families
and
then
also
with
the
tax
credit
for
children
is
doing
for
families?
Is
it
too
early
for
you
to
see
that?
Are
you
seeing
any
impact
yet.
K
I'm
trying
to
think
of
who
the
best
person
is
to
do
that.
I'm
going
to
turn
over
to
scott.
H
Yes,
in
our
area
we're
seeing
benefits,
you
know
we,
we
have
very
high
poverty
rates
again
eastern
kentucky,
poor
health
outcomes,
high
poverty
rates.
There
are
certain
things,
and
I
know
we
always
you
know
I'm
a
very
optimistic
strength-based
person.
There
are
things
that
have
happened
during
this
pandemic
that
I
think
have
improved
service
delivery.
Our
wix
service
delivery
rate
percent
pop
participation
rate
is
the
highest
it's
ever
been,
and
so
we're
seeing
people
engage.
H
You
know
we
need
to
remove
barriers,
so
we
can
communicate
effectively
as
much
as
we
can
do.
We
do
hands
visits
through
messenger
video
chat
now
and-
and
you
know,
if
we
can't
get
in
the
home
for
a
reason
or
whatever
there
now,
we
can
use
technology.
So
I
think
we're
seeing
benefits
from
this.
We're
also
seeing
benefits
that
there
have
been
a
lot
of
food
distributions,
wolf
county,
where
I'm
from
the
local
fire
department
has
actually
opened
a
food
bank
with
a
grant
from
anthem
and
and
pulling
in
other
resources.
H
They've
been
serving
people
from
about
a
five
county,
res
radius
and
the
last
giveaway
they
had
there.
Last
week
they
served
over
1350
families,
so
there's
still
a
lot
of
food
insecurity
out
there.
I
think
we're
seeing
some
positives
some
gains,
but
in
areas
of
high
poverty,
there's
still
a
lot
of
need.
A
M
A
concern
I
have
especially
with
told
that
this
is
taking
on
our
hospital
systems
and
so
on
and
so
forth
is
your
reporting.
The
reporting
that
health
departments
give
to
us
is
so
vital
for
the
policies
that
we
craft
and
the
budget
that
we
craft,
especially
with
our
substance,
use
disorder
upticks
in
the
last
year.
I'm
really
concerned
that
we
may
see
some
under
reporting
on
things
like
hiv
spread
and
hepatitis
c
spread
in
our
communities.
M
K
Moyer,
I'm
going
to
send
this
question
to
you,
because
I
know
your
team
has
has
been
working
on
specifically
with
hiv.
L
L
I
know
we've
got
a
system
up
for
contact
racing,
but
besides
that,
it's
just
really
hard
to
get
that
data
in
and
sift
through
it,
and
so
I'm
hoping
that'll
be
one
of
the
positives
that
comes
out
of
the
post
cobin
pandemic,
as
we
get
brought
up
to
speed
with
all
the
technology
resources
that
are
up
there,
so
we
can
keep
better
track
of
it
and
then,
with
hiv
and
and
other
data,
that's
not
being
followed.
We
are
tracking
that
quote
closely.
I
mean
it's
still
reportable,
as
sarah
joe
mentioned
earlier.
H
And
another
thing
on
data:
I
will
interject
here
some
of
our
health
departments
and
our
communities
have
great
deficits
and
internet
service
and
and
the
key
to
a
good
data
system
is
high-speed
internet
and
broadband
and
my
district
office.
The
best
speed
I
can
get
right
now
is
four
meg
download
and
one
meg
up.
H
So
if
I'm
doing
a
zoom
meeting,
nobody
else
in
my
district
can
work
that
you
know
on
the
computer,
so
we're
working
through
some
of
the
infrastructure,
investments
and
stuff
that
that,
hopefully,
by
january
1
I'll
have
one
gig
down
one
gig
up
in
each
of
my
eight
offices.
So
a
lot
of
these
things
again
we're
being
able
to
invest
in
and
see
and
to
get
those
services
out
there.
A
E
So
we
can
get
get
them
back
to
normal,
because
I'm
very
concerned
about
the
societal
effects,
the
cultural
effects
communications
affects
the
ability
to
learn.
While
these
kids
are
wearing
these
masks,
but
I
think
that's
really
important
for
you
all
to
stay
in
touch
with
school
boards
and
superintendents,
so
they
can
move
more
quickly
at
the
local
level
than
we.
We
could
have
had
a
statewide
ban
on
mass
state
in
place.
So
thank
you
for
that.
I
have
two
questions.
E
You
know
we're
all
very
concerned
about
the
unintended
consequences
of
the
lockdowns
and
the
shutdowns
and
all
the
things
that
were
done
to
deal
with
the
pandemic.
The
the
mental
health
consequences
that
you
talked
about,
increases
in
in
drug
use
and
overdose
deaths,
mental
health,
suicides
etc,
and
I'm
curious
if
you've
seen
a
spike
in
the
request
for
the
taxpayer-funded
needles
at
needle
exchanges
that
we
fund
for
illegal
activity
in
the
commonwealth,
and
you
can
probably
tell
I'm
not
very
happy
that
I
actually
voted
for
that
several
years
ago.
E
I
wish
I
could
have
it
back,
but
we
had
to
get
the
we
had
to
get
the
heroin
bill,
the
opioid
bill
across
the
finish
line.
That
was
the
only
way
we
could
do
it.
So
I'm
interested
in
those
numbers
have
you
seen
a
spike
in
the
request
for
the
for
the
needles
at
the
needle
exchanges.
K
I
think
that
that
varies
from
area
to
area
and
how
long
that
syringe
service
program
has
been
in
place.
So
I
know
in
my
area,
in
marion
county,
we
have
seen
an
increase
in
that
service
in
larue
county,
a
smaller
rural
county
that
we
just
started
that
program.
We
really
haven't
seen
that
same
increase,
so
I
think
that
that
varies
from
place
to
place
overall
in
kentucky.
K
Our
hope
is
that
the
participation
will
increase,
and
that's
really
because
fundamentally
those
programs
are
meant
to
prevent
communicable
disease.
E
K
I
I
don't
have
the
exact
numbers,
but
we
can
look
that
up
for
you
and
we
do
track
that
statewide
through
a
program
called
red
cap.
So
that's
easily
available
to
get.
H
As
of
last
month,
we
have
exchanged
over
1
million
200
000
syringes
in
my
seven
counties,
with
a
98
percent
return
ratio
and
we
use
grant
funding
for
the
syringes
we've
been
able
to
secure
grants
to
to
buy,
because
I
know
it's
a
very
issue
that
is
sensitive
to
a
lot
of
people,
but
with
the
levels
of
hiv
and
hep
c
and
everything
in
our
community
and
we
have.
Yesterday
I
was
on
a
one
of
the
most
moving
testimonies.
H
Lady
now,
who
is
no
longer
injecting
who
has
been
referred
to
treatment,
who
is
now
a
a
young
girl?
You
know
she's
same
age
as
my
daughter
and
I
looked
at
her
and
just
who
is
worried
about
making
a
great
on
a
history
test
ain't
that
what
young
girls
are
supposed
to
be
worried
about,
instead
of
being
prostituted
out
for
the
next
hit,
so
it's
making
a
difference,
senator
thayer.
So
even
if
you
regret
the
vote
now,
I
appreciate
that
you
voted
for
it.
Thank
you.
E
I
know
you
do
and
I
appreciate
it
and-
and
you
know
I
wish
we
had
more
stories
like
that,
but
unfortunately,
over
the
last
18
months,
we've
not
there
have
been
more
bad
stories
and
there
have
been
good,
so
I'm
gonna
switch
and
I'm
curious
about
those
numbers
if
you
can
provide
them
on
a
statewide
basis.
I'm
gonna
switch
to
another
topic
that
causes
us
all
anxiety.
H
And
I'll
speak
to
it
from
kentucky
river
district
all
along
you
know,
as
we've
come
and
talked
about
this,
there
were
a
few
of
the
health
departments
that
we
knew
because
again,
declining
tax
base
and
representative
miller
was
in
on
these
discussions.
All
along.
There
was
a
handful
of
health
departments
that
we
knew
would
never
be
able
to
do
that
without
the
house
bill
8
full
funding
there,
so
yeah.
What
we're
going
to
talk
about
is
again
present
the
the
the
pictures,
because
health
departments,
where
does
our
money
come
from?
H
H
So,
at
the
end
of
the
day,
you
know
we
can't
make
more
widgets
and
sell
more
widgets
and
generate
more
profits,
because,
since
public
health,
the
affordable
care
act,
expansion,
the
fqh
sees
all
the
other
entities
now
that
for
people
that
have
medicaid
they're,
providing
these
services
and
and
any
service
where
we
used
to
turn
a
profit
and
turn
that
money
back
into,
I
guess
as
a
surplus,
we
weren't
supposed
to
say
profit
were
we,
but
we
take
those
surpluses
and
fund
public
health
with
them
has
been
drained
off
from
us
and
we're
left
with
the
remainder
that
nobody
else
wants
to
do
so,
we'll
always
give
you
accurate
pictures
house
bill.
H
8,
took
care
of
the
problem
for
the
majority
of
our
health
departments
across
the
state
you're
still
going
to
have
a
handful
cumberland
valley,
district,
kentucky
river
district,
a
few
of
the
others.
You
know
three
rivers
that
we're
going
to
have
to
have
some
conversations
about,
because
right
now,
too,
one
of
the
issues
I
know
that's
near
and
dear
to
all
of
your
all's
heart-
is
the
workforce
development
issue.
We
have
people,
you
know
who
are
drawn
unemployment
who,
for
whatever
reason,
are
not
re-engaging
in
the
workforce.
H
Well,
health
departments
are
not
immune
used
to
our
pension
was
the
main
selling
point
the
way
we
recruited
people
and
said
well
we're
going
to
pay
you
less
than
you
make
in
the
private
sector,
but
you're
going
to
have
a
stable
retirement.
So
we
could
recruit
with
that
now
with
tier
3
benefits,
that's
no
longer
there.
H
So
it's
really
hard
for
me
to
recruit
a
nurse
at
19.50
an
hour
when
ar
h
is
starting
them
at
29
and
paying
up
255
an
hour
at
the
local
hospital,
and
if
they
become
a
travel
nurse,
they
can
get
100
bucks
an
hour
right
now,
and
so
these
are
the
type
of
people
we
need
to
in
public
health.
H
So
we're
left
with
no
choice,
but
there
has
been
a
great
upward
pressure
because
of
inflation,
workforce
issues,
there's
an
upward
pressure
on
salary
levels,
and
so
again
we
have
to
have
people
to
to
do
the
work
that
we
do
and
and
we're
doing
it
as
efficiently
as
possible.
At
one
time
kentucky
river
district
had
over
300
employees.
I've
got
120.
H
Yeah-
and
so
please
understand
what
I'm
saying
there,
I
think
it's
a
good
plan
too,
is
what
needed
to
occur,
but
as
far
as
when
we're
talking
with
people,
you
know
the
the
the
27
and
out
was
a
big
draw
for
us
before
and
now
we
can
no
longer
afford
that.
So
we're
just
being
honest
with
them.
We
tell
them
what's
there
so
that
they
want
higher
salaries
now,
as
a
result,.
A
H
N
N
Thank
you,
mr
chairman,
and
thank
you
all
for
being
here
and
let
us
know
you
do
a
lot
more
than
people
think
and
actually
get
down
and
dirty.
You
come
out
and
check
my
septic
system
out.
So,
but
my
question
is
the
percent
of
adults:
do
you
have
the
numbers
on
that
have
had
coveted
and
are
vaccinated?
K
I
do
not
have
those
numbers
in
front
of
me.
We
do
have
those
numbers,
I'm
not
sure
if
any
of
my
peers
have
them
with
them.
Today
an
important
note
about
that-
and
I
know
it's
been
debated
when
we
look
at
individuals
who
are
fully
vaccinated
and
get
covered,
there's
a
very
specific
definition
of
fully
vaccinated.
K
It
means
that
you
have
completed
your
series
of
vaccinations
and
you're
14
days
out
from
that,
and
so
when
you're
looking
at
data
that,
if
you're
not
fully
vaccinated,
if
you've
only
received
one
dose
of
the
two
dose
or
you
haven't,
had
your
14
days
out
from
the
second
period,
you
don't
have
the
full
immunity
that
the
vaccination
would
provide.
So
I
just
felt
like
I
needed
to
tell
you
that,
because
there's
been
a
lot
of
confusion
about
that,
but
that
that
information
we
do
track
that
as
a
commonwealth.
K
N
Yeah
I
understand
that,
but
what
I'm
trying
to
get
at
is
how
safe
are
we,
because,
if
you've
had
covet,
your
immune
system
is
better
than
if
you've
been
vaccinated?
Of
course,
if
you've
had
covet
and
vaccinate
it
you're
better
than
everybody,
so
I
want
to
know
who
has
had
covet
and
who
has
been
vaccinated
if
you
want
to
stipulate
who's
been
fully
vaccinated
and
add
those
two
numbers,
that's
what
I
want
to
know.
K
N
I
do
understand
that
because
the
vaccine's
70
percent-
you
know
it
varies,
but
it's
70,
so
you're,
30
percent
of
your
people
even
vaccinated
are
still
at
risk
and
if
you
have
not
had
the
vaccine
or
covet
you're
at
risk,
but
what
I'm
getting
at
is
is
basically
if
you've
had
covet.
Your
immune
system
is
better
than
if
you've
been
vaccinated,
but
I'm
going
to
say
let's
say:
they're
equal.
If
you've
had
covet
and
are
vaccinated.
N
K
K
J
That's
going
to
be
a
hard
number
to
track
because
early
on
a
lot
of
people
had
the
virus
and
didn't
know
they
had
it
or
they
had
it
and
they
were
never
entered
into
the
system.
They
didn't
go,
get
tested.
Remember
when
I
talked
earlier
about
when
we
had
the
test,
but
we
discouraged
people
because
we
had
so
few,
so
we
can
get
you
the
numbers
of
the
people
that
had
it
and
tested
and
got
logged
in
the
system,
but
if
they
had
it
and
didn't
get
tested
that
that's.
N
Unknown
y'all
always
talk
about
and
rightfully
so
all
the
numbers
have
been
vaccinated
and
still
catch
covet.
That's
why
you
need
the
protection
of
being
six
foot
apart
and
masking
all
that.
So
if
you
know
that,
then
you
should
also
know
the
ones
that
are,
if
you
know
the
ones
that
are
catching
it
that
haven't
been
vaccinated,
then
you
have
a
number
of
those
catching
it
that's.
What
I'd
like
to
know
is
how
many
of
those
people
have
had
covet
that
you
knew
weren't
vaccinated.
G
Thank
you,
mr
chairman,
and
thank
you
all
today
for
the
presentation.
It
was
excellent.
It
was
a
lot
of
good
information
that,
hopefully,
the
public
will
get
be
exposed
to
that
we're
debating
about
the
booster
shots
and
who
hasn't
had
it
and
who's
who
hasn't
has
a
shot
and
who's
not
doing
what
the
bottom
line
is.
Is
that
we
know
that
the
covert
19
the
shots
work.
G
A
Thank
you,
sir.
Thank
you
just
we're
running
out
of
time.
We've
got
another
present
presenter
behind
you,
but
just
to
kind
of
bring
this
all
to
ahead.
Here.
You
know,
obviously,
from
our
special
session
the
two
things
that
we
thought
are
very
important
for
health
departments
test
to
stay,
monoclonal,
antibody
treatment.
You
talked
about
monoclonal,
antibody
treatments
and
right
now,
how
they're
being
evidently
squeezed
by
the
federal
government.
Hopefully
that
will
be
resolved
soon,
because
we
know
that
that
works,
but
the
test
and
state.
A
Do
our
superintendents
know
how
to
get
a
hold
of
those
to
where
they
can
set
up
testing
facilities
within
their
school
system,
just
kind
of
clear
that
up
for
us,
so
we
know
how
to
communicate
with
our
constituents
back
home,
because
I
think
there's
a
little
bit
of
misconception
that
the
tests
aren't
available
and
even
in
my
area,
clay's
on
the
line.
You
know
we
had
a
time
when
they
were
trying
to
test
and
stay
in
henderson,
and
I
had
a
call
from
a
young
lady.
A
B
Sure
glad
to
thank
you
senator
mills,
so
you
know
throughout
our
experience
here,
there
have
been
times
where
we've
had
limited
resources
on
testing
and
there
have
been
times
where
that's
not
been
as
big
of
a
challenge.
B
So
here
recently
with
the
delta
surge
in
some
of
our
communities,
we
have
heard
of
some
short-term
supply
challenges,
but
overall,
you
know
we're
in
a
much
better
shape
than
we
have
been
previously.
B
There's
a
series
of
vendors
that
that
are
that
are
set
up
in
the
system
that
the
school
systems
can
sign
agreements
with,
and
I
think
it
depends
on
which
vendor
you
speak
to
about
what
mechanism
they're
going
to
recommend
versus
a
rapid
test
or
a
pcr
test,
and
the
model
protocol
or
the
or
the
model
guidance
that
the
kentucky
department
of
public
health
and
local
health
departments
have
provided
to
our
school
systems.
There.
There
are
procedures
using
both
pcr
and
rapid
tests.
B
Those
here
in
green
river
district
that
have
announced
that
they're
going
to
do
test
to
stay
program
are
planning
to
use
the
instant
rapid
test
at
this
time.
If
there's
any
discrepancy
or
question
about
the
validity
of
that
test,
they
have
the
ability
to
follow
up
with
the
pcr
test,
which
is
the
gold
standard
to
test.
A
Very
good,
very
good
and
we'll
just
close
out
the
sec
section
of
our
meeting
today.
Just
by
saying,
thank
you.
Y'all
are
very
busy.
Thank
you
for
driving
to
frankfort
to
visit
with
us
and
help
us
understand
this
issue
more
thoroughly.
We
look
forward
to
progress
on
these
test
and
stay
treatments
and
monoclonal
antibody
treatments
and
wish
you
well.
So.
Thank
you
so
much.
A
The
next
item
on
our
agenda
is
our
discussion
of
the
impact
of
coven
19
on
our
local
utilities,
and
we
have
three
gentlemen
that
are
going
to
be
here
to
testify.
If
you
want
to
move
forward
to
the
table
and
have
your
seat
mr
lauren
morris
here.
Thank
you
so
much
for
your
patience
and
we
have
about
maybe
about
20
25
minutes.
For
you
guys
to
give
us
some
information,
we
may
have
a
few
questions
to
follow
so
welcome
and
introduce
yourself.
Please.
F
F
Currently
we
have
360
utility
members
which
basically
comprise
94
percent
of
all
of
the
community
water
supplies
in
in
the
state.
First,
I'd
like
to
start
off
by
saying
thank
you
for
your
work
in
the
2021
session
of
the
general
assembly.
There's
a
couple
items
in
particular.
I
want
to
thank
you
about
thank
you
and
the
250
million
dollars
that
was
appropriated
and
authorized.
F
Basically,
the
clean
water
program,
there's
250
million
dollars
went
for
the
drinking
water
and
wastewater
grant
program.
Thank
you
for
that.
We've
been
working
with
the
area,
development,
districts
and
others
trying
to
get
that
money
together
and
kentucky
infrastructure,
and
we
are
proceeding
nicely
there's
a
couple
of
awards
that
have
been
given
out
at
this
point.
So
thank
you
for
that.
The
other
issue
I
want
to
thank
you
with
is
the
passage
of
house
bill.
272,
which
was
sponsored
by
representative
bray,
so
representative
bray.
F
Thank
you
for
sponsoring
that
bill
that
allowed
water
and
wastewater
utilities
to
retain
the
ability
to
assess
late
payment
feelings
and
that's
an
important
management
tool
that
we
had
and,
quite
frankly,
since
we,
since
the
passage
of
that
bill,
has
kind
of
stopped
the
bleeding
so
to
speak,
it
has
really
ensured
our
cash
flow.
Also,
it
ensured
utility
employees
remain
classified
as
essential
critical
infrastructure
workers
with
that.
So
now
I'm
going
to
try
to
go
into
the
financial
impact
quickly.
F
F
I
guess,
a
general
manager's
report
from
a
from
a
manager
who
managed
three
utilities.
The
bottom
line
is
not
all
utilities
been
affected
the
same.
You
know
they
have
different
characteristics,
whether
they're,
urban
or
rural,
or
whether
they
they're
heavy
and
commercial,
industrial
or
residential.
F
So,
basically,
in
that
just
looking
at
those
three
utilities
that
and-
and
I
think
this
goes
across
the
board-
and
I
believe
you'll
find
that
here
in
just
a
second,
but
net
income
decreased
with
35
and
we're
talking
about
for
the
calendar
year
of
2020,
the
cost
of
covid
19
operations
for
those
three
utilities
was
288
000
dollars.
F
Now
what
that
includes
is
additional
personal
protection
equipment
paid
time
required
for
the
cares
act
paid
time
during
covid
protocol
schedule
and
other
other
modifications
like
that
as
well
I'll,
let
you
know
a
little
bit
about
the
characteristics
of
warren
county,
we're
talking
about
one
of
the
fastest
growing
areas
in
the
state.
They
have
about
31,
000
customers,
butler
county
right
at
5,
000,
customers,
simpson,
county
water,
district,
3,
500,
customers.
F
Warren
county
is
heavy
and
I'll,
say
heavy.
They
depend
a
lot
on
commercial,
industrial
and
uses,
and
what
they
found
is
that
they're,
they're,
actually
cost
of
revenue
or
actually
their
loss
of
revenue,
is
right
at
403
thousand
dollars
due
to
late
fees
due
to
loss
of
revenue
from
late
fees,
collection,
fees,
reduction
in
customer
usage,
loss
of
interest,
income,
etc.
F
F
butler
was
yeah,
butler
was
32,
000
simpson
county
was
46
000.
that
equates
in
warren
county
by
five
dollars
and
four
cents
per
customer,
and
that's
just
on
the
cost
for
the
coveted
cost
operations,
butler
county,
6.56
customer,
and
then
we
go
to
simpson
county
with
more
rural
farms,
etc.
That's
about
13
and
28
cents,
a
customer.
So
basically
it
was
a
a
a
negative
impact
on
the
utilities
and
and
they
continued
to
struggle.
F
I
would
note
that,
since
about
2000
we've
been
following
residential
sales,
residential
sales
actually
are
going
down,
they're
declining,
and
so
that
impacts
the
financial
stability
of
utilities
as
well,
and
I
think
you're
going
to
see
that
trend
continue
and
it's
basically
talking
about
residential
areas.
F
Health
departments
mentioned
a
little
bit
about
some
of
the
counties
were
losing
population.
You
know
that's
going
to
add
an
additional
impact
on
those
utilities,
particularly
in
central
wheeler
and
your
area
and
eastern
kentucky,
because
a
lot
of
their
their
debt,
quite
frankly,
is
based
upon
10
or
20
year.
Population
projections
and
stuff
so
now
they
they
have
those
fixed
costs
and
and
that
covey
just
impacted
those.
F
F
The
sewer
division
was
right
at
59,
000
simpson,
county
water,
district,
33,
000
butler
county,
which
is
rural,
county
37
000..
This
is
an
additional
what
we
mentioned
earlier
and
I
went
out
to
oldham,
county
and,
and
theirs
is
roughly
it's
a
little
over
27
000,
and
that's
just
on
late
payment
fees
and
service
fees
that
that
we
were
not
able
to
collect
during
the
during
the
session.
F
For
brevity,
I'm
going
to
go
into
basically
a
couple
of
our
issues
and
first
I'd
like
to
just
stop
and
say
you
know,
I'm
proud
of
our
industry
and
what
we've
done
during
this
session.
I
heard
the
health
departments
talk
about
that.
They
never
stopped.
They
worked
24
7.,
our
industry
is
the
same.
You
know
they're
my
heroes
quite
frankly,
because
they're
always
out
there
workforce
issues
is
one
of
those
issues
that
that
is
that
covet
has
really
shined
the
light
on
us.
We
were
short
staffed.
F
F
Very
few
people
in
school
think
about
what
I
want
to
do
for
a
career
say
I
want
to
be
a
wastewater
guy.
I
don't
want
to
be
a
water
person.
I
was
one
of
those
that
actually
my
dad
was
the
manager
of
a
water
utility
and
I
quickly
said
I
do
not
want
to
get
in
the
water
business
because
it's
hard
work
and
they
don't
pay
much.
But
here
I
am
anyway.
G
F
So,
on
the
workforce
issue,
obviously
employee
absence
due
to
covid
exposure,
child
child
care,
related
issues-
that's
still
compounds
yeah.
I
talked
to
one
utility
yesterday
and
they
talked
about
in
the
last
two
months
over
a
third
of
their
employees
have
been
impacted
by
covid,
whether
they
tested
positive
or
someone
in
their
family
or
their
child
was
exposed
in
school
or
daycare.
F
F
Fortunately,
we
hadn't
had
to
use
that
list
much
mainly
because
the
neighboring
system
systems
come
together
and
work,
12-hour
shifts
and
and
then
go
to
their
other
utility
and
work
again.
So
you
know
so
I
applaud
their
efforts
supply
chain
issues.
That
is
an
extremely
huge
issue
for
our
utilities.
Now
and
I've.
I've
watched
a
couple
of
other
committee
meetings
with
other
manufacturers
stuff.
That's
that
is
not
new
to
you
guys.
You
you've
heard
that
it
is
con.
It
is
impacting
our
industry.
F
You
were
talking
about
delivery
of
parts
supplies,
chemicals,
pipes,
fittings
meters,
vehicle
vehicle
purpose
purchases
equipment.
You
know
we
can't
get
backhoes,
we've
had
them
ordered
and
still
can't
get
them
in.
I
had
one
utility
tell
me
yesterday
he
was
out
of
inventory
it's
one
of
the
fastest
growing
municipals
in
the
state.
F
You
know
he
can't
even
do
new
meter
settings.
We've
got
a
lot
of
a
lot
of
houses
being
built
construction
going
up
and
he's
having
to
borrow
meters
and
settings
and
stuff
from
other
places,
120
days
backlog
and
they
told
them
maybe
another
60
days
before
they
get
anything
so
we're
just
talking
about
everything,
is
just
bogged
down
and
slowed
down
as
well.
F
F
Awarding
contracts
cost
overruns.
All
of
that
is
is
going
to
play
into
what
used
to
be
a
million
dollar
project's
now
going
to
be
a
2
million
project
and
just
getting
supplies,
you
can't
get
anybody
to
give
you
a
price
guarantee
a
price.
Basically,
the
price
is
what
you
once
those
pipe
is
delivered
that
day,
whatever
the
price
is,
that
day
is
what
you're
going
to
have
to
pay,
and
unfortunately
I
think
you
see
that
across
most
industries,
obviously
this
is
all
going
to
impact
rates.
So
water
has
long
been
a.
F
I
think
the
value
of
water
has
not
been
anyway.
Water
rates
are
going
to
go,
go
up,
it's
it's
inevitable
for
the
first
time,
one
one
good
thing
about
pandemic.
For
the
first
time,
there's
been
funds
created
to
assist
customers
to
pay
water
and
serve
bills.
You
know,
for
years,
we've
had
those
just
a
lie
heap
and
basically
electric,
but
never
had
the
water
and
sewer
a
couple
of
programs
that
are
out
there.
F
Cdbg
coronavirus
response
going
through
the
department
of
local
government
and
through
the
ad
districts,
is
getting
some
money
out
there
to
utilities
as
well
healthy
at
home
eviction
relief
fund,
that's
the
other
one
that
we
look
forward
to
and
utilities
are
starting
now
to
get
some
get
some
money.
It's
taken
a
while
any
new
program
programs.
It
starts
it
takes
a
while
to
get
that
process
moving.
F
I
think
there
was
a
press
release
just
on
an
update
about
51.1
million
dollars
from
march
to
date
has
been
been
expended
from
that
that
program,
6.4
million
of
that
for
utility
payments.
F
I
have
seen
a
list
of
them
from
the
water
and
the
wastewater
utilities,
and
also
electric
utilities,
and
and
they
are
getting
the
money
out,
we're
hoping
that
to
be
able
to
work
something
out
that
might
streamline
the
process
a
little
bit
better
bulk
applications
from
utilities
we
can
sit
down.
We've
got
a
list
of
our
delinquent
customers
and
right
now
we
don't
have
the
capabilities
of
just
providing
all
that
list
on
a
regular
basis
to
the
to
the
housing
authority,
so
they
can
process
those
applications
quicker.
F
Kentucky
real
water
association
started
an
apprenticeship
program
back
in
april
2019
it
was
registered.
We
had
our
first
apprentice
enrolled
in
september
of
2019.
We
had
a
first
apprentice
graduate
august
of
2021,
so
we're
excited
about
that.
We've
got
a
full-time
workforce
development
coordinator,
that's
focusing
on
water
and
wastewater
utilities.
F
F
F
A
Thank
you,
sir
and
gentlemen.
Just
continue,
you
can
continue
on
and
we'll
save
our
questions
here
till
the
end.
So
take
it
away.
Thank.
D
You
chairman
mills
and
chairman
meredith
and
the
whole
joint
committee.
I
really
appreciate
the
opportunity
to
be
here
today
and
also
I'll
reiterate
what
mr
larry
moore
said
with
house
bill.
272
really
appreciate
giving
us
local
control
that
that's
very
important
with
the
public
power
model,
and
especially
all
your
work
in
special
session,
so
like
appreciate
that
kuma
represents
44
city
utilities
and
we
provide
essential
services,
including
electricity,
water,
wastewater,
natural
gas
and
telecommunications.
D
So
I'll
be
brief,
I
wanted
to
kind
of
focus
on
hes's
plight
what
we've
been
through
from
a
personal
standpoint,
even
though
what
we're
going
through
I'm
sure
it's
mirrors
what
the
other
22
electric
utilities
in
in
the
commonwealth
are
facing
as
well,
so
just
a
little
background
on
hopkinsville
electric
system.
Of
course
we're
in
southwest
part
of
the
state.
I
have
roughly
about
13
000,
electric
customers
and
about
forty
five
hundred
internet
customers.
So
we
are
also
focusing
on
high-speed
internet.
D
So,
of
course,
that
was
mentioned
earlier
by
one
of
the
other
presenters,
but
back
the
governor's
executive
order
back
in
may
of
twenty
twenty
that
issued
a
moratorium
on
cut-offs
and
late
fees
for
non-payment
of
utility
bills
had
a
really
significant
impact
on
all
of
the
city-owned
electric
systems,
but
especially
hes
hes
honored,
the
government
governor
six
months
suspension
of
payments,
but
that
left
us
with
over
660
thousand
dollars
worth
of
delinquent
electric
and
internet
bills.
And
I
guess
at
beginning
in
november,
when
it
was
lifted
november
of
2020.
D
What
that
meant
for
hopkinsville
electric
system
was
a
total
of
about
84
of
our
customers
completed
those
payment
plans,
while
the
remaining
16
percent
had
a
total
amount
written
off
of
a
little
over
105
000.
In
addition,
hes
will
never
recoup
the
late
penalty
fees,
which
conservatively
we
estimate
a
little
over
55
000.
D
D
Hes
objective
is
always
to
use
every
option
to
keep
our
customers
accounts
current
and
active
and
devoid
disconnecting
service,
because
that's
not
a
benefit
to
to
the
customers
or
utility.
We
do
continue
to
see
customers
struggle
with
their
bills
and
are
very
grateful.
Recent
litigation
to
prevent
restrictions
on
city
utilities
from
disconnecting
and
charging
late
fees
when
necessary.
So
it's
basically
just
giving
us
a
tool
to
be
able
to
work
with
our
customers,
because
we
know
many
of
our
customers
are
financially
challenged
and
when
they
get
several
hundred
dollars
behind
on
their
bills.
D
That
is
a
a
significant
challenge
for
them,
so
we
want
to
find
every
way
we
can
and
we've
implemented.
Several
programs
and
a
prepay
called
pay
as
you
go.
That
allows
them
to
kind
of
pay
on
a
daily
basis
and
give
them
more
control
of
their
accounts.
So
that's
one
of
the
many
tools
that
we're
trying
to
utilize,
also
due
to
the
surge
in
the
delta
variant,
hes
and
many
other
city
utilities
have
closed
their
lobbies
to
in-person
customer
visits.
So
that's
affected
us
on
several
fronts.
D
We
have
our
customers,
pay
their
utility
bills
in
at
the
drive
up
window
and
by
mail
or
even
through
the
internet's
ivr
systems
that
we
have
in
place
now
so,
and
we
continue
to
have
all
of
our
employees,
wear,
masks,
temperature
checks
and
also
staggering
our
work
shifts
to
make
sure
that
we
eliminate
opportunities
to
infect
our
whole
departments
based
on
our
membership.
We've
looked
in
there's
kind
of
three
recurring
themes
and
on
the
electric
systems,
the
first
one
is
a
significant
slowdown.
Mr
larrymore
mentioned
on
supply
chain.
It's
across
the
board.
D
It's
affecting
electric
utilities
as
well
high
voltage
equipment,
especially
pad
mount
transformers.
So
of
course,
transformer
is
kind
of
the
key
component
in
providing
electric
service,
so
it
used
to
be
weeks
or
a
short
time
frame
is
now
sometimes
up
to
six
to
nine
months
in
some
cases
to
get
that
piece
of
equipment.
So
that
really
hinders
us
hinders
us
to
be
able
to
to
meet
meet
the
needs
of
new
and
existing
customers.
D
We
also
seeing
supply
chain
issues
with
lengthening
lead
times
for
vehicles,
conduit
other
specialty,
electric
equipment
specialized
parts,
so
we
actually
had
a
substation
upgrade
that
was
projected
to
be
about
a
year
project
and
it
was
18
to
24
months
before
we
could
get
that
finished.
D
So
it
really
put
a
hardship
on
really
hurt
us
from
a
reliability
standpoint
when
we
don't
have
all
of
our
options
on
the
table
to
be
able
to
feed
our
customers
and
we're
also
seeing
some
vendors
refuse
to
hold
hold
pricing
for
more
than
just
a
few
days
on
on
several
of
these
items.
D
Secondly,
our
employees
are
having
to
use
a
large
portion
of
their
sick
and
vacation
leave
for
children
and
other
family
members
that
are
affected
by
covert,
as
well
as
as
well
as
themselves.
So
any
assistance
for
employees
would
be
much
appreciated
and
the
last
point
is
hiring
is
mr
lawrence
mentioned
it's
it's
affecting
on
the
electric
side
as
well,
much
more
difficult,
not
only
for
our
utility
system,
but
our
suppliers
as
well.
D
We
see
that
it's
affecting
several
of
vendors
being
not
only
being
able
the
pricing
on
the
items
but
to
have
an
employees
for
the
transportation
side
of
it.
So
we
hope
that
that
will
change
with
the
discontinuation
of
the
federal
unemployment
benefits.
So
I
just
want
to
touch
on
those
and
with
that
I'll
hand
it
over
to
mr
azovito.
O
Thanks
jeff,
it's
appropriate
that
the
kentucky
health
department
association
led
us
off
today.
18
months
ago,
our
local
director
of
our
health
department,
georgetown
wedco
district
health.
She
asked
me
at
that
time.
What
do
you
need?
We
know
this
is
coming
and
I
had
no
idea
at
the
time,
but
I
did
tell
her
that
any
kind
of
crisis,
if
you
want
to
make
it
worse
exponentially
worse,
have
somebody
turn
on
their
light,
switch
and
the
the
light
not
go
on
or
turn
on
their
faucet
and
water
not
come
out.
O
O
So
that
being
said,
I'd
like
to
thank
the
chairs
and
the
the
committee
today
for
taking
this
opportunity
to
talk
to
us
about
these
challenges,
to
hear
what
we've
been
facing
the
last
18
months
and
I'm
speaking
collectively
on
behalf
of
all
the
city-owned
water
and
wastewater
utilities
that
are
part
of
kmua
and
on
behalf
of
those
members
and
our
customers.
I'd
I'd
like
to
echo
what
my
colleagues
said
in
in
thanking
you
for
your
work
on
the
relief
on
disconnects.
O
O
We've
had
no
choice
but
to
manage
these
impacts
of
the
of
the
pandemic
and
navigating
these
unprecedented
circumstances.
It
continues
to
be
a
challenge
and
will
be
for
the
foreseeable
future.
So
just
drilling
down
to
some
of
the
issues
that
you've
already
heard
about
pre-pandemic
georgetown
municipal
for
specific
utility
numbers.
O
We
had
less
than
two
percent
of
our
customer
base
that
had
a
past
due
bill,
a
pass
to
account
now
currently
over
these
last
18
months.
We're
up
to
15
percent
of
our
customer
base,
have
past
due
accounts
and
and
what's
frustrating
is
we
have
that
money
through
healthy
at
home,
available
the
city
and
the
utility
have
worked
hard
to
make
those
funds
those
relief
funds
available,
and
we
cannot.
We
can't
get
any
applicants
for
those
programs.
O
We're
kind
of
baffled
by
that
as
you've
heard
in
in
two
previous
testimonies
supply
chain
issues
is,
is
the
number
one
challenge
we
are
in
the
pipe
business
and
we
cannot
source
pvc
and
ductile
iron
pipe.
We
cannot
source
the
fittings
for
those
pipes
further.
We
can't
source
chemicals
that
we
need
for
water
and
wastewater
treatment.
We
can't
source
basic
building
materials
and
we
can't
source,
as
we've
all
heard,
about
the
computer
chips
that
that
make
our
our
fleet
vehicles
run.
O
We
can't
renew
our
fleet
right
now
and
get
new
vehicles
that
will
cause
a
problem
and
when
those
products
are
available
we're
paying
a
historically
inflated
price
that
is
very
difficult
to
budget
for
so
our
factories
are
our
vendors,
our
manufacturers,
that
utilities
rely
on
day
to
day,
they're
still
not
back
up
to
full
capacity,
whether
that's
staffing,
whether
that's
materials,
transportation,
it's
it's
just
not
there.
O
So
we
don't
know
how
long
it's
going
to
take
to
restore
the
supply
chain
and
we're
unclear
if,
if
new
legislation
can
help
that
at
a
local,
regional
or
national
level,
again
as
you've
already
heard,
not
only
do
we
have
a
material
issue,
we
have
a
workforce
availability
issue,
I
don't
understand
it.
There's
there's
help
wanted
signs
everywhere,
but
but
we
can't
get
people
to
apply
for
jobs
again
talking
about
georgetown
municipal
specifically.
O
This
is
this
predates
the
pandemic,
but
the
pandemic
has
exacerbated
this
issue
five
years
ago
for
an
open
position,
minimum
of
20
applications.
People
wanted
to
come
work
for
the
water
company
today
we're
lucky.
If
we
have
five
applications
for
an
open
position
and
and
that's
applications-
that's
not
people
that
we
necessarily
want
to
hire.
That's
just
applications.
O
So
when
you
factor
in
that,
we
can't
get
materials
that
are
it's
not
just
the
utilities
that
are
facing
staff
shortages.
It's
also
our
vendors,
our
contractors,
our
suppliers,
you
take
that
and
combine
it
with.
The
fact
that
you
might
have
to
have
one
staffer
or
an
entire
department
have
to
be
out
of
work
due
to
quarantine
or
a
positive
test
service.
Maintaining
that
service
to
our
customers
gets
very
difficult
and
again
to
reiterate
our
ability
to
have
the
materials
to
compete,
complete
capital
projects
operate
and
maintain
our
systems
maintain
financial
solvency.
O
It
directly
impacts
our
customers
and
and
also
just
important
it.
It
directly
impacts
us
being
able
to
achieve
regulatory
compliance
which
is
becoming
more
difficult
by
the
day
so
we're
here
today,
jeff
already
mentioned
three
items,
and
I
want
to
reiterate
we're
requesting
help.
We
need
guidance
from
you
all,
as
as
best
you
can
offer.
We
need
help
addressing
the
supply
chain
issue.
O
Any
assistance,
second,
that
that
week,
that
can
be
provided
and
helping
with
sick
pay
when
our
employees
have
to
be
out,
be
greatly
appreciated
and-
and,
as
I
said,
there's
really
you've
made
relief
funds
available.
You've
done
the
heavy
lifting
we've
got
to
get
the
message
out.
We
need
help
with
that.
We've
talked
about
that
pr
effort,
letting
people
know
that
there's
programs
available
to
help
them
it
it's
paramount.
O
So,
while
some
of
these
requests
might
not
be
reasonably
addressed
in
in
the
upcoming
legislative
session,
we
do
we
do
want
you
all
to
be
aware
of
the
issues
we're
facing
and
we're
happy
that
that
you've
taken
this
time
today
to
speak
with
us.
So
on
behalf
of
kmua,
our
president
jeff
and
our
executive
director,
I'd
like
to
say
thank
you
and
that
we're
happy
to
answer
any
questions
that
you
have.
A
G
Thank
you,
mr
chairman,
and
gary's
good,
to
see
you
here
today
and
I
enjoyed
working
with
you
on
the
wastewater
task
force.
You
know
it's
really
kind
of
more
of
a
comment
and
a
question.
I
know
that
we've
discussed
this
on
many
occasions:
the
difficulties
in
providing
services
to
rural
areas.
You
have
the
greater
distances
which
requires
more
materials
as
well
as
fewer
paying
customers
because
of
the
lower
population
densities.
G
G
F
Well,
this
is
my
personal
opinion
and
microphone.
Please.
F
That
was
probably
the
best
answer
I
get
without
the
mic.
So
well,
it's
an
interesting
question.
F
You
know
kentucky's
done
a
wonderful
job
of
getting
water
out
into
the
rural
areas.
You
know
back
starting
in
2000
2020
plan.
Now
we've
got
a
little
over
95
96
percent
of
population
served
by
public
drinking
water
supply.
That
certainly
doesn't
come
without
its
issues
as
well.
We
still
have
a
few
areas
that
hadn't
been
served
and
usually
the
easier
easier
areas
have
already
been
served
so
in
the
future,
what
the
general
assembly
can
do
is
is,
unfortunately,
what
we
have
to
do
is
go
back
to
our
where
we
began
a
lot
of
our
utilities.
F
Even
our
youngest
utilities
are,
you
know,
were
built
in
the
I'm
talking
about
water
districts,
1960s
late,
60s,
early
70s,
so,
as
you
can
see,
they're
already
aging,
so
the
additional
money
that's
coming
in
for
infrastructure.
A
lot
of
that
may
not
necessarily
be
to
go
out
into
the
areas
and
serve
more
population,
but
but
to
come
back
and
look
at
new
water
treatment
plants.
Upgrading
those
we
might
even
have
to
build
new
treatment
plants
as
well
as
upgrading
the
existing
pipe.
F
F
You
know
lead
and
copper
rule
that's
coming
down
and
lead
lead,
goose,
necks
and
stuff,
and
and
for
the
lack
of
that
will
have
to
be
replaced.
So
I
think
you're
going
to
see
a
lot
of
that
funding
that
comes
in
is
going
to
have
to
be
going
back
towards
the
the
older
parts
of
the
system
to
get
them
up
viable.
So
we
can
continue
to
provide
that
pressure
and
service
out
to
the
rural
areas,
so,
in
short,.
G
Yeah,
I
mean
some
of
the
comments
about
the
supply
chains.
I
mean
have
been
very
concerning
here
today
and
I
mean
I
think
this
is
something
that's
been
building
up
for
a
while,
and
you
know
I
think,
there's
enough
guilt
to
go
around
here
with
the
outsourcing
that
has
taken
place
over
the
last
25
or
30
years,
with
some
of
these
disastrous
trade
agreements
that
have
hollowed
out
american
industry
outsource
things
to
communist
china,
which
is
definitely
no
friend
of
ours.
G
You
know
at
least
I
think
in
the
last
presidential
administration
there
was
some
emphasis
on
reshoring
that
I
think
was
actually
starting
to
happen
a
little
bit
and
then
covet
hit
and
really
turn
that
turned
that
awry,
and
it
seems
to
me
that,
with
the
current
administration
we're
seeing
a
bit
more
of
what
we
saw
with
when
main
street
was
sold
out
to
wall
street
through
nafta
and
a
lot
of
these
other
deals.
G
G
So
I
guess
you
know
it
seems
like
american
industry,
or
a
lot
of
at
least
wall
street
doesn't
seem
to
have
really
learned
a
lot
of
the
lessons
that
I
think
they
should
have
learned
about
this
pandemic
and
and
what
that
government
did
to
us,
and
it
has
led
to
the
death
of
nearly
eight
hundred
thousand
american
citizens
by
their
malfeasance
and
managing
the
coven
19
pandemic
when
it
first
hit
so-
and
I
guess
it's
even
trickling
down
now
here-
to
providing
basic
services
to
the
citizens
of
the
united
states.
G
So
I
do
hope
our
federal
leaders
are
listening.
I
do
hope
that
they
are
concerned
about
the
the
people
that
live
in
this
country,
that
they
get
the
services
that
they
needed
provided
to
them
and
that
we
quit
being
dependent
upon
foreign
adversaries
that
really
have
no
concern
for
the
united
states
of
america
and
are
ideal
opposed
to
us
and
the
democratic
principles
that
we
stand
for.
So
I
really
appreciate
you
guys
coming
down
here
today.
Thank
you.
B
Well,
it's
more
so
a
comment
to
mr
chairman.
I
want
to
thank
y'all
for
being
up
here
and
senator
there.
You
constantly
have
constituents
that
pop
in
front
of
our
committees
because
of
your
proximity.
D
Here
but
my
constituent
drove
three
and
a
half
about
three
to
three
and
a
half.
B
G
Mr
chairman,
my
question
is
for
jeff
you
set
up
16
non-payment.
Is
that
one
specific
area.
D
Or
overall
that
that's
over
that's
overall,
I
guess
the
vast
majority.
Probably
I
guess
it
was
more
focused
on
the
residential
side,
but
it's
kind
of
across
the
board,
and
as
I
mentioned
it,
it's
a.
It
is
interesting
note
that
once
just
had
the
sen,
they
had
the
sense
of
urgency
to
make
those
payments.
I
guess
worst
case
scenario.
We
had
one
customer
between
six
and
eight
hundred
dollars
in
delinquent
accounts
and
we'd
mentioned
to
them.
D
There
is
financial
assistance
available
and
they
they
mention
well
until
I'm
forced
to
pay
it
I'm
not
going
to,
but
we
did
follow
through
with
that
person
and
they
were
able
to
about
75
percent
of
that
was
able
they
were
able
to
get
financial
assistance,
but
it
was
after
the
point
they
needed
a
little
bit
of
urging.
So
you
know
that's
that's
the
quandary
that
we're
in,
but
so
the
monies
were
out
there.
We.
So
we
look
at
the
disconnect
as
as
just
a
tool.
D
It's
not
that,
like
I
said
it's,
not
our
purpo.
Our
objective
of
disconnecting
is
getting
our
customers
current
with
their
bills
and
providing
them
quality
service.
A
That
is
the
end
of
our
questions
in
the
queue
and
I
want
to
once
again.
Thank
you,
gentlemen.
You
all
similar
to
the
public
health
authorities
here
that
were
here,
you're
very
busy
at
the
tip
of
the
spear
on
the
pandemic,
and
I
want
to
thank
everybody
for
participating
in
all
the
good
work
that
we're
doing
out
in
our
communities.
So
before
we
leave,
are
there
any
any
participants
on
zoom
that
wants
to
chime
in
and
let
their
presence
be
known.
Anybody
miss
the
roll
call.
A
All
right,
if
not
have
a
motion
to
adjourn
all
in
favor,
say
aye,
we
are
adjourned.
Thank
you.