►
From YouTube: Budget Review subcommittee on Human Resources
Description
Live Stream provided by LRC Staff
A
Members
calling
in
and
on
the
phone
so
as
a
reminder
do
the
continuing
issues
relate
to
covet
19.
We
have
some
new
meeting
protocols
in
place
for
the
2020
interim
session.
Remote
access
is
allow
to
all
meetings
for
the
inner
members
are
provided
to
information
prior
to
the
meeting
on
how
to
access
the
meeting
remotely.
The
meeting
materials
were
put
out
online
earlier
this
week
and
made
available
for
downloading.
At
this
time.
We'll
have
the
secretary
call
the
roll
members.
B
C
A
In
person
and
if
those
who
have
called
in
if
you
can
mute,
your
phones
when
you're,
not
speaking,
it'll,
keep
a
lot
of
background
noise
down
for
us
as
well.
So
next
we
will
have
approval.
The
minutes
from
the
June
3rd
meeting.
Do
I
hear
motion
the
motion
by
Senator
Meredith
and
second
by
Chairman
Bentley.
A
Okay,
with
this
time,
we
are
going
to
get
an
update
from
secretary
Freelander
in
Eric
Lowery,
the
budget
director
with
the
cabinet
for
Health
and
Family
Services.
They
will
be
giving
us
an
update
on
the
cabinet's
funding
and
expenditures
for
the
culvert
19
related
services.
So
if
you
all
can
announce
yourself
for
the
record
and
the
foragers
thank.
E
B
E
We
presented
much
of
this
information
last
month.
There
are
some
updates
I'm
happy
to
go
over
some
of
the
differences
and
really
happy
to
allow
time
for
as
many
questions
as
you
all
have
and
happy
to
answer
what
I
can
so
the
federal
funding
acts
you
have
there
you've
seen
that
I
know
the
preparedness
response,
supplemental
appropriation,
acts
we're
actually
up
to
about
what
300
a
little
over
300,000
as
of
today.
B
E
Then
the
family
first
act,
which
is
the
non
Medicaid
the
family
first,
which
is
the
Medicaid.
That's
the
increased
F
map,
the
relief
and
Economic
Security
Act
again
that
that's
gone
to
help
a
lot
of
different
folks
and
paycheck
protection,
which
we
don't
really
that's,
not
one
that
we
necessarily
participate
in
terribly
directly.
But
that's
that's
what
we
have
so
just
to
go
through
this
really
quickly
again
happy
to
take
questions
as
we
go.
You
know
some
of
the
emergency
response
pieces.
Eric!
Do
you
have
anything
you
want
to
add
on
I.
B
A
lot
of
our
work
is
done
at
the
community
level
and
there's
always
a
mixture
of
maximizing
our
current
funding
versus
our
coronavirus,
funding
on
timeframes
and
making
sure
we
stretch
the
dollars
as
far
as
we
can,
so.
The
expenditures
are
not
necessarily
representative
at
this
point
of
what
work
has
been
done
at
the
community
level.
B
E
So,
on
the
family's
first
response
act,
we've
had
the
award
on
the
3.2
million
I
think
this
is
one
that
really
enjoyed
working
with
folks
on
this.
We
delivered
our
millionth
meal
since
the
Adamic
began
on
March
6th.
So
a
lot
of
community
partners
have
stepped
up
like
over
the
state
with
volunteers,
restaurants,
meat,
meat,
meat
processors.
A
lot
of
folks
have
helped
provide
food
for
seniors.
People
have
been
going
out
and
delivering
it's
it's
it's
that's.
It's
probably
one
of
my
favorite
parts
of
this
story
that
we're
gonna
have
which
is
coming
through
this.
E
How
many
people
have
pitched
in
across
the
Commonwealth?
It's
it's
been
really
great
to
see
our
temporary
increase
for
the
Medicaid
medical
percentage
again
that
that,
just
to
clarify
again
that
that
means
that
we
can't
make
any
changes
in
our
eligibility
really
moving
forward
it.
We
can't
reduce
our
eligibility.
We
can't
increase
co-pays.
We
there
with
there
were
requirements
for
receiving
that
enhanced
rate
for
Medicaid,
which
we
comply
with
all,
but
just
know
that
that's
we're
seeing
an
increase
in
our
Medicaid
enrollment
I.
E
Think,
as
of
today,
we're
a
little
over
1.5
million,
which
is
which
is
an
increase
of
about
a
hundred
and
seventy
thousand
somewhere
in
there
over
priek
ovid
Medicaid
enrollment.
So
this
is
this
is
important
and
and
I
think
it
was
anticipated
that
we'd
see
increased
enrollment
and
Medicaid
with
increased
unemployment,
and
things
like
that.
It's
just
and
we're
seeing
it
here
in
Kentucky
the
aid
relief
and
Economic
Security
Act.
E
There
are
different
places
where
we
spend
money:
family,
caregiver
programs,
some
of
the
home,
delivered
meals,
pieces,
I've,
talked
about
know
around
door
funding
which
really
helps
us
and
what's
called
our,
it's
called
ADRC
aging
Disability,
Resource
Centers,
and
so
it's
it's.
How
folks
can
get
services
and
they
call
in
and-
and
you
can
get
a
lot
of
different
services
that
way
so
those
are.
These
are
pieces
that
we
spent
that
have
to
do
with
personnel
and
with
services.
E
We've
also,
then,
of
course,
provided
some
money
to
local
health
departments.
As
you
all
know,
I've
heard,
and
then
there
are
different
funds
that
have
come
through
directly
to
providers.
We
know
rural
health,
clinics,
hospitals,
nursing
homes,
there's
federal
money
that
has
flowed
basically
directly
from
the
federal
government
to
these
health
care
entities.
We
have
the
overall
number,
but
we
don't
have
the
specific
number
for
each
individual
entity
at
this
point,
we're
still
kind
of
waiting
and
working
with
the
federal
government
to
see
if
they'll
disclose
some
of
that,
so
anything
Eric.
E
E
We
also,
then,
some
of
this
money-
the
low-income
heating
and
Energy
Assistance
Program
I,
get
reports
from
sorry
and
I'm
happy
to
share
this
with
you,
but
basically,
every
community
action
I
get
basically
a
daily
report.
That
says
how
much
of
the
funding
is
spent,
which
Community
Action
spent
it
and
what's
the
percentage,
so
they
have
what
they
call
it
a
summer
crisis
period
in
the
summer
cooling
period,
so
folks
who
are
behind
on
utilities,
can
get
assistance
through
their
local
Community
Action
agencies,
and
this
is
a
part
of
what
they
do.
E
The
other
thing
that
and
again
happy
to
provide
to
you.
They
they
send
a
little
plan
on
how
they're
going
to
use
their
funds
that
are
coming
through
the
chaos
Act.
Most
of
this
is
emergency
relief,
rental
assistance.
A
couple
of
folks
are
doing
some
some
interesting
things
with
some
mobile
units
and
again
happy
to
provide
this.
It's
really
just
how
they
spend
their
money
through
the
local
Community
Action
agencies.
It's
it's!
It's
pretty
straightforward!
E
E
Within
the
paycheck
protection
program,
again,
there's
there's
this
kind
of
money
for
epidemiology
and
laboratory
capacity,
you'll
notice.
We
change
the
name
a
little
bit
on
this
to
be
a
little
more
clear
this.
What
this
money
can't
pay
for
is
like
that
individual
testing
right.
It
is
more
about
capacity
building
and
population
surveillance,
so
they're
just
trying
to
make
it
a
little
more
clear
about
what
this.
C
A
Secretary,
thank
you
for
your
presentation
and
members
we're
going
to
do
questions
for
those
who
in
person
first
and
then
we
will
those
who
are
listening
online
or,
if
called
in.
We
will
then
ask
you
to
announce
yourself
when
you
ask
your
question:
I
think
our
computer
is
down
secretary.
Senator
Meredith
has
a
question
I.
F
Do
and
thank
you
for
being
here
sincerely
appreciate
the
effort
you're.
Putting
into
this
I
know
it's
very
trying
times,
I
think
I'm,
focusing
more
on
the
budget
for
this
next
year,
trying
to
wrap
our
arms
around
that
and
we
had
testimony
from
Commissioner
Lee
and
our
Medicaid
Oversight
Committee
meeting
and
she
mentioned
we'd,
add
170,000
and
kind
of
asked.
What's
the
price
tag
and
she
said
well,
we
really
don't
know
at
this
point
that
we're
okay
for
2020,
but
2021
will
be
a
challenge,
so
we
were
kind
of
framing.
F
That,
in
my
concern
is
that
if
we
had
170,000
people,
if
we're
not
making
our
providers
hold,
then
we're
not
going
to
have
a
healthcare
delivery
system.
Take
care
that
hundred
seventy
thousand
to
begin
with
and
I
have
a
lot
of
particular
interest,
but
I
think
those
are
most
in
danger.
This
point,
maybe
our
hospitals,
because
we
heard
testimony
that
we
had
12
that
were
considered
financially
challenged
and
now
maybe
that's
20,
but
I'm,
probably
more
concerned
about
our
nursing
homes,
because
they
really
have
seen
and
incurred
the
brunt
of
the
the
dollars
here.
F
E
Less
than
a
million,
what
what
we
thought
and
talking
with
Association
and
talking
with
their
financial
folks
what's
happened
is
when
folks
test
positive
for
kovin
if
their
Medicare,
if
their
dually
eligible
they
get
a
much
better
rate
if
they
go
with
Medicare,
as
opposed
to
that
270,
it's
it's
even
higher
than
that
270
add-on.
So
a
lot
of
folks
that
and-
and
you
know,
maximizing,
that
income
stream-
it's
it's
better
than
two
Medicare
than
it
is
to
charge
them
Medicaid
that
additional
rate
there's
some
folks
who
are
not
dually
eligible.
E
F
F
Guess
that
concern
about
all
of
our
health
care
providers,
building
inventory
for
the
future
PBE.
You
know
we're
taking
care
of
the
people
now,
but
what
happens
when
we
get
this
next
wave?
So
if
this
number
is
correct
and
we're
looking
at
60
million
more
from
the
nursing
home
industry,
that's
above
and
beyond
the
expense,
a
heavy
present,
we
acknowledging
that
in
any
way
and
we
being
and
the
the
cabinet
and
Medicaid,
because
they're
gonna
need
additional
financial
resources.
E
Because
we
do
need
to
understand
what
what
that
is,
and
that's
that's,
not
a
number
we've
been
able
to
get
the
other
piece
that
we
have
done.
That
we
know
has
had
impact
because
we
can
look
at
our
Medicaid
outlays
to
nursing
facilities
from
across
months,
and
we
see
that
it's
increasing.
So
what
we.
E
What
we
believe
we
see
is
that
when
we
shortened
the
eligibility
time
when
folks
could
come
in
under
that
short
form,
we
decrease
the
time
that
could
have
taken
months
to
like
a
week,
so
that
more
folks
can
get
eligible
more
quickly
that
we
believe
or
what
do
not
have
a
dollar
figure
for
you.
We
believe
that
had
a
much
larger
impact.
The
other
piece
that
we
think
is
hope
has
helped
is
that
we
have
provided
some
direct
pieces
on
PPE
as
well
as
some
direct
help
on
testing
we're.
E
Looking
at
now
how
be
able
to
support
that
and
on
an
ongoing
basis,
because
I
feel
like
we
should,
but
that's
we
don't
have
that
finalized
yet
in
terms
of
Medicaid
moving
forward
into
21
I.
Think
we're
looking
at
coming
up
with
some
estimates
in
September.
Our
kind
of
back
of
the
envelope
look
at
21,
and
this
don't
hold
me
to
this,
but
it
depends
how
long
the
increased
death
mat
rate
hangs
on
if
it
hangs
on
for
six
months
to
the
end
of
the
year,
we're
probably
in
much
better
shape
than
if
it
doesn't.
E
F
It
a
new
answered.
My
last
question
is
that
you
know:
when
can
we
look
for
numbers
because
again
my
concern
if
we
wait
till
January
to
start
formulating
the
budget
for
2020
21,
we're
gonna
be
way
behind
the
8-ball,
so
we
need
to
make
sure
we
continue
have
dialogue
like
we're
having
today
and
try
to
wrap
our
arms
around
what
the
cost
is
going
to
be
because
I
know
it's
gonna
be
enormous
and
not
sure
where
the
funding
is
going
to
come
from,
and
certainly
we're
hoping
the
federal
government
will
step
up.
F
But
again
they
can't
continue
to
print
money
at
some
point
in
time
we're
gonna
be
on
our
own
and
I.
Just
don't
know
when
that
pivotal
point
is,
but
we
need
to
make
sure
that
we
continue
to
communicate
so
I
appreciate
you
being
here.
I
also
want
to
commend
you
for
shortening
the
time
for
eligibility
for
Medicaid.
That
certainly
made
sense
in
this
crisis
and
I
appreciate
that
the.
E
So
we
didn't
put
those
folks
directly
into
em
cos
and-
and
we
did
that
sort
of
to
see
the
difference
right
as
well
as
when
comes
time
to
do
anything
with
em
cos,
we're
actually
now
larger
than
some
of
our
smallest
em
seals
in
terms
of
fee-for-service.
But
that's
that
gets
us
some
experience
and
in
that
realm,
where
we
just
haven't
had
a
lot
of
it
recently.
So
well,.
F
That's
well,
it's
a
little
bit
surprised
when
the
Commission
lease
it
we're
all
right
for
2020,
because
I
know
more
in
current
expenses
now,
but
we're
carrying
expenses
and
paying
for
things
that
we
have
on
our
money
on
yet
so
now
we're
gonna
make
it
through
2020,
but
2021
will
certainly
be
a
challenge.
Thank
you.
I
appreciate
the
information
Thank
You
mr.
chair.
A
B
G
Thank
you
mr.
chair,
thank
you
for
your
presentation.
I
appreciate
the
ongoing
dialogue
on
all
of
this
and
I
know
it's
really
complicated
and
you
know
we're
spending
federal
dollars
now
that
you
know
in
extending
deadlines
for
things
that
we
know
are
helpful
now
and
probably
will
be
helpful
moving
into
the
future.
But
it's
really
to
Senator
Meredith's
point
I'm
very
difficult
to
budget
for
all.
All
of
this,
but
I
have
a
specific
question
really
about
testing,
and
you
know
the
governor
is
encouraging
folks
to
get
tested.
E
I
will
let
you
all
know
I'm
getting
tested
about
once
every
three
weeks,
it
just
seems
like
the
right
pace,
particular
when
you
think
about
at
least
maybe
a
14-day
incubation
period.
It
just
seems
to
be
about
right,
but
that's
just
that's
Eric
and
secretary's
office
staff
Department,
which
is
just
down
the
hill
from
the
CH,
FS
and
and
and
getting
tested
here.
E
So
to
answer
your
question,
the
epidemiology
piece
is
is
eventually
different
tests
are
going
to
become
more
important,
I'm,
not
a
physician,
but
their
tests
that
really
look
for
if
you've
ever
been
infected
right
or
had
kovat,
those
tests
will
become
more
important
over
time
as
more
of
our
population
starts
to
be
impacted
or
have
gone
through
an
infection
period
with
Kovac.
So
so
some
of
that
has
to
do
with
that
population
kind
of
test
and
population
health,
and
then
it's
building
that
capacity.
So
the
grant
really
about
building
capacity
is
about
some
of
that.
E
Some
of
that
epidemiological
population-based
sort
of
tracking,
not
an
individual
test.
The
other
piece
is
to
try
to
divide
more
more
equipment
again
to
local
health
departments,
as
it
impacts
our
our
own
laboratory
to
build
capacity
over
time
in
in
that
way,
so
that
hopefully,
when
we
maybe
never
have
this
again,
you
know
another
100
years
would
be
just
fine
with
me.
E
We'll
have
some
more
capacity
to
be
able
to
really
ramp
up
our
tests.
Much
more
quickly
than
we've
been
we've
been
able
to
in
terms
of
interview
testing.
What
I've
done
is
when
folks
have
contacted
me.
I've
referred
them
to
the
Cova
19
website
to
some
of
those
locations
where
folks
can
go,
I
realize
they're,
probably
not
enough
for
everybody,
but
that's
really
been
my
best
advice
because
I
feel
like
then
you
can
you
can
look,
you
can
schedule
you.
E
Can
you
can
try
to
do
some
of
that
on
your
own
and
folks
who've
been
able
to
do
that
at
least
that
have
been
communicated
back
to
me.
That's
that's
worked,
okay
for
them,
and
so
I
think
that's
if
I
were
giving
somebody
advice.
I
would
tell
them
to
go
to
the
website,
look
up
where
the
locations
are
and
make
an
appointment
that
way,
and
then
those
used
that
gets
covered
either
through
your
insurance.
But
you
know
that's
that's
how
that
is
happening.
That's
been.
G
C
G
They
called
and
we're
told
that
they
didn't
make
need
to
make
an
appointment,
I
think
on
the
website.
It
said
they
didn't
need
to
make
an
appointment.
They
got
there,
they
had
to
make
an
appointment.
There
was
no
one
in
line,
it
was
a
drive-thru
center
and
she
was
told
that
she
had
to
make
an
appointment,
even
though
there
was
no
one
there.
So
I
think
that
you
know
it's
I
mean
I,
know
that
you
can't
control
what
individual
urgent
cares
do
or
don't
do,
but
there's
just
not
a
lot
of
consistency.
C
Actually
have
three:
can
you
indulge
me?
First
I
want
to
echo
senator
Meredith's
comments
about
the
nursing
homes,
because
my
nursing
homes,
when
they
were
contacted
me,
said
that
the
stipend
didn't
cover
it
and
only
covered
active
patients.
People
who'd
been
diagnosed
when
they
had
to
get
extra
pped
for
all
the
employees
and
just
in
case
for
everybody
and
so
just
kind
of
keep
that
on
the
radar.
C
B
C
I'm
at
can
understand
that
it's
below
and
I'm
glad
it's
below
cuz.
Then
you've
got
some
more
to
cover
it
that
when
there's
absolutely
no
expenditures,
it
just
seems
a
little
and
like
it
would
have
spent
something
but
okay
and
then
number
two.
You
know
with
the
increase
in
in
the
enrollment.
Are
you
seeing
numbers
going
down
people
going
to
work
because
I
mean
not.
E
B
C
I
just
feel
like
eventually,
hopefully
it's
gonna
go
back
down
because
hopefully
they're
getting
insurance
through
their
jobs
and
that's
where
I
think
that
and
my
final
question
Thank
You
mr.
chair
for
indulging
me
when
you're
talking
about
emergency
relief
and
rental
assistance.
I
know
I've
got
landlords
that
are
going
nuts.
So
do
people
if
they
need
rental
assistance,
go
to
the
dcbs
office
and
ask
for
help.
Is
that
where
they
need
to
go
into.
B
E
Today
so
we're
working
on
finishing
up
some
of
the
final
pieces
for
the
RFP.
We
hope
to
get
it
out
in
August.
I
was
like
as
early
August
as
possible.
I
think
I've
said
to
folks
here
and
other
places.
I
do
not
want
to
come
back
to
the
General
Assembly
when
you
all
are
in
session
and
we
don't
have
a
contract
in
place.
I
do
so
we're
going
to
do
everything
we
can
to
make
sure
that
that
happens.
But
but
we
are
proceeding,
you
know
there.
I've
looked
at
some
other
states.
I
know.
D
Secretary
Friedlander,
thank
you
for
for
being
here
today.
I've
got
a
question
that
relates
to
the
reopening
of
daycares
in
the
state.
Can
you
can
you
give
us
kind
of
an
update
on
how
that's
gone?
Are
there
any?
Are
there
any
issues
that
have
come
up?
The
reason
I
asked
that
up
I
had
a
constituent
contact
me
who
was
waiting
for
the
daycare
to
reopen
related
to
job
to
her
job.
It
did,
but
she
was
told
that
they
had
a
5:00
p.m.
closing
time
and
that
she
doesn't
get
off
work
until
after
5:00.
E
E
About
that,
we
had,
in
our
guidance,
put
forward
for
childcare
that
we
wanted
to
limit
group
size
10.
Basically,
when
you
think
about
contact
tracing
for
large
facility,
it's
it
you're,
you're,
much
better
off
with
a
contained
size.
There
was
a
recent
Court
decision
that
changed
that
by
the
court
decision
to
a
big
20,
something,
but
that's
getting
appealed.
So
it's
all
in
the
systems
at
Island
system.
At
this
point
so
we're
it's.
It's
in
a
state
of
flux,
I,
don't
think.
There's
any
question
about
that.
E
Have
enough
revenue
that
it
limits
their
revenue
to
the
point
where
they're
really
worried
about
reopening
I've
got
some
statistics
that
don't
have
a
with
me
I'm
sorry,
but
I
send
them
over
about
how
many
have
opened,
which
ones
have
delayed
opening
I
know
I've
seen
the
numbers,
but
I
don't
want
to
say
them
because
I
don't
know
as
I.
Remember
them
correctly.
E
So
I'll
be
happy
to
send
that
over
here,
so
they're,
so
many
of
open
some
still
have
not
delayed
and
and
some
may
not
reopen,
we
we
don't
know
the
full
impact
yet,
but
the
capacity
is
limited.
Still
it's
limited
less
by
the
court
decision,
but
we
again
are
going
to
continue
to
pursue
like
making
sure
those
guidelines
work.
E
E
E
B
D
D
Where
do
where
do
we
stand
on
this
front,
because
I
do
hear
from
a
lot
of
folks
that
that
aren't
concerned
about
that
they
felt
like
they
were
having
to
choose
between
care
for
their
child
and
their
job,
to
be
able
to
put
food
on
the
table
and
pay
the
light
bill
and
and
just
live
and
die
I'd
kind
of
like
to
know
where
we
stand
kind
of
on
that
landscape.
How
that
looks,
if
you
wouldn't
mind
providing
that
to
me
and
maybe
to
the
members
of
this
committee,
I
would
appreciate
that
I'm
very
happy.
A
A
E
You,
yes,
so
that
funding
was
provided.
Let
me
see
if
I
have
my
memory
right,
so
what
we
did
was
some
of
that
was.
We
have
this
photo
line
out
last
time.
Some
of
that
was
so
the
limited
duration,
childcare
centers,
the
ymcas
that
we
asked
to
open
up
that
were
very
specific.
Around
supporting
health
care
workers
right
and
and
essential
workers.
E
We
also
paid
their
workers
what
we
called
a
a
hero
bonus
because
they
were
going
in
and
we
limited
duration
and
and-
and
so
we
paid
them
a
little
extra
on
on
top
of
time,
stipends,
based
on
the
capacity
of
all
the
other
day
care
centers
to
try
to
keep
them
afloat
for
a
little
bit.
It
was
one
month
as
opposed
to
they
were
shut
down
for
three
so
that
that
got
us.
That
was
a
chunk
of
that
money.
Right
there
was
most
of
that
was
spent
that
way
for
those
stipends.
E
Then
we
had
what
we
called
a
reopening
stipend,
which
doesn't
look,
like
least
according
to
this
is
not
yet
we
had
a
reopening
stipend,
which
basically
was
helping
pay
for.
If
people
had
to
restock
food,
if
they
need
to
restock
some
or
or
do
some
additional
with
cleaning
supplies,
we
did
that
as
a
stipend
to
them.
A
A
Mean
yes,
you
know
when
I
saw
that
40
million
you
know
and
and
like
I
I
had
some
questions.
There
seemed
like
an
awful
large
number.
I
actually
have
two
more
questions
and
we're
going
to
open
up
for
those
who
are
on
on
the
phone,
so
I'm
gonna
circle
back
to
our
our
nursing
home
group,
and
so
the
PC
funding
I,
think
that
was
in
the
prior
appropriations.
Bill
I
think
was
like
2.2
million,
so
we're
getting
feedback
that
there's
only
17
facilities
in
the
state
of
Kentucky
that
are
receiving
those
funds.
E
We've
been
working
with,
as
well
as
the
cage,
as
well
as
some
personal
care
providers.
We
actually
had
a
call
yesterday
before,
where
we
kind
of
it's
perfectly
in
so.
We've
done
some
of
these
stipends
from
chop
here
and
so
have
using
some
the
way
that
we
did.
This,
we
thought
was
actually
a
pretty
good
model,
so
we
switched
kind
of
how
we're
gonna
do
that
with
the
PC
homes,
so
we're
gonna
do
a
stipend
type
of
model
with
them
too.
E
Now
the
the
difference
is
I
think
now
between
42
and
70
42,
so
we're
past
the
70
now
so
so
the
40
so
they're
42
personal
care
homes
that
that
participate
in
our
state
supplementation
program.
Our
intent
is
to
target
those.
There
is
some
ongoing
discussion
about
whether
we
expand
that
out
to
70,
but
we,
so
what
we
asked
was
the
long-term
care
association.
A
G
Thank
you
I
really
appreciate
your
work
on
this
because
you
know
as
you're
aware
during
write
review,
I
was
I.
Think
I
had
my
head
wrapped
with
duct
tape,
so
it
wouldn't
explode.
I
was
like
no.
We
worked
so
hard
to
get
these
funds
for
personal
care,
homes
and
I
think
what
I
didn't
understand
and
what
we
didn't
really
catch.
G
When
we
wrote
the
the
budget
language
was
that
those
that
any
and
correct
me
if
I'm
wrong,
if
any
subsidy
or
any
allocation
appropriation,
goes
to
personal
care
homes
or
anyone
who
serves
cert
the
severe
mentally
severely
mentally
ill
population
such
as
community
mental
health,
centers
that
those
funds
need
to
be
matched,
and
so
suddenly,
this
appropriation
for
2.2
million
dollars
would
have
become
4.4
million
dollars
or
1.1
for
personal
care
homes
and
1.1
for
someone
else.
So
that
is
that's
the
background.
So
that's
what
I
didn't
understand.
G
That's
what
we
need
to
clarify
in
future
budget
language,
but
I,
appreciate
that
Elizabeth
and
and
your
team
are
kind
of
thinking
outside
the
box
and
being
creative
and
in
figuring
out
how
to
get
these
funds
and
devising
a
formula
to
get
these
funds
out
to
personal
care
homes,
because
we
know
it's
very
needed.
And
yes,
after
our
call
yesterday-
and
it
was
a
very
productive
call-
I
appreciate
it.
I,
texted,
I,
think
Kelly
and
a
few
of
the
members
from
the
that
I
had
numbers
for
that.
G
I
would
really
like
to
see,
as
opposed
to
just
funding
the
42
personal
care
homes
who
we
know
serve
35%
or
have
a
population
of
35%
severe
mental
severely
mentally
ill
I
would
rather
see
that
all
personal
care
homes
who
serve
any
mentally
ill
persons
receive
kind
of
a
per
capita
basis
funding.
If
that
makes
sense,
it.
E
G
A
Great
news:
okay,
my
last
question
that
I
have
going
back
to
slide
number
five:
the
6.2
percent
increase
of
the
federal
Medicaid
assistant
percentages.
So
when
you,
my
antennas,
went
up
when
you
said
170,000
new
enrollments
on
Medicaid
to
be
in
the
budget
that
primary
the
you
know
overseas,
that
it
helps
craft
the
budget
for
that,
it's
a
huge
expense
here
to
the
Commonwealth
of
Kentucky,
and
when
you
see
a
hundred
and
seventy
thousand
new
people
enrolling,
we
know
that
comes
with
a
significant
price
tag.
So
the
6.2
percent
increase.
A
E
E
Okay,
chip
and
regular
sorry
backwards,
so
it's
not
on
the
expansion
population,
but
it's
on
the
traditional
and
Acacia
population.
We're
bringing
most
of
the
folks
in
because
it's
presumptive
sort
of
in
the
traditional
side
but
they'll
be
they'll,
be
a
reckoning
at
the
end
with
when
we,
when
we
have
to
chew
up
all
the
income
xand
things
like
that
and
the
longer
process
to
get
the
to
get
medicaid
eligible.
But
at
this
point
we're
trying
to
to
keep
as
much
in
traditional
as
we
can.
Okay.
A
If
you
all
can
continue
to
maybe
feed
our
LRC
staff
and
in
the
budget
office
some
of
that
information,
so
we
can
really
keep
our
arms
around.
What
that
cost
is
gonna,
look
like
coming
up
in
2021
and
in
another
follow
up
as
we've
seen
that
hundred
and
seventy
thousand
new
enrollments
since
pre
covet.
Do
we
see
that
enrollment
flattening
off
or
maybe
slight
decrease,
as
we've
opened
our
economy
back
up,
and
maybe
people
are
not
needing
those
type
of
assistances
yeah?
Well,.
E
E
F
107
thousands
is
that
kind
of
bells
go
off.
You
know
people
don't
like
change
and
we're
gonna.
Add
two
new
MCS
come
January
1st
I'm,
not
sure
how
many
people
are
going
to
be
impacted
that
are
currently
under
passport
and
I
know
passports
about
300,000,
so
I'm
guessing
we're
gonna
see
a
half
a
million
people
at
least
move
to
a
new
MCO
and
just
one
of
there's
any
particular
actions
being
taken
to
make
sure
that's
as
seamless
and
as
timely
as
can
be
because
I
can
see.
Particularly
at
this
point
time.
F
Don't
follow
these
other
issues
that
that
could
fall
through
the
crack
and
in
folks
aren't
transitioning.
They
may
not
be
able
even
aware
of
it,
so
is
it
gonna,
be
special
communication
effort
to
recipients
and
how
we're
gonna
reach
out
to
those
people
to
make
sure
that
we've
got
continuity
of
care
in
this
situation.
Because
again
it's
quite
people
at
this
point
in
time.
E
There's
an
active
appeal
going
on
with
MCO.
Is
that
there's
an
active
appeal
going
on
and
with
that
active
appeal,
we
kind
of
had
to
stop
work
for
a
little
bit,
but
I've
sent
a
letter
to
finance
to
ask
that
we
be
able
to
continue
to
work
through
the
period
of
Appeal,
but
so
we
are
working,
there's
going
to
be
readiness,
reviews
and
things
like
that
that
we
have
to
do
to
make
sure
systems
are
in
place
and
and
provider
networks
are
in
place.
Hopefully
once
we
get
to
the
other
end
of
the
appeal.
F
Appreciate
that
I'm
also
concerned
about,
if
the
appeals
aren't
successful,
that
the
two
M
cos
may
not
be
as
motivated
to
timely
process
payments
and
may
increase
the
number
of
Appeals
that
they
have
so
I
would
hope,
somebody's
taking
a
hard
look
at
that
and
been
in
some
accountability
into
those
that's
concerned.
But
you
know
one.
The
solutions
we
could
have
for
this
is
the
heavier
MCLs,
but
so
I
just
had
to
throw
that.
E
A
So
wraps
up
our
questions
of
anybody
in
person,
if
anybody
can,
if
you
announce
yourself
if
you're
on
the
call-
and
we
like
to
ask
a
question-
the
computer
system
unfortunately,
is
not
working,
so
technology
is
great,
but
it
always
seems
to
fail
you
at
times
you
need
it.
So
if
you're,
the
secretary
or.
E
E
Re-Upping
that
and
increasing
that
out
of
the
corresponding
again
to
to
try
to,
we
think
that
the
local
health
departments
across
the
state
are
experiencing
5
to
6
million
more
per
month
in
expenses
and
we're
using
some
of
the
cares
fun
to
travel
to
sure
some
of
that
up,
at
least
through
the
end
of
the
year.
To
the
end
of
the
cares
funding
time.
E
That's
that's
the
vast
majority
of
a
funding.
That's
gone
to
local
health
departments
that
some
of
these
other
epidemiological
grants
are
gone.
Louisville
Metro
is
different.
Louisville
Metro
is
an
independent
health
department
kind
of
have
some
very
separate
funding
streams
and
also
through
the
cares.
Louisville
Metro
government
received
some
funding
just
directly,
not
through
the
state
enough,
but
directly
from
the
federal
government
on
this
on
the
chaos
act.
E
So
as
an
independent
health
department,
one
difference
in
their
status
and
then
as
really
a
heart
of
Louisville
Metro
government
we've
been
looking
to
for
Lulu
Metro
government
to
provide
the
funding
for
the
local
health
department
through
the
cares
funds,
as
we've
been
doing
for
other
local
health
departments
across
the
state
and
I.
That's
the
best
way.
I
can
do
that
is
that.
A
Doesn't
sound
like
we
have
any
more
questions
secretary
and
director
I
appreciate
your
all's
presentation.
I
know,
there's
going
to
be
lots
of
questions
as
we
go
throughout
the
year.
I
know
that
some
of
the
expenditures-
you
know
how
you
do
your
invoicing
if
it's
a
cruel
or
cash
basis
and
when
it
comes
in
seeing
those
expenditures.
I
know
it's
a
great
concern
to
this
committee
as
we
try
to
craft
a
one-year
budget
coming
up,
and
so
we
appreciate
your
presentation
and
your
willingness
to
get
us.
A
The
information
we
requested
so
before
we
adjourn
there
will
be
no
August
meeting
we're
gonna
push
it
to
September,
16th
and
chairman
Bentley
will
be
chairing
that
meeting
and
staff
will
we'll
be
getting
out
the
information
that
that
meeting
is
going
to
be
held
on
what
we're
going
to
be
covering.
But
anybody
that's
on
the
call
we
are
going
to
have
to
take
a
roll
a
second
time,
and
so
mr.
secretary,
can
you
call
the
roll
for
those
that
are
on
the
call.
C
C
F
F
Could
be
beneficial?
Is
there
any
consideration
to
possibly
have
in
the
Department
of
Insurance
and
the
Attorney
General
Cynthia
faith
M
seals
that
are
saying
just
a
reminder
that
you
know
they
have
obligations
and
that
they're
expected
to
be
held
accountable
for
those
obligations?
Would
you
consider
that
it's.