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From YouTube: Interim Joint Committee on State Government (10-19-21)
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B
A
Here
in
the
room-
and
we
are
duly
appointed
to
conduct
business
first
off
I'd
like
to
ask
for
an
approval
of
the
minutes
from
september
21
hearing
we
have
a
motion
representative
weber.
Second,
okay,
we
have
multiple
seconds
all
in
favor.
A
Stick
my
face,
saying:
aye
aye
motion
carries
all
right
if
you're
online,
please
remember
to
mute
your
mic
unless
you're
going
to
speak
and
you
know
to
go
into
the
chat
room
if
you
wish
to
speak
and
all
the
rest
of
us
just
make
sure
we
silence
our
phone.
So
I'm
going
to
do
a
little
something
unusual.
A
To
begin
with,
and
I'm
going
to
welcome
a
member
of
the
a
new
member
of
the
press
corps
body
brooks
who
has
joined
fox,
41
and
bodhi
welcome
to
kentucky
he
joins
us
from
a
certain
state
called
louisiana
who
so
he
I
think
he
wanted
to
move
to
a
state
that
had
a
good
football
team,
so
so
welcome
bodhi.
Anyone
else
have
a
guest
they'd
like
to
introduce
seeing
none.
The
first
order
of
business
is
the
2022
kentucky
employees
health
plan.
A
H
Thank
you.
Can
everybody
hear
me
I
I
hope.
E
H
Okay,
great,
thank
you
so
much
and
good
afternoon.
Everyone
thank
you,
representative
miller,
for
this
invitation
to
appear
before
the
committee
and
present
to
you
regarding
the
kentucky
employees
health
plan.
As
you
said,
my
name
is
reyna
diaz
dempsey
and
I
am
the
commissioner
of
the
department
of
employee
insurance,
the
department
of
employee
insurance,
of
course
overseas.
At
the
operations
I
was
like
of
the
kentucky
employees
health
plan.
A
Commissioner,
could
you
turn
your
camera
on
sure
you
have
that
ability?
We
would
appreciate
seeing
you
that
one.
H
Continue,
I
was,
I
was
afraid
I
was
not
going
to
be
able
to
share
like
that,
but
this
is
great.
Thank
you.
So
I
would
like
to
start
the
presentation,
as
we
usually
do
just
running
through
quickly
through
the
membership
of
our
health
plan.
So
currently
we
cover
over
292
thousand
members.
H
When
we
talk
about
members,
of
course,
that
includes
the
employees,
retirees
under
the
age
of
65,
as
well
as
their
dependents,
and
that
number
of
our
membership
represents
about
seven
percent
of
the
entire
state
population.
So
it's
a
very
large
group,
as
we
all
know,
in
terms
of
actual
employees
and
retirees
alone,
that
is
excluding
their
dependents.
H
The
plan
has
almost
178
thousand
plant
holders.
The
chart
that
you
see
below
represents
the
distribution
among
the
different
employers
that
we
have
as
part
of
the
plan.
The
works
of
education.
Employees
comprise
the
largest
group,
as
you
can
see,
at
52
and
a
half
percent
they're,
followed
by
the
early
retirees
of
the
kentucky
public
pension
authority
and
the
teachers
retirement
system
at
24
percent
state
employees
are
18
and
the
health
departments
and
other
quasi-governmental
groups
comprise
the
five
and
a
half
percent.
H
H
H
Something
we're
very,
very
proud
of,
as
the
graphic
shows
95
of
all
premiums
collected,
are
paid
out
to
cover
medical
claims,
prescription
and
health
reimbursement
account
claims
four
and
a
half
percent
covers
the
administration
fees
that
we
pay
to
our
medical
tpa,
our
prescription
vendor
in
the
rest
of
the
vendors.
H
H
So
I've
only
been
in
the
department
for
a
little
over
a
year.
So
this,
of
course,
is
not
me.
This
is
actually
the
fruit
of
a
very
dedicated
group
of
state
employees
who
take
pride
in
ensuring
that
each
penny
is
accounted
for,
ensuring
that
the
member
receive
the
help
and
assistance
and
the
service
that
they
that
they
deserve,
and
also
ensuring
that
together,
we
develop
programs
that
not
only
meets
the
needs
of
our
members,
but
that
also
help
in
containing
the
ever-increasing
cost
of
healthcare.
H
This
next
slide
is,
is
pretty
much
the
the
middle
of
the
presentation
today
in
terms
of
what
are
the
changes
that
are
coming
for
2022
as
representative
miller,
I
love
it
too.
This
is
open
enrollment.
I
hope
everybody
has
received
the
welcome
open
enrollment
letter
in
the
mail.
We
have
pro
you've,
probably
seen
a
a
few
reminders
to
at
least
a
reminder
via
email
as
well.
H
Open
enrollment
started
last
week
on
the
11th,
and
it
continues
through
october
the
29th.
So
we
have,
we
have
still
a
couple
of
weeks
to
make
those
health
insurance
selections
for
the
upcoming
year.
I
thought
it
would
be
beneficial
to
have
the
2020
and
2021
changes
as
as
well
just
just
to
for
ease
of
comparison.
H
H
What
that
means
is
that
we're
going
to
see
an
increase
of
50
cents
on
the
low
end
to
no
more
than
19
dollars
on
the
high
end
depends
on
the
plan
that
we
select
for
next
year,
the
drug
formulary
that
remains
the
same
for
2022,
so
there
are
no
changes
there.
The
only
thing
that
we
are
doing
is
that
we
are
introducing
actually
a
new
program
for
those
who
are
in
the
ppo
plan.
H
H
The
next
change
is
about
well,
actually,
there
will
be
no
changes,
as
you
can
see,
to
the
deductible
and
maximum
out
of
pockets,
we're
glad
about
that
in
terms
of
member
cost
share
the
living
well
ppo
and
the
living
well.
Cdhp
plans
will
see
an
increase
of
a
five
percent
coinsurance,
that's
for
services
that
are
in
network
services,
and
there
is
a
10
coinsurance
increase
for
services
that
are
that
are
performed
by
out-of-network
providers.
H
H
We
are
keenly
aware
here
that
you
know
every
change
that
we
make
to
the
health
plan
directly
impacts
our
members,
which
are
all
of
us,
and
we
try
to
do
all
we
can
truly
to
keep
those
changes
as
minimal
as
possible.
H
H
We
want
good
benefits
and
that
are
affordable
and
there
are
high
quality
so
compared
to
what
we
see
around
us,
we're
still
comparable
and
but
striking
that
balance
is,
is
really
getting
more
and
more
difficult,
as
the
cost
of
health
insurance
just
continues
to
to
go
off.
H
This
next
slide,
you
know
the
previous
slides
were
talking
about
the
core
changes
that
that
we
were
implementing
for
2022,
but
we
also
have
to
look
at
other
ways
in
which
we
can
contain
cost,
while
increasing
member
engagement
and
member
participation
and
just
good
benefits
all
around.
So
we
do
that
by
offering
additional
benefits
in
programs
that
surround
our
core
benefits
and
that
support
those
benefits
offered
by
the
plan.
So
in
2022
we
will
offer
the
future
months
like
testing
support
through
live
health
online.
H
We
are
also
introducing
an
additional
benefit
for
our
members
who
live
with
diabetes
is
called,
transform,
diabetes
care.
We
call
it
tdc.
This
program
offers
diabetes
support
through
our
pharmacy
vendor,
which
is
cvs.
H
The
program
in
a
nutshell,
it
just
reaches
out
to
specific
populations
with
targeted
communication,
then
identifies
care
gaps
that
are
based
on
you
know
their
internal
algorithms
there's
a
couple
of
vouchers
that
are
provided
for
members
to
have
a
hypertension
and
diabetes
monitoring
visits
and
also
adds
diabetes,
education
and
support
through
a
mobile
app.
H
Another
benefit
targeted
to
our
members
that,
with
diabetes,
that
we
are
providing
for
2022
is
our
diabetes.
Self-Management,
education
and
support:
this
is
something
that
is
going
on
now,
but
we
are
removing
the
cost
share
for
them
for
that
program.
So
it's
going
to
be
at
zero
copay
for
members
and,
of
course,
with
that,
our
in
our
goal
is
to
increase
participation
and
increase
member
engagement.
H
Our
wellness
program,
our
wellness
program,
is,
of
course,
a
very
important
part
of
our
benefit
package
and
in
2022
we
will
be
at
adding
adding
coverage
for
the
dependent
spouses.
They
will
be
able
to
participate
in
the
program
they're
not
eligible
this
year,
but
they
will
be
eligible
in
2022..
H
So
we
did
decide,
however,
that
our
members
who
waive
health
insurance
coverage
through
the
kentucky
employees
health
plan
would
no
longer
be
eligible
to
participate
in
the
wellness
program,
starting
in
2022..
H
So
to
us,
this
decision
really
made
financial
sense
and
medical
sense
for
several
reasons,
mainly
with
the
waiver
population.
We
don't
get
the
benefit
of
their
in
physical
activity
or
engagement
or
participation
in
the
wellness
activities,
because
we
don't
have
their
medical
claims
or
their
prescription
claims
they
are
insured
somewhere
else.
H
In
addition
to
that,
we
do
pay
an
administration
fee
for
for
our
members
who
waive
health
insurance
coverage
currently.
H
So,
on
the
other
hand,
the
cover
dependent
spouses
are
a
part
of
our
health
plan
and,
of
course,
the
plan
would
reap
any
benefits
that
would
come
from
their
participation
in
wellness
activities
because
we
do
have
their
claims.
We
have
their
medical
and
prescription
claims.
So,
in
addition
to
that
cover,
spouses
are
included
in
the
wellness
program
at
no
cost
to
the
plan.
So
we
do
not
pay
a
fee
to
webmd
for
dependent
spouses,
participation
and
another
exciting
program
that
we
will
start.
H
This
one
will
not
start
until
march
of
2022,
so
we're
still
in
the
process
of
developing
the
program.
But
it's
it's
going
to
be
a
digital
health
solution
that
will
target
chronic
back
pain
and
joint
pain,
and
it's
called
hinge.
Health
musculo
musculoskeletal
conditions
are
another
one
of
those
top
expenses
for
the
health
plan.
So
we
have
to
find
a
way
to
improve
health
in
that
in
that
area
and
try
to
reduce
cost
as
well.
H
Okay,
so
this
live
slide
is
just
really
to
point
out
that
we
continue
to
support
our
membership
during
the
calling
19
pandemic.
There
are
some
of
these
covert
related
benefits
that
you
see
on
this
slide
that
have
expired,
but
we
just
wanted
to
provide
a
an
overall
view.
There
are
many
of
the
benefits
of
that
are
still
a
continuing
through
today,
for
instance,
the
coverage
of
kobe
19
screening
and
testing,
that
is
at
a
hundred
percent.
H
Our
members
have
free
access
to
health
telehealth
services
at
a
hundred
percent
when
using
live
health
online.
We
are
also
allowing
changes
to
flexible
spending
accounts
without
any
qualifying
event.
H
Now
we
did
extend
the
runout
period
for
fsas
and
hras
through
april
of
this
year
in
2022,
we
are
back
to
the
normal
deadline,
which
is
in
march
and,
like
I
said
this,
this
slide
just
really
quickly
points
out
that
we're
still
supporting
our
membership
through
as
long
as
we
are
going
through
through
the
pandemic.
H
The
next
slide
talks
about
well
the
wellness
program
and
the
reason
I
included
this
briefly.
This
slide
is
because
the
last
time
I
was
here
last
year,
I
spoke
about
the
security
breaches
that
we
had
experienced
in
2020.
H
It
is
nice
to
report
that
we
have
had
no
incidents
this
year,
so
the
program
is
running
smoothly
and
the
enhanced
security
has
been
successful
in
avoiding,
of
course,
any
type
of
incident
that
that,
unfortunately,
we
experienced
last
year.
So
in
addition
to
that,
we
one
of
the
new
features
that
we
had
with
our
wellness
new
wellness
platform.
That
was
the
introduction
of
a
mobile
application
which
is
being
nicely
utilized
by
our
members.
H
14
of
our
populations
has
downloaded
the
app,
but
together
we
can
increase,
of
course,
that
we
can
work
on
that
and
increase
your
relay
session.
But
overall
we
have
an
almost
70
percent
registration
and
once
we
include
the
mobile
application
and
the
desktop
application
combined.
So
that's
that's
a
pretty
good,
solid
number
and
just
to
report
our
living
well
promise
completion
right.
We
hit
90
percent
again
this
year,
that's
kind
of
where
we've
been
in
the
past
few
years.
So
we're
we're
very
pleased
with
that.
H
And
finally,
I
always
like
to
we
have
so
many
great
programs-
and
you
know
that
that
we
offer
to
to
our
population-
and
this
slide
here
is
just
a
reminder
about
those
programs.
They,
these
programs
come
to
complement,
like
I
said
earlier,
those
core
benefits
that
that
we
offer,
but
they
are
just
really
important
to
increase
engagement
and
achieve
better
health.
H
So
the
first
one
is
rethink.
This
program
offers
a
support
to
parents
and
adults
that
are
raising
children
with
behavioral
issues.
We
have
releasing
a
good
utilization
of
this
benefit,
not
only
by
parents,
but
also
by
teachers
and
other
persons
who
just
want
to
learn
more
or
need
professional
support.
When
dealing
with,
like
I
said
children
with
behavioral
problems,
we
have
mentioned
smart
shopper
before
smart
shopper
has
been
very
popular
and
has
safe,
really
the
members
and
the
plan
over
20
million
dollars.
Now,
since
the
program
began
in
2013.
H
but
part
of
this
popularity,
I
believe
it's
just
its
simplicity
and,
of
course,
there
are
rewards
the
members
receive
for
for
for
going
through
smart
shopper.
It's
our
transparency
program,
so
it's
kind
of
it's
very
simple.
A
doctor
just
recommends
you
know
a
specific
medical
service
or
members
go
online
or
call
in
order
to
find
a
high
value
option
for
the
service
for
the
as
a
provider
in
the
area.
H
Once
the
procedure
is
done
at
the
location
of
choice,
then
the
location
is
verified
as
a
qualified
provider
for
the
incentive,
and
then
the
member
receives
a
check
in
the
mail.
I
think
it's
it's
just
it
it's
easy
and,
and
it
does
provide
members
with
good
alternatives
and
good.
You
know,
providers
it's
shopping
for
providers
that
are
high
value.
Good
quality
lower
cost
pretty
much.
H
We've
talked
about
life.
Health
online
live
health
online
is
our
telehealth
provider,
and
members
can
receive
medical
and
behavioral
services
via
an
electronic
device
through
life,
health
online
utilization
of
telehealth
has
grown
significantly
since
the
beginning
of
the
pandemic,
and
in
this
benefit
it's
over
offered
at
zero
cost
share
for
the
members.
H
Now
the
diabetes
prevention
program,
diabetes
is
another
one
of
those
high
cost
conditions.
So
we
have
several
programs
to
try
to
get
our
members
with
diabetes
involved
in
getting
better
in
managing
their
disease.
H
So
I
mentioned:
transform
diabetes
care
previously
that
we're
starting
in
2022,
as
well
as
a
zero
cost
share
for
the
diabetes
education
and
support
program.
So
this
diabetes.
This
is
a
diabetes
prevention
program
and
this
one
helps
members
lose
weight,
adopt
healthy
habits
and
reduce,
of
course,
the
risk
of
developing
type
2
diabetes.
H
H
With
this
value
benefit,
our
members
with
diabetes,
copd
or
asthma,
get
their
maintenance
medications
and
supplies
are
reduced,
copay
or
co-insurance,
and
they
pay
not
deductible.
So
this
benefit
aims,
of
course,
at
improving
medication,
adherence
by
reducing
the
member
out
of
pocket
cost
for
the
medications
and
supplies
that
they
need.
H
So
that
is
the
information
that
I
have
for
you
today.
Once
again,
I
just
want
to
thank
you
for
your
time.
The
opportunity-
and
I
will
be
happy
to
answer
any
questions
that
you
may
have.
A
Thank
you,
commissioner,
we're
going
to
throw
it
open
for
questions
from
the
members.
The
first
thing
I
would
like
to
say
ask
is:
this:
is
open
enrollment
it
goes
through.
Is
it
the
28th
or
29th.
H
A
29Th
and
do
is,
is
renewal
imperative
for
all
benefits
or,
and
is
inaction,
mean
you're
just
re-enrolled
the
exact
way
you
were
because
some
people
may
think
that
I
don't
have
to
do
anything
and
I'll
stay
in
the
same
plans.
Is
that
true
or
do
you
have
to
go
in
and
do
the
fsa
separate
to
maintain
that
fsa
benefit.
H
Yeah,
that
is
always
a
tricky
message
to
send
out,
because
you
are
absolutely
correct
if
you
are,
if
you
want
to
remain
in
the
same
health
plan
that
you
have,
that
will
roll
you,
don't
have
to
go
to
the
system
and
and
re-enroll,
but
our
flexible
spending
accounts
or
if
you
waive,
and
you
want
that
money
in
your
health
reimbursement
account,
you
do
have
to
make
an
election
every
year.
So
that
is
something
that
you
do
have
to
do
for
that,
but
other
than
that.
H
Just
if
you
want
to
make
changes
when
it
comes
to
dental
vision,
life,
insurance
and
everything
else,
you
just,
we
will
roll
those
plans
good.
A
Any
questions
from
the
members
representative,
graham.
F
I
just
want
to
go
back
to
the
next
to
the
last
page
and
just
ask
a
question,
because
I
can't
recall,
but
all
these
wellness
programs
that
you
talked
about
these
free
and
low
cost
member
benefits
are
some
of
these
new.
I
know
the
smart
shopper
is
not,
but
the
rethink
is
that
a
new
new
program
within
the.
H
Okay,
so
no
actually
none
of
these
programs
here
on
this
slide
are
new
rethink
started
in
2019.
We
have
seen
well,
I
guess,
relatively
new.
Some
of
them
have
been
going
on
for
for
several
years,
but
it
is
not
new
for
2022.
We've
had
him
for
several
years.
H
E
H
F
The
wellness
yeah
and
you
said
that
those
who
have
fa
the
or
not
taking
the
unemployment.
F
They
have
the
waiver,
thank
you
so
much
that
they
would
not
be
included
with
the
the
coverage
of
the
wellness
anymore.
H
H
Yes,
yes,
they
have-
I
I
don't
recall
in
many
years
back,
but
I
believe
some
years
they've
been
in
some
years,
they've
been
out
last
year
or
this
part
of
the
year
2021
and
last
year.
Yes,
they
were
part
of
the
program.
H
Yeah,
yes,
like
I
mentioned,
see,
doing
an
analysis.
An
analysis
like
I
said.
First
of
all,
our
waivers,
you
know
they're
waiving
their
coverage
to
the
kehp,
so
they
are
covered
through
some
other
health
plan
out
there.
The
the
the
the
main
benefit
of
of
a
wellness
program
for
our
population
is
to
improve
members,
health
by
engaging
in
inactivity
and
physical
activity
and
others
so
that
we
can
long
term
reap
the
benefits
of
of
of
the
of
that
improvement
in
health
and
that
engagement.
H
So
when
you
are
not
covered
by
the
health
plan,
that
benefit
is
really
is
really
reaped
by
the
plan
that
you
are
enrolled
in.
So
that
was
one
of
the
reasons
as
we
looked
at
what
we
could
do
with
with
this,
and
we
are
paying
an
administration
fee
for
the
participation
of
the
waivers
in
this
wellness
program.
H
So
when
we
looked
at
that
and
then
we
looked
at
the
population
that
is
not
currently
part
of
the
wellness
program,
like
our
covered
spouses-
and
we
look
at
the
benefit
of
this
group
enrolling
in
the
wellness
program,
because
you
know
we
have
their,
we
pay
for
their
claims.
We
pay
for
their
medical
prescription
claims,
so
it
is
in
our
the
best
interest
of
the
plan
to
make
sure
that
that
those
members
that
are
part
of
the
plan
participate
in
wellness
activities
and
hopefully
get
better
and
and
get
more
active.
H
In
addition
to
that,
what
we,
the
agreement
we
have
with
webmd
it
does
not.
We
don't
pay
an
administration
fee
for
including
the
spouses,
so
it's
a
savings
actually
when
we,
when
we
look
at
that,
so
that
those
are
the
main
reasons.
There's
some
other
reasons
we
we
really
have
seen
very
low
participation
of
the
waiver
actually
population.
We
looked
at
all
that
when
we,
when
we
went
this
route
so
but
but
those
are
the
main
reasons
that
we
we
decided
to
make
this
change.
Thank
you,
mr
chairman,.
A
Very
good,
thank
you,
leader,.
E
Thayer
thanks,
mr
chairman,
I'm
going
to
repeat
what
I
said
in
the
local
government
meeting.
I
feel
compelled
to
say
it
again
today
and
I
appreciate
your
presentation
today.
I
just
wish
that
members
of
the
administration
who
are
invited
to
testify
before
a
committee
of
the
general
assembly
ought
to
come
in
person.
E
I
don't
see
why
we
can't
have
in-person
testimony,
not
speaking
on
behalf
of
any
group
or
anyone
else
except
me,
but
I
think
a
lot
of
members
would
appreciate
the
the
face-to-face
benefits
of
having
someone
here
in
person
to
ask
questions
of.
Thank
you,
mr
chairman.
C
Thank
you,
mr
chairman,
and
thank
you
for
your
presentation
going
back
to
representative
graham's
question
on
dependents
and
then
being
covered.
If
you
cross
reference
with
your
spouse,
would
they
then
be
covered
as
a
dependent.
H
No,
if
you
are
cross-referencing,
then
your
spouse
is
also
an
employee,
so
they're
covered
as
an
employee.
A
Okay,
I
I
don't
see
any
other
questions.
I
I
do
have
a
one
quickie,
and
that
is
on
your
final
slide.
You
you
talk
about
rethink
24,
7
phone
and
video
chat,
support
with
behavioral
experts,
but
also
live
health
online
is
medical
and
behavioral
services
feel
any
electronic.
Could
you
talk
about
the
difference
between
rethink
and
live
health
online
for
behavioral.
H
Sure
so
I
think,
is
very
specifically
focused
on
providing
services
to
parents
and
to
adults
that
are
raising
children
with
a
behavioral
issue.
So
it's
more
of
a
counseling
educational
and
support.
H
H
Like
I
said
behavioral
basis,
so
it's
more
comprehensive
in
terms
of
any
services
that
you
would
go
to
an
office
to
receive
from
a
provider
you
can
get
through
live
health
online
as
a
preferred
provider,
but
we
think
it's
just
more
specific
program
for
that
specific
population.
I
Chairman,
thank
you
for
your
presentation.
I
do
have
a
question
about
your
no
member
cost
share
for
diabetes,
self-management,
education
and
support
glad
to
see
that
I'm
the
executive
director
of
a
non-profit,
we
have
a
charitable
medical
clinic
and
we
received
a
grant
a
couple
years
ago
for
case
management
for
chronic
conditions
such
as
diabetes.
I
We
did
similar
work
at
the
end
of
that
we
or
all
during
it.
We
kept
detailed
records
of
the
improvement
that
resulted
from
this
type
of
management
program,
and
I
heard
you
say
that
in
probably
relation
to
the
waiver
etc,
but
you
talked
about
that.
Hopefully,
people
got
better.
Are
you
actually
tracking
the
results
of
these
programs.
H
We
are
we
do.
This
is
specifically
the
the
diabetes
support
and
education.
That
is
some.
That
is
one
that
it's
we
have
specific
numbers
and
tracking
from
you
know.
The
department
of
public
health
and
the
health
departments
are
really
really
involved
with
this
one.
So,
yes,
we
will
be
glad
to
provide
information,
but
we-
I
guess
I
say
hopefully,
but
we
do
see
that
a
lot
of
these
programs
are
absolutely
helping
our
membership.
Yes,.
I
H
The
the
cost
share
for
the
program
has
been
in
place
for
for
a
while.
Now
and
like
I
said,
the
health
departments
have
been
the
main
providers
of
this
support
and
education,
but
there
was
a
member.
There
is
a
member
called
share
if
it's
received
from
from
other
providers,
so
we
are
removing
that,
and
that
is
what
it
is.
H
I
H
A
Thank
you.
Next
question
is
representative
cantrell.
G
Thank
you,
mr
chair.
This.
It
was
actually
your
question
that
made
that
led
to
my
question.
I
was
on
a
zoom
last
night
with
a
group
of
social
workers
from
around
the
state
and.
E
G
If
those
of
you
on
this
committee
do
not
know
what
some
of
our
social
workers
are
going
through,
that
was
a
very
eye-opening
conversation
for
me
and
they
one
of
the
social
workers
brought
up.
You
know
they
deal,
they
see
the
worst
of
the
worst
of
humanity.
They
they
see
children
who
have
been
abused,
children
who
are
in
just
terrible
conditions,
and
they
see
a
lot
of
trauma
and
they
they
need
they're
trained
to
be
the
helpers
and
to
deal
with
trauma
that
way.
G
They're
not
always
really
good
about
reaching
out
for
help
for
themselves,
and
I
was
looking
at
the
some
of
the
services
and
can
you
go
into
what
type
of
therapies
that
might
be
helpful
to
someone
in
a
who
who
performs
is
a
part
of
their
duties
a
and
regularly
interacts
with
trauma?
Are
there
services
through
sort
of
the
live,
help
live
health
online,
and
some
of
the
telehealth
services,
for
example,
for
therapy?
Are
those
covered
at
100
percent.
H
Yes,
any
services
that
are
sought
through
telehealth
through
live
health
online
are
covered
at
100
percent.
Yes,
of
course,
I
I
am
not
a
medical
professional,
but
the
one
thing
that
comes
to
mind
is
you
know,
I
talked
about,
rethink
being
a
program
and
it
is,
for
you
know,
behave
individuals
or
children
with
behavioral
behavioral
issues
and
problems,
but
it
offers
such
an
array
of
information.
H
We
have
several
people
in
support
and
I
was
thinking
you
know
that
might
be
a
program
that
also
would
benefit
if,
if
what
it's
been
sought
is
just
just
just
support
by
clinicians
by
counselors,
that
is
the
kind
of
information
in
in
in
help
that
it's
found
through
these
programs,
like,
like,
I
said,
like
rethink.
H
That's
what
I
was
thinking
now
in
terms
of
anyone
that
is
in
the
health
plan
needing
to
reach
out
to
say
a
psychologist
that
or
you
know
any
benefit
that
is
covered
in
a
breaking
more
mortar
place.
They
can
use
them,
they
can't
receive
those
through
telehealth
at
zero
copay.
So
those
are
the
two
that
that
come
to
mind.
That
could
be
beneficial.
H
Maybe
we
need
to
just
talk
a
little
bit
more
about
those
and
and
just
we
try
to
advertise
all
of
this
all
of
the
services
really
because
we
know
that
they
are
they're,
really
helpful
and
that's
one
of
the
things
that
you
know
as
I
started
here.
We
talk
about
it
all
the
time.
There
are
so
many
good
programs
and
it
and
we
try
to
reach
out
and
and
promote
them
and
make
sure
people
use
them,
and
sometimes
we
have
a
utilization
in
some
of
them.
H
But
those
are
the
two
that
come
to
mind
because
I
have
not
a
clinical
professional
so,
but
definitely
those
will
be
helpful.
I,
I
am
pretty
sure
to
deal
with
those
issues.
G
H
A
Thank
you
and,
commissioner,
did
I
understand
you
say
that
the
fsa
hra
provider
is
the
same
as
it
has
been.
H
I
did
not
say
anything
about
that,
but,
yes,
you
are
right.
It's
we
have
the
same
fsnhra
vendor.
A
Okay,
very
good,
any
other
questions.
Members
representative,
blanton,
we're
gonna,
put
you
back
in
the
queue.
Yes,
sir,.
C
Thank
you
actually
just
to
comment,
since
one
of
the
members
brought
up
about
our
hard-working
social
workers
and
they
are
indeed
hard
working
and
I
would
advise
you
to
we're
all-time
riding
with
law
enforcement.
C
Go
ride
with
the
social
worker,
see
what
they
interact
with,
but
I
wanted
to
point
out
something
from
a
meeting
last
week
dealing
with
a
panel
that
tracks
our
children
in
kentucky
that
die
from
that
die
or
are
nearly
killed
due
to
abuse,
and
I
asked
the
question-
and
there
was
no
media
there,
then
so,
maybe
now
that
today's
here
we
found
that,
during
the
shutdowns
of
last
year
from
the
previous
year
and
the
previous
year
before
that,
we
had
a
57
percent
increase
of
children
that
lost
their
lives
due
to
abuse
in
kentucky
because
they
were
shut
up
at
home
with
abusive
parents
during
this
shutdown.
C
I'm
just
wondering
why
out
loud,
I'm
not
asking
for
an
answer,
but
I'm
just
wondering
out
loud,
mr
chairman,
why
we've
talked
about
every
life
matters
and
it
counts,
and
it
does
why
no
one
has
reported
that
there's
been
a
57
percent
increase
in
our
children
dying
in
the
commonwealth
of
kentucky
over
the
past
year
due
to
abuse,
because
they've
been
shut
up
with
these
abusive
parents.
Thank
you,
mr
chairman.
A
A
Thank
you,
ma'am.
The
the
final
item
on
the
list
is
pre-filed
bill.
Br
430,
an
act
relating
to
death
benefits
for
first
responders
representative
huff,
join
the
join
us
at
the
table
and
introduce
your
guest
and
mem
while
they're
getting
settled
in
members.
Next
meeting
chairman
mills
is
gonna,
hear
other
bills,
we're
going
to
have
another
session
to
hear
other
bills.
So
if
you
have
a
pre-file
bill
that
you
know
will
get
referred
to.
State
government
speak
to
him.
D
All
righty
well,
I'm
representative,
thomas
huff.
I
represent
the
49th
district,
which
is
about
half
of
bullitt
county
and
with
me
I
have
zoneton
fire
chief
kevin
moulton,
and
we
would
like
to
tell
we
first
off
we'd
like
to
thank
you,
mr
chairman,
for
allowing
us
this
opportunity
to
present
this
bill
or
bill
request.
D
D
A
Would
you
like
the
chief
to
comment.
C
C
When
I
submitted
the
claim
to
the
fire
commission,
it
took
several
months
to
get
a
response
back
and
I
was
denied
because
of
as
sickness
and
well
a
sickness
and
illness
is
in
this
krs
and
a
statute,
and
that
covet
is
not
so.
Their
answer
to
me
was.
There
was
no
qualifying
event
of
where
they
could
have
gotten
kovid.
C
Can
you
tell
me
where
90
percent
of
the
people
that
catch
covey
are
catching
covet
from?
You
know
these
two
men
were
very
active
in
the
fire
service.
You
know
we're
very
community
oriented,
of
course,
covet
set
us
back
a
little
bit
in
the
community,
but
we're
still
a
very
active
fire
agency
with
those
two
men
were
our
two
front
leaders
in
our
agency
and
hearing
that
they
were
going
to
get
denied
because
there's
no
qualifying
event
just
didn't
sit.
Well
with
me.
C
I
composed
a
very
lengthy
letter
senate.
Some
of
you
all
might
have
gotten
it.
I
couldn't
tell
you
exactly
who
all
received
and
I'm
sorry
to
try
to
get
to
get
this
changed
and
try
to
move
forward
and
and
see
about
getting
the
fire
commission
to
overturn
their
their
denial
and
to
let
the
firefighters
and
the
fire
service
in
the
state
of
kentucky
know
that
the
fire
commission
has
our
backs
and
they're
going
to
take
care
of
our
families.
If
we
should
lose
one.
A
Thank
you
for
that.
I
think
we,
I
saw
a
hand,
go
up
representative
tipton.
E
E
E
Thank
you,
mr
chairman,
did
the
families
happen
to
qualify
for
compensation
benefits
for
catching
it
on
the
job
at
the
time
or
do
you
know?
I
know
there
was
a
presumption
in
place
at
that
time.
C
With
the
just
recently
I
sat
in
a
fire
commission
meeting
and
the
fire
commission
did
they
went
to
the
eligibility
committee.
Finally,
they
did
approve
their
benefits
through
the
state
of
kentucky.
So
yes,
so
so
they
did
get
workers
comp
benefits,
but.
E
J
Thank
you,
mr
chairman.
I'm
looking
at
the
bill
on
page
six,
you
mentioned
the
definition
of
first
responder
and
another
statute,
but
here
the
first
responders
redefined
and
I
didn't
see,
corrections
officers
in
there
just
fyi,
but
my
question
is
really
going
to
go.
I
was
going
to
go
into
some
of
these.
J
This
is
obviously
in
a
fire
statute
and
I'm
trying
to
figure
out
who
is
or
isn't
included,
but
where
we
draw
the
line
with
this,
because
you
could
easily
take
one
step
further
in
any
number
of
directions
in
somebody
catching
covet
on
the
job.
You
can
catch
that
on
any
job.
That's
not
a
first
responder
limited
to
first
responders.
So
how
are
we
not
going
to
then
equalize
the
playing
field
and
and
provide
some
kind
of
assistance
to
anybody
who
catches
any
of
these
sicknesses
on
the
job?
That's
my
first
question.
D
J
Well,
I'm
aware
of
that,
I'm
just
trying
to
figure
out
how
you
know
we
just
heard
last
week
or
this
week
you
know
we're
getting
blown
up
with
emails,
because
somebody
decided
that
somebody's
job
was
essential
and
other
people's
weren't.
Now
all
the
unessential
workers
are
saying:
wait
a
second
we're
essential.
H
J
Okay,
don't
get
me
wrong
on
that
one,
but
to
say
that
they're
catching
you
know,
a
sickness
is
going
to
be
more
important
or
more
essential
than
somebody
else
who
catches
a
sickness,
we're
not
discussing
necessarily
their
type
of
work,
because
their
type
of
work
is
so
strongly
needed
and
special
compared
to
other
workers,
but
just
the
actual
catching
of
a
sickness
and
death
caused
by
such.
J
D
Well,
if
you'll
notice
in
the
bill
it
actually
lists,
I
have
to
go
back.
It
actually
lists,
there's
a
section
that
applies
to
cancers,
and
these
are.
These
are
things
that
first
responders,
especially
firefighters,
can
obtain
in
the
line
of
duty.
D
E
Thank
you,
mr
chairman.
First
off,
thank
you
for
bringing
this
bill.
I
will
stand
with
our
first
responders
in
any
way
that
I
can-
and
I
would
just
point
out.
This
is
a
bill
about
first
responders
and
if
we
need
an
additional
bill
that
deals
with
other
other
careers,
other
professions,
certainly
that
bill
can
be
brought
by
anybody
that
wants
to.
But
this
bill
is
about
our
first
responders.
I
respect
that
and
I
appreciate
that
I
do
have
a
real,
quick
question.
I
I
think
there
was
a
fiscal
note
attached.
D
E
Great,
I
appreciate
that
just
you
know
we
always
have
to
think
about
the
the
financial
aspect
of
things,
but
it's
very
minimal,
maybe
even
minuscule,
compared
to
showing
the
respect
that
we
showed
to
our
first
responders.
So.
F
F
I
want
to
just
make
clear
with:
can
you
hear
me
with
with
the
language
that's
in
here?
It
says
first
responders
mean
police
officers,
firefighters,
emergency
medical
personnel,
members
of
the
kentucky
national
guard,
the
state
active
duty,
and
I,
in
my
early
years,
when
I
first
started
working,
I
worked
in
the
prison
in
north
point.
F
D
F
F
Well,
I
think
they
they
first
respond
just
to
their
responders.
I
mean
particularly
working
in
a
prison
because
the
place
they
take
them
to
is
to
the
is
to
the
is
to
the
area
in
which
they're
working,
so
they
would
be
first
responders
as
well.
That's
the
that's
the
thing
that
I
think
many
of
us
are
concerned
about.
We
don't
want
to
leave
out
anyone
who
are
first
responders.
A
F
A
And
that's
exactly
why
we
have
these
reviewed
and
interim
just
so
we
can
ask
such
questions.
So
thank
you
for
that.
Seeing
no
other
questions
at
this
point.
Thank
you
for
your
presentation.
A
We'll
look
more
look
forward
to
hearing
more
about
this
bill
in
the
session
and
if
there
are
no
other
matters
to
come
before,
I
ask
for
a
motion
to
adjourn.