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From YouTube: Interim Joint Committee on Health Services (6-21-23)
Description
PLEASE READ
This week, the Capital annex has been experiencing internet connectivity issues affecting the quality of our streams. We will attempt to stream each meeting, but constant connectivity will likely not be available. We will re-upload recordings of each meeting on this channel within a day or so.
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Thank you, and sorry for the inconvenience
B
Senator
Rocky
Adams
members,
Armstrong
strong
here:
Senator
Berg,
Senator
Carroll
here
Senator
Douglas,
present
Senator
Elkins,
Senator,
funky,
frohmeyer,
Senator
nemes
president
senator
tichenor
Senator,
wise
representative
Bentley,
representative
bratcher,
present
representative
Bray,
representative
Burke,
here
representative
Callaway,
present
representative
Dodson,
representative
Duvall,
representative
Frazier
Gordon,
yes,
representative,
Justice,
representative
Neighbors,
representative
Palumbo,
here
representative
Raymer,
here,
representative
Riley,
representative
Rorke.
Here.
C
C
A
President
again,
we
do
have
a
quorum
and
duly
constituted
duck
business
here.
I
would
ask
to
make
sure
that
you've
got
your
phones
on
silent.
If
you
haven't
done
that
already,
so
we
can
keep
this
meeting
run
as
smooth
as
possible.
You
should
have
we
have
a
very
full
agenda
today
and
we'd.
Ask
our
presenters,
please
be
as
concise
as
you
can
possibly
be
medley.
Following
this
meeting
we
have
veterans
military,
Affair
and
public
protection
committee
meeting
that
will
be
next
door.
Several
members
of
this
committee
are
on
that.
A
So
we
want
to
make
sure
we
finish
in
plenty
of
time
with
that.
Our
first
excuse
before
I
do
that.
Let
me
recognize
a
couple
of
new
members
and
that's
Senator,
Greg
Elkins
Sandra
glad
to
have
you
with
us
and
not
new
to
the
legislature,
but
knew
this
committee
is
representative
Ruth,
Ann
Palumbo
glad
to
have
you
both
this
morning
and
obviously
representing
Palumbo
is
replacing
the
late
representative
Layman
Swann,
who
passed
away.
We
could
just
have
a
moment
of
silence
in
memory
of
him.
If
you
would
please.
A
A
I
think,
if
everyone's
familiar
with
this
agenda
you'll
see
this
whole
meeting
is
kind
of
focused
upon
what's
happening.
Post
covid.
C
C
First,
is
we
have
selected
the
new
commissioner
for
the
Department
of
community-based
Services
acting
commissioner
Lisa
Dennis
has
been
promoted
to
be
the
commissioner
Lisa
you
all
many
of
you
know
her
she's
testified
numerous
times
in
front
of
different
committees.
She
brings
a
wealth
of
experience,
lived
experience.
She
has
actually
had
positions
and
grown
up
and
come
through
the
department
for
community-based
services,
all
the
way
from
the
local
level
to
the
regional
level,
to
the
state
level.
C
I'm
very
excited
that
she's
agreed
to
be
the
commissioner,
and
hopefully
she
will
I
know
she
will
bring
some
real
implementation
to
some
of
the
things
we've
been
talking
about,
some
of
the
new
things
we've
been
doing
and
I
believe
that
she'll
bring
a
stability
to
the
Department
of
community-based
Services.
That
will
be
very
helpful
to
the
department.
C
Secondly,
the
department
for
Behavioral
Health,
Developmental
and
intellectual
disabilities
and
yes,
that's
one
of
the
longest
names
in
state
government
and
it's
my
fault
because
I
named
it
when
I
was
there
Dr
Katie
Marks,
who
has
been
leading
Kentucky's
core
effort.
The
opioid
effort
on
reduction
actually
began
under
the
Bevin
Administration
and
she
is
agreed
to
be
the
commissioner
of
Behavioral
Health.
She
will
bring
I
believe
a
change
to
the
department,
A
New
Perspective
to
the
department
she
her
her
experiences
in
substance
use.
C
She
also
has
a
background
in
Behavioral
Health
and
will
be
learning
parts
of
the
developmental
intellectual
disability
World,
which
I'm
very
excited
for
her
to
be
there.
She
she
brings
in
energy
that
I
think
again.
Some
of
you
have
seen
her
testify
and
I
believe.
A
level
of
competence
has
me
very
excited
that
she
will
be
joining
us,
but
that
leads
to
the
bad
news
which
is
on
in
a
field
of
folks
with
developmental
intellectual
disabilities.
C
Our
home
and
community-based
waiver
slots
are
now
full
first
time
ever
for
all
of
our
waivers
to
be
full
I
think
there
are
two
tiny
waivers
acquired
brain
injury
and
model,
two
waivers
that
don't
have
waiting
lists,
but
everything
else
does
including
what
is
primarily
the
long-term
care
waiver.
It's
called
Home
and
Community
Based
waiver.
There
are
17
000
over
17
000
slots
for
the
first
time
ever.
Those
slots
are
full
in
August
we
begin
a
new
waiver
year
and
it's
a
lot
of
federal
jargon.
C
But
we'll
have
some
slots
open
up,
but
it'll
be
a
brief
period
of
time,
we'll
be
coming
to
the
general
assembly
during
the
next
budget
session,
I'm
sure
and
requesting
more
slots.
It's
how
it's
how
these
the
slots
are
allocated
each
year
and
each
and
in
in
the
budget
each
year,
and
so
we
will
be
asking
from
more
slots
for
more
folks,
this
waiver
in
particular
and
and
what
we
I
think
have
to
address
and
I'd
be
happy
to
address
this
in
a
full
Committee
hearing,
but
I
just
wanted
to.
C
Let
you
all
know
some
of
the
challenges
we
have
around
children
and
we've.
We've
had
some
of
our
first
public
kind
of
Forums
on
a
children's
waiver
and
we'll
these
are
all
really
really
complex
issues
and
I'm
sure
we
could
have
an
entire
meeting
or
two
or
three
on
waivers
alone.
So
I
wanted
to
to
put
that
out
there
for
everybody
to
know.
I'm
really
excited
about
the
new
Commissioners
I.
C
Think
having
that
leadership
in
place
will
will
be
very
helpful,
particularly
heading
through
some
challenging
times,
which
we
all
know
we're
going
to
have
so
I'm.
Thank
you
for
that
chairman
Meredith
I
did
want
to.
Let
folks
know
that
up
front.
A
Thank
you
appreciate
that,
and
just
to
follow
up
your
conversation
about
the
the
waivers
I
think,
certainly
that
does
warrant
a
separate,
probably
full
meeting
on
this
still
working
representative
Moser
developer
agendas
for
the
bounce
of
this
year,
but
certainly
the
waiver
programs
are
very
important
to
us
and
something
that
all
of
us
have
a
lot
of
interest
in.
So
we
will
commit
some
time
with
that
in
the
future.
I'm
sure,
but
I
appreciate
that
yeah.
C
And
and
I'm
available
anytime
folks
would
like
to
come
or
if
they
like
individual
meetings,
I'm
happy
to
do
that
as
well.
As
always.
Thank.
A
D
Good
morning,
everyone
thank
you
for
asking
me
to
come
today.
Dr
stack
had
a
family
obligation,
and
so
he
asked
me
to
come
in
his
place.
One
of
my
joys
of
the
job
that
I
do
have
is
I
get
to
fill
in
for
the
the
commissioner
whenever
that
happens
and
I'm
happy
to
talk
to
you
today
about
what's
happening
in
public
health,
with
the
ending
of
the
national
public
health
emergency.
D
So
our
federal
emergency,
as
as
you
know,
the
the
emergency
ended
in
May
and
our
federal
grants
are
starting
to
run
their
course.
We
have
some
that
are
ending
at
the
end
of
this
month.
We
do
have
in
Disaster
Response
a
Health,
Equity
and
laboratory.
Some
of
them
have
been
extended
another
year,
so
they
will
end
in
June
of
2024,
but
most
of
that
extra,
coveted
funding,
that's
been
coming
our
way
as
a
department
will
end
the
end
of
this
month.
D
We,
as
you
know,
have
done
testing
support
across
the
state
for
the
last
several
years
years,
and
now
that
support
is
really
honed
in
on
our
long-term
care
facilities
about
300
of
those
in
the
state
because
of
the
particular
vulnerability
of
that
population.
We
want
to
assist
those
long-term
term
care
facilities
in
their
ability
to
do
testing
and
so
you'll
see
as
you've
seen
public
testing.
Those
kinds
of
things
have
have
wound
down,
as
as
that
funding
has
has
gone
away.
D
Our
antigen
test
support
is
also
starting
to
wind
down.
We
will
continue.
We
we
have
worked
in
the
past
with
K-12
I've,
been
very
involved
in
the
Kentucky
Department
of
Education
testing
and
making
sure
schools
that
we're
interested
in
having
that
testing
is
available.
We've
offered
that
through
summer
school
this
year,
some
have
taken
it.
Some
have
not
been
interested,
but
we've
done
testing
there.
D
We
have
worked
a
great
deal
in
our
homeless
shelters
to
be
sure
they
have
testing
available,
and
we've
worked
very
closely
with
corrections
to
be
sure
that
testing
is
available.
That's
all
winding
down.
So
now
we're
going
to
be
be
able
to
give
our
testing
resources
to
our
local
Health
departments,
so
they
can
choose
how
in
their
communities
it's
the
best
way
to
use
those
testing
and
continue
with
our
homeless
shelters
and
with
corrections.
So
that's
a
a
relationship.
D
We
had
started
building
right
before
covid
started
in
that
relationship
with
public
health
and
Department
of
Education
is
stronger
than
that
has
ever
been
the
most.
The
responsibilities
for
vaccines
and
treatment
is
going
to
transition
to
the
the
public
Marketplace
as
you're
you're
going
to
see.
This
is
going
to
be
an
infectious
disease
that
will
we
will
the.
C
Public
regular
commercial
side
on
vaccines
on
testing
on
reporting
this,
it's
just
it's
just
an
affirmation
that
that
we're
headed.
D
D
What
do
we
do
well,
and,
and
how
do
we
want
to
improve
one
of
the
good
things
that
has
happened
and
I've
been
involved
with
this
I've
been
around
for
a
while,
not
as
long
as
the
secretary
but
I've
been
around
for
a
while
and
we've
been
working
for
years,
trying
to
get
Laboratories
the
respiratory
illness
team
or
the
the
respiratory
disease
team,
and
that
team
of
epidemiologists
and
staff
will
be
focusing
on
looking
at
things
like
coveted,
like
influenza,
influenza
has
been
a
problem
in
the
past,
so
looking
at
influenza
looking
at
RSV
RSV
is
not
a
reportable
disease,
but
we
do
have
ways
that
we
can
get
that
data.
D
D
As
I
said,
I've
been
around
for
a
long
time,
I
started
with
the
Department
of
Public
Health
and
Women's
Health
in
2009,
so
I've
seen
a
lot
of
a
lot
of
Commissioners
come
and
go
and
a
lot
of
Health
Department
directors
come
and
go
and
I
do
agree
that
I
think
our
relationship
as
a
unit
is
better
than
it's
ever
been
in.
In
my
time
here,
local
public
health
departments
had
their.
We
we've
heightened
the
perception
of
the
local
health
department
and
I.
D
Think
now
we
have,
as
Dr
stack
said
before,
we've
got
61.
We
have.
We
have
a
health
department
at
brick
and
mortar
in
every
County
in
Kentucky,
all
120
counties,
but
they're
divided
into
61
Health
departments.
Some
several
counties
are
grouped
together
in
a
district,
so
we
have
61
Health
Department
directors
and
we
truly
see
them
as
the
chief
Health
strategist
in
their
community,
and
that
relationship
has
been
quite
stellar
and
we
are
moving
together
because
prevent
promote
and
protect
that
that's
not
just
the
department
for
public
Health's
Vision,
but
that
is
Kentucky
public
health.
D
All
the
aspects
of
Kentucky,
Health
and
the
state
see
prevention,
promoting
and
preventing
and
protecting
is
our
is
our
mission.
We
have
done
some
structural
realignment
of
of
regional
teams,
so
we
have
our
structure
at
the
state,
but
we
have
Regional
folks
and
we've
always
had
this,
but
we've
been
able
to
really
enhance
those
relationships.
D
So
there
is
someone
regionally,
that's
looking
at
preparedness
in
any
in
a
particular
clump
of
counties,
pulling
together
the
hospitals
and
the
health
care
providers
and
the
the
dialysis
centers
and
the
dentist
and
and
all
of
the
people
the
that
that
provide
Health
Care
in
those
regions.
So
when
there
is
a
snowstorm
and
and
we
need,
we
need
to
call
because
we
need
the
the
the
local
government
to
plow
the
road
to
get
to
the
dialysis
person
that
needs
that
all
of
those
things
that
most
people
don't
think
about
this
one.
D
Some
of
the
things
that
we
do,
that
that
cooperation
and
camaraderie
has
already
been
built
and
we're
continuing
to
build
on
that.
So
with
preparedness
and
our
immunization
and
and
all
of
those
other
things
listed
on
the
slide,
we
were
very
excited.
We
just
got
a
new
grant
for
a
Medical
Reserve
Corps
I.
Remember
when
I
was
in
medical
practice
here
in
Frankfort,
I
was
part
of
the
Medical
Reserve
Corps
and
that
kind
of
petered
out,
because
there
wasn't
funding
to
have
somebody
really
Champion
that
and
we
we've
got
some
new
funding.
D
So
we're
really
going
to
work
hard
with
our
local
providers
to
be
sure
that
they
know
in
case
of
emergency.
That's
not
when
you
have
a
training
in
case
of
emergency.
That's
when
you
call
and
say
remember
those
desktop
trainings
that
we
did
well
it's
time
to
kick
that
into
gear,
because
we
need
you.
Workforce
Development
has
been
extremely
exciting.
We
we
are
not
only
looking
at
building
and
bringing
in.
D
D
So
not
only
are
we
trying
to
fill
empty
positions,
but
we're
also
trying
to
develop
our
Workforce
of
the
people
that
are
already
there,
providing
them
with
training
opportunities
as
simple
as
we've
had
several
Excel
spreadsheets
Excel
spreadsheet
is
not
my
strength
but
but
people
to
learn.
How
can
you
take
an
Excel
spreadsheet
and
let
it
work
for
you?
How
can
you
use
words
work
for
you
tools?
They
use
every
day
that
they
use,
maybe
just
on
the
surface.
But
how
can
you
take
that
tool
and
make
your
job
easier
and
more
efficient?