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A
B
B
B
I
am
here
in
the
room,
wonderful,
thank
you.
Okay,
we
have
quorum
established
to
do
business
and
we
have
four
bills
that
we
we
will
be
taking
up
today,
and
I
just
want
to
remind
the
members
who
are
on
remotely
please
mute
yourself
unless
you
are
speaking
and
the
first
bill.
Well,
actually,
I
think
what
I'm
going
to
do
is
take
up
the
regs
first,
because
we
do
have
some
folks
online
to
answer
questions
should
we
need
to
do
so.
B
B
Okay,
all
right
we'll
see
no
questions.
I
will
ask
for
a
voice
vote.
Do
we
need
a
motion,
so
I
will
entertain
a
motion
and
do
we
have
a
motion
motion
in
a
second?
Thank
you
all
in
favor,
please
say
aye
aye
any
opposed,
okay,
all
right
and
as
far
as
the
other
regs,
I
will
consider
those
two
have
been
reviewed
if
there
are
no
questions.
B
G
Thank
you,
madam
chairwoman.
Thank
you,
members
of
the
committee.
My
name
is
dj
johnson
state
representative
for
the
13th
district,
owensboro
davis,
county
area,
and
if
technology
has
not
failed
us,
I'm
being
joined
online
by
sarah
fair
who's,
the
director
of
operations
for
one
of
our
local
orthopedic
clinics
in
owensboro,
but
I
do
not
know
if
she's
on
so
if,
if
you're
there,
let
me
know
I'm
here
all
right.
A
Sure,
I'm
sarah
fair,
I'm
the
director
of
operations
for
advanced
center
for
orthopedics
and
sports
medicine
in
owensboro.
We
have
eight
orthopedic
surgeons
we
currently
employ.
Do
you
want
me
to
give
that
information?
Now
this
one
yeah
yep,
we
employ
one
limited
x-ray
machine
operator
licensee.
A
G
So,
thank
you.
Sarah
again,
thank
you
for
the
committee
for
allowing
me
to
come
before
you.
I
am
speaking
today
on
house
bill
61,
which
is
an
act
relating
to
limited
x-ray
technicians,
and
I
will
first
give
a
little
bit
of
a
background,
but
I
will
say
up
front
that
the
reason
that
I'm
here
today
is
for
that
lady,
that's
working
in
owen
sproul
as
the
limited
x-ray
technician
and
all
the
other
limited
x-ray
technicians
currently
employed
across
the
state
of
kentucky.
G
For
years.
Medical
practices
have
employed
school
training,
x-ray
technicians
to
take
x-rays
for
some
time.
X-Rays
were
the
state-of-the-art
radiographic
procedure.
As
medicine
and
technology
have
progressed.
There
are
now
more
different
radiographic
options
used
by
medical
practitioners.
These
new
technologies
require
additional
training
and
certifications.
G
However,
the
basic
x-ray
is
still
a
valuable
tool
and
still
use
extensively
today,
and
I
realize
I'm
preaching
to
the
choir
here,
but
I
need
to
set
the
background
just
a
little
bit
briefly.
The
medical
profession
was
concerned
that
x-ray
technicians
who
are
not
trained
and
qualified
in
other
radiological
equipment
might
be
allowed
to
operate
that
equipment.
G
G
The
unintended
consequences
is
that
there
are
highly
trained
and
qualified
limited
x-ray
technicians
who
have
been
doing
their
job
for
years
in
a
given
practice
per
the
above
mentioned.
Krs,
medical
practitioners
have
a
a
dilemma
at
this
point.
They
must
either
establish
a
separate
facility
for
each
of
these
levels
of
radiological
procedures,
or
they
may
have
to
fire
that
same
x-ray,
technician
who
has
been
working
at
that
practice
possibly
for
years,
and
in
this
case
that's
exactly
what
the
situation
is.
G
G
This
bill
is
eventually
going
to
actually
grandfather
itself
out
of
existence,
because
what
this
will
be
doing
is
providing
that
protection
for
x-ray
technicians,
who
have
been
there
for
years
and
eventually
going
to
retire
and
now,
as
I'm
sure,
every
one
of
you
know
in
this
committee.
The
training
for
radiological
technologies
includes
the
x-ray
machine
and
beyond,
and
there
are
no
limited
x-ray
technician.
Training
courses
available
anymore,
so
this
will
eventually
become
an
obsolete
regulation.
But
in
the
meantime
I
feel
it
is
very
important
for
us
to
protect
these
employees.
G
B
Okay,
thank
you.
I
appreciate
your
brevity
and
your
clear
explanation
of
of
a
topic
that
somehow
was
confusing
and
to
to
a
lot
of
members,
but
I
think
you
were
pretty
clear
and
are
there
any
questions.
B
E
H
H
E
C
E
A
A
B
All
right,
the
the
motion
passes
the
bill
passes
and
we'll
likely
do
the
same
on
the
house
floor.
Thank
you
very
much.
Thank.
G
B
H
B
H
H
I
just
wanted
to
first
start
out
by
saying
nothing
like
being
a
thorn
between
two
roses,
so
I'm
going
to
try
to
go
through
this
the
best
way
I
can,
but
I
just
want
to
compliment
the
lady
on
my
left,
which
you're
right
representative
wilner
who's,
been
very
instrumental
in
helping
me
out
on
quite
a
few
different
aspects.
This
is
just
one
of
them
and
then
on
my
right
and
your
left
is
judge
stephanie
burke
from
jefferson
county
she's,
a
judge.
H
Very
productive
process
with
the
severe
mental
health,
and
one
of
the
recommendations
that
came
out
is
what
we
need
to
do
with
tim's
law
and
with
tim's
law.
If
you're
not
familiar
with
it,
it
passed
several
years
ago.
It
basically
authorized
state
district
courts
to
order
assisted
outpatient
treatment
or
a
aot
for
individuals
who
have
been
diagnosed
with
severe
mental
illness
and
are
unlikely
to
treat
the
seek
treatment
on
volunteer
bases.
H
This
is
a
great
partnership
between
the
courts,
the
clients
in
the
health
care
system
to
try
to
get
individuals
to
to
have
a
little
better
quality
of
life
in
terms
of
managing
their
in
the
meds
and
so
forth,
and
judge
burke
has
been
very
instrumental
in
getting
this
going
in
jefferson
county
and
we
want
to
try
to
expand
this
further
throughout
the
whole
state
I
wanted
to.
I
want
to
just
briefly
cover
exactly
what
this
bill
does.
H
First
of
all,
it
clarifies
some
language
which
the
judge
will
go
over
and
talk
about
in
terms
of
reports
and
look
at
some
clarifying
some
language.
The
other
one
is
basically
trying
to
roll
this
out
more
and
based
on
a
grant
that
was
submitted
some
time
ago
to
get
this
program
going,
there's
a
significant
number
of
individuals
that
can
really
benefit
from
a
from
this
out
of
the
assistant,
outpatient
treatment
program
that
we're
finding-
and
I
understand
the
judges
throughout
this
state-
support
this
particular
initiative.
F
This
bill
would
amend
tim's
law
or
court-ordered
assistant,
outpatient
treatment
to
potentially
include
more
individuals
with
diagnosed
severe
mental
illness
to
be
eligible,
while
still
keeping
very
strict
guidelines
in
place
guard
rails.
There
should
be
a
high
bar
for
court-ordered
treatment
of
any
kind,
and
this
bill
preserves
that
high
bar
tim's
law
provides
an
evidence-based
approach
that
improves
outcomes
for
people
with
severe
mental
illness,
reduces
anxiety
and
stress
for
their
loved
one
and
saves
money.
H
Thank
you,
manager
she'll,
go
over
a
little
more
details
about
the
bill
and
so
forth,
and
then
we'll
entertain
some
questions.
E
E
E
E
E
E
The
second
thing
that
it
does
is
it
the
current
language
in
the
bill
has
some
due
process
issues
created,
because
when
writing
the
bill,
there
was
a
lot
of
cut
and
pasting.
As
you
know,
when
writing
bills
and
working
on
bills,
languages
often
changed,
and
during
that
time
there
was
a
sentence
in
the
bill
which
states
that
the
qualified
mental
health
professionals
report
must
be
sent
to
the
court
within
72
hours.
E
E
E
E
E
I
have
brian
stutton,
who
is
on
the
screen.
Brian
is
the
policy
coordinator
and
director
for
the
treatment
advocacy
center,
he's
the
foremost
expert
in
the
country
on
aot
brian's
prepared
to
talk
about
the
last
portion
of
the
bill,
which
eliminates
the
portion
of
our
statute,
which
requires
a
diagnosis
of
anaesonosia,
and
he
can
explain
to
you
why
that
should
be
eliminated.
I
Good
morning,
I'm
not
sure
if
I
can
speak
without
being
recognized
by
the
sponsor
or
the
chair,
but
so
I'll
happily
go
forward.
Please
sounds
like
okay.
I
Sure
thank
you
good
morning,
madam
chair
members
of
the
committee
might,
as
I
said,
my
name
is
brian
stetten.
I'm
the
policy
director
for
a
national
organization
treatment,
advocacy
center
that
works
to
promote
this
concept
of
aot
nationally
we're
proud
to
be
working
with
the
state
of
kentucky
as
grantee
under
the
samhsa
aot
funding
program
as
a
technical
assistance
provider
and
just
want
to
say
a
little
about.
I
As
judge
burke
mentioned,
the
part
of
the
the
bill
that
removes
from
the
criteria
for
finding
someone
eligible
for
aot
that
there
be
a
finding
of
anasygnosia
anastagnosia
is
a
neurological
condition
in
which
a
person
is
unable
to
recognize
their
own
illness,
no
matter
how
painfully
obvious
it
is
to
everyone
around
that
person.
Information
is
simply
not
reaching
the
right
part
of
the
brain
for
the
individual,
such
that
they
can
recognize.
I
They
have
a
an
illness
and
a
need
for
treatment,
and
it
has
a
lot
to
do
with
why
people
are
often
caught
in
this
revolving
door.
They
they
reject
treatment
because
they
don't
believe
they're
in
need
of
it.
Sometimes
this
is
mistaken
for
denial.
It's
actually
much
more
scientifically
rooted
condition.
I
Denial
is
kind
of
a
universal
defense
mechanism
that
we
all
practice
from
time
to
time,
whereas
someone
with
anastagnosia
is
actually
experiencing
dysfunction
of
their
brain,
which
is
preventing
the
information
from
reaching
them
and
as
much
as
I
appreciate
the
fact
that
the
kentucky
law
acknowledges
annex
knowledge
because,
as
an
organization,
we
are
working
so
hard
to
increase
awareness
of
this.
As
as
part
of
the
explanation
of
the
problem
here,
it
really
has
been
a
hindrance
to
have
it
in
the
law
as
a
requirement
that
we
find
anesthesia
for
a
couple
of
reasons.
I
First
of
all,
addison
jose
is
not
itself
a
mental
illness.
It's
a
corollary
of
severe
mental
illness
for
many
folks
by
no
means
all,
but
it's
very
often
not
formally
diagnosed,
because
it's
not
an
illness
itself,
and
so
many
people
who
would
be
recognized
with
this
condition
are
never
actually
diagnosed
that
way
such
that
such
proof
presented
to
the
court.
I
Another
real
problem
with
having
this
in
the
law
is:
there
are
many
individuals
who
who
have
difficulty
maintaining
insight
into
their
illness
in
a
way
that
kind
of
waxes
and
wanes
comes
and
goes.
Whereas
someone
with
anxiety
has
a
fixed
inability
to
recognize
their
illness,
we
want
to
make
sure
that
this
law
is
applicable
to
folks
who
may
lack
insight
when
they're
in
a
manic
phase,
for
example,
but
are
at
other
times
able
to
get
it
back,
it
wouldn't
be
actually
found
to
have
anastagnosia.
I
So
I
think
it's
going
to
make
the
law
much
more
applicable
to
the
population,
we're
trying
to
serve
here
to
simply
take
that
out
of
the
criteria
and
focus
the
court's
inquiry
on
a
person's
inability
for
whatever
reason
to
maintain
consistent
engagement
with
treatment.
Thank
you.
E
E
There's
one
additional
thing
that
we
wanted
to
add
is
that
I
think
it's
important
to
realize
that
this
section
of
the
population
is
only
1.4
of
all
kentuckians
fall
in
the
smi
category
and
the
persons
who
actually
make
it
to
the
system
where
we
would
see
them
for
eligibility
purposes
is
probably
only
about
25
to
30
percent
of
that.
So
this
is
a
very
small
number
of
individuals
who
come
in
contact
with
the
system
in
a
way
that
we
would
be
able
to
to
serve
them
under
aot.
H
So
this
is
a
this
is
more
of
a
moral
obligation.
I
think
we
need
to
apply
to
help
out
these
individuals
who
are
least
among
us
to
make
sure
they're
elevated,
so
they
can
function
a
whole
lot
better
in
society.
So
with
that,
madam
chair,
thank
you
very
much
to
to
you
all
on
the
committee.
If
there's
any
questions
be
more
happy
to
entertain
them.
B
B
I
know
that
you're
really
passionate
about
this
and
it's
very
helpful
to
us
as
policy
makers,
to
have
someone
so
interested
in
getting
this
right
and
really
addressing
this
population.
B
D
D
D
B
B
We
do
have
a
motion
in
a
second.
We
are
voting
on
house
bill
127,
as
amended
by
house
committee
sub
one
secretary.
Please
take
the
role.
E
D
D
G
B
B
It
thank
you.
Okay.
I
will
make
my
way
to
the
table
and
representative
weber
will
take
my
place
for
a
few
minutes
and
we
will
be
presenting
house
bill
237
to
begin.
H
E
D
D
B
I
thank
you
for
giving
us
the
opportunity
to
discuss
this
important
measure.
As
we
know,
we
have
a
shortage
of
psychologists
and
mental
health
workers
here
in
the
state
of
kentucky.
F
You
yep
I'm
lisa
wilner,
and
I
see
that
the
executive
director
of
the
kentucky
psychological
association,
dr
eric
russ,
is
with
us
as
well,
and
I
think
he'll
be
available
to
answer
any
questions.
If,
if
there
are
any,
thank
you
chairman
moser
for
this
there
and
thank
you
committee
for
hearing
this,
there's
been
a
licensing
law
in
kentucky
for
psychologists
since
1948
and
from
time
to
time
there
have
been
updates
to
the
psychology
licensing
law.
F
F
So
these
are
experienced
well-educated
mental
health
providers,
who
then
must
complete
another
1800
hours
of
supervised
clinical
hours
and
a
pre-doctoral
internship
in
order
to
become
licensed
psychologists
so
currently,
in
kentucky
an
individual
with
a
master's
degree
in
psychology
who's
met,
other
training
requirements
can
become
licensed
as
a
psychological
associate.
Kentucky
is
one
of
only
a
handful
of
states
that
allows
licensure
at
the
master's
level
and
that's
a
very
good
thing.
F
These
lpas
licensed
psychological
associates
practice
under
the
supervision
of
a
doctoral
level
licensed
psychologist
and
they're
eligible
for
medicaid
and
other
insurance
reimbursement
for
providing
services,
and
all
of
that
is
working
very
well.
The
problem
that
we
run
into
is
that
some
psychology,
doctoral
programs
do
not
award
a
master's
degree
along
the
way,
so
these
interns
have
the
same
experience
the
same
training
as
those
from
other
programs,
but
despite
having
all
this
education
and
experience,
they're
not
currently
eligible
to
become
licensed
psychological
associates
under
commercial.
F
Law
and
are
therefore
not
eligible
for
insurance
reimbursement
for
services,
so
this
bill.
What
it
would
do
would
be
to
authorize
the
kentucky
board
of
examiners
of
psychology
to
license
individuals
whose
academic
qualifications
meet
those
of
the
psychological
associate.
If
those
individuals
are
practicing
as
interns
in
a
pre-doctoral
pre-doctoral
internship
program
that
meets
the
board's
criteria.
F
D
Do
we
have
any
questions
for
members
of
the
committee
seeing
we
have
no
questions,
please
call
the
roll.
A
D
G
H
B
You
so
much
and
thank
you,
representative
wilner,
thank
you,
sheila
and
thank
you
eric
for
being
here
and
for
your
work
on
this
bill
and.
D
B
B
Okay,
thank
you,
mr
chair,
and
thank
you
committee.
I
am
representative
kim
mosher
representing
the
64th
district,
and
I
just
appreciate
the
opportunity
to
talk
a
little
bit
about
this
house
joint
resolution.
B
It
I
think,
first,
what
I'll
talk
about
is
what
the
prescription
digital
therapeutics
are
that
are
referenced
in
this
bill,
because
I
think
it's
a
really
interesting
new
technology
that
we're
likely
to
start
start.
Seeing
more
and
more
of
this
technology
is
an
fda,
approved
substance
use,
disorder,
treatment.