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From YouTube: Senate Standing Committee on Health and Welfare
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A
B
E
B
President
of
the
room
and
let
the
record
show
that
senator
adams
has
arrived
as
well
during
the
roll
call.
Very
good.
We've
got
an
aggressive
agenda
here.
I
know
it's
late
on
a
friday,
people
are
wanting
to
get
home,
so
I
will
let
the
presenters
know
that
if
you
get
a
quick
motion,
please
do
not
be
insulted
or
take
that
in
any
negative
way.
B
A
lot
of
our
members
have
vetted
these
bills
prior,
and
I
think
a
lot
of
us
feel
comfortable
with
what's
on
the
agenda
today,
let's
start
with
the
very
top
we'll
start
with
house
bill
48
and
act
relating
to
reimbursement
for
pharmacist
services.
The
sponsors
representative,
danny
bentley
representative
bentley,
if
you'd
like
to
come
forward,
introduce
yourself
and
any
guests
that
you
might
have,
and
please
begin
your
testimony.
G
G
G
Pharmacists
are
highly
trained
health
care
providers,
but
unfortunately,
in
kentucky
they
are
not
compensated
for
many
services
they
provide
and,
like
other
health
care
providers
who
get
paid
for
delivering
services.
Currently,
there
is
no
mechanism
for
pharmacists
to
submit
claims
and
receive
reimbursement,
providing
the
same
care
for
which
other
providers
are
paid.
G
Pharmacists
are
able,
under
the
current
scope
of
practice
in
kentucky
to
provide
many
of
these
services,
yet
are
not
able
to
bill
for
them
under
house
bill.
48,
insurers
and
health
plans
will
not
be
able
to
deny
reimbursement
to
a
pharmacist
for
providing
a
service
or
procedure
within
the
pharmacist's
scope
of
practice.
G
D
Just
quickly-
and
please
don't
take
this
question
as
any
judgment
whatsoever
when
I,
when
I
read
this,
my
first
thought
was
that
aren't
these
things
that
pharmacists
do
pharmacies
do
to
attract
business
when,
when
they
provide
these
extra
services,
are
they
not
intended
as
more
of
a
marketing
tool
and
correct
me
if
I'm
wrong?
That's
just
that
thought
just
came
to
mind.
G
As
a
niche
to
increase
business,
but
let
me
give
you
an
example:
steve
sheldon
got
500
doses
of
j
j,
it
was
gone
in
two
hours,
that's
a
pharmacist's
service
and
I
got
pictures
with
me.
If
you
don't
want
to
see
him
going
to
this
lady's
house
who's
handicapped,
he
sent
two
pharmacists,
they
never
got
paid
for
it
and
when
she's
done
she
got
her
thumbs
up.
We
provided
that
service.
She
is
now
vaccinated
against
cobian
19..
G
B
B
I
know
representative
bentley,
I
know
when
you'd
said:
hey
I'd
like
to
have
this
bill
heard,
I
said:
hey,
let's
make
sure
the
docs
are
okay
with
it,
because
because
there's
always
a
concern
about
scope
of
practice
that
we're
going
to
lay
this
down,
and
there
will
be
an
expansion
of
that
in
a
creep
of
that
in
the
future.
B
I've
gotten
reassurances
from
you
from
members
of
the
board
of
pharmacy
that
that's
not
the
intention
of
this
bill
at
all,
and
so
I
feel
much
more
comfortable
and
since
then
I've
also
gotten
a
lot
of
emails
from
physicians
asking
for
this
bill
because
they
work
hand
in
hand
with
a
lot
of
pharmacists
in
their
community.
Yes,
so
I
thank
you
for
that,
any
other
comments
or
questions.
Otherwise,
you
have
a
motion
and
a
second
on
the
bill.
No
other
comments
and
I'm
secretary,
please
call
the
roll.
B
Aye,
the
matter
passes
nine
to
zero
unanimously,
it's
eligible
for
consent.
Do
we
have
a
motion?
We
have
a
motion
and
a
second
all,
those
in
favor,
please
signify
by
saying
aye.
Anyone
opposed
very
good.
The
matter
is
on
consent.
Thank
you,
mr
chairman.
G
B
H
B
G
Victor
maddox
he's
assistant
deputy
attorney
general
from
the
attorney
general's
office
and
is
gary
moore
on
zoom.
He
is
the
executive
exec
from
boone
county.
That's
my
two
guests.
I
am
here
yes,
sir.
Thank
you
anyone
else.
I
think.
That's
all
how
you
doing
okay
I'll
give
you
the
short
version
of
this
one
too
ready.
B
G
I
G
For
some
time
now,
the
parties
have
been
discussing
the
potential
settlement
of
these
cases
house
bill
427
provides
for
what
will
happen
with
settlement
funds.
If
a
settlement
is
reached
specifically,
the
commonwealth
will
receive
50
percent
of
the
funds
and
local
governments
will
receive
50
percent
of
the
funds.
G
Crucially,
this
compromise
between
the
commonwealth
and
its
political
subdivisions
will,
under
this
settlement
being
discussed,
result
in
significantly
more
money
to
fight
the
opioid
epidemic.
In
kentucky
this
money
is
only
for
funding
the
opioid
epidemic.
The
bill
provides
accountability
that
will
prevent
fraud
and
waste.
Ensuring
every
dollar
ends
up
where
it's
needed
most
in
some
house
bill
427
will
put
us
on
a
path
to
victory
over
the
opioid
epidemic.
G
G
It
is
a
collaborative
victory
where
we
see
the
cities,
counties
and
commonwealth
all
together
to
fight
the
opioid
epidemic,
and
it
is
a
victory
with
near-term
benefits.
If
this
bill
is
passed
and
if
emergency
regulations
on
the
applications
for
funds
could
be,
they
could
be
received,
reviewed
and
potentially
approved
this
year.
Thank
you,
mr
chairman,
I'll.
Ask
the
attorney
general's
office.
They
want
to
speak.
J
Remarks,
mr
chairman,
I
I
certainly
endorse
representatives.
J
B
B
B
H
Cast
and
I
vote-
and
I
wanted
to
thank
representative
bentley
for
bringing
these
two
bills-
almost
voted
against
the
other
one,
because
you
had
my
son
as
a
co-sponsor,
but
it's
it's
a
good
bill
and
you're
well
respected
and
mr
maddox,
I
thoroughly
enjoyed
your
presentation.
H
C
H
B
B
B
Thank
you
committee.
Thank
you.
Next,
we'll
take
up
house
bill,
276
an
act
relating
to
temporary
nurse
aides
and
declaring
an
emergency
sponsor.
Is
chairwoman
kim
mosher
and
chairwoman,
if
you'd
like
to
introduce
yourself
for
the
record
you're,
no
stranger
to
our
committee.
Obviously,
but
if
you
have
any
guests
also,
they
can
valves
best
money
when
you're
ready.
L
I
do
thank
you
so
much,
mr
chair
and
thank
you
committee
for
hearing
this
bill
on
a
late
afternoon
when
we're
all
ready
to
get
out
of
here
I
do
have.
I
am
kim
mosher
state
rep
for
the
64th
district
for
the
record
and
with
me
I
have
betsy
johnson
with
the
long-term
care
association.
I
know
I
got
that
wrong.
Sorry
betsy,
but
this
is
a
great
bill.
It's
a
very
simple
provision
house
bill.
L
276
allows
any
nurse's
aides
who
were
trained
as
temporary,
coveted
workers
during
in
personal
care
attendance
during
covid
to
use
they
the
hours,
the
supervised
training
hours
that
they
obtained
in
in
working
and
apply
those
toward
their
state
registered
nurse
aid,
certification
and
registration.
L
This
helped
fill
shortages
during
covid
it'll
help
fill
nursing
shortages
and
nurses,
aid
shortages
moving
forward
in
long-term
care
facilities.
We
know
that
this
is
a
an
ongoing
problem,
not
to
mention
the
fact
that
we
have
a
nursing
shortage
altogether,
and
so
this
creates
a
nice
pipeline
for
individuals
who
hope
to
get
into
the
nursing
field
and
starting
with
their
nurses,
aid
training,
hopefully
move
into
in
into
a
career
path.
So.
B
You
have
a
motion
in
a
second
on
the
bill.
I
think
charlene.
You
said
enough
any
questions
or
concerns
or
comments.
If
not
madam
secretary,
please
call
the.
M
F
My
vote
please,
please
proceed
certainly
brief,
but
just
an
opportunity
to
thank
all
healthcare
providers,
one
of
the
great
job
they've
done
over
this
past
year,
and
I
think
that
we
haven't
given
them
enough
recognition
and
particularly
how
resourceful
they
have
been
in
meeting
these
needs.
Particularly
this
and
you
know,
they've
been
stretched
to
the
limit
and
but
folks
have
stepped
up
and
they've
done
just
a
great
job,
and
just
can't
say
enough
about
it.
So
certainly
I
vote
eye
on
this
bill.
Thank
you.
Thank
you,
mr.
B
Aye
matter
passes
unanimously
nine
to
zero.
I
have
to
commend
you.
This
is
a
good
use
of
resources,
a
lot
of
our
nursing
homes
struggle
to
find
personnel
that
are
willing
to
help
and
if
they've
already
got
their
training
and
they've
got
this.
This
is
a
great
idea.
It's
using
resources,
we've
already
got
in
place.
This
matter
is
eligible
for
consent.
Do
we
have
a
motion?
You
have
a
motion
in
a
second
all,
those
in
favor,
please
signify
by
saying
aye.
Anyone
opposed
matters
on
consent.
Chairwoman.
Thank
you
for
being
here.
We
appreciate.
B
Next
on
the
agenda
we'll
take
up
will
be,
let's
see,
we'll
go
with
house
bill
419
and
act
relating
to
physician
assistants.
The
sponsors
representative,
daniel
elliott,
representative
elliott,
welcome
again
no
stranger
to
our
committee.
Yes,.
N
Kevin
payton
with
me,
I'm
daniel
elliott,
state
representative
for
the
54th
district,
mr
chairman
house,
bill
419
is,
as
you
all
are
aware.
After
several
years
of
careful
consideration
and
deliberation,
the
kentucky
general
assembly
passed
physician
assistant,
prescriptive
authority
in
2020
and
I'm
personally
proud
to
have
been
a
co-sponsor
of
that
bill.
After
having
worked
with
the
medical
community
to
craft
a
piece
of
legislation
that
improves
access
to
care,
while
confronting
some
of
the
very
real
challenges
that
kentucky
has
around
the
abuse
of
controlled
substances.
N
While
this
was
an
important
step
for
pas
and,
more
importantly,
the
patients
they
serve,
it
passed
last
session
at
the
same
time
as
our
commonwealth
began
to
grapple
with
the
impact
of
covet
19..
Since
its
passage,
stakeholders
have
come
together
and
identified
tweaks
that
are
needed
to
clarify
the
requirements
around
continuing
medical
education
or
cme
hours
that
are
required
to
obtain
and
maintain
prescriptive
authority
privileges
in
kentucky.
B
O
O
O
D
Kevin
payton
with
top
shelf
lobby,
and
we
represent
the
kentucky
academy
of
physician
assistants.
B
B
B
Correct
all
right,
maybe
she's,
muted,
or
we
can't
hear
I've-
got
to
message
that
she
was
on
on
with
us
as
well
remotely
all
right
next
on
the
agenda,
we're
going
to
take
up
house
bill,
438
and
act
relating
to
medicaid
provider
credentialing.
The
sponsors
representative,
ken
fleming
representative,
fleming,
welcome
it's
good
to
see
you,
and
I
know
you
have
some
guests
if
you'd
like
to
introduce
yourself
and
have
your
guests
introduce
themselves
and
then
begin
your
testimony
when
you're
ready.
P
P
Ladies
and
gentlemen,
the
committee
house
bill
438,
as
mentioned,
is
a
conventional
bill.
Basically,
it
helps
health
providers.
Well,
let
me
back
up.
The
health
providers
must
must
state
in
order
to
get
credentialing
in
order
to
provide
services
in
the
medicaid
environment
that
need
to
have
the
requirements
and
license
and
experience
and
education
in
order
to
provide
this
particular
service
and
then
basically,
six
mcos
in
terms
of
medicaid
services.
P
This
bill
basically
recognizes
through
the
dms
the
credentialing
alliance,
which
is
being
formed
in
the
private
sector,
which
show
a
credit
which
is
accredited
by
a
national
committee
of
quality
assurance
in
its
own
and
and
by
an
affiliate
with
statewide
health
provider,
trade
association
trading
associations
with
at
least
one
year.
P
This
single
source
conventionally
processed,
is
web-based
and
requires
certain
time
frames
to
process
application
which,
which
provides
direct
interaction
in
response
to
the
health
care
provider.
I
can
give
you
from
my
own
personal
experience
and
run
on
medicaid
or
medicare
sorry,
a
mental
health
center.
We
have
six
providers
and
so
what
we
have
to
do,
we
have
to
submit
application
for
each
of
our
providers
to
six
different
firms.
That's
a
lot
of
duplication,
a
lot
of
effort
and
we
basically
spent
about
five
thousand
dollars
in
order
to
go
through
that
process.
P
So
it
becomes
very
time
consuming
and
it
takes
us
away
in
terms
of
providing
that
services
and
such
so
this.
This
would
be
really
really
beneficial
for
us.
But
if
you
think
about
such
places
like
the
healing
place
or
the
morton
center,
the
voa
they
have
those
certain
they
have
certain
requirements.
So
you
can
imagine
how
much
more
time
and
effort
and
cost
given
that
they
have
more
providers
I'll.
Let
mike
nancy
go
ahead
and
just
give
a
little
more
background
and
information
about
the
bill.
A
So
our
interest
in
this
bill
is
because
hospitals
have
a
lot
of
providers,
and
many
of
you
have
heard
horror
stories
for
years
about
it
taking
many
months
to
go
through
the
credentialing
process.
As
representative
flooding
fleming
said,
you
have
to
go
through
six
different
mcos.
They
all
have
different
processes
and
that
can
really
delay
things,
because
providers
cannot
be
paid
through
the
mcos
until
they're
through
this
credentialing
process
and
lots
of
times.
If
there's
errors
in
the
application
they
didn't
check.
A
certain
box
attach
certain
information.
A
Those
applications
fall
through
the
cracks
because
there's
no
follow-up,
there's
nobody
really
working
with
the
providers.
You
know
to
make
sure
that
all
the
information
is
submitted
accurately
so
can
be
processed
timely.
So
the
idea
behind
this
legislation
is
to
put
together,
as
ken
said,
a
a
private
sector,
credentialing
alliance
to
centralize
everything
a
one-stop
shop,
ideally
if
all
the
mcos
join,
which
of
course,
there's
no
mandate
that
they
join.
This.
B
B
Have
things
not
been
adhered
to
in
terms
of
that
by
our
experience
from
the
hospital
association
as
far
as
that
goes
because
in
the
old
days
when
I
first
started
with
medicaid,
when
I
first
opened
up
my
practice,
medicaid
would
allow
you
to
see
patients
as
your
credentialing
went
through
and
they
would
pay
you
for
the
visits
that
you
had
prior
to
that
now
that's
no
longer
allowed.
B
P
Senator
no,
it
has
not
been
here
too.
It's
it's
been
struggling
and
a
and
really
hasn't
been
procured
early
on
when
we
first
passed,
but
it
has
been
procured,
there
is
a
contract,
but
it's
on
a
protest
right
now
and
right
now
we're
not
seeing
any
end
of
the
light
or
in
the
tunnel
lighter
than
the
tunnel,
I'm
trying
to
say
in
order
to
get
this
resolved.
This
is
a
this
is
an
action
that
this
body,
hopefully
that
will
be
approved
to
expedite
that
process.
P
So
we
can
get
the
services
out
to
those
medicaid
clients
by
getting
credentials
in
a
much
expeditious
way.
F
Not
a
question,
mr
chair,
just
to
build
on
your
comments,
because
I
was
here
when
house
bill
69
was
passed
and
you
know
we're
going
on
three
years
and
we
still
haven't
got
this
done
yet
and
for
a
private
sector
solution
to
come
forward,
I
think
is,
is
remarkable.
I
commend
you
for
that.
All
of
you
all
heard
me
real
before
about
the
administrative
cost
of
health
care,
and
it's
just
absolutely
ridiculous
and
here's
an
opportunity
to
cut
one
piece
of
that
out
of
the
process,
and
this
is
a
good
solution.
F
I
commend
you
for
it.
You
know
there
is
a
protest
on
a
contract
and
I
know
from
personal
experience
that
that
contract
will
not
meet
the
need,
an
intent
of
house
bill
69.
So
this
provides
a
practical
solution
for
this,
a
good
solution
that
will
save
the
mcos
money,
save
medicaid
money
and
also
save
our
health
care
providers
money.
So
I
just
hardly
encourage
members
of
this
committee
to
vote
yes
on
this
bill.
Thank
you,
mr
chair.
M
Mr
sherman,
thank
you
and,
and
the
passion
that
you've
heard
from
senator
meredith
for
streamline
credentialing
is
something
that
he's
always
carried
and
carried.
It
very
well,
thank
you
for
bringing
the
legislation
a
question
to
ask
and
something
to
consider
after
the
meeting.
If
you
don't
feel
the
need
to
do
this,
then
no
worries,
but
just
to
make
sure
that
we
don't
leave
any
loopholes.
Take
a
look
with
me
at
the
language
bottom
of
page
two.
M
The
last
thing
we
need
is
for
these
mcos
to
find
a
credentialing
alliance.
In
nevada,
or
in
wherever
enter
into
that
having
that
alliance
not
formally
recognized
by
the
department,
if
my
concern
carries
no
weight,
then
don't
worry
about
it.
The
drafters
can
indicate
to
you
if
there's
any
loophole
there.
I
don't
know
that
there
is,
but
we
certainly
need
to
close
this
hole
if
there
is
any
hole.
Thank
you.
J
Sure
senator
thank
you
very
much
for
that
suggestion.
I
certainly
think
that's
worth
considering
as
part
of
the
language.
I
think
that
it
certainly
could
strengthen
that
aspect
of
it.
I
I
do
think
that
the
risk
that
you're
pointing
out
is
probably
pretty
low,
but
it's
not
zero.
So
if
it's
okay,
I'll
discuss
with
representative
fleming
and
others
to
make
sure
that
that
would
meet
the
attempt,
but
I
appreciate
the
suggestion.
O
O
A
Oh,
it
will
be
a
full
credentialing
service,
not
just
primary
source
verification,
but
also
the
committee
review.
You
know,
which
is
actually
reviewing
the
information
and
active
provider
outreach
to
work
with,
as
I
said,
applications
that
have
errors.
You
know
to
make
sure
that
you
know
a
provider
doesn't
miss
an
email
saying
you
know,
there's
there's
something
erroneous.
Q
O
Providers,
yes,
I
think
my
my
my
single
real
question
then
assuming
all
of
that
is
in
k,
is
in
place.
You
know,
as
a
diagnostic
radiologist,
I'm
licensed
in
multiple
multiple
states
and-
and
I
have
been
through
this
process.
O
Basically,
you
know
with
primary
verification
on
a
national
level,
it's
extremely
expensive,
much
more
expensive
than
if
I
had
chosen
to
try
to
go
through
the
process
individually
in
each
state
on
my
own
accord,
which
would
obviously
be
a
big
pain
in
the
butt
but
but
would
be
more
cost
effective.
Do
we
have
an
idea
of
what
this
is
going
to
cost
per
provider.
A
A
O
E
Thank
you
for
bringing
this
I'd
like
to
see
anything
that
streamlines
legislation
in,
and
I
appreciate
you
letting
me
cut
you
off.
I
was
a
classmate
of
the
gentleman
sitting
to
your
left
and
was
always
about
a
step
and
a
half
behind
him
in
every
class
we
had,
and
I
I've
waited
25
years
to
get
to
get
the
last
word
in
and
I
wasn't.
B
B
B
Opposed
very
good
congratulations
to
matters
on
consent.
If
you'd
like
to
consider
that
language,
if
you
think
that
would
be
something
that
would
help
if
there's
a
potential
loophole
to
close,
we
could
always
add
amendment
on
the
floor
for
that
as
well.
P
B
Let
us
know
we
appreciate
that.
Thank
you
so
much.
Thank
you
very
good.
All
right
now
we
have
a
couple
of
freshman
legislators,
and
so
the
next
item
we'll
take
up,
will
be
house
bill,
448
an
act
relating
to
child
welfare.
The
sponsors
representative
bill
wesley,
but
from
what
I
understand,
representative
wesley's
in
his
district
today,
working
with
a
lot
of
folks
regarding
all
the
flooding
I
know,
they've
been
very
heavy
hit
in
his
district.
So
in
his
stead
is
my
state
representative,
ryan
dotson.
So
representative
dotson
welcome.
B
H
Again,
I
am
standing
in
proxy
for
representative
bill
wesley,
who
was
called
away
back
to
his
district
by
congressman
andy
barr,
to
assess
the
damage
after
the
flood,
but
we're
here
today
with
michelle
sanborn
children's
alliance.
We
have
with
us
on
zoom
judge,
brent
hall
of
hardin
circuit,
family
court
and
cj,
quick
who's,
co-owner
of
brighter
futures
counseling.
H
So
today,
I'll
be
speaking
speaking
on
house
bill
448.
This
measure
would
expand
the
list
of
those
classified
as
a
qualified
mental
health
professional
for
the
purpose
of
child
welfare.
This
bill
would
also
allow
private
agencies
or
companies
to
qualify.
Therefore,
expanding
access
to
care
and
allowing
more
mental
health
professionals
to
participate
in
welfare
hearings.
H
R
Absolutely
senator
alvarado
members
of
the
committee,
a
qualified
mental
health
professional,
has
defined
two
places
in
the
kentucky
revised
statute.
One
is
under
krs-60020
and
one
is
under
20k202a011..
The
con.
The
krs-60020
is
a
statute
that
also
defines
what
an
abused
or
neglected
child
is
as
part
of
that
statute.
An
abused
or
neglected
child
is
one
that
has
suffered
an
emotional
injury
under
krs
60201a,
1
and
2..
R
Emotional
injury
has
to
be
testified
to
by
someone
who
qualifies
as
a
qualified
mental
health
professional.
What
we
have
is
we
have
people
in
private
practice
that,
because
of
where
they
work,
they
don't
work
at
a
community
mental
health
agency
or
regional
hospital,
because
they're
in
private
practice
they
otherwise
do
not
qualify
to
give
that
testimony
under
6020
but
would
qualify
under
krs
202.
R
And
so
largely
the
cabinet
for
health
and
family
services
does
not
pursue
cases
involving
an
emotional
injury,
because,
quite
frankly,
we
cannot
get
the
testimony
that
we
need
from
our
practitioners
to
prove
the
existence
of
that.
We
treat
a
lot
of
emotional
injury
after
a
child
has
been
physically
abused,
but
we
don't
remove
because
of
an
emotional
injury,
and
this
would
make
the
two
definitions
more
consistent
and
allow
people
that
were
similarly
educated
and
had
similar
backgrounds
to
be
able
to
testify
in
court
to
give
us
the
information
that
we
need.
B
Very
good,
thank
you
and
I
know
we've
got.
I
don't
know
if
anyone
else
is
wanting
to
testify.
Cj
quick
was
on
or
if
they're
available
online
she's
on.
Is
she
okay?
If
there's
anything,
you
want
to
add.
S
I
think
judge
hall
said
it
perfectly.
I
I
think
the
it
boils
down
to
the
fact
that,
as
a
counselor
as
a
marriage
and
family
therapist,
I
can
see
a
child
who
can
tell
me
what
they're
going
through
at
home
the
kind
of
emotional
turmoil
they're
going
through
being
threatened
verbally
torn
down.
But
I
can't
speak
for
them
simply
because
I'm
in
private
practice,
so
the
exact
same
experience,
less
experience,
credential
license
if
I'm
working
in
a
different
location,
I'm
qualified,
but
simply
because
I'm
in
private
practice.
I
can't
so
that's
all.
B
Very
good,
thank
you.
We
have
a
motion.
Is
there
a
second?
You
have
a
second
just
one
quick
thing.
I
want
to
make
sure
you
clarify
for
the
record
also.
We
just
passed
a
bill
senate
bill
21
which
dealt
with
a
lot
of
homeless
youth
and
it
kind
of
also
defined
qualified
mental
health
professionals.
This
from
what
I
understanding
is
it
ties
into
that
bill
that
we
passed
earlier
this
session
as
well
correct.
Q
Yes,
so
so
this
issue
was
brought
to
my
attention
when
we
were
working
on
senate
bill
21
previous
years,
where
we
were
actually
referencing
an
adult
statute
in
regards
to
a
children's
issue,
and
so
I
said
well,
why
aren't
we
referencing
600
because
it's
defined
in
600
and
they
say
well,
those
have
two
different
definitions
and
that's
confusing
in
and
of
itself.
So,
looking
at
the
impact
of
why,
but
also
aligning
those
definitions
makes
sense.
B
B
B
O
Yes,
sir,
thank
you.
Is
it
possible
for
me
to
record
two
votes
from?
I
would
like
to
record.
I
votes
on
house
bill,
48
and
house
bill
202.
C
B
We
try
to
go
in
in
order
from
seniority
down
to
our
rookies,
so
we
have.
We
have
they're
not
not
least
by
any
means,
but
it's
usually
what
we
try
to
do.
We
have
our
house
bill,
202
and
accolading
to
nursing
the
sponsors
representative,
jonathan
dixon,
representative
dixon.
If
you
want
to
come
forward,
welcome
to
the
committee
and
if
you
want
to
introduce
yourself
and
any
guests
that
you
might
have,
I
know
we've
got.
B
I
think
mr
morgan
ransdell
and
jessica
estes
from
the
board
of
nursing
also
remotely-
and
you
might
have
some
questions
on
this
bill,
but
you'd
like
to
introduce
yourself
and
have
them
introduce
themselves
and
begin
your
testimony.
Absolutely.
H
Thank
you,
chairman
alvarado
committee
members.
Thank
you
for
having
me
today
house,
bill.
202
is
a
simple
kentucky
board
of
nursing
housekeeping
bill.
It
doesn't
make
any
major
changes.
It's
all
minor
changes
and
clerical
changes
to
the
current
law
and,
as
far
as
that
goes
I'll,
keep
it
short
and
sweet
with
that.
If
anybody
has
any
questions
I'll
be
happy
to
entertain
those.
M
Mr
chairman,
thank
you
and
a
welcome
to
regina
dixon
welcome
to
health
and
welfare.
Thank
you
appreciate
the
work
you're
doing.
I
have
some
questions
to
clarify
and
I
certainly
feel
like
this
is
totally
housekeeping
and,
and
it
may
be
the
board
of
nursing
folks
that
need
to
answer
the
questions
as
we
open
with
new
language
and
the
practices
of
licensed
certified
professional
midwives.
M
T
No,
those
are
two
different
types
of
licensure.
Nurse
midwives
are
separate
and
regulated
separately
from
licensed
certified
professional
midwives.
Sometimes
the
licensed
certified
professional
midwives
are
referred
to
as
direct
entry
midwives,
but
they
are
not.
They
do
not
hold
the
nurse
title.
They
were
recently
created
as
a
new
licensed
type
in
2019
in
2019,
and
they
we've
just
begun
issuing
licenses
to
pm's
licensed
certified
professional
midwives
in
2020.
M
M
M
T
Yes,
senator
the
there
was
actually
redundant
provisions
in
the
statute.
There
was
a
need
for
those
redundancies
at
the
time
the
statute
was
enacted,
but
now
the
they
did
simply
we
were
simply
modifying
and
removing
the
redundant
language
it'll
have
no
impact
upon
the
application
of
the
stat
to
our
licensees.
B
J
B
Aye,
the
matter
passes
nine
to
zero
unanimously.
This
is
eligible
for
consent.
Do
we
have
a
motion?
We
have
a
motion.
Is
there
a
second?
You
have
a
second
all,
those
in
favor,
please
signify
by
saying
aye
aye.
Anyone
opposed
very
good.
The
matter
is
on
consent,
representative
dixon,
congratulations.
Thank
you.
Chairman
alvaro,
ladies
and
gentlemen.
Thank.
H
B
Very
much
and
very
successful
we
have
a
few
members
who
might
want
to
register
a
few
more
votes.
Senator
berg.
O
B
Very
good
that
is
duly
noted.
Any
other
votes
may
be
casting
their
issues
before
this
committee.
I
would
encourage
all
members
to
watch
your
emails
this
week.
We
likely
will
have
one
more
meeting,
probably
next
week
at
our
normally
scheduled
time
of
10
in
the
morning.
So
please
watch
your
emails
this
week
and
hopefully
you
can
all
in
and
oh
yeah.
We
also
have
a
scheduled
joint
meeting
with
the
house
and
senate
on
march,
the
12th
friday,
just
to
take
up
a
block
grant
so
we'll
be
here
upon
adjournment
for
that
as
well.
B
O
O
S
C
S
F
I
It's
over,
it's
all.
No,
I
have
to.
We
got
to
figure
out
jerry
miller's
bill
to
rein
in
our
the
mayor.