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A
A
We
have
five
items
on
the
agenda
today.
We're
going
to
need
to
move
quickly.
I
would
remind
everyone
to
please
silence
your
phones
and
we
are
going
to
go
in
order
this
morning,
so
the
first
bill
will
be
House,
Bill,
165
and
act
related
to
employee
child
care
assistance
sponsored
by
representative
Nick
Wilson
representative.
Please
take
the
table
and
when
everyone
gets
seated,
please
introduce
yourself
for
the
record
and
you
all
will
have
the
floor.
C
Good
morning,
I'm
representative
Nick
Wilson
from
82nd
District,
Whitley
County
in
Laurel
County,
and
it's
a
pleasure
to
be
here.
I've
not
had
the
opportunity
to
meet
many
of
you
yet.
So
thank
you
for
having
us
and
I
have
two
guests
through
here
really
just
in
case.
Any
questions
pop
up,
but
I'll
have
them
introduce
themselves.
C
Thank
you
Mr
chairman,
so
this
bill
is
house
bill
165..
It
makes
two
changes
to
a
program
that
was
passed
last
year
in
House,
Bill
499,
and
what
that
program
did
was
basically
just
above
the
poverty
line.
There's
a
a
state
employer
match
to
provide
help
with
day
care
costs
to
employees
so
say.
If
the
employer
provides
300
a
month,
then
the
state
can
match
that
and
they're
600
a
month
going
towards
the
employees,
child
care
costs.
A
A
A
A
F
Thank
you
Mr
chairman
and
members
of
the
committee.
My
name
is
Wade
Williams
I'm,
the
District
representative
of
District
Four
of
Hopkins
County
and
I'd,
like
for
my
guests,
introduce
himself
please
my.
F
Good
morning,
Mr
chairman
and
what
I
want
to
talk
to
you
about
today
is
House
Bill
238,
and
this
bill
is
about
medical
procedure.
Discrimination.
Four
states
have
passed
this
law
and
others
are
pending
as
we
meet
today.
Individuals
with
disabilities
routinely
face
discrimination
in
health
care,
from
Consultants
to
referrals
all
the
way
to
determination
of
Eligibility
placements
on
waiting
lists.
F
Often,
this
discrimination
is
subtle,
based
on
quiet
assumptions
like
out
of
date,
but
very
still
prevalent,
assumptions
about
the
quality
of
life
with
someone
with
Down
Syndrome,
for
instance,
House
Bill
238
also
directs
Health,
Care
Workers
Health
Care
Providers
to
consider
an
individual's
personal
care
support
when
making
determinations
regarding
organ
donations.
F
D
Committee
chair
member
Williams,
thank
you.
Thank
you
opportunity
to
speak
here
today.
My
husband,
my
daughter,
Quinn
and
myself
are
residents
of
Frankfort
Kentucky
Quinn
is
11
years
old.
She
has
a
contagious
smile,
unmatched
determination
and
strength
beyond
measure
she's,
the
absolute
center
of
our
universe.
Shortly
after
Quinn
turned
one.
She
was
diagnosed
with
wolf
hirshhorn
syndrome.
This
syndrome
affects
one
in
50,
000
individuals
and
due
to
various
medical
complexities,
one
in
three
children
do
not
survive
until
the
age
of
two.
D
This
particular
rare
disease
has
affected
her
in
many
ways,
including
severe
growth
and
intellectual
disability,
chronic
kidney
disease
and
epilepsy,
while
I'm
grateful
for
the
advancement
in
medical
technology
which
allows
individuals
like
Quinn
to
survive
and
thrive,
I'm
also
very
concerned
about
what
the
future
will
hold
for
her.
Her
kidneys
are
currently
functioning
at
30
percent.
The
chances
are
slim
that
we
will
not
have
to
pursue
a
kidney
transplant
in
her
future.
D
All
across
the
Commonwealth
individuals
like
Quinn
May
someday
need
an
organ
transplant.
In
its
current
form,
the
guidelines
for
allocation
of
an
organ
does
not
mention
protections
for
individuals
with
disabilities
and
I
quote:
allocation
of
a
deceased
donor.
Organ
must
not
be
influenced
positivity
positively
or
negatively
by
political
influence,
national
origin,
ethnicity,
sex
religion
or
financial
status.
No
mention
of
disabilities
in
2012,
a
child
with
wolf
hirshhorn
syndrome
was
directly
affected
by
this
type
of
discrimination.
D
Her
family
was
told
by
the
Children's
Hospital
of
Philadelphia,
which
is
the
number
four
Children's
Hospital
in
America
that
their
daughter
did
not
qualify
for
a
kidney
transplant
because
she
was
quote
mentally
and
did
not
have
the
quality
of
life
to
justify
the
transplant
the
kicker
her
mother
was
her
match.
It
was
only
after
National
media
attention
that
this
young
girl
received
her
transplant.
11
years
later,
she's
thriving
our
family
directly
understands
the
impact
and
importance
of
organ
transplant.
D
As
my
father-in-law
was
a
kidney
recipient
in
1981
at
the
age
of
26.,
although
not
impacted
with
disabilities,
he
went
on
to
enjoy
29
more
years
of
life.
Before
his
passing
with
the
passing
of
House
Bill
238,
you
will
be
giving
individuals
with
disabilities
the
same
rights
as
every
other
individual
that
needs
a
transplant.
37
states
have
already
passed
similar
legislation
to
protect
individuals
with
disabilities.
It
is
my
hope
that
we
can
start
the
process
of
protecting
every
Kentuckian
with
a
yes
vote
for
House
Bill
238.
G
Actually,
my
vote
Mr
chair
please
proceed.
Thank
you
for
bringing
this
bill
I'm
of
I
vote
for
this
and
appreciate
you
bringing
this
issue
to
our
attention.
I,
don't
think
many
people
are
aware
of
this
and
there
was
a
state
back
in
I.
Think
it's
2012.
the
past
Apostle,
for
some
reason
that
in
in
the
situation
where
we
had
a
shortage
of
ventilators,
that
patients
with
severe
mental
disabilities
would
not
be
considered
for
placement
on
the
venerator
list.
That's
just
unconscionable
so
I
appreciate
you
bringing
this
to
attention
and
sharing
your
personal
experience.
H
H
A
On
a
vote
of
7-0
bill
passes
with
favorable
expression
to
have
a
motion
for
consent,
have
a
motion
and
a
second
all.
Those
in
favor,
please
signify
by
saying
aye
oppose
no
motion,
carries
representative
Williams
ma'am.
Thank
you
for
being
here
on
behalf
of
a
father
of
a
child
with
disabilities
and
all
those
that
I
serve
with
disabilities
at
Easter,
Seals
west
Kentucky.
It's
a
great
Bill.
Thank
you.
A
I
I
Police
chief
to
talk
about
every
housing
in
the
need
for
certification,
House,
Bill
248,
represents
an
agreement
among
treatment
providers
and
their
communities
by
establishing
a
certification
requirement
for
Recovery
residences,
Sober
Living
homes
or
any
similar
type
of
drug-free
residents
for
unrelated
individuals.
These
types
of
operations
are
not
currently
regulated
under
Kentucky
law
and
the
recovery
residence
is
covered
by
this.
J
Thank
you,
representative.
Heaven
and
I
will
get
right
to
it,
because
I
know
you
all
have
a
busy
day
the
meat
and
potatoes
of
what
we're
asking
for
what
we're
looking
for
is
relief.
When
it
comes
to
recovery,
centers
recovery
houses,
sober
living
houses
in
the
city
of
Elizabethtown.
We
have
87
different
establishments,
most
of
them
popped
up,
post,
coveted
and
I
want
to
make
sure
that
I'm
clear.
A
lot
of
them
are
very
good
and
do
a
great
job
and
what
they're
designed
to
do.
J
But
we
also
have
several
that
we
have
determined
our
Bad
actors
in
multiple
ways,
they're
putting
a
lot
of
stress
on
a
lot
of
our
resources
and
a
lot
of
our
services
there
in
Elizabethtown,
and
some
of
the
things
that
we're
seeing,
we
think
is
a
detriment
not
only
to
our
city
but
especially
to
people
that
have
already
been
victimized
once
in
a
lot
of
ways
and
they're
coming
and
they're.
Staying
in
these
recovery
houses
and
they're
not
getting
what
should
be
afforded
to
them
as
far
as
care
goes
and
different
things
of
that
nature.
J
But
we
have
a
for
lack
of
a
better
term,
a
soup
kitchen
or
a
day
a
a
day
treat
treatment
place
for
the
homeless,
that
we
call
warm
blessings,
and
so
a
lot
of
these
people
that
have
these
treatment
houses
or
these
these
recovery
centers
are
sending
their
people
that
are
staying
there
and
paying
to
be
there
to
this
resource
for
food
and
they're,
taking
their
EBT
cards
and
there's
just
a
list
of
things
that
are
going
on
as
far
as
the
Bad
actors
go
in
this
in
this
business,
and
so
we're
looking
for
a
regulatory
arm
or
a
tool
to
be
able
to
make
sure
that
people
are
doing
what
they're
supposed
to
and
they're
taking
care
of
these
people
when
a
lot
of
other
places
won't
do
that.
J
K
Good
morning
again,
we
certainly
want
to
be
respectful
of
your
time,
but
thank
you
for
this
opportunity
for
being
here
this
morning,
oftentimes
in
uniform
I
think
we're
looked
at
as
sometimes
in
the
circles
of
addiction
as
the
bad
guys,
but
I
want
to
begin
my
comments
by
saying
that
I've
lived
with
addiction,
I
grew
up
with
an
addict
in
my
home.
I
have
family
members
battling
addiction
to
this
day,
and
nothing
could
be
further
from
the
truth,
and
this
is
a
police
versus
someone
who's
battling
addiction.
K
What
this
is
is,
as
the
mayor
and
representative,
heaven
have
already
stated,
it's
an
attempt
to
clean
up
what
we
have
in
our
area
right
now
and
those
Bad
actors.
What
we're
seeing
is
a
lot
of
these
folks
are
being
literally
recruited,
these
folks
that
are
struggling
with
addiction,
and
some
of
these
facilities
are
going
to
other
states,
Alabama,
Georgia,
Tennessee
and
they're,
finding
whether
homeless,
or
addicted,
otherwise
and
they're,
bringing
them
to
Elizabethtown
and
what
we're
seeing
is,
after
a
very
short
time
in
one
of
these
facilities
that
they're
either
kicked
out.
K
K
As
the
mayor
said,
the
two
soup
kitchens
food
pantries
that
we
have
I've
spoken
to
both
of
the
administrators,
those
facilities,
each
of
them
in
the
past
year,
have
spent
over
48
percent
of
their
resources
on
individuals
that
they
have
identified
as
coming
from
the
sober
living
halfway
houses,
and
they
will
never
turn
anyone
down.
Nor
do
I
think
they
should,
but
these
people
are
coming
to
these
facilities
for
help
when
they're
the
most
vulnerable
they
finally
have
decided.
K
I
need
help
with
my
addiction
and
that
their
most
vulnerable
points,
they're
being
taken
advantage
of
and
again
I've
lived
with.
This
I've
seen
this
and
God
forbid
that
we
support
and
allow
these
places
to
continue
to
victimize
those
that
have
finally
reached
that
Tipping
Point,
where
they
say
enough
is
enough
and
I
want
help
with
my
addiction.
I
want
to
be
clear
as
well
that
the
police
department
is
not
looking
to
be
that
arm
of
accountability
for
these
places.
K
We
have
plenty
to
do
I
promise
you,
but
someone
needs
to
be
able
to
step
in
to
make
sure
that
there
are
some
standards
of
care
that
these
folks
are
receiving.
True
Addiction
Services,
we
had
15
fatal
overdoses
in
Elizabethtown
in
2022.,
one
third
of
those
had
an
involvement
from
a
halfway
house,
either
someone
who
was
staying
in
one
or
some
of
them
have
peer
support
that
are
in
the
facility.
K
Two
of
the
members
that
were
involved
in
these
fatal
overdoses
were
actually
at
one
of
these
facilities,
one
of
which
was
peer
support.
Now,
I
find
it
hard
to
believe
that
a
peer
support,
individual,
that's
there
to
support
those
battling
addiction
would
be
the
one
bringing
this
poison
into
that
place
and
then
having
a
fatal
overdose
themselves.
So
I
don't
know
that
any
type
of
care
is
being
administered
when
peer
support,
you're,
bringing
in
not
only
is
providing
this
this
poison,
but
then
succumbs
to
a
fatal
overdose
themselves.
K
So
again,
we
thank
you
for
the
opportunities
to
bring
this
I
have
plenty
of
examples
that
I
could
quote
time
and
time
again
of
the
citizens
of
E-Town
being
attacked,
stolen
vehicles
that
are
all
directly
tied
to
the
Bad
actors.
Again,
we
are.
We
are
absolutely
in
support
of
Addiction
Services
for
those
that
need
help
for
those
that
are
to
the
end
of
their
rope
and
they
want
help.
But
we
need
that
arm.
We
need
some
type
of
regulatory
arm
just
to
make
sure
that
these
places
are
providing
the
services
that
they
are
advertising.
A
L
Thank
you,
I'm
an
Iva,
but
I
just
want
to
say
how
important
this
legislation
is
in
Fayette
County,
especially,
we
have
had
the
same
kinds
of
issues
where
we
need
recovery
housing.
There
are
neighborhoods,
there
are
important
pieces
to
recovery
and
long-term
Health,
but
the
Bad
actors
are
significant
and
there's
been
no
kind
of
ability
on
the
side
of
the
community
to
say
how
do
we
regulate
some
of
these
proactively?
So
I
really
applaud
your
efforts
and
I
appreciate
the
legislation.
Thank
you.
E
My
vote
Mr
chairman,
please
proceed.
Thank
you.
Mr
chairman,
a
representative,
excellent
piece
of
legislation
appreciate
the
policy
I
think
every
Community
is
dealing
with
this
issue.
Chief.
Thank
you
for
your
comments
as
well
mayor.
Thank
you
for
your
leadership.
I
should
have
asked
this
as
a
question
earlier,
though,
with
you
being
here
today
and
not
back
at
City,
Hall,
who's,
running
city
government
right
now
back
in
Elizabethtown,
your
absence.
E
A
Aye
count
of
seven
to
zero
bill
passes
with
favorable
expression.
I
have
a
motion
for
consent.
Is
there
a
second?
You
have
a
motion
and
a
second
all.
Those
in
favor,
please
signify
by
saying
aye
oppose
motion,
carries
House.
Bill
248
will
be
put
on
consent
for
the
purposes
of
the
four
vote
mayor
Chief.
Thank
you
both
for
being
here
excellent
Bill,
representative
Evan.
Thank
you
for
all
your
efforts
on
this
okay.
A
Next
item
on
the
agenda:
House
Bill
334
enact
relating
to
Intermediate
Care
facilities
for
individuals
with
intellectual
disabilities,
sponsor
representative
DJ,
Johnson,
representative
Johnson,
a
few
and
your
guests
will
please
come
to
the
table
and
introduce
yourselves
for
the
record,
and
you
will
have
the
floor.
Sir.
H
N
O
H
Again,
thank
you.
Mr
chairman
House,
Bill
334
makes
one
very
simple
change
to
regulations,
but
it's
an
important
one.
What
house
houseboat
334
does
is
authorize
or
make
I
guess.
I
will
I
want
to
actually
read
this
language
because
I
think
it's
important.
It
creates
a
new
section
of
KRS
chapter
216b
to
require
an
application
to
increase
the
number
of
beds
by
an
intermediate
care
facility
for
individuals
with
an
intellectual
disability
to
be
consistent
with
the
state
health
plan
under
certain
conditions.
H
The
short
answer
to
that
that
sentence
is
that
currently
it's
the
State
Health
Plan
does
not
recognize
need
for
additional
beds
with
for
Intermediate
Care
Facilities.
These
two
organizations
want
to
be
able
to
expand
their
abilities
to
care
for
individuals
with
developmental
disabilities
and
they
need
this
change
in
the
regulation
to
do
so.
Mr
royd
has
a
brief,
prepared
comment.
If
you
don't
mind
allowing
him
to
speak
and
then
we'll
be
glad
to
answer
any
questions
you
might
have.
M
Chairman
curl
members
of
the
committee,
thank
you
for
the
opportunity
to
be
here
today.
As
representative
Johnson
stated,
my
name
is
Doug
Hoyt
and
I.
Am
it's
truly
my
privilege
to
have
the
opportunity
to
serve
Wendell
Foster
as
the
CEO
for
more
than
75
years,
Wendell
Foster
has
served
as
a
multi-service
provider
of
disability
support,
offering
more
than
75
000
Services
annually
to
children
and
adults,
including
in
our
Intermediate
Care
Facility
and
Home,
and
community-based
Services
I'm.
M
I'm
also
here
today,
representing
Phoebe,
Lance
Carolyn
and
the
other
53
people
that
have
also
lived
their
entire
life
with
similar
Developmental
and
intellectual
disabilities.
Today,
none
of
them
call
Wendell
foster
home.
Rather
they
have
qualified
to
be
and
remain
on
our
ICF
waiting
list.
Our
ICF
is
a
residential
option
that
allows
people
with
intellectual
and
developmental
disabilities
their
opportunity
to
live
in
the
least
restrictive
environment
possible,
while
providing
support
for
their
complex
medical
needs.
M
We
want
to
add
a
small
number
of
additional
ICF
beds
in
order
to
be
able
to
support
additional
people
today,
the
State
Health
Plan
serves
as
a
roadblock
preventing
us
from
accomplishing
this
house.
Bill
334
will
alleviate
that
roadblock
and
allow
us
the
opportunity
to
submit
an
application
for
expansion
of
this
service.
H
So
Mr
chairman,
very
basically
what
we
have
here
is
two
organizations:
Cedar
Lake
and
Wendell
Foster
that
are
very
much
wanting
to
expand
their
ability
to
serve
our
communities
and
expand
their
abilities
to
serve
those
who
are
in
the
greatest
need.
We
have
that
opportunity
to
do
so,
though
we
need
your
support.
We
need
your
help
so
subject
to
any
questions.
I
would
ask
for
your
yes
vote,
so
we
can
help
these
fine
facilities
serve
our
community
better.
A
N
N
There
are
several
several
State
facilities
that
that
have
vacant
beds.
The
the
capacities
of
those
facilities
are
up
in
the
hundreds
I
understand
that
the
individuals
living
currently
in
the
state
facilities
are
individuals
with
with
extremely
complex
needs,
who
need
to
be
supported
in
those
Services
right
now.
N
Cedar
Lake
has
87
beds
total,
and
one
of
the
Foster
has
63
beds
total
one
additional
point
that
we
would
like
to
make
is
that
we
are
not
interested
in
building
a
large
facility,
we're
not
interested
in
in
expanding
on
the
large
facilities
that
we
have
we're.
Looking
at
more
like
a
maybe
a
four
bed
or
an
eight-bed
model
that
that
gets
the
folk
into
the
community,
whereas
right
now
they
don't
have
that
ability,
Cedar
Lake
currently
offers
we
operate.
N
Two
four
bed
icfs
in
a
neighborhood
outside
of
LaGrange
and
and
without
that
funding
the
ICF
funding.
Those
individuals,
otherwise
would
not
be
living
in
the
community
they're
in
a
regular
neighborhood
that
that
you
live
in
and
they're
active
in
the
community,
so
that
that's
what
we're
looking
to
do
is
is
look
at
a
four
bed
or
eight
bed
or
smaller
model,
and
not
expanding
on
the
large
facilities.
M
Mr
chairman,
that
is
correct.
The
people
that
are
served
in
the
ICF
at
Wendell
Foster
have
complex
medical
needs
that
require
24-hour
nursing
care
and
significant
behavioral
supports
those
are
often
not
available
and
typically
not
available
in
a
environment
for
an
FHP
or
an
scl
type
environment.
Excuse
me
and
that's
one
of
the
most
significant
differences.
Okay
does.
A
P
Could
you
I'm
sorry
I'm
Jeff,
Edwards
I'm,
the
director
of
the
Kentucky
protection
and
advocacy
Division
and
Senator
Carroll
if
I
could
I'd
like
our
legal
director
to
join
me
at
the
table?
Yes,
sir?
Thank
you.
Kentucky
protection
and
advocacy
is
the
state's
disability
rights
organization.
P
P
Excuse
me
for
small
four-bed
icfs
and
that's
what
we
think
is
the
most
appropriate,
but
also
today,
we're
not
standing
in
the
way
if
families
have
choices,
and
we
want
to
respect
the
choices
that
families
have
first
and
foremost,
but
we
also
want
to
bring
up
the
11
000
people
that
are
on
the
waiting
list
for
sports
community
living
in
the
Michelle
P
waiver
that
wants
services
in
the
community.
The
Michelle
P
waiver
came
about
as
a
result
of
actions
taken
by
our
agency.
P
We
think
this
is
an
important
action
that
the
legislative
branch
can
address.
We
think
that
nursing
Services
have
to
be
added
and
expanded
to
serve
people
in
the
most
integrated
setting.
That
is
of
their
choice
and
that's
what
we
are
concerned
about
I'm,
going
to
say
again,
people
that
want
services
for
in
the
community
or
in
an
ICF
from
Wendell,
Foster
or
Cedar
Lake
Lodge.
We
think
that's
appropriate.
Q
Good
morning
my
name
is
oops
green
light.
Good
morning
my
name
is
Heidi
shisler
Lanham
I'm,
the
legal
director
at
protection
and
advocacy
and
I.
Don't
have
a
lot
to
add
from
what
Mr
Edwards
said.
I've
got
some
numbers,
there
are
632
ICF
beds.
Currently
in
Kentucky
of
those
482
are
public
beds,
considered
public
beds,
Hazelwood
out
wood,
those
kind
of
places
and
150
or
151
are
private
beds.
Q
As
of
the
last
time
that
the
long-term
care
numbers
came
out,
there
were
235
folks
living
in
the
public
beds,
so
we're
talking
about
247
public
beds
that
are
open
and
that
Cedar,
Lake,
Lodge
or
Wendell
Foster
would
like
to
have
I
would
suggest
that
the
state
health
plan
as
written
does
not
keep
that
from
happening.
In
fact,
since
2008
every
time
that
the
State
Health
Plan
is
renewed,
it's
a
two-year
health
plan.
Q
We
have
commented
on
that
and
we
have
wanted
them
to
add
language
to
keep
the
public
beds
from
going
to
the
private
and
each
time
we
have
told.
Thank
you
for
your
comments.
We
want
to
keep
all
of
our
options
open.
We
don't
feel
this
piece
of
legislation.
Is
necessary,
as
you
all
are
probably
aware,
Title
II
of
the
Americans
with
Disabilities
Act
requires
states
to
provide
services
to
folks
with
disabilities
in
the
least
restrictive
environment,
which
is
usually
the
community.
The
United
States
Supreme
Court
in
the
case
of
Olmsted
versus
LC.
Q
That
you've
probably
heard
used
a
lot
of
times
said
that
the
title
II
does
apply
to
the
state
and
to
persons
with
disabilities.
So
we
have
long
argued
that
folks
need
to
be
live,
be
living
in
the
community.
As
Mr
Edwards
said,
there
are
11
000
people
on
the
two
waiting
lists.
Currently
the
cost
for
icfmr
care
is
based
on
the
latest
numbers
public
beds,
462
hundred
thousand
dollars
scl
costs
about
ninety
three
thousand
dollars.
Q
As
Mr
Edwards
said,
you
know,
we
would
like
to
see
nursing
Services
added
to
the
both
of
the
waivers
I
think
there
have
been
task
forces
and
I
forget
whether
it
was
the
20
2020
or
21
interim.
There
was
a
task
force
on
services
for
persons
with
complex
medical
and
behavioral
needs,
and
we
continue
to
argue
that
those
services
do
need
to
be
added
to
the
existing
waivers
I'm
happy
to
answer
any
questions
or
to
go
into
more
detail.
I
know
your
all's
time
is
short
on
a
Monday.
A
So
so
this
gets
a
little
complicated
and
on
the
waiver
side
of
it,
I
understand
that.
So
you
all
are
thinking
more
for
for
SEO
and
Michelle
P.
Perhaps
more
services
like
are
provided
within
an
adult
day,
Healthcare
setting,
maybe
have
those
cert
the
medical
services
within
an
ADT
program
or
accessible,
perhaps
more
to
FHP
it
has
that
been
discussed
with
the
waiver
redesign.
That's
been
worked
on
continuously
for
numerous
years
now.
Has
there
been
any
discussion
about
changing
those
waivers
to
add
more
medically
related
Services?
That's.
P
Well,
yes,
continuously,
there's
not
anything!
That's
been
final
and
we've
been
complaining
about
that
for
a
while.
Now
that
we
have
been
studying
the
rights
and
the
process,
and
we
have
nothing
done
and
we
have
providers
leaving
the
state,
we
have
11
000
people
on
a
waiting
list.
If
people
could
get
nursing
Services,
they
could
live
in
a
three-person
home.
At
times
they
could
live
with
a
family
home
provider.
There
are
people
that
would
choose
to
stay
home
and
live
with
family
if
they
had
those
services
and
supports
okay
and.
A
Want
to
make
sure
the
committee
is
aware
of
those
11
000
a
little
over
five
thousand
of
those
are
actually
kids
to
kind
of
help.
Put
that
in
perspective,
so
I
I'm
a
little
confused
in
in
comparison
to
the
state-owned
facilities.
Obviously
the
window
Foster
in
the
other
Home
Cedar
Lake,
that
would
be
a
less
restrictive
environment
than
the
state
facilities,
correct.
Q
Q
Good,
the
parts
of
the
bill
that
say
that
the
additional
beds
need
to
be
in
a
free,
freestanding,
building
on
or
off
campus.
We
would
suggest
it
needs
to
be
off
campus,
and
then
we
we
like
that
limited
just
as
Mr
Squires
said
four
to
eight,
so
that
you
are
actually
in
the
community.
We
have
seen
and
seen
pictures
of
I
think
when
they
presented
in
the
house,
family
and
children's
committee.
Q
They
had
brought
pictures
of
what
their
what
Cedar
Lake
Lodge
is
I,
think
it
was
their
four
or
eight
bed
I
forget
which
one
it
was
the
four
Bettors
were
there
and
it
looks
like
the
house
in
your
neighborhood,
my
neighborhood,
and
that's
the
way
it
needs
to
be
for
these
folks,
not
something
on
the
campus
of
Cedar
Lake
Lodge
or
of
Wendell
Foster.
Okay,.
M
Wendell
Foster's
campus
is
in
fact
in
the
community.
Wendell
Foster's
campus
includes
a
public
park
in
the
middle
of
the
campus.
When
we
talk
about
campus,
it's
not
a
hospital
environment,
it
is
truly
in
the
heart
of
Owensboro,
so
we
are
just
simply
looking
for
options
for
both
economic
feasibility
and
what
is
what
makes
the
most
sense
when
the
costs
are
reflective,
as
presented
a
little
while
ago
for
the
state
I
see
a
facility
at
in
excess
of
450
000
a
year.
M
O
Yeah
just
real
quickly
just
for
clarification,
and
this
is
for
p
a
so
your
testimony
here,
just
so
I'm
clear,
you're
not
opposed
to
this
bill,
passing
here's
your
testimony
just
to
further
educate
the
committee
members
on
other
things
that
need
attention
in
the
future.
A
Senator
Meredith
I
know
you.
You
have
had
some
conversations
about
these
issues.
Do
you
have
a
comment
to
make.
G
I
do
Mr
chair
and
thank
you.
Thank
you
all
for
your
testimony.
This
is
interesting
dialogue
that
we're
all
in
agreement,
but
we're
not
in
agreement
and
is
this
more
of
a
a
fiscal
policy.
Consideration
you've,
given
you
know
some
startling
numbers
here
and
is
it?
Are
you
promoting
a
position
that
we
can
provide
services
to
more
people
in
a
less
cost,
restrictive
manner.
G
P
G
Certainly
understand
that
and
appreciate
that
and
I
know.
Center
Cara
and
I
have
had
numerous
conversations
about
this
over
the
years
that
you
know
this
waiting
list
is
just
absolutely
inexcusable.
It's
atrocious
and
I
think
we
look
for
every
opportunity
to
try
to
address
this,
and
you
know
that's
the
root
of
this
problem.
It's
not
that
they're
asking
for
additional
beds,
so
we
can't
service
the
population
that
we
have
now
within
the
physical
constraints
that
we
have
and
we
need
to
find
a
dress
in
some
way.
G
G
We
were
very
excited
the
possibility,
and
maybe
that
could
be
used
to
reduce
the
number
of
people
on
the
the
waiver
waiting
list
when
she
was
chosen
to
expand
Medicaid
benefits
and
this
population
has
been
not
just
discriminating
against,
but
literally
abuse
when
we
have
that
kind
of
policies
that
do
not
address
their
fundamental
needs
and
we've
got
to
do
a
much
better
job
in
this
and
I
think
the
answers
are.
There
will
be
more
aggressively
a
little
more
thinking
outside
the
box
from
what
we
had
but
I
appreciate.
G
The
you're
also
concerns,
but
it
looks
like
you
know:
we
may
be
discriminating
against
one
similar
population
to
make
sure
we
can
provide
services
to
another
segment
of
a
population.
It's
very
complex
issue:
I'm
not
chastising
anyone,
but
you
know:
we've
got
to
have
a
better
policy
statement
on
this
and
how
to
address
this
going
forward
and
it's
been
kicked
down
the
road
too
long.
G
As
you
mentioned,
you
know,
we've
had
study
after
study
about
this
and
really
haven't
come
to
any
definitive
solution
to
it,
and
the
defendant
solution
is
more
dollars
for
these
programs,
which
again
every
time
we
have
an
opportunity
to
save
some
money.
One
place
that
should
be
dedicated
that
but
I
would
hope
and
pray
and
I
know.
It's
got
very
little
to
do
with
this
bill,
but
I
would
hope
and
pray
that
we
consider
the
objective
for
ourselves
that
over
the
next
decade,
we
can
totally
eliminate
this
this
waiting
list.
Q
G
Again,
I'm
looking
for
different
numbers
and
folks
have
heard
me
say,
I
think
this
next
budget
cycle
is
going
to
be
most
difficult,
maybe
in
my
seven
years
here
because
of
inflation
and
the
lack
of
federal
funding
that
we're
going
to
going
to
lose,
and
it's
going
to
be
a
challenge.
That's
why
again.
I
was
barely
disappointed
that
when
we
identify
savings
such
as
the
single
Source
PBM
that
we
can
use
to
address
these
areas,
we
don't.
A
A
There
are
exceptions
to
that,
but
if
we
can
get
Services
established
and
get
the
children
that
that
are
on
that
waiting
list
taken
care
of,
then
we
can
focus
more
on
the
adults
and
and
I'm
trying
to
think
from
the
medical
aspect
of
this
and
obviously
for
adult
day
training.
You
know
adding
the
health
health
care
component
to
that
would
not
be
that
difficult
at
all.
We
have
some
crossover
in
our
Center
as
it
is.
A
If
we
have
an
ADT
participant
that
needs
some
type
of
medical
assistance,
we
have
nurses
in
our
adult
day,
health
care
that
can
can
you
know,
go
over
and
and
check
on
that
individual
in
in
in
the
family
home
provider.
You
know
more
of
a
home
health
setting
and
having
those
Services
I
could
see
that
being
a
little
bit
more
complicated,
and
then
you
know
if
they
were
living
at
home.
You
know.
A
G
A
Aye:
seven:
zero
on
a
count
of
seven
to
zero
House
Bill
334
passes
with
favorable
expression.
I
think
we
are
going
to
leave
it
on
the
regular
agenda
representative
Johnson
good
good
work.
Sir,
thank
you
for
bringing
this
bill
forward
and
gentlemen.
Lady.
Thank
you.
So
much
for
the
testimony.
I
think
we
all
want
the
same
thing
and
every
position
every
waiver
slot
every
dollar
is
important
and
I.
A
That's
why
we're
taking
such
a
close
look
at
this
on
how
we
spend
spend
that
those
dollars
and
as
secretary
as
Senator
Meredith
said,
we
have
a
lot
of
work
to
do
on
this
area
and
it
is
our
goal
that
I
before
I
leave
this
place,
to
see
that
we
no
longer
have
a
waiting
list
and
I
know
there
are
several
that
feel
the
same
way
that
I
do
and
let's
hope
we
can
make
some
movement
in
that
area.
Thank
you
all
very
much.
Thank.
Q
A
I
Time
no
see
I
am
smear,
Hever
and
I'm.
Still
a
state
representative
for
the
18th
District.
Thank
you
so
House
Bill
387,
as
you
all
know,
Senate
and
House
leadership,
both
split
the
Committees
for
Health
and
Family
Services.
We
now
have
health
services
and
family
and
children,
and
this
would
just
do
so
during
the
interim.
It
would
make
that
clear
in
statute.
So
we
don't
have
all
the
chairman.
A
A
Aye,
on
account
of
7-0
bill,
passes
with
favorable
expression.
We
have
a
motion
for
consent.
We
have
a
second
all.
Those
in
favor,
please
sing
five
box
saying
aye
oppose
no
motion.
Carries
congratulations.
Representative
Hebron
appreciate
your
work.
Okay,
ladies
and
gentlemen,
we
will
meet
again
in
the
morning.
We
have
one
bill
on
the
agenda.