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From YouTube: House Standing Committee on Licensing, Occupations, and Administrative Regulations (2-22-23)
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B
Representative
Callaway
has
just
walked
in
accord
hers
here
as
well.
Thank
you
all
right,
introduction
of
guest.
Any
members
have
any
guests
they'd
like
to
introduce
this
morning.
If
not
I'll
I'll
start
with
my
guest.
We
have
Jamie
Miller
she's,
a
city
manager
from
Paris
Kentucky
and
awfully
glad
to
have
her
in
Paris
and
awfully
happy
to
have
her
visiting
today.
So
thanks
for
coming
up,
welcome
anybody
else,
all
right.
C
Thank
you
Mr
chair
and
committee
House
Bill
287
is
a
bill.
That's
it's
very
simple,
Bill
currently
in
organizations
that
participate
in
charitable
gaming,
no
matter
what
your
daily
take
in
on
the
gaming,
you
have
to
make
a
daily
deposit.
B
We
have
a
motion
on
a
committee
sub.
Is
there
a
second
second?
So
we've
got
a
motion
by
representative
Hebron.
We
got
a
second
by
representative
Smith,
all
those
our
clerk.
Please
call
the
roll
boys
vote.
All
those
in
favor
signify
by
saying
aye,
aye,
all
opposed,
nay
motion
carries
committee.
Sub
is
now
on
the
table.
C
Currently,
no
matter
what
you
make
you
have
to
make
a
daily
deposit
some
some
of
these
operations
bring
in
25.
They
got
to
make
a
bank
deposit
twenty
five
dollars.
What
this
bill
does
is
says
that
deposits
are
only
once
a
week
unless
you
reach
2500,
and
then
you
make
the
deposit
so
it'll
be
a
weekly.
B
D
B
E
That's
the
first
time
I've
seen
it
name
is
Gene
Cole
I'm,
with
the
Kentucky
ethics
League,
Kentucky
league
on
alcohol,
gambling
problems
and
soaps,
and
shoes
disorders
I'm.
The
executive
director
president
of
the
organizations.
E
B
B
E
Okay
and
it
doesn't,
and
it's
not
expanding
the
no
sir
amount
of
payouts
either.
No
sir
okay,
then
I'll
consider
my
time
finished.
F
G
Just
want
to
thank
representative
bratcher
for
bringing
this
bill.
Save
me
some
time.
I
was
going
to
file
the
same
bill.
I
had
some
constituents
talking
about
this
issue,
so
thanks
for
bringing
it
and
I'm
a
definite,
yes.
H
B
B
E
J
Peterson
Kentucky
licensed
APRN
and
CNM
Kaiser.
I
Mr
chairman,
thank
you
for
this
opportunity
to
present
to
the
group
today.
Sorry
I'm
gonna
get
this
water
cups
out
of
my
face,
so
I
could
see
the
front
row,
so
this
bill
has
had
a
long
path
here.
I
think
this
is
the
fourth
third
or
fourth
year
I've
sponsored
it
has
been
sponsored
before
me.
We've
improved
it
each
year,
representative
Moser
has
worked,
helped
push
along
a
lot
of
improvements
and
I.
Think
it's
better
this
year
than
it
than
it
has
been.
I
Do
that
we
are
one
of
only
seven
states
that
don't
have
this
and
ACOG
is
in
support
of
freestanding
birthing
centers
as
well.
So
you
know
these
are.
These
are
safe
and
that's
important
to
me,
and
so
we'll
have
a
quick
presentation
and
take
any
questions.
L
I
think
thank
you,
representative
nemus,
and
thank
you
committee
and
chairman
cook
for
the
opportunity
to
speak
to
you
today,
as
I
said
I'm
with
the
Kentucky
birth
Coalition,
and
we
are
an
organization
of
families
that
support
safe,
expanded,
safe
birth
options
in
Kentucky
freestanding
birth.
Centers
are
not
A,
New
Concept
for
Kentucky.
In
fact,
we
already
have
administrative
regulations
for
the
licensing
of
freestanding
birth
centers,
and
we
already
have
Medicaid
administrative
regulations
for
the
reimbursement
of
freestanding
birth
centers.
L
And
although
we
have
these
things,
we
have
not
had
any
of
these
facilities
open
here
since
the
late
1980s
and
families
in
Kentucky
want
access
to
freestanding
birth
centers,
which
is
why
we
have
been
working
on
this.
We
already
have
some
families
that
are
leaving
Kentucky
going
to
places
such
as
Jeffersonville
Indiana
across
the
river
from
Louisville
to
access
a
freestanding
birth
center.
There.
We
also
have
families
going
down
to
Nashville
for
a
freestanding
birth
center.
L
There
Senate
Bill
67,
would
support
A
Renewed
evolution
of
freestanding
birth
centers
in
Kentucky
by
clarifying
that
the
certificate
of
need
requirement
is
not
does
not
apply
to
birth
centers.
This
bill
does
not
alter
the
certificate
of
need
requirements
in
any
other
way
or
for
any
other
type
of
facility.
It
only
deals
with
just
very
defined
subset
of
freestanding
birth
centers.
L
For
anyone
who
may
not
be
familiar
with
a
certificate
of
need,
it
is
sometimes
called
the
competitor's
veto.
It's
a
process
where
Health
Care
Facilities,
such
as
hospitals,
must
receive
state
approval.
Before
opening
in
this
process,
entities
such
as
hospitals
are
able,
then,
to
raise
objections
to
the
applications
for
other
small
businesses
such
as
freestanding
birth
centers.
Hence
the
moniker
competitors
veto.
L
The
con
is
not
about
evaluating
safety,
but
it's
about
market
share.
The
safety
part
comes
within
the
licensing
of
the
facilities.
The
second
objective
of
Senate
Bill
excuse
me.
I
was
saying
Senate,
Bill
67
that
was
from
yesterday.
This
is
House
Bill
129.
Nobody
corrected
me,
so
you
all
just
looked
at
me
like
I,
knew.
L
One
was
yesterday
now
I'm
on
today,
so
House
Bill
129
is
to
require
the
cabinet
of
Health
and
Family
Services
to
update
and
modernize
the
birth
center
regulations
for
licensing
under
this
list.
This
licensing
of
a
birth
center
would
require
that
the
birth
center
obtain
accreditation
from
the
commission
on
the
accreditation
of
birth,
centers
abbreviated
as
CABC.
This
is
the
accreditation
that's
considered
the
gold
standard
for
freestanding
birth
centers
and
it's
what's
recommended
by
the
American
College
of
Obstetricians
and
gynecologists
or
ACOG.
J
I'm
involved
nationally
with
the
American
Association
of
birth,
centers
and
commission
for
the
accreditation
of
birth,
centers
I
also
chair
the
standards
committee
for
aabc,
which
sets
the
national
standards
for
freestanding
birth,
centers,
so
I'm
just
here
to
talk
a
little
bit
about
what
birth
centers
are
they're
a
home-like
setting
where
families
can
receive
maternity
care
and
there
are
not
hospitals
and
don't
offer
anesthesia
evidence-based
care
is
provided
in
the
Midwifery
model
of
care
in
these
facilities
with
informed
consent
and
share
decision
making
and
a
key
component
of
birth
center
care
is
continuous
risk.
Screening.
J
Not
everybody
is
a
candidate
for
a
birth
center
and
I
think
that
that's
really
important
that
we
want
these
to
be
a
place
that
are
for
low-risk
families
experiencing
a
normal
birth.
Women
are
screened
for
risk
status,
entry
to
care
throughout
pregnancy,
during
labor
and
also
while
giving
birth
to
ensure
that
their
appropriate
it
for
the.
M
K
K
In
my
own
personal
experience,
having
to
witness
a
family
lose
a
baby
during
labor
because
of
the
negligence
of
hospital
staff
and
then
getting
worried
that
the
same
Hospital
staff
tried
to
place.
Blame
on
the
family
makes
the
fight
for
birth
centers
much
more
personal.
To
me
as
a
current
CPM
student,
having
the
opportunity
to
have
a
birth
center
in
the
community
that
I
will
serve
will
be
Monumental,
the
more
and
more
that
black
women
and
women
of
color
learn
about
the
climbing
rate
of
maternal
deaths
that
plague
our
community.
The
more
and
more.
K
We
are
searching
for
alternatives
to
birth,
our
babies.
There
are
so
many
barriers
around
home
birth
for
women
who
look
just
like
me.
Having
a
birth
center
right
across
the
bridge
in
Indiana
isn't
obtainable
for
most
because
they
do
not
accept
Kentucky
Medicaid
birthing.
In
their
own,
homes
may
not
be
ideal
because
their
home
setting
isn't
one
that
will
Foster
A
fitting
setting
for
birth
to
bring
forth
New
Life.
K
Choosing
where
you
give
birth
should
be
a
right
that
every
birthing
person
should
have
the
opportunity
to
exercise
whether
that
choice
be
a
birthing
center
at
home
or
in
a
hospital.
The
maternity,
maternal
mortality
rate
in
the
state
of
Kentucky
is
alarmingly
high.
I
have
personally
feel
as
though
it
is
indicative
that
a
change
needs
to
be
made
to
incorporate
different
models
of
care
surrounding
how
and
where
births
should
take
place.
Thank
you.
B
F
Did
you
have
a
question,
sir
I
do
Mr
chairman?
It's
got
a
two-part
question,
please
this
question
I
guess
would
be
for
not
for
representative
nemus,
although
he'd
be
welcome
to
answer
this,
but
for
one
of
the
other
presenters
you
know
a
lot
can
go.
A
lot
can
happen
in
the
birthing
process.
Your
child
can
be
malpositioned
or
maybe
the
shoulders
get
stuck
or
something
like
that.
If
there's
some
sort
of
complication
the
way
I
read
the
bill,
there's
a
I
guess
some
sort
of
transfer
plan
and
policy
to
a
hospital.
F
J
Great
question:
thank
you
so,
essentially
allowing
for
choice
for
families
who
already
may
be
choosing
to
birth
outside
the
hospital.
This
can
allow
them
a
facility
that
has
standards
for
when
transfer
would
become
necessary
and
guidelines.
For
when
it's
time
for
a
safe
transfer,
we
don't
need
to
wait
until
it's
an
emergency
to
decide
to
do
those
transfers,
and
so,
when
you
look
at
the
national
birth
center
study
too,
that
looked
at
over
15
000
births,
only
one
percent
of
the
transfers
were
emergency
transfers.
J
Most
transfers
were
non-emergent
transfers
that
occurred
during
a
time
when
things
were
not
emergent
yet,
but
there
was
concerns,
and
so
a
transfer
to
the
hospital
is
not
a
fail
when
it
comes
to
going
from
out
of
the
hospital
to
in
the
hospital.
There
are
times
when
people
need
those
interventions,
but
they
may
not
want
to
start
in
the
hospital
and
have
those
interventions
when
they
don't
need
them,
because
there's
also
risk
in
here
parents
than
that
as
well.
F
I
can
follow
up
Mr
chairman,
so
let's
say
there
is
a
situation
that
would
require
I,
guess
what
you
would
call
some
sort
of
surgical
intervention
such
as
cesarean
section
or
something
like
that
are:
are
these
birthing
centers
able
to
do
those?
Should
an
emergency
arise
that
would
make
it
so
urgent
that
it
would
need
to
performed
forth
with.
B
N
Thank
you,
Mr
chair,
and
thank
you
for
being
here
today.
I
appreciate
the
work
that
you've
done
on
this
over
the
years.
I
know
that
this
bill
is
stronger
than
it
has
been
in
the
past
and
so
I
appreciate
that
I
appreciate
the
the
work
of
Representative
numis
on
this
it
looks
like
you
said
that
it
doesn't
move.
N
It
doesn't
change
con,
but
in
section
one
subsection,
3,
a
certificate
of
need
shall
not
be
required
to
establish
so
we're
moving.
This
out
of
the
non-sub
review
is
that
what
I'm
hearing.
I
L
N
Oh
I
see:
okay,
if
I
may
have
a
couple
more
questions.
You
know.
I
too
am.
As
you
know,
we've
had
many
meetings
about
this
I'm
concerned
about
safety
I'm,
a
former
neonatal
intensive
care
nurse.
So
that
is
my
bias.
I
I
was
a
transporting
our
site
when
picked
up
sick
babies
and
so
I
attended
high-risk
deliveries
and
I.
So
I
only
saw
the
worse
I
got
that
but
I
am
concerned
about
transfer
agreements.
Is
there
a
and
I
apologize?
If
it's
in
here
and
I
haven't
seen
that
seen
it?
N
But
is
there
a
requirement
for
a
geographic
proximity
to
hospitals
and,
and
is
there
a
partnership
requirement
with
hospitals.
J
There
is
a
requirement
to
have
a
agreement
with
your
transfer
hospital
that
is
part
of
the
CABC
accrediting
guidelines
on
what
your
plan
for
transport
is,
and
so
that
includes
things
like
what
the
actual
transfer
service
is
so
EMS.
In
addition
to
your
agreement
with
the
hospital
that
you're
transferring
to
you
also
need
to
take
into
consideration
things
like
having
those
agreements
with
obstetrical
and
pediatric
care
providers,
because
it's
not
just
about
the
mom
yep.
N
Okay,
but
it
doesn't,
it
doesn't
specifically
say
it
has
to
be
within
a
certain
distance,
no
okay,
all
right
and
then
last
question.
If
I
may,
yes,.
B
N
Where's
the
OB
GYN
in
all
of
this
is
there
a
partnership
is,
is
an
OB
GYN
on
staff,
part
of
the
board,
where
where's
the
guidance
in
oversight.
J
So
the
OB
gyns
can
be
part
of
that
consulting
or
transfer
relationship.
That
is
in
a
variety
of
different
ways.
If
you
look
at
Birth
centers
Across,
the
Nation,
not
all
of
them
have
a
ob
gyn
in-house
during
deliveries,
and
so
that
may
be
someone
who
you
have
your
relationship
with
at
the
local
hospital
if
they
have
a
laborest
group
that
covers,
or
maybe
with
a
specific
group
depending
on
the
birth
center,
and
so
that
would
be
covered
in
the
in
the
transfer
agreement
plan.
Okay,.
K
If
I
could
just
add
to
that,
so
when
we
talk
about
birth
centers-
and
we
talk
about
collaborations
with
hospitals,
OB
gyns
for
me
being
a
CPM,
the
only
thing
that's
going
to
change
is
is
that
I
have
a
specific
location
where
my
clients
are
coming
to
give
births.
Otherwise,
I'm
traveling
to
their
homes
and
everything
that
is
being
brought
up
can
happen
in
a
home.
We
might
need
to
transfer
from
a
home.
We
might
need
a
transfer
from
a
home
to
a
hospital.
K
I
Established
brick
and
mortar
that
has
to
meet
pretty
stringent
licensing
requirements
and
I
want
to
just
highlight
three
things.
There
has
to
be
three
things
present
right:
a
facility
that
has
met
very
strict
licensing
requirements.
Okay,
it
has
to
have
a
and-
and
they
have
it
has
to
have
a
woman
who
wants
to
choose
that?
Okay,
so
the
woman
has
to
make
that
choice,
and
then
it
has
to
have
a
woman
that
that
facility
has
chosen
because
they're
also
doing
constant,
continuous
care
evaluations.
So
those
three
things
have
to
be
present
and
I.
N
I
appreciate
all
of
those
answers
and
it
makes
me
feel
a
little
bit
better.
I,
don't
anticipate
a
proliferation
of
these,
because
the
onus
of
building
and
maintaining
this
business
is
on.
Whoever
builds
it
right.
I
mean
and
I
mean
if
I
were
going
to
do
this
I
would
partner
with
the
hospital,
so
they
would
subsidize
it,
but
you
know
you
all
can
do
whatever
you
want
and
I
and
I
like
that.
N
The
liability
is
outlined
here
because
that's
important,
you
know
if
somebody
makes
a
decision
to
have
a
baby
in
their
home
and
something
goes
wrong
or
in
a
freestanding
birthing
center
and
something
goes
wrong.
The
liability
is
there
not
elsewhere
right,
so
so
I
think
that's
a
really
important
part
of
this
yeah
I
mean
I.
Think
it's
better.
H
Thank
you,
Mr
chairman,
in
speaking
with
the
representative
namus,
of
course,
safety
of
the
mom
and
the
baby
is
always
my
number
one
concern.
H
I
had
a
friend
in
Bowling
Green
last
year
he
owns
the
I
think
the
best
restaurant
in
Bowling
Green
his
27
year
old
daughter,
was
having
a
home
birth
and
she
passed
away.
So
it
does
happen
in
the
hospital,
but
it
does
happen
at
home
also,
unfortunately,
so
with
that
said,
you
know
safety.
What
about
the
financial
is
Insurance
acceptable
to
this,
and
what
would
the
average
price
of
one
of
these
bursts
be.
J
So
Insurance
can
reimburse
for
maternity
care
and
birth
centers
there's
two
types
of
reimbursement:
there's
reimbursement
for
the
provider
and
there's
reimbursement
for
the
facility,
similar
to
how
there
would
be
reimbursement
for
the
OB
and
the
hospital.
If
someone
was
planning
a
hospital
birth
on
average,
the
reimbursement
for
a
birth
center
facility
is
much
lower
than
a
hospital
because
of
the
types
of
services
that
are
rendered.
J
But
it's
still
found
to
be
a
cost
saving
for
the
state,
for
example,
with
Medicaid
reimbursement,
because,
in
addition
to
the
lower
facility
fees,
there
are
also
in
Midwifery
care,
lower
rates
of
C-sections
among
the
populations
who
are
low
risk
when
compared
to
those
same
low
risk.
People
giving
birth
in
another
facility.
I
L
Just
wanted
to
add
on
I
know
that
we
spoke
privately
about
the
situation
that
you
mentioned
and
as
I
shared
with
you
that
unfortunate
incident
occurred
once
the
person
was
no
longer
in
the
home
birth
setting.
So.
P
Thank
you
chairman.
You
know,
I
had
a
wonderful
meeting
with
the
Kentucky
birth
Coalition
a
couple
weeks
ago,
so
I
really
want
to
commend
them
for
spending
some
time
with
me.
I
do
have
a
few
questions.
Do
are
midwives
required
to
have
malpractice
insurance.
P
You
know
so
I
I
come
from
it
I'm
from
Northern
Kentucky
and
it's
densely
populated
with
hospitals.
You
know
in
Cincinnati
and
then
we
have
plenty
of
services
in
Northern
Kentucky.
How
does
this
impact
positively
or
negatively,
or
both
rural
hospitals.
J
In
the
birth
center
study
that
I
have
previously
mentioned,
what
it
was
found
was
that
hospitals
that
partner
with
birth
centers
were
known
to
experience,
benefits
of
increased
income
and
also
improved
public
relations
partially,
because
this
is
something
that
consumers
are
demanding,
not
just
midwives
and
so
having
this
in
the
community
improved
access
to
services
for
those
around
that
community
and
then
also
again,
when
transfers
occurred.
Those
are
the
procedures
that
hospitals
benefit
financially
the
most
from.
L
And
I
will
add
to
that
that
birth
centers
are
a
small
business
and
so
folks
are
going
to
open
them
where
they
feel
that
their
business
model
is
sustainable
and
that
might
be
a
rural
area.
It
might
be
an
urban
area
it
might
be
somewhere
in
between,
but
if,
for
example,
there's
a
small
hospital,
that's
doing
a
very
low
volume
averse
in
that
Community
to
begin
with,
there's
only
a
very
small
percentage
of
those
people
giving
birth
in
that
community
that
are
going
to
choose
and
be
eligible
to
go
to
the
birth
center.
L
P
Yes,
do
last
question:
do
hospitals
hire
midwives.
J
M
Okay,
thank
you
all
for
working
so
diligently
to
care
for
for
moms,
so
we
can
bring
some
beautiful
babies
into
the
world
and
love
on
them
and
that's
my
statement.
My
question
was
in
the
financial
regard,
so
it's
been,
it's
been
addressed,
so
thank
you
all
for
your
time
today
can.
J
I
just
comment
on
that:
the
overall
cost
Savings
in
birth
center
study
two
was
30
million
on
the
15
000
women
who
chose
to
give
birth
in
the
hospital
in
the
birth
center
setting
and
in
a
strong
start
study,
which
was
by
the
center
for
Medicaid
and
Medicare.
That
one
showed
that
Medicaid
saved
19
million
per
10
000
bursts
just
in
facility
payments
and
C-sections
that
were
prevented
for
that
model
of
care.
Q
Thank
you,
chairman
and
I,
basically
just
a
statement
and
to
speak
on
behalf
of
this
bill.
If
we,
if
we
look
at
the
world
that
the
data
behind
maternal
mortality,
one
of
the
data
points
that
sticks
out
is
how
low
the
United
States
is
on
that
list,
I
mean
we're
the
greatest
country
in
the
world.
Q
Other
countries
send
their
students
to
become
doctors
here,
to
go
to
return
back
home
and
that
Health
outcome
is
not
equating
there
now
I'm
in
a
district
where
we
have
world-class
hospitals,
I
mean
we
have
world-class
hospitals.
In
my
district,
however,
birthing
centers
statistically
have
shown
to
improve
maternal
mortality
rates
in
women
and
specifically
in
minorities,
in
the
marginalized
Community,
as
chairman
of
the
race
to
access
opportunity.
B
Yeah
Mary,
we
we
met
a
couple
weeks
ago
at
the
there
you
are,
we
came
to
the
Paris
there
we
met
at
the
library
for
45
minutes
or
an
hour.
I
actually
came
into
that
meeting,
slanted
heavily
against
the
bill
and
the
reason
for
that.
It's
a
little
personal
and
I
think
I
told
you,
my
son,
my
son
had
high
drops
and
we
discovered
this
in
ultrasounds,
and
so
because
of
that
we're
born
at
the
hospital.
You
know
NICU
and
now
he's
bouncing
around
and
seven-year-old
Maniac.
B
And
so
I
was
very
the
reason
I
was
against
this
because
I
was
so
concerned.
You
know
about
that
being
discovered
and
we
had
a
big
discussion
on
ultrasounds,
which
has
nothing
to
do
with
this,
because
we
right
now
we
don't
you
know
a
woman
does
not
can
choose
not
to
have
an
ultrasound
along
the
way
and
we
had
a
midwife
there.
I
can't
remember
her
name,
but
I
think
she's
delivered
900
babies
I
think
she
told
me
that
morning
and
we
had
the
greatest
discussion
on
how
you
all
encourage.
B
I
want
the
baby
to
be
healthy.
If
this
is
not
a
good
option,
you
know
we're
not
going
to
let
them
have
that
baby
there,
and
so
we
just
had
a
really
good
conversation
about
that.
I
don't
want
to
let
you
know
that
that
really
made
a
difference
for
me
and
it's
legal
and
you
can
have
a
baby
right
now.
You
can
have
a
baby
in
your
house.
B
This
is
just
let's
have
it
here
and
we
can
have
all
the
like
representative
Nema
said:
we've
got
all
the
requirements
that
we
can
add
to
it
and
they've
improved
each
year
as
the
spills
come
along.
So
you
swiped
me
so
well
well
done
and
we
have
a
motion.
We
have
a
second
on
the
floor
and
there's
no
further
questions.
Madam
clerk,
please
call
the
roll.
C
P
F
F
I
appreciate
all
the
hard
work
that's
went
into
this,
but
I'm
still
having
a
kind
of
a
difficulty
accepting
voting
for
something
and
feeling
like
I'd,
be
you
know
somewhat
responsible,
for
you
know,
situations
that
put
a
child
and
mother
at
risk
when,
when
there's
so
many
complications,
that
can
happen
happen
in
the
birthing
process.
Thank
you.
H
I
explain
my
vote.
Please.
Yes,
sir,
like
representative
Flannery
I
have
all
of
those
same
concerns
kudos
to
everybody
at
the
table
there
for
doing
a
wonderful
job,
explaining
the
situation
and
I
will
vote
Yes
but
again,
I
have
concerns.
Please
take
care
of
our
moms
and
babies
out
there
across
the
state.
Thank
you.
N
My
vote
Yes
ma'am
I'm,
going
to
be
a
past
today,
I
just
I
I,
would
like
a
little
more
time
to
to
kind
of
process.
All
this
and
I
I
would
like
to
just
address
a
couple
of
comments
that
were
made:
the
home
birth
death
that
was
discussed
earlier,
I
I,
just
you
know.
Yes,
the
mother
may
have
died
at
the
hospital,
but
the
problems
didn't
originate
there.
So
you
know
I
would
just
caution.
N
All
of
us
to
you
know
when
we're
talking
about
this
to
to
you
know,
understand
that
there
are
risks
and,
and
they
they
aren't,
you
know
always
always
happening
at
the
hospital.
Also,
the
you
know
I'm
not
sure
how
this
solves
the
issue
of
Hospital
neglect
that
came
up
earlier.
So
again,
you
know,
let's,
let's
just
talk
about
the
the
situation
that
you
know
you're
you're,
trying
to
solve
here
so
anyway,
I
I'll
think
about
this
reserve.
My
my
yes
vote
for
the
floor.
Thank
you.
B
B
B
R
You
chairman,
thank
you,
members
of
the
committee
house
concurrent
resolution.
50
in
essence,
would
establish
a
task
force
to
study
how
we
can
get
historically
untapped
Workforce
populations
back
to
work
in
our
Commonwealth,
and
so
I
will
read
essentially
the
first
line.
The
task
force
would
complete
a
study
of
current
education
and
Workforce
Development
programs
and
provide
recommendations
on
how
to
provide
effective,
Workforce,
Development
programs
to
facilitate
the
training
and
employment
of
historically
untapped
Workforce
populations
in
Kentucky.
R
What
that
means
is
it
would
look
at
comprehensively
what
has
been
attempted
in
our
Commonwealth
what
has
been
accomplished
and
what
gaps
still
remain.
The
concurrent
resolution
essentially
identifies
certain
Target
populations
that
we
would
like
to
make
sure
get
the
support
and
the
training
and
any
other
help
that
they
need
to
get
to
work
in
their
chosen
career
field.
B
S
Thank
you
chairman.
The
chamber
is
very
much
supportive
of
this
legislation
and
we
appreciate
the
work
that
you
continue
to
do
on
tackling
our
Workforce
shortages
in
Kentucky.
We
have
much
work
ahead
of
us
and
we
are
happy
to
participate
in
this
task
force
and
engage
in
any
way
we
can
to
support
this
effort.
So
thank
you
for
allowing
us
to
be
here
in
support
of
this
bill.
All.
G
Good
morning,
representative
call
Carney
and
good
morning
Kate
thanks
for
being
here
and
thanks
for
bringing
this
bill.
Everybody
here
knows
how
important
this
issue
is
for
state
of
Kentucky
across
many
many
specters
of
employment,
I
just
and
I
know
this
is
written
in
Broad,
contexts
and
I
know.
You
mentioned
people
with
kentuckians
with
disabilities
and
I
can't
plead
beg,
ask
more
and
and
Kate.
Hopefully,
the
chamber
will
will
get
behind
this
as
well.
G
Please
please
look
at
the
programs
for
people
with
disabilities
and
not
only
intellectual
and
developmental
disabilities,
because
that's
what
we
all
seem
to
think
about
all
the
time,
but
the
numbers
of
people
out
there,
workers
that
are
permanently
partially
disabled
in
many
cases,
aren't
even
counted
because
they're
not
on
any
kind
of
government
assistance
programs
like
myself,
but
our
numbers
are
fairly
low
in
that
area
and
there's
a
lot
of
reasons
for
that,
and
these
are
things
that
we
can
address.
G
These
are
generally
individuals
that
become
or
acquire
disability
sometime
in
life
they're
not
born
that
way
through
illness
accident.
What
have
you
in
many
cases,
these
types
of
people,
the
big-
and
this
would
include
me
from
a
personal
experience.
My
biggest
challenge
was
not
the
fact
that
I
had
one
arm.
G
My
biggest
challenge
was
mental
and
a
lot
of
people
that
are
stricken
with
these.
These
physical
disabilities
go
through
this
things
like
self-confidence,
self-esteem,
you
know
you
wake
up
in
mid
life
and
your
life
has
totally
changed,
and
you
say,
okay,
what
the
hell
am
I
going
to
do
now.
G
You
know
these
are
these
are
real
feelings
and
real
thoughts
and,
and
the
fact
of
the
matter
is
your
life's-
not
over
your
new
life
has
begun
and
there's
all
kinds
of
things
you
can
do
to
be
productive
and
I
and
I
see
this
all
the
time.
I've
worked
with
a
lot
of
people
with
disabilities
outside
of
the
legislature,
happens
to
be
in
sports,
which
is
a
life-saving
opportunity.
G
That
is
what
builds
you
know.
We
can
give
checks
to
people,
but
a
lot
of
times
that
doesn't
solve
the
problem.
What
you
give
them
is
a
goal,
an
aspiration,
an
inspiration,
a
reason
to
get
up
in
the
morning
a
reason
to
get
off
the
couch,
because
that's
what
changes
lives
and
if
we
can
do
that
in
a
Workforce
environment,
we've
got
to
do
that
and
any
way
I
can
help
with
that.
Please
use
me,
but
please
don't
move
forward
with
this
task
force
and
again
set
us
off
onto
the
side.
G
I
know
that
that
has
happened
so
often
and
I
know
it's
not
intentional,
and
it's
usually
because
somebody
like
me
is
not
up
saying.
We
need
to
do
this
so
sorry
for
the
time
for
that
Soliloquy
there,
but
just
just
thought
it
needed
to
be
said
in
any
anything.
G
You
guys
could
do
to
help
make
sure
that
that
we
look
at
that
look
at
the
siled
situations
we
have
in
in
the
in
the
world
with
are
in
the
state
with
disabilities,
because
there
are
a
lot
of
good
programs
out
there,
but
we've
got
to
figure
out
a
way
to
bring
them
all
together
and
and
have
some
sort
of
structure
there
too.
So
thank
you.
Mr
chairman.
B
S
And
it
I've
had
conversations
with
members
of
my
board
about
that,
specifically
specifically
individuals
with
disabilities
and
when
I
looked
at
this
resolution,
I
thought
about
those
conversations
that
we're
having
and
they're
asking
for
us
to
be
engaged
on
this
issue.
So
we
are
absolutely
happy
to
be
be
a
part
of
it.
I
appreciate
your
comments
on
that.
S
Certainly,
we
are
looking
at
needing
to
add
about
130
000
people
to
our
Workforce
by
2027
and
we've
testified
to
this,
and
that
will
be
in
part
by
attracting
more
people
to
Kentucky,
but
it
will
also
be
about
making
sure
we're
enabling
and
preparing
the
people
we
have
here
now
and
that
we
aren't
leaving
people
on
the
sidelines
and
that
we
are
tapping
those
individuals
as
well.
So
you
have
our
commitment
that
we
will
be
engaged
on
this
and
it's
certainly
coming
from
our
membership.
Thank.
R
But
I
want
to
make
sure
that
all
of
our
businesses
in
Kentucky
are
connected
with
all
of
the
populations
in
our
Commonwealth
that
want
to
work
and
the
the
purpose
and
the
dignity
that
you
mentioned.
I
think
is
imperative
for
each
of
the
targeted
populations
that
we've
identified.
So
thank
you
for
your
comment
and
thank.
C
D
S
B
O
Yes,
first
I
want
to
thank
you
all
for
bringing
this
important
piece
of
legislation.
O
O
As
you
said,
the
numbers
we
need
a
hundred
and
thirty
thousand
folks
I'm
in
the
next
four
years,
as
we
look
at
the
issues
that
our
play
again,
our
youth
who
are
Justice
involved,
I,
asked
folks
on
this
committee
and
also
you
at
the
chamber
to
how
can
we
make
sure
that
we're
creating
that
Pipeline
with
our
youth
who
are
facing
issues
and
troubles
and
as
we're
thinking
about
all
of
these
things?
How
can
we
match
those
two
topics
together?
Thank
you.
D
B
Hcr
50
passes
with
favorable
expression.
Congratulations.
That
being
said,
I
look
for
a
motion
to
adjourn
chairman.