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A
A
Number
two,
if
you
are
a
member
appearing
remotely
today,
make
sure
one
that
you
indicate
that
on
the
roll
call
and
number
two
during
the
meeting,
if
you
seek
recognition,
please
indicate,
through
the
chat
part
of
the
zoom,
we'll
monitor
that
try
to
recognize
you
as
fast
as
we
can
or
put
you
in
queue.
Does
any
member
have
any
a
special
guest
that
they
want
to
recognize.
A
C
B
C
A
All
right
and
then
we're
going
to
go
out
of
order
a
little
bit
we're
going
to
take
up
first
house
bill,
687,
sponsored
by
representative
bobby
mccool,
an
act
relating
to
a
very
long
description,
otherwise
referred
to
as
the
claims
bill.
If
each
of
the
two
of
you
will
introduce
yourselves
for
the
record,
make
sure
that
you
have
the
microphone
sufficiently
close
to
you
and
that
your
green
lights
are
on
when
you're
attempting
to
speak.
Thank
you.
A
C
A
C
H
C
C
D
Representative
tipton,
thank
you,
mr
chair.
Thank
you
for
bringing
this.
It
seems
like
this
is
a
little
longer
than
usual.
My
question
is
on
page
three
section:
two,
this
section
is
is
basically
referring
to
specific
dates,
looks
like
check,
numbers
and
and
dates
in
the
past
are
are
the
are
they
have
these
checks
been
submitted,
and
could
you
explain
a
little
bit
the
difference
in
section
two
and
the
claims
they're
listed
in
section
one.
C
J
C
K
C
C
L
C
C
C
D
A
A
L
Mr
chairman,
I
like
to
do
as
well
president
and.
A
M
C
A
J
Ken
fleming
from
house
district
48
in
jefferson,
county.
A
I
I
As
you
can
see,
I
have
representative
fleming
and
representative
wilner
with
me.
They
were
on
the
severe
task
task
force
for
severe
mental
illness
together
with
me
and
were
great
contributors
to
that
task
force.
One
of
the
things
that
came
out
of
the
task
force
was
in
kentucky.
We
do
not
have
enough
providers
for
mental
health.
I
I
just
talked
to
a
man
a
minute
ago
in
my
office
and
he
had
spent
all
his
fortune
just
trying
to
find
care
for
his
wife
and-
and
he
was
telling
me
he
makes
a
really
good
income,
so
the
stigmatism
of
severe
mental
health
we're
trying
to
go
forward.
So
one
of
the
things
we
realized
was
that
in
rural
kentucky
there
is
not
enough
providers.
I
So
we
made
a
recommendation
for
mobile
mental
health
labs
and
you
know
there's
so
many
there's
the
community
mental
health
centers
could
take
one
of
those
and
and
reach
a
lot
of
people.
Let
me
give
you
an
example
pathways
in
ashland
they
200
individuals
have
been
hepatitis
c
hiv
tested
since
they
started
using
theirs,
so
they
use
them
for
testing.
I
I
I
H
I'll
I'll
just
add
one
thing
to
this:
well,
actually
I'll
add
two
things
since
I've
been
invited
to
the
table,
and
one
is
that
the
issue
of
integrated
care
that
physical
health
and
mental
health
are
interrelated,
and
so
I
think
this
this
bill
and
this
initiative
that
dr
bentley
has
proposed
really
brings
together
that
physical
health
behavioral
health
are
interconnected,
that
you
could
go
to
one
mobile
unit
and
and
have
both
sets
of
needs
addressed.
So
I
think
that's
so
important
and
I
think
it's
really
quite
revolutionary.
H
The
other
thing
I'll
say
is
while
we're
starting
with
rural,
mental
health
and
behavior.
Excuse
me
in
physical
health,
in
dr
bentley's
area
in
eastern
kentucky,
which
is
so
important
that
there
are
underserved
areas
all
over
the
state
in
rural
areas
and
in
urban
areas
as
well.
So
I
hope
that
this
could
be
a
fantastic
pilot
project
that
could
expand
to
other
areas
across
the
state.
J
Yes,
so,
mr
chairman,
the
only
thing
I
want
to
add
is
that
I
think
dr
bensley
is
looking
at
a
holistic
approach.
Some
of
y'all
know
around
the
mental
health
center
and
we
take
a
very
holistic
approach
to
bring
in
the
fiscal
and
the
mil,
as
well
as
the
mental,
including
the
family,
in
order
to
address
any
situations
that
could
do
come
up.
There
is
a
there
is
a
vacuum
without
without
a
doubt,
in
the
real
part,
and
we
and
through
pandemic
at
least
maya's
agency.
J
We
had
to
pivot
pretty
quickly
in
terms
of
providing
mental
health
services
very
very
quickly
within
two
weeks,
from
equipment
to
training
to
software.
You
name
it
and
part
of
that.
I
think,
will
help
help
expand
to
get
into
those
areas
that
have
a
hard
time.
Those
individuals
have
a
hard
time
getting
to
an
area,
but
this
mobile
utility
provides
that
that
that
that
access,
but
also
tell
health,
can
help
complement
that.
So
it's
a
win-win.
J
I
think
situation
I'll
compliment
dr
bentley
and
or
representative
bentley,
and
I
just
want
to
say
one
thing
on
a
side
note,
mr
chairman,
the
representative
was
the
the
co-chair
of
severe
mental
health
and
we
had
like
about
nine
or
ten
recommendations.
I
think
we've
already
got
but
went
through
about
six
of
them
already
to
through
this
body
and
to
the
to
the
to
the
to
the
senate.
So
with
through
his
leadership.
I
think
we're
making
a
really
significant
progress
in
terms
of
moving
the
needle
when
it
comes
to
mental
health.
K
Thank
you,
mr
chair,
thank
you,
representative,
bentley
and
representative
wilner
and
representative
fleming.
I
And
section
two
here
you
see,
the
fund
is
hereby
established
within
the
cabinet
to
provide
loans
to
all
the
cmhcs
all
14.,
and
we
didn't
mention
they
take
these
to
the
homeless.
Shelters
too.
So,
instead
of
trying
to
get
them
out,
you
can
go
and
take
care
of
them
and
reduce
some
of
that
stigmatism
and
mental
illness,
and
we
really
need
that
across
the
whole
state.
Yeah.
K
One
quick
follow-up,
mr
chair,
so
so
the
intent
then
is
to
have
these
units
and-
and
I
guess
you'd
answered
that-
but
to
have
units
all
across
kentucky
that
could
go
into
the
primarily
the
rural
areas.
Am
I
correct
on
this.
I
C
Thank
you,
mr
chairman,
the
money
that
is
in
the
bill.
How
many
of
these
do
you
anticipate
mobile,
centers,
it'll
it'll?
Suffice.
I
Well,
normally,
a
type
a
rv
cost
around
125
000
time
the
equipment,
maybe
under
200
000.
So
if
you
know,
if
you
had
a
million
dollars,
it'd
be
five
of
them,
and
so
you
know
there's
14
regions.
So
a
lot
of
reasons
I've
already
talked
to,
they
don't
want
them
or
they
already
have
their
own.
So
it's
going
to
work
out
pretty
good
and
I
think
it's
going
to
be
one
of
the
best
bangs
for
our
buck
in
the
state
of
kentucky
we've
ever
seen.
I
C
I
C
J
C
C
K
C
C
D
A
A
A
A
M
House
bill
274
is
last
year
I
introduced
this
same
bill
just
for
conversation,
I'm
gonna
bring
about
how
I
came
about
this
bill
as
I
developed
the
highway
plan
for
the
last
several
years.
A
lot
of
members
come
up
and
say:
well
we
need
this.
We
need
that
we
would
like
to
have
another
road.
This
is
just
another
tool
in
the
toolbox.
That's
all
this.
Is
it's
not
a
a
mandate?
This
is
another
way
that
we
can
possibly
have
more
infrastructure
in
our
communities.
I'm
going
to.
N
N
N
Just
recently,
a
couple
fiscal
court
meetings
ago
we
had
a
zone
change
and
we
convinced
the
developer
to
set
aside
part
of
their
new
subdivision
to
900
homes,
mixed
use,
that
type
of
a
community
and
they're
going
to
set
it
aside
for
five
years,
but
they
only
did
that
because
they
understand
our
challenges.
N
I
can
accomplish
the
same
thing
through
this
new
corridor
with
four
property
owners
rather
than
57
property
owners.
If
I
have
the
funds,
so
the
tid
transportation
improvement
district
would
be
a
great
tool
where
we
can
blend
private
developer
funds,
local
local
landowners,
county
funds,
state
funds
and
eventually
federal
funds.
In
some
cases,
it's
a
way
to
preserve
corridors
in
this
particular
case.
Give
you
another
example.
N
Just
yesterday
I
heard
from
the
ceo
of
cincinnati
international
airport,
we
may
have
the
opportunity
to
partner
on
an
economic
development
project
where
we
would
redevelop
some
areas
of
cvg
and
we
would
be
able
to
blend,
in
this
case
land
from
the
airport,
federal
funds,
state
funds
and
county
funds.
Another
place
where
a
tool
like
this
might
be
important.
N
Those
are
just
a
couple
of
examples.
I
think
it's
very
insightful
by
chairman
santoro
to
consider
this
by
the
way
we
didn't
invent
this.
Just
out
of
our
our
own
genius,
this
is
an
idea,
we're
stealing
from
ohio.
In
this
case,
it's
not
exactly
like
the
ohio
tid,
but
it
has
a
lot
of
the
same
components.
M
I
just
want
to
mention
two
things:
this
is
not
a
mandate.
There
is
not
not
a
mandate
at
all
and
there
this
does
not
have
the
power
of
eminent
domain.
That
will
only
happen
through
the
normal
system.
Other
than
that
I'll
be
quiet,
representative,
wilner,.
H
Thank
you,
mr
chairman,
and
thank
you
for
this
proposal.
I
think
it's
very
interesting
and
I
have
to
say,
representative
santora.
When
you
approached
me
yesterday,
I
had
never
heard
of
a
transportation
improvement
district.
I
thought
we
were
talking
about
tiffs,
so
I
did
some
studying
last
night
or
tried
to,
and
I
I
reached
out
to
some
folks
who
know
a
lot
more
about
economic
policy
than
I
do
and
the
response
I
got
was
well.
This
is
enormously
and
we
don't
know
much
about
it
either.
H
So
then
I
was
just
trying
to
you
know:
google
search
it,
and
so
a
couple
of
questions
came
out
of
my
google
search
and
so
the
first
question
I
came
across
and
I
think
actually
it
was
in
ohio
that
there
were
a
group
of
developers
suing
the
transportation
improvement
district
for
for
assessments,
and
so
I
I
guess
I
guess
I'm
just
asking
you.
You
know
what
would
be
the
downside
who
would
be
objecting
to
this
and
what
are
potential
for
you
know,
risks
and
that
that's
my
first
question.
N
What
I
would
say
in
in
our
particular
case
is
the
public
hearing
process.
The
process
that
would
go
into
this
would
be
an
advance
of
all
of
that
and
if
there
are
concerns
about
an
assessment
or
additional
charges
by
the
landowner
or
the
developer,
that
would
be
sorted
through
at
the
time.
The
project
would
be
developed
again,
I'm
assuming
which
can
be
dangerous.
N
The
I
don't
know
chairman
santoro.
Do
you
I'm.
M
Not
familiar
with
it
at
all,
what
happened
in
ohio?
There
are
other
states,
colorado,
delaware,
virginia,
there's
several
states
that
already
have
this
tid,
it's
just
another
process
if
they
want
to
use
it.
If
your
city
wants
to,
I
don't
know,
if
you've
read
through,
we
can
combine
three
counties,
two
counties,
there's
it's
just
many
opportunities
I
would
like
for
members
coming
into
my
office
and
they
would
now
have
the
opportunity
to
say
hey.
M
A
H
Thank
you.
That's
that's
helpful.
The
other
question
I
have.
I.
I
think
that
the
transportation
improvement
districts
have
a
board,
and
so
you
know
whenever
there's
development,
there's
always
potential
for
lots
of
money
to
be
made,
and
so
would
there
be
any
kind
of
ethical
requirements
or
ethical
stipulations
for
people
serving
on
the
board.
Who
may
have
a
financial
interest
and
a
particular
initiative
going
forward?
Is
there
any
way
to
kind
of
keep
that
in
check.
N
Yeah,
the
procurement
of
land
would
follow
the
same
procurement
that
we
as
governments
are
under
today.
Appraised
value
and
you
would,
you
would
be
required
to
pay-
only
only
be
able
to
pay
what
the
appraised
value
of
the
property
is
not
overpay.
So
it's
under
the
same
procurement
as
the
current
kentucky
transportation
cabinet
cities
counties
follow,
so
those
rules
are
in
place
with
this
bill.
M
They
are
in
transportation,
they
are
in
favor
of
this
bill.
I
did
secretary
gray,
he
said
it's
another,
just
great
tool
for
us.
C
A
C
I
C
C
M
C
D
C
A
M
A
G
G
A
A
Section
1
will
remove
the
requirement
that
the
branch
budget,
when
approved
to
be
certified
that
the
budget
statement
is
provided
in
accordance
with
krs-48110
section
2
changes
the
date
for
state
retirement
systems
to
submit
a
budget
requirements
from
november
the
15th
to
october
the
15th
section
3
changes
the
date
for
the
agency
requests
to
be
submitted
by
october,
the
15th
rather
than
november,
the
15th
section
4
quantifies
budget
submission
format
will
be
developed
cooperatively
between
the
budgets
between
the
branches.
So
we
can
all
understand
the
data
in
a
usable
format.
A
Section
5
requires
osbd
to
certify
the
official
revenue
estimates
by
december,
the
20th
of
each
odd
numbered
year,
rather
than
by
the
10th
legislative
date
of
that
same
odd
numbered
year,
section
6,
that's
deadlines
for
provision
of
additional
information
requested
by
standing
committees,
section
7,
clarifies
financial
plan
should
be
adopted
with
modifications
made
by
the
general
assembly.
Eight
requires
each
cabinet
submit
information
by
program
rather
than
budget
unit.
A
Only
this
is
program
to
program
within
the
budget
units
and
section
nine
grants,
lrc
staff
access
to
electronic
accounting
and
budgeting
systems
with
all
branches
of
government,
which
is
supposed
to
be
in
effect
already,
but
doesn't
work
exactly
the
way
it
needs
to
and
functions
properly.
At
that
point
there
is
no
committee
sub,
and
that
is
the
graviment
of
the
bill.
Mr
chairman,.
C
A
I've
heard
nothing
from
stakeholders
regarding
movement
of
the
dates
most
of
the
dates
and
I'm
trying
to
think
if
there's
an
exception
of
this
statement
are
from
about
a
month
earlier,
so
we're
not
moving
them
back
a
whole
lot
just
enough
to
give
us
an
extra
30
days
and
for
staff
to
be
able
to
process
the
information
more
effectively
and
more
reasonably
in
a
time
frame.
C
Section
four:
I
feel
like
there's,
probably
a
funny
story
about
why
you're
asking
for
the
data
to
come
in
in
a
certain
format.
Would
you
explain
to
us
why
that's
necessary.
A
No
funny
story,
but
between
the
branches
we
consistently
have
this
problem
with
the
judicial
branch,
with
the
executive
branch
and
even
between
bran
between
units
within
the
branches.
It
seems
like
software
systems
and
ours
don't
speak
the
same
language.
The
data
comes
in
a
different
format,
and
so,
if
you
receive
a
large
compilation
of
data,
but
you
have
no
way
to
process
it
automatically,
it's
basically
a
data
dump
that
does
you
no
good.
You
can't
effectively
digest
it
and
analyze
it.
So
this
is
trying
to
say
look.
We
all
have
to
recognize.
A
C
C
C
B
K
C
L
C
G
C
A
G
P
State
representative
suzanne
miles
of
the
seventh
district,
and
I
have
four
for
presenters
today,
so
I
don't
know,
do
you
want
to
swear
in
everyone
at
the
same
time
or
what
would
you
like
to
do
with
that?
I.
P
Well,
we've
we've
got
multiple
guests
with
us
today,
so
first
I
want
to
thank
the
chairman,
petrie
and
and
chairman
reed,
for
having
us
here
today
and
also
our
guests
that
have
come
from
home.
We
always
enjoy
having
people
from
home
and
and
especially
whenever
they
can
tell
their
story.
Today.
I
have
with
me
multiple
people,
but
we'll
start
off
with
our
first
one.
This
is
stephen
offsinger.
He
is
a
respiratory
therapist
with
onesporal
health
and
I'm
going
to.
Let
him
tell
a
little
bit
of
story
of
why
we're
here
today.
Q
Thanks
for
having
me
here,
everybody,
my
name's,
steve
nofsinger,
I'm
on
a
respiratory
therapist
at
owensboro
health
in
owensboro.
I
have
worked
exclusively
on
the
kovid
wing
for
the
past
two
years
volunteered
for
it.
I
remember
the
very
first
patient
that
came
into
owensboro
health
with
covid.
It
was
in
march,
I
believe,
of
2020.
G
Q
I
believe
was
in
march
of
2020,
I
remember
getting
the
call,
there's
a
covid
patient
here,
we're
going
to
intubate
this
patient.
You
need
to
go
down
and
help
out,
so
I
remember
walking
down
the
hallway
and
hearing
nothing
on
the
way
down,
didn't
hear
anybody
talking
didn't
see
anything
to
my
side.
Q
Q
Q
Q
We
started
to
pick
up
pace
even
more.
We
had
to
pick
up
the
pace
of
what
we
did
every
day.
I
remember
one
time
very
first
patient
in
the
morning
I
was
in
a
super
big
hurry.
I
remember
going
into
the
room.
You
know
I
only
knew
the
patient
by
the
room
number.
I
didn't
look
at
the
name
on
the
list
went
into
the
room.
I
was
gowned
up,
went
everything
I
said
hey.
My
name
is
steve.
I'm
from
respiratory
I'm
going
to
give
you
a
breathing
treatment.
What
have
you
I
turned
around?
Q
I
was
in
that
big
of
a
hurry
that
I
didn't
even
take
the
time
to
look
at
the
name
on
the
list,
pretty
shocking,
actually
that
we're
in
that
big
of
a
hurry,
we're
that
short
staff
that
I
didn't
even
didn't
even
see
that
so
that
happened
and
then
you
know
you
kind
of
take
stock
of
yourself.
How
you
do
things
kind
of
slowed
down
a
little.
Q
Q
We
need
you
to
do
this
this
this
and
this
before
I
even
started
so
each
of
those
patients
needed
care
immediately
on
the
covet
floor,
but
I
had
to
prioritize
those
patients,
so
it
would
have
helped
if
we'd
had
more
more
therapist
at
that
particular
time
also,
but
I
mean
it
wore
on
all
of
us
it
wore
on
our
nerves.
Q
E
Q
Broke
down
once
and
just
out
of
the
blue
never
done
that
before
and
but
got
through
it
and
two
years
later
here
we
are,
I
think,
we're
seeing
some
light
at
the
end
of
the
tunnel.
You
know,
thank
god,
but
I
just
don't
want
anybody
to
forget.
You
know
what
we've
been
through
here.
It's
been
a
real
real
battle
for
us.
Q
You
know
I've
always
pushed
people,
I'm
not
pushed,
but
I've
encouraged
them
to
get
vaccinated,
and
I
think
it's
cost
me
some
friendships,
but
we've
been
through
what
I
call
the
health
crisis
of
our
lifetime
worldwide.
There's
been
over.
Six
million
people
die
from
this
disease.
Q
P
Next,
we're
going
to
invite
the
president
and
ceo
from
owensboro
health
to
join
us
along
with
we've,
got
dr
scott
williams
from
octc
that
are
going
to
kind
of
tell
exactly
751
what
this
bill
is
and
what
the
solution
that
they
brought
to
me
to
present
to
the
committee
so
that,
hopefully,
we
can
not
only
plan
for
this
situation,
but
the
situation
that
was
already
happening
prior
to
covet,
which
was
the
loss
of
workforce
and
health
care.
So
I'll.
Invite.
P
He's
not
going
far,
so
you
all
have
additional
questions
for
him.
That
will
be
fine,
so
I'll
turn
it
over
to
dr
williams
and
mark
marsh
so
that
they
can
can
share
what
their
suggestion
was.
This
is
something
that
they
brought
to
me.
I
know
that
members
often
appreciate
the
things
people
bring
solutions
to
you,
and
this
is
what
they
brought
with
me.
So
here
we
are.
E
Thank
you
representative
miles.
Thank
you,
mr
chairman.
So,
as
you
heard
firsthand
the
from
somebody,
that's
on
the
front
lines,
the
health
care
workforce
shortage
is
significant
and
severe
across
the
commonwealth
and
actually
nationwide,
and
so
in
our
area.
The
western
region
of
the
state,
a
coalition
of
major
health
care
providers
and
eight
colleges
and
universities
began
meeting
and
discussing.
How
can
we
impact
or
reduce
this
shortage?
E
What
can
we
do
to
to
overcome
the
burden,
and
so
out
of
that
resulted
in
a
solution
that
we
think
is
innovative,
creative
and
comprehensive
that
we
call
the
commonwealth
west
healthcare
workforce
innovation
center?
This
is
a
collaborative
solution
that
can
actually
address
all
potential
students,
especially
those
in
rural
areas,
that
includes
both
those
students
that
are
what
we
would
call
non-traditional.
E
That
will
be
both
adult
students,
as
I
said,
as
well
as
dual
credit
or
high
school
students
and
a
traditional
post-secondary
student,
an
access
will
be
available
through
the
center
in
the
form
of
either
a
site
itself,
and
it
will
also
create
ability,
through
advanced
technologies,
to
deliver
a
lot
of
this
training
remotely
so
that
we
can
deliver
it
out
to
especially
rural
areas.
An
example
of
this
would
be,
for
instance,
we
at
this
point
in
time.
E
In
order
to
get
people
to
be
interested
to
enter
the
healthcare
health
care
industry,
we
will
need
to
really
increase
the
enthusiasm.
E
The
for
individuals
to
say
you
know,
a
healthcare
career
is
great.
This
is
where
you
need
to
be
it's
a
high
high-wage
high
demand
field
and
that
it's
needed
across
the
commonwealth,
and
so
the
center
will
provide
the
resources
that
we
can
go
out
and
push
this
to
all
the
region,
whether
that
be
in
non-traditional
areas
or
in
high
schools,
to
really
create
that
enthusiasm
for
people
to
come
into
that
healthcare
field.
E
It
will
also
really
define
the
pathways
in
which
a
student
can
go
through
beginning
as
early
as
high
school,
all
the
way
through
to
a
master's
degree
or
even
a
doctoral
level
degree
that
would
give
those
students
that
availability
in
addition
to
access,
we
can
accelerate
through
this
center
through
the
resources
in
which
we
could
be
able
to
really
through
a
dual
credit.
Six
delivery
system
deliver
those
math
and
sciences
that
a
lot
of
our
rural
high
schools
can't
deliver,
and
so
they
just
don't
have
the
the
faculty
to
do
that.
E
We
could
deliver
that
get
those
students,
those
prerequisites
out
of
the
way.
So
when
they
graduate
from
high
school,
they
can
accelerate
into
a
career
healthcare
career
platform.
The
other
piece
of
the
puzzle
that
we'll
center
will
allow
us
to
address
is
really
in
order
to
create
capacity.
We
need
two
things
number
one
is
we
need
more
faculty,
and
so
this
collaborative,
which
includes
all
the
health
care
sector
industries
and
that's
everything
from
home
health
to
that
could
be
long-term
care
to
health
care
systems
to
medical
offices
will
allow
us
access
to
those.
E
Trained
or
a
credentialed
faculty
that
could
help
us
expand,
give
us
the
faculty
that
we
need
on
the
health
on
the
educational
side
in
order
to
train
more
students.
So
if
we
attract
more
students,
we're
going
to
need
more
faculty
to
train
those
students
and,
finally,
the
capacity
is
that,
as
we
move
forward,
increase
the
number
of
students,
the
center
will
give
us
the
facilities
both
remotely
and
on
site,
to
allow
more
high
fidelity
simulation.
E
This
gives
us
the
opportunity
and
I've
been
in
this
35
years.
This
gives
us
the
best
opportunity
in
which
we
are
seeing
both
the
health
care
industry,
as
well
as
a
higher
education
community
work
collaboratively
together
to
address
a
very
severe
need,
and,
in
the
end,
what
we
will
see-
and
I
feel
very
strongly
is
that
this
gives
us
the
opportunity
to
collaborate
to
produce
a
kentucky
fame
model
for
healthcare
workers
that
will
give
students
the
ability
to
work
and
earn
and
learn
which
reduces
their
barriers
to
move
forward
and
be
successful.
P
One
of
the
most
important
things
you
you
do
have
a
packet
in
your
folder
to
give
more
information
as
far
as
more
the
specifics,
but
one
of
the
most
important
thing
to
me
that
I
was
excited
about.
It
was
a
collaborative
effort
of
multiple
higher
educations
in
our
area
that
have
come
to
to
the
table
and
work
toward
this
in
additional.
Since
this
has
come
out
and
been
filed,
we've
had
an
additional
school
reach
out
and
ask
to
be
included
in
that
which
is
wonderful.
P
We
do
have
dr
zarapata
with
us
today
from
kctcs,
and
that's
kind
of
the
avenue
that
this
funding
would
go
through
would
be
through
the
winsborough
community
college
is
the
avenue
so
I'll
turn
it
over
to
mark
marsh,
and
let
him
tell
their
side
of
the
story.
L
L
There
we
go.
Thank
you
representative
miles.
Thank
you,
mr
chairman.
I'll,
try
not
to
be
redundant
here
with
dr
williams.
I
serve
have
the
opportunity,
the
pleasure
of
serving
along
nine
colleagues
in
a
collaborative
with
all
the
ceos
and
presidents
with
the
major
health
systems
throughout
the
state.
L
L
I
had
the
pleasure
I
spent
last
week
I
went
up
to
university
of
kentucky
spent
the
day
with
dr
mark
newman
walked
around
the
great
campus
great
facility,
seeing
the
amazing
work
that
they're
doing,
and
I
can
say
that
pretty
holds
true
with
most
the
other
great
systems
we
have
throughout
the
state.
But
we
talked
a
lot
about.
Workforce
talked
a
lot
about
what
you
heard
from
steve
from
dr
williams
today,
and
so
what
we're
presenting
today,
I
believe,
truly,
is
a
comprehensive
approach.
L
It's
something
that's
going
to
bring
all
the
local
great
universities,
colleges
we
have
in
all
of
western
kentucky.
It's
going
to
allow
us
to
connect
in
to
many
of
these
high
schools.
During
our
conversation
with
many
of
these
high
school
superintendents,
we
find
out
the
more
rural
we
get,
the
less
opportunities
and,
more
importantly,
less
ability.
We
have
to
teach
the
anatomy
and
physiology
the
math
of
sciences.
Sometimes
we
don't
have
the
math
teachers
to
teach
the
curriculum.
L
So
if
we
can
create
the
connectivity
between
these
great
universities
with
these
high
schools,
how
many
kids
are
slipping
through
the
cracks?
How
do
we
create
the
excitement?
The
joy
again
about
this
healthcare
career?
What
you're
going
to
hear
from
steve
and
what
you're
going
to
hear
from
ray
that
people
have
served
for
30
years,
their
love
their
passion.
They
got
into
health
care
to
serve
people,
and
we
want
to
recreate
that.
L
We
want
to
rejuvenate
that
I've
had
the
pleasure
doing,
town
hall
meetings
most
recently,
we've
got
5
000
team
members,
I
believe,
are
the
largest
employer
west
of
louisville,
but
recently
friday,
and
for
those
town
hall
meetings
by
comparing
and
sharing
some
things
where
we
are.
Where
we've
been,
where
we're
going.
I
think
we
instilled
some
sense
of
hope
that
now
we
can
find
team
members
who
can
work
alongside
these
folks
because
you've
heard
mental
health
on
a
couple
different
occasions
here
today
the
mental
health
toll
it's
had
on
our
team
members
on
our
providers.
L
It's
very
taxing,
and
so
I
think
this
really
approached
this
innovation
center
will
allow
us
to
help
facilitate
that
to
recharge,
to
be
tentacles
within
these
high
schools.
So
these
kids
and
young
adults
find
pathways.
I
don't
want
to
make
it
about
money,
but
certainly
these
are
jobs.
These
are
needed.
We're
going
to
lose
3.2
million
healthcare
workers
shy
by
the
year
2026..
L
A
million
nurses
are
anticipated
to
leave
the
profession
in
two
years,
but
if
we
can
get
out
there
and
re
reinvigorate
and
restore
that
confidence
of
this
great
care,
not
to
mention
the
compensation,
we've
spent
so
much
money.
Each
of
these,
these
other
health
systems
are
spending
millions
of
dollars
every
month
on
travelers,
great
we've
needed
them,
but
we're
talking
excess
of
10
million
dollars
in
some
months.
It's
not
sustainable,
so
not
to
mention.
We
want
the
collegiality.
We
want
those
co-workers
to
be
working
with
each
other
every
day
who
know
each
other.
L
It
helps
with
quality
outcomes,
just
the
continuity.
So
I
think
this
project
really
does
encompass
allowing
us
to
work
with
these
great
910
universities.
All
the
high
schools
throughout
this
is
a
regional
approach.
It's
going
to
help
every
health
care
system
there
is.
This
is
not
an
owensboro
health
project.
This
can
help
every
health
system.
There
is
long-term
care
folks
who
are
working
without
those
cnas,
the
certified
nursing
assistants
who
can't
care
for
our
loved
ones,
we're
aging
we
have
more
geriatrics
who
are
going
to
need
health
care.
L
P
O
I
want
to
thank
all
y'all
for
allowing
me
to
speak
today.
Thank
you
so
much.
Thank
you.
I'm
going
to
elaborate
from
the
nursing
standpoint
similar
to
steve
kovic
came
and
it
rocked
us
to
our
core.
O
All
of
a
sudden,
we
were
seeing
deaths,
answering
questions.
We
didn't
have
the
answers
to
we've
seen
some
things.
It
affected
my
family
away
from
home.
Deeply
I've
been
up
there
almost
two
years
on
ccu
within
two
months
of
me
being
there,
I
volunteered
and
I
stayed
back
there
and
coveted
for
six
months
and
I
did
not
come
out
my
coworkers
drug
me
out
because
I
didn't
even
see
the
effect
it
was
having
on
me.
O
O
O
I
really
do
even
through
everything
we've
been
through.
I
do
it
again
and
I'm
gonna
speak
for
my
hospital
and
my
family
at
work
and
say
they
would
too
it's
our
duty.
O
We
need
more
help.
We
need
some
more
fighters
of
all
ages,
all
backgrounds,
we
need
it
and
I
think
it'll
be
great
for
the
community
to
see
that
variety
and
that
background,
who
better
so
much
diversity
more
relatable
and
I
think
that'll
make
a
even
more
better
difference.
If
we
take
this
approach,
I
really
do.
P
R
Thank
you,
mr
chairman.
I
wanted
to
say
thank
you
to
for
bringing
this
to
all
of
you.
I've
worked
with
nurses
and
doctors
throughout
the
commonwealth
of
kentucky.
In
my
professional
life,
I've
worked
with
a
number
of
nurses
and
doctors
and
and
administrators
in
owensboro
health,
and
I
was
it's
just
different.
I
don't
know
what
it
is,
but
owensboro
health
is
just
different.
R
The
nurses
and
the
physicians
have
an
uncommon
dedication
to
their
to
their
patients,
and
I
don't
there's
no
question
in
there,
but
I
wanted
to
just
say
to
rae
and
to
everyone
else.
Thank
you
guys,
like
I
said,
I
work
with
hospitals
all
across
the
state
and
there's
none
better
than
owensboro.
So,
whatever
you're
doing,
we
need
to
replicate,
we
need
to
transfer
other
areas
of
the
commonwealth,
so
ray.
Thank
you
and
I
want
to
directly
thank
you
in
particular
for
what
you've
done.
R
H
H
I
this
is
my
favorite
kind
of
legislation,
it's
the
kind
of
legislation
that
addresses
a
real
and
urgent
problem
and
that
the
solution
is
coming
from
the
folks
closest
to
the
problem
and
it's
collaborative
different
sectors
working
together,
and
I
I
just
want
to
thank
you
and
all
of
you
who
sat
at
the
table
on
this
measure
and
I'll
just
say
that
my
only
disappointment
is
that
we're
not
voting
on
it
today
and
approving
it
and
sending
it
to
the
floor,
and
I
hope
we'll
have
the
opportunity
to
do
that
very
soon.
P
D
Thank
you,
mr
chairman
representative
miles.
I
appreciate
you
bringing
this
to
to
us
today
to
ray
and
steve.
I
just
want
to
say
thank
you
for
your
dedication,
commitment
to
your
patients
to
the
people
in
your
community
that
that's
who
you've
been
there
to
serve,
and
thank
you
so
much.
I
think
this
is
a
great
proposal.
D
This
is
various
along
the
lines
of
many
conversations
that
I've
had
with
president
thompson
cpe
about
expanding
pathways.
I
represent
spencer
county.
They
have
a
great
health
care
pathway
program
in
that
school
and
the
way
you've
gone
about
this
approach
of
recognizing
what
the
deficiencies
are,
especially
with
having
qualified
staff
things
like
that,
and-
and
I
I
hope
this
is
something
that
we
can
get
through
and
maybe
that
we
can
model
across
the
state.
P
D
For
a
health
care
initiative-
hopefully
maybe
they'll
look
at
this
model
and
as
they
look
to
how
to
distribute
those
funds.
But
thank
you
for
being
here.
B
D
C
Thank
you,
like
representative
tipton,
I
think
I
think
we
need
four
or
five
or
six
of
these,
so
I
wanted
to
ask
if,
if
we
might
be
starting
in
western
kentucky,
because
you
all
have
unique
needs
or
unique
infrastructure,
that's
already
in
place.
I
know
in
a
few
years
when
it's
up
and
running
and
hugely
successful
you're
not
going
to
like
it
when
your
nurses
move
to
louisville.
C
So
what
do
you
think
are
the
opportunities
to
make
this
a
model.
P
Well,
it's
not
unheard
of
in
the
past
for
the
state
to
invest
in
one-time
money
to
start
something.
Northern
kentucky
is
a
perfect
example
of
that
and
nku's
was
one
of
those
recipients
in
the
past.
So
just
to
give
you
all
an
idea,
it's
not
brand
new
as
far
as
the
investment
side
of
it
from
the
state
as
far
as
the
model
by
them
coming
to
me
and
have
already
you
know,
they've
already
combined
their
efforts
as
far
as
that
with
the
public
and
with
the
higher
eds
to
come
up
with
a
solution.
P
P
Additionally,
it's
been
wonderful
to
have
a
partner
with
owensboro
health,
but
I
also
don't
want
to
leave
out.
We
have
multiple
other
partners
that
are
involved
with
this.
They
are
one
of
the
main,
obviously
one
of
the
main
contributors
to
this
and
investments.
This
is
one
time
money
investment
once
this
is
once
that
it
is
set
up.
My
expectation
is
for
the
higher
education
and
the
local
community
and
the
region
for
that
matter,
to
be
the
sustainability
of
this
going
forward
with
the
success
of
that.
P
So
this
is
also
in
addition
to
the
long-term
care
facilities.
The
wendell
foster
center
locally
is
one
of
the
partners,
river
valley,
behavioral
health.
We've
got
multiple
partners
that
have
already
invested
in
their
commitment
to
say
that
they
want
to
help
and
participate
because
they're
all
looking
for
workforce
and
they
want
to
see
the
results
of
that
of
their
investments
locally,
but
every
single
one
of
these
students
could
be
trained
to
move
anywhere
in
the
commonwealth
or
outside
of
the
commonwealth.
For
that
matter.
P
Obviously
we
want
to
keep
them
here,
but
the
intent
would
be
that
for
this
model
to
be
successful,
this
could
be
a
model
that
could
be
used
in
healthcare
across
our
state
and
it
could
also
be
used
a
model
for
other
items.
The
way
that
the
kentucky
the
fame
program
was
referenced,
they've
used
that
model
in
our
area
quite
often,
and
that
would
also
be
a
model
that
could
be
used
for
other
industries.
E
Everybody
needs
health
care,
high
quality
health
care,
and
so
I
think,
as
a
result
of
that,
I
would
say
in
one
word
is
that
everybody
was
collaborative
and
decide,
and
I
think
that's
what
has
made
this
move
forward
in
a
very
successful
manner
in
the
western
region
and
to
answer
your
question
as
representative
miles
said,
it
can
be
duplicated.
E
C
A
Chairman
petry,
thank
you,
mr
chairman,
and
thank
you
for
the
bill,
the
collaboration
this
started
last
year.
So
it's
not
something
that
popped
up
just
during
session,
which
is
usually
more
difficult
to
deal
with,
you
can
tell
the
work,
that's
been
put
into
it
over
an
extended
period
of
time,
the
collaboration
of
it.
It's
not
just
lasered,
on
nurses,
just
respiratory,
it's
holistic,
so
we
need
more
nurses.
We
need
more
respiratory
therapists.
A
I
like
it,
don't
do
that
unless
I
like
something
okay,
but
I
do
want
to
take
a
moment,
critical
care
and
others:
nurses,
respiratory
therapists,
which
aren't
talked
about
as
much
as
critical
care
nurses,
I'm
going
to
take
just
a
moment
to
say
thank
you,
my
wife's,
a
critical
care
nurse
and
has
been
for
over
a
quarter
of
a
century
at
this
point
and
she
volunteered
like
you
to
work
code,
only
units,
I
understand
the
full
risks
and
how
that
works.
A
So
thank
you
for
that
and,
mr
chairman,
I
move
that
we
change
this
to
a
vote
rather
than
discussion.
Only.
I
don't
know
of
anyone
who
has
signed
up
opposed
to
the
bill
and
asked
if
we
put
that
on
for
a
vote
with
your
permission
is.
H
G
There's
no
one
signed
up
in
opposition.
The
motion
has
been
made
by
representative
petrie
in
second
that
we
move
this
from
discussion
only
to
a
vote
at
this
time.
All
in
favor,
please
signal
by
saying
aye
all
opposed
at
this
time.
The
chair
will
entertain
a
motion
for
house
spills.
751
has
been
properly
moved
in
second
for
to
move
forward
with
house
bill
751.
Is
there
any
discussion
seeing
none?
We
should
now
proceed
to
vote
clerk.
Please
call
the
roll.
C
I
I
C
C
C
K
I
want
to
vote
yes
proudly
and
say
that
I
was
one
of
those
people
not
in
your
facility,
but
I
was
one
of
those
people
that
was
desperately
ill
with
covid
and
appreciate
what
those
nurses
did
for
me
and
got
me
back
on
health
on
the
road
to
health,
and
I
proudly
vote
yes
because
of
that.
But
thank
you
so
much
for
what
you've
done
and
what
you
do
and
for
all
of
those
across
the
state.
I
proudly
vote
yes,
mr
chair.
C
R
C
C
D
H
Thank
you
again,
I'm
so
happy
that
we
were
able
to
vote
on
this
today.
That's
great
news-
and
I
just
want
to
mention
the
the
mental
health
aspect
for
the
patients
for
the
providers
and
how
critically
important
that
is,
and
to
thank
you
for
including
clinical
psychology
and
behavioral
health
and
your
of
professions.
Thank
you
for
that
and
and
resoundingly
yes
chair.