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From YouTube: Joint Meeting of House and Senate Committees on Health Services (1-12-23) -Second part
Description
Due to a technical issue the live stream ended early. This is the second part of the meeting after the issue was addressed.
The full meeting will be uploaded once it's pulled from back up files.
A
Our
day
today
is
implementing
federal
and
state
laws
and
regulations,
and
you
know
chain
changing
as
best
we
can
to
the
current
Healthcare
landscape
and,
and
that
takes
a
lot
of
time
and
effort.
The
reason
for
the
quality
and
population
health-
and
you
are
going
to
hear
me
say
this.
A
lot
is
because
we
want
to
change
that.
We
want.
We
want
a
team
dedicated
to
diving
into
are
what
is
the
health
of
our
population
and
what
other
things
and-
and
you
know,
somebody's
Health.
Only
10
percent
of
somebody's
health
is
Healthcare
Services.
A
The
rest
is
food
and
education
and
clothing
and
housing.
So
you
know
CMS.
The
feds
are
moving
towards
allowing
State
Medicaid
agencies
to
incorporate
social
determinants
of
health.
So
that's
where
we're
moving
to
and
that's
what
that
division
is
really.
We
have
a
lot
of
expectations
for
that
division
and
our
mcos
have
moved
that
way
through
their
value
added
benefits
as
well.
A
lot
of
them
have
food
programs,
somebody
being
discharged
from
the
hospital
they
have
a
food
program
available
to
them.
Food
is
medicine.
It's
important
for
to
address
obesity.
A
B
Did
I
just
think
is:
is
we
keep
having
conversations
about
the
numbers
on
Medicaid?
We
we
need
to
understand
better
what
what
that
means,
and
where
can
we
have
an
impact?
We
have
jobs
coming
to
this
Commonwealth
if
there
is
a
large
segment
that
that
that's
what
the
issue
is
is
employment
and
poverty?
We
can
affect
that,
but
it
needs
to
be
for
for
some
of
you,
folks
that
might
be
listening
that
are
running
for
governor.
It
might
be
something
to
look
at
and
I.
B
C
D
Thank
you
Mr
chairman
my
questions,
kind
of
similar
to
Senator
Carroll's,
looking
back
at
the
56
adult
population,
that's
in
Medicaid
right
now,
I'm
interested
in
the
the
part
of
that
population
that
does
qualify
for
income.
Do
you
have
an
average
on
how
long
they
stay
qualifying
for
Medicaid?
How
long
they
stay
on
it
and
also
included
in
that
56
percent?
Would
there
be
individuals
that
are
also
like
dull
covered
with
Medicare?
Are
they
included
in
that
number.
A
So,
yes,
they
are
a
couple
of
things.
One
is
you
know
since
the
pandemic,
so
for
the
past
three
years
we've
been
keeping
people
covered,
and
so
even
if
their
income
might
have
grown
and
and
one
thing
I
didn't
mention,
but
you
know
we're
the
payer
of
Last
Resort.
So
if
somebody
is
on
Medicare
or
somebody
has
employer-sponsored
insurance
or
have
some
other
coverage,
what
we
call
third
party
liability
we're
the
last
payer,
so
they
take
primary
payment
for
that,
but
we
so
you
know
we
for
the
expansion
population.
A
E
But
I
think
in
answer
to
your
question
as
well.
I
think
I
think
I've
seen
some
national
data
on
how
long
folks
stay
and
receiving
Medicaid,
but
we'll
try
to
find
it
for
you.
I,
don't
know,
as
we
have
Kentucky
specific,
but
I'll
I'll
we'll
see
what
we
can
find.
Just
Around
eligibility
programs
in
general
that
that
may
be
easier
to
do
than
than
a
specific
population,
but
we'll
give
it
a
shot.
C
F
C
Aware
that
40
percent
of
the
of
the
population
of
the
state
is
Rule,
but
only
17
of
our
primary
care,
physicians,
practice
and
Rule
Kentucky.
So
how
can
we
say
that
we
really
have
Network
adequacy?
And
this
is
the
way
we
have
all
day
long.
We've
got
issues
with
the
waiting
lists
for
Michelle
P
waiver
and
a
couple
others
that
we
all
want
to
see
feel
this
last
budget
session.
We
heard
I,
don't
know
from
how
many
Health
Care
Providers
about
payment
inadequacy.
C
We
were
over
just
some
of
them,
some
we
were
not,
but
we've
got
an
issue,
and
you
know
you
said
we
have
limited
resources.
We
know
that
appreciate
the
partnership.
We
have
you
folks,
it's
it's
tremendous
partnership,
but
it
it
bothers
me
to
go
in
that.
We've
expanded
Medicaid
benefits
under
emergency
regulations
for
dental
vision
and
hearing
from
50
million
dollars
that
we've
saved
from
single
Source
PM,
which
previous
administration
cabinet
fought.
C
They
said,
no,
that
that's
not
going
to
be
a
savings
matter
of
fact:
it's
going
to
cost
more
money,
but
we've
saved
at
least
50
million,
and
we
think
going
forward.
It's
going
to
be
equal
to
that,
but
we
committed
those
funds
to
expansion
of
programs
rather
than
addressing
the
need
that
we
presently
have,
and
this
isn't
no.
We
talked
about
in
Medicaid
oversight.
We
talked
about
it
in
Health
and
Welfare.
We
talked
about
the
budget
review,
but
we
expanded
services
that
are
empty
promises.
C
Dental,
Services
they're,
not
out
there,
you
might
as
well
as
a
hospital
CEO
I
could
I
got
four
weeks
of
vacation,
but
can
never
take
four
weeks
vacation,
maybe
two
on
the
average,
but
my
bosses
decided
they
were
going
to
reward
Me
by
giving
me
another
week's
vacation
really
can't
take
one
of
God,
but
we're
offering
the
service
said.
There's
no
providers
there
to
provide
the
need.
It's
an
empty
promise.
C
C
C
C
Well,
can
you
understand
my
my
concern?
You
know
again
I
think
we
got
this
great
partnership,
but
when
we
express
that
that's
not
the
cinnamon
the
legislature,
because
now
we've
accumulated
40
50
million
dollars
year
in
and
year
out
to
this
endeavor
when
we
think
there's
other
needs,
for
it
could
be
better
than
these
four.
But
we
didn't
get
to
have
that
conversation
but
I
think
it's
a
it's
abuse
of
KRS
13A
0.1901a
that
says
you've
got
to
be
able
to
provide
documentation
that
this
is
an
emergency
in
nothing.
C
You
know
those
dollars
have
been
a
part
of
the
budget
process.
It
should
come
back
to
us
and
said
how
do
we
want
to
spend
these
dollars
and
it
could
very
well
have
been
we'll
do
additional
dental
vision
and
hearing,
but
we
don't
have
that
opportunity
now
we
don't
and
I
think
it's
a
kind
of
a
breach
of
trust,
and
it
bothers
me
greatly,
but
not
going
to
believe
at
the
point
chairwoman,
Mosher
I'll.
Let
you
finish.
F
F
But
but
what
we
don't
understand
I,
think
about
the
dental
expansion
is:
is
this
actually
addressing
the
low
reimbursement
rates,
because
we
have
dentists
who
will
provide
the
service,
but
they
haven't
had
a
an
increase
in
their
reimbursement
for
I.
Think
it's
going
on
20
years.
So
that's
what
we
should
have
addressed.
Not
expanding.
We
don't
want
to
add
a
sun
room
onto
the
house
with
a
leaky
roof.
We
want
to
fix
what
the
actual
problems
are.
F
So
that's
my
two
cents
on
that
the
question
I
had
was
about
the
new
division
that
you
mentioned:
the
quality
in
population
Health
a
lot
of
times
when
we
introduce
legislation.
We
talk
about
new
policies.
We
talk
about
return
on
investment
and
I'm
wondering
if
this
new
division
is
is
going
to
have
the
capability
to
help.
F
Maybe
audit,
what's
going
on
in
Medicaid,
look
at
some
outcomes
and
help
us
actually
determine
some
of
the
the
return
on
investment
as
we,
we
really
try
to
our
best
to
Target
Medicaid
dollars
to
programs
that
work,
because
we
can
expand
it
all
day
long.
We
see
the
budget
problems
that
that
the
state
is
encountering.
Now
it's
getting
worse.
How
do
we
actually
audit
the
programs
that
we
have
and
determine
what's
working.
A
A
Think
it's
hard
to
to
understand
that
you
know
allocating
resources
for
a
service
might
not
mean
the
same
if
we
moved
it
to
something
else,
because
because
it
doesn't
cover
as
much
and
those
are
some
of
the
decisions
that
we
have
to
make,
but
yes,
certainly
I
think
represent.
Rose
are
to
your
point.
Yes,
that
is
one
of
the
expectations
of
that
division
is
to
help
us
help
us
look
at
what
are
we
currently
covering?
Where
are
we
going?
Where
should
we
focus
our
efforts
and
that's
what
we're
we're
wanting
to
do.
F
Good,
that's
that's
good
to
hear
because
we
do
need
to
understand
the
feasibility
of
of
the
programs
that
we
seek
to
to.
You
know
really
help
us
with
these
horrible
Health
metrics
that
we
hear
about
continuously.
So
thank
you
so
much
for
your
presentation
today.
We
are
so
appreciative.
I
know
that
all
of
the
members
here
this
was
a
pretty
brief.
Well
I
mean
two
and
a
half
hours
doesn't
seem
brief,
but
seriously
we
could.
We
could
spend
all
day
on
this.
F
So
I'm
sure
there
are
lots
more
questions.
I
look
forward
to
working
with
all
of
you
this
this
session
and
I
guess.
We
should
just
say
that
the
next
joint
meeting
of
the
Senate
and
how
standing
committees
will
be
this
week.
Thursday
January
19th
at
12
p.m,
noon
same
room
and
we
will
try
to
give
all
members,
especially
new
members,
an
overview
of
the
opioid
issue.
We
have
some
really
good
updates
on
the
opioid
abatement
course.