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A
Thank
you,
Mr
chairman,
just
briefly,
my
friend
and
yours
with
us
today,
Josh
Quinn
from
over
in
Boone
County,
has
joined
us
today
like
to
make
him
feel
welcome.
Josh
welcome
it's
good
to
see.
You
I
know
we're
meeting
later
on
good
to
see
you
here.
B
Thank
you,
Mr
chairman
I
have
Jackson
major
with
me,
he's
a
play
page
for
me.
For
the
day,
I
grew
up
with
both
of
his
parents
he's
from
True
Western
Kentucky
Fulton
County.
You
can't
get
any
more
West
than
that
and
appreciate
you,
letting
him
hang
out
with
me
up.
B
A
Any
other
special
guests
before
we
get
started,
we
do
have
a
quorum
so
we'll
proceed
with
the
agenda.
The
first
bill
on
the
agenda
is
Senate
Bill
57,
an
act
relating
to
cosmetology
and
licensure
compact
by
sponsor
is
Senator
Amanda
Mays
blitzo.
Welcome
to
this
committee.
A
Introduce
you
for
yourselves
for
the
record
and
proceed
with
your
testimony.
I
want
to
point
out
to
the
members.
There
is
a
committee
sub,
which
was
submitted
well
within
the
time
limit.
We
appreciate
that
and
as
soon
as
we
have
a
motion
on
the
sub
and
the
second,
all
those
in
favor
of
approving
the
sub
say
I.
A
C
Thank
you,
chairman
shekel
and
committee
members
I'm
here
with
this
lovely
guest
to
promote
the
cosmetology
licensure
compact.
You
may
or
may
not
know
that
I
used
to
work
at
the
Council
of
state
governments
and
was
there
when
they
started
creating
the
compact
program.
Compacts
are
very
important.
They
can
be
leveraged
for
any
issue
where
states
have
a
need
to
coordinate.
For
example,
existing
compacts
are
used
to
reduce
burdens
for
military
families
in
transition
solve
boundary
disputes,
manage
shared
natural
resources
and
build
resilience
for
natural
disasters.
C
In
this
case,
CSG
is
partnered
with
the
Department
of
Defense
and
the
future
of
the
beauty
industry
coalition
to
support
the
mobility
of
licensed
cosmetologists
throughout
the
development
of
a
new
interstate
compact.
This
additional
licensing
pathway
will
create
reciprocity
among
participant
States
and
reduce
the
barriers
to
license
portability
and
employment.
The
cosmetology
licensure
compact
is
structured
to
create
a
multi-state
cosmetology
license
that
functions
like
a
driver's
license.
C
It
allows
cosmetologists
to
hold
an
active,
unencumbered,
single-state
cosmetic
license
in
the
compact
member
state
in
which
they
are
live,
to
be
eligible
to
apply
for
a
multi-state
license.
This
one
allows
them
to
move
I'm
proud
to
have
worked
with
my
own
constituent,
Julie
Campbell,
who
is
the
director
of
Lex
of
Kentucky's
program,
who
was
a
member
of
the
work
group
that
put
this
together
and
has
worked
tirelessly
to
make
this
the
first
state
to
actually
consider
this
legislation.
So
at
this
point,
I'll
turn
it
over
to
my
guests.
Welcome.
A
Julie
you're,
a
great
friend
of
the
committee,
pursue
with
your
testimony.
D
Good
morning,
thank
you
Mr
chairman.
We
worked
really
hard
on
this.
This
is
the
very
first
non-medical
compact
to
be
introduced
to
legislatures
and
Kentucky
is
the
first
to
file
file
it
and
to
consider
it
for
a
vote.
So
we're
really
excited
to
have
been
on
The
Cutting.
Edge
of
that
we
anticipate
that
there
are
enough
States
being
filed
in
that
we
will
have
enough
of
the
full
commission
to
begin,
which
is
a
seven-member
commission
by
the
end
of
this
year.
E
Just
recently,
President
Biden
signed
into
law
the
military
spouse
licensure
protection
act.
That
bill
was
not
coordinated
with
Department
of
Defense.
She
actually
found
out
about
it.
Reading
about
it.
In
the
newspaper,
it's
a
very
general
law.
She
notes
that
Kentucky's
law
is
far
better
than
the
federal
law.
The
federal
law
also
does
to
it's.
A
very
general
law
apply
in
each
of
the
50
states,
but
it
says
that
compacts
are
the
preferred
solution.
E
Over
and
above
the
federal
law-
and
she
says
whatever
you
do-
you've
done
so
much
right-
make
sure
you
don't
water
down
the
laws
you
have
in
place
now,
because
the
federal
law
is
so
General.
So
that
was
her
message
but
Department
of
Defense
facts,
the
Kentucky
general
assembly
for
their
great
work
in
this
area.
Thank.
A
F
As
a
longtime
member
of
the
licensing
and
occupations
committee,
I
often
talk
about
how
we're
asked
to
settle
fights
between
our
friends
and
I
can
remember
this
room
being
filled
with
fights
between
the
cosmetologists
and
the
hairdressers
or
The
Barbers
I
just
want
to
make
sure
with
this
cosmetology
compact
are
the
hairdressers
in
The
Barbers,
okay
with
it,
because
I'd
hate
for
them
to
undercut
your
bill.
D
A
G
Thank
you,
chairman
schickel
Senator
bless.
So
this
is
the
first
time
I've
seen
your
Senate
substitute
I
I
did
read
over
your
bill
last
night.
What
changes
are
in
the
Senate
substitute
that
that
that
differ
from
the
actual
bill?
Well,.
C
E
Dod
is
one
is
perfectly
good
with
the
substitute
and
they
work
with
CSG
and
Senator
Mays
Bledsoe
to
make
sure
it
didn't
undercut
any
of
the
efforts
already
done.
I,
don't
know
the
specifics.
The
that'd
be
mortgage.
D
So
that
sub
was
specific,
because
the
language
originally
provided
by
DOD
to
CSG
for
this
compact
in
regard
to
explaining
and
defining
military
involvement
was
inadequate
and
they
adjusted
that
the
only
other
part
of
that
sub
was
to
change
the
terminology
of
participant
state
to
member
state
in
there.
And
that
is
a
compact,
specific
language
and
it
was
a
incorrectly
adjusted
by
draft
revisions.
So
it
and
of
course,
as
we
all
know,
a
compact
has
to
match.
Every
single
state
has
to
have
the
exact
same
language.
D
A
A
Okay,
any
any
anything
else,
any
of
the
members
have
questions
before
we
vote
is.
A
We
did
adopt
the
sub.
That
was
the
very
first
thing
we
did
I
want
to
make
the
comment
that,
in
our
rush
for
convenience,
that
we
one
of
my
concerns
is
that
we
don't
give
up
any
of
our
state
sovereignty,
that's
very
important
to
me
and
my
constituents
and
we
have
reviewed
this
bill
and
it
does
pass
that
test
so
I'm
happy
to
report
that
is
there.
Anyone
here
that
we
should
speak
against
this
bill.
J
A
A
A
Welcome
to
the
committee
proceed
with
your
testimony.
Oh
we
do.
We
have
a
committee.
Yes,
sir
okay,
we
do
which
has
been
filed
on
a
very
timely
manner
last
week.
Thank
you
for
doing
that.
We
have
a
motion
by
Senator.
Thayer
did
I
hear
a
second
by
Senator
Howe,
all
those
in
favor
use,
voting
sign
of
I
ain't
want
to
post
like
sign.
C
As
you
know,
from
the
presentation
held
during
the
interim
in
2017
president
Trump
signed
into
law
at
the
bipartisan
over-the-counter
hearing,
aid
act
as
a
part
of
the
FDA
reauthorization
after
feedback
from
industry
providers
and
patients
in
2022.
The
FDA
released
final
regulations
governing
the
dispensing
and
sale
of
OTC
hearing
aids.
While
this
Federal
rule
includes
preemptions
of
State
Law
related
to
these
devices,
and
they
are
currently
available
to
patients.
C
Groups
here
in
Kentucky
met
to
review
our
statutes
and
have
offered
a
number
of
updates
that
help
to
clarify
the
ability
of
existing
providers
to
dispense
OTC
devices,
as
well
as
a
newly
designated
class
of
prescription.
Hearing
aids.
According
to
the
CDC,
nearly
916
000
kentuckians
have
some
form
of
hearing
loss
where
about
20
percent
of
our
population.
Untreated
hearing
loss
has
been
linked
to
depression,
increased
risk
of
early
onset,
dementia
and
great
incidence
of
Falls,
especially
amongst
older
patients.
C
The
hope
is
that,
with
the
passage
of
the
over-the-counter
hearing,
aid
act
more
kentuckians,
especially
those
for
whom
cost
or
access
was
a
barrier
we'll
seek
out
Hearing
Care
and
even
with
OTC
devices.
The
FDA
strongly
encourages
patients
to
seek
care
from
a
qualified
hearing
care
provider
such
as
an
audiologist,
a
hearing
instrument,
Specialist
or
a
medical
doctor
to
be
clear.
C
A
prescription
hearing
aid
is
largely
similar
to
the
devices
that
were
previously
sold
to
patients
prior
to
the
induction
of
OTC
devices
which,
by
rule,
have
lower
input
and
gain
and
are
intended
to
treat
mild
to
moderate
hearing
loss.
The
prescription
hearing
aids
under
the
FDA
rule
have
fewer
such
restrictions
and
Nash
such
should
still
only
be
dispensed
by
a
licensed
professional.
However,
in
that
role,
the
FDA
formally
repealed
a
requirement.
Those
seeking
prescription
hearing
aid
see
a
medical
professional
prior
to
receiving
them.
C
Prior
to
this
rule,
a
waiver
existed
in
Kentucky
and
many
other
states
allowing
a
patient
over
the
age
of
18.
To
waive
that
requirement,
and
in
fact
in
2016,
the
FDA
voluntarily
stopped
enforcing
compliance
with
that
waiver
language.
As
a
result,
Senate
Bill
58
also
strikes
that
language
from
Kentucky
statute
to
better
align
with
the
new
federal
standards.
A
I
believe
that
Senator
Thayer
has
a
question
of
you.
Senator
oh
okay,
I
stand
corrected,
go
ahead
and
introduce
yourself
welcome.
I
didn't
mean
to
interrupt.
H
Thank
you.
My
name
is
Stephanie
chieski
I'm,
the
executive
director
for
the
Academy
of
doctors
of
Audiology.
We
are
a
National
Association
based
here
in
Frankfort
Kentucky,
whose
members
are
audiologists
and
Audiology
practice
owners
serving
patients
in
Kentucky
and
Nationwide.
On
behalf
of
ADA,
I
would
like
to
thank
Senator
Mays
Bledsoe
for
introducing
Senate,
Bill
58
and
its
amendments
to
make
much
needed
updates
to
Kentucky's
Audiology
and
hearing
aid
dispensing
statutes
to
conform
them
with
the
newly
implemented
U.S
Food
and
Drug
Administration
requirements
prior
to
October
2022
class
1
and
Class
2
air
conduction.
H
Hearing
aids
were
classified
as
restricted
medical
devices
by
the
FDA
FDA
regulations
implemented
in
October,
created
this
new
over-the-counter
hearing
aid
class,
but
also
the
new
prescription
hearing
aid
plan,
hearing
aid
class,
the
Practical
implications
of
which
require
that
these
devices
be
dispensed
quote
upon
prescription
or
other
order
from
a
practitioner
licensed
under
state
law
to
direct
such
use
of
do
of
these
devices.
These
FDA
Provisions
by
the
fda's
own
account
are
intended
to
improve
consumer
access
to
hearing
aids
and
hearing
aid
services,
not
to
make
it
more
difficult
to
obtain
them
in
October
2022.
H
The
FDA
provided
supplemental
guidance
to
states
in
the
form
of
a
letter,
a
copy
of
which
I've
provided
to
the
committee.
That
guidance
included
the
following
statements:
fda's
intent
is
that
the
same
professionals
who
recommended
selected
fitted
and
dispensed
restricted,
hearing
aids
before
the
effective
date
would
continue
to
do
so
for
prescription
hearing
aids
after
the
effective
date
and
in
conclusion,
the
final
rule
defining
non-otc
hearing
aids
as
prescription
devices
does
not
and
is
not
intended
to
create
barriers
to
accessing
hearing
aids,
including
prescriptions
prescription
devices.
H
It
does
not
require
the
involvement
of
different
or
additional
Health,
Care,
Providers
or
examinations
upon
the
effective
date.
So,
in
short,
it
shouldn't
be
harder
for
Kentucky
consumers
to
get
help
for
their
hearing
loss
or
to
purchase
a
hearing
aid
today
than
it
was
six
months
ago.
Senate
Bill
58,
as
amended,
will
eliminate
ambiguity
by
updating
Kentucky's,
existing
practice
statutes
for
Audiology
and
hearing
aid,
dispensing
to
use
fda's
preferred
terminology,
in
addition
to
harmonizing
Kentucky
laws
with
FDA
regulations.
Senate
Bill
58
also
conforms
Kentucky's
Audiology
practice
statute
with
another
Kentucky
statute.
H
Krs-304-17A-132
that
has
recognized
audiologists
as
prescribers
of
hearing
aids,
since
at
least
2002.
Ada
therefore
stands
fully
in
support
of
Senate
Bill
58
as
amended,
and
we
are
grateful
for
Senator
Mays
bledsoe's
work
on
this
important
bill
to
ensure
that
consumers
continue
to
have
ready
access
to
Audiology
and
hearing
aid
dispensing
Services.
Thank.
K
Thank
you,
chair
sheckle
and
members
of
the
committee.
My
name
is
Emily
Childers
and
I'm.
The
executive
director
of
the
Kentucky
Academy
of
Audiology
Kaa
represents
the
287
audiologists
licensed
in
Kentucky,
who
provide
Hearing
and
Balance
Health
Care
Services
to
thousands
of
kentuckians
each
year.
Kaa
applaud
Senator
Mays
Bledsoe
for
introducing
Senate
Bill
58
to
ensure
that
Kentucky
citizens
have
uninterrupted
access
to
Audiology
and
hearing
aid.
Dispensing
services
in
the
Commonwealth
of
Kentucky,
audiologists
and
hearing
aid
dispensers
are
and
have
been
licensed
to
recommend,
select,
fit
and
dispense.
K
Class
1
and
Class
2
air
conduction,
hearing
aids
to
Consumers
for
the
past
several
decades,
Senate
Bill
58,
as
amended,
will
align
Kentucky
statutes
with
regulations
that
were
implemented
by
the
U.S
Food
and
Drug
Administration
in
October
of
22
that
have,
among
other
things,
created
a
category
of
prescription,
hearing
aids
that
includes
non-otc
class
1
and
Class
2
hearing
aids.
These
are
the
same.
Traditional
hearing
aids
that
audiologists
and
hearing
aid
dispensers
routinely
dispense.
K
For
all
non-otc
class
1
and
Class
2
hearing
aids
under
the
new
prescription
hearing
aid
category,
which
required
these
prescription
hearing
aids
to
be
dispensed
upon,
quote
the
prescription
or
other
order
of
a
practitioner
licensed
under
state
law
to
direct
the
use
of
such
devices.
Kaa
stands
in
support
of
Senate
Bill
58
as
amended,
and
we
are
grateful
for
Senator
Mays
bledsoe's
work
on
this
important
bill
watch
if
enacted,
will
preserve
existing
proven,
safe,
effective
and
accessible
Pathways
to
treatment
for
Kentucky
consumers
experience
in
hearing
loss.
Thank
you.
Mr,
chair
you're,.
G
I
do
and
thank
you,
chair,
strickels,
the
same
comments
I
had
before
with
regard
to
Senate
Bill
57
I
read
Senate
Bill
58,
because
I
have
the
Lexington
speech
and
hearing
center
in
my
district.
I
did
not
see
some
committee
substitute
until
today,
so
I,
just
wonder
what
the
differences
are
between
the
this.
Your
Senate,
Bill
58
is
originally
filed,
and
the
citizens
committee
substitute.
H
So
the
primary
differences
are
that
the
bill
was
amended
to
include
the
words
ordering
and
ordering
and
prescribing
as
it
relates
to
hearing
aids
for
audiologists
and
hearing
aid
dispensers
respectively.
There
was
also
an
amendment
to
allow
Physicians
to
sell
hearing
aids
for
profit,
which
is
something
that
was
specifically
excluded
from
statute
before.
B
Thank
you,
Mr
chairman
I've
kind
of
got
a
two-part
question.
If
that's
okay,
that's
fine
proceed,
Cinder
blade,
so
I!
Think,
and
forgive
me
if
I,
if
I
misunderstood
you
you,
you
discussed
about
the
fact
that
that
this
kind
of
brought
the
this
bill
kind
of
brings
the
OTC
hearing
aids
back
under
audiologists,
so
they
can
prescribe
them
as
part
of
their
part
of
their
their
operation
in
kind
of
cleaning
up
and
realigning
with
the
federal
law.
B
Is
that
correct,
good
I'm
glad
you
did
that
we
as
a
as
someone
who
uses
this
product,
not
on
the
OTC
standpoint,
I,
think
it's
really
important
for
everyone
to
be
able
to
get
their
advice
from
a
trained
doctor
on
which
hearing
aid
they
need,
rather
than
some
infomercial
as
valuable.
As
my
hearing
aids
are
to
me,
my
audiologist
is
even
more
valuable
because
they
put
me
in
the
right
product.
B
A
Motion
on
the
bills,
we
have
a
motion,
I,
think
who
made
some
motion.
Thank
you.
A
motion
from
Senator
McDaniel
who's,
the
second
Senator
Douglas.
We
have
a
motion
in
a
second
I,
want
to
say
a
couple
of
things.
First
of
all,
just
because
the
subs
have
been
brought
up,
we
and
some
of
you
may
not
have
heard
and
I
want
people
who
are
watching
and
about
this
committee
is
any
committee
sub
that
we
have
is
submitted
by
close
of
business
on
Friday?
A
That's
the
that's
our
new
protocol,
so
any
committee
sub
that
we
have,
if
it's
not
submitted
by
close
of
business
on
Friday,
will
not
be
considered
if
one
member
of
the
committee
objects,
the
other
thing
I
want
to
say,
because
we
joke
around
some
about
this
committee,
but
what
the
items
that
we
handle
on
this
committee-
and
this
is
a
perfect
example
of
it-
are
things
that
really
affect
the
everyday
lives
of
kentuckians
and
every
bill
that
is
heard,
and
we
vote
on
in
this
committee
has
also
been
heard
before
this
during
the
interim.
A
When
people
all
members
of
the
profession
can
come,
people
agree
disagree.
So
we
really
properly
air
these
important
issues
out.
So
if
you're
watching
and
you're
thinking
well
they're
just
voting
on
this
well,
we
are
voting
on
it,
but
we
have
seen
all
these
things
at
least
one
time
before.
Is
there
anything
else,
Madam
Secretary
call
the
roll.