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From YouTube: Senate Standing Committee on Health and Welfare (3-2-22)
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A
B
A
All
right,
we
have
a
quorum
and
we're
established
to
do
business.
We're
gonna
go
a
little
bit
out
of
order
here
for
bills
to
consider
the
first
one
we're
gonna
consider
is
house
bill,
188
an
act
relating
to
telehealth
the
sponsors
representative,
jim
duplicy.
I
know
representative.
You've
got
some
guests
online
as
well,
who
are
a
bit
of
a
time
crunch,
and
so
we
thought
we'd
address
this
bill
first,
in
their
out
of
respect
for
their
time.
C
Thank
you,
mr
chairman,
and
yes,
it's
bill.
I'm
jim
duplessy
state,
rep,
district,
25
and
I'll
I'll,
introduce
my
guest
here
in
just
a
second
she's
on
standing
by
in
case
any
questions
come
up.
Her
name
is
dr
cheryl
levinson,
but
and
she's
an
associate
pa
pastor,
associate
pastor,
associate
professor
at
the
university
of
louisville,
as
well
as
a.
C
C
Thank
you
so,
mr
chairman,
very
briefly,
a
constituent
came
to
me.
That
was
a
patient
of
that
her
clinic
that
patient
was
going
out
of
state
and
the
clinic
wasn't
able
to
see
her
while
she
was
out
of
state
because
of
the
way
the
law
is
written.
C
It
covers
medical
doctors,
but
not
licensed
therapists,
and
so
this
bill
allows
folks
who
are
receiving
mental
illness
and
we've
seen
with
covin
mental
illness
is
a
real
thing,
and
we've
seen
that
telehealth
can
be
very
beneficial
to
those
who
need
a
helping
hand,
and
so
this
bill
will
allow
a
clinician
if
he
or
she
is
out
of
state
if
their
patients
out
of
state
to
do
so.
It
also
has
the
ability
for
other
states
that
are
if
they
have
a
one
of
their
residents,
are
living
and
are
not
living
are
visiting
our
state.
C
They
could
receive
services
as
well
reciprocity,
so,
mr
chairman,
I'd
be
happy
to
dig
into
it.
If
there's
any
questions,
it's
pretty
simple.
It
just
allows
folks
who
are
receiving
mental
illness
from
a
certified
and
licensed
professional
in
the
state
of
kentucky
to
receive
those
benefits.
That
person
must
be
a
permanent
resident
of
our
state.
C
They
can't
be
somebody
who
is
a
non-permanent
resident.
Mr
chairman,
you
did
have
an
addition
that
you
added
to
the
bill
and
I
don't
want
to
speak
for
you,
but
my
understanding
is
that
you
wanted
some
definitions
to
be
done
by
the
cabinet
as
to
what
temporary
means,
because
temporary
could
be
a
university
student,
that's
in
ohio,
going
to
ohio
state
or
where
have
you
and
that
student
might
need
some
help.
C
A
Thank
you
very
much
I'll
just
for
the
members
of
the
committee.
We
do
have
a
sub
on
this
pss
one
before
you.
The
changes
in
that
are,
as
as
the
sponsor
has
said,
that
there's
under
section
two
it's
to
require
the
cabinet
to
admit
to
promulgate
regulations,
to
define
temporarily
located,
and
so
that's
you'll
find
that
language
in
section
two
and
then
also
in
section
three.
There
has
been
some
renewed
issues
this
past
interim
and
during
this
year
we've
had
some
discussions.
The
department
of
insurance,
one
of
our
particular
mcos,
has
been
interpreting.
A
I
think
the
law
that's
currently
written
incorrectly
had
discussions
with
them.
They
held
to
their
interpretation,
so
we
put
in
some
language
here
to
make
sure
that
we
told
them
exactly
how
it
needs
to
be
interpreted.
And
so,
if
you
look
under
section
three,
it
says
for
the
purpose
of
this
section:
equivalent
has
the
same
meaning
as
section
four
and
then
section.
Four,
it's
equivalent
means
reimbursement
in
an
amount
equal
to
what
reimbursement
would
have
been
had
the
service
been
furnished
in
person
by
that
provider.
A
So
right
now,
if
you're,
if
you're
doing
telehealth
you're
doing
a
service
you're,
seeing
somebody
in
the
office,
let's
say
for
a
blood
pressure
follow-up,
it's
a
level
three
visit
it.
The
way
we
drafted
the
language.
I
thought
was
clear
that
if
you
provided
that
same
service
to
telehealth
you'd
be
reimbursed
the
same
as
you
would
in
your
office,
one
mco
in
particular
said:
that's
not
how
we
interpret
it.
A
So
we
are
making
sure
that
this
is
very
clear
that
that's
how
it
needs
to
be
interpreted
and
those
are
the
primary
changes
in
the
sub
without
it
would
entertain
emotion,
you
have
a
motion.
Is
there
a
second
all,
those
in
favor,
please
signify
by
saying
aye
aye
right
any
opposed
right.
The
motion
is
the
sub
is
before
us
and
any
questions
from
members
of
the
committee
on
the
bill
as
amended.
E
The
the
last
university
duplicity,
thank
you
for
bringing
this
bill.
The
last
comment
you
made
about
reciprocity
and
I'd.
We've
had
some
conversations,
mr
chairman
about
this,
and
and
so
so,
this
will
allow
services
within
the
commonwealth
for
people
who
may
live
in
another
state
and
they
telehealth
into
the
commonwealth.
E
E
There
is
a
particular
doctor
that
used
to
be
in
st
louis,
she
moved
to
texas
and
they
were
able
to
do
telehealth
through
covid,
but
that
has
stopped
and
they're
unable
to
do
that.
So
is
that
a
is
that
a
direct
agreement
that
would
have
to
be
made
with
that
state?
Mr
chairman,
correct.
A
There's
we
have
interstate
compacts,
which
can
be
part
of
that.
Texas
is
particularly
difficult.
Unfortunately,
in
terms
of
getting
licensing
for
providers
there,
it's
a
very
rigorous
process,
they're,
not
part
of
a
lot
of
the
compacts
that
are
there.
Of
course.
The
way
we've
got
our
telehealth
laws
drafted
now
that
you
can
be
a
provi
as
long
as
you're
licensed
in
the
state
of
kentucky,
you
can
be
anywhere
in
the
world
as
long
as
you're
licensed.
You
can
provide
that
service
to
a
person
from
kentucky.
F
F
And
so
the
language
as
it
relates
now
putting
the
definition,
the
word
equivalent
clarifies
what
we
see.
I
think
on
page
six,
telehealth
coverage
and
reimbursement
shall
be
equivalent
to
the
coverage
for
the
same
service
provided
in
person
unless
the
telehealth
provider
and
the
health
benefit
plan
contractually
agree
to
a
lower
reimbursement
rate
for
telehealth
services.
F
At
page
six
page
six
page
six
line
thirteen
in
the
sub,
so
we've
defined
the
word
equivalent.
I
I
think
I
think
the
scalpel
approach
you've
taken
dr
alvarado
is
perfect.
We've
defined
the
word
equivalent
and
now
we're
saying
a
health
benefit
plan
starting
in
sub
2.
telehealth
coverage,
I'm
on
line
13
and
reimbursement
shall.
G
F
Accept,
as
provided
in
b,
be
equivalent
to
the
coverage
for
the
same
service
provided
in
person
unless
the
telehealth
provider
and
the
health
benefit
plan
contractually
agree
to
a
lower
reimbursement
rate
for
telehealth
services,
I
think
you've
crafted
it
perfectly.
Staff
has
crafted
it
perfectly
share
with
me
what
this
provider
was
saying.
A
A
We
had
interactions
with
them
a
meeting
with
them
meeting
with
the
department
of
insurance
to
discuss
this
doi
thanked
us
for
bringing
it
up
to
see
if
they
wanted
to
do
anything.
But
we
thought,
since
this
bill
was
coming,
would
be
easier
just
to
make
that
clarification
and
make
it
very
clear
in
the
law.
F
A
It
says
you
know
within
the
department
of
medicine.
So
if
you
go
back
to
the
previous
page
on
the
bottom
of
page
3
within
30
days
of
june,
9th
2021
promulgate
regulations
in
accordance
with
chapter
138,
to
establish
requirements
for
telehealth
coverage
and
reimbursement
rates,
which
shall
be
equivalent
to
coverage
requirements
and
reimbursement
rates
on
the
same
service
provided
in
person.
Unless
a
telehealth
provider
in
the
department
or
a
managed
care
organization
can
track
the
agree
to
a
lower
reimbursement
rate
for
telehealth
services.
G
Chairman,
overall,
this,
this
question
may
be
for
you
as
well,
because
ring
through
the
bill
quickly.
Is
there
any?
A
This
is
again,
this
is
all
existing
language
that
I
have
to
go
back
and
review.
My
understanding
is
that
it
did
not
require
an
established
relationship.
It's
particularly
when
we
first
had
drafted
this.
Was
that
and
again,
that's
all
existing
statute.
Current
nothing
is
being
changed
in
this.
This
bill
from
that.
G
Well,
yeah,
I
appreciate
the
bill
sponsor.
This
is
an
evolving
issue
and
I
think,
probably
we'll
see
several
more
bills
in
the
future.
Trying
to
clarify
you
know
what
this
is.
But
the
reason
for
the
question
is,
you
know
I
don't
want
to
get
in
a
situation
where
using
your
example
in
california
sets
up
a
bank
of
providers
and
say:
oh
anytime,
you're
in
kentucky
feel
free
to
telehealth
us
and
be
in
competition
with
local
providers,
even
though
they
don't
have
an
established
relationship
with
the
with
the
with
the
patient.
C
Chairman,
if
I
could
and
senator
meredith,
I
appreciate
the
thought,
but
if
you,
if
you
kind
of
peel
the
onion
back,
the
reason
for
this
bill
was
for
mental
illness,
because
its
current
law
doesn't
allow
for
licensed
therapists
to
do
telehealth
licensed
and
certified.
That.
E
C
This
bill
simply
allows
that
current
law
all
would
would
already
allow
a
doctor
to
do
that.
So,
if
you're
seeking
mental
health
you're,
that's
that's
going
to
be
an
established
relationship
issue.
It's
not
going
to
be
something
where
you
would
say.
I'm
going
to
call
joe
schmoe
back
in
california,
if
you're
in
kentucky
and
you're
having
mental
ill
illness
issues
you're
not
just
going
to
randomly
call
somebody.
C
You
don't
know,
that's
a
that's
a
relationship
anyway,
when
you're
dealing
with
mental
illness,
that's
something
where
you've
created
a
bond
with
your
therapist,
which
is
why
it's
so
important
to
be
able
to
maintain
that
bond
when
you're
away
from
your
state
with
that
therapist,
because
they
know
the
history
of
your
of
your
illness.
They
know
the
history
of
where
you
you
know
what
what's
caused
triggers
and
and
all
those
different
things.
G
I
agree
with
you
in
believing
not
trying
to
throwing
roadblocks
in
your
way
or
be
argumentative,
but
with
the
shortage
of
mental
health
workers.
In
kentucky
I
mean,
if
you
have
an
episode,
that
privileges
have
been
undiagnosed
or
you
haven't
suffered
from,
and
you
need
coverage
again
using
your
example.
I
know
it's
a
weak
example,
but
you're
from
california,
you
had
this
episode.
G
C
One
so
senator
going
forward
the
same.
The
same
holds
true
that
kentucky
that
kentucky
resident
who's
no
longer
in
the
state,
instead
of
calling,
if
they're
in
california,
instead
of
going
to
a
california
doctor
by
your
example,
could
call
somebody
back
home.
So
it
would
maintain
that
relation
that
that
contract,
that
contractual
obligation
that
you're
talking
about
so
it's
it's
still
the
same
number
of
people
in
our
state
that
you're
that.
C
A
G
A
And-
and
I
think
just
that
issue-
I
think
that's
where
the
the
definition
of
temporally
located
is
going
to
help
in
that
situation,
if
someone's
spending
a
lot
of
time-
or
I
think
all
through
the
cabinet
be
able
to
define
that
senator
gibbons.
Another
question:
no
okay,
very
good,
any
other
questions
from
other
members
of
the
committee.
A
A
Aye,
the
matter
passes
unanimously
with
a
vote
of
10
to
zero.
I
think
we're
starting
to
consider
motions
for
consent.
If
there's
a
motion,
if
emotion
is
your
second.
Second,
all
those
in
favor,
please
signify
by
saying
aye
aye.
Anyone
opposed
very
good.
Congratulations
representative.
We
appreciate
you
bringing
this
forward
and,
like
I
said
every
year,
I
think
we're
going
to
start
seeing,
hopefully
new
clarifications
as
telehealth
continues
to
expand
and
the
need
is
there,
and
I
think
kentucky
is
probably
one
of
the
leaders.
A
A
I
I
If
we
get
too
deep
in
the
woods
and
in
essence,
in
2015
legislature
passed
the
most
bill,
the
medical
order,
scope
of
treatment
to
deal
with
being
able
to
better
handle
end
of
life,
health
care
issues,
it's
worked
real
well,
but
as
we
as
we've
gone
on
and
moved
more
toward
online
medical
records,
as
you
well
know,
mr
chairman
there's
been
a
need
to
to
take
this
form
out
of
the
paper
world
and
put
it
into
the
digital
world.
I
So
this
bill
provides
that
it
gives
the
kbl
ml
the
authority
to
develop
the
online
form
to
match
the
paper
form
that
way.
There's
more
trans
portability
with
with
the
formatting
and
the
form
to
follow
the
patient
a
little
easier
and
it
seems
to
be
in
line
with
where
we're
going
with
with
the
handling
of
medical
records.
You
know
another
change
in
this
is
it
allows
this
form
to
be
translated
into
different
languages,
to
handle
the
more
diverse
backgrounds
of
our
citizens?
I
A
H
I
would
really
like
to
thank
the
committee
and
the
senator
for
bringing
this
forward.
I
can
remember
when
we
were
propagating
this
type
of
information,
and
it
was
you
know
on
the
front
of
the
chart,
and
the
problem
is:
is
the
chart
doesn't
go
with
the
patient
anymore?
It
used
to
be
a
joint
commission.
H
Rule
chart
stays
with
the
patient,
it's
now
electronic
and
when
that
patient
gets
transferred
that
those
those
papers
can
get
lost
and
then
you're
talking
about
starting
all
over
again
with
very
difficult
discussions
and
trying
to
get
the
information
passed
on
to
the
next
facility,
where
mistakes
can
be
made
because
they
don't
understand
or
don't
have
good
documentation
of
the
family's
wishes.
So
I
think
this
is
a
wonderful
bill.
I
I
urge
everybody
to
vote.
Yes,
thank.
A
Aye,
the
matter
passes
with
a
vote
of
ten
to
zero,
we'll
entertain
a
motion
for
consent.
You
have
a
motion
in
a
second
all,
those
in
favor,
please
signify
by
saying
aye.
Anyone
opposed
very
good.
The
matter
passes
unanimously.
Senator
congratulations,
it'll,
be
on
consent,
calendar
for
the
senate
floor.
Thank
you,
mr
chairman
members
committee
and
last
on
the
agenda
will
be
senate
bill
178,
an
act
relating
to
certification
for
clinical
supervisors
of
alcohol
and
drug
counselors
in
declaring
an
emergency.
B
Thank
you,
mr
chairman
julie,
rocky
adams,
district
36,
and
it
was
really,
I
think,
appropriate
when
you
said
that
for
the
telehealth
issue
that
we
can
expect,
you
know
people
to
come
back
session
after
session
to
update
these
things.
Well,
I
don't
think
it
would
be
an
appropriate
session
unless
we
had
an
update
on
our
alcohol
and
drug
counselor
regs,
and
so
I
will
let
my
guests
introduce
themselves.
D
J
So
thank
you
for
having
us
here
today.
This
is,
as
you
can
see,
a
fairly
simple
bill.
It's
about
two
pages.
So
last
year
we
had
senate
bill
166
that
did
two
main
things.
It
created
a
licensed
alcohol
and
drug
counselor
credential
that
kentucky
did
not
have
before,
and
that
is
for
folks
that
have
a
30
hours
master's
degree.
So
that
was
a
fantastic
addition
to
our
repertoire
of
people
who
can
treat
people
with
substance
use
disorder.
J
As
everyone
is
aware,
the
last
two
years
have
been
a
little
unusual,
so
what
we're
facing
now
is
that
we're
not
going
to
have
supervisors
that
are
required
unless
we
can
grandfather
in
some
supervisors
that
we
already
have.
So
I
will
turn
it
over
to
mr
cesario
as
chairman
of
the
board.
But
basically,
all
this
new
bill
is
asking
is
that
we
be
permitted,
we
being
the
board,
not
providers.
J
D
Currently
we
have
543
supervisors
in
the
state.
If
we
don't
make
this
change
or
if
this
change
isn't
approved,
the
potential
is
there
for
us
to
be
reduced
to
about
to
less
than
100
supervisors
across
the
board.
Okay,
so
in
essence
making
this
change
to
the
statute,
would
it
would
promote
workforce
development
because
you
know
right
now:
we
have
approximately
2
000
people
that
need
to
be
under
supervision
with
temporary
credentials.
D
We
would
have
less
than
100
supervisors
to
supervise
nearly
2
000
people,
if,
if
we
aren't
able
to
grandfather
grandfather
people
into
the
clinical
supervisor's
credential
so
and
when
I
discussed
this
with
lrc,
they
suggested
that
we
put
the
the
emergency
regulation
in
this.
A
Good
well,
thank
you
very
much
for
your
testimony
seems
like
again
a
pretty
straightforward
bill.
Any
questions
for
members
of
the
committee.
You
have
a
motion
on
the
bill.
Is
there
a
second
in
a
second
any
other
discussion
or
questions?
A
Aye
the
matter
passes
unanimously
with
a
vote
of
ten
to
zero
is
eligible
for
consent.
We
have
a
motion,
you
have
a
motion
for
consent.
Is
there
a
second?
We
have
a
second
all,
those
in
favor,
please
signify
by
saying
aye.
Anyone
opposed
congratulations.
The
matter
is
refer
to
the
senate,
four
on
consent,
calendar
and
appreciate
your
efforts.