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From YouTube: Senate Standing Committee on Health & Welfare (2-23-22)
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A
A
A
All
right
well
we're.
I
know:
we've
got
some
house
bills
on
the
agenda.
We
had
some
requests
from
some
of
those
house
members
to,
but
I
don't
see
them
here
yet
so
with
that
in
mind,
we'll
start
off
first
with
senate
bill
10,
which
is
an
act
relating
to
nursing
and
declaring
an
emergency
sponsor,
is
senator
robbie
mills.
A
C
C
Senate
bill
10,
if
you'd
like
for
me
to
go
ahead
and
proceed,
please
proceed
senate
bill.
10
is
a
culmination
of
quite
a
bit
of
work.
That's
been
done
over
the
intro
man
into
this
session
and
to
kick
things
off
I'd
like
to
allow
president
steivers
to
give
some
background
information
on
nursing
and
the
nursing
shortage,
and
some
of
the
things
we're
trying
to
accomplish
with
this
bill
and
then
I'll
get
kind
of
down
in
the
details
of
the
bill.
After
he's
completed.
D
Please
steve.
Thank
you,
mr
chairman
members
committee,
I'm
probably
not
saying
anything
new
to
this
committee,
but
it
was
well
known
and
it
goes
back
several
years
that
kentucky
has
had
a
nursing
shortage.
D
Some
estimates
would
say,
is
potentially
high
as
10
to
12,
maybe
even
14
000
nurses
short
some
as
low
as
3
000
short,
but
it
has
been
evident
and
become
more
exacerbated
and
apparent
during
this
last
couple
of
years
with
the
coveted
pandemic
and
what
has
occurred.
D
We
know
that
at
points
in
time
the
elective
procedures
were
were
stopped
because
there
was
this.
This
fear
of
a
wave
of
people
needing
admissions
in
the
hospital
didn't
quite
go
that
way.
We
lost
some
nurses
because
when
hospitals
were
stopped
from
doing
elective
procedures,
they
laid
off
people
and
one
in
an
area
I
used
to
represent,
and,
mr
chairman,
in
your
backyard,
I
remember
saint
claire's
laid
off
like
200
at
one
point
in
time,
so
they
went
to
other
states
moved
traveled.
D
It
just
created
a
bigger
and
bigger
problem,
but
this
is
not
just
related
to
hospitals.
It's
related
to
long-term
health
care
facilities.
Anybody
else
who
relies
on
nursing,
so
we
started
looking
at
and
the
governor
entered
an
executive
order
to
change
the
admissions
requirements
and
currently
the
board
of
nursing
has
set
these
requirements.
D
That's
not
going
to
be
a
solution
and
the
governor's
executive
order
is
only
temporary
in
nature.
So
we
felt
we
needed
to
start
focusing
on
how
to
really
alleviate
the
problem
and
instead
of
having
some
type
of
artificial
or
or
arbitrary
number,
that
this
institution
or
that
institution
should
have
this
many
people
to
be
admitted.
We
felt
we
needed
to
get
rid
of
everything
and
just
let
the
market
take
its
course
and
develop
a
criteria
that
we'd
have
quality
control.
D
So
the
public
would
know
that
when
a
nurse
graduates
and
that
they
are
starting
to
work
in
a
hospital,
they
are
qualified
to
do
so.
The
other
things
we
looked
at,
which
senator
mills
get
involved
in
in
a
minute,
is
how
we
treat
nurses,
who
come
from
other
jurisdictions,
to
make
sure
that
we
create
the
opportunity
that
it
is
as
quick
and
seamless
as
possible.
D
So
looking
at
all
the
circumstances
in
the
landscape
as
it
related
to
providing
health
care
and
quality
health
care.
The
senator
and
I
have
worked
on
this.
We've
worked
with
various
schools
and
institutions.
We've
worked
with
the
hospital
association
eric
clark,
our
staff
member,
has
had
communications
as
our
conduit
with
the
nursing
board.
D
A
Very
good,
it's
yeah,
mr
trum,
I
mean
mr
jones
senator.
I
would
be
more
than
happy
to
to
have
action
on
that
sub.
I
think
many
of
us
have
received
that
in
the
last
few
days
and
I
want
to
commend
you.
I
know-
there's
been
a
lot
of
input
on
this
bill
and
on
this
substitute
from
agencies
like
the
board
of
nursing.
So
we've
got
that
pss-4
before
us
I'll,
entertain
a
motion.
You
have
a
motion.
A
C
Very
good
chairman
they're
in
board
there
are.
There
are
three
things
that
that
the
committee
substitute
on
senate
bill
10
is
aimed
at
doing,
and
then
we
can
talk
about
details
if
we
need
to
get
down
into
them.
But
the
first
thing
is
to
improve
the
process
for
out
of
state
and
foreign
trained
nurses
to
practice
in
kentucky
without
compromising
the
standard
of
care.
C
The
second
thing
is
to
improve
access
to
nursing
programs
by
removing
arbitrary
enrollment
limitations
without
compromising
once
again
the
quality
of
education
that
the
nurses
are
receiving
and,
third
is
to
make
updates
to
the
board
of
nursing
membership,
which
includes
term
limits
and
geographic
requirements,
and
we
think
that
these
changes
to
the
nursing
board
will
give
practicing
nurses
more
voice
on
the
board.
So
those
are
the
three
global
things
that
we're
trying
to
accomplish
in
senate
bill
10
and
the
committee
substitute.
C
If
you'd
like
to,
I
could
like
to
direct
you
to
just
a
couple
of
areas
in
the
bill
that
the
committee
substitute
made
some
changes
in
section
two
and
three
of
the
bill.
These
sections
of
men,
krs
314,
0.041
and
045051,
respectively,
to
provide
that
registered
nurses
and
lpns
from
a
state
that
is
not
a
member
of
the
nursing
compact
shall
be
able
to
practice
in
kentucky
if
the
registration
is
in
current
good
standing
in
the
state
that
they're
registered
and
pass
and
they
pass
the
jurisprudence
test.
C
This
also
establishes
requirements
for
the
licensures
by
endorsement
for
foreign,
trained
nurses
and
lpns.
The
major
change
in
the
committee
substitute
in
this
section
was
from
feedback
that
we
received
from
long-term
care
providers,
as
it
relates
to
temporary
work
permits
for
foreign
trained
nurses.
C
There's
a
new
subsection
9
in
section
2,
and
a
new
subsection
10
in
section
3
to
require
the
board
of
nursing
to
promulgate
administ
administrative
regulations
establishing
the
temporary
work
permit
requirements
for
foreign
trained
nurses.
We
also
made
several
other
technical
changes
that
the
board
of
nursing
brought
to
our
attention.
Once
again,
this
was
to
allow
immediate
entry
into
the
workforce.
C
One
of
the
one
of
the
reasons
that
I
got
involved
in
this
bill
was,
I
was
contacted
from
a
couple
people
in
my
district
that
just
dying
for
nurses,
just
just
needing
nurses
in
long-term
health
facilities
and
we're
trying
to
get
qualified
nurses,
possibly
from
out
of
the
country,
but
out
of
state.
Just
anybody
to
come
in
that
has
the
qualifications
that
doesn't
get
tied
up
in
the
bureaucracy
of
the
licensure
process.
C
Section
yeah,
section
five
is
another
place
that
we
did
a
couple
of
things
section
5
amends
314.111
to
prohibit
the
kentucky
board
of
nursing
from
imposing
enrollment
limits
on
nursing
programs
that
have
an
average
pass
rate
of
the
national
licensure
exam
of
80
percent.
During
the
previous
three
years,
we
changed
that
from
five
years
to
three
years.
C
That
was
also
a
comment
from
from
those
that
were
helping,
give
input
to
to
our
process
and
then
finally,
section
six
amends
314.121
to
limit
members
of
the
kentucky
board
of
nursing
to
no
more
than
three
consecutive
terms.
It
subjects
the
appointments
to
senate
confirmation,
and
it
requires
that
at
least
two
members
of
the
board
be
from
each
congressional
district
and
then
limits
the
number
of
nursing
educators
on
the
board.
C
To
no
more
than
six,
we
thought
the
geographic
constraints
that
we're
putting
in
here
will
help
give
equal
voice
from
across
the
commonwealth.
As
you
all
know,
our
state
is
very
diverse
and
has
diverse
needs
throughout
the
commonwealth,
and
we
thought
that
was
needed
as
well
and
then
finally,
section
seven
is
the
emergency
clause,
because
we
believe
this
is
such
a
dire
need
that
we
need
to
put
these
in
into
action
as
quickly
as
possible.
So
with
that,
mr
chairman
I'd
be
happy
to
answer
questions
or
concerns.
A
A
We
know
that
our
hospitals
haven't
been
able
to
operate
at
its
fullest
capacities
because
we
don't
have
nursing
staff
to
manage
a
lot
of
those
wings
in
our
hospitals,
and
so
this
is
something
that
we
really
have
to
act.
We
can't
afford
to
do
that
again,
going
forward
in
the
future.
I
also
appreciate
the
fact
that
you
know
there
were
limitations
put
in
I
I
don't
have
a
clear
understanding.
Still.
I
know
I've
talked
to
some
nurses
over
the
years
who
years
ago
there
was
two
too
many
nurses
in
the
state.
A
At
one
time
at
least
there
was
a
fear
of
that.
I
I
don't
know
for
a
fact.
I
suspect
those
limitations
may
have
been
put
in
to
kind
of
reign
that
in
at
one
time,
but
clearly,
we've
been
in
a
shortage
at
least
for
15
years.
I
know
we've
had
a
workforce
shortage
analysis
done
back
in
2013
that
I've
often
pointed
out
in
this
committee.
A
That
shows
that
clearly
we
have
a
shortage
of
physicians,
nurses,
lots
of
medical
professionals
and
we
needed
to
do
something
and
again
it's
it's
time
that
I
think
the
legislature
needs
to
act.
So
I
appreciate
all
the
work.
That's
gone
into
this
bill
and
the
how
receptive
you've
been
for
changes
from
from
the
board
of
nursing.
As
far
as
their
recommendations
as
well,
we
do
have
a
question
from
senator
wise.
E
Thank
you,
mr
chairman,
just
a
quick
comment,
very
supportive
of
the
bill.
Senator
mills.
Thank
you.
Presidents.
Divers.
President
divers,
I
think
you,
you
know
in
terms
of
our
education
meeting
this
session,
we
had
with
president
larry
cochran
from
university
of
cumberland
talking
about
how
important
this
is
for
allowing
our
institutions
with
educational
components
of
nursing,
to
be
able
to
open
that
up,
and
I
know
with
campbellsville
university
in
my
district
and
presidents,
you
with
cumberland
and
our
other
universities.
Thank
you
so
much
for
bringing
this.
D
Yes,
mr
chairman,
senator
wise,
they
have
been
limited
and
I
think
they
are
at
50
right
now,
under
the
current
scenario,
could
go
to
60
on
admissions,
but
if
they
wanted
a
higher
than
that
they
had
to
petition.
I
believe
the
board,
under
the
governor's
executive
order,
the
president
and
his
staff
have
told
me
they
could
ramp
up
and
union
college
who-
which
I
also
have
they
feel
pretty
comfortable
about
this.
Some
question
has
come
to
whether
we're
going
to
have
teaching
staff
available
to
ramp
up.
D
They
were
willing
to
hire
two
masters
level
nurses
to
assist
any
of
the
universities
or
college
in
that
area,
in
helping
with
capacity,
because
that's
how
much
there
is
for
demand
out
there,
so
they
feel
very
comfortable
that
they
can
go
in
this
direction.
The
quality
control
will
be
the
rolling
three-year
average
of
passing,
but
overall,
I
think
it
will
be
very
beneficial
to
the
institutions
and
the
marketplace
will
set
some
things
out
and
dr
cockrum,
I
think,
feels
very
comfortable
that
they
can
almost
triple
within
a
few
years
their
nursing
program.
C
A
Thank
you.
I
think
it's
important
for
us
to
know.
I
don't
think
any
other
medical
board
that
we
have
of
any
sort
any
kind
of
medical
field
board
limits,
how
many
students,
it's
typically
a
function
of
the
universities
or
the
colleges
where
they're
being
trained.
I
mean
they're,
obviously
concerned
about
their
own
credentialing
having
their
pass
rates,
be
a
certain
level
because
their
success
relies
on
those
things
and
they
know
their
limitations
on
it.
So
again
appreciate
all
those
changes.
A
I
don't
have
any
other
questions
for
you
right
now.
If
you'd
like
to
hang
out,
we
have
a
few
more
people
that
have
signed
up
to
speak
on
this
issue.
A
I
think
we
have
some
members
of
the
kentucky
nursing
association
who
have
signed
up,
I
believe
delores
white
and
I'm
not
sure
if
delano
or
manson,
if
they're,
both
here
they'd
like
to
come
forward
and
make
some
st
make
a
few
statements
or
a
statement
about
the
bill
and
if
you'd
like
to
just
when
you
come
just,
please
introduce
yourselves
for
the
record
and
begin
your
testimony.
A
F
Thank
you
good
morning,
I'm
delanor
manson,
I'm
the
ceo
for
the
kentucky
nurses,
association,
the
kentucky
nurses
foundation
and
the
kentucky
nurses
action
coalition.
I
represent
89
000
nurses.
We
are
53
of
the
health
care
workforce
and
the
largest
profession
in
the
state
of
kentucky
with
me
today
I
have
dr
deloris
white,
who
is
an
assistant
professor
at
northern
kentucky
university
and
dolores?
Would
you
like
to
introduce
yourself
and
have
a
few.
G
Words,
thank
you.
My
name
is
dolores
white,
and
it
is
a
pleasure
to
be
here
today.
I've
been
a
nurse
for
more
than
26
years
in
both
clinical
and
academic
settings,
and
we
are
committed
to
supporting
kentucky
nurses
and
those
in
their
care
when
60
minutes
recently
highlighted
the
nursing
shortage
by
showing
the
effects
of
colleagues
in
louisville,
the
crisis
became
more
real.
Their
story
of
the
physical,
mental
and
emotional
exhaustion
of
the
pandemic
is
every
kentucky
nurse's
story
and
worry.
G
F
F
The
k
a
supports
all
the
recommendations
that
the
kbn
has
provided
to
provide
in
additions
to
senate
bill
10.,
but
we
also
have
some
recommendations
that
we
know
will
address
the
nursing
shortage.
We
have
a
five-point
plan
and
we're
not
the
type
of
organization
just
come.
That
just
comes
to
provide
things
to
say:
we
don't
want
that.
We
come
with
solutions,
and
so
our
five-point
plan
includes
a
recommendation
and
an
ask
for
100
million
dollars
to
address
the
nursing
shortage.
F
The
first
thing
that
we
recommend
is
to
remove
the
kappa
cs.
There
are
approximately
2
000
aprns
who
are
practicing
outside
kentucky
because
they
cannot
practice
to
the
full
extent
of
their
licensure
and
experience
and
education.
We
need
to
bring
those
nurses
home.
There
are
also
approximately
five
thousand
retired
nurses
that
we
think
that
will
come
back
and
help
us
if
we
provide
them
with
education
and
retraining.
F
We
don't
think
we
can
get
5000,
but
we
do
think
we
can
get
approximately
1500
of
those
with
just
those
two
groups
that
would
be
3,
500
nurses,
that
could
help
us
with
the
nursing
shortage.
We
also
think
that
we
need
to
make
an
investment
in
our
nurse
faculty.
We
don't
have
enough
faculty
to
accommodate
more
students.
F
Last
year,
the
kentucky
board
of
nursing
reported
that
there
were
seventeen
hundred
seats
unfilled
by
nursing
students.
We
don't
have
the
faculty
or
clinical
practice
areas
in
order
to
accommodate
seventeen
hundred
students.
At
this
time
we
don't
pay
our
faculty
what
they
deserve.
They
do
not
get
salaries
commiserate
with
what
other
professors
get,
who
are
similarly
trained
and
have
the
similar
education
and
degrees.
F
So
we
need
to
have
more
faculty.
We
need
to
increase
the
salaries
for
the
faculty
and
we
need
to
have
a
program
for
loan
forgiveness
for
faculty.
Many
faculty
produce
nursing
students
who
will
make
more
than
they
make
in
their
first
year
of
working
as
a
registered
nurse.
It
is
also
extremely
important
that
we
keep
up
the
level
of
academic
requirements
for
the
faculty,
who
are
doing
clinical
instruction
and
faculty
presentations
at
the
nursing
schools.
F
Sb
10
is
a
start,
but
it
doesn't
go
far
enough.
We
need
to
add
the
funding
to
sb10
and
finally,
we
recommend
a
campaign
that
focuses
on
nurses
as
caregivers
and
appreciates
the
nurses
who
have
stayed
in
their
communities
and
not
taken
travel
jobs
where
they
could
make
a
hundred
and
fifty
to
two
hundred
dollars
an
hour,
including
high
bonuses.
We
need
to
appreciate
those
nurses.
F
So
we
have
this
four
five
point
plan
that
we
will
be
glad
to
share
the
specifics
of
of
of
oh.
I
forgot
one
really
important
piece
of
that
five-point
plan
retention
bonuses
for
the
nurses
who
stayed,
and
that
includes
every
single
nurse,
not
just
nurses,
who
worked
in
hospitals
or
in
long-term
care,
but
every
rn.
Every
lpn
who
has
stayed
in
their
community
is
do
a
retention
bonus
to
show
appreciation
for
staying
in
their
communities.
E
Thank
you
all
for
your
presentation.
Can
you
give
the
committee
just
some
idea
on
what
the
current
pay
scale
is
for
an
incoming
rn
and
on
average,
throughout
the
state.
E
A
A
You
for
your
service
to
our
country,
part
of
the
reason
for
that
questions.
I've
I've
been
here
a
while.
I
have
never
seen
the
k
a
ever
come
and
testify
ever
on
any
bill.
We've
ever
had
before
this
committee
and
I've
been
here
now,
probably
over
100
committee
meetings
covered
important
health
topics
like
tobacco
legislation,
things
to
help
with
mental
health
in
this
state
help
with
heart
disease,
colon
cancer
bit
all
kinds
of
bills,
always
we've
been
here.
Never
once
have.
A
I
met
you
or
had
anybody
from
the
k
a
ever
come
and
testify
on
a
lot
of
those
important
issues.
I'm
glad
that
you're
here
today
we
hope
to
hear
more
from
you.
If
you
represent
89
000
nurses
be
able
to
hopefully
give
a
voice
to
some
of
those
topics
as
well,
because
I
think
other
medical
professions
have
been
here
fighting
those
fights.
I
know
how
nurses
feel
about
those
issues.
I've
never
seen
you
here
before.
So
I'm
glad
that
you're
here
today
glad
that
you're
present.
A
I
would
encourage
you
to
look
at
senate
bill
130
when
you're
asking
for
retention
and
recruitment
bonuses.
There
has
been
legislation
filed
for
that
purpose.
I
filed
it
myself
during
the
special
session.
It's
been
filed
again
during
this
session,
so
some
of
those
issues
have
already
been
looked
at.
Not
all
of
them
have
to
be
in
one
singular
bill,
so
I'm
happy
to
meet
with
you
have
some
discussions
about
that,
because
there's
other
bills
that
have
been
filed
to
help
nurses
as
well.
They
don't
all
just
come
in
this.
A
This
has
been
part
of
an
issue
where
we've
had
a
shortage
for
a
long
time
so,
like
I
said,
I'm
glad
to
see
you
all
at
least
engaged
today
and
coming
here
before
us
in
this
committee.
I
appreciate
it.
If
there's
no
other
questions,
we
also
have
a
few
other
members
from
the
kentucky
hospital
association.
I
think
nancy,
galvani
and
donna
little
are
here
as
well.
If
they'd
like
to
come
forward
and
provide
some
testimony
on
this,
I
would
appreciate
it.
F
H
H
We
have
a
lot
of
our
nurses
that
are
retiring,
so
we
knew
that
this
issue
was
coming,
but
of
course,
the
pandemic
has
shown
a
huge
light
on
the
problem,
and
so
the
other
issue
that
we
faced
in
healthcare
is
not
only
our
healthcare
professionals
who
can't
be
easily
easily
replaced
retiring
in
large
numbers,
and
you
know
we
have
people,
you
know
leaving
the
profession
but
at
the
same
time
again
our
population's
aging
and
so
we're
needing
additional
staff
and
that's
putting
a
greater
demand
on
our
providers
and
our
facilities.
H
And,
of
course
our
hospitals
have
learned
a
great
deal
over
the
pandemic.
We
are
capable
of
expanding
our
capacity.
We
can
certainly
add
additional
beds
to
treat
patients,
but
the
problem
is
that
we
can't
just
add
additional
staff,
that's
necessary
to
staff
those
beds
without
more
workers
being
trained.
H
H
In
the
last
two
years
that
we've
been
through
as
you've
heard
before,
I
would
confirm
what
senator
stiver
said:
the
estimates
of
the
nursing
shortage
in
kentucky
range
anywhere
from
4
000
to
10
000
vacancies,
and
I
would
agree
that
fatigue,
burnout
and
mental
distress
from
this
ongoing
crisis
have
led
to
even
more
retirements
and
resignations
among
experienced
nurses
and
that
that
otherwise,
you
know
we
weren't
would
not
have
expected
to
leave
the
profession
and,
of
course,
we're
losing
experienced
nurses,
and
so
that's
a
big
strain
as
well.
H
Another
issue
that's
been
touched
upon,
and
I
can
confirm
that
hospitals
are
burning
through
their
reserves
to
hire
traveling
nurses
and
they
come
at
national
rates
of
pay,
not
a
kentucky
rate
of
pay,
so
our
hospitals,
both
small
and
large,
are
competing
with
hospitals
in
other
states
in
new
york.
In
california,
in
the
wealthier
states
and
even
the
federal
government
for
the
same
nurses,
few
of
our
hospitals
can
pay
200
to
250
dollars
an
hour
for
a
traveling
nurse
to
fill
these
gaps.
H
We
recognize
that
in
the
near
term,
there's
no
easy
answer
to
the
shortage
of
skilled
nursing
and
other
healthcare
professionals.
However,
senate
bill
10
is
an
excellent
step
towards
addressing
the
longer
term
goal
of
adding
more
qualified
nurses.
So,
on
behalf
of
our
kentucky
hospitals,
we
want
to
thank
senator
mills
and
president
stivers
for
taking
the
lead
in
addressing
this
need
to
remove
the
artificial
barriers
to
increasing
the
number
of
nursing
students
and
eventually
the
number
of
nurses
available
to
serve
our
patients.
H
H
Our
kha
workforce
committee
is
actively
engaging
with
partners
in
kctcs
the
board
of
nursing
soar
and
many
other
groups
to
seek
solutions
not
only
for
the
nursing
shortage,
but
the
larger
problem
of
the
need
for
more
health
care
workers
of
all
types
so
making
sure
that
our
patients,
who
also
are
your
constituents,
receive
the
best
and
most
timely
care
is
always
our
guiding
principle.
And
I
want
to
thank
you
all
for
tackling
this
very
tough
issue
and
we
urge
you
to
pass
senate
bill.
10.
E
Thank
you,
mr
chairman,
on
the
issue
of
traveling
nurses,
I
know
there
has
been
some
discussion
about
possible
price
gouging
from
these
companies
that
coordinate
these
efforts.
What
what
is
the
average
profit
per
hour?
I
know
you
said
200
and
something
dollars
an
hour.
How
much
of
that
actually
goes
to
the
nurse
and
to
the
company.
H
So
senator
carol,
we
really
don't
know
that
that's
what
hospitals
are
paying,
but
we
don't
really
know
what
these
profit
margins
are.
We
don't
know
how
much
is
actually
going
to
the
nurse
and
price.
Gouging
is
something
I
hear.
My
members
are
calling
me
every
day
about
the
tactics
that
some
of
these
agencies
are
going.
You
know
recruiting
staff,
getting
people
to
go
into
the
hospitals
and
recruit
other
nurses
to
leave.
H
Sometimes
we
have
nurses
that
are
not
really
traveling
they're,
not
going
out
of
state
but
they're
going
down
the
street,
and
so
it's
quite
a
concern
and
something
that
we
would.
You
know:
we've
looked
at
our
existing
price,
gouging
law
in
the
state,
because
we
do
have
a
price,
gouging
law
for
other
things
and
disasters.
You
know
you
can't
raise
the
price
of
gas
or
water
or
those
sorts
of
things,
but
there's
no
authority
right
now
for
our
attorney
general
to
even
look
into
these
travel
nurses,
and
so
that's
something
that
could
be
very
helpful.
H
A
J
Quick
explanation,
you
know
nursing
is
an
extraordinarily
noble
profession
and
my
mother
was
a
nurse
my
sister's,
a
retired
nurse,
and
I've
stated
this
publicly.
I
don't
ever
want
to
be
in
a
medical
crisis
without
a
nurse
by
my
side.
So
thank
you
very,
very
much.
J
A
K
I'd
like
to
thank
the
sponsors
for
bringing
this
legislation
to
address
this
critical
need.
I
particularly
appreciate
the
fact
that
of
the
committee
sub
that
you
worked
with
various
entities
to
improve
the
bill,
I
do
think
the
greatest
improvement
could
be
if
we
had
some
retention
money
set
aside
in
our
budget
to
really
work
toward
keeping
our
nurses
long
term
in
kentucky.
But
this
is
an
excellent
first
start.
I
vote
I
and
I
thank
you.
L
Explain
my
vote.
Please
please
proceed
about.
I
and
I
appreciate
senator
mills
and
center
stivers.
Bringing
this
bill
certainly
is
a
good
start,
but
I'm
a
little
bit
concerned
that
we
don't
have
more
focus
on
the
retention
side
of
it
again.
It's
not
a
criticism
of
bill,
but
I
don't
think
people
understand
how
demanding
nursing
has
become
and
we
can
recruit
all
the
nurses
we
want.
But
if
they're
not
going
to
stay
in
the
profession
we
haven't
gained.
Anything
and
quite
true,
I
think,
being
a
floor.
L
Nurse
in
the
hospital
working
long-term
care
facility
has
to
be
one
of
the
most
difficult
jobs
in
the
face
of
the
earth,
and
we
have
to
look
at
how
this
current
situation,
while
it's
been
evolving
for
years,
has
really
been
accelerated
for
other
reasons
that
are
just
not
work
related
they're,
whole
person
related.
You
know
like
not
having
child
care
available
to
you
during
the
kobe
crisis.
L
I
mean
what
is
a
nurse
supposed
to
do
if
you're
responsible
for
your
children,
so
I
hope
we
use
this
as
an
opportunity
to
really
think
outside
the
box
and
really
look
at
the
the
work
life
of
our
nurses,
because
I
think
there's
things
we
could
do
within
our
respective
facilities
to
reduce
the
paperwork
and
the
bureaucracy.
That
is
obviously
there.
That's
a
stressor
as
well,
maybe
look
at
and
changing,
then
the
role
of
the
nurse
in
looking
for
more
assistance
to
to
help
them
do
their
core
functions,
because
they
do
so
many
different
things.
L
So
I
think
we
really
have
to
look
at
the
whole
person,
not
just
the
work
person
and
try
to
address
those
issues
as
well.
So
this
can
be
a
big
challenge.
It's
not
going
to
be
resolved
overnight,
but
again,
certainly
we
need
to
get
as
many
people
in
the
field
as
we
possibly
can,
but
we
really
have
to
focus
on
the
retention
as
well.
You
know
we
can
pay
bonuses
out
of
the
wazoo,
but
if
it's
not
going
to
improve
the
quality
of
your
life,
it's
not
going
to
do
us
any
good.
L
A
Aye
the
measure
passes
10
to
zero,
with
favorable
expression
to
the
senate
floor.
Congratulations
senator!
Thank
you,
president
stivers,
for
coming
and
presenting.
Thank
you
very
much.
The
next
item
we're
going
to
be
taking
up
is
house
bill.
127
an
act
relating
to
court
ordered
mental
health
treatment.
The
sponsors
representative
ken
fleming,
presented
fleming
if
you'd
like
to
come
forward,
introduce
yourself
and
your
guests,
and
please
begin
your
testimony.
M
Thank
you,
mr
chairman,
and,
ladies
and
gentlemen
of
the
committee.
I
would
like
to
allow
ladies
to
your
right
and
left
to
introduce
themselves
and
then
I
will
follow.
M
Mr
chairman,
ladies
and
gentlemen,
thank
you
very
much
for
entertaining
hospital
127.
It
is
tim's
law
and
I
think
senator
adams
carried
the
torch
some
some
time
ago
and
did
a
great
job
to
get
this
on
the
books
and
what
they
were
doing
here
is
making
some
modifications
and
changes
to
expand
the
service
to
take
in
more
individuals
that
go
through
severe
or
have
severe
mental
health.
M
Last
last
year,
the
chairman
and
several
other
members
of
this
committee
basically
participated
in
severe
mental
health
task
force,
and
it
was
very
enlightening
and
one
of
those
10
recommendations
is
this
bill
before
you
today
and
basically,
what
it
is,
is
the
tim's
law
just
to
remind
you.
It
authorizes
the
state
district
courts
to
order
assisted
outpatient
treatment
or
aot.
M
If
you
want
to
call
it
that
for
individual
individuals
who
have
been
diagnosed
with
severe
mental
illness
and
are
unlikely
to
seek
treatment
or
bond
on
a
voluntary
basis,
this
law
is
created
as
a
partnership
between
the
patient
and
the
mental
health
system.
That
aims
to
increase
the
medication
adherence
in
order
to
reduce
hospitalization
rate
rates
and
in
incarceration
have
a
hard
time
with
that
word
incarceration,
while
getting
these
individuals
back
on
the
road
recovery,
thereby
avoiding
prison
self-harm
and
endangering
others.
There's
two
provisions.
M
Basically,
in
this
bill
one,
it
rectifies
a
drafting
error
that
basically
defines
evaluation
as
well
as
examination
and
the
second
one
is
basically,
it
looks
at
requiring
or
eliminates
the
requirement
of
pre-hospitalizations
that
were
involuntary,
as
this
was
a
arbitrary
distinction.
M
Many
patients
were
brought
into
the
hospital
in
a
crisis
and
are
often
agreeable
or
persuaded
to
voluntarily
voluntarily
admit
themselves,
and
this
should
not
eliminate
them
from
the
aot
eligibility
with
that.
Mr,
mr
chairman,
I'd
like
to
ask
representative
wonder,
have
some
comments.
Representative.
M
N
Thank
you.
Thank
you.
It's
good
to
be
here
so,
as
you
know,
mr
chairman,
this
recommendation
this
bill
does
come
out
of
the
severe
mental
illness
task
force
and
it
was
a
privilege
to
serve
on
that
with
both
of
you
over
the
summer.
I'm
very
glad
to
co-sponsor
this
policy.
It's
good
policy
and
it's
a
good
bipartisan
effort.
N
The
bill
would
expand
implementation
of
tim's
law.
By
making
some
technical
changes,
it
would
remove
barriers
for
people
struggling
with
severe
mental
illness
to
be
able
to
access
assisted,
outpatient
treatment.
The
changes
would
help
disrupt
the
cycle
of
houselessness
arrests,
incarceration
and
involuntary
hospitalization.
That
is
the
fate
of
too
many
severely
mentally
ill.
Kentuckians
tim's
law
provides
a
more
humane
and
compassionate
approach
to
addressing
severe
mental
illness.
N
It's
also
a
fiscally
responsible
approach
shown
to
decrease
emergency
room
visits
and
jail
time.
We
know
from
the
experience
of
40
plus
other
states
that
court
ordered
assisted,
outpatient
treatment
works
and
it's
working
in
kentucky
on
a
limited
basis.
This
bill
would
make
more
people
eligible
for
this
very
good
program.
M
Thank
you.
Thank
you
very
much
representative
before
I
enter
have
judge
burke,
make
some
comments.
I
don't
want
to
float
her
ego,
but
it's
very
well
deserved
her
professionalism,
her
intensity,
her
passion
and
how
she's
pioneered
in
this
particular
area
and
in
terms
of
helping
people
get
back
on
a
road
to
recover
is,
is
imagine
immeasurable,
and
so
so
with
that
I
know
she's
in
that
she's
going
to
give
the
knits.
O
O
O
First,
the
inconsistent
use
of
the
word
examination
in
the
current
statute
creates
some
unwanted
outcomes
which
would
allow
for
the
dispensing
of
a
clinical
examination
by
a
qualified
mental
health
professional
of
the
patient.
Clearly
that
was
not
the
intent
of
the
drafters
and
the
statute.
O
The
draft
fixes
that
delineation
between
the
two
words
of
examination
and
evaluation,
the
evaluation
is
what
is
done
by
the
qualified
mental
health
professional
when
assessing
the
patient's
clinical
condition.
The
examination
is
when
the
court
takes
sworn
testimony
of
the
petitioner,
and
it
distinguishes
that
in
the
the
amendment.
O
The
second
thing
that
it
does
is
very
important
in
the
amendment
clarifies
due
process
errors
in
the
original
language
pertaining
to
the
calculation
of
time
for
the
filing
of
reports
and
the
scheduling
of
the
hearing,
and
specifically
the
statute
in
its
current
form,
fails
to
clearly
state
when
the
reports
are
to
be
filed
by
the
qualified
mental
health
professional
and
it
actually
allows
them
to
be
filed
after
the
hearing
now.
Clearly,
in
no
circumstance
would
we
ever
allow
evidence
to
be
filed
after
a
trial.
O
O
The
reason
is
the
way
the
statute
is
worded
now
in
its
clear
reading.
It
would
allow
for
a
hearing
to
be
scheduled
one
day
after
the
filing
of
the
petition,
in
certain
circumstances,
that
does
not
allow
for
any
notice
to
any
of
the
parties
and
clearly
that
could
not
be
the
intent
of
the
drafters.
So
this
is
merely
a
cleanup
of
the
language
to
make
sure
that
due
process
is
afforded
to
the
parties.
O
That
is
an
arbitrary
distinction.
We
know
that
when
persons
are
brought
to
the
er,
they
are
often
con.
You
know
they're
often
persuaded
to
sign
in
and
do
a
voluntary.
Those
persons
should
not
be
excluded
from
the
aot
criteria.
We
want
those
persons
to
also
have
access
to
this
very
meaningful
process.
Also.
The
current
the
amendment
requires
a
nexus
between
the
patient's
history
of
non-adherence
to
treatment
and
their
negative
outcomes
of
re-hospitalization
arrest
and
incarceration
currently
in
the
flow
of
the
language
of
the
bill
or
of
the
law.
O
O
Finally,
the
language
in
127
does
not
limit
eligibility
to
those
with
a
history
of
hospitalization,
and
this
is
the
most
important
thing
that
the
bill
does.
The
bill
extends
and
expands
eligibility
to
those
who
have
a
history
of
behavior
that
also
led
to
their
arrest
and
incarceration,
and
we
know
that
aot
reduces
re-hospitalization
and
arrest
and
incarceration,
but
tim's
law
in
its
current
form
in
kentucky
only
addresses
hospitalization.
M
Thank
you
judge
very
much
and
I'll
conclude
with
this.
Mr
chairman
part
of
my
dna,
always
a
good
cost.
So
when
you
look
at
costs
and
saving
costs
and
how
it
affects
with
with
policy
and
so
forth,
is
a
good,
it's
a
win-win.
So
looking
at
the
samhsa
grant,
I
want
to
read
this
a
couple
of
sentences
out
here
and
you'll
get
a
perspective
of
what
the
judgment
just
mentioned
in
terms
of
reducing
costs
in
terms
of
hospitalization
and
getting
people
back
on
the
road
recovery.
M
So
so,
according
to
the
recent
state
to
state
analysis,
100
or
say,
1800
individuals
in
kentucky
would
benefit
from
aot,
using
an
estimated
cost
of
a
hundred
thousand
dollars
per
patient
prior
to
aot
the
analysis
estimated
treatment
cost
for
these
individuals,
175
million
dollars
taken
together.
These
data
demonstrates
a
gap
in
the
service
continuum
for
a
small
but
extremely
costly
percentage
of
kentucky's
severe
mental
health
population.
That
would
greatly
potentially
greatly
benefit
this
program.
M
Unfortunately,
the
aot
enabling
legislation
does
not
include
funding
for,
nor
does
it
have
any
have
any
state
dollars
dedicated
to
this
so
part
of
this
process.
We
were
going
to
try
to
push
the
envelope
in
order
to
get
some
additional
funding
in
order
to
really
expand
this,
to
save
that
180
million
dollars
or
a
good
portion
of
that.
So
with
that,
mr
chairman
I'll,
be
we'll
be
happy
to
entertain
some
some
questions.
Thank.
I
Thank
you,
mr
chairman,
and
first
I
want
to
say
that
judge
burke
truly
is
an
extraordinary
judge.
I
mean
she
has.
I
She
was
opposed
to
this
concept
in
the
beginning
and
she
has
been
the
absolute
leader
in
jefferson
county
on
mental
health
issues
and
writing
the
samsa
grant
and
working
on
this
to
expand
it
so
just
hats
off
to
her.
So
thank
you
very
much
for
bringing
this
to
us.
I
think
one
of
the
things
that
we
heard
here
today
was
what
the
technical
issues
are,
but
I
also
want,
if
maybe
the
judge
would
like
to
talk
about
that
first
success
story
that
we
had
it
hasn't
been
utilized
as
much
as
I
would
hope.
I
What
about
the
cost
of
not
doing
things-
and
this
is
one
of
those
perfect
examples-
senator
meredith,
I
hate
to
steal
your
line,
but
this
is
one
of
those
perfect
examples
of
what
does
this
mean
to
the
dignity
of
the
citizens
and
across
kentucky?
If
we
don't
do
this,
so
if
you
don't
mind
sharing
that
quick
story,
I
would
really
appreciate
it.
O
O
He
came
to
court
every
single
time
when
he
was
supposed
to
at
the
beginning
of
the
the
process
he
was
he's
was
still
always
very
highly
symptomatic.
These
are
the
most
seriously
mentally
ill
individuals
they
are.
They
are
not
well
even
when
they're
at
their
best,
but
it's
still
just
improving
their
quality
of
life.
At
the
beginning
of
the
process
we
would
my
prosecutor
would
bring
him
goodies
cookies
and
things
at
the
end
of
the
process.
He
was
bringing
me
goodies.
O
He
made
tremendous
progress
to
the
point
that
he
was
caring
for
his
elderly
mother,
he's
still
doing
that.
It's
been
three
years
just
this
past
month,
he
has
not
been
re-hospitalized
or
incarcerated
in
three
years,
he's
still
getting
the
services
in
compliant
with
the
services
and
medication
compliant.
O
He
needed
the
the
wraparound
services
in
the
case
management
that
we
gave
him
for
that
year.
It
made
all
the
difference
in
the
world.
We
were
able
to
determine
that
just
in
that
12-month
period
at
the
rate
that
he
had
been
going,
we
could
extrapolate
what
the
savings
was
and
more
than
half
a
million
dollars
in
savings
in
just
the
amount
that
he
was
utilizing
in
hospitalization
in
local
incarceration
cost
that's
half
a
million
on
one
person
we
right
now
we
have
about
35
individuals
between
jefferson
and
hardin
county.
O
We
have
been
kind
of
doing
our
own
numbers.
The
numbers
are
staggering:
the
cost
to
not
or
not
just
in
hospitalization
and
incarceration,
but
the
cost
of
law
enforcement
to
your
crisis
intervention
to
your
emergency
rooms.
We
know
that
these
individuals
have
emergency
room
stays
that
are
much
longer
than
if
you
and
I
were
to
go
to
the
emergency
room.
We
know
that
the
cost
to
the
community
is
great,
because
these
people
become
a
very
big
burden
on
the
community
when
we
say
nuisance
value,
it's
not
a
very
nice
word,
but
that's
the
truth.
O
L
And
it
starts
with,
has
a
history
of
repeated
non-adherence
and
then
defines
it
as
twice
within
the
last
48
months
and
then
the
last
24
months,
you
know
twice
in
48
months,
doesn't
seem
like
a
pattern.
So
it's
not
a
criticism,
just
care.
What's
the
science
behind
48
months,
24
months,
is
this
something
that
other
states
have
done
or
why
do
we
focus
on
these
particular
time
frames.
O
So
the
reason
for
expanding
the
time
frame,
like
I
said
before,
is
because
a
lot
of
times
these
individuals,
the
hospitalizations,
are
broken
up
by
long
periods
of
incarceration.
O
We
know
that
these
individuals,
when
incarcerated,
typically
have
a
competency,
evaluation
request
and
right
now,
individuals
are
sitting
in
jail
for
six
or
nine
months,
just
waiting
on
the
evaluation,
even
on
low
level
offenses
spending
much
more
time
in
jail
than
they
ever
would
serve.
If
they'd
pled
guilty
on
the
first
day,
they
got
there
wasting
lots
and
lots
of
time
in
millions
of
state
dollars
and
it's
really
inhumane,
but
it's
breaking
up
that
24-month
period
where
they
would
otherwise
be
eligible,
and
what
happens
is
the
way
this
works
is
the
doctors
in
the
state?
O
Hospitals
are
the
ones
along
with
the
community
mental
health
centers,
who
are
the
professionals,
are
making
the
decisions
who
in
identifying
who
the
appropriate
candidates
are.
So
it
gives
the
doctor
a
really
good
period
of
time
that
48
months
to
look
at
the
patient
as
a
whole
and
see
if
this
is
a
good
candidate,
whereas
24
months
may
not
be
a
good
enough
period
of
time
and
it
puts
the
right
person,
meaning
your
mental
health
professionals,
and
it
gives
them
enough
amount
of
time
to
see.
If
this
is
a
good
candidate.
E
Mr
chairman,
thank
you
and
I'll
be
I'll,
be
very
quick,
and
this
is
more
of
a
comment
than
it
is
a
question.
Thanks
for
the
legislation,
I
like
the
approach,
you're
taking
something
that's
come
up
in
the
conversation
and
judge
you
spoke
to
it,
using
the
words
of
extending
and
expanding
eligibility
and
you're
you're
pre-arguing,
something
that
I
think
you
do
need
to
pre-argue,
because
this
would
have.
If
we
put
this
through
the
the
fiscal
note
process,
this
would
likely
have
a
fiscal
note.
E
E
I'm
excited
to
see
the
effect,
but
we
never
seem
to
have
anyone
quantify
it,
and
I
know
the
quantification
is
going
to
be
nebulous
at
times,
but
if
we
could
have
someone
quantified
and
say
over
the
course
of
two
years,
we've
saved
50
million
dollars
or
it's
a
program.
That's
not
worth
doing
and
I
feel
like
yours
is
worth
doing,
but
there
are
numbers
of
folks
that
come
to
us
and
say
if
only
you'll
take
this
action
and
invest
this
10
million
dollars.
Today.
E
M
We're
having
a
difficult
time
be
honest
with
you
senator
in
order
to
get
that
information
that
we
feel
comfortable
with
it.
But
I
think
going
through
the
interim
to
flesh
this
thing
out
to
find
the
return
is
vitally
important,
and
I
appreciate
you
recognizing
that
and
bringing
that
up.
We,
like
I
said
we
we've
come
up
with
how
much
a
cost
might
from
a
personnel
standpoint,
but
the
180
million
dollars
that
I
mentioned.
It's
probably
significantly
higher.
M
A
A
The
matter
passes,
favorably
with
a
vote
of
10
to
zero
it'll,
be
reported
to
the
floor
with
favorable
expression,
representative
wilner,
judge,
burke,
representative
fleming.
Thank
you
for
coming
today
and
presenting
this
bill.
It's
much
needed,
hoping
to
see
this
program
even
work
that
much
better
going
forward.
Thank.
A
M
A
Next,
we
have
house
bill
237
an
act
relating
to
education
required
by
the
board
of
examiners
of
psychology.
Their
sponsor
is
chairwoman,
kimberly,
moser
and
good
to
see
you
chairwoman
and
we've
got
the
next.
Two
bills
are
yours,
so
we're
going
to
start
with
237
if
you've
got
any
guests
who
want
to
come
forward
and
or
if
they're
joining
us
remotely.
I
see
dr
schuster
there
remotely.
I
think
right,
but
if
you'd
like
to
introduce
yourself
and
have
your
guests
introduce
themselves,
then
please
begin
your
testimony.
P
Okay
thanks
very
much.
Thank
you,
chair
alvarado,
thank
you
to
the
committee
for
giving
me
the
opportunity
to
talk
about
this
bill
today.
I
do
have
some
guests
with
me,
dr
sheila
shuster,
and
eric
russ,
with
the
kentucky
psychological
association
are
here
to
help
me
answer
any
of
your
questions
and
kind
of
flush
out
the
discussion
on
this
bill.
This
really
is
a
simple
provision
that
the
kentucky
psychological
association
asked
for
and
brought
to
me,
and
I
don't
know
if
I
properly
introduced
myself.
P
I
am
representative
kim
mosher
for
the
record,
but
the
well.
You
know
it's
a
technicality
that
we
need
to
do
so.
The
kentucky
psychological
association
really
felt
strongly
about
bringing
this
forward
as
a
mechanism
for
keeping
psycho
psychologists
in
kentucky.
P
What
we
have
in
statute
currently
allows
psychologists
who
are
masters
prepared
to
function
and
practice
as
a
like
licensed
psychological
associate,
but
the
way
that
the
curriculums
are
currently
structured.
We
no
longer
really
have
that
master's
level
break.
We
have
phd
programs
that
include
it's
a
master's
phd,
so
we
no
longer
have
that
delineation.
P
All
this
would
do
is
allow
individuals
who
have
who
are
admitted
to
a
psych
phd
program
who
qualify
and
meet
all
of
the
eligibility
standards
for
having
that
master's
level
to
practice
under
supervision
as
a
licensed
psychological
assistant
associate
and
keep
them
in
kentucky.
So
that
is
really
basically
the
the
provision
dr
schuster
or
eric.
If
you'd
like
to
add
anything,
I
invite
you
to
do
that
now.
K
Thank
you.
Thank
you
very
much,
representative
moser,
dr.
A
You,
dr
schuster,
we
appreciate
you
being
here
and
I
know
I
know
you're
experienced
at
that
and
you
kind
of
know
what
that
means,
and
I
know
eric
ross
is
on
as
well.
We
appreciate
you
joining
us,
but
with
emotion
is
second
any
other
questions
or
discussion
that
adam
clerk.
Please
call
the
roll.
E
A
A
A
On
the
agenda
is
house
joint
resolution
28,
it's
a
joint
resolution
directing
the
department
for
medicaid
services
to
request
guidance
from
the
centers
for
medicare
and
medicaid
services
for
medicaid
coverage
on
prescription,
digital
therapeutics
in
the
commonwealth
of
kentucky
truman.
Mosher
the
floor
is
yours.
P
Thank
you
so
much.
This
is
a
joint
resolution
as
you've
described
that
really
discusses
prescription.
Digital
therapeutics
and
I
do
have
a
guest
with
me,
who
is
an
expert
in
this
area
and
is
an
example
of
this
sort
of
technology.
P
P
P
We've
seen
that
this
has
been
become
a
very
useful
tool
for
patients,
especially
during
covid.
It's
it's
part
of
telehealth.
If
you
will
it's
an
extension
really,
I
think
of
of
the
provisions
that
we
put
in
place.
Q
Yeah
absolutely
chad
grant
with
pair
therapeutics,
as
as
representative
moser
is
expressing.
We
started
this
journey
back
in
2020,
as
we
testified
before
the
substance
use
recovery
task
force.
As
a
result
of
that,
you
know,
recommendations
that
came
out
of
that
group
prescription.
Digital
therapeutics
was
actually
recommended
as
something
that
would
be
used
by
managed
care
organizations
and
also
medicaid.
So
where
have
we
gone
since
that
journey
of
getting
those
recommendations
built
in
well,
it
probably
helped
first
explain
what
a
prescription
digital
therapeutic
is.
Q
Ohio
did
two
different
ones
with
350
in
each
of
theirs,
and
some
states
have
taken
different
course.
Courses
of
action
also.
I
know
that
michigan
just
put
through
a
a
pilot
that
would
be
1.2
million
dollars
to
help
out
their
their
medicaid
department
figure
out.
You
know
if
this
is
a
good
fit.
So
through
this
course
of
action
you
know
we've
been
trying
to
get
concrete.
Q
I
guess
kind
of
response
back
from
center
cms
and
the
issue
that
we've
had
is
that
we've
not
got
that
back.
We
don't
really
fit
into
the
pharmacy
and
therapeutics
type
of
you
know
role,
but
we're
more
of
a
dme.
It
has
been
the
decision
that
we've
been
given
back
by
the
pharmacy
director
in
the
past
that
we
used
to
walk
through
with
dr
dress
and
joseph
and
now
with
dr
fatima
ali,
so
we're
starting
to
really
hammer
in
on
where
this
fits
before
we're
a
bit
of
a
platypus
so
to
speak.
Q
But
at
this
point
what
we're
really
trying
to
do
is
bridge
the
gap
now,
so
we've
had
a
pilot.
Obviously
it
went
very
well
the
efficacy
of
it
we've
had
a
lot
of
retention
higher
usage,
especially
you
know,
a
lot
of
people
don't
have
access
to
counselors
in
rural
areas
or
during
covid
and
what's
been
going
on,
so
they
use
things
like
this
to
help
with
their
their
recovery.
Q
The
gap
that
I
speak
of,
though,
is
basically
we
have
sore
grant
state
opioid
response
grants
that
have
funded
part
of
this
through.
You
know
core,
but
it
only
covers
five
areas.
So
at
this
point,
we're
trying
to
really
bridge
the
gap
and
get
this
out
to
a
bigger
population
and
make
sure
that
you
know
hopefully
in
the
future,
there
would
be
some
medicaid
eligibility
for
this
and
use.
You
know
at
this
point
I
think,
there's
you
know
the
majority
of
people
that
are
getting
behavioral
health.
Q
L
Chairman
alvarado
and
again
appreciate
your
testimony
in
this
proposed
resolution.
It's
kind
of
exciting
time
to
think
what
technology
can
do
for
for
for
medicine
and
health
outcomes,
but
I'm
surprised
that
that
folks,
like
you
representing
moses,
have
to
bring
this
to
us,
given
that
the
mcos
are
the
ones
supposed
to
be
responsible
for
improving
the
health
of
the
population,
and
certainly
this
addresses
that
and
I'm
just
curious.
L
Have
they
been
involved
in
in
conversation
at
all,
is
to
the
use
of
this
technology
and
again
I'm
just
a
little
bit
bewildered
that
they
don't
come
to
us
and
say
we
need
to
be
doing
these
things
rather
than
the
other
way
around.
So
even
if
you
get
this
from
cms,
are
they
going
to
be
willing
to
participate?
Are
they
compliant
and
it
looks
like
the
benefits
would
accrue
to
them
as
well,
but
they
have
any
involvement
in
this.
P
I
that's
a
really
good
question.
I
think
you're
right
that
they
should
be
utilizing
this
this
sort
of
technology.
I
I
suppose
that
they
would
say
that
it's
new
and
they
you
know,
we've
just
had
one
pilot
in
kentucky,
so
I
chad
do
you
have
I.
Q
Do
we've
actually
had
several
meetings
about
a
half
dozen
meetings
with
commissioner
lee
commissioner
lee
actually
facilitated
a
meeting
with
the
chief
medical
officers
of
the
six
mcos
that
was
back
in
august
of
2021
meetings
went
well,
they
took
in
the
information,
but
from
there
it's
turned
into
a
vacuum.
K
Q
Not
heard
anything
back
from
the
mco,
so
you're
correct,
senator
meredith,
we
have
had
other
areas
of
of
kind
of
in
various
areas
with
the
prescription
benefit
managers
too,
we've
had
discussions
there
also
one
example
is
a
pbm
prime
therapeutics,
that
kind
of
cover
kind
of
some
of
the
summer
southern
us
florida,
some
of
those
states,
but
they
actually
have
23
of
their
blue
cross
blue
shield
plans
that
cover
pdt's.
Now
at
this
point,
so
you
know
kind
of
evidence
is
there
that
this
is
where
things
are
going.
Q
A
You
very
much
I
see
folks.
Apparently,
I've
been
informed
that
the
public
pension
oversight
board
is
waiting
on
this
room
from
us,
which
I
don't
know
who
did
the
scheduling,
but
we
need
to
probably
address
that
in
the
future.
Any
other
question
we
have
a
motion
on
the
resolution.
Is
there
a
second
with
motion
in
a
second
any
other
discussion?