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From YouTube: House Standing Committee on Licensing, Occupations, & Administrative Regulations (2-23-22)
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A
Started
of
house
licensing
and
occupations,
our
fourth
meeting
of
the
year,
we
have
some
special
new
requests.
I've
been
asked
to
make:
please
silence
your
phones
or
set
them
to
stun.
Whichever
makes
you
happy
so
they
don't
interrupt
the
the
meeting.
If
you
are
interested
in
testifying,
there
is
a
sign
up
sheet
in
the
back
on
the
lectern.
D
E
D
A
A
An
alcohol
bill
an
eye
opener
reel.
Yes
with
you,
you
have
any
guests,
I
believe
you
have
yes,
sir.
We
do
all
right
well,
the
floor
is
yours,
bring
those
to
the
table
and
when
they
get
up
there,
please
have
them
introduce
themselves.
A
D
G
G
A
G
Thank
you.
The
the
gist
of
this
bill
is
to
lower
the
server
age
from
20
to
18.
and
that
that's
one
of
the
key
provisions
in
this
bill.
The
the
second
key
provision
of
this
bill
is
it
does
the
difference
between
the
original
bill
and
the
committee
sub
is
that
it
does
allow
beer
wholesalers
to
employ
people
under
the
age
of
20.
Also,
that's.
A
G
A
I'll
say:
well,
we
have
a
motion
in
a
second.
We
do
have
somebody
who
is
signed
up
to
speak
against.
So
if
you
all
would
give
a
little
bit
of
your
testimony
so
that
we
can
have
mr
cole
come
up
afterwards
to
share
his
opinion
so
that
everybody
knows
both
sides
of
the
issue.
I
Well,
on
behalf
of
the
restaurant
association
and
with
rafferties,
the
the
main
topics
are
neighboring
states
such
as
tennessee
and
indiana
and
tennessee.
The
serving
age
is
18.
in
indiana,
it's
19.
just
a
couple
of
good
examples.
I
In
clarksville
tennessee
we
have
a
restaurant
there
that
currently
employs
eight
people
that
live
in
kentucky,
either
in
hopkins
hill,
elkton
and
those
areas
so
forth,
and
in
evansville
indiana
we
have
several
employees
that
come
from
henderson
kentucky
to
drive
across
and
work
in
our
restaurant
there
in
indiana,
because
they
can
serve
at
19.,
as
with
every
industry,
we're
having
problems
finding
people
a
lot
of
our
restaurants
and
other
restaurants
operate
in
college
towns.
I
This
would
allow
us
to
attract
more
and
automatically
as
soon
as
we
get
a
high
school.
We
caught
getting
a
new
crop
of
people,
because
they're
already
ready
to
work
and
ready
to
go
to
school
and
so
forth.
So
they're
going
to
college
waiting
tables
doesn't
necessarily
mean
they're
going
to
be
drinking
any
kind
of
alcohol.
The
current
law
is
20.,
so
18
is
really
an
easy
starter,
for
I
believe.
H
So
speaking
from
the
beer
distributor,
malt
beverage
distributor
point
of
view,
you
know,
we've
struggled
to
get
folks
employed
and
our
seven
members
have
had
more
than
45
open
positions,
sometimes
as
many
as
60
positions,
mostly
entry-level
positions
that
we
have
struggled
to
fill
and
over
the
last
two
years
that
is
actually
worsened,
and
this
opportunity
to
bring
18
19
year
olds
into
an
entry-level
position
would
be
a
great
help
to
us.
H
E
A
D
Yeah,
well,
I
appreciate
the
the
ability
to
address
you
guys.
I
would
echo
my
colleagues
comments
from
rafferty's,
obviously,
would
help
us
and
it
would
expand
the
pool
of
people
that
we
can
draw
from.
As
I
mentioned
when
I
testified
earlier,
I
I
have
an
operation
in
virginia
which
allows
18
year
old
servers.
We've
been
in
operation
there
for
20
years.
Never
had
an
issue,
never
had
a
problem.
It.
It
just
opens
the
pool
up
and
allows
us
to
employ
more
people,
especially
college
freshmen,
and
we're
in
moorhead
our
operation.
D
There
is
a
college
town
freshmen
can't
work
certain
positions
in
the
restaurant
which
really
shrinks
that
pool,
but
I
think,
most
importantly,
we
we
have
a
girl
currently
working
for
she's
an
18
year
old,
single
mother,
sharp
girl
working
hard.
We've
got
her
in
a
management
position,
entry
stage,
obviously
she's
training
people
how
to
serve
she's
training
people
how
to
handle
their
business
at
the
tables.
Yet
she
can't
even
demonstrate
for
them
how
to
do
it
live
because
she's,
not
old
enough,
but
you
know
she's
a
hard
worker,
sharp
girl,
the
issues
of
them.
A
Seeing
none
we
appreciate
it.
If
one
of
you
would
hop
up,
so
we
can
give
us
space
for
mr
cole
to
come
now.
A
Mr
cole,
welcome
back
to
the
committee
come
on
down,
introduce
yourself
for
the
record
and
if
you
keep
your
testimony
to
a
couple
minutes
or
a
little
bit
more
I'd
appreciate
that.
I
It
is
thank
you
appreciate
the
chance
to
being
heard.
My
name
is
gene
cole,
I'm
with
the
kentucky
league
on
alcohol,
gambling
problems
and
substance
use
disorders,
kentucky
ethics
league,
the
with
this
bill.
I
We
see
the
problem
of
it's
more
of
a
general
issue
like
in
the
military
everybody's
heard
it
I
can
serve
my
country
at
18.
So
why
can't
I
drink?
I
can
serve
alcohol
18..
So
why
can't
I
drink
issue,
I'd,
appreciate
and
understand
the
issue
with
the
employment
pool
trying
to
get
enough
people
in.
A
E
G
G
Thank
you
committee.
Thank
you,
mr
chairman.
I
do
want
to
really
reiterate
the
fact
that
you
know
richard
white
carried
this
through
the
interim
and
he
put
a
lot
of
leg
work
in
with
this,
and
obviously
he's
not
here
with
us
to
do
this,
but
he
needs
to
desert.
He
gets
all
the
credit
for
this
appreciate
that.
A
C
A
Just
for
the
record
going
forward,
I
don't
I
we
always
need
guests
to
introduce
themselves,
but
I
don't
think
members
need
to
introduce
themselves
in
this
committee,
so
that'll
kind
of
be
the
standard
going
forward.
I
think
we
all
know
who
each
other
are,
but
if
you
go
ahead,
representative
dixon
and
have
your
guests
introduce
themselves.
J
K
J
Good
morning,
everyone,
my
name,
is
christopher
hunt.
I
am
general
counsel
for
the
board
of
cosmetology.
Mr
chairman,
we
do
have
a
committee
sub.
A
J
J
Excuse
me,
medical
state
is
a
fast
growing
area
and
personal
care
sector,
as
more
individuals
are
turning
to
preventative
cosmetic
care,
rather
than
corrective
surgery
house
bill
committee
sub,
that
is
before
you
simply
adds
dentist,
and
to
the
list
of
licensees
and
some
corrective
language.
We
also
have
heard
from
the
optometrist
regarding
this
bill,
and
we
have
assured
them
that
we
will
continue
to
work
with
them
as
this
bill
moves
forward.
I
would
like
to
allow
my
guests
to
give
their
testimony
in
more
depth
in
depth
of
the
impacts
of
house
bill.
340.
K
K
I
know
that
there
is
opposition
in
the
room
about
the
cosmetology
board's
sponsorship
of
this
legislation,
but
please
know
the
kentucky
board
of
cosmetology
has
been
in
contact
with
administrative
staff
from
the
board
of
medical
licensure
and
the
board
of
nursing
in
regard
to
this
bill
for
more
than
three
years,
and
the
purpose
behind
our
sponsorship
is
because
medical,
licensure
and
nursing
licensure
has
no
facility
oversight
or
authority.
Yet
the
board
of
cosmetology
does
and
more
importantly,
in
a
full
inspection
staff
able
to
look
at
the
safety
practices
in
those
facilities.
K
We
are
not
trying
to
step
on
any
toes.
All
medical
personnel
will
be
oversight
seen
and
regulated
by
their
respective
boards
and
not
the
board
of
cosmetology.
It
is
just
the
facilities
that
cosmetology
will
watch
out
for
all
all
other
issues
will
be
referred
to
the
board's
respective
sections.
K
At
this
time,
like
licensees
and
cosmetology
can
perform
certain
services,
they
do
require
medical
oversight
and
there
is
a
lot
of
areas
that
they
are
employed.
Dermatology
offices,
plastic
surgery,
offices,
as
well
as
med
spas,
and
they
are
required
to
work
in
a
licensed
facility.
So
a
med
spa
operating
today
that
has
a
licensed,
cosmetologist
or
esthetician
on
staff,
is
still
required
to
have
at
least
a
salon
license
managed
by
that
individual
for
them
to
be
in
compliance
with
the
law.
K
There
is
no
current
statutory
oversight
or
authority
for
training
and
specifics
for
injectables
invasive
procedures
offered
in
a
med,
spa,
lasers,
etc.
Several
years
ago
we
received
a
complaint
on
an
individual
at
the
board
of
cosmetology,
who
was
performing
a
number
of
these
services.
I
reached
out
to
both
the
medical
board
and
the
nurses
board
thinking
incorrectly,
that
they
would
be
able
to
look
at
this
and
say:
oh
that's,
practicing
medicine
or
you
know,
yeah,
that's
outside
of
their
scope.
We
can
help
you
with
that.
K
K
So
we've
worked
really
hard
to
see
that
this
is
written
to
to
improve
the
protection
of
the
commonwealth
and
that
each
board
retains
its
autonomy
and
ability
to
regulate
properly.
Thank
you.
J
A
Questions
very
good.
I
have
a
motion
from
representative
santoro,
second
from
representative
timoney,
we're
not
ready
to
vote
on
it.
Quite
yet
we
have
a
question
from
representative
westrom.
K
L
K
Yes,
ma'am.
In
fact,
I
testified
on
behalf
of
the
medical
board
in
a
hearing
to
revoke
a
doctor's
license
because
he
was
letting
his
unlicensed
wife
perform
injectables,
botox,
etc,
and
an
individual
came
down
with
severe
infections
in
in
her
face
and
that
same
individual
then
turned
around
and
used
his
his
authority
to
write
a
prescription
for
an
antihistamine
and
an
antibiotic
for
a
sinus
infection,
not
the
actual
underlying
infection,
and
that
the
hearing
officer
has
currently
upheld
the
medical
board's.
K
F
Thank
you,
mr
chair.
Thank
you
for
your
testimony.
I
don't
disagree
that
this
is
needed.
You
know
there
are
horror
stories
about
cosmetology,
med,
spas
and
and
a
lack
of
oversight.
So
I
don't
disagree
that
this
is
needed.
I
just
I.
I
had
a
concern
about
the
medical
oversight
and
I
think
that
that's
been
addressed,
but
it's
not
in
statute.
You
said
it.
You
said
that
it's
in
regs.
K
So
the
regulations
defining
scope
of
practice
for
estheticians
is
a
regulation
at
this
time,
as
far
as
levels
of
chemical
peels
that
they
are
allowed
to
perform.
The
training
required
to
do
so
different
types
of
microdermabrasions
etc,
and
it
is
very
clear
that
it
is
prohibited
practice
for
them
to
perform
these
services
without
proper
oversight.
K
No
no
ma'am.
I
do
not
believe
it
stated
that
way.
F
Yeah
I
mean
that
would
give
me
comfort,
knowing
that
that
folks,
who
are
trained,
estheticians
and
medical
estheticians,
I
understand,
have
a
different
level
of
training.
It's
nowhere
near
the
12
years
that
it
takes
to
become
a
dermatologist
and-
and
so
I
I
mean
I
have
concerns
about
that.
Also
a
lot
of
the
terminology
that
is
used
in
this
bill
is
either
obsolete
or
I
really
needs
to
be
updated.
Collagen
is
no
longer
used.
F
I
mean
that
would
be
a
neuro
modulator.
There
are,
you
know
the
the
collagen
injections.
F
I
I
just
feel
like
if
we're
gonna
put
this
in
the
bill,
that
we
should
use
the
correct
medical
terminology-
okay,
and
so
I
you
know,
I
think
that
there's
some
cleanup
that
could
happen
with
that
and
I'm
not
sure
what
non-superficial
means
in
a
lot
of
these
procedures,
because
the
way
I
see
a
lot
of
these,
they
are
invasive.
So
it's
not
non-superficial.
K
So
when
we
say
that
we
define
aesthetics
and
cosmetology
practice
nationally
is
defined
as
there
is
no
ability
to
puncture
or
pierce
below
the
stratium
corneum
layer
of
the
skin,
they
are
not
allowed
to
go
layer,
then
lower
deeper
in
there,
without
medical
supervision
than
just
the
surface.
Epidural
layer.
C
Thank
you,
mr
chair
representative,
dixon.
C
First
of
all,
he
came
in
my
office
yesterday
and
talked
to
me
a
little
bit
about
the
intent
of
the
bill,
and
so
I
appreciate
that
and
we
had
talked
about
not
hearing
a
whole
lot
of
opposition
and
I
hadn't
heard
anything
as
of
that
moment.
Of
course,
after
that
we
went
to
the
floor
and
a
few
emails
came
in,
so
I
forwarded
them
to
representative
dixon
and
I
guess
my
question
is,
and
probably
hadn't
had
any
chance
to
address
those
at
all.
C
Is
there
any
plan
to
address
the
the
concerns
of
of
the
emails
that
forward,
and
I
don't
know
if
you've
even
seen
them
yet,
but
there
are
some
people
in
the
professional
industry
that
have
had
have
some
issues
with
the
bill,
and
I
didn't
know
if
you
wanted
to
elaborate
on
that.
If
you've
seen
those
emails,
if
you
have
not,
do
you
have
any
plans
of
addressing
those
issues
at
all.
J
Yeah
yeah,
I
appreciate
that
representative.
Yes,
I
have
seen
those
emails
and
I
think
that
I
think
that
we're
open
to
to
working
this
as
the
process
moves
along.
You
know
it.
I
haven't
actually
spoke
to
some
of
those
individuals
that
that
are
you
know
those
emails
are
basing
from.
So
I
think
that
we're
trying
to
address
address
everybody's
concerns
as
we
move
along
and
work
with
everybody
in
the
you
know
in
this
bill,
as
we
continue
it
through
the
process.
J
Correct
this
was,
and
it
should
be
noted
this
was
heard
in
the
interim.
You
guys
heard
this
in
the
interim
in
your
committee.
I
did
file
this
bill
over
a
month
ago.
It's
been
sitting
there
and
up
until
the
past
two
days,
it.
J
J
But
up
until
the
last
you
know
we
haven't,
we
haven't
heard
any
opposition
until
the
last
two
days
that
this
bill
has
has
been
pulled
to
committee.
So.
C
L
L
Without
thinking
there
needs
to
be
possibly
a
different
board,
a
medical
board,
perhaps
dermatology
that
would
be
have
oversight
of
this
portion
of
cosmetology
since
there
are
injectables
being
used.
Has
that
ever
been
considered
and
and
not
to
to
diminish
how
important
you
are.
I
mean
you're,
making
the
world
more
beautiful,
but
but
I
really
would
feel
much
better
with
with
a
a
supervision
of
a
more
highly
degreed
board.
K
And
to
address
that
we
did
work
with
with
staff
from
from
both
of
the
medical
board
and
the
nurses
board
in
the
discussions
on
this,
and
at
this
time,
that
is
all
we're
trying
to
do
is
create
a
pathway
that
those
boards
also
can
create
proper
regulatory
environments
for
oversight
and
disciplinary
action,
etc.
K
For
individuals
who
are
practicing
this,
it's
the
wild
wild
west
out
there,
and
at
this
time
just
anybody
can
pick
up
a
vial
of
botox
and
start
injecting
with
or
without
any
supervision,
if
they're
not
licensed
by
one
of
these
agencies
and
do
what
they
do,
what
they
want.
Have
a
home,
botox
party
we're
just
trying
to
tighten
this
up.
It's
certainly
not
recommended
we're
just
trying
to
tighten
this
up
and
make
certain
that
anybody
touching
a
patient
or
a
client
is
accountable
to
a
board
with
the
proper
authority.
K
We
are
happy
to
allow
the
board
of
medicine
of
medical
licensure
to
set
the
parameters
for
supervision,
medical
director,
etc.
We
don't
want
to
play
in
that
sandbox.
We
have
very
defined
our
regulation
of
of
oversight
to
allow
for
the
nurses
board
to
set
up
what
that
supervision
looks
like
from
a
nursing
perspective.
What
level
of
licensure
they
are
required
to
have
to
supervise,
but
right
now
the
nurses
board
and
the
medical
board
don't
have
the
authority
to
set
up
that
regulatory
scheme,
because
there
is
nothing
in
statute
that
exists
to
create
that
pathway.
K
So
we
tried
to
model
this
when
we
worked
with
that
staff.
Similarly,
to
the
pain
management
clinics,
for
being
able
to
define
roles
and
create
a
pathway
for
the
different
boards
to
create
regulatory
standards.
F
I'm
just
looking
through
the
committee
sub.
Is
there
a
list
of
the
members
on
the
board
that
you're
proposing
the
cosmetology
board.
K
No,
we
have
two
salon
owners:
a
two
members
involved
with
education
and
in
the
cosmetology
industry
and
a
citizen
at
large.
F
Okay,
maybe
that's
something
that
you
look
at.
You
know
to
to
really
identify
who
the
the
oversight
is.
Who
is
this
board.
K
All
of
our
infection
control
standards
are
reviewed
by
chfs
and
and
individuals
at
that
level
for
safety,
and
that's
that's
really
what
the
cosmetology
board
is
looking
to
do
just
be
able
to
go
in
and
make
certain
that
individuals
are
properly
licensed,
who
are
touching
clients
and
that
those
individuals
who
are
not
are
brought
to
task
in
some
way
or
another
or
the
the
individual
allowing
that
is.
A
A
E
M
All
right
chairman
k,
chairman
cook
and
all
committee
representatives
and
bill
sponsors
for
the
record.
My
name
is
elena
level.
I'm
a
nurse
practitioner
and
medical
director
of
a
medical
aesthetics
practice
in
danville
today,
I'm
speaking
in
opposition
of
bill
340.
today
I'll
replace
the
term
medspa
with
medical
aesthetics
practice.
As
the
term
medspa
is
lay
speech,
it
does
not
accurately
describe
the
amount
of
evidence-based
medical
decision-making
and
critical
thinking
involved
in
a
well-rounded,
highly
respected
practice.
That
is,
is
priority
in
excellent
patient
care.
M
I
am
passionate
about
the
care
not
only
of
my
patients
but
about
patients
in
the
state
and
nationwide,
if
you're
unfamiliar
with
the
term
medical
aesthetics
practice.
I'll
give
you
a
little
bit
of
a
brief
description
as
practicing
clinicians.
We
provide
consultation
assessments,
diagnoses
planning,
implementation
and
follow-up
to
medical
interventions
for
the
purpose
of
prevention
and
treatment
of
the
aging
body.
M
This
is
considered
an
elective
outpatient,
medical
specialty
and
though
medical
aesthetics
has
not
been
as
common
as
family
practice
or
women's
health,
it
is
still
held
to
the
same
regulations,
clinical
operation,
standards
and
requirements
through
the
licensing
board
in
which
the
medical
provider
is
licensed
due
to
the
infancy
of
our
specialty.
Until
last
year,
an
established
professional
organization
did
not
exist
and
if
you're
familiar
most
medical
professions
and
specialties
have
a
professional
organization
which
help
guide
scope
of
practice.
M
First,
many
medical,
aesthetic
practice
ownerships
have
been
established
by
non-licensed
personnel
as
a
personal
investment
or
interest
it's
common
practice
in
other
specialties
as
well
across
medicine
as
well.
Many
clinics
are
found
on
the
financial
backing
of
someone
who
felt
the
need
for
that
type
of
care
in
their
area,
regardless
of
their
credentials.
M
If
house
bill
340
were
to
pass,
this
would
inhibit
the
growth
of
the
medical
care
that
we
offer.
I
personally
was
financially
backed
by
a
dentist
in
danville
who
had
an
interest
in
aesthetics.
Since
its
inception
of
our
clinic.
We
have
been
very
successful
in
leading
a
medical
decision.
I've
been
very
successful
in
leading
the
medical
decision
making
and
following
the
nursing
board's
regulations
to
a
t,
there's
a
vast
difference
between
ownership
and
medical
direction.
M
Secondly,
across
all
of
medicine,
not
only
medical
aesthetics
licensed
clinicians
use,
unlicensed
professionals
to
aid
in
the
operation
of
clinical
care,
when
the
licensed
clinician
is
on
site
directly,
supervising,
for
example,
in
family
practice.
If
you
were
to
show
up
to
your
family
practice
office
with
a
burn
on
your
hand,
likely
your
prescribing
provider
would
delegate
to
an
unlicensed
professional
or
a
medical
assistant
to
apply
a
prescribed,
burn
cream,
dress
your
wound
and
then
move
on
to
the
next
patient
to
be
seen
in
medical
aesthetics.
This
practice
is
also
applied.
M
M
Speaking
to
my
license
and
board
regulation,
this
has
been
addressed
by
the
kentucky
board
of
nursing
and
has
been
approved
safe
at
the
clinician's
discretion.
I
sent
an
email
yesterday
with
the
krs
statutes
and
the
opinion
statements
by
the
board
that
support
this
physicians
and
physicians.
Assistants
also
operate
similarly
under
the
kbml
guidance
under
house
bill
340
the
above
protocol
would
cease.
Medical
assistance
would
only
perform
administrative
tasks,
not
clinical
assistance.
M
This
bill
negates
what
has
already
been
deemed
safe
and
appropriate
by
the
board
of
nursing
and
other
licensure
boards
via
the
aforementioned
care
of
statutes
and
opinion
statements.
Thirdly
and
lastly,
I'll
try
to
be
brief,
the
bill
proposes
all
medical,
aesthetic
provider
practices
register
and
receive
licensure
with
the
board
of
cosmetology,
cosmetologists
and
aestheticians
are
licensed
by
their
board.
M
M
Requiring
medical
aesthetic
practices
to
register
with
a
cosmetology
board
would
serve
no
improvement
in
our
patients,
outcomes,
safety
or
care.
It
would
simply
provide
another
financial
burden
and
time
hoop
to
jump
through.
That
would
take
away
from
the
resources
that
are
better
served
to
improve
our
practice
in
our
medical
realm.
As
licensed
medical
providers
we
serve
as
patient
advocates.
M
However,
imposing
additional
regulations
to
our
practice
is
not
commonplace,
even
in
other
specialty
clinics
such
as
dermatology
or
plastic
surgery
or
family
practice,
it
would
be
an
access
in
to
the
practicing
clinicians,
who
are
already
regulated
by
their
certifying
boards.
In
closing,
I
would
like
to
thank
you
for
your
service.
As
elected
officials,
we
know
your
job
is
hard
and
you
serve
the
state
of
kentucky.
Well.
I
appreciate
this
opportunity
to
speak
on
behalf
of
my
profession
and
medical
specialty.
M
I
also
would
like
to
thank
my
many
colleagues,
including
estheticians
nurses,
physicians,
dentists,
nurse
practitioners,
physicians,
assistants
and
nurse
anesthetists
throughout
the
state
who
have
entrusted
me
to
be
their
voice
in
opposition
of
house
bill
340.
Today
I
welcome
any
further
dialogue.
You
have.
A
N
Oh
there,
it
is
okay
and
committee
members.
I
appreciate
your
time
and
the
opportunity
to
speak
before
this
committee.
I'm
a
licensed
esthetician
under
the
kentucky
state
board
of
cosmetology.
I've
been
practicing
in
this
field
for
over
14
years
over
my
career,
I
have
worked
in
a
salon
and
day
spa
a
medical
aesthetics
practice
as
well
as
a
plastic
surgery
practice.
N
The
majority
of
the
time
has
been
working
in
the
medical
aesthetics
field.
Under
the
direction
of
a
physician,
a
simple
description
of
an
esthetician
can
be
described
as
a
skin
care
specialist,
making
us
a
perfect
fit
for
the
medical
aesthetics
practices.
We
are
trained
in
the
anatomy,
sanitation
and
universal
precautions
regarding
blood-borne
pathogens.
N
N
N
I
would
feel
that
it
is
more
prudent
to
actually
for
the
cosmetology
board
to
look
at
their
own
standards
of
education
to
increase
the
esthetician's
ability
to
continue
what
we
do.
The
difference
between
what
I
can
do
in
a
on
my
license
alone.
We
do
a
lot
of
the
same
procedures,
it's
just
getting
the
the
particular
like.
N
If
I
did
a
chemical
peel
on
my
own
there's
a
certain
depth
that
I
can
actually
even
purchase
from
any
suppliers
on
my
own
license,
and
I
do
that
in
application
to
purchase
the
deeper
more
medical
treatments
it
has
to
be
purchased
in
a
medical
setting
and
then
under
their
direction.
I
can
apply
it
in
a
safe
manner.
It
is
the
same
manner
of
application.
N
A
C
There
are
19
services
listed
in
this
bill
of
those.
How
many
should
only
be
done
in
a
clinic,
a
medical
clinic
like
yours,
and
I'm.
M
Anything
that
requires
prescriptive
authority.
So
if
you
have
to
obtain
a
medical
or
nursing
license
and
have
a
prescriptive
authority
to
do
so,
it
should
be
done
under
a
under
direct
medical
supervision.
So
botox
my
license
has
to
be
registered
with
that
company.
I
personally
have
to
order
it
and
it's
a
prescription
that
is
given
and
dosed
out
appropriately
to
the
patient,
anything
that
is
obtained
via
prescriptive
authority
as.
N
M
Many
of
those
energy
devices
that
estheticians
are
often
delegated
to
to
use
so
lasers
and
such
you
still
have
to
have
a
medical
license
and
the
person
that
is
purchasing
said
device
must
know
how
to
operate
and
mitigate
complications
as
well.
So
when
we
are
delegating
to
an
esthetician
or
an
unlicensed
professional,
we
are
taking
that
assumption
upon
our
own
license
and
our
own
knowledge
and
our
own
education
and
we're
responsible
for
that.
C
M
M
This
field
needs
some
structure
and
when
things
grow
fast
and
rapid
and
garner
revenue,
lots
of
people
want
to
get
involved,
which
is
great,
we're
very
passionate
about
it,
but
that
insert
the
organization
k-map.
We
felt
that
need
we
and
we
sat,
and
we
have
invested
our
own
time
and
money.
We've
developed
a
non-profit
status,
we're
going
back
through
everything
trying
to
help
make
those
standardized
recommendations.
M
Most
medicine.
You
are
regulated
by
what
you
can
do
as
far
as
statutes
by
the
law,
but
when
you
turn
into
best
practice
standards
and
what
appropriate
protocols
are
those
aren't
really
regulated
by
the
law.
Those
are
regulated
by
your
first
professional
organizations
that
help
set
those
standards
for
practice.
So
that's
the
gap
that
we
hope
to
fill.
We
started
about
last
may
so
we're
almost
a
year
into
development.
We
just
have
to
get
our
feet
under
us,
we're
getting
there
and
we're
doing
it
fast.
So.
M
A
J
A
M
M
Why
can't
I
use
medical
assistance?
I
use
them
in
family
practice.
I
use
them
in
the
emergency
department.
Why
can't?
I
use
medical
assistance?
I
don't
they're,
why
can't
someone
that
is
non-medical
owned,
a
med
spa?
There
are
a
lot
of
things
as
far
as
regulating
a
medical
practice.
The
cosmetology
board
wants
to
come
in
and
regulate
the
brick
and
mortar
and
the
cleaning
practices.
Medical
cleaning
practices
are
completely
different
and
held
to
a
different
standard
than
the
cosmetology
board.
On
some
on
some
aspects,.
M
K
Thank
you,
mr
chair.
Thank
you,
mr
chairman.
We
were
told
by
the
medical
board
that
a
medical
assistant
is
not
allowed
to
be
delegated
to
perform
prescriptive
treatment
whatsoever,
but
we
would
certainly
leave
that
to
the
medical
board
or
the
nurses
board,
whoever
oversees
the
licensing
scheme
of
of
that
individual
to
set
those
standards
in
so
far
as
that,
but
delegation
of
injections
and
things
of
that
nature
without
proper
oversight.
The
the
whole
situation
is,
there
isn't
a
pathway
to
create
that
standard.
K
At
this
time
there
is
no
authority
for
the
medical
board
to
set
those
levels
of
care
or
definitions
of
directors
or
et
cetera
at
this.
At
this
juncture,
nor
for
the
nurses
and
to
be
frank,
an
and
then
a
nurse's
advisory
opinion
also
says
at
this
juncture
completely
contrary
to
cosmetology
law
that
a
nurse
can
perform
perms
brow,
tinting,
color,
etc.
K
Miss
level
has
stated
that
she
would
not
even
want
to
go
into
a
supply
house,
but
yet
the
nurses
board
has
given
an
advisory
opinion
saying
that
they
can
do
any
manner
of
practicing
cosmetology
already
which
advisory
opinions
don't
while
they
can
speak
to
law.
Clearly,
don't
always
follow
all
the
law.
N
My
opposition
also
comes
from
you
know,
basically,
with
the
cosmetology
board
being
the
regulatory
entity
in
this.
I
do
feel
like
where
the
aesthetics
practice
is
in
its
infancy
in
the
state
of
kentucky.
It
was,
I
think,
a
bill
only
passed
15
years
ago
and
the
majority
of
the
board
members
as
she
spoke
to
were
salon
owners
and
cosmetologists
there.
I
don't
feel
like
estheticians,
are
represented
appropriately
on
that
board
for
the
understanding
of
what
we
do
in
a
medical
setting.
K
And
we
we
don't
disagree
as
a
board
that
there
needs
to
be
a
bridge
individual
between
a
basic
esthetician
and
a
medical
environment.
That's
just
not
something.
We've
been
able
to
tackle
at
this
time
to
date
to
create
that
several
states
have
come
forward
with
advanced
practice,
aesthetics
licenses
that
build
on
a
basic
license,
and
that
is
something
that
the
board
has
discussed
and
is
is
looking
into
it.
Just
has
not
creating
a
whole
new
licensing
scheme
is,
as
you
know,
ponderous.
E
Speak
on
the
bill,
yes
just
very
quickly,
I
think
I
think
that
well,
I've
never
been
so
much
confused
so,
and
I
need
you
guys
to
work
this
out
because
I'm
going
to
be
in
desperate
need
of
these
services,
lots
of
them.
So
I'm
going
to
be
a
yes
today.
I
want
to
get
it
off
the
floor,
but
I
think
that
we
need
to
work
together
and
get
some
stuff
going.
Okay,
thanks
absolutely.
E
I
A
C
I'm
going
to
be
a
yes
today,
I
think
the
representative
dixon
has
has
has
off
offered
his
intentions
of
addressing
issues
that
are
out
there
and
we'll
move
it
forward
now.
But
I
do
think
there's
some
work
needs
to
be
done.
So
I'm
a
yes
now
and
reserve
man
opportunity
to
change
later.
E
E
C
Explain
my
vote,
sir.
I'm
voting
yes
today.
I
don't
think
we're
ready
for
big
changes
in
the
bill.
It
doesn't
sound
like,
but
I'd
love
to
hear
a
in
the
interim
and
since
aesthetics
are
like
tattoo
parlors
I
mean.
Perhaps
you
can
invite
a
tattoo
parlor
industry
representative
in.
F
Explain
my
vote.
Yes,
we
don't
even
touch
that
I'm
going
to
be
a
yes
today
just
to
keep
working
on
this,
but
I
think
this
needs
a
lot
of
work.
I'm
I'm!
I
do
not
like
the
fact
that
the
kentucky
board
of
cosmetology
is
overseeing
medical,
estheticians,
physicians,
nurse
practitioners.
F
A
E
G
Explain
my
vote
briefly
briefly:
I'm
a
yes
vote
today,
but
it
definitely
seems
like
there's
some
work
to
do
with
this
and
just
from
the
sense
I'm
getting,
I
think
we're
on
the.
We
have
all
the
elements
of
a
compromise
here,
we're
just
like
a
conversation
or
too
short
of
it.
So
I
mean
yesterday
to
get
out.
Let's
get
it
done.
L
L
E
M
A
there
we
go.
Thank
you
haven't
come
to
the
end
of
the
agenda.
We're
going
to
stand
adjourned
be
prepared
for
longer
meetings
going
forward
on
more
topic,
more
more
interesting
topics,
I'm
sorry
more
controversial
top.