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B
A
Hereby
call
this
the
first
meeting
of
the
house
standing
committee
on
families
and
children
to
order
as
a
reminder,
please
make
sure
your
cell
phones
are
on
silence.
So
it's
not.
We
don't
get
Disturbed
during
the
meeting
DJ.
Will
you
please
call
the
roll.
A
A
This
jurisdiction
of
the
task
force
is
published
on
the
lrc
website,
but
I
will
go
over
it
today
and
I
really
look
forward
to
being
the
chairman
and
working
with
Vice
chair
Riley
on
these
issues
in
the
committee,
so
the
families
and
children
jurisdiction
matters
pertaining
to
child
welfare,
adoptions,
assistance
to
children,
children's
homes,
commitment
and
care
of
Children
and
Families
Child
Protective
Services,
Adult,
Protective,
Services,
State
guardianship,
caregiver
support
services,
child
support
programs,
programs
of
dependence,
family
preservation,
programs,
social
service
programs,
Child
Care
senior
citizens
and
aging
disabilities,
Rape,
Crisis,
centers,
domestic
violence,
shelters,
sexual
assault
programs,
Public
Assistance
programs
such
as
TANF,
c-cap,
snap
and
LIHEAP
and
WIC
I
believe
that
the
the
new
commitment
or
the
new
committee
it
shows
the
the
house
majority's
commitment
to
families
and
children
across
the
Commonwealth
of
Kentucky.
A
So
we're
very
excited
for
this
opportunity
to
have
to
have
the
space
to
be
able
to
talk
about
these
issues.
Additionally,
all
committee
meeting
materials
are
posted
on
the
lrc
website.
So,
if
you
need
to
look
at
anything,
please
go
on
there
under
our
new
committee.
Tab
I
would
like
to
go
ahead
and
start
on
the
agenda
with
the
overview
of
the
organization
and
structure
for
chfs.
D
Sorry
we're
getting
ourselves
organized
I'm,
Eric,
Friedman,
I'm
Secretary
of
the
Cabinet
for
Health
and
Family
Services
hi.
A
D
Thank
you,
so
I
just
want
to
begin
by
saying
how
happy
I
am
that
this
committee
exists
with
the
Cabinet
for
Health
and
Family
Services
and
I'll
go
through
it
in
more
detail
as
we
go
through.
It's
a
big
cabinet
about
18
billion
dollars
with
a
b,
but
15
of
that
is
Medicaid.
D
So
when,
when
the
when
the
Committees
are
combined,
a
lot
of
what
happens
is
Medicaid
takes
up
all
the
air
and
so
to
get
to
other
issues
within
the
cabinet,
and
your
description
of
your
committee's
jurisdiction
is
obviously
still
broad,
but
those
issues
don't
always
get
aired
or
have
the
time
to
get
air
when,
when
the
Committees
are
combined,
so
I
really
look
forward
to
the
opportunity
to
talking
about
some
issues
that
we
all
need
to
work
on
together.
I've
worked
for
the
cabinet
since
1985..
D
There
are
some
people
who
were
not
born
yet
and
I.
Try
not
to
hold
it
against
them,
but
so
so
long
experience,
Carrie
banahan
began
with
the
cabinet
in
80.
F
D
And
Eric
as
well
so
there's
there's
a
wealth
of
experience
within
the
cabinet
Eric.
You
started
now
he's
the
youngster
here
he's
a
youngster
I
do
hold
it
against
him.
So
first
slide
I've
had
the
opportunity.
So
so
this
is.
These:
are
the
departments
in
the
cabinet
it's
a
little
bit
of
an
eye
test,
but
I
hope
you
have
some
of
the
the
paper
in
front
of
you.
D
There
are
lots
of
departments
in
the
cabinet,
the
ones
I'm
going
to
present
on
today,
I'm
not
going
to
present
I
didn't
do
it,
but
what
so?
If
you
have
this
in
front
of
you,
I
can
go
through
it
as
well.
The
the
ones
I'm
not
going
to
present
on
today
are
Medicaid
and
public
health,
so
again
public
health.
So
for
the
first
time
in
front
of
a
committee,
I
don't
have
to
talk
about
covet,
I'm
very
excited,
so
these
are.
These
departments
should
work
together.
That's
that's!
D
What's
important
and
some
of
what
you
all
described,
chairman,
Hebron,
the
child
care
right,
the
the
child
protective
services,
the
pieces
that
really
don't
get
covered
very
much
are
the
Adult
Protective,
Services
and
guardianship.
We
rarely
get
the
opportunity
to
speak
about
those
programs,
so
it's
things
like
senior
meals
which
are
very
important
to
it
to
constituents
across
the
Commonwealth.
These
are
pieces
that
that
I
get
I
get
again
excited
about
talking
about.
D
So,
as
you
can
see,
and
and
yes,
there's
a
cabinet
reorganization
bill-
that's
that's
coming
through
I've
already
testified,
I
think
in
in
terms
of
what
I
think
works
and
doesn't
in
that,
but
appreciate
the
opportunity
again
to
address
overall
cabinet
issues.
So
there
are
also
then
several
pieces
that
are
within
the
within
the
secretary's
office,
essentially,
and
so
those
things
that
you
would
think
about.
Human
resources
contracts
procurement.
D
All
of
that
that
it
falls
within
basically
the
secretary's
office.
So
just
some
quick
numbers
1.7
now
2
million
people
in
Kentucky
who
receive
their
health
care
through
Medicaid,
that's
approaching
40
percent
of
the
the
state's
population,
as
has
been
noted
by
several
committees.
That
is
not
necessarily
a
badge
of
honor,
because
in
order
to
be
eligible
for
Medicaid,
you
have
to
be
below
130
percent
38
percent
of
the
poverty
level
for
the
most
part.
D
So
we've
got
a
lot
of
work
to
do
in
living
wage
and
getting
folks
to
to
a
place
where
they
have
an
income
that
that
they
no
longer
need
Medicaid
to
provide
Health
Care
coverage.
But
what
I'll
also
say
about
Medicaid
and
get
off
it
very
quickly?
Is
that's
a
lot
of
money
that
goes
into
providers?
D
So
there
are,
we
see
an
aging
population
that
is,
that
is
coming.
The
the
Baby
Boomers
I
am
one
who
are
who
are
getting
towards
in
our
60s
again
I'm
one
of
those
as
well.
But
that's
a
population.
That's
going
to
continue
to
increase
so
issues
around
dementia
Alzheimer's.
D
How
we
care
for
folks
in
their
homes,
how
we
work
with
with
people
through
our
department
of
aging
and
independent
living,
to
make
sure
that
we're
taking
care
of
people
where
they
want
to
be
taken
care
of
the
food
assistance
piece
over
540
000
folks
who
receive
SNAP
benefits
across
the
Commonwealth
and
again
I
like
to
say
those
benefits
while
they
help
individuals
get
food.
The
other
way
to
think
about
that
is.
This
is
money
that
goes
to
Grocers
and
so
groceries
be
being
a
small
margin
in
business.
D
The
SNAP
benefit
is
probably
as
important
to
Grocers
as
it
is
to
the
folks
that
receive
those
benefits
so
about
eight
about
eight
thousand
six
hundred
this
slide,
but
I
think
we're
down
to
a
little
over
8
400
somewhere
in
there
children
who
are
in
out
of
home
care,
so
that
means
foster
care.
It
means
in
our
facilities
and
so
those
that's
the
number
of
children
when,
when
three
years
ago,
they're
about
ten
thousand
children
in
the
foster
care
system,
so
we've
seen
some
reductions.
D
We
hope
that's
a
result
of
the
family.
First
and
some
of
the
prevention
work
we've
been
doing,
we've
been
talking
about
over
several
years
with
with
committees
here
in
the
general
assembly.
D
We
believe
that
that's
has
had
an
impact
again,
keeping
kids
with
families,
if
you
think
about
I,
don't
know
when
I
think
about
myself,
if
I
turned
18
years
old
and
didn't
have
any
family,
what
a
challenge
that
would
be
to
exist
when
I
was
working
for
the
city
of
Louisville.
What
we'd
see
on
the
streets
is
younger
people
who
were
homeless
almost
all
of
them
had
come
through
our
foster
care
system,
lots
of
work
to
do
there
and
also
over
a
long
period
of
time,
but
hopefully
we're
making
some
progress.
D
D
All
right.
Next
slide.
Sorry
I'll,
I'll,
move
on
because
I
really
am
getting
into
the
department
for
community-based
services
piece.
So
the
cabinet
has
about
6
000
employers,
the
majority
of
who
are
employers
of
the
department
for
community-based
services.
We
have
offices
in
all
120
counties
across
the
state
got
one:
that's
got
a
I
forget
had
a
little
bit
of
a
flood
issue,
so,
but
we
we
we're
in
every
County
in
this
state.
D
We
have
worked
very
hard
on
trying
to
get
folks
to
use
online
tools,
use
our
phone
system
rather
than
come
into
the
office.
We've
had
more
success
earlier
we're
starting
to
see
some
some
more
folks
come
into
our
offices
now,
mostly
folks,
who
are
either
looking
for
what
we
call
adult
Medicaid,
trying
to
get
their
family
member
eligible
for
some
of
the
nursing
facility
care
type
of
pieces.
D
Those
are
the
most
complicated
eligibility
pieces
to
to
figure
out
and
folks
who
English
is
a
second
language,
because
that
our
our
systems,
while
they
can
work
online
and
on
the
phone
folks,
feel
much
more
comfortable
coming
in.
So
this
is
again
just
to
show
you
how
how
many
we
serve,
who
we
serve
child
cares
and
a
big
component
here
and
I
think
through
the
pandemic.
D
What
I
think
became
evident
and
through
the
last
budget
session,
it's
really
the
first
time
we
put
state
general
fund
money
into
child
care,
but
it's
a
big
piece
of
getting
people
back
to
work.
If
you
don't
have
child
care,
it's
it's
difficult
to
go
to
work
so
identifying
that
as
a
Workforce
support,
I
think
has
been
really
critical.
I
think
we've
we've
all
come
together
to
realize
that,
as
as
we
go
down
the
past
couple
of
years,
so
I'm
excited
about
that.
D
The
benefits
Cliff
task
force
that
Matt
really
identified
child
care
as
the
biggest
cliff
because
you're
eligible
or
you're
not
and
when
you
lose
child
care.
Those
of
you
who
have
purchased
Child
Care
on
the
private
side
know
that
that
can
be
very
expensive.
So
if
you
lose
that
support,
what
can
happen
then?
Is
you
may
fall
out
of
the
workplace
you're
trying
to
make
a
decision
about?
Is
it
worth
going
to
work
and
pay?
However
much
you
would
pay
looks
like
tuition
for
child
care.
So
that's
been
a
discussion
representative
Heffron.
D
Thank
you
for
your
bill.
I
think
House
Bill
499.
We
are
on
track
for
implementing,
but
it's
it's
an
acknowledgment
that
we
need
to
support
our
employers
and
look
at
a
benefits,
cliff
and
support
folks
who
are
who
need
that
additional
support
once
they
get
a
better
living
wage
job.
So
thank
you
for
that.
D
My
favorite
piece
of
legislation
last
time
so
moving
on
to
the
next
slide
when
I
have
Behavioral
Health
in
here,
just
because
Behavioral
Health
crosses
so
many
borders
and
and
even
though
it's
not
necessarily
a
charge
here,
I
think
as
we
talk
about
children
and
families,
their
behavioral
health
support,
we
know
is
something
that
is
we're
going
to
need
to
look
at
going
into
the
future.
D
The
the
number
of
kids
that
come
into
child
K,
none
of
the
kids
are
coming
to
care
because
their
parents
have
substance
use
issues
is,
is
tremendous.
We've
seen
grandparents
raising
kids
the
fatalities
from
fentanyl
overdose,
which
then
again
can
bring
kids
into
our
care.
It's
something
that
I
just
I
want
to
acknowledge
as
we
go
through
this
again.
That
I
know
it's
not
necessarily
directly
in
the
jurisdiction
here,
but
I
just
I
need
to
acknowledge
that
we've
all
seen
the
impacts
and
the
need
for
additional
Behavioral
Health
supports
substance.
D
Use
supports
I,
actually
serve
on
the
opioid
abatement
task
force
with
the
Attorney
General's
office,
and
so
again
we're
we're
all
trying
to
look
at
this.
This
is
this
is
not
any
kind
of
partisan
issue.
We
all
know
that
the
substance
use
issues
across
the
Commonwealth
are
are
tremendous
and
a
big
challenge.
Now
on
to
the
department
for
aging
and
independent
living
again,
this
is
one
of
the
reasons
I
think
it's
it's
very
exciting
that
we
have
this
committee.
D
Not
only
do
they
serve
folks
who
are
aging
in
our
aging
populations
through
many
different
programs,
one
being
the
senior
meals
program
again,
which
I
addressed
we've
served
over
almost
three
million
meals.
We
used
to
have
a
waiting
list.
We
do
not
anymore
again.
There
was
some
funding
provided
by
the
general
assembly
in
the
last
budget,
which
is
great
I,
mean
I,
don't
I,
don't
believe
and
I,
don't
believe.
D
Anyone
thinks
that
we,
we
should
have
seniors
who
are
in
their
homes
who
are
hungry
and
that
we
can't
serve
so
we've
been
able
to
serve
a
lot
of
times.
That's
a
touch
point
for
socialization
I
try
to
deliver
meals
when
I
was
with
the
city
of
Louisville,
but
I
ended
up
talking
too
much
to
the
seniors
and
they
said
I
wasn't
a
good
deliverer.
D
So
these
are.
These
are
important
pieces
for
those
folks
that
we
serve
counties.
It's
a
local,
the
area,
development
districts,
I
think
they
had
a
breakfast.
This
morning,
the
area
development
districts
have
the
Aging
programs
with
within
their
purview
and
working
on
the
local
level,
and
so
there's
a
lot
of
creativity
that
occurs
within
this
program.
Another
big
program
within
aging
and
independent
living
is
the
guardianship
program
many
times
someone
who
can't
take
care
of
their
own
finances
or
take
care
of
themselves
can
be
assigned
by
the
court
to
the
guardianship
program.
D
The
previous
administration
sought
Medicaid
participation
on
the
health
care
side.
It
has
brought
more
funding
into
the
guardianship
program.
It
helped
us
reduce
some
of
our
caseloads
and
we
continue
to
work
on
that
so
I'm.
That
is
a
piece
that
there's
always
this
I
don't
know.
There's
always
this
balance
between
like
what
the
courts
when
they
can't
find
some
find
they'll
really
don't
want
to
find
somebody
guilty
of
a
crime,
but
they
want
to.
They
realize
that
they
can't
take
care
of
themselves
and
oftentimes.
We
end
up
in
guardianship
with
some
of
those
folks.
D
So
it
is
it's
a
relief
valve
for
a
lot.
There's
been
a
lot
more
focus
on
guardianship,
more
on
the
private
guardianship
side
than
the
public
guardianship
side.
But
it's
it's
a
program
that
I
do
believe,
helps
people,
and
we
do
that
all
within
the
Cabinet
for
Health
and
Family
Services,
then
there
are
many
other
the
aging
and
independent
living.
So
the
independent
living
piece
are
folks
with
disabilities
that
are
served
through
also
this
department.
Again
Medicaid
bids
plays
a
big
part,
but
there
are
programs
called
Heart,
Like
heart
supported
living.
D
Some
of
you
will
recognize
that
that's
an
older
program,
a
general
fund
program
that
serves
people
with
with
disabilities
and
can
pay
for
things
that
that
other
programs
don't
pay
for
home
improvements
and
things
like
that.
There's
a
personal
care
assistance
program.
So
there's
some
other
programs
there
that
again
get
no
or
very,
very
little
attention
within
this
department.
That
I
think
would
be
great
to
have
a
more
full
discussion
about.
D
She
is
who
is
the
commissioner
for
the
Aging
and
independent
living
and
I'm?
Sorry
I
should
have
also
mentioned
Stephanie
Craycraft,
who
is
our
acting
Commissioner
of
Behavioral
Health
and
Lisa
Dennis.
Also
our
acting
Commissioner
of
Department
of
Community
Based
Services
are
with
us
today
and
they
will
answer
questions
when
I
get
in
trouble
next
slide
wow.
We
should
we.
D
This
one-
but
this
is
the
commission
for
children
with
special
Health
Care-
needs,
probably
another
jurisdiction.
The
one
that
we
should
have
had
here,
sorry
about
that
is
the
child
support
enforcement
and
disability
determinations
again,
both
of
those
are
are
a
subject
of
the
reorganization
bill
that
Senator
Meredith
will
be
introducing
Child
Support
Enforcement
sits
with
the
cabinet.
It
has
an
old
system
that
we
need
to
upgrade
the
back
end
of
the
unemployment
insurance
system
is
the
child
support
enforcement
system.
D
Blue
screen
dos
I
know
what
dos
is,
but
again
nobody
younger
than
me
does
so
that's
we
we
do
have.
We
are
in
the
process
of
updating
that
system.
D
There
have
been
concerns
expressed
frankly
on
on
arrearages
with
our
County
attorneys
and
what
we
may
need
to
do
with
that
I
think
that's
the
impetus
of
the
a
reorganization
bill,
which
would
then
I
think
at
some
point
move
this
program
to
the
Attorney
General's
office.
The
disability
determinations
we're
a
contractor
for
the
Social
Security
Administration.
Those
disability
claims
we
process
those
we're
actually
one
of
the
best
in
the
country.
Definitely
the
best
in
this
region.
D
In
terms
of
our
timeliness
and
our
processing,
that's
a
program
that
actually
works
very
well,
but
again,
there's
a
lot
of
controversy
around
that
that
Eric
Khan,
the
attorney
where
a
lot
of
folks
lost
their
disability
and
it
got
and
and
and
people
really
were
hurt
by
that
that
is
still
rolling
through
our
systems
years
later,
but
we
I
think
most
of
those
have
been
adjudicated
at
this
point.
But
that's
that's
part
of
what
the
cabinet
does
as
well
and
I.
D
Don't
believe,
I
have
ever
given
a
long
presentation
on
the
disability
determinations
office
and
what
they
do
and
it's
it's
kind
of
a
shame,
because
they
do
things
very,
very
well.
Another
office
is
our
office
of
Inspector
General.
The
reason
we
put
this
here
is
this
is
our
arm.
That
does
what
we
call
special
investigations.
They're,
also
the
arm
that
actually
licenses
child
care,
so
they're
the
ones
that
actually
go
out
and
license
all
of
health
care,
but
they
have
child
care
within
the
office
of
the
Inspector
General.
D
So
that's
basically
making
sure
that
they
comply
with
regulations
they're
the
folks
that
do
all
the
investigations
on
our
basically
our
child
caring.
So
those
are
the
facilities
where
some
of
the
children
in
DCPS
get
placed
when
when
we
can't
find
Foster
Foster
placement
or
have
significant
needs
that
that
that
necessitate
that
next
slide
so
Family
Resource
and
youth
services,
centers
everybody's
favorite,
also
in
the
reorg
bill,
I've
testified
that
I
want
to
keep
them
because
they're.
D
My
only
good
news
in
the
cabinet
that
in
Serb
Kentucky,
but
a
joke
that
I've
been
over
a
lot
of
these
programs
in
the
cabinet
because
I've
been
there
so
long.
I
referred
to
myself
as
the
utility
infielder
I've
at
times
been
over
the
inspector
General's
office,
the
Family
Resource
Centers
commission
for
children
with
special
Health
Care
needs
Communications
Ombudsman
Behavioral
Health.
So
when
there's
been
an
enacting
role
like
like
just
introduced
when
it's
been
a
temporary
sort
of
thing,
I've
done
a
lot
in
these
programs.
D
D
This
is
probably
the
most
I
like
to
think
this
is
the
most
successful
piece
of
that
and
it
was
placed
in
the
cabinet
because
the
programs
that
many
of
the
programs
that
address
those
non-academic
barriers
to
Children's
Learning
are
programs
that
are
within
the
cabinet
talk
about
hunger
and
clothes
and
Behavioral
Health
and
those
kinds
of
programs
that
are
within
the
cabinet.
It's
it's
why
this
program
is
here:
it's
really
a
nice
connection
between
the
Cabinet
for
Health
and
Family
Services
and
Department
of
Education.
It
brings
together
so
that
we
actually
can
talk
about.
D
How
are
we
impacting
Children's
Learning
with
some
of
the
programs
that
we
provide
so
I'm
a
big
fan
of
Family,
Resource
Centers
and
would
love
for
them
to
stay
and
then
serve
Kentucky?
This
is
a
volunteerism
program.
This
is
the
Americorps
program.
They're
all
over
the
state.
They've
responded
to
some
of
the
disasters
that
we've
had.
They
have
a
really
kind
of
a
disaster
course,
so
they
sit
with
the
Emergency
Operations
Center
and
bring
volunteers
into
areas
that
need
help.
They
also
do
other
things.
They
work
with
our
Family
Resource
Centers.
D
It's
a
way
for
folks
to
get
to
employment,
some
and
and
so
I
think
the
the
reorganization
bill
contemplates
moving
them
to
education,
Workforce
Development.
Certainly
they
reside
there
in
a
few
other
states,
but
again
most
of
the
programs
that
support
these
individuals
reside
within
the
cabinet.
We
have
benefited
from
their
participation
within
the
cabinet.
Most
states
have
them
in
this
in
in
more
of
the
organizations
that
we
have
so
one
more
slide.
D
And
we're
done
okay,
so
two
things
Kentucky
has
the
Cabinet
for
Health
and
Family.
Services
is
a
relatively
unique
structure
within
state
governments.
Looking
across
the
country,
there
are
probably
15
cabinets
that
are
organized
like
this
one
across
the
Commonwealth.
It's
what
I
call
a
monster
cabinet,
because
when
you
have
all
of
these
programs,
particularly
when
you
have
Medicaid
and
dcbs
together
it
it
gives
you
such
a
broad
scope.
D
So
many
employees
I've
been
around
a
long
time
when
Governor
Patton
split
the
cabinet
into
families
and
children
in
the
name
of
this
committee
and
Health,
Services
and
I
didn't
think
it
worked
particularly
well
because
even
it
just
started
I
like
to
call
it
was
like
sharks
and
Jets
right.
We
broke
off
into
our
teams
and-
and
we
didn't
necessarily
work
well
together
and
so
Governor
Fletcher
when
he
came
in
put
it
back
together,
which
I
was
very
happy
about
so
I
think
it
works
better
together.
D
Just
so,
you
know,
because
these
programs,
when
you
look
at
Behavior
Health
when
you
look
at
physical
health,
when
you
look
at
what
happens
and
how
children
get
into
our
systems
and
and
that
kind
of
support
and
comprehensive
support
that
we
hope
we
provide
within
the
community
going
across
these
kinds
of
programs.
I
think
it
makes
sense
so,
like
I,
said
about
15
other
states
that
do
it
this
way
and
then
they're
about
13
states.
D
D
So
there
are
a
few
states
that
do
it
that
way,
we're
Statewide
organization
and
we
have
what
we
would
call
an
integrated
eligibility
system
system
which,
again,
if
you,
if
you
split
a
cabinet
apart,
which
was
one
of
the
discussions
you
lose,
that
ability
for
somebody
to
just
come
in
and
look
for
services
and
and
kind
of
get
the
whole
array
again.
I
I
think
it
works
better.
Together,
I've
lived
through
both
of
them
of
being
pulled
back
apart
and
put
back
together
and
I
I
like
to
gather
it
seems
to
work
better.
D
So
that's
my
brief
as
brief
as
I
can
do
overview,
and
so
thank
you
for
the
opportunity
and
I
look
forward
to
working
with
any
of
you.
My
door
is
always
open.
I
know
folks,
say
that,
but
you
can
text
me,
you
can
email
me.
We
I'm
open
to
that
and
happy
to
sit
down
with
any
one
of
you.
If
you
have
specific
questions
or
we
want
to
go
in
more
in
depth,
one-on-one
I'm
very
happy
to
do
that
and
would
welcome
that
opportunity.
E
D
I
A
All
right,
Vice,
chair
rally.
J
D
Varies
by
family
size,
what's
the
one,
it's.
F
J
A
K
It's
a
funny
thing:
you
know
where
Child
Care
lives
in
the
Cabinet
for
Health
and
Family
Services.
Of
course,
it
really
relates
to
health,
lifelong
generational,
Health
outcomes.
Of
course
it
relates
to
Family
Services
in
the
child.
Care
supports
the
whole
family.
We
know
also
that
high
quality
Child
Care
is
education.
D
K
I
wanted
to
ask:
we
know
that
so
there's
two
thousand
Sinners
or
so
right
now.
We
know
that
there
used
to
be
three
or
four
thousand
like
10
years
ago,
so
we've
lost
more
than
a
thousand
people
are
going
in.
Okay,
we've
lost
a
whole
bunch
of
centers.
K
And
it's
really
just
arpa
dollars
that
have
ensured
the
survival
of
a
lot
of
our
centers
in
the
last
couple
of
years
and
I'm
worried
later
this
year,
when
those
arpa
dollars
run
out
stabilization
payments
and
other
benefits
that
centers
have
been
able
to
receive
to
stay
open
and
continue
to
receive
our
kids.
So
I
can
be
here
this
morning,
I
think
if
we
lose
more
centers
when
we
lose
those
arpa
dollars,
it
undermines
the
success
of
House,
Bill,
499
and
so
I'm
wondering
what
you
think
needs
to
happen.
D
So,
yes,
that's
of
concern
when
I
talked
to
the
benefits.
Cliff
task
force,
I'm,
worried
about
that.
Now,
here's
here's!
Here's
what's
going
to
happen
because,
like
in
September
ish,
some
of
the
Opera
dollars
will
go
away.
We
have
enough
funding
to
continue
some
of
the
pieces
that
we're
doing
those
pieces
have
to
do
with
we're
paying
for
enrollment
rather
than
attendance,
which
is
a
big
change.
D
We
are
paying
for
co-pays,
which
which
oftentimes
providers
find
that
co-pays
are
what
they
call
co-pays
no
pays
right.
They
won't
kick
somebody
out
for
the
copay,
but
so
then
they
just
don't
collect
it,
so
we're
paying
co-pays
for
folks,
we've
changed
a
little
bit
of
the
and
it's
it's
minor,
the
the
income
threshold.
For
folks
who
are
eligible
for
some
child
care
assistance.
It
was
minor
so
some
of
those
some
of
those
those
kinds
of
payments
for
providers.
We
will
be
able
to
continue
to
to
get
to
the
next
budget
cycle
right.
D
So
that's
not
a
that's,
not
a
cliff,
but
the
sustainability
payments
have
been
huge
and
those
are
the
ones
that
are
going
to
be
more
difficult
to
continue.
To
give
you
a
sense
of
scale,
looking
at
what
we'd
be
asking
for
in
a
budget
request
in
the
next
budget
to
continue
the
piece
that
I
said
we're
going
to
try
to
continue
that's
around
100
million
dollars.
So
it's
not
a
small
ask.
The
sustainability
payments
are
double
that
they're,
like
200
million,
so
that
has
also
been
what
has
helped
keep
centers
going.
D
I've
talked
to
some
folks
on
the
Pritchard
committee.
I
think
they
understand
that
that's
kind
of
what
we're
looking.
H
D
So
it's
you
are
correct.
It's
going
to
be
a
challenge,
we're
committed
to
keep
as
much
going
as
we
can
so
that
we
can
get
to
the
next
budget
to
keep
as
many
centers
healthy
as
possible,
but
the
sustainability
payments,
and
they
really
were
supposed
to
be
temporary
payments
to
support
folks
during
covid
when
they
go
away.
That's
going
to
have
an
impact.
K
Let
me
ask
you
a
quick
follow-up.
Yes
do.
Does
the
legislature
need
to
codify
some
of
these
changes
like
the
increased
income
eligibility
threshold
for
CCAP,
and
will
the
cabinet
be
asking
us
in
the
next
budget
cycle
for
200
million
dollars
to
invest
in
our
child
care
centers?
So.
D
D
Not
well
I
I
agree,
but
it
is
a
gigantic
ask,
and
so
even
100
million
is
a
is
a
is
a
massive
ask.
So
I
can't
I
can't
commit
right,
but
if
you
know
this
is
Eric
being
in
state
government
for
a
hundred
thousand
years,
I
think
we'll
probably
ask
for
the
hundred
and
then
see
see
what's
possible
within
the
budget
for
the
next
cycle.
D
Those
other
things:
oh,
the
other
changes,
so
those
are
in
regulations.
So
those
right,
we
have
changed
the
regulations
for
that.
Okay,.
H
D
Within
within
the
regulatory
structure,
so
I
think
you
all
will
be
receiving
regulations
as
they
go
through.
So
that's
always
we'll
make
the
proposals
that
come
through
regulations,
there's
always
the
opportunity
for
back
and
forth
in
that
process.
So
and
those
have
gone
through
have
gone
through
so
they
are
caught
codified.
At
this
point,.
I
Thank
you,
madam
chairman,
and
thank
you
for
your
presentation.
Today.
I
was
thinking
as
I
was
listening
to
you
and
all
the
different
things
the
cabinet
does
about
all
the
roles
I
have
had
that
have
put
me
in
contact
with
your
agency
as
an
attorney.
H
I
A
director
of
a
homeless
shelter
as
a
member
of
a
site-based
decision-making
Council.
So
with
your
Friskies
as
a
field
representative
for
U.S
senator
and
as
a
legislator
and
every
single
contact
many
times
it's
been
just
dire
situations.
I
have
found
professional
people
in
your
cabinet
with
a
heart
for
the
people
they
serve
with
a
passion
for
service.
I
I
I
So
if
we
were
to
and
and
I
may
be
wrong
about
my
perception
but
everyone
I've
talked
to
in
child
protective
services
has
been
compassionate
and
caring
and
wanting
to
solve
every
problem
and
respond
to
every
need,
but
they
are
stretched
so
thin
that
sometimes
it's
not
possible,
and
so
it
looks
like
they're
not
doing
their
job
when
I
think
they
are,
they
just
can't
fit
it
all.
In
so
is
can
you
comment
on
moving
cutting
or
new
money
sure,
and
if
my
perception
is
correct,.
D
Your
perception's
correct,
but
first
I
want
to
get
back
to
where
you
started.
If
I
may,
one
thing
I
do
like
to
say
all
the
time:
the
folks
who
work
in
child
protective
services,
the
folks
who
work
for
the
Department
of
community-based
Services
I
like
to
refer
to
them
as
everyday
Heroes.
D
They
are
out
going
families
that
have
significant
issues.
They
go
into
issues
where
times
and
homes
where
there's
domestic
violence,
which
oftentimes
law
enforcement,
is
worried
about
going.
That's
probably
the
most
dangerous
situation
you
can
or
you're
going
in
for
a
child
removal
that
is
dangerous,
and
these
are
folks
who
go
into
these
situations.
They
have
protocols,
you
don't
let
anybody
sit
between
you
and
the
door.
I
mean
there's
all
sorts
of
things.
You
make
sure
your
truck
cars
pointed
out
of
the
driveway
there
are.
D
We
have
a
recent
probably
last
year
where
a
social
worker
had
a
gun
held
to
their
head,
and
so
it
is,
we've
made
some
progress.
The
general
assembly
did
provide
additional
funding.
The
challenges
have
been
at
how
we
articulate
and
get
people
to
take
these
positions.
Our
caseloads
have
have
crept
up
over
the
last
year,
as
we've
seen
more
reports
of
of
abuse
and
neglect.
As
we
investigate
that
is
that's
a
true
statement.
D
Our
staff
is
stretched
to
Finn
what
we
need
to
do
I
think
and
what
we're
trying
to
do
is
one
change
perception
of
what
what
that
role
is
you're
right.
You
have
to
have
the
heart
to
do
that
as
we
work
with
our
colleges
and
universities.
Sometimes
what
the
professors
in
those
programs
say
is:
okay,
the
last
place
on
Earth
that
you
want
to
work
is
dcbs,
and
so
we
have
to
change
that
perception
and,
and
that
narrative
that's
going
to
take
some
time.
We
are
working
on
it,
but
you
know.
D
If,
if
your
call,
if
your
professor
says
you
don't
want
to
work
there,
well
guess
what
place
you're
not
going
to
work
as
every
place
has
seen
postcovid
trying
to
get
folks
into
jobs
and
the
competition
around
social
workers
and
those
who
are
qualified
to
be
social
workers,
not
quite
as
intense
as
nurses,
but
still
pretty
intense.
So
we
had
to
raise
in
our
raising
and
have
raised
minimum
salaries
and
entry
salaries
as
much
as
we
can.
D
Probably
our
last
bit
of
that
was
in
in
January
we're
seeing
some
more
we're
seeing
some
help
there,
but
we've
got
a
long
way
to
go
so
it
at
this
point,
believe
it
or
not.
I'm
not
going
to
sit
here
and
tell
you
that
it's
it's
a
funding
issue.
It
is
a
job
attraction
issue,
and
so
we
we've
we've
got
work
to
do
there.
I
hope,
folks,
like
you
folks
in
the
general
assembly,
as
we
recognize
these
social
workers
as
being
Heroes
and
knowing
that
their
heart
is
good.
D
D
When
you
can
point
to
the
disaster
right
and-
and
we
have
them,
we
have
them.
We
do.
It
does
happen
that
it's
foolish
to
say
it
doesn't.
We've
had
children
because
of
the
severe
their
severity
who
who've
been
in
our
offices,
because
we
can't
find
placement.
Some
of
that
relates
to
capacity
right,
but
that's
that
happens.
So
what
I
hope
I'm
trying
to
do
is
support
conceptually
support
financially
and
the
other.
D
The
reason
I
came
back
to
the
cabinet
I
was
working
for
the
city
of
Louisville
and
having
a
great
time
working
on
homeless
services
and
I
just
loved
it,
because
there
are
things
that
we
can
do
to
make
a
difference,
but
I
realized.
We
hadn't
addressed
the
secondary
trauma
that
our
social
workers
have.
We
now
have
some
traumatic
leave
time
just
got
through
that
we've
been
asking
for
for
a
long
time
and
it
it
I
think
it's
going
to
make
a
difference.
D
B
Thank
you,
ma'am
Madam,
chair
I,
appreciate
that
just
going
back
to
the
earlier
comment,
Mr
secretary
Summers
has
been
up
since
5
a.m
and
trying
to
get
things
together
and
listening
and
so
forth,
but
the
person's
over
there
not
paying
attention
but
anyway,
I
just
wanted
to
I
just
want
to
I
just
want
to
follow
up
on
I
know
it.
So
we
have
to
poke
you
because
I'm
the
same
way.
B
I
just
want
to
follow
up
on
representative
Deckers
comments,
and
that's
that's
why
I
wanted
to
sort
of
focus
on
and
I've
had
some
correspondence
with
child
protected
services
throughout
the
state
and
that's
rather
concerning
hearing
statistics,
the
intake
volumes
that
come
through
and
just
sit
there
and
put
kids
in
a
very
vulnerable
harsh
situation
and
so
forth
and
appreciate
your
comments
because
I
know
you're
passionate
about
what
you
do
and
you're
highly
respected.
I.
B
Think
in
this,
in
this
general
assembly
and
I
wanted
to
just
get
a
little
more
in
detail.
If
you
can
provide
what
is
your
action
plan,
you
said
you
got
a
cultural
change
and
cultural
change
I've
been
through
that
with
my
with
my
own
company,
as
well
as
working
for
a
company
a
long
long
time
ago.
That
takes
a
couple
years.
Yes,.
H
B
Does
you
talk
about
funding
yeah?
We
can
do
that.
We
can
look
at
the
funding,
that's
going
to
happen
until
you
know
we
get
together
and
next
spring,
so
I
want
to
I
just
want
to
see
if
you
can.
If
you
can
comment
on
what
in
particular
or
do,
we
need
to
do
either
from
a
legislative
standpoint
or
a
messaging
standpoint
to
get
folks
attracted
to
this
position
because
I
have
one
person
who's
like
he
said
they
don't
have
anybody
else
and
they're
in
the
department
because
of
various
regions
reasons.
B
So
if
you
could
just
give
a
little
more
details,
a
little
more
hard
strategy
that
you
might
be
able
to,
let
us
know
from
a
legislative
standpoint
or
from
you
know,
from
an
operational
standpoint.
D
I
will
always
promise
to
be
direct
when
I
testify
it's
going
to
be
hard
to
do
a
quick
fix
and,
and
we've
had
20
years
of
declining
social
worker
roles.
The
what
I'll
tell
you
is
is
here's
what
we've
done
right?
We
have.
We
have
worked
on
you're
right
culture.
There
are
some
folks
that
say:
real
culture.
Change
within
an
organization
takes
seven
years,
I'm
hoping
that's
not
the
case.
You
know
I
have
seven
years,
but
that
doesn't
mean
you
don't
work
on
it.
So
so
we
do
work
on
it.
D
D
I,
don't
think
it's
as
big
a
problem.
I,
don't
think
it's
as
big
a
problem
as
the
cabinet
over
the
years
and
I've
been
there
right
so
part
of
it
part
of
it.
I've
been
there
and
watched
it,
we've
nickled
and
dimed
ourselves,
so
that
so
that
when
we
have
the
opportunity
of
raising
entry-level
salaries,
we
didn't
take
it
and
we
got
so
far
behind.
A
D
D
I
can't
answer
that
question.
There's
some
funding
issues
over
the
years
absolutely,
but
but
that's
not
where
we
are
now
and
one
of
the
hardest
things
it's
been
for
me
to
turn
around
within
the
cabinet.
Is
we've
always
had
this
kind
of
poverty
mentality
in
the
cabinet
right?
We've
always
had
that
and
the
general
assembly
in
the
last
budget
really
a
really
gave
us
a
very
strong
appropriation
right.
But
it's
been
hard
for
us
to
figure
out
and
adjust
to
hey.
D
We
actually
have
the
money
to
be
able
to
do
this
so
getting
us
all.
There
has
taken
some
time.
It's
a
culture,
change
right.
We
did
raise
social
worker
salaries,
but
we
were
at
that
point
so
far
behind
it
didn't
have
the
impact
that
we
were
hoping.
What
I'll
tell
you
now
is
and
and
I
do
think.
This
is
good
news.
D
We
have
we're
not
losing
anymore.
If,
if
you
look
at
the
number
of
social
workers,
we're
not
actually
losing
anymore
we're
holding
even
or
maybe
just
starting
the
climb
in
this
last
summer,
last
fall
for
the
since
2018.
D
D
We
I
believe
we
we
reached
the
bottom
Last
Summer,
and
so
we
are
slowly
making
our
way
back
up
people
retire
in
August
and
December.
So
we
had
a
couple
of
hits
in
those
two
months.
True,
but
that's
you
see
that
all
the
time
I
think
we
are
on
the.
H
D
To
get
back,
but
that's
going
to
take
time
so
I
can
I'll
be
happy
to
share
with
you
we're
doing
some
social
media
pieces.
If
you
listen
to
National
Public
Radio
or
some
of
the
radio
programs,
I
heart
I
think
we're
on
iHeart
as
well,
where
we're
actually
trying
to
get
the
word
out
that
we
have
open
positions
right
that
that
folks
can
come
in
and
work
for
the
cabinet,
and
it
is
not
it
is.
D
It
is
some
place
to
come
work
so
we're
so
media
campaign
working
on
culture
working
on
salary,
honestly
we're
trying
everything
working
with
the
social
work,
schools,
we're
trying
everything
I
think
we're
having
some
impact,
but
again,
you'll
have
we'll
have
to
see
over
this
next
year.
B
Of
a
quick
follow-up
and
I'm
sure
quickly,
thank
you.
Has
there
been
any
consideration
given
I
guess
the
Personnel
challenges
and
the
backlogs
and
investigations
to
work
with
like
a
non-profit
organization
on
a
contractual
basis,
no
matter
for
the
year
or
two
years
or
whatever,
to
help
go
through
that
process
to
get
the
to
get
to
address
the
backlog
and
those
issues
we've.
D
To
to
get
some
help
in
in
closing
cases
and
working
through
some
some
things,
primarily
in
Jefferson
County,
where
probably
the
need
is
the
greatest,
so
we've
done
some.
We
have
done
some
of
that.
The
other
piece
that
we're
trying
to
do
with
with
non-profit
organizations
is
get
them
used
to
our
connect
website
so
that
they
can,
because
now
you
can,
you
can
start
to
work
on
some
of
the
eligibility
pieces
and
some
like
Snap
and
TANF
and
child
care.
D
D
I
think
that's
a
true
statement
so,
but
but
we
continue
to
work
on
that.
So,
yes,
we've
done.
Some
of
that.
Could
we
do
more.
We
can
certainly
look
at
it.
We
we're
trying
to
relieve
the
pressure
on
our
workers
as
much
as
possible.
It
is.
It
is
a
tremendously
challenging,
as
you
all
have
pointed
out,
tremendously
challenging
position
within
the
cabinet,
but
what
I
say
to
folks?
D
Basically,
people
who
work
in
the
cabinet,
particularly
those
in
dcbs,
which
is
where
I
try
to
get
back
to
the
heart
of
things
right
you,
some
of
us,
are
given
the
the
grace
to
be
able
to
wake
up
every
day
and
perhaps
make
a
difference
in
someone's
life
and
that's
what
that's.
What
the
social
workers
and
folks
in
dcbs
get
to
do
every
day
and
that's
a
privilege
right,
but
that's
not
a
message
that
they
hear
or
have
heard
in
the
media.
In
particular.
I
love,
my
media
friends.
D
But
that's
that's
not
that's,
not
the
message
that
they
hear.
So
that's
the
message
I
have
to
give.
You
all
have
said
it
so
well
today.
So
I
appreciate
you
all
saying
that
and
being
supportive.
E
F
E
D
Great
question:
we
do
work
with
the
with
the
administrative
office
of
the
courts.
We
we
do
try
to
work
with
the
judges.
Actually,
representative
flemmy
actually
gets
back
to
your
question.
Social
workers
go
into
court
and-
and
it's
not
something
you
think
about
that.
That's
what
social
workers
do,
but
they
spend
a
lot
of
time
in
court.
D
They've
never
been
in
court
before
they
don't
have
representation
and
if
they,
if
they've
made
a
judge,
angry
or
you
know
the
the
system
of
seeing
some
of
the
same
people
over
and
over
again,
judges
can
get
tired
of
it
and
when
we
asked
social
workers
why
they
left
the
second
highest
reason
was
Court,
so
we're
actually
starting
a
pilot
again
back
to
specifics
of
making
sure
we
have
an
attorney
from
the
cabinet-
and
this
is
just
a
couple
of
counties
who
will
be
in
court
with
the
social
worker.
D
They
don't
have
an
advocate
I
again
as
I
say
the
the
18
year
old,
right
and-
and
you
know
the
the
the
public,
the
public
folks
who
who
do
help
but
they're
not
there
for
the
social
worker.
So
we're
going
to
try
in
a
couple
of
counties
to
see
if
that
helps
and
it's
another
way
to
try
to
make
the
job
more
tolerable.
But
yes
to
everything
that
you
said,
we
do
try
to
work
with
the
courts.
It's
really
interesting
because
someone
now
the
the
tele
dockets
have
been
helpful.
D
It's
been
more
helpful
on
the
the
behavioral
health
side,
but
we
we
always
work
with
them
and
work
with
a
what's
that
called
the
College
of
Judges
to
really
talk
about
what
it
is
that
our
responsibilities
are
within
the
system
and
hope
that
we
get
understanding
through
that
system.
Is
that
helpful?
Okay.
G
You
chair
so
I
had
the
opportunity
to
work
with
secretary
friedlander
in
Louisville
for
encampment
services
for
homeless
homelessness
and
also
had
the
opportunity
to
witness
aot
and
how
that
program
and
our
social
workers
are
able
to
respond
with
a
variety
of
wrap-around
services
and
how
that
truly
does
over
time
help
stabilize
Our,
Youth
and
so
I
have
definitely
seen
the
impact
of
social
workers
having
because
of
their
presence
in
court
and
really
appreciate
those
Services
when,
when
we're
able
to
see
movement,
so
my
one
question
as
a
follow-up
to
the
others
that
have
been
said
was
what
is
the
Staffing
deficit
currently
in
terms
of
vacant
positions
within
the
cabinet
and
which
areas
have
the
highest
rates
of
vacancies?
G
D
So
the
the
three
areas
that
concern
me-
two
ndcbs
family,
support
social
workers
right
and
that
that
deficits
about.
D
Those
are
the
two
that
two
of
the
three
that
I'm
most
concerned
about.
The
third
is
the
office
of
Inspector
General,
because
in
order
to
do
surveys,
you
have
to
have
nurses
and
so
as
hard
as
it
is
to
get
social
workers.
It
is
that
hard
to
get
nurses
even
more
difficult
and
so
a
lot
of
times
you
have
to
have
Health
Care
Specialists
who
who
serve
as
the
inspector,
so
those
three
places
and
I
think
we're
down
I
want
to
say
70.
C
D
Number
so
it's
it's,
we've
got
real
challenges.
There.
We've
also
tried
to
increase
the
the
midpoint
and
those
kinds
of
things,
but
that's
we're
not
even
close
right
to
to
nurses
salaries.
So
that's
a
real,
that's
the
other
place
that
I
am
very
concerned
because
we're
slow,
we're
slow,
I'm,
we're
probably
going
to
get
something
in.
You
know
a
Newsweek
article
that
we're
one
of
the
slowest
in
the
country,
but
it's
it's
because
we
have
the
Personnel
deficits
now
we're
still
doing
all
the
citations
and
we're
still.
A
Thank
you,
the
next
item.
Thank
you
all.
A
You
do
have
items
received
for
review
each
of
the
committee
members,
these
block
grants
or
the
status
reports
that
are
required
to
be
sent
to
our
jurisdictional
committee
each
year
later
this
year.
When
the
grants
are
up
for
reauthorization,
we
will
have
a
hearing
on
them
today,
they're
just
made
available
for
informational
purposes.
There
are
four
different
grants
that
you
you
will
have
in
your
packets.
I
do
want
to
make
a
a
note
before
we
adjourn
our
lead.
Staffer
for
the
committee
has
been
Payne.