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From YouTube: Senate Standing Committee on Health Services (3-15-23)
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A
C
Present
so
no,
we
do
have
a
quorum
several
Builds
on
for
consideration.
Today
we're
going
a
little
bit
out
of
order.
A
lot
of
people
have
different
committees.
They
need
to
to
appear
before,
but
I'll
ask
all
the
presenters
be
as
expeditiously
as
possible
in
your
presentations
so
that
we
can
move
through
this,
and
with
that
our
first
bill.
We're
going
to
hear
this
morning
is
House
Bill,
502,
representative
Rebecca
Ramer
she's
already
at
the
table.
If
you
would
just
identify
Joe
for
the
record
as
well
as
your
guest
and
feel
free
to
proceed.
I'm.
E
D
House
Bill
502
is
really
just
a
cleanup
Bill.
There
was
a
bill
passed
last
session
that
addressed
travel,
nurses
and
inadvertently.
It
also
was
applying
to
these
long-term
international
travel
nurses,
so
this
bill
just
cleans
that
up
and
clarifies
that
they're
not
included
because
they
have
very
stringent
processes
that
they
already
go
through,
and
so
it's
really
a
work
for
Force
issue.
They're
they're,
very
much
used
in
the
state
of
Kentucky.
C
C
You
being
here
this
morning,
I
see
representative
Bentley
here
I
think
he
may
have
a
Excursion
conflict
as
well
representative
Benton,
if
you're
prepared.
Please
come
forward
more
act
on
your
bill.
C
C
F
F
House,
mail
349,
is
an
act
relating
to
the
treatment
of
sexually
transmitted
diseases.
This
bill
does
three
things
real
short:
it
expands
the
partner
therapy
to
include,
but
not
limited
to
gonorrhea
chlamydia
and
trichonomis
two.
It
removes
felony
offense
for
people
with
HIV
who
donate
organs
or
tissue
and
number
three.
It
allows
HIV
self-tests
to
expand
excess.
You
got
one
minute,
yeah.
G
So,
under
expedited
partner
therapy,
the
CDC
expanded
its
recommendations
from
gonoring
committee
to
trick,
so
this
keeps
it
in
line
with
the
CDC
recommendations.
The
self-test
kit
for
HIV
was
approved
by
the
FDA
in
2012
the
statute.
That's
on
the
books
was
approved
in
1990,
we're
just
asking
that
that
be
eliminated,
and
the
third
is
the
donation
of
organs
under
the
Uniform
Anatomical
Gift
Act.
G
All
organ
donation
is
regulated
on
a
federal
level
and
in
2013
the
US
government
passed
the
Hope
act,
which
is
the
h,
HIV
organ
Policy
Act,
and
in
that
case
it
made
it
okay
for
people
with
HIV
to
donate
organs,
to
people
with
HIV
under
a
research
protection.
The
idea
of
that
was
to
lighten
the
load
of
individuals
waiting
for
transplants.
In
2022,
there
were
over
133
000
people
waiting
for
transplants.
When
you
have
people
with
HIV,
they
can
donate
directly,
and
so
people
without
move
up
that
list
so
and
under
the
statute
in
Kentucky.
F
C
C
C
H
Okay,
thank
you
so
much
Mr,
chairman
and
and
I
am
standing
in
for
representative
Jason
nemes.
He
had
a
meeting
and
a
conflict.
This
morning,
I
am
representative
Kim
Mosher
of
the
64th
district
and
I
am
just
here
to
talk
to
you
quickly
about
House
Bill
176..
This
is
a
bill
that
was
brought
to
us
by
the
Kentucky
Nurses
Association
to
address
the
increase
in
workplace
violence,
especially
in
our
health
care
facilities.
63
percent
of
medical
providers
are
reporting
injuries
from
violent
attacks
and
the
workplace.
Violence
incidences
are
escalating.
H
C
H
C
Are
there
any
questions,
comments,
Senator,
Carroll
and.
I
Mr,
chairman
I,
really
haven't
read
through
all
of
this
completely
facilities:
Health
Care
Facilities,
serving
those
with
intellectual
disabilities.
How?
How
would
this
apply
to
that
because
I,
you
know
we
have
folks
in
our
facility
that
that's
just
going
to
happen.
Sometimes.
H
I
I
don't
know
that
it.
It
doesn't
comment
on
any
sort
of
penalties.
This
is
an
initial
assessment,
so
this
has
Health
Care
Facilities
assess
their
their
physical
environment,
as
well
as
any
strategies
that
would
address
security
violations.
H
B
H
Would
I
would
think
so
because
this
is
just
an
initial
assessment,
so
it's
it's
to
put
together
that
initial
report
to
take
a
look
at
how
facilities
can
be
improved.
Staffing
can
be
improved
and
so
forth.
Okay,.
C
J
Going
to
very
quickly
explain
my
I
vote.
You
know
I
have
a
sister
who's,
a
nurse.
She
was
a
nurse
she's
retired
now
who
was
physically
attacked
by
one
of
her
patients
in
the
handoff
between
Admissions
and
the
floor,
was
so
horrible
I
mean
this
patient
in
admissions
had
said,
I
am
going
to
take
somebody
down
that
was
not
sent
upstairs.
J
She
goes
up
with
two
armed
guards
next
to
her
to
sedate
this
patient
and
he
takes
her
to
the
floor.
Dislocates
her
vitreous
I
mean
multiple
surgeries
to
fix
her
eye.
It's
got
to
stop.
It's
got
to
stop.
Unfortunately,
it
is
a
sad,
sad
Testament
to
what's
happening
in
our
hospitals,
but
it's
happening.
So.
Thank
you.
Thank.
C
C
H
C
K
You
Mr
chairman
I'm,
Ken,
Fleming
I
represent
the
48th
District
in
the
house,
and
I
represent
part
of
Autumn
and
Jefferson
County.
K
Mr
chairman
members
of
the
committee,
I
really
do
appreciate
coming
for
you
today
we
have
a
very
significant
bill.
I
think
it's
going
to
be,
hopefully
a
life
changing
a
tool
that
our
kids
can
use.
As
we
know,
a
lot
of
our
kids
are
basically
face
plant
on
this
more
so
than
we
want.
K
They
can
always
phone
call
folks
for
help
and
so
forth,
but
this
is
an
app
that
will
go
on
a
phone
that
will
be
that
will
allow
K-12
and
college
students
to
access
a
mental
health
professional
24
hours
a
day
seven
days
a
week,
it'll
be
a
miniature
and
overseen
by
the
U
of
L
Peace
hospital,
which
we
worked
for
the
past
last
past
year,
or
so
in
order
to
make
this
come
into
reality.
K
In
addition,
this
is
model
after
after
state
of
Utah,
where
they've
basically
have
gone
through
and
documented
over
300
interventions
to
prevent
suicides,
as
well
as
helping
out
over
250
campus
invasions
for
type
of
some
type
of
a
bonds
or
whatever.
This
is
a
very
dynamic
tool.
What
it
does,
ladies
and
gentlemen,
it
basically
sets
up
the
Kentucky
Health
Care
Safety
Center,
better
known
of
safe
Kentucky.
K
It
creates
Advisory
Board
to
cancel
guide
and
provide
a
resource
for
uofl
health
peace.
It
has
members
on
this
that
revise
that
provide
counseling
and
help
with
U
of
LPS,
which
is
outlined
in
your
in
the
bill.
It
will
create
Implement
and
maintain
this
app
for
middle
and
high
schoolers
and
college
students
to
access
a
mental
health.
K
Professional
divert
as
well
a
divert
crisis
as
well
as
provide
guidance
and
there's
a
very
good
reporting
mechanism
to
make
sure
that
uofl
peace
has
a
good
system
that
will
come
back
to
us
and
report
on
success
and
then
hopefully,
we'll
get
this
Statewide
to
say
pilot
project
over
the
next
year
and
we're
going
to
basically
implement
this
Statewide.
This.
L
L
We
also
know
that
when
individuals
have
thoughts
of
suicide,
that
25
act
within
five
minutes
and
50
act
within
10
minutes,
we
plan
to
work
very
closely
with
the
other
crisis
lines
in
the
state
to
to
look
at
how
we
can
have
handoffs
in
order
to
address
safety
issues
as
well
as
mental
health
issues.
Our
goal
is
to
get
people
connected
to
a
trusted
adult
and
to
ensure
that
crisis
situations
are
diverted.
C
L
Whether
they
would
call
chat-
or
they
could
send
a
message
in
there
was
a
licensed
person
24
hours
a
day
that
would
respond
to
that
chat
begin.
The
person
does
not
have
to
reveal
their
identity,
it
allows
them
to
remain
anonymous.
They
would
respond
back
to
that
chat.
Try
to
gain
information
if
there's
a
specific
threat.
If
it
involves
wanting
to
harm
others,
we
definitely
would
want
to
include
law
enforcement
right
away
or
potentially,
if
it's
a
threat
to
the
school
include
school
officials
right
away.
L
If
it's
a
threat
of
self-harm,
we
would
work
to
try
to
find
out
who
a
trusted
adult
is
and
then
work
toward
ensuring
that
that
person
saved.
If
we
are
unable
to
guarantee
their
safety,
we
would
get
the
information
from
the
device
to
police
that
then,
if
needed,
could
potentially
do
a
search
for
the
IP
address
and
reach
out
if
they
could
locate
the
individual.
L
L
Treatment
or
things
like
that
would
be
made
after
the
fact
we
wouldn't
be
a
part
of
that
we
would
just
try
to
get
the
individual
to
a
point
of
safety,
and
then
you
know,
parents
Guardians
can
then
participate
in
helping
determine
what
next
steps
are.
L
A
A
L
Yes,
I'll
try,
so
if
a
youth
would
choose
to
communicate
via
text
or
the
chat
feature
on
the
app
with
one
of
our
licensed
professionals,
we
would
try
to
gather
information
depending
upon
what
the
threat
or
information
shared
is.
It
might
be
information
about
bullying.
It
might
be
information
that
someone
has
a
weapon
that
they
know
of
at
school,
or
it
could
be
thoughts
of
wanting
to
harm
themselves
or
others,
because
it
is
through
an
app.
It
remains
Anonymous.
L
We
would
attempt
to
gain
information
if
there
was
a
specific
threat
so
that
we
could
mitigate
the
threat
if
it
involved
wanting
to
harm
themselves.
We
would
also
work
to
build
a
relationship
quickly
via
the
communication
so
that
we
could
try
to
get
that
person
to
a
safe
environment,
and
we
know
from
Utah's
experience
that
they
have
been
able
to
do
that.
M
Senator
wise,
thank
you
Mr,
chairman
representative
Fleming,
thank
you
for
the
legislation.
I
know
we've
talked
about
this
before
in
the
past
of
working
on
on
safe
Kentuck
in
this
app.
My
question
and
I
think
some
of
this
maybe
got
resolved
yesterday.
The
communication
with
the
Kentucky
Center
for
school
safety
they
had
in
what
we
passed
a
few
years
ago
with
the
school
safety
resiliency
act
to
have
a
tip
line.
My
fear
is
always
communication
breakdowns.
M
The
student
calls
this
line
or
communicates
here,
but
it
not
gets
over
to
the
Center
for
school
safety,
knowing
if
they've
got
same
information
or
they
don't
have
this
information,
how
are
we
going
to
be
able
to
work
within
everybody
to
keep
our
students
safe
from
harming
themselves,
but
also
in
terms
of
what
could
happen
in
a
school
environment
so
that
that's
my
first
question:
if
you
could
help
me
on
that?
Yes,.
L
Thank
you
so
much
for
bringing
forward
that
concern
so
that
we
could
reach
out
and
have
conversations
yesterday
as
part
of
the
bill.
We
have
listed
the
an
advisory
Council
that
does
include
Homeland
Security,
as
well
as
the
school
for
school
safety,
and
we
have
as
part
of
the
implementation
plan
talking
through
how
the
different
crisis
lines
would
work
together.
L
In
our
conversations
yesterday,
we
learned
that
about
50
percent
of
the
calls
that
come
in
on
those
tip
lines
now
are
mental
health
related
and
they
do
not
have
a
licensed
person
who
responds
to
those
calls.
So
we
talked
about
how
it
might
work
very
well
together
for
our
licensed
people
to
be
able
to
have
a
handoff
and
take
care
of
some
of
those
calls,
and
likewise,
when
we
have
threats
of
harm
that
would
involve
damage
to
the
school,
we
could
hand
off.
L
M
One
more
follow-up,
Mr
chairman,
thank
you,
so
much
and
I
do
think
that
that
needs
to
be
reciprocal.
They've
got
information
to
make
sure
you
are
getting
that
and
vice
versa,
as
we
go
forward,
I
noticed
there's
not
an
appropriation
in
the
bill
based
on
the
session
that
we're
in
is
this
going
to
be
something
that
we
come
back
next
session
looking
to
fund.
The
reason
being
is
the
tip
line
is
not
costing
us
in
the
legislative
body
to
fund
that
do
we
know
a
cost
of
what
this
may
be.
K
Yeah,
well
let
me
go
back.
It's
your
previous
question.
Basically
part
of
the
key
and
in
the
uofl
Peace
hospital
is
going
to
be
a
really
strong
effort
in
looking
at
and
understanding
their
budget.
For
this,
a
really
strong
effort
in
marketing
they're
going
to
really
ramp
up
and
bring
somebody
on
to
go
out
to
these
schools
in
a
project
to
make
sure
they're
aware
and
so
forth,
to
make
sure,
there's
a
cooperation
and
understanding
of
of
the
resources
available
to
the
kids.
K
Going
back
to
your
other
question
is
that
the
tip
of
the
Hat
two
of
our
piece
and
the
foundation
they've
raised
350
000
from
from
the
private
foundations
in
order
to
keep
this
going,
there's
still
money
out
there
that
that's
potentially
coming
in
to
help
support
this.
So
this
is
basically-
and
this
goes
back
to
My
Philosophy
when
I
run
my
mental
health
center,
and
that
is
when
I
go
for
a
grant.
K
I
go
for
a
grant
and
say
you
know:
can
you
help
us
out
for
seed
money
for
say
thirty
thousand
twenty
thousand
and
ten
thousand
over
three
years?
And
then
boy?
It's
on
me
to
go
out
there
and
try
to
you
know,
find
the
find
the
money
and
raise
the
money
and
so
forth.
So
this
is,
but
this
is
part
of
the
approach
that
this
would
be
a
part
of
a
seed
money
and
doing
that.
K
But
to
answer
your
question,
there
is
in
order
to
do
this
as
a
free
service
to
folks
throughout
the
state,
we'll
be
looking
at
having
some
type
of
appropriation
from
the
state
and
doing
that
and
in
order
to
continue
this.
But
that
doesn't
mean
that
you
know
we're
going
to
come
to
the
state
and
to
find
the
to
ask
for
some
money.
K
The
the
point
is
that,
yes,
that
tip
line
is
is
is
is
not
costing
the
state
there's
a
lot
of
Alternatives
that
we
can
hope
and
and
basically
roll
this
in
and
just
let
you
know,
you're
very,
very
appreciative
in
terms
of
I'm,
very
appreciative
of
you
and
an
initial
phase
of
this,
because
my
original
thought
was
to
have
this
under
the
Center
for
safety,
and
it
still
could
work
provide
that,
along
with
uofl
Peace
hospital.
To
do
that.
J
Thank
you,
Mr
chairman,
you
know
in
healthcare.
We
know
from
experience
that
it's
really
important
to
try
to
meet
people
where
they
are,
and
I
really
really
like
the
idea
that
this
is
available
on
chat,
because
I
know
from
my
own
personal
experience
that
that's
when
my
child
went
the
morning,
he
killed
himself
my
concern-
and
this
is
not
with
your
particular
program,
but
something
I
have
become
aware
of
recently,
not
from
my
own
experience
from
other
experience
in
the
states
is
that
there
is.
J
There
is
a
problem
with
well
checks:
mental
health,
well
checks
in
this
state
and
that
our
police
officers
do
not
always
know
when
circumstances
are
in
place,
and
it
is
okay
for
them
to
enter
personally
aware
of
two
suicides
both
on
public
media.
Both
police
officers
would
not
enter
so
I
just
beg
you
as
you
go
forward
with
this,
that
you
have
a
system
where
people
understand
if
you
have
a
licensed
health
care
provider.
J
N
Thank
you,
Mr
chair.
Can
you
speak
a
little
bit
more
to
the
licensed
professionals?
Who,
who
are
these
licensed
professional
professionals
and
who's,
doing
the
hiring.
L
So
these
would
be
Master's
trained
individuals,
so
that
would
be
your
licensed
clinical
social
worker,
your
licensed
professional,
clinical
counselor
licensed
marriage
and
family
therapist.
We
would
be
hiring
at
uofl
health
peace.
We
would
have
a
supervisor,
that's
also
licensed.
That
would
be
the
supervisor
for
the
individuals
that
would
be
available.
24
7.
C
K
Yes,
ma'am
I'll
be
happy
to
it's
on
page
I
believe
that
page
two
and
three
and
some
restriction,
two
I,
believe.
Basically
it
has.
Obviously
the
UVO
has
a
the
president
of
the
of
Casey
CPE
or
their
Destiny
Department
of
Education.
K
Let's
see
Behavioral
Health
development
and
internet
intellectual
disabilities,
the
chair
of
the
Coalition
of
healthy
children,
the
executive
director
of
the
homeland
security,
a
commissioner
of
these
are
all
also
their
Destinies.
The
criminal
justice
training,
the
state
police,
the
school
safety,
Psychological
Association,
the
Kentucky
mental
health
Coalition
and
two
members
from
the
General
Public.
N
More
of
a
statement
than
anything
I
would
have
to
agree
with
Senator
Douglas
I.
Think
there's
some
concern
here.
I
think
the
idea,
obviously,
to
have
a
landing
place
for
kids
to
be
able
to
get
help
is
very
important.
N
I
think
the
element
of
it
being
anonymous
and
and
then
traveling
to
track
down
a
parent
in
a
situation
of
Crisis
is
concerning
to
me.
I,
don't
know
the
speed
at
which,
if,
if
a
student
and
your
bill
clearly
says
to
all
elementary
secondary
students,
but
if,
if
a
young
student
calls
in
crisis
mode,
how
quick
do
we
get
to
parents?
How
quick
are
they
made
aware
that
something
critical
might
be
happening
to
their
kid?
L
L
N
L
Right,
I'm
not
sure
whether
it
got
included
in
your
packets
or
not,
but
we
did
have
some
anecdotal
stories
from
Utah
where
they
have
multiple
stories
that
they
shared
with
us.
I
believe
one
of
them
that
was
to
be
included
was
to
spoke
about
a
child
that
was
called
in
and
within
two
or
three
minutes.
They
were
able
to
deploy
an
officer
that
also
then
reached
out
to
parents,
and
they
were
able
to
mitigate
the
situation
so
and
it
received
a
lot
of
media
coverage
as
well.
O
Thank
you
for
your
work
on
this
with.
Maybe
you
suggested
that
there
were
about
30,
000
inquiries,
and
is
that
about
a
hundred
a
day,
just
imagining?
How
can
you
possibly
be
responsive
to
that
many.
L
So
I
I
think
that
some
of
them
are
going
to
be
chats.
Many
of
them.
The
I
think
of
the
thirty
thousand
about
300,
so
about
one
a
day
would
result
in
some
sort
of
life-saving
intervention
that
would
involve
contacting
others
or
having
them
in
included.
That's
why
we
would
have
the
position
placed
there
within
our
Hospital
staff,
because
we
have
others
available
that
can
assist
when
it
does
come
time
for
that
reaching
out,
so
that
the
licensed
person
can
stay
on
the
call
and
keep
the
person
engaged.
K
K
So
it's
it's
rather
significant
in
terms
of
having
that
availability
and
I
understand
in
terms
of
the
trade.
The
trade-off
with
the
both
Senators
brought
up
and
so
forth,
but
these
are
trained
professionals
who
will
go
through
and
determine
I
mean
in
running
a
mental
health
center
myself
I
have
quite
a
few
clinicians
that
that
we
go
through
their
their
cases
and
so
forth,
and
they
have
some
very
you
know
very
good
questions
and
and
try
to
uncover
exactly
what's
going
on,
and
there
is
a
point
it's
their
call.
K
It's
their
training,
it's
their
background.
I
am
not
a
clinician.
So
I'd
I'd
take
this
from
my
observation.
But
if
there
is
a
situation
but
I
think
they
find
find
that
somebody
is
going
to
harm
themselves
or
create
harm,
then
they
will
then
pray
for
when
I'm
wrong
Liz,
but
they
will
collect
that
information
and
they
and
they
will
contact
the
necessary
individuals,
including
their
parents,
and,
like
another
case,
another
situation
that
there
is
a
child
around
12
one
o'clock
at
night
that
there
they
took
a
bunch
of
pills.
K
The
towel
was
always
on
the
on
the
on
the
on
the
app
and
police
was,
was
dispatched,
the
parents
were
sleeping
and
they
knocked
on
the
door
and
they
basically
saved
that
child's
life.
That's
the
significant
that's
the
significance
of
what
this
tool
can
do
to
be.
L
The
majority
of
the
calls
in
Utah
come
in
between
9
pm
and
4
a.m,
so
I
think
the
highest
percentage
are,
after
parents
have
gone
to
sleep
that
they
will.
Then
you
know,
have
these
thoughts
and
we're
hopeful
that
they
will
go
ahead
and
reach
out
so
that
we
can
intervene
rather
than
sitting
by
themselves
at
home.
I
K
C
Thank
you
for
the
presentation.
Thank
you
for
the
questions.
I
appreciate
the
comments
from
our
committee.
Members
I
think
we're
all
United
that
we
want
to
address
this
problem
and
it's
how
we
get
here
and
I
think
we
all
agree.
This
can
be
a
valuable
tool.
It
can
be
our
best
friend,
but
also
be
our
best
enemy
and
I.
Think
that's
some
of
the
concern
that
we're
hearing
today
is
how
does
it
work
in
in
practice,
and
you
know
I'm
not
sure
that
a
few
thousand
kids
on
an
app
is
an
endorsement
to
you
know.
C
Tick
Tock
can
say
the
same
thing,
but
we're
we're
dealing
with
that
struggle
as
well,
but
I
think
I'm
speaking,
perhaps
the
entire
committee.
We
appreciate
your
attempts
to
address
this
issue
with
that
or
another
questions
comments:
how
to
entertain
the
motion
on
the
bill
motion
by
Center
Frankie
from
our
second
by
Center
Berg,
making.
Please
call
the
roll.
P
Employed
by
the
University
of
Louisville
law
school,
it's
a
separate
legal
entity,
then
Peace
hospital
is
I,
have
no
personal
interest,
Financial
or
otherwise.
In
this
project,
this
does
not
appropriate
money.
I
suspect
that
when
I
get
an
opinion
in
writing,
I
will
have
no
ethical
conflicts,
but
today
I'm
going
to
abstain
out
of
an
abundance
of
caution.
Thank
you.
J
J
There
shouldn't
be
any
conflict.
Okay,
thank
you.
Thank
you,
I'm,
not
that
I'm
an
attorney
either
I'm
like
oh,
my
God,
I,
don't
know
I
really
want
to
thank
you
for
this
I
really,
really.
We
have
gotten
to
meet
our
young
people
where
they
are
and
they
are
on
their
phones
chatting
away
and
I,
really
sure
appreciate
you
doing
this
and
I
appreciate
you
putting
the
time
and
energy
into
this
I
think
this
could
really
have
a
positive
impact
and
we
need
positive
impacts
at
this
point.
So
thank
you.
Q
N
N
Going
to
pass
as
well
I
think
the
intent
behind
this
is
great.
There's
just
some
things.
I'm
really
uncomfortable
with
as
far
as
and
I
would
agree
with
Senator
Meredith
I,
don't
I,
don't
like
the
idea
of
90
000
people.
Kids
enrolled
in
this
on
that
app
and
I
wonder
if
there's
any
open
doors
in
there
that
could
have
some
unintended
consequences
again
intent
of
the
bill.
Great
I
think
it's
it's
needed
just
maybe
need
to
tighten
up
some
of
those.
Those
questions
that
that
I
have
thank
you.
M
My
vote.
Yes,
please
I'm
going
to
vote
Yes.
My
only
ask
is
continue.
The
conversations
with
the
Kentucky
Center
for
school
safety.
I
worry
about
intelligence
communication
breakdowns.
That's
my
only
fear.
I
do
support
this
I
think
it's
going
to
be
a
great
tool.
It's
a
necessary
tool.
I
just
want
to
make
sure
everyone
is
collaborating.
If
we
just
have
that
commitment,
that's
all
I
ask.
Thank
you.
C
C
The
vote
is
on
six
eyes:
no
opposition
two
pass.
It
will
pass
a
favorable
expression.
However,
since
we
have
past
votes,
it's
not
eligible
for
consent,
but
this
will
proceed
at
senate
floor.
C
L
K
Thank
you
Mr
chairman
and
Ladies
and
Gentlemen
of
the
committee
I'm
Ken
Fleming.
What's
once
again,
I'm
Ken
Fleming
I
represent
the
48th
District
and
represent
the
Oldham
and
Jefferson
counties.
K
You
Mr
chairman
and,
ladies
and
gentlemen,
the
committee
I
really
do
appreciate
the
opportunity
House
Bill,
200
I,
believe,
is
going
to
be
a
a
significant
change
in
increasing
the
health
care
workers
throughout
our
state.
We
have
talked
to
a
number
of
individuals
from
families
to
stakeholders.
Looking
at
media
reports,
we've
gone
through
committee
hearings
on
in
the
interim,
as
well
as
having
tax
for
tax
Force
to
look
at
the
health
care.
K
Workforce
shortage
and
I
think
we
recognize
that
there
is
a
crisis
when
it
comes
to
Health,
Care,
Workforce
and
then
the
it's
now
in
a
growing
crisis
which
threatens
not
only
to
burden
families
and
providers.
But
it
may
also
jeopardize
a
very
availability
of
critical
care
and
health
services
to
our
systems
throughout
the
throughout
the
state
and
I.
Guess.
K
Let
me
I
guess
I
want
to
sort
of
summarize
basically
what
this
bill
does
and
basically
it
kick-starts
career
paths
for
all
kentuckians
who
are
interested
in
a
healthcare
career,
and
it
also
puts
a
jet
pack
on
the
training
Healthcare
Training
that
we
so
desperately
need
CPE
the
individuals
before
you
will
be
administering
and
overseeing
this.
This
program.
K
In
a
nutshell,
what
it
is
is
that
this
is
a
public
and
private
partnership
where
funds
from
the
state
will
be
will
match
actually
they'll
be
a
matching
from
the
funds
available.
Funded
should
say
that
will
go
into
this
Pro
this
program.
This
money
will
be
65
percent
allocated
to
the
to
the
to
the
scholarships.
K
The
remaining
part
of
the
money
is
going
to
go
to
those
partners
that
are
Health,
Care,
Providers
but,
more
importantly,
really
the
healthcare
programs
that
are
in
our
universities
that
are
in
our
trading,
centers,
centers
and
so
forth.
So
they
can
build
up
faculty,
so
they
can
look
at
some
equipment
to
help
support
those
initiatives.
That's
I
think
that's,
that's
very,
very,
very,
very
critical
to
help
to
build
that
up.
K
This
is
sort
of
modeled
after
the
Florida,
which
is
really
narrow,
but
really
we've
expanded
this
to
a
broad
spectrum
when
I
say
healthcare
workers
I'm
talking
about
nurses,
nurses,
aid,
mental
health
professionals,
dental
hygienists,
those
those
sorts
of
health
care
workers
that
we
so
desperately
need.
K
There
are
numerous
over
about
12
different
associations
that
have
joined
us
in
supporting
this.
This
legislation
and
I
can
go
through
a
Litany
of
them,
but
but
basically
they
are
very,
very
supportive
and
they
also
have
a
dire
need.
In
fact,
kha
came
out
with
a
report
about
two
years
ago.
That
said,
there's
like
13
000
that
are
needed
in
the
health
care
profession.
If
you
go
back
even
further
back,
oh
gosh,
probably
about
eight
years
ago,
there
was
a
there
is
a
study
that
was
done.
K
That
was
showed
a
significant
need
to
help
fulfill
the
health
care
workers
throughout
the
region.
Two
things
I
want
to
bring
to
your
attention.
K
One
is
that
CPE
will
go
through
and
look
at
those
underserved
areas
not
only
from
a
regional
geographical
region,
but
also
from
a
professional
point
of
view,
in
addition
to
that
they're,
looking
at
and
being
mindful
of
small
businesses
and
then,
if,
if
y'all
are
in
business-
and
you
probably
know
this
anyway,
but
a
lot
of
our
economy
is
driven
by
small
businesses,
and
so
this
is
going
to
help
out
with
a
small
business
as
business
as
well.
I
want
to
let
you
know
about
two
things:
that's
in
this
bill.
K
Actually,
the
general
assembly
is
going
to
help
participate
in
with
the
regulations
to
make
sure
that
the
intent
is
there
as
well.
So
it's
a
really
strong
reporting
requirements
to
make
sure
that
we're
going
to
accomplish
our
goals
and
objectives
do
that
I
was
going
to
let
Dr
Thompson,
which
I
appreciate
him
being
here.
Comment
on
on
the
bill.
Thank.
R
You
representative,
Fleming
good
morning,
Mr,
chair
and
committee,
a
couple
things
I'll
say:
first,
if
you
don't
mind
before
I
get
to
this
bill,
you
know
I've
been
in
higher
education
for
35
years,
I
know
I,
don't
look
it
Senator,
nemus,
but,
and
also,
and
almost
in
health
care.
For
that
long
and
two
things,
I
will
tell
you
I
mean
you,
don't
have
a
strong
economy
without
a
strong,
educated,
healthy
Workforce.
We
are
behind
the
eight
ball,
on
my
opinion,
both
of
those
but
we're
trying
the
item.
R
That
I
will
tell
you
also
with
the
last
couple
of
folk
that
come
to
the
table
and
I
promise.
I'll
speak
on
the
bill.
I
mean
these
are
the
conversations
we
should
be
having
all
across
Kentucky,
but
especially
in
these
Chambers,
it's
important
that
we
know
that
anything
that
can
help
save
a
kid
is
an
important
thing
to
look
at
now.
R
I'll
just
say
that
the
item
about
this
bill
that
I,
like
the
most
I,
look
at
return
on
investment
for
every
dollar
you
put
in
to
whatever
you
put
it
into
and
to
see
exactly
what
it
does
from
where
the
individual,
as
well
as
for
the
state
and
this
bill,
which
is
a
public-private
partnership,
goes
to
exactly
that.
Last
budget
cycle
you
gave
us
10
million
dollars
to
create
the
healthcare
collaborative
Workforce
initiative,
and
with
that
10
million
we've
got
49
Partners,
that's
putting
a
lot
more
into
it.
Healthcare
Partners.
R
This
public-private
partnership
is
exactly
the
way
we
should
be
thinking
about
moving
forward
on
a
variety
of
things,
but
especially
in
an
area
where
we
are
in
dearth,
I
mean
almost
every
Health,
Care
profession,
we're
in
dearthon
and
the
only
way
you're
going
to
build.
That
is
to
create
a
pipeline
that
keeps
giving
for
a
long
time,
and
this
bill
goes
to
exactly
that.
R
S
Chair
and
committee
members,
the
only
thing
I
would
add
to
that-
is
that,
in
order
to
address
this
issue,
we
have
to
hit
it
from
a
multitude
of
levels,
so
we're
doing
work
with
Healthcare
Workforce
initiatives
unit
at
CPE
through
a
lot
of
methodologies-
and
this
is
one
very
well
articulated
strategically
sound
tool
that
we
could
use
to
address
our
Workforce
shortages.
We're
going
to
have
to
hit
it
like
a
scatter
shot.
S
C
Dr
Thomas
I
appreciate
the
you
talking
about
return
on
investment,
but
you
don't
have
to
sweet
talk
me.
It's
everything
we
do
here,
but
very
simply
I
do
appreciate
you
bringing
this.
It
really
is
some
Innovative
like
the
kind
of
the
P3
concept
to
it,
and
it
really
shows
that
through
Department
ships
with
the
private
sector,
in
commitment
from
the
state
government
and
our
public
institutions,
we
can
address
these
problems
that
we're
facing,
and
you
heard
a
bit
earlier
about
the
workforce
of
violence
and
health
care.
C
J
I
talk
a
lot
I
explain
my
I
vote,
please!
Yes,
please!
Thank
you.
This
is
really
a
needed
bill.
This,
hopefully,
will
address
problems
in
this
state
on
a
Statewide
level.
The
one
thing
I
want
to
caution
you
on
we're
having
trouble
keeping
our
residents
in
Kentucky
foreign,
we
train
them
here
and
they're
leaving
the
states
we
have
got
to
make
this
state
attractive
to
our
health
care
workers.
Thank
you.
I
A
Q
Explain
my
vote.
Please!
Yes,
please
I
I
want
to
thank
you
all
for
bringing
this
and
Dr
Thompson.
You
know
anything
anything
about
Workforce,
Development
I'm
on
top
of
remember.
Norton's
is
doing
a
lot
of
a
apprenticeship
programs
registered
apprenticeship.
You
might
see
how
you
can
incorporate
that
scholarships
with
that.
R
C
K
You
Mr
chairman,
thank
you
for
committee.
C
I
know
you
hope
to
have
both
on
consent,
but
you
know
meatloaf
said
two
out
of
three
ain't:
bad
well,
one
out
two
ain't
bad
either.
So
thank
you
appreciate
you
being
here
this
morning
last
bill
we'll
hear
this
morning
is
House
Bill
391,
representative
Amy
neighbors
been
sitting
patiently
in
the
back
of
the
room
and.
G
U
T
So
thank
you,
chair
and
committee
for
hearing
House
Bill
391
today,
House
Bill,
391
transparency,
communication
and
promote
high
quality
care
to
long-term
care
residents.
In
short,
this
measure
requires
the
Cabinet
for
Health
and
Family
Services
and
long-term
care
provider
associations
to
lead
an
annual
joint
training
for
long-term
care
facility
surveyors
and
long-term
care
providers.
T
Chfs
and
the
long-term
care
provider
associations
will
work
together
to
plan
trainings
that
will
be
held
remote
or
in
person,
and
will
aim
to
to
provide
a
better
understanding
of
regulatory
matters
and
other
important
information.
That's
basically
the
bill
in
a
nutshell,
but
if
you
have
any
questions
of
myself
or
Miss
Betsy
here,
we'd.
I
A
Q
M
C
I
Just
a
couple
of
may
I
ask
Betsy
a
question
before.
U
I
C
Q
Q
C
Recorded
all
right,
thank
you
last
sort
of
business.
Before
we
return,
we
still
have
several
bills
we're
going
to
have
to
hear
before
we
leave
this
2023
session.
To
that
end,
our
next
meeting
is
scheduled
for
Wednesday
March
29th
at
10
o'clock.
We
originally
thought
we
would
do
it
next
week,
but
we're
concerned
we
would
not
have
a
quorum.
So
I
would
appreciate,
if
you
put
on
your
calendar,
repeat
that
again,
Wednesday
March
29th
at
10
o'clock
and
I
think
President.
We
have
four.