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From YouTube: Senate Standing Committee on Education (2-16-23)
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A
A
Unfortunately,
we
do
not
have
an
overflow
room
today
and
we
do
need
people
to
really
can't
stand
in
the
aisles
you
need
to.
We
can't
have
anybody
standing
by
the
doors.
The
doors
need
to
be
closed,
so
a
certain
you
can.
Maybe
a
few
can
come
up
here
and
some
can
stand
in
the
back
wall,
but
we
have
to
cut
it
off.
I've
asked
for
an
additional
room,
but
but
we're
booked
and
there
are
no
rooms
available.
Other
committees
are
in
order
are
in
session,
so
we
we
can't,
we
did
the
best
we
could.
A
Anyone
can
speak
in
the
committee,
but
you
need
to
sign
up
on
the
sign
up
sheet
and
it's
over
in
the
corner
and
I've
left
open
the
first
two
minutes
of
the
meeting
where
you
can
still
sign
up,
and
we
will
take
that
up
so
you've
got
about
two
minutes
to
sign
up.
If
you
want
to
speak
for
or
against
a
bill,
there
are
no
signs
permitted
in
the
committee
room,
so
those
those
are
prohibited.
A
Do
we
have
also
we
are
implementing
a
new
rule.
This
affects
committee
members,
not
constituents
or
presenters,
but
when
we're
doing
a
vote
explanation,
if
you
could
please
limit
that
to
one
minute
only
if
you
wanna
speechify
and
make
comments,
please
do
that
during
the
question
and
answer
portion,
and
so
we
can
keep.
We
know
what
we're
doing
and
we
can
keep
everything
on
time.
B
Thank
you,
chairman
Wes
I'm,
I'm,
pleased
again
to
see
so
many
of
of
our
educational
instructors
and
professionals
here
from
the
Fayette
County
Schools
I
would
ask
those
teachers
to
stand
as
I
mentioned
their
schools
today,
I
teach
from
taste,
Creek
Elementary.
Please
stand
Mill,
Creek
Elementary,
please
stand
Cardinal,
Valley,
Elementary,
Michelle,
I
know
you're.
B
Here
somewhere
you
stand
Deep
Springs,
Elementary,
High
School,
my
alma
mater
is
represented
today
and
Carter
G
Woodson
Academy,
okay,
I
want
chairman
West
to
recommend
I
mean
up
to
to
applaud
and
recognize
these
teachers
here
today
from
Fair
County
Public
Schools
and
give
them
a
warm
welcome.
A
C
Givens
Mr
chairman,
thank
you.
I
was
honored
to
have
a
young
lady
reach
out
to
me
on
an
issue
here
about
two
weeks
ago
and
in
the
process
of
the
reply
it
became
apparent
that
she's,
a
talented
mother
of
two
passionate
about
lots
of
things
in
her
community
and
I,
encourage
her
to
come
down
and
Shadow
for
a
day
and
I'd
like
to
introduce
Miss
Tanya
Whitfield
Tanya.
Could
you
stand
and
wave
the
group
honored
to
have
Tanya
shadowing
today.
D
I
wanted
to
recognize
two
young,
ladies,
who
are
very
passionate
about
learning
and
making
the
most
of
their
college
education.
Their
college
experience.
I
have
Daya
Smith
here
from
the
University
of
Kentucky,
who
is
interning
with
me
during
this
legislative
session
and
Cali
antel
interning
from
Northern
Kentucky
University
for
this
legislative
session.
Thank
you.
A
Yes,
I
have
a
group
that
I'd
like
to
present.
Today
we
have
a
Psalm
in
the
back,
the
Harrison
County
group
back
there.
If
you
could
please
stand
they
weren't
expecting
me
to
say
this
I
know:
we've
mayor,
Cynthiana,
Chamber
of
Commerce
and
others
welcome
to
the
education
committee.
You
can
now
see
how
this
all
operates.
Thank
you.
A
A
Now
that
the
introductions
and
initial
things
Center
mayor
of
the
sorry
Center
Saudi.
E
A
C
This
is
a
piece
of
legislation
I've
had
in
the
past
and
got
caught
up
in
the
midst
of
covid
I
like
to
characterize
this
as
flexibility,
Innovation
and
meeting
the
needs
of
our
professionals,
our
Educators,
while
maximizing
the
value
of
their
time.
What
Senate,
Bill
70
effectively?
Does
it
recreates
again
I
use
the
word
recreates,
because
this
is
something
that
we've
done
in
previous
language.
It
recreates
renews
a
three-year
pilot
program
or
those
Professionals
in
our
school
systems,
the
educators
to
with
the
help
and
input
of
their
local
board
design,
their
own
professional
development.
C
So
this
can
be
strategic
if,
if
teachers
in
our
school
systems
have
special
needs
for
PD
training
around
some
topic,
they
have
to
collaborate
with
another
teacher.
They
have
to
design
this
in
such
a
way
that
it's
robust
enough
to
qualify
for
three
days
of
the
four
days
of
professional
development
that
they're
required
to
get
every
year.
C
A
A
A
I
would
just
like
to
mention
I
think
we
have
people
to
speak
against
the
bill.
If
you
would
wait
just
a
moment,
we'll
we'll
let
Central
Meredith
make
his
presentation
and
then
those
opposed
we'll
step
in.
A
If
you
could
say
your
name
for
the
record
and
please
proceed.
G
E
Well,
thank
you
Mr
chair
member
of
this
committee
for
the
opportunity
and
privilege
to
present
Senate
Bill
66
for
your
consideration
today.
As
many
of
you
are
aware,
our
public
funded
colleagues
and
universities
have
been
delegated
responsibilities
through
various
State
statutes,
both
collecting
data
and
being
the
repository
of
said
data.
Additionally,
as
research
universities,
there
have
been
many
instances
of
requests
of
them
to
analyze
the
data
for
the
benefit
of
our
Commonwealth,
which
they've
done
an
exceptional
excellent
job.
E
E
Now
I
personally
have
heard
many
anecdotal
experiences
of
difficulties
from
various
individuals
and
groups
and
state
agencies
in
their
efforts
to
gain
access
to
data
owned
by
our
Commonwealth
held
by
our
public
universities.
So
I
can
only
speak
in
generalities
about
the
problems
and
the
issues
or
I'm
sure.
Maybe
the
public
universities
position,
which
you
already
know,
they've,
probably
testifying
against
us
today-
that
they
would
probably
say
there's
a
perception
of
a
problem
with
the
situation,
but
now
the
case
it
needs
to
be
addressed.
E
So
in
order
to
speak
about
it
in
more
detail,
we
have
invited
the
former
Secretary
of
the
cabinet
and
Health
and
Family
Services
Mr
Vicki
glsen,
to
share
her
personal
experiences
as
difficulty
when
she
was
in
an
office
and
also
being
in
private
practice
and
with
that
I'll
turn
the
presentation
to
Ms
Wilson.
Thank.
G
You
thank
you.
Senator
Meredith
I
appreciate
this
opportunity
to
come
up
and
talk
to
you.
Senate
Bill
66
creates
a
news
section
of
KRS
chapter
164
that
provides
that
data
that
is
provided
to
a
public
university
by
or
on
behalf
of
a
state
agency
shall
be
provided
back
to
that
state
agency.
Upon
request.
G
G
A
limited
data
set,
a
limited
data
set
is
a
limited
set
of
identifiable
patient
information,
as
defined
by
the
privacy
and
security
regulations
of
HIPAA
and
other
federal
laws
under
HIPAA.
For
instance,
a
limited
data
set
of
information
may
be
disclosed
to
an
outside
party
without
a
patient's
authorization
if
certain
conditions
are
met.
First,
the
purpose
of
the
disclosure
may
only
be
for
legit
legitimate
research
purposes,
for
public
health
issues
or
for
Health
Care
operations.
G
Second,
the
person
receiving
the
information
must
also
sign
a
data
use
agreement
that
meets
the
stringent
restrictions
that
are
part
of
federal
laws
and
statutes.
Essentially,
all
facial
identifiers
things
such
as
name
of
the
patient,
address
social
security
number
anything
that
might
allow
you
to
maybe
identify
that
individual
are
stripped
out.
G
Only
information
that
remains
in
a
limited
data
set
is
essentially
almost
like
aggregate
data.
It's
de-identified.
Essentially
you
have
the
date
of
admission.
You
may
have
a
data
discharge.
You
may
know
what
the
service
is:
the
date
of
birth,
the
city,
the
county
or
the
city
and
the
state,
not
even
the
county,
the
city
or
state
ZIP
code
and
age
of
the
person.
G
G
G
I
experience
this
problem
firsthand
when
I
served
as
the
secretary
of
the
Cabinet
for
Health
and
Family
Services
I'll,
give
you
an
example.
Shortly
after
I
walked
into
the
doors
of
the
cabinet,
I
was
notified
that
it
appeared
that
we
had
children
in
some
counties
in
Eastern
Kentucky
that
may
be
experiencing
significantly
higher
rates
of
brain
cancer.
G
I
immediately
began
to
try
to
identify
the
data
within
the
cabinet.
To
help
me
assess
is
this:
an
issue.
Is
this
a
problem
I
learned
almost
immediately
that
all
needed
data
resided
with
our
public
universities,
either
through
contracts
with
a
cabinet
or
through
statutory
statutory
arrangements
or
mandates.
G
A
secretary
I
had
no
or
very
limited
access
to
any
real-time
data.
Even
aggregate
data
I
reached
out
to
the
Kentucky
cancer
registry
I
was
advised
that
the
information
in
the
registry
is
owned
by
the
University.
The
university
finally
conceded.
That
I
could
ask
a
question
and
that
took
a
lot
of
persistence
on
my
part.
I
could
ask
a
question:
they
would
call
through
their
data
and
that
I
should
I
should
wait
for
them
to
get
back
with
me,
but
that
the
cabinet
could
not
have
real-time
access
to
our
state's
data.
G
So
I
could
make
an
informed
decision
after
learning
that
the
cabinet
would
not
be
allowed
to
access
this
and
other
types
of
data
that
reside
within
universities.
I,
looked
for
and
I
offered
many
solutions
into
in
order
to
try
to
work
with
the
public
universities
to
be
able
to
get
the
needed
data
that
we
that
we
were
denied
I
continued
to
be
denied
access
to
that
data.
G
I
soon
learned
after
returning
to
private
law
practice
that
clients
who
had
been,
who
had
made
requests
to
the
public
universities
to
access
data
for
the
purpose
of
Performing
research
projects
under
the
oversight,
even
of
under
the
oversight
of
an
IRB
or
through
the
use
of
HIPAA
or
other
kinds
of
privacy
and
security
compliant
options.
They
were
denied
the
ability
to
be
able
to
validate
treatment
models
for
the
populations
that
they
treated.
G
This
occurred,
even
after
lengthy
discussions
that
clients
had
with
with
the
universities
in
order
to
try
to
find
ways
to
access
this
data.
One
of
the
research
requests
would
have
allowed
providers
to
be
able
to
validate
treatment
models
to
address
improving
the
quality
of
care
for
our
state's
disabled
individuals.
G
Validating
models
for
one
of
our
most
vulnerable
populations
would
be
of
significant
benefit
to
that
disabled,
individual
and
the
to
the
families
that
are
struggling
to
provide
care
for
that
loved
one.
Another
research
request
was
to
validate
a
certain
treatment
model
for
individuals
suffering
from
substance
use
disorder.
G
Again,
a
public
university
had
this
information
through
a
contract
between
several
of
our
state
agencies
and
a
public
university,
and
they
were
to
store
these
outcomes.
Data
on
this
certain
sud
model,
but
again
access
was
denied,
identifying
and
confirming
effective
models
of
treatment
for
substance
use
disorder
would
be
very
beneficial
to
our
state,
as
our
state
struggles
to
to
determine
the
most
effective
ways
to
address
this
overwhelming
problem
that
we
have.
We
are
facing
U.S
legislative
members
regularly
ask
State
agencies.
You
ask
me,
as
the
secretary
many
times,
for
quantitative
data,
to
confirm
outcomes.
G
G
This
bill
will
remove
the
barriers
that
have
been
put
in
place
that
will
allow
state
agencies
to
access
their
own
data.
So,
as
a
secretary
I
could
get
that
data,
that
is,
the
state
stated
that
I
needed
to
have
to
be
able
to
make
an
informed
decision
and
the
agencies
that,
and,
and
and
as
well
as
as
the
former
secretary,
must
let
you
know-
I
felt
like
it
many
times,
I
was
Flying.
Blind
I
felt
like
I,
can't
give
the
information
I
can't
be
responsive
to
your
questions.
G
It
allows
those
folks
working
under
an
IRB
with
this
part
of
the
that
is
regulated
and
overseen
by
the
Department
of
Health
and
Human
Services,
or
by
using
the
federal
laws
that
are
out
there
to
protect
privacy
and
security
that
they
can
have
access
to
our
state's
raw
data.
Not
anybody
else's.
Only
the
state's
data
that
is
being
stored
at
the
at
the
universities
in
order
to
validate
treatment
models
and
to
prove
our
health
care
in
Kentucky.
G
I
did
want
to
make
sure
that
you
knew
that
once
this
bill
was
dropped,
we
immediately
went
to
particularly
the
University
of
Kentucky,
because
a
lot
of
this
information
is
held
by
the
University
of
Kentucky,
and
we
wanted
to
make
sure
that
we
gave
them
notice
that
this
we
are
working
on
this
bill
and
the
issue
we're
trying
to
address
and
I
just
wanted
to
assure
you
that
we
had
reached
out
have
reached
out
numerous
times
since
then
asking
to
work
with
them.
G
G
If
we
possibly
can
we
even
ask
to
try
to
be
on
a
call
today
if
they
said
that
they
could
not
have
time
to
get
here
before
this
hearing,
we
asked
if
we
could
even
talk
on
the
phone
on
their
way
here
to
the
to
the
hearing,
and
that
was
not
that
was
not
available
to
us.
G
We
did
meet
just
briefly
outside
the
door,
because
I
stood
out
there
kind
of
waiting
to
say
I
want
to
make
sure
I
understand
what
your
issues
are
and
because
I
think
they're
going
to
be
testifying
and
I'll
share
with
you.
What
they
told
me
and
then
I
want
you
to
know
our
thoughts
first.
They
said
this
isn't
necessary
because
we've
been
filling
requests
and
we
have
had
no
complaints.
G
Secondly,
they
said
that
the
state
doesn't
need
this,
because
it's
going
to
conflict
with
state
or
federal
laws
and
as
I
told
them,
we
can
place
something
in
there.
If
you
need
that,
it
should
go
out,
it
should
be
that's.
G
That
is
not
an
issue
because
nobody
wants.
You
cannot
violate
state
and
federal
laws,
and
it
should
go
without
saying.
But
you
know
if
you
want
us
to
put
something
in
there,
that
states
that
we're
not
going
to
conflict
it,
that
we
will
not
violate
state
and
federal
law,
we're
glad
to
do
that.
They
also
expressed
said.
G
Well,
we
don't
know
what
kind
of
an
IRB
the
reality
is
is
that
irbs
are
housed
whether
they're
a
professional
liability
IRB
or
whether,
whatever
that
IRB
is
it
is
regulated
by
the
Department
of
Health
and
Human
Services
by
the
FDA.
They
have
to
meet
stringent
standards
and
everybody
is
using
the
same
criteria
if
we
need
to
do
something
to
place
something
in
there.
That
says
that
is
reassuring.
We're
glad
to
do
that.
G
So
what
I
heard
were
all
things
that
I
thought
we're
glad
to
say
that
we're
not
going
to
be
violating
state
and
federal
laws.
Well,
if
you
want
us
to
put
that
in
there
and
we're
also
glad
to
say
that
if
you
want
to
put
something
in
there
about,
you
know
that
it
is
a
federal
IRB
under
the
Department
of
Health
and
Human
Services
or
whatever
we're
glad
to
do
something
like
that.
G
I
just
urge
you
to
pass
this
bill
out
today,
if
we
need
to
if
you
would
like
we're
glad
to
meet
with
the
with
the
universities
in
the
meantime
and
because
I
didn't
hear
anything
that
was
insurmountable,
that
we
could
not
address.
So.
Thank
you
very
much
for
allowing
me
the
opportunity.
It
helps
me
to
kind
of
get
it
off
my
chest.
E
Miss
Collison
recognizes
that
part
of
our
job
is
Counseling
of
people,
so
we
appreciate
for
you
this
opportunity
today,
but
obviously
he
has
a
lot
of
passion
regarding
this
and
I
do
as
well
and
I've
heard
from
numerous
people,
since
we
filed
this
bill
individuals,
some
mostly
in
the
medical
community-
that
this
is
an
obstacle,
particularly
for
our
oncologists.
They
just
can't
get
the
data
to
provide
effective
care
and
continuity
of
care.
So
that's
a
struggle.
This
is
a
bill.
E
Probably
we
did
not
want
to
file
because
we
think
there
is
some
reasonable
exit
points
on
this-
that
we
can
hopefully
work
this
out,
but
if
not
I
think
we'll
have
to
explore
some
other
options.
Possibly
is
looking
at
another
area
that
we
could
make
this
repository
for
this
data.
You
know.
Maybe
this
is
going
to
have
to
become
a
division
of
state
government
that
we
set
up
in
our
health
and
analytics
that
we
collect
this
data
here,
so
everybody
will
have
equal
access
to
it.
E
That's
needed,
but
again,
I
recognize
the
work
that
our
research
facilities
do.
They
do
a
wonderful
job,
but
in
the
society
we
have
today,
we
need
as
many
people
looking
at
these
issues
we
possibly
can,
particularly
when
it
comes
to
medical
issues,
because
you
folks
will
know
we
don't
score
well
on
any
areas
when
it
comes
to
health
of
our
Commonwealth.
A
H
E
G
And
senator
in
looking
at
what
other
states
have
done,
there
are
a
number
of
states
that
do
address
this
issue
in
their
contracts,
because
what
I
was
faced
with
was
I
was
getting
feedback
from
the
University
saying
I
need
you
to
before
I
even
talk
to
you,
I
need
for
you
to
confirm
we
own
this
data.
I
said
no
you're
a
vendor.
You,
you
you're
a
repository
for
this
data,
and
so
I
would
not
sign
those
documents
and
but
many
states
to
your
point,
you're
exactly
right
it.
We
need
to
start
dealing
with
this
appropriately.
G
B
Secretary,
try
to
minimize
my
words
today,
but
in
reading
this
particular
Bill
last
night,
I
didn't
see
anything
in
here
that
restricted
confidential
information.
I
mean
I,
know
you
mentioned
that,
but
you
one
has
to
read
these
bills,
and
I
always
remind
us
as
if
they
were
becoming
law
and
and
as
I
read
data
there's
nothing
in
there
that
restrict
person
identify
and
if
I,
personally
identifiable
information.
Let
me
give
you
an
example.
Why
ask
this
question?
B
As
all
my
colleagues
know,
I
had
a
wife
who
died
from
cancer.
Okay,
she
was
she
was.
She
was
in
the
market,
Cancer
Center,
for
about
a
year.
Okay
and
and
part
of
the
fun
she
received
was
from
a
state
institution.
Kentucky
University
part
of
my
medical
insurance
was
paid
for
by
K-State.
Okay.
B
So,
as
I
read
the
definition
of
data
in
here,
if
you
wanted
information
about
cancer
patients
who
suffer
whose
experienced
oncology
and
died,
you
could
conceivably
get
information
personally,
identify
with
information
about
my
wife.
The
way
the
way
this
is
written,
and
so
that
gives
me
a
great
deal
of
concern.
I
must
be
honest
with
you
as
to
why
that
should
be
disclosed
under
any
circumstance.
G
Thank
you,
Senator
Thomas.
Let
me
just
I
have
a
couple
of
comments.
First
of
all,
we're
asking
in
this
bill
is
the
state
is
able
to
access
its
data,
so
it's
not
asking
for
any
kind
of
patient
data
that
may
be
housed
in
a
hospital
or
whatever
at
the
University
of
Kentucky.
This
is
just
that
and
it
try
it's
it's
a
pretty
narrow
definition.
This
is
just
the
data
that
the
universities
may
have
pursuant
to
a
conflict
or
or
I'm
sorry
pursuant
to
a
contract
or
pursue
it
to
some
type
of
a
statutory
mandate.
G
Secondly,
quite
frankly
and
I
think
Senator
Meredith
sort
of
touched
on
this,
but
no
one
can
even
not
even
the
treating
physician
can
get
to
your
point
about
your
wife
being
at
the
University
of
Kentucky
and
getting
cancer
treatment.
My
husband
is
an
oncologist
and
a
hematologist.
He
struggles
with
this
issue
almost
every
day.
G
He
cannot
believe
and
that
I
don't
want
to
get
us
off,
because
that
is
a
whole
separate
issue.
But
you
just
need
to
know
that
that
information
that
is
sitting
in
the
Kentucky
cancer
registry
is
not
even
accessible
to
a
treating
physician
or
the
patient,
because
the
university
says
we
own
that
data,
and
so
hospitals
will
destroy
their
medical
records
after
10
years,
because
that's
all
they
have
to
keep
them
under
to
be
licensed.
G
So
whenever
a
patient
comes
into
my
husband's
practice
and
says
hey
Doc,
15
years
ago,
I
had
a
mole
taken
off
and
it
looks
like
it
was
probably
pre-cancerous.
He
will
say
to
them
what
type?
What
stage?
What
medications
did
you
receive?
I,
don't
know
doc.
That
was
15
years
ago.
G
It's
in
my
medical
record,
no
I
can't
get
it
it's
in
the
state
cancer
registry,
but
not
even
I,
is
your
treating
physician
nor
you
as
a
patient
who
is
supposed
to
be
able
to
now
under
our
laws,
be
able
to
put
together
their
own
personal
health
record
so
that
they
can
go
into
a
doctor's
office
and
say
Here's,
my
information.
They
can't
get
it,
and
so
he
says,
I
have
to
tell
you
that
there
are
certain
medications
that
I
can
only
give
you
one
time
in
your
life.
G
G
C
E
Okay,
no-
and
you
know
that's
what's
going
to
be
curious
about
the
situation-
is
the
repository
of
a
lot
of
different
databases
for
the
state.
Again,
it's
our
data.
We
ask
them
to
hold
it,
keep
it
in
stories,
but
as
soon
as
we
do
it
becomes
their
data
which
we
don't
have
access
to.
So
no
I
think
the
most
egregious
part
of
this
is
related
to
health
care.
But
no
there's
many
other
things,
such
as
educational
information
outcomes
that
we
just
aren't
privy.
C
C
Senator
Meredith.
As
you
know,
in
Bowling
Green
we
have
the
ike
set
Center
The,
Innovation
commercialization
Center,
and
they
do
a
lot
of
really
neat
work
in
public-private
Partnerships
and
suppose
that
they're
they're
engaged
in
a
Metals
refining
and
strengthening
research
project
they're
in
a
combination
of
a
public
institution.
That's
that's
got
three
or
four
large
private
corporations
that
have
hired
them
contracted
with
them
for
purposes
of
researching
this
question
on
how
to
make
Metals
lighter
and
stronger
something
like
that.
E
C
Expand
on
that
for
just
a
moment,
if
you
would
because
I
I
see
the
word
including
outcomes,
data
here
on
line
22
and
maybe
that's
the
part,
a
public
university
shall
provide
data,
including
outcomes.
Data
I'm,
not
disagreeing
with
you
I'm,
just
trying
to
to
know
where
that
security
fence
is
that
says
after
wkui
said,
has
done
the
testing
refined
the
product
product
and
and
nail
down
this
Innovative
metal
defense
that
prevents
them
from
having
to
provide
that
outcomes.
Data
to
everybody
that
asks.
E
Well,
I
think
of
the
question
before
the
university
as
to
why
dad
will
requesting
wouldn't
answer
that
question,
because
we're
looking
in
the
aggregate
we're
not
looking
for
specific
results
and
those
outcomes
are
more
Global
in
nature
again
recognizing
their
roles
of
research,
University,
developing
their
own
products
and
services.
The
result
of
that
I
I,
don't
think,
is
affected
by
this
at
all.
E
C
I
Thank
you,
Mr
chair,
Miss,
glisson,
I'm,
I'm,
somewhat
intrigued
by
this
that
this.
How
long
has
this
been,
in
effect,
the
statutes
that
set
this
up
this
system,
that
this
bill
is
attempting
to
change
for
our
knowledge,
because
it's
not?
This
is
not
a
realm
that
I
generally
get
into.
G
I
think
what
you're
finding
is
that
I,
don't
know
that
there's
a
specific
date.
I
think
this
is
just
this
is
something
that
has
just
been
accumulating.
The
legislature
will
pass.
You
know
a
a
statute
that
says
we're
going
to
set
up
this
institution
or
this
entity,
and
it's
going
to
be
housed
at
a
university
and
I've
been
saying
for
some
time.
G
You
need
to
be
thinking
about
because
and
be
more
proactive
to
Senator
Carroll's
issue
to
say
that,
if
we're
setting,
if
the
state
is
asking
that
this
be
set
up
or
that,
if
you're
having
a
contract
to
house
certain
data,
that
we
make
it
clear
that
this
is
the
state's
data,
it's
our
citizens
data
and
that
the
state
should
own
that
data
and
control
that
data.
We're
asking
them
to
house
that
data,
but
is
it
I
think
what's
happened,
is
that
this
has
been
a
compilation
of
so
many
different
statutes.
G
E
Don't
unless
I
think
it
deserve,
some
clarification
is
data
again.
What
data
are
we
speaking
of
in
this
bill,
we're
addressing
just
data
that
the
state
has
forwarded
whatever
the
data
the
community,
the
university
has
accumulated
on
its
own,
whatever
realm?
That's
their
data,
we're
not
trying
to
get
that
we're
just
trying
to
get
the
data
that
has
been
referred
to
them
by
statutes
contracts
with
a
commonwealth.
C
E
It
wouldn't
mandate
them
for
that
other
than
the
outcomes
we
spoke
about
earlier,
that
are
more
Global
in
nature.
You
know,
if
you
want
to
know,
as
she
mentioned
about
the
from
the
tumor
registry,
that
there's
an
issue
in
in
these
particular
counties
with
with
the
Pediatric
brain
tumors,
and
you
know
what
medication
might
be
effective
for
that
yeah.
We
would
like
to
have
access
to
that
data,
because
it
was
that
that
information
was
gleaned
from
the
data
we
provided,
but
for
the
data
that
the
university
collects
itself
from
all
the
other
Realms.
C
E
A
K
E
Well,
I
think
again
we're
talking
about
the
different
ways
the
data
is
forwarded
to
the
universities.
You
know
some
of
it
would
do
by
Statute.
I
think
that
particular
scenario
you're
talking
about
would
be
by
contract.
So,
yes,
the
the
outcomes
that
contract
would
be
the
outcomes
they
gleaned
from
the
research.
Thank
you.
A
I
A
Mr
Harden
knows
how
this
thing
works.
So
if
you,
if
everyone
at
the
table,
could
you
got
to
push
the
green
button
if
you
could
state
your
name
and
then
proceed.
L
L
L
A
L
Oh,
that's
quite
all
right,
chairman
again
I
apologize
for
president
being
unable
to
attend.
We
appreciate
the
opportunity
to
be
here
and
express
our
opposition
to
six
Senate
bill.
66.
I
think
there's
a
lot
of
misinformation
or
confusion
around
this
issue,
and
hopefully
these
four
individuals
at
the
table
with
me
today
can
help
address
some
of
that.
L
L
As
all
you
know,
the
University
of
Kentucky
is
subject
to
open
records
requests
and
we
do
our
best
to
conform
to
those
laws.
I'm
not
going
to
sit
here
and
tell
you
that
we
always
get
it
right
because
from
time
to
time
the
courts
have
told
us,
we
don't
get
it
right,
but
I
honestly
believe
we
give
our
best
effort
to
get
it
right.
L
Much
of
the
data
across
the
UK
Enterprise
is
protected
from
open
records
due
to
the
exceptions
of
the
Freedom
of
Information,
Act
FERPA,
HIPAA,
attorney,
client
privilege
data
Federal
requirements
require
excuse
me
Federal
requirements
regarding
Grant
research
and
certain
specific
information
such
as
such
as
a
company's
proprietary
information
that
we
may
be
engaged
with.
An
example
of
that
was
our
recent
transaction
with
King's
Daughters
Hospital.
L
L
N
Good
morning
everybody,
my
name
is
Sharon
Walsh
and
I'm,
the
director
of
the
center
on
drug
and
alcohol
research
and
the
director
of
the
research
priority
area
for
substance
use
at
UK
I'm,
a
professor
of
Behavioral
Science,
Psychiatry,
pharmacology
and
pharmaceutical
Sciences.
Thank
you
for
having
us
here
this
morning.
O
Good
morning
my
name
is
Thomas
Tucker
I'm,
a
professor
in
the
department
of
epidemiology
at
the
University
of
Kentucky
I,
was
the
founding
chair
of
that
department
and
for
over
20
years,
I
was
the
associate
director
of
The
Marquis
cancer
center.
Now,
our
only
NCI
designated
Cancer
Center
in
the
Commonwealth
of
Kentucky
I,
also
for
over
20
years,
served
as
the
Director
of
the
Kentucky
cancer
registry
and
am
currently
the
senior
director
for
cancer
surveillance
with
the
Marquis
Cancer
Center
as
well.
M
I'm
going
to
talk
first
today
and
then
I'll
turn
it
over
to
my
colleagues.
I
want
to
start
off
just
by
saying
I've
had
contracts
with
the
cabinet
in
Kentucky
since
1997.
every
year,
I've
done
a
lot
of
work
with
the
cabinet.
We
continue
to
do
work
with
the
cabinet
and
there's
not
been
one
time
when
a
cabinet
secretary,
a
commissioner
or
someone
is
asking
me
for
data
and
we've
not
provided
it
for
them,
and
second,
we
don't
store
the
data
at
UK
and
lock
it
away
from
the
state
we
store.
M
The
data
on
state
servers,
so
all
they
have
to
do
is
log
on
to
their
own
State
server.
To
get
the
data
that
we
manage
for
them.
So
I
think
there's
been
just
some
misconstrued
ways
about
how
this
has
happened.
I'll
also
add
I
was
in
the
same
position
when
secretary
glsen
was
in
the
cabinet.
If
I
wasn't
providing
her
this
data,
why
didn't
she
fire
me
or
cancel
our
contract.
M
M
In
some
circumstances,
we
already
have
formal
processes
in
place
governed
by
federal
and
state
regulations
to
share
data
most
have
websites
with
links
to
formally
request
the
data
in
the
in,
for
example,
in
the
case
of
my
Center
The
Institute
for
biomedical
informatics,
we
provide
about
250
data
requests
a
year
covering
a
range
of
data
sets
and
we've
not
once
ever
denied
someone
a
data
set,
and
we
have
records
of
this.
We
have
ticket
systems
when
you
pull
a
ticket
into
a
request.
It
goes
in
the
system.
M
M
In
summary,
we
don't
see
a
need
for
this
bill.
We
already
have
a
public
process
in
place
and
we
think
that
the
added
burden
of
having
the
Attorney
General
involved
in
a
dispute
over
what's
a
limited
data
set
or
identified
data
set,
is
not
in
the
good
interest
of
the
University
I'll.
Also
add
secretary
glisten
explain
to
you
what
a
limited
data
set
is
and
there's
actually
three
types
of
data
sets
under
HIPAA.
One
is
fully
de-identified.
That
means
none
of
the
18
HIPAA
determined
records
are
in
that
data
set.
M
There's
a
limited
use.
Data
set
that
might
have
a
couple
of
those
fields,
for
example,
let's
say
I'm
doing
a
drug
study
and
I
want
to
know
the
date
that
a
person
started
a
particular
medication.
I
need
that
actual
date
and
HIPAA
the
identification
rule
say
you
can't
have
dates.
You
have
to
have
Blended
dates
like
a
week
or
a
month
or
a
shifted
date.
M
I
can
request
that
and
if
my
request
meets
some
approvals
by
a
research
team
or
by
the
IRB
that
it
is
needed
to
do
the
study,
then
I
can
have
that
one
field
in
no
circumstance
is
a
limited
use.
Data
set
raw
data,
raw
data
means
fully
identified
names,
Social,
Security
numbers,
Etc,
there's
a
difference,
and
it's
in
federal
law.
We
never
have
given
someone
a
raw
data
set
as
a
researcher
one.
You
don't
need
it.
M
N
Thank
you
Jeff,
and
thank
you
again
for
having
us
here
so
I'll
give
you
some
context,
because
there
were
questions
from
the
committee
about
how
data
may
be
generated
under
a
contract,
so,
for
example,
within
the
center
on
drug
and
alcohol
research.
We're
often
called
upon
by
our
state
colleagues
to
do
evaluations
of
programs
within
the
state
to
meet
requirements
for
Block,
Grants
or
other
types
of
activities.
N
We
do
prospective
research
studies
as
well
and
all
of
those
data
that
we
collect
are
protected
under
HIPAA,
but
they
are
even
protected
further
than
that,
because
the
federal
government
has
recognized
that
individuals
with
substance
use
histories
are
at
even
higher
risk
than
other
people
for
having
their
information
divulged,
and
so
there
are
separate
laws
within
the
code
of
federal
regulations
that
provide
extra
protections
and
provide
extra
stringent
requirements
on
me
around
what
I
actually
am
able
to
share
for
those
people
with
substance
use
disorders
or
those
people
with
HIV.
N
So
I
can
tell
you
that
you
know
I
can
give
you
an
example
where
somebody
May
reach
out
to
us
and
say
I'd
like
to
see
the
data
from
this
study.
That's
going
to
identify
everybody
that
was
in
a
particular
treatment
program,
receiving
substance
use
services
in
the
state
and
I
can
say
to
them.
I
I'm
not
able
to
give
you
that
information
and
what
we
could
do
is
we
could
look
at
what
kind
of
limited
information
under
the
wall
that
we
can
provide
and
we'll
share
that
with
you.
N
That's
not
always
what
people
want.
I
will
tell
you
that,
and
it
may
be
that
some
people
don't
understand
what
the
regulations
are.
The
other
thing
that
guides
this
is
that
when
we
enroll
people
into
a
treatment
program
or
into
a
research
study,
they
sign
a
consent
form
and
that
consent
form
is
under
the
regulations
of
the
office
of
human
research
research
protections
at
the
federal
government.
It
tells
all
of
the
elements
that
have
to
be
in
that
informed
consent
form
if
you've
gone
to
the
doctor,
sometimes
they're,
seven
or
eight
pages
long.
N
They
seem
kind
of
excessive,
but
that's
because
of
the
requirements
of
the
information
that
you
need
to
share
with
that
individual
in
that
consent
form,
it
says
exactly
who
the
data
can
be
shared
with,
and
if
an
entity
comes
after
the
fact
asking
to
see
all
of
your
data
and
someone
has
not
given
their
consent
for
it
to
be
shared.
That
is
another
issue
that
we
need
to
address.
N
P
Good
morning
and
I
appreciate
the
opportunity
to
to
speak
to
you
today
and
I
wish.
We
could
be
better
prepared.
I
actually
learned
about
this
bill
myself
yesterday
and
I
was
I
was
attending
my
father
with
his
chemotherapy
treatment
this
morning,
and
we
literally
sped
sped
here
to
make
the
committee
a
meeting
this
morning
and
I
think
we're
fortunate
that
we
made
it
in
one
piece,
I
think
quite
honestly,
but
again
appreciate
the
opportunity
to
be
here.
So
there
were
several
things
that
that
were
said,
and
so
I
may
so
please.
P
You
know,
please
ask
follow-up
questions
if
I've,
if
I've
left
something
out
there,
there
are.
There
was
a
point
about
childhood
brain
cancer
in
Kentucky
and
that's
actually
a
very
important
issue
to
us
with
at
the
Kentucky
cancer
registry.
In
fact,
we
identified
a
number
of
years
ago
that
there
appeared
to
be
high
rates
of
brain
tumors
in
Kentucky
children,
and
we
conducted
a
broader
study
looking
at
throughout
Appalachia.
P
Since
then,
through
the
Kentucky
pediatric
cancer
research
trust
fund,
we
were
able
to
obtain
resources
that
that
helped
facilitate
taking
a
very
close
look
at
the
brain
cancer
rates.
Within
Kentucky,
when
we
look
at
the
state
there's
a
wide
area
in
Eastern
Kentucky,
where
the
rates
are
higher
and
then
there's
also
what
we
would
term
a
cluster
in
the
north
central
region
of
the
state,
and
in
fact
we
we
have
made
the
our
Childhood
Cancer
data.
Summary
data,
of
course,
publicly
available.
P
In
fact,
I
was
here
yesterday
in
sharing
our
annual
report
of
Childhood
Cancer
Kentucky,
with
a
number
of
members
on
the
committee
who
are
who
are
here
today
and
I
would
be
more
than
happy
to
answer
any
questions
about
about
the
about
those
incidence
rates.
So
the
way
we
handle
a
cluster
investigation
and
honestly,
we
we
don't
get
a
lot,
but
we
do
get.
We
do
get
them
from
time
to
time.
In
fact,
there
was
recently
a
request.
P
There
was
a
there
was
a
family
that
reported
that
their
child
and
two
other
children
that
lived
along
a
creek
that
was
somewhere
close
to
Ashland
Kentucky
is
very
close
to
the
West
Virginia
border
that
they
felt
that
there
was
a
so
there's
an
uncanny
number
of
cases
there
and
the
way
we
the
way
we
deal
with
these.
P
With
these
cluster
investigations
is
we
contact
the
the
department
for
Health
and
Family
Services,
the
state
epidemiologist
Kathleen
winter
and
in
in
this
case,
which
we
did
and
we
shared
with
Kathleen
all
the
information
that
we
had
for
the
entire
County
surrounding
this.
The
this
area
and
I
will
admit
on
the
surface
it
looked
like
there
may
have
been
an
issue
there,
but
when
we,
when
we
conducted
statistical
analysis
and
collaboration
with
with
the
with
the
with
the
Department,
we
did
we
just
didn't.
P
We
didn't
have
the
statistical
evidence
that
there
was
a
cluster,
but
we
take
these
things.
You
know
very
seriously
and
we
jumped
on
this
immediately
and
immediately
provided
the
data
set
to
answer
this
question.
So,
let's
see
there
were
there
were
a
number
of
other
issues.
P
P
Fine
I'll
try
to
make
this
make
this
quick,
so
there
there's
a
question
about
oncologists
coming
to
the
registry
for
for
medical
records.
So
let
me
be
clear
that
the
cancer
registry
reviews
medical
records,
but
we
are
not
a
medical
record.
That
is
not
what
we
do:
we're
collecting
data
for
public
health
and
in
general,
for
most
of
the
information
that
we
gather.
We
have
a
certified
tumor
registrars
professionals
who
log
in
to
medical
record
systems,
review
data
and
summarize
and
Abstract
that
data
into
a
record.
P
So
in
fact,
if
we
tried
to
provide
an
oncologist
with
drugs
that
a
patient
had
been
exposed
to,
we
wouldn't
necessarily
have
the
specific
agents
or
the
modality
of
treatment,
and
it
could
actually
put
it
put
a
patient
in
in
danger
if
they,
if
that
was
used
to
make
a
decision
about
how
to
how
to
how
to
further
treat
a
patients
so
but
but
patience
and
and
oncologists
are,
are
free
to
to
come
to
us
with
requests
for
data.
We
actually
have
a
formal
process.
P
A
patient
can
fill
out
a
form
and,
and
they
and
if
they
get
that
form
notarized,
so
that
we
know
that
it's
actually
the
individual
requesting
the
data.
We
readily
provide
those
records,
and
we
don't
we.
We
don't
get
a
lot
of
requests
of
that
nature,
but
we're
more
than
happy
to
provide
that
I
mean
my.
My
my
perspective
is
the
these
are,
in
fact
the
Commonwealth
data.
These
are
the
data
of
the
citizens
of
the
Commonwealth
of
Kentucky,
and
we
do
not.
P
We
do
everything
in
our
power
to
make
these
data
valuable
and
available
to
all
that
that
come
to
us
with
these
requests
and
as
Dr
Talbert
indicated,
I
have
a
formal
record
of
a
186
requests
for
data
from
researchers
and
those
researchers
are
at
the
University
of
Kentucky,
the
University
of
Louisville
and
a
number
of
Institutions
outside
of
the
state
of
Kentucky.
O
So
let
let
me
just
really
quickly,
because
I
know
you
have
limited
time.
First
of
all,
I
want
to
make
it
clear
that
the
Kentucky
cancer
registry
was
established
by
the
general
assembly
and
over
the
nearly
30
years
it's
been
in
place.
We
have
made
the
Commonwealth
of
Kentucky
quite
proud.
It
is
considered
one
of
the
best
surveillance
systems,
not
just
in
the
United
States
but
in
the
world
and
there's
documentation
for
all
of
that.
O
O
We
have
presented
that
actually
we
met
multiple
times
with
secretary
glisten
when
she
was
Secretary
of
the
cabinet
of
Health
and
Family
Services
and
went
through
this
with
her
and
volunteered
to
help
her
submit
the
application.
We
have
no
record
of
that
application
ever
coming
to
the
registry.
Now
I
want
to
make
it
clear
that
it's
a
little
disingenuous
from
my
standpoint
when
the
the
state
places
the
registry
at
the
University
of
Kentucky,
because
the
expertise
to
actually
manage
a
very
complex
and
intricate
data
set
cancer
is
not
one
thing.
O
It's
it's
hundreds
of
different
diseases
classified
together.
We've
made
that
very
proud,
but
we
are
the
designated
agent
of
the
state.
The
fact
that
we're
at
the
University
of
Kentucky
makes
us
no
less
the
designated
agent
of
the
state
and
we
have
always
operated
With
Honor
in
that.
In
that
vein,
I
want
to
just
conclude
by
saying
we
have
got
the
funding
for
this
from
outside
the
state
we
have
over
the
years.
O
We
have
had
multiple
grants
come
from
again
outside
the
university
into
the
state
economy,
with
many
many
more
millions
of
dollars,
and
we
have
some
records
about
using
that
registry
to
be
the
key
for
identifying
why
we
had
the
highest
colorectal
cancer
incidence
rate
20
years
ago.
We
wouldn't
have
seen
it
without
that
registry
that
you
created,
and
we
have
used
that
and
leveraged
that,
and
over
the
years
we
were
able
to
Foster
many
screening
programs
using
that
data,
and
now
we
don't
have
the
highest
colorectal
cancer
incidence
rate.
O
A
Thank
you
so
much.
We
are
very
tight
on
time
now.
So
so,
if
if
Center
Meredith
and
secretary
glisten
can
come
back
up,
you've
got
about
two
minutes
to
respond
and
then
then
we
have
to
vote.
So
thank
you,
UK
and
UK,
and
your
representatives.
E
E
Obviously
we've
given
you
some
manual
experiences
where
we
think
there
is
a
problem
so
who's
telling
the
truth
here
who
knows
so
who's
going
to
be
the
Arbiter
in
this
situation?
Who
should
be
the
opportunity
situation
if
the
university
could
take
care
of
any
other
university
is
doing
what
they
say.
They're
doing
this
bill
is
not
consequence
to
anybody,
but
if
they
are
being
remiss
in
releasing
data,
what
recourse
does
any
other
person
have
to
challenge
that
there's
not
any
University
gets
the
final
word
on
who
gets
our
data
again.
E
G
And
I
just
want
to
reiterate
that
all
this
bill
does
is
to
try
to
make
it
clear
that
the
state
has
access
to
its
state
data.
It's
housed
there.
It's
only
the
state's
information
and
the
state's
data
and
we're
asking
that
that
remain
that
be
able
to
be
accessible
by
the
state
and
researchers.
Only
in
these
limited
circumstances
that
obviously
are
going
to
be
under
state
and
federal
and
state
and
federal
law.
G
I
do
not
want
to
get
you
confused
about
the
I.
Only
answer
Senator
Thomas's
question
about
the
cancer
registry.
This
does
not
address
that
issue.
This
is
just
about
getting
the
state's
data
back
that
it
has
housed
there.
That
is
a
whole
separate
issue
and
to
I
guess
it
was
Dr.
Tucker's
comment
about
I
didn't
sign
an
application.
I'll
tell
you
why
I
didn't
sign
an
application
is
because
I
was
asked
by
Dr
capilouto
to
come
to
see
him
about
this
issue
and
I
was
pushing
back
and
I
said.
G
I,
don't
have
any
data
you've
got
it's
not
just
cancer
data.
It's
all
kinds
of
data
that
is
put
together
from
the
state,
this
cabinet
and
I.
Don't
have
any
access
to
it
and
I'm
having
all
these
barriers
are
being
put
in
front
of
me,
so
he
we
met.
He
was
very
kind.
He
brought
his
head
of
the
research
institute
or
his
research
area
and
to
meet
with
me.
G
He
said
for
us
to
work
together
and
what
I
got
was
the
the
repeated,
the
repeated
document
that
said
before
we
can
give
you
this
access.
You
have
to
agree
that
we
own
the
state's
data
and
I
said
I
cannot
sign
that
I,
don't
believe
that
I've
looked
everywhere,
I,
don't
think
you
own
it.
So
I
did
not
sign
an
application,
because
I
was
not
going
to
waive
the
state's
right
to
its
data.
C
C
This
is
a
tremendously
complex
issue.
We've
got
professionals
there
that
seem
to
know
exactly
what
they're
talking
about
I
have
no
doubt
of
your
passion
for
the
issue
and
and
I'm
sincere
in
respecting
my
colleague.
That's
brought
the
legislation
so
I'd
love
to
find
a
way
forward.
Earlier
in
your
testimony,
you
you
touched
on
something
that
I
think
could
be
a
possibility,
a
complaint
and
adjudication
process
if
you've
got
a
complaint
about
lack
of
access
to
data.
Let's
turn,
let's
consider
the
chairman,
the
chairman
and
my
colleague,
the
bill.
C
G
I
appreciate
that-
and
you
know
I
think
that's
why
we
maybe
suggested
that
the
attorney
general
that
has
a
way
to
oversee
this
could
be
sort
of
serving
that
role.
But
if
there's
other
ways
to
do
that
and
to
your
into
your
issue,
Senator
Givens
I
think
I
I
made
these
comments.
What
I
heard
about
the
the
concerns
that
from
UK
were
that
we
can
work
with
you?
We
can,
if
you
want
a
statement
in
there
that
says
we're
going
to
comply
with
all
state
and
federal
laws.
G
I,
don't
have
a
problem
with
that.
Obviously
we
want
to
always
do
that.
So
I
would
suggest
that
we
have
a
chance
to
hear
I
would
like
for
this
bill
to
pass
out
of
this
committee.
Give
us
an
opportunity
to
work
with
the
University
of
Kentucky.
I
didn't
hear
anything
here
that
we
I
don't
think
we
can't
address
and
then
come
back
with
you
come
back
to
you
after
we've
been
able
to
work
through
something
if
they
have
any
issues
that
we
can
try
to
work
through.
Those
thank.
H
A
I
I'm
going
to
vote
Yes,
but
it
appears
there
are
some
very
serious
concerns
and
that
this
is
not
ripe
for
this
bill
to
come
to
the
floor.
Yet
with
the
concerns
that
have
been
raised,
but
to
continue
a
dialogue,
because
I
I
see
a
lot
of
problems
now,
looking
at
the
bill
with
lack
of
language
and
conflict
with
federal
law.
B
I
think
you
have
to
read
the
words
on
the
page
and
again
as
I
say
when
I
questioned
secretary
glisten,
if
you
read
the
definition
of
data,
there's
no
exclusion
of
prohibition
whatsoever
of
personally
identifiable
information
that
just
reeks
of
violations
that
we
we
time
honor
regard
to
HIPAA
our
privacy
with
our
medical
information,
but
this
language,
if
it
became
law,
could
allow
individuals,
personal
info,
provide
their
personal
information
about
that.
As
we
heard
from
the
experts
here,
you
know
oftentimes.
B
Q
Thank
you.
On
the
one
hand,
we
have
information
that
is
State
data
being
provided
to
the
University
of
Kentucky
and,
on
the
other
hand,
the
University
of
Kentucky
is
very
concerned
about
privacy
of
that
data
and
that
information
and
I
think
we're
just
there's
too
much
on
the
table
here.
That
needs
to
be
explained
and
for
it
to
make
its
way
out
of
committee
and
to
the
floor
with
that
much
unexplained
to
leave
this
many
of
us
up
here
confused
about
this
bill.
Q
K
I
like
to
explain
my
yes
vote,
please
proceed
I,
think
if
this
bill
does
not
make
it
out
of
committee,
then
these
two
parties
are
going
to
go
their
separate
ways
and
they
won't
be
compelled
to
get
into
the
room,
but
I.
Think
if
we
pass
this
out,
it
will
go
to
the
Senate,
at
which
case
I
believe
both
parties
will
come
together,
come
to
some
sort
of
agreement.
K
Maybe
they
can
do
it
while
it's
in
rules
or
it
can
be
referred
to
another
committee,
perhaps
Judiciary
or
health,
that
might
have
a
better
handle
on
these
issues
and
they
can
move
forward.
So
I'm
voting
I
to
encourage
the
two
parties
to
get
together
moving
forward
on.
O
R
My
vote
please
proceed.
I'm
gonna
also
vote
I.
It
is
a
part
of
the
process.
This
is
not
the
first
time
in
committees
that
we've
had
legislation
that
many
forward
and
continue
to
see
both
parties
working
on
another
version
of
the
bill.
I
pre
all
sides
today
provided
testimony
on
the
bill.
I
will
vote
on.
A
I
explained
my
vote.
My
vote
explanation
is
much
like
Senator,
wise
and
Senator
Williams.
We
UK
knows
how
this
process
works.
Senator
Meredith
knows
how
this
works,
so
this
is
just
the
beginning
and
that
that's
my
I
vote.
The
committee
would
stand
at
ease.
A
S
S
It
is
something
that
we
have
been
working
on
for
a
long
time
and
actually
we
have
seen
I've
seen
the
Board
of
Education
be
utilized
outside
of
the
governor's
office
as
if
it
belongs
to
him
and
I've.
Seen
it
all
three
times
that
I've
been
here
under
three
different
Governors,
that
has
happened.
Actually,
the
Board
of
Education,
the
Department
of
Education,
is
a
creature
of
Statute.
They
were
created
by
us
and
they
are
governed
by
the
regulations
and
rules
that
start
from
the
laws
that
we
create.
We
actually
fund
them.
S
So
when
we
look
at
the
Constitution
who
has
the
responsibility
for
education
in
the
state,
it
is
the
general
assembly
we
are
charged
with
that,
and
so
what
this
does
and
I
will
say
that
we
saw
I,
think
a
real
abuse
of
the
power
of
the
governor's
office
when
he
took
and
the
Board
of
Education
he
actually
wiped
it
out
and
reconstituted
it
and
then
appointed
everybody
that
he
wanted
on
it.
So
it
it
came
to
us
to
actually
do
a
law.
That
said,
he
couldn't
do
that
anymore.
S
This
goes
a
little
bit
further
and
what
it
does
it
creates
a
nominating
education
nominating
committee
and
the
governor
is
going
to
appoint
these
folks
from
the
seven
different
Supreme
Court
districts.
They
will
be
appointed
by
the
governor,
but
then
these
nominating
committee
will
actually
be
the
ones
that
will
actually
vet
the
nominees
for
the
Board
of
Education
and
they
will
vet
for
each
different
vacancy
on
the
board.
They
will
vet
three
people
that
will
be
presented
to
him
and
he
shall
choose
one
of
those
people
for
that
position
on
the
board
of
education.
S
It
creates
one
more
step
and
it
has
to
be
balanced
the
same
way.
The
Kentucky
Board
now
has
to
be
balanced
by
the
two
major
political
parties
representation
there
by
the
two
Sexes.
It
has
to
be
balanced
in
regards
to
the
minority
composition
of
our
state.
As
you
look
at
this,
there
are
things
that
are
laid
out
as
how
those
boards
have
to
be
balanced.
S
It
was
created
to
be
an
independent
entity
that
would
not
be
influenced
by
politics,
but
yet
we've
seen
that
happen
over
and
over
again.
The
only
other
thing
that
you
will
see
is
that
we
are
prohibiting
in
this
bill
on
page
four
ex-officio
and
other
non-voting
members
shall
not
be
represented
by
proxy
at
any
meeting
of
the
board,
then.
Lastly,
what
we
do
with
the
commissioner,
we
make
the
commissioner
have
to
be
confirmed
by
the
Senate.
S
It
will
be
subject
to
a
four-year
term,
which
our
current
commissioner
is
his
term
comes
up,
I
believe
in
September
of
next
year,
and
he
will
be
subject
to
reappointment
by
the
Senate
I
think
this
is
something
we've
already
done.
This
with
fish
and
wildlife.
Now,
commissioner,
has
to
be
confirmed
by
the
Senate
and
in
the
same
way
that's
what
this
bill
does
very
simple
bill.
In
my
opinion,.
A
S
A
Senate
Bill
107
passes
with
favorable
expression,
with
10
eye
votes
and
two
Nave
oats.
We
have
a
title
Amendment.
Yes,
sir
I'll
make
a
motion
on
the
title.
Amendment
do
we
have
a
second
all,
those
in
favor
of
the
title,
Amendment
say:
aye
aye,
all
those
pose
eyes.
Have
it
Senate
Bill
107
passes
as
amended
by
senate
committee
sub
and
title
Amendment.
Thank
you.
Cinder
Wilson
Mr.
A
H
A
We
are
just
addressing
the
senate
committee
sub
on
150
center-wise
is
his
remarks
will
be
only
to
the
committee
sub
Senate
Bill
150
passed
in
a
prior
committee
meeting
and
we
will
not
be
addressing
any
of
the
items
that
we've
already
covered.
All
members
you
do
have
and
the
committee
Sub
in
your
packets-
and
so
that's
that's
what
we're
addressing
today.
So
if
you
could,
please
identify
yourself
for
the
record
and
proceed.
R
Thank
you.
Mr
chairman
members
of
the
committee
Max
wise
state,
senator
the
16th
Senate
District
members
of
the
committee.
You
will
find
in
front
of
you
in
your
packets
committee
sub
for
some
technical
Corrections
and
some
additions
that
are
being
put
forth
in
Centerville
150
and
act
relating
to
rights
in
public
schools,
I'm
going
to
go
ahead
and
get
right
into
since
we
have
already
voted
on
Senate
Bill
150
by
11
to
1
vote.
But
here
are
the
changes
in
the
committee
sub.
R
And
lastly,
the
sub
adds
in
there
same
page,
subsection,
7
B,
which
of
concerns
that
were
raised
in
this
committee.
As
well
as
other
members
in
the
Senate,
that
would
reinforce
KRS
statute,
620.030
and
KRS
600.0201a.
That
says
regarding
the
duty
of
school
Personnel
to
report
abuse
or
neglect
if
they
have
reasonable
cause
to
believe
there
is
a
risk
of
injury,
so
it
is
found
there
in
B
has
also
been
added.
A
A
B
Mr,
chair
I,
just
want
to
understand
your
preferatory
comments
before
we
began
discussion.
Centerville
150..
B
Are
we
not
allowed
to
ask
questions
on
the
bill?
That's
going
to
come
before
the
the
floor,
because
this
bill
is
going
to
come
before
the
floor,
and
so
therefore
I
I
would
think
it'd
be
appropriate
to
have
discussions
on
the
bill.
That's
going
to
come
before
the
floor
as
opposed
to
just
the
changes
that
were
made
in
the
senate
committee
sub.
So
I
want
to
get
some
clarification
on
that.
A
We,
if
we
could
keep
it
tight,
we're
almost
out
of
time.
We
have
six
people
to
speak
against
the
sub.
So
if
you
could
ask
your
question,
keep
it
tight
I
mean
you
could
try
to
stay
on
track
as
best
you
can.
Please
I
appreciate
that.
B
Subparagraph,
five
b
and
c,
it
seems
to
me
that
you
kept
in
the
provisions
that
won
the
Kentucky
Board
of
Education
or
the
Kentucky
Department.
Education
cannot
require,
recommend
policies
dealing
with
pronouns
or
the
use
of
pronouns
that
conform
to
the
child's
Choice
as
to
the
biological
sex
that
they
identify
and
that
same
prohibition
also
applies
to
local
school
districts
that
they
can't
require
School
Personnel.
That
seems
very
broad
that
would
include
administrators,
counselors
and
teachers
to
use
pronouns
that
the
child
would
recommend
or
prefer
as
to
their
identity
of
choice.
B
Keeping
my
words
with
the
Senate
chair,
then
then.
My
second
and
final
question
is
this:
it
seems
to
me
that
what
your
bill
would
still
permit
and
correct
me
if
I'm
wrong.
Please
correct
me
if
I'm
wrong,
that,
even
if
you
have
a
child
whose
parents
support
that
child
who
say
I
I
support
my
child's
own
identity
and
choice
that
neither
the
State
Board
of
Education,
neither
the
Kentucky
Department
of
Education
and
neither
School
Board
could
prevent
a
teacher
or
an
administrator
from
calling
that
child
out
of
that
preference.
B
And
if
that's
the
case,
it
seems
to
me
that
that
we
are
allowing
intimidation,
harassment
and
or
bullying
of
that
child
by
adults.
With
regard
to
Educators
licensed
Educators,
with
respect
to
that
child's
identity,
choice.
R
Nothing
in
this
bill.
There
is
a
lot
of
misinformation,
a
lot
of
things
that
are
out
there
right
now
with
other
bills.
You
have
before
you
Senate
Bill
150,
the
text
of
the
Bill
of
what
is
there
and
what
has
already
been
voted
on
already
by
this
committee.
It's
simply
with
this
is
the
changes
that
have
been
added
with
the
committee
sub.
A
Thank
you,
Senator
Thomas.
We
need
to
really
move
on
here.
We're
going
to
have
Rebecca
Blankenship
up
first.
A
Yes,
we're
going
to
follow
the
same
protocols
as
our
last
meeting,
so
if
you
could,
please
keep
it
two
minutes
or
less
that's.
A
T
Sir,
so
again,
my
name
is
Rebecca
Blankenship
I'm,
the
executive
director
of
band
conversion
therapy,
Kentucky
I'm
back
to
talk
about
the
legal
Corrections
that
were
made,
which
Senator
wise
referred
to.
In
our
opinion,
those
are
inadequate
and
that
a
conflict
in
the
law
still
exists.
T
So,
as
Senator
Thomas
pointed
out
in
particular,
it's
that
5c
section
of
the
bill
that
creates
a
conflict
in
the
law
in
two
ways
well
more
than
two
but
two
big
ones.
The
first
is
that
it
effectively,
as
I
mentioned
last
time,
requires
teachers
to
divulge
their
personal
beliefs
concerning
LGBT
issues.
The
first
amendment
is
not
something
that
applies
to
grade
school
teachers.
T
It
is
not
appropriate
for
somebody
who
is
acting
as
an
agent
of
the
state
to
be
required
to
divulge
their
personal
beliefs
or
speak
on
their
personal
beliefs,
while
operating
in
that
professional
capacity
the
state
has
created,
and
the
federal
government
has
created
laws
that
particularly
prohibit
teachers
from
doing
that
in
order
to
require
them
to
behave
in
a
particular
way
and
to
offer
them
the
shield
of
liability.
That
comes
the
shield
from
liability.
That
comes
with
being
an
agent
of
the
state.
T
This
committee
sub
does
not
correct
that,
and
it
also
does
not
correct
the
conflict
and
law
that
results,
as
Senator
Thomas
pointed
out
by
permitting
teachers
to
engage
in
bullying
and
harassing
Behavior,
regardless
of
whether
and
I
think
that
there
can
be
some
debate
or
certainly
there
is
some
debate
about
whether
misgendering
constitutes
bullying
and
harassing
Behavior.
At
the
very
least,
this
law
does
not
clarify
what
is
already
established,
which
is
that
the
the
this
has
been
viewed
as
bullying
and
harassing
Behavior.
So
it's
it.
The
teachers
deserve
to
have
Clarity.
T
A
Next,
we
have
Jessica,
you
can
correct
me
as
you
come
up.
Jessica
Bruner
I
may
have
that
Bowman,
Bowman
I'm.
Sorry
I
could
not
read
the
list
here,
two
minutes
and
directed
to
the
sub.
Thank.
J
You
okay,
had
to
regroup
a
little
bit,
but
hopefully
I
can
do
that
today,
I'm
wearing
a
proud
of
my
daughter's
shirt.
There
was
a
time
when
my
queer
kid
may
not
have
felt
that
from
me
when
she
was
15.
J
She
came
out
to
me
as
gay
and
I
was
not
the
affirming
parent
I
am
now
I,
said
things
like
it's
a
phase
and
blamed
who
she
hung
out
with
I,
let
my
fear
of
how
she
would
be
treated,
what
other
people
might
think
and
all
the
unknowns
impact
the
way
I
treated
my
child
this
bill,
even
with
the
sub
still
outs,
kids,
with
complete
disregard
for
what
they
are
going
home
to.
It
specifically
says:
History
of
Violence,
not
all
households
have
a
History
of
Violence
until
their
kid
comes
out.
J
J
My
home
wasn't
at
first
affirming,
not
abusive,
and
yet
my
reactions
still
harmed
my
kid.
She
still
had
suicidality.
This
Bell
will
kill.
Kids
I
also
want
to
address.
You
know:
parents
rights
I
have
a
right
for
my
child
to
go
to
school
in
a
safe
and
learning
environment,
while
while
it
may
give
teachers
the
permission
to
use
correct
gender
and
name,
it
also
doesn't
clarify
that
teachers
have
don't
have
permission
to
use
the
wrong
name
and
gender.
This
is
legalized,
bullying
by
peers
and
their
teachers
and
I.
J
U
U
Live
at
3703,
Hanover,
Road,
Louisville
Kentucky,
that's
in
the
19th
Senate
District,
so
I
don't
have
any
Senator.
As
of
today.
We're
going
to
take
care
of
that
next
week,
I
indicated
an
interest
in
running
for
that
Mr
chairman
and
the
chairman
of
our
party
said
well
Bob.
No
thanks.
We
we
actually
have
some
thought
of
winning
that
seat.
U
He
smiled
he
smiled
when
he
said
it
anyway.
I'm
here,
I
do
represent
the
fairness
campaign,
but
I'm
really
here
as
an
individual.
As
a
former
Republican
state
representative
I
served
with
some
of
you
here
gentleman
back
there
glad
to
see
you
there's
a
second
act
in
politics.
Senator
Williams
is
going
to
do
a
great
job
here.
U
I
know
that,
because
I
served
with
him,
it's
just
distressing
to
me
to
see
the
amount
of
legislation
not
just
this
bill.
This
pronoun
bill,
but
Bill's
in
the
house,
House
Bill,
30,
58,
120,
bathroom
bills,
conscience
Clause.
So
people
don't
have
to
treat
transgender
kids
if
they
don't
want
to
and
discriminate
against
them
what
kind
of
treatment
they
can
have
or
can't
have?
Why
are
we
singling
these
people
out?
How
many
people
are
we
talking
about?
U
How
many
transgender
kids
are
there
in
the
state
that
is
so
deserving
of
this
kind
of
attention?
Okay
that
that's
pure
discrimination?
That's
all
this
is,
we
got
I
would
think
the
legislature
has
so
much
more
to
do
in
education
than
to
have
a
pronoun
law.
I
mean
I'm
just
reading
this
that
do
not
pronouns
that
do
not
conform
to
a
student's
biological
sex,
as
indicated
on
the
student's
original
unedited
birth
certificate.
Why
is
that
any
business
of
the
general
assembly?
Why
don't
let
the
schools
handle
this?
U
It
haven't
these
kids
had
enough
challenges
then
have
the
school
have
to
say:
I
can't
call
you
he
or
him
you're
going
to
have
to
be
her
or
she,
because
the
state
government
said
so
I
think
it's
wrong
I.
This
there's
either
right
or
wrong,
and
this
is
wrong
and
you
know
what
it's
not
just
discrimination-
it's
not
just
immoral
in
my
opinion,
but
it's
not
going
to
work.
U
After
all,
these
other
bills,
it's
just
flat
wrong
and
it's
not
going
to
work
you're
not
going
to
drive
transgender
kids
or
gay
people
in
general
back
into
the
closet
back
into
the
Shadows.
Thank
God
they've
come
out
from
that,
okay
and
they
deserve
to
live
as
Freedom,
loving
kentuckians
like
you
and
me,
and
not
have
to
worry
and
hire
people.
Like
me
to
come
up
here
and
try
to
talk
you
out
of
passing
a
pronoun
bill,
we
got
thousands
of
students
in
Kentucky
in
Louisville
that
can't
read
at
grade
level.
U
Can't
do
math
within
two
grade
levels:
don't
have
homes,
there
ought
to
be
a
charter
school
on
every
neighborhood
in
Louisville.
I
know
you're
working
on
on
that.
Okay
and
we
ought
to
get
the
Constitutional
Amendment
passed
to
reverse
that
unfortunate
Supreme
Court
decision
that
that
took
away
the
educational
opportunity
grants.
We
need
those
kind
of
reforms,
desperately
Louisville,
but
instead
we
we
don't.
We
don't
even
got
to
post
the
the
Constitutional
Amendment,
but
we
have
time
for
two
hearings
on
pronouns.
Think
about
what
you're
doing.
Okay?
Is
it
right
or
is
it
wrong?
U
V
Tranovsky
a
week
ago,
I
came
to
speak
in
opposition
to
this
bill.
I
spoke
about
my
personal
battles
with
mental
health
as
a
student
in
high
school
and
how
not
being
able
to
access
lgbtq
affirming
services
at
my
school
affected.
My
mental
health,
where
my
peers,
who
were
able
to
access
Services,
got
better.
These
Services
specifically
mean
services
around
contraception,
sexuality
and
family
planning,
the
ones
that
are
outlined
in
the
sub
to
this
bill.
V
As
a
student
I
learned
that
I
had
equal
rights
under
the
law
and
I
believe
I
should
have
had
the
right
to
equal
accesses
for
those
services.
My
opinion
on
this
bill
has
not
changed.
I
do
not
believe
that
the
new
change
to
the
bill
goes
far
enough
to
protect
our
kids.
Mental
health
policies,
like
the
one
this
bill
proposes,
would
have
made
my
life
worse.
It
will
make
life
worse
for
students
in
our
Commonwealth,
since
I
testified.
V
Some
of
you
on
this
committee
tested
or
spoke
last
time
that
you
care
about
trans
people,
that
you
know
trans
people
in
your
life
personally
and
that
you
don't
want
to
see
harm
come
to
them.
You've
heard
from
us
so
many
times
how
harmful
this
bill
would
be.
Please
do
the
right
thing.
Please
uphold
the
rights
of
students
along
with
teachers.
Please
demand
that
more
changes
be
made
to
this
bill
so
that
we
can
actually
protect
the
students
that
you
all
care
about.
Thank
you.
W
Chairman,
thank
you.
Chris
Hartman.
He
him
pronouns
executive
director
of
the
fairness
campaign,
there's
not
much
of
my
voice
left
or
me
left
today.
After
wrangling,
more
than
300
Kentucky
fairness
and
lgbtq
rights
supporters
in
the
capital
yesterday,
I
know
you
saw
them.
I
certainly
know
you
heard
them,
but
I
know
you
saw
them
and
I
know
you
saw
our
young
people
perfect
whole
Divine
made
in
the
image
of
God,
who
are
terrified
that
you
will
take
away
their
basic
dignity
and
respect.
W
We
loved
her
son
Henry,
who
came
up
here
the
first,
the
reason
he
had
to
come
up
here
in
the
first
place
when
he
was
15
years
old,
15
years
old
interning
for
the
fairness
campaign
is
a
high
schooler
was
to
testify
against
a
bathroom
bill
where
he
pees
your
legislating,
where
these
people
can
survive
and
I'll
tell
you
what
they
can't.
They
cannot
with
the
Slate
of
hate
that
you
all
have
introduced
this
session.
W
W
Send
you
all
the
Journal
of
adolescent
health
article
that
I
referenced
last
time
so
that
you
all
can
have
it
before
you
vote
on
the
floor
today
to
know
once
again,
the
nearly
50
percent
of
our
queer
kids
have
thought
about
suicide,
and
nearly
20
percent
of
the
trans
kids
have
attempted
it
and
that
just
having
one
place
where
they
are
respected
for
who
they
are,
will
reduce
that
chance
of
suicide
by
more
than
50
percent.
Shame
on
you
all.
A
Duly
noted,
so
that
was
the
last
speaker
in
line,
so
we
will
proceed
to
a
vote.
A
H
E
You
well
what
I've
learned
today
for
some
of
these
bills
is
we
all
knew
to
do
a
better
job
of
communicating
talking,
I,
think
it's
interesting
that
the
bill
that
I
presented
earlier,
we
kind
of
put
a
pause
on
to
work
out
the
differences
and
what
my
bill
in
the
University
of
Kentucky
wanted
and
I
think
this
one
is
early
similar.
E
We
need
to
have
a
lot
of
dialogue
and
I
I
respect
the
emotion
that
has
been
brought
to
this,
but
I'm
not
sure
that
the
concerns
of
other
folks
are
being
equally
considered
and
I'm
saying
those
concerns
are
right
or
wrong.
It's
just
that
should
be
considered.
We
should
be
able
to
sit
down
at
a
table
together
and
talk
about
the
right
approach
to
all
these
things,
I'd
like
to
hear
a
little
bit
more
from
our
Educators.
E
X
I'd
like
to
explain
my
no
vote,
please
proceed.
X
I
agree
with
Senator
Meredith
and
his
comments,
I
think
they're
very
important.
X
Quite
often,
those
of
us
that
sit
in
these
seats,
we
know
what's
right
and
wrong
I,
so
we
say,
or
so
we
think
I
think
sometimes
because
you
have
power,
doesn't
mean
you
exercise
it.
Should
you
exercise
it?
This
is
one
of
the
cases
that
is
so
clear
to
me
that
it's
inappropriate
to
go
down
this
road
I
cast
no
aspersions
to
neither
the
sponsor
or
anyone
else,
but
this
this
is
so
inappropriate.
I,
don't
know
any
other
way
to
express
it.
These
are
the
mildest
terms.
I
can
use.
X
B
B
I
think
all
teachers
would
say
that
they
are
given
a
lot
of
mandates,
what
to
do
except
the
mandate
to
teach,
but
in
this
particular
instance,
it's
amazing,
but
really
sort
of
like
sinister,
that
we
don't
require.
We
don't
pose
a
mandate
on
teachers
in
this
instance
requiring
them
to
call
a
child
by
the
noun
or
pronoun
that
they
prefer,
and
it's
essentially
interesting,
I'll,
somewhat
contradictory-
that
we
established
as
a
parents
right
bill,
but
we're
actually
stripping
parents
who
agree
with
their
child's
transgender
from
exercising
those
rights.
B
B
Q
A
S
R
R
There
is
still
the
choice
for
teachers
wishing
to
choose
to
do
so,
a
student
still
requesting
to
do
so.
There's
also
nothing
in
this
bill
that
does
not
allowed
for
nicknames
alternative
names.
If
a
teacher
still
has
the
belief
to
use
those,
this
is
about
once
again
parental
communication,
and
even
today,
I
spoke
in
the
Rotunda
as
related
to
empowering
parents
having
parental
rights
and
for
them
to
have
communication
to
have
transparency
with
curriculum,
to
allow
those
parents
to
have
the
opportunity
to
look
things
over.
This
once
again
is
about
parental
communication.
Thank
you.